Latest / Come Together with Ephraim Herschmann / Science Series 5: Larry Sherman / Understanding Alzheimer’s, MS, Parkinson’s / Music & the Brain
Transcript
- 0:01Welcome to another episode of Come TOGETHER.
- 0:15We're Live. Doctor Larry Sherman, Welcome.
- 0:17How are you? Great.
- 0:19Great to see you. Great to see you too.
- 0:21We are going to have so much fun I want to dive right into it.
- 0:25I had a whole list of your credentials, but I wanted to
- 0:33talk to you. The reason I reached out to you
- 0:35was to talk about neurodegenerative diseases.
- 0:38And I did see that on your, on your page.
- 0:40I forgot whether it was your website or university page that
- 0:43you that you also studied music in the brain.
- 0:45And so I wanted to talk about that as well.
- 0:48But why don't you, you know, you just told me about two seconds
- 0:51off air. But tell me a little bit about
- 0:54the main research that you do. And we kind of break that down
- 0:56from there. Sure.
- 0:58So I went a research laboratory out at the Oregon National
- 1:02Primate Research Center and at Oregon Health and Science
- 1:04University, which is a medical school in Oregon, in Portland,
- 1:07OR. And I'm a professor there.
- 1:10And my, my lab is focused on understanding ways to repair the
- 1:14brain or protect the brain in people with diseases like
- 1:18multiple sclerosis and Alzheimer's disease or other
- 1:21forms of dementia. We made a, a really interesting
- 1:25discovery back in 2000 and, and five where we found that this
- 1:30molecule, you might have heard of it, hyaluronic acid.
- 1:33And you watch any face cream commercial, they always say they
- 1:36add hyaluronic acid to it. And hyaluric acid, it's just a
- 1:40big old sugar molecule and people have been injecting it
- 1:45into joints for arthritis. Actually the number one
- 1:48commercial use of it was in race horses.
- 1:50Interestingly, after races they it's actually reduces the
- 1:53inflammation. But some more horse medicine.
- 1:57Yeah, yeah. This is not Intermectin trust.
- 2:00Me. Yeah, yeah, yeah.
- 2:02But but so it turns out, you know, when you have any kind of
- 2:05injury anywhere in your body, this molecule builds up as a
- 2:09protective response, right? It's anti-inflammatory.
- 2:11It kind of, you know, keeps the the tissues in in check.
- 2:15The brain is really bad about getting junk out of it itself.
- 2:19And so this happens in the brain too.
- 2:21But if it keeps happening, this molecule it, it accumulates to
- 2:26excess. There's too much of it.
- 2:28And then the cells around these areas where there's damage
- 2:31actually make an enzyme, it's called a hyaluronic dace, which
- 2:34chews up the hyalic acid. And what we figured out over
- 2:37years is that these little pieces of hyalic acid that get
- 2:41chewed up feedback on the cells and tell them not to do their
- 2:44jobs. And so, and that's probably a
- 2:48protective response over time. Who knows why, but but we found
- 2:53out that if you block that enzymes activity that higher in
- 2:56a days, we can actually see repair in the brain, which is
- 2:59really amazing. And so for patients with Ms.,
- 3:02it's mostly about a substance called myelin.
- 3:07Myelin is, it's this kind of fatty protein substance that
- 3:11wraps around nerve cells like an insulation, like on a wire.
- 3:16But it really it's main function is to make everything go faster.
- 3:19I lived in Germany for 3 1/2 years, so I was referred
- 3:22everything relative to the Autobahn where there's no speed
- 3:24limit. So if you have myelin and your
- 3:27nerve cells, it's like driving on the Autobahn at midnight when
- 3:29there's no traffic and you can go 200 miles an hour and no
- 3:32one's going to stop you. And if you lose your myelin,
- 3:35it's like driving on pick your favorite freeway to drive on at
- 3:38rush hour, lucky to be going two hour 2 mph, right?
- 3:44And so you can imagine what that means for our brains because our
- 3:47brains have all these different parts to them.
- 3:49And you have to have very high speed connections between all
- 3:52these different parts of the brain to make it work, right?
- 3:54Right. So people that Ms. their immune
- 3:57system is attacking their own myelin and stripping it off of
- 4:00these cells. And so now these different areas
- 4:03are. Attacking their their brains.
- 4:05Yeah, they're attacking their brains.
- 4:06Yeah. So, so, so that's so the result
- 4:09is now these areas, it's like you've got all these areas that
- 4:11are supposed to be moving on the Audubon, and all of a sudden
- 4:14it's like you're they're not moving at all, or they're moving
- 4:16at 2 miles an hour. And so now movement is affected,
- 4:21feelings are affected, being able to see all these things are
- 4:24affected and even even learning a memory can be affected.
- 4:27Yeah. So what we found out is that if
- 4:29we block this higher on a dace activity, we can actually get
- 4:32some of the myelin to come back. And maybe it's not getting you
- 4:35out of the Autobahn, but maybe it's getting you up to legal
- 4:38speed limits in the state of Florida, so.
- 4:41I see, OK, there's I have a lot of follow up questions, but that
- 4:45was that was that was an awesome introduction to this.
- 4:48To be clear at the beginning, right, you said so the way that
- 4:53the problem begins is by our body's immune system, our
- 5:00natural immune system, whose job it is to attack potentially
- 5:03dangerous cells. Every time that it functions,
- 5:07some of it makes its way to the brain.
- 5:09Is that what you said? So, yeah, our immune system and
- 5:14people that mess, OK, what's happening is your immune system
- 5:19is, it's supposed to be attacking foreign things, right?
- 5:21Like bacteria, infections or viral infections, right?
- 5:25And in this case, for some reason that we still, we're not
- 5:27entirely sure about a people with MS. what's happened is
- 5:31their immune system has decided that their myelin, which is this
- 5:34really important substance in the brain, is a foreign body.
- 5:37It's not supposed to be there. I see.
- 5:40And so it's getting into this, immune cells are getting into
- 5:42the brain and attacking the person's own myelin that's and
- 5:47someone. Someone whose brain is but but
- 5:49but everyone's brain has myelin in it because anyone whose whose
- 5:53immune system is working means that they have to have a mile a
- 5:55certain amount of myelin in the brain, period.
- 5:58Right. And if your immune system is
- 5:59working right, it's not attacking your myelin, right?
- 6:01That's one of these. It's an autoimmune disease.
- 6:03It's your immune system attacking you as opposed to
- 6:06attacking things that shouldn't be there.
- 6:07Crazy, crazy. So it's interesting.
- 6:10It doesn't sound, you know, the way that I've heard, for
- 6:12example, diseases like dementia or Parkinson's is like the
- 6:16connection between the our brain is faltering, is my
- 6:22understanding, the connections kind of dissolving.
- 6:24This isn't so much that the connection dissolving as much as
- 6:26they're slowing down communication almost to a halt,
- 6:30right? Right.
- 6:31So that's a different thing and but there is a longer term
- 6:33consequence of that. So it turns out one of the other
- 6:36things that myelin does is it keeps those neurons, the nerve
- 6:39cells healthy. So over time, what happens in
- 6:42Ms. patients is I see the neurons start to die.
- 6:46And so now you do start to lose all these connections, and
- 6:48that's a real problem. So that's where the
- 6:50neurodegeneration comes in. Exactly.
- 6:52The brain is attacking the protective part of the neurons
- 6:55or the body. Yeah.
- 6:56The wow, Yeah, wow. Now it, now in Alzheimer's,
- 7:00what's happening is, and, and you mentioned Parkinson's.
- 7:03I mean, Parkinson's is really interesting because it's really
- 7:05selective neurons that are dying mostly it's so-called
- 7:09dopaminergic neurons, which are, you know, important for ulcer
- 7:13movement, coordination and everything else, among a lot of
- 7:15other things that we don't talk about with Parkinson's patients,
- 7:18but that they also experience. And in Alzheimer's though, it's,
- 7:21it's even broader. It's, it's more lots of
- 7:23different nerve cell centers where the nerves are really
- 7:25dying off. And now my own research on on
- 7:29Alzheimer's about the hyrinic acid is we, we see the changes
- 7:32in myelin happening in Alzheimer's patients too.
- 7:35So this protects the substance, but now it's, it's just damage
- 7:39to the neurons and myelin is going away because of the damage
- 7:42associated associated with the neurons, but it's not coming
- 7:45back after the damage the way it does and other diseases.
- 7:49But in addition, what we figured out was that hyrinic acid
- 7:53actually helps protect blood vessels in the brain.
- 7:58And, and what's amazing we think is that the reason it's doing
- 8:02that is, is it's responding to some sort of long term
- 8:05inflammation, all the other things that we do to our bodies,
- 8:08long term hypertension, all these things.
- 8:10And eventually again, the cells want to clear that stuff out
- 8:14with these higher endidases. And So what we're finding is
- 8:18that this higher endidase activity may lead to leaky blood
- 8:22vessels in the brain, basically because the cells are dying in
- 8:25the tiny little blood vessels. And so we may have a second
- 8:29benefit of blocking this activity by protecting the
- 8:32brain's. Blood vessels, I'm sorry.
- 8:34And leaking blood vessels in your brain could lead to strokes
- 8:40or God forbid, or blood. What's the consequences of that?
- 8:44So, so, yeah, in a big sense, for the bigger vessels, yeah,
- 8:47that's a stroke. For these tiny little vessels,
- 8:50though, they're more like a little tiny, tiny mini strokes
- 8:52that you probably don't even notice.
- 8:54But over time, as those pile up, and now you add to that the
- 8:58things that happened in Alzheimer's, which are these
- 9:00things called plaques in these two angles, and you put all that
- 9:04together, that's when you really have a problem.
- 9:06That's because it's not just the plaques and tangles, it's not
- 9:08just the vasculature, It's that combination that seems to be
- 9:12read. Hey everyone real quick if
- 9:14you're enjoying the show, click subscribe and rate the show. 5
- 9:17stars helps a ton. Thanks so much.
- 9:20Really driving dementia so. Wow, wow, wow.
- 9:24OK, that's crazy. That's all, that's all.
- 9:28And and I guess this process can begin.
- 9:32Is it this process happened quickly?
- 9:34Does it happen over the course of time?
- 9:36Because I know, for example, actually, and is a pretty crazy
- 9:39story. I know someone from college who
- 9:42I think when we were 25 married a 35 year old girl.
- 9:45And I think within a couple, I, I think within a couple of years
- 9:50she was diagnosed with MSI. Thought that.
- 9:52And, and my previous association with Ms. was that it manifests
- 9:55in people's sixties, 70s. You know, I didn't realize that
- 9:59it happened that early. Yeah, I mean, people in their
- 10:0220s and there's even, you know, there's pediatric forms as well.
- 10:05But wow, really? And this is a disease that,
- 10:08sadly, even today, you don't really know you've had it until
- 10:12you've had it for a while. I met the actress Terry Garr
- 10:16years and years ago who had Ms. And she was telling me how, you
- 10:22know, she was hanging out at a party one time, and she woke up
- 10:25the next morning and she had a real weakness in her arm and was
- 10:30about to go to the doctor. And then it got better.
- 10:32So she didn't go. And then a few years later, it
- 10:35happened again. And this time it lasted a
- 10:37longer. She still didn't go to her
- 10:38doctor. And then finally, like 10 years
- 10:41later, she had this attack where she's really not feeling well.
- 10:44She finally went to the doctor and they finally got diagnosed.
- 10:48So by the time she was diagnosed, she'd already had
- 10:51this disease for a decade. And she was in her 30s, you
- 10:55know, her late 30s and, and and she was trying to hide it from
- 10:57people, too, because in Hollywood, you know, people with
- 11:00disability not to get jobs. Yeah.
- 11:03But but yeah, she said, she's really had a lot of disability
- 11:06long before she even got diagnosed.
- 11:09Wow, wow, wow, that's OK. That's crazy.
- 11:19And I guess it gets worse over time.
- 11:21And at a certain point you can't, you can't fight it,
- 11:23right. And the only, the only reason
- 11:25why I think why, why the story strikes so is because on one
- 11:28hand, it feels like every time that anything happens, you know,
- 11:32I mean, I'm 30 and like, my back is just starting to, you know,
- 11:34hurt me more often. Or, you know, I'm getting more.
- 11:36Taking a little longer to recover.
- 11:39I'm at the age where when I wake up and I feel all the pains in
- 11:41my body thinking I'm still alive because I know the pains there.
- 11:46But, you know, you never know whether to take, you know, what
- 11:49to take seriously or not. You know, and like, I guarantee
- 11:52you that I've woken up with, you know, pins and needles or
- 11:54something weird happening. Like, I don't know, that's
- 11:56weird. I just kind of get up and I
- 11:57forget about it and like years between episodes would even
- 12:01imagine is like you can't even connect them necessarily.
- 12:03No, no, absolutely not. That's actually, that's
- 12:06absolutely right. And and that's the thing.
- 12:08So the cool thing about Ms. now, compared to when I started this
- 12:12research, we used to have like one or two drugs and I've got
- 12:14over 20. Yeah.
- 12:16And these drugs are great because what they're doing is
- 12:19they're stopping your immune system from getting into your
- 12:21brain, right? So they, they really slow down
- 12:23the progression of the disease. So people are living longer and
- 12:26better than MSL than they have ever before, but we still
- 12:31haven't addressed the ability to repair that damage that happened
- 12:34leading up to where they are now.
- 12:36And so that's what my lab is trying to figure out, and that
- 12:38for both Ms. and Alzheimer's. Why has that been so
- 12:41challenging? So, you know, the brain is kind
- 12:47of is, we still don't know as much about the brain as we do
- 12:51about other organs. And that's because the brain is
- 12:54this amazing computer and there are so many, you know, think
- 12:59about the billions of cells and trillions of connections between
- 13:02cells and that brain and all the ways, different ways that it
- 13:05works. And you know, it's funny because
- 13:08I talk to my students and they're like, you know, what's
- 13:10the most surprising thing to you right now about research?
- 13:14And I said, well, when I was where you are, we didn't know
- 13:17anything that we know right now. And it was All Star Trek.
- 13:19It was all like, you know, this is, this is like science
- 13:22fiction. And now it's like, Oh my gosh,
- 13:23we can actually, we may actually be able to cure some of these
- 13:26neurological diseases, you know, which is incredible.
- 13:29We have proof of concept that that's true from various
- 13:31experiments and model systems, right?
- 13:33So, so that, but that's been a challenge because there's so
- 13:39many things we still don't quite understand to the point where
- 13:41we're going to have an effective therapy.
- 13:43I'm actually giving a talk, a public talk about the history of
- 13:46Alzheimer's disease. And I talked with and it starts
- 13:50in ancient Sumatra from these old tablets they found
- 13:53describing elderly people who have these symptoms that are
- 13:57very unusual. And it's it's Alzheimer's
- 13:59disease. And then we had nineteen O 6
- 14:02when Alzheimer himself made these initial observations about
- 14:05what was happening. And so we took all that
- 14:08information, did all this modeling looked good, and then
- 14:12we took it to the patients and lo and behold, it didn't work.
- 14:15And the reason is we there were things we just fundamentally
- 14:17didn't know yet. And we made assumptions based on
- 14:20what we knew and, and what all that told us is that we need to
- 14:24know more. And that's how science works.
- 14:27So we're getting better. We're getting better, but we're
- 14:30not there yet. We are, we are.
- 14:32I mean, and you know, I've talked about this a bunch and
- 14:36everyone in the world is pretty much talking about it.
- 14:37But you know, the, the, our ability to be able to access
- 14:40information nowadays is going to is so dramatically different
- 14:44overnight. You know, I mean, I, I'll, I'll
- 14:46tell you that, you know, the part of the way that might go by
- 14:49my podcast, for example, is I use AI to help me find guests,
- 14:53right? But I want to talk to, you know,
- 14:5410 people about the brain and music or the brain, you know,
- 14:57the history and you know, economics, whatever.
- 15:00And please find accessible people that you know, have given
- 15:03public talks and have the emails available online, right?
- 15:06That, that process in of itself to find 10 people to reach out
- 15:10to two years ago, what took me hours and hours and hours a
- 15:15week, and now I am reliably finding, you know, top quality,
- 15:19really great guests in a matter of minutes and just the amount
- 15:23of efficiency of wedding out information sorting through data
- 15:27is just so incredible. I'm, I, I feel like we
- 15:31definitely I, I, you know, my, my opinion with a lot of
- 15:34technology today is that we're so far past where we've been
- 15:40cabled. We're able to implement at the
- 15:42moment and like all of this is like waiting for us to just like
- 15:46decide as a world to like pick it up and start using it, but
- 15:48like it's all just sitting there in front of us.
- 15:50Well, in my field, I'm just in my career time, you know, it's
- 15:54been incredibles watching how things have progressed.
- 15:56I mean, you mentioned information processor, just
- 15:58finding people or finding information.
- 16:00So when I was in Graduate School, I had to go to the
- 16:03library and we had these monthly books that were like this thick
- 16:06and the paper was onion skin thin.
- 16:09And the text was like 8 point text, right?
- 16:13And you had to go through and like look up subject, your area
- 16:16of subject and like find the papers that were recently
- 16:18published in your subject. And then you went to the library
- 16:20and you made photocopies of the articles and you brought them
- 16:23home and you highlighted them with a pen.
- 16:25Now you just type it into the computer.
- 16:26It likes gives you the list and it actually downloads the papers
- 16:29for you. And then it highlights the areas
- 16:31that are interesting. So it's, it's completely
- 16:33different. And then the technology for what
- 16:35we do in my lab, you know, like things that when I was in school
- 16:38that would take me a week to do, I can do in 30 minutes now.
- 16:41So we're now we're kind of where the compute in the
- 16:44biotechnology, we're kind of now in that spot where it's
- 16:47exponentially growing, kind of where the computer, it's kind of
- 16:50where computer industry was 20 years ago.
- 16:52So we're like at the point where it's like discoveries that used
- 16:55to take years, now we're taking months.
- 16:57And soon it's going to be weeks and then it's going to be days.
- 17:00It's, it's remarkable. It's an incredibly exciting time
- 17:03So long as like our funding and infrastructure actually stays in
- 17:06place where I think we're going to be able to make some amazing
- 17:09discoveries. Yeah, and I think it's part of
- 17:11the reason why it's being slow rolled.
- 17:12It's because our friendly infrastructure needs to keep up
- 17:15with it. I mean, whether you're in, you
- 17:18know, South Florida, like where I am now, or even in when I was
- 17:21living in Seattle 5-6 years ago, you know, I mean, I, you know,
- 17:24Seattle was not prepared. The infrastructure was not
- 17:26prepared for the amount of people that were living there.
- 17:28And I know this from driving around and local parking and,
- 17:31you know, these two way streets that have absolutely no business
- 17:34being two way streets there. And, you know, and, and like, on
- 17:37one hand, you know, it's, it definitely adds the charm.
- 17:40It's fun that the city is packed.
- 17:41It's fun that people are always on foot.
- 17:43But you can see that the, you know, we, it could have used
- 17:45some slow rolling before Microsoft and Boeing and
- 17:48Starbucks and everyone, you know, and everyone just popped
- 17:50up overnight, not overnight, but seemingly overnight.
- 17:53And, and yeah, that's really amazing.
- 17:57So now that we understand a little bit about Parkinson's and
- 18:00Alzheimer's and Ms., first of all, is Ms. or all these
- 18:04diseases rather, are they purely genetic or can they be caused by
- 18:09environmental factors? That's a really good question.
- 18:13So it depends. They're all different.
- 18:16And the answer for that is different for each of those
- 18:18diseases and for any neurological disease or any
- 18:20disease in general. So genetics plays a part at so
- 18:25many different levels, right? So there's just the sequence of
- 18:29your genes, right? The little four letter code, and
- 18:33some people have subtle changes in that for a little letter code
- 18:36that makes genes more or less efficient in what they do.
- 18:40And so for Ms. for example, there's some data now suggesting
- 18:44that people with MS. have a genetic liability to get Ms. And
- 18:49by liability, I mean they have a subtle change in some genes in
- 18:53their immune system in particular probably maybe some
- 18:57subtle changes in genes and the cells in their nervous system
- 19:00that if something else happens, they're going to get Ms. whereas
- 19:05if other people had that something else happened, it
- 19:07wouldn't make a difference. So more.
- 19:09Trigger happy? What's that?
- 19:12So more trigger happy. More trigger happy.
- 19:14Yeah. So, OK, so the trigger actually
- 19:16then for people who have that genetic liability, there's been
- 19:20a lot of different suggestions of what that might be.
- 19:22But one of the leading suggestions right now is a virus
- 19:26called Epstein Barr Virus. Now why do I know?
- 19:30Why do I know that name? I'll tell ya.
- 19:32So for, for one thing, Epstein Barr virus, 100% of humans at
- 19:37some point in their life where we're going to get infected with
- 19:39Epstein Barr virus, right? For the vast majority of us,
- 19:42it's a cold. For a small number of us, it's
- 19:46mono mononucleosis, the kissing. Disease, right?
- 19:50So, so and so why do some people get mononucleosis and some
- 19:54people get a cold? Well, it's again, genetics
- 19:58probably. It may be just the state of your
- 20:00immune system at the time that you got infected.
- 20:02It may be the age you got infected.
- 20:05All these things together may impact that.
- 20:07Now for it turns out for an even smaller number of us, there are
- 20:12certain cancers that are related to Epstein Barr virus infection
- 20:16and Ms. So, so if you have that specific genetic liability and
- 20:22it may be more than one gene, it may be multiple genes.
- 20:25That are altered and then you get this Epstein Barr virus
- 20:28infection at some specific point in your life that means you're
- 20:32being triggered to get Ms. So that's Ms. right.
- 20:35That's a very kind. And the reason Ms. is not I mean
- 20:38about a million people in the US get Ms. but that's not a really
- 20:44common disease. But it's it's pretty common.
- 20:46But it's it's still you have to have these multiple things
- 20:48happen to get it. So it's not as common as other
- 20:50things. In the case of Alzheimer's,
- 20:54there's a small proportion of people with Alzheimer's who have
- 20:57an actual mutation in a gene or, or or a different couple couple
- 21:01of genes. And those people tend to have
- 21:03this very aggressive early onset form of Alzheimer's.
- 21:06So that's that's different than the Alzheimer's that people get
- 21:10starting in their 70s and 80s or 60s even is that.
- 21:14What Robin Williams had, because I know that he, he got a fairly
- 21:17young age, I think, right, I mean.
- 21:19So Robin Williams actually had a, what we think we think was a
- 21:24combination of Parkinson's and something called Lewy body
- 21:27disease, is my understanding. That's that's a little different
- 21:31again. And Lewy body disease is
- 21:33something that often goes hand in hand with Parkinson's,
- 21:35interestingly, and we don't entirely understand why, but for
- 21:40these Alzheimer's patients, yeah.
- 21:41So there's a small percentage of them get early onset Alzheimer's
- 21:44and that seems to be a genetic disease almost purely that's
- 21:47genetic, although there's other factors there too.
- 21:51For the majority of us though, as I mentioned, it's a
- 21:53combination of having maybe hypertension your whole life and
- 21:57or diabetes and then having a little bit of genes that are
- 22:02predisposing you towards this. Now you put all that together
- 22:05and you get someone who's got what we call dementia, and that
- 22:09could be Alzheimer's or other kinds of dementia.
- 22:11So, so that's a combination of lifestyle things or things that
- 22:15have happened to you, plus some genetic liability.
- 22:18And then for Parkinson's, again, there's actually a couple of
- 22:20cases of Parkinson's that are linked to a specific gene
- 22:23mutation. Those are rare.
- 22:25Those are rare, but there's some data to that.
- 22:29Things that happened to you and things that you're exposed to
- 22:32can trigger that. There's a study that suggests
- 22:34that if you've had multiple concussions and plus you're
- 22:37exposed to a certain pesticides that were common, for example,
- 22:43in the 60s and 70s, my my brother had Parkinson's disease
- 22:49and the body disease and he was an athlete.
- 22:52So he got lots of concussions. And that was back in the days
- 22:55where it's like you got hit in the head and your coach said, I
- 22:57got your bell rung, go back out there.
- 23:00So nobody recovered from the concussion back then and he was
- 23:04having his face rubbed in in these chemicals that were in the
- 23:08grass to keep the grass and the weeds away.
- 23:10Oh man. Right.
- 23:11That combination is is suspected to really contribute to
- 23:16Parkinson's and people who don't have the genetic Parkinson's
- 23:19form. So there's a lot of different
- 23:20reasons you can get Parkinson's, it turns out.
- 23:23Are there any studies about, I guess, athletes having a higher
- 23:26rate of Parkinson's because of that?
- 23:29There are some studies that suggest that that especially
- 23:32people, like I said, have had multiple concussions and that's
- 23:34also true for certain dementias. So I mean, you think about it
- 23:38makes sense. You're, you're causing a lot of
- 23:40stress to the cells in your brain.
- 23:41And so as you get older, the normal stresses of aging now
- 23:44we're going to be amplified a whole bunch, right, right.
- 23:48So. Right, right.
- 23:49And what about what people call preventive maintenance?
- 23:53You know, in other words, what can we do to keep our cells
- 23:58healthy? Now, I know the way that you
- 23:59describe that Parkinson's and Ms. in particular seem to work
- 24:03is that it's almost beyond our control as far as, you know,
- 24:06what we do, right? These are things that are
- 24:08happening on a, on a molecular level or cellular level that,
- 24:11that, that we can't really control as far as we know.
- 24:16What is? Is there anything to do to to
- 24:19lower your chances of this or to slow the progression of it or
- 24:23what? What?
- 24:24How does that work? So probably not to stop the
- 24:27disease from happening in the 1st place, but there are things
- 24:30that seem to really help with regards to progression, like you
- 24:33say, like making sure it doesn't get worse or, or, or progresses
- 24:37very slowly, but also maybe starts much later in life.
- 24:41And so there's this whole idea that of reserve, you know, if
- 24:45you have more cells to kill off, it'll take longer than for it to
- 24:49affect you personally. And so that's, and that's where
- 24:53my interest in kind of music comes in actually.
- 24:55So, you know, so I think there is this kind of, there's a study
- 25:00that was done brilliant idea. It's like the question was, how
- 25:04do we get a population of human beings together where we can
- 25:08rule out as many variables as possible to understand normal
- 25:11aging, right, as well as abnormal aging.
- 25:14And so somebody had a brilliant idea to use nuns.
- 25:19So this is called the nun study. And the idea was they found a
- 25:25convent where they had a huge number of sisters.
- 25:28One of the cool things about this convent was they all had to
- 25:30write essays about why they wanted to be a nun to get into
- 25:33the convent. So this was when they were in
- 25:35their 19, you know, late teens, early 20s, most of them.
- 25:38And you can learn a lot about a person from a writing sample.
- 25:42And so they had that and then they followed these sisters
- 25:45until they died. And what came out of the study
- 25:48was there were there were sisters in this convent who
- 25:52lived to be in their 90s and hundreds and were sharpest
- 25:55tacks. And then there were sisters who
- 25:57even at, you know, in their 40s and early 50s started showing
- 26:00signs of decline mentally. And there were a couple of
- 26:04things that sorted out who got what.
- 26:07One of them was the writing sample.
- 26:09So the sisters who were kind of more flourished in their
- 26:12writing, kind of more descriptive, more expressive.
- 26:15They tended to do better than the sisters who just said, I
- 26:18want to be a nun, you know, because the nuns are cool, you
- 26:20know, or something like that. I'm, I'm obviously
- 26:23oversimplifying dramatically there, but that's part of the
- 26:26idea. The other thing though that
- 26:28really was interesting was the nuns who did well were actually
- 26:33throughout their lives constantly trying to enrich
- 26:35themselves. They were trying to do like
- 26:37learning to play the piano at age 70 and then going off and
- 26:40giving piano lessons. The nuns that weren't doing
- 26:43well, they were kind of couch potato nuns, right?
- 26:45They were coming into this convent and they were taking on
- 26:50some menial task and sticking without their whole lives.
- 26:53And so the ones that were challenging themselves, you can
- 26:55see that they had different brain structure.
- 26:59So although they had all that plaque and tangle and everything
- 27:01else, the rest of it was pretty well.
- 27:03So the plaques and tangles made less of a difference for them as
- 27:06they aged than the ones who just weren't developing and keeping
- 27:10their brain healthy. And so I think that really says
- 27:13a lot. I mean, the brains kind of A use
- 27:14it or lose it organ and everything.
- 27:18Well, everything is but yeah. But I mean, the brain, you got
- 27:21to keep doing things. Otherwise it's just going to,
- 27:23you're going to have less to lose as you get older.
- 27:26And I think that is really telling.
- 27:28So when I started working my music stuff, I it's amazing.
- 27:30Musicians have all these cool things in their brain, like more
- 27:34myelin, for example, evidence that they're actually maybe
- 27:38making new neurons throughout life because they're really
- 27:41intense. They're practicing their
- 27:42instruments or learning new instruments.
- 27:44Neurogenesis, right? Neurogenesis, I learned
- 27:47recently. That's right.
- 27:48Yeah. So it may be driving
- 27:50neurogenesis, myelination and more synapses, more connections
- 27:54between neurons. And so that's the other thing
- 27:56that you lose in in dementia is the connections.
- 27:59And you know, these trains of connections, as they start to
- 28:01fall apart, your personality falls apart too.
- 28:05So if you can have more of those going into a situation where a
- 28:08disease is causing that loss, you have more to lose and more
- 28:11time. Yeah, and so, so interesting.
- 28:13So cool. So, so freaking cool.
- 28:16This makes you know this also makes you think of and I thought
- 28:20the portrayal was incredible. I showed this to all my high
- 28:22school students inside out and inside Out too did such a great
- 28:26job, especially in the second one of introducing the notion
- 28:28that as our as our brains develop and become more
- 28:31complicated and our emotional states vary with it, you know,
- 28:35and there's direct relationship between our, you know, the
- 28:37development and progression of our brain.
- 28:39But then it would also stand to reason.
- 28:41And I told my, you know, I say this every time I talk about
- 28:43this, I would watch 100 movies of inside out, just of different
- 28:49phases of different people's lives, you know, just to just to
- 28:52watch that same, you know, concept in action in different
- 28:54applications. But one of them has to, you
- 28:56know, in and I talked actually to, I'm forgetting his name, Bob
- 29:02Levinson out of Berkeley. He's and yeah, he's, he was, he
- 29:06was super wonderful, super informative and fun and sweet.
- 29:10And one thing that we were talking about was the
- 29:13personality, I guess, loss of emotions as you age, because I
- 29:16was talking about my grandfather and how recently he's had short
- 29:19term memory loss, probably borderline dementia, but you
- 29:22know, they're not going to talk about it in that sense.
- 29:25And I've noticed that his, you know, his range of ability to
- 29:29express different emotions has been significantly limited.
- 29:34And I'm sure no coincidence, you know, we aged 5, you know, five
- 29:38years every year after you retired, you know, every time,
- 29:40you know, he was a doctor, he was a gastroenterologist that
- 29:43was a very active Miami Beach. And then, you know, the second
- 29:46that he stopped seeing patients and the second he stopped
- 29:48running around and making house calls and keeping up with
- 29:50people, you know, the decline, the decline began almost
- 29:53immediately. Well, that and that makes total
- 29:56sense, right? If you think about it, I mean,
- 29:57our brains are who we are, right?
- 30:00Our memories are who we are. So all the things that we've
- 30:03experienced throughout our lives shape our personalities.
- 30:06They shape everything they are that we are about us.
- 30:08And as those start to fade away, other aspects of our personality
- 30:13change as a result of that. And, and that becomes, you know,
- 30:17really hard over time, especially for family members
- 30:20who are trying to connect with these people who suddenly aren't
- 30:22who they used to be. And those social interactions
- 30:27are incredibly important. You mentioned your, your, your
- 30:29grandfather was constantly in touch with people.
- 30:32And, and when we lose those social interactions, that
- 30:36actually is another way that our, you know, keeping our brain
- 30:38active when we, we're talking to people that's gone.
- 30:40Those, those, those stimuli go away and, and it becomes harder
- 30:45and harder over time to kind of replace that.
- 30:48I think there's been a number of studies done comparing people in
- 30:51the US to people and for example, different parts of Asia
- 30:54where families tend to stick together more, right?
- 30:58So even though you may retire from your work, you still have
- 31:00these intense social connections with your community and people
- 31:03in your family, and they tend to do better as a result of that.
- 31:07I think there's good data for that now.
- 31:10So I think that's such an important aspect of it.
- 31:13And then with music, you know, the same thing.
- 31:15Music brings you together. Music's amazing too, because as
- 31:17we age, one of the things, the last things that goes is music.
- 31:20It turns out, even though there are people who cannot speak and
- 31:23yet they can still sing songs that they know from their past
- 31:26and musicians who can sit down at at their instrument and play
- 31:29their instrument perfectly even though they can barely say a
- 31:31word. So that's amazing to me too.
- 31:35I have personal experience seeing this.
- 31:38I've never seen anything like this before.
- 31:42So a girl I dated, her mother had a variation.
- 31:46It was a very, very murky diagnosis of Parkinson's because
- 31:51it didn't really match up exactly.
- 31:53But it was the closest that I think the doctor, the doctor's
- 31:56able to provide. And but a lot of the she didn't
- 32:00get as much of the tremors as much as she would freeze up and
- 32:02lock up and music. And you turn on music and you
- 32:07turn on James Taylor or you turn on, you know, some old show tune
- 32:10that, you know, hello, Dolly, That we, you know, that that she
- 32:13used to listen to her, she plays the accordion and like, and you
- 32:16would see minute to minute someone that could not move,
- 32:19could not like, you know, just stuck where she was to literally
- 32:22skipping around the house. I mean, and I saw his known
- 32:25eyes. I couldn't.
- 32:25And I and I and I, and I mean, we definitely do not have not I
- 32:30guess scratched the surface as to what music is capable of
- 32:33impacting us, but it's, it's, I'm, I'm very hopeful for the
- 32:36future of that. Well, and music therapy is now
- 32:39being recognized more and more as a viable and actual thing
- 32:42that some insurance companies are actually starting to cover.
- 32:46My favorite, my favorite example was Congresswoman Gabrielle
- 32:50Giffords, Mark Kelly's wife. OK, so she, you know, she went
- 32:54to a campaign to that years ago in Arizona and got shot in the
- 32:57head. I have some crazy person.
- 33:00And so she wound up doing this incredible multi year
- 33:05rehabilitation and she couldn't speak for for a long time after
- 33:11being shot. And so one of the things they're
- 33:14having her do was music therapy where she was she she she
- 33:17couldn't speak, but she could hum and sing a little bit.
- 33:20And over time she kept pushing herself and pushing herself to
- 33:22use music and she could sing phrases instead of saying them.
- 33:27And then after doing that for a long time, they're really
- 33:29pushing herself with the music. You may have heard her speak.
- 33:33She's she's giving talks in front of audience.
- 33:34Look it up. I'll look it up again.
- 33:36What's her name? Gabrielle Giffords, she's a
- 33:40congresswoman from Arizona and Mark Kelly or her husband, who
- 33:44is the astronaut and and he's a senator now, you know, cared for
- 33:48her. And it's an amazing story, you
- 33:50know, but, but so one of the. So that to me tells me that,
- 33:55yeah, music therapy is real. You see it with Parkinson's
- 33:59patients. Actually.
- 34:00You mentioned movement. There's a lot of therapies where
- 34:03they're getting partners at Parkinson's patients to work
- 34:06with them to do dance lessons to music.
- 34:08The music has a rhythm to it, and the rhythm actually helps
- 34:11them coordinate their movement and it makes them feel less
- 34:15agitated and more in control, which just dramatically improves
- 34:18the quality of their lives. And then for Alzheimer's
- 34:21patients, yeah, I mean, you can sit them down in front of these,
- 34:23you know, can sing music from them, from their past.
- 34:26I have a great story about that, actually.
- 34:29So years ago, I was asked to do a a interview on a radio show.
- 34:34And the other guest was a woman named Naomi Lavelette.
- 34:38And she is a classically trained pianist and has now gone off and
- 34:43made records. And she writes music now.
- 34:45And, And somebody, a family friend of hers had a dad who he
- 34:52was a pianist and he used to make up all these songs.
- 34:54He had a huge number of songs that he wrote, but he never
- 34:57wrote them down and he never recorded them.
- 34:59And all of a sudden he was at the piano and he's was
- 35:01forgetting whole phrases of music that he had composed.
- 35:05And it turns out he had early onset Alzheimer's.
- 35:09And so she would sit with him at the piano and find the music,
- 35:16the project, saving his music. And she wrote it down and she
- 35:20recorded it. And then I got to meet him years
- 35:25ago before he was really debilitated.
- 35:29And we started talking about how music is like threads.
- 35:34We had, he had this description of music is like threads that
- 35:36bring people together in all sorts of different ways.
- 35:39It's these strands that bring people together.
- 35:41And I thought that was really beautiful.
- 35:43And about a couple months ago, I don't know if you know, Dolly
- 35:47Parton has basically made arrangements of her music for
- 35:50symphonies. No, I did not.
- 35:53It's awesome. And so we went to the, we went
- 35:56to the Symphony and it's a great show.
- 35:59And she, you know, so the Symphony Orchestra is playing
- 36:02her music and they've got some musicians and vocalists singing
- 36:05and it's it's an amazing show. I mean, even if you don't like
- 36:08Dolly Parton's music, it's amazing.
- 36:10And then there's videos of her talking about the inspiration
- 36:13for the songs in between. And you learn a lot about her
- 36:16and and her life. She talks about threads, how
- 36:20music is like threads that bring people together.
- 36:23And I turned to my wife that night and I said, that's what
- 36:25Steve told me. This, this composer.
- 36:28And the very next morning, I get a call from Naomi saying, hey,
- 36:32Steve's on his deathbed. He's he's at end stage.
- 36:36Would you want to come down and see him?
- 36:38And I said, of course, yeah. Because I got to know the family
- 36:40over the years, and she came into his room and would start
- 36:45playing music. And here's a guy who's literally
- 36:48immobile on his bed. She's playing the music on her
- 36:51guitar and he's tapping away. He's just moving away.
- 36:55And so that just tells you that. And I'm sure it helped him with
- 36:58his agitation and made him feel better.
- 37:00And you know it, It's so powerful.
- 37:03And I think the fact that more and more people are starting to
- 37:05recognize this is, is good because music is so important to
- 37:08humanity. It's it's, it's important to who
- 37:10we are as human beings. Yeah, yeah, I, I've been
- 37:15advocating for, I mean, probably over a year now on the show for
- 37:20people to go to as much as many live music events as possible.
- 37:24Even if even if you don't play, you know, even if you don't know
- 37:27it, you know, find a local bar, find a pub, find a brewery.
- 37:30If you go to there, there there is something that is
- 37:33particularly cool about a relative.
- 37:36Like I would say, like the problem is I don't even know if
- 37:40it's amount of people relative. It's people to space, right?
- 37:42So, I mean, if you're in a in a little jazz club and there's 50
- 37:44people there, that's awesome. I've, I've been to Blues bars in
- 37:47Chicago with my dad and yeah. And it's 2:00 in the morning and
- 37:51we walk out after hearing this band play, you know, for three
- 37:53hours and, and we walk out and we just feel like different
- 37:57human beings. And we're like, we just had this
- 37:59incredible shared experience and we, and also the, and with
- 38:02there's this unspoken bond between the people that
- 38:06experience that together. When you, when you find out that
- 38:08someone else is a deadhead and you find out someone else like
- 38:10Fish or Springsteen or Billy Strings or, or any, or, you
- 38:13know, or Bill or Billy Joel or Fleetwood Mac or anything that
- 38:16you like. And like, all of a sudden
- 38:18there's a kind of sense of camaraderie that goes like
- 38:20there's something that that that's unspoken and deep that
- 38:23you guys both share and relate to that is really, really
- 38:26powerful. Well, that and that's an
- 38:28important point. So in our book, you know, we,
- 38:30we, we actually send out surveys to people, a lot of professional
- 38:34musicians, but also just a lot of people who like music, asking
- 38:37them about experiences. What do you think their brains
- 38:40doing when they're composing, when they're performing, when
- 38:42they're practicing, when they're listening?
- 38:45And in the listening section, so many people talked about times
- 38:47when they were just depressed or something was happening in their
- 38:51lives and then going out and hearing and experiencing a live
- 38:54music. And that or it's sometimes even
- 38:56though they're just listening on the radio and how the music kind
- 38:58of brought them back and helped them get out of it's deep
- 39:01depression or addiction even. And and it was, it was just
- 39:04amazing hearing these stories. But that comes back to why, Why
- 39:08do we even have music? Why is music so important to
- 39:11humans? And there's all this data now
- 39:13that like performing music in particular together in a groups
- 39:19has this amazing neurochemistry behind it.
- 39:22That doesn't happen when you're just by yourself.
- 39:24So if you think about a chorus singing together, one of the
- 39:28things that happens when you're singing with a group is there's
- 39:32two neurochemicals get turned on dopamine, which is a reward
- 39:35signal, and endorphins. Endorphins are really cool
- 39:39because they actually make you not care about pain.
- 39:41But when you put that dopamine and that endorphin together, it
- 39:44actually gives you a sense of acceptance within a community.
- 39:48So you think about humans, we, we need to live in groups, we
- 39:53need to live in communities. And what music does is it brings
- 39:57us together and it makes us given that sense of belonging.
- 40:00Like you said, if I, if I like the dead, which I do and I find
- 40:04out the dead, we have a lot to talk about and we're like in
- 40:07this community, right? But I think think about going to
- 40:10synagogue and chanting. I was going to.
- 40:12I was literally about to bring that up.
- 40:13It's such a fundamental part of religious life too.
- 40:16It is for sure, And churches and everything else you know, I mean
- 40:19music. Is the best music.
- 40:21It's it's all the great. Things you together.
- 40:23Town and everything Blues came from, I mean, it's some of the
- 40:25best music in the world came from churches.
- 40:28But it but it brings people together who have similar
- 40:30beliefs and similar, you know. Values.
- 40:33Yeah, looks out of the life and, and, and values and, and it
- 40:35gives you that sense of community and humans need to
- 40:38have that. We're we're not good at going
- 40:40solo. And and so I think, I think
- 40:43that's an important part of the evolution of music.
- 40:45It it it actually helped us evolve as a species and survive
- 40:49because it it enforced that sense of community and
- 40:52belonging. Yeah, I have AI.
- 40:54Do I have a very strong sense of optimism and hope actually for
- 40:58this, for this upcoming generation, because I think that
- 41:01they saw the pain. You know, I was born in 95.
- 41:06I grew up just about the time like I I would grew up the the
- 41:10year that I was going through puberty and dealing with fear of
- 41:13girls and everything like that was the exact time I got a
- 41:15phone. I was able to start texting a
- 41:17girl instead of talking to her face, you know, and oh, man,
- 41:20yeah, exactly, you know, and then.
- 41:22And that's, that's a whole different conversation, man.
- 41:24It's a whole other world, but but I think that the generation
- 41:28below me saw the damage that it did and I and they're rejecting
- 41:33that. And I think that, you know, it's
- 41:35been coming. It's becoming popular to go to
- 41:37the movie theaters again, to go to live shows again.
- 41:39It's popular to put your phones down or to take social media
- 41:42fast or breaks that people take. Because I think that there's a
- 41:45recognition like, listen, I, I I've been saying this for 10
- 41:47years with this is a test Bunny generation of social media,
- 41:51right? So, you know, we're like, we're
- 41:53letting it go. We're going to let everyone use
- 41:55it and we're going to just figure out whether it's good or
- 41:57bad and good luck with the rest of it, you know?
- 41:58And I think that that that that people are picking up real
- 42:01quickly that this is not something that is attainable and
- 42:04that we do need these relationships and connections
- 42:06and embodied experiences for sure.
- 42:08Absolutely. And, and that the phone's just
- 42:10not going to replace that. And the way that it tries to
- 42:12replace it I think is incredibly damaging.
- 42:16And so I, I think it's, you're absolutely right.
- 42:18You're absolutely. Right.
- 42:19I wonder if there's a relationship between you between
- 42:22especially like scrolling and the type of the type of phone
- 42:24use that people use and the and and the brain degeneration.
- 42:29Do you know if there's any research on that?
- 42:32So there's growing, there's some growing studies about it.
- 42:34And I mean, there is some really interesting data that just came
- 42:37out about AI use. So people who are using AI to do
- 42:42the work that they used to do with their own brains.
- 42:45I, I think there's some, some real evidence that you're,
- 42:47you're, you're actually giving up neurons for that or giving up
- 42:52circuits at least, right? Because, because these people
- 42:55are showing signs that it's not helping them in terms of normal
- 42:58brain processing. And it makes sense, right?
- 43:00You're, you're basically giving up what your brain should be
- 43:04doing to something else. And it's, it's becoming making
- 43:08your brain that couch potato brain again.
- 43:12Exactly, exactly right. So, so I think, I think we were
- 43:16going to be like you said, I think there's a test buddy
- 43:19generation for social media and now we're the test buddy
- 43:21generation for AI and we'll see how that how far that goes.
- 43:26That we learned from social media, from AI, because they're
- 43:28making a lot of very similar promises.
- 43:30You know, I mean, Mark Zuckerberg running around saying
- 43:32that you're not going to need to hang out with friends ever
- 43:34again. And Sam Altman running around
- 43:36saying that, you know, you never have to work ever again.
- 43:38Like no one says that that's the yardstick that we're going for.
- 43:41I don't know who decided that, you know that that's what the
- 43:44way we're supposed to measure success or failure.
- 43:46Yeah. So if you're never and, and and
- 43:47bigger questions too, like if you're never going to work
- 43:49again, well, how are you going to make money?
- 43:52How's the average? Average, I'm not as worried
- 43:54about money as I am about meaning.
- 43:57I think, I think that we're at a point with a combination of
- 44:00energy and compute and robotics that I mean, especially at the
- 44:05rate that they grow like you and I were talking about earlier,
- 44:07like such an exponential rate. I I don't think capital is going
- 44:10to be as much of a problem in the future as much as meaning
- 44:13and purpose. It depends.
- 44:16I think if you if you're an ultimate capitalist, you know
- 44:20the goal, the goal is to get as rich as possible, but that that
- 44:23capitalism always has winners and losers.
- 44:25Mm hmm. So and then I.
- 44:26Think we'll be post, I think we'll be we will impose
- 44:28capitalism pretty soon is why that you're already kind of
- 44:31there. I think we I have to because,
- 44:34because you know, I just think about in the old days, you know,
- 44:38if there is some new technology that came along that basically
- 44:41meant a whole bunch of people suddenly became unemployed.
- 44:43My favorite story about that, by the way, is telephone operators
- 44:46#1 Employment Opportunity for women in the United States.
- 44:50Telephone operators and and the cool story about that is kind of
- 44:53funny story is that there was some town where there was a
- 44:56telephone operator and her husband owned a Brickyard.
- 45:00I think it was a Brickyard. And whenever she got the calls
- 45:04for another Brickyard, she would send it over to her husband's
- 45:07business, right. And the other Brickyard found
- 45:09out about that turned out to be a very guy who was turned out to
- 45:11be very inventive and an inventor and figured out how to
- 45:13do the automatic switching and went overnight.
- 45:16Overnight, all of those women lost their jobs, you know, all
- 45:19across the country. And So what did they do?
- 45:22So they found other positions because things were changing and
- 45:25there were other jobs and there was other ways to get employed.
- 45:28But I think the end result of AI is there will be no jobs, right?
- 45:35And so for some people, that's great.
- 45:37But for an awful lot of people, what are they going to do?
- 45:40And how are we going to, how are we going to feed them, you know?
- 45:42So, yeah, So I do wonder about that.
- 45:45And I think that I'm coming back to the brain, you know, I think,
- 45:49yeah, again, if you're, if you're just instead of thinking
- 45:52about something and like you said, working with other people
- 45:55to come up with ideas and working at a group and now
- 45:59you're just plugging it into AI and all of your interactions now
- 46:02are over the computer instead of other people.
- 46:03I think that's incredibly unhealthy for our brains and and
- 46:06for our ability to stay happy and and everything else in our
- 46:09lives and fulfilled. One of the things that I found
- 46:12amazing. I know you've been if you've
- 46:15been following the whole Artemis 2 journey.
- 46:20The astronaut Coke was her name is her name.
- 46:23She's she's she's incredible. I heard something her talking
- 46:27about when they were going up and coming further and further
- 46:30away from the Earth and just realizing that the four of them
- 46:33in this tiny little space were a crew that depended on each other
- 46:36to survive, right? I mean, everything they did,
- 46:39everything had to work exactly right.
- 46:41And they all completely relied on each other.
- 46:44And, and, and then she's looking at the Earth and she's seeing
- 46:47this Earth surrounded by blackness and realizing that the
- 46:51Earth is a, is a lifeboat, right?
- 46:54It's, it's and, and, and then she says, you know, I look back
- 46:57and then she says that's the crew.
- 46:59Everybody on that planet is a crew.
- 47:01And if we don't work together, we're not going to survive.
- 47:05And I think that's absolutely true.
- 47:06Even on the one to one basis, our brains want that social
- 47:10interaction. They need it.
- 47:13And we need to be able to work together.
- 47:15And, and maybe that means more, we just need more choirs so we
- 47:18can all sing together. But I always joke.
- 47:21I always joke. Wouldn't it be great if we get
- 47:23Congress to sing? But can you?
- 47:26Imagine. Yeah.
- 47:28Or Aaron Rodgers. He says he wants anyone in
- 47:30public office to take ayahuasca first or something like that,
- 47:33you know? But yeah.
- 47:37And that's Yeah. And you know, what do you, what
- 47:40do you think? Are you aware of the Apple TV
- 47:42show Plebeis? Yeah.
- 47:44I I watched it, I love it. What do you think of that
- 47:46context? What do you think of concept I
- 47:47mean? I mean, it's, it's crazy, right?
- 47:49Because it's like, I mean, it takes the work life balance
- 47:52question to a whole new level, right?
- 47:56That's severance. Oh, I'm sorry, That's severance,
- 47:59Yeah. Where?
- 48:01We have the group, the group. Things except for.
- 48:04The people who, Yeah, yeah, except for the people who really
- 48:07want to stay individuals for reasons that they don't
- 48:10understand. I can't wait for Season 2 to
- 48:12come out. But yeah, I mean, so again,
- 48:16coming back to social things, I mean, that's that's kind of the
- 48:21extreme version of that, right? Yeah, I think that's that's
- 48:24that's. Utopia.
- 48:26I think a variation is utopia. I don't know if it is because
- 48:30again, I think we also find a lot of fulfillment in our own
- 48:32individuality. Yeah.
- 48:34All right. Yeah, it's, it's almost, it's
- 48:37almost like the the the extreme version of communism, right.
- 48:41So you, when you lose that, I mean, that also gives you a loss
- 48:45of control over things that gives you a loss of I mean,
- 48:48obviously if you're in that particular situation that you
- 48:50don't care about that anymore because you've been programmed
- 48:52not to care about that. But the reality is as human
- 48:55beings, that's not how we are. We we want to have an.
- 48:57Autonomy. We want to, we want to know that
- 49:00we're part of something. We want to know that we're part
- 49:02of that and that makes our brains happy.
- 49:04But we also want to know that we are also individuals and that we
- 49:07have that sense of who we are as people.
- 49:09And so I think those are both very important things to hold on
- 49:12to. Sure, sure.
- 49:14I watched a really interesting debate that I started showing my
- 49:18high school students this week with Tucker Carlson this week.
- 49:22And there was ACEO of some gene editing company.
- 49:25And the company allows you in a similar way to IVF, the way that
- 49:31you can kind of select a, you know, particular traits, you can
- 49:34select traits like height or you could, you could actually
- 49:40remove, you know, I guess remove the take a embryo that is not
- 49:46going that doesn't have the genetic tendency towards, you
- 49:50know, schizophrenia or cancer or dementia or Alzheimer's.
- 49:54Is a lot of this research going to be obsolete if all this is
- 49:59just kind of edited out, or are we going to still have to
- 50:01experience this? We're a long ways away from it.
- 50:04First of all, like I said, there are things that happen during
- 50:07the course of our lives that impact these diseases, right?
- 50:09So even if you have a genetic resistance to something or or
- 50:13not a genetic liability, there's still a chance you're going to
- 50:16get it. But more importantly, you know,
- 50:19the thing with gene editing is there's a, you know, there's,
- 50:24there's a response to everything you do.
- 50:26And a system is complicated. As a human body, you take out,
- 50:30you take out an alter 1 gene. How does that affect everything
- 50:33downstream of that gene or around that gene, right?
- 50:36So we don't really fully know. So I mean, on the one hand, gene
- 50:39editing. Alter the gene.
- 50:40The argument was to select a gene that wasn't that embryo,
- 50:44that was not dis, that was not just what sorry, that was not
- 50:47that didn't carry it. So it's not to take it, even
- 50:50change it, but it's to say you have a selection of 10 embryos
- 50:53and you know this embryo is going to be XY and Z and this
- 50:56one's going to be XY and Z, but to the real specifics.
- 50:59We, we kind of do that already in IVF.
- 51:02You know, we look for embryos that are more viable, more, you
- 51:05know, healthy, working viable. So the, the biggest problem and
- 51:08the biggest challenge for IVF is, you know, it takes a lot of
- 51:11tries, a lot of embryos before you get one that's healthy and
- 51:14right. So we're already doing that to a
- 51:17degree, and we are at the point where we can sample a single
- 51:20cell from an embryo and not disrupt the embryo and do all
- 51:24that genetic screening already. And so it's expensive, but you
- 51:29can do it. So and if you're spending 30 or
- 51:32$40,000 a shot to do IVF, you want to have the embryo that's
- 51:37going to be the one that's going to be OK.
- 51:39So that makes total sense. So I think we're kind of already
- 51:42doing it. We can do it more in a more
- 51:45sophisticated way, obviously, and really get down to the nitty
- 51:47gritty. And of course, you know, there's
- 51:51always ethical concerns about, you know, wanting to make all of
- 51:54our embryos blonde haired, blue eyed babies.
- 51:59And so that's another question that we as a society need to
- 52:01grapple with. But correcting disease genes or
- 52:04selecting against those? Now some people will tell you
- 52:09and believe and understandably that IVF is generating life,
- 52:14right? So every single one of those
- 52:16embryos is a potential life or potential human being.
- 52:21Somebody can say it. And some might say those
- 52:23blastocysts, which are just a small collection of cells, they
- 52:26don't have anything yet. Just it's just a pile of cells
- 52:29is still a human being, Right. Yeah.
- 52:31So ethically speaking, is it hard to, like, pick one and let
- 52:34the others go? It's a hard.
- 52:35Question that's also interesting, right.
- 52:38And do you think it's not really a justification to say that
- 52:41those that those wouldn't have made it anyway and that every
- 52:44time they could only you can only procreate?
- 52:46You know, I guess you always right.
- 52:49That doesn't sound like a good enough moral justification to
- 52:51me. If that's if that's your
- 52:52beliefs, there are. People, there are people in my
- 52:55life who have various genetic diseases and I, I love them and
- 52:58they've made amazing contributions to the lives of
- 53:01the people around them. And it's like, would you take
- 53:03that away? So those are huge ethical
- 53:06questions that we need to grapple with.
- 53:09Or, or someone I, you know, I and you know, the person that I,
- 53:12I dated, you know, one of the questions that, that, that was a
- 53:15conversation that my parents had to sit me down for is like,
- 53:18listen, if you want to, you know, marry this person, move on
- 53:20with this, with this, with this, with this girl, then you have to
- 53:24consider the family genetic tendencies and like whether it's
- 53:28her or whether it's going to be your kids, God forbid, or, or
- 53:30anything like that, Like this is something to think about.
- 53:32And you know, it's not pleasant. It's really, really not
- 53:36pleasant. It you know, it takes a fun la
- 53:38de da reality and and and makes it very real very quickly.
- 53:41Well, the, and so one of the other areas of research in my
- 53:45day job is a, is a group of conditions that are kind of
- 53:49collectively known as neurofibromatosis.
- 53:51It's actually 3 or 4 different diseases or five even.
- 53:55And these patients develop horrible multiple peripheral
- 53:58nerve tumors and they have all sorts of other problems as well
- 54:02and. Different nerve tumors called
- 54:04pain, right? Some do, some do.
- 54:07Yeah. And in fact, one of the one of
- 54:09the forms of this disease, the main problem that these people
- 54:12have is, is pain, like intractable pain that there's no
- 54:15treatment for, which is one of the things my lab is working on
- 54:17actually. How do you tackle that?
- 54:20Well, so it's a very different kind of pain than any other kind
- 54:23of pain you've ever seen. And so we've we've been studying
- 54:27the mutations that are linked to this disease and realizing that
- 54:31those mutations directly cause the cells to cause nearby nerve
- 54:35cells to be hyper responsive to pain signals.
- 54:38And so, so right now we're trying to.
- 54:40You know, without, is there inflammation there?
- 54:43Is some there is some inflammation, but you don't need
- 54:46to have inflammation to have this pain sensitivity.
- 54:48That's the thing that was. So surprising.
- 54:50That's crazy. And so your body wouldn't notice
- 54:52and relief because there's no inflammation.
- 54:55Right. So the question is how do you
- 54:57turn that off? And so we've we've identified
- 54:59some proteins that we think are driving this and it turns out
- 55:02there was already drugs available attacking those
- 55:05proteins for completely reasons. And so we're trying, we're
- 55:08trying those drugs. A colleague of mine is running a
- 55:10clinical trial to try to see if that will relieve the pain in
- 55:13these patients. But what's you know, so but
- 55:16these are people who know they have a genetic disorder, but
- 55:19also want to have families. Yeah.
- 55:21So for for them, it's, you know, how do I screen for that?
- 55:25And for them, it's no question. I don't want an embryo that has
- 55:29these mutations. I want the embryo that doesn't
- 55:31have those mutations. And so I.
- 55:32Don't know if this is AI, don't know if this is a thing outside
- 55:37of the I grew up in. I am Orthodox Jewish.
- 55:39I grew up in the Orthodox Jewish world and when I was in high
- 55:41school we went through. I went through.
- 55:42I grew up in a Conservative synagogue, so.
- 55:45There you go, beautiful. And and I did something called J
- 55:49screen. I don't know if you've heard of
- 55:50it. Yeah, yeah, yeah, yeah.
- 55:52Is that, is that something that everyone does?
- 55:54Because I did it in high school and everyone was like, listen,
- 55:56you should do this because it's important to know that whoever
- 55:59you you know, you you should know your genetic tendencies
- 56:02before you date and get married so that you have an idea as to
- 56:05like whether you should even begin a relationship or not
- 56:07even, you know, I mean, I know a story of someone that, you know,
- 56:10got a miss the doctor misdiagnosed.
- 56:12They both were carriers for Tay Sachs and, you know, and their
- 56:14first kid ended up dying. Unfortunately, you know, it's
- 56:16just terrible story. You know you want to.
- 56:19You want to prevent that. You know, I, I, I remember
- 56:22having that conversation with my parents.
- 56:24It's like, you know, as a Jewish family, you know, we have to
- 56:28worry about Tay Sachs disease. And I'm like, what Tay Sachs
- 56:31disease? And now of course I know what it
- 56:32is, but I don't know anybody who was going out before they dated
- 56:37and doing the genetic screen. I imagine that is in our future,
- 56:40to be honest. I'm sure certain people are
- 56:42like, I'm not going to even date you unless I know you're, you've
- 56:45got a pretty clean genetic background.
- 56:47Sure. And The thing is it's a risk,
- 56:50but it doesn't necessarily mean anything's going to happen,
- 56:52right. So that's that's the other
- 56:54thing, you know, if it's usually these rotations are on one copy
- 56:58of your gene, not both copies. So your chances of passing out
- 57:02on your children are small, are smaller.
- 57:06But yeah, it's it's it's an interesting question.
- 57:09And again, that's one of those things that's like, where are we
- 57:11going with this? And now, you know, even the, the
- 57:1423andMe and these other companies that do genetic
- 57:17testing for you, they have that information.
- 57:20Sure, Yeah, yeah. And so there's like databases.
- 57:23It's like, okay, you know, I'm going to, Efron's going to go
- 57:29date my daughter. Let's look at the genetic
- 57:32information up before you have that first date.
- 57:34Because if things go get hot and heavy, I don't want anything.
- 57:36Out of that, I've done that. So my, my, my, my brother is in
- 57:40the ultra orthodox world. And there's a, there's another
- 57:42program they called Dorya Sharim.
- 57:45And it's, I don't even remember what.
- 57:47I don't even know what it means. It's translated to something
- 57:49about straight generations or healthy generations and didn't
- 57:52even tell you whether you're prone or not.
- 57:54What you do is you and your and the girl you're dating send in
- 57:58your, the, your, your report to someone.
- 58:00They tell you whether or not you're a match, yes or no.
- 58:02Like they don't tell you your whole list of potential.
- 58:05Do they just say there's nothing to worry about, you're good to
- 58:07go. And so that way you don't
- 58:08necessarily know your genetic history.
- 58:10You don't have to, but you know that you're, that you and your
- 58:13what and your partner are not going to be carriers for the
- 58:16same things, which I think is also an interesting method.
- 58:19But that happens before you go, you know, probably after the
- 58:21second or third date. If you, if you want to continue
- 58:24going out with my son, my daughter, we got to find out,
- 58:26you know what the story is over here.
- 58:29That's really. Interesting.
- 58:30Yeah, so tell me. So let's talk about your night
- 58:32job now, because it sounds like you're, you know, your day job
- 58:35keeps it keeps you pretty busy. And you, you know, you, we
- 58:38discussed some of the music, but why don't you elaborate a little
- 58:42bit on what, on what you, what you've been doing?
- 58:45So this all started because I was playing piano at A at a
- 58:48party for our department. It was like our 20th anniversary
- 58:51or something. And this person comes up to me
- 58:54and, and, and says, I didn't know you played piano.
- 58:56I go, yeah, I've been in bands my whole life.
- 58:58And we started talking. It turns out she is the person
- 59:01who gathers people from the public together every year and
- 59:04they have these these talks and and she said, well, would you
- 59:09want to do one of these on music and the brain?
- 59:12So that sounds like fun. And she goes well, and I'd like
- 59:14you to play piano somehow during the talk as well.
- 59:16Could you do that? I goes, sure, that sounds like
- 59:18fun. So I spent like 6 months reading
- 59:20all the papers so I could get my hands on about music and the
- 59:22brain. And what really struck me was
- 59:24the fact that some of these studies were completely relevant
- 59:28to what I was doing in my lab. So the idea that practicing
- 59:31music may actually drive more myelin formation, the idea that
- 59:35practicing music may actually Dr. Neurogenesis and the
- 59:38formation of new sets, synapses. And so I, you know, sadly, you
- 59:43know, that was one of these fields where about 1/3 of the
- 59:45papers were just crap. I mean, they were just like, you
- 59:49know, sample sizes of two, no controls, all these things.
- 59:52And so it's like, OK, I threw that out and then I took the
- 59:55best papers and I kind of piloted how it related to my
- 59:58work. Found some good jokes to tell.
- 1:00:01I I Did you ever see the 2000 year old man with Mel Brooks and
- 1:00:04Carl Reiner? I did not.
- 1:00:07Look it up. It's hysterical.
- 1:00:09So basically Mel Brooks, famous actor and and director and
- 1:00:12writer, plays the 2000 year old man.
- 1:00:16And Carl Reiner plays the interviewer and he's like asking
- 1:00:20him questions where things came from.
- 1:00:22And so at one point, Carl Reiner says, well, where did music come
- 1:00:25from? And Mel Brooks's character says,
- 1:00:28oh, music. It came out of fear.
- 1:00:31He goes, fear, what are you talking about?
- 1:00:32He goes, yeah, one day I was out walking and a lion started
- 1:00:35eating my foot off. So I called out, a lion is
- 1:00:39eating my foot off. Somebody call a cop, right?
- 1:00:44And then people heard that and came from all around and they
- 1:00:47liked it so much they started singing along.
- 1:00:49And that's how music started, right?
- 1:00:52So I put that in there and I put some music in.
- 1:00:54I get people to sing the end of Hey Jude in three different keys
- 1:00:58just to show how the brain just transposes music without any
- 1:01:01musical practice or experience. And it's, it's fun, right?
- 1:01:05And so I gave the talk and people come up to me after the
- 1:01:08talk and say, how much do you charge for this talk?
- 1:01:11And I said charge. And so because I thought this
- 1:01:16was going to be a one off as a favorite of my friends.
- 1:01:18And so that turned into probably I've probably given this talk
- 1:01:22600 times in six different countries.
- 1:01:26And what's that been every it's been a kind of fun adventure.
- 1:01:30My my wife thinks we should do it on cruise ships.
- 1:01:32You know, I think you should do. Then she gets to go, then she
- 1:01:35gets to on cruises, right? So, but it's been amazing and
- 1:01:39I've learned so much about connecting with the public,
- 1:01:42about science communication. And so that turned into other
- 1:01:46talks on other subjects. I did one about the neuroscience
- 1:01:49of love, love and pleasure, which is great because you can
- 1:01:52talk about, you know, why eating a piece of chocolate that makes
- 1:01:56your brain light up when you fall in love, all the different
- 1:01:58stages in love. And how about the neurochemistry
- 1:02:00changes when you're first meeting somebody, then you get
- 1:02:03infatuated with them and then you decide, or am I committed or
- 1:02:05am I going to start all over again and all the changes that
- 1:02:08happened there. But I also get to talk about
- 1:02:10things like when pleasure goes wrong, like depression, this is
- 1:02:14could be talked about and addiction.
- 1:02:16So I mean, it was a, it was really a powerful thing to do.
- 1:02:19And then I've done a bunch of other subjects too, but the
- 1:02:21music in the brain one is always the most popular.
- 1:02:24And then somebody I know in the publishing world said you should
- 1:02:27write a book about this. And my first response was, there
- 1:02:30are so many books about music and the brain.
- 1:02:33This is Your Brain on Music by Dan Levitan is.
- 1:02:35An amazing brand. I heard there was this record.
- 1:02:38The second one was also very good.
- 1:02:40He's great, you know, and I'm, I'm.
- 1:02:42Trying to get him on his secretary pushed me off a little
- 1:02:44bit, but I'm gonna, I'm gonna, I'm gonna get him at some point.
- 1:02:47Keep working on it because he's actually really great to
- 1:02:49interview. I've heard to him a couple times
- 1:02:51and I've seen he he was here live in Portland.
- 1:02:53I got to hear him talk not too long ago, but so then then I the
- 1:03:00funny story. I play racquetball at the J, the
- 1:03:04Jewish Community Center, and it's at 6:00 in the morning
- 1:03:08because we both have jobs by my Rocket Ball partner and I.
- 1:03:12And it was 1 morning after I'd given one of these talks here in
- 1:03:14Portland. And he said, hey, how'd your
- 1:03:17talk go? And I started telling him about
- 1:03:19it. And there was this guy kind of
- 1:03:21in our locker room that was kind of there.
- 1:03:23I said hi to him. I didn't know who he was, but I
- 1:03:25just said hi to him and he said hi to me.
- 1:03:27And he stops us. He says, did you say you were
- 1:03:29given a talk about music in the brain?
- 1:03:31I said, yeah, he goes, I've seen your talk twice.
- 1:03:33I just didn't recognize you without any clothes on, right.
- 1:03:36So, so, so then, so then we start talking and it turns out
- 1:03:41he's a music professor and a professional jazz musician and
- 1:03:43all these and we became friends over the years.
- 1:03:47And to the annoyance of my racquetball partners, we had
- 1:03:50these long conversations like, come on, we got to get going.
- 1:03:53And then he he told me after about 5 or 6 years that he was
- 1:03:56about to retire. And this was just a year or so
- 1:03:59before COVID. And I said, you know, I got this
- 1:04:03idea. I said, you know, listen,
- 1:04:04Dennis, Dennis, his name's Dennis Plies.
- 1:04:07I said I would you be interested in writing a book with me about
- 1:04:12the neuroscience of music, where I could talk about the
- 1:04:15neuroscience and you could talk about pedagogy, learning and
- 1:04:18everything and what it's like. To be a musician.
- 1:04:20And put it together. And then maybe we could, like,
- 1:04:23send out a survey to professional musicians and add
- 1:04:25to that and put this whole conversation together and all
- 1:04:27these different things. And he said yes.
- 1:04:30And so it was moving at the speed of evolution because we're
- 1:04:33both busy people. And then COVID it.
- 1:04:37Suddenly we had all this time to write.
- 1:04:40So I thank COVID for letting me finish this book.
- 1:04:43And it was published by Columbia University Press, which was
- 1:04:46awesome. They've been great.
- 1:04:47The audio version just came out. We just had the Mandarin version
- 1:04:50come out in China, in China. And they changed the cover.
- 1:04:55It's funny that it looks like something from the 1950s beatnik
- 1:04:57movement, but that's cool. I like that.
- 1:05:00It's been an amazing adventure. So I got to like just recently
- 1:05:02got invited to do my talk with the Detroit Symphony in Detroit,
- 1:05:06which was amazing. And you went and I've done.
- 1:05:09What's that? You're going or you went.
- 1:05:11I already did it. I did it back.
- 1:05:12To you nice, nice, nice, amazing and by.
- 1:05:14The way Detroit, it's really nice now.
- 1:05:16I loved it. I I.
- 1:05:17Was there. I was there two or three years,
- 1:05:20two years ago when my buddies got married there.
- 1:05:22I had a great time. I had a great.
- 1:05:24Time that's a great city so we had a we had a really good time
- 1:05:28and it was really fun working with the Symphony there and and
- 1:05:30these jazz musicians there too. I asked these, I asked musicians
- 1:05:34to join me on stage, but I do this and I always ask them to do
- 1:05:36crazy things and they always buy into it and it's so much fun and
- 1:05:39we have a great time. But so that's how that all got
- 1:05:42started. And so to me, it's been an
- 1:05:44amazing adventure because I, like I said, I I'm finding
- 1:05:47things that I do in my lab life that overlap with the science
- 1:05:50behind the music, even though I'm not personally doing the
- 1:05:53science, I'm reviewing it for other people and then
- 1:05:55transmitting it. And for me, that's just been a
- 1:05:58great adventure. Yeah, one thing I was talking to
- 1:06:01Karen Barrett about who I just recorded with three or 4
- 1:06:05episodes ago, was that she was saying how her research followed
- 1:06:10her curiosity and trail of interest rather than having an
- 1:06:13end goal in mind and just trying, you know, with tunnel
- 1:06:16vision to get there. And, and we're talking about how
- 1:06:18some of the most fun and fulfilling and creative work and
- 1:06:21some of the most, you know, progressive work, you know, that
- 1:06:24really, really pushes the boundaries come from come from
- 1:06:27this place. And, and you know, and then, you
- 1:06:29know, and people I love how you describe as like a day job and a
- 1:06:32night job, but they all flow into one another.
- 1:06:34And, you know, and ultimately, you know, again, I ended up
- 1:06:36reaching out to you because of your night, you know, because of
- 1:06:38your night job. And you work on music too.
- 1:06:40So you know, the fact that the fact that people I, I, I, you
- 1:06:44know, people feel like they have a job that they're married to
- 1:06:49and that, you know, they don't have time for themselves.
- 1:06:52And I think that we need to, you know, we're having, I'm sure
- 1:06:57we're having, but we, you know, what we can really use.
- 1:07:00And you know, this would be the glass half full perspective of
- 1:07:03AI, you know, doing a lot of work.
- 1:07:05Is that for a lot of people of the question of what would you
- 1:07:08be able to do? Because all of a sudden very
- 1:07:10real. And the question is, isn't what,
- 1:07:12what, what you know, whether or not you could do it.
- 1:07:13The question is, do you have the courage to be able to do it?
- 1:07:16Or are you going to be able to chase this?
- 1:07:17Or, you know, is this, are you, are you comfortable?
- 1:07:19Is this inconvenient? You know, like, do you feel, you
- 1:07:21know, I don't really feel like getting up in front of a bunch
- 1:07:23of people or I don't really feel like taking that chance at open
- 1:07:25mic and, and playing all woody and clunky and, you know,
- 1:07:28feeling embarrassed in front of everyone And like, so I'm not
- 1:07:31going to do that. But I but, you know, I think
- 1:07:34that there's going to be so much potential for, there's going to
- 1:07:36be, I hope, an exploration, an explosion of just humanity as is
- 1:07:40really, really what I'm hoping for.
- 1:07:41Yeah, because I mean, I'm the kind of person who loves to be
- 1:07:45just really busy all the time. And, and one of the nice things
- 1:07:48about being these two different lives that I've got right now,
- 1:07:52it's I'm learning. Both of those are informing each
- 1:07:54other. I'm a much better public speaker
- 1:07:56now because I decided to take a chance and do something a little
- 1:07:59wacky. And I'm, and so that also
- 1:08:03translates into how I give talks at scientific conferences, for
- 1:08:05example, on my, on the science I do in my lab.
- 1:08:08And then vice versa, that my interests in my lab are driving.
- 1:08:11Well, what's, how's that? How's music affecting that?
- 1:08:13And then I can dig through the literature and find things where
- 1:08:16that that over wraps. But having said that, I, not
- 1:08:19everybody is insane as I am. And so having like you said,
- 1:08:23these tools like AI, I, I think it's going to be helpful for
- 1:08:27you. It could be freeing.
- 1:08:27It could be freeing. It could be freeing totally.
- 1:08:31I'll tell. You the only thing I've used the
- 1:08:32AI for lately is this public talk I give on the history of
- 1:08:36Alzheimer's work. So I used one of the one of the
- 1:08:40platforms to make some images. And how was that?
- 1:08:44How do you find that? My so my idea was to have a road
- 1:08:47called the amyloid plaque road, right?
- 1:08:50OK. And then have a turn off and
- 1:08:52have the car miss it and they take a left and then take this
- 1:08:56left turn. And I and I asked it to just
- 1:08:58have the car hit a brick wall. So it drew this really bizarre
- 1:09:02brick wall right in the middle of the road, nothing else around
- 1:09:05it. Right.
- 1:09:06I was, I, I was about to like tell it to do it again and like
- 1:09:09make it like a, a parking space where it actually, but no, I
- 1:09:12thought, this is weird enough. I just relieve it because the
- 1:09:15whole point is we went down that path of research and which felt
- 1:09:20right for so long that we didn't feel like we needed to take that
- 1:09:22turn off. And then we hit the brick wall
- 1:09:24and that's exactly what it did. And so then I had and then I had
- 1:09:27the car go back and find that turn off again.
- 1:09:30And then I added a road said said blood vessel changes and
- 1:09:34diabetes and all these other things.
- 1:09:35And then they converged to the cure, right.
- 1:09:39So that to me, that was an incredibly effective way for me
- 1:09:42because if I had to draw, that would have taken me hours.
- 1:09:45Sure. And and it's it was an
- 1:09:47incredible time saving tool. It's the only thing.
- 1:09:51No, it's because I love it. And I call the talk the long and
- 1:09:53winding Rd. So that's also my.
- 1:09:55Lovely beetle. Also another good one.
- 1:09:56So sure, sure, sure. Coming from coming together,
- 1:09:58absolutely I get. That, yeah, but.
- 1:10:02I think I yeah, the other thing I'm really passionate about is
- 1:10:05education and alternative forms of education, because I think
- 1:10:08that I think that we're at a point where we could really kind
- 1:10:12of customize and personalize an enormous amount of education
- 1:10:15based on someone's preferences. And I know for myself, I, you
- 1:10:19know, I was always, I always loved the sound of the piano,
- 1:10:23but. And I started playing guitar at
- 1:10:2725. I'm 30 now.
- 1:10:28So I started, I started taking lessons at 25, about three years
- 1:10:32and two or three years. And, but I always loved the
- 1:10:37piano, you know, and, and, and I sat down the other day and my
- 1:10:40brother has a keyboard and I was visiting home for Passover and I
- 1:10:43asked Chad GBT for just basic scale practices and finger
- 1:10:48exercises to just get comfort on the piano.
- 1:10:50And I felt this incredible rush, like almost like a weight
- 1:10:55falling off my shoulders while I'm playing.
- 1:10:56And I felt like, I was like, I, I, I, I, I felt tangibly moved
- 1:11:03just from practicing and playing.
- 1:11:04And I, I only, I put a timer on for 10 minutes because that's
- 1:11:06all, you know, I thought was, OK, I'm going to have to get
- 1:11:08myself to, like, do this. An hour went by and, you know,
- 1:11:11it felt like a blink. Oh, yeah.
- 1:11:14What? What is that?
- 1:11:16Yeah. Well, and so that's another
- 1:11:18thing that I love about these, these studies on on the effects
- 1:11:21of music and also personal stories that people have come up
- 1:11:24to me with after I've given these talks.
- 1:11:26Sure. Is that you're, you're doing
- 1:11:28something very focused that involves fine and gross motor
- 1:11:33movements. It involves sensory, you know,
- 1:11:36feeling things because think about what your brain is doing
- 1:11:38when you're practicing an instrument.
- 1:11:39All right, so let's say you're reading music.
- 1:11:42All right, so let's say you've got music coming off of an iPad
- 1:11:45or a phone or, or a page. So those photons have to go into
- 1:11:49your eyes, go to the back of your eyes where your retina is.
- 1:11:52That's where all the cells that you know, take in the light go.
- 1:11:55That information has to go to the very back of your brain
- 1:11:58recognized as stuff. And then the rest of your brain
- 1:12:00like figures out what it all means.
- 1:12:03And then it transmits that information to parts of your
- 1:12:05brain that plan what you're going to do with your hands.
- 1:12:08And then that plan is put into a program of motion and that's
- 1:12:12sent down your spinal cord all the way to the ends of your
- 1:12:14fingertips. And then you finally hit the the
- 1:12:17note or notes with your hands. And then your hands are
- 1:12:20transmitting information back up to your brain all the time up to
- 1:12:23your spinal cord, back up to your brain to say, OK, he did it
- 1:12:25or he did it wrong, right. And then you're, and then
- 1:12:28there's this part of your brain that's emotionally responding to
- 1:12:31what hearing your, your ears are processing information to let
- 1:12:34you hear what you've just played and your brains processing it.
- 1:12:36And then you may also have an emotional response like, I love
- 1:12:38this song or I hate this song, right?
- 1:12:40All these things are happening in picoseconds, right?
- 1:12:45And so, so when you're doing that, what you're doing is
- 1:12:48you're challenging your brain in ways that just other activities
- 1:12:50don't do as nearly as much. And I think it's incredibly
- 1:12:54stimulating. And it actually, you know, I've
- 1:12:57talked to so many people who great story.
- 1:13:01I, I, I was giving one of my talks that afterwards this woman
- 1:13:04and her husband came up to me and, and said, Hey, this is the
- 1:13:07second time we've seen your talk.
- 1:13:08We saw the first time was about six years ago.
- 1:13:10And I said, that's, that's thanks for coming back.
- 1:13:13She says, well, we want to tell you about what your first talk
- 1:13:17did for us because turns out she had been a professional
- 1:13:20violinist and she got in a car accident and suddenly her motion
- 1:13:25was incredibly restricted. And her doctor told her, you
- 1:13:28know, give up the piano. I mean, give up the violin,
- 1:13:31It's, it's over. And she got incredibly
- 1:13:34depressed, right? And then they came and saw me
- 1:13:36talk about plasticity and how the brain, you know, just
- 1:13:39practicing drives all these changes.
- 1:13:42So her husband says, listen, OK, maybe you're not going to play
- 1:13:44the Brahms Violin Concerto anymore, but maybe you could
- 1:13:47play bluegrass, right? So she picked up her violin.
- 1:13:51And her husband shared with me. It was painful because I had to
- 1:13:55listen to that sounding like a cat being tortured to death.
- 1:13:59But she pushed herself to play it again.
- 1:14:02And now she's in a blue. And now she's in a bluegrass
- 1:14:04band and she's and she's incredibly happy, right?
- 1:14:08It changed her life. And I think that's the power
- 1:14:11that musical practice and musical accomplishment has.
- 1:14:14When you get to the point where it's so motivating to try
- 1:14:17something and get to the point where you succeed and then you
- 1:14:20go to the next thing and you succeed again.
- 1:14:21And then you build on that and build on that.
- 1:14:24And you know, I think that's an incredibly powerful thing for
- 1:14:26our brains. And it's actually physically
- 1:14:29changing our brains and and benefiting them.
- 1:14:31Coming back to that question to preserve right when you do these
- 1:14:34things and challenge your brain on your life, not only can it
- 1:14:37make you feel better, but it actually gives your brain more
- 1:14:39resilience over time. Yeah, yeah.
- 1:14:43Tell me about some of the bands that you played in.
- 1:14:44It's some of the music you play. So the first.
- 1:14:48I'm more into that. I'm interested in that too.
- 1:14:50So the the first band I played in was called Star Jammer.
- 1:14:54Nice. Wait, and where'd you grow up?
- 1:14:56You grow up in OR in Oregon. No, I grew up in La Jolla, CA
- 1:14:59mostly. I actually I was born in the Bay
- 1:15:01Area. We moved to upstate New York.
- 1:15:04We were in Westchester County for a while.
- 1:15:07My my dad worked for IBM so he was an Armoc.
- 1:15:10And I was in Rockland. I grew up in Rockland.
- 1:15:12There you go, there you go. And then he got an opportunity
- 1:15:15to move out to LA. And then in LA we finally moved
- 1:15:18to San Diego when I was, you know, about 7 or 8 years old.
- 1:15:21And so mostly San Diego. So I my mornings were spent
- 1:15:26surfing. Nice.
- 1:15:28I played some baseball. I did everything you can do in
- 1:15:30San Diego in the sun all the time, riding my bike around.
- 1:15:34But yeah, my first real band was Star Jammer and we all had long
- 1:15:38feathered hair and everything else.
- 1:15:40And, and then I was in a new age, a new way, not a new age
- 1:15:43new wave band called The Pedestrians.
- 1:15:47That was actually really fun. When I was in college, I used to
- 1:15:51play. So it was rock, rock, new wave,
- 1:15:55that kind of stuff. You know, this is back in the
- 1:15:59days when Quadrophenia first came out.
- 1:16:01So we loved The Who and we loved that kind of music as well.
- 1:16:05When I was in college, I hooked up with a bunch of people who
- 1:16:08like to play Blues. So we, we, I suppose, doing a
- 1:16:11lot of Blues and a little bit of jazz.
- 1:16:14And then actually, it's funny, when I was in Germany, I lived
- 1:16:16in Germany for 3 1/2 years for my postdoctoral training.
- 1:16:20And we we formed a band and it was me on on keyboards, a, a, a
- 1:16:25Dutch guy on saxophone, an English guy on on bass, and then
- 1:16:32a Austrian guy on guitar. So not one of us were Germans.
- 1:16:36Nice. So we called ourselves foreigner
- 1:16:39in Germany. Wow that's that's a cool sound
- 1:16:42though. The piano, guitar, sax and and
- 1:16:44bass. It was awesome.
- 1:16:47And we did a lot of covers, of course, and we made a lot of
- 1:16:50really funny songs about the institute at parties and
- 1:16:52everything else. And that was, you know, that was
- 1:16:54really fun. And then over the years I've
- 1:16:57done these and now I play the piano and this, this talks I
- 1:16:59give. So I, I and I play everything
- 1:17:01from classical to jazz to, to pop stuff and get people singing
- 1:17:06and everything else. So it's been all It's a lot of
- 1:17:07fun. There's something about the
- 1:17:10piano, you know? I'm a Springsteen nut.
- 1:17:12I'm a Dylan nut. I'm a Grateful Dead nut.
- 1:17:15I'm a Van Morrison nut. You and I have very similar
- 1:17:18playlists. Yeah, I bet we do.
- 1:17:20I bet we do. And and the my favorite songs
- 1:17:26that these that these folk have written in for example, Thunder
- 1:17:29Rd. or like a Rolling Stone. These are written on the piano
- 1:17:35and then converted over to guitar.
- 1:17:36Why do you think I feel like the piano is a better instrument for
- 1:17:43songwriting than a guitar might be?
- 1:17:47Yeah. And I think, and that's because
- 1:17:49think about what you're doing when you're playing a piano.
- 1:17:52It's it's probably, it's pretty challenging, right?
- 1:17:54Because you've got these hands that are opposites of each
- 1:17:56other. Our thumbs are both on the same
- 1:17:58side, right? And our keys are on the opposite
- 1:18:00sides. And so, you know, usually when
- 1:18:02you're playing piano, especially with modern music, you're kind
- 1:18:05of replicating a bass line with your left hand and you're
- 1:18:08playing the melody with your right hand.
- 1:18:10And so it's really easy to kind of put those together for a song
- 1:18:14that you're going to now put onto a band or or even an
- 1:18:19orchestra, right? You can say here's the bass,
- 1:18:22here's the rhythm, here's the melody or whatever it is.
- 1:18:24Yeah, I mean, Beethoven often composed at the piano, right,
- 1:18:29even when he was going deaf, because he knew that he could
- 1:18:31get this kind of one set of sounds on his left side and the
- 1:18:35other sets of sounds on the right side.
- 1:18:36So. So it's it's it's a great
- 1:18:39instrument for composing because you've got both of that
- 1:18:41happening. You know, with a guitar, you're
- 1:18:43limited to the one line, right? The bass line or the OR or
- 1:18:47melody stricken, the chords are struck taking away.
- 1:18:51But that's hard to do on on a on a on a both both this things
- 1:18:55sing together that kind of instrument or you get a violin
- 1:18:58or anything else. So.
- 1:19:00So you think it's just a matter so, so it's a matter of access
- 1:19:02and a matter of having your entire, I guess the structure of
- 1:19:06a song laid out in front of you with the piano that makes it
- 1:19:08that makes it easier to to navigate.
- 1:19:11Right. And of course, you can sing at
- 1:19:12the same time, right? So you could be playing bass
- 1:19:14line chords or accompanying the melody and then singing the
- 1:19:17melody. And so that makes it a really
- 1:19:19easy to compose at the piano. If I mean George Gershwin,
- 1:19:22another great example, right? He often composed at the piano
- 1:19:26and then his brother Ira would try to find lyrics that match
- 1:19:29the music, which was always kind of funny when you read their
- 1:19:32dummy lyrics that they would put in and then they put it all
- 1:19:35together. But but that was for that was
- 1:19:37orchestral music, right? That was stuff that was meant to
- 1:19:39be for a large number of instruments that would be added
- 1:19:43later once they kind of figured it all out on something like a
- 1:19:45piano. Cool, awesome.
- 1:19:47And the last question and then I'll thank you for your time.
- 1:19:50There's been so much fun. Can you tell me a little bit a
- 1:19:54couple of fun facts about the, the neuroscience of love for,
- 1:19:58for I think that I think it's a really cool and interesting
- 1:20:00topic. And maybe maybe some fun facts
- 1:20:03that we could talk about in a couple of minutes.
- 1:20:06So, you know, if you think about love, there's three major
- 1:20:09phases. There's the the first, the
- 1:20:12meeting phase where you kind of see somebody across a room and
- 1:20:15your eyes lock. And that's situation, right?
- 1:20:19No, that comes next. So, so it's so the first meeting
- 1:20:23phase is where you just see someone and, and there is this,
- 1:20:26this thing that happens, your eyes lock on that person.
- 1:20:29And it involves circuitry in a part of our brain that's right
- 1:20:31here. They're called the orbital
- 1:20:32frontal cortex. And what's happening is if you
- 1:20:36actually, if it's going to work, couple things have to be
- 1:20:38happening. 1, you have to both look at each other and stare
- 1:20:41under their eye, other eyes even from across the room.
- 1:20:45And then if both of you happen to be kind of in the same phase
- 1:20:49hormonally? Interesting, I think you both
- 1:20:52happen to be smiling if you're both like in a social mindset or
- 1:20:54whatever like that. Well, not just that.
- 1:20:56Like for women? You know.
- 1:21:00Physical hormonal stages, right so where are you in your cycle?
- 1:21:04There are start parts of the cycle where you're going to be
- 1:21:06more attracted to one kind of person, but maybe you'll be
- 1:21:09attracted to somebody else visually attracted if you're in
- 1:21:12a different part of your cycle. And it turns out men, it turns
- 1:21:15out men also have fluctuations in their hormones that will like
- 1:21:18drive preferences for people with like more feminine versus
- 1:21:21more masculine features, which is really interesting.
- 1:21:25So all that has to be all right. And so then you have so that's,
- 1:21:29so that's the first phase, right?
- 1:21:30Just kind of meet and getting like, oh, this is, this is this
- 1:21:33person's interesting. I want to go out with them.
- 1:21:35So then you've had a few dates and now you're at that
- 1:21:37infatuation phase that you mentioned.
- 1:21:39And that is involving a whole different set of
- 1:21:41neurotransmitters. And it's almost like a disease
- 1:21:45because you're thinking about this person all the time, to the
- 1:21:48point where you're talking about them to your friends and your
- 1:21:51friends just wish you had shut up already about this person,
- 1:21:55almost. School, whatever it is.
- 1:21:58And it's also becoming almost intrusive because you're like at
- 1:22:01work trying to get work done. It's like, I wonder what she's
- 1:22:03doing right now, you know, and she's probably the, she's
- 1:22:06probably the same way, hopefully.
- 1:22:09And there's other issues that happen when they're not In Sync
- 1:22:12that way that change the neurochemistry of that.
- 1:22:15So if that all works out and you go through that infatuation
- 1:22:17phase and all these things are happening and it's actually
- 1:22:21interesting. It's interesting.
- 1:22:22The next phase is commitment. So there's all this really
- 1:22:26interesting data suggesting that certain genes make people more
- 1:22:30likely to become committed in relationships.
- 1:22:33And if you don't have those genes or if you have a change in
- 1:22:35those genes, you're really, it's really hard for you to get
- 1:22:37committed and you wind up going back on that roller coaster all
- 1:22:41over again. And so this was actually
- 1:22:43demonstrated really fascinating work in these little rodents
- 1:22:47called Prairie bowls. So rodents are not generally
- 1:22:52monogamous. They, they fool around a lot,
- 1:22:55right? That's why there's so many of
- 1:22:56them. And so there's these animals
- 1:23:00called they're voles. They're these very cute animals.
- 1:23:03And there's one type of Ole, not all voles, one type of Ole
- 1:23:06called the Prairie vole. And it turns out that they kind
- 1:23:09of bond for life and the males even help rear the the
- 1:23:12offspring. And they found out there's this
- 1:23:15one particular gene in in these voles that seems to dictate that
- 1:23:20behavior. And then they looked at men who
- 1:23:23were in relationships that were like steady relationships versus
- 1:23:26men that just could never make a commitment.
- 1:23:29And it turns out they had that mutation in that gene that for
- 1:23:34people while they were calling it the divorce gene.
- 1:23:37And which is not accurate, but there's more to that.
- 1:23:41But but it's remarkable. So it's like it really brings
- 1:23:44back questions about how our genes dictate our behavior and
- 1:23:47our personalities more than we probably think they do.
- 1:23:50So some of me. Genetically genetically disposed
- 1:23:53to non to being committed or not committed Non committal non
- 1:23:57committal rather. Yeah, that's kind of amazing and
- 1:24:00kind of disturbing. So, so, so then it's like, you
- 1:24:05know, once you get to that committed phase, there's all
- 1:24:07these other genes that come into place that, you know, I've been
- 1:24:10with my wife for 30 years now or over 30 years.
- 1:24:12And, and I just feel really at ease when we're together and,
- 1:24:17you know, Despite that, but there are some people who never
- 1:24:19get there, right? They never had that sense of
- 1:24:22ease with the person that they're with.
- 1:24:24And so that's, that's turns out our genes kind of dictate that
- 1:24:27to a degree. So, so it's just a fascinating
- 1:24:30area and and you know, when you think about pleasure and how
- 1:24:34that relates to love, I mean, it's a lot of the same thing.
- 1:24:37It's like this feeling of reward, dopamine comes back into
- 1:24:40the picture again, reward system when you're, when you feel like
- 1:24:43you're with this person and it's like just a rewarding
- 1:24:45experience. So it's a lot of the same
- 1:24:48chemistry. And I always related to like
- 1:24:50compare that to eating a piece of chocolate, right?
- 1:24:53You get to a point where you've had too much chocolate.
- 1:24:56It doesn't mean you stop liking chocolate.
- 1:24:58You just need to stop eating the chocolate for a little while.
- 1:25:00And then later on you can have some more chocolate until you
- 1:25:03get sick. So, but yeah, it's, it's, it's
- 1:25:07it, it's an amazing area of research.
- 1:25:09And I love, I love getting, of course, I always give that talk
- 1:25:12on Valentine's Day because that's, you know.
- 1:25:15Of course, of course. That's super cool.
- 1:25:17Wow, so much fun, so much time to think about.
- 1:25:20Also, there's so many different layers.
- 1:25:22And you talk to 100 people and I'll tell you not even 100
- 1:25:24people, but you know, I mean, there's also the psychological
- 1:25:27aspect of it of kind of like the familiarity versus not.
- 1:25:30And then they're growing into, you know, a different sense of
- 1:25:33relationship. And then there's the I've heard
- 1:25:36that smell has a lot to do with attraction.
- 1:25:38And enormous. Amount.
- 1:25:39Yeah. So that's.
- 1:25:40So that's the other thing. And that's.
- 1:25:41And that's partly hormonally driven, interestingly.
- 1:25:43So depend on where you are in the cycle, certain smells are
- 1:25:46going to be more attractive than others.
- 1:25:48And taste. And it turns out it tastes too.
- 1:25:50When you kiss somebody, turns out, you know, kissing is not
- 1:25:53something humans have done all along.
- 1:25:55It's it's something they figured out later.
- 1:25:57But when you kiss somebody, you're you're sampling the taste
- 1:26:00of their saliva and there's molecules in the saliva that
- 1:26:03actually may dictate you came back to the question of
- 1:26:06compatibility, right? Like, yeah, to make sure you
- 1:26:09don't have taste socks. So it turns out that you're
- 1:26:11actually tasting immune competence.
- 1:26:13Wow. And and so recognize.
- 1:26:16That right, Yeah, unless we, unless we or like subconsciously
- 1:26:20do. You do subconsciously because
- 1:26:22it's a bitter taste when you're not compatible.
- 1:26:25Wow, so. So, so it's, it's really
- 1:26:27remarkable. And then there's this really
- 1:26:29funny thing that was going on for a while several years ago
- 1:26:32where that's coming back to smell, right?
- 1:26:35They would actually have people spend their day like sweating
- 1:26:37into these shirts. And then you would take your
- 1:26:40shirt off and put it into a bag with just a number on it.
- 1:26:42And then somebody would come and smell the shirt.
- 1:26:45And if they had that, if they, if it smelled sweet to them,
- 1:26:48you're more compatible, right? So cool.
- 1:26:51That's amazing. They should make a Netflix
- 1:26:54dating show based on this. You should pitch this to
- 1:26:56Netflix. That's what you should do.
- 1:26:57That would be your next big after after the you know, you
- 1:27:00did the book, you're doing all this talking.
- 1:27:01You do it. You're doing the scores, you're
- 1:27:02doing the research. I think that a Netflix show
- 1:27:05based on the neurochemistry of love and mixing with mixed above
- 1:27:10with love is blind. Would be.
- 1:27:12There you go. There you go.
- 1:27:14There you go. Wow.
- 1:27:15OK, If we find that in Netflix in a couple of years, then we
- 1:27:17know where they came up with that idea.
- 1:27:20I'll give you credit. Doctor, Doctor Larry Sherman,
- 1:27:23this is so much fun. Thank you so much for such an
- 1:27:26awesome and informative and entertaining conversation.
- 1:27:30And I hope to stay in touch and I hope to be able to do this
- 1:27:32again down the line. And I'm sure that a lot's going
- 1:27:34to change and there's going to be a lot of exciting things to
- 1:27:36talk about, so. Got you.
- 1:27:37That was really fun. I really enjoyed it.
- 1:27:39Thanks. So.
- 1:27:40Much. Yeah, of course, of course.
- 1:27:41Take care. Have a great day.
- 1:27:42Thanks for the time you too.