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Can AI Make Personalized Healthcare More Affordable? with Dr. Nasha Winters · Age Defiantly with Mark Young

• 0:03
  I want to ask you a question because I realize you're also involved in multiple businesses.
• 0:09
  Yes.
• 0:09
  And I love that.
• 0:11
  And as I've gotten to know more about your business setup, you are now the face and co-founder of an organization called Terrain House.
• 0:21
  Yeah.
• 0:22
  Which is rolling.
• 0:23
  I know, right?
• 0:24
  It's exciting.
• 0:25
  I know.
• 0:26
  Which is not only dealing with training people, but now you're leaning into the AI side of people's care.
• 0:34
  And that's, it's a place where I spend a lot of time, right?
• 0:37
  Like I spend a lot of time in that space and I'm like, man, the idea that not only are you able to speak from a stage and you're able to offer training courses, which by the way, I've already decided I'm going to go take all your training courses and become one of your practitioners.
• 0:48
  He's drinking the Kool-Aid.
• 0:49
  A hundred percent, a hundred percent.
• 0:52
  But, but yeah.
• 0:53
  Additionally to that, now you're leaning into this AI.
• 0:58
  AI does one of two things.
• 1:00
  And I've said this to my team, and that is AI is going to either help you solve problems or it's going to help you fail faster.
• 1:08
  you know, sometimes all you do is magnify the mistakes with it.
• 1:11
  Because if you don't know where you're going with it, how do you know if it gave you a right answer?
• 1:16
  Right, right.
• 1:16
  And sometimes we put inputs in that are biased and it picks up our bias and feeds us answers that follow our bias.
• 1:24
  We gotta be careful with that.
• 1:25
  And we do have to be careful with it.
• 1:26
  So I'm curious, like, I love that when practitioners who are training on your course, it doesn't replace the training.
• 1:35
  In fact, it helps the practitioner get to the right answer faster.
• 1:38
  Yep.
• 1:39
  As opposed to, I know a lot of people are out there figuring that what they can do is just, you know, what's the quote I just saw today?
• 1:45
  Like, oh, I just saw a meme today.
• 1:48
  And it was something along the lines of like, somewhere your future doctor is using AI to pass medical school.
• 1:53
  You better start taking care of your health now.
• 1:54
  Exactly.
• 1:56
  Exactly.
• 1:56
  And I'm like, that's so honestly true.
• 1:58
  That's hilarious.
• 1:58
  Everybody becomes a lawyer on GPT now.
• 2:01
  Yeah.
• 2:01
  Oh God.
• 2:02
  You know, and then people are going to prison.
• 2:07
  How have you integrated this?
• 2:08
  Talk to me about that.
• 2:10
  Well, I have to say I was very resistant to the idea of it because I'm really against protocols, and I'm worried that even this AI approach will perpetuate the protocol approach to medicine, which is everyone gets the same treatment.
• 2:27
  And we're like, oh, autoimmunity, you all get this.
• 2:29
  Cancer, you all get this.
• 2:30
  Cardiovascular, you all get this.
• 2:31
  And yet what we're trying to do
• 2:34
  sort of deconstruct is that it's absolutely personalized, absolutely precise.
• 2:38
  And it is going to have to learn AI is going to have to learn each individual.
• 2:46
  And that's what we're training into this for it to really get to know you or you or you.
• 2:54
  And that's what's the exciting thing because at first I was so resistant thinking it could create more of just a zombie nation,
• 3:05
  like exponentially really create precise, personalized medicine.
• 3:11
  Because we've been giving that a lot of lip service for a long time.
• 3:14
  And it's just that, it's a marketing tool.
• 3:17
  Well, and the thing is, so one of the things that I find when I'm looking at AI driven in the medicine, because I use it all the time, I use it for myself, right?
• 3:23
  It's like, I've got my own bot trained to probably know my health better than anybody.
• 3:27
  But I put in my own labs, I put in my own blood work, I do all this, and it's like, I literally, I keep a list of all the supplements I take on a daily basis.
• 3:35
  And I go take my labs and I'm like, here's my labs, here's my list of supplements.
• 3:39
  What am I missing?
• 3:40
  Tell me, is there a gap, is there an overlap?
• 3:44
  What's going on?
• 3:44
  And then I review it every six months or so.
• 3:47
  Like, no, I need to go review this again.
• 3:48
  I need to review this again, like change the protocol.
• 3:51
  Yeah.
• 3:52
  But it's a protocol that's been designed specifically.
• 3:54
  Correct.
• 3:55
  That's different.
• 3:56
  And you get this as much as I do.
• 3:58
  Every single time I run into somebody who understands my background in healthcare, and they're like, what should I be taking?
• 4:03
  I'm like, I don't know.
• 4:05
  We've got to gather a lot more information.
• 4:08
  I don't know what you should be taking because I don't know enough about you.
• 4:11
  I can tell you some things that aren't going to hurt you and probably help.
• 4:16
  There are some things that will probably support anybody.
• 4:20
  But I can't tell you if you should be taking boron.
• 4:25
  How would I know that?
• 4:29
  So really, but I use it for that type of stack as well.
• 4:33
  And then the difference is, is that sometimes I look at it and I'm like, well, I know better than that.
• 4:37
  Yeah, yeah.
• 4:39
  That I don't agree with.
• 4:40
  And then I'll go in and ask, why did you say this?
• 4:44
  And this is the key right there of when you have a training opportunity, when you've got a training program environment, and you're training clinicians, allied health professionals, advocates, and even just the layperson, you have the opportunity to train them on evidence-informed and evidence-based approaches that may not be standard.
• 5:02
  Yeah.
• 5:03
  Yes.
• 5:03
  Right.
• 5:03
  Because a lot of those things, they call it the 17 year gap for a reason that takes an average of 17 years to get from the bench ideas to the bedside application.
• 5:12
  And this is the technology that says we have a lot.
• 5:15
  We've got enough information to say this is probably a valid thought approach, you know, assessment.
• 5:22
  And then we can scale that because now my clinicians have to spend six to seven hours just reviewing people's data by hand, then making sense of it, finding the patterns, then making sense of what is the best treatment to match those patterns.
• 5:39
  It's like doing a homeopathic intake.
• 5:41
  And so by the end of that, they're loving it because it's fascinating to learn these people and see these patterns pop out like a Rorschach chart or something.
• 5:49
  Mm-hmm.
• 5:50
  Once they find that, then they have to sit down with the patient for an hour and a half, two hours, explain their findings, explain that protocol that was individualized.
• 5:59
  And then they still have to then make sense and answer all the questions to that person.
• 6:02
  So you're looking at a 10 to 12 hour period.
• 6:06
  per patient on average.
• 6:09
  There's no way to pay someone enough to do that.
• 6:12
  And so people don't lean into this type of medicine unless they're just honestly crazy like me and just really passionate to know that we won't change anything without doing it this way.
• 6:21
  Well, and most of that boils down to the fact that a practitioner is not going to be compensated for 10 to 12 hours worth of work.
• 6:27
  That's exactly.
• 6:28
  So you've got to meet that reality.
• 6:29
  What patient is going to pay that?
• 6:30
  You're talking at a minimum, a $5,000 consult.
• 6:33
  Yeah.
• 6:34
  Yeah.
• 6:34
  And people charge that and there are people who get that, but it doesn't have to be that way.
• 6:38
  We're trying to create this to be accessible and scalable.
• 6:41
  And so that's what AI is doing.
• 6:44
  It is ingesting all of those data points.
• 6:46
  It is making sense.
• 6:48
  It's going through all the massive databases of literature, backing the patterns to understand and assess.
• 6:55
  And then it's helping make sense of clinical decision making.
• 6:58
  in more of a real time that suddenly it's a reasonable prep for the patient.
• 7:03
  Maybe your typical half hour, hour prep and then the time with the patient and then very quick and easy follow up.
• 7:09
  You've now condensed that to actually make it affordable and scalable.
• 7:13
  Yeah, no, it makes complete sense.
• 7:16
  And I love that.
• 7:16
  And like I said, I never want to take the, you know, my my mission that I'm using right now, that the catchphrase that I'm using for my own properties are
• 7:25
  relationship first AI fueled.
• 7:29
  See?
• 7:29
  Like we have to stay on this relationship.
• 7:32
  And that is, you know, even to my team, the constant thing that I keep saying is, I'm willing to automate and AI anything that we're doing.
• 7:39
  Find out what only the humans can do.
• 7:42
  Well, and here's the piece.
• 7:43
  Because if a doctor has to spend so much time just going through all the data, which is how it is, or doing all the paperwork or filling out all the insurance claims, there is no time to cultivate a relationship with the patient.
• 7:55
  Correct.
• 7:55
  And so the AI swooping in and doing that heavy lifting of the data aggregation and translation
• 8:04
  then the real magic gets to happen because that's where the medicine really is, is in the relationship.
• 8:10
  And so that frees up the doctor to actually do what they came into medicine to do.
• 8:14
  Well, and hopefully what I'm hoping to see out of this anyways is that we actually see a medical practice that becomes more bedside focused.
• 8:22
  Absolutely.
• 8:22
  Because, you know, I don't want to get too crazy into the energy of those types of relationships.
• 8:28
  But the reality is, is that when a doctor believes, we were talking about JJ Virgin earlier.
• 8:32
  Yeah, yeah, JJ.
• 8:33
  And one of the conversations that I had with JJ when she was a guest on PDL.
• 8:38
  One of the conversations I had with her was she's like, when her son was in a coma in the hospital, she said- She created that bubble.
• 8:46
  Yep.
• 8:46
  She's like, if a nurse, if a doctor, if an orderly
• 8:51
  walked into the room with negative energy, get out.
• 8:55
  Yeah, yeah.
• 8:56
  Any doubt, any negative energy, any bias, any of their own fear crap.
• 8:59
  Anything, get out of the room.
• 9:00
  Yeah, yeah.
• 9:01
  She said if she would talk to a doctor and before any procedure was done, she would ask the doctor, do you believe that this will be 100% successful?
• 9:08
  And if the doctor didn't say absolutely 100% success, she said, you're not working on my son with even the belief that it could fail.
• 9:17
  Yeah, yeah, yeah.
• 9:19
  Out, next.
• 9:20
  And especially when we have such a fear-based culture right now, and especially in the world I work in, which is cancer, that goes hand-in-hand typically with fear.
• 9:29
  And that's the other part I'm trying to dismantle in my lifetime and hopefully my lineage that I leave behind after I'm long gone is that we're changing that conversation that, no, cancer is not something to fear.
• 9:44
  It is something to understand, and it's something to help you transform.
• 9:48
  I recently, you and I had discussed a friend of mine whose father was diagnosed with multiple myeloma and I had put together a workup and so on.
• 9:55
  And thank you so much for your review of it.
• 9:58
  I later had a chance to meet with their family and talk with them about why natural solutions as opposed to, you know, taking the chemo route that they were talking about.
• 10:08
  And again, it's not necessarily in either or.
• 10:10
  Right, right.
• 10:11
  Sometimes it's an and.
• 10:12
  Right, right.
• 10:13
  And the conversation with him was, look, here's some of the things that are going on with you.
• 10:17
  And if you do move on to this immunotherapy, which he seems to want to do that, then at least let's pay attention to these things because we need to be... Let's prepare the field.
• 10:27
  Correct.
• 10:28
  Your kidney function is already suffering.
• 10:30
  Yeah.
• 10:30
  Like putting chemo on top of already suffering kidneys.
• 10:33
  Like what are the protocols?
• 10:35
  What are the actions we can take to support your kidney, to support your liver, to support the things about you?
• 10:41
  How can we make sure your gut microbiome is ready for this?
• 10:44
  Yeah, critical.
• 10:45
  And really walking him through that terrain, if you will.
• 10:48
  Yeah.
• 10:49
  And just having those conversations and it's nuances that people don't even know.
• 10:53
  Like, for instance, they walked me through, like, what are you taking and so on.
• 10:57
  And she's like, oh, well, we gave up coffee.
• 10:59
  And I'm like, well, coffee's not bad for you.
• 11:01
  Right, right, right, right.
• 11:02
  Like, where'd you get that story from?
• 11:03
  Yeah, yeah.
• 11:03
  Correct.
• 11:03
  And is that the right story for you?
• 11:05
  I'm like, okay, well, instead, we've been drinking this.
• 11:09
  But it's a matcha, which I'm a fan of matcha.
• 11:12
  But it's a matcha collagen peptide.
• 11:14
  Yeah.
• 11:15
  Like, I'm going to ask you to stop taking the peptides.
• 11:18
  Yeah, yeah.
• 11:19
  There's a growth factor.
• 11:19
  So we have to pause a bit of it.
• 11:21
  That's exactly right.
• 11:22
  Like, there's a growth factor in here now.
• 11:24
  So when you're creating cellular growth, it's growing all the cells.
• 11:28
  Like, we need to pull back anything that's doing that.
• 11:31
  Like, you can do it, but, you know, wife can do it, husband can't.
• 11:35
  Like, this is just something that we need to align with.
• 11:37
  And people just don't know this stuff.
• 11:39
  And that will not come out of a chat GPT.
• 11:41
  Correct.
• 11:42
  Correct.
• 11:43
  That's exactly correct.
• 11:45
  And part of it is how many people actually put those type of lifestyle things into it.
• 11:49
  Yeah, because you just kind of take it for granted.
• 11:51
  Correct.
• 11:52
  And I mean, it was the pushing through everything they're doing.
• 11:55
  And it was silly stuff right down to like, I just want you to go out and sit on the porch for a half hour every morning.