WEBVTT - Hard Data: Can Your Erections Predict a Heart Attack?

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<v Speaker 1>Let's talk about it.

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<v Speaker 2>Let's talk about the Maro.

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<v Speaker 3>Let's talk about it.

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<v Speaker 4>Let's talk about the Man Hero. Welcome to the Man,

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<v Speaker 4>Welcome back to the mail room. Jordan Runt with me as.

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<v Speaker 2>Always, Hello everybody, So good to see you, always good

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<v Speaker 2>to see you.

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<v Speaker 4>Yeah, I'm gonna ask you a question before I introduce

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<v Speaker 4>our guest. What's that When you were in high school

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<v Speaker 4>and you were thinking.

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<v Speaker 3>About what you want to do with your life.

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<v Speaker 4>Was there ever a part of you that said, one

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<v Speaker 4>day I might be co hosting your show and producing

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<v Speaker 4>your show. We're gonna be talking about tech enabled cock rings.

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<v Speaker 4>Did that ever come up?

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<v Speaker 3>Well?

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<v Speaker 2>I wasn't really ever thinking about what I want to

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<v Speaker 2>do with my life in that era at all, but oh,

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<v Speaker 2>I got it. If I considered it, that probably would

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<v Speaker 2>have been on my top ten maybe.

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<v Speaker 4>Really Okay, No, So that was interesting because I was

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<v Speaker 4>very rock and roll. Yeah, when I did that Myers

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<v Speaker 4>Briggs thing, I think I was either supposed to be

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<v Speaker 4>a police officer or a minister, you know. And so

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<v Speaker 4>so I'm preaching the gospel of good men's health, and

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<v Speaker 4>I'm preaching and I'm making sure people are staying in line,

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<v Speaker 4>you know, when they are coming into my clinic and

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<v Speaker 4>their nutrition is good, then I'm the nutrition cop, I guess.

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<v Speaker 2>But yeah, never preaching to the perverted, that's right exactly.

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<v Speaker 4>So with that in mind, I would ask doctor Justin

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<v Speaker 4>the same question, like you know, when he was at

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<v Speaker 4>high school and he was in medical school. I want

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<v Speaker 4>to know the career pathways he took. Because doctor Justin

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<v Speaker 4>is a CEO and founder at firm Tech, which is

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<v Speaker 4>the first sex tech company dedicated to improving men's of

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<v Speaker 4>rectile fitness, and he has a background in emergency medicine,

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<v Speaker 4>and as you know, a lot of what we talk

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<v Speaker 4>about in men's health is wrecked out. His function is

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<v Speaker 4>sort of the first sign of some more serious health conditions,

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<v Speaker 4>and it's also usually an association in otherwise guys don't

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<v Speaker 4>just get ed without something else going on. And so

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<v Speaker 4>I'm going to really unpack that with him today, based

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<v Speaker 4>on the fact that he has a cardiovascular band to

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<v Speaker 4>what he does, since that's a lot of guys go

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<v Speaker 4>to the AR with not erect out dysfunction, but with

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<v Speaker 4>substernal crushing chest pains. So we're gonna get into that

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<v Speaker 4>with him. And he's a serial healthcare entrepreneur. He's founded

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<v Speaker 4>and sold Pegasus Emergency Group and Swift MD, and provided

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<v Speaker 4>guidance to various services tell himedicine and tech startups. Interestingly enough,

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<v Speaker 4>we have some common ground as well. So doctor Justin

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<v Speaker 4>was a Slavic studies major at Harvard and I was,

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<v Speaker 4>as you know, a Russian literature major in UCLA.

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<v Speaker 3>And so here we are. So we might do the

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<v Speaker 3>whole episode Paruski.

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<v Speaker 4>The lucha Paruski will vidiums. But anyway, we'll have some

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<v Speaker 4>people translate to talk about what I just said there.

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<v Speaker 3>But this is really cool.

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<v Speaker 4>He's been married for thirty five years, so he's got

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<v Speaker 4>me beat by exactly three to his wife. And they

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<v Speaker 4>live in Montana, God's Country, riding horses and managing chickens.

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<v Speaker 4>I imagine, are you I'm gonna just go into this,

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<v Speaker 4>but I mean, my my pressing question is how do

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<v Speaker 4>you keep the wolves away from your chickens in Montana?

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<v Speaker 3>Doctor Justin?

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<v Speaker 1>Well, last year our chickens rejoined the circle of life.

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<v Speaker 3>Oh boy, so so the edges, you don't.

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<v Speaker 1>Well, actually they stopped laying eggs. We had a whole flock.

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<v Speaker 1>And I'm not particularly sentimental about chickens the way I'm

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<v Speaker 1>about my dog and my horses. So I we just

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<v Speaker 1>decided that, you know, let's just leave the coop door

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<v Speaker 1>open over the winter and.

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<v Speaker 2>Let the chicks fall where they may.

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<v Speaker 1>I love that, yea. So anyway, thanks for joying the

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<v Speaker 1>circle of life with Elvis. The roofs to being the

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<v Speaker 1>last one to go down, and I think there was

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<v Speaker 1>you know, a combination of mostly pie coyotes, you know them.

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<v Speaker 3>Elvis has left the coop. That is uh, we joined

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<v Speaker 3>the circle of life.

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<v Speaker 1>Is beautiful?

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<v Speaker 2>Really, Yeah, that's an incredible way to break bad news

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<v Speaker 2>about pants.

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<v Speaker 4>Yes, I think we really need a moment to mourn

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<v Speaker 4>the chickens. Yeah, we had a similar thing. I lived

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<v Speaker 4>on my parents had this property in Missouri, and when

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<v Speaker 4>I was in grad school, my wife and I moved

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<v Speaker 4>in with them. And we had My parents both born

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<v Speaker 4>and raised in farms, and my dad very unsemental because

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<v Speaker 4>he did all the farm work as a kid, and

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<v Speaker 4>he and my mom convinced him to get a flock

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<v Speaker 4>of guineas and we had guinea hns same way, and

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<v Speaker 4>they had a great Pyrenees which protected the guineas from

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<v Speaker 4>all kinds of wild animals. In the Missouri wilderness and

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<v Speaker 4>they did pretty well until the guineas. Unfortunately, the Pyrenees

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<v Speaker 4>had to go into boarding while my parents were out

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<v Speaker 4>of town, and not a guinea survived when the Pyrenees

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<v Speaker 4>came back. And I think he was professionally devastated by it,

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<v Speaker 4>like he let this whole flock down, because never once

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<v Speaker 4>did we have any infiltrators, but we had bald eagles

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<v Speaker 4>and hawks and coyotes and all kinds of stuff. So

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<v Speaker 4>I don't know how we got on this, but we

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<v Speaker 4>are going to actually talk about something totally different but

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<v Speaker 4>also health related today, and that is the idea of

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<v Speaker 4>how do we get tech into our healthcare because we

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<v Speaker 4>have all kinds of devices from cgms or continuous glucose monitors,

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<v Speaker 4>which I see a lot of people in my gym

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<v Speaker 4>wearing even though they don't have diabetes. But I think

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<v Speaker 4>it kind of helps them decide whether they can have

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<v Speaker 4>a blueberry muffin or a handful of blueberries, because obviously,

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<v Speaker 4>you know, they need a CGM to tell them that

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<v Speaker 4>instead of knowing that you should probably always have the

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<v Speaker 4>blueberry muffin because life is short. But now we're talking

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<v Speaker 4>about sex in the bedroom and sex wearables and devices

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<v Speaker 4>in the bedroom.

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<v Speaker 3>And that's what we're bringing doctor Justin on.

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<v Speaker 4>Because he has helped develop this device with some of

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<v Speaker 4>my colleagues who actually know very well to start this

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<v Speaker 4>company called Firm Tech. So let's just we love creation stories,

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<v Speaker 4>doctor Justin, So talk to me about where this all started,

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<v Speaker 4>what was the great idea where you said, and then

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<v Speaker 4>also just explain what your device does it specifically at

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<v Speaker 4>least your wearable penile ring, and just you know, kind

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<v Speaker 4>of give us a little history one on one on

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<v Speaker 4>where this came from.

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<v Speaker 1>Well four years ago, if you told me, doufor Justin,

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<v Speaker 1>you'll be talking about direction rings the rest of your life.

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<v Speaker 1>I would have said, like most of been, no fucking way,

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<v Speaker 1>I don't need it. I'm good. And I realized it's

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<v Speaker 1>not about being good, it's about being great. It's not

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<v Speaker 1>about needing something, it's about wanting something. So all men

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<v Speaker 1>I spend with you, David, all men can optimize usher performers,

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<v Speaker 1>not just with data but with the Russian rings. But

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<v Speaker 1>going way back, I think I'm the only doctor I

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<v Speaker 1>know whose mother took them to see urologists twice from

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<v Speaker 1>their teenager because she thought their masturbation happens would prevent

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<v Speaker 1>them from getting into college. Was that okay, were you

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<v Speaker 1>were you? Were you one of those guys?

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<v Speaker 4>No, no, no, yeah, I can't say that that that

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<v Speaker 4>ever made it up in the Mill's household.

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<v Speaker 3>So very strange. But we were good Quakers, you know.

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<v Speaker 1>Here I are, mom and so. Uh. And actually their

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<v Speaker 1>last last business kind of amused me because it was

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<v Speaker 1>like the end of the junior year. Uh. And the

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<v Speaker 1>doctor chastised me in front of my mother for saying,

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<v Speaker 1>you know, several times a day, man, that's that's excessive.

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<v Speaker 3>Uh.

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<v Speaker 1>And then he called back into the office after she

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<v Speaker 1>left this and said, oh, by the way, Elliott, a

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<v Speaker 1>year from now you'll be in college and they'll have

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<v Speaker 1>to put up with her again. So uh, then skipping

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<v Speaker 1>your head to medical school. My first day medical school,

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<v Speaker 1>I looked around, thought, these are not my people. You

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<v Speaker 1>look like you're little bit young than me. But there

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<v Speaker 1>used be this thing called Index Medicus was endian of

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<v Speaker 1>all the articles there, you know, that research oficles throughout

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<v Speaker 1>medicine from the year before, before there was computers, these

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<v Speaker 1>large volumes. So I looked around the classroom and looked

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<v Speaker 1>around the auditorium and went to the medical library and

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<v Speaker 1>went to the A volume after dc X, I had

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<v Speaker 1>to read about it. I want to know if the

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<v Speaker 1>doctors are keeping something from us.

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<v Speaker 3>Right, where's that Spanish fly that's right?

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<v Speaker 1>And THEO himbe and all the other Anyway, I kind

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<v Speaker 1>of worked through this list. It's got a lot of

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<v Speaker 1>the same stuff it's around today, because when it comes

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<v Speaker 1>to retel dysfunction or reptile health, you know where the hopes,

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<v Speaker 1>they're dopes and guys will walk on broken glass to

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<v Speaker 1>you know, optimize or improve the performance. So sorry, from

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<v Speaker 1>the Spanish flying and hymbe, there was a large neil

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<v Speaker 1>citralan macar u Honi gogried all the same things that

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<v Speaker 1>are in the Celtnes today, and I'll share with you

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<v Speaker 1>that we have tested a lot of them and we

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<v Speaker 1>have not found anything to improve octurnal blood float to

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<v Speaker 1>projective marker, skipping ahead other than Montana. I ride horses.

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<v Speaker 1>My wife says I ride like a fifteen year old.

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<v Speaker 1>Let's say I ride with least the maturity, but twenty

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<v Speaker 1>five year old. But I sometimes had this illusion down

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<v Speaker 1>in my centaur. Then I'm one with my horse. I

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<v Speaker 1>don't know if you guys ride horses, but this is

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<v Speaker 1>it's like think you're like you're like one with your motorcycle.

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<v Speaker 1>So in the valley over from where we live, by

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<v Speaker 1>the way, it's called Paradise Valley, I was riding a

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<v Speaker 1>Paris valley and some do good or had cut a

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<v Speaker 1>tree that had fallen over a trail so you could

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<v Speaker 1>walk underneath it, but you couldn't ride a horse underneath it,

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<v Speaker 1>especially if you're going along fecklessly, full out about thirty

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<v Speaker 1>five miles per hour, having a lot of fun. So

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<v Speaker 1>I came around this curve and here was this tree, limb,

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<v Speaker 1>trunk really and I shattered that at the pieces. I'm

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<v Speaker 1>certain there's still the tree is still talking about me

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<v Speaker 1>in that forest. But he also broke six ribs and

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<v Speaker 1>six vertebrae, and I was always lying there on the ground.

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<v Speaker 1>I thought it was my spinacle damaged. Do you know

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<v Speaker 1>about the cock up sign?

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<v Speaker 3>Yeah, tell me yes, Yeah, it has two three four.

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<v Speaker 1>Assume me a breathing and you're not bleeding out. It's

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<v Speaker 1>important for everyone who's concerned about spinakle injuries know that

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<v Speaker 1>if you can cock your big toe back, you can

0:08:59.120 --> 0:09:02.800
<v Speaker 1>defecate your nite. The Big three. So my wife came

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<v Speaker 1>riding up behind me god of a horse and said,

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<v Speaker 1>you're gonna die, And I said, no, I'm not gonna die,

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<v Speaker 1>but I'm in. It's gonna be really bad. It's gonna

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<v Speaker 1>be like very nineteenth century experience. So I had to

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<v Speaker 1>walk out for about I don't know, six seven miles

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<v Speaker 1>to a clearing or to get helicoptered out. Anyway, as

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<v Speaker 1>I was making this very slow walk, I thought, she

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<v Speaker 1>what's been done to real bility sexual function in men

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<v Speaker 1>and women who have had a spawnal cood injury or

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<v Speaker 1>spina core disease. So there were six papers in the

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<v Speaker 1>medical literature, certainly after COVID. We all should laugh about

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<v Speaker 1>that phrase medical literature, because the literature is largely fiction,

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<v Speaker 1>and most medical research is probably logic fiction as well too,

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<v Speaker 1>not reproducible at least to give them the benefit the doubt.

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<v Speaker 1>So there were six papers per reviewed of course, saying

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<v Speaker 1>that they were able to neuromodulate human sexual response. So

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<v Speaker 1>neuromodulation like client paste makings and planting electrode and producing

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<v Speaker 1>a neurological response, we can make the heart beat after death.

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<v Speaker 1>Imagine if we could, well, I don't want to talk

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<v Speaker 1>about getting the carrons after death, but imagine if we

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<v Speaker 1>could actually use no modulation to restore or maintain sex

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<v Speaker 1>sexual function, especially in Asian population. So this interested me.

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<v Speaker 1>I tried out on two rams two male sheep at

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<v Speaker 1>a lap here in California, and we identified the podental

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<v Speaker 1>and cabinist nerves, everyone's two favorite nerves that no one's

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<v Speaker 1>ever heard about. The nerves are responsible for arousal and

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<v Speaker 1>climax and men and women, and we got direction and

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<v Speaker 1>ejaculation in the two rams, but we also got defecation urination,

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<v Speaker 1>so it wasn't quite bedroom friendly unless you're it's certain

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<v Speaker 1>neighborhoods in La San Francisco, maybe sit near London.

0:10:37.120 --> 0:10:40.559
<v Speaker 4>That's right, or disgraced wrap in pop stars, but yes.

0:10:40.360 --> 0:10:44.679
<v Speaker 1>Exactly exactly. I thought, Gee, it's too opten to here.

0:10:44.679 --> 0:10:46.160
<v Speaker 1>I can either go out and go to the Valley

0:10:46.280 --> 0:10:48.520
<v Speaker 1>or Ballet or New York and raise fifteen twenty five

0:10:48.520 --> 0:10:52.240
<v Speaker 1>million dollars and go down to Nigeria or Brazil and

0:10:52.360 --> 0:10:55.120
<v Speaker 1>find twenty five guys VT and put electrodes in them.

0:10:55.320 --> 0:10:58.679
<v Speaker 1>Or I could try it out myself. So I had

0:10:58.679 --> 0:11:00.920
<v Speaker 1>a friend of mine, Errolic, just went to a surge

0:11:00.920 --> 0:11:04.000
<v Speaker 1>of center outside of San Jose. By the way, there

0:11:04.040 --> 0:11:05.080
<v Speaker 1>was no consent form for this.

0:11:05.280 --> 0:11:09.000
<v Speaker 3>Yeah, I was going to say, this is yeah, is Carlors.

0:11:09.040 --> 0:11:11.120
<v Speaker 4>You get a little tight here at iHeart radio, But yeah,

0:11:11.200 --> 0:11:12.920
<v Speaker 4>keep going and we.

0:11:13.120 --> 0:11:15.959
<v Speaker 1>Implant to electro implanted to electrode by my potental in

0:11:16.000 --> 0:11:19.840
<v Speaker 1>cabinets news and we tried all different amplitudes, frequencies, voltages,

0:11:19.880 --> 0:11:22.840
<v Speaker 1>and I felt nothing of tatally from electricity. I actually

0:11:22.880 --> 0:11:26.520
<v Speaker 1>don't think we understand the neurophysiology of human sexuality. There are

0:11:26.720 --> 0:11:30.360
<v Speaker 1>you know, claims literature about Paris Sympic nervouses and blah

0:11:30.360 --> 0:11:33.760
<v Speaker 1>blah blah. So I called a project oh for obvious reasons.

0:11:33.800 --> 0:11:36.240
<v Speaker 1>I tried to get it published unsuccessfully. You know, you

0:11:36.240 --> 0:11:39.439
<v Speaker 1>know negative studies almost never get published, especially negative study

0:11:39.480 --> 0:11:42.840
<v Speaker 1>is done by an emergency meta position without a consent

0:11:42.960 --> 0:11:45.560
<v Speaker 1>form and a surch of center in San Jose.

0:11:45.640 --> 0:11:47.000
<v Speaker 3>When I reb yeah, that's right.

0:11:48.920 --> 0:11:52.920
<v Speaker 1>One so years passed. Four years ago. A Urolagship professor

0:11:52.920 --> 0:11:55.480
<v Speaker 1>at the University of Utah, doctor Chancel Talent. He's not

0:11:55.600 --> 0:11:59.880
<v Speaker 1>my chief medical officer. He heard about this tale from

0:12:00.040 --> 0:12:02.640
<v Speaker 1>shul friend and he said, gee, I want to work

0:12:02.679 --> 0:12:07.400
<v Speaker 1>with him. Jim had been trying to develop device to

0:12:07.440 --> 0:12:11.040
<v Speaker 1>measure nocturnal erections for eight or nine years and unable

0:12:11.120 --> 0:12:14.439
<v Speaker 1>to complete that development, and he wanted me to take this,

0:12:14.880 --> 0:12:18.360
<v Speaker 1>you know forward. So he told me the number of

0:12:18.360 --> 0:12:21.080
<v Speaker 1>nocturnal directions and a man are leading indicator of his

0:12:21.120 --> 0:12:23.920
<v Speaker 1>cardiovascar health. That the penis is the canarian the coal

0:12:23.960 --> 0:12:27.280
<v Speaker 1>mine of cardiofasquar disease. And just parenthetically, in the course

0:12:27.320 --> 0:12:30.160
<v Speaker 1>of my career, I had developed expertise as a consultant

0:12:30.240 --> 0:12:32.800
<v Speaker 1>the area of sense of technologies and ropati management technology,

0:12:32.840 --> 0:12:35.800
<v Speaker 1>so it wasn't just some random thing here. And he said,

0:12:36.120 --> 0:12:38.360
<v Speaker 1>noaturnal directions are lead indicator. That really took me back

0:12:38.400 --> 0:12:41.800
<v Speaker 1>when I was ignorant about it. And two, in medicine,

0:12:41.840 --> 0:12:44.800
<v Speaker 1>we don't have a lot of lead indicators. In medicine.

0:12:44.840 --> 0:12:47.640
<v Speaker 1>We treat associations, and we treat associations as if they

0:12:47.679 --> 0:12:49.960
<v Speaker 1>are lead the indicators. So lead indicators are things are

0:12:49.960 --> 0:12:54.320
<v Speaker 1>actually predictive. So we treat high blood pressures associated with stroke,

0:12:54.400 --> 0:12:57.439
<v Speaker 1>for example, but it's only predictive when it's really extreme.

0:12:57.480 --> 0:12:59.800
<v Speaker 1>I mean, my blood pressure goes from you know, forty,

0:12:59.800 --> 0:13:01.920
<v Speaker 1>it's I'm not telling me not to stroke my brush.

0:13:01.920 --> 0:13:04.160
<v Speaker 1>Redical was one twenty to two forty. That's a problem.

0:13:04.280 --> 0:13:04.920
<v Speaker 3>You're in trouble.

0:13:05.040 --> 0:13:06.680
<v Speaker 1>And the same thing. We look proteins, and we often

0:13:06.760 --> 0:13:10.160
<v Speaker 1>overtreat these these things because we treat these these minor

0:13:10.200 --> 0:13:13.640
<v Speaker 1>signals being really significant. Doctor Hotelling told me and showed

0:13:13.679 --> 0:13:17.640
<v Speaker 1>me research in the medical literature, quote literature indicating that

0:13:17.960 --> 0:13:20.040
<v Speaker 1>the number of nocturnal directions of man has come down

0:13:20.120 --> 0:13:22.680
<v Speaker 1>by fifty percent. The man has a quotes to fifty

0:13:22.720 --> 0:13:25.160
<v Speaker 1>percent chance of having a Caldivascar event heart attack in

0:13:25.240 --> 0:13:28.040
<v Speaker 1>China in the next two or three years, and that

0:13:28.040 --> 0:13:31.920
<v Speaker 1>that's a powerful number. Especially as leading indicator rithology, I

0:13:31.960 --> 0:13:55.599
<v Speaker 1>wanted to get involved in this. So that's the backstory.

0:13:56.800 --> 0:14:00.559
<v Speaker 4>We talk a lot about the concept of the really

0:14:00.600 --> 0:14:04.840
<v Speaker 4>the foundation of men's health as a discipline started in

0:14:04.960 --> 0:14:07.440
<v Speaker 4>nineteen ninety eight with the advent of the little Blue pill.

0:14:07.520 --> 0:14:10.360
<v Speaker 4>And we realized all those data that came out of

0:14:10.720 --> 0:14:14.040
<v Speaker 4>Olmsted County, which is the Mayo Clinic data in Framingham,

0:14:14.080 --> 0:14:17.079
<v Speaker 4>which is your alma mater at Harvard, looking at these

0:14:17.120 --> 0:14:20.280
<v Speaker 4>cardiovascular indicators, and right, you know, any guy that had

0:14:20.600 --> 0:14:22.560
<v Speaker 4>any degree of wrecked out his function in his forties

0:14:22.560 --> 0:14:24.880
<v Speaker 4>has a two to threefold higher incident of a major

0:14:25.480 --> 0:14:29.000
<v Speaker 4>associated cardiac event within those ensuing five to even ten years,

0:14:29.040 --> 0:14:31.240
<v Speaker 4>and so right that we've always looked at that, and

0:14:31.960 --> 0:14:34.600
<v Speaker 4>the way to a man's heart is probably not through

0:14:34.600 --> 0:14:37.160
<v Speaker 4>his stomach but to his penis, honestly, and both from

0:14:37.160 --> 0:14:39.920
<v Speaker 4>an incentive standpoint as well as from a cardiovascular arist

0:14:40.040 --> 0:14:41.160
<v Speaker 4>ratification standpoint.

0:14:41.200 --> 0:14:42.680
<v Speaker 3>So anything we can do to get.

0:14:42.720 --> 0:14:47.640
<v Speaker 4>In early on this is really interesting, interesting advice. And

0:14:48.360 --> 0:14:51.120
<v Speaker 4>we just got done with Men's Health Month, and you know,

0:14:51.160 --> 0:14:54.360
<v Speaker 4>I always like to say that genital health is general health,

0:14:54.680 --> 0:14:57.480
<v Speaker 4>and so you have something that is genital health that

0:14:57.760 --> 0:15:00.160
<v Speaker 4>very much correlates to general health. So talk to me

0:15:00.200 --> 0:15:02.880
<v Speaker 4>about why I'm gonna I'm going to set up a

0:15:02.920 --> 0:15:04.960
<v Speaker 4>sales pitch for you and then and then I'll probably

0:15:04.960 --> 0:15:07.520
<v Speaker 4>pull back because I'm skeptical and don't like selling things.

0:15:07.920 --> 0:15:10.280
<v Speaker 4>But tell me why every guy you should have this

0:15:10.400 --> 0:15:12.920
<v Speaker 4>device and explain what it does. Explain this to the technology,

0:15:12.920 --> 0:15:15.480
<v Speaker 4>and explain the data that we get if we're wearing

0:15:15.800 --> 0:15:17.520
<v Speaker 4>one of these pnile rings.

0:15:17.600 --> 0:15:20.040
<v Speaker 1>Yeah, let's first just go back to biograph, just if

0:15:20.080 --> 0:15:24.120
<v Speaker 1>I could for just one moment. Of course, so Vader

0:15:24.520 --> 0:15:27.280
<v Speaker 1>was validated with subjective data. There's a scoring scheme as

0:15:27.280 --> 0:15:29.920
<v Speaker 1>you know, called the ie F YEP. That's a bunch

0:15:29.960 --> 0:15:34.240
<v Speaker 1>of questions about your sexual health. Well, it's subjective. For example,

0:15:34.480 --> 0:15:36.680
<v Speaker 1>how is your sexual health over the last thirty days. Well,

0:15:36.840 --> 0:15:38.200
<v Speaker 1>you know, if I'm putting a prison room with you,

0:15:38.280 --> 0:15:40.000
<v Speaker 1>my secial health is going to be really bad over

0:15:39.680 --> 0:15:41.840
<v Speaker 1>the next thirty days. Other hand, put me in a

0:15:41.920 --> 0:15:46.200
<v Speaker 1>room with some some fashion, some model, it's going to

0:15:46.280 --> 0:15:48.200
<v Speaker 1>be great. So when we start taking care of people

0:15:48.240 --> 0:15:51.640
<v Speaker 1>on a base of subjective scoring systems, we make mistakes situational.

0:15:51.720 --> 0:15:54.040
<v Speaker 1>So as I recall with fives were applying for viacara.

0:15:54.080 --> 0:15:56.960
<v Speaker 1>There there was seven papers, two of which showed no

0:15:57.000 --> 0:15:59.000
<v Speaker 1>more benefit of the placebo, and then one of them

0:15:59.080 --> 0:16:01.800
<v Speaker 1>was the largest loge number of subjects in it. There's

0:16:01.840 --> 0:16:04.400
<v Speaker 1>one paper that was just you know, had men with

0:16:04.440 --> 0:16:06.440
<v Speaker 1>prostate disease that had the most response. I think we're

0:16:06.440 --> 0:16:09.360
<v Speaker 1>seventy percent improvement on the ief. Well, most men that

0:16:09.440 --> 0:16:12.280
<v Speaker 1>don't have prostate cans haven't had surgery in the prostate.

0:16:12.720 --> 0:16:15.040
<v Speaker 1>And the other four papers show nor more benefit than

0:16:15.080 --> 0:16:18.080
<v Speaker 1>the thirty five to forty percent range. Well placebos thirty percent,

0:16:18.200 --> 0:16:21.200
<v Speaker 1>So we're not talking about a powerful boner pill here

0:16:21.240 --> 0:16:22.760
<v Speaker 1>the way you know, the way the way you know,

0:16:22.800 --> 0:16:25.400
<v Speaker 1>And we really have fallen into the trap of of

0:16:25.480 --> 0:16:29.120
<v Speaker 1>succumbing to I think bad data, subjective data, and form

0:16:29.120 --> 0:16:31.920
<v Speaker 1>of marketing when it comes to taking the pills for everyone.

0:16:32.040 --> 0:16:34.640
<v Speaker 1>So what is our what do we do well? Minor

0:16:34.640 --> 0:16:36.640
<v Speaker 1>harackers want to hack health, but you can't hack health

0:16:37.160 --> 0:16:39.560
<v Speaker 1>unless you can track it. You can't really fix things,

0:16:39.600 --> 0:16:42.160
<v Speaker 1>in my opinion, unless you can actually measure them and

0:16:42.200 --> 0:16:46.000
<v Speaker 1>measure them objectively. So our device we embedded sensors into

0:16:46.040 --> 0:16:48.120
<v Speaker 1>an erection ray. I don't like calling it a cock

0:16:48.200 --> 0:16:50.480
<v Speaker 1>ring because that puts it in the context of a

0:16:50.520 --> 0:16:54.440
<v Speaker 1>sex toward toward novelty. I suppose something that that is

0:16:55.000 --> 0:16:58.920
<v Speaker 1>variable with valuable data, but also is a form that's

0:16:58.960 --> 0:17:02.160
<v Speaker 1>going to optimize some sexual performance. So in better senses,

0:17:02.160 --> 0:17:04.760
<v Speaker 1>into an direction ring. One overnight, we count the number

0:17:04.800 --> 0:17:09.199
<v Speaker 1>optional directions, measure the duration and firmness. One during sexy

0:17:09.200 --> 0:17:12.440
<v Speaker 1>measure duration and firmness. And with this information we give

0:17:12.520 --> 0:17:15.520
<v Speaker 1>we provide people what we call an erect out fitness score.

0:17:16.240 --> 0:17:20.440
<v Speaker 1>Where fitness oriented culture. We all of us, including both

0:17:20.520 --> 0:17:22.680
<v Speaker 1>you young guys on this call, are on the road

0:17:22.760 --> 0:17:25.679
<v Speaker 1>from erect out fitness to rect ale this function. And

0:17:25.880 --> 0:17:27.280
<v Speaker 1>we don't know where we are on the road, and

0:17:27.400 --> 0:17:29.879
<v Speaker 1>we drive a car, we have a dashboard. If you

0:17:29.880 --> 0:17:32.159
<v Speaker 1>don't have a dashboard, we're likely to break down, crash

0:17:32.200 --> 0:17:34.879
<v Speaker 1>around a gas you don't have problems. So we're giving

0:17:34.960 --> 0:17:38.480
<v Speaker 1>men and the healthcare providers data that tells them where

0:17:38.520 --> 0:17:41.160
<v Speaker 1>you are on that road, in addition to which we're

0:17:41.160 --> 0:17:44.879
<v Speaker 1>also optimizing their performance. Because an effective erection ring is

0:17:44.920 --> 0:17:46.399
<v Speaker 1>not one of these o rings that you see in

0:17:46.440 --> 0:17:50.680
<v Speaker 1>sex toy stores that essentially like a gasket for your dick.

0:17:50.920 --> 0:17:52.240
<v Speaker 1>You know you have to have you have to have

0:17:52.280 --> 0:17:54.360
<v Speaker 1>an direction for it to work. You slide it down

0:17:54.359 --> 0:17:56.520
<v Speaker 1>your penis. It chokes off your penis. It's like a

0:17:56.600 --> 0:17:59.720
<v Speaker 1>relation of your penis. It's coming off teria of blood flow. Uh.

0:18:00.040 --> 0:18:02.000
<v Speaker 1>And you know they're considered to be dangerous. They're wret

0:18:02.000 --> 0:18:04.199
<v Speaker 1>for more than twenty to thirty minutes. It's probably more

0:18:04.240 --> 0:18:07.639
<v Speaker 1>like an hour. But if people have diabetes, hypertension, compromised circulation,

0:18:08.160 --> 0:18:09.399
<v Speaker 1>they can be quite problematic.

0:18:09.480 --> 0:18:12.240
<v Speaker 4>Boy, do I have stories that involve dremal saws and

0:18:12.320 --> 0:18:15.400
<v Speaker 4>late nights in the emergency room, bolt cutters, jaws of life.

0:18:15.720 --> 0:18:17.800
<v Speaker 3>You're absolutely right. I'm sure you've seen it too as

0:18:17.800 --> 0:18:18.679
<v Speaker 3>an er doctor.

0:18:18.800 --> 0:18:21.840
<v Speaker 1>So we've documented a quarter million, two undred thousand directions

0:18:21.920 --> 0:18:25.000
<v Speaker 1>lest time booked on four thousand men. We have the

0:18:25.000 --> 0:18:29.880
<v Speaker 1>world's largest database, and researchers of mine that data to say, well,

0:18:30.000 --> 0:18:32.879
<v Speaker 1>what really works, what doesn't work? And when comes to

0:18:32.960 --> 0:18:36.000
<v Speaker 1>men's sexual health, a lot of the things that have

0:18:36.080 --> 0:18:39.320
<v Speaker 1>been recommended have been either untested. Frank quite a few

0:18:39.400 --> 0:18:42.480
<v Speaker 1>that don't work. And in addition to which you know,

0:18:42.520 --> 0:18:47.280
<v Speaker 1>there are several papers underway right now correlating nocturnal erection

0:18:47.400 --> 0:18:51.600
<v Speaker 1>parameters with CT calcium scores for cardiacal highbassue risk and

0:18:51.640 --> 0:18:54.399
<v Speaker 1>the blood and the markets appob and other markets of

0:18:54.720 --> 0:18:59.200
<v Speaker 1>cardiabasket health, and those papers will look them out. One

0:18:59.240 --> 0:19:01.359
<v Speaker 1>will be presented this fall, the other ones will come

0:19:01.359 --> 0:19:04.359
<v Speaker 1>out next year. As you know, the academic wheels of

0:19:04.400 --> 0:19:07.240
<v Speaker 1>research turn slowly. But I can tell you what the

0:19:07.240 --> 0:19:09.800
<v Speaker 1>research shows because the research the biggest. The big research

0:19:09.800 --> 0:19:12.240
<v Speaker 1>shows but men and doctors think this leading cause of

0:19:12.320 --> 0:19:15.920
<v Speaker 1>rattles function is actually the second leading cause. Do you

0:19:15.960 --> 0:19:16.320
<v Speaker 1>want to know?

0:19:16.840 --> 0:19:19.280
<v Speaker 4>Yeah, tell me what your thoughts are, because I definitely

0:19:19.320 --> 0:19:19.720
<v Speaker 4>have thoughts.

0:19:19.800 --> 0:19:22.440
<v Speaker 1>Yeah, I have you know, you probably know some of

0:19:22.440 --> 0:19:25.680
<v Speaker 1>the people that we're working with, doctor John Mahall more,

0:19:25.760 --> 0:19:28.840
<v Speaker 1>some Cattering Mote Kera from Baylor who's on the home

0:19:29.520 --> 0:19:34.320
<v Speaker 1>on our board, Javio Tero, Mero Spain, different Chapman. We

0:19:34.320 --> 0:19:36.520
<v Speaker 1>have some of the world's leaders and men's sexual medicine

0:19:36.520 --> 0:19:39.159
<v Speaker 1>are on our advisory board or doing research for the device.

0:19:39.640 --> 0:19:42.639
<v Speaker 1>So the expectation the incience of rattles function.

0:19:43.720 --> 0:19:43.960
<v Speaker 3>Uh.

0:19:44.000 --> 0:19:45.800
<v Speaker 1>And by the way, I got to talk about the

0:19:45.800 --> 0:19:48.840
<v Speaker 1>definition moment because the definition is flawed. But the instance

0:19:48.880 --> 0:19:52.520
<v Speaker 1>of Reteld's function goes up ten percent per decade after

0:19:52.560 --> 0:19:54.760
<v Speaker 1>age thirty. I'm seventy three years old. By my age

0:19:54.800 --> 0:19:57.520
<v Speaker 1>seventy percent, so it goes up ten percent per decade.

0:19:57.840 --> 0:20:02.600
<v Speaker 1>So the expectation of the demics was as the instance

0:20:02.680 --> 0:20:06.200
<v Speaker 1>of reftorld disfunction goes up, the number nocturnal erections will

0:20:06.200 --> 0:20:09.639
<v Speaker 1>come down, the firm's nocturnal directions will come down, and

0:20:09.680 --> 0:20:12.399
<v Speaker 1>the firm's of sex direction will come down. It didn't happen.

0:20:12.720 --> 0:20:14.480
<v Speaker 1>So I remember looking at the data when we had

0:20:14.480 --> 0:20:17.119
<v Speaker 1>like forty thousand erections. I got seventh sixth of what

0:20:17.119 --> 0:20:19.160
<v Speaker 1>we had. Right now, I'm thinking the data is trying

0:20:19.160 --> 0:20:21.320
<v Speaker 1>to tell me something. It's going to be really simple.

0:20:22.359 --> 0:20:25.520
<v Speaker 1>Why we had Why are we reporting more rethtle dysfunction?

0:20:25.920 --> 0:20:28.639
<v Speaker 1>But men's erections are staying just as hard in the

0:20:28.640 --> 0:20:31.320
<v Speaker 1>sixties as men's erections in the thirties. Men haven't just

0:20:31.320 --> 0:20:33.159
<v Speaker 1>made nocturnal erections in the sixties as a matter of

0:20:33.200 --> 0:20:37.520
<v Speaker 1>having in the thirties. What's going on here? So twelve

0:20:37.520 --> 0:20:40.800
<v Speaker 1>to thirteen percent of men, they do deteriorate, and these

0:20:40.800 --> 0:20:43.840
<v Speaker 1>are men with significant cardiovascid disease. These are men with diabetes,

0:20:43.920 --> 0:20:46.399
<v Speaker 1>high pertension, usually pull out controlled. But that's not the

0:20:46.480 --> 0:20:49.479
<v Speaker 1>vast majority of men. The vast majority of men are

0:20:49.560 --> 0:20:52.560
<v Speaker 1>reporting retort of dysfunction, but they're staying just as hard.

0:20:52.600 --> 0:20:54.520
<v Speaker 1>So what's going on? So the flaw is in the

0:20:54.560 --> 0:20:57.520
<v Speaker 1>definition in my mind, so definition of reptild dysfunction called

0:20:57.560 --> 0:21:01.000
<v Speaker 1>International side for section most and has three clauses. The

0:21:01.040 --> 0:21:05.399
<v Speaker 1>first clause inability to get an erection or difficulty getting erection.

0:21:05.640 --> 0:21:07.119
<v Speaker 1>I don't mean because you're drunk, I mean in some

0:21:07.119 --> 0:21:10.080
<v Speaker 1>sorts just sustained basis. Well, those are the men with

0:21:10.160 --> 0:21:13.199
<v Speaker 1>bad cardiovasket will we doctors called left side heart failure.

0:21:13.240 --> 0:21:15.960
<v Speaker 1>They've got narrowly their arteries due to diabetes or hypertension.

0:21:16.160 --> 0:21:18.320
<v Speaker 1>They got well, they have that heart attack or John

0:21:18.600 --> 0:21:21.080
<v Speaker 1>just a heart failure or mircodie. Some a heart stop

0:21:21.080 --> 0:21:23.760
<v Speaker 1>pumping up blood the penis, the arteries and narrow. They're

0:21:23.760 --> 0:21:27.840
<v Speaker 1>struggling to get an erection because they have some cardiovasket problem.

0:21:27.880 --> 0:21:31.040
<v Speaker 1>The second part of the definition is difficulty maintaining erection.

0:21:31.520 --> 0:21:33.479
<v Speaker 1>That's all men, that's all of us. As we get older,

0:21:33.840 --> 0:21:35.840
<v Speaker 1>with all of us, as we get older, those sustain

0:21:35.880 --> 0:21:38.639
<v Speaker 1>erections the way we did we were younger. It's multi factorial.

0:21:39.520 --> 0:21:42.600
<v Speaker 1>I'll pick on you. I'm guessing look at you that

0:21:42.680 --> 0:21:44.520
<v Speaker 1>when you were twelve years old, if a girl put

0:21:44.560 --> 0:21:47.320
<v Speaker 1>a tongue in her mouth for ten seconds, you get

0:21:47.320 --> 0:21:49.800
<v Speaker 1>a hard on for an hour and a half. What

0:21:49.880 --> 0:21:54.240
<v Speaker 1>was the last time that happened to you?

0:21:54.240 --> 0:21:56.080
<v Speaker 3>You're looking right at the camera of both of us.

0:21:57.080 --> 0:22:02.160
<v Speaker 4>Yes, and I would say that, yeah, you know, well

0:22:02.280 --> 0:22:05.280
<v Speaker 4>the answer is not that long ago, because I've been

0:22:05.280 --> 0:22:06.200
<v Speaker 4>happily married as well.

0:22:06.240 --> 0:22:09.440
<v Speaker 1>But but no, no, But but you know the point talking.

0:22:09.560 --> 0:22:12.359
<v Speaker 4>I know because I actually I will tell you this.

0:22:12.400 --> 0:22:14.520
<v Speaker 4>I mean I talk about with my patients all all

0:22:14.560 --> 0:22:17.119
<v Speaker 4>the time. I call it the NRB or they're no

0:22:17.200 --> 0:22:19.440
<v Speaker 4>reason boner, and it's you know, for me, it's a

0:22:19.560 --> 0:22:21.560
<v Speaker 4>question is you know when I was sitting in algebra

0:22:21.680 --> 0:22:23.960
<v Speaker 4>class in ninth or tenth grade and all of a

0:22:24.000 --> 0:22:27.760
<v Speaker 4>sudden something happened. You know, under my textbook, those are

0:22:27.800 --> 0:22:29.639
<v Speaker 4>the things that are very tough as we get older

0:22:29.640 --> 0:22:32.400
<v Speaker 4>to get the NRBS. Yeah, I mean direct stimulation. Boy,

0:22:32.480 --> 0:22:34.359
<v Speaker 4>I'm you know, I'm good to go. Not to TMI

0:22:34.440 --> 0:22:35.040
<v Speaker 4>with my audience.

0:22:35.080 --> 0:22:37.040
<v Speaker 1>Well, of course I'm not talking about the rest simulation.

0:22:37.160 --> 0:22:40.240
<v Speaker 1>I'm talking about Yeah, I'm talking. So I think we've

0:22:40.240 --> 0:22:44.480
<v Speaker 1>what we've done is pathologize the aging process for sure.

0:22:45.240 --> 0:22:47.080
<v Speaker 1>You know, I'll put on both of you guys again

0:22:47.119 --> 0:22:49.800
<v Speaker 1>on myself. Hey, I'm seventy three. Do I run as

0:22:49.840 --> 0:22:52.119
<v Speaker 1>fast I did when I was twenty? No, of course not.

0:22:52.480 --> 0:22:55.959
<v Speaker 1>I must have r D run as function, and I

0:22:55.960 --> 0:22:58.119
<v Speaker 1>need to see a running as function specialist, and I

0:22:58.119 --> 0:23:01.280
<v Speaker 1>need special series of exercises, any pills, any sufflements in

0:23:01.320 --> 0:23:03.120
<v Speaker 1>order to cure my RD. And that's what we've done

0:23:03.119 --> 0:23:05.760
<v Speaker 1>with e D. The pejorative men get up and then

0:23:05.840 --> 0:23:07.800
<v Speaker 1>lose it fast than they did when they were younger.

0:23:07.800 --> 0:23:10.760
<v Speaker 1>Now this could be multi factorial. Obviously there's a confidence

0:23:10.760 --> 0:23:13.400
<v Speaker 1>issue there's a baby crying next room, you're worried about

0:23:13.400 --> 0:23:15.359
<v Speaker 1>paying the mortgage, there are business issues, you and your

0:23:15.359 --> 0:23:17.480
<v Speaker 1>wife had to fight, someone's cheating on someone else, or

0:23:17.520 --> 0:23:20.320
<v Speaker 1>you've had too much to drink. And then the pills

0:23:20.320 --> 0:23:22.920
<v Speaker 1>that we doctors prescribe that make it harder for people

0:23:22.960 --> 0:23:26.560
<v Speaker 1>to stay in directions. There's certain Antihypotensis, the entire class

0:23:26.720 --> 0:23:30.480
<v Speaker 1>SSRI interpressants. But if you're getting blood in, these guys

0:23:30.520 --> 0:23:33.320
<v Speaker 1>are getting blood in then losing it. The primary goal

0:23:33.320 --> 0:23:37.960
<v Speaker 1>of therapy should be not immedia therapy, not the root cause.

0:23:38.080 --> 0:23:39.959
<v Speaker 1>The prime cours of therapy should be keep blood in.

0:23:40.720 --> 0:23:44.639
<v Speaker 1>But the pills that farmer has pop so popularized the

0:23:44.640 --> 0:23:47.160
<v Speaker 1>p five pills by aggress alas being the big ones.

0:23:47.480 --> 0:23:50.200
<v Speaker 1>They put more blood in, but they don't keep it there.

0:23:50.960 --> 0:23:53.640
<v Speaker 1>And if you the problem is you're getting hard taking

0:23:53.640 --> 0:23:55.240
<v Speaker 1>them more blood, you have to keep the tap open.

0:23:55.440 --> 0:23:57.200
<v Speaker 1>That's great, but how are you going to keep blood

0:23:57.200 --> 0:23:59.960
<v Speaker 1>in there? And the answer is mechanical solution. For most men,

0:24:00.280 --> 0:24:02.560
<v Speaker 1>the answer is a ring. There are three papers, one

0:24:02.600 --> 0:24:05.840
<v Speaker 1>we did internally in two that will be published comparing

0:24:06.560 --> 0:24:10.480
<v Speaker 1>our rings to ten milligrams to dallaphil so like Alison

0:24:10.480 --> 0:24:13.200
<v Speaker 1>most commonly prescribed direction pill in the East, the United States,

0:24:13.200 --> 0:24:15.959
<v Speaker 1>maybe with the world, and in one of the papers

0:24:16.160 --> 0:24:19.440
<v Speaker 1>the equivalent and two of the papers are ring superior.

0:24:19.520 --> 0:24:21.600
<v Speaker 1>And why is that Because the problem is for most men,

0:24:21.640 --> 0:24:24.119
<v Speaker 1>it's not getting blood in, it's keeping it there. So

0:24:24.240 --> 0:24:26.800
<v Speaker 1>here's how the studies worked. When one of them, we

0:24:26.840 --> 0:24:29.600
<v Speaker 1>looked at the research around it looked at D two

0:24:29.640 --> 0:24:32.199
<v Speaker 1>messons the time it takes for an erection to go

0:24:32.320 --> 0:24:37.160
<v Speaker 1>down after climax, So with nothing it was twenty five

0:24:37.160 --> 0:24:41.000
<v Speaker 1>to thirty five seconds. With to dallaphill it was around

0:24:41.040 --> 0:24:43.679
<v Speaker 1>two minutes. With the ring was close to three minutes,

0:24:43.920 --> 0:24:46.960
<v Speaker 1>and both together it was close to four minutes. Well,

0:24:46.960 --> 0:24:49.280
<v Speaker 1>it takeaway for all men should be if you want

0:24:49.280 --> 0:24:52.720
<v Speaker 1>optimish your performance, take a pill and put a ring

0:24:52.760 --> 0:24:55.560
<v Speaker 1>on it. It is a doctor Yoshi Sato. He did

0:24:55.560 --> 0:24:59.040
<v Speaker 1>a paper looking at men with an erected hardness scores

0:24:59.119 --> 0:25:01.840
<v Speaker 1>of two and three. You're familar with EHS, aren't you.

0:25:02.080 --> 0:25:05.200
<v Speaker 3>Oh yeah, not validated but yes, kind of validated but true.

0:25:05.480 --> 0:25:08.960
<v Speaker 1>So the HS so an HS to two this force

0:25:09.040 --> 0:25:11.320
<v Speaker 1>point scale, and this is how urologists think about often

0:25:11.359 --> 0:25:15.160
<v Speaker 1>grade erections. Just for your audience, a four is normal.

0:25:15.400 --> 0:25:17.879
<v Speaker 1>A one is a dead penis, A two is you

0:25:17.920 --> 0:25:20.320
<v Speaker 1>can get hard, but you can't penetrate. The three is

0:25:20.359 --> 0:25:22.120
<v Speaker 1>you can get hard enough to penetrate, but you can't

0:25:22.160 --> 0:25:26.240
<v Speaker 1>sustain an erection for satisfactory intercourse. So with the HS

0:25:26.280 --> 0:25:29.080
<v Speaker 1>three being probably the most common statistically, the large number

0:25:29.160 --> 0:25:31.679
<v Speaker 1>of men, and these are men. All these men were

0:25:31.720 --> 0:25:34.200
<v Speaker 1>taking a PD five medication, and half of them were

0:25:34.200 --> 0:25:35.880
<v Speaker 1>injecting trimex, which.

0:25:35.680 --> 0:25:38.160
<v Speaker 4>Is an injection drug to induce an erection. For those

0:25:38.160 --> 0:25:40.200
<v Speaker 4>of us that right, I don't know that, yes, it's

0:25:40.240 --> 0:25:42.680
<v Speaker 4>it's before we had viagara, we had the injectibles, which

0:25:42.680 --> 0:25:45.240
<v Speaker 4>has caused overwhelming blood flow into the penis to get

0:25:45.240 --> 0:25:47.320
<v Speaker 4>an erection, whether you were sexually stimulated or not.

0:25:47.440 --> 0:25:48.080
<v Speaker 3>Yeah, go on.

0:25:49.520 --> 0:25:52.240
<v Speaker 1>Percent of the men of the HS two group, we're able

0:25:52.280 --> 0:25:55.040
<v Speaker 1>to have satisfactoris of course for ten minutes and stay

0:25:55.040 --> 0:25:58.160
<v Speaker 1>hard for an average eight minutes just by using a ring.

0:25:59.119 --> 0:26:02.000
<v Speaker 1>One percent of them men pant the small number and

0:26:02.000 --> 0:26:03.440
<v Speaker 1>a twenty in the group. One hundred percent of the

0:26:03.440 --> 0:26:07.119
<v Speaker 1>men in the HS three category, men who with a

0:26:07.280 --> 0:26:10.040
<v Speaker 1>pill and an injection, when I able to have satisfaction,

0:26:10.080 --> 0:26:12.600
<v Speaker 1>its course, we're able to have a satisfactory intercourse and

0:26:12.600 --> 0:26:15.040
<v Speaker 1>stay hard for close to ten minutes on average afterwards.

0:26:15.560 --> 0:26:18.439
<v Speaker 1>So the power of rings, to my mind is clear.

0:26:18.920 --> 0:26:20.800
<v Speaker 1>But we doctored the focus on things that we can

0:26:21.160 --> 0:26:23.719
<v Speaker 1>write perscriptions for. Uh. And if you talk again, if

0:26:23.720 --> 0:26:25.880
<v Speaker 1>you told me four years ago, doctor Justin, you're gonna

0:26:25.880 --> 0:26:27.280
<v Speaker 1>be talking about rings the rest of your life, I

0:26:27.280 --> 0:26:30.560
<v Speaker 1>would have said, no way. And now I understand that

0:26:30.880 --> 0:26:34.000
<v Speaker 1>we all can benefit from rings. And I don't have

0:26:34.040 --> 0:26:36.440
<v Speaker 1>sex without a ring. My wife's idea of four play

0:26:36.480 --> 0:26:38.520
<v Speaker 1>is to put on red lipstick and you know, toss

0:26:38.520 --> 0:26:40.760
<v Speaker 1>the ring to mate. I'm a guy, I'm easy, you know.

0:26:40.840 --> 0:26:43.880
<v Speaker 4>So so talk to me about what did so get

0:26:43.960 --> 0:26:47.000
<v Speaker 4>the I mean the rings are they essentially? I mean,

0:26:47.040 --> 0:26:49.320
<v Speaker 4>just to backup, we had discussions about this before in

0:26:49.359 --> 0:26:52.919
<v Speaker 4>the podcast. Our listeners are pretty familiar. The idea of

0:26:53.119 --> 0:26:57.480
<v Speaker 4>the institution of interaction and the achieving phases and arterial

0:26:57.520 --> 0:26:59.399
<v Speaker 4>mediate to event as you talked about, and the maintenance

0:26:59.440 --> 0:27:03.040
<v Speaker 4>phase is if venus mediated event where essentially what happens

0:27:03.040 --> 0:27:05.879
<v Speaker 4>the erection is a giant ball of smooth muscle, and

0:27:05.920 --> 0:27:08.520
<v Speaker 4>as we get older, that smooth muscle goes through high

0:27:08.560 --> 0:27:12.080
<v Speaker 4>onization or atrophy and it doesn't trap the blood flow

0:27:12.480 --> 0:27:14.840
<v Speaker 4>in those veins as much. And so you have something

0:27:15.280 --> 0:27:18.840
<v Speaker 4>that is a ring is basically allowing ourterial inflow in

0:27:18.840 --> 0:27:21.560
<v Speaker 4>because the arterial pressure is a lot higher venus outflow

0:27:22.040 --> 0:27:24.800
<v Speaker 4>keeps it in the penis because venus outflow pressure is

0:27:24.920 --> 0:27:28.400
<v Speaker 4>much lower, like physiological should be less than about five

0:27:28.440 --> 0:27:32.320
<v Speaker 4>centimeters a second, whereas ourterial inflow is upwards of thirty

0:27:32.320 --> 0:27:35.560
<v Speaker 4>six to forty to sixty plus centimeters a second. So

0:27:35.680 --> 0:27:39.520
<v Speaker 4>your ring is essentially trying to keep the arterial flow

0:27:39.560 --> 0:27:42.679
<v Speaker 4>in maintenance, to maintain the erection as well as to

0:27:42.760 --> 0:27:45.880
<v Speaker 4>do the exclusive band. So that's kind of the physiology,

0:27:45.960 --> 0:27:46.760
<v Speaker 4>makes perfect sense.

0:27:47.119 --> 0:27:47.479
<v Speaker 3>Love it.

0:27:47.520 --> 0:27:49.919
<v Speaker 4>I recommend rings all the time. Tell me about the

0:27:50.040 --> 0:27:52.840
<v Speaker 4>data added? So what do you get as a consumer?

0:27:52.880 --> 0:27:55.399
<v Speaker 4>Because yeah, sure, rings are great for having sex, and

0:27:55.440 --> 0:27:57.280
<v Speaker 4>people have known about this since the times of the

0:27:57.600 --> 0:27:59.040
<v Speaker 4>ancient Egyptians and beyond.

0:27:59.400 --> 0:28:01.000
<v Speaker 3>But talk to us, talk to.

0:28:01.119 --> 0:28:02.879
<v Speaker 4>Just about what kind of data you get out of

0:28:02.920 --> 0:28:05.960
<v Speaker 4>a guy when he's wearing a tech ring or a

0:28:06.000 --> 0:28:07.600
<v Speaker 4>wearable tech device.

0:28:08.000 --> 0:28:11.080
<v Speaker 1>Sure well, the question that men need to ask themselves

0:28:11.560 --> 0:28:13.800
<v Speaker 1>is am I having three to five not turn directions

0:28:13.800 --> 0:28:16.679
<v Speaker 1>per night? Because that's what you should be having all

0:28:16.720 --> 0:28:19.720
<v Speaker 1>those directions lasting forty to forty five minutes on average,

0:28:20.160 --> 0:28:22.280
<v Speaker 1>because that's what you should be having. And are they

0:28:22.480 --> 0:28:24.520
<v Speaker 1>at least a six on a one to ten firmness scale,

0:28:24.520 --> 0:28:27.280
<v Speaker 1>because that's one of the we have two data points

0:28:27.320 --> 0:28:28.719
<v Speaker 1>and we turn that into a further of scale one

0:28:28.720 --> 0:28:31.080
<v Speaker 1>to ten. So when a man buys our device, he's

0:28:31.119 --> 0:28:34.880
<v Speaker 1>comparing himself to now close to five thousand men. Well,

0:28:34.880 --> 0:28:36.600
<v Speaker 1>that's a really powerful data set. And you can and

0:28:36.680 --> 0:28:38.560
<v Speaker 1>utilize the app when the Google and Apple stores and

0:28:39.080 --> 0:28:41.040
<v Speaker 1>utilizing one of the screens on the app, you can

0:28:41.040 --> 0:28:43.479
<v Speaker 1>compare yourself to men within five years older than you

0:28:43.520 --> 0:28:47.479
<v Speaker 1>and five years young young than you, So you'll know

0:28:47.520 --> 0:28:50.600
<v Speaker 1>whether you're below average, average, above average in terms of

0:28:50.640 --> 0:28:52.880
<v Speaker 1>these parameters, and of course we all want to be

0:28:53.040 --> 0:28:57.160
<v Speaker 1>above average, right, So then that should get you thinking about, well, gee,

0:28:57.520 --> 0:29:00.720
<v Speaker 1>if I'm below average, what's wrong? Why am I below

0:29:00.760 --> 0:29:03.720
<v Speaker 1>average or from above average? What can I do to

0:29:03.800 --> 0:29:05.840
<v Speaker 1>maintain it? And that's that's the power of data. So

0:29:05.840 --> 0:29:07.920
<v Speaker 1>with this data you can say how bad is my

0:29:07.960 --> 0:29:10.760
<v Speaker 1>diabetes or hypotension? So there are some men who even

0:29:10.760 --> 0:29:12.720
<v Speaker 1>ignorant about these things. We've had six men that were

0:29:12.760 --> 0:29:17.320
<v Speaker 1>aware of get krdiac cathorizations. Why because in all these

0:29:17.320 --> 0:29:20.400
<v Speaker 1>cases their wives bought Why is the girlfriends bought them device.

0:29:21.200 --> 0:29:23.560
<v Speaker 1>I've only had emailed substant email communications with four of

0:29:23.640 --> 0:29:25.760
<v Speaker 1>these people, but I'll relate the anadotes just a moment.

0:29:25.920 --> 0:29:27.960
<v Speaker 1>Why is and girlfriends both device for their men. The

0:29:28.000 --> 0:29:31.680
<v Speaker 1>men were blaming their erectile dysfunction on their female partner

0:29:31.960 --> 0:29:35.520
<v Speaker 1>because their technique was lousy, or they were overweight or

0:29:35.560 --> 0:29:38.040
<v Speaker 1>whatever the weather. The reasons were, and it turned out

0:29:38.080 --> 0:29:40.760
<v Speaker 1>that all these guys had significant kardiovascal problems. They had

0:29:40.760 --> 0:29:43.320
<v Speaker 1>one guy had no nocturnal erections and the other guys

0:29:43.360 --> 0:29:46.120
<v Speaker 1>had weak one to two nocturnal erections and weak confirmness,

0:29:46.160 --> 0:29:49.440
<v Speaker 1>and they got kardiac cathorizations. And three of those relationships

0:29:49.440 --> 0:29:51.800
<v Speaker 1>resulted in divorce or breakup because the women fed up

0:29:51.800 --> 0:29:55.480
<v Speaker 1>with the guys. At the other extreme, we've had five

0:29:55.560 --> 0:29:59.640
<v Speaker 1>men not get penal implants. Why because their noaturnal erection

0:29:59.760 --> 0:30:02.320
<v Speaker 1>data was good. The problem was in their head or

0:30:02.360 --> 0:30:05.200
<v Speaker 1>in their relationship. We're alcohol those are great, love it

0:30:05.480 --> 0:30:08.800
<v Speaker 1>and those are extremes. Yeah, how is the data benefited

0:30:08.800 --> 0:30:11.880
<v Speaker 1>in me personally? So? Probably because I'm involved in the

0:30:11.920 --> 0:30:15.200
<v Speaker 1>startup my own personal money. My blood pressure, I thought,

0:30:15.360 --> 0:30:17.680
<v Speaker 1>you know, like two years ago, my blood pressure went up,

0:30:17.840 --> 0:30:22.560
<v Speaker 1>not disasterlete went up, and my internets recommend that I

0:30:22.560 --> 0:30:27.560
<v Speaker 1>take lessonerprol and my erections went from h they lost

0:30:27.560 --> 0:30:30.320
<v Speaker 1>thirty fifteen percent in firmness. And that's not enough. Fifty

0:30:30.360 --> 0:30:32.560
<v Speaker 1>percent is not enough to be you know, noticeable. But

0:30:32.600 --> 0:30:35.400
<v Speaker 1>why would I take a medication that's decreasing blood flow

0:30:35.480 --> 0:30:37.760
<v Speaker 1>to my penis because it's problem is decreasing blood flow

0:30:37.760 --> 0:30:40.800
<v Speaker 1>of other vital against a matter of fact. So you know,

0:30:40.840 --> 0:30:43.640
<v Speaker 1>so I switched. I switched medications. I also realized that

0:30:44.400 --> 0:30:49.000
<v Speaker 1>I would sometimes take zolpidin for sleep ambient uh, and

0:30:49.120 --> 0:30:51.520
<v Speaker 1>why not my nocturnal erections? So I stopped taking it.

0:30:52.760 --> 0:30:53.160
<v Speaker 3>That's right.

0:30:53.520 --> 0:30:54.560
<v Speaker 1>Data is really powerful.

0:30:54.760 --> 0:30:56.160
<v Speaker 3>Yeah, I love that, Elliott. I think.

0:30:56.200 --> 0:30:57.920
<v Speaker 4>Actually, yeah, so I'll you know, throw in a little

0:30:57.920 --> 0:31:00.600
<v Speaker 4>bit of what's happening to you just for the audience.

0:31:00.680 --> 0:31:03.400
<v Speaker 4>Is that that you know, blood pressure medicines in general,

0:31:04.000 --> 0:31:06.760
<v Speaker 4>except for the ARBs, which probably is what they switched

0:31:06.800 --> 0:31:10.360
<v Speaker 4>you over to, but a lot of these, especially better blockers,

0:31:10.480 --> 0:31:14.240
<v Speaker 4>even in calcium channel blockers, they can you know, they

0:31:14.280 --> 0:31:16.600
<v Speaker 4>essentially the idea is to shut blood away from less

0:31:16.680 --> 0:31:18.840
<v Speaker 4>vital organs like our penis, so that you know your

0:31:18.840 --> 0:31:21.880
<v Speaker 4>heart's protected. A very very poor man's description of what's happening.

0:31:21.960 --> 0:31:24.680
<v Speaker 4>And so a lot of times guys with hypertension have

0:31:25.040 --> 0:31:28.520
<v Speaker 4>erect out dysfunction. Then they, in some degree however we

0:31:28.560 --> 0:31:30.080
<v Speaker 4>define it, they go to the doctor, they say you

0:31:30.080 --> 0:31:31.440
<v Speaker 4>need to be on this pill for bloodressure, and then

0:31:31.480 --> 0:31:33.240
<v Speaker 4>it gets worse, and then they come to the Eurologi's

0:31:33.240 --> 0:31:35.600
<v Speaker 4>office to say what happened. And so your your device

0:31:35.680 --> 0:31:37.840
<v Speaker 4>told you that that you were starting to have a

0:31:37.880 --> 0:31:39.720
<v Speaker 4>little creep and then all of a sudden it got

0:31:39.720 --> 0:31:40.640
<v Speaker 4>really bad on.

0:31:40.600 --> 0:31:42.880
<v Speaker 3>So that's huge. But I think one of the other.

0:31:42.760 --> 0:31:44.800
<v Speaker 4>Things that you reminded me of a story that I

0:31:44.800 --> 0:31:48.800
<v Speaker 4>think is very indicative of where the power of your data.

0:31:48.560 --> 0:31:49.200
<v Speaker 3>Set can be.

0:31:49.760 --> 0:31:51.680
<v Speaker 4>And there was an old and I can't remember joining

0:31:51.680 --> 0:31:53.600
<v Speaker 4>if we brought this up or not on the podcast,

0:31:53.640 --> 0:31:57.160
<v Speaker 4>but but there's a classic quote from a Mayo cardiologist

0:31:57.240 --> 0:32:00.000
<v Speaker 4>from years ago. I can't remember the guy's name either,

0:32:00.040 --> 0:32:01.720
<v Speaker 4>but I bring it up all the time. But he said,

0:32:01.920 --> 0:32:06.080
<v Speaker 4>essentially that men can hide angine or chest pain from

0:32:06.120 --> 0:32:08.240
<v Speaker 4>their partners, but they can't hide erect out as function,

0:32:08.280 --> 0:32:09.920
<v Speaker 4>which is kind of what you were saying, is that

0:32:10.360 --> 0:32:13.560
<v Speaker 4>you actually have a device where the partners are like, no,

0:32:13.640 --> 0:32:14.960
<v Speaker 4>you need to wear this, and then all of a sudden,

0:32:14.960 --> 0:32:15.720
<v Speaker 4>the guy needs a cat.

0:32:16.000 --> 0:32:17.800
<v Speaker 3>I just had a guy in my office the other day.

0:32:17.640 --> 0:32:20.200
<v Speaker 4>Which is even more important to what you brought up earlier,

0:32:20.760 --> 0:32:24.280
<v Speaker 4>in the whole idea of patching men's health together by

0:32:24.320 --> 0:32:27.040
<v Speaker 4>going online and getting boner pills, right, which I've kind

0:32:27.040 --> 0:32:28.160
<v Speaker 4>of rallied a career against.

0:32:28.200 --> 0:32:29.040
<v Speaker 3>I published against it.

0:32:29.040 --> 0:32:31.000
<v Speaker 4>I've got in trouble for not trouble, but I've gotten

0:32:31.360 --> 0:32:33.640
<v Speaker 4>you know, people tried to sort of take down some

0:32:33.680 --> 0:32:35.520
<v Speaker 4>of the literature I have that show that you can

0:32:35.560 --> 0:32:40.720
<v Speaker 4>actually miss really critical health issues by just going online.

0:32:40.080 --> 0:32:41.880
<v Speaker 3>To get a prescription for an ed pill.

0:32:42.240 --> 0:32:43.440
<v Speaker 4>And I had a guy in my office the other

0:32:43.520 --> 0:32:45.640
<v Speaker 4>day that was so indicative that he was forty five

0:32:45.720 --> 0:32:50.640
<v Speaker 4>years old and he was surreptitiously buying pills online, and

0:32:50.720 --> 0:32:54.080
<v Speaker 4>he ended up hiding his erect out as function from

0:32:54.120 --> 0:32:56.760
<v Speaker 4>his partner because the pills worked for a while until

0:32:56.800 --> 0:32:59.560
<v Speaker 4>he had a heart attack. Because he had no diagnostic

0:32:59.600 --> 0:33:02.360
<v Speaker 4>work up, he was just buying boner pills without any

0:33:02.400 --> 0:33:05.360
<v Speaker 4>medical supervision other than just an online, you know, five

0:33:05.360 --> 0:33:07.680
<v Speaker 4>minute visit in a brown bag envelope in your mail.

0:33:08.400 --> 0:33:10.720
<v Speaker 4>This guy was able to mess the system up even

0:33:10.760 --> 0:33:14.840
<v Speaker 4>more because he actually hid ed from his partner, who

0:33:14.880 --> 0:33:17.200
<v Speaker 4>was probably willing to help. If he had a device

0:33:17.560 --> 0:33:20.160
<v Speaker 4>that was telling him, dude, you're in trouble and it's

0:33:20.160 --> 0:33:21.920
<v Speaker 4>something that a pill is probably not going to save

0:33:21.960 --> 0:33:24.000
<v Speaker 4>your life. He would have not had to have, you know,

0:33:24.120 --> 0:33:27.800
<v Speaker 4>three vessel standing and almost die at forty five.

0:33:28.920 --> 0:33:31.160
<v Speaker 1>You know, doctor Mohit karen No, so I am on the

0:33:31.200 --> 0:33:33.600
<v Speaker 1>most five most famous andrologists or alogists in the world,

0:33:34.080 --> 0:33:37.520
<v Speaker 1>he said a couple months ago on the podcast Flag

0:33:37.760 --> 0:33:39.800
<v Speaker 1>was viking, what do you mean by that? He meant

0:33:39.800 --> 0:33:41.840
<v Speaker 1>that for twelve to fifty percent of men who have

0:33:41.960 --> 0:33:47.440
<v Speaker 1>have a cart vascer root clause for the poor sexual performance,

0:33:47.800 --> 0:33:49.480
<v Speaker 1>guys take vital like he just said, they could just

0:33:49.520 --> 0:33:52.120
<v Speaker 1>they could be masking a problem. One of my goals

0:33:52.120 --> 0:33:54.320
<v Speaker 1>with what we're doing is to get the measurement of

0:33:54.400 --> 0:33:59.360
<v Speaker 1>sexual health parameters embedded in clinical preventive medicine. And I'm

0:33:59.360 --> 0:34:03.200
<v Speaker 1>confident with you know, we have several research papers, they're

0:34:03.240 --> 0:34:07.360
<v Speaker 1>more underway. It's hard to change metical practice. It takes

0:34:07.360 --> 0:34:10.240
<v Speaker 1>a long time. It took twenty years for electric choiogram

0:34:10.360 --> 0:34:12.880
<v Speaker 1>to become a standard of care. Sure, so I mean

0:34:12.880 --> 0:34:15.440
<v Speaker 1>it took pulse ox symmetry on a finger over a

0:34:15.480 --> 0:34:18.200
<v Speaker 1>decade to become a standard of care. But I'm confident

0:34:18.200 --> 0:34:20.359
<v Speaker 1>of what we're doing in time and by time. In

0:34:20.360 --> 0:34:22.399
<v Speaker 1>like three to five years, if a man is forty

0:34:22.480 --> 0:34:24.880
<v Speaker 1>forty five years of age and go see a doctor

0:34:25.000 --> 0:34:27.239
<v Speaker 1>for preventive healthcare visit, they will want to know his

0:34:27.320 --> 0:34:30.960
<v Speaker 1>baseline and rept off fitness score in his nocturnal parameters,

0:34:31.000 --> 0:34:34.480
<v Speaker 1>because you're gonna want it's a piece of data like

0:34:35.120 --> 0:34:37.480
<v Speaker 1>live proteins or blood pressure that you're going to want

0:34:37.480 --> 0:34:39.239
<v Speaker 1>to follow over time.

0:34:40.320 --> 0:34:43.040
<v Speaker 4>Yeah, and again, and I think we have we have

0:34:43.120 --> 0:34:47.399
<v Speaker 4>the literature show that it does precede by an appreciable

0:34:47.560 --> 0:34:50.200
<v Speaker 4>amount of interventional time, whether it's one year or two years,

0:34:50.200 --> 0:34:53.040
<v Speaker 4>five years, that you can tease that out. And then

0:34:53.040 --> 0:34:55.720
<v Speaker 4>also it is good, it's a good way of sussing

0:34:55.800 --> 0:34:58.840
<v Speaker 4>out how much of this is what we call psychological,

0:34:58.880 --> 0:35:00.440
<v Speaker 4>but it is. I think there's a little bit of

0:35:00.440 --> 0:35:04.640
<v Speaker 4>this parasympathetic sympathetic drive that you know, if you're nervous,

0:35:05.280 --> 0:35:07.920
<v Speaker 4>if you're not motivated sexually then you may have d

0:35:08.360 --> 0:35:12.239
<v Speaker 4>during spontaneous attempts in intercourse, but when you're sleeping, that's

0:35:12.239 --> 0:35:15.720
<v Speaker 4>all down right. That is pure physiology and also involves

0:35:15.719 --> 0:35:17.359
<v Speaker 4>sleep medicine. Like at the other point I was going

0:35:17.360 --> 0:35:19.160
<v Speaker 4>to bring up for the lead reader or the listeners,

0:35:19.200 --> 0:35:21.799
<v Speaker 4>because we talked about this with the Sleep Talk a

0:35:21.800 --> 0:35:26.040
<v Speaker 4>few episodes ago, that that you know, the medications that

0:35:26.239 --> 0:35:29.880
<v Speaker 4>are ostensibly for sleep, they actually don't really let you

0:35:29.920 --> 0:35:32.640
<v Speaker 4>get into that deep, deep delta sleep, with that aram sleep,

0:35:32.640 --> 0:35:35.160
<v Speaker 4>which is where our nocturnal erections have to happen. And

0:35:35.200 --> 0:35:37.560
<v Speaker 4>so that's a really good good indicator. What you just

0:35:37.600 --> 0:35:40.240
<v Speaker 4>said is that you notice that taking a sleep drug

0:35:40.600 --> 0:35:43.879
<v Speaker 4>actually was a counterproductive to erections because you weren't really

0:35:43.880 --> 0:35:45.320
<v Speaker 4>getting as deep asleep as you needed.

0:35:46.520 --> 0:35:48.880
<v Speaker 1>I think our device is a sleep modern device as

0:35:48.880 --> 0:35:52.880
<v Speaker 1>well too, although research on it so and I'll still

0:35:52.960 --> 0:35:54.920
<v Speaker 1>you know, look, we all come out with an advanced

0:35:55.000 --> 0:35:58.279
<v Speaker 1>version two point zero later on this year that will

0:35:58.320 --> 0:36:00.680
<v Speaker 1>allow us the heart rate variability night as well too.

0:36:00.719 --> 0:36:03.400
<v Speaker 1>But our engineers a couple of years ago, no engineers,

0:36:03.480 --> 0:36:05.919
<v Speaker 1>guys who have you know, they got an Apple watch,

0:36:05.960 --> 0:36:08.040
<v Speaker 1>they got whooped, they got or they got you know,

0:36:08.120 --> 0:36:12.080
<v Speaker 1>they're there their data people, and they noticed that they

0:36:12.080 --> 0:36:16.440
<v Speaker 1>were getting slightly more erection time utilizing our device measurement

0:36:16.480 --> 0:36:18.799
<v Speaker 1>nocturnal erection time than they were getting on the on

0:36:18.840 --> 0:36:20.600
<v Speaker 1>their or which makes sense that our device would be

0:36:20.600 --> 0:36:24.160
<v Speaker 1>more accurate because every episode of quality sleep is accompanied

0:36:24.160 --> 0:36:26.560
<v Speaker 1>by an erection. Assuming that a man is not in

0:36:26.560 --> 0:36:29.520
<v Speaker 1>a or some medicases block that's blocking it. Then there's a.

0:36:29.440 --> 0:36:33.319
<v Speaker 5>Paper right now, Uh, doctor Carra's shop and Baylor has

0:36:33.360 --> 0:36:37.719
<v Speaker 5>a paper comparing looking at WHOOP consumers Lucos Monitoring, and

0:36:37.800 --> 0:36:40.919
<v Speaker 5>our device just just attracted the parameters.

0:36:40.440 --> 0:36:44.120
<v Speaker 1>In man at night and our device correlates with I

0:36:44.160 --> 0:36:46.800
<v Speaker 1>mean with what the WHOOP device is showing. So people

0:36:46.840 --> 0:36:50.799
<v Speaker 1>can monitor not only in them there cardiovascar and secial health,

0:36:50.840 --> 0:36:52.720
<v Speaker 1>but also their sleep using our device.

0:36:53.200 --> 0:36:55.120
<v Speaker 4>So yeah, it's a lot more discreet at the gym,

0:36:55.400 --> 0:36:57.439
<v Speaker 4>or at least the gyms I go to. But yeah,

0:36:57.480 --> 0:37:00.319
<v Speaker 4>I think that's important. Can you imagine if the if

0:37:00.360 --> 0:37:02.719
<v Speaker 4>the teenage doctor justin had an or a ring and

0:37:02.800 --> 0:37:04.880
<v Speaker 4>a firt intake device, you may have been kept out

0:37:04.920 --> 0:37:06.680
<v Speaker 4>of the doctor's office and you could have just showed

0:37:06.960 --> 0:37:08.880
<v Speaker 4>showed your mom your data and say look at healthyre

0:37:08.880 --> 0:37:12.520
<v Speaker 4>you have Mom, just keep shaving my problems and getting

0:37:12.520 --> 0:37:17.240
<v Speaker 4>on with my life. I think that's uh, that's powerful.

0:37:19.719 --> 0:37:40.279
<v Speaker 4>H Tell me some new dances. Tell me, tell me

0:37:40.280 --> 0:37:42.960
<v Speaker 4>what the next chapter is here in uh, in your evolution.

0:37:43.200 --> 0:37:45.080
<v Speaker 1>I just wanted to Ed's maybe one of the point,

0:37:45.440 --> 0:37:47.319
<v Speaker 1>because you know, I got into this for the data.

0:37:47.600 --> 0:37:49.600
<v Speaker 1>I didn't realize I was also going to be solving

0:37:50.000 --> 0:37:53.719
<v Speaker 1>the cock ring problem. The cocking problem is, uh that

0:37:53.760 --> 0:37:57.399
<v Speaker 1>these these hard plastic rings you're buying online or self

0:37:57.520 --> 0:38:00.000
<v Speaker 1>us store for you know, forty ninety five, they pinched.

0:38:00.000 --> 0:38:03.279
<v Speaker 1>They are uncomfortable, they're not safe. So in order to

0:38:03.280 --> 0:38:05.160
<v Speaker 1>get count them not turnal directions over night, we have

0:38:05.280 --> 0:38:08.080
<v Speaker 1>to reinvent the material. You know, ours are our rings

0:38:08.160 --> 0:38:10.360
<v Speaker 1>made out of self the lastomer. It's not matter heart silicone.

0:38:10.760 --> 0:38:13.319
<v Speaker 1>Our rings don't block the out flow flow and the

0:38:13.360 --> 0:38:16.759
<v Speaker 1>only constrain the veens return. Uh. And then I realized,

0:38:17.520 --> 0:38:21.120
<v Speaker 1>wait a second, how can I improve a man's pleasure?

0:38:21.920 --> 0:38:25.040
<v Speaker 1>Women have vibrators and then have shit. They've got this.

0:38:25.239 --> 0:38:27.560
<v Speaker 1>We all we have these stupid strokers that get like

0:38:27.600 --> 0:38:28.360
<v Speaker 1>it beats someone.

0:38:28.200 --> 0:38:30.200
<v Speaker 3>To death with I think that's where the term comes from.

0:38:30.440 --> 0:38:35.279
<v Speaker 1>Actually happy, if we can put the right amount of

0:38:35.280 --> 0:38:37.960
<v Speaker 1>pressure over the rethroat to pull on the jackatory phase,

0:38:38.880 --> 0:38:42.440
<v Speaker 1>we can produce some more powerful locasim for men. So

0:38:43.239 --> 0:38:47.920
<v Speaker 1>the typical response of of a male, heterosexual, male urologist

0:38:48.000 --> 0:38:51.920
<v Speaker 1>to to cockering is, I don't need it. Maybe some

0:38:51.960 --> 0:38:54.120
<v Speaker 1>of my patients might need it, like you. I recommend

0:38:54.160 --> 0:38:55.399
<v Speaker 1>to people all the time, but I bet you don't

0:38:55.480 --> 0:38:58.240
<v Speaker 1>use them all the time. Maybe I recommend. I don't

0:38:58.239 --> 0:39:01.200
<v Speaker 1>need it. It's almost like the reaction Superman to Kryptonite. No,

0:39:01.440 --> 0:39:03.719
<v Speaker 1>not to me, you know, it's like So my thought

0:39:03.840 --> 0:39:06.360
<v Speaker 1>is if we can produce a more intense orgasm, everyone

0:39:06.400 --> 0:39:10.880
<v Speaker 1>should should want them. So we designed our massive performance

0:39:10.960 --> 0:39:13.440
<v Speaker 1>ranked but the right amount of pressure. We tested on

0:39:13.480 --> 0:39:16.520
<v Speaker 1>twenty eight men age twenty eight to seventy as oldest

0:39:16.520 --> 0:39:18.600
<v Speaker 1>person test group. Our goal is to increase the e

0:39:18.680 --> 0:39:21.600
<v Speaker 1>jackatory phase and a man by fifty percent with the

0:39:21.680 --> 0:39:25.200
<v Speaker 1>right amount of grip, if you will, from the last

0:39:25.239 --> 0:39:29.160
<v Speaker 1>roe on the Earth throw. So with this device, jackatoory

0:39:29.239 --> 0:39:32.560
<v Speaker 1>phase goes from four seconds to seven seconds. And that's

0:39:32.560 --> 0:39:36.360
<v Speaker 1>an incredible orgasm because obviously orgasm lasts the sensational orgas

0:39:36.400 --> 0:39:39.440
<v Speaker 1>lest longly just you know, seven to seven seconds. This

0:39:39.560 --> 0:39:41.360
<v Speaker 1>is something men need to think about it. It's not

0:39:41.400 --> 0:39:43.480
<v Speaker 1>about do I need this? I got a problem? Do

0:39:43.520 --> 0:39:45.719
<v Speaker 1>I need it? It's about do I want to have

0:39:45.800 --> 0:39:50.520
<v Speaker 1>more pleasure? Women have vibrators and men have nothing. And

0:39:50.600 --> 0:39:54.520
<v Speaker 1>now the data shows that this our device and other

0:39:54.560 --> 0:39:57.880
<v Speaker 1>rings partly too, but our device can safely produce the

0:39:57.920 --> 0:40:01.520
<v Speaker 1>more intense orgasm. Do you want to have more tests orgasm?

0:40:01.719 --> 0:40:02.400
<v Speaker 3>Who doesn't?

0:40:02.560 --> 0:40:03.080
<v Speaker 1>Who doesn't?

0:40:03.120 --> 0:40:05.920
<v Speaker 3>I mean seriously, who doesn't put a ring on it?

0:40:05.960 --> 0:40:06.800
<v Speaker 1>Hours? Of course?

0:40:07.440 --> 0:40:10.239
<v Speaker 4>Exactly right? So what do you think is happening there?

0:40:10.320 --> 0:40:14.360
<v Speaker 4>Is it? Is it perineal stimulation? Is it pushed to stimulation?

0:40:14.480 --> 0:40:16.880
<v Speaker 1>No? I think it's simply drawing up the jack of

0:40:16.920 --> 0:40:21.719
<v Speaker 1>toy face, the long jacktalk phase last, the longer, the

0:40:21.880 --> 0:40:24.839
<v Speaker 1>parasympathetical glow glow if you will. But you asked about

0:40:24.840 --> 0:40:28.279
<v Speaker 1>the future, well, SidD only the fact that that I'm again,

0:40:28.480 --> 0:40:31.080
<v Speaker 1>I think the all mentioneds rings. Here's what's going, here's

0:40:31.080 --> 0:40:32.480
<v Speaker 1>what we're doing in the future. So we're coming. We're

0:40:32.520 --> 0:40:35.760
<v Speaker 1>working right now on the critique the world's first monitor

0:40:35.760 --> 0:40:37.479
<v Speaker 1>of the health of clarists.

0:40:37.560 --> 0:40:38.480
<v Speaker 3>Nice and I.

0:40:38.280 --> 0:40:41.879
<v Speaker 1>Think that this will be just the way I think.

0:40:41.880 --> 0:40:44.759
<v Speaker 1>So this will take gynecology and sexology of women. It's

0:40:44.800 --> 0:40:50.560
<v Speaker 1>the twenty first century of objective, personalized care. You have

0:40:50.640 --> 0:40:55.000
<v Speaker 1>all the same problems that men do with diabetes, hypertension, athlescrossis,

0:40:55.000 --> 0:40:58.160
<v Speaker 1>ob st poor physical condition. But they also do two

0:40:58.239 --> 0:41:03.000
<v Speaker 1>things that men don't don't deal with well, we actually

0:41:03.000 --> 0:41:05.600
<v Speaker 1>do with one of them. One is premenopausal women take

0:41:05.640 --> 0:41:09.880
<v Speaker 1>hormones that have a negative impact upon their sexual health performance,

0:41:10.280 --> 0:41:14.520
<v Speaker 1>and they also take sor actepressants, depending upon the study,

0:41:14.560 --> 0:41:18.080
<v Speaker 1>fourth to ten times as much as men do. We

0:41:18.080 --> 0:41:19.800
<v Speaker 1>don't know what the right doses are with these things,

0:41:19.920 --> 0:41:22.400
<v Speaker 1>because you know unlick and blood, you know blood pressure

0:41:22.600 --> 0:41:25.399
<v Speaker 1>or karak rhythma. We actually measure the impact of our

0:41:25.400 --> 0:41:29.279
<v Speaker 1>therapy when it comes to men's sexual health to t

0:41:29.840 --> 0:41:31.839
<v Speaker 1>with PD five medications, we don't know what the right

0:41:31.840 --> 0:41:34.239
<v Speaker 1>doses are without data. When it comes to women's sexual health,

0:41:34.400 --> 0:41:36.319
<v Speaker 1>what's the right dose of a hormone, what's the right

0:41:36.360 --> 0:41:38.839
<v Speaker 1>dose and antipressant that will have the least effect upon

0:41:38.880 --> 0:41:41.640
<v Speaker 1>the clearest we don't know without data. So we're going

0:41:41.719 --> 0:41:45.040
<v Speaker 1>to come out with that device something by December this year,

0:41:45.480 --> 0:41:47.680
<v Speaker 1>and then we're also working on a more advanced version

0:41:47.719 --> 0:41:50.279
<v Speaker 1>of the male device because we want to make it

0:41:50.360 --> 0:41:53.719
<v Speaker 1>more sensitive and specific. We want to eliminate what I

0:41:53.800 --> 0:41:56.440
<v Speaker 1>call data fuzziness. So I'll pick up my own device.

0:41:57.560 --> 0:42:00.920
<v Speaker 1>My ACTIL directions are seven most seven six. It wasn't

0:42:00.920 --> 0:42:03.200
<v Speaker 1>really innate because it's just you know, the same time

0:42:03.360 --> 0:42:05.920
<v Speaker 1>the blood pressure tough on your desk, or pulselo symmetry

0:42:06.000 --> 0:42:08.400
<v Speaker 1>or your will bring there's a certain data fudd you

0:42:08.640 --> 0:42:12.440
<v Speaker 1>acceptable maybe ten percent data data fuzziness. I want to

0:42:12.440 --> 0:42:15.960
<v Speaker 1>eliminate that. I also want to adding the ability to

0:42:16.960 --> 0:42:21.040
<v Speaker 1>measure the pulse so we can really nail down the

0:42:21.120 --> 0:42:25.120
<v Speaker 1>quality of sleep. And then we're also going to actually

0:42:25.120 --> 0:42:27.480
<v Speaker 1>be able to tell you the delta, the change in

0:42:27.520 --> 0:42:30.480
<v Speaker 1>the volume of blood and your penis between the flash

0:42:30.520 --> 0:42:33.160
<v Speaker 1>of state and the rest and the erect state, how

0:42:33.239 --> 0:42:36.600
<v Speaker 1>much blood is your penis holding, and then measure the

0:42:36.600 --> 0:42:39.239
<v Speaker 1>impact of medications, diseases, et cetera upon that.

0:42:39.480 --> 0:42:40.799
<v Speaker 3>Yeah, I love it.

0:42:40.840 --> 0:42:42.520
<v Speaker 4>I mean I see a lot of you know, one

0:42:42.520 --> 0:42:44.440
<v Speaker 4>of the things I do a lot of research in

0:42:44.520 --> 0:42:47.080
<v Speaker 4>and treat a lot of guys for Perrone's disease. And

0:42:47.360 --> 0:42:50.440
<v Speaker 4>you know, we have static ways of looking at pen

0:42:50.480 --> 0:42:53.960
<v Speaker 4>out blood flow, doing ultrasounds in the office, but the

0:42:54.040 --> 0:42:56.400
<v Speaker 4>number of guys that at Peroni's and have what I

0:42:56.520 --> 0:43:00.200
<v Speaker 4>call a fixed external obstruction. In other words, this art

0:43:00.200 --> 0:43:04.640
<v Speaker 4>tissue itself can can cause this extrinsic obstruction of blood flow.

0:43:04.800 --> 0:43:06.360
<v Speaker 3>We don't have a great way of monitoring it.

0:43:06.400 --> 0:43:08.839
<v Speaker 4>You know, basically talk to guys and they talk about

0:43:08.840 --> 0:43:10.799
<v Speaker 4>this concept, and we've we've had a whole series in

0:43:10.800 --> 0:43:14.959
<v Speaker 4>factory kind of finishing up in real time, the big

0:43:15.200 --> 0:43:17.920
<v Speaker 4>series of done upronties. But they talk about what we

0:43:18.000 --> 0:43:21.880
<v Speaker 4>call distal flcidity, where you get interaction, the plaque is

0:43:22.080 --> 0:43:24.719
<v Speaker 4>externally compressing like a thumb over a garden hose, and

0:43:24.719 --> 0:43:27.320
<v Speaker 4>then you get sort of this poor blood flow post

0:43:27.360 --> 0:43:31.320
<v Speaker 4>But again we're doing that by history and then duplex ultrascenography,

0:43:31.400 --> 0:43:33.240
<v Speaker 4>which is cumbersome and has to be done in the office,

0:43:33.239 --> 0:43:34.799
<v Speaker 4>et cetera, et cetera. So yeah, there may be you know,

0:43:34.840 --> 0:43:37.920
<v Speaker 4>we should talk offline about looking at some of the

0:43:37.920 --> 0:43:42.560
<v Speaker 4>ways that we improve Perrone's disease through incremented medical dosing

0:43:43.000 --> 0:43:48.080
<v Speaker 4>or interlegional therapy. And yeah, it'd be a really interesting study, honestly, Elliott,

0:43:48.080 --> 0:43:50.600
<v Speaker 4>to look at that, because after work. Yeah, that's is

0:43:50.600 --> 0:43:53.560
<v Speaker 4>one of the things that guys complain about, is that

0:43:53.760 --> 0:43:56.120
<v Speaker 4>not only as my penis bent and I'm not getting

0:43:56.160 --> 0:43:59.640
<v Speaker 4>the same rigidity, but because of the bent and difficulty

0:43:59.640 --> 0:44:02.719
<v Speaker 4>dependent treading, I'm also losing that stability what we call

0:44:02.800 --> 0:44:03.759
<v Speaker 4>axial stability.

0:44:03.920 --> 0:44:05.480
<v Speaker 3>So okay, yeah, that's good. See.

0:44:05.520 --> 0:44:09.319
<v Speaker 4>I love I love having thought provoking guests, people that

0:44:09.440 --> 0:44:13.279
<v Speaker 4>are really trying to figure out problems that have never

0:44:13.320 --> 0:44:16.480
<v Speaker 4>had a really organic solution. And I think this is

0:44:16.520 --> 0:44:19.000
<v Speaker 4>what you're doing, is you're looking at at a device

0:44:19.040 --> 0:44:22.360
<v Speaker 4>that diagnoses without treating, but then coming up with unique

0:44:22.400 --> 0:44:25.400
<v Speaker 4>and specific treatment patterns based on the data you're providing,

0:44:25.520 --> 0:44:30.080
<v Speaker 4>as well as potentially you know, helping cardiovascularness using this

0:44:30.160 --> 0:44:31.040
<v Speaker 4>erectile function.

0:44:31.280 --> 0:44:34.080
<v Speaker 1>Well, it's just the gap here. Yeah, you know, you know,

0:44:34.080 --> 0:44:36.680
<v Speaker 1>if you AREFC patients who have problems with their kidneys,

0:44:37.320 --> 0:44:41.040
<v Speaker 1>their bowels, their lungs, their heart, we can get imaging tests,

0:44:41.040 --> 0:44:43.520
<v Speaker 1>we get blood tests that will help make that problem objective,

0:44:44.360 --> 0:44:47.319
<v Speaker 1>and then we can measure the impact objectively of any

0:44:47.480 --> 0:44:51.279
<v Speaker 1>interventions that we that we undertake with without patients. But

0:44:51.280 --> 0:44:54.400
<v Speaker 1>when it comes to mend's sexual health, much a nothing,

0:44:54.719 --> 0:44:57.360
<v Speaker 1>you know, an off astop of this is pretty much nothing,

0:44:57.960 --> 0:45:01.239
<v Speaker 1>and we rely upon the subjective questionnaires. I frankly think

0:45:01.239 --> 0:45:06.200
<v Speaker 1>the if is embarrassing. Embarrassing because this is the year

0:45:06.239 --> 0:45:09.160
<v Speaker 1>twenty twenty six, This is not the year nineteen ten,

0:45:10.000 --> 0:45:12.880
<v Speaker 1>and we should not be relying upon subjective questionnaire is

0:45:12.880 --> 0:45:16.239
<v Speaker 1>when it comes up. Look, I regular love making it subjective.

0:45:16.280 --> 0:45:18.600
<v Speaker 1>I'm not, you know, there's this obfoice of a profound

0:45:18.640 --> 0:45:21.279
<v Speaker 1>subjective component to it to our social response. We are

0:45:21.480 --> 0:45:24.960
<v Speaker 1>supposed to be scientific, We're supposed to be objective in

0:45:25.000 --> 0:45:26.640
<v Speaker 1>our approach, and we need data for that.

0:45:26.640 --> 0:45:27.000
<v Speaker 3>That's right.

0:45:27.040 --> 0:45:29.719
<v Speaker 4>It's still mostly heteronormative, as we say as well, so

0:45:29.760 --> 0:45:33.799
<v Speaker 4>you're missing same sex couples, and so it really does

0:45:33.880 --> 0:45:37.480
<v Speaker 4>become very limited to what we define sexual function as

0:45:37.640 --> 0:45:41.080
<v Speaker 4>hard enough to penetrate the vagina and long enough to

0:45:41.520 --> 0:45:42.640
<v Speaker 4>maintain that penetration.

0:45:42.760 --> 0:45:45.359
<v Speaker 1>So let's get that for a moment, because the whole

0:45:45.480 --> 0:45:48.759
<v Speaker 1>the subjective questionnaires are focused on pound pennant. By the way,

0:45:48.800 --> 0:45:52.040
<v Speaker 1>Petra sex we couldn't go in intercourse wasn't good enough?

0:45:52.040 --> 0:45:54.839
<v Speaker 1>I mean, why do we reinvent these words all the time.

0:45:55.000 --> 0:45:56.399
<v Speaker 1>By the way, I can penetrate it with my tongue,

0:45:56.640 --> 0:45:58.760
<v Speaker 1>with my fingers too, So really haven't made this definition

0:45:58.840 --> 0:46:02.600
<v Speaker 1>any better. But the definitions are focused, and the outcomes

0:46:02.680 --> 0:46:06.680
<v Speaker 1>they're looking for is satisfactory. That's that's the third phrase,

0:46:06.680 --> 0:46:10.040
<v Speaker 1>the definition of I felt this function satisfactory intercourse.

0:46:09.760 --> 0:46:10.759
<v Speaker 3>Well is it good for you?

0:46:11.520 --> 0:46:15.239
<v Speaker 1>Yeah? Well, yeah exactly. And also if you speak to men,

0:46:16.040 --> 0:46:18.160
<v Speaker 1>older men, and I'm the older and old, old than

0:46:18.200 --> 0:46:21.080
<v Speaker 1>forty forty five years of age, intercourse is not the

0:46:21.160 --> 0:46:24.759
<v Speaker 1>end all be all because of friction. They're not getting that.

0:46:24.840 --> 0:46:26.719
<v Speaker 1>They don't they're not getting to the friction they do

0:46:26.719 --> 0:46:29.840
<v Speaker 1>from a hand, hand or a mouth. Uh. And method

0:46:29.840 --> 0:46:33.080
<v Speaker 1>of preference, and a real study should should get should

0:46:33.120 --> 0:46:37.640
<v Speaker 1>be asking those questions because I've got I've got patience. Uh,

0:46:38.040 --> 0:46:40.680
<v Speaker 1>you probably have many more. I'm not eurologists who tell

0:46:40.760 --> 0:46:43.160
<v Speaker 1>me that, you know, I don't enjoy intercourse, but I

0:46:43.520 --> 0:46:46.600
<v Speaker 1>certainly enjoy other ways you know of Uh, I get

0:46:46.640 --> 0:46:50.160
<v Speaker 1>just I get hard other ways. And and but yet

0:46:50.160 --> 0:46:51.279
<v Speaker 1>they are diagnosed having a D.

0:46:51.520 --> 0:46:52.319
<v Speaker 3>Yeah, no, it's true.

0:46:52.360 --> 0:46:54.680
<v Speaker 4>I mean it's a very narrow definition that gets into

0:46:54.719 --> 0:46:58.280
<v Speaker 4>our science and and then we make huge outcomes studies

0:46:58.320 --> 0:47:00.640
<v Speaker 4>based on very poorly your data.

0:47:00.719 --> 0:47:03.919
<v Speaker 3>So now I applaud this, I applot what you're looking at. Well,

0:47:03.960 --> 0:47:05.680
<v Speaker 3>talk to me about this. We always like to do

0:47:05.719 --> 0:47:06.720
<v Speaker 3>what you're going to be okay?

0:47:06.760 --> 0:47:09.080
<v Speaker 4>Section where I take a health expert and I say,

0:47:10.320 --> 0:47:11.160
<v Speaker 4>here's a scenario.

0:47:11.280 --> 0:47:12.279
<v Speaker 3>Is this guy going to be okay?

0:47:12.360 --> 0:47:15.120
<v Speaker 4>And I think your your ring You may have already

0:47:15.160 --> 0:47:17.040
<v Speaker 4>kind of alluded to this, but I'm going to give

0:47:17.080 --> 0:47:18.759
<v Speaker 4>you a patient scenario. I'm going to see how would

0:47:18.800 --> 0:47:22.000
<v Speaker 4>you work this guy up based on your medical knowledge

0:47:22.000 --> 0:47:25.120
<v Speaker 4>as well as your technologe and so so, a guy

0:47:25.600 --> 0:47:29.560
<v Speaker 4>goes online, he buys your firm tech device, he starts

0:47:29.600 --> 0:47:34.000
<v Speaker 4>wearing it, and he starts seeing when he's forty six

0:47:34.680 --> 0:47:37.920
<v Speaker 4>that he still has all of the scores top of

0:47:37.960 --> 0:47:42.000
<v Speaker 4>the charts. He's doing great. And then insidiously he starts

0:47:42.040 --> 0:47:44.799
<v Speaker 4>to see month after month to the point where he's

0:47:44.840 --> 0:47:47.600
<v Speaker 4>forty eight years old, that he's seeing this decline in

0:47:47.680 --> 0:47:50.959
<v Speaker 4>rigidity and decline and frequency of erections.

0:47:51.719 --> 0:47:54.240
<v Speaker 3>He has data. How is this guy going to be okay?

0:47:54.239 --> 0:47:57.040
<v Speaker 4>What are you going to do to reverse this guy's

0:47:57.520 --> 0:48:01.080
<v Speaker 4>ed that you diagnose based on your device that maybe

0:48:01.120 --> 0:48:04.120
<v Speaker 4>his partner hasn't noticed yet, maybe he's noticed, but it's

0:48:04.160 --> 0:48:06.520
<v Speaker 4>too ashamed to go to his doctor with. And also

0:48:06.719 --> 0:48:08.880
<v Speaker 4>he knows if he goes the doctor, the guy is

0:48:08.920 --> 0:48:10.680
<v Speaker 4>going to be like dude, you're still having sex?

0:48:10.680 --> 0:48:12.200
<v Speaker 3>What do you want from me? So, how is this

0:48:12.239 --> 0:48:13.080
<v Speaker 3>guy going to be okay?

0:48:13.080 --> 0:48:16.200
<v Speaker 1>Are you well, you're you're You're getting don a real

0:48:16.239 --> 0:48:18.040
<v Speaker 1>problem here because if he goes to his doctor's doctor

0:48:18.080 --> 0:48:20.000
<v Speaker 1>Appli said, hey, you know, take a pill. And now

0:48:20.040 --> 0:48:22.399
<v Speaker 1>back in the world that that doctor Cara wanted about,

0:48:22.480 --> 0:48:25.279
<v Speaker 1>Bager is blacking in because you'll describe someone's having to

0:48:25.280 --> 0:48:29.120
<v Speaker 1>decreased rigidity in the nocturnal parameters. To my mind, has

0:48:29.160 --> 0:48:33.319
<v Speaker 1>a cardiovascar primary carve asker problem until proven otherwise, not pterological,

0:48:33.400 --> 0:48:36.000
<v Speaker 1>but more likely to be primary callebasque problem till proven otherwise.

0:48:36.120 --> 0:48:38.120
<v Speaker 1>And he's called of asked the work up, and most

0:48:38.160 --> 0:48:42.120
<v Speaker 1>doctors are not taking that way. Now the guy could

0:48:42.920 --> 0:48:45.960
<v Speaker 1>Let's assume this patient have have a strong free T.

0:48:46.160 --> 0:48:47.480
<v Speaker 1>Is free T great than twenty?

0:48:48.520 --> 0:48:50.279
<v Speaker 4>Yeah, let's say it is just for fun to make

0:48:50.280 --> 0:48:52.759
<v Speaker 4>it easy. Yeah, so optimize his tea.

0:48:52.960 --> 0:48:55.359
<v Speaker 1>Yeah, it's one will work up is normal. He's got

0:48:55.360 --> 0:48:58.600
<v Speaker 1>a cardive askue problem till proven otherwise. I want to

0:48:58.600 --> 0:49:02.520
<v Speaker 1>be certain that he sees He probably an interventional radiology

0:49:02.520 --> 0:49:04.880
<v Speaker 1>study and you and I both know that's not common.

0:49:05.120 --> 0:49:08.279
<v Speaker 1>I just got contact today by a guy who a

0:49:08.320 --> 0:49:10.920
<v Speaker 1>guy in South Africa, very sophisticated. A man South Africa

0:49:11.040 --> 0:49:14.239
<v Speaker 1>who bought our tech ring. He was five fifty years

0:49:14.239 --> 0:49:17.320
<v Speaker 1>old and was describing. But you know, his doctor recommended,

0:49:18.040 --> 0:49:20.560
<v Speaker 1>you know, a P five medication. He's taken twenty solis

0:49:20.640 --> 0:49:23.720
<v Speaker 1>now no, you know, and he's still unable to perform

0:49:23.800 --> 0:49:26.480
<v Speaker 1>what he did. You know two years ago. He is

0:49:26.520 --> 0:49:30.319
<v Speaker 1>cut out drinking completely. He finally got a reeology study

0:49:30.360 --> 0:49:33.839
<v Speaker 1>which showed a blockage of his penal lottery. Yeah, in

0:49:33.880 --> 0:49:37.280
<v Speaker 1>my experience in yours is greater than mine. In this area,

0:49:37.680 --> 0:49:43.400
<v Speaker 1>an interventional radiology study is not common when it comes

0:49:43.400 --> 0:49:47.279
<v Speaker 1>to the workup of ED and that's unfortunate.

0:49:47.400 --> 0:49:47.880
<v Speaker 3>Right it is.

0:49:47.920 --> 0:49:50.239
<v Speaker 4>I mean we usually in fact, that's one of the

0:49:50.280 --> 0:49:52.439
<v Speaker 4>reasons I do a lot of duplex ultra scenography because

0:49:52.440 --> 0:49:55.080
<v Speaker 4>I can pick those things up and then refer appropriately.

0:49:55.120 --> 0:49:59.520
<v Speaker 4>And we start to incorporate preventive cardiology into the men's

0:49:59.520 --> 0:50:02.360
<v Speaker 4>clinic at UCLA for that reason. But you're right, not common,

0:50:02.360 --> 0:50:05.040
<v Speaker 4>not standard of care. And again it's sort of here's

0:50:05.040 --> 0:50:07.200
<v Speaker 4>a pill and hope for the best, and we're trying

0:50:07.239 --> 0:50:09.080
<v Speaker 4>to do better. And I think that you're at the

0:50:09.120 --> 0:50:12.280
<v Speaker 4>forefront of looking at this in an early way. So, Jordan,

0:50:12.360 --> 0:50:15.359
<v Speaker 4>what do you got for our good doctor and entrepreneur here?

0:50:15.400 --> 0:50:16.920
<v Speaker 3>What thoughts have come up? Are you?

0:50:17.160 --> 0:50:21.080
<v Speaker 4>Are you already getting online to buy a firm tech

0:50:21.120 --> 0:50:22.239
<v Speaker 4>Tell me what your thoughts are?

0:50:22.520 --> 0:50:24.920
<v Speaker 2>Well, I have a few other questions, but now, just

0:50:25.000 --> 0:50:27.120
<v Speaker 2>based on what you just said, I'm curious, why is

0:50:27.200 --> 0:50:28.680
<v Speaker 2>radiology not standard of care?

0:50:28.880 --> 0:50:30.760
<v Speaker 3>Well? Yeah, I have my thoughts.

0:50:30.760 --> 0:50:33.080
<v Speaker 4>But first of all, it's probably cost prohibitive for a

0:50:33.160 --> 0:50:38.920
<v Speaker 4>little bit. Diagnostic sensitivity is not that great. But certainly

0:50:38.960 --> 0:50:41.279
<v Speaker 4>I think if you appropriately screen, and if you had

0:50:41.280 --> 0:50:45.000
<v Speaker 4>a screening device, which is essentially what a penile duplex ultrasound,

0:50:45.120 --> 0:50:48.840
<v Speaker 4>or an even cheaper and much more easily accessed like

0:50:48.880 --> 0:50:52.800
<v Speaker 4>a firmtech ring, could help screen who would actually benefit

0:50:52.840 --> 0:50:54.880
<v Speaker 4>most from a radiologic intervention.

0:50:55.160 --> 0:50:57.239
<v Speaker 1>Yeah, let me speak up for a second. So there's

0:50:57.239 --> 0:50:59.719
<v Speaker 1>a paper the University of Utah. It's going to be

0:50:59.719 --> 0:51:03.239
<v Speaker 1>present into this fall uh SSM and a by doctor

0:51:03.280 --> 0:51:05.560
<v Speaker 1>Kelly Gross. I don't really know where, but she's comparing

0:51:05.800 --> 0:51:08.760
<v Speaker 1>our device to and to uh, you know, an office doppler,

0:51:09.200 --> 0:51:12.680
<v Speaker 1>and our device is I'll share with you, is accurate

0:51:12.719 --> 0:51:16.040
<v Speaker 1>as an in office toppler and actually superior because from

0:51:16.040 --> 0:51:18.600
<v Speaker 1>my perspective this of course I did invent this thing,

0:51:18.640 --> 0:51:21.200
<v Speaker 1>but why is it superior? Because we provide more data

0:51:21.200 --> 0:51:23.680
<v Speaker 1>points and an office doppler is just one data point,

0:51:24.080 --> 0:51:26.600
<v Speaker 1>whereas our device provides multiple data points. And therefore I

0:51:26.600 --> 0:51:30.080
<v Speaker 1>think our device in time will demonstrated to be superior.

0:51:30.080 --> 0:51:33.799
<v Speaker 1>But the neurologists have been trained and the and the

0:51:33.800 --> 0:51:36.680
<v Speaker 1>building system drives them to the in office doppler. There's

0:51:36.719 --> 0:51:39.600
<v Speaker 1>no box. I don't think the neurologists are thinking about

0:51:39.719 --> 0:51:42.239
<v Speaker 1>intiventual radiology, and they probablyhould think about it more.

0:51:42.760 --> 0:51:44.640
<v Speaker 3>Yeah, no, for sure, I think that's it, Jordan.

0:51:44.680 --> 0:51:46.680
<v Speaker 4>I think the other problem in general in medicines we

0:51:46.719 --> 0:51:49.319
<v Speaker 4>talk about a lot is is there has become a

0:51:49.320 --> 0:51:52.360
<v Speaker 4>siloing of our specialties and the fact that as a

0:51:52.640 --> 0:51:55.960
<v Speaker 4>you know, as a board certified urologist and especially trained

0:51:55.960 --> 0:51:58.840
<v Speaker 4>microsurgeon that actually trained with you know, Mo and I

0:51:58.880 --> 0:52:00.400
<v Speaker 4>go back back years Elliott.

0:52:00.600 --> 0:52:02.680
<v Speaker 3>We both trained with Lipshoalz years ago.

0:52:02.719 --> 0:52:05.680
<v Speaker 4>And yeah, here I am spending a lot of my

0:52:05.719 --> 0:52:09.400
<v Speaker 4>life talking about cardiovascular preventive strategies. Not common, you know,

0:52:09.480 --> 0:52:11.640
<v Speaker 4>but most of the time we're very siloed in our

0:52:11.680 --> 0:52:16.640
<v Speaker 4>specialty and I have a surgical practice, so my entire

0:52:16.680 --> 0:52:19.520
<v Speaker 4>existence and the reason that I trained so hard was

0:52:19.560 --> 0:52:22.200
<v Speaker 4>to build to operate on people and have great surgical outcomes.

0:52:22.600 --> 0:52:26.319
<v Speaker 4>But you know, there is a holistic lack in a

0:52:26.360 --> 0:52:28.799
<v Speaker 4>lot of medicine these days, of looking at symptoms and

0:52:28.800 --> 0:52:32.600
<v Speaker 4>treating just the symptom without looking at the genome. And

0:52:32.000 --> 0:52:34.120
<v Speaker 4>that's what we're trying to do a little bit at

0:52:34.160 --> 0:52:37.319
<v Speaker 4>a time through better individualized screening and so a lot

0:52:37.320 --> 0:52:40.200
<v Speaker 4>of the I think the future of wearables is very interesting.

0:52:40.640 --> 0:52:42.839
<v Speaker 4>And I didn't really mean to dig that hard on

0:52:42.880 --> 0:52:45.600
<v Speaker 4>the continuous glucose monitors at the beginning, because you actually

0:52:45.680 --> 0:52:48.440
<v Speaker 4>will find people diagnosing diabetes they didn't know they had

0:52:48.480 --> 0:52:50.520
<v Speaker 4>it just by starting their cgms. But I do think

0:52:50.920 --> 0:52:54.520
<v Speaker 4>there's a huge ability for especially as to become cheaper

0:52:54.520 --> 0:52:56.960
<v Speaker 4>and cheaper. And this, I mean, what is your device

0:52:57.000 --> 0:52:58.480
<v Speaker 4>retail for now? I'm going to give you a sales

0:52:58.480 --> 0:53:01.120
<v Speaker 4>pitch justin but these are not devices.

0:53:01.760 --> 0:53:04.520
<v Speaker 1>It reach also two seventy five yeah, about the same

0:53:04.520 --> 0:53:05.759
<v Speaker 1>price is two good balls of one?

0:53:06.200 --> 0:53:09.160
<v Speaker 4>Where do you going? And in office doppel or ultrasound?

0:53:09.440 --> 0:53:11.799
<v Speaker 4>You know, I think even medicare allowable somewhere around eight

0:53:11.880 --> 0:53:14.800
<v Speaker 4>or nine hundred bucks, and so you have one device

0:53:15.000 --> 0:53:18.200
<v Speaker 4>that you know they can give multiple data points. And

0:53:18.360 --> 0:53:20.680
<v Speaker 4>if we look at that over same thing, cgms are

0:53:20.719 --> 0:53:22.239
<v Speaker 4>like thirty bucks now, I mean they're all of these

0:53:22.239 --> 0:53:25.480
<v Speaker 4>things at home blood pressure cups for goodness sakes, you

0:53:25.480 --> 0:53:27.400
<v Speaker 4>can get for thirty forty dollars to get all this

0:53:27.480 --> 0:53:29.920
<v Speaker 4>information before you get to your doctor's office. And I

0:53:29.920 --> 0:53:32.399
<v Speaker 4>think that's the hope, is that we're able to really

0:53:32.440 --> 0:53:36.880
<v Speaker 4>tailor our medicine towards these So, yeah, what else you

0:53:36.880 --> 0:53:37.319
<v Speaker 4>got for him?

0:53:37.360 --> 0:53:37.640
<v Speaker 3>Jordan?

0:53:37.760 --> 0:53:39.920
<v Speaker 2>I mean, I am a warrior by nature.

0:53:40.040 --> 0:53:41.640
<v Speaker 1>Some men are warriors. I'm a warrior.

0:53:43.040 --> 0:53:47.160
<v Speaker 2>Sexual health data it's among the most private information that

0:53:47.200 --> 0:53:50.840
<v Speaker 2>a device can collect. What data does firm tech store?

0:53:51.000 --> 0:53:51.960
<v Speaker 1>Who can access it?

0:53:52.000 --> 0:53:54.880
<v Speaker 2>And could it ever be shared with advertisers, insurers or

0:53:54.920 --> 0:53:55.800
<v Speaker 2>outside companies?

0:53:56.120 --> 0:53:59.000
<v Speaker 1>Sure? Well, I appreciate the fact that you're a warrior.

0:53:59.040 --> 0:54:08.520
<v Speaker 1>I don't like winers. Our data is started Amazon Web

0:54:08.560 --> 0:54:12.640
<v Speaker 1>Services as a healthcare along with thousands and thousands and

0:54:12.680 --> 0:54:17.800
<v Speaker 1>thousands of doctors and hospitals. We have a hippoc appliance.

0:54:17.880 --> 0:54:21.760
<v Speaker 1>There are two people have signed Hippo contract in the company.

0:54:21.800 --> 0:54:24.000
<v Speaker 1>I'm one of them. Our head of technology is the other.

0:54:24.440 --> 0:54:28.880
<v Speaker 1>All the data is anonymatized ghost the cloud is given

0:54:28.880 --> 0:54:31.680
<v Speaker 1>a code so we can use research purposes anonymously. We

0:54:31.719 --> 0:54:36.120
<v Speaker 1>can't attribute anything to anyone in particular, I personally have

0:54:36.239 --> 0:54:39.880
<v Speaker 1>never you know, if someone wants to consult with me

0:54:40.000 --> 0:54:41.759
<v Speaker 1>or having to look at their data, they have to

0:54:41.800 --> 0:54:46.720
<v Speaker 1>give me permission, and permission is a two step process

0:54:46.719 --> 0:54:50.319
<v Speaker 1>so that they I mean, could it be hacked? What

0:54:50.440 --> 0:54:52.920
<v Speaker 1>can't be hacked? Someone really wants to get at it.

0:54:52.960 --> 0:54:55.480
<v Speaker 1>But it's as secure as we can possibly make it.

0:54:55.520 --> 0:54:58.880
<v Speaker 1>And we are, you know, using usual and customary for

0:54:58.920 --> 0:55:03.520
<v Speaker 1>a hospital, physician offices. Security protections great.

0:55:03.960 --> 0:55:06.359
<v Speaker 3>So before I let you go, I also have a question.

0:55:06.400 --> 0:55:08.759
<v Speaker 4>I ask everybody that is a men's health specialist, or

0:55:08.760 --> 0:55:11.960
<v Speaker 4>actually just anybody honestly that comes on the show, is

0:55:12.120 --> 0:55:14.840
<v Speaker 4>what is it that makes you you that's non negotiable

0:55:14.840 --> 0:55:15.880
<v Speaker 4>on a daily basis.

0:55:16.120 --> 0:55:17.920
<v Speaker 3>I have an idea based on what we just.

0:55:17.880 --> 0:55:20.680
<v Speaker 4>Talked about, But tell me, you know, before you get

0:55:20.719 --> 0:55:23.360
<v Speaker 4>your day started, you know, what do you have to

0:55:23.440 --> 0:55:26.120
<v Speaker 4>do to know that you're going to have a good

0:55:26.160 --> 0:55:27.480
<v Speaker 4>day and you're gonna be able to take great care

0:55:27.480 --> 0:55:30.000
<v Speaker 4>of your patients, great care of your company and stewardship

0:55:30.440 --> 0:55:33.359
<v Speaker 4>of what you're doing now, So what is the non

0:55:33.360 --> 0:55:35.600
<v Speaker 4>negotiable that makes doctor justin doctor justin?

0:55:35.760 --> 0:55:37.680
<v Speaker 1>I think that secks every day.

0:55:37.760 --> 0:55:39.000
<v Speaker 3>Yeah, I think.

0:55:39.080 --> 0:55:41.000
<v Speaker 1>Okay, you know, we talked about how, you know, like

0:55:41.160 --> 0:55:42.919
<v Speaker 1>mother would say, apple dack is doctor a way because

0:55:42.920 --> 0:55:44.680
<v Speaker 1>you want to eat fruit and fruits certainly healthy. I

0:55:44.719 --> 0:55:46.560
<v Speaker 1>think it ALLGA has some day keeps the doctor away,

0:55:46.760 --> 0:55:48.919
<v Speaker 1>and that's something that everyone should just buy it too.

0:55:49.440 --> 0:55:50.000
<v Speaker 3>There you go.

0:55:50.320 --> 0:55:51.640
<v Speaker 1>How do I start my day to be in a

0:55:51.640 --> 0:55:53.760
<v Speaker 1>good mood? I look, I'm blessed. I live in Montana.

0:55:54.040 --> 0:55:57.520
<v Speaker 1>I get up with Dawn. I'm now married thirty eight years.

0:55:57.800 --> 0:56:00.919
<v Speaker 1>I make my wife coffee. We spend about the first

0:56:00.960 --> 0:56:03.440
<v Speaker 1>half hour our day and bed together. I can say

0:56:03.440 --> 0:56:05.040
<v Speaker 1>we make love in the morning. We were kind of

0:56:05.080 --> 0:56:09.080
<v Speaker 1>night time people, but starting that day with intimacy with

0:56:09.160 --> 0:56:13.919
<v Speaker 1>love every day makes my life rich. I wake up, Look,

0:56:14.080 --> 0:56:15.600
<v Speaker 1>this is most fun we've had in my life. I've

0:56:15.600 --> 0:56:19.160
<v Speaker 1>started seven companies, this one to talk about sex and

0:56:19.200 --> 0:56:22.480
<v Speaker 1>health every day, to be involved with research and wear.

0:56:22.600 --> 0:56:25.200
<v Speaker 1>Both are taking men's health in the twenty first century

0:56:25.560 --> 0:56:28.719
<v Speaker 1>objective personalized care. I'm having a lot of fun and

0:56:28.800 --> 0:56:29.320
<v Speaker 1>it's the latest.

0:56:29.360 --> 0:56:31.799
<v Speaker 3>Yeah, that's great. I mean, I love this. This is

0:56:31.800 --> 0:56:32.319
<v Speaker 3>why we do.

0:56:32.400 --> 0:56:34.800
<v Speaker 4>This is why we talk about what we talk about

0:56:34.800 --> 0:56:37.520
<v Speaker 4>on the show. And also those are some actionable items.

0:56:37.560 --> 0:56:40.920
<v Speaker 4>I think that what we learned today is that for

0:56:41.000 --> 0:56:43.520
<v Speaker 4>the right guy, which maybe in your case is every

0:56:43.520 --> 0:56:47.960
<v Speaker 4>guy should have some better control not only of his metrics,

0:56:48.040 --> 0:56:50.560
<v Speaker 4>but what this could be an indicator of as well

0:56:50.600 --> 0:56:54.600
<v Speaker 4>as it actually works as a functional improvement to enhance

0:56:54.840 --> 0:56:55.800
<v Speaker 4>sexual experience.

0:56:55.840 --> 0:56:57.480
<v Speaker 3>And so so.

0:56:57.680 --> 0:57:00.400
<v Speaker 4>Doctor Justin you delivered on the mailroom and I'm so

0:57:00.440 --> 0:57:02.799
<v Speaker 4>happy you came and that we had a good objective talk.

0:57:02.840 --> 0:57:04.880
<v Speaker 4>We talked about science, we talked about how not all

0:57:04.920 --> 0:57:07.560
<v Speaker 4>science has created equal and.

0:57:06.880 --> 0:57:09.880
<v Speaker 3>And where where can guys find you?

0:57:09.960 --> 0:57:10.040
<v Speaker 1>Now?

0:57:10.080 --> 0:57:12.399
<v Speaker 4>I will give you your your plug in terms of how

0:57:12.520 --> 0:57:13.680
<v Speaker 4>is this device accessible?

0:57:13.680 --> 0:57:15.040
<v Speaker 3>Where can people learn more about it?

0:57:15.560 --> 0:57:18.320
<v Speaker 1>Sure you can find us at my firm tech M

0:57:18.440 --> 0:57:21.800
<v Speaker 1>Y F I R M T H myfirmtech dot com.

0:57:22.280 --> 0:57:24.840
<v Speaker 1>You can reach me personally at Elliott L. L IoT

0:57:25.080 --> 0:57:29.360
<v Speaker 1>at myfirmtech dot com. And it was great being here.

0:57:29.360 --> 0:57:30.920
<v Speaker 1>Thanks for the opportunity so much.

0:57:30.960 --> 0:57:32.200
<v Speaker 3>Well, I look forward. We'll talk offline.

0:57:32.200 --> 0:57:34.320
<v Speaker 4>As I know all the guys that you mentioned, we

0:57:34.440 --> 0:57:36.400
<v Speaker 4>all hang in the same circles, so I think there

0:57:36.400 --> 0:57:38.800
<v Speaker 4>could be some interesting research we could do in Perni's

0:57:38.840 --> 0:57:39.160
<v Speaker 4>as well.

0:57:39.240 --> 0:57:41.080
<v Speaker 3>So so yes, I'm sure we'll.

0:57:40.960 --> 0:57:43.320
<v Speaker 4>Be in touch and and hope to have you back

0:57:43.360 --> 0:57:46.360
<v Speaker 4>with some more interesting device, especially as you look in

0:57:46.400 --> 0:57:48.520
<v Speaker 4>the world of female sexual dysfunction, which I think is

0:57:48.640 --> 0:57:52.360
<v Speaker 4>very understudied, as you know, so so I applaud you

0:57:52.400 --> 0:57:55.480
<v Speaker 4>for exploring that at as well to to you know,

0:57:55.680 --> 0:57:59.480
<v Speaker 4>level the playing field, level the bedroom. So I appreciate it.

0:58:00.040 --> 0:58:02.360
<v Speaker 4>Thanks so much, everybody, have a great rest of your day.

0:58:02.400 --> 0:58:05.400
<v Speaker 3>Thanks so much. Take us out, Jordan long Transit.

0:58:13.760 --> 0:58:14.840
<v Speaker 1>Let's talk about it.

0:58:16.800 --> 0:58:18.640
<v Speaker 3>Let's talk about the maro.

0:58:21.960 --> 0:58:23.040
<v Speaker 1>Let's talk about it.

0:58:25.040 --> 0:58:25.920
<v Speaker 3>Let's talk about it.

0:58:26.000 --> 0:58:34.120
<v Speaker 1>A maro. Let's talk about it. Let's talk about it.

0:58:34.240 --> 0:58:39.320
<v Speaker 2>An The mail Room with Doctor Jesse Mills was a

0:58:39.360 --> 0:58:43.480
<v Speaker 2>production of iHeart Radio. It was executive produced by Jordan Runtog.

0:58:44.080 --> 0:58:47.440
<v Speaker 2>It was edited, mixed, and mastered by Behead Fraser, and

0:58:47.520 --> 0:58:50.640
<v Speaker 2>the theme was provided by long Transit. If you like

0:58:50.720 --> 0:58:53.640
<v Speaker 2>what you heard, please subscribe and leave a review. For

0:58:53.760 --> 0:58:57.200
<v Speaker 2>more podcasts from iHeart Radio, check out the iHeartRadio app,

0:58:57.440 --> 0:59:00.560
<v Speaker 2>Apple Podcasts, or wherever you listen to your favor shows.

0:59:02.240 --> 0:59:06.200
<v Speaker 2>This program is intended for educational and informational purposes only.

0:59:06.720 --> 0:59:10.600
<v Speaker 2>It is not a substitute for professional medical advice, diagnosis,

0:59:10.720 --> 0:59:14.440
<v Speaker 2>or treatment. Consult your healthcare provider for any medical or

0:59:14.440 --> 0:59:18.120
<v Speaker 2>other related questions or concerns. The views and discussions aired

0:59:18.160 --> 0:59:20.680
<v Speaker 2>on this podcast are those of doctor Mills and do

0:59:20.800 --> 0:59:24.800
<v Speaker 2>not represent the official positions of UCLA or UCLA Health