Latest / Voyage Clinics Podcast / Does Google Really Know Your Diagnosis? | Researching Your Own Health with Holly Hawkins

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Does Google Really Know Your Diagnosis? | Researching Your Own Health with Holly Hawkins · Voyage Clinics Podcast

0:09
Speaker 1: Hello, I'm doctor John Satis. Welcome to the Voice Clanns podcast.
0:14
Speaker 1: I'm a family doc and our objective with this podcast,
0:16
Speaker 1: as always is just to bring light and knowledge to
0:19
Speaker 1: the community about cool topics of health and wellness and
0:23
Speaker 1: all the goodness. So today Holly is going to just
0:25
Speaker 1: do something kind of fun with me, and she's just
0:28
Speaker 1: going to do like a Q and a like and
0:29
Speaker 1: ask me anything. Well, I don't think we've ever done
0:31
Speaker 1: one of these.
0:33
Speaker 2: All right, I'm ready, Okay, So we just looked up
0:35
Speaker 2: the most commonly asked questions on Google that should probably
0:39
Speaker 2: be asked your doctor, but instead you ask Google doctor.
0:43
Speaker 2: So instead today we're going to ask the actual doctor.
0:46
Speaker 2: And there's a couple different categories that will go over.
0:48
Speaker 2: The first one is just start by saying, I am
0:50
Speaker 2: not smarter than Google.
0:52
Speaker 1: Oh no, So should people be going to Google? Who
0:55
Speaker 1: are mess So I have experience about that. I think
0:57
Speaker 1: that with AI, now folks are using it I very
1:01
Speaker 1: intelligently and it's actually awesome. AI has passed like multiple
1:05
Speaker 1: multiple board exams, like family docs are like board certified,
1:09
Speaker 1: and check can pass all those board exams too. It's
1:12
Speaker 1: smart and so I think it's really cool. We have
1:15
Speaker 1: a really unique opportunity to leverage tech. A lot of
1:20
Speaker 1: docs are like, oh you good, they get all mad.
1:23
Speaker 1: I'm not mad about that. I actually love it. And
1:25
Speaker 1: if you use GROC and Claude and Chat too, awesome,
1:29
Speaker 1: let's talk shop because they're smarter than I am. But
1:32
Speaker 1: I get to do this. I get to talk to
1:34
Speaker 1: you and to see the nuance. Healthcare has so many
1:37
Speaker 1: nuances to it, so it's not all just information and knowledge.
1:41
Speaker 1: That's important, but then there's like the art of healthcare,
1:44
Speaker 1: and that's something that is is like total personal person. Yeah,
1:48
Speaker 1: the care. I'm not smarter than Chat right now. I
1:51
Speaker 1: use them all the time. In fact, we have open evidence,
1:54
Speaker 1: which is like all the evidence based science out there,
1:59
Speaker 1: so that's really cool. And anybody with an MBI number
2:02
Speaker 1: with just like a medical clinician PAS and p's physicians,
2:07
Speaker 1: we all have free access to to Open Evidence AI.
2:10
Speaker 1: So you can actually take your GROC findings and say, hey, doc,
2:14
Speaker 1: I just wondering about this. You mind putting it through
2:16
Speaker 1: your database too, because that that's going to pull from
2:18
Speaker 1: the latest science. It traditionally has been paywalled, and so
2:23
Speaker 1: so GROC and Chat and some of those other guys
2:25
Speaker 1: don't have access to here's those paywalls, so it's kind
2:28
Speaker 1: of nice to have. Yeah, I did as much as
2:31
Speaker 1: I could with Chat or groc or whatever, what do
2:35
Speaker 1: you think? And then we can just put it through
2:36
Speaker 1: ours and looking. It's fun. It's really cool.
2:39
Speaker 2: So what you're saying is we should type up our
2:43
Speaker 2: questions and see if you're right after this yes and yes, okay,
2:47
Speaker 2: and so when it's wrong, then we can have everyone
2:50
Speaker 2: leave our clinic. Okay, okay. So the first one is
2:54
Speaker 2: under mental health. It goes how do I know if
2:57
Speaker 2: this is normal stress or an anxiety disorder?
3:01
Speaker 1: I think it depends on what we're talking about. So
3:03
Speaker 1: give me a scenario.
3:05
Speaker 2: Let's say somebody is in college and every day they're
3:09
Speaker 2: going home with stress, but not panic attack level stress,
3:14
Speaker 2: and they just feel overwhelmed by the work they have
3:17
Speaker 2: to do or the homework that they have to do.
3:20
Speaker 2: Would that be stress or would that be anxiety disorder?
3:23
Speaker 1: So the super interesting stress anxiety panic disorder. There's there's
3:28
Speaker 1: rumination disorder. There's a whole bunch of little nuance to
3:31
Speaker 1: this equation. And one of the cool things about pressure,
3:35
Speaker 1: we're gonna call it pressure instead of anxiety because that
3:37
Speaker 1: has a negative connotation. But school has pressure with it, right,
3:41
Speaker 1: Like I got deadlines, I got I got tests, I
3:43
Speaker 1: gotta do all this stuff, and there's like this, there's
3:46
Speaker 1: like this bell curve to all of that pressure. A
3:51
Speaker 1: little bit is good, not enough is not good, right,
3:56
Speaker 1: a little bit more is better for progress, right, And
3:59
Speaker 1: then there's as a peak for and it probably varies
4:02
Speaker 1: a little bit from person to person, but like, oh yeah,
4:04
Speaker 1: that's your peak, dog. And then then you start to
4:07
Speaker 1: go down the other side of the bell creve where
4:08
Speaker 1: now we're getting too much stress and our performances is different.
4:11
Speaker 1: Hanging in a bunch of other things, and there's a
4:13
Speaker 1: multitude of things that they kind of affect our tolerance
4:20
Speaker 1: to that. So that pressure can be like our tolerance
4:24
Speaker 1: to that pressure can be expanded if we're taking enough breaks,
4:27
Speaker 1: if we're exercising, if we're breathing appropriately, if we're we
4:32
Speaker 1: have healthy relationships, we have a stable living environment, we
4:36
Speaker 1: have a decent religious space to you know, to offload
4:40
Speaker 1: some things, and so all those things can build up
4:42
Speaker 1: that threshold or that buffer to handling healthy amounts of
4:46
Speaker 1: pressure in your life. If that buffer is chiseled down
4:50
Speaker 1: too much. I'm unstable, I don't have I got kicked
4:53
Speaker 1: out of my roommates, and I broke up with my
4:55
Speaker 1: girlfriend or boyfriend, and you know, my parents hate me,
4:58
Speaker 1: and i'm and then you find yourself with any amount
5:02
Speaker 1: of pressure creating situations that might be panic, that might
5:06
Speaker 1: mean lots of anxiety, that might be man, I'm really
5:09
Speaker 1: struggling to perform. I can't really concentrate, I can't really
5:13
Speaker 1: can't really dial in. So so then you might be
5:15
Speaker 1: in the space where, oh, we might need some support,
5:19
Speaker 1: and that's when it's time to talk to a clinician.
5:22
Speaker 1: It's affecting my performance. I think I need some help,
5:25
Speaker 1: and so we might say, well, tell me about that,
5:28
Speaker 1: and then okay, there's some social things you can do
5:30
Speaker 1: to build up that buffer, but is there maybe for
5:33
Speaker 1: a duration, it might be appropriate to start a medicine too,
5:36
Speaker 1: and maybe talk to somebody, get some therapy, dial it in.
5:39
Speaker 1: There's a lot of things that that chisel down at
5:41
Speaker 1: that buffer, and one of them is like our default
5:46
Speaker 1: mode network. We could have talked about this last week,
5:48
Speaker 1: and some of that default mode network is like, what
5:51
Speaker 1: is the voice that we're listening to? That's telling us stuff,
5:54
Speaker 1: and sometimes those are negative voices and they can affect
5:57
Speaker 1: our performance, and they can also affect that buffer. So
6:00
Speaker 1: whether it's man, I'm having a lot of anxiety, or
6:02
Speaker 1: maybe man, I'm having a lot of depression, or maybe
6:04
Speaker 1: I can't sleep and I'm having anxiety and depression, Well
6:07
Speaker 1: that might be time to like, oh, let's get seen
6:11
Speaker 1: by the clinician, see if there are some things that
6:13
Speaker 1: we could do to enhance that buffer such that when
6:16
Speaker 1: pressure hits, you don't find yourself in these overwhelming, emotionally
6:21
Speaker 1: dysregulated states, if you will.
6:24
Speaker 2: So, how would you recommend for that college student? How
6:26
Speaker 2: do they know where they're at on the bell curve?
6:29
Speaker 2: Because I think with a lot of the way that
6:31
Speaker 2: we cope now, especially the younger generations, they have zero
6:36
Speaker 2: coping skills. How do they know where they're at on
6:38
Speaker 2: just like, Okay, I've had a hard day, I feel stressed. First, Okay,
6:42
Speaker 2: every single day I'm now feeling this, but I'm not
6:46
Speaker 2: having panic attacks. So how do they know where they're
6:48
Speaker 2: at in the bell court?
6:50
Speaker 1: Yeah, if you're anxious because you've got a test coming
6:52
Speaker 1: up and you're inclined to study, you're in the healthy
6:55
Speaker 1: pressure space. If you're having a hard time sleeping, you
6:59
Speaker 1: keeping and ruminating about oh my gosh, did I study enough?
7:02
Speaker 1: Or oh my gosh, I'm so stressed about tomorrow. I
7:04
Speaker 1: don't know about this thing, and then that persists even
7:07
Speaker 1: after you're done with the test. Oh man, if only
7:10
Speaker 1: I could have water to shout a Maybe those are
7:13
Speaker 1: those self talk dialogues that create more anxiety, more depression,
7:17
Speaker 1: more of those negative feelings in us. And so I
7:20
Speaker 1: would say, just look at your day to day life.
7:25
Speaker 1: Am I able to get up and perform? Am I
7:27
Speaker 1: sleeping all the time? Am I unable to get out
7:30
Speaker 1: of bed? Or am I really unable to sleep? I'm
7:33
Speaker 1: ruminating and chewing on these things, and I can't really
7:35
Speaker 1: get through it and get over it. You might need
7:38
Speaker 1: some tools and some you know, talk to somebody. Get
7:40
Speaker 1: on a medicine for a duration. One of my pet
7:43
Speaker 1: peeves is that a lot of my colleagues are starting
7:45
Speaker 1: people on these medicines that really don't work a ton.
7:47
Speaker 1: They're just designed to really be a band aid for
7:49
Speaker 1: a symptom for a duration. They're not designed to heal anything. Really,
7:54
Speaker 1: that's not super fair because a lot of people heal
7:56
Speaker 1: from these medicines with therapy, and that's wonderful. But I
7:59
Speaker 1: think it's the therapy part that really helps, that default
8:03
Speaker 1: mode network and the internal self talk dialogues and things
8:06
Speaker 1: that then bring that true healing space. But then they
8:09
Speaker 1: never weaned off the medicine, right, and they were scared
8:12
Speaker 1: to and then you know, and so really, I think
8:15
Speaker 1: if we just had discussions with folks like like I
8:17
Speaker 1: just did, like, Hey, you just got a threshold, You
8:19
Speaker 1: got a buffer, and your buffer's thin right now, and
8:22
Speaker 1: the medicine is just gonna increase that buffer. You're gonna
8:24
Speaker 1: work on all those other things. You're gonna exercise more,
8:26
Speaker 1: you can eat right, you're gonna sleep better, you can
8:28
Speaker 1: do all those things. And that way, your threshold is
8:31
Speaker 1: really big. So when we wean off the medicine, guess
8:33
Speaker 1: what we're not down here in anxiety and panic attack
8:36
Speaker 1: and depression land.
8:38
Speaker 2: Yeah, I think that's super helpful. Okay, next one kind
8:43
Speaker 2: of similar but slightly different. How do I know if
8:47
Speaker 2: I have depression? First? Just feeling down?
8:51
Speaker 1: Yeah, this is great. I will say it is super normal,
8:54
Speaker 1: super normal for everybody to have some ups and downs
8:57
Speaker 1: in life. You're gonna be excited sometimes and be sad.
9:00
Speaker 1: Sometimes you're gonna cry, sometimes you're gonna You're gonna have
9:03
Speaker 1: high days and low days. That's all super normal stuff.
9:06
Speaker 1: Doesn't mean you're bipolar, doesn't mean that does a whole
9:08
Speaker 1: other diagnosis. And and so I think the first thing
9:12
Speaker 1: is give yourself grace to have some bad days. That's
9:15
Speaker 1: like my number one thing. Depression versus like just feeling
9:20
Speaker 1: down is hard because I would say, if you're feeling
9:26
Speaker 1: down and you can't get up and you can't get
9:29
Speaker 1: out of bed and you can't get motivated to do
9:32
Speaker 1: anything and you're kind of stuck, well then you're kind
9:35
Speaker 1: of down into the depressed in state, right, And so
9:39
Speaker 1: we have this whole PHQ nine questionnaire that we often
9:42
Speaker 1: use in the in the clinics, there's there's even a
9:44
Speaker 1: PHQ three which you just you could literally go on
9:48
Speaker 1: to chat Rock and ask them like, hey, am I depressed?
9:52
Speaker 1: And they'll say, well, here's a PHQ nine. Answer these
9:54
Speaker 1: questions and if you answer them pretty high, then maybe
9:58
Speaker 1: you do have some depression. It's hard just subjectively to
10:03
Speaker 1: know if somebody's depressed. So even in the clinic, I can,
10:06
Speaker 1: I can kind of I think the benefit of seeing
10:09
Speaker 1: someone in persons is you can kind of sense that
10:12
Speaker 1: right and docs who are a little more I don't know,
10:16
Speaker 1: right and left brain balanced, they're going to be more
10:19
Speaker 1: more like intuitive and like hearing and sensing. And I
10:22
Speaker 1: don't always do the PHQ nine and the clinic. I
10:24
Speaker 1: can feel when someone's super depressed and they're telling me
10:26
Speaker 1: a story, and I'm like, Okay, we don't need to
10:29
Speaker 1: do any of that stuff. But if you're like if
10:31
Speaker 1: I'm on the fence, I might be like, well, I
10:33
Speaker 1: don't know, it's kind of hard to get a sense
10:35
Speaker 1: of that or feel for that. Let's just answer this questionaire.
10:38
Speaker 1: What that does is it gives you objective findings, right,
10:41
Speaker 1: so you can just like, now I'm not weighing on
10:44
Speaker 1: my gestalt or your gestalt or like how you're basically
10:48
Speaker 1: we just answer these questions. If there are really a
10:51
Speaker 1: lot of those that you answered a high level to,
10:54
Speaker 1: then yeah, depression for sure. Yeah.
10:57
Speaker 2: Would you say most people are depressed or just struggling
11:01
Speaker 2: with knowing how to identify their emotions.
11:06
Speaker 1: I would say not everyone are depressed. I think there
11:10
Speaker 1: are more sad states, more downstates, and more high states
11:14
Speaker 1: that we all have throughout the day. Everybody has some
11:16
Speaker 1: degree of that emotional roller coaster and understanding that. I
11:20
Speaker 1: think recognizing, understanding, utilizing, and regulating our emotions is a
11:27
Speaker 1: skill and it is one that we do not teach,
11:30
Speaker 1: which is dumb. And so if you're interested in learning
11:33
Speaker 1: more about that, I would say Mark Bracket. He's like
11:36
Speaker 1: the head of the Yale Center of Emotional Intelligence, and
11:41
Speaker 1: he's like a brilliant man, and he's created a Ruler
11:45
Speaker 1: r U l e R curriculum for schools for individuals
11:49
Speaker 1: to utilize. He's been on Huberman Labs podcast a few times.
11:54
Speaker 1: That's one of my favorite ones. I'm a science nerd
11:56
Speaker 1: and I love scientists and they're super nerdy science and
12:00
Speaker 1: he really lays out this Ruler curriculum. Are you elier, recognize, understand, label,
12:06
Speaker 1: People suck at those three things? Yeah, just recognize, Well,
12:09
Speaker 1: I'm feeling something. It feels more down than up, so
12:12
Speaker 1: maybe it's maybe in the bluesy space. I want to
12:14
Speaker 1: understand that. What is that? And then label it? Yeah,
12:17
Speaker 1: I'm feeling kind of bluesy. The D word is harder, right,
12:21
Speaker 1: call it depression, but let's just solid bluesy depression. That's fine, right,
12:25
Speaker 1: and then express that and I'm feeling kind of sad,
12:30
Speaker 1: tell somebody, hey, I'm feeling this, and then and then
12:33
Speaker 1: just literally just doing that helps you are regulate. So
12:38
Speaker 1: that I love that little curriculum. Recognize, understand, label, express, regulate.
12:43
Speaker 1: If you're feeling angry, if you're feeling sad, if you're
12:46
Speaker 1: feeling anxious, that's a wait for emotional intelligence to promote it.
12:52
Speaker 1: My Brackett is super nerdy PhD guy, and all these
12:54
Speaker 1: PhD guys are like, oh great, They're like they're like cerebral,
12:58
Speaker 1: They're like these these massive brainy nerds. And that's great.
13:03
Speaker 1: And I love his curriculum because he uses brain cells
13:07
Speaker 1: to understand heart space. But I will say there's higher
13:12
Speaker 1: level to that where you're I think I think you're
13:17
Speaker 1: trying to analyze and fix and understand and all that
13:21
Speaker 1: with our with our surrebram our, c frontal, cervira, cortext
13:27
Speaker 1: we're trying to like understand our hearts with our heads.
13:30
Speaker 1: And I think that's part of the mortal existence and
13:32
Speaker 1: that's okay. But there is a deeper space where you're
13:36
Speaker 1: really feeling and understanding with your hearts and you're navigating
13:40
Speaker 1: your heart space with your heart ooh, that's a whole
13:43
Speaker 1: nother space, and you have to you have to be
13:46
Speaker 1: able to get rid of that default mode network. Breathwork
13:48
Speaker 1: does that. Some of the psychedelics do that, and then
13:51
Speaker 1: really get into that heart space and then you can
13:53
Speaker 1: really see stuff and you can really deeply understand and
13:57
Speaker 1: deeply heal. I think that's the intention of a lot
13:59
Speaker 1: of em drs and the trauma therapies that are out there,
14:04
Speaker 1: the modalities that they use with breath work and things
14:08
Speaker 1: like that, to really quiet the default mode network and
14:11
Speaker 1: really get to their heart space. But I do love
14:14
Speaker 1: what Mark Brackett does too, because I think it gives
14:16
Speaker 1: you some insight, some practical.
14:18
Speaker 2: Application to start today. Yeah, okay, moving on to sleep
14:24
Speaker 2: kind of the same thing. Am I actually burned out
14:28
Speaker 2: or just being lazy? Apparently there's a lot of people
14:34
Speaker 2: out there that are really confused about what they're feeling
14:36
Speaker 2: and if it's normal or if it's to an extreme
14:39
Speaker 2: that they don't understand.
14:40
Speaker 1: This is so funny. So I think this was a
14:43
Speaker 1: query that you put out to Google in the last
14:45
Speaker 1: week or two, and it is finals for so many
14:47
Speaker 1: of these kids trying to understand their emotions, so they're like,
14:51
Speaker 1: you could totally see this from like a nation full
14:54
Speaker 1: of like, yes, folks that are in finals well and
14:57
Speaker 1: what am I actually feeling?
14:58
Speaker 3: And social media too, where they will label everything as
15:01
Speaker 3: these major extremes now selling them on something to fix
15:06
Speaker 3: their laziness, rather than them just being tired from studying.
15:10
Speaker 2: So maybe not that one so much, but this one
15:12
Speaker 2: is a good one. Why am I exhausted all day
15:15
Speaker 2: but wide awake at two am?
15:18
Speaker 1: Throughout the day, A lot of people are not understanding
15:22
Speaker 1: or regulating their cortisol levels appropriately. Your cortisol. Physiologically, cortisol
15:28
Speaker 1: comes from your kidneys, your adrenal glands that sit on
15:31
Speaker 1: top of your kidneys, and it's secreted due to a
15:34
Speaker 1: signal from your pituitary, which is in the middle of
15:37
Speaker 1: your brain. So a little tiny or little tiny gland
15:40
Speaker 1: it secretes actch that then tells your pituitary or your
15:46
Speaker 1: it tells your adrenal glands to secrete cortisol at nighttime
15:52
Speaker 1: as you go to sleep you're not eating any food.
15:56
Speaker 1: Cortisol is a catabolic steroid. It breaks down sugar stores
16:00
Speaker 1: in your body to keep you alive during the nighttime,
16:03
Speaker 1: and it starts to rise around two or three in
16:05
Speaker 1: the morning, and then and then it spikes kind of
16:09
Speaker 1: early morning six seven eight, depending on when you wake up,
16:12
Speaker 1: and it spikes, and then you really want that cortisol
16:15
Speaker 1: to stay high. This is outside of a pathologically high
16:20
Speaker 1: cortisol level. So you hear people like, oh, cordisol's stress
16:22
Speaker 1: normalone and people are two strets or cortisols levels too high.
16:24
Speaker 1: We should definitely take cash a rod in the morning.
16:27
Speaker 1: That is not That is not the case. So this
16:29
Speaker 1: is the just the normal person, their normal physiology. Cortisol's high,
16:34
Speaker 1: and you actually want that to stay high. It keeps
16:36
Speaker 1: you motivated, keeps your energy going, It keeps you going.
16:38
Speaker 1: But what did ninety percent of Americans do in the morning.
16:41
Speaker 1: Let's eat a giant bowl of like frosted flakes.
16:44
Speaker 2: Let's see that.
16:44
Speaker 1: Let's see scrolling. Yeah, yeah, yeah, So you're killing your
16:48
Speaker 1: open me, but you're also killing your cortisol level. So
16:51
Speaker 1: a sugary, a high carbhydrate food in the morning is
16:55
Speaker 1: going to tank your cortisol and then you're gonna be
16:57
Speaker 1: super sleepy at noon. And what are you gonna do.
17:00
Speaker 1: You're gonna eat something high carb as well, and then
17:02
Speaker 1: you're gonna further take your cortisol and then you're sleepy
17:06
Speaker 1: all afternoon, so your corsol's super low, and then your
17:09
Speaker 1: body's like, hey, we need more cortisol, so it starts
17:11
Speaker 1: to spike a little bit early and then you're getting
17:13
Speaker 1: that two am spike instead. So really it's probably diet based.
17:17
Speaker 1: If we could cut the carbs a little bit. If
17:19
Speaker 1: you want to do some carbs, do it with dinner.
17:21
Speaker 1: Do a lower car breakfast, A lower carb lunch. Doesn't
17:24
Speaker 1: mean no carbs, but like, let's just eat veggies instead
17:26
Speaker 1: of all those sweet stuff right then, and that has
17:29
Speaker 1: complex carbs in it, and then it will help your
17:32
Speaker 1: cortisols be sustained throughout the day, your energy level will
17:34
Speaker 1: be sustained. You won't have that afternoon oh my gosh,
17:36
Speaker 1: I gotta take a nap feeling and that'll be money
17:40
Speaker 1: and then you'll be able to sleep.
17:41
Speaker 2: So what does your breakfast look like me?
17:44
Speaker 1: I don't eat a ton of breakfast, Yeah, I don't.
17:47
Speaker 1: I just drink some mojo in the morning and then
17:51
Speaker 1: that's pretty much it. And then lunch I try to
17:54
Speaker 1: keep it low carb, and then dinner if I do
17:56
Speaker 1: some carb that day, I'll do a low amount of carbs.
17:59
Speaker 1: Cortisol is clutch. The other thing at two am is
18:05
Speaker 1: if you've got a lot of things, you're kicking around
18:07
Speaker 1: breathing and not breathing, but you're just like thinking about
18:11
Speaker 1: ruminating on that cortisol is going to turn on. And
18:14
Speaker 1: then it can also turn on like your other adrenals
18:18
Speaker 1: like norbinephrin, and kick you into like a little bit
18:21
Speaker 1: fight or flight. So then you're like awake, and then
18:24
Speaker 1: you can't go back to sleep because your body just said, hey,
18:26
Speaker 1: usually wake up and think. And so I think some
18:30
Speaker 1: degree of emotional intelligence and emotional processing every single day.
18:36
Speaker 1: And I would just do it with breath work five
18:38
Speaker 1: seconds in, five seconds out, five seconds in five seconds,
18:43
Speaker 1: so and do that for like five minutes and then
18:50
Speaker 1: just breathe, and that gets you out of your default
18:54
Speaker 1: mode network and into kind of your heart space, and
18:58
Speaker 1: then you can just let your heart and mind kind
19:00
Speaker 1: of sort itself out. Understanding like subconscious brain and default
19:04
Speaker 1: mode network and the way our brains work and why
19:07
Speaker 1: and why they kick on and stuff is complicated. It's
19:09
Speaker 1: super complicated, but none of us actually do any work
19:14
Speaker 1: trying to fix it on a day to day basis.
19:17
Speaker 1: How do I feel stuff? How do I defrag the
19:19
Speaker 1: hard drive? Like? How do I? How do you get there?
19:21
Speaker 1: And I think one of the keys is breathwork, meditation, mindfulness,
19:26
Speaker 1: just breathing, just breathing. It turns out breathing is the
19:29
Speaker 1: answer to everything. Yeah, let's kind of breathe.
19:32
Speaker 2: Breathing and not eating a bowl of sugar first thing
19:35
Speaker 2: in the morning.
19:35
Speaker 1: Lucky charms due.
19:37
Speaker 2: No, okay, Next moving on to hormones. What are signs
19:45
Speaker 2: of hormone imbalance?
19:47
Speaker 1: Okay, So, if you are a menstruating female, your hormones
19:51
Speaker 1: are reasonable. They really are. If you're menstruating regularly normally,
19:56
Speaker 1: your hormones are reasonably balanced. If your hor if your
20:00
Speaker 1: cycle shortened, lengthened, heavier than usual, not as heavy as usual,
20:05
Speaker 1: something's off there. So really the great litmus test. Litmus
20:09
Speaker 1: test is a fancy word for like acid base. They
20:11
Speaker 1: dip it in the water and they tell if it's
20:13
Speaker 1: like acid base. So, but we're just the litmus test
20:16
Speaker 1: of your hormones is really your cycle? For females, Let's
20:19
Speaker 1: say you're ooh, I'm thirty seven. Am I a perimenopazzal.
20:24
Speaker 1: How's your cycle? My cycle's great. We don't really even
20:29
Speaker 1: need to check hormones. Female's hormones do this throughout the month.
20:33
Speaker 4: Yeah, it feels like that they're like up down, up, down,
20:35
Speaker 4: down down, super down, and and that does play a
20:39
Speaker 4: role on your emotions and it is hard to control
20:42
Speaker 4: some of that emotional stuff dysregulation that happens with those hormones,
20:46
Speaker 4: and it is just not fair.
20:48
Speaker 1: One of these days, I'll ask the big man upstairs.
20:50
Speaker 1: It'll be like, hey, man, what's going on? And I
20:52
Speaker 1: literally I think it's just to keep us on our
20:54
Speaker 1: toes because I'm like, oh, otherwise it'd be so easy,
20:58
Speaker 1: Like if my wife was just like talking all that
21:00
Speaker 1: we had normal, steady hormones, it'd be so grooved, right,
21:02
Speaker 1: But no, it's like what the whoa, sorry, bab I
21:06
Speaker 1: didn't mean it. Nope, didn't mean that either. So you
21:08
Speaker 1: just you know, you got to figure out how to
21:10
Speaker 1: kind of navigate that space. But by far and away,
21:14
Speaker 1: despite the ups and downs of females hormones, if that
21:17
Speaker 1: cycle is cycling normally with normal amounts of the menstruation
21:23
Speaker 1: and normals of all that stuff cycles, everything is probably fine, Okay.
21:28
Speaker 2: What about men's hormones? So the next one is is
21:31
Speaker 2: testosterone therapy safe? And who should not be using testosterone therapy?
21:36
Speaker 1: I love this question. We have a million testosterone mills
21:40
Speaker 1: out there right now. These are mills because that's all
21:43
Speaker 1: they're interested in. They're venture funded, so they're funded by
21:46
Speaker 1: some guy who wants money, and then they put a
21:49
Speaker 1: worker b in there, often a pa or or spectationer
21:51
Speaker 1: because they're cheap labor. And then they just they just
21:55
Speaker 1: like run people through and they put everybody on testosterone
21:58
Speaker 1: because it's part of their business model and they make
22:00
Speaker 1: boatloads of money. And do these people feel better on testosterone? No?
22:05
Speaker 1: Yes they do. Oh yeah, because testosterone is a performance
22:08
Speaker 1: enhancing drug and it will make one hundred percent. You
22:11
Speaker 1: put me on tesasha, and we'll be like, oh they
22:12
Speaker 1: feel great. I'm after oh like I'm eighteen again. But
22:16
Speaker 1: is it appropriate? Maybe not. We all kind of want
22:20
Speaker 1: this easy, quick fix to our feeling of yeah, I'm
22:23
Speaker 1: getting bad, I got too much visceral bad, or I'm
22:26
Speaker 1: this or that, and everybody wants a quick fix to that.
22:29
Speaker 1: And hormones are unsafely that, and so why if you
22:34
Speaker 1: put a thirty year old, and we've had many of
22:36
Speaker 1: those folks come to our clinic to get ethical hormones
22:40
Speaker 1: or come off of those unethical hormones. We just have
22:43
Speaker 1: a talk about it. Hey, you're thirty, your hormones were
22:47
Speaker 1: a little bit low, but they weren't super low. But
22:51
Speaker 1: you could have done a million things in your personal
22:54
Speaker 1: life to fix that without this hormone injection. As soon
22:57
Speaker 1: as we start this hormone injection, guess what testicle shriveled up.
23:01
Speaker 1: They lost their ability to actually create hormone. And now
23:03
Speaker 1: you have to be on that the rest of your life, right,
23:06
Speaker 1: And that's a bum deal. And there is a way
23:08
Speaker 1: around that. So if you have that talk to your doc,
23:10
Speaker 1: if they're ethical, they'll probably help you jump start your boys.
23:14
Speaker 1: And it's not jumper cables, but it's close, it's not really,
23:19
Speaker 1: But yeah, we'll get them back online and get them
23:21
Speaker 1: come and again. Meanwhile, work on your sleep, work on
23:24
Speaker 1: your stress, work life balance, exercise, resistance training, get your
23:28
Speaker 1: vitamins in, get enough vitamin D, get some sun, walk
23:31
Speaker 1: in the mornings, walk in the evenings, manage that cortisol level,
23:35
Speaker 1: and magically your testosterone is back online and it's working great,
23:39
Speaker 1: So that's the key. It does take more discipline, takes
23:41
Speaker 1: more time, and it's more holistic, but man, it's way
23:45
Speaker 1: better for your boys.
23:47
Speaker 2: Well that's where I've heard you talk about this in
23:49
Speaker 2: the clinic, and I was talking to my sister. She
23:52
Speaker 2: was like, I didn't understand that this can make men infertile.
23:55
Speaker 2: She had friends in their early twenties looking into testosterone
23:59
Speaker 2: therapy because they wanted to get swool and didn't realize
24:03
Speaker 2: that they are pre having children and then that could
24:05
Speaker 2: affect their fertility.
24:07
Speaker 1: No, I'm glad you brought that up, because that is
24:08
Speaker 1: a That is also the other thing because then when
24:11
Speaker 1: they shriveled up they stop producing testosterone, they also stop
24:14
Speaker 1: producing sperm, and to get those babies back online, it's tough,
24:17
Speaker 1: so it takes time. It's not on it's not insurmountable.
24:22
Speaker 1: But talk to probably a good a good doc who's
24:25
Speaker 1: done a little digging in this and you'll see how
24:28
Speaker 1: to do it.
24:29
Speaker 2: So similarly, kind of a hot topic diet, Do I
24:34
Speaker 2: have to be on GLP ones forever? And who shouldn't
24:38
Speaker 2: be on GLP ones?
24:41
Speaker 1: Medullary thyroid cancer is like the big contry indication a
24:46
Speaker 1: family history of thyward cancer. You should talk to your
24:49
Speaker 1: clinician about that. If you have gastroprises, probably shouldn't be
24:54
Speaker 1: on that. If you have a gastric sleeve or a
24:58
Speaker 1: gastric bypass, you should talk to your clinician about the
25:01
Speaker 1: risks of being on that. I think they're pretty pretty safe.
25:07
Speaker 1: They've been around forever. They're naturally occurring in your body.
25:11
Speaker 1: What's been hacked is our food supply. So our food
25:14
Speaker 1: supply eighty five percent or more is crap, right, It's
25:18
Speaker 1: lucky charms, it's all this granola bars that are fake healthy,
25:22
Speaker 1: and yogurts that are fake healthy. They're just full of sugar,
25:25
Speaker 1: and all of those things really shut off the part
25:28
Speaker 1: of your brain that say I've had enough and I'm
25:32
Speaker 1: full here and I'm done. They shut that down and
25:35
Speaker 1: they just regulate it. So then you're like having craving
25:39
Speaker 1: is disproportionate than what's real for your body and what
25:42
Speaker 1: your body needs. So these shots given once a week, generally,
25:48
Speaker 1: they kind of help people quiet that food noise that
25:52
Speaker 1: comes from our poor diet. I love to have a
25:54
Speaker 1: very holistic talk with folks about, hey, we got to
25:57
Speaker 1: move the needle here, it's very difficult to move the
25:59
Speaker 1: needle with the American diet. What do you want to accomplish?
26:04
Speaker 1: You want to come to as cool? What changes are
26:06
Speaker 1: you willing to make to accomplish that? Because you really
26:09
Speaker 1: got to change some of this diet stuff. Well, I
26:12
Speaker 1: want to do this. This this okay? Great? What if
26:15
Speaker 1: I told you you're going to fail ninety percent of
26:17
Speaker 1: the time within seven days. There's a tool that we
26:20
Speaker 1: can leverage to just help you with that discipline space
26:24
Speaker 1: as you're coming off of this. It's like giving a
26:26
Speaker 1: crack addict something to be able to really quit the crack, right,
26:32
Speaker 1: And so this is something that really helps them. But
26:35
Speaker 1: they have to have that gumption, they have to have
26:37
Speaker 1: that desire, and they have to have that focus so
26:39
Speaker 1: that they can actually get there. And the medicine is
26:43
Speaker 1: just a tool to get there once they've dialed in
26:45
Speaker 1: behavior patterns and change diet and changed quantities and changed
26:49
Speaker 1: all these patterns. Now it's sustainable, right, But if you don't,
26:55
Speaker 1: if you continue to eat the food that disregulates you
26:57
Speaker 1: even though you're on it, you will lose weight. You'll
26:59
Speaker 1: be great, and then as soon as you stop your
27:02
Speaker 1: fluff right back out because you didn't really change the problem,
27:04
Speaker 1: which is all the processed food. Right, So we got
27:07
Speaker 1: to stop eating so much processed food, eat a lot
27:09
Speaker 1: more vegetables, meats, whole grains, not all the processed crap,
27:14
Speaker 1: and then we'll be fine. But it's just getting them
27:17
Speaker 1: there that's the battle. And so I think leveraging them
27:20
Speaker 1: for a duration to establish better eating patterns, better life patterns,
27:24
Speaker 1: better exercise patterns, and then coming down once a month, shot,
27:29
Speaker 1: once every two week shot, you know, and just tapering
27:32
Speaker 1: and then maybe they just need it once a month
27:34
Speaker 1: for maintenance. Awesome. I have several patients that are just
27:37
Speaker 1: once a month, and then even that, they'll come off
27:40
Speaker 1: of it for several months and they're fine and they're like, oh,
27:42
Speaker 1: I see myself getting disregulated again with my eating patterns
27:45
Speaker 1: and my relationship with food, and they'll just get back
27:47
Speaker 1: on it and it helps them. Long term studies on
27:50
Speaker 1: this do exist. People are like, there's no long term studies.
27:53
Speaker 1: There's a million long term studies. This medicine has been
27:55
Speaker 1: around for more than thirty years in different forms, So
27:59
Speaker 1: super interest.
28:01
Speaker 2: Next one is kind of the I feel like you
28:04
Speaker 2: have people on GLP ones and then you have likewise
28:08
Speaker 2: people who are in this holistic you can heal yourself.
28:12
Speaker 2: But one of the biggest things are detoxes. So whether
28:16
Speaker 2: that's like juice detoxes or even people will use intermitten
28:22
Speaker 2: fasting with detoxes.
28:24
Speaker 1: Do they work?
28:25
Speaker 2: Do detox cleanses work?
28:27
Speaker 1: Oh? Man, this is this is a whole another's bag
28:30
Speaker 1: of ones. And thanks for bringing this to you. I
28:33
Speaker 1: would say, go to groc and type this in now
28:37
Speaker 1: there's There are detox protocols that work, and the number
28:41
Speaker 1: one is stop processed food and sugar and you will
28:44
Speaker 1: literally go through withdrawals. So that's super simple. But do that,
28:48
Speaker 1: eat vegetables and meat, just those two things. Skip grains, skip,
28:52
Speaker 1: skip sugar, skip all that. Do that for six weeks,
28:56
Speaker 1: your whole brain will reset, your cravings will research that,
29:00
Speaker 1: your sugar thing will reset, like all this stuff will reset.
29:04
Speaker 1: That's the best detox anybody could do. There are anti
29:07
Speaker 1: inflammation diets that are, like, you know, only eat these
29:10
Speaker 1: things and decrease inflammation. That's not as much detoxing as
29:14
Speaker 1: just lowering inflammatory type foods. Wheat in America tends to
29:19
Speaker 1: be more inflammatory to our bodies. It's not that it's
29:22
Speaker 1: not a gluten allergy or is it a wheat allergy.
29:25
Speaker 1: It's just a little bit inflammatory. European wheat for me,
29:28
Speaker 1: generally doesn't do that as much, So I don't know
29:31
Speaker 1: what that is. There's probably a genetic strain that we
29:33
Speaker 1: use here that they don't use over there or something.
29:35
Speaker 1: But the detox is that there's some really radical ones
29:39
Speaker 1: that I don't recommend. There's like coffee enemas as part
29:42
Speaker 1: of the detox and all this stuff, and I think
29:45
Speaker 1: people can get pretty radicalized. And man, if you want
29:49
Speaker 1: a detox, honestly, just do like hot pilates or exercise
29:53
Speaker 1: a lot, sweat a lot, don't eat any processed food,
29:57
Speaker 1: drink lots of water. In your body. Your body's literally
30:01
Speaker 1: made to detox you. It is liver, kidney spleen like lungs.
30:08
Speaker 1: There's a whole bunch of organs that that's they just
30:11
Speaker 1: they just blow out toxins. They pee out toxins, you
30:13
Speaker 1: pooh out toxins. They process all these toxins. This is
30:17
Speaker 1: the case in point is the American diet. You could
30:19
Speaker 1: literally feed your body crap and it still lives. Right
30:23
Speaker 1: Like we're literally giving it processed chemical bull crap and
30:26
Speaker 1: it's doing okay. I mean, it's getting the diabetes and
30:30
Speaker 1: heart disease and all these other bad things from that crap,
30:32
Speaker 1: but it's sorting out the toxins. So really, if you
30:36
Speaker 1: want to sort out toxins, breathe, breathe, eat right, exercise,
30:42
Speaker 1: drink lots of water. Man, you'll flush out tons of
30:44
Speaker 1: stuff from your system. Tons. Now, if you truly have
30:47
Speaker 1: exposure to like heavy metals through you know, polluted waters
30:52
Speaker 1: or polluted environment or something, kelation detox absolutely works. We
30:57
Speaker 1: use that in medicine all the time, and so that's
30:59
Speaker 1: something to talk to your clinician about if you feel like,
31:01
Speaker 1: oh I might have some heavy metal exposure or something
31:04
Speaker 1: from my environment or something not super common. There was
31:07
Speaker 1: some factories in California that had some heavy metal stuff
31:10
Speaker 1: and they had to do klation therapies and stuff. But generally,
31:14
Speaker 1: I mean, if you're playing with mercury, you're gonna get
31:16
Speaker 1: mercury poisoning, right, So that needs to be keylated out
31:19
Speaker 1: and that's very, very life threatening. But yeah, I would
31:22
Speaker 1: say as a whole just do those things, Okay.
31:25
Speaker 2: So would you say before starting a radical cleanse that
31:29
Speaker 2: you might think is going to change everything about your
31:32
Speaker 2: experience in life. Maybe you reach out to your doctor
31:36
Speaker 2: and ask if that's a safe thing to do. Can
31:38
Speaker 2: you harm yourself by doing certain detoxes?
31:41
Speaker 1: Yeah, one hundred percent. So a lot of people are
31:42
Speaker 1: doing these juice cleanses and stuff like that. Man, just
31:45
Speaker 1: eat the vegetables and the fruits. It's fine. Just eat
31:47
Speaker 1: those and just don't eat process crap and drink water
31:50
Speaker 1: and exercise. Literally, that's it. Like, you don't have to
31:54
Speaker 1: have to do the juice clans. It's totally fine if
31:56
Speaker 1: you don't do the juice clans. People feel good doing
31:58
Speaker 1: the juice clans because they're eating thatgetables and fruits, right,
32:01
Speaker 1: That's why they feel good because they're not eating processed stuff.
32:04
Speaker 1: But if you just eat those vegetables and fruits and
32:06
Speaker 1: don't eat the process stuff, then you'll feel equally as
32:08
Speaker 1: good and it'll be not as much work as a
32:10
Speaker 1: juice cleans. True. I don't love the juice clans because
32:13
Speaker 1: it's like concentrating them without the fibers, and I like fiber.
32:16
Speaker 1: I think fiber is super healthy for your heart health,
32:18
Speaker 1: for your cholesterol, for your coalon health, your gut literally
32:22
Speaker 1: needs fiber in order to thrive. So our gut biome
32:25
Speaker 1: has a whole bunch of little microorganisms. They're symbiotic to
32:27
Speaker 1: your life and they need to live and they need
32:29
Speaker 1: to do things, and so they feed on fiber. So
32:32
Speaker 1: if we're not getting enough veggies in our lives, like
32:34
Speaker 1: get one of those little powdered vegetable supplement things. Costco
32:39
Speaker 1: has one that's more affordable than the athletic greens, the
32:41
Speaker 1: agent one or whatever that human likes. But but just
32:45
Speaker 1: something like that in your gut is helping your gut
32:47
Speaker 1: flora thrive and helping you with a whole bunch of things.
32:50
Speaker 1: If you want to do a radical detox thing, yeah,
32:52
Speaker 1: I would say pump the brakes. Maybe do something less
32:54
Speaker 1: radical first. See what that helps you feel. Because a
32:58
Speaker 1: lot of these things are like really expensive, and people
33:00
Speaker 1: are blowing up like three grand, you know, doing some
33:03
Speaker 1: silly thing with some silly person that's making a botload
33:06
Speaker 1: of money. And the beauty of Voyish clinics is we
33:09
Speaker 1: don't have any conflicts of interest like that. So we're
33:12
Speaker 1: just going to give you good advice as somebody cares
33:14
Speaker 1: about you and your family and so Yeah, if their
33:19
Speaker 1: sales operation is contingent upon them selling you this package
33:22
Speaker 1: of you know, detox and all these things and a
33:25
Speaker 1: bunch of supplements and a bunch of things, and you know,
33:27
Speaker 1: consider what that looks like. That's just capitalism at work,
33:29
Speaker 1: maybe not truly what your body needs.
33:31
Speaker 2: You mentioned are our final one. What are early warning
33:36
Speaker 2: signs of heart disease? And what does a heart attack
33:39
Speaker 2: actually feel like?
33:41
Speaker 1: We're seeing this more and more. Number one killer in
33:43
Speaker 1: America is the athloschcotic disease to build up a plaque
33:45
Speaker 1: on blood vessels that causes a clot, a blockage, and
33:50
Speaker 1: to your heart, to your brain. So heart attack strokes
33:53
Speaker 1: still the number one killer in America. We're seeing it
33:56
Speaker 1: more and more common. Why, it's because of the processed
33:59
Speaker 1: food craft that we feed ourselves, right, and then we
34:01
Speaker 1: don't exercise as much, and we're stress levels are super high,
34:04
Speaker 1: and our inflammation is super high, and our gut flora sucks,
34:06
Speaker 1: and we're not feeding it enough fiber. So basically we
34:10
Speaker 1: hit on a whole bunch of those spaces here. But yeah,
34:13
Speaker 1: the early signs, I mean, we're seeing it in their
34:15
Speaker 1: thirties even forties sometimes, and you general, typical chest pain
34:22
Speaker 1: is going to feel like, oh man, somebody's stepping on
34:25
Speaker 1: my heart. It feels like pressure and it can't breathe
34:29
Speaker 1: a well. I might be sweating diaphoresis, which is like,
34:32
Speaker 1: I'm not exercising, Why am I sweating and just having
34:34
Speaker 1: this pressure in my heart? I'm sweating and then it
34:37
Speaker 1: like maybe goes down to your left arm, a little
34:39
Speaker 1: bit might go into your jaw, depending on where at
34:41
Speaker 1: in your heart that blockage is occurring. If you're walking
34:46
Speaker 1: up a flight of stairs, you get more shorter breath
34:47
Speaker 1: than usual, and you feel something stepping on your chest,
34:50
Speaker 1: and then it goes away when you rest long enough.
34:53
Speaker 1: You're having some issues right there. So that's typical chest pain.
34:57
Speaker 1: Atypical chest pain happens in females diabetics, which is something
35:02
Speaker 1: similar to that, but then a whole bunch of differences
35:05
Speaker 1: and might not be exactly that what I just described,
35:08
Speaker 1: but what I just describe is like classic. What's even
35:12
Speaker 1: better than that is come in in your early like
35:16
Speaker 1: I don't know, mid twenties, I don't know, come in
35:18
Speaker 1: in your thirties, come in with everyone, but come into
35:20
Speaker 1: the doc family. Docs are preventive healthcare specialists. Internal medicine
35:24
Speaker 1: docs are preventive healthcare specialists. Pediatricians do a good job.
35:29
Speaker 1: Obs are primary care specialists as well. Talk to them
35:33
Speaker 1: about prevention. That's the key. So what am I doing
35:37
Speaker 1: to prevent this? What's my cholesterol look like? What's my
35:40
Speaker 1: exercise look like, what's my stress level, what's my fiber?
35:43
Speaker 1: And those are super easy to check. There's also some
35:46
Speaker 1: genetic things. Lipoprotein delay is a genetic thing. Check it
35:49
Speaker 1: once in your lifetime. If it's not high, it'll never
35:52
Speaker 1: be high. It's just a genetic thing. Apoab ratios all
35:57
Speaker 1: the things. You can get particles to your fats and things,
36:00
Speaker 1: but get to it early so you can start working
36:03
Speaker 1: the equation and win. That way, you prevent the build
36:07
Speaker 1: up of the black instead of like, ooh, I'm having
36:09
Speaker 1: just paid. What should I do right? Once you have that, boy,
36:13
Speaker 1: you've got to get a stint or bypass or something
36:15
Speaker 1: massive that's you know, quite quite a big deal.
36:21
Speaker 2: To wrap it all up, it sounds like you just
36:22
Speaker 2: need to eat better, sleep better, do all the basics.
36:26
Speaker 1: Breathe and breathe, breathe.
36:29
Speaker 2: So one final question then, so people who are turning
36:33
Speaker 2: to AI tools to research their own medical questions. Where
36:39
Speaker 2: what are is there anything that you would say don't
36:41
Speaker 2: research medical questions or would you say that's a fine
36:45
Speaker 2: first resort every time.
36:47
Speaker 1: I never say don't go there looking for things. I
36:50
Speaker 1: think you're totally fine doing that. But what you've got
36:53
Speaker 1: to be good at is telling it a story. So
36:55
Speaker 1: here's what I would do. Learn how to tell a
36:58
Speaker 1: good story. Doesn't matter if it's a or me. If
37:01
Speaker 1: you come to my office and your brain is all
37:03
Speaker 1: over the place and you're not telling me a story,
37:06
Speaker 1: I'm pretty good at directing people. AI doesn't direct you, right,
37:09
Speaker 1: you can just shoot all over the place, and then
37:12
Speaker 1: AI is telling you have cancer, and then you have
37:14
Speaker 1: three heads and you also have you know something else.
37:17
Speaker 1: And so learn how to give a good history present
37:21
Speaker 1: illness HPI. You can look this up. You could chat
37:25
Speaker 1: GPT it if you want to CROFT or whatever, but
37:28
Speaker 1: you could literally just look it up. How do I
37:30
Speaker 1: do a good HPI history present illness? I'm dealing with
37:34
Speaker 1: a thing. I need to know everything around that theme,
37:37
Speaker 1: and doctors are experts at that. We literally like ninety
37:41
Speaker 1: five percent of diagnoses can be made on history alone.
37:45
Speaker 1: You give me a good history, and I solicit a
37:47
Speaker 1: good history for you. I'm gonna ask a whole bunch
37:48
Speaker 1: of questions. And that's the difference between me and Chat
37:53
Speaker 1: or Crocker. And they can't say, well, what about this?
37:56
Speaker 1: Tell me about that. The other thing that they can't
37:59
Speaker 1: do is feel And when I'm listening to someone, I'm
38:03
Speaker 1: not only I'm using my thinker brain, but I'm also
38:05
Speaker 1: using my heart a little bit. And I'm like and
38:08
Speaker 1: I'm like, I feel like there's something there. And I
38:11
Speaker 1: can't tell you how many times I don't know what
38:12
Speaker 1: that is. It's magic stuff, But I can't tell you
38:15
Speaker 1: how many times I'm like talking with somebody, asking them questions,
38:18
Speaker 1: more questions about the thing, and I'm using my thinker
38:20
Speaker 1: brain and then my heart says, hey, man, you should
38:22
Speaker 1: ask about that. And I'm like, hey, what about that?
38:24
Speaker 1: And I'm like, oh, actually, and it turns over the
38:26
Speaker 1: stone that ends up being the problem, right. And so
38:28
Speaker 1: there's some intuition, if you will, in medicine that I
38:33
Speaker 1: think high level clinicians start understanding as they advance in
38:38
Speaker 1: their career and they learn how to get rid of
38:41
Speaker 1: their egos a little bit, and then kind of diple
38:43
Speaker 1: into hearing with more than just their ears and it's beautiful.
38:48
Speaker 2: No, it's beautiful and so yeah, so start with AI
38:52
Speaker 2: and then maybe bring it up to a clinician.
38:54
Speaker 1: Would you start with history present illness? Learn how to
38:57
Speaker 1: do that? When did it start? What is it? Like?
39:01
Speaker 1: What's the quantity? How often is it? Like those kinds
39:04
Speaker 1: of things, And you can literally just chat that whole thing,
39:07
Speaker 1: like how do I take a good history? And then
39:09
Speaker 1: you'll be better at telling your story to a clinician,
39:12
Speaker 1: whether it's Roc or me. And then you can come
39:15
Speaker 1: in and say, hey, I ran this back rock and
39:17
Speaker 1: he thinks I have this and I was wondering or
39:19
Speaker 1: she or whatever. Croc is Steve, what do you think?
39:24
Speaker 1: You know? Yea, Then we can kick it back and
39:25
Speaker 1: forth and ask a few more questions and dive into
39:28
Speaker 1: a little bit deeper and say, you know what Groc
39:30
Speaker 1: was right? Or you know what who cares Groc was wrong? Yeah,
39:34
Speaker 1: we're here and we're going to dive into a little
39:35
Speaker 1: bit deeper and we can explore that that idea a
39:38
Speaker 1: little bit. I'm telling you it's probably fourth on my
39:41
Speaker 1: list of possibilities, right, but it's okay, Yeah, I don't
39:44
Speaker 1: have any qualms with AI, I just get good at
39:46
Speaker 1: telling your story the history.
39:48
Speaker 2: Would you then say that it's okay for people to
39:50
Speaker 2: start treating themselves off of what AI tells some are
39:53
Speaker 2: good recommendations, or would you say that's where you maybe
39:56
Speaker 2: should turn to a provider instead.
39:59
Speaker 1: Well, man, I think it depends. So the practice of
40:01
Speaker 1: medicine is really not an AI right now, so you
40:04
Speaker 1: really can't do stuff. But man, if it tells you
40:07
Speaker 1: you should exercise and work out more any more fiber
40:09
Speaker 1: and sleep and breathe dude, Yeah, yeah, for sure. And
40:12
Speaker 1: it does have good guidelines for those kinds of things.
40:15
Speaker 1: Ask it how much you should exercise and what's a
40:17
Speaker 1: reasonable exercise routine? And should I be concerned about exercising
40:21
Speaker 1: at my age? And should I do some screening things
40:23
Speaker 1: before I start exercising? Like, it's just how you query it, right,
40:27
Speaker 1: And so it's a really wonderful tool. We use it
40:30
Speaker 1: in my clinic all the time for taking care of
40:33
Speaker 1: people because it's wonderful. It's a wonderful dol perfect.
40:36
Speaker 2: Well, I think that's everything we have.
40:38
Speaker 1: Then. That was so fun, Holly, Thank you so much
40:40
Speaker 1: to our listeners. Hope you learned some cool stuff, and yeah,
40:43
Speaker 1: thank you Holly. This was super fun, and don't forget
40:46
Speaker 1: to like and subscribe or just turn it off and
40:48
Speaker 1: go outside and hunt for mushrooms. It's mushroom season, y'all.