Latest / Come Together with Ephraim Herschmann / Health Series 2: Houston Concierge Medicine / Dr Greg Burzynski

Transcript

Health Series 2: Houston Concierge Medicine / Dr Greg Burzynski · Come Together with Ephraim Herschmann

• 0:01
  Welcome to another episode of Come Together
• 0:15
  and We're Live Doctor Burzynski. Did I pronounce that correctly?
• 0:19
  You did wonderful. How are you?
• 0:21
  Welcome. Thank you so much for joining
• 0:22
  me. How are you today?
• 0:23
  I'm very good, thanks for having me.
• 0:25
  Great, great. Can you?
• 0:26
  Do you want to start by telling me a little bit about yourself?
• 0:28
  Where you're from, who, who are you?
• 0:30
  What do you do? Sure.
• 0:32
  I am a board certified internal medicine physician 15 years out
• 0:37
  of residency. I was born and raised in
• 0:39
  Houston, TX and I grew up in a family of doctors and that's
• 0:43
  what I was exposed to and I ended up meeting my wife in
• 0:47
  medical school. We were not an item then, but
• 0:51
  later we became one and we continue that medical journey
• 0:56
  together, opening up a clinic, Houston Concierge Medicine.
• 1:00
  And a part of that is also restore longevity.
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  So we're passionate about helping people live their best
• 1:07
  life possible. That's awesome.
• 1:09
  That's awesome. And I know Houston's a huge
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  medical town, right? Huge it is.
• 1:15
  Yeah, yeah, yeah, yeah. I sell.
• 1:16
  I sell medical equipment, refurbished equipment.
• 1:19
  And so we do a lot of business in your neck of the woods over
• 1:21
  there and it's very popular. How did your What is your What
• 1:27
  kind of medicine is your family practice when you say you come
• 1:30
  from a family of doctors? Sure.
• 1:32
  So the person that started this was my uncle.
• 1:36
  He was a cardiologist in Poland. And then my father was a
• 1:41
  physician and my mother is, well, he was one of the youngest
• 1:45
  people to finish medical school. And then being in Poland, it
• 1:50
  wasn't the place to be, unfortunately, during those
• 1:52
  Soviet times. So he escaped and was able to
• 1:57
  flourish in the United States. And along with my mother, she
• 2:00
  eventually came to Texas. And then they built their own
• 2:04
  practice and Research Institute. And he had a discovery, he
• 2:10
  discovered a treatment for cancer that was endogenous to
• 2:13
  the human body. And I grew up in all that.
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  Well, they're called the Antennoplastons.
• 2:20
  And it, it was a really interesting being around that
• 2:24
  when you're, when you're a kid and seeing people get better and
• 2:28
  you kind of get older and you realize that what you're going
• 2:32
  to do this is pretty cool. If you're at the intersection of
• 2:35
  helping people and being compensated for, why not?
• 2:40
  So that got me where I am today and I'm still passionate about
• 2:47
  helping people. And if it's almost not like it's
• 2:51
  work, but of course there are parts of medicine that are a
• 2:53
  little full burden, which every doctor knows about.
• 2:57
  But of course we do, because of the joy we get, hopefully for
• 3:02
  for the impact it makes in people's lives.
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  Totally, totally. I'm so, so it's so funny that
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  you mentioned that immediately off the bat, because one of the
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  things I was going to ask based on a lot of the stuff I was
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  looking at in your site, it looks like a lot of non
• 3:18
  conventional stuff. You know that, you know, that
• 3:21
  I'm pretty surprised that doctors, you know, from your
• 3:23
  grandparents or parents would have been, you know, would have
• 3:26
  been, I guess, you know, excited about, you know, and I feel like
• 3:31
  today a lot of the stuff that you do, or I guess not today,
• 3:34
  but even as a 1020 years ago, a lot of stuff that you do today
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  you offer red light peptides, Ivs, stuff like that.
• 3:40
  It was almost like poo pooed. Was that not the case when you
• 3:43
  were growing up? Well, I mean, like with red
• 3:47
  light therapy, for example, it's been out for a while.
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  It's nothing really new. It's called photodynamic
• 3:51
  therapy, but things coming in out of fashion.
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  And I think today we're having a great renaissance in a lot of
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  things that we sort of took for granted because we realized that
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  people in general society, especially in the United States,
• 4:07
  is not getting healthier, which is rather sad, or life
• 4:09
  expectancy is taking a dip. So we're kind of returning to
• 4:12
  some basics. And so the fact that they're not
• 4:16
  standard of care or not billable to insurance does not mean they
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  don't have a place in a person's life, right?
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  Because insurance does not make money off of exercise or proper
• 4:28
  nutrition. But these are things that are
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  obvious. So things like red light therapy
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  are basically supporting us in a world where we're in essentially
• 4:41
  these fluorescent office buildings most of our day.
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  If you're lucky enough to be out there in the in the actual light
• 4:48
  and live a healthier life, and that's great.
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  But a lot of times we need actual support to live a better
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  life. Right, right.
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  Actually, that, that that brings me up.
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  You know, yesterday I did, I did a podcast with a friend of mine.
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  Can you hear me? All right.
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  Yeah. Named Jonathan Oswald and he's a
• 5:06
  buddy of mine and he, he told me he lived in Alaska for a year
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  and I actually lived in Seattle for a year as well.
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  And one of the things that we were talking about was was that
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  the winters have really no, no natural light, you know, and in
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  Seattle, I mean, not to the same extent, of course.
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  He's more like missed, but can you kind of explain a little
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  bit, I guess, you know, to a beginner like myself?
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  Yeah. You know what exactly is going
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  on with that. Sure.
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  So I we our bodies followed with circadian clock.
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  We have a few clocks in our body.
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  Ideally we should see a sunrise and a sunset.
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  Now our great grandparents maybe had that kind of a lifestyle,
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  but we've we've deviated a lot from it.
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  And so if we're not able to get enough of the healthy light
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  during the right time of the year, we may fall into a lesser
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  level of health. And this is documented with
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  seasonal affective disorder and people, the northern parts such
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  as Scandinavia, European countries, even parts of like
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  Alaska, there there is a light treatment that is able to
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  reverse this because they are just missing that super
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  important part of their lives. And that releases certain
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  endogenous chemicals, proteins in our body.
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  And we're going back into the sync of things and feeling much
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  better. So, so red light therapy has a
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  lot of research, for example, supporting improvement of mood,
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  relieving injuries, building collagen it, it goes a few
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  nanometers into the skin and it simulates the powerhouse of the
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  cell to mitochondria and kind of reboots everything.
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  So if we're not able to be out in the sun as our ancestors,
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  this is something that can take the place of that.
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  Interesting. That's so cool.
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  And does it? Does it?
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  Does it I guess, follow the logic that there'd be a
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  particular time of day that'd be better and more effective to get
• 6:59
  red light therapy if it's going to be based on our circadian
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  rhythms? Right.
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  So I use it sometimes as a pick me up, so to speak, in the in
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  the early part of the day. A lot of people use it in the
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  later part of the day to help them kind of get that normal
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  sunset feeling. If one hasn't, for example, had
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  the best night of sleep, then they could get a little bit of
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  the pick me up effect in the midday or early day.
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  So you can use it either part of the day.
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  Interesting, interesting. So cool.
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  So, so your family, so your family has always kind of
• 7:33
  studied any kind of health and medicine that applies.
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  So, so when you went to Med school, what was that?
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  Was there a contrast between what you grew up with and what
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  the teachers were trying to tell you or teach you?
• 7:47
  Right. So the standard medical
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  curriculum, I think everywhere we'll take a deep dive into the
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  basics like biochemistry, Physiology, Physiology, anatomy,
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  and then the treatments and the diagnosis is in treatment.
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  So as far as going out-of-the-box, that's more of a
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  self professed type of learning. I think everybody can say that
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  for the most part, and I think a lot of people find it when their
• 8:15
  health deteriorates. So it finds you and then you
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  realize, uh huh, this is something that is much better
• 8:23
  for me and makes sense. Luckily, I've never had my
• 8:27
  health deteriorate. I may have maybe been not the
• 8:30
  healthiest person at some point, but it was something that I
• 8:33
  always appreciated and to me was obvious.
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  And what I'd like to think about is just using everything in the
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  toolbox. So I'd like to use my standard
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  of care knowledge of, of the internal medicine, pharmacopia
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  and all the things we do, but also all the other things that
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  have been around for, for ages and the new things that are
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  arriving. Right, right.
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  And So what are you excited about?
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  What's what's coming up that you're excited about?
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  Well, I think we're living in amazing times right now.
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  Hopefully we don't explode, right?
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  Because we're kind of in this exciting time period, but
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  there's also a lot of scary things, scary things happening,
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  right? So we have technology that is
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  becoming ever more powerful. Obviously, AI is here and in the
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  next two years may replace a lot of jobs.
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  So just like, for example, Uber could not have been possible 30
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  years ago, there are certain things that I feel will be
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  making the lives of people so much better, as will doctors.
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  And we'll have this sort of confluence of a lot of things
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  arriving and that will make the care more effective, safer and
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  affordable. Now, how we get there is a
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  question, of course, because this is not the IT world.
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  We have lots of regulation in medicine, for better and for
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  worse. But I'm I'm optimistic because
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  I'm seeing so many exciting things arriving that can catch
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  disease early and change the trajectory.
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  Right. So can you give me some examples
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  of specific things that we're catching early?
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  I mean, there's so many. I'm sorry.
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  There's just so many different topics I want to cover over
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  here. I'm just so excited to figure
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  these out. Yeah, talk these out.
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  Well, in the world of cancer detection, we are getting more
• 10:24
  and more tests that are able to find this horrible disease
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  earlier and for the most part we can do better if we find it
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  early. So I've been ordering the early
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  detection test like Gallery. There's another test that's come
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  to market that's a competitor and a third one is coming out
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  and a fourth one. There are specific Oregon site
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  tests that can tell us if you have what be what are the
• 10:47
  beginnings of a cancer such as Barrett's esophagus.
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  You can swallow a noodle type thing and it'll travel down to
• 10:56
  your stomach and then it brushes your esophagus to see if you
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  have the beginnings of esophageal adenocarcinoma or a
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  precursor lesion, right? Because really in today's world,
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  we still screen for very few cancers.
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  We look for breast cancer in women, we look for colon cancer.
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  We look for cervical cancer and prostate cancer.
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  The rest of the diseases, we basically say, good luck, come
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  in for your yearly physical and hope everything happens well,
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  right? But so many is.
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  That because of lack of resources, why do we only?
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  Why do we test those in terms for such a limited number of of
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  types of cancers? Well, the way that medicine
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  works is to get a test to the masses, we have to have lots of
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  data saying that it makes sense. So at the same time, we have new
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  technologies that are coming out that will hopefully be able to
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  do that, but they will take time.
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  So right now, these tests are only available to the people
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  willing to pay for them out of pocket and for doctors that are
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  aggressive or interested in doing so.
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  So that is the problem. And it's kind of like I'd like
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  to say the Tesla Roadster, right, where first people that
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  had the Tesla Roadster were relatively wealthy people, then
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  you had different models come out eventually, the Model 3,
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  which is kind of like the cheapest version that anybody
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  can afford. So that takes time, and in
• 12:23
  medicine especially, that takes even longer.
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  Right, right, right. So if you go.
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  To an average type of clinic, you're just going to get that
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  average set of options. Some people may have an out of
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  pay option, but they might not be exactly willing to even talk
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  about it. So unless it's blessed, so to
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  speak, by an organization like the United States Preventative
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  Task Force, a lot of organizations will not be using
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  it until that blessing. But as you know, it takes time
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  to get to there. So in the meanwhile,
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  unfortunately, people suffer because they don't get the
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  appropriate care. Now these tests might be
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  expensive, but if they save your life, I mean they're well worth
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  the cost in multiples. Sure, sure.
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  I could. Imagine.
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  What? So what?
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  What did your grandfather discover about cancer?
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  Father. Father.
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  Grandfather. I'm sorry.
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  Father. Father.
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  Father. I'm sorry.
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  Yeah. What did your father discover
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  how that happened? Did, I mean, I feel like I don't
• 13:25
  hear about the fact that we have cures for cancer.
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  You know, is it a particular type that he's curing or is it,
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  you know, is this information obscure?
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  What about it? How did that happen?
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  So he discovered that healthy people have an abundance of
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  certain peptides and other things in their body that sick
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  people with cancer, for example, are lacking.
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  Then if he were able to isolate these peptides and reintroduce
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  them to those people that are sick, some people have
• 13:54
  recoveries and are cured. So this is something that he
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  developed, patented, and has been trying to get onto the
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  market with some trials and tribulations.
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  This doesn't work for everybody, but some people are beautiful
• 14:09
  responders and have lived their lives and are cured.
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  So just like with anything, some people are able to do well,
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  others not so much. But the good part is the
• 14:19
  toxicity is very minimal as compared to other things.
• 14:24
  And right now in cancer as well, the treatments are getting a bit
• 14:28
  better and the outcomes as well. So right now the treatments that
• 14:33
  I think that might, you know, the only the, the main ones that
• 14:35
  I've heard of obviously are chemo or you know, surgery, you
• 14:40
  know, so I guess something more invasive.
• 14:41
  What other what other methods do we have at the moment?
• 14:45
  So the biggest thing that's come to market in the past 15 years
• 14:48
  or so are the immunotherapies. The immunotherapies are super
• 14:53
  exciting. They unlock the immune system's
• 14:56
  brakes, so to speak, in one's body, and that immune system
• 15:01
  attacks the cancer cells. And some people can have really
• 15:04
  durable long remissions. Some cancers are more what we
• 15:08
  call immunogenic or hot. So then that treatment can be
• 15:13
  extremely effective, while previously the patient would
• 15:16
  have had to suffer and not do well.
• 15:18
  So there as well are these things called targeted
• 15:21
  therapies. They are like smart chemos, but
• 15:25
  they're not cytotoxic chemotherapy and they work on
• 15:28
  the signaling pathways and gene pathways in a cell.
• 15:32
  So a lot of cancer, what we think is basically a software
• 15:36
  glitch or problem. And if you add these medicines
• 15:38
  on board and you know the fingerprint of the cancer cell,
• 15:43
  the disease, then you'll ideally have a better outcome.
• 15:47
  I see. OK.
• 15:48
  So it's kind of being able to narrow down the part of the body
• 15:53
  that needs the that I guess where the cancer is and being
• 15:56
  able to target it and then help provide the immune, immune
• 16:02
  support. So it's kind of like back in the
• 16:06
  day when we had infectious diseases and we were just
• 16:09
  sprinkling the same antibiotic and everything and it wasn't
• 16:12
  working quite well. We we got more sophisticated and
• 16:15
  we were able to delineate which bacteria could be more
• 16:21
  responsive to other treatments. And that's what's very nice
• 16:25
  about the past few years. We are able to do gene analysis
• 16:30
  on the cancer tissue and blood and see exactly what this
• 16:35
  disease is representing on a very sophisticated molecular
• 16:39
  level. Because previously we were just
• 16:42
  looking at the pathology, which is basically the microscope
• 16:47
  pattern recognition of a cancer, which is, which is, which is
• 16:51
  great. But that has that's the
• 16:53
  technology that's been around for 150 years.
• 16:56
  And with this type of technology, we're able to get to
• 17:00
  the nitty gritty and hopefully get smarter options into the
• 17:04
  into this, into the cancer cells of the body and have way better
• 17:07
  responses. So you can have, for example, a
• 17:10
  scan like a PET scan, which is showing all these areas of tumor
• 17:15
  and a body and patient be riddled with it.
• 17:17
  But if you give the right recipe or treatment, that next follow
• 17:21
  up scan could be nearly clear or clear.
• 17:25
  And that's the beauty of some of these treatments.
• 17:27
  So that's right. So with the help of things like
• 17:30
  AI and and better therapeutics, hopefully we'll have more of
• 17:34
  those things. Yeah, I've heard a couple of I'm
• 17:37
  going to butcher his name, but Chamath Pali Patiya, whatever is
• 17:42
  I don't ever had to pronounce his last name.
• 17:44
  But he was mentioning how his, you know, I've heard him say a
• 17:47
  couple of times already that when it comes to breast cancer
• 17:50
  screening or actually, you know, surgery to remove a tumor, that
• 17:55
  I think he said like 30% or 33% of doctor of physicians do not
• 18:00
  entirely remove the tumor. And and then the woman has to go
• 18:05
  back. And then 33% of those won't have
• 18:07
  to. And then so you go so out of 10
• 18:09
  women, one's going to have to go through three separate surgeries
• 18:12
  with AI that answers like 0. Yeah, and I've seen that before
• 18:15
  because you're only as good as the surgeon's eyes and cutting.
• 18:19
  Right, right, right, right. So, so that's, so that's an area
• 18:22
  where AI would really, really be beneficial.
• 18:25
  Definitely. And there's also these markers
• 18:29
  that one can put to better visualize what's going on so
• 18:32
  that that way you can see the full extent of the of the
• 18:34
  cancer. Right, right, right.
• 18:38
  Can we talk a little bit about vitamins and minerals in
• 18:42
  general? Definitely.
• 18:44
  Sure. Yeah.
• 18:44
  So my, so my, my son is too. And you know, he's a lot of
• 18:52
  personality, a lot of fun, loves to run around.
• 18:54
  But there was a, a little maybe a couple of months where he was
• 18:59
  always exhausted, always looking to take a nap.
• 19:01
  And he started getting like bluish kind of purple color
• 19:04
  under his eyes. We took him to the doctor.
• 19:05
  The doctor said he's running very low on iron, you know, and
• 19:10
  then apparently iron, iron deficiency causes exhaustion,
• 19:15
  potential mood swings, stuff like that.
• 19:18
  What are some, what I guess based what are some general
• 19:24
  vitamins and minerals that people can can people use that
• 19:28
  are easily available that are just, you know, always
• 19:32
  beneficial and in what way? Well, it all depends on the
• 19:38
  patient, honestly. I know that's maybe something
• 19:42
  generalized, but but for children it's exquisitely
• 19:46
  different than in adults. And I see adults and for my
• 19:50
  kiddos I sometimes have to also phone a friend because children
• 19:55
  are not small adults, right? So you have to 1st understand
• 19:59
  why is there a low iron problem? Why is there iron deficiency?
• 20:04
  It shouldn't just be happening unless the diet is one that is
• 20:07
  iron poor. There could be an absorption
• 20:09
  problem. There could be something else.
• 20:13
  That's going on and it needs to have a work up.
• 20:15
  So before we just start supplementing minerals and
• 20:19
  vitamins for fun, we I always like to get a baseline
• 20:22
  assessment. So taking just supplements for
• 20:26
  the sake of taking them. I mean, you can do that, but I
• 20:30
  like to have a clear rationale why we're doing this.
• 20:34
  So if we're talking about adults, I think you you can say
• 20:39
  that probably fish oil can generally help most people.
• 20:44
  It's great for the brain, it's good for the lipids.
• 20:48
  Now you don't want to overdo it as well.
• 20:50
  I have patients take a sophisticated test which is used
• 20:54
  by the company Boston, which is made by the committee, for
• 20:56
  example, Boston Heart, and you see the different levels of your
• 21:00
  fatty acids, your fish oil levels, so to speak.
• 21:03
  And if you need more or less because some people could be
• 21:06
  overdoing it or underdoing it. What is what does it provide?
• 21:09
  Fish oil. Well, we feel that it feel it
• 21:13
  helps with membrane stability, it helps with lipid metabolism.
• 21:17
  So with that it helps with better just mood benefit helps
• 21:23
  the joints it it helps numerous systems in the body.
• 21:27
  There's something like vitamin B12, which if you're deficient
• 21:30
  on that, you'll have the disease called combined deficiency
• 21:35
  because about a dozen systems will be faltering.
• 21:38
  So if you're not getting in your B12 level, getting in your B12
• 21:42
  supplementation, and if you even have something called pernicious
• 21:46
  anemia where you have antibodies to these receptors that take
• 21:49
  that in, you'll have weakness, cognitive problems, you'll have
• 21:56
  a type of anemia forming and you will be a mess, literally.
• 22:01
  So supplementing just that one vitamin is super important.
• 22:05
  So I mean, the topic is huge. So I'm not A1 size fits all guy.
• 22:11
  I I like to kind of personalize everything depending on what's
• 22:13
  going on and what your baseline is.
• 22:15
  And that depends on largely what you're doing as far as your
• 22:19
  exercise or lack of your sleep quality in the diet you're
• 22:24
  getting. Because if you're a vegan, then
• 22:26
  you're going to need different things than a meat eater or
• 22:29
  somebody with a more balanced diet.
• 22:31
  So, so for example, my children, the only thing they really take
• 22:36
  is a high quality pre probiotic. They we're trying, we'll
• 22:40
  probably start. We, we occasionally give them
• 22:42
  like vitamin gummies, but for, for my 6 and 9 year old, we keep
• 22:47
  it pretty simple. And there's also the challenge
• 22:50
  of getting them to take something, which I think you'll
• 22:53
  find right. Because if you have a 2 year old
• 22:54
  and you have older children, I don't know.
• 22:57
  No, he's the oldest. It's 2:00 and then I have a weak
• 22:59
  old. So he doesn't have much choice,
• 23:01
  right? He just, you give them a
• 23:03
  suspension type formulation or or some sort of chewable and
• 23:06
  hopefully it works. But what they might not be
• 23:09
  excited to do certain things if you if they're a little fussy.
• 23:12
  So that's another element of challenge.
• 23:15
  Yeah, yeah. It's so funny because I found
• 23:17
  that, you know, the more I've been learning about this stuff
• 23:19
  and the more people I've been talking to about this, I'm
• 23:22
  either met with a very blank stare or a whole lot of
• 23:25
  enthusiasm, you know? And it doesn't feel like there's
• 23:27
  a whole lot of in between out there.
• 23:29
  But I mean, listen, as far as far as, you know, my own
• 23:34
  lifestyle and, you know, my own, you know, I, I mean, I'm, I'm
• 23:38
  turning 30 in a couple of months and I've been, and you know, I,
• 23:43
  I feel in the last couple of years healthier than I've ever
• 23:45
  been before. And I'm taking, I exercise
• 23:48
  daily. I, I sit outside.
• 23:49
  I live in South Florida, so I sit outside.
• 23:51
  I get plenty of sunlight, you know, I, I, I, I, I cut out a
• 23:56
  lot of processed crap. And, you know, even I still
• 23:59
  have, you know, you know, I still treat myself every now and
• 24:01
  then, but in much, much, much smaller portions than I've ever
• 24:04
  had before. And I just feel like a different
• 24:06
  human being, you know, And then I have a, another end of the
• 24:09
  spectrum. I have a buddy of mine who's 22
• 24:11
  who told me that he fell the other day.
• 24:12
  And then he said, falling should not be that difficult for a 22
• 24:17
  year old should not have that kind of burden on you, you know,
• 24:21
  And so, you know, I, I, I, I don't really know, you know, and
• 24:26
  I'm telling him, Hey, man, you got to start exercising.
• 24:28
  I got to start, you know, taking just eating healthier a little
• 24:31
  bit or maybe take, you know, supplementing yourself.
• 24:34
  And he kind of just looks at it like it's an overwhelming and
• 24:39
  you know, just endless To Do List of things to keep on top
• 24:42
  of. You know, what do you, what do
• 24:44
  you, how do we, how do you kind of make it a little bit more
• 24:48
  digestible for people? Well, I think it's also age
• 24:51
  specific because if you if you're in your 20s, you feel
• 24:55
  like you're mortal and you're not going to really focus on
• 24:58
  your health too much longevity unless you're really into that
• 25:02
  realm. So that kind of happens more
• 25:06
  when you realize that your health is worsening.
• 25:09
  And then you wake up a little bit.
• 25:11
  You probably, as you get older, you'll see people around you
• 25:15
  getting sick, you might lose a parent and you basically have
• 25:20
  this epiphany that oh wow, this could be me, right?
• 25:25
  So when you're 22, that's typically not what you're
• 25:28
  thinking about. So you're eating fast food, but
• 25:32
  you shouldn't you're misbehaving maybe by going out too much
• 25:35
  drinking or whatever you're doing, but technically kind of
• 25:38
  immortal. And then you arrive to that
• 25:41
  destination hopefully, because if you don't, then you are going
• 25:46
  to be pretty sick. So it, it kind of solves itself.
• 25:51
  I feel some people never get the memo, so to speak.
• 25:53
  They just continued that trajectory of poor health, which
• 25:56
  is, which is very sad. And I can't get to them.
• 26:00
  Sometimes I can't explain to them why it's important.
• 26:04
  I feel like it's almost like a depression.
• 26:06
  So at the end of the day, I feel this generation, the younger
• 26:12
  one, is doing things differently for the better, but they're also
• 26:15
  doing things I think, which are counterproductive.
• 26:18
  But each generation has that about them.
• 26:20
  In what? So if we, if we are overall,
• 26:22
  let's say this younger generation being health, you
• 26:24
  know, emphasizing health a little bit more.
• 26:26
  Like I've noticed, for example, that at least in my circles and
• 26:29
  my family's circles, alcohol used to be enormous, you know,
• 26:34
  and, and, you know, and then, and now it's really, really
• 26:38
  slowed down. But cannabis has really, really
• 26:41
  exploded. Almost like instead, you know,
• 26:44
  like it almost feels like, you know, everyone decides to just
• 26:46
  put down their bottles and stop buying Jack Daniels and they
• 26:49
  started hitting their dispensaries instead.
• 26:52
  What, what what what? What habits were you referring
• 26:54
  to when you say that? Exactly, I have a family member
• 26:58
  who is in the beverage industry and you can see that alcohol
• 27:02
  sales for the most part have plummeted in the younger
• 27:06
  generation. I, I believe the only alcohol
• 27:08
  that's doing well now is sake for whatever reason.
• 27:12
  And then marijuana, weed is just so accessible.
• 27:16
  And if you're doing marijuana in, in my day, you're definitely
• 27:20
  a bad boy, right? It, it was something that you
• 27:24
  couldn't access that easily, but now it's kind of replaced that
• 27:29
  of the bud light, right? Where for us in high school,
• 27:33
  it's like you go to a party, everybody, there's like a
• 27:36
  suitcase of Bud Light here and there and that was kind of the
• 27:40
  norm and nobody was really smoking in in the open.
• 27:44
  And that's drastically changed now.
• 27:47
  Alcohol, we're learning more and more is bad for you.
• 27:50
  There's a very few studies that I have found that show that show
• 27:55
  that the truism of, yes, you can have two glasses of wine and
• 28:00
  that this should be part of your longevity routine.
• 28:02
  That's not not not the case. Where did that come?
• 28:07
  From how do you, how do you even, how did that rumor even
• 28:09
  get started? If that was never, if that
• 28:11
  wasn't ever really the case, like how did that get
• 28:12
  popularized? I think it was a cardiovascular
• 28:17
  study which showed benefits. The French paradox, it's called
• 28:20
  where the French did that and they lived happy, robust lives,
• 28:25
  maybe outpacing the Americans and had better cardiovascular
• 28:29
  outcomes with a little bit of a negative effect on the liver
• 28:34
  now. But the problem is, I think if
• 28:36
  you look at the Mediterranean and the French and the European
• 28:40
  cultures, especially Europe in general, the food quality is so
• 28:44
  much better, right? So they have so many things that
• 28:49
  are positive headwinds, right? They have the better the lack
• 28:55
  of, you know, toxins in the food preservatives.
• 28:58
  They are, I think, more social people.
• 29:02
  They are active. They are walking.
• 29:05
  Most places here, especially in Houston, we're condemned to a
• 29:09
  car. So then they don't have the
• 29:12
  obesity that the Americans have, although they are catching up a
• 29:17
  bit, right? So are they?
• 29:19
  Is it because is is is the food changing or is it the lifestyle?
• 29:25
  I I think just the introduction of more fast food and just the
• 29:30
  slow Americanization, I, I think that's kind of a global trend,
• 29:34
  especially in the Latin countries and the Middle East.
• 29:39
  Interesting. Yeah.
• 29:43
  But cannabis, Yes, yes. So cannabis, the problem is when
• 29:47
  cannabis replaced the Bud Light, I think it causes now more
• 29:54
  problems with developmental, just wiring of the brain.
• 29:59
  So if kids are starting to do marijuana in high school and
• 30:04
  that's the go to, I don't think necessarily that is helping
• 30:08
  their brain development. And they may not have for
• 30:12
  example, these other problems that alcohol comes with.
• 30:16
  But I just don't feel that it is creating a generation that will
• 30:22
  be unscathed and some people will unfortunately have later
• 30:27
  problems. And, and even more so with in
• 30:30
  Texas, we have the smoke shops, the CBD shops where you have
• 30:34
  these weird substances that are intermixed into the, the THC and
• 30:42
  the vaping. And I think that is causing a
• 30:44
  huge problem. And I can see that because I had
• 30:48
  AI had a a hospital come by the other day.
• 30:52
  And I asked him who do you see the most as far as addiction, as
• 30:56
  far as what kind of clientele? And he said definitely the
• 30:58
  vapes. We see a lot of people that are
• 31:00
  addicted to these vapes. And that's the problem nowadays.
• 31:05
  So yeah. I think it's a combination of
• 31:08
  the oral fixation and the accessibility.
• 31:10
  I feel like it's the, you know, like it gives you something to
• 31:13
  do. And I also think that social
• 31:15
  anxiety, I think that social anxiety, I think, you know, is
• 31:18
  something that I don't think that young, the younger
• 31:20
  generation or even the middle or older age generation has really
• 31:23
  entirely recovered from since COVID.
• 31:26
  And I think that a lot of people don't really know what to do
• 31:27
  with themselves. And always having a substance or
• 31:29
  always having something acceptable, accessible makes it
• 31:32
  makes, you know, makes it a lot more easy on the nerves.
• 31:36
  What about what about if you're older for like, what if, you
• 31:38
  know, say someone like myself, if my friends and myself decided
• 31:42
  that, you know, we're going to watch, you know, basketball game
• 31:45
  tonight instead of having a bunch of beers, we're going to
• 31:47
  drink. Can you hear me?
• 31:48
  Yeah, yeah. Instead of having a bunch of
• 31:50
  beers, we're going to, we're going to, we're going to smoke a
• 31:52
  Jay or have an edible with that for for a 30 year old adult male
• 31:57
  with what would the consequences be?
• 31:59
  Sure. So your brain's developed,
• 32:01
  right? Our our brain, we believe is
• 32:03
  still developing up to age 25. So that's a positive for you.
• 32:06
  The second thing is what's the dose and how your personal
• 32:10
  biochemistry reacts to something?
• 32:13
  So probably at a low dose, it's no problem, but the problem is
• 32:17
  some people are sensitive to these things and that could
• 32:21
  cause them a problem down the line, like the first psychosis
• 32:24
  or another mental issue. So we can actually spot that.
• 32:29
  If you do a genetic test, you can see if you're somebody that
• 32:33
  shouldn't probably be doing THC or, or things like that.
• 32:37
  So just like with alcohol, you know, some people have a glass
• 32:42
  of wine, they're able to function, but some people, they
• 32:45
  have a glass of wine, then they have a few more glasses of wine,
• 32:48
  and that's repetitive and suddenly they can't stop.
• 32:50
  And why is that? So I think it's just like with
• 32:53
  alcohol. I think alcohol could be a good
• 32:55
  thing in moderation. And when used in, you know, as a
• 33:00
  social lubricant, it's perfectly fine as long as people, the
• 33:05
  right people, are able to handle it and society doesn't suffer.
• 33:11
  Yeah, yeah, I certainly hope so. I yeah.
• 33:13
  I, I haven't really made-up my mind on what I think about this
• 33:18
  transition. I, I, I, I, I, I tend to lean in
• 33:21
  the direction that I prefer cannabis to alcohol.
• 33:25
  I think that some of the conversations I've had in my
• 33:27
  life that I'm least proud of, I'd, you know, I've been drunk
• 33:30
  with, you know, I've been drunk during, and you know, the times
• 33:33
  where I've acted in the most reckless ways, it's been, you
• 33:35
  know, when I've been, when I've been drunk, you know, whereas,
• 33:39
  you know, I guess overeating might be an, you know, might be
• 33:42
  an issue, you know, when you're, when you're, when you're
• 33:44
  smoking, But, you know, I didn't really have much.
• 33:46
  And I mean, I guess, and I guess laziness and, and that's really,
• 33:50
  and I've noticed that as time went on, the feeling of
• 33:52
  exhaustion or laziness. It's a, it's a totally different
• 33:56
  type of effect, but I think that it's less harmful to others
• 34:00
  around you. It might be less personally like
• 34:02
  as as as an individual. It may have, you know, might be
• 34:07
  less than ideal, but you're getting a far.
• 34:10
  I mean, I don't know the last time I heard a story of a pot of
• 34:13
  a of a guy, you know, a guy drinking a smoking AJ and
• 34:17
  beating his wife and kid as opposed to alcoholic dad that,
• 34:20
  you know, drink a half a bottle or a six pack and became
• 34:23
  abusive. Exactly.
• 34:25
  I'll give you the example of, for example, the Europeans did
• 34:30
  not have coffee until the Battle of Vienna occurred, right?
• 34:34
  So then that was something that actually spurred on the
• 34:39
  Renaissance, OK. And you have the salons with
• 34:43
  fine coffee. And it was a stimulant.
• 34:46
  So the main drink was usually booze, right?
• 34:49
  So that was a depressant just like weed is.
• 34:52
  So you have the stimulant, which is allowing people to be more
• 34:56
  active in society, I think became just amazing, right?
• 35:01
  You had all these beautiful things being formed.
• 35:03
  So I think in general, for the most part, THC may create some
• 35:08
  good things, but I think in general it's it's kind of a
• 35:10
  blanket right where people don't want to do as much.
• 35:13
  Yeah, yeah, I've certainly found that.
• 35:16
  I've found that to be the case among the other conditions that
• 35:20
  that you guys treat. I've noticed I'm really
• 35:24
  interested actually in in the mental health space, the
• 35:28
  anxiety, the depression, the addiction, alcohol, opioid
• 35:31
  addiction. What's your, is your technique
• 35:39
  therapeutic? Is it chemical?
• 35:41
  Is it, you know, is it plant medicine?
• 35:43
  What do you, what do you do for, for these, you know, for these
• 35:47
  type of mental health disorders you'd call them I guess or
• 35:49
  addictions? Well, it's one of the things I
• 35:53
  do and I'm able to help people, I think not have this destroy
• 36:02
  you, right? And I use the standard of care
• 36:05
  medicines to help people. And depending on what's going
• 36:08
  on, those would be for example, for alcohol, naltrexone a can
• 36:13
  proceed and also disulfiram, which is also called ansibusin
• 36:17
  has a really potent effect where what do they do sick?
• 36:21
  Well, so I mean, those are the pharmacological options, right?
• 36:24
  And that's not too exciting. And the counseling part some
• 36:30
  people benefit from. But I think what we are seeing
• 36:32
  now when you mentioned plant medicine is really interesting
• 36:35
  because these I think are more of the solutions.
• 36:38
  I'm more of the Band-Aid, I'll admit that.
• 36:40
  But if not me, then what else can they do, right?
• 36:43
  I, I, I don't claim to be able to revert, save somebody from
• 36:48
  their addiction. It's it's it's it's a horrible
• 36:51
  problem. It's a horrible disease, yeah.
• 36:53
  But with the tools we have today, I'm able to at least hold
• 36:57
  them steady, I hope, if everything's going well.
• 36:59
  So. Pharmacologically, what's
• 37:00
  happening to them? Like so, so they're addicted.
• 37:03
  And I'll tell you, you know, alcohol addiction, right?
• 37:06
  What you know, there's a physical dependence on it.
• 37:09
  What do these prescriptions do to the body or do to, to help, I
• 37:14
  guess either work with it or alleviate it or help manage it.
• 37:17
  What? What happens?
• 37:19
  Well, for example, naltrexone is cutting the signal of pleasure
• 37:24
  as much as possible. Now alcohol is a dirty drug
• 37:27
  first of all, so it splashes on numerous receptors and
• 37:31
  mechanisms. So this is cutting one of the
• 37:33
  feedback loops. Sometimes it works beautifully
• 37:36
  for people, but some people it does not.
• 37:39
  These other medicines try to cut down on the cravings, like the
• 37:41
  acamprosate, and then you have the one that's disulfiram, which
• 37:46
  basically if you have that in your body, you're going to have
• 37:49
  the worst hangover you've ever had and start throwing up,
• 37:52
  right? So yes.
• 37:54
  Now, because it's toxic. Yes, because what happens?
• 37:58
  Is it it the one of the breakdown products of alcohol,
• 38:02
  Acetylaldehyde forms more more quickly and that is the Super
• 38:09
  hangover basically that you're getting very quickly.
• 38:12
  So people are not able to drink on that because they are
• 38:16
  wickedly ill. But if you don't take it, it
• 38:20
  does not work, right? So, so it's basically a form of
• 38:24
  touching the stove, right? Therapy.
• 38:26
  Now the things you mentioned like ibogaine, that that sounds
• 38:30
  really cool, right? And doesn't help everybody, but
• 38:33
  it needs to be studied more. But what I'm hearing from some
• 38:35
  folks is that it can basically reset the brain and your desire
• 38:39
  to drink goes away and you live happily ever after, as opposed
• 38:42
  to these other things where the recurrence rate is so high and
• 38:45
  people fail. Are you skeptical of almost too
• 38:50
  good to be true kind of thing? Yeah.
• 38:52
  Well, that's the thing. I've had people who've done the
• 38:56
  ibogaine and it didn't work for them.
• 38:58
  So that's like every treatment. It didn't work for them.
• 39:01
  But I mean, I think it does work for other people.
• 39:03
  So you have to sort of figure out who does it work the best
• 39:06
  for. Right, right.
• 39:08
  I have a buddy that's, that's trying to, that's working right
• 39:11
  now to bring ibogaine. I believe ibogaine and not
• 39:16
  ayahuasca, but maybe both for FDA approval at the moment.
• 39:20
  Because he, he was, he was, he's an athlete and he was playing I
• 39:25
  think tennis and he tore something or I think he's
• 39:27
  playing golf and he tore his meniscus And the doctor
• 39:29
  prescribed him, you know, a bucket of opioids and, and he
• 39:34
  says, I can't see you for another couple of months.
• 39:36
  So just take these every four to six hours.
• 39:39
  Take one of these every four to six hours.
• 39:41
  He went to the doctor, got a surgery, got a prescription for
• 39:44
  another, you know, a week or two just for recovery.
• 39:46
  And he comes back, he goes, I'm getting all these withdrawal
• 39:48
  symptoms. So the doctor, yeah, it's
• 39:50
  because you're a drug addict. He goes, I'm sorry, you know,
• 39:52
  you're addicted. He goes, but I just I was trying
• 39:54
  to follow, you know, so he, he spent a couple of years really
• 39:57
  miserable trying to trying to kick it.
• 40:00
  And you know, in South Florida or Florida in general is really
• 40:03
  the, you know, that opiate opioid Hwy. of the, of the, you
• 40:07
  know, of the country and. And he ended up, you know, as a
• 40:12
  just like a Hail Mary kind of kind of play going to Cancun to
• 40:17
  try ibogaine or Iboga. I'm not.
• 40:19
  I think they're the same thing. And he said he did it once and
• 40:24
  he said he kicked it. He said he, you know, he still,
• 40:27
  he still drinks occasionally and still smokes cigarettes, but he
• 40:31
  doesn't. But he's never, he hasn't
• 40:34
  touched, he hasn't touched a pill again and he doesn't have
• 40:37
  any kind of desire for any kind of pharmacal pharmaceutical.
• 40:40
  So Advil, Tylenol and then even, you know, painkillers down the
• 40:44
  line. But he was he, you know, he
• 40:46
  feels very strongly that it's, you know, something that's a
• 40:50
  necessity for the country, you know, for veterans, for the, you
• 40:54
  know, for the for the people that get addicted, whatever it
• 40:56
  is. But again, the response I hear
• 40:59
  is that A, it may not always work, and B, it's too good to be
• 41:03
  true. And C, you have to see your
• 41:05
  genetic, your family's genetic history to see whether you're
• 41:08
  prone towards any kind of mental breakdown like schizophrenia or
• 41:11
  anything like that. But OK, it's all, it's all, it's
• 41:16
  all so cool. What about, what about anxiety
• 41:20
  and depression? How do you treat that?
• 41:23
  Well, I, I first get a understanding what's going on.
• 41:27
  Is it situational? What are the triggers?
• 41:30
  That's very important because if you're just under yourself with
• 41:33
  all these things, maybe lost in the family or job or what not,
• 41:37
  then that's understandable. But I also asked, well, how much
• 41:42
  are you exercising? What's your routine like?
• 41:43
  Are you drinking? Are you, what are you eating?
• 41:46
  Are you eating junk food, ultra processed foods?
• 41:50
  Do you get outside? So, oh, this is just right.
• 41:54
  I tried as much as possible. Get people to get moving, get
• 41:58
  get the right things on board, into their bodies, put away, you
• 42:01
  know, the bad things. Get good quality sleep, you
• 42:05
  know, biochemically there could be something off.
• 42:07
  So checking laboratories is important.
• 42:09
  As mentioned that B12, vitamin D, if those things are low, then
• 42:13
  I think supplementing that's important.
• 42:15
  We kind of forget about the the gut.
• 42:17
  The gut is super linked to mood and almost every disease so.
• 42:21
  Gut or stomach? The gut, yeah, We have a
• 42:24
  microbiome. We have trillions of bacteria.
• 42:26
  We have pounds of bacteria that are making so much, so many
• 42:31
  chemicals and just processes in our body and if those things are
• 42:35
  off we might not be as healthy and happy as we should be.
• 42:38
  So in the right assessment it makes sense to do a gut analysis
• 42:44
  or empirically try a probiotic prebiotic.
• 42:49
  These things can correct the the mood.
• 42:52
  Sometimes they do need a pharmaceutical.
• 42:54
  I, I try to explain to them, this is a short course ideally,
• 43:00
  and it's just to get you out of the, the slump, right?
• 43:03
  Because if somebody is really depressed, anxious and they're
• 43:08
  needing to be hospitalized or, or whatnot, then I think you
• 43:11
  have to use everything possible. And of course, I have the
• 43:13
  discussion with the patient what they would like to do, what they
• 43:16
  like to consider pharmaceutical, what do they think of
• 43:20
  supplements to please try counseling, to do all these
• 43:24
  lifestyle things that could change the outcome.
• 43:27
  How are are are patients skeptical or or less, I guess
• 43:33
  more resistant to changing their lifestyle as opposed to taking
• 43:36
  taking a pill or a patient? You tell when a patient comes in
• 43:40
  and says, hey, doc, I have anxiety, I have depression.
• 43:42
  And you say, well, you exercising and you're getting
• 43:44
  sunlight to be like or what are you eating?
• 43:47
  You know what's you know, how do they react to something like
• 43:50
  that? A lot of times they do shrug it
• 43:53
  off like, yeah, I, I, I'm not doing that much, but why don't
• 43:57
  you want to help me? Kind of, you know, and I am, I
• 43:59
  am trying to help you, right? Which is, and I, and I liken it
• 44:03
  to brushing your teeth, right? Like exercise and proper sleep
• 44:07
  are as important as brushing your teeth.
• 44:10
  If you do not brush your teeth, your teeth will fall out and
• 44:13
  you'll go to the dentist and the dentist will have a big bill for
• 44:16
  you, right? So it's fundamental.
• 44:19
  And some, it takes sometimes a while for people to realize
• 44:22
  that. And it's not just a vanity
• 44:24
  thing, but it's a mental health and everything thing.
• 44:27
  And they say they don't have time, of course.
• 44:29
  Well, I asked them. Oftentimes they don't even have
• 44:33
  children. And I asked, well, how many
• 44:34
  children do you have? They have no children.
• 44:36
  So I say you have plenty of time to do exercise and it doesn't
• 44:40
  have to be that much. You just need to get going.
• 44:44
  But the typical strategy of just, you know, getting your car
• 44:48
  in a in a big city, driving to your work, staring in front of
• 44:52
  the screen, sitting all day, getting a lunch that is probably
• 44:57
  not healthy for you and then checking out in the afternoon
• 45:00
  and going to bed and, you know, watching your favorite Netflix,
• 45:06
  whatever it is. You know, that's that's kind of
• 45:09
  a Wally existence, right? If you if you know that
• 45:11
  reference. Oh, yeah.
• 45:12
  Are you kidding? I, I, I teach, I teach high
• 45:14
  school English part time. And I just showed them that
• 45:17
  movie and it I, I think, you know, in 2008 and.
• 45:21
  Yeah. And the, and the students were
• 45:23
  like, how did they know? And I'm like, you know, well,
• 45:27
  it's been, you know, I mean, if you've been, if you've been
• 45:29
  following trajectory for a little while, then you start to
• 45:31
  notice these things, you know? Yeah.
• 45:33
  It's like The Simpsons, they they can predict.
• 45:35
  Yeah, Oh my God, it's insane. And, and South Park, they all
• 45:39
  have a certain level of profit. I think that when you when
• 45:42
  you're when you're willing to cross, I don't know, maybe it's,
• 45:48
  I don't know. It's almost like what comedians
• 45:51
  do in the sense that they have a very like, they have a very
• 45:55
  blunt look at society and they're not afraid to say things
• 45:58
  as they are. And so they have a much easier
• 46:01
  time predicting things because they're not afraid to say what
• 46:03
  they're going to say because they could just throw it off as
• 46:05
  a joke or make it into a joke, you know?
• 46:07
  And so they have a lot more, they have a lot more freedom of
• 46:11
  expression, I guess, than most people are willing to take.
• 46:14
  And so they could probably get some of these guesses a little
• 46:17
  bit more accurately, you know. So when did you open this?
• 46:22
  When did you open Houston Concierge Medicine?
• 46:24
  How long ago? A little over 10 years ago. 11
• 46:28
  years actually. Gotcha.
• 46:29
  Before that you were working at a hospital, you were working for
• 46:33
  another office. What were you doing?
• 46:35
  So working exclusively with my father in his clinic, which I
• 46:38
  still work at by the way, before that I was in residency in
• 46:42
  Austin. How'd you like Austin?
• 46:45
  Austin's great. I did my undergrad there in 1998
• 46:50
  to 2002. OK.
• 46:51
  And the city's changed a lot. Yeah.
• 46:54
  I wish I could live there, but here we are in Houston.
• 46:57
  I hear I have a, it's so funny to say that I, I have a cousin
• 47:01
  that lives in Austin. I have cousins that live in
• 47:04
  Austin. They all went to UT and, and
• 47:07
  every time I get customers now that call me from Austin, I say,
• 47:10
  oh, hey, how do you like Austin? And depending on whether what
• 47:13
  their answer is, I know whether they're natives or not.
• 47:15
  If they say, oh, it's awesome. We love it.
• 47:17
  And I'm like, oh, where'd you move from?
• 47:20
  You know, And then if they say, and if they say, you know, it
• 47:22
  used to be a nice, quiet small town, but it got a little
• 47:24
  crowded. It got a little packed.
• 47:26
  Then, you know, then, you know, you're speaking to one of those
• 47:27
  old timers that have been there forever.
• 47:30
  Yeah. It's so.
• 47:32
  So. Yeah.
• 47:33
  What was Med school like? Med school's great.
• 47:36
  I enjoyed Med school. I actually studied in Europe at
• 47:39
  the Yagelonian University in Krakow.
• 47:42
  Cool. What was that old?
• 47:44
  Amazing. I'm Polish and that was my first
• 47:46
  language growing up. Until the age of five, I didn't
• 47:49
  speak any English. I have family there in Poland
• 47:52
  and I always have a affinity to everything there.
• 47:55
  So seeing Europe in your 20s is one of the best things anybody
• 48:01
  could do. And seeing medicine in a
• 48:03
  different way is also important, so.
• 48:06
  What would they do? What they do that's different.
• 48:09
  Well, so they are more pragmatic in Europe.
• 48:14
  I, I think they will treat you well, but they're not going to
• 48:20
  be as wasteful, right, because they have less resources
• 48:23
  generally in most European countries.
• 48:25
  So that that's one thing here in the United States, we're, we're
• 48:28
  still for good, for better, for worse.
• 48:32
  We have a very good healthcare system, but it's just wasting so
• 48:36
  much money with all the layers of bureaucracy and inefficiency
• 48:41
  and, and over, over just prescribing and, and this
• 48:46
  protecting oneself. So over testing, right?
• 48:49
  I like testing, but the problem is if you fall into an ER you're
• 48:53
  going to probably get too much testing just because litigation
• 48:58
  can be a thing. Right.
• 49:00
  Yeah, yeah. I noticed that when my my wife
• 49:02
  gave birth last week and he walked into the hospital at 5:00
• 49:06
  and we got into the room at 7:15 and then the doc and no one did
• 49:12
  anything. Everything was just waivers and,
• 49:15
  you know, forms and everything like that for another 45 minutes
• 49:18
  or an hour. And then they realized that they
• 49:20
  had a bed without the syrups. They had to switch the bed on.
• 49:22
  Like, you know, by the time anything got started, it was
• 49:24
  already 9 and the birth happened by 11.
• 49:27
  And so my wife was like, you know, that was so great.
• 49:30
  I'm like, it was so great. We just spent three hours, you
• 49:32
  know, cutting red tape, you know, like you just spent three
• 49:35
  hours navigating the bureaucracy.
• 49:37
  You could have been you have been done with this three hours
• 49:39
  ago. You know, and I feel, and I
• 49:43
  mean, there's been a recent upsurge in in women at least
• 49:47
  that I've seen in my community again, that are that are that I
• 49:50
  want to try, you know, more natural birth methods and more
• 49:54
  doulas or home births or birthing centers.
• 49:58
  Have you, have you, have you noticed that that was that
• 50:00
  that's been the case from what you've what you've, what you've
• 50:04
  observed? Yeah, I think these are requests
• 50:07
  by some people. For the most part, I feel that
• 50:12
  people just went to have the quickest journey, right?
• 50:16
  The best, the best outcomes. So for example, when we started,
• 50:20
  you know that having children train, right?
• 50:24
  We, we were not thinking about C-section at all.
• 50:28
  But our, our first child was humongous.
• 50:31
  So there was no option for the usual birth because or anything
• 50:39
  more fancy because it would have been deadly, right?
• 50:42
  So that was our fate, right? And we took it, it was fine, no
• 50:45
  problem. AC section scheduled like a
• 50:48
  dental cleaning and, and the following same thing happened.
• 50:51
  So that, and some people don't have that luxury as far as, as
• 50:56
  far as what kind of birth they have.
• 50:58
  But you know, some people get, get to kind of have however
• 51:01
  natural birth and that's great. I think they should pursue that,
• 51:05
  but in our case that just wasn't in the cards.
• 51:07
  Yeah, yeah, I hear that. How big?
• 51:09
  How big was humongous? Like approaching like 10 lbs
• 51:13
  almost. Wow, crazy.
• 51:17
  Yeah, Central, your wife's big heads.
• 51:21
  So by the way, the same topic I have a buddy of mine that came
• 51:24
  over, He had his, he had his fourth kid under 6, all boys.
• 51:29
  And, and he, you know, he, he had at my house on a Friday
• 51:32
  morning. We were off that it was a
• 51:35
  holiday. We're off and he and like 10:00
• 51:39
  he get to call like, oh, my wife's, my wife's in labor.
• 51:41
  He's got to run, runs out of the office and I go to my grand.
• 51:44
  I live in Fort Lauderdale, my grandparents live in Miami
• 51:46
  Beach. About an hour for me or 4 to 5
• 51:48
  minutes from me. I drive over and 20 minutes into
• 51:53
  my visit, I got a text congratulations, it's a boy.
• 51:55
  And like, oh wow, everyone alright.
• 51:57
  It's like it was a 10 LB natural birth.
• 52:01
  It happened in like half an hour.
• 52:03
  There's no time for an epidural. There's no time for anything.
• 52:05
  You just like happened. And I'm like, that's wild.
• 52:09
  That's crazy. You, you never hear, I don't
• 52:11
  hear those kind of stories very often.
• 52:13
  Exactly. But so you went so so you went
• 52:16
  to Olive Med school in in Krakow, or you did or you did.
• 52:20
  Yeah, I did some rotations in the United States.
• 52:22
  I did a few months in the East Coast in Oklahoma to kind of
• 52:27
  also get some of that clinical experience.
• 52:30
  Sure. And what when you were
• 52:32
  practicing, was there any particular, I guess, aspect of
• 52:35
  medicine that drew you in or you were just fascinated with just
• 52:39
  learning? Yeah, just the curiosity of
• 52:44
  getting people better. Granted, what I did in
• 52:46
  residency, I don't really do now because my residency program was
• 52:50
  mainly training me to be a hospitalist, which is a doctor
• 52:53
  that is working in the hospital right as basically a robot.
• 52:59
  And now I don't go to the hospital and I really haven't
• 53:02
  after residency. So a big shift.
• 53:04
  It was a very focused training for that.
• 53:08
  And like a lot of doctors, whatever they did in training,
• 53:11
  they kind of actually don't do anymore.
• 53:13
  So. But it's what you have to do.
• 53:17
  So can you. I, I don't know you.
• 53:18
  You don't have to tell me that. You don't have to.
• 53:20
  You don't have to talk about this if you don't want, but if
• 53:22
  you can change some things on Med school for Med students that
• 53:25
  are currently going to, you know, like I'm actually hosting,
• 53:28
  I hope, I hope a conversation slash debate.
• 53:31
  I have two buddies in Med school now.
• 53:33
  One's actually in one's in residency doing vascular surgery
• 53:40
  and, and the other one is still trying to figure out what he,
• 53:44
  he's doing rotations now. But the one that's currently
• 53:49
  that's, that's doing vascular surgery thinks that the Med
• 53:52
  school program is excellent and rigorous because you need
• 53:56
  doctors to be able to perform 100% under any kind of
• 53:59
  circumstance. And the other one feels that
• 54:01
  it's very difficult to learn and retain a lot of information
• 54:04
  because when you're, when you're trying to cram constantly and
• 54:07
  trying to over consume and you know, and he feels like you
• 54:12
  know, and he says even if you, if you're smart with your, with
• 54:15
  your study schedule and you're pacing, you know, you and you,
• 54:18
  you know, he goes just feels like there's never enough time
• 54:20
  for anything. So I'm hosting, I'm hosting, I'm
• 54:23
  hosting a conversation. We'll see how it goes.
• 54:25
  But if there's anything that you, is there anything that you
• 54:28
  feel like you would change or needs to change or anything like
• 54:30
  that? Well, I think because the
• 54:33
  world's changing so fast, it has to change, right?
• 54:36
  Because what will these medical graduates professionals be doing
• 54:41
  in a decade? And I don't even know how some
• 54:45
  of them will be still around, right?
• 54:47
  Because in the natural progression of AI, right?
• 54:51
  If, if the AI radiologist has an IQ of 300, why would we need a
• 54:57
  radiologist, right? Unless you're doing some kind of
• 55:00
  a procedure. Same thing with pathology, same
• 55:03
  thing with a lot of other things.
• 55:05
  So, so what's? The it's so it's scary.
• 55:09
  Exactly. So I don't even see how a lot of
• 55:14
  doctors will be doing what they're doing now in a decade
• 55:18
  along with other professions, right, Unless you have a niche,
• 55:23
  unless people really want that maybe old school kind of doctor,
• 55:30
  right? But you know, so I think medical
• 55:35
  school probably should be condensed more.
• 55:38
  For example, the basic sciences probably could be scrunched more
• 55:43
  in today's world also. I mean, we have all this
• 55:46
  information at our fingertips which we didn't have as quickly,
• 55:49
  right? So just like my board exams, my
• 55:52
  board exams now are open book. Every quarter I have to do some
• 55:57
  questions which I'll answer very well, but they're not realistic
• 56:01
  because in the realistic world when you see a patient, yes, a
• 56:05
  lot of the stuff is just very quick.
• 56:08
  I see especially me now, like when I when the amount of
• 56:12
  patients I've seen, I can look at somebody and I can infer
• 56:16
  what's going on rather quickly. Not so much a nurse practitioner
• 56:20
  or a physician assistant or a mid level.
• 56:22
  All right. So unless they're like close to
• 56:25
  retirement age or they've just lived in that ER and they have
• 56:29
  that clinical acuity now you need that I think.
• 56:34
  And just the tools that our hands that are able to give us
• 56:38
  the answer more quickly, right? So you, I think we're, we're
• 56:41
  able to cut corners if we use these things properly.
• 56:46
  But it's just like our children, right?
• 56:48
  Like our children, some of these children are not learning how to
• 56:51
  write well because like literally write well cursive and
• 56:56
  all that, right? Because it's all type, it's all,
• 57:00
  it's all dictation, but it's fine for me.
• 57:04
  I mean, analog childhood, digital adulthood, I'm good.
• 57:08
  But so I, I can use these tools and such.
• 57:12
  And the same goes with driving, right?
• 57:14
  Like I have a Tesla and I I like to use the full self driving.
• 57:19
  Is it amazing? It's pretty amazing is.
• 57:24
  It scary good. I don't have the 13 for some
• 57:27
  reason that that version. Maybe they don't like me as much
• 57:31
  as some of the other people, but hopefully one day.
• 57:33
  So that one I heard is delicious, right?
• 57:35
  And and the 14 one day. But like, I think kids should at
• 57:40
  least know how to drive, right? But if they're already like my,
• 57:43
  my son's nine, right? So in, in however many years
• 57:47
  he's going to get a car, right? I mean, there's even need to
• 57:50
  learn how to drive a car if if everything is FSD, right?
• 57:54
  Yeah, but I think you should, right?
• 57:57
  You should and maybe I mean, I don't know if this is your, I
• 58:01
  guess you know what you think of this.
• 58:03
  I think that a lot of, I think a lot of the mental health issues
• 58:07
  that a lot of people experience today is because there's a lot
• 58:10
  of lack of what people feel like personal license, like they
• 58:14
  feel, they people don't feel like they're really needed for
• 58:16
  much or anything. You know, and one of the things
• 58:20
  that you do have is like driving, you know, you know, I
• 58:24
  mean, I call me crazy, but there's something, there's
• 58:27
  something so much fun of it. So freeing.
• 58:29
  I, when I used to, especially while I was trying to figure out
• 58:33
  what I wanted to do with myself and where I wanted to go with my
• 58:35
  life and I was really contemplating these questions
• 58:38
  very, very seriously. I would often hounder them over
• 58:41
  a walk or a long drive. I just get in the car and I just
• 58:44
  feel like I just need to hit the road for a little while just to
• 58:47
  just to help sort my thoughts in order.
• 58:48
  I think that the I think autonomy is incredibly
• 58:51
  important. And I think that, you know, the
• 58:54
  more that as wonderful as technology is, removing autonomy
• 58:58
  from humanity will probably be a little bit more harmful than
• 59:03
  it's convenient, but all convenience has a cost.
• 59:05
  You know, that's, that's my that's my concern, I guess, but
• 59:10
  I haven't tried the Tesla self drive yet.
• 59:13
  So I may change my mind as soon as I as soon as soon as I get
• 59:16
  behind the wheel of that, you know.
• 59:19
  I mean, if it makes society safer and better, but you still
• 59:22
  have the option of doing whatever you want and going on
• 59:24
  that road trip by all means. Yeah, yeah, yeah.
• 59:27
  So what was it like opening your own business?
• 59:29
  Can you, can you, you want to walk me through that a little
• 59:31
  bit? You said you work with your
• 59:32
  wife, right? Yeah, my life and business
• 59:35
  partner, we opened it up and I mean it's great because she does
• 59:41
  things that I'm not good at and I do things that.
• 59:45
  Like what? For example, well, I mean actual
• 59:48
  patients, right? So I I'm the one that's seeing
• 59:51
  the patients and giving that medical care.
• 59:55
  She is the one on the back end thinking of marketing, thinking
• 59:58
  of the actual, the books, so to speak, personnel, things like
• 1:00:04
  that which. Very important in today's world,
• 1:00:07
  especially where it's hard to get the right people on board
• 1:00:11
  and making sure everybody's on the same page.
• 1:00:15
  Right, right, right. Is there is there an enormous
• 1:00:18
  amount of red tape to navigate, or bureaucracy to navigate to
• 1:00:20
  open your own practice, especially one that's as diverse
• 1:00:23
  as yours? I think there is it's it's
• 1:00:26
  always evolving and for example, malpractice, just like all these
• 1:00:31
  insurances are getting more challenging to navigate.
• 1:00:34
  My malpractice rates for no reason went up by how much?
• 1:00:39
  100%? So a. 100% yeah, without,
• 1:00:43
  without any incidents, without. Without it, I've never had a
• 1:00:45
  malpractice issue and just it's kind of like suddenly your home
• 1:00:50
  home insurance or car insurance is X now 2X, right?
• 1:00:53
  So, yeah, yeah, it's, it's just a lot of people are just these
• 1:00:59
  companies are losing money and they need to recoup just like
• 1:01:01
  the fires in LA kind of a thing, right?
• 1:01:04
  So yes, there's a lot of organizations that monitor
• 1:01:09
  doctors and for patient safety, of course, but you have to have
• 1:01:15
  everything super organized and just all all tease crossed and
• 1:01:23
  i's dotted. Who's more?
• 1:01:26
  I definitely she is. She is, yeah.
• 1:01:30
  She has a binder for everything and just organization is her
• 1:01:37
  Forte. I I'm more of the, my desk could
• 1:01:40
  be a little messy kind of guy, yeah.
• 1:01:41
  Yeah, yeah, yeah, yeah, I feel the same way.
• 1:01:44
  I I'm like, show me where I need to be and I'll be there.
• 1:01:48
  But like, I've so bad at keeping track of my own calendar, I'm so
• 1:01:52
  glad at keeping track of my own taxes and my own, you know, and
• 1:01:55
  like, thank God for my wife because she, she's great at
• 1:01:59
  that. Yeah, definitely.
• 1:02:00
  Yin and Yang, right? It is, it is, it is.
• 1:02:03
  It's fun. I mean, when I was when I was
• 1:02:04
  actually dating, you know, one of the big mistakes I made
• 1:02:07
  earlier in dating was trying to find someone that was exactly
• 1:02:11
  like me. And that was idiotic, quite
• 1:02:14
  frankly, you know, because you don't need to date yourself.
• 1:02:18
  You are yourself, you know, and you don't need to marry
• 1:02:20
  yourself. You need to marry someone that
• 1:02:21
  that you know, and hopefully your friendships and
• 1:02:23
  relationships are the kind of, you know, you're a puzzle and
• 1:02:27
  you're missing a couple of pieces And they, you know, they
• 1:02:29
  have what to offer and you have what to offer.
• 1:02:31
  They're missing puzzle pieces, you know, And as soon as that
• 1:02:35
  clicked for me, I started, you know, I just, my whole, my whole
• 1:02:37
  mindset changed and it's great, you know, I mean, it's, I mean,
• 1:02:42
  granted it's only been four years, but you know, it's great.
• 1:02:45
  It's great so far. Can you so, so you so you opened
• 1:02:49
  the you opened the 10 years ago. You opened this business 10
• 1:02:52
  years ago or this practice rather 10 years ago and how much
• 1:02:55
  more limit your menu is like it was, it's a crazy menu, you
• 1:03:00
  know, Did you start? Did you start with all this
• 1:03:02
  stuff like offering all these services or how?
• 1:03:05
  No, definitely, definitely not. It's been evolution.
• 1:03:08
  So the basics I mean were the concierge plans and stuff like
• 1:03:12
  that. But then, you know, as again,
• 1:03:13
  technology is getting more interesting and you go search
• 1:03:17
  the world for good answers for people's health, you stumble
• 1:03:21
  upon stuff. So you kind of Add all all these
• 1:03:24
  bells and whistles that you are never trained in, but you
• 1:03:28
  learned along the way. And then?
• 1:03:31
  How do you learn this? Where do you learn it from?
• 1:03:34
  Well, I go to conferences, I go to or I go to learning mod, I do
• 1:03:41
  learning modules. I just, it's called me search,
• 1:03:44
  right? I, I go and take deep dives into
• 1:03:48
  certain topics which are important for my patients and me
• 1:03:52
  as well because we're in this together, right?
• 1:03:54
  So, you know, red light therapy, initially I thought it was
• 1:03:59
  nonsense, right? But I tried it.
• 1:04:01
  It was actually pretty amazing. My wife as well, actually, she's
• 1:04:04
  the one that kind of got more into it before I did.
• 1:04:07
  And you kind of go down this rabbit hole and then you go down
• 1:04:11
  another rabbit hole and you realize doesn't really have many
• 1:04:16
  negatives. It can help you and why not?
• 1:04:20
  And you can help humanity. So that that's kind of the
• 1:04:24
  focus, right? Like, you know, first do no harm
• 1:04:27
  with with most of these things, they're fairly benign.
• 1:04:30
  And I also, we also like to democratize the process in the
• 1:04:33
  sense that if you do not wish to see me, that's fine.
• 1:04:37
  You can order one of these things, you can do one of these
• 1:04:39
  things and get the results and, and I can interpret it for you
• 1:04:43
  or I can help you. But if you're feeling it like
• 1:04:46
  you just want the test, then that's fine as well.
• 1:04:50
  And I think that's also a barrier to a lot of people.
• 1:04:53
  Yeah, I bet. It's an enormous barrier.
• 1:04:56
  And I think that one of the bigger barriers is the stigma.
• 1:05:00
  You know, which I do think the tide is.
• 1:05:02
  I really, I, I, I, I think, and I hope that the tide is turning
• 1:05:08
  and I think that the tide is turning because of a breakdown
• 1:05:10
  of trust, unfortunately, that happened in the last maybe 5-6
• 1:05:13
  years since COVID in the medical establishment.
• 1:05:17
  And that people are willing to say, well, if they weren't right
• 1:05:19
  about that, what else do they're not right about?
• 1:05:21
  And then if they, you know, if we could have done this and this
• 1:05:24
  and this for COVID instead of that and that and that, then
• 1:05:27
  what else could we do alternatively that, you know, is
• 1:05:30
  simpler and has less side effects or consequences.
• 1:05:33
  And I think it kind of makes a little bit more chaos though,
• 1:05:36
  because, you know, when no one's like, I think authority exists.
• 1:05:43
  I think there's a reason why authority exists.
• 1:05:44
  I think that is good. I think that would authority
• 1:05:46
  over reaches or, you know, starts to look for power for the
• 1:05:48
  sake of power. It's something else, obviously.
• 1:05:52
  But without authority, then what's to stop anyone from
• 1:05:54
  saying anything and just, you know, and just influencing as
• 1:05:58
  many, many, you know, however many people you know, you know,
• 1:06:01
  to do something that's totally not in their best benefit.
• 1:06:04
  So what? So do you get skepticism a lot?
• 1:06:07
  Or do you have to explain the like if some, if you, if you
• 1:06:10
  recommend red light therapy to someone or you recommend
• 1:06:13
  something to treat, you know, health related diet to treat
• 1:06:17
  depression or anxiety. And there's a lot of skepticism.
• 1:06:20
  Do you let them go? Do you show them paper?
• 1:06:23
  Do you, do you show them that there's that there's research
• 1:06:26
  about this. What, how do you, how do you
• 1:06:27
  change people's minds? Because that's got to be a whole
• 1:06:29
  accident of itself. Well, I mean, first of all, a
• 1:06:32
  lot of people just naturally migrate to what we have.
• 1:06:37
  So then they've already done their research and they know
• 1:06:40
  what they want, which is nice right?
• 1:06:43
  Now for the people that have no idea what this is or how it
• 1:06:47
  could help them, I give the whole landscape of options,
• 1:06:51
  right? And no pressure if and learning
• 1:06:55
  what their philosophy is, right? Because some people they walk in
• 1:06:58
  and they automatically say I don't want a pharmaceutical in
• 1:07:02
  my body, in my mouth. OK, fine.
• 1:07:06
  Some people don't want a supplement, right?
• 1:07:08
  OK, I respect that. Well, then what about these
• 1:07:12
  other things, right? Let's explain you that and how
• 1:07:16
  it can help you. And if you'd like some
• 1:07:18
  supporting data, by all means, I'll give that to you.
• 1:07:21
  Try it out if you don't like it, OK, But you might find some
• 1:07:26
  benefit and here's why. And I don't think you'll have
• 1:07:30
  too many problems with it, right?
• 1:07:32
  And if it helps you, then we're all winners here.
• 1:07:35
  What are some stuff that you do for yourself, for your own
• 1:07:37
  health, in your own family's health?
• 1:07:40
  Well, try to get the best sleep possible, which is really hard,
• 1:07:45
  yeah, you know, being a father and running businesses and all
• 1:07:49
  that. But we try our best.
• 1:07:52
  So that's something we try to do for the children as well.
• 1:07:56
  They need to get good sleep, we need to get good sleep.
• 1:07:58
  Does sleep, does it matter if you like, let's say you got six
• 1:08:01
  hours or 8 hours, does it make a difference if those 6 or 8 hours
• 1:08:05
  are 12 to 8 or 10 to you know, 6:50 or whatever it is sorry
• 1:08:11
  5:50 or you know or should it be consistent?
• 1:08:15
  Is is there? Is there a value to consistent
• 1:08:17
  schedule or it's just that you body needs amount of sleep?
• 1:08:19
  Yeah, consistency is important. So you shouldn't just jump all
• 1:08:23
  over the place. Our bodies like to have that
• 1:08:25
  circadian clock pretty much, some pretty much established.
• 1:08:29
  So whether it's, you know, 9 O clock or 11 O clock, you go to
• 1:08:32
  bed. It should be relatively the
• 1:08:34
  same. And sometimes it's great to go
• 1:08:36
  to bed earlier and you typically wake up around the same time
• 1:08:39
  every day as your body's used to it.
• 1:08:42
  But the quality of sleep needs to be good.
• 1:08:44
  So that means if you're not breathing well at night, right?
• 1:08:47
  If you're APNIC, if you have some sort of issue where you're
• 1:08:50
  not getting oxygen to your tissues, then you need to fix
• 1:08:53
  that because you get 10 hours of sleep.
• 1:08:55
  But it won't matter because your sleep quality is not good and
• 1:08:58
  everything else in your body is becoming down.
• 1:09:01
  The strength down the line just messed up for like a better
• 1:09:04
  word, right? So your metabolic issues go up,
• 1:09:07
  your mood, the weight will go up and it's a vicious cycle.
• 1:09:11
  So getting a good sleep assessment, keeping a sleep
• 1:09:13
  tracker, if you can handle that negative score occasionally is a
• 1:09:17
  good idea. You can do it informal or, or or
• 1:09:20
  slightly less invasive sleep study through through a few
• 1:09:24
  companies on on the Internet that basically you do a sleep
• 1:09:28
  study for like one to two weeks and you can see what's exactly
• 1:09:31
  happening. And then have that consultation
• 1:09:33
  with the sleep doctor and learn that you might have some mild
• 1:09:36
  moderate sleep apnea, for example, in the R.E.M. phase,
• 1:09:40
  the rapid eye movement phase, because that's when the muscles
• 1:09:43
  are behaving differently. And there are ways to fix it.
• 1:09:47
  You don't have to go to CPAP, which is a mechanism here,
• 1:09:52
  right, which most people don't like.
• 1:09:54
  You could do things to avoid that, but you need to get good
• 1:09:56
  quality sleep, number one. And if you're drinking alcohol,
• 1:09:59
  we'll think about that relationship, right?
• 1:10:02
  You don't have to give it up, but maybe move up that alcohol
• 1:10:05
  drink to earlier in the day as opposed to 9:00 because that's
• 1:10:08
  going to cut into your sleep, oh, into your battles.
• 1:10:11
  So. If you're going to drink, don't
• 1:10:13
  drink before you go to bed. People like to drink before bed
• 1:10:15
  because it helps them fall asleep.
• 1:10:17
  Right. But again, that's like a an
• 1:10:20
  algae, but it's like a baseball bat to the back of the head.
• 1:10:22
  Just like a sleep age. You're not getting that high
• 1:10:24
  quality sleep even though you're zonked out.
• 1:10:26
  So as well as you shouldn't be eating a big meal before your
• 1:10:30
  bedtime because that's also going to impact your sleep.
• 1:10:34
  So if you move up your food and drink earlier, you're going to
• 1:10:37
  give better quality sleep. Things that are obvious are
• 1:10:39
  keeping the room dark. Yeah, keeping things cool and we
• 1:10:44
  have ways to improve that, right?
• 1:10:45
  But that's a fundamental thing. And then exercise, of course, I
• 1:10:49
  mean, everybody should do a little movement and that
• 1:10:53
  actually improves. What's the minimum exercise you
• 1:10:55
  encourage? Minimum, you know, let's say a
• 1:10:57
  week. I'll probably say 3 to 4 hours a
• 1:11:01
  week. There's some people that think
• 1:11:03
  you can get away with much less with you.
• 1:11:06
  Say 3 to 4 hours. You're talking cardio.
• 1:11:08
  Cardio or weights or resistance. A combination resistance
• 1:11:12
  training, cardio. I like to do classes where I
• 1:11:15
  kind of get both. So it's almost like a zone 2.
• 1:11:19
  There's a re hit philosophy where basically you're using or
• 1:11:23
  maybe you can get away with like 15 to 30 minutes a week and
• 1:11:26
  that's still impacting your VO2 Max with something like a Caro
• 1:11:30
  bike which is AAI bike and can have you working out less which
• 1:11:35
  can can be good because you need to work out.
• 1:11:38
  But maybe jogging so much if you're 40 or 50 years old and
• 1:11:42
  bash your knees is not the best strategy.
• 1:11:45
  Yeah, yeah. And what are, What if you had to
• 1:11:49
  tell people one food to cut out and one food to add to your
• 1:11:52
  diet? What would you, what would you,
• 1:11:54
  what would you recommend? I know obviously it's very vague
• 1:11:57
  because obviously it depends on everyone's body chemistry and
• 1:12:00
  their makeup. But you know, general
• 1:12:01
  population, what most people have, you know, a couple, one
• 1:12:05
  thing to cut out and one thing that the regular person you see
• 1:12:08
  doesn't typically ingest or consume.
• 1:12:12
  Yeah. I mean, I would cut out sugar,
• 1:12:14
  which can be in various forms. So that can mean sodas, that can
• 1:12:19
  mean actual candies, or it could be Wonder bread, right?
• 1:12:24
  So you need a little sugar, but I wouldn't have it be in such
• 1:12:28
  concentrated forms, like something you drink, Right.
• 1:12:33
  So orange juice. No gum.
• 1:12:35
  Yeah. I wouldn't do the orange juice.
• 1:12:37
  I mean, it's delicious if it's freshly squeezed, but
• 1:12:40
  occasionally you can have a treat, but not every day.
• 1:12:43
  The thing is, it's just the repetitive thing we do in our
• 1:12:46
  lives that causes problems. So if you're going to have a
• 1:12:49
  soda once every while that that's fine if if your body can
• 1:12:53
  handle it. But if you're in this habit of
• 1:12:56
  having a soda every day or or a doughnut every day and you
• 1:13:00
  multiply it out, I mean, that's not going to be good for you.
• 1:13:03
  Yeah, no. And what about one thing that's
• 1:13:05
  important to eat that people don't eat enough of?
• 1:13:08
  Yeah, I think of fermented food, right.
• 1:13:11
  I think those are good for you especially.
• 1:13:12
  So it could be a high quality yogurt if you can handle dairy.
• 1:13:18
  And if you're like me and you like sauerkraut, then that could
• 1:13:22
  be good for you. Oh, cool.
• 1:13:23
  Really. Yeah, sauerkraut is something
• 1:13:26
  great for the gut. What is it off?
• 1:13:27
  Oh, off for your gut. Yeah, yeah.
• 1:13:29
  So something that's fermented, something that has that bang for
• 1:13:32
  the buck. What is fermented due to due to
• 1:13:36
  our gut that makes it beneficial?
• 1:13:37
  Well, it has probiotics and prebiotics, for example.
• 1:13:40
  So that combination is going to make our gut healthier and
• 1:13:43
  thereby we're going to be healthier, right?
• 1:13:46
  So if you're not getting all these wonderful Whole Foods,
• 1:13:49
  then you should probably think of what probiotics or prebiotics
• 1:13:53
  to put in your body that replace it.
• 1:13:56
  OK, so you got sauerkraut? Potentially anything fermented.
• 1:13:59
  I feel like fermented food. I have a hard time thinking of
• 1:14:01
  examples of fermented of fermented.
• 1:14:03
  Food Kimchi Kimchi the. Korean.
• 1:14:05
  OK Oh, right, right. What's it called?
• 1:14:07
  Been very popular. Kombucha has been very popular
• 1:14:08
  recently too. Kombucha.
• 1:14:10
  So I do enjoy kombucha from Costco most days, yeah.
• 1:14:14
  I have a friend that adds his own hops to them, his own beer
• 1:14:16
  hops to the. Kombucha.
• 1:14:18
  You can have a hard kombucha and then artichokes are good.
• 1:14:25
  Those are more prebiotic. You have different probiotic
• 1:14:33
  prebiotic drinks you can take as well.
• 1:14:35
  You probably saw them in the refrigerated section.
• 1:14:38
  Yeah. But are those are those are
• 1:14:41
  those as beneficial? And I'm not asking like, you
• 1:14:44
  know, you know, confrontational question, but just, you know,
• 1:14:48
  are they, does it make a difference if you're eating
• 1:14:50
  something natural like an artichoke as opposed to a
• 1:14:53
  bottled, you know, prebiotic probiotic drink, you know, or
• 1:14:58
  yogurt or whatever? Does it make the sure?
• 1:15:02
  I mean, these are all foods basically.
• 1:15:04
  So it's just how your body incorporates them.
• 1:15:06
  Sometimes we have the inability to do well with one food versus
• 1:15:11
  the other. So then you kind of have to
• 1:15:12
  figure that out based on your body.
• 1:15:14
  And, you know, we didn't mention Pickles, but Pickles are also.
• 1:15:18
  Oh yeah, I had one the other day at a movie theater and that was
• 1:15:23
  a beautiful. Thing pickle at a movie.
• 1:15:25
  Yeah, yeah. We went to watch the new
• 1:15:27
  Minecraft movie with the family. Oh yeah.
• 1:15:29
  Where'd your kids say? They liked it.
• 1:15:32
  They liked it a lot, yeah. It did really, really, really
• 1:15:34
  well. Yeah.
• 1:15:36
  Really well, Yeah, yeah. I mean, I don't know if you
• 1:15:37
  follow any of that, but that, that that's matched all
• 1:15:40
  expectations. That was that was crazy.
• 1:15:43
  You see the new, the new era of what nostalgia is based on the
• 1:15:48
  new kind of kid movies that are coming out.
• 1:15:50
  So Mario Brothers and Minecraft and you know, and and you know,
• 1:15:54
  video game themed movies as opposed to old Disney classics
• 1:15:57
  that are being remade or whatever, you know, seems to be
• 1:16:00
  getting seems to be making hits. It's really cool, wonderful.
• 1:16:05
  I think that's, I think that's pretty much what I wanted to a
• 1:16:09
  lot of what I wanted to cover. Any last minute recommendations
• 1:16:14
  or thoughts you think that people could really benefit from
• 1:16:16
  that we haven't covered? I think we cover a lot, just I
• 1:16:21
  think we're living in exciting times.
• 1:16:23
  Take care of yourselves. If you need a physician in your
• 1:16:27
  area to guide you, I think it makes sense to find somebody
• 1:16:31
  that is on the same page as you. And in the end, you're the boss
• 1:16:35
  of your health and the fundamentals are there, so
• 1:16:39
  there's no reason you shouldn't be living your best life.
• 1:16:42
  Beautiful doctor, thank you so much for the time.
• 1:16:44
  I really appreciate it. This is so much fun.
• 1:16:46
  It was so beneficial and so informative.
• 1:16:48
  Thank you SO. Much thanks so much.
• 1:16:49
  Have a good time all. Right, we'll talk soon and I'll
• 1:16:50
  send you the link shortly. OK, Thank you.
• 1:16:52
  Bye now.