DO THIS DAILY To Prevent Disease, Fight Viruses & REDUCE INFLAMMATION! | Roger Seheult

remember now that when the virus comes into your body it replicates up to some some studies have shown a billion to a trillion copies of itself inside one human being and it spreads everywhere i've looked at the autopsies it goes to the brain i've seen slides in the bladder and the bone marrow in in the heart in the lungs it's everywhere so that is one of the things that we talk about in terms of inflammation so how do you prevent that from happening i think you gotta have a dream the school of greatness really yeah so i want to start with a a statistic that i saw according to a report in the journal of nature medicine that inflammation is the root cause of disease disease and it contributes to 50 of deaths in the u.s and i'm curious why do you why do so many people suffer from inflammation and how is it contributing to so much loss that's happening right now that's a great question louis so right now we're talking about coronavirus and covet 19 and that's a whole section by itself yes but you know as you may know people get into the hospital because they can't breathe and the reason why they can't breathe is because their lungs aren't able to get oxygen into them so if you were to actually take someone's lungs and spread it out so it was paper-thin okay because that's exactly what we're talking about it's about paper-thin it would be about the size of a tennis court wow so think about a tennis court being wrapped up that's the kind of layer that oxygen has got to diffuse through so you know what happens if you hit your finger in the door it swells up yes so that's basically inflammation and uh you know the the romans had a way of describing this everything in medicine is described in the latin language there's calor which is hot it feels hot there's rubor which it appears red okay it's swollen that's two more and there's the last thing dolor and if you speak spanish you know what dolore is that's pain yeah yeah so those are the four cardinal things that you see with inflammation so imagine that happening to this paper-thin thing that you're trying to get it starts to swell fluid goes in it and now instead of oxygen being able to pass right through this paper-thin sheet it's now thickened it's now inflamed and you can't get the oxygen and that's why people are dying because of inflammation in the lung but it's not just the lung the number one killer in the united states is heart disease or it used to be we're very we're performing very good at treating heart disease we'll talk about that heart disease and cardiovascular disease is a completely is a disease almost completely from inflammation really it is so the if you were to see angiograms of an angiogram is where they shoot contrast into the blood vessels of your body and the ones that we're particularly concerned about are the blood vessels that actually supply the heart muscle they have to beat continuously every day for the rest of your life and so they need a good supply of oxygen which they get from the blood if those blood vessels become diseased because of inflammation they start getting ratty cholesterol starts to break and they get clots forming and that's what happens when you get a heart attack is those blood vessels close off and that heart muscle which still needs to be is now being strangled to death and that's tremendously painful people that's why they get that that painful feeling when they uh when they have a heart attack so so we just talked about covet 19 we just talked about heart disease um let's go down and talk about cancer a lot of the risks with cancer come come as a result of inflammation really so yeah people who have reflux or heartburn there's cancers that can come as a result of that if you have that for very for very long called barrett's esophagus it's not very common but it can happen um hepatitis hepatitis is an inflammatory condition of the liver people can develop liver cancer um that can come from viruses so yeah i mean when nature says that up to half of the people in this country are dying from inflammation that might actually be a short sale it may be larger than that inflammation is a big deal so how do we how do we eliminate inflammation what are the what are the main factors that support us yeah so inflammation by itself is actually not that bad um it's useful exactly well it's useful when you need it so for instance how does the body get rid of a virus it gets rid of it by finding those cells that are infected with the virus and calling all their friends in to destroy that cell and part of that is inflammation the problem is is when the inflammation goes out of control and we talked about last time chronic inflammation chronic inflammation yeah so we talked about in our last uh in our last interview vitamin d vitamin d is is uh one of those substances that looks if you just look at just google the structure of vitamin d and you'll find out very very shortly that it looks like cortisol it looks like a lot of the steroid hormones and these steroid hormones go into the cell go into the nucleus and they go down to the actual dna and they can manipulate and they can regulate that's probably a better term regulate the transcription of messenger rna and and tell the cells to be more inflamed to be less inflamed vitamin d can do that vitamin d and so that's part of the thought process about how vitamin d might be helping people with these inflammatory viral infections we don't know for sure at this point how vitamin d if vitamin d works in coven 19 but we certainly have good evidence from going back to 2018 published in the british medical journal that that's that steady supplementation on a daily basis or a weekly basis with vitamin d can reduce the incidence of acute chest infections that came out of ireland that came out of the uk big meta-analysis 25 different randomized controlled trials and that was before covet consistent vitamin d supplementation yes reduces chest inflammation so you said chest infections chest infections yeah and what happens when you have a chest infection chest infection is like a viral it's like a cold and it goes down it becomes a bronchitis and this is what causes a lot of mortality death pneumonia used to be known as the as the old man's friend because it would just put him out of his misery really that's what it was yeah look it up old man's friend pneumonia you can google that and you'll see so this this idea that vitamin d lacking vitamin d especially in those northern latitudes may be contributing to that that's why a lot of countries in the northern latitudes have introduced programs to supplement vitamin d in in the dietary really oh yeah absolutely wow okay so would you recommend vitamin d for everyone then or if you're in sunlight you're outside a lot you don't need extra supplementation so who are the people that are susceptible to vitamin d deficiency it would be people who are older because as you get older it's harder to make vitamin d in your skin number two people who have darker skin this vitamin d is made literally from the ultraviolet b light from the sun and it's made deep deep deep in the sun so if you've got a lot of pigmentation above that it's going to be harder you're going to have to spend more time out in the sun wow people who live in northern latitudes people you know living in northern europe people living in canada the north actually anybody living above what we call the 35th parallel which is sort of the southern border of tennessee is not really able to get enough vitamin d wow and and luz we can talk about where we have come as a culture in the last 100 years so think about this just to sort of set up the rest of the talk a hundred years ago we spent a lot more time outside in the sun all day than we did absolutely the other thing that's really important is we spend a lot more time sleeping a lot back a hundred years ago absolutely what have we done in the last hundred years just look at a nighttime satellite image of the united states the lights are on the lights are nice we have basically turned night into day and that has tremendous implications for us as human beings as our culture our health not i mean let's just take out let's just take off the table the fact that we have severely cut back the amount of time we've allowed for sleep that's number one number two the socio culture in this country that if you need to get some sleep you're somehow weaker right right so there's that stigma let's just put that off to the side there's a whole nother aspect to it and that is that light especially at those very sensitive times before you go to bed stimulates receptors in the back of your eye to shut down melatonin production which is essential and it's a very powerful anti-inflammatory so you mix all of that together so so think about all of the socioeconomic things that have happened in the last 100 years think about cities think about commute times think about how early you've got to get up in the morning to get to work and then how long you've got to work and then when you get home what do we do we want to relax we turn on the lights or the iphone and this is hitting our eyes there's a recent study that showed that the blue light filters don't do a thing that's what i heard yeah i mean like the blue block like the blockers blue light filters because it's the blue light particularly uh we know this from from academia that that seem to to respond to those receptors the most uh or stimulate those receptors the blue light filters don't work if you're saying wearing sunglasses or some type of glass blockers and watching your iphone here isn't that effective um it could work at a certain point the sunglasses what i was referring to was the was the actual machine itself has a switch in it that will make the light a little bit more redder but it still doesn't work it doesn't work gotcha so sunglasses might work yeah might help out but not gotcha okay cool and then okay now on top of all that from 100 years ago we're very agrarian culture uh not when we weren't as rich as we are today and so as a result of that we couldn't afford to eat a lot of the substances that we eat today processed foods um let's just talk about uh vegetarian versus meat that's a hot topic yes back 100 years ago it was every piece of square footage of land was very valuable even though we had lots of it it was hard to farm and we didn't have the big industries with the big machines right so we didn't have a lot of that money so anything if we grew this off of this part of land we had a choice to make at that point do we feed it to the cow right or us or do we feed it to us right much easier to do to do the former than the latter nowadays since we have so much grain so much machinery we actually have vast amounts of acreage in this country that are used to feed cattle and so we are able to probably more than any other time in our life eat meat more today than we were able to before abundantly whereas 100 years ago was probably maybe once a week or something yeah if you look at per capita meat consumption united states it has never stopped it's continued to go up really yeah we're eating more meat today per capita than we've ever eaten before per capita yeah i was just interviewing uh dr matthew walker who's like the sleep expert uh in northern california i think in berkeley and uh he had saying a lot of same things that you're talking about like even if you you take down one hour less of one night of sleep how it impacts the immune system is uh exponential and if you do it every night you sleep less and less so you have one hour less sleep or two hours less sleep or you miss a few hours it really impacts the brain and the practice immune system and all these things yeah so sleep is a massive factor for having a healthy immune system as well absolutely no question about it i mean they did this study once on some college students okay college students are our favorite right they'll do anything yes okay pull an all-nighter got you well i'll just put it this way there's a way to determine where the circadian rhythm is and it's to find the coldest temperature in the 24-hour period in the you know your core body body temperature and the way that the scientists like to do that is to put something up the back side really yeah that's part of the study so college students will do anything but the the interesting thing about this study was they had them do an all-nighter how many times as a college student did you do a pulling all night i probably did once a quarter when it was finals like that yeah so the next day they they checked hundreds of different proteins and they found all sorts of derangements things that were supposed to be high were low things that were supposed to be low or high and these are really important uh substances that regulate immune system function looking for cancer cells uh some of them had to do with uh diabetes have to do with hunger so all of these things were manipulated just with one night one all-nighter one all-nighter man okay so sleep is a big thing to help prevent uh disease it sounds like but also inflammation you're having inflammation what are some other factors on how we can prevent inflammation so get a great night of sleep what is the what is the research you've shown seven to nine hours yeah so actually the american academy of sleep medicine's come up with some really good recommendations once you get out of high school generally speaking it's seven to nine hours of sleep um uh seven being the bare minimum right and who gets seven hours of sleep i mean i mean i'm preaching right yeah i should be preaching to a mirror because i need to get more than that but when you are school age you know teenagers if anyone is it's it's eight nine yeah yeah it's like like elementary kids like 910. yeah so what are what are some of the main things to help us prevent inflammation so that if we attract a virus it doesn't hurt us you know or it helps us minimize the the pain or the the side effects or anything that could hurt us yeah so we have known for a long time that there are certain risk factors that uh increase the risk of death in in viral infections let's say cova-19 in this case so bmi is one of those things body mass index yes um age is another one obviously older people uh get into the into the hospital and don't do as well diabetes hypertension all of these things are may sound familiar as to who is is having the problem and very early on we knew that the ac2 receptor this is this receptor on the cells was the focal point for where the sars cov2 virus came in the spike protein that we've all heard about interacts with the ace2 receptor now that ace2 receptor that ace2 is not just a receptor to the entrance of the cell it actually has a very important function in all of the cells in the respiratory cells in the gi cells what it does is it reduces the amount of oxidative components oxidative stress pro oxidative stress components and it reduces that and it increases the amount of antioxidants so ace2 is like this humming engine in each of your cells that is regulating the amount of oxidative stress that's going on and when that virus binds to it it shuts it down so now all of your so your oxidative stress goes up in that cell and your antioxidants go down okay so if you can imagine you're on the edge of a cliff you are balanced you are just sort of and there's imagine this cliff and there's people standing in different places okay there's some people that their oxidative stress balance is right on the edge right and you could probably tell who these people are they're older they have some diabetes hypertension they're on a lot of blood pressure medications maybe you have some renal problems they're standing right on the edge and then there's the younger people who don't have these medical problems they're far away from the edge okay and then this massive gust of wind comes called coronavirus knocking people off the edge and who are the people that are going to knock that exactly it's the ones that are on the edge and so it's kind of like a stress test this spike protein comes in binds ace2 receptor and it causes problems and and remember now that when the virus comes into your body it replicates and replicates and replicates up to some some studies have shown a billion to a trillion copies of itself inside one human being that's crazy and it spreads everywhere it goes through it goes to the brain they've done autopsies i've looked at the autopsies there goes to the brain i've seen slides in the bladder in the bone marrow in in the heart in the lungs it's everywhere and each one of these trillions of viral particles have spiked proteins all over it so you can imagine the load of spike protein and the complete shutdown of the ac2 receptor among other things okay so so that is one of the things that we talk about in terms of inflammation so how do you prevent that from happening how do you how are you getting away from the edge of the cliff exactly because you know there's a big gust of wind coming some of the things you can do for a long time it takes a long time for it to work other things sometimes you have to implement you don't have time to do it somebody comes in someone's sick their diet is their diet or whatever it is that they've had right so one of the interesting things that's come up in that somebody there's a guy named dr varkey uh in in san diego that's been studying this thing called cyalic acids this is the newest thing and it's actually very interesting glyalic acids xylic acids so i won't even talk about the fact that some people believe that the virus actually uses cylic acids to enter into the cell that's a whole other topic what i will mention though is we're all used to seeing the outside of cells on these you know these animations that they see on the tv and they've got proteins coming yes right yes so imagine my arms are the proteins and imagine i don't have a hand that's kind of how they've been describing it but that's actually not reality reality is is that you've got proteins and then my hand think about my hand is glycoproteins glycoprotein that's a sugar and a protein put together and then my fingers are the cyalic acids okay okay yeah that's so really it's the part of the cell that is the first thing that gets touched cyalic acids are really important okay okay it's a nine carbon sugar and um actually if you go if you were to go to uh let's just say a hiv vaccine convention almost the entire convention would be on stylic acids why because the hiv virus masquerades itself with stylic acids that's why we haven't been able to get a vaccine for hiv because cylic acids are sort of like put it this way the christmas tree is the protein the decorations cyalic acids okay that's what we're talking about gotcha so here's the problem the problem is with silic acids is that the human body can only make one type of cylic acid let's call that new n-e-n-e-u-5 ac i'm going to get a little wonky here okay but people want to look this up so i'm just going to call that ac so a human being makes a certain type of scylic acid on its glycoproteins on its proteins on its cells that is called ac and that is self now we used to have a gene apparently we used to have a gene it's non-functional now really that used to make a different kind of stylic acid called nu5 gc okay but we don't make it anymore okay why don't we make it when do we stop making it good question the the the the uh the the biologists have their theories millions of years ago and all that sort of stuff yeah but we don't know right we don't know for sure because we weren't there what we do know is that animals makes both a c and gc okay cows make ac gc um any mammal makes a c and gc okay okay so here's the problem when you consume those animals that make ac and gc okay what happens what happens is it goes into your digestive tract and it breaks it down and the body absorbs the ac and the gc it can't tell the difference between the two and then it gets it gets absorbed whole in the body and the ac and the gc gets put onto your cells okay okay so we're getting animal gc now yes what does that mean to us the problem is is that you have antibodies against gc because it's not self it's not self it's not us it's not us we have antibod we have antibodies in our system it's not it's not hardwired but almost all humans develop antibodies against gc by the age of one okay okay so if we're consuming gc what does that mean that means that now that gc gets put onto our cells and our cells start to look to our immune system as foreign so we want to so our cells are what defending themselves against it then the antibodies start to react against the cells with the gc on it and what they get what they call it is a cyalitis cyala itis itis anything anything in medicine with an itis at the end is inflammation okay pancreatitis appendicitis got it all of that meningitis just inflammation so you get the cyalitis and that they believe is one of the potential reasons for low-grade inflammation so they always consuming meat yeah so they always wondered okay how come people who eat white meat chicken fish how come they don't get the levels of heart disease why is that this is what they think may actually be the reason they could never figure that out they did studies huge epidemiological studies in the united states and in europe and they found that in some of the studies that it was only processed meats that were associated with cardiovascular disease and regular meat was not but and what's the difference between process and right good question so processed meats would be like sausage yes it would be like cold cuts it would be like those yeah right so those are but red meat's just like the pure red meat that you'd buy at the supermarket okay so that's the difference um but newer studies are now starting to show that it doesn't matter if it's processed or not processed that you still get red meat you're talking about correct so white meat doesn't have the gc it does not interesting okay fish does not fish not chicken yeah so so so here's a study that was done and they said okay so so let's connect this together so here's the interesting study that they did they they got a bunch of uh of people and they said give us exactly your dietary habits for like 30 days and so they wrote down ever it was meticulous and then what they did was they went out and they they looked at the food and they figured out in that particular food item how much gc was there and you should see this list it was a french study i'm glad it was a french study and i'll tell you why because they listed every type of cheese you could possibly ever imagine wow so because cheese is part of it so you had you know mozzarella at the bottom and you had hard cheese at the i mean and so they listed it because there's a big spread some some cheeses have hardly any gc in it really other cheeses are just packed um certain meats have a lot of pork has a lot of gc other beads don't have as much and what they did was they they stratified it and they waited it and then they looked at the diet and they tried to figure out okay how much anti-gc antibodies did they have and they matched it up and it was this perfect correlation so the more you ate of high gc foods the more inflammation you had the more the more antibodies you had and they linked it to colorectal cancer risk oh man so yes the antibodies the more gc you have yeah your body's creating antibodies correct and that those antibodies cause inflammation is that correct okay this is an immune system response so when that antibody attaches to that antigen that triggers an immune response because it's a foreign substance and that's what causes inflammation so what you have then is inflammation in the in the uh blood vessels inflammation in the colon that can cause colon cancer so again getting back to that nature article inflammation probably causes more than 50 percent of deaths in the united states now you are uh practicing near the low melinda area right you're not in are you uh i'm not in loma linda but i practiced close to it yes very close to what 10 minutes 20 minutes away exactly yeah and so some people might say well is he influenced by the blue zones and by being in this region where it's most primarily vegan um in loma linda i think that's right it's mostly vegans so does that play any influence into you it sort of gets me interested in that topic interesting but here's do you read me yourself i used to but not anymore no because you saw the data or because of other reasons uh because i saw the data i stopped eating meat in college really yeah and i didn't start getting into this until like a year ago starting looking into this so why did you stop eating meat then was it i think it was the influence of me being in loma linda really yeah and just being around but here's the interesting thing so if you look at um the adventist health study two adventist health study two which is loma linda adventist pretty much actually basically california southern california um 50 of the people involved in that study which were adventists 50 of them were not vegetarian really and this was the interesting thing about uh the study was because a lot of times when they do these epidemiological studies on diet there's a lot of confounders right okay so here you had a unique opportunity to take a very narrow set of people people living in southern california subject to the same air quality had the same values went to the same kind of churches but because there's it's not a strict religious requirement in the adventist church to be vegetarian it's it's it's a it's a dietary lifestyle they were able to to eliminate a lot of those confounders and compare the vegetarians with the non-vegetarians with the pesco vegetarians or the vegans oh yeah so what do they find in this study well if you line up let's say you got vegans right here okay there's some unhealthy vegans i've seen some really unhealthy vegans who processed potato chips soda sugar absolutely you can eat sugar all day and bread absolutely and create a lot of information still right absolutely right okay but let's but i would say in the adventist church people who are vegan tend to be that way because they're health conscious and that's the argument that a lot of people used was that yeah vegetarians and vegans have a better mortality rate because they tend to be health conscious people and it's their health conscious activities like smoking in general that's doing it but here you see now now you've got the ability to kind of eliminate that those those confounders because generally nobody in the adventist sure smokes right okay so you can see what i'm saying so if you got the vegans here on the right or on the left to you i guess uh and then the vegetarians and then the what they call the pesco vegetarians fish fish only exactly and then you have basically the non-vegetarians it was a step any type of meat any type of meat okay any diet yeah you have this stepwise approach in terms of bmi and the same step-wise approach in terms of uh uh diabetes and the step-wise approach in terms of hypertension really absolutely yeah it was published there's there's there's so many people that are not going to like this conversation that swear by this carnivore you know lion meat eating outside absolutely that say i had all these inflammations diseases you know physical ailments pain when i was only eating vegetarian i only need these certain types of food raw vegan vegetarian whatever it may be yeah and then when i went on the steak only diet or this diet it went away yeah and i lost the fat and i felt healthier and i felt clearer yeah i've heard that by many people over and over again what would be the the cause of that do you know or is it just certain body types maybe i you know it's there's a gaussian distribution of people and so we can't all we can really say is look at the the data um right in terms of that data though i would i would uh there was an interesting article that came out like we're talking about paleo basically right paleo diets uh atkins diet what was referred to the atkin diets before i'm sure there's differences between keto diet keto keto diet so so there was a study that i i found that real was really interesting this was a study that just came out it was published i have it here in front of me here and my eyesight is going bad i don't know [Laughter] so the name of this study was plant-based diets pescetarian diets and covet 19 severity a population-based case control study in six countries so plant-based diets this is plant-based diets versus pesticide versus and other diets so there was this there was this network of of healthcare providers in spain italy france germany uk and the united states okay pretty western yes and most of these were healthcare providers there basically was this network talking about what are you doing for covet what are you what are you seeing over there what should we be doing here they used this network to send out a very detailed dietary questionnaire where they had at least 18 different meals that had been surveyed very detailed okay so it was very good and these are all most of these were male physicians okay i'll just put it out there okay i think it was like 70 percent male 30 female there were some nurses involved in the sure but all of these were healthcare providers they were all i mean you can imagine we're not talking about low socioeconomic versus high associated economic so again we're narrowing the field here we're trying to get rid of these confounders and they ask them you know what kind of diet do you have and then they they the reason why they went for this is because these were the people that were highest at risk for getting covered they're in the hospital the healthcare providers exactly they're treating patients how many how many people were in the state this was a three thousand so they said here that uh 2884 frontline healthcare workers from six countries yeah yeah france germany italy spain uk and usa individuals who reported following plant-based diets and plant-based diets or pescatarian diets that were higher in vegetables legumes nuts and lower in poultry and then red and processed meats okay so those and they what they were able to do is divide these people into the plant-based diet versus and they specifically said this high protein low carbohydrates keto paleo that type of diet so because a lot of times people say you know what in those studies where people had high fat diets high protein diets did they ask them were they eating a lot of carbs because it's the carbs that cause the inflammation at least as the saying goes right right the bread and the breads and pastas so here you have physicians ostensibly and most physicians that i know that would say yeah i eat a high-protein low-carb diet they're doing that because they want to be healthy right right so you're they're not probably engaging in other health risky behavior so when they actually looked at all of these and they and they checked them out for where they worked in the hospital right because that's important the pulmonologist is probably going to get a higher chance of getting covered than a radiologist right it's not going to come through the screen right right right so when they did that it was astounding because what they found was that those physicians and healthcare workers that said that they had a high protein low carbohydrate diet had four times the risk of moderate to severe coba 19. really yes four times the wrist that means they were getting it they were treated and they were contracting so they said here that how many actually contracted it there was um there were 568 coveted 19 cases and 2 316 controls got it and they said here that i'm assuming they're all wearing their masks they're all are they all vaccinated or non-vegetarian got you so they're all wearing their masks who knows if we don't know how many more people they're in contact with who had it but right you'd assume that they're all wearing their mask and right so this is not a causation study up front this is an association and we all know that association does not mean causation yes so all we can say is that it was associated right so we can say that it's not the cause but it's associated well we don't know that it's the cause it could be it could be the cost could be the cause but we don't know it's kind of like you know having a cigarette lighter uh in your in your pocket and then saying it's associated with lung cancer but is the cigarette lighter actually causing the lung cancer or is it associated with the smoking exactly okay so that's the same thing so the question really boils down to what are those doctors doing that say they're on a high protein low carb diet that's causing them to have four times the risk of severe coping 19. is it the diet or is it something else they're doing the study can't answer that right but those people were eating a different diet they were eating a different diet whether that's the cause or not we don't know but it's associated with it right so did they have this do they have a lighter in their pocket we don't know yeah so but when you put that together with what we were just talking about with that cliff right and the fact that that kind of a diet is probably going to have higher sialic acid and new 5gc yes is that what's pushing them to the edge and causing them to fall over or at least getting them to the point where they're almost falling over right so essentially we want to eliminate every factor that could be closer to the edge right and this gc is one of the fastest and this is one that is associated with meat correct but not fish is that right fish not a fish or chicken right and so not fish or chicken and so that's the interesting thing there is that they mentioned pescetarian or the vegetarian so pescetarian was grouped in with that interesting yeah it's really interesting so so it's this kind of this swiss cheese model of how i look so explain the swiss cheese yeah so you know people say are you pro-vaccine are you anti-vaccine are you pro-vitamin d or anti-vitamin d and and i look at it say look people people hear me talk about vitamin d and hydrotherapy and all these great things that we can do to treat cova that have nothing to do with the vaccine and they automatically think that well he's saying that because he doesn't want to take the vaccine and then i talk about the vaccine and and the things that it does and people say well you're just talking about the vaccine you're not no it's the swiss cheese model so what's the swiss cheese model so imagine a big block of swiss cheese with all the holes in it you know like you see on tom and jerry and you chop it up and if you were to pull out any one of those slices you would see that there's a hole in it somewhere and you pull out a different slice and maybe there's a hole somewhere else but the point is is that when the when the bullets start flying hopefully the swiss cheese stops it but when the bullets start flying the holes are in different places so if you were to wear like a bulletproof vest if you just wore one sheet you could get hit right but the more sheets you put on because each intervention works in a different way the advantages of one intervention are going to help out where maybe there's disadvantages of another intervention and so the whole swiss cheese model helps it's kind of like in the operating room we don't want to have post-operative infections it's really important that we don't have post-operative infections because they can be lethal so think about all the things that we do in the operating room to prevent that surgeons wear masks wash our hands we wash our hands exactly gloves we put on sterile gowns we have positive pressure ventilation in the room that we have a scrub nurse who monitors everything we sterilize the equipment right so if we say that sterilizing the equipment works we don't say well sterilizing the equipment works why are you wearing masks right we don't say that right you fill all the holes exactly we want to make sure that we we approach 100 and the best way to approach 100 is answering the test question all of the above and that's that's the method i take so what are all the above ways to prevent contracting this or any type of virus you know what it's redundant the good news is is that if you if the evidence shows that if you line up your lifestyle to prevent diseases in general you're going to do great against coven 19 and any variant that comes along with it okay so so you really need to to set yourself up and and that that is really um there was another study that showed that a another study this is not this the different study that showed that a vegetarian diet reduced the risk of severe coca 19 by 73 a vegetarian diet yes wow a history of a vegetarian diet in their state yeah so that's just one okay so what are the other things sleep we could talk about fresh air we could talk about sunlight we could talk about stress we could talk about so all of those things but you know what i have seen people and and i'm in the intensive care unit i work in an intensive care unit and it's a one it's a one unit hospital what i mean to say is that if anything happens on the campus of that hospital whether it's a surgery whether it's a hangnail whether it's a delivery and it goes wrong it shows up in my unit really so nobody dies in that hospital without coming through my unit first wow sometimes i'm the last person they see they get sent to you if because something's really bad that's correct we don't have a surgical icu and a medical icu and a cardiac icu one ico one icu and it comes it's a baby if it's a grandparent well the baby goes to the nicu they would go to a different hospital gotcha because i'm not a pediatrician but yeah other than the mother the mother would come if she was in danger she would come to our unit absolutely so the point is is that i see all of this stuff and i can tell you that i have seen people with copin 19 in my unit that didn't have risk factors and they were pretty young they didn't have risk factors no really yeah they ate they ate well they they seemed to they weren't obese let's put it that way right maybe and i didn't ask them if they if they had had a vegetarian non-vegetarian so so and that was back when we didn't have the delta variant we are seeing now with the delta variant that it is hitting younger people it's hitting people without core morbidities harder than than the non-delta oh yeah absolutely so wow so what i am saying is is that are the are the the younger generation that you're seeing in this unit are they recovering are they passing away how's that it's been so it's been so recent like here in southern california we're talking hero in april uh sorry august uh 17 today right yeah um so we're talking this is early august uh we're just starting to see a couple weeks and they're still on the ventilators really yeah how young are we talking uh 30s really yeah late 30s wow so they come in because they're at home quarantined they can't breathe and they're like i need to come in that's right gotcha yeah and there's there are so we we've talked about lifestyle and obviously you can't do lifestyle changes when you get covered 19. you can do it but the effects are not going to kick in right away so there so the question is what what things can we do we know what we can do in the hospital we have treatments in the hospital like dexamethasone we have treatments in the hospital like uh anti-inflammatory mediators like we talked about inflammation is the problem in the lung right so there are medications like uh something called tostulizumab which is an antibody against il-6 which is supposed to reduce inflammation we're not really seeing it help with oxygenation early on that's something we can do in the hospital we can talk about all of the things like getting enough sleep like making sure your vitamin d levels are good like making sure that you're you're getting enough fresh air and sunlight and that can happen on the way to it but what do we do during that period of time where you've contracted covet 19 but you're still at home you're not sick enough to be admitted to the hospital that's a very important period of time what should you do then that's about seven days okay so to understand what you need to do during that period of time requires you to understand what's happening okay now so let's talk about the immune system there's two parts to your immune system we talked a little bit about this last time but let's get into it there is the innate immune system the innate immune system are all the cells that go around your body and eat up things macrophages and they're not educated on what the protein specifically looks like they're just know that it shouldn't be there this is the innate immune system the innate immune system is very powerful when you are young as you get older the innate immune system becomes less and less powerful the innate immune system is the immune system that is responsible for making a fever kids the kids get a viral infection at the drop of a hat they've got a fever it's very the fever helps fight against it yes exactly and that's where we're going with this and but on the other hand adults who get infections they rarely get fevers they don't get fevers as often as kids get fevers and the reason is because the innate immune system in the young is very strong the key here is that you need a very strong innate immune system because it shuts down viral replication the pro one of the products of the innate immune system is a substance called interferon you may have heard of this it's a very well named substrate it's a very well named substance because it interferes with the virus okay interferon interferon so remember that interferon so now we want to have that we want to have that yeah how do you get that you get that from your cells and having a very strong immune system system but there's another way you can get it okay we're going to get to that now that's as opposed to the adaptive immune system the adaptive immune system is a different part of your immune system it's it's the part that comes afterwards it's the part of your immune system that recognizes antigens and makes antibodies the problem is is that the the adaptive immune system comes in about seven days later so and and what happens is that it starts attacking all of the cells in your body that are infected so this is the typical scenario for somebody that ends up with covet 19 in the hospital the innate immune system is there it's trying to fight this virus there's this tug of war going back and forth for the whole week the the uh the virus is suppressing the innate immune system the innate immune system is trying to suppress the virus the virus does a workaround and gets into cells and starts infecting many many many cells okay and so the person's just sort of just sort of going along for the week then all of a sudden day seven day seven the adaptive immune system comes online and they see what's happened it's kind of like the parents just came home sure okay yeah right and they're like wow all of these cells are infected go to it and now you have an immediate reaction that goes against all of these cells especially the cells in the lungs because that's what the virus got into and that's why these people start to have inflammation in the lungs you got your tennis court now being swollen exactly so the problem is in covet 19 failures is that the innate immune system is too weak and the adaptive immune system is too strong so what can you do in those first seven days to make sure it minimizes that so what i propose and we're looking at this but what what if you look at history if you look at history this seems to pan out boosting enhancing the innate immune system is a great way to suppress it how do you do that well interferon one of the ways that has been tried and looked at is by increasing core body temperature for about 20 minutes at a time at a time multiple times a day up to two or three times a day it's been done yeah and then cooling it down and then doing a brief cool down hot uh very very hot and then cold so where did this come from a couple things there's a guy by the name we talked about this before i think dr your egg he took these neurosyphilis patients in his clinic and he noticed that when they got a fever they got better so he injected them with malaria that's crazy okay so he took out blood from people with known malaria and then injected the blood into oh yeah that's crazy yeah that's what he did i mean it was it was well controlled yes he monitored him very carefully and they developed high fevers the high fevers caused the interferon to go up there was a study experiment where we checked in a study uh the amount of interferon coming out of cells at various temperatures by the time it got to 39 degrees celsius which is about uh 100 and 102 somewhere in there don't don't quote me on that but around that area a fever interferon level spiked 10-fold 10-fold interferon is does a great job at killing viral infections do you know we used to have patients with chronic hepatitis c hepatitis c was a big problem uh i used to i was trained in the va system we had people they got it from tattoos from injuring us drug use hepatitis c chronic hepatitis c it's basically a blood-borne virus and it infects the liver and causes cirrhosis after many years do you know today we can cure hepatitis c do you know how we do it oh high doses of interferon it's called a pegulated interferon and we can do that does that cause a fever no it makes you feel like you have the flu really it does because it's exactly what it fights against it it kills it just eliminates the virus so so do you want to so when you get when someone gets a fever in general yeah do you not want to eliminate the fever do you want to keep the fever exactly you want to keep it exactly unless it's causing problems now remember nothing is a good thing fever is a good thing wow it's a great thing to have and so what are we doing with fevers we're giving tylenol paracetamol in europe um we don't want to do that we don't want to do that unless the fever is so high that it's causing the heart rate to erase or the patient is becoming delirious so i used to always just put like a cold rag in my forehead and make me feel better but do i not want to do that if i have a fever uh that's fine cooling down your head is fine okay it's the rest of the body the rest of the body so so what do they do in these things and it's interesting uh what has been done in history look at the 1918 pandemic in the in the in the army hospitals where these soldiers were coming back and they had the the flu they thought the doctors at the time thought that they were dying from the symptoms of the flu fever muscle aches hey we have aspirin aspirin just came out in 1899. so they were dosing them up the wazoo with aspirin for the muscle pain for the muscle pain and for the fever it took care of the fever some of these people were probably toxic i mean we killed a lot of people unfortunately with aspirin the saying was that the german the german bayer aspirin killed more patients than the german bullets oh my goodness in in the first world war wow now there was a group of hospitals at the time in northeast united states that was not doing that what they were doing was the opposite instead of bringing the fever down they were doing these treatments from the fever up they were putting them they were placing very hot packs on them increasing the temperature so they were sweating they were putting their feet in hot baths this is 1918. these these sanitariums as they were called those hospitals they didn't have the modern medical things that we have today hot cold hot coal that's about it and so what they found was this this is really interesting when they looked at how many people came down with the flu and then progress to pneumonia and then finally to death they found that in the hospitals where they were practicing what they call fermentations or hot packs that they did the best job at preventing the patient from going to pneumonia but once they got pneumonia it's hard it didn't work there was about a 50 50 chance of them dying by the way it was about a 40 chance of them dying in the army hospitals so the army hospitals were doing a little better job at once they got pneumonia going to to death but there but the problem the thing was is that in the sanitariums hardly anybody was going to pneumonia and so at the end of the day there was about a 1.5 percent case fatality rate in the sanitarium and over six percent in the in the in the army hospitals so what what happened so you know this led to a lot of uh of of intrigue and and studying this and this is where your egg wagner yuri got his idea from it was this melu this environment of understanding of heat and cold and hydrotherapy and this sort of stuff and he got the nobel prize for doing this in 1927 very intensive it's it's difficult you you've got to place the patient down it takes time you have to set it up you have to heat the water up you have to do all of these things and so by 1928 we discovered penicillin penicillin is a pill you manufacture it you can give it to people and it's a lot easier to do so you have a choice do you do the hot fermentations or you just give them a pill that's why you should give them a pill and so that's where we as a as western society and look i'm a critical care physician i give medicines out all the time it's useful when a patient comes in with a stroke i give tpa to break up the stroke i'm going to do that before i do hydrotherapy that's that has to work really quickly so i just because i'm talking about these things doesn't mean that i'm not i want the best of both worlds i'm the swiss cheese model yes and everything that works let's do it exactly and so uh and not to say that because this works we don't have to do this not to say that because we're sterilizing the equipment we don't have the surgeon doesn't have to wear a mask right everything all of the above because that's really what we deserve could you give me if you're a lawyer could you give me the top five pieces of evidence or uh mindful information for and against taking a vaccine okay you just say like here's what the is saying here's we want to play devil's advocate yes okay i want you to be a lawyer on both sides okay here's why you should get it and here's why you shouldn't get it because there's a lot of people who are uh you know saying no to it i don't want to have it it's not what i want here's all the reasons why and there's a lot of people saying you're crazy is why you need to have it yeah and it's almost like these two populate there's no i mean usually with the population there's an overlap where you can meet in the middle there's no overlap there's a right and a wrong exactly and it's it's almost worse than like politics right now it's like it's breaking up families it's breaking up friendships it's breaking up business relationships if someone's not doing something then they're bad and wrong or on both sides so could you give the case that's going to be a great that's a great question okay so case for and against okay on each side of this i'm going to which one should i do first i'm going to be the case for getting the vaccine maybe the top five reasons and the top five for not getting got it all right all right so i'm gonna go with the pro-vaccine one first and and that one i'll have to admit to you is a little bit easier for me to do why right because i'm a critical care doctor right and i've seen the worst of the worst i mean i have seen families ripped apart wiped out because of the virus really yeah i've had situations where we're intubating somebody and we say call the husband and they call the husband and he's down in the er himself no way yeah and and they're in the same room and and people one dies and the other one's still there oh yeah so this is the type of i've seen these things and we've got to call up family members so so this is these are not just war stories these are things that that that happen wow and it's hard you're seeing this on a weekly basis there was a period there in february where i worked literally five weeks in a row i got up at six in the morning went in at seven didn't get home till eight and i did that for five weeks wow because there was just nobody else who else is gonna do it wow um and to see that and i i mean we had nurses that uh instead of seeing two patients at a time they were seeing four patients because we had nothing else we had to write up maybe these are the reasons right here basically um we had uh the state of california and and i don't think the state of california is unique in this i think all 50 states were doing this we're making their hospitals to come up with plans as to what we would do if people came to the hospital and we just didn't have resources what would you do yeah so we had to come up with a a protocol that would say who are we going to give treatment to and who are we not going to give treatment to and and the reason for that was i'll explain um has to do with exponential growth which we'll talk about sure um but it was interesting in that protocol we could not use age as a determining factor it had to be based on medical uh medical futility basically interesting yeah so that's very hard to do i've nev i've been a physician for 20 years 20 plus years never never thought about that that's like disaster medicine okay disaster triage so one of the reasons for force is and i i think one of the things that is the reason why people don't understand why things are going is because of this idea of exponential exponents okay so let me explain i i'll give you a i'll give you a choice lewis i can give you a million dollars right now yes or i can give you a penny right now but tomorrow i'll double the penny and the next day i'll double it again and then exhale double it again for 30 days what would you take i would take the second option you would take the second option exponential that's because lewis you understand exponents yes so if you do that to 30 days you'll realize that on the 30th day alone i'm gonna be paying you over five million dollars right okay so but to someone who doesn't understand that think about this i give a million dollars to somebody and they go and buy a house that's that's logical right if i if you someone want a million dollars and they went out and bought a house that would what they're doing would be commensurate with what they got yes okay now imagine i give somebody a penny today and i'm about to give them two pennies and they understand exponents but nobody else does and they go out and they buy a house and they go out and buy a boat and they go out and buy a car and they go on a big vacation and you're like whoa this guy is crazy right he's way he's way over spending he's got by the end of the first week i think he has like 64 cents in his wallet wow by the end of the second week he's got a few hundred dollars so clearly this guy is way overspending and that's the thing that i think a lot of people see is they see a few hundred cases uh here and there and the government's coming down like a ton of bricks and they're saying you're just using this as an excuse to to but what they don't understand is that it's going to go like that for a long time and then right at the end things start to pick up and go real fast real fast and we have examples of this this happened already i mean the delta variant came from india it was first discovered in india and what happened over there was i mean if you look at some of the stories they showed up to the hospital there was nothing there for them there was so much there was such a demand for oxygen they they ran out of medical grade oxygen they had to use industrial grade oxygen and the problem with that is it wasn't sterilized and so they're getting pumped full of oxygen and two weeks after they get off they survive and they get off now they have black mold in their sinuses and it starts to eat through their skull and into their brain and they have to get this cut out yeah so this is the kind of stuff i mean there's whole situations where icu's basically the oxygen just ran out and everybody in the icu died at the same time really yeah so this is the problem with exponential growth start to learn about exponential growth and you'll see why once we get to exponential growth there's very little that we can do about it okay and so one of the one of the pro points of a vaccine is that it could potentially reduce the spread and prevent you from getting to that exponential growth got it okay so that's called the r naught value if you look at the r naught that'll tell you is it out if it's at one that means that there's going to be no growth one person infects only one person so it's gonna stay the same everybody that the number of people that are infected is never going to change if that r value goes down below one that means the p atomic is gonna just go out it's gonna fizzle out yeah where are we at right now we are at one point something and it's going up so one person infects 1.1 people this is on average and so long as that number stays above one we're going up the chance for exponential growth is gonna happen that's correct okay so so the so the um the natural history of these things have you noticed that they go up and then they come down so what's happening there something is changing you know this last time in february it came back down a lot of people said oh it's the vaccine it's not the vaccine what caused it to go down louis remember back when things started to get really rough what did did you notice that a lot of friends of yours said hey you know what we're we were gonna get together uh saturday night but we're not gonna do that this time yeah that's exactly what happened and that happens when that happens across the board the virus can't spread spread unless people gather exactly and so what what really is that what really is causing this to stop and come back down again is people's behavior hmm the actions they take remember in california we had a mask mandate yes did you see anybody doing anything about it doing what about it were they actually wearing masks um some of them were well you couldn't go into stores without masks you know but yes outside but here's the thing here's the thing that we didn't have we didn't have sports we didn't have concerts yeah those are big places where things can spread so that and so things stayed low for a long time right then we started to open up things so so people say mass mandates don't work they're they're right in a sense the thing that works the best isolation is when people it's when peaceful ideas is when people start to see what's happening it's almost a self-fulfilling prophecy things are going well and then when things start to get really bad people start to hear about relatives that are in the hospital so people start to hear about things personally in their own friends they change their habits whether it's a government that tells them to do it or it's their own personal choice uh that does it it doesn't matter who's telling you to do it or why you're doing it it's the fact that you're doing it yes and so when you do less risky behavior the virus can't replicate and it comes back down and that's why even the delta variant look look at the delta variant in india it went up it spiked how many people in india are vaccinated three percent really that's it it came back down so it's not the vaccine that takes it down that would be one of the reasons to say i mean those are one of the reasons against vaccinations right it's not vaccination that ends the pandemic it's not let me put it this way it's not vaccination that causes the wave to come back down it's a change in personal behavior got it multiplied across the board right that's what causes it to go down now if you want to eliminate the virus you've got to eliminate the ability for it to reproduce because variants happen when viruses reproduce they can't you the only way you can get a variance is if the virus makes a mistake when it's reproducing so when the virus is reproducing your body a billion trillion times it makes a slight mistake and that surprises another person and then and that mistake can have two effects three effects it can have no effect it can have a a worsening effect on the virus which means that it doesn't infect as well in which case it's just the dud anyway just one out of a trillion who cares right or it can make it more infectious more lethal whatever it needs to be and if that virus then gets to reproduce now you have a delta variant and it just takes over that's exactly what happened so the way to stop variants from happening is stop replication of the virus the way you stop replication of the virus that's tricky some people believe we'll never be able to completely eliminate this virus and we'll go from a pandemic to an endemic what's that mean that's like the flu the flu comes back every year right okay so that's the question okay so what's another case for it then what's another case for getting the vaccine well before the delta variant um we had really good data that showed that getting the vaccine prevents not only hospitalization but also transmitting it to somebody else because of the delta variant that amount of infection aspect of it has gone down in other words people with the vaccine are more are more likely than they used to be to contract the virus but still less likely to contract the virus if they weren't vaccinated okay what we have been seeing up to this point is that the the the way that the vaccine keeps you out of the hospital has not really changed it's still above 90 percent so you get the vaccine you're still going to the hospital no are you no if you get the vaccine it keeps you out of the hospital according to all the data that we've seen so far greater than 90 percent efficacy even with the delta variant okay you're you're going to be sick but you don't need to go to the hospital correct got it exactly so it's not stopping you getting the vaccine people are still getting kelvin correct so they might get a positive test right but they're like oh i just have a sniffles and they don't they don't end up going to the hospital that's where we're seeing the slip whereas before they weren't even turning positive okay now the latest news is that in israel the reason why we looked at israel is because israel was the country that vaccinated everybody first so we see everyone got back just about everybody like 70 wow 78 so we look to israel to see what's going to happen next because when we see what happens in israel we can see what's going to happen here in the united states because we're maybe about a month or two behind what they're noticing in israel is they're starting to see an uptick in people who have been vaccinated who are ending up in the hospital with mild to moderate cases really yes why is that excellent question so when they looked at who these people were it was people with two characteristics number one they were older and number two they were vaccinated way at the beginning what does that have to do with it well they're thinking that the vaccine effects of keeping people out of the hospital is wearing off last six months or eight months eight months whatever exactly so you have to constantly be getting new shots so this is the thing um israel has already made up their mind and they said everybody over 60 gets a third shot wow so it's not like they're getting another two shots they're getting actually it's it's just one shot and within within a day or two or a week or you know within a day or two antibody levels come up immediately so it's like it's kind of like you were studying in college it took you a long time to study the krebs cycle or whatever you i don't know what was your major in college sports management sports management okay i don't have a good one for that but you studied something right okay how how many uh i don't know how many holes there are in golf 18 right okay so you learn you learn that right and then when you go back to it it just takes you very little time to remember what that was right you just just a flash card and you're right back to it that's the same kind of thing that they're talking about got it okay yeah okay what's another case for getting it another case for getting the vaccine is well well so let's review hospitalization hospitalization preventing it preventing infection yeah those are the big two right there okay cool okay so the uh oh and also if you don't get the infection you don't get the long coveted stuff the lung covered long long legs symptoms of cova that last for more than two months okay wow three months wow that's not fun actually the official the official definition now is if you have symptoms for more than 12 weeks okay that's a long time it's a long time so in other words to recover from that well if you have it for less than 12 weeks you think that's pretty long but that's actually par for the course to use another golf analogy sure sure okay so now you're you're standing in front of the judge and you are defending not getting vaccines what are they what are the the points the evidence the proof that you could show for everyone that's saying you know what i'm not going to get the vaccine or i don't believe it or i've seen cases of people who've gotten sick right after getting the vaccine i don't want to get side effects are sick from this it hasn't been you know enough time that was pushed through faster than any other vaccine history what's yeah so the strongest arguments the strongest arguments for against vaccine is this idea of of we don't know the long-term effects okay that's the strongest argument um is there are there antibodies there's a lot of talk about something called antibody dependent enhancement what is antibody dependent enhancement what it is is basically when you have something in your body that makes antibodies to it but instead of the antibodies neutralizing it which is what they should be doing okay the antibodies somehow bind to it and allow it to go into the cell better you understand what i'm saying so in other words your immune system is kind of shooting itself in the foot that's antibody dependent enhancement you can see the whole meaning is right there in the term so the question is is that happening there's some data to suggest that in vitro in a test tube with the delta variant there's some evidence to suggest that the antibody that there may be antibodies that could do that but they haven't seen that in real life um and i would just say uh in in to tell you the whole truth when you look at who is ending up in the hospital right now 95 of them are people who have 95 of the people who are ending up in the hospital with covid have not been vaccinated really so if we were to have if we were to see antibody dependent enhancement i would have expected that to be worse now in israel they're starting to see that that 95 is eroding they're starting to see more and more people who have been vaccinated but realize that in israel almost everybody's vaccinated right so if there is going to be breakthrough cases it's going to be likely in vaccinated people because that's who you have to start out with right so that's that um another strong case against um against vaccination let me let's go with the stuff that's been actually proven or actually been shown so in the johnson and johnson case there was a number of cases about six and six million shots remember the johnson johnson is a one-shot deal so there was about six mostly women younger women uh who developed something called a um superficial venous thrombo or actually uh intracerebral venous thrombosis sinus thrombosis thrombosis what is that thrombosis is a blood clot okay okay in the brain and the concern was is why was this happening there's some there's some data to suggest that because the johnson johnson vaccine was using an adenovirus as a vector so in other words in the messenger rna vaccines they were using little lipid lipid droplets with the mrna in it and that would fuse with the cell the johnson and johnson and astroven astrazeneca by the way those vaccines don't use the little lipid droplets they use basically viral shells and the virus then infects and then it dumps the dna in there and it can do what it needs to do so when they did that that was sometimes associated with thrombosis so that's that's kind of scary right thrombosis nobody who wants to get thrombosis right um six in six million so it was about a one in a million now there could have been some under reporting of that so maybe it's i mean those are the ones that got reported right right so but there's probably more of those so probably not one in a million probably more than one in a million sure but it's still kind of rare um to give you an example of what what what else do we engage in every day that has a one in a one million chance of dying you're supposed to do the against you're supposed to be going i don't know i know but i don't know but i want to do it really yeah it's it's uh driving a car yeah exactly right so so you wouldn't may not realize this but 100 million a hundred sorry 150 million people drive every day in the united states and i didn't realize this but 16 000 of them get into car accidents every day that's why we have body shops now 16 000 people get into car accidents how many people die a hundred die every day from car seats from car accidents and you're out of 150 million so that's a one in a million chance right okay so that's that's kind of what we're talking about drive every day we hear every day about car accidents yes and we still drive every day because we have to weigh and here's the key point the risks versus the benefits so that's now pfizer and modern have their own issues this issue of myocarditis so again spike protein we talked about the spike protein right spike protein was that thing that bound the ace2 receptor and that h2 receptor was like a big enzyme in your body that was supposed to be reducing the ant the oxidative stress and reducing antioxidants right or increasing antioxidants right so what happens when you give a moderna or physio vaccine you're you're actually causing your body to make s spike proteins so it's a lot lot less and it's localized i mean think about it in terms of this right the virus is making billions upon trillions of virals virus particles each with their own spike proteins on them versus the injection small amount of spike protein there's some studies that show that the spike protein very small amount of it gets in the blood actually and starts to go other places the question is is does that spike protein cause problems well after the second shot there's some data now that they're looking at in europe and also here in the united states also about one in a million in europe there was about ni in the modern vaccine there was about 19 cases of of myocarditis in about 19 million shots so again about one in a million probably under-reported yeah yeah probably under-reported so probably higher than that um and so uh the the question is there is yeah so there's a chance so most of these patients have myocarditis that's basically inflammation of the heart usually goes away on its own after a couple of weeks or some treatment but again one in a million shot so there's someone that actually did a study so the question is is should i get the vaccine or not and the question is is well we know about the risks of the vaccine what are the risks of or not because there's two possibilities on or not the or not could be that you get the virus or you don't get the virus if i had a crystal ball and i would have looked down in time and i would see that you would never ever get the virus then why do you need the vaccine right i would say don't get the vaccine right right because clearly you are not at risk for getting myocarditis from the virus because you're not going to get the virus the problem is is that in a pandemic in an epidemic in an endemic there's a very good likely chance that you might be infected and so what we have to say is do i get the vaccine or do i get the virus and when they did that kind of a study you were about six times more likely to get myocarditis from a viral infection than you were from the vaccine myocarditis is the inflammation of the heart interesting yeah and so it's very important for athletes especially like yourself you don't want to be exercising or doing things because that can actually make it worse so you want to make sure that you're resting when you get when you get myocarditis if you get covenant if you get coveted at work yeah and or the problem with with the heart so let's bring everything together okay the pros and the cons cons against the the all of the arguments against the vaccine are very very strong when you don't have a big incidence of the virus because you're looking at the risks of the vaccine versus nothing happened to you at all right right okay but when we're in that exponential growth phase when when the hospitals are being flooded you don't want to need hospital care when the hospitals are full and i'm not talking just about covet i'm talking about if you're having a baby if you're in a car accident it's going to be very hard to get the appropriate care that you need when the hospitals are filled so you may be saying i'm fit i'm healthy i uh there's no way i'm going to have a problem with covet 19. this could still affect you because you could be driving and get into a car accident where you can get a bout of appendicitis you've got to go to that same hospital that's cool it's full and so yeah so so now the pro arguments of getting the vaccine start to become very powerful when we're in a wave right because now the chances of you getting the virus go up and so the question about whether or not to get the vaccine and the risks and benefits are mitigated it's it's a dynamic interplay in the scale of back and forth is where are we in the pandemic right now as it stands cases are surging and that's a problem so that's that's i mean those those are really the arguments for and against now again i'm coming from a side where i'm a little bit biased i'll say that because i see all of the absolute worst things right yeah and and somebody who hasn't been in the hospital and somebody who hasn't seen these things isn't going to see that it's not going to weigh on their mind so i use data but i also have this irreparable image in my mind of my work and what i do to try to save patients and and all of these sorts of things so right i could understand how some people who don't have access to that not of their own faults could come up with a different opinion sure got it how much does fear play into contracting a virus or getting sick so fear fear anxiety's fear anxiety stress absolutely how much does that affect i guess maybe getting inflammation which would then cause you to get sick it's more like it's huge really okay so let me tell you about a study that they did um this is a study out of mcmaster university uh heather heist did this she's the she's in charge of the fit lab at mcmaster um and um on her campus six weeks before final exams you can remember final exams very stressful right yeah so six weeks before she had three groups of people that she randomized one group did nothing okay they just went through the six weeks and they measured them at the end the other group did moderate intensity exercise training moderate intensity so they had their heart rates up into the 140s let's say three times a week 20 minutes a day third group had their heart rates up into the 170s for 20 minutes a day and she wanted to know how does this mitigate how we go to the end of the term so your your question was about fear and anxiety this is the time of the year where students have a lot of fear and anxiety because their careers depend on how they perform here at the end on these exams one of the striking things that they found in the control group this is a group that did no exercise was that compared to their baseline six weeks before the end of the term when they got to the end of the term their depression scale was significantly higher and they used the validated uh back inventory depression scale it was significantly elevated because they did zero working out they didn't do any working out there was a good life yeah they just lived their life studied really hard and took their exams they had more depression more depression and higher levels of anxiety both on a scale that was measured objectively and also self-reported stress both right so very high they said they were stressed and and they were the markers were show they were stressed correct then she went ahead and she measured the amount of inter interleukin-6 what is interleukin-6 interleukin-6 is a surrogate marker for inflammation in the body and tumor necrosis factor alpha those were increased as well now in the moderate to severe now this i think you'll find this interesting if you're interested in exercise who did better who did better the moderate exercise or the high intensity exercise in terms of stress depression perceived stress and inflammatory markers oh man so one group did three times a week three times a week moderate moderate the other one did three times a week intense correct gosh i feel like this is a trick question part of me wants to say the uh the intense was better off but for some reason i feel like you're gonna say the moderate was better off you're smart this is something that they describe in the literature as the j curve okay so it here's the point here's the point for everybody listening is that you don't have to be an athlete to get the benefit of exercise right you don't have to go super hard every day don't so just just enough just enough to get your heart rate up actually did better than pushing it then pushing it because the people that pushed it so first of all let's back up here so remember i said that that the control people had higher levels of depression higher levels of depression not only was moderate intensity exercise able to eliminate that increase it actually went down wow it actually got happier they felt happier now that happened in both the depression went down in both the moderate and in the intense groups so they both did well yeah but when they asked them about stress and perceived stress the moderate did much better than the than the active interesting yeah then when they measured interleukin interleukin-6 same situation the moderate intensity exercise training went down so what does this all tell us there is a there is a relationship between the body the mind and that is connected through the immune system it's connected through the hormone system it's connected through exercise all of those sorts of things things that we don't think about that we learn about in textbooks that are in different chapters actually underneath the surface are connected and so you talk about stress and fear now here's another study that they did so people in japan um they took these ceos high high stress people that are the tops of their companies and they took them out into the forest okay into the forest and this was a bathing for this forest bathing this is hanoki tree hanoki oil sorry hinoki cypress trees and they basically spent make a long story short they spend about two nights there okay and they measured everything they measured the uh the white blood cells they measure the the the amount of granules in the white blood cells and to make a long story short at the end of the three days when they measured everything and also the the the phytocytes in the air that were coming off these uh trees their immune system their innate immune system was much better at the end and it lasted for at least seven days wow so a walk in the park every weekend in other words could do one it's another one of those swiss cheese slices that goes in there nature now when they they did the same experiment okay but they put them they checked them into a hotel in tokyo not going up to the big mountain they checked them into the hotel in tokyo and instead of having them walk around for three days in a forest they infused this hanoki oil into the room huh okay what happened same effect really the oil the oil so what is this oil i gotta get it cypress oil do you do you use this or no i you know what here's the here's the here's the good news it's not just with enoki or milky cypress this happens with just about all of the the oils that comes from these trees eucalyptus another one that they that they studied eucalyptus oil has it's been shown to improve the innate immune system uh where they actually in vitro dropped eucalyptus oil on these cells and they basically turned into these cells that were activated and ready to do what they needed to do by the way in the pandemic in 1912 australia's eucalyptus trees were almost completely cut down because of the essence of that eucalyptus oil have you ever had vicks yes you know what the major ingredient is in vicks you can use the soil so if you ever smell eucalyptus oil say oh this is this is vicks that's what it is that's why they use it so now i told you though that the people in the the japanese forest and the peop and those people in the hotel room they both had the same effect i told i didn't completely finish because there was one difference and the difference was is they measured urine cortisol levels so cortisol is a stress hormone that goes up when you have fear anxiety and stress so where do you think the urine cortisol levels were the highest in the people in the hotel room or in the people up in the forest actually naturally getting their hanoki oil from the trees themselves people in the hotel room well unless there was like they're afraid of like a bear you know it's like i don't know unless i heard sounds every night in the woods then maybe you'd be more afraid but yeah no you're absolutely right so so here's the difference is that you're not getting the full benefit when you're out in nature and there's a study that showed that the more green that you're exposed to there's the green looking at it looking at seeing scenes of greenery and nature it has a calming effect on the body the cortisol levels plummet and cortisol is a major problem in terms of your immune system cor it's been shown over over and over again that cortisol inhibits your immune system and so to get those levels down it's really important so yeah they got the they got half the benefit in the hotel room they got the hinoki oil but they didn't get the full benefit because those cortisol levels were still elevated so so here's the point is try to figure out as many slices of swiss cheese that you can find and try to line those up so i i approach this in a very different way than a lot of people might think that i would a lot of people try to find things that work so they don't have to do other things i try to find as many things and try to just try to line them up through them all do them all and what you'll find is that the slices that work to cut down on coronavirus are the same slices that work for just about every other disease and just living longer healthier happier exactly if you could only do five things yourself five natural you know um organic activities whether that's sleep a certain amount of hours have oil in your bed you know whatever these things are non-medical related things non-medical related what would be the five things that you would do on a daily basis that's a great question so prevent disease to prevent inflammation to prevent covet you know and and optimize your body okay i number one is sleep on the list and i'll tell you why that is we talk about antibody levels and and vaccines and these sorts of things and we we get all hung up about you know how much antibody levels are there here here's a study that was done the night before somebody was vaccinated with the flu vaccine this was a study out of pittsburgh if they had greater than eight hours of sleep their antibody response was twice that than if they didn't get enough eight hours twice so sleep is really important i'll tell you another reason why sleep is important just i'll take a little detour as to why when you look at how you sleep you go to bed let's just say let's just say you go to bed at 11 o'clock at night 10 or 11 o'clock and you get up about six or seven in the morning those hours of sleep are not equal there are different stages of sleep there's deep sleep which usually occurs at the beginning of the night and then there's rem sleep which occurs at the end of the night deep sleep is extremely important for physical mental restorative sleep it's also tied to growth hormone yes so when we talk about growth hormone you know what i'm talking about this used to be known as the holy grail of the fountain of youth exactly delta wave or slow wave sleep is directly tied to secretion of growth hormone from the pituitary gland okay once you pass a few hours of sleep you've lost that ability that night to get that growth hormone so in other words let's put it this way the hours of sleep before midnight are worth twice than the hours of sleep after midnight wow okay yeah okay go to sleep for four minutes and by the way it's also redundant there because guess when your melatonin starts to come on right before right as you're going to sleep wow and we didn't talk about this but melatonin is a very very powerful antioxidant so even to the point where we were actually giving melatonin to patients in in the intensive care unit who are on covet who had coveted wow yeah okay so so sleep so if there was one thing that i would say is try to get at least seven hours of sleep and try to make sure that those hours of sleep are before midnight i mean not all of them after before midnight that'd be hard to do but get two hours of sleep maybe go to bed at 10 o'clock and try to get as much of that as possible it's not to say that at the stroke of midnight you're not going to get any more but it starts to decrease after that okay wow interesting okay that's number one okay that's number one number two um we talked about diet mm-hmm okay so for reasons uh that we've already enumerated whether it's cyanic acid whether it's inflammation start to look at diet and and to to look at that now i would say this here is the here is the temptation the temptation is to look at your diet and say i don't want to do that anymore and then look at the new diet and say i'm going to switch to that don't do that it's hard that's hard it's hard to make a huge it is it is because the problem is it's not it's gonna sustainable it's not sustainable and then what you're gonna do is you're gonna throw the baby out with the bath water so what i would do is look at your diet and find the worst thing about your diet and say that's what i'm going to work on eliminating and do it for a month then figure out the next thing and do that for a moment that's smart what you will find and i've done this because i used to eat meat i used to do these things and i started to it wasn't an overnight change it was something that gradually changed so i went to university of california riverside and uh i was a chemistry major and there was a carl's jr in the cafeteria and that's i mean it was so easy just go in there and get the burger right yeah of course exactly nothing against carl's jr they're good burgers um and they tasted good but then after a while i started to to go away from it well it wasn't a it wasn't an absolute for me so when i went back to it two or three months later to try it out because i was in a situation where you know i was there on campus i didn't have any food i'll just go get a burger whatever it didn't taste the same you would be very surprised at how your brain and your tongue it's actually a two-way communication it goes back and forth taste things that if you stop eating something for three months and then go back to it it will taste different and the point is is that the satisfaction that you're getting from it now you won't get from it later when you stop eating sure it'll be different you'll get satisfaction from different things your tastes actually change we don't think about it but it actually happens so um i know that that that this whole issue about diet is very very personal yes people have very personal habits it's not only just personal habits about what they eat it's also in great ingrained in their family for a lot of people for a lot of people they're not the ones making the food it's somebody else making the food and it's very complicated but what i would say is is that i despite all of those barriers that i believe a lot can be gained by looking at some of these things and trying to make some changes okay nutrition okay yeah number three should i group it together or not sunshine and fresh air they come together yeah they started going getting outside yes um nature nature so we had on our on our medcram channel a guy by the name of dr joseph allen out of the harvard medical school and talking about ventilation and sick buildings and the things that and the air turnover and he talks extensively very good very educational for me to listen to him about how built when buildings were designed buildings were designed so that they were energy efficient so a lot of the data that came out and a lot of the stuff that has has kind of influenced how we build buildings came out of the 70s and what did we have in the 70s we had the energy crisis how can we make buildings so that they are extremely efficient and so antithetical to efficiency is high turnover of air because you've got to heat and cool that error so it's a real problem so that's when we started to see in the literature dr allen says is when we started to see this whole thing about sick buildings people who work in sick buildings who get sick correcting these bones yeah in the in these buildings the buildings aren't sick yeah the people in the buildings right so and why is that he says you'll notice this and you know when he brought it up i started to think about this you'll be in a room it's kind of stagnant not a lot of airflow and you have a hard time and as soon as somebody opens the door it's kind of like ah you know it's it's interesting right um and so this this idea of of airflow he's like cracking some windows open it could be as simple as just cracking a window open he showed us in his video about how you can buy a meter that can actually measure the amount of carbon dioxide in the in the air and it's a surrogate for measuring how much ventilation is going on so that's really really important um is is getting outside what else is about getting outside vitamin d yes ultraviolet radiation there's there's a study that came out that showed this is really fascinating is that there was a connection between how much light somebody got and their covet 19 i was either infection or mortality i can't remember what it was yeah and so the thought was is that this was vitamin d mediated but it wasn't they controlled for vitamin d there was another effect above and beyond vitamin d that people were getting from being outside in the sun what's that we don't know happiness could be joy yeah what was the mind right exactly well we know that there's something called sad it's aptly named seasonal affective disorder this is where people become very depressed in the winter months why there's not a lot of sunlight and again it's this idea of the mind the body and the spirit being connected and so that leads us to the last one i don't know number four oh you're gonna push it out of me here okay yes um i've got one more that i can definitely think of i don't know if i can come up with five it's the spiritual aspect and this kind of comes from my it's informed from my upbringing um you mentioned that i lived at loma linda which is a blue zone what's a blue zone it's where people live longer and so this has been this kind of the secret sauce i think so so dan buettner uh who worked with uh national geographic came up with these blue zones he went to sardinia he went to okinawa and he went to these places why because these people live like they've got people in their hundreds which is very very unusual the one thing that loma and loman was the other place the one thing that loma linda was different in is that the people in loma linda were not of the same genetic genetics all derma all different genetics so okinawa grants and yes yeah exactly and in southern california of all places like where the air like i remember people telling when they got to loma linda in july to start school they didn't even know there were mountains until december right right okay i mean because it was just this haze of fox of smog so so the one thing that was really unique to loma linda as a blue zone that that the others did not have is that it wasn't a genetically homogeneous population there was caucasian folks african-american folks hispanic folks and they're all sort of interesting and and the short of it is is basically yes there is community yes they do follow a diet but there's other populations that do that too and so the question what was the real special sauce here's the real special sauce i think that's that last one out of out of the group and that is having a connection and resting resting resting so you know we have we sleep we talked about how important sleep is we talked about how important sleep is sleep is something that we do every day to recharge ourselves but is that all that's needed and i would i would submit to you that the answer is no there's something else when you go through a week you know we have we have a work week of five days and we we most people rest for two for two days or they have a break but the question is do we ever do we ever stop what we're doing and relax and and relax and sort of remit ourselves to a higher power okay so there's a lot of there's a lot of literature on on faith and and the faith literature in terms of believing in a higher power and and taking those things that give us stress and giving it over to something else right not carrying the weight exactly the spiritual or emotional weight exactly interesting now that could that can cut both ways because some people can get into faith-based things where it can cause more stress right so you've got to you've got to make sure that that is is not the case but but in being in a situation like that where you can truly kind of get off the roller coaster you know as the rat wheel is as the as the wheel is spinning have a chance to get off recharge think about other things spend time with your family spend time you know with your god whatever it is these are things that i believe that benefit us there there is some evidence to believe that inside of our bodies and i have i i don't i'm not prepared to talk about some of the research but i know there is research that says that there not only is there a circadian rhythm circadian means is latin for about a day but there's also a seven day cycle and it kind of goes yeah it kind of goes back to this thing with these guys walking in the forest that effect of them walking in the forest lasted about seven days after the fact yeah so connecting to nature connecting to something greater letting go correct lasted for seven days yeah and let's look at the french revolution in the french revolution they wanted to get rid of everything that they had known and they had a seven day week and they said we are not having a seven day week we're going to go to a 10-day week it didn't last right they couldn't do it it made sense it did not right so they went back to the seven day week we are programmed as individuals to have a seven day week if you think about it we know why we have a year we have a year because it takes a year for the earth to go around the sun right we have a month why do we have a month because it takes a month for the moon to go around the earth right we have a day why do we have a day because it takes one day for the earth to spin around on its axis we don't have anything for a week we have no astronomical sign that gives us a week and yet every single culture in the world is on a seven-day week why is that maybe yeah something higher yeah think about that interesting yeah every single culture in the world operates on a seven day week and there's nothing that guides that if if you were to ask me why that is it's because i believe the judeo-biblical uh historical record on why there's a seven day week it was instituted from the very beginning right but i think it's interesting evidence and if that is fact the case then um then maybe the instruction manual should be followed right right interesting or maybe let's put it this way there's benefits to be derived if the instruction manual is followed right right speaking of the spiritual aspect as someone has been practicing for over 20 years now yeah can you think of one or two instances in your practice where people have healed themselves that they shouldn't have been able to medically you're like this doesn't make any sense as soon as you said that i know exactly who i'm going to talk about go ahead okay so there's a condition in medicine where if not enough blood is getting to the brain because the brain needs oxygen continuously after about four minutes there's irreversible brain damage you might still survive correct but you could have you know you just want to be able to function correct memory loss speech loss motor function all that stuff exactly so there was a young gentleman this was when i was in training this must have been in the early 2000s and he had testicular cancer unfortunately but at that age testicular cancer is pretty curable in most cases um with chemotherapy and surgery and that nature so he went to surgery and there was a problem in surgery the uh the patient didn't do well the the blood pressure went he may have coded i can't remember exactly what it was but he came back up to the floor up to the intensive care unit which is where i was training in the intensive care unit and um and when we picked him up he was you know we lifted the sedation and he was just not there he was dead he was he was he he was alive but he was but he was not responding to our commands wow he was not he was not acting appropriately and we could see that there was twitching maybe even seizures going on and this was a young hispanic gentleman who had just been married in his 20s in his 20s yeah um and so he was there for the better part of the month uh by the time i got on service in that in that process in that process not responding just there yep just on like uh on life yeah violator he was on a ventilator he's pretty much going brain dead correct but he wasn't brain dead right he was still alive right technically but he was just not there he didn't move correct he was in a coma essentially yeah yeah we we would today at the time we called it persistent vegetative state wow yeah where there's pretty much no coming out of that generally speaking no and that's exactly what we told the family and we even had we even had a neurologist come in and the neurologist did some special uh things with mri they were able to look at choline levels in the brain and all this sort of stuff that was hopeful in predicting whether or not these peaceful would get better or not now the one thing that he had going for him was that he was young right generally speaking people over over his age they really wouldn't have a chance of coming back so yeah i mean we would we would meet in rounds and we'd like what are we going to tell his wife his wife is she's like she's there every day she would come in and she would say you know can i put i i made some some we would we would feed the patients with tube feeding so there was a tube that went down and it would be like a milkshake basically that would go down she would make she would blend this stuff up and she would ask say can i put this in oh my gosh and she would bring some you know energy drinks or not energy drinks but you know healthy things yeah to put it down there to help him wow and we would just shake our heads like what do we get i mean she's she's just she doesn't get it every day for a month yeah for at least a month and so one day she came in and she said to us she you know she was right at his bedside and she wasn't i wouldn't say that she was a unhappy person but she was uh she she you know she obviously understood the situation and she would have tears and things one day she came in and uh she said she would look very happy she had a smile on her face and we're like well why is why are you so happy what's going on and of course he's you know kind of shaking like this and doing this sort of stuff and she said i had a dream last night i had a dream that he got up shut up that he was gonna get better and he was gonna walk out of here no way that's what she said and she was so she was so sure certain certain that she her countenance changed that's what she looks like okay yeah her energy she's like younger she liked everything and we we and and okay so remember remember i'm in training okay so i'm looking at the attendings i haven't seen this kind of stuff before 20 years ago this is 20 years ago uh and so i'm looking at this and they're like oh man she just doesn't get it right because they know there's no coming out of this well and i'm looking to them because they've been doing this a lot longer than i have i'm like my first or second year right yeah and uh so we said okay you know i think at this point he had been tracked so the tube normally goes down into the mouth now through the throat yes because he's there for a long term right so uh so we're so we're we're working in a in a circle um the hospital rooms are around in a circle and in the center is the central nursing station and this is up on the uh one of the high floors and this is the intensive care unit we're rounding around and so you can kind of like be in the in the center of the circle where you're rounding and you can kind of look through the door and see the patients in the room and and one day you know just he started there was a little bit of a change in him something different and he would kind of shake like this you know doing this kind of a thing and i could see his eyes were kind of open but we didn't know if anyone was there and this had been going on for some time and we looked through i remember one day i remember i remember this distinctly i was looking through the door and i saw him there and i just saw him come to and i just i don't know what what i did why i did this but i just kind of put my hand up like this and i kind of waved and i'm not kidding you he put his hand up and did this and put it back down and i was flabbergasted wow i'll make a long story short three months later he walks into our unit to gives us flowers to thank us to thank the staff oh my goodness yeah like healthier like speak fine he's walking on his own speaking talking the whole thing wow with his wife and i am so glad that that happened early in my career because it changed my thinking whenever i was whenever i was in a similar situation i wanted to make sure i i realized that that was either a miracle or something very very rare okay it's one of those two i believe in miracles and so i know that these things can happen we don't i miss the day in school where they told us how long someone was going to live have you ever heard this the doctor said i was going to live 31 days right i missed that day i have no idea i don't know where this comes from but i am now very cognizant to know that when i have a patient who's not doing well in the hospital and i'm talking to family and they want to know what are his chances i've seen miracles happen wow so it's it's it's i i'm i think about those every day i think about that gentleman wow and it was very early my career so when you asked me you can see why i knew that yeah yeah when you asked me that was the one that came to mind so you've seen other cases similar since then in the last 20 years or you've seen other things happen that are like wow that usually doesn't happen and it's amazing that it did yeah i i i mean i've had patient i had a patient once that he was a young young guy and he had bad asthma really bad asthma and uh i don't know if he was smoking or what he did but he came in and he could not breathe and when i say he couldn't breathe we put them on the ventilator and the thing that happens in asthma is the airways get so small that you can put air into the lungs but you're waiting for the air to come out and it can take up to 20 or 30 sec in this guy it took about 20 seconds it feels like a lifetime yeah so that means the most we could have him breathe was about three times per minute oh man and and so the carbon dioxide levels were building up in a system his ph was dropping we literally i had to get i had to get a respiratory therapist to bag him that's called bagging when we push air into his lungs through the ventilator tube we had a helicopter land at this hospital we got the patient into the helicopter i got i got our respiratory therapist to go in the helicopter with them and that's not easy to do because they have limited fuel and they can only be so many pounds this and this helicopter went all the way down to a hospital down in los angeles where they had to put them on a heart-lung machine oh because his lungs just could not breathe and um two weeks later when i came back to the hospital i said how did how did that guy do and they said oh he just called us up yesterday he's having breakfast at his grandma's house my goodness and to realize how close this guy was to to not making it um so yeah i've seen some i had another guy where we he he basically had a heart attack so badly that his blood pressure wasn't even uh up uh we couldn't keep it up and so i gave him as a last ditch effort i gave him a bolus of calcium blood pressure came up enough we were able to get a helicopter in there get him in there and ship him off to to the tertiary center where he could get cardiac bypass so i didn't know what happened two weeks later i'm in clinic and where i work in clinic the pulmonologists and the cardiologists work uh right next to each other so i'm i'm in clinic and the cardiologist comes down the hallway and knocks on my door and he says hey i got somebody here that i want you to see wow so he takes me down and sure enough it's the guy in the helicopter and now he's he's in clinic so yeah i've seen some amazing wow some amazing things do you think we can heal like some of the worst cases of disease and pain with the mind i believe that a lot of problems that we have come almost entirely from our mind now you're speaking my language yeah i like this tell me more uh people you know there's a saying it says the mind is a powerful thing it can make a heaven out of hell or hell out of heaven if you look at if you look at survival camps what i mean by survival camps concentration camps where people have survived almost exclusively the people that survive those kind of situations do so because of their thinking and hope hope is a very powerful thing and so absolutely the mind is irrevocably irrevocably connected to the body if you think that you have a problem if you think that there's going to be issues that in and of itself sets up a a situation with stress and cortisol where you're going to lead to this problem we have something in in sleep medicine called psychophysiological insomnia so it's psychophysiological insomnia let me explain it you can't go to sleep okay so what do you do you go into your bedroom and you sit there and uh and you don't sleep and when you don't sleep you feel like oh my goodness i'm not sleeping so now i'm going to be very very sick i need to get sleep so you wake up the next morning and you do your i say tonight i'm going to get some sleep right i'm going to go to bed earlier to get some sleep and what what happens if you go to bed before it's time to go to bed you're not gonna sleep you sit there and you're stressing about it exactly and so what happens is you get this performance anxiety for sleep and so the very the very effect of you not being able to sleep prevents you from going to sleep imagine if we were to walk through this school of greatness sign and on the other side of this sign was a was carnegie hall stage okay and i were to ask you do you play the piano no okay pretend you were or even better you can't play the piano and there's a big grand piano sitting on the stage at carnegie hall and the place is packed yes okay go ahead and play a piece on the piano there's no way that's gonna happen that's performance anxiety now imagine if instead of a piano i put a bed and i tell you go into that bed and sleep there's no way right and for some people with insomnia and you know i'll have to say that we talked about at the beginning about make sure you get enough sleep there's some people out there that are watching this to say i would love to get sleep and i can't do it and and this is part of the reason and trying to figure out how to get people to sleep when they have insomnia is like trying to peel an onion it's very complicated and you've got to sort of dig down to it but here's the here's a classical story of what i see with psychophysiological insomnia and it has to do with the brain and to unravel it you have to do cognitive behavioral therapy but to do it is you you you have the situation where they want to sleep but because they can't sleep they become they have anxiety so they're out in the kitchen they're out in the living room and they feel tired and they say okay it's time to go to sleep great i'm gonna go to sleep and they walk into the bedroom that one room in the house where they are battling their demons on a nightly basis and all of the subconscious stuff that comes with it and then what happens they're like oh performance anxiety i can't go to sleep and so they walk into the bedroom and now they're not sleepy now they can't sleep and this is the problem that we have to battle when we when i see people in my in my sleep clinic to try to get them to sleep right so i do icu work i do pulmonary work and i do sleep work and it's it's i see it it's all connected right but you believe that the mind can heal the body as well there are things that the mind can do to support oh yeah i mean well this is a perfect example of that because the the treatment for insomnia more than medications it's been proven scientifically proven medications don't substantially sustainably treat insomnia you know what does cognitive behavioral therapy that is completely a treatment of the mind it is absolutely there you go addictive behavior cognitive behavioral therapy this is this is really uh where the real money is in terms of treating these kind of conditions absolutely yes i love this dr schwell you're amazing is there anything else that you would like to add um before we wrap things up this is you know we yeah this has been a far-reaching discussion there's a lot of things that we could we could talk more about but i think i think we've we've talked about enough sometimes people can get information overload and they might have to watch this video yes yes but if they are interested um you know we have uh there's our first interview that we did so they can watch that as well it's almost two million views right now so people are loving that one yeah and of course there's there's the medcram channel as well yeah what do you guys teach on medcram what's the main subjects you guys cover so before the covet pandemic we were geared toward healthcare in healthcare professionals and trying to teach them things that are difficult to understand in an easy way so that they could understand it since since the pandemic we've done a lot of our youtube videos have been on the pandemic trying to teach the population correct exactly understand these things exactly so we've kind of pivoted there but if you go to our website medcram.com it's it's primarily for health care professionals if if you ever wanted to learn how to read an ekg that would be a place to go if you want to ever want to know what a chest x-ray shows you and what you can interpret from that that would be a place to go you know there's some indiv there's some interesting uh devices you can buy now you can put it into your wallet pull it out you can actually see what your ekg is really and yeah for like for a hundred bucks you can use to hold your your kind of like at the gym where you hold yeah exactly and you can see your thing so you know if you ever wanted to know what that shows you can come over and read there's even devices now that you can get for your phone that tells you how you sleep what your pulse rate is right so if you want to understand a little bit more about that stuff you can all at medcram.com yes and then you're on are you on social media as well yeah so we're on uh twitter both me personally and also medcram is on twitter we're also on instagram as well what's your personal one it's just roger schweltz okay md yeah md okay cool um and the last interview we did we talked about your three truths and your definition of greatness so i'm gonna have people go back there we'll link it up below so they can see what your three truths and your definition of greatness is other than that roger i appreciate and acknowledge you for constantly doing the research for constantly diving into this for giving us the information on all sides for being a spiritual practitioner as well i really appreciate your approach spiritually towards hope towards the mindset type of things which maybe next time we can go into mindset as medicine yeah and how to approach your life with a mindful uh you know with the mind and all the different things you can do with the mind to heal yourself i think that'd be interesting from a doctor's point of view what you can do what you've done personally what you'd prescribe to people when there seems like there's no hope medically yeah so if people want to hear that conversation leave a comment below if you want to hear that uh and i really appreciate all you do thank you so much for being here the vast majority probably shouldn't embark on a prolonged fast three or four day fast because we store heavy metals we store pesticides we store herbicides in our fat to protect us from

Channel: Lewis Howes

Views: 123,797

Rating: 4.8471012 out of 5

Keywords: Lewis Howes, Lewis Howes interview, school of greatness, self help, self improvement, self development, personal development, success habits, success, wealth, motivation, inspiration, inspirational video, motivational video, success principles, millionaire success habits, how to become successful, success motivation

Id: F0mvnrKy1eQ

Length: 113min 36sec (6816 seconds)

Published: Wed Sep 08 2021