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EP353: Dr. Elliot Justin - Sex and Heart Attacks · Respark Your Life

• 0:00
  Dr. Elliot Justin: We all know about morning wood and we joke about it.
• 0:02
  Dr. Elliot Justin: What I didn't understand that a healthy man,
• 0:04
  Dr. Elliot Justin: even a man my age,
• 0:05
  Dr. Elliot Justin: should have about three nocturnal erections per night.
• 0:07
  Dr. Elliot Justin: If your nocturnal erections go down by 50%,
• 0:10
  Dr. Elliot Justin: you've got a 50% chance of having a heart attack
• 0:12
  Dr. Elliot Justin: the next two years.
• 0:13
  Raymond Aaron: - Hello, this is Raymond Aaron,
• 0:15
  Raymond Aaron: New York Times top 10 bestselling author,
• 0:17
  Raymond Aaron: bringing you "Respark Your Life" podcast,
• 0:20
  Raymond Aaron: the world's premier podcast to ignite the fire,
• 0:23
  Raymond Aaron: to allow you to live life on your own terms.
• 0:26
  Raymond Aaron: Every single Thursday I bring you a multi-millionaire world famous celebrity to teach you about
• 0:34
  Raymond Aaron: the most fascinating ways in order to live a far better life.
• 0:39
  Raymond Aaron: Every single Thursday you just need to subscribe by hitting the subscribe button.
• 0:44
  Raymond Aaron: I'll see you every Thursday to re-spark your life.
• 0:50
  Speaker 3: Yes, this is Raymond Ayer at New York Times top ten bestselling author.
• 0:54
  Speaker 3: Man, am I gonna re-spark your life today.
• 0:59
  Speaker 3: Why?
• 1:00
  Speaker 3: 'Cause I have with me a medical doctor
• 1:04
  Speaker 3: whose work has been featured on New York Times,
• 1:09
  Speaker 3: CNN, Forbes, and many other top scale magazines
• 1:14
  Speaker 3: and other features because of the unusual work
• 1:17
  Speaker 3: that he's doing.
• 1:18
  Speaker 3: He's an emergency room doctor,
• 1:21
  Speaker 3: But that's not why he gets so much attention.
• 1:25
  Speaker 3: It's because he's the founder of Firm Tech,
• 1:28
  Speaker 3: the first sex tech company
• 1:32
  Speaker 3: dedicated to improving men's erectile fitness.
• 1:38
  Speaker 3: And something about wearables
• 1:40
  Speaker 3: and something about cardiac health and sexual health.
• 1:45
  Speaker 3: When I read his resume, I said,
• 1:47
  Speaker 3: Man, I don't exactly know what he's going to talk about, but this seems fascinating.
• 1:54
  Dr. Elliot Justin: So, Dr. Elliot Justin, are you here? I'm here and I'm ready.
• 2:02
  Speaker 3: You're here and you're ready. That's very good. So tell me, what the heck is this? How do you
• 2:08
  Dr. Elliot Justin: combine wearables and sex and cardiac health? Sure. We live in this incredible age of
• 2:16
  Dr. Elliot Justin: smart wearables, smart watches, smart rings,
• 2:19
  Dr. Elliot Justin: Uber, Apple Watch, but there's a gap in that gap of sex.
• 2:28
  Dr. Elliot Justin: And this is a sex of primary concern to everyone,
• 2:31
  Dr. Elliot Justin: and it involves, obviously, the psychosocial health
• 2:35
  Dr. Elliot Justin: significantly, but also is a reflection of cardiovascular health in ways that I
• 2:38
  Dr. Elliot Justin: didn't understand a few years ago until a urologist challenged me to come
• 2:43
  Dr. Elliot Justin: up with a way of counting the number of nocturnal erections
• 2:45
  Dr. Elliot Justin: that men have because they are a leading indicator of a man's cardiovascular health.
• 2:50
  Dr. Elliot Justin: And that took me aback. We all know about morning wood, we joke about it.
• 2:55
  Dr. Elliot Justin: None of us want dead wood. But we all, what I didn't understand that a healthy man,
• 2:59
  Dr. Elliot Justin: I'm 70 years old, even a man my age should have about three nocturnal erections per night.
• 3:04
  Dr. Elliot Justin: So one is not enough. So in medicine, we say the indicator, that means it's predictive.
• 3:11
  Dr. Elliot Justin: In medicine, we treat associations.
• 3:14
  Dr. Elliot Justin: High blood pressure is associated with heart attack and stroke.
• 3:17
  Dr. Elliot Justin: Elevated blood sugar is associated
• 3:19
  Dr. Elliot Justin: with diabetic complications.
• 3:21
  Dr. Elliot Justin: But it's not predictive.
• 3:22
  Dr. Elliot Justin: I mean, it's not as if your blood pressure goes from, say,
• 3:24
  Dr. Elliot Justin: 130 to 150.
• 3:25
  Dr. Elliot Justin: They usually have a heart attack at a certain period of time.
• 3:28
  Dr. Elliot Justin: But if your nocturnal reactions go down by 50%,
• 3:32
  Dr. Elliot Justin: you've got a 50% chance of having a heart attack
• 3:34
  Dr. Elliot Justin: the next two years.
• 3:35
  Speaker 3: Wow.
• 3:36
  Dr. Elliot Justin: When this urologist told me that, I was taken aback
• 3:38
  Dr. Elliot Justin: because I had no idea.
• 3:40
  Dr. Elliot Justin: So, as long as a man averages, like myself,
• 3:44
  Dr. Elliot Justin: three plus nautral reactions per night,
• 3:46
  Dr. Elliot Justin: and that goes to one plus, I'm at risk.
• 3:50
  Dr. Elliot Justin: So, ideally in healthcare, when we do a lot,
• 3:53
  Dr. Elliot Justin: especially for better care, we want to identify problems
• 3:56
  Dr. Elliot Justin: when they're subclinical before they become something
• 3:59
  Dr. Elliot Justin: that might be too late to treat.
• 4:01
  Dr. Elliot Justin: So, utilizing our technology,
• 4:04
  Dr. Elliot Justin: I know of at least two men who've had cardiac catheterizations
• 4:07
  Dr. Elliot Justin: as a result of their data deteriorating.
• 4:10
  Dr. Elliot Justin: So just to go back, though, this doctor,
• 4:15
  Dr. Elliot Justin: professor of the University of Utah, Dr. O'Talling,
• 4:17
  Dr. Elliot Justin: told me that the penis is the canary in the coal mine
• 4:20
  Dr. Elliot Justin: in cardiovascular disease.
• 4:22
  Dr. Elliot Justin: Now, I'd never heard that before, and I'm an old doctor.
• 4:24
  Dr. Elliot Justin: I'm 70.
• 4:25
  Dr. Elliot Justin: When he told me that, I was like 69.
• 4:27
  Dr. Elliot Justin: Now I'm 72.
• 4:29
  Dr. Elliot Justin: And I don't think that's--
• 4:31
  Dr. Elliot Justin: that is not common knowledge.
• 4:32
  Dr. Elliot Justin: So in terms of vital signs, what is more interesting to men?
• 4:38
  Dr. Elliot Justin: How many steps they took yesterday,
• 4:39
  Dr. Elliot Justin: or their blood pressure, or their sexual health?
• 4:43
  Dr. Elliot Justin: I mean, the answer of course is obvious.
• 4:44
  Dr. Elliot Justin: Men are more interested in their sexual health
• 4:46
  Dr. Elliot Justin: pretty much than anything, even older men like me.
• 4:51
  Dr. Elliot Justin: So my thought when it came to this idea was,
• 4:54
  Dr. Elliot Justin: well, let's embed sensors into what people call cock rings.
• 5:00
  Dr. Elliot Justin: I'd rather call them erection rings,
• 5:02
  Dr. Elliot Justin: This cock ring kind of puts in the context of,
• 5:04
  Dr. Elliot Justin: well, this is like a sex toy novelty.
• 5:06
  Dr. Elliot Justin: What they really are are erection rings,
• 5:09
  Dr. Elliot Justin: something to help sustain erections.
• 5:11
  Dr. Elliot Justin: So when I'm getting the sensors into them,
• 5:13
  Dr. Elliot Justin: coming up with material, like in one overnight,
• 5:16
  Dr. Elliot Justin: we can then count the number of nocturnal erections,
• 5:18
  Dr. Elliot Justin: measure how hard they are, measure the duration.
• 5:22
  Dr. Elliot Justin: And with that information,
• 5:23
  Dr. Elliot Justin: tell men about the cardiovascular risk,
• 5:26
  Dr. Elliot Justin: but also about many of the medications that men take
• 5:28
  Dr. Elliot Justin: that have a negative effect on their sexual performance,
• 5:31
  Dr. Elliot Justin: specifically the antihypertensives and the antidepressants.
• 5:35
  Dr. Elliot Justin: We doctors fail to recognize the importance
• 5:40
  Dr. Elliot Justin: of sexual health for people.
• 5:42
  Dr. Elliot Justin: So we prescribe medications that can affect people's
• 5:45
  Dr. Elliot Justin: sexual health without even warning about it,
• 5:47
  Dr. Elliot Justin: even when there's substitutes that are available.
• 5:51
  Dr. Elliot Justin: So in order to come up with an erection ring
• 5:53
  Dr. Elliot Justin: that could be worn overnight,
• 5:55
  Dr. Elliot Justin: we had to reinvent the cock ring.
• 5:58
  Dr. Elliot Justin: So these cock rings, erection rings,
• 6:00
  Dr. Elliot Justin: that people familiar with from sex toy stores
• 6:02
  Dr. Elliot Justin: are hard silicone rings that pinch,
• 6:05
  Dr. Elliot Justin: they're uncomfortable, they choke off the circulation,
• 6:08
  Dr. Elliot Justin: and they can't be worn for more than 20 or 30 minutes
• 6:12
  Dr. Elliot Justin: 'cause they're not safe, especially not safe for men
• 6:14
  Dr. Elliot Justin: with diabetes or hypertension,
• 6:16
  Dr. Elliot Justin: might have compromised circulation.
• 6:18
  Dr. Elliot Justin: And they've never caught on in the straight community.
• 6:23
  Dr. Elliot Justin: So our erection rings are made out of soft elastomer.
• 6:27
  Dr. Elliot Justin: stretches, it's comfortable,
• 6:29
  Dr. Elliot Justin: doesn't block the arterial flow of blood into the penis
• 6:31
  Dr. Elliot Justin: 'cause we want to cap nocturnal erections
• 6:33
  Dr. Elliot Justin: so if you choked them off, you wouldn't see them.
• 6:35
  Dr. Elliot Justin: It only slightly constrains the venous turn.
• 6:37
  Dr. Elliot Justin: So we are now able to have a ring
• 6:40
  Dr. Elliot Justin: that could be worn for hours.
• 6:43
  Dr. Elliot Justin: And with that, we get this information
• 6:45
  Dr. Elliot Justin: that there are now seven published papers about ring.
• 6:48
  Dr. Elliot Justin: And there are studies, research studies going on
• 6:50
  Dr. Elliot Justin: with academic centers around the world
• 6:52
  Dr. Elliot Justin: correlating the nocturnal erection data
• 6:55
  Dr. Elliot Justin: with other comments like CT calcium score,
• 6:59
  Dr. Elliot Justin: which is used for screening for cardiovascular disease
• 7:01
  Dr. Elliot Justin: and other tests.
• 7:02
  Dr. Elliot Justin: So with this data--
• 7:04
  Speaker 3: - Okay, so I'm 80 years old.
• 7:07
  Speaker 3: I gotta say that I'm waning in my ability.
• 7:10
  Speaker 3: I can't do what I used to do when I was 20.
• 7:13
  Speaker 3: And so I should wear this ring.
• 7:16
  Speaker 3: And how does it tell me how many erections I had overnight?
• 7:20
  Speaker 3: Like, how do I get the information?
• 7:22
  Speaker 3: Does it Bluetooth to my cell phone or something?
• 7:25
  Dr. Elliot Justin: - Well, Raymond, you don't look at data with 75.
• 7:28
  Dr. Elliot Justin: (Raymond laughs)
• 7:30
  Dr. Elliot Justin: So yeah, we're in the Google and Apple stores.
• 7:33
  Dr. Elliot Justin: It's a Bluetooth enabled app.
• 7:35
  Dr. Elliot Justin: There are two sensors embedded in the ring.
• 7:37
  Dr. Elliot Justin: As the penis expands and girth with an erection,
• 7:42
  Dr. Elliot Justin: it presses on one sensor and pulls on another sensor.
• 7:45
  Dr. Elliot Justin: And then the computer interprets that
• 7:47
  Dr. Elliot Justin: into a one to 10 hardness score.
• 7:51
  Dr. Elliot Justin: And we've documented 85,000 erections.
• 7:56
  Dr. Elliot Justin: So in men over the age, in men, the 75 to 85 category,
• 8:01
  Dr. Elliot Justin: you'd be comparing your data to several hundred other men
• 8:04
  Dr. Elliot Justin: in that category, and you'd be able to say,
• 8:05
  Dr. Elliot Justin: am I above average, below average?
• 8:07
  Dr. Elliot Justin: And you would receive notifications.
• 8:09
  Dr. Elliot Justin: It could be, hey, Raymond, you made this change
• 8:14
  Dr. Elliot Justin: in your medication, you're doing much better.
• 8:16
  Dr. Elliot Justin: Or it could be, hey, Raymond, or Elliot,
• 8:18
  Dr. Elliot Justin: Hey, Elliot, you used to average 3.2 nocturnal erections,
• 8:22
  Dr. Elliot Justin: and now you're at 1.5.
• 8:23
  Dr. Elliot Justin: You need to see a doctor because your data is showing
• 8:27
  Dr. Elliot Justin: significant cardiovascular risk.
• 8:30
  Speaker 3: - Wow.
• 8:31
  Speaker 3: So it tells me how many erections,
• 8:35
  Speaker 3: which is predictive of a heart attack,
• 8:38
  Speaker 3: and then I have to go to a doctor to figure out what to do.
• 8:41
  Dr. Elliot Justin: - Or you could do nothing, just put up with it.
• 8:43
  Dr. Elliot Justin: But we would recommend, the app would recommend,
• 8:48
  Dr. Elliot Justin: that you see a doctor for any significant deviations.
• 8:53
  Dr. Elliot Justin: Of course, ideally, Raymond, the app tells you,
• 8:56
  Dr. Elliot Justin: Raymond, you were averaging two nocturnal erections
• 8:59
  Dr. Elliot Justin: and now that you stopped smoking,
• 9:01
  Dr. Elliot Justin: now that you started exercising,
• 9:02
  Dr. Elliot Justin: now that you are complying with your diabetes regimen,
• 9:07
  Dr. Elliot Justin: you've actually improved.
• 9:08
  Dr. Elliot Justin: You've gone from 2 to 2.6 or whatever.
• 9:10
  Dr. Elliot Justin: So, and all those communications can go to you
• 9:12
  Dr. Elliot Justin: and/or go to your doctor,
• 9:14
  Dr. Elliot Justin: you know, as a manager of healthcare.
• 9:15
  Dr. Elliot Justin: So in the rest of medicine, we rely upon data.
• 9:18
  Dr. Elliot Justin: This is the 21st century.
• 9:20
  Dr. Elliot Justin: We don't treat blood pressure without a blood pressure cuff.
• 9:24
  Dr. Elliot Justin: We don't treat cardiac arrhythmias
• 9:26
  Dr. Elliot Justin: without electrocardiogram and other tests.
• 9:29
  Dr. Elliot Justin: We don't treat lipoprotein disorders
• 9:31
  Dr. Elliot Justin: without getting a lipoprotein level
• 9:33
  Dr. Elliot Justin: or anemia without getting a blood test.
• 9:35
  Dr. Elliot Justin: But in urology, in the area of sexual health,
• 9:38
  Dr. Elliot Justin: men are being treated without data
• 9:40
  Dr. Elliot Justin: and on the basis of just conjecture
• 9:42
  Dr. Elliot Justin: and subjective scoring systems.
• 9:44
  Dr. Elliot Justin: So this device takes urology and sexology for men
• 9:48
  Dr. Elliot Justin: into the 21st century of care that is objective,
• 9:52
  Dr. Elliot Justin: actionable, but most important, personal.
• 9:54
  Dr. Elliot Justin: There's no dumb mistakes that we doctors make.
• 9:56
  Dr. Elliot Justin: So we treat everyone as if they're one size fits all.
• 9:59
  Dr. Elliot Justin: Everyone has high blood pressure,
• 10:02
  Dr. Elliot Justin: whether the male, female, young, old,
• 10:03
  Dr. Elliot Justin: gets put on the same pill.
• 10:05
  Dr. Elliot Justin: That's stupid because we really want to treat people
• 10:10
  Dr. Elliot Justin: recognizing that they are individuals.
• 10:12
  Dr. Elliot Justin: So there are, so for example, in the area of sexual health,
• 10:16
  Dr. Elliot Justin: there are men who, I mean, you and I are in the same age
• 10:18
  Dr. Elliot Justin: category, we're pretty much,
• 10:22
  Dr. Elliot Justin: if we started testosterone placement therapy
• 10:24
  Dr. Elliot Justin: and wanted to use a device to monitor
• 10:26
  Dr. Elliot Justin: the impact of testosterone on our sexual health,
• 10:30
  Dr. Elliot Justin: you might start on the same dose,
• 10:32
  Dr. Elliot Justin: but we might respond differently.
• 10:34
  Dr. Elliot Justin: So that with the device, you can now see objectively,
• 10:38
  Dr. Elliot Justin: what is the right dose for me for therapy?
• 10:47
  Dr. Elliot Justin: We've discovered something else.
• 10:49
  Dr. Elliot Justin: I mean, this is really the big discovery.
• 10:51
  Dr. Elliot Justin: And it's looking back, it's really obvious,
• 10:55
  Dr. Elliot Justin: as often things are in medicine.
• 10:56
  Dr. Elliot Justin: You look back and think, why didn't we think of that?
• 10:59
  Dr. Elliot Justin: So one of the mistakes that doctors make,
• 11:01
  Dr. Elliot Justin: I guess it floats a lot upon doctors' mistakes today.
• 11:03
  Dr. Elliot Justin: One of the mistakes that doctors make is the academic doctors
• 11:08
  Dr. Elliot Justin: set the standards in healthcare.
• 11:10
  Dr. Elliot Justin: They see the sickest people in the clinical practices.
• 11:14
  Dr. Elliot Justin: So they are seeing, the urologists in particular,
• 11:16
  Dr. Elliot Justin: are seeing the men who struggle to attain an erection
• 11:20
  Dr. Elliot Justin: or can't attain an erection.
• 11:23
  Dr. Elliot Justin: And these men, in general, have significant cardiovascular
• 11:26
  Dr. Elliot Justin: problems.
• 11:26
  Dr. Elliot Justin: The pump, the heart's not getting enough blood
• 11:28
  Dr. Elliot Justin: into the penis, or the pipes that come out of the heart,
• 11:30
  Dr. Elliot Justin: the arteries are narrowed from atherosclerosis, hypertension,
• 11:34
  Dr. Elliot Justin: diabetes, not getting enough blood into the penis.
• 11:36
  Dr. Elliot Justin: And for these men, the treatment are the popular Viagra
• 11:40
  Dr. Elliot Justin: P5 medications because they open up the diarrhea,
• 11:43
  Dr. Elliot Justin: the arteries, they put more blood in the anus.
• 11:46
  Dr. Elliot Justin: But that's only about 10% to 12% of men.
• 11:49
  Dr. Elliot Justin: Those men are really dysfunctional.
• 11:52
  Dr. Elliot Justin: And in a moment, I'll get to men close to our age
• 11:55
  Dr. Elliot Justin: and their specific issues,
• 11:55
  Dr. Elliot Justin: but this is talking in general right now.
• 11:58
  Dr. Elliot Justin: Most men though, 85% of men who supposedly have ED,
• 12:03
  Dr. Elliot Justin: they get erections and they lose it.
• 12:06
  Dr. Elliot Justin: So their problem is different.
• 12:08
  Dr. Elliot Justin: Men who struggle to obtain an erection
• 12:09
  Dr. Elliot Justin: aren't getting enough blood in.
• 12:10
  Dr. Elliot Justin: But the men who get erections,
• 12:12
  Dr. Elliot Justin: they're getting enough blood in.
• 12:13
  Dr. Elliot Justin: They might have diabetes or hypertension,
• 12:14
  Dr. Elliot Justin: but they're still getting enough blood in their penis
• 12:16
  Dr. Elliot Justin: to get an erection.
• 12:18
  Dr. Elliot Justin: And then they lose the erection.
• 12:19
  Dr. Elliot Justin: It could be for a whole variety of reasons.
• 12:21
  Dr. Elliot Justin: One is, it could be psychosocial issues.
• 12:24
  Dr. Elliot Justin: You're not getting along with your partner.
• 12:26
  Dr. Elliot Justin: You're worried about paying the mortgage.
• 12:28
  Dr. Elliot Justin: Alcohol plays a role, obviously.
• 12:30
  Dr. Elliot Justin: So do recreational drugs, many people.
• 12:32
  Dr. Elliot Justin: And the medication side of it.
• 12:33
  Dr. Elliot Justin: Medications, the beta-hypertensives
• 12:36
  Dr. Elliot Justin: and the antidepressants that can also interfere
• 12:38
  Dr. Elliot Justin: with the ability to sustain erections.
• 12:41
  Dr. Elliot Justin: But there's, every erection ends
• 12:44
  Dr. Elliot Justin: with blood leaving the penis.
• 12:46
  Dr. Elliot Justin: So if you get an erection and your issue is
• 12:48
  Dr. Elliot Justin: that that erection's then, so to speak, fade,
• 12:51
  Dr. Elliot Justin: due to a venous leak, the answer is to put a ring on it.
• 12:54
  Dr. Elliot Justin: And I don't understand this,
• 12:55
  Dr. Elliot Justin: and the doctors don't understand this.
• 12:56
  Dr. Elliot Justin: So for the doctors, the first line treatment,
• 12:58
  Dr. Elliot Justin: because they're thinking about the men
• 12:59
  Dr. Elliot Justin: who can't struggle to attain an erection,
• 13:01
  Dr. Elliot Justin: is to get more blood into the penis, take a pill.
• 13:05
  Dr. Elliot Justin: But these men are already getting erections.
• 13:08
  Dr. Elliot Justin: So the answer for them is an erection ring.
• 13:12
  Dr. Elliot Justin: And the doctors are not thinking about erection rings
• 13:14
  Dr. Elliot Justin: for a variety of reasons.
• 13:15
  Dr. Elliot Justin: One, they've kind of got this bad notice
• 13:17
  Dr. Elliot Justin: because once they're currently made,
• 13:19
  Dr. Elliot Justin: pinch needs to be taken off at 20, 30 minutes.
• 13:23
  Dr. Elliot Justin: And because they're associated in our culture
• 13:25
  Dr. Elliot Justin: with the gay men or with fetish sex.
• 13:30
  Dr. Elliot Justin: So one of the issues that,
• 13:31
  Dr. Elliot Justin: one of the obstacles here is actually getting the doctors
• 13:33
  Dr. Elliot Justin: to change and think, hey, wait, before there's a pill or with a pill, there is now a non-pharmacological
• 13:39
  Dr. Elliot Justin: mechanical plumbing solution, if you will, to a leaky penis.
• 13:43
  Dr. Elliot Justin: The penis is leaking blood, which we still put, go into the gasket or an erection ring.
• 13:48
  Dr. Elliot Justin: So here's the difference between gay doctors and straight doctors, wait a minute.
• 13:51
  Dr. Elliot Justin: And we joke about this when we go to like the American Urology Association convention
• 13:54
  Dr. Elliot Justin: shows or the "Gospel Life in Sexual Medicine."
• 13:57
  Dr. Elliot Justin: I didn't tell the difference between a gay doctor and a straight doctor with one question.
• 14:01
  Dr. Elliot Justin: Or gay man or straight man.
• 14:04
  Dr. Elliot Justin: Do you use an erection ring?
• 14:06
  Dr. Elliot Justin: Gay doctor, "Oh yeah, last night, got a better one."
• 14:09
  Dr. Elliot Justin: Straight doctor, "Oh, I don't need that."
• 14:12
  Dr. Elliot Justin: They go right to the male private, "I don't need that."
• 14:15
  Dr. Elliot Justin: Well, what the data is clearly showing
• 14:18
  Dr. Elliot Justin: is that it's not about me.
• 14:19
  Dr. Elliot Justin: If you as a man, any man, wants to be more confident,
• 14:23
  Dr. Elliot Justin: stay harder longer, have more intense orgasm,
• 14:28
  Dr. Elliot Justin: an erection ring is a solution for most men.
• 14:31
  Dr. Elliot Justin: and then get an erection and then lose it.
• 14:33
  Dr. Elliot Justin: And that is a mind shift for the way in which we doctors
• 14:36
  Dr. Elliot Justin: approach this problem and for people, people in the public.
• 14:40
  Dr. Elliot Justin: So four years ago, if you had told me,
• 14:43
  Dr. Elliot Justin: you're gonna be recommending Cochrane's to people,
• 14:44
  Dr. Elliot Justin: I would have said, "Well, I don't, why would I do that?
• 14:46
  Dr. Elliot Justin: "I don't need that, they're uncomfortable."
• 14:48
  Dr. Elliot Justin: And now, I don't have sex with that one
• 14:51
  Dr. Elliot Justin: because I want the mechanical benefit of it
• 14:55
  Dr. Elliot Justin: and the pleasure benefit of it.
• 14:58
  Speaker 3: - Wow, I had no idea we'd be talking about all this.
• 15:04
  Dr. Elliot Justin: - Well, with all of us on the road,
• 15:07
  Dr. Elliot Justin: from what I call erectile fitness to rectal dysfunction.
• 15:13
  Dr. Elliot Justin: And I rather think about things positively for men.
• 15:16
  Dr. Elliot Justin: We are a fitness-focused culture.
• 15:18
  Dr. Elliot Justin: We no longer talk about women as being frigid,
• 15:23
  Dr. Elliot Justin: anorgasmic, hysteric, the way women were in the '70s
• 15:25
  Dr. Elliot Justin: and '80s, 'cause vibrators came along
• 15:27
  Dr. Elliot Justin: change the picture for women.
• 15:29
  Dr. Elliot Justin: And we should, you know, ED is something men don't want to talk about.
• 15:33
  Dr. Elliot Justin: It's kind of shameful.
• 15:34
  Dr. Elliot Justin: I mean, it's different.
• 15:34
  Dr. Elliot Justin: You know, and for most men, it's not about dysfunction.
• 15:39
  Dr. Elliot Justin: It's about having a problem, anus leak, that can be addressed with a simple,
• 15:44
  Dr. Elliot Justin: simply with mechanical solution and/or combination of pill.
• 15:47
  Speaker 3: - Now, isn't there an exercise solution?
• 15:51
  Speaker 3: Aren't there exercises that men can do that make them stronger there?
• 15:57
  Dr. Elliot Justin: >> That would be nice.
• 15:59
  Dr. Elliot Justin: Well, so you're talking about pelvic floor exercises.
• 16:02
  Dr. Elliot Justin: So it is important for a man to have one, or two exercises.
• 16:07
  Dr. Elliot Justin: One, you obviously want to be in relatively good cardiovascular shape
• 16:10
  Dr. Elliot Justin: because you don't want to get winded when you're having sex.
• 16:13
  Dr. Elliot Justin: And you also, in terms of the pelvic floor,
• 16:16
  Dr. Elliot Justin: especially for men who have had prostate surgery or urological surgery,
• 16:19
  Dr. Elliot Justin: the pelvic floor muscles can get weak or men are obese.
• 16:23
  Dr. Elliot Justin: So, strengthening the pelvic floor will give one stamina during sex.
• 16:29
  Dr. Elliot Justin: It will also improve the muscle tone of the muscles that are involved,
• 16:36
  Dr. Elliot Justin: the contractions we experience with orgasm, pubic fasciitis muscle, PCG muscle.
• 16:41
  Dr. Elliot Justin: But exercises are a skeletal muscle function.
• 16:46
  Dr. Elliot Justin: Those are the muscles that we can control, squeeze on our own.
• 16:51
  Dr. Elliot Justin: But orgasms and arousal and orgasms are largely a smooth muscle function.
• 16:58
  Dr. Elliot Justin: And you can't go to the gym and work out just smooth muscles.
• 17:00
  Dr. Elliot Justin: The only way to work out just smooth muscles is by having sex.
• 17:04
  Dr. Elliot Justin: So I'll draw an analogy to gastrointestinal system.
• 17:07
  Dr. Elliot Justin: Raymond, if you and I right now were to go on a fast because we're outraged by some political situation, whatever,
• 17:14
  Dr. Elliot Justin: and then a month from now we start eating regular food again,
• 17:18
  Dr. Elliot Justin: If we went to a three-star restaurant to celebrate, we would get sick because the smooth muscle
• 17:23
  Dr. Elliot Justin: around our esophagus has a sense of atrophy.
• 17:25
  Dr. Elliot Justin: The same thing happens to men, especially men as they get older, if they don't have
• 17:30
  Dr. Elliot Justin: orgasms.
• 17:31
  Dr. Elliot Justin: It is use it or lose it, especially for men up in our age bracket.
• 17:35
  Dr. Elliot Justin: A lot of men, a typical customer of ours is often a man in his 70s who is either widowed
• 17:44
  Dr. Elliot Justin: or divorced and then wants to resume relations in his 70s,
• 17:48
  Dr. Elliot Justin: but hasn't been exercising the smooth muscle
• 17:51
  Dr. Elliot Justin: and then struggles to get directions,
• 17:53
  Dr. Elliot Justin: not because it was hard,
• 17:55
  Dr. Elliot Justin: necessarily because it was hard, not working,
• 17:57
  Dr. Elliot Justin: but because he has not used those smooth muscles in a while.
• 18:00
  Dr. Elliot Justin: So we doctors should be recommending orgasms to men,
• 18:04
  Dr. Elliot Justin: especially men as they age.
• 18:07
  Speaker 3: - Wow, right in prescription.
• 18:13
  Dr. Elliot Justin: Give me your address and I'll send you one.
• 18:15
  Dr. Elliot Justin: So, and I was, you know, again, these things are,
• 18:18
  Dr. Elliot Justin: are new to me too.
• 18:19
  Dr. Elliot Justin: I mean, you know, these are discoveries.
• 18:21
  Dr. Elliot Justin: This is, you know, three or four years ago,
• 18:23
  Dr. Elliot Justin: I was really unaware of one, the value of rings.
• 18:27
  Dr. Elliot Justin: Two, obviously there was no data whatsoever.
• 18:30
  Dr. Elliot Justin: So, you know, Raymond, a man your age
• 18:32
  Dr. Elliot Justin: should want to know their data,
• 18:33
  Dr. Elliot Justin: not just for their sexual health,
• 18:35
  Dr. Elliot Justin: but for your cardiovascular health.
• 18:37
  Speaker 3: - Yes.
• 18:38
  Dr. Elliot Justin: - And we have, I think our oldest,
• 18:41
  Dr. Elliot Justin: oldest customer is 84 years old.
• 18:44
  Dr. Elliot Justin: And what he discovered was that,
• 18:48
  Dr. Elliot Justin: one, his heart data was good.
• 18:50
  Dr. Elliot Justin: He was having 2.7 nocturnal erections per night.
• 18:54
  Dr. Elliot Justin: And we'll get to the average numbers in a second.
• 18:57
  Dr. Elliot Justin: But he needed the ring.
• 18:59
  Dr. Elliot Justin: He would get erections,
• 19:00
  Dr. Elliot Justin: and he and his wife would try to have relations.
• 19:02
  Dr. Elliot Justin: His erections would fade.
• 19:03
  Dr. Elliot Justin: And the ring took that problem away.
• 19:05
  Dr. Elliot Justin: 'Cause the ring now keeps in part.
• 19:08
  Dr. Elliot Justin: Because as we get older,
• 19:09
  Dr. Elliot Justin: Our smooth muscle around our veins gets weak.
• 19:12
  Dr. Elliot Justin: And it's like-- so for example, Raymond, I don't know about you,
• 19:16
  Dr. Elliot Justin: but if I get on a plane for five or six hours,
• 19:19
  Dr. Elliot Justin: my ankles swell a little bit, my rings get a little bit tight
• 19:21
  Dr. Elliot Justin: because the smooth muscle around my veins
• 19:24
  Dr. Elliot Justin: isn't pumping blood back to my heart the way it used to.
• 19:26
  Dr. Elliot Justin: And the smooth muscle around the veins of the penis gets weak.
• 19:29
  Dr. Elliot Justin: It means that the blood leaves the penis faster.
• 19:32
  Dr. Elliot Justin: So here's what-- the doctors know
• 19:37
  Dr. Elliot Justin: that the incidence of rectal dysfunction goes up 10% per decade after age 45, 50.
• 19:42
  Dr. Elliot Justin: So at my age, it's 70%.
• 19:44
  Dr. Elliot Justin: By your age, it's 80%.
• 19:46
  Dr. Elliot Justin: It's trending to 80%.
• 19:49
  Dr. Elliot Justin: And we all, of course, we'd all like to be one of those guys who's not part of the trend,
• 19:54
  Dr. Elliot Justin: basically.
• 19:56
  Dr. Elliot Justin: So the doctors were thinking, again, that as that happened, the number of nocturnal
• 20:00
  Dr. Elliot Justin: erections would go down, and the hardness of sex erections would go down.
• 20:05
  Dr. Elliot Justin: not seeing that in this large data set until men are in the late 60s, early 70s.
• 20:10
  Dr. Elliot Justin: And even then, it doesn't go down enough that would interfere with, that the deterioration
• 20:18
  Dr. Elliot Justin: of sexual performance is due to either heart failure or arterial failure.
• 20:21
  Dr. Elliot Justin: Failure appears to be on the venous side of the circulation, and the answer is a ring.
• 20:26
  Speaker 3: When you say ring, there's two rings you're talking about.
• 20:29
  Speaker 3: One is the hard ring during sex that you wear for only a short period of time, and the other
• 20:35
  Speaker 3: is your invention, the soft ring, that you wear overnight to find out how many erections
• 20:40
  Speaker 3: you have overnight.
• 20:42
  Dr. Elliot Justin: >> Right, but the tech ring, the overnight ring, can also be used during sex.
• 20:45
  Dr. Elliot Justin: They can measure how hard you are, how long you last during sex.
• 20:49
  Dr. Elliot Justin: It doubles as both a diagnostic aid, but also as an erection ring to sustain erections.
• 20:56
  Dr. Elliot Justin: We make two other rings, the maximum performance ring and the performance ring.
• 21:00
  Dr. Elliot Justin: We make them without the technology and they're designed just to sustain erections.
• 21:07
  Dr. Elliot Justin: There are other products from other companies that work fairly well.
• 21:10
  Dr. Elliot Justin: I think that lasso rings are a less expensive alternative to our product.
• 21:18
  Dr. Elliot Justin: They're more comfortable, but they work.
• 21:24
  Dr. Elliot Justin: The tech ring could be worn for both purposes.
• 21:27
  Dr. Elliot Justin: Our TofSeller, which is a maximum performance ring, was specifically designed to intensify
• 21:32
  Dr. Elliot Justin: a man's orgasms.
• 21:33
  Dr. Elliot Justin: No other ring has been designed for that purpose.
• 21:35
  Dr. Elliot Justin: How do we do that?
• 21:39
  Dr. Elliot Justin: Women have vibrators and men have nothing.
• 21:43
  Dr. Elliot Justin: My thought was by putting the right amount of pressure over the urethra to prolong the
• 21:48
  Dr. Elliot Justin: ejaculatory phase, we can produce more intense orgasms for a man.
• 21:53
  Dr. Elliot Justin: With a maximum performance ring, my ejaculatory phase goes from four seconds to seven seconds.
• 21:57
  Dr. Elliot Justin: And that is an incredible orgasm.
• 21:58
  Dr. Elliot Justin: I feel, my wife jokes that it's like I'm 16 years old again.
• 22:03
  Dr. Elliot Justin: And she's, I'm noisy for the first time.
• 22:05
  Dr. Elliot Justin: She says she's glad the kids are out of the house.
• 22:08
  Dr. Elliot Justin: So I think men need to overcome
• 22:13
  Dr. Elliot Justin: the sort of resistance to erection rings.
• 22:18
  Dr. Elliot Justin: You and I are old enough to remember back in the 70s, 80s
• 22:22
  Dr. Elliot Justin: before Dr. Ruth came along,
• 22:24
  Dr. Elliot Justin: that vibrators were not that popular among women
• 22:28
  Dr. Elliot Justin: because there's concern about women
• 22:30
  Dr. Elliot Justin: being vibrator dependent.
• 22:32
  Dr. Elliot Justin: And now they're normal.
• 22:33
  Dr. Elliot Justin: Everyone has one.
• 22:34
  Dr. Elliot Justin: - Right.
• 22:35
  Dr. Elliot Justin: - And I just, and I think the male attitude
• 22:37
  Dr. Elliot Justin: towards erection rings is kind of similar.
• 22:39
  Dr. Elliot Justin: It's like similar.
• 22:40
  Dr. Elliot Justin: Well, I don't know.
• 22:41
  Dr. Elliot Justin: I've had guys actually tell me,
• 22:42
  Dr. Elliot Justin: well, now I'm dependent upon it.
• 22:43
  Dr. Elliot Justin: Well, you're not dependent upon it, really.
• 22:45
  Dr. Elliot Justin: You're performing better.
• 22:46
  Dr. Elliot Justin: You know, why would you want to, you know,
• 22:49
  Dr. Elliot Justin: it's like saying I'm dependent upon my running shoes.
• 22:51
  Dr. Elliot Justin: When I go outside to run,
• 22:52
  Dr. Elliot Justin: I don't want, I should be running barefoot, right?
• 22:54
  Dr. Elliot Justin: Should we do it in naturals, like my ancestors?
• 22:57
  Dr. Elliot Justin: So I, the take, again, the takeaway,
• 23:01
  Dr. Elliot Justin: what the data is showing is that if a man wants to,
• 23:04
  Dr. Elliot Justin: and including men our age, men our age category,
• 23:07
  Dr. Elliot Justin: if you want to be more confident,
• 23:10
  Dr. Elliot Justin: rock harder, last longer, put a ring on it.
• 23:14
  Speaker 3: - Put a ring on it, great ending.
• 23:16
  Speaker 3: So please tell me, how can I,
• 23:19
  Speaker 3: and how can my subscribers find out more?
• 23:22
  Dr. Elliot Justin: Sure. You go to myfirmtech, N-Y-F-I-R-M-T-C-H dot com.
• 23:29
  Dr. Elliot Justin: Click on our science section.
• 23:30
  Dr. Elliot Justin: You can see the research that's being done with the device.
• 23:34
  Dr. Elliot Justin: This is not just some sex toy.
• 23:36
  Dr. Elliot Justin: We are using this device to challenge, question,
• 23:40
  Dr. Elliot Justin: everything that's being recommended to men
• 23:42
  Dr. Elliot Justin: about their sexual health.
• 23:43
  Dr. Elliot Justin: Shockwave therapy, testosterone replacement therapy,
• 23:46
  Dr. Elliot Justin: pee shots, Botox injections, pillow floor exercises,
• 23:51
  Dr. Elliot Justin: Pd5 medication, dosages, all these things
• 23:53
  Dr. Elliot Justin: are now being investigated independently
• 23:55
  Dr. Elliot Justin: by researchers around the world
• 23:56
  Dr. Elliot Justin: to see what really works and what doesn't work.
• 24:00
  Dr. Elliot Justin: If you're interested in speaking with me personally,
• 24:04
  Dr. Elliot Justin: I answer pretty much,
• 24:05
  Dr. Elliot Justin: I answer everything within about 72 hours.
• 24:07
  Dr. Elliot Justin: Reach me at Elliot, E-L-L-I-O-T @myfirmtech.com.
• 24:13
  Speaker 3: - So My Firm Tech is M-Y F-I-R-M Tech,
• 24:21
  Speaker 3: - Correct.
• 24:22
  Speaker 3: - You can be reached at Elliot, E-double-L-I-O-T, at myfirmtech.com.
• 24:28
  Speaker 3: - That's right.
• 24:29
  Speaker 3: - Wow.
• 24:30
  Speaker 3: Thank you.
• 24:32
  Speaker 3: Thank you, thank you, thank you.
• 24:34
  Dr. Elliot Justin: - Well, thank you.
• 24:34
  Speaker 3: - What a fascinating interview.
• 24:37
  Dr. Elliot Justin: - Excellent.
• 24:38
  Dr. Elliot Justin: Glad you enjoyed it.
• 24:39
  Speaker 3: - Okay.
• 24:43
  Speaker 4: - Wow.
• 24:44
  Speaker 4: I sure hope you enjoyed that fascinating episode.
• 24:47
  Speaker 4: Please make sure you subscribe.
• 24:49
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• 24:49
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• 24:51
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• 24:53
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• 24:57
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• 25:00
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• 25:02
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• 25:05
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• 25:07
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