Doctor Mike | Armchair Expert with Dax Shepard

Intro welcome welcome welcome to armchair expert experts on Expert I'm Dan Shepard and I'm joined by Monica padman hello there hello we have YouTube's number one doctor 25 million plus subscribers oh sexiest doctor live 2015 People magazine huge sexy Dr BuzzFeed Dr Mike Mike I love Dr Mike as you'll learn in this episode um I discovered him through my children's obsession with him he makes the best videos it's the only YouTube stuff I love when they watch he also has a podcast called the checkup with Dr Mike so listen to that and just I challenge you go watch one Dr Mike video on YouTube and you will just stay and watch them all he's very charismatic and very interesting has a lot of knowledge incredibly smart yeah he does these kind of mashups too where it's like the videos you already want to watch like trampoline injuries ah and he'll pause and go ooh okay I think that's going to be a femur like that's fun yeah yeah he's lovely we love Dr Mike please enjoy Dr [Music] Mike [Music] [Music] he that's so cute bye guys oh my God Rob Doctor Mike are we rolling Mike you got my whole family sorry I'm I'm just trying to fix we're filming he has no no it's good it's good as long as you think it's okay you like it gu comt yeah I'm the guinea pig guest I like it it's a guinea pig but an an expert as well I know but you should tell us if tell us the problems feel free to tell us all fil well just any problems you see shine a light up like medically or not I deputize you to be hypercritical of us God you're so cute in real life too oh my God it's impossible did you see how tall he was Monica I said and Tall too and Tall too have you ever added it up how many hours of content you've created at this point it's like 800 videos and they're generally how long 10 minutes but then the podcasts up to 3 hours at times uhhuh if you and another doctor get geeking out it I like to debate I'm like you I love that stuff I love getting into it and finding disagreement because I feel like that's a great way to find truth so I'm a fan also do you find that a great source of fuel is a debate yeah in fact I had another doctor on and we were arguing about Eastern vers Western medicine and I was talking about it and I was getting excited and he took it as aggression and because he's in the psych space he said hold on a second what are you feeling right now wow and I was like wow this is like cool I'm being Therapies in the moment I said I'm excited he goes are you sure you're excited not angry I'm like no I'm EXC excited cuz we're truth seeking together yeah and when that happens I get really really in the zone okay well we share this not only now the height but also that I have been accused many times my wife will say to me she'll go pause you're very large does that ever get told to you like yes sure you're arguing at the same with the same veracity as everyone else but you're very large and you got to kind of remember that and I don't always remember that are you loud to factor um how your volume generally not with my dogs yeah like I try and be that Stern parent with my yeah although that's like a been a little disproven with animals and such oh wait oh I mean I'm not an animal expert I want to hear about it a lot of this debate comes from definitions and people arguing about what words mean vocab semantics yeah semantics so the idea of being an alpha in most people's minds is about like dominating an animal yeah is that you well anytime I use the word Alpha I mean yeah but also when I use the word Alpha I think for for her we have different definitions of it and she regularly am I speaking correctly for you that you you do interpret that as like almost a bully as an alpha sure I guess I mean maybe that's fair but I think when we're normally talking about it you're talking about a hierarchy and you are saying this person is an alpha and I think I interpret that as that person is the one that everyone wants to be or take down or evaluate themselves by and I don't always agree with that fair I'm straight that's different life experiences showing themselves through a definition also just what I studied in college which is like primates and social primates and the hierarchy and yeah these roles that they're intuitive and primitive and evolutionarily you know came about and they're there yeah in different species so like wolves have a different meaning of hierarchy than primates do and I'm not an expert that's kind of an assumption but I will say from a human side of things uh especially as it relates to dogs yeah to me in Alpha is that the dog should look for you to guide it because you know more you know that if it's eating something that's going to make it die you the dog should look for you to be the leader in that situation that's like my understanding of what an alpha is yes and also I think you could say like oh if there's an alpha there someone's being subjugated but I would say like for the dog it puts them at Great ease to know what that is if you're intermittently in Alpha with your and then sometimes you're not I think it's confusing and a source of like anxiety it can be yeah yeah it's all about a balance and I feel like that we're going to get back to that balance all the time throughout this conversation because if you overdo the alpha thing then you're becoming dominating and mean and rotti your dog and on the other hand if you're too loose the dog can develop anxiety so it's like finding that right balance well isn't that life it's the Nuance between the binary and everything we're presented is binary yeah yeah it's a especially on social media yes it's shocking is this may be some people won't know about Dr Mike and so I want to bring them up to speed of just how enormous you are and of course my own personal Journey with discovering you through my daughters which has been delightful in general I can't stand YouTube I hate when they're on YouTube because it's so quick and it takes you to the next thing and so it's I don't love it but please subscribe to us on YouTube yes with the exception of Dr Mike and now us um but when I walk in and and Lincoln's binging you I'm like go for it keep going and she'll be policing everyone around the world like that's that's pseudo science that's not ever been oh my God that's a great word wow oh yeah yeah in fact Kristen got this maybe she already told you Kristen she got this neck stretcher she saw like it was advertised to her on uh on Instagram and it arrived and Christen was excited to use it and linol goes Dr Mike says those are not good for your NE and CH listen yeah well I would too t the goal of the whole YouTube channel is just to give practical realistic advice in the age where everything is binary it's either all good or all bad or this is the miracle this is the Cure All and that's just not the reality and medicine so imperfect so I hope that Nuance is translated do you know your demographics for your audience yeah does it shock you that like someone like my daughters are no that's like 15% of my audience that age group yeah what is the breakdown you know uh it's 50/50 actually a lot of people will make an assumption and say oh the good-looking doctor guy you must have a only female audience it's 50/50 it's actually more I think it might be like 60 40 male you have such an interesting history and I just want to start by saying do you know anything about munis um I know that she's of Ukrainian background and she came here at roughly six same Ag and just had to plop into an elementary school and figure it out I think that's a character builder I think so I think anytime you're entering an unfamiliar environment especially to that degree where it's like you don't know the language your parents have to start from scratch yeah it's that's a shocker for most people and obviously very motivating to see your parents go through something like that yeah so your dad is Ukrainian but he went to medical school in Moscow near Moscow near Moscow but was it called the third medical school or something like that a bizar time something is the third I get nervous so even it out of the title even if it is the third um but obviously he was a practicing doctor in Russia where you grew up until 5 and mom was a a mathematics professor PhD mathematics teacher yeah if you hadn't done well in school yeah I had no one to blame oh my God talk about getting set up for being bright do your brothers and sisters I have an older sister and was she brilliant too she's she's done the entire world of medicine it seems she's um physician assistant but then she opened up like a cryotherapy place she kind of went the opposite world that I'm in more like holistic Wellness yes and I'm medical medical I want to be at that Thanksgiving dinner when you guys start talking about yeah you just said medical Medical on Gay's Anatomy uh when they write scripts and they just don't know how to write any of the medical terms they just write medical medical do they yeah in the script and then they are going to have the expert consultant figure out what that is but the writers just yeah they they just that in yeah there was there was a famous example of that getting on the air do you remember that oh not that exact thing but it was no it was like an episode of C of Thrones wait there's a Starbucks cing game they left the Starbucks cup in yeah this was um this said like I it was like a CSI or something and it and the line was reveal important new fact of case something that nuts and they just said it and everyone there was like year 11 and no one was paying attention and it like made it to air and I think that's so fantastic great um okay but Mom and Dad uh leave when you're five your sister's 14 yeah okay you come to Brooklyn Refugee status yep what did Dad do when he landed here started taking English lessons because he ended up in medical school a year after that he did not like barely a year after that yeah really yeah and so he had to recertify himself to practice Medical School residency in a new language in his 40s oh while my mom is basically sweeping Flores to make ends me oh what character right like oh my God I try to think what would have to happen to me in the next 5 years that I have to leave America go to a country where I don't speak the language and redo all my education do it all over again I I wouldn't even know well what was it well basically they saw they they were sort of predicting what's happening now in Russia they saw that corruption was at an all-time high they saw Rel persecution was terrible and you all are Jewish right my father's Jewish my mom is Christian Catholic mix and because of having Jewish background people would treat you differently like that was the reality that my father grew up in he couldn't be promoted to certain ranks within his jurisdiction of healthcare because of that and they were like we need to get out of here for the sake of our children yeah you were born right when I suppose the wall fell right yep you were able to watch your dad had practice medicine while you were still a kid which I think is probably really relevant yep yeah were did was he like a superhero to me it was so exciting to see the learning process cuz most kids aren't of age where they see their parents go through school right and I watched it and I watched him study and I saw what he was studying and he would be leaving his textbooks open and I would say oh my God I want to know about that why does my muscle cramp up when I'm in Taekwondo or some you know sport that I'm playing and and I fell in love I was like I have to learn more about this and I actually got the nickname Dr Mike when I was in high school because all my friends would come to me as if I knew [ __ ] and would say like hey I did this to my knee like what do you think I should do and I'm like oh well my dad always says right I'm sure you weren't short with advice that yeah definitely given way too much yeah definitely problematic probably yeah so one of my well are we kind of fast forward so then I can double back uh oh we already have a huge problem look at this that never happens rob you can come fix it I I mean I fixed it we just need a new one I kind of want Rob in the shop for two seconds they look alike you think so yeah that is so flattering you don't really think so you I'm sorry I'm sorry I'm sorry I'm sorry oh no yeah Rob let's see Rob and Dr Mike look like brothers are you a Russian background oh so close and my last name is like polish background maybe we should do some genetic testing here figure this out I'm sorry oh that was a bummer I got so excited for half a second I know okay mean I got the hiding com that's enough from the back poorly lit you guys could have the same silhouette okay so we have to fast forward a little bit you you go to medical school you have this accelerated program through New York Technical Institute New York Institute of Technology really close um you decideed to start documenting it on Instagram what made you think to do that I can after the fact right now create some really good story yeah tempting I thought that it was cool to share a med student's life because there was a lot of stigma associated with giving up your social life when you went to medical school and I was like no no no this is totally doable and I liked showing that yeah and there was also benefits to it You' get some followers as a broke medical student you might get into a cool party yeah so there was like things I took advantage of that and I said oh let's keep putting stuff out and see what happens yeah and then I had one of those uh viral moments where BuzzFeed writes a story and check out this sexy doctor 2015 and then people names you sexiest doctor alive oh my God which is an interesting distinction cuz a couple things does that imply that there's there were much hotter doctors that are now dead who are those that are no longer alive why alive I know who's I think I took Sanjay Gupta was the sexiest doctor alive before me oh he is sexy he is sexy but also poor sanj what poor sanj Young Buck comes along replaces replaces yeah that is sad sanj has been on the show several times we love him we're friends he's from Michigan he wasn't a heartthrob in high school that's all I'm going to say so he had this great either well okay that's what I was saying I got to set this up so I can go back and and just find out like was this a complete Revelation to you or were you killing it in high school no I was nerdy in high school and didn't get a lot of female attention so like that was news to me in that regard but then in college and medical school I started coming into myself getting into fitness weight were you super skinny in high school very skinny what kind of Weights were we so skinny where I remember going to the beach with a girl that like I liked and I was like she's going to like that I have a six-pack and instead she goes you're all skin and bones and I'm like oh that's the last thing I wanted a year so after that I said I'm going to start working out real hard hurt my shoulder and you know did all the typical things fortive events tried to bench press way too much first time out exactly literally I got to put on some muscle MK tomorrow y um okay so then that's really fun to have not been a stud in high school and then get named all those things it's messy because then it starts like going to your head a little bit and you start like oh yeah I'm going to start writing inspirational quotes right now because I actually know stuff oh so I started doing that and then I got like 30 likes on those quotes I would show them to people and be like look at this like life's not just fun in games oh no well that's the problem is if you haven't had the full experience leading up to that moment this is this plagues actors who get on TV and movies and then o overnight all of a sudden they're very attractive to everyone and they have no practice in dealing with that and they write inspirational quotes on there that that was also the era of inspirational quotes like Twitter was Twitter in its early days people saying they're in the bathroom were writing an inspo quote like or trying to be funny that was a big there was a bit of fun did you have a favorite inspirational quote that you no they were all I mean you were stealing them from other places I wasn't stealing them I I I'll give myself credit I did not plagiarize but they were not anything revolutionary they were not anything new there was no I'm gonna pull some up for the fact check stay tuned for the fact check yeah do they exist still or did you go clean that up they're still there God bless you you got to leave it you got to leave that stuff a lot of Integrity okay so that's taking off did you have any show busy fantasies growing up not really no okay I wanted to do athletics which is why the whole boxing Arc happened but doing the seven-year program that actually precludes you from participating in NC AA Sports wow because of the number of credits you're taking uhhuh it like you're you're not allowed to participate what would have been your sport probably soccer I played soccer well in high school and I really wanted to play that going into college oh yeah you have nice thighs I'm checking them out now yeah they're solid I've worked so hard to get mine about 70% that size um your first year of medical school your mom gets cancer or perhaps she had already had she already had cancer for a little bit Yeah leukemia yep so she what had a phase of it and then went into remission or the way that it happened is my parents when they first found out they hid it from us and they kind of kept us in the dark oh mom sick but you know it's no big deal and I you know I'm focused on school and all that and then uh then they told us that she has this cancer that actually people live to old age with and it's not something that actually Cuts life short yeah and then we started seeing her get sicker and sicker and sicker and we realized she has a unique variant where in her case it is problematic and she needed more extensive treatments which meant that we had to fly her brother in from Russia do stem cell transplants bone marrow all that and that's an intense process because you essentially have to destroy one's immune system and replace it with a siblings yes and that was really what ended up making her lose her life how long was that let me also say so my dad died in 2012 of small cell carcinoma so I had that experience and that was very truncated that was like you know diagnosis in August dead on December 31st and then my stepfather had prostate cancer and he died but he died over the course of I guess you know two or three years and for me having gone through both of those experiences what I learned with my dad that I was able to apply to my stepdad which is like first and foremost was like it's their thing they get to decide what they want to do what treatment they want or don't want and fighting that at the end is such a waste of time like regret fighting with him about decisions he was making um but then also dealing with oncologists was an interesting experience and I think I walked away thinking you got to remember they're very myopic they have almost a single goal which is to kill cancer cells and they're not terribly holistic about what it's going to do to every other aspect of your life and your body it depends okay tell me yeah well practitioner dependent right sure so the specific example that happened was my dad was so late in this and there was cancer everywhere he had it in his bones he had it in a lot of organs had it in his brain and uh an oncologist came and said I'd like to do brain radiation and I'm like I mean he's going to die of cancer soon here is do should we is that worse to die of that is that the one we should try to arrest and and I was like I told out I don't think you should do this he's like I want to do it we did it it had some pretty major side effects for his cognitive function right and you know ultimately in retrospect I'm like well that was really a dumb idea and then 3 weeks later he was dead so I mean maybe in that anecdotal example I thought well yeah that guy's job is to kill brain cancer that's what he's well in the correct sequence of events when a doctor presents a treatment it should be presenting treatment a b c and d no treatment right and discussion of pros and cons and then allowing you to make that decision or a loved one to make that decision yeah Healthcare has changed in that regard where now in our education we talk about the team based Healthcare approach where sometimes I'll make an outright recommendation to a patient and then say how do you feel about it do you want to do that do you have any concerns and then we can talk about those concerns in other instances I say look it's not even clear-cut what to do here based on the evidence so we can do option and here's the pros and cons of option A and here's option b and they'll say what would you do and I say this isn't about me let's talk about this with your family I can give you more data but it shouldn't be me deciding for so I think we're all very curious when you ask your doctor what would you do and they generally do not want to advise you is there anything like with HIPPA that they're not supposed to what what would uh well it's not Hippa Hippa is patient privacy stuff um I think from like a doctor ethics perspective you want to respect of these uh tenants of our care called bodily autonomy where we don't tell you what to do if you're a competent adult with your care and you're not a child you know that those kind of specific situations yeah and when patients ask us that question it's essentially making us tell them what to do yeah so we want to not be biased in that regard we can make recommendations and say this seems to be the better play I could say based on what you told me is important to you this sounds like it's a better options for reasons a b and c how do you feel about about it and that's the correct way yeah does that happen in every single doctor interaction no unfortunately not also because then it becomes personal I feel like if you if you ask you know what what would you do I think it'd be hard to be medical and professional you then become you as a real person which is maybe not ideal in that scenario because you have different wants and needs for what the patient has yeah and from the patient point of view of course they want to know that especially if they trust you you're someone that they trust and and seem to be objective and so you're looking for some guidance and it's very tempting you know to seek that advice we've had a tool goand on and I think his take on you know what do you want this experience to be what are the goals in this last few months do you want to walk around do you want to do this you know that you should know what the goals are before you figure out what the strategy is yeah and that goes for not just end of Life Care like in in a situation like that it also goes for something as simple as like back pain when people come in and they say look I have back pain to two out of 10 and I can introduce various interventions but some of those interventions have side effects then we have to explore is it worth going and pursuing some of these Avenues or are we trying to get to a number that's not realistic a B has way more risk of harm and C what's the benefit like if you're a pro-athlete and going from two to Z hero is going to change your livelihood maybe it's worth it but if you're a person who's like it doesn't really stop me from doing anything it's just kind of annoying well then the options radically change of what we should do and I think that's the important uh pros and cons weighing of patient individuality that we need to take into consideration so okay now back to Mom going through that experience did that at all Impact how you personally view that I think the biggest thing that changed for me in that regard was the moments where she' passed MH so I remember very vividly we're in one of the big cancer centers in New York the alarms start going off you know the residents run in to start doing chest compressions which is something I talk about on my channel a lot and they're like should we I think we should stop yeah and I understand why they're saying it because I'm already a med student at that time I see the medications that she's on and my dad is in disbelief even though he's a doctor totally not rational yeah that's what I mean you can't fine it's okay have him keep doing it and I saw that it was too far gone so I actually was the one who had to tell him to stop and just seeing how that whole process played out of watching my father go home alone and then not know what to do they had a trip planned a week later and um the nurses laughing at the nursing station after not about my mom they're humans they have stuff going on in their lives they have death all day in the ICU they need laugh but like hearing it gets you angry and especially like you're waiting for some paperwork or something so then when I was a resident I remember having some of my colleagues laughing about something unrelated and I'm like just make sure the parents don't hear you because they're in a bad spot and it's just that's a life experience thing that you can share with others so do you think it was uniquely brutal on your father to have been someone who I mean look we all want to solve our loved ones problems and if you're an expert in some area and even you are powerless I just feel like it must be compounded so much what he went through I think it was compounded but not for that reason he had the worst year that I can imagine having as an adult he just gave up his whole life to come to another country he just got on his feet after going through medical school and residency he opened his own practice he brought his first home he's so happy to share this moment with his wife and family yeah his dad dies my grandfather dies that year his mom dies my grandmother dies three months apart or four months apart oh my God within a year my mom dies [ __ ] me this this is not tenable and there was other stuff going on too which makes it even worse but it it's um it was just a lot to witness a person go through all that yeah and still be like I'm going to work I'm showing up for my patients this is terrible I'm going to deal with it but I need to show up for my family well they're probably the life preserver the patients to have that and I've seen that as well where people are like why uh why are you still practicing medicine when you have such success on social media I'm like are you kidding me that's the joy yeah that is by far where you get the most refilling of your cup and meaning I mean yeah exactly well he's just stole one of my questions for later which is like at what point do we just do the the YouTube yeah yeah and sanj he still practices you're the a parent to Sanjay I would say I was just on his podcast oh you are chasing he just couldn't be more delightful right yeah he's and it's great to see someone in the healthc care space who's so successful in media who hasn't sold out to the [ __ ] yeah cuz man everyone sold out easy so easy like even some of the big names on YouTube well I was even thinking like you have this incredible YouTube channel there's 25 million followers or maybe there's more at this point but monetizing it for you is s so much trickier than for us like we can we're not we're not trusted medical professionals called armchair experts yeah exactly the armchair is very imperative in this so yeah we're free to talk about really anything because it's just two bozos talking about anything but it must limit well it limits it because I understand my word carries different value to people and I don't want to take advantage of that so I stay away from all of that medical promise of solution and on a smaller scale so I have been offered numerous opportunities to either have treatment centers advertise with us or anything recovery related and or even go speak somewhere I'm just like I will never ever touch that in any way cuz I don't ever want to lose you know that credibility I have it's so much more important to me than everything else um when does the Instagram you started that in 2012 uh yeah right and then 2017 we start the YouTube channel yep so how do we transition from documenting your life getting followers going to nightclubs it's a party to maybe more Mission driven where I or at least what I interpret your show to be and why I love it is you're largely doing what my favorite person on Instagram do you know Lane Norton by course you saw my podcast as well yeah I love literally we were texting like two oh yeah isn't he the greatest yeah I love him so um you're doing that you're you're debunking a lot of these um popular ideas about diet medical treatment supplements yeah there's just there's there's like two worlds that exist right now on social media and I tried to bridge the gap between them which is world one it's complete BS fearmongering scaring people and then there's this world of hyper optimization where it's like the promise of getting bigger faster stronger like longevity anti-aging and I'm like this is BS both sides here's the reality uh the people that are doing the hardcore research that no one knows about they're nerdy they're not great on talking on camera to be honest they should be delivering my message CU they're the ones that are the experts yes but what I can do well where I found my skill is taking their knowledge their you know confounded complicated science and translating it to the general public so that we have a chance against the people that are spreading the misinformation to confuse folks stay tuned for more armchair expert if you [Music] dare I hate to admit on that Spectrum I'm definitely in the camp on your right hand I I'm probably I'm like yes anything that uh could possibly make me more fit I'm going to listen tellal why you like that attack attack Pi him out Alpha him um what love muscles okay I [ __ ] love muscles Mike can I call you Mike say doctor no please call me having you do it either way um Mike I love muscles I've loved them since I was a kid Conan the Barbarian I'm so much older than you but had you been my age and you saw con the Barbarian I promise you would have made an indelible well I I watched Zena and Hercules like when I was growing up I would try and lift the couch and do yeah were you inantly attracted to that yeah of course yes I just love muscles I am a expert on people's bodies okay I can tell you like Pete Dennis Rodman body this say you're I feel like I go to to toe on male physiques with anyone I'll give you that you know what was the Brad Pit what was the best Brad Pit like the Troy right well so that's one look or fight fight Club is very very lean very light he's probably every time I would go to a personal trainer I was like this is it that's what everyone says and no one realizes he's like 135 in that movie um and then I did a movie with my wife like 17 years ago and I actually had a trainer and I did the perfect diet and I got insanely cut that was a very fun experiment um I think what I like most maybe a emotional philosophical thing is like you don't pick your face you come out you got this face you got this nose you got whatever you got your body you well these days that's not well that's true there's surgical options I'm not above purs lot of options lot of lot lot of items on the customization these days is high this room has some of that going on I'll say it I'll say it the side of the room has I like to introduce new onces the conversations when I know I can change something I'm really drawn to it so the notion that like your body you you're you have a lot to say in how you look I have looked so many different ways just my body my face has been largely the same but I kind of love that and I'm like a goal oriented person and I'm kind of a um a militaristic you know routine person and I like the sense of control it gives me I like to be able to observe results I love it um I'm not sure what the finish line is but that sounds like a positive thing oh yeah but it also sounds like you're defending it a bit well you asked me why am I so obsessed with muscles didn't you well no I said why are you so much on the camp on the right side of living forever and anti-aging and all that well first of all I don't want to die like everyone else okay um everyone in my family's died young so I think I'm even more to figure out how to like at least had a decade of this my day was 62 that's not going to work for me um I have a much different lifestyle whatever um but if I hear yeah if I hear creatin I will remember where I'm sitting when I hear about creatin right I'm in a [ __ ] science class in in uh Santa Mona City College in 95 I'm like wait there's an over-the-counter supplement that gives you 11% more body M or what was promised at the time and I'm like [ __ ] yes I'm going to try that and then also I started doing testosterone 6 years ago and I'm like oh my God I [ __ ] love this this is fantastic I can't imagine your super proest we'll find out no I mean find out it depends I'm a 900 okay I'm not going to 1500 yes but also when you're starting it matters yeah and for what purpose you're starting it matters yeah so there's like a lot of nuance that needs to be had in those situations but I feel like what happens on social media is bro says he was depressed bro says his muscles weren't his gains weren't as strong as they were 10 years ago Bros taking trt then comes on my podcast and says I'm taking trt and I'm like oh were your levels low before and he goes no no they were normal I'm like then you're not taking trt you're just taking supplemental yeah testosterone which is not TR yeah so that's like that's the hyper optimization that I warn people against for sure and look I'm also I like to think I'm pretty objective about it but like there's a cost benefit analysis to to look at and there is a do I want to live to this age feeling this way or do I want to live shortly you know a little bit less than that and feel this way these are like you know are you all about longevity are you about are you quality over quantity I you these are like philosophical questions well those are important questions it's my thing that I always like to introduce into these conversations is how much we don't know right and even with like testosterone as an example the idea that if you take it you will feel a certain way right it's just not true I mean to add you have a very specific look on your face no it's the reality of your personality you're also an addict you're an addict and that that side to me leans a little more addictive where you know you do the sauna and you eat this very specific thing and and you there's a challenge to it that I think you get a you feel good if you've mastered that challenge yeah I would argue that it's a replacement for what another addiction might be and this one so far has been largely beneficial that's what life is right like it's like what's healthy to eat it's like well what are you replacing it with right that's the real question so if you're replacing an unhealthy habit with this habit maybe that's good for you as a form of risk reduction like when we used to say the only way to prevent STDs is absence and then like people are like yeah we're not going to do that and SD rates climbed and they're like oh what about condom use and then this and that and so like we continued risk reduction and understanding how it works with human biology so in this case like what works for you great could work for you and it could be a totally healthy coping mechanism for you right the thing that gets complicated is when we talk about it in generalities and on social media and how a lot of podcasters not you talk about it they talk about it as like I have the solution I'm the health Guru and I always hope I am I'm never promoting it mine is I need to be honest if you look at me and I'm 49 and I have this muscle mass I need to include like yes I'm eating this way and I'm working out this way but also I take testosterone like I I would feel dishonest to not be owning that but I'm by no means am I promoting it I don't think dudes who've not had kids yet that you know I don't think if you're numbers aren't low like yeah I'm not on a promotion but I but I am I will again I will listen to all of it and then I will I think I'm pretty skeptical so I'll run it through a little bit of a okay so we didn't really answer the when did you feel the exact transition to like iing lifestyle and then turning into kind of a mission driven I'm going to debunk stuff and educate people I always wanted to have value From This Moment Like The the viral moment happened and it was all about looks and all that and I was like well how do I move that into something meaningful cuz I'm getting this education also your looks are going to go away and your quotes you only have so many what I'm saying going to run out um and I would sit there and I would say like what can I do with this and initially like what can I do as a resident so I auctioned off a date for charity cuz I was like oh that's like a helpful thing and we gave six figures to charity uh doing wow that's how was that hold on hold on it was really awkward imagine we need all the I'm not I just I I just imagine my dream date doesn't bid a lot of money to date me it wasn't a sum of money you had to buy like a lotto ticket oh oh well then that that opens up the door to all kinds of yeah cool I mean I I just didn't know what I was doing right like you're starting out with popularity and you're like I'll do something for charity that sounds positive yeah did you almost get trapped in that moment cuz that's a very um it seductive moment it was weird and then like like being in media in general felt so unnatural you know you're used to having your close group of friends or maybe even a wider tribe that's like you're doing reputation management every time you're at a party but now it's like millions of people and everyone has an opinion you don't know what to do with that I had no training in that so it was a growing phase of trying to figure out what that meant you're also terribly young yeah I mean I was pretty young I was like 24 when all that was going on now it's even worse there's like 16y olds going viral that's worse for them oh no no yeah that terrifies me for them that's like forget about how scary at least I had some sort of Education knowledge some background oh my god do you did you feel like am I supposed to kiss this person because they paid cu there's been six figures on the line here I would have kissed the [ __ ] out I know you would have that's like it was a respectful like and I think like her mom worked at a hair salon and she heard about it and she brought her a ticket so I don't even know if she liked me that much this this is it was a lot was happening during that time there's a lot of new things coming your way and uh to answer your question basically I got all these invites to go on television and I was like I'll go on under the guise of like they're inviting the sexy doctor but I'm going to talk about something Heth related substantive yeah and that worked for 2 weeks right and then they're like we don't care about you anymore you're too young of a doctor you're no enough experience you're a bad get out take your shirt off or get the [ __ ] out of here no no that happened I bet I think like like one of those entertainment shows invited me and they're like oh our our um reporter wants to go to a gym and work out and you'll talk about the benefits of exercise I'm like awesome show up to the gym they're like all right take off your shirt the reporter is not coming we're just going to get b-roll stop and I'm like ah Deuces yeah so I just left and because I didn't care like the fame wasn't the end goal you had a real job luckily also if a woman this is the opposite of what I normally do but if that happened to a woman we'd be like that's harassment yeah they're fired there's a lot of weird stuff like that like you do like Rachel Ray and she's like oh my God you look like a chip Andale stripper whatever on television and I'm like oh man like I didn't rehearse a response to that this may shock you I like whatever I um I'm lucky enough that I was able to P push through all that and say okay I won't get the invite so I'll just do it myself on social media social media removed some Gatekeepers and as a result uh we have this very successful YouTube channel yeah and it's fantastic so very little of the content my kids like am I interested in and I will regularly be in the kitchen it's on their binging it and I will sit down and I'll do [ __ ] 35 minutes of you and you're funny and you're a reverend but the info's dense and it's there it's so good and whoever's the production of it quite good yeah the way the clip you interact with the clips and the graphics and everything it's a really great show um it's fun and I think what we've managed to do is make the Scandal about like the corniness or the sexy doctor or the silly humor as opposed to corrupting the medical information which is how people get views on social media they have those here's the pink Himalayan sea Sal not eating if you have headaches this is what you need to that's an actual video online oh I'm sure I've seen any product Under the Sun is the uh quintessential thing that's killing you or any object or will save you yeah all right I want to get into some of the uh medical stuff little bit here so we have a big debate here about whether farting is holding in your farts holding in your farts is for one one I think it's possible Dax thinks it's impossible to do and I I know that's actually not my position was that my position I I I I uh per design I must be dealing with much more than you if you're able to hold it because there's just no way I would so I'm just starting by saying maybe our Baseline amount of gas so that's that's that's true isue one cuz I said no you're just being a jerk and just entitled you're entitled and you're just farting all the time and I've known Monica for 10 years now and she's yet to fart around me which is insane cuz we're like also guy humor that they exactly but then Dax told me that you said that it's it that I'll die if I don't fart in front of him Lincoln told me not die but Lincoln told me do might said it's not healthy to hold your farts in which I promptly reported to you cuz I care about we so we would talk to you in person about this okay let's talk about sphincters cuz sphincter control is awesome because if we didn't have sphincter control we would be defecating our ourselves where we sit yes so our sphincter is actually quite interesting in that it has a sensor built in to know when it's just a fart or is there matter oh well his is defunct so actually it's under our control and the Practical answer of this it doesn't matter I mean did you hold them or not I mean yeah I thought there was a story about baring extreme I know someone's going to be like this person had some gang in his bowel situation okay baring extreme please hold your forarts please fart do whatever makes you feel Happ I feel Victorious you should okay and now I got to find the video that Lincoln claims to be referencing in her in her bibliography of your show this may interest you maybe you've already thought of this we had an astronaut on and he had been in space for a year I think spent the longest amount of time in space couple things that shocked me I was like does it feel so great to sleep in space cuz you're like weightless you get comfortable on the pillow like it seems like and he said it's nearly impossible to sleep in space because gamma rays which are blocked by the atmosphere are coming through your eyelids they penetrate your eyelids so you're laying in bed with your eyes closed and you're getting huge sh flashes of light that are the gamma rays what isn't that [ __ ] crazy that's wild so that was one thing that was nuts and then another thing was um you can't [ __ ] because your digestive system is gravity driven M and he said that the Russian cosmonauts gave him the advice want to take [ __ ] eat more food like basically or maybe like a gastric massage not gastric but like an intestinal motility so I was like oh I would have never thought about that so now oh and then the other thing he said which would make total sense to you well your body is designed to live at 1 atm right so it's a pressurized system driving blood up to the top of your head well without that atmospheric pressure it's it pushes way too much blood to your brain so they have headaches they're getting flashes of light and they I wonder what the adaptation process for that is because a human body does adapt quite well so it's a master of homeostasis now yeah you know there's these astronauts stuck up there right now yeah I heard that so weird yeah and they were supposed to be space scares me I know I have no desire to you like that's my anxiety that like anytime I look up I get nervous I get vertigo I just start thinking the world's ending yeah anytime you look up yeah like just anytime Open Spaces I'm like we're all going to die oh W yeah so yeah I'm not going to be on any of those ships that no you won't a blue origin or whatever it is I mean I do want to look the only thing that seems very enviable is many of the astronauts describe looking out the window they say like when they're not doing the things they're mandated to do like whatever tests and stuff they're doing most of them will spend their free time just laying in the bed staring at earth watching it go run and they all say there's something so being on the it and it is I'm that have you ever uh flown in a fighter jet since you like speed no I've been invited a couple times I know that you throw up I know that's what they do to you they try yeah yeah and I I did the Thunder Thunderbird you did it and you didn't throw up cuz and I did 9.3 G's 9.3 G's what was that experience like what I mean I'm afraid of scared of all this stuff yeah you totally black out you have to do the G straining maneuver where like you're breathing in a specific way cuz you can't take a full deep breath so you have to do these like concentrated puffs of air it's very weird and you have the git squeezing you it's like a whole experience yeah but you didn't get nauseous oh I got nauseous oh you got nause but you just I just didn't throw up I fought it and we did all the Maneuvers yeah so like it it was a crazy I have a side issue which is I've done a couple Uso tours I was in a Blackhawk at one point and the guy said do you want us to do um combat simulation flight and I was like yeah I'm a [ __ ] Daredevil lety and about 20 seconds into it I was like I've gotten myself into a situation where someone's potentially trying to impress me and I don't want someone in impressed mode when they're operating something so I was just like I'm never signing up for that again I had that with uh Mario and Drey I did one of those ride alongs with him oh you did and I was like oh my God he's old he's going to try and impress me right now he's going to say the doctor I'm like please don't have a stroke great now what if you were like yes I'm in can I take your blood pressure really quick I just want to do a couple quick I Ted to him before cuz I was like let me like chat with you make sure you're all there cognitively he's a bad [ __ ] behind the wheel I think at 90 he'll still be a monster behind the wheel and I love cars was it in a two-seater indie car it was MH what at what track uh Poconos oh fun yeah do you like F1 yeah I think we should be Bros I'm so much older than you but I mean you're a car guy right or motorcycle guy car well both yeah you name it put gas have a lot of cars like I'm a big car guy all I know is you had a Urus that was stolen by a was it a door or something garage attendant took his Lamborghini Urus and went for a 5 hour zip through New York City and then when he came back the cops came they were like he's like I went for a family emergency oh that was the best answer ever they were really bored and I had to blow their mind by [ __ ] no but then the cops like scan the license plate and it was like all over New York so like who knows where God I would imagine too the nav was recording where it had all been oh probably could have done that yeah yeah yeah yeah do you want to do your game and guess his car oh yeah can you well I can tell you what car you should be in oh okay we'll see if you have it I I I I probably have it yeah I mean you must have a GT3 I thought that's what you would say but I have a 911 Turbo S it's great it's great very close that's what I thought you would say yeah no GT3 no GT3 I have another card that's fun like a GT3 okay what kind of what is that an f8 spider okay okay how many cars do um four we can cut it out yeah we can you want no I that's very conservative yeah but I I I like to play with them and swap them out and and I just started like collecting within like the year okay nice okay yeah I have a sickness yeah there's a disease I actually just bought my dad uh a Roma for his retirement a what a a Ferrari Roma oh I don't know what the r it's like a GT like relax car yeah front engine okay oh that's nice and I surprised them with it it was like really cute okay we're going to debunk some stuff yep I guess my first question is it would seem like the most audacious exaggeration of science is in nutritional space and the diet space is that like do you think that's the number one place where you see disinformation it's probably the most common on social media yeah and do you have a the vine hency or whatnot yeah what did what is your theory behind why that well first of all let's just talk about like why are nutritional Sciences so [ __ ] up it's like every time you hear a different study it's just so variable it seems like we can't learn anything I actually think media messed it up for all of us okay because they're really terrible with their science literacy and I'm going back like 40 years where like one epidemiological study showed that people who ate nuts lived on average 12 years longer they didn't account for like wealth they didn't account for exercise or any of these things yeah exactly and um and then they write an article like nuts make you live 12 years longer that's not what the study said yes and even now it's still bad where they'll see the word significant and they're actually saying that a study is statistically significant which does not mean the same as practically significant so this is actually really fun and I kind of geek out over this stuff where if something is statistically significant that means odds are whatever the result happened is true that's all it means whether that result is good bad or something the other it doesn't mean anything got it clinically significant or practically significant means that it actually makes a valid difference so it's just saying that the test was done correctly that mean that means by Chance the results didn't happen like 95 % chance that this is the truth okay and that to us is the barometer that we set in SS 95% well also the way the DAT is reported is so significant so this was my personal experience with it I got curious I was like well Sweden ran the experiment for us they didn't social distance and they didn't mask and they took a very specific approach the results are in like one day I'm like oh I want to see what that was so I searched you know what was the outcome of Sweden's policy and the Articles all of them are like 50% rate fatality rate increase and I'm like well that's pretty heavy then I actually look at the data in the article and as compared to their neighbors well their neighbors had a death rate of two per 10,000 people and Sweden had a death rate of three per 10,000 and that is 50% well there's like that absolute or relative so everything gets reported like that seems enormous and like you've you've almost haved your chances of survival but that doesn't mean any three thou three out of 10,000 or two out of 10,000 that's negligible but boy when you read it position that way that's my main issue with these studies being reported in the media all the time it's like what do we what is the incident rate really yeah that's important because when we even say oh those who eat red meats have higher rates of colon cancer by like 20% or you know uh processed Meats have a higher rate of colon cancer by 20% and then you have to like then figure out that the natural incidence is 4% and 20% increase goes up to five yeah right so it is 20 it is yeah but it's one right interesting yeah it's really really miscell you can really really uh it basically at to to make it say whatever you want and because of that on social media how are you going to get viewership by twisting it as much as possible Right Sweden up regular media at this point yeah exactly but at least like with regular media why it's a little harder to do it is they have more to lose they have investors they have reputation management like all that stuff versus if you're like a dude reading stuff in front of a camera you're like yeah cancel me if you're canceling me it's cuz you're silencing me now like and there's that Playbook that's used all the time oh God yes um but what do we think about what are the most alarming trends that you're seeing in the diet space that you've been spending time on um I think it's changed before it used to be like intermittent fasting keto then like carnivore popped up for a while and you started getting all these like tribal camps and the reality as lay Norton always points out it's like whatever you can do to lower your calories that's going to help you lower your weight no one really wants to hear that though do they that's not fun yeah he's got a great things like yeah intermittent fasting works but not because of some magic of intermittent fasting because your caloric intake ends up being reduced y we're not going to get away from calories in calories out right I mean well notice like if we look at the misinformation space 25 years ago all the nighttime commercials were like here's how you could lose 5 pounds with our new formula here's the grapefruit diet of how to lose five pound notice those went away do you know why they went away no OIC we have a proven way to lose weight we don't need the BS stuff and I'm not saying that everyone should be on they lost market share because their stuff didn't work yes vers this stuff is proven and has side effects obviously and shouldn't be used by everyone but actually has proof that it works that has to be a topic people really want you to talk about I know even in here it comes up a lot I am very Pro OIC I have had friends I've watched them try to lose weight forever and they're in a very you know they they had gotten themselves into an actuary line that's pretty dangerous and lo and behold they're now they're significantly thinner and people are mad about that and I'm just I'm confused why someone would be mad about that uh people like the natural thing and they view this as unnatural and they view it as Pharma getting rich and weaponizing it and look a lot of these arguments that people have with these situations are all what I call truth wrapped in a lie there is a kernel of truth that this isn't natural that farmer is getting rich like there are truths yes but what the ultimate answer isth conspiracy exactly what I see is happening is society creates problems um you know we created through capitalism all these foods that are hyper palatable we want to eat more and more they're not satiated designed by scientists yeah exactly and then we started gaining so much weight that we couldn't stop eating these Foods so now we created another problem which was what capitalism does it creates a problem before we had poop on the streets of horses and then we're like how do we create this solution we created cars now we have pollution we're going to create a Sol so it's like constantly like playing catchup but because this medication breaks it in a fundamental way where it changes your relationship to culture cuz food is culture I think that strikes Accord with people yeah and there's this sense that yeah people have cheated or they didn't I had to work hard yeah yeah like I put a lot of effort into my fitness and my diet but I I don't I don't care if someone people that are on OIC they're also might be putting in effort they should be really that's the correct way to use that medication I think the only thing about OIC that people aren't shining maybe the best light on or could be doing better with is it is great but also you do tend to lose muscle mass on it that's the if you consume less calories you'll lose both and if you do it in a way where you're not uh res resistance training you're not consuming the proper amount of protein yeah you will lose muscle and are you a big proponent are in the AA Camp do you believe in the kind of like the the overall metabolic Health improvements through muscle mass and oh yeah for sure yeah all of that I I I think uh where we disagree from like the petera camp versus what I do is the worlds in which we practice medicine are radically different I work at a community health center you're ba you don't have Bezos as a patient allegedly allegedly I don't know who's patients are it's it's very you know consumer oriented people that are going there are already pre motivated they already have a bias that this is going to work which means that it will work just because they believe that it will work and then also some of the things are not evidence-based some not all okay where it's like it's a protocol that he's created uhhuh and I am scared of that because science can go wrong in so many different ways so whether we're talking about full body scans to catch things early just preventatively or are you Pro or anti those generally speaking anti those I did it I did it okay and I'm and I know which brand you did so I don't want to say oh you did you do I mean I you assume guess yeah I presume I presume I tell you okay go ahead well I yeah we got to hear why why why not um as of now and remember science evolves and this is important to say because we messed this up bad during Co and we were like this is the answer and this will never change science evolves as of right now the only group of people that really should be getting these scans are people who have extremely high risks of cancer because they have a genetic condition there's specific ones that create higher risks of familial cancers right besides that what we've seen on a population level is that the benefit is outweighed by the harm the harm being the radiation the harm well a lot of those tests are now MRI driven so radiation is not a concern the old the previous itation was the CAT scan model but now it's MRI so that's a little bit better um but the human body has lumps bumps masses things that don't have clinical significance okay I'm going to guess what the problem is which I would I I'm in lock step with you which is they did a study I'll get the numbers wrong but in general you'll get what I'm saying they did a random MRI on a thousand people's backs that did not have back pain and something outrageous like 40% of them had either is it 70 yeah 60 70 yeah yeah had like ruptured discs or they had something that would finding yeah yes and so if you go in with your back hurts and you 70% of people you give a MRI to you're going to find something it doesn't mean that that's the thing so is that maybe the the the the concern is that you'll start treating something that didn't need treatment yes or maybe you're more conservative that you say won get treatment but you need to investigate investigations biopsies needles inside the body there are side effects to procedures there are side effects to the anxiety that comes with knowing you have something yeah and some will say well maybe it'll motivate you yeah maybe or maybe it'll give you such bad anxiety that you'll have more problems right so be overwhelmed right now we don't have the data to support it yeah and I think that it's easy to sell it sure in a sexy fear-mongering way and I really dislike that because right now the science isn't clearcut saying that's a good recommendation stay tuned for more armchair expert if you [Music] dare okay now we're going to click into um patient doctor mode y so I am an ex smoker of I quit when I was 30 and I started at 15 so I smoked for 15 years uh I haven't for almost 20 one pack a day pack pack and a half I was hammered and doing C so three packs okay so it's 20 plus pack years yeah okay snorted a copious amounts of coke uh drank like a [ __ ] for you know decade or more um I wanted the peace of mind that they looked in my lungs I wanted I there was a you know there were there were a lot of question marks that I thought with my history I would just feel a lot better taking a peek inside there and seeing what was going on so was someone with my history would you say still probably don't need to do it um there is an age where we do for people who have an extens of smoking history uh um uh preventive screening with a lowd dose cat SC uhhuh so we do do screenings for that for lung cancer you'll be relieved to know I was out at the woods or or so we think from that result you could just you had the opposite it it relieved some anxiety a th% which then is help but what if you found a nodule that then you needed to follow I would follow it yeah and how would your anxiet feel then you have a grow oh no okay yeah cuz literally I go into those I'm like yeah I have I definitely have lung cancer you know when I got the CT scan at the heart I'm like this is going to be a mess I eat oh you got a calcium score yeah yeah I go in thinking it's going to be like 70% I eat meat non-stop blah blah blah it was Zero I was shocked right so I'm not you're not what shocked yeah because of the exercise no CU that's that's what's like that's why I don't scan you yeah yeah oh this is perfect timing cuz my heart explosion you had a heart explosion any day now um yeah you would probably know him do you know uh Dr Richard Isaacson that does the Alzheimer's work he's ative neurologist he worked with sanj and he has s did a like four-part story yeah he has a whole thing going then we we are participating in yeah we're in a study yeah we're in a study which is very cool we give a ton of our blood all of our blood and then he's called us with some results and and there's some unnervous stuff about my cholesterol which I already know I've I have high cholesterol I've had it since I was a kid who's basically asking that and I said yeah I've always had high cholesterol so Sumi doesn't um doesn't seem to be related to anything I eat or not it's it's the way it goes and he was like okay but now I'm going to go to a preventative cardiologist and there's going to be more tests which I think is it's like good to maybe clear that and see but it is funny because to me I've always just been like well yeah I just I just have it I've always had it you've AC you're in acceptance mode yeah but now I am now I'm nervous well that would have flagged on any checkup for you they do and and I think it's like just keep an eye on it keep an eye on it and he's surprised that that's been the response and it hasn't been do you know what the numbers are I don't okay I don't currently I didn't ask very much I was kind of overwhelmed well no look cuz here's the important and I'm not here saying like oh just throw your hands up and you'll be fine uh wellness and screening and getting in front of problems is what I preach that's what family medicine is but it's knowing when screening is beneficial and knowing when screening can actually cause more of a problem and we've had instances with that like we've changed our guidance on prostate cancer screening we've changed recommendations on breast cancer screening when we should cut off certain screenings because we found over testing was a problem and over testing is a real problem especially uh this is pretty unique it makes sense shitty that the world exists this way that those who have less money get worse healthare right they can't afford medications they don't have good health insurance they don't go for preventive stuff logically shitty but makes sense yeah the wealthiest demographic also gets bad healthare really because they're over testing they think they can buy good health care they get great hormonal treatments that they may not need I feel singled out attack no but this this is just I'm I'm saying this generally speaking and okay it happens and it happens interesting and um that's what my hope is on the YouTube channel just to say like here's what actually we know and then there's people doing stuff that we don't know about because they want to be on the Forefront of it and they want to be the leaders and they believe in it and it's you know what's funny about that and this is again where studies get so hard to isolate what variable you're actually testing which is that also correlates perfectly with what we know about happiness and financial right so when you're very poor it's miserable and when you're above you know it was kind of low at that time at that time yeah they've upped it but like you plateau after 170 to 3.1 million beyond that you have a reduction in happiness so it's like okay now our health reflects that and also the happiness is in the mix it's life homeostasis right yeah it's really wild that those well that's why that Spectrum even like our acid base balance in our body like our pH is so narrow and what's considered a good range for your body like the body keeps your pH within like a decimal point right and then you have people are like drink alkaline water and I'm like okay hold on a second pause you're going to have alkaline water slightly more basic water that's going to go into your stomach that's full of gastric acid which is one of the most potent acids so your water is no longer alkaline a b it's going to get absorbed into your gut your body will do whatever it wants to do with it because it's controlling your acid Bas balance it'll dump it or use it right if it needs it or not yeah so it's like the idea that you're controlling something with your alkaline water is like people just want to feel in control that's really what it is I'm so glad you're debunking alkaline water I've been pitched it many times I'm like I just don't you love it if you like the taste of it or you like that it's fun great but like just the health claims are not true well this is the example I give like when you're talking about homeostasis to me opiate addiction is the finest example of it which is like you give yourself an OP it blocks The receptors the body grows more receptors and now you need more and then you take more and then it grows and then there is there there's no end to that your body will [ __ ] win that's why it's the most terrible addiction you can have I just to clarify it lowers The receptors because it doesn't want to have as much of a reaction oh so it down regulates Oh I thought the opiate blocked The receptors from uptake of the pain for your for the opioid example yes but like let's say for mental health of Serotonin right right yeah yeah yeah yes cuz like there's instances where it happens in both ways where you could upregulate or downregulate I just want to point that out yeah yeah okay great um but just you know you're playing this you're in an arms race with your body with hobi and you actually can't get the upper hand you know you can OD I guess but yeah it's like the body is insanely good at reaching homeostasis so good so good did you read um both good and bad did you read dopamine Nation by analy oh God it was good I think you would really like because you're you're not an optimized guy but I do feel like you would recognize no there's benefits to a lot of these things so so her position is okay we like dopamine it's a great chemical sure um there are ways to spike it cigarettes caffeine all these things um but in all these studies if you spike it the bad chemicals that re-regulate you are last far longer than the spike did right so it's just it's a it's um an investment with a return and conversely if you cold plunge for 8 minutes you get 2 hours of elevated dopamine as it tries to re stabilize you or reach homeostasis so go ahead and Chase dopamine but what one has the good odds yeah right yeah and so I read that and I was like oh that makes total sense and I'm a dopamine junkie so yeah let's suffer three times a day and I dig it are you in any of that cold punching or no I like saus yeah me too yeah not a cold I'm not a cold punch person cuz I don't like the feeling of being cold nobody does Mike yeah but like I don't even enjoy the challenge of it like I'd rather challenge myself in the gym or like all right boxing or something getting my ass kicked like I'd rather do that for some reason but uh even that whole protocol thing has been blown out of proportion cuz like the very limited studies that people are referencing it's just like my protocol is better than your protocol and the if you're not doing it this way or if you're not breathing this way or if you're not meditating this way it's like nah yeah I'm with you but I do try them all I'm and one we just learned but you can have fun with it like if you're doing it for fun that's like the same thing with all those fitness trackers right like everyone loves their Fitness tracker and it's like if you just love it for the fun of it great but like the health aspect of the fitness trackers is really questionable okay so I wonder if we have the same position on this cuz I fight with my wife about this all the time she's had every kind of tracker right she was wearing a glucose monitor for a while there and I'm like the results of which you will know okay I got to sleep eight hours I got to eat this way and I got to exercise this way like we already know what the what the prescription will be if you don't like the results so just do the [ __ ] live by the prescription like if you wake up and you feel well rested after a night of sleep yeah and you slept the correct number of hours for your age group why do you need an app to tell you you slept well because if that app tells you you didn't sleep well your performance is going to suffer that's been proven that's exactly what I say to our friend Charlie who a fitness trainer and it's got a Adonis of a body but yeah he'll wake up and it's like he he it'll tell him don't train today yeah and it's like well what are you going to do with that he's still going to train in the upper echelon of performance like for you know the LeBron James of the world maybe it's different but again I work at a community health center so like I have like real people like the averages of the world so like they don't need the health tracker to change their life right they need the information yeah and they need guidance as to what is the biggest bang for their buck in terms of effort not money right in order to change their their world their numbers all that so like the fitness tracker the cold plunges that's not in medicine never in a real medical encounter in like a legitimate Medical Institution tertiary Care Center is anyone being like did you cold plun today how much are you cold punching a week are youting your 11 minutes true like that's not happening and it's not because we don't care about wellness it's just cuz like that's not really Wellness it also makes everyone a victim it's like oh I only slept two hours I hate that and again that's not saying sleep isn't important it's so important yeah yeah it's the most important maybe the most important you know if you've slept well or not for the most part and if you're not like searching for the reason why you're not as very important too and that's what we talk about on the channel ways to improve that sleep hygiene all that good stuff but okay so I want to talk about gut health because it's something that I I find it very intuitive I'm very interested in every time they start talking about just how much it's regulating your overall health what is your position on gut biome and what are your beliefs and what do we know about it and what can we actually augment about it where we that's a good point so like what we know versus what we can augment is pretty limited there's certain medical conditions that we've seen evidence of messing with the gut microbiome is valuable SE very yeah like SEI far few between like Ci we do feal transplants like that's an actual thing we do and it works yeah and it works um antibiotic I Associated diarrhea in some cases travelers diarrhea there's like some childhood things but in general there's no good data for probiotic use right now really and they're sold for every condition and that's not to say that in the future we won't find one yeah but saying it prematurely is doing a disservice because then people who have an issue where they need to go get a checkup and get a coloscopy to check for colon cancer are not getting it because they're wasting time trying a probiotic for a condition that probiotic doesn't help with okay but what about this rationale which is like yeah we might not know I think a lot of people live under this uh approach which is like yeah we're not sure it can't hurt maybe it it will be GR in well here we go I've heard you go ahead yeah well no there's been issues with probiotics causing problems with people um infections in the gut uh a lot of the probiotics that are sold on the shelf and this actually goes to the larger picture of supplement what's written on the label is not what's actually in the product how bad like what what is what are we looking like I've seen consumer Labs who do these off the-shelf testing be as high as 70% for some of the supplements meaning they actually contain 70% of what they say they do no 70% of the supplements on the shelves have an inaccurate label of what's in them some ones that sell herbs the presence of the herb isn't even there like that cuz they're not regulated and people are say well that's cuz Pharma is a problem natural is better it's like both are businesses both are for profit one is at least somewhat regulated and if something happens with a Pharma drug you can sue there's someone to hold accountable for that there's no one to it's an LLC that you you'll Sue they'll open up a new one it parallels nicely the um kind of Bitcoin uh debate of like they love it cuz there's no regulation and then when it gets stolen there's like there's no one to call there's no one to punish like wait a minute maybe maybe accountability is kind of rad in a monetary system balance we're back to balance some regulation is better than none more regulations isn't better than some so are there are there conditions chronic conditions that you do think are originating from poor gut microbiome I'll just own that I I think the future of it seems very promising that you would be able to regulate the microbiome and have pretty powerful impacts on like some autoimmune stuff and different things it seems very promising of all the different things that are really we don't know a ton about we've seen a pattern of people who have poorer Health have disruptions in their micro biome what that means we don't yet know is it chicken or the egg can we alter that chicken or the egg phenomenon we don't know and anyone that's saying they do know is jumping too far ahead because we don't yet know right so just to articulate what specifically you're saying like yeah does the poor health cause the bad microbiome or does the bad microbiome caused the poor health correct we don't know yet yeah what I'm excited about is AI but not in the way most people think so when I give patients blood pressure medications because their blood pressure is elevated I gave them a diagnosis of hypertension after checking it correctly which most people don't do after multiple visits we tried lifestyle modifications didn't work for whatever reason their blood pressure is still high we want to lower that blood pressure why CU over the population of people who have high blood pressure by controlling it to a certain number we see a decrease in risk of heart attack and stroke forgetting the number we see a decrease yeah but now if I gave you the medicine that same percentage doesn't hold true for you in fact in most instances that medicine is going to do nothing for you but I don't know which one of my patients that has the high blood pressure it will prevent the heart attack and stroken AI can use a lot of data points and then further reduce the number of patients that I need to treat to actually get the benefit of said treatment and am I right in understanding this I've heard a couple people talk on it but yeah the amount of data they're going to be able to put into this evaluation knowing your genetics knowing 65 different markers they're going to be able to P point to a much more probalistic treatment correct that the doctor would have to spend three weeks sifting through to try to figure out sifting through and there's experimentation like sometimes even with meds we're experimenting with patients we're giving them this one how you doing let's check and then there's like that subjective right that doesn't always work really well and I'm excited for the day where AI genetics can all come together and guide this yeah but do you know who's the biggest opponent of that notion if you have to guess what industry big Pharma and I'm not like someone that's like anti Pharm because they're also making the greatest changes for Humanity and saving us from problems yeah but but why big Pharma would not be a fan of this problem yeah less medication yeah cuz I would need to treat subscribing prescribing 70% of it that is in I would be lowering the number well that's interesting back to OIC that was an issue they were in right is they they were a company that was manufacturing insulin MH and they had created this thing that would potentially cannibalize their insulin business yeah and you're just hoping that that company believes that you know they'll make more money you're just praying Y and it does make you wonder how many I'm not a big farmer conspiracy there again it's not binary they're not good or bad they're both they're [ __ ] you know you know what their incentives are yeah yeah yeah it's mystery when the incentives align it's really nice sometimes they don't always align and that sucks I mean I think they want ideally they want it to be good and work and and for everyone so that they can sell sell if it cannibalizes you know yeah and there's been evidence of some Pharma companies being like oh this one's coming off patent we need to create a new one to protect it even if it's not that much that happens absolutely and it's like a financial game for them and oh I've always wondered this and you're someone who prescribes a lot of medicine how the [ __ ] are you staying on top of it like I I feel like half of your job would have to be evaluating the numerous medications that are constantly coming out I watch 60 minutes and I like every episode I find out about three new medications there are new medications I mean being a primary care doctor I have like a a common arsenal of medications and we have really good resources these days called like one that I use often is called upto-date where I can literally punch in a condition it'll give me some information about the epidemiology of it how it presents in patients what the first line Second Line treatments are here's the evidence behind why like you can click into it and then the dosages are all there the length of days are all there so like that's what we use and I use that quite often I use that with the patients in the exam room we look at it together oh that's great and that's a service you're subscribing to pay for I mean the hospital the hospital does um what's your take on autoimmune diseases do you believe I'm trying to back you believe okay well some here people don't believe in autoimmune disease no no no I think I'm I'm I potentially have a fringe opinion about it okay based on the fact that I have I'll try to do the 4C version uh s years of pain my joint locks up get surgery on my toe my knee locks up about to get surgery a dermatologist looks at my finger nails and he says I think you have ptic arthritis you should you know you should go to a rheumatologist I go I get tested ptic arthritis I get put on Humera right away after eight years of trying to figure out why the [ __ ] all this is happening it's like a light switch I have a year of no pain in my joints anymore I'm like oh my God this is heaven it's STS working as good as it did they want up my dose I didn't want to go that route of continuing to carpet B my immune system so I was like I I'm not going to pursue this I got to get off it was miserable through three or four years of trial and error I've really fine-tuned my diet I have a prescription for zelans I don't almost never have to use it if I cheat and I'm on a vacation and I eat a bunch of hamburger buns I will have to use it so for me anecdotally so it's like gluten related for you gluten peanuts garlic couple other things I'll forget while we're talking but yeah I have a very very sugar um if I eat if I were to go eat four pieces of bread tomorrow morning my forehead would be flaky my eyebrows would flake and my wrist would hurt right my conclusion and then talking to other people with different autoimmune diseases is here's again I have no business saying this Theory but I think we're all allergic to stuff M and I think these allergies can manifest in a a lot of different ways whether that's a crone autoimmune disease or it's the seratic arthritis thing or I just I feel like a lot of the autoimmun maybe originate in just allergies well if you really think about what an allergy and an autoimmune condition is is an allergy is an overreaction of your immune system but which line of the immune system is important because the immune system takes various forms there's different cell lines of the immune system so when you have an allergic re action that's very specific uh sometimes a patient will tell me oh I don't like this antibiotic cuz I'm allergic I say well what symptom do you have they say my tummy hurts that's not an allergic reaction okay that's uh an adverse reaction not allergic okay allergic is a very specific reaction what what's it defined by swelling itchiness Hive histamine release correct Mass cell histamine yes so that's an allergic reaction when you have autoimmune reactions now you're having cell lines damaging your existing tissue cuz they for whatever reason if I understand it correctly they've identified your tissue as a pathogen correct not a pathogen as a antigen that is bad okay great yeah maybe I get pathogen I'm really stuck on a patient saying my tummy hurts it's kind of cute maybe they were flirting with you yeah I don't trust that person I wonder how many people fake illnesses to come to see my I most people don't even know I have a social media it doesn't matter they meet you and they're like [ __ ] I wouldn't mind going to see him again had an allergic reaction oh let me ask how many your patients show up like they're going to a formal event they don't know they don't know they're going to see you yeah or well you have you have recurring patients now yeah I do but like there are patients that I built up through residency like we have a like I know they're families like I delivered some of their baby your tummy would hurt a lot once you deliver someone's baby your relationship changes have you delivered babies yeah Family Medicine oh well but you're not an OBGYN it's not like you Pop smars I deliver babies not anymore because I did that during my residency but I still perform basic GYN great but when's the last time you delivered a baby 2017 okay it's pretty good seven years ago I delivered 38 babies cuz I had to get them I had to like document it for my like residency do you have I feel like I would have interest in keeping in touch with them is that a weird they're my patience they they then went on to be your patients the ones you delivered that must be so rewarding Family Medicine is so awesome yeah you bring them into the world and then you keep them healthy some of them like write to me on social media and I'm like this is crazy like that's why they're not abnormally attracted to him because that thing happens with a fam a family member sure sure like when it's your sibling you're Notting your sibl yes yes cuz you imprint their pheromones okay we figured it out we should fight about something okay this was the explanation I learned in anthro which was I think I learned in anthro I shouldn't say that um yeah that you imprint the pheromones of your family members which turns off your sexual attraction to them wow but this is why there is a phenomenon this is 100% you could look this up there's this really creepy phenomenon I shouldn't say creepy I shouldn't be judgmental where parent and child get reunited there's a inordinate amount where they start dating no yes inordinate in the general population of deny this is outside of my expertise daughters dating the the the general population rate of daughters dating dads is very minuscule and in this population of people that have been reunited there was an article I talked about it on the show I had read it and talked about it probably white s an expert on that we'll do it in the fact check we'll talk about this phenomena moving on um back to autoimmune though okay yeah so autoimmune so so your thought is that it's an allergy well it kind of is because an allergy is sort of autoimmune and that it's an reaction it's just not attacking your tissue it's creating that inflammation that histamine response as you said yeah I guess my my my intuition is that it's either through what you're putting into your body orally by eating it or there's something obviously environmental that's coming into the system that's triggering this response it's all and it's hard to know in each case which one it is yeah uh it's what's the conventional explanation for these Auto why why would body what you're putting into your body it's also what you're not putting into your body so like for example parents that withhold peanut products from their children actually raise rates of peanut allergy yeah so actually that was a statement made by the American Academy of Pediatrics back in the day like withhold peanut products allergen foods and then we saw that it caused a huge Spike so we actually now recommend introduction through like bomba and all these snacks it's like growing up with a pet you're drastically less likely to have a pet allergy it's interesting how putting things into your body not putting things into your body environmental exposures mental health we look at the correlation between autoimmune disorders and a scores is kind of really hard to deny right yeah very interesting and talking about adverse childhood experiences we see a lot like I'm sure you're familiar with the book the body keeps the score oh love it like there's so much value in talking about that and there's people who are anti some of the messages in book cuz they sound what wooy no no well yes but also I've had experts on like in the psychiatric space that say like well there's no actual part of the body that keeps the score I'm like it's a metaphor like yeah we can make a metaphor without actually semantics yeah and it's like they were the statement was the body doesn't keep the score the body's like the scoreboard I'm like all right like this yeah you won so I think that's true and there's there's truth in that the mind is so much more powerful than we give credit to that's why the placebo effect is true that's why if you're able to have a positive um mindset through your cancer Journey you're more likely to have better outcomes like all these things like even like the Wim Hoff and that whole world of it which is not super evidence-based there's like proof that they can modulate their immune system that they can change the heat that's within their hands in a given moment they can survive in extreme temperatures like there's truth in powerful the mind is what we do with that knowledge remains to be seen and we need to use it responsibly but well it's not a far walk to the area we all agree on which is under moments of great stress your body's immune system amps itself up yeah preparing yeah so okay great we agree on that now what could stress you out you know what you know what can't stress you yeah but if you're yeah if you're an extreme acore person who's in a constant state of fight or flight yeah your immune system is likely to be probably overactive overactive or underactive right remember some of the steroids that the body creates are also immunomodulating downregulating explain that like when you take prazone which is a corticosteroid uhhuh part of the side effect is that you could have higher rates of infection it imuno compromises you right and that's a corticosteroid that's like what it is that's how it works yeah and the body naturally produces those steroids during moments of stress stay tuned for more armchair expert if you [Music] dare are you aware of the uptick and emergency room visits for pickle balls have you have you seen the data on this I keep reading headlines and they seem impossible to be true did have you in your own practice yeah I've had a few um but isn't that because just pickle is becoming more popular yeah yeah yeah yeah but there was some I'm not even going to attempt to say the statistic all the article okay but it was a double digit percentage of emergency room visits last year were pickle ball related well I can actually see why that's happening is because the population that plays pickle balls usually older people who can't play tennis cuz it's a little bit too physically demanding so they try out this sport they think it's slow impact no but that's just the population Trend that I've seen yeah and they um 9 or above yeah I would probably say my patient my like 60 plus usually no yeah I think and that's like when rates of uh you know tears and arthritis are already high so you know who also has uptick injuries people who get uh use testosterone treatments because they're overexerting in the gym or yeah especially if they go into the sua physiological levels that you were talking about the 1500s and all that because they have really high levels they're sometimes of older age their muscles can't take that yeah and they tear a bicep okay so you deal a lot in studies yep and I imagine you do your best to do maybe more The Meta analysis of many many studies um I have grown and I've read some things recently that I've just grown more and more skeptical of studies in general okay tell me more well a let's just discuss how hard it is to study a human being in a single variable within a human being it's it's just like it's so what do we you know you're going to stay with this subject the entire day and the entire week and month like there's so much going on if you had to rate studies across the board especially all these ones that are making into the news cycle and on like what what what grade do you give it it's just very broad because there's like nutritional studies aren't great notoriously because most are not so controlled there have been new ones where they actually like had people unlock Wards and they controll what they at which are that's like the gold standard that's all we would really care to hear about really um but when we're testing like medications and such you can control a lot of the variables to get a sense of what's happening and because in these studies what you're doing is you're controlling some one variable and if you start seeing a statistically significant and clinically significant result that's pretty good as long as it's replicatable so hopefully that you're able to do another study and say oh yeah look these results hold up right so you I guess what level of skepticism do you start 100% yeah you start skeptical and they must prove it to you and in fact one study is rarely enough to change our general way of practicing that's not because we're slow to adapt it's because one study in comparison to many studies doesn't hold uh that amount of value right so we need to see in general okay this is studies are starting to move in this direction okay let's see how it's moving and we're very patient with it whereas people want to like I wanted I saw that one study let's change everything yeah and if you hear something on the news about red me I think your next question should be like how many other studies also have said that cuz boy these make the headlines it's these one-offs seem to make so much headlines that's the biggest headlines and why why people are so confused I mean how often uh did we hear that coffee's terrible for us coffee is good for us coffee causes cancer it prevents cancer same eggs yeah eggs oh my God I was on a fat free diet when I was 20 I mean a popular uh sticker on labels fat free fat free but triple the sugar yes to make it taste a little bit more better um you're a big fan of Lifestyle Changes that's the most powerful thing we can do for our health yeah um that's under our control that's under our control probably the biggest yeah the one I like to think about is surgery versus physical therapy oh okay for muscoskeletal stuff yeah that's my world I'm a do so like I'm about that yeah so tell me um in general like what kind of outcomes you expect with physical therapy versus surgery well again very dependent on condition but in general what I see people knee-jerk reaction when they have pain or they want better performance is fix it yeah and really what we need to focus on is the body's own ability to heal itself that's the magical thing so we either have to intervene when necessary or stay out of its way mhm so Intervention when it comes to like surgery should be like the small minority of the time or in like traumas whereas people think that's the treatment for all problems step one step one is not surgery minus the extremes sure sure sure so like people say oh my God you're finding that I have a torn meniscus that mean surgery right away no I have my Labor's torn in two places right now uh I have a torn rotator cuff my shoulder works great right so just because you have that injury doesn't mean you're doomed for surgery and that's why we don't jump to the MRI and sometimes patients get upset like you don't want to get Imaging well I say number one your insurance probably won't pay for it so are you cool paying for it out of pocket most people say no yeah and then they if they say yes I say just realize that we might find something that we didn't care about finding in the first place yes and if people are okay with that I get them the MRI and they can continue on their way but unless I'm planning for surgery or I'm really confused or we've tried conservative management through Physical Therapy activity modification I'm not really getting Imaging do you think and this is I admittedly I've had so many surgeries I have no business saying this but do you think we are in generally speaking an over surgery option I would say we're more we're over intervention over intervention we don't have enough faith in the body's ability there's like needs to be a little bit more patience and understanding of how the human body heals it itself and when it comes to muscoskeletal stuff we have like so few modalities to actually help like if you really think if someone comes in with like let's say knee pain um we have some medications over the counter you know the camins ibuprofin of the world and there's different classes within there I like nids yeah well ibuprofen is a good example that people use those a lot maybe overuse them create gastric ulcers kidney issues that happens also uh those who have high cardiovascular risk should be talking to their doctor if they should be using saids regularly important wink wink wink I love Adil I love then there's Physical Therapy which is like the gold standard I love physical therapy that's good even if it doesn't help your initial problem like it's going to be valuable right you're going to end up strengthening something along way you're going to decrease fall risk you'll get better balance you'll have better flexibility better performance all that good stuff then we have like some injectables which have really bad evidence this would be getting the steroid shot to a joint or something well steroid shot we know what it does but it usually is not a longlasting intervention so it's like a temporary relief of a situation there's like injections that we do for arthritis where it mimix the sovial fluid in hopes of decreasing arthritic pain and the evidence for that is really low quality sovial fluid it's the fluid that's within the joint that allows it to be lubricated okay great so there's some like prescription products that you come in for every few months these injections multiple times and the evidence for them is not great but the placebo effect is wonderful so people like what about PRP and St that was the next step yeah so PRP is interesting because we found some evidence in some body parts and then we said Put it everywhere put it on the scalp put it in the vampire facials put in penises put it everywhere yeah andpet bomb yeah it's like a little preliminary how does PRP work am I right they they take some blood they spin it they get out the pl they re inject that somewhere is correct so basically there's growth factors within the blood that um it's called platelet rich Prolotherapy and we take those growth factors we spin them down because they're heavier so they'll sit lower you inject them into a joint and you hope that they create inflammation and healing so it's funny we used to like decrease inflammation to Healing happens now we're increasing inflammation because initially Prolotherapy started with injecting just sugar into joints dextrose oh really and they would create massive inflammation we thought that stimulated healing cuz it brought growth factors but then they created platelet rich protherapy they're skipping a step well not that skipping stuff they're trying to create like the better new science version and there's been some evidence for medial epicondilitis you're so embarrassed that I got that wrong Dr Mike shut don't interrupt Mike again well whatever so anyway and what about stem cell there was the great uh I think it was the second season of Dr death maybe it was about these crazy stem cell people were getting massive infections yeah to be honest I'm not well versed in the stem cell World cuz it's not mainstream enough to be in my purview but from what I've seen there's a lot of people taking advantage of folks with these stem cell clinics abroad and yeah like they might have some promising future but again it's almost like probiotics or yeah like I don't know literally haven't seen enough haven't documented enough so I would urge people that when they're taking advice from people they should minimally ask themselves are they an expert in this yeah I want it to be that and I wish it was that simple but then there's even experts in some fields that aren't even experts in their field that that bias that we sometimes have yeah we're like I'm a doctor so I know in its most extreme case we see it with the tech entrepreneurs which is they have they have demonstrated a genius in this category and now we listen to them on biohacking yeah and it's very curious but you're like well he's one of the smartest people in the world so surely I should probably doesn't translate it doesn't right well it's what uh lay Norton said on my podcast about Nobel Prize syndrome so like those who win Nobel prizes have also believed in some like incredibly wild and accurate Theory as well because they were so smart that they convinced themselves they were right well like lonus Pauling believe like vitamin C can cure anything and cure cancer and then lonus Pauling died of cancer it's like the classic example yeah um like Steve Jones yeah yeah that one you're like why you're so that's like the example of uh the rich people getting bad outcomes you have the Steve Jobs example or like the Michael Jackson example where they say give me that medicine yeah because I'm a celebrity or now we're kind of seeing you with Matthew Perry yeah you know you're a celebrity you can demand it and that's why like I've never really been successful at allowing C ities into the practice where I practice they ask for things and I'm like but this isn't ideal and then when they don't get it they get mad and they seek the care elsewhere I'm like great like yeah go they can go Doctor shopping yeah yeah now to talk about the Matthew Perry thing for one second I will say one thing that's aggravating me about the stuff that's coming out is and again I'm coming from a very specific place I'm an addict um I think it's okay if I now say I was around him in his pursuit of sobriety um holding this assistant trying to hold this assistant accountable I agree is is to me it's it's we're hurt we're sad it's a tragedy we just can't resist wanting to blame somebody but unfortunately the attic is to blame I'm to blame I had a great [ __ ] doctor do a surgery he doesn't I haven't told him everything I call for more I I've ran out of my you know like that's too much for someone to manage someone's entire personal life or know what's going on now when you're a doctor and your in and your only patient Michael Jackson you're putting them to sleep every night with propal now that that line for me is really clear that's criminal no yeah well that's like criminal negligence of you know what you're doing at that point yes you know you're also not disenfranchised like an assistant who's working paycheck to paycheck yeah I mean like there's a difference between ethical moral lines and then legal lines because like even if someone did something by accident and then a life was lost Maybe legally that there is some kind of rule that they're Crossing but legal doesn't always mean moral and moral doesn't always mean legal so totally those lines always cross ad yeah it's just they're [ __ ] slippery like it you don't know what he said to her even if she oh yeah addicts are tricky yeah it's it's very tricky and people people who one haven't been around an addict don't know that and two who haven't been an assistant don't know what that's like either where you're just like I guess I have to do all these things like you get it's a weird your livelihood on your whole life yeah in your career you feel like if I don't do this then I'll never get hired again that's scary there's the power dynamics of all but speaking of um addicts uh I listened to uh day seven on my way here oh you did a little bit heavy for a ride here I want to I want to like you guys are doing great work I got to say thank you for that for being open and sharing that Journey like it's it's awesome for me as even a doctor to hear that perspective because a lot of times what's said in an exam room is not as honest and open as how you guys talk about it so I I thank you for like the openness of that conversation because I think it does a lot of good from a humanistic standpoint for people to understand what happens behind the scenes in these scenarios and they're not often talked about because embarrassment shame fear all the things that you guys discussed on the episode but it's so powerful I think that thank you that leading by example there is powerful it's hard for me to take a compliment about that episode but thank you it's it's weird to now feel like it's always tricky for me but I I really appreciate that okay um we've come to a new segment on our first episode a video which is um questions my daughter was dying to ask you okay I told her a few days ago you have a couple days to write down so I'm going to allow you five questions oh PS dad ask him if he can do a Russian accent oh my God I could do the Borat thing PS dad PS dad so that's not one of her questions she want the Russian a that's the weirdest request well cuz she knows you're from Russia but like is that like a Russian villain thing like where is that who knows what she's thinking of yeah presumably she saw in some um Teenage Caper where there was a Russian Film um I'll answer one of the questions in a Russ oh W okay oh my God this is great this is great who is the better snuggler rib or bear maybe we should first say oh yeah um so I have two new finlands two giant uh dogs love New Finland I had one as a kid oh really so you how amazing bear is 130 and Rib is already like 110 and he's 6 months oh my God so he's going to be a month yeah maybe 160 we'll get too oh my God they suck at C cuddling okay um both they do they get too hot they do and they start foaming they start foaming and he's like can't breathing and panting so they go on the floor and they go on the ties so I get very limited cuddles cold plunge we're back do you know the origin of their pool all the time I can't get them out of the pool you know the origin of the nfin yeah of course they're like the rescue swimming dogs yeah they're the same Berard seen the um in Italy they throw them out of helicopters no yeah there's like videos on YouTube awes and they go and they rescue people they save drowners so you know I should get one St Bernard do you I'm not sure about my swimming skills so it' be good to have one around I think this is right St Bernard's would rescue people in um like avalanches in Arctic conditions that like bernes mountain dogs like the Swiss and so the news are that version but of the water and sailors would shipwreck out and they would release these dogs and they and the people would hang on to them they'd [ __ ] swim and they would pull like heavy loads and all we had a book growing up and it was all the championship dogs in fact ours was from like great grandfather had yeah there's a picture of it like 70 enormous trees on a sleigh it through the yeah they can pull thousands of pounds they're very cool but the slobbering is rough about a really but the slobbering is wow it is wow on the ceiling cuz they do the oh God on the ceil in the food when no nothing it's everywhere okay number two forgive me uh oh have you ever farted in front of a patient oh good question is it pretty great cuz I have farted it not only in front of a guest on a guest and it became on a guest because were you tick I did not feel this coming we stepped outside to take our picture and as I put my arm around her I farted and it was Audible and I was like I can't I go oh my God I'm so sorry I farted she now does a show with Monica work out now it's in the family I think it was a great ice breakers I cut right to like I mean that happens it's a human body yes so that's yes the answer is uh yes and I believe it was during like an eight hour surgery when I was a med student okay okay okay but that's cuz like and but but did you had plausible deniability cuz there's eight people in the room there's people in the and maybe the the body smells maybe the patient the body all has all kinds the person's alive still it's not a body it wasn't an I don't know yeah cuz if you were in the if you were in the room with just a patient and start smelling this is there's only two then you would have to apologize yeah that be rough it's not the it's the would you ignore it you would ignore it I mean would you it'd have to be really pent if it was pungent I would you have to go if I you could pick it up on the patient's face and you got to go straight to an excuse you go holy spoks I'm so sorry I tried a new restaurant today I'm definitely like you'd have to I would try not to put a lot of story into it CU that makes it more memorable yeah um what happens if there's like a tummy going back to that word tummy incident during surgery from the patient the doctor the doctor like if they have to leave to have yeah has that happened I'm I'm sure it happens yeah you can take a bathroom break uh yeah scrub well you do have to rescrub well yeah what if you didn't rescrub I didn't you didn't have to I just said yeah matter excuse well if it's um transplant patient you might save their life true um that's not a surgical thing though where did you go to middle school she just started middle school so that's ps104 in Brooklyn ps104 Brooklyn have you been delighted to see Brooklyn come up in the way it has or has it been annoying uh come up I I haveen been realized Brooklyn was coming up oh it's very cool what are you talking about I always thought it was cool that's why I don't know people only live in manhatt and now everyone wants to live in that's a change I love Brooklyn growing up okay and I had to move to sen Island for high school which I wasn't like a fan of wasn't it wasn't a choice a lot of guidos out there what was the vibe you know what's funny I had the poly D hairstyle when I was in high I had pictures on my phone for you really bad I had to fit in you got no choice simulate you're a Russian Jew you had to get that hair as high as you could to figure it out um oh do you want a third newy I was very close to getting a third dog this week like someone clearly knows me very well well she wa you and I didn't even say anything she probably knows more of your episodes than you do oh my God are you her Matt Damon oh big time she's not old enough to know she's in love with you but she's in love with you it's kind of adorable wait what happened to Matt D oh no he's my Dr mik he to me is Dr Mike to linkoln okay fair um so yeah the other so before I got ribbed I was talking to a friend of mine that recently got a Beres mountain dog I love those and they were like it's amazing you have to talk to his breeder put a a deposit down and like I was like okay let's just put it down cuz who knows when it'll come it's like whenever my dog gets pregnant you'll be like the first to know right and she messaged me this week and she's like you ready and I'm like left her on red for now so I haven't decided yet oh raising a puppy's hard oh my God and like I take it serious like I do the whole crate training thing every two hours out wow it disrupts your life yeah my wife is the ultimate dog person but she has a rule no puppies not a chance she like let someone else deal with all that take they're [ __ ] broken we got a three-legged one inside oh my Husky's three-legged right oh really I know this this is kind of sad yeah had a Band-Aid that was on too tight and caused Gang Green that's what we suspect yeah oh my God are you impressed with the research that's great research I mean the fact that you knew the dates when things happen was impressive earlier okay great how was it moving from the city I think she means away from the city yeah um I still have my apartment in city but I find myself spending less and less time there I'm like realizing that I'm a person oh which growing up in Brooklyn you never thought that's something that you would identify with you're not even aware that it exists and now I'm just like I like sitting with the tree you're in Upstate New York yeah Dr Mike this has been a blast I have fun did have fun surreal like it's awesome like me guys from afar you really threw threw me for a loop with that height oh I mean you really I'm still kind of recovering from that first introduction well uh do you do any boxing I don't oh I was going to say we could Spar or something you fought an influencer I fought an influencer and then I fought on Showtime Pay-Per-View boxing yeah you were the undercard for um Anderson Silva and Jak Paul yeah yeah yeah were you shocked that he beat Silva I was very yeah very I was also shock that I lost like right before that so I was a little myself the board you know I gave up a lot of time training for that a lot of surprises that evening do you watch couples's therapy no it's couldn't recommend it enough it's a great show Ora's a therapist in Brooklyn yeah I think Brooklyn it is intoxicatingly great couples yeah it's working on all the levels it's like it's you're you're a rubber necking and then there's enormous breakthroughs that are incredibly empowering and like just it's it's the best show is it weird watching shows being in Hollywood like you should watch with my wife and I yeah you should watch what you should watch the show with my wife and I you know how I watch Gra always like yelling at the screen are you guys doing the same thing we're saying stuff like this like we're watching Game of Thrones right and one of us will go like oh [ __ ] one of the leads is in the Deep background of the wide yeah and you know they shot this scene for like six days and they have no lines and they had to sit in that crowd for six days and it's raining and they have nothing to do like that's the kind of stuff we're just overly aware of how the sausages made or we just we'll see tricks that they tried to pull off or whatever you know Kristen's the hair police we call her the hair police because she can always tell if someone's wearing like extensions or a wig which no most people cannot tell they do a pretty good job and she'll use her laser she a laser pointer she'll pause and she'll go see the real hair stops there and then the see all and we're like yes we see it that's the only problem with her hair policing is we we acknowledge she's right keep it's a master class keep every time yeah so it's like a bunch of fun watching and we have this game we play cuz on sets um all the Pas and the80s they all have earpieces and walkie-talkies and and then the the microphone's clipped to their shirt and so often you and I you know you I'm an ad and we're talking I'm listening H and I go and I no well go to three no I don't want to have this conversation on six okay great go to three who who didn't show up they're you can't tell if they're listening to so when we're watching TV quite often there'll be a pause and I'll go Mike go to two what's wardrobe why are they in this look is that their personal it is that's a personal hat well you got to tell them they cannot wear their personal hat in this scene so we play go to two when we're watching TV yeah it can take us three hours to watch a one but that makes it more entertaining that's cool it's really fun it's probably our biggest hobby wow so what's the favorite show right now is it couples therapy is that what you guys are watching well we ran we burned through that um I I love only Murs in the building I love that show where is that I you guys are talking about show I just finished Presumed Innocent oh me too that's so good it was good the ending I know we don't we're not going to spoil it Dax hasn't seen saw a movie it has to be the same ending we don't know we're not going to say say I'm not gonna say but I did really did you watch Fallout no I played the game though oh then you would even be more incentivized to watch it it's fantastic what else do we love uh chimp crazy what's that I even heard of by the makers of Tiger King uh tiger it's on Netflix it's on Max okay same director crazy and of course now we're exploring people who own chimpanzees which as you and I both chimp crazy okay yeah terrible idea to own a male sexually active chimp oh what about a spider monkey those look like fun you're not going to have your face eaten off by it with with yeah I heard that happening oh here's I'll quiz you and don't give me your real answer because you know I'm asking giving you fake answers yes and I'll tell you why we have a bias to not be made a fool of basically so if I ask you like how many times you think blank you already know it's going to be higher than I would think or lower right the fact that I'm asking you a question there's a hint in there that it's it's a shocking number right so then you try to adjust okay so don't when I'm asking you is to give me the answer you would you would have really given me without any prep how many times do you think a male chimpanzee has sex in the wild in a day what would be your real guess one I probably would have went five I kind of know their mating strategy really yeah why do that's well cuz I was an anthro maor and I love primates right and they have enormous testicles which is the away of their strategy which is just spread it everywhere 50 times a day 50 interesting times a day they're only awake 12 hours Mike so what does that mean for proportion of the day forget the times give me the what's the proportion to eating sleeping and sex that's a great question there should be a pie chart I get my hands on that but the sex let's be honest it's not for her pleasure they're in and out what I'm saying yeah yeah yeah have you seen a lion mate no oh I have clearly I need to get on chimps it's just sucks unless you're a bonobo chimp then you're having female and female you're having they're very uh inclusive it's just when we say the male chimps are having sex 50 times a day that means the female chimps are also having sex 50 times a day but with no excitement right so the the male chimp's not having sex with the same female 50 times a day he's having sex with multiple females in a day she also has multip so is the whole rabbit thing a fallacy what's the rabbit thing well like they say like rabbits hump all the time or whatever High fund rate rabbit that's a great word one more time high fund rate high fund that's how quickly they reproduce High I knew one word you didn't know write that onity I might get a painting made that says fund uh but my point being is if you have this animal that in its natural state should be [ __ ] 50 times a day and it's in your household with all that crazy Venom well I've seen like people like aggressive dogs they're like oh yeah you got to relieve them I've seen that I don't know if that's like well we know that if you castrate them they're infinitely less aggressive but the relieving component of it well then we get into this we we're very obsessed with dolphins and people who have had sex with dolphins oh yeah didn't you say like dolphins always do it consensually or something no no they don't we were hypothesizing is now morally clearly legally no no this is let's be very clear about on camera for the first time having sex imoral is this happening yes it people have many people and some scientists have had sex with dolphins and like correctly like anatomically what does that mean blow hole no no no male almost it's always male dolphins having sex learning so much today so when you go through okay it's bad it's no good but we can establish a hierarchy of what would be the most evil and what would be the least evil to cross that line with because like um a sheep doesn't want to have sex with a human being the dolphin wants to have sex with the human they've shown it time and time again there's so much footage of these people swimming with dolphins for their fun thing and the dolphin male gets on top of some poor swimmer and starts pumping away they want to have sex with human females we should stop allowing children at these like doph par we shouldn't have these things to begin with they know about like you know 18 and consent yeah they know about all that they have Dophin scho and did you see this viral videos I mean the they're so perverted it's insane this one this one got this one dolphin got an anaconda in its mouth and it was swimming up the Amazon and it was [ __ ] the dead an Nast they're perverted they are the most perverted I am going to have the weirdest flight back to New York I hope they don't track all this up only to say there was this documentary in the 80s and it was about this team of researchers and this female scientist just says very matter OFA Le she said you just couldn't study them unless when you got in the pool with them you quickly relieve them and then you could study them because until then the only thing they're trying to do is have sex with you so you got to kind of do that to even get into the study so is this the same for anthropology and ape research I've not heard the tales like these dolphin uh situations there was also famously a female dolphin that was in love with her male scientist and when he left she killed herself remember that how does the dolphin do that she swam she suffocated herself somehow she didn't come up for air we also had a um armchair Anonymous story where we talked to listeners and there was a man who had like a small short love affair not sexual but real love affair with this dolphin and um you know they're very smart and there's some humanlike stuff and then obviously the sexual component it's very interesting so we've told everyone if they listen and they are attracted to dolphins that they can always just that a safe way to say it would just be to write hash dolphin asparagus in and you're not really admitting to anything but we will know what you mean got it like if you're in love with dolphins if you want to comment you want tell us that actually it's me I'm in love with dolphins that's how you can do it dolphin asparagus wow they have a really impressive um M Neo cortex ratio which is is relevant here I think cuz that makes them you should only be da people that are yes they can stand by their decisions they can't be ruled incompetent in a courtroom they were very with it yeah that was awesome yeah that was maybe the funnest part the gutter is always a fun place to Splash around for a little bit a little dolphin humor way well thank you so much for being our first video guys this was so awesome so cool we picked you cuz you're so handsome if you uh if you guys make your way to New York I'd love to reciprocate and I can ask you all the questions about i' we're actually going to be there in a minute funny enough yeah so yeah uh anytime you would want to have we're in Midtown Manhattan so easy enough have you guys been to like Peak or the edge no oh I I got to take you there Peak or the edge so the edge is the the highest point Observatory deck in New York where you can go outside and Overlook the city but what's cool is there's a little triangle I can't stand on it but you could see all the way down to the floor and people like lay on it it's a whole adventure and then you can eat there it's like a really good quality restaurant and the Burger's great everything they make is great okay what's your favorite burger in the city though you know what's funny I like garbage Burgers like I like Five Guys I like Shake Shack I that I like that too yeah but that's like not sexy to say not a bad it's fine there's hardly a bad Burger yeah it's like it's hard to like mix messages I mean I I grew up in Brooklyn so you can imagine which was always great apparently always always guess Brooklyn was always awesome I don't know I treasure my childhood in Brooklyn well um Dr Mike this has been incredible and um you're going to have to oblige me because now I'm going to introduce you to my daughter and she's do it all right I'm excited thanks thanks for coming y hi there this is herum herum if you Fact Check like that you're going to love the fact miss Monica three I take free I take four I take fre I'm so won I took four Advils oh to happy with your friend so I won't wake up for a while and feel no that's so sad too dark don't walk in my Advil collection they're all gone are we rolling Robbie that is um a ding ding ding because this is for Dr Mike and we talk about Els we don't talk about elmera but we talk about in in we talk about Advil oh NS yeah I thought you saying incest I'm like I do not recall talking in with Dr Mike we could have we could have he was very playful playful doc a rare thing happened he stayed oh the whole evening oh fun he even got his agent who was down the street waiting for him and they had a flight at like 10 something and fully for me cuz I liked him so much but also Lincoln loves him yeah so I was like you know we're chatting by the gate and I was like you guys want to hang we we're going to order dinner and so and Kristen's dad and stepmom were visiting mhm so they joined so it ended up being all of us around a table and um it was really cute because both uh Tom and Kelly uh this the father and stepmother must have said 30 times those were really nice people they really really nice people really interesting people it's kind of cherry-picking if I just invite the people that were on the show they're generally going to be pretty interesting for dinner true yeah it's kind of a stocked Pond it is to pull dinner guests and he sent me what he sent you this is for us dolphin accused of sexual assault at beach a sexually frustrated dolphin and wasaka bay Japan is accused of assaulting 45 people biting and rubbing its genitals on beachgoers researchers suspect it's the same dolphin due to similar tail fin wounds so boy he said oh my gosh you guys weren't kidding yeah they're out there you got to be careful you really got to be careful out there yeah look from afar they're cute they're cute until they're biting you and rubbing their genitals on you not so cute yeah although I would and there's no dolphin I would want the bites but if he rubbed his genitals on me I could survive that no one can take these Dolphins to court right there's no dolphin jail well I guess seaw world are they a sponsor do want me tell you about my evening I mean I already told you about my evening but can I recap my evening for you it was really something else okay let's hear it just we've been busy yeah so when we got off work which was pretty late I was tired I was ready to go to bed MH but Delta has shown this great passion and interest for basketball recently how how did that happen I don't know as I just told you a minute ago we were at a barbecue for Lincoln School I took her to the bathroom as we were walking back from the bathroom there was a basketball C and so I said let's shoot hoops or whatever and she was immediately very good at dribbling and she was immediately very good at shooting wow and I said have you been practicing at school and she's like no and I'm like Bela you're very naturally good at this like really so maybe that's like in the stew you know like encouraging people yeah and it was so genuine I then went on to fall on her yeah which was the maybe the worst moment had with her parent yes other than when I shave my beard yeah that was had you look you rock them up over time but in this situation she got under my legs at some point like as the I was looking up to grab the ball and then all of a sudden I was tripping over her and then I made this really dramatic move to step out of the way so I wouldn't fall on her and I rolled my ankle in that exact moment and so then I just collaps I had lo I no control over my fall and she was already on the ground Lane on her back and I fell full I couldn't do anything to stop it I it was the worst feeling ever falling and knowing she's under me and I landed directly across her rib cage and her her body let out a gasp like it was she didn't it was involuntary yeah I was like oh oh my God and I turned I felt so bad I was very worried I had broke her rib 200 lb fell on her too much way to a tiny little baby she's a baby she got up and ran to go find Mom all the parents that were in that gymnasium all saw me lying on my daughter and her screaming and crying and then running away from me yeah not a great I was very embarrassed oh you were I wasn't in fact like an hour later when she was long over it cut to the you know the she cry cry cry ribs were fine she even told me she felt better after it which was very kind and codependent of her and then uh an hour later I took her back to the bathroom and some of the parents that had been in there and one of the moms goes um is she okay and I was like yep she's doing good and then what I love about Delta this is like she's so weirdly mature in this way we got to the bathroom someone was in there so now we're sitting there waiting for the bathroom and she goes if I were you I would have felt very judged by the way that woman just said am I okay and I go I do I'm ex I'm thinking that and she goes yes the way she and then she picked the word the way she came up lilted her voice and she really had caught the whole thing wow yeah yeah so then oh I'm sorry you were embarrassed that was just something that happened I know I know it's just embarrassing to hurt a little girl well on accident cuz my fear was they thought I was being overly competitive with her or something but that's not what was happening that's not what was happening but then that was that that was Saturday and then so Sunday we got our basketball and then we went to titi's house and shot around nice and her and I played Pig many rounds of pig love Pig she's doing great again and then I'm like I'm going to get a basketball hoop obviously this is great uh maybe she'll get good at it and that could be her sport so I ordered one and so last night we finish and I see the Box sitting there it's arrived and I've told her Wednesday your basketball hoops coming and so there were a lot of parts but I looked at it and also Kristen was like do you want to get in the sonics it had been a long day and I go I'm going to get in I'm just going to put this basketball hoop together really quick um and this is like a full 10 foot high with adjustable whatever in my mind whatever I even said uh turn it on I'll be done in 20 and then I'll get in yeah that'll be the time it heats up an hour and a half into the project mhm I'm not even close to being done and all of a sudden I'm like oh my God I'm going to have explosive Haas oh no okay I run into the house I go to the bathroom right next to the front door IAS it's epic it's serious yes I flush the toilet yeah and it doesn't flush and what I know is it's not the hanas that's not clogging the toilet the toilet's already been clogged yeah you haest on top top of a clogged toilet oh and now I'm like oh [ __ ] I got to deal with this so then I go get a plunger okay and I'm working the plunger and I'm trying to get the balls you know it's a it's ugly work yeah sure and it needs to be done and then that plunger is not getting it done and I plunge a lot I'm pretty good at plunging so I'm like [ __ ] I'm going to have to go get that crazy plunger I have out in the guest house that's got a real long accordion neck on it cuz this other one's not working I go get that one I'm plunging I'm PL I eventually lose my temper right now something's going down and I'm ref flushing so it's not it's not great and it's not at its worst Point okay but now I'm [ __ ] trying to plunge this thing and [ __ ] water's getting on my legs water you mean haest well on the floor and I'm getting mad and it's on my arms and now I'm like now I'm just like I feel like I'm like I'm field dressing an animal like now I just got to get it over kill this thing and make it stop squirming like I felt life or death all of a sudden why won't this [ __ ] thing unplug I've been down this road it won't unplug I went to battle with this toilet so now I got to call a plumber so it never it was it wouldn't go down I'm like this thing has to be snaked that's where we're at so now I oh God I call a plumber and then I go back outside and I resume building this um basketball hoop yeah they're busy they arrive in like 40 minutes oh no problem I'm still working on the basketball hoop but they they came that day that's good they had to come there that night yeah I couldn't have slept knowing this was is there such a I didn't know that I thought like are there emergency plumbers oh yeah oh well even Roa rouer which is a franchise you know they can yeah yeah cuz people have they have Plumbing disasters I know I was having one so they arrive and the first thing they do is they snake the toilet well that doesn't help it doesn't go down so then they go to the outside of the house where you have a you have a cleanout right and you take the cap off and then you can PL you can snake the pipe beyond that wall okay so then they snake from the cleanout still not going down now we have so now we have a problem that's not in the toilet and it's not in minimally the first 40 ft of sewer M okay they go to the next cleanout which is like at the wall of the property okay and I don't even know if I should describe what happened mind you I'm right that that's exactly where I'm building this basketball hoop is like six feet from the final cleanout okay they take the cap off the cleanup what mostly tons of water starts billowing out and Duty stop into the yard no and I'm like human Duty I'm like oh my God I can see it's starting to get We're Not Dark Yet but it's definitely the sun has set Oh I thought you meant the car and I'm like oh my God they shouldn't have taken that [ __ ] cap off and when will it stop is it coming from the Street like is this Los fess's e e and I'm like oh my God it's G to like it looked for a minute I actually thought is my yard going to flood with the city's waste it would be it would be so ironic kind of warranted I guess I guess you've asked for it I'm also still building this basketball hoop because I now I'm going to [ __ ] finish this thing I thought it was going to take me 20 minutes I'm like this is now 2 and a half hours I've been building this thing yeah and it's now gotten dark so then I go get some lights I put some lights up to finish these guys are six feet away it smells horrendous you know the kids are coming out then they're going in Oh daddy farted I'm like it didn't fart it's the [ __ ] City sewages in our yard you know I think Kristen's checking in like is he going to blow kind of you know yeah like how how the red Izzy on this and um and they weren't being very optimistic right cuz when they came I toilets it's not it's not you know then the second one they're like it's not I'm just I'm starting to sense from them that they're not going to be able to fix this situation so they're working on that for a while and then they got it so when we built through all this renovation we did a whole new sewer line out to the wall but I don't think from the wall to the street was replaced so roots oh when they finally pulled out what it was they pulled out this mass of roots that had backed everything up from the street oh my God oh my God so it was I saved this part of the story for you you knew about the basketball H I heard was you were in the middle of building a basketball yeah all that to say they wrapped up roughly the same time I finally finished this [ __ ] basketball hoop and it was it was three hours that I was doing that it was my entire entire night I like finished that and I went upstairs and my jammies on took a shower and put my jammies on did she play so this morning they got up before school and they both played the whole time before school oh cute yeah yeah and I do think people should see their dad in this state as long as it's not directed at them but it was definitely like Christmas Story right where I'm in the bathroom they can hear plung and they just and I'm just in there like [ __ ] mother what the [ __ ] I'm just like I'm just mumbling swear words yes yeah I know and they'll peek their head outside and then I'm like this [ __ ] you know I'm putting this thing together I'm swearing at the tools and stuff so it's like a good 3 hours of me just uh murmuring all kinds of muttering muttering I was just muttering yeah Dad's mutter yes well it got settled jeez hell disgusting yeah so what did you do with the poop in the yard do you spray it hose the hell out of it and then into this little outcropping of new bushes that were planted okay so part of me was was like that's fertilizer I mean sure good for them yeah wow are you afraid that they have hepatitis now I just think those plants I just think your whole yard is covered in poop by the end after the wash down happened I know but the washtown is really just like diluting it fair because it's not going anywhere seeping into the soil and nurturing the plants okay that's interesting cuz we we don't mind often I mean I I do think and I'm not just saying this to be like a prissy girl I don't I'm not someone who loves the smell of my farts I know that's like a thing that everyone says that like people like the smell farts that's fine few things I take you at face value believe you it's so hard for me to imagine I mean why would I lie about it I know I've said a lot of stuff on here yeah you have um and in that way I should take it but it's hard to imagine you don't you don't like them but you you don't hate them do you sometime yeah hate them sometimes I hate him I I don't I know what you guys are saying but I really don't have it right and that's fine I think most people do like the smell of their farts but all to say they don't like their poop I guess cuz you love the smell of your farts and you did not like having poop on you your own I do not want to have my poop on me yeah yeah smells like distinction yeah yeah well it's not healthy to have your poop on you cuz then you spread it around it's not good it just for me there's not that yeah if you like it then you should like it you should marry it you like it so much you like it so much I don't even marry it no I would rather H mhm I like this something Big's coming I think I would rather have poop on me my own my own mhm then smell my own fart wow I think I mean obviously if I can wash it off immediately not like w and in this scenario yeah obviously you can't smell it cuz that would defeat the purpose exactly right correct no smell but if it's on me and then I know I can wash it I'm not I have no you're fine but I but I think it's because of that it's like farts you don't know how long they're going to last that's part of the fun that's the um that's where you get the dopamine cuz it's unpredictable and that's where kind of the fun of it is happy for you happy that you have that so anyways that was my evening what was your night no nothing um just worked Plumbing worked great my Plumbing didn't assemble anything has worked great yeah the blessing of all this if I'm being honest again all these there's blessings in all this yeah the whole house was clogged so yeah we could have been discovering this at 3:00 a.m. we could be discovering it at 6:00 a.m. when we're all trying to get ready for school and I got to go to work y so in a weird way what a blessing cuz all the toilets would have started backing up blessing in disguise ding ding ding armchair Anonymous coming up check it out coming up all right so Dr Mike I looked for his inspirational quotes oh yeah but the Twitter the X app I can only go to 2020 really really yeah when pain when I scroll like when I uhoh by the way and it takes probably a very long time for you just to scroll to 20 it took so long and then now like it's it's off okay so I can't get his inspirational quotes he's probably glad about that what do you think what what variety do you think they were like stay positive kind or probably work hard kind nose to the grindstone cuz he's a hard worker yeah but he liked but part of his videos were like you can still have fun still go to clubs yeah yeah I'm going to go ahead and assume that they were work oriented okay do you want to do you want to make one up that you think he would have made up yeah nothing tastes is good now that's a what's that nothing tastes as good as skinny feels I say that to myself all the time out loud it's kind of like remember our trip to the sandunes when I said no calories on your birthday yeah yeah it's been a long time since we told that story yeah tell it that was fun yeah it's not even it's only good at the very end but how did it even originate was someone's birthday it wasn't yours cuz we weren't in the sandunes in August or we were there for Thanksgiving okay and we were eating Thanksgiving food and it was all delicious and it was rich and it was there were a lot of calories involved for some reason I just said pass the such and such no calories on your birthday so then the next day I did it again and then I started this thing where I would tell a story that was unrelated to calories and I would end it with no calories on your birthday but it was it was incorporated well like you were tell her about this woman and then by the end it was like and then yeah it was a totally madeup story but it sounded real and then the punchline would be and she said no cies on your birthday it worked pretty good and then it was starting to get a little long in the tooth like I was doing it too much for sure but then we left the sand dunes and we all checked into this um Hotel in Palm Springs for a night yeah and everyone was in a panic of have we ordered food for the kids and so I claimed I had ordered the food for the kids and everyone's like really paying attention because it's like it has to happen I'm like don't worry I ordered I I got so and so something something something and then they I don't know how you guys feel about this but they you get a free milkshake with the kids meal and I was was a little bit nervous but then I said no calories on your birthday and had been days and all of it was fake yeah everything you said was fake that was also it was just like you've wasted so many minutes of Our Lives telling us these stories that are fully made up oh man funny anyway from you found some you found it oh wonderful my God does your ex Go pass 2020 maybe being on a computer's help no I was on my phone it was 2015 yeah what I like about this is we already now we guessed yeah so it's a real time find out if we are right choose a job that you love and you will never have to work a day in your life now I am going to have to call [ __ ] on because I said you were stealing CL he said no I was making those up and that's definitely existed before he used that well this one but by the way that was hard work related it is choose a doly 11 you will never have to Dr okay but but that one to be fair to him is it on a piece of paper and it's obviously in his office so and there's a hanging stethoscope next that way that's how we know it's a doctor's office no no no but okay now you have to look at his caption his caption is probably the quote he's probably it says step one know thyself step using biblical terms that's a big swing step two find a passion step three enjoy the ride found mine have you you classic he's a natural at he knew he knew about social media long before anyone else you ask a question so people feeling yeah engagement prompting them smart next one okay so you're right so he's the post is fall for their strengths and you have something fall for their weaknesses and you have something extraordinary I'm going to have to think on that one I don't understand that one but let's redis caption and maybe yeah human vulnerability is a beautiful thing oh we love that Dr Mike yeah we love that focus on the whole package and appreciate the faults enjoy exploring how they got there the flaws tell a story a story that's dot dot dot we can't see the rest of it great message I get it I think he wrote this after he screwed a girlfriend over oh and he wanted forgiveness I'm teasing I'm teasing I love Dr M okay now another another one is also one that's not his correct and it's very very long and then he just wrote yes so we're g to we going to not do that one okay the next one is although let's see what message he wanted out in the world you want to read this one uh sure life will break you nobody can protect you from that and living alone won't either for Solitude will also break you with its yearning you have to love you have to feel it is the reason you are here on Earth you are here to risk your heart you are here to be swallowed up and when it happens that you are broken or betrayed or left or hurt or death brushes near let yourself sit by an apple tree and listen to the apples falling all around you in heaps wasting their sweetness tell yourself you tasted as many as you could what if Midway through you got like like that crying a huge lump in your throat you know I'm not very sappy hey people could never say I couldn't kick you in the Attic this is a huge impr this is what I said I want to sit over there I like more distance you feel safer yeah a little bit well and I just want to say for the record we are not making fun of Dr Mike he made fun of himself he had he had a very good sense this is all very in keeping with Dr Mike's ener sexy energy sexy tiger he's uh also like probably 25 in these yeah a long time ago okay the last one is very cheeky oh you have another one yeah oh okay um I do too you want to read it an apple a day keeps anyone away if you throw it hard enough that's just good a fun yeah but he um he likes apples these last two are Apple related also biblical interesting very interesting is learning the Old Testament right now at school oh wow does she have questions or she has thoughts that are interesting to share here of course of course let's hear well she learned that God said you know this place is for you it's an Eden don't eat the apples she said the Apple uh symbolizes wisdom that's probably an atheist point of view but I don't know where she got that but I was like oh that's interesting don't eat the apples why wouldn't you want to consume wisdom well he didn't say that Apple represents wisdom she's saying oh the Apple represents wisdom I don't know that we have a great explanation for why you're not allowed to eat the apple it's just it's a it's it was a test from God a test God yeah and so the serpent gets Eve that betraying conniving [ __ ] big old [ __ ] to tempt Adam yeah this mean [ __ ] yeah he was so good in p never eaten that Apple no he was such a good boy he was a best boy guy sexy man he always listened to his dad D mean evil [ __ ] siren yeah and then she fast forward and she said then you know we learned about KN and he had to God had to kill everyone because something was rigning on Earth evil for a lack of a better word I said well hold on hold on are we to believe that Noah and his wife populated the entire planet that that's a lot of inbreeding and she said no he brought his three sons and their wives and apparently God told them you cannot have sex on this boat I mean I don't know why cuz like it'll tip there's a lot going on on that boat so many animals o motion of the ocean yeah for whatever reason they were not supposed to [ __ ] on the board of uh the ark one of the sons did people that are really biblically inclined are like screaming at their Dash wordss right now but he he he and his wife did and they had kids and then those kids then brought back the same evil that uh God had just rid the planet of and now he said I'm not going to medal anymore oh he's that was his decaration he was tired of it and I said to her and I'm like so he really [ __ ] that up God basically she's like yeah he just can't seem can't seem to make a plan that works do you think this is where the term Rock the Boat comes from Don't Rock the Boat Rock the Boat maybe wob wobby hello it's [Laughter] Robert well Delta just chimed in she's not learning about the Old Testament but she said that's your Adam's Apple yeah it is I said that's why dad has so much wisdom in his voice God did you show did you teach her about the clitoris and that's where we keep our Wis I don't see nothing wrong it's time for the doy Data Dance with a little bu so what I have decided about that daddy daughter dance is if it ever comes across my desk and I'm expected to do it even though I will not pay for a wedding I'm just they got to figure that out really yeah cuz I didn't have one I think it's absurd to spend that much amount of money you're starting your life you are so all over the place okay say more sometimes I worry I don't know you anymore yeah that's probably what it is that is what it is this is all this isn't new obviously I didn't have a wedding so I think it's crazy to spend a bunch of money on a party when people are starting their life and you could buy them a freaking starter home for what these weddings cost yes so I think it's a dumb use of money I get that invite some friends over whatever so that's not inconsistent no it's not very consistent yeah if if my daughters want a daddy daughter dance by God I'm going to give them one that's consistent yeah now if it comes across my desk I'm going to do the thing where I'm going to learn like the Jitterbug with her or something like I'm going to put a month into it being the greatest daddy daughter dance you ever saw that's fun props chairs aerial stuff and then that would be awesome because that would just be me and one of the two daughters performing together yeah that's great no that's but then but you have a stance about asking the dad's permission which that that to me feels very old but this the it's like we're in the same world we're in wedding World we're in marriage world yet the there's a lot of inconsistencies and thinking well and that one thing is like steeped in Tradition that I'm honoring but again I'm just going to be put a really fine point on it I don't believe in the permission part yeah good I don't that's not really what I'm doing yeah in the same way that I'm not celebrating Jesus's birthday on Christmas I know yeah so I just want to be clear about that yeah I'm saying to him I'm humble enough to come acknowledge this is the most important thing in your life your daughter and I want to show you my character and that I can bend the knee and honor you right now yeah I mean I I know what you mean it's just is an anti it's an old school tradition yeah and it is it's based in things that are old just like paying for a wedding is based on things that are old like a lot of these things are based on Old foundational structures that are gone and like and and it's just in and look we all do this we all pick and choose what works for us and what doesn't work for us it's just it's all a c but it is it is it hard to predict it can be hard to predict and it's scary when you can't predict people yeah but also that's why we like PE a lot of people we like Max massies well novelty is burbling up and it keeps everything interesting and exciting it's like we want Total predictability and we hate total predictability it's another great dichotomy and Paradox of just what even what we want it's like we we want safety and predictability and then you have it and then people are bored and dis impassioned yeah so then you're trying to like you're trying to infuse novelty and excitement and keep you know it's all like trade but it's I I think that's different for everyone everyone has a different level of novelty seeking we all want some but there's definitely a spectrum and we talked about this on next week's F check you can't say this d i what I have to say it's sort of because it's what's happening and then it's going to sound re weird when they hear it but I like safety yeah I really really like safety a lot and I seek it out and I seek predictability out you don't think so I mean there are things I know you like safety but I don't think you're attracted to safety like you could have gobbled up at any moment a ton of safe options that are on the table for you and you're not attracted to those people you mean Oh you mean Partners yeah well this is the tension we live in no no no no no you mean safety like a personality wise no that's oh what do you mean highly predict yeah highly trustworthy I mean I don't think I don't know if I've had those options what you wanted you could have had that so easily so many times yeah I mean I don't yes you're right those aren't things at the top of my list of what I want they like don't wake up your attraction yeah but they're probably what I need uh totally but again this um this is pretty Universal I think it's like that is the tension everyone's you're trying to to get whatever the peak amount you can handle yeah so you're getting the most amount of excitement and then what you know whatever the minimum requirements you have for safety and all that but you're not just like running towards super safe you're not like oh yeah this person they don't even leave their apartment they're never going to talk to anyone else you know like you're not no that but that's not what that's not what I mean I we're look that's looking at it in such a monogamy way or no it's just such like a black and white like to me safety just means like I BAS basically know for the most part yeah what this person's going to say or do or think like I know them I know what's yeah yeah and I got I got you so you're saying even if it's on the outrageous end of the spectrum there's a Zone in which their outrageousness should be predictable consistency or so I think it's it's more it's more consistency than it is I guess it's the same thing as predictability but but like Eric's not safe at all but he's very safe to me that's what I'm saying that's exactly what I'm saying he is not safe he's outrageous he'll say the craziest stuff you don't know what's can happen and we both are so attracted it's a live wire but he it you do know he's not going to hurt you physically right exactly that's about all we can say he's not going to hurt you but you know you're probably going to get something absolutely outrageous but yeah he's consistent I just mean in life not just with people I again next next um I like routine toilet going to flush when you flush it won't be back up I appreciate that and I like seeing the people I like to see and I like you know yeah yeah I just think it's a fascinating Paradox of people it is we all want we still want to be surprised a lot too well it's why social media Works we're playing a slot machine every time we go on there we like that we obviously like that as a human then you're back in Vegas with a handle in your hand I know that song yeah yeah back Jack do it again you claim you don't like gambling but then you're back in Vegas with a handle in your hand that's a ding- ding ding to what we're talking about that's right thought the perfect oh thanks you to the people in the comments remember the other day you wouldn't remember but I was saying I was like and I Can't Go For That it led to the witch song mhm I don't give up about but the original song I was trying to sing is actually a Weezer song I don't care about that oh they were like you were thinking of the Weezer song and that is what I was think funny people are I like when they it I do too I Buddy Holly Buddy Holly just like Buddy Holly that was such a huge okay so he said he does papsmear yeah or did papsmear or whatever I don't know what I would do if my doctor came in and it and he looked like Dr Mike and he was going to perform a PS first of all this is why like absolutely no to for me for a male kind of any dog not not any but I do prefer women because I yeah I'm never going to try to should be called paradoxes because I honor that and you're totally right but can you imagine if a man said only male doctors I mean I think a lot of men will say only male like testicular doctors or whatever no I'm you have a woman you I wish see I'd way rather have a woman needing my ball sack that guy I think mostly the women are like I won't have male patient like it's it's more it's always a protect the woman because the woman women are the ones mainly I accept it but I'm supportive of it I'm just pointing out the Paradox it' be crazy if I said like I would never have a woman doctor yeah well think women are stupid no they're just often women are not often hurting men physically they have and they do and they will I'm watching a great Netflix stock right now if you watched the love stalker whatever one I know you've seen it pop up I haven't seen it it's says like lovers stalker something and it is wers and it's a woman doing some nuts yeah yeah look we are all capable we're all capable of all things we are I am I'm for sure not saying otherwise yeah but proportionally get real yeah let's look at Larry Nassar I mean come on it's it's uh it's quite lopsided yeah but anyway whatever I uh I I mean I had a male I guess it was a student or something it was during the egg freezing okay and so he was in there with my doctor and and they asked and it was fine he you let him stay I did I do remember being on edge in a different way when he was in there and he was he was also attractive so I want to ask some follow-up questions oh he was attractive yeah he was and so it's Dr Mike I mean because that's when I need to I need to get really specific here are you seeing you wouldn't want Dr Mike because he's just a man or he's so hot a now I'm insecure self-conscious or B I don't want to be aroused during this okay so there's so much to answer there if a man's not attractive I don't want him there either okay great so you just don't want to I don't but um but with Dr Mike if he walked in I would feel very self-conscious and worried like I hope he likes what he sees yeah and that is it's not what you want to be thinking about when you're getting a pap smear but what if you were now let's and the okay okay I know you want to hear about the Aras well also what if you were feeling very confident like I can't wait for you never know you never know I can't wait for him to see this what if he walked in I was already undressed he like ready I'm ready for you Dr Mike you never know what people's Cups of Tea are that's true so as confident as I could be you don't know you don't know and you don't know what people like you get and you don't complaint and so I would feel nervous yeah and excited do you think what if I like had my top off and he was like you don't need to for papsmear he's like you don't need to take your shirt off no no I know but I just I feel better I feel more comfortable this way I'm so bound up and it's a vulnerable situation I feel much better with my breast out I'm much more comfortable this way and then what would I do because I I also would cuz I like him and he's nice and he's a great doctor I wouldn't I would feel codependent and nervous to say I would really prefer if a female conducted the papsmear yeah or you put on like an ugly mask no cuz by then I I already know too late it's too late and then yes the I would be a little nervous a little I mean I look I don't think a psme is horrible they're Terri sucks speculum in no yes yes it's not fun so I don't think I would get aroused but what if and then then you're in your head and and then you can't be natural if you're in your head you know lots lots at play yep and it's I'm in a much different scenario as the aforementioned uh assaults on women I'm not ever nervous I'm going to get assaulted so I'm in a different head space yeah you're in a different headspace across the board yeah y my computer did just die okay do we have a situation this we do have let's see here oh I have a charger actually po thank you poams I'm going to I've been meaning to tell you guys both you on the other side it it's broken no no I mean your other shoulder so you're not like right no no now you wrapped oh my God I like watching I would have love to watch you build that basketball I never have ever claimed to be good at spatial stuff yeah it's not your thing it's not my thing um but I have wanted to tell both of you I wanted to admit something to both of you I bought a new laptop like finally like months ago oh you did and remember rob you set it up for me yeah yeah and I I never refused it I'm like refusing to use it you are such I don't know what's going on mentally yeah this is the bathroom door and the yeah I do know what's going on mentally I'm like I'm clinging on for dear life you know how this thing's [ __ ] up that thing doesn't have any space on it either it's not functional yesterday the battery last you tried to put something on it and you're like H there's no space I like [ __ ] I am going to have to move over yeah the hard drive has no memory on it it has no memory but it has all my memories still keep it so that's important it's taking a long time to boot up yeah the other one probably would the battery really expensive too like I bought like the nicest laptop the ton of memory and stuff and it's just just sitting you should leave the price tag on it for when you take it out to do in public when you're doing your editing at these bars and restaurants you frequent hases anyone ever complain to you any patrons cuz no cuz you're you're drinking the whole time you're there yeah I make sure to have something in front of me not drinking necess sometimes I'll just just order food just throw in the trash I do try to really milk whatever drink yeah like drink it so slow so that I can be there for a long time yeah yeah without it raising any red flags do you ever buy people's meals that you don't no yeah yeah I've done it I like doing it's really nice it's really fun yeah it feels good sometimes it gets complicated yeah I tried to buy so this is not someone I don't know Bill my dad and cont contractor and I hate to bring this up but I'm meaning to what I haven't seen anyone working over there in so long okay have they stopped no they haven't stopped they're like wiring the house so maybe were they doing that remotely well I don't think wiring is that big of a maybe you just don't see it yeah have you been over there in a minute while we took a walk on Sunday or something and we walked by it it just looks the same is it's looked for a very long time and I'm not seeing any cars parked in front and I'm in and out of I'm around on the weekend I mean well no even during the week I'm not seeing well I have because I can't park there every time I try to park I'm back on Hobart I'm not even trying to this is something that has happened between us you you reminded me you've mentioned a few times like why don't you park in the neighborhood yeah and that's a fair question and I I said well it's hard to park in the neighborhood and that's because there are cars all over the place there are cars like outside your house and then there are cars outside my house because of construction yeah and I um I said that then you asked me again and I said it again but then youed it got my head a little bit I was like oh okay maybe I am wrong maybe it is fine to park inside and there's plenty of space and I'm crazy and two days in a row there was the wirers were there there's no place to park and I had to drive back out and it took long and then I was panicked cuz then I'm late and I could have just parked on Hobart to begin with and I should have listened to my own intuition yeah you always should okay now oh you you you mentioned our astronaut that we had on a long time ago yeah and you said you thought he was the longest guy in space American American um the longest us space flight Frank Rubio he spent 371 days in space so that's not who we had on no no we had the twin Scott Kelly Scott Kelly Scott Kelly well anyway Frank Rubio good job Frank blue origin is the Bezos Aerospace company okay blue origin oh the new number for happiness for the money for money is 500,000 okay seems like they keep um fixing it a lot yeah I mean I think that's correct IND the original 75,000 like no I thought it was 170 was the one I don't know why that number is in my head but yeah 500 is a substantial living well originally it was conoman and was yeah and it says here and it was in 2010 and it said found that money could only boost happiness up to about 75,000 wow yeah but uh new studies say 500,000 okay great so keep pushing till you hit 500 and then put it in neutral yeah Plateau that number resonates for sure H but it's also so different around the country exactly okay genetic sexual attraction we talked about that a lot most people say is pseudo science what is what what genetic sexual attraction the attraction basically between like an adopted mom or dad reuniting with their kid but there is there's a there's like science around it that's that has to do with like smell and reuniting well that's what I was saying is that the smell hadn't imprinted well this is the opposite of that it's what article I wonder if this the same article I read it's from Cumbria County Council no DX no disrespect to cumri I'm telling you that most things I found normal were like no like that's the only thing that's saying it's a possibility there's a Wikipedia on genetic sexual attraction hypothesis that attraction may be a product of genetic similarities while there scientific evidence for this position some commentators regard the hypothesis of pseudoscience and then I the more I looked everyone was saying that God I'm G to to find that Artic it was from a it was from a very legitimate news source and it was just doc now the explanation I I'm not I have no dog in that fight yeah but my claim that it's an inordinate amount that that happens to I stand by I'll find the article back weird phenomena yes you if you grow up with the pet you are significantly your chances are reduced of developing a pet allergy later in life that is true um the second season of Dr Death was you said maybe it was about stem cells the cancer guy in Michigan cancer guy yeah maybe third was stem cells cancer guy surgeon guy cancer guy Miracle Man is the third and that is about uhoh smart and handsome surgeon we trust good-look people more I know then bad magic maybe that is O that one sounds good bad no when a young charismatic doctor oh watch out get ready for your papshmear get your BR get your bra off I'm not seeing stem cell but we did I think we had someone on who did a podcast on that and then the dolphin who loved the woman that was a NASA funded project the woman name the woman's name was Margaret love it you can read up about that if you'd like okay but we talked we've talked a lot about it so we can be done Brad Pit according to the internet was 155 lbs during Fight Club 155 that's fan cuz he's six foot tall yeah tall boy the stum cell thing I think so Laura Beal when she came on she was talking about her new podcast bad batch which was about stem cells there we go thank you rob that makes a lot of sense so the original reporter from the first season of Dr death's second project was called bad bad that was not connected to Dr Death wasn't under the do death umbrella that makes sense but I think it's still wry still wry oh cool D ding ding under the mega umbrella what would you call above an umbrella oh the sky okay atmosphere a canopy it's in the oh oh yeah that's good wry canopy oh nice nice very nice fair enough Outro oh for Dr Mike yeah I love you love you [Music]