RUNNIN' VEGAS - The John McNamara Podcast

Dr. Leah Goedecke : Fight Smarter, Heal Stronger

John McNamara
SPEAKER_01:

Hey guys, John McAmov host running Vegas. We're talking locus more Vegas real estate. Guys like to see some of us run in Vegas podcasts. We got a Mr. Co-host, George Hernandez in the house. And we got a special guest. Dr. Leah Gedicke. Thanks for coming in.

SPEAKER_00:

Thanks for having me.

SPEAKER_02:

Excited to have you on. So tell us more about you, your story.

SPEAKER_00:

Yeah, so I'm a physician here in Las Vegas. Came from Ohio. And my specialty is neuromuscular skeletal medicine and sports medicine. I did my undergrad at University of Arizona, Go Wildcats. Wow. Yeah, so much more. Party school, maybe back in the day. Not so much anymore. Oh really? Oh, okay. It kind of died down. Yeah.

SPEAKER_02:

Arizona State, I think it's like the party school. Yeah.

SPEAKER_03:

Oh, okay.

SPEAKER_02:

That's where we went that one time. Okay, yeah.

SPEAKER_03:

I'm really bad with Tempe.

SPEAKER_02:

He's thinking of Tempe. It's okay.

SPEAKER_03:

We haven't gone to Tucson. Okay, okay, okay. Yeah, yeah, yeah. Yeah, thank you.

SPEAKER_00:

Um yeah, I came out here for prior practice initially, but also came out here for boxing, combat sports. So started off as an athlete myself, um, competed a little bit in amateur boxing and fell in love with it, fell in love with the community um lifestyle, and now I'm out here working amateur fights.

SPEAKER_02:

Wow. That's that's really cool. And you just attended a conference I saw?

SPEAKER_00:

Yes, uh, the Association of Ringside Physicians. Um so really good conference. Um it's uh organization under kind of sports medicine, um, and uh trying to unify all of the different um sanctioning bodies, I would say. Because each sport, MMA, Muay Thai, boxing, all have kind of their own rules, regulations. Okay. Um so they're trying to kind of unify it. So as a ringside position, we can all kind of be on the same page and follow everything, and also to put fighter safety first.

SPEAKER_02:

Yeah.

SPEAKER_00:

Because, you know, it's a I say it's a gladiator sport. At the end of the day, you're gonna get hurt. Uh, that's the name of the game, is to cause your opponent to have a concussion or an issue. You know, so there's a lot of controversy of being a physician sitting ringside when we're mad at each other.

SPEAKER_03:

Yeah, sure.

SPEAKER_00:

Guys do that in general. That's why that's why it's so much. Okay, females don't fight it out, men do. But we are very tough. The females tend to be a lot tougher than than the guys are for sure. But yeah, so they're they're trying to, you know, we want to create the sport to be safe, yeah. Um, but you know, we want to also keep true to the sport. Right. So there's a lot of controversy in being a physician because our goal is, you know, health. And so when you're in a sport when the goal is to hurt the other person, there can be a lot of controversy in that and deciding when to make calls and when to not. But at the end of the day, broken bones can heal, you know, depending on where they are, four to six weeks, but your brain is not like that. And so that's the most important thing that we talk about is concussions, CTE, uh TBIs, that type of thing. Okay.

SPEAKER_02:

So what are some of the things to sorry about? I'm sorry, my ADD kicks in by some of what are some of the things to prevent concussions?

SPEAKER_00:

So one is making the right call, right, during the fights when they're happening. You see it more in boxing because it's repetitive hits to the head versus MMA. Um, Muay Thai, you could see it depending, you know, you got slap, which a concussion is right then and there.

SPEAKER_04:

Right.

SPEAKER_00:

They get knocked out, you see that all the time. But it's a concern of second impact syndrome. How hard are these guys training in the gym, which we can't monitor that, right? Did they just get knocked out previously while they're sparring and now a week later they're in competition? Yeah. So it's creating that honesty of, you know, fighters being honest with us, and then you know, creating, okay, like this is headaches, dizziness, nausea bomb. This is not normal. It is created normal within the gym. In the gym, it's like, oh, it's okay to be hurt, it's okay to be like this, right? I was there. It was like my coach literally had me spin around on a bat to mimic dizziness and then put me in sparring. Oh, I get the name of the game, right? We don't complain about anything, we don't say anything. Injury is normal, headaches are normal, but it's not. It's not in the long run.

SPEAKER_02:

Right, right. No, it's not. I'm so glad to hear that you guys are getting safer because I played football, I was getting cussed every single day. Yeah, I was just gonna say that was not a thing. That's 20 years ago.

SPEAKER_03:

Yeah, that's really can I give them context really quick, though? Because you did something personally to me, and everything you do is is great. We've had little conversations, but I had sciatica kids, and I couldn't get into the spinal doctor or I'm not sure what exactly it's called, but you did manipulation on me three times, and I remember the third time I went in there, my pain level was at zero, so it was like just craziness. So, thank you for that because it's like everything's doing yeah, way better now. And then just to give you guys context, kind of how we met too, which is kind of cool. And I do so my ADD kicks in, so I apologize, but so when I get like excited, so there was this rad picture we saw. This like that's not the one we use for Instagram today, but you're in the boxing ring looking at this box and you have heels on. I'm like, that is the coolest fucking shot ever. I'm like, I love this, like that should be framed. I'm like, it's cool, it's like just so empowering. Yeah, like yeah, so yeah, okay.

SPEAKER_02:

So thank you for helping too. You helped me too. You referred by my mom.

SPEAKER_00:

So yes, and your mom is great. I can't, uh, you know, everything she tells us, yeah.

SPEAKER_02:

Okay, mostly.

SPEAKER_00:

Yeah. I mean, that's where that my doctor of osteopathic versus you know, MD versus DO. I'm a DO. Um, and so DOs have a little bit of a different um concept in that they believe the body can heal itself. So I would say it's a balance between modern medicine and holistic. We kind of sit in the middle. It's not just let's give meds to our patient, it's right, let's create this functional medicine. What can we do that your body can to help your body get better, right? Not just throwing meds or or saying, okay, you know, just do A, B, and C for every single patient I see, right? Everyone has their own mix. That's why I believe medicine is an art. And I think, you know, looking at the biomechanics, just like in sports, is extremely important. And I know you guys go to the gym, you do your stuff, your Pilates, and it's important to have that biomechanical functioning proper so you can fire muscles properly, and then you don't get that imbalance, then when you keep with that compensation pattern, that's where problems happen and you're overused.

SPEAKER_03:

Right, right, right. I I had a question. I had a question really quick just because time goes by so quick, and I just and I was trying to articulate it earlier, but so just bear with me really quick. So I would like to know, because we all go into a career, um, thinking, like a preconceived notion of what we think that title or career or position is going to take you in life. How has it been different from the time you went to school, you got out of there, and being in like, because we talk about it all the time, like the the holistic route and the health route and all that? How has your perspective changed since you went to school, came out, you're actually in the field, and you're like, oh, you know what? This isn't what I thought, or maybe this was, but this is what wasn't talked about. There's a lot of restrictions, there's big pharma, there's food, there is um insurance companies, healthcare, hospitals, and all these other that are ran like businesses where you think they're all working together, but at times I don't believe they do. So what or there's a disconnect. Yeah, so like I what's your take on that? So I'm just because you're actually in the field. Like, what's the most frustrating? You could take it anyway.

SPEAKER_00:

Yeah, but so I mean, I grew up with it with uh a dad, he's a physician. So he had his private practices, two private practices, and when I watched him practice, it was awesome. He had autonomy, he could do whatever he wanted. I don't feel like there was this huge overbearing insurance companies that were telling him he can't do this or can't do that. Okay, and it was back then it was like cowboy medicine. You can do a little bit of everything, you have to sub-specialize in every little thing.

SPEAKER_04:

Right.

SPEAKER_00:

Um, and patients seem to, you know, have a very good connection with him and him with his patients.

SPEAKER_04:

Right.

SPEAKER_00:

I feel the biggest thing I came into medicine because I saw what he did and he loved it, and his patients adored him. And I was like, I want that feeling, I want to be able to help people. Yeah. I mean, they're like, well, why don't you go into nursing? It's still a little bit different. A little bit different. Um, and what they teach us in school isn't always applicable to what is in the real world, right? Actually, very minimal, which is super frustrating. Yeah, right. Medicine, like I said, is an art, it's constantly changing. We cannot do A, B, and C every single time with the same diagnosis. Right. Everyone's different, everyone responds different, right? Where there's so much talk more about epigenetics. Like, okay, you might be born with these genetics, but it doesn't mean that that's gonna be the outcome for you, right? Right. Environmental factor stress playing a role. I think the biggest thing was after COVID, is where people had such mistrust in medicine. And it was frustrating. Even us doctors were extremely frustrated. Although I was still started on that. Although I was still in my residency, you had these hospitals that were ran by CEOs who've never been on the floor or never treated patients. So they didn't understand what to bring in and how to manage patients. And so doctors were super frustrated. We're getting overworked, we're trying to manage patients, and you know, we have these higher-ups that have never been in patient care, right? So super frustrating. Fast forward, now we have the CDC that's saying we need this, this, this, that it's mandated, and it's like, okay, but we have little research on it, right? Right. So then you get that mistrust, right? And then we have Big Pharma where you put out medications, okay, but it's a 20 side effect profile.

SPEAKER_04:

Right, right.

SPEAKER_00:

I mean, what's yes, there's a benefit and risk, I always think in everything, and that's what we have to weigh and have to tell the patients, right? I'm not gonna give a 16-year-old a stereo a steroid injection shot for a tendonitis, okay? It's just long-term detrimental, they're gonna get better. We gotta manage this conservative. Now we're talking to a seven-year-old, okay, maybe they're 70 years old, right, right? And it's different, yeah. It's different. So you have to think of all those different things, but it what frustrates me is one insurance makes the decisions on what I can do with my management if I go through insurance, which is frustrating. I want an MRI. Oh no, they have to go to PT first. Right. No, that's that shouldn't be the way it should go, right? They also don't pay well to the physicians, right? I mean, the misconception there is everyone thinks doctors are rich. Right. No, I mean, half of us are in extreme debt. Private school. It's we're paying, you know, thousands and thousands of dollars, tens and thousands of dollars a year to be in school for this. And then we come out in extreme debt and stuck in a hospital system trying to make up until we're 50 years old. Right. Right. To and into insurance companies that I don't think do the patients any favor, nor the the physicians any favor. Right. I'm not saying everything's all bad with insurances, but the majority of the time we're fighting insurances.

SPEAKER_04:

Right.

SPEAKER_00:

Okay. And so also then you have big pharma where it's like we have studies on PRP, which is platelet-rich plasma and stem cells. We know there's not a big side effect profile to that. We know patients can do well with that. Yeah. So why are we pushing steroids? Why is in check why are steroids approved, but this regenerative medicine isn't?

SPEAKER_03:

Is this true that we have to call it PRP here because we can't call it stem cell? Somebody said that, and I don't know if that's true.

SPEAKER_00:

No, they're two different things.

SPEAKER_03:

Oh.

SPEAKER_00:

So one is platelet-rich plasma, which is when your blood's drawn out and you're uh spinning it down, where stem cells are actually your clutch. That's like the one you can do from the hair. Right, right, right. Yeah. So, and I think those treatments work way better, right? That's why I'm saying functional medicine, what we put in our bodies is so important. It's the brain gut access, it's a real thing, right? That's why we're switching to all these peptides and exosomes and everything, because what we put in our bodies and give our bodies are the building blocks for the rest of everything we have.

SPEAKER_04:

Right.

SPEAKER_00:

But it is frustrating from the other standpoint telling a patient, hey, you gotta lose weight. You know, it takes months to build a habit, six months to see a difference. No one wants to wait that long. Everyone wants this is it fixed. So the things that it's it doesn't work like that, right? Right? We have to change our diet, we have to change our habits. And yes, you can get off diabetes medication, yes, you can get off that hypertension medication. Now, not I'm not saying every medication, because sometimes once you have so far into that disease process, it's can be difficult. Right, right, right. But let's start by not even having it start by because someone says our parents have it, that we're gonna have it.

SPEAKER_03:

Right. It's like obesity. I see that in certain cultures. Uh being Latino, it's like certain cultures, it's like, oh, you're just predisposed to, but no, it's because you're eating the same things. Yeah.

SPEAKER_02:

Well, I think we get conditioned a lot too to just put a band-aid on it versus actually fix the problem or whatever's really going on. Like you said, it takes time and energy to actually fix things. So I got really lucky young because my mom, as you know, got me into holistic medicine. So it made me think completely different. But I understand the news and the media does not talk about that stuff. And it's just it's taking a shot, whatever it is, and the commercials that are out there. So yeah, it's it's an interesting time.

SPEAKER_03:

Yeah, so it so if you could change one thing about your industry, what do you think that would be where it will like change for everyone that comes after you?

SPEAKER_00:

Um I think of the red tape. We got a lot of red tape.

SPEAKER_04:

Yeah.

SPEAKER_00:

There's a lot of red tape, and you know, I feel like everyone's working against private practices. I mean, a lot of physicians are moving into concierge medicine where it's cash pay only. Right. Which I think benefits the patient and the physician. Now, if you're trying to manage someone with a lot of diseases, that makes it a little bit difficult if you have to end up being hospitalized at some point, right? That's where insurance kicks in. Pregnancy, that's where insurance kicks in. Right. Other countries, that's not a problem.

SPEAKER_03:

Right, right.

SPEAKER_00:

It's like$500, I don't know, in another country to get pregnant and be in and out. Yeah, it's hundreds of thousands. Right, right, right, right.

SPEAKER_02:

So that's that math's not massing. Yeah.

SPEAKER_03:

It's not massive. Well, yeah, yeah, the yeah, the body.

SPEAKER_00:

I think too, you know, having more being able to build more of the rapport with the patient, right? When I was working with both of you, I was in a different environment than what I'm at now, where I'm at under urgent care and and occupational medicine. Different environment, right? When I'm in my more holistic where I can do my hands-on and sports medicine treatment, do my regenerative medicine, it's a little bit different too with the patients coming in, what they want from me, right? Versus coming into a different um environment where patients want other things. Yeah. So I think that is a little play.

SPEAKER_03:

Private practice must be harder though, right? Because you've already come out with a lot of debt, and now you are also trying, because we're essentially all clients, right? It's just like any other business, and then you have to acquire all these people. Yeah.

SPEAKER_00:

So it's That's what burns us out.

SPEAKER_03:

So it has to be challenging. Right.

SPEAKER_00:

We doc physicians, it's like, oh, we have such a shortage. Well, we get burn out, the system burns us out. It's not fair. You want more physicians, treat us better. Yeah, right, right. And we'll be there, right? Right. We work extremely hard, right? I just I just finished my fellowship a year ago. I've only been out for a year, and you know, you look at me, and I'm like, look, I haven't even lived my life. I don't have kids. I I've literally dedicated my entire life to medicine in school. So yeah.

SPEAKER_03:

So what would be something you say, like, let's say I come to you tomorrow, I'm like, you know what, you've inspired me. I want to be like you, I want to be a doctor. What's something advice you would give me that some not some normal person, but somebody you wish somebody told you, like, hey, and maybe not like was gonna derail you from that, but you would have taken it into a little bit more consideration.

SPEAKER_00:

And I mean, I think I was told plenty of times when I was stubborn. I was like, I'm gonna do what I want to do. And I feel like most people who do come, I mean, that's the type of personality you do need in medicine. It's it's the um endurance, it's the stamina, it's the grit. It's the yeah. Yeah, I mean, people are like, oh, you just have to be smart. No, smart is not gonna get you far in medical school. Yeah, it's a grind. Yeah, it's a constant, you're getting beat on, you gotta get through this, you gotta study. Um, you know, so I just I always tell people, I'm like, you know, you can't quit once you start either. You don't want to quit. You've been so far, you got this so far. So there's tons of people like, oh my gosh, you know, I just I don't know if I do this, but you don't want to quit when you're that far in. You're you're neck in, you're deep in, and you're not trying to back out at this point.

SPEAKER_02:

Yeah. Yeah. Do you have any like recommendations for people out there that you know, preventive medicine, anything they can be doing, supplements, anything you can recommend to folks?

SPEAKER_00:

I I uh anti-inflammatory diet, right? Anyone who has any autoimmune diseases, I say clean your diet up. Diet is gonna be is extremely important. Dairy's inflammatory, get that out. How about sugar? Sugar, yeah, let's process foods, no processed foods.

SPEAKER_03:

I don't know.

SPEAKER_00:

Seals are the worst. They just banded that. Didn't they ban them in the house? Probably because of the color. Yeah. Yeah.

SPEAKER_03:

I usually don't, but but thank you for putting them on the spot. He is a striggler for sugar. Like strickler. And he's like, You hit your so many grams today. Like it's like a big one. You know, when I get a little sad, I go to Gummy Bears.

SPEAKER_01:

Well, you must be sad every day then.

SPEAKER_03:

I'm taking it one day at a time. I'm taking it one day at a time. I'm doing the best I can. You're doing good. You're doing good.

SPEAKER_00:

I mean, it's the forever ancient thing we say, diet and exercise, right? Every doctor tells you that name and was like, no. And it's like, yes. Diet and exercise. What is it? The five red zones or blue zones, like the five places that have the longest living population. I can't remember what they're called. Is it like red zones or blue zones? I don't know.

SPEAKER_03:

We're talking about it, remember? And it's like they get to like a certain age and it was crazy. There was some documentary on it.

SPEAKER_00:

Yeah, and it's like it's like a lot of things.

SPEAKER_03:

I don't know what those zones are called. Oh, we did read this. Because Japan is like the number one. Yes, they live until like 100 something. Yeah, but I know exactly what you're talking about.

SPEAKER_00:

It's community.

SPEAKER_03:

Yeah, you're okay.

unknown:

I know, I know.

SPEAKER_00:

Community walking, loving the job that you do, yeah, eating healthy and eating to only 80% full. I don't need to stuff yourself. Yeah. Kiki guy.

SPEAKER_03:

Was the book? Kiki Guy? Yeah. Yeah. Yeah, yeah. Yeah.

SPEAKER_00:

So, I mean, those I think are really important. And then, too, if you're getting surgeries or thinking of any more um interventional type of medicine, get a second opinion. I always tell my, even for me, I tell my patients, get a second opinion. It's not a one, I'll see, I'll do all. Like a lot of times it's tunnel vision. But and it's that's why it's hard because everyone subspecializes and they don't see the whole picture, the whole body works together. And I think and I evaluated both of you, it was like we look from head to toe. We figure out everything, what is contributing to this? It's it's mental too, right? Yeah, it's not just that, it's mental. It's how you how's your sleep hygiene? How's everything else going? You can't heal if you're not sleeping well.

SPEAKER_02:

Yeah, so that's for sure.

SPEAKER_03:

Yeah, sleeping is everything. It's like we're gonna be able to do that.

SPEAKER_02:

Yeah, we just got our whoops, and that's been helping us with our sleep and our recovery.

SPEAKER_03:

Accountable, him and I, yeah. Just with the sleeping. I mean, even like with cancer, it's like I've seen certain research remember where like they cut out sugar and alcohol and they like start healing.

SPEAKER_00:

It's like just by cutting those if you're not giving your body those toxins, you're not giving those building blocks. Right.

SPEAKER_03:

It's like you're not yeah, you're not feeding into them.

SPEAKER_02:

So yeah. Do you have any books that you'd recommend for anybody to listen out there to help on their health journey? Because I know it's kind of big because I think the most people they just go to their doctor, they want the band-aid right. So is there a good book out there or something or a good podcast, something to read to kind of get people more on the holistic side of things?

SPEAKER_00:

But the body keeps score. Um, it's a book about pretty much understanding your body and like the multiple different factors.

SPEAKER_03:

I get it sometimes. We gotta laugh a little.

SPEAKER_00:

But I mean anyways, like I think it's I think it's a good book for people who are um in chronic pain, have fibromyalgia. Those some of those diseases that get thrown on you that you're like, okay, I look up and it's no cure. Like, what do I do with this, right?

SPEAKER_04:

Yeah.

SPEAKER_00:

Um, I think it's a good book for that. Or um people who have had an injury and still haven't seemed to recover from it. Your body has PTSD, right? Just like you say PTSD from a traumatic gunshot, right, to the head, something happened traumatically. Well, your body can go through the same thing. Um, and so it's kind of learning to heal from that from the inside out. And it is a big uh your mental your mentality plays a big part in, I believe, your pain tolerance and how your body adapts to things.

SPEAKER_03:

I have a question about, I'm sorry I'm jumping on. I have I have like a hundred questions for you actually. That's why I was so excited for you to be here. So, how do you build rapport with because you're like, that's what's really important, that's kind of what's lacking in this industry. How do you build rapport with somebody that's coming into you with a certain situation? You only see them for five, ten minutes, maybe, and then they keep coming back, or how does that occur? Is it because then they don't come back till a couple more weeks, right?

SPEAKER_00:

And it's just well, I mean, like how does that occur in your in my general? Like when I was doing more of my osteopathic manipulation, I see patients once a week and I get to spend a half an hour with them. Okay, so it's easy for me to build rapport, right? And half the time, you know, people docs never even touch me. And I'm like, you know, touch healing's a thing of like putting your hands on that injury and saying, you know, let's actually feel what's going on here.

SPEAKER_02:

You're very physical, too. Yeah, so yeah, it's different.

SPEAKER_00:

Yeah, you know, there's no personal bubble as much as people would like. But that's where you build that trust, right? And I'm like, look, trust me, we're gonna get better. And the patient comes in and it's like, okay, I've had really tough patients. Um, and I've had patients that have cried to me because when I'm doing my treatments, sometimes they're painful, but they come back because they're like, This is better, this is better. And crying is part of the process sometimes of like let this release go. Um, you know, it I think it's personality, right? I think sometimes med students have it's not just book smart, it's being able to have a personality with your with your patients. Yeah, and being exactly emotionally intelligent, being able to read the room when you come in, like, and not saying certain things with your patients, right? I'm not gonna be the same way with an athlete that I'm gonna be with my 80-year-old patient.

SPEAKER_04:

Right, right.

SPEAKER_00:

Right? Um, and I just feel like I I'm able to just kind of read the room and build that rapport, find a connection. Um, I'm lucky enough that I've experienced a lot and traveled a lot, and so I have there's always one thing that I can pull for my patient that I can connect with. Oh, you did this? Oh, cool, like I did that, like I used to do that, or I like that, or I enjoy that. Um I like common ground. Yeah, common ground with your patient. Try to, you know, not so much pull everything out of them, but find a common space where they can start to open up and and build that trust with you. And when they realize that you spend the time with them, even if it's 10 minutes, if I spend the time really explaining something to them instead of just throwing something at them, then they realize okay, she she does care. She's trying to help me out and understand it, even if it's not what they want to hear a lot of times.

SPEAKER_02:

Makes sense. That's like us with sales, like you know, every situation I tell our clo our clients and our team members all the time is we've got we can't just treat everybody's.

SPEAKER_03:

I always wonder because with health it's different. Like, do people take accountability for not the diet, not the exercising, not the mental, right? Like with us, it's like, hey, you just want to financially gain this or that, but then then you blame the doctor, right? And it's like, oh, but you're also not doing all of this at home, and you're hoping this one person fixes you. So I always wonder about that. That's why. It is true, unlikely, right? Yeah, no, it's true.

SPEAKER_00:

I mean, and I'll I'll have that.

SPEAKER_03:

And everyone's so Sue happy here.

SPEAKER_00:

This is very true.

SPEAKER_03:

Yeah, it's like that's why only in America. Yeah, but go ahead. No, you're very I'm talking a lot. No, you're very, you're very right.

SPEAKER_00:

The amount of time is patients coming in in the in the workman's comp world and be like, I have a lawyer, and I'm like, okay, here you go, right? This may take ten times longer than a doctor, but but okay. All right. Um but yeah, I think building that rapport is just uh like I don't know. I do think it takes a certain personality. And not everyone's gonna like you, but you know, you just kind of like here I'm at the end of the day, we're on the we're on the team, we're on the same page, right? We're trying to be on the same page. Um, and it is taking accountability, right? Telling someone to stop smoking over and over is not gonna do anything, they're just gonna get mad at you. Right. So I tell them, like, look, this is what's gonna happen if you continue to do this.

SPEAKER_04:

Right.

SPEAKER_00:

So let's like, you know, and again, I give them more outs than just one, right? It's not here's just the med for this. Okay, we could do A, B, C, D, E, F, you know, it's like all these different options. So if you don't like that, let's try the next one. It's not just let's throw a pill at this and see how this works. So I think also giving your patient options is another way. Because not everyone's gonna want the modern medicine, right?

SPEAKER_03:

So I have a question. So, what is something that you've seen right now in your field where everybody's on this health craze, especially like the our young of the younger generation? What are they? We're millennials with the biggest. Yeah, they're not like drinking as much. Like the more health conscious.

SPEAKER_00:

But that's because of COVID.

SPEAKER_03:

That's true too. Yeah, that is so what I mean I don't think they can afford to go up.

SPEAKER_00:

Everyone turns 21.

SPEAKER_03:

None of us can afford to go up. We've all been in the last three years. We're all in the same bed. No, but what's what's a uh health, uh, a healthy, what we perceive to be as healthy a myth that like you can think about whether it's like kombucha, or maybe it's like do this, like everybody's into coal plunging all of a sudden, or the saunas, and we do corona just here like yeah, corona lights. It's like what's something that it's like everybody's doing, yeah. Or like it was almond milk, but then it was like almond milk isn't really soy.

SPEAKER_00:

So what's what microplastics and I don't believe in the microplastics or don't get me started, I'm like, I'll have like a whole hour of it. No, there's I don't know, it's hard because there's still so much research being done on things, and then knowing what's biased and what's not. True, true. A pediatric just put uh can't even remember her name, Peter Surgeon put out a study and the CDC took his license away because he did a study on vaccines for kids. I could see and it was like you know, unvaccinated kids versus vaccinated kids, and where you look at the vaccines, where is it that they have the studies where okay, if you don't get vaccinated, what happens? Are you always gonna not get that disease? Are you is your how's your immune system? So this guy kind of took on the study of like, how's are these kids immunocompromised after receiving the vaccines or are they not? So it's just going based off of the research. How many studies can we get from it? Everything in moderation is okay. Too much of it is a bad thing of anything, even if it's good, right? Right? Right. So sitting in a cold plunge every single day is not good for you.

SPEAKER_03:

Right. I saw a study on that, how it like it your body stops doing what it needs to do to cause itself to like become less inflamed. Yeah.

SPEAKER_00:

So, you know, it's just trying to get a little bit of everything and what fits best for your body, right? I can't intermittent fast for the life of me.

SPEAKER_02:

I can't either.

SPEAKER_00:

I will literally be hangry and just get and yes, you have to do it. Yeah, and you have to, you know, they say you have oh, well, you have to build up to it, you have to build up to it. And I'm like, okay, but also you're causing ketoacogenesis, then you're breaking down muscle tissue, and you know, your brain needs glucose. And so I'm like, okay, you know, so there's just everybody's body's different. Everyone's different. So I don't think, again, there's not a formula that fits everyone.

SPEAKER_04:

Yeah, right.

SPEAKER_00:

There are things that are definitely bad, vaping and smoking. We know that for a fact.

SPEAKER_04:

Right.

SPEAKER_00:

Bad, right? But can we say eating a couple Skittles a day is gonna kill you? Yeah, I I think for that.

SPEAKER_01:

According to John, you're not gonna die because of it, but he's literally eating Skittles on the way here.

SPEAKER_00:

I mean, you're not. Are you not gonna be just more exposed to just what we're sitting in this room full of lights right now and exposure? Is that just as bad as eating a couple Skittles? Right. Yeah, you just don't know. Washing the clothes with certain detergents. Is that just as bad as eating a couple Skittles?

SPEAKER_03:

Yeah, and then it gets into your battery.

SPEAKER_00:

Or Nevada water drinking that. You know, it's like okay.

SPEAKER_03:

It's endless, yeah.

SPEAKER_02:

Yeah it really is. Is there any technologies coming out that you're excited about or AI? Because I know everything I've been hearing is AI and the medical fields can be huge.

SPEAKER_00:

Um it's a hit or miss, right? The biggest thing that I'm seeing a lot of AI in the field that I'm working in is the radiologist is using AI. And I'm not a big fan of it because they're still the they're still training the AI systems, so they're still missing a lot of things, and they're forgetting to proofread what they're sending. And so I'm reading these and I'm like, okay, well, you missed this, you missed that. So I think AI can be as a tool, but I don't think it should be the all. I still think that we need to run back and look at proofread it, right? We're still training these AIs, and at the end of the day, I don't think they're gonna be able to replace especially what I do, where I'm hands-on.

SPEAKER_04:

Right, right.

SPEAKER_00:

And like I said, every person is different. Are you really gonna be able to put in every little thing about yourself and it's just gonna spit out exactly what you need?

SPEAKER_03:

Yeah, that's true.

SPEAKER_00:

I don't think so, because you're forever changing and things are changing.

SPEAKER_03:

Because everything's data and it can't be the same thing twice. Yeah.

SPEAKER_00:

So I think there is a benefit for it in medicine, especially when it comes to the EMRs and us having to do notes, because I hate doing notes. I think it's just it takes away so much time for my patient and me having to do all of this is frustrating. That's why when you're a private practice and you're not under insurance, you don't have to worry about all those notes. Um, but you also want to, you know, you have to do your legalities and make sure you, you know, if someone comes back and tries to sue you, right? You have. So it's a little frustrating with medicine. It is political sometimes at the end of the day, um, which you don't like like a little note-taker as you're doing like series.

SPEAKER_03:

Which you have to pay extra for. All the businesses are the same. You gotta get your own clients, you have to know what you're doing, right? And it's like, yeah.

SPEAKER_02:

For sure. Well, when you're not working, which seems like all the time, what do you do for fun? When you have a little free time.

SPEAKER_00:

Um I do like the gym and training. So I mean in my free time I do do my boxing. That's my free time, is working the boxing events and MMA events.

SPEAKER_02:

Because I'm not a good box, but I think you can beat us both up at the same time.

SPEAKER_03:

Well, because I wanted to do boxing at True Fusion, and I know there's nowhere near to what you do, but it's just it's exercising. Yeah, yeah. It's still hard.

SPEAKER_00:

But I'm like, yeah, it's but I mean, yeah, I'm really big into fitness. Um, I stepped back a little bit just because I'm doing so much. But um I mean, boxing's still my passion and still what I love doing in my spare time and being outdoors. I'm a big outdoors person. Used to ride horses when I grew up, so grew up on a ranch. Yeah. Right? So Love being outdoors, love traveling, studied abroad in Spain, so medical missions, love you know, again, still a lot of dedication to what I do in my job, but right, that's what I'm saying is you gotta be passionate about your job and what you do because then it doesn't seem like a job at the end of the day.

SPEAKER_03:

So what's next for you? What's what can you expect from you? What are you hoping to achieve? What are you trying to accomplish goals, aspirations, uh manifestation?

SPEAKER_00:

I mean, I still want to push the bar moving forward in combat sports, right? Creating a very more healthier, excuse me, a healthier environment too for the retired fighters, right? They don't get the care like the NFL does or VMBA and they're putting even more on their bodies than they are. And you know, I want to I'm with a few The Ring of Brotherhood is one of the organizations I'm with to help fighters, you know, after retirement or after when they retire. Like they have all these injuries, but there's nowhere to go. Right. And nothing, you know. So being able to create a community for these guys after the fact of fighting and putting their bodies through all of what they're doing. I guess I I just love that community. It's a lot of inner city kids, low-income areas, you know, they're going into boxing and they're creating discipline and learning leadership and teamwork. And you go into those gyms and it's just a community, and I think it's it's um it's an amazing feeling.

SPEAKER_03:

So yeah, it's great.

SPEAKER_02:

Yeah, that's great. Well, that was like one of the quickest pods ever.

SPEAKER_01:

I had 10 more questions.

SPEAKER_02:

We want to thank you for being uh thank my co host, Mr. George Rands, guys. Let's run back in.

SPEAKER_03:

I never had so many.