Dr. Mike on Dealing w/ Anti-Vaxxers, His "Bullying" Controversy, & More (Ep. 10 A Conversation With)

this is December 2016 oh my god this is me trying to be you in medical oh you know you have to send us as well oh my god oh my god oh wait just I just want to say right at the get-go it looks like you're doing an apology video you filmed something you shouldn't have done in a forest setting this is so bad this is so bad I can't leave I show you this okay basically I can't believe I'm doing this this is hilarious I literally and I edited this myself - it's even worse oh yeah I was getting mad on the news they would talk about these medical studies yeah and a lot of them are BS or they're taking them out of context and explain them incorrectly so I just wanted to jump in on one of them and give some context that change so I showed this to my girlfriend at the time who's on TV and says don't let that see the light this is P whoop no this is the angle changes overly well this is there's no personality in this I'm just reading like I'm not even reading I'm trying to read but you can do the personal at the end hit him with the info again then then then spice it up a buddy you've seen one of my newer videos like in comparison in comparison yes but that's also familiarity like but I was even hopeful that like we can be there but this is just bad with a little mic flag you don't get to where you are you don't get to wear any of these other people are if you don't make that video that's show I have to do this to prove to myself that I'm awful at it the only thing that you should feel bad about is whatever that mustache situation is and net in that you know you have to send this file to us we're dropping this blackmail footage goes straight to Amanda I literally made this and my girlfriend at the time was like this is awful this is just so bad I was like you're not supportive is this uh is this the girlfriend that told you to go up but clearly I've had a lot of you why do you date women that don't support your aspirations no did she was like you just need to practice or something you suck I was like okay are you happy Amanda I shaved beautiful bastards hope you had a fantastic day welcome back to a conversation with my name is philip defranco and today we're having a conversation with dr. Mike should I just should I say your full-name I like it because it gives context to my roots so who you are yeah you know because we're celebrating immigrants in this country now is we're trying to immigrants so mikail of our season I like that you use the Royal way is there some people watching they're like are we I'm Italian even though Liza Koshi on the last podcast that I'm not yeah because I don't know limoncello yeah limoncello I've never say that quite dangerous they've got to be careful I mean [ __ ] ooh okay so uh Mike for those who for some reason have not seen your videos can you uh can you describe what you what you do okay so I'm a board-certified family medicine doc I've been practicing for two years after I finished residency in New York New Jersey area and I make videos about health but I try and do it in a fun easy to understand relatable way but most importantly with the information and the medical ethics being at the top top top of my mind and making sure I deliver quality information to people because the misinformation is crazy now it is crazy but it's also I will say you have a good way of doing it cuz you I've watched one of your doctor reacts to memes videos and walk away with that and learning which i think is which is like I think as an educator to some degree is the goal yeah right how do you condense this how do you make it relatable and I yeah I love I love it's subliminal learning it's like what Bill Nye you to do back in the day for us good old bill man yeah did you say us he looks like an actual grown up man right you're 29 I said I'm 33 people don't know if I'm like 50 or just like a really poor complexion like 18 it's really bad I think it also doesn't like the wait always kind of like babies up the face a little bit at the eyes showing the years on the pain yeah wait you see where I'm going with that yeah well to me I think that's a good thing because as you age you'll still have that oh maybe I'll pass for 18 maybe well they every the four times in my life that I've gone to a someone that will do like Omaha facial or I think two dermatologists they're like no they were like oh you have oily skin it's gonna that's that's great and I was like it hasn't been great it was just years of like especially when I was 18 years of pimples but uh did you ever did you ever have an issue with that uh I just really bad teeth at braces twice I was brutal I should have done that I really should have done well it's important because it changes your facial structure as you age mm I think that's like a big thing that people don't think about I think that's what I'm scared about is because I've had conversations where I was I was thinking should I just I'm in a decent enough position veneers and yeah juvenille should I do I've seen some people just do full on individual implants I've seen some people do the full and I don't know it's like not a doormat sir can you hook up a deal I literally walk out of like my car in a parking lot and some one object can you look at this scratch I'm like I don't even know you why do you think I'm a doctor like you're telling that has to happen all the time yeah well I so a question though I have with with you making YouTube videos with you doing TV shows with you somehow flying out here on a Friday based off of a random Twitter conversation yeah well you saying that you would never do my show because I say bastard I say see you Friday then I say hey would you actually like to come in because I because I'm an idiot I always assume everyone's out in LA because everyone makes that horrible jump and then you're like yeah I'll fly there it'll be great and I'm like from where New York oh okay I take that as like the ultimate compliment well I take it as also a compliment that you even want me here although hmm I see at least when I've watched your episode with Casey nice that you also kind of invited him spur-of-the-moment and then on that video if you read the comments like who would you want to have gone next I'm nowhere to be seen and then were to be seen so you must be like really no jumping into the road okay you know so what happens is I know that I need to schedule people Wednesday rolls around you I see that tweet literally as I go oh man I need to start contacting people because we don't have like a professional Booker like this is this is this podcast is my escape I get to not talk about the negative things learn about something even just you coming in maybe people see the pictures we just surprised you with puppies that's not my normal day it's not know best way to do that more best question in the world I said to you was on Wednesday someone asked what's the puppy budget and I was like that's the budget question I want yeah every day of my life but the question I was gonna ask is with you doing all those things yeah and being a doctor how do you find the time yeah I think in life anything that matters to you you'll find a time for it's like if your significant other or something is not giving you attention and you raise that issue multiple times and they say it's because they're busy it's because they're not interested you're ruining relationships right at the time I like all right like we have to be honest about it so I'm very passionate about health care that was my dream from day one I actually did an accelerated medical program I graduated medical school at 24 actually when I started in medical school they had an opening party welcoming everybody I couldn't go cuz I wasn't 21 it was out of my house so I was really young and very passionate and I started my Instagram in med school just showing what it's like to be a med student means I wanted a show that you can have a life you can go out you could be happy cuz otherwise people think you have to like turn off all your social contacts and never see your family sometimes but then sometimes you have time and you can balance it and I want to show that on Instagram then once I did that quite successfully I moved over to YouTube and are making really cool innovative medical content that's still young people are watching which I'm really happy about and now I feel like we can actually battle something and make a change you know the vaccine conversation the vaping conversation the crazy weight loss supplements and detox ease I now have some power to give push back to these PDA well whining one cuz the audience and then to given your job the authority which I think I've definitely over the past few years I've enjoyed seeing authoritative figures in certain genres jump in because any because you sometimes see it on a BuzzFeed video where I would say like city planner plays this is this game oh my city skylines stuff like that but having someone that can be a repeatable resource sure that's been that's been key actually on the note of vaccines yes on the so I know not a shocker you're pro vaccine right I watched the video and maybe I'm misremembering I feel like you're very giving and thoughtful to those who are still anti backs whereas I'm I personally don't believe many in the community or I keep saying recruitable to reality I and and for me it's less the intent because as you've said in your video you know their intent is they're trying to protect their kids yeah right but my main thing is everyone can have good intent but the results do you feel like do you feel like being open has actually been helpful do you feel like you've talked to people and they went you know what I've seen the light sure part of what I do in being a family medicine doctor is I study influential psychology so how can I influence a patient to make the best decision for their health and what I've learned is the first step in having someone look at your views with an open mind is you have to get them to like you and you like pretty much every other doctor out there gets very mad when parents don't want to vaccinate their children because they're worried about like you're doing this for a good reason but now this emotion that you're having will right away put you at odds with someone who disagrees with you and you're putting a stone in between that conversation and now you're almost setting yourself up for failure so what I try and do is keep that pathway between us as open as possible and actually try and find avenues where we agree so if a patient who's anti vaccine comes in right away I'll try and find avenues we agree for example do you believe that measles is a dangerous illness they'll say well yeah sure but it's good to have it okay we can agree on that it's a dangerous illness do you believe that my interests are in the best interest of your child that I want your child to thrive oh yes I agree that's two things we agreed upon instead of me right away being outraged and angry at them that they don't believe in vaccines I've created two avenues where we agree now there's a way more likelihood that they'll see what I'm saying when it comes to vaccines maybe I'll give one vaccine out of four but it's still a greater victory than evicting them from my practice sure and then just getting a letter from someone who they can pay and prove that they have an exception or with it which does happen by the way yeah well I mean that's why we're seeing the situation in California right we saw this protesters the other week yeah yeah so again I try and find that line of common ground and so far it's been really successful people are more likely to be open-minded and think through these things and really the point that gets missed here is we see these people who are like totally out there that believe the government conspiracies all that right that's really a small percentage that's always been around they're just like that outlier population that will always believe that no matter what right but now with social media and the algorithms favoring extreme content and like all vaccines are dangerous like that's clickable right so with those people finding social media people who are vaccine hesitant meaning they're unsure they just want to make sure they're doing right by their kids they're not having these crazy beliefs they go on social media and then they get poisoned by this information sure what a doctors do about it zero we have no doctors on social media I mean very few who are credible giving good information so I come in and say I'm gonna fill this void I'm gonna come make fun content but also teach them something in the process of how we you know decide whether or not vaccines are safe do they have side effects they do but the benefits outweigh the harms and that's the thing I repeat over and over again on my channel the thing that's very difficult about arguing with someone who's completely anti vaccine is that they're so sure that they're right and doctors cannot be so sure that we're right studying medicine requires a little bit of humility because things change in medicine things that we believe our facts change all the time in fact like a great example of this is we've had species that were labeled extinct that we then found like later at the bottom of the depths of the oceans they're not extinct anymore but if you ask before that period we would say it's a fact so we have this level of humility where we say this is the best information we have on hand now it may change but this is what we're recommending because this is the best infant almost like a poker player you can lose a hand even against someone who's worse than you but you're making the best decision you can with the libman information at hand I love that what so when you put out that video what font what followed that did you get this wave of you're paid by Big Pharma did you like all these cuz I know that when I have talked about it and it ends up on certain private Facebook groups and stuff like that all of a sudden you get this random wave that you didn't expect where people start just the craziest things do you one get that do you react to it because I totally understand your ability to try and keep things open right but do you have to resist I guess the the urge to dunk on those feet as a way to kind of keep the door open for others yes you can't dunk because the dunking is really there just from my own gratification so I try to put that aside right because you know people would love to see it lets they would like to see it but then I'm doing a disservice to the actual goal because my goal isn't just to please people and create great content it's to teach people and actually convince people to make the right decisions so I feel like if that's my goal I try and reach it as close as I can and when I get when I put out a video like the one I did it went crazy viral has like three and a half million views I get a wave of people saying you're wrong look at this evidence look at this evidence but it's very small it's again that small population who's always existed and have been anti-vaccine and I don't react to it I look at what they're saying actually I look at the negative critiques because there's always some truth in the critiques there's always something happening but then I realize like let's look at their critiques let's see what they're doing let's double-check what I'm doing and I really come out on the end saying I'm even more sure of what I was talking about before but the fact that you're going through the process I think is smart it's admirable what would you recommend to someone that's listening now right kind of Joe Blow they don't have your background they don't have your experience they get they come across a Nancy Baxter right who's so sure what what would you arm them with compassion and nuance and understanding that if they were under their set of circumstances they may very well come to the same conclusion hmm once you can understand that a lot of things change in perspective for you and people and this applies not just to the vaccine conversation this applies to canceled culture outrage culture whatever it is until you realize that you're just a little bit of nuance away from understanding how they got there only until you have that understanding and compassion can you actually do something about it if you want to just be outraged cool if it makes you feel good do it but if you actually want to make a meaningful change just being outraged doesn't help yeah okay so talk about that I'm interested regarding your thoughts on vaping given kind of what we've seen over the past two weeks a lot one what what are your thoughts in general about the the vaping situation that we have in the country right now I think the companies that have supported vaping because it's in their financial interest jool being a prime example have really benefited from the perception that vaping is quote unquote safe they actually went to schools this is under Congress testimony and told children that oh soon it's gonna come out that these are 99% safer than cigarettes these are great and they said these statements to children who are very impressionable that's horrible to me because we had a rate of smoking that was dropping down drastically we made great changes on a social level not allowing smoking indoors and parks taxing the product whatever we did a great job with it the smoking rate in 2000 for children was like in the mid 20s we dropped it 20 17 years later to 5% it was single-digit so kids weren't smoking at all now the vaping numbers are around 30% so this product was intentionally Minh was to market to people who were smoking to get them to quit smoking and do harm reduction and use this product so I'm so I guess kind of the question there because I know that a point that you hit on is there needs to be more research okay but based on kind of the the one-to-one comparison right now not that you and then this is in no way you saying yes go V I can give you a very political answer do you feel like it is a safer alternative right if it's like breathing in burning car fumes versus bringing a piece of paper I don't know I think this is to me it's a funny comparison to make but Risk Reduction is part of what I do so for example if I have a patient that refuses to use condoms mm-hmm and I know this patient is going out let's say it's a female patient for this case and she's going out and she's having a partners and I'm worried about her having an unintended pregnancy and I say use condoms cuz that's the best way to not only prevent pregnancy and also sti's but now I know she states it I'm not gonna use condoms I have two rounds I can say well I did the best thing that I could have and recommended it and she's not gonna do it that's on her or I can say well at least I'll prescribe you an oral contraceptive so you won't have an unintended pregnancy but you may get an STI risk reduction right right so we practice Risk Reduction all the time in our practices when it comes to vaping if you're an adult otherwise healthy non pregnant not a child adult the key word there yeah and you're smoking cigarettes and you want to stop it's cool to try vaping there's some good evidence to show that getting off of regular cigarettes and transitioning to vaping is shows promise mm-hmm I'll say that but that's not what's at issue here the issue is these vaping companies have taken a page straight out of big tobacco's playbook like Joe Camel days where they have the cartoon Camel and they're going to schools their advertising near schools their instagrams are all hip like young people smoke or vaping these products and they're getting young people hooked on this that are now transitioning to regular cigarettes once they get hooked on the nicotine products because nicotine is really the what's at issue here nicotine affects the development of the frontal cortex that's what decides your ability to be addicted to something and as a child it's not fully developed that's why we don't allow gambling alcohol drug use to kids because they haven't developed a frontal cortex but now if they're gonna start vaping they're changing the development of that and that's really bad how long does I usually take to develop probably into your adulthood so like in your early twenties yeah that's really interesting well so one I mean I think that's the conversation in the in the United States right regarding removing certain flavors right that seemed directed at children the you know the the advertising being targeted however effectively but there's also a different situation we talked about last week where Indians talking about a full-out ban well they did yeah no I know and that's what I mean is so that's like that's manufacturing you're talking time it's not limiting yeah is that do you think I think that's too aggressive you think that's too aggressive yeah the only thing I said on my video a couple of weeks ago is that I want this dc2 not because they come out after all these like people are getting sick from vaping and there's even a few deaths right we don't even know what the cause is which kind of vaping products what ingredients what age groups frequency all that we don't have all these questions answered and they said well you should consider stopping and like you're the CDC that's like the fire alarm going off right now and announcements saying hey consider evacuating what are we gonna do do we go do we not go like considerably does that mean so if you're the CDC to me it says don't vape until we figure this thing out if we realize it's just THC products or black-market products or vitamin e acetate products whatever it is then we can give some guidance but until hold off they said consider to me that's weak but no no all-out bans for me no well aren't okay yeah so mainly just focused on kids but that kids are not allowing the companies like the company is not only market to kids but also they make it well now they're trying to change these things but before it's very easy for a child to go into a grocery store and just buy it really yeah like we are not doing what we used to do with cigarettes before with cigarettes we used to send undercover officers in stings to actually give serious fines for this we're not doing that with vaping and we need to and then also vaping sales on eBay and all these other sites where kids can freely access it and get it sent to their home well cuz that's a thing that I wonder is is there any sort of legislation that can actually crack down on just the youth without creating a market where a situation where people go to the black market more we're officially we don't know things but if there was a place where there might be more problems it would be an unregulated space or a place that people aren't watching or especially in places like India are people just answering smoking cigarettes again especially if already is for some is vaping to cigarettes and then it feels like this cycle is just gonna start again banding I don't think solves anything okay that's like banning autonomous trucks and hoping that's gonna you know somehow save jobs no that's gonna lead to new problems so I'm not in favor of bans for things like this okay what about we were talking a little bit earlier about Bazzi body positivity versus genuine health right and the the balance there I just want to kind of know any thoughts you have that yeah so you know Bill Maher came out and said all these really mean things he's a mean-spirited comedian I feel like that's his and then James Corden kind of countered and did a really good speech that people really supported saying this is wrong what you're saying this because Bill Maher said bullying like yeah we need but basic do it I'm gonna paraphrase it something along the lines of fat shaming is good we should continue doing okay that's the side he took in this debate I'm gonna make that up James Corden said no it's facts we should accept people and be more sensitive to this as a physician I have sort of a middle stance on this fat shaming on its own where you're making fun of someone for being overweight is useless it's not helpful in general and it's immoral and it really breaks people down and creates new problems for them from a mental health standpoint however on the other side of this we also shouldn't support people saying oh it's totally okay that if you're overweight well it's okay you're not a bad person if you're overweight it doesn't define you your weight but there's a way to become healthier so let's talk about it so it's not coming from a judgemental place it's coming from someone who would be constructive instead of destructive in their criticism okay so I think that shaming is destructive criticism sure I would rather be more constructive with it yeah I mean I think that makes sense I mean I feel like what you're talking about is yes self-love you're still a valid human no matter your weight of course but if you care about your health this but I guess there that's is that a situation where you just that person has to figure it out on on their own right because it's because it feels like it feels weird to interject it ok wait you're a good person by the way that you feel weird tension because if you didn't feel weird you're gonna go and say some mean things do you think that situation and maybe this is stupid question do you feel like that situation changes if we had a let's say a universal health care system that the whole like the government and the money is efficient changes that people won't be fat shamed no well in the sense of if someone if someone is let's say more is obese right and so they're requiring they're going to the doctor more there there are more dollar requirements and an effort given does that make it all of a sudden a kind of a society issue I don't think that on its own selves it yeah and I I'll tell you my stance on like a universal coverage so I as a doctor want everyone to be covered because when everyone's covered we can have better preventive care which is what I do I'm a family medicine doctor so I try and step in before a problem happens right so to me who should benefit more the doctor that does a procedure that saves a person from having the heart attack or while they're having the heart attack or the doctor that prevents the heart attack from happening to me I like being on the preventative side but people don't know about prevention they don't have a primary care doctor they don't the money for whatever the issue is to me when you have universal health care you're more likely to put effort into that however when we talk about that coverage I as a doctor have no idea how it's getting paid for I have no idea is this truly gonna be for everybody and the when I hear smart people talk about this in the economic space sure that no way more than me they say that we need to be careful because if we because right now if you walk into a hospital this is actually really an interesting scenario those who have good insurance from their employer or they're paid on their own that cost is much higher than a patient who's on like Medicare mmm for the like the hospital gets paid less from Medicare and as a result of you getting paid less in Medicare they up charge us like from us meeting the people who have insurance like I have good coverage and if you bring everybody to the same cost think about how much more the cost goes up so right now the cost is already somewhat subsidized and it brings in all these factors that I have no idea how to solve so my for yeah I want everyone to be covered how that happens whether it's feasible I don't know right so in concept the general goal of yeah I love it yeah you get it interested of course because I want people covered social media so we're solving everything today right now just you look at this I'm just a fly on the wall look at this people called like the sexiest doctor alive no no we're solving everything right now yeah nope BuzzFeed he's not just a piece of meat BuzzFeed even though before we started filming my DP was like hot doctor dogs let's do those photos which are on screen right now if you're watching the video version social media I saw that recently you had a video where you kind of addressed some controversy from previous video a podcast that you did regarding kind of the coddling nature of some parents in the States now bullying versus social media can you kind of explain what that whole situation yes so I made a couple of videos I guess you could say their podcast style one was an interview with a famous social psychologist written three great books his name is Jonathan hi big fan of his he studies essentially happiness morality really interesting subjects that I've always been curious about so in reading his books I found a lot of his views made sense to me and I guess we can say it's a form of confirmation bias I was seeking this information to validate my thoughts but he also introduced things in a way that I never thought about them like giving me facts about them and I made this video where essentially we talked about how our overprotective overbearing nature of the current space of parents has actually hurt our children because we see these anxiety and depression rates skyrocketing in our youth and initially some people you know which is better at catching it well if now is the case why are the rates of self-harm going on that's not something we're just catching that's just hospital admission rates so we think this is a true phenomenon it does happen and the big reason we together kind of believe it is a parents are doing kind of a disservice to their children by being overprotective and be social media is amplifying them so we talked about this and one of the snippets in the conversation I said he mentioned like if you could have your child live in a bubble well they're never get any kind of bullying or no one will ever call him a name would you create a life for them like that I said no and people got really liked so what you want your child to be abuse hmm and that's what a very important distinction must be made I support and I think acute stress is really good for our mental health just how acute stress is really good for our bones because if you don't have any stresses on your bones like gravity like if you go to outer space your bones get fragile ok allergies your immune system needs to be boosted by the way these are all things that Jonathan Haight says really well I'm kind of paraphrase but allergies your body needs challenges when it doesn't and you don't you constantly are very sanitary and clean your body starts attacking itself that's what an allergy is so our body likes challenges and the same goes for our minds and I used a couple of examples that my father when I would came home and someone called me a name or teachers for you to figure it out mmm he would step in if it became a chronic problem but that acute stress he knew is important for my development because in life we will always like find these acute stresses everywhere someone will always be mean to us someone will always cross us we can't eliminate all that in the world so we need to learn how to handle that and if we always are living in this closed off bubble where no one says anything bad we're setting up a child for failure so of course if a child is getting bullied and now with social media that bullying comes home with them that's where you step in of course you step in but just on a one time like this is a great example I play soccer I was playing indoor soccer the other day before I got to the courts there was kids playing nine ten years old one of the kids gets hit in the face with the soccer ball very gentle and it was a soft soccer ball father runs in oh my god are you okay please come sit the child's in tears the dad's like oh my god oh my god we're gonna make it okay and then the child runs off and keeps playing like nothing happened which is what children do because it wasn't a serious injury and the father's like it's okay if that's what you feel like doing go play continued play and it's the more we do that for minor issues we then when they experience them out in the outside world they don't have that support from their parents they don't know how to deal with it sure I mean that makes sense I mean yeah so it sounds like you're always gonna get pushed you need to learn how to push back right that means that might sound way more violent than what you got well it's funny Jonathan Heights has something kind of borderline messed up if you take it out of confidence let's do that it's we're gonna clip it yeah he said social like we to be okay with social and justices need to learn how to be okay with and it's not saying that we should not do anything about social and justices it just means that if we are not ready for them and they destroy our ability to function we can never make changes to the social and justices so first we need to be okay with them so they don't destroy our pathway and then we need to figure out how to be constructive and productive and address them interesting so if you had a kid right now yeah when would you allow them on social media mid to late high school wait okay oh wow yeah very late you think you're gonna be able to keep yeah that technology out of their hands hundred percent you are yeah you are confident because I knew what I did to sneak around so I know what are the kids I was like wait wait would you do to sneak around well ever like I mean you know you hide when LimeWire came out I was hiding LimeWire from my parents well I like this on where we're parents were technologically ignorant where I could turn off the monitor and they're like okay well the computers off yeah I was like I might sneak in 30 minutes later you know I'm gonna steal some stuff that I think is music and is actually weird porn see yeah you know yeah I uh we we've recently made the decision to pull back like even the iPad it was it was it was like okay let's do YouTube kids actually let's curate it actually why are we doing this yeah right because I'm gonna and I think what made me stop was I thought back to my childhood and the TV for me was when a hundred percent the babysitter and even having kind of an inkling of that I felt a little bad yeah you know it was just like no I I much rather would be outside something we started doing with our son because I had talked to you a little about it is like even just in the mornings he and my wife now go for runs right get get energy out do something productive hopefully develop a habit just having those opportunities so that what's interesting about kids is we try and do all these things that we think are gonna help them or make life easier the best thing you can do for your kid is lead by example that's how kids learn they're sponges they if you say you should exercise but you don't they're not gonna do it yeah they're just not gonna make me feel like a hero is like this morning I worked out with Trey great that is good that's commendable cuz that's what's really gonna make a lasting so you could say all you want like don't use the iPad you can even take it away but if you're always on it that's what they're gonna learn is okay so it's really important to lead by example and make the changes in yourself first and be in a healthy and happy place before you start telling your kids I was like it was like somehow the conversation to believe bullying led me down a okay I won't play video games until my son's asleep I'm trying to hide it because I feel like parents are very into being friends with their children hmm and while that's good on some levels it could also cause some issues because there needs to be a disciplinarian in the house someone who sets boundaries and rules and you can't always do that if you're just a friend it's gonna make you even feel bad being a disciplinarian if you're their friend so if you're gonna do something like have a parents come into my office with children and then they start divulging things about their ex-husband's ex-wives or the struggles that they're going to get your ten-year-old out of the room before you tell me these things sure because you can't they're not ready for it mmm that's why again we we hold off vaping we hold off cigarettes because they can't handle that they're not developed enough for it so what I do to parents is I try and say if you're gonna have deep conversations learn what's appropriate for your child with their age and that line is different for everybody like one child can take more bullying than another one child can have more intellectual conversations another but if we just throw it all I kids bad outcome and so I guess your main thing is if there is a bad situation a bullying the main thing would be interject when it becomes not an outlier when it becomes chronic chronic it comes like a long-term thing we're like constantly your child's coming home and you're seeing that it's affecting them but you have to almost at the same time act in that you're not helping them there's certain points I will say because I wasn't I didn't have brothers or sisters growing up I didn't really get to hang out with a bunch of kids so experiencing things with my son's right now it's a whole new world and so there was a there was a I never know what to believe so it's like one of those things my son did a summer camp and one day we pick him up he punched a kid in the face okay I was just like oh and they described this different situation he says that he was getting picked on he tried to go to the teacher but they weren't there and so you know he ended up punching this get in the face that's a situation where like I don't know how to handle this I don't know obviously it's always go find a teacher but I don't how do we how do we raise children well did you have brothers and sisters screaming I have an older sister how do you raise in your opinion a child to not be a doormat yeah I mean the fair thing to do was to say you're in trouble but I'm gonna figure this out sure and with the best again you can have never address it whatever limited evidence you can yeah let's say you never get enough evidence to know what's true you tell them I'm trusting you but if this happens again you're in trouble sure if it's chronic yeah okay so like cut them a break but also like there's a there's always a line and again for every child it's so different because you already have your own intuition about how your child normally behaves so if he never lashes out and all of a sudden some teachers saying out of no where he started dude there must have been some extenuating circum then you can be more you know yes yeah so again it's like there's all this nuance out in the world that everyone chooses to ignore in contact so I'm always like new ones new ones yeah yeah I get that regarding social media you talked about kind of the potential pitfalls especially for kids do you think that also one connects to adults and to what's your relationship with social media I feel like that's a I'm like a common media burnout you know all these topics are so popular right now I had social media you did not even look at MySpace I had a myspace I don't think that's the same as like Facebook now because it wasn't algorithm driven sure uh it's funny Jonathan Hite something I pitched to him maybe he might use in his books is that I don't think it's social media that's evil I think it's algorithms that are driving social media interesting so myspace was never toxic like you might say like why aren't you on my top whatever yes but that's it there was no toxicity it was just a place to hang out yeah but now when algorithms come in it's like it forces you to do things that you naturally wouldn't do like overanalyze your pictures like over base tune your pictures and feel like if you don't give the algorithm what it wants a constant post you're gonna get pushed out so it puts all these pressures on that never existed with social media when it was just social media so I think it's social media plus algorithm that's really driving all of this so I blame the algorithm gods and I guess that's kind of connected then to the algorithm it's like gamification yeah yeah gamification it to me it's it's drugs right every time your phone lights up with like a like comment you picture does well your video does well its dopamine hit so now you have a 16 year old who's getting addicted to this type of notoriety it's why child stars actually don't do well when it comes to mental health they have a lot of troubles because there's so much of this dopamine rushes every time fans do this and that's what social media is now social media anyone can be popular so do you think what are your thoughts regarding like those changes that Instagram wants to do universally where like removing public likes do you think that makes as as not it's not only a man that is on Instagram but has a dog that is instantly famous I don't know I'm curious what's gonna happen to it I mean the thing is we always have to come back and remember that these companies are financial institutions that want to make money yeah so to them as much as great people say they should police this they should make sure that they should look out for the welfare of their children that's not what their goal is their goal is to keep this as going as long as possible and get the money and take the fewest hits pass exactly entire time yeah so I know Mark Zuckerberg doesn't care about me I don't want to say personally but I liked him correctly Zuckerberg but I think that these companies like for example they changed the way their Instagram feed is from chronological to now what they think you like sure that's a huge problem that's a huge problem not only because the algorithm messes with you and now you feel like your reach was cut financially it becomes a problem for them it's great because then it takes away your power and allows them to advertise a short more but why it's the biggest problem is it encourages you now to do anything you can to pleased algorithm at all costs because that now it's I got to do something to increase my reach and once it falls I have to be desperate so now it's this like thing those opposed to being bring humans together but it's encouraging behavior that's not human yes it is more than it connects so then a question why do you have like an Instagram for your dog like it I get all the other stuff well I think the dog just brings happiness to people so I don't see what joy yeah that's the joy thing but I and I think you can use social media responsibly I think there's a way to do it and hopefully my youtube channel and your YouTube channel for that matter is a great example of that where somebody can come on and educate while they're distracting somebody with humor and giving them something that is gonna make them better as a person now as you know that's not what that that's on the trending pages most of the time sure it's controversy it's drama I hate to put the the beauty people out there but like the makeup community on YouTube every face every community gets a turn the beauty community is just just really uh they just added more numbers behind everything yeah so that's what's getting front page news the songs now I mean percocet Molly percocet like probably like what literally I saw like a ten year old patient the other day oh my god just kills you yeah like do you know what you're saying that's why my first video on YouTube was describing what percocet Molly percocet was I think people don't know like at least kids don't know you're okay so you were the you were the video version of a Google search for parents yes I was trying to be like this is what they're saying here's here's another video about what TMI means plan emoji yeah wait so regarding actually you know what I was thinking regarding your dog I keep going back it sounds like I'm trying to a hit piece on your dog we have this tweet from bears past no that's the thumbnail it's just like no so for your dog I think in previous videos you have talked about having your dog as an emotional support animal okay have you actually done that I haven't but bear is in the process of getting certified for that so he can come with me to work at the hospital okay so I work sometimes on weekends and I have short shorter days on the weekend and I thought it would be great to bring him with me on those short days and then walk around like the pediatric ward and even the adults board for that matter and have him visit people because we have a program in our Hospital where when patients get admitted they can circle if they want the support animal to visit them and he's awesome he's awesome he's like just like nice joy I wish yeah I wish we can even have an office dog but the reason I wanted to ask you about it is it feels like I've seen stories especially out of California that the system is being abused by people that hey emotional support peacock is a thing that was my friend now what are your thoughts around that do you feel like it's not as big of a deal or it is something that kind of hurts the whole system I haven't figured out yet I see why people get upset by and I haven't quite found good reasoning or evidence why it's so bad okay so like you look at someone and they have a dog and they're just like playing with their dog you don't know do they have an invisible disability that you don't know what they have you don't know how bad their anxiety is do people game the system yes how do you prove it very difficult so like I haven't seen it be that if it's becoming a problem where like I'll give you an example in New York they issued a bunch of unlimited parking permits oh it's like teachers and like firefighter whatever like public workers and then because they issued so many they started getting sold because think about the value of parking in New York City unlimited anywhere well guess what people started tossing their cars in areas where you need access they start blocking roads and it became a big issue look that's evidence where a good intention backfired but here I haven't quite seen it maybe there are some instances maybe the comments are gonna blow up Mike you don't know you don't know you don't know it's Const I try to get off the plane and the peacock bit me or what a peacock sue C so actually to go back to the podcast the kind of non controversial part or one of the clip that he showed in one of your recent videos was people these days are less inclined to share they're kind of scared yeah even sometimes when I'm phrasing a question right sometimes it takes a little extra because I did I know that people can clip it if you find yourself not sharing or even in that kind of moment a second ago nervous to say certain things I think that's good it's like we're being careful with our words I think when we are scared to say something we truly believe that's when it becomes problematic mm-hm but then it's on us to figure out why we're scared to say it so when I started Instagram my ex-girlfriends at the time we're like oh no one's gonna take you professionally because you're posting selfies you should delete it sounds like I'm gonna delete the app and give it two weeks and figure out why am i deleting it for my deleting it for you or am i deleting it because I truly feel like it's a disservice to me and I think taking the time out before you say something to say okay am I not saying this because I'm just afraid of blowback for no reason or just really something wrong to say maybe it may be the way we need to operate is a think of everything we say on the Internet as like a tattoo right that's cool I like that yeah because it is unfortunately something that's gonna [ __ ] follow you forever the only only other chance you have is to just throw out a million things and hope it's in my dress did a video John Oliver did a great piece on gender and race bias in the medical community that doctors don't treat people of color and women as well as they do of people who are not and the piece obviously John Oliver's a comedian in part he delivered great information but it wasn't 100% it wasn't complete and I poison the doctor-patient relationship and just pile on and be like yeah look how racist doctors are because there's a lot all these things are multifactorial mm-hmm so I kind of came in and said this is horrible that this is happening because I'm genuinely upset by it we want people to get good care and then I gave also other things that are happening simultaneously that are causing this problem to be worse and the comments a lot of them well not a lot of them because if you take really into perspective how many comments they got but many comments came in were saying you're just defending the medical community hmm and I had to pause and think am I in part yes because I don't want to poison that relationship because just how they were saying as doctors are becoming more biased they're becoming more reluctant to see doctors if now they're getting these videos sent out to them by thousands and millions of views are they gonna even see doctors less so I kind of jumped in to try and repair it that's a very difficult conversation especially as a white male yeah so it's like how do I do that being respectful being honest and my thing is what always brings me back is like I genuinely believe that I'm not trying to do harm and I want to help as many people so however I say it if someone doesn't like it I'll be able to correct it or at least explain why I said it yeah I think regarding that topic specifically I end up being somewhat bias because we did a did a video about mortality of women that were giving birth and then host birth yeah and just one people not listening sometimes affected by by race and then the main takeaway felt like it was just always such a big focus on having someone there to advocate for you right and that was something I think I motherhood rate yeah and but that was even but I feel like that yeah it goes even further in the sense of just always for anyone because I remember having to do that for my dad after he had kidney surgery because they just like they're like I is on drugs and I'm like no he was always on but he was on so many pain or this like he's in legitimate pain yeah so having to advocate in that way it's very it's very interesting well cuz medicine is so like it's like life there's so many factors or variables that it's not as simple as but that's why I a I is not taking over all of medicine anytime soon because there's so many variables it's as much as an art as it is a science to to doctors can see the same patient and give totally different plans and they're both right which is crazy to say but patients like oh you didn't give me this so you're wrong cuz look this other person got this so complicated there's so many things that go into it do you have someone to take you home what's your social situation like are you homeless and there's so many things that we take into account when we make a decision that yeah it sometimes it may come off as unfair sometimes it may be unfair there's an implicit bias there great example of that is a lot of research in the last 20 30 years was done mainly on white men and it excluded females from the studies and that was bad because then we missed that a lot of things that we needed to know and it's not equal in that because there are differences between the sexes and that medications get absorbed differently diseases pop up at different rates there's different organs obviously involved uterus no uterus sure so we have to be cognizant of all this and really say that it's not just one issue it's all of these things and we just macro or micro zoom in on one issue we can really poison the doctor-patient relationship and get worse outcomes when you're thinking about the future of medicine is there something that feels like it's right on the edge or potentially coming up in the next 1 to 5 years that you get excited about I've talked to certain people that they're excited about for medical procedures I guess 5g and and and access for let's say some do not know how legitimate this is so it's a great thing to bring up with you right the idea of having some insert blank fantastic surgeon in sweet sure right all of a sudden able to kind of connect to something and be able to operate a machine externally on someone that needs a life-saving surgery like is that [ __ ] or is that or is that on the edge you think hey I think that's totally feasible that's happening actually on the plane coming here I watch a documentary by Vice on AI and that was part of what they talked about how doctors we already have a robotic machines that are amazing but the fact that the doctors not even over the patient they're like almost in a different room doing this they're not even scrubbed it so if we can do that I'm sure we can do it with 5 GME not don't get me I'm not a tech person but that's what I'm I think it can happen and I think a big part of what we're learning is how much genetics plays a role in a lot of our conditions genetics changes the way medications work on us and personalized medicine I think that's like a big feature and when you're talking about genetics is it is that something that and this is probably gonna be ignorant to you is that something one it's kind of like set in stone based off of you know it's a two different people where is it is it something in the sense of like also what that person did across their life right if like if someone sure yeah the more we study it the more we find out it's both okay and I it's funny growing up I always believed it's both and I don't get it don't know if it's confirmation bias because identify but in every aspect even when we're talking about like psychology for anxiety and depression we used to say oh this is just shaped on childhood trauma and you know adverse childhood events or some adult trauma that happened and that is the case a percentage of the time but then we look at people who have a genetic predisposition to it they have higher rates so there's really like it's almost always both and I think the percentage is shift depending on what condition we're talking about so I think your environment really matters and how you're grown up it matters but your genetics matter just as much that's why fat shaming it's great to bring that up right now is some people have a much harder time losing weight because of their genetics so we're just constantly out here saying oh it just because you're lazy no this person had to work out 99% harder than you did to stay at your weight so you fat shaving them is really unfair and that's where I think my whole like stance on that goes from you mentioned your your childhood or not your childhood childhood in general but a question I yeah well no I mean I'm always interested because you know I have you in front of me right now you're the you're the equal current equation of your entire past right what what was what was a were you inspired to do this because of family were you inspired at something like what made you want to be a doctor and I asked that as a pre-med dropout we told that I should be a doctor for 18 plus years of my life and then I was like oh I suck at this and I don't care you told me to do this to get money and every doctor I've talked to is like you should do something else yes yeah so your reason why you go into met school or pre-med is really that reason will define whether or not you will succeed more than anything more than if your parents are doctors more than if you want to become wealthy all those things no matter it's what is your reason and for me that reason was a my father was a doctor in Russia when we came to the States he went to medical school for a second time so he did medical school for years again he did residency all over again and now I'm 19 after ah or just you do when you don't depending on your circumstance but in this case he did and I got to watch it being a nine ten year old mostly nine ten year olds their parents are already doctors or at least further in the process so I got to watch that and I was like this is cool so you get to learn about your body and other people's body they trust you with their lives I was good at science and I was like let me try it so I started doing in the more and more I studied it I became really like almost like obsessed learning about it and I was generally a person who didn't want to study my parents had to like beat me basically now I was studying this house like this is cool I can get behind this and you know I watched some shows back in the day friends that when they had the doctors come on people respected that admiration I was like this is a good career good job security and when I started doing it I fell in love even more mm-hmm like I was like this is definitely the place for me because I can make impact on people's lives I also have a very unique skill and understanding very complex subjects and explaining them in a very simple level not because I'm smart because I'm actually really stupid no joke because when I learn about white blood cells some people are like oh it's because of the cd4 where ah the way I think about I'm like okay so they're the linebackers and they're like they're running back and getting in the end zone and those types of analogies that I taught myself through I now teach my patients and on YouTube mm-hmm so that has really helped me become a better doctor and now my sort of mini obsession on psychology and influence has taken me even further where hopefully not just making an impact on 30 40 patients that I see in a day in my office but millions of viewers on YouTube right so there's definitely so there's definitely that aspect of it having watched your videos as well I know that you talked about your mother and I was very I was very interested too interested to see if that had obviously that's gonna have an impact on a person but also specifically in this field did it change the way that you thought about your job or where you were aspiring to at the time very much so so just to give a little simple back story when I was in medical school my mom was diagnosed with CLL which is normally a very slow growing cancer and for her she had this rare exception where was very advanced and it was actually affecting her immune system so she went for these really complicated treatments where you have to destroy her immune system and replace it with somebody else's the donors and in that process they cured her cancer and we were happy about I remember picking her up at Mount Sinai in the city and we were like the doctor shook my hand is like it's cured what do you know two weeks later in the process of it being cured she got a horrible infection when's asepsis we're like the infection spreads throughout the whole body and she died and to me being in that situation where you're in a room and your mom is what we call coding her heart stops and all the residents run in and start performing chest compressions bringing all the machines in to see if they can revive her being in that room and watching my dad just say continue continue continue when I know I was already medicine at a time there's no point to continue we're doing more harm than good we're essentially abusing her body so I hat was the one who had to call stop on it that's difficult yeah it didn't affect me in that situation as much as I thought of because my focus was on making sure my dad was okay because he came well he brought us from Russia to set us up for a good life here and they were just getting on their feet because they came broke loans all this mm-hmm and now as they're getting on their feet and things are working out she dies so I knew I had to be there to support him that's actually why one of my dogs who's has her own Instagram page came into the picture we got her to sort of bring some happiness into our moment into a moment where there's a lot of sadness but the the biggest thing that I learned is empathy and understanding patience because in seeing her be a patient and go through the struggle bills and difficulties in dealing with the system I saw how complex it was but in the one specific thing stood out to me when she passed we were in a waiting room waiting to get paperwork to sign a death certificate so and so forth and some of the nurses when I came back to ask like what's going on they were laughing complete irrespective of our situation this is already 30 minutes later mm-hmm they're having a fun time like they have to otherwise they would get burned down okay but he made me really angry so when I was a resident working in the ICU and I saw my coal residence or co-workers also laughing in a moment like even if they're further away I would just explain to them my situation and it really taught us to be more cognizant of other people so that was my biggest takeaway from even let's take an uber specific example of it yeah that was something I took away from it just be really cognizant that in even though you're not laughing at them or you're not trying to you have to be sad or at least you have to be empathetic enough to show that you're not going to go celebrate right after their loved one died so wait so how many years have you been doing access yeah um I graduated medical school in 2014 so going on year six now so do you being a doctor do you still feel it and if so like losing a patient yeah is it still the same when I was in my second year we do these simulated labs where we have like a dummy and we try and perform chest compressions to get better in those situations when I first heard all those alarms I haven't heard them since my mom's passing it jolted me I'm usually not an emotional person I can handle anything but for some reason that sound brought me right back to that room that's never happened to me so that really shook me and then I was like okay and now I know I'm feeling this I processed it I didn't block it out because the common thing that people do too often is during moments of bereavement or even a breakup with a significant other partner we would say just block it out ignore it it will come back one way or another so the more we ignore it and don't experience the emotions of sadness crying whatever it is they're gonna come back and haunt this and the craziest part about all of that is they may haunt you not on a mental level but on a physical level so your sadness from your repressed emotions can show up as chronic back pain oh wow literally muscle spasms so you're just like I got a I just got to feel it now you had a long feel that you might do it later yeah in fact there's a great book by dr. Sardo late I know from NYU who wrote the book called the divided mind basically about how repressed emotions that are very serious will get your mind to distract you from them by giving you physical pain because physical pain is very distracting look if you have a backache you're not thinking about your childhood you're thinking about how to get treatment for your going for all these things and it always comes back and I'll have patients who come in for elbow pain back pain shoulder pain and they're not like athletes they're not having trauma why are they having why is their body falling apart and then I start talking about their childhood all of a sudden their pain goes away it's like whoa wow yeah so we sort of like a mind-blowing so yeah so what about on the the opposite end of that grant we talked about loss but I mean one of the reasons I talked about you on my show recently you're on an airplane helps save a man's life what is crazy situation lovey let me let me connect that to a completely unrelated situation and like if you have a video on YouTube you probably don't feel the highs as much anymore because you've experienced you've experienced super viral videos right like yeah ten million is a number on a video that you hit with a life yeah what's a completely not of the save level do you just feel like okay I did my job or is there this yeah that's that's why I did this job sort of feeling what what is it what goes through your head we say it's our job yes we don't want to come off I think police officers firefighters or first responders know this best but it feels really good and I'll explain why there's two types of happiness intrinsic and extrinsic happiness intrinsic happiness well let's do extrinsic first extrinsic happiness is you want to buy a fancy watch you want to buy a fancy car all those things are ecstatic things and they all feel really good in the moment same thing with partying and doing all these things they're all really good at the moment they give you a really great high but they don't last and actually get used to that high much how we do with our views so that high kind of goes away intrinsic happiness which comes from volunteer work helping others creating social bonds with family members or friends these things don't go away that's a lasting happiness that really fulfills you and brings well-being into your life so the more we can focus on this level of intrinsic happiness the better will be and when I was on the airplane yeah there was like the initial high of like all these news outlets reporting including you by the way that was crazy to be a BAM of course but the real high came from the fact that like this person wouldn't be alive mmm if I wasn't on this plane looking homeless in my hoodie with no shoes on like saving his life but my training helped save someone and I meant a lot to me I kind of want to give you a cool test can I give you a cool time yes ready for this yeah would you rather work in a company I'm not putting on the spot I know I'm like yeah you can't be bad here would you rather work in a company where you make ninety thousand dollars a year and everyone else earns eighty thousand dollars a year No or would you rather work in a company making a hundred thousand dollars a year where everyone else makes 110 oh right so well I mean I'd say a hundred thousand dollars you would or are you just saying that's it sound cool like no I mean I don't well no I mean you also have taken to account my position right I own a company I manage other people's salaries for me like it's I don't forget this exists you can't have this anymore this is all gone but I'm under but yeah of course my own you you said the first one is a lower amount of money yeah but you're making everybody else yeah no more for me okay why well I'll tell you most people if it's only a ten thousand dollar difference they will choose earning out earning everybody and that's really a natural response to humans but it's interesting that they've narrowed down to that ten thousand range that's a pretty cool number because if you say 110 thousand and 120,000 everybody everyone will take the hundreds 110 okay but now if I flip this situation for you you kind of ruined it by being I'm sorry wait say it again because I want to make sure I'm not no you're doing the right thing you said no people prefer the status in making ninety over 80 than making 100 making more money but less than everybody else I think maybe part of it comes from I know there are a number of people that are either shitty people or are actually genuinely miserable people that are far out performing and out earning me on this platform but I know that me I'm good I'm covered there I think there are people out there that will focus on other people some some P taken to a different level and trying to tear someone down or to muddy up someone talking about people who are chasing extrinsic happiness yeah but that's a thing as I as long as I'm good I'm great so a very healthy mindset perfect it's the only good thing I got going on that's an important thing because the next question to that would be lets say you answered it the other way let's say you're most people say and they preferred the ninety thousand status good let's say now I change it and I say would you rather work in a company where you get three weeks of vacation a year and everyone else gets one or work in a company where you get six and everyone else gets nine everyone says more vacation because there's no status in the vacation sure but the money they want the status okay so to vacation which is crazy because now you talked about this with Casey I think on your podcast go for it not everyone saw it oh but you said how we need to take vacations more and we don't and what's crazy is you think that as you get more money you'll get more financial freedom which will mean more vacations what we see in reality is the more money we make the more we become slaves to this money and take less vacation yeah that's why you have places like Google that are like yeah you can take a vacation you want as long as you get the job done yeah and then they do studies and they're like oh no they end up working way more yeah it's human beings are weird weird right that's cool kind of studying them because it's like you can figure something out and make cool sound bites but I think it's also because it's like you can't understand a human being on paper because it's just this imperfect bro that's why I robots gonna television you ever called you don't need antibiotics antibiotics I'm going to Jamaica tomorrow like robot doesn't know what to do well the reason earlier I asked you about I was like what do you think about like the future I went into the emergency room for the first time in like eight years about ten months ago and there was a lady next door that was talking to a doctor on a robot that like yeah just like one of those and I was like I mean and the specific situation was very so but uh-huh no it was very sad she uh she recently lost her husband and I guess she started drinking and so she fell and it was this whole very sad thing that it sounds like stroke they don't fall because the reason we bring those computers on the majority of the time is during stroke protocol that if a person falls or has like their mouth starts dropping and drooping they will call that robot in with the neurologist on the line at home and they will give them tests literally they they will say point to this do numbers and all these types of tests that we do and then from there we decide whether or not we're going to give the clot busting medication so that's like the reason we have those just literally time is brain tissue sure so we really try and get that as quick as possible but there was a cool case I don't know if you heard it I covered on my youtube channel about in a ICU setting they brought a robot to essentially do like hospice care oh who are a family and the the person who was getting the care didn't even really understand the robot and it was like a horrible situation they were outraged so like there I'm like you shouldn't use that for something so sensitive yeah yeah I get that this is gonna sound this is probably the least the audience would be the least sympathetic to whatever your answer yeah have you ever felt that you being ready for whatever you being as attractive as you are has worked against you no no it's always just me if I want to be sensitive about it and just focus on that I can zero in on it and say yeah they've treated me unfairly because they just think I'm this or every time I go on a show it's opened with this to me I look at that as an advantage because who else as a young doctor we get the opportunity to go on nationwide television last day we're really I'm under no impression that they're inviting me because they think I'm brilliant worried so I like to believe that I have something to offer sure and they just don't know about it yet cuz they're focused on the looks but I say comfort come for the scandal stay for the content or a comfort for me it was always just kind you were coming in and I was like I wonder if it's ever worked against him in a professional setting in that one I could see it as disarming all of a sudden you know people kind of maybe have the barrier down so maybe it helps out or two because you look so young if that has also then worked against you where someone's like I want a second opinion but maybe not know I'm sure it has happened I don't think I think about it much because if I spend enough that must be nice like I actively don't think about it so yes not like I'm I'm just so happy all the time I don't think about it sure I just say okay this happened okay how do i dapped them they're very practical when it comes to it and that's why I'm a big fan of CBT cognitive behavioral no so it's basically like the most popular form of psychotherapy for those who are depressed anxious but it works for all sorts of things addiction abuse victims PTSD and it's very practical and it's basically asking yourself what thoughts are you having that are irrational dysfunctional that are now leading you to feel depressed because it's actually your thoughts that cause you to feel depressed not the fact that you're depressed and you have bad thoughts very common misconception so for example if you feel depressed and someone comes up to you hey snap out of it they're an [ __ ] yes you can't change your feelings but what you can do is you can change your thoughts very commonly what happens is let's say I'm a student and I have 29 days so I'm a straight-a student that's how I define myself sure I get a seat on a very hard course I look at it I'm like I'm a total failure I got a C and I harp over it I'm a total failure now I take that sentence that I say to myself I'm a total failure that's gonna lead me to depression if I can take that sentence put it down on paper and say what's the rational answer I got one bad grade all my other grades are great if I improve here I'll learn from this and I'll get better still sad you're not like happy now but you're not going into depression sure and all of CBT is addressing a lot of these different irrational thoughts that we have there's different categories black or white thinking labeling like feeling failure either this person's evil or good which is happening like crazy now online or which is why I think everybody needs CBT because how often does it happen that a great person made one mistake even a long time ago that they've learned from that we say no they're all evil right no person even if their murder is all evil you may be great to their family right they may have done an evil act and they've did a heinous act or whatever we want to call but you can't say they're all evil because what if they're really nice to puppies I don't know if that it gets to go into the equation for me personally but again that's how I think about it is in a mental health space so every time people have these like mind-reading is another common one so we cross each other on the street cross paths I look at you to say hi wave you don't even respond to me and I'm like wow he must hate me I'm reading your mind but now you're walking out because you just lost your show horrible happened your life and you're all focused on that you're not even looking at me you really don't through me but I'm mentally reading you and saying oh he hates me I'm a better that happened so often so I really try and sit with my patients and do this type of therapy all the time cuz I do it even to myself it's very so when you're talking about CBT is it something that people do need to go to a medical professional or there's like online resources or so there are it is technically something you should do with the therapist okay or a counselor or a doctor who's licensed to do this but there are great books like the prime example that I always talk about as a book called feeling good okay it's written about CBT to be performed on your own and actually it's proven that if you have a mild case of depression reading this book alone and doing a little exercise in it will help statistically it's proven statistically yeah I was like I'm gonna blindly believe it but I also have the study on it is crazy because you literally gave people the book mmm and they made them do the exercise and they gave a percentage of people who didn't read the book that's not enough at two weeks they flipped it they took away the book from the - from the initial group and then they gave it to the other group and guess what it completely reversed Wow so the book was making an impact Wow yeah it's pretty crazy that's insane yeah so Mike this has been really fun things I try and do with with everyone that I have on is is there kind of like a piece of advice or thing that you want to say that you think could benefit people in their life this is more on the medical side of things but I think it applies to everybody okay medicine is an imperfect science and anyone that comes to you sure of everything they're what's known as an AI ka expert I know all expert and you should be aware of these people because these people will promise you things and it will not come to fruition so if you can find a doctor that's not afraid to say I don't know you found yourself a really good doctor oh wow I love that and maybe even just yeah I think it's wait it goes way further than medicine yeah I love that well because as you study more in life any given subject you realize you just have a bunch more questions than you have answers yeah so thank you we're of Iko experts okay don't get them in your life thanks for coming on yeah thanks I appreciate it

Channel: A Conversation With

Views: 1,158,782

Rating: 4.9492192 out of 5

Keywords: Philip DeFranco, Dr mike, Mikhail Varshavski, A Conversation With, Podcast, meme review, real doctor reacts, doctor reacts, doctor memes

Id: IdPFaDt2dEo

Length: 71min 6sec (4266 seconds)

Published: Wed Sep 25 2019

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