Hey folks, it's Dr. Sean Baker here. Let me tell you about crowd health. Crowd health is a better alternative to health insurance for people sick of paying high premiums and subsidizing the standard American diet. And now crowd health members can join the all new carnivore crowd, which is an exclusive crowd for verified metabolically healthy individuals, eating animal-based diets and funding each other's large healthcare expenses. To join the carnivore crowd, visit joincrowdhealth.com/carnivore and use the code Baker, B-A-K-E-R. Add sign up for your first three months at only $99 per month. What if we get all these sick, healthy people on diets like this? It probably will have a lot of conditions. They're basically what started my journey in a modern medical system is you need to break more salads and fruits into your diet. And I guess that's better than I've been a butter and jelly sandwich, but that's how the level of the problem is. If she sees that the patient is protein malnourished and there's actually a diagnosis that we include in say that mission paperwork, she would have imagined, "Oh, we need to eat more peanut butter." "Oh, we need to eat more soy." Because again, me, this enemy, the system is just going to cry out on its own. You don't want to be filled up by going to the physicians and not getting answers. They're going to start seeing that people online are benefiting from changing their diet, that there are now doctors that talk to you about this stuff, and that will make us know the role. [MUSIC] But what we have, Dr. Amman, with us today is an internal medicine specialist. Right now, there's a hospital in Boston. And I suspect I'm just going to guess what I'm going to go in there that you are in favor of me, perhaps. And brother, I shouldn't be pouring you living in Boston because I guess I'm good. I may not be with me. But if you don't want to share your background with us, if you don't want to know you're with me. Hi, Sean. Thank you so much for having me. So yes, I'm an internal medicine physician. When I was in medical school, I made some changes on my diet, which involve eating more meat than I used to. And it made me feel so much better. And it was at the same time when I started getting exposed to patients with all sorts of chronic conditions. And I was just starting this point with how the medical system was unable to help these patients. They were doing anything, everything that was recommended to them, but they're still working better. And so I started looking for more answers. And that's how I understood the healing power of diet. And I've been trying to teach people about that ever since. And were you influenced by your brother? I know he's not a carnival even longer than I have. He's probably close to 10 years. When I was listening, I was supposed to say, we saved me an infant on you in that decision or something else? Yes, definitely. Then I started thinking with a low carb and chronic rondelias, we started around the same time. OK. You got closer to that as well, I would assume. And this is one of the things-- you guys as a hospital center, you're so limited on-- I don't know, maybe you can. Are you able to influence a diet at least in places? Because obviously, they're in there for some acute exacerbation of chronic disease, or sometimes it's something truly acute. But how does that work in a hospital? Unfortunately, I am tied to my hospital job for now because I require for these reasons for now. I'm hoping to do that a little soon. But I have to practice the medicine that they teach us. I have to focus on my own way for now. But I hope to eventually be able to do that. It's difficult to do that in the hospital, but I'm trying to do that eventually. Yeah. When I remember, what I had patients in hospital, all over the patients was a total knee replacement from surgery or trauma phase. If case, you get an infection or something like that. That was all the acute stuff. But probably what you're pregnant if I'm wrong, you might see a lot of diabetic copper case, and you might see a lot of pulmonary respiratory things, acute renal things, as a hospital is. How much of that do you think that you see is directly and certainly to more than I had less stuff? Oh, I've had a lot of percentage. I've had a lot of percentage. And the issue is that nobody is looking into that to truly assess what percentage of that injury fixed. And this is why the system is still frustrating. As we get him better, we send him home and then back in a few weeks, because the root cause was never fixed. And as a hospital, you're forced a lot to older patients and partially elder care here in the US. The types of diet that patients are on is rather sad. Yeah, meaning patients, particularly see people from nursing home, the people in their life, the dementia care, and it's all just literally empty carbohydrates for the most part. They're a little 14. Very low fat, in the case of a role. It's terrified of considering fat. And then you see, there's a lot of states that can make confusion, cognitive decline, dementia, or this life in that market. Let me go back to your own personal experience, because I assume you grew up in Lebanon. I assume a diet there is probably somewhat typical of the US diet, but I'm sure the process garbage is taking over all over the world. But how did changing your own diet impacts you personally? And then how is that famous? Obviously, it changes your safety. Yeah, I grew up eating the standard diet, which at that point, I believe to be healthy. But once you start to understand diets, you understand it. It was full of processed foods and fruits, carbohydrates. In during medical school, my brother bonded to first a paleo diet, and then low car, and keto, a prior war. And the answer went on paleo, I remember. I just felt like a different human being. By the levels of energy, my mental focus, my exercise tolerance, all these things just improved significantly. And I will also say that I had some issues with anxiety or depression. And those computer results, once I was on the diet, feeling great all the time. And that, I mean, that's another thing. So I feel fine. I used to think I feel fine and now I feel so much better. What if we don't all these think heavenly people on diets like this? It probably will have a lot of conditions. And that's basically what started my journey. Yeah, I went to, I don't know if you follow some of the stuff I did, but I was interesting. I've interviewed a guy out in Arizona. I think it's Arizona, who runs nursing homes. And he has adopted a carnivorous practicing and nurturing it. In addition to exercise and some other things. And he's seen this tremendous turmoil with a lot of people who are in the OVC region. And these people are monstrously all the way to start a nursing home, someone else can care for them. And they lose lots of ways with people with cognitive issues and mental patients, which are recovering, become more independent. And he said something about what's sent back home was basically was a lot of other issues. It's pretty interesting to see when you do that how many people. And the question is, like I said, the question always, how many people were that benefit? I've seen thousands and thousands of people keeping all kinds of various ailments in one of the most case series on quantum third-valencees within the next couple of weeks. And so the question, how many people is it a point or a dependent chance, a particular chance? I wish I don't know that yet. So I think the science needs to do some of that. And the frustrating one, when the amount of effort just to get this whole case series published was enormous. And we had IRVs where you refused to review it. We just keep kicking it down the floor. And you take the important amounts of time, you find that IRV and that you might need to have it. Anyway, in your mind, what are the big, the problems we see with the people that are in the medical hospital to go out to lifestyle and diet and all the times of the tissue over there? One major problem is the lack of nutrition in their diet. Most of these other people, they don't get such adequate care at home. And they don't have the resources or the expertise or even the knowledge to put in that much effort. So I mean, I talk really don't have a hot meal the entire day. They have cereal in the morning, they have a peanut butter and jelly sandwich and lunch. And then they have some sort of processed snack at night. And this is what they eat every day. And so this is just a recipe for disaster basically. You need protein, you need fat. And then when the system tries to instruct them about eating healthy in our modern medical system is you need to bake more salads and fruits into your diets. And I guess that's better than a peanut butter and jelly sandwich that's of a lot of the problem is. And what I was going to say is that it's not very rigid. And you try to know we hear about that. It's quite an issue. But it's not rigid in the role. I think nutrition that we actually need in many ways. How do you assess, hey, can you assess reliably patients with nutritional status in the hospital, how do you even levels and things like that? Or is there a battery that's keeping running to say this person is in malnourished or lacking in this and that? Is that done when you admit patients? Or is it just address the problem at hand? And all of a sudden? - They still use BMI and BMI is not completely accurate because some people could tell that BMI or could it be online and still be nourished. The other one is that one that you can use but it's also not completely accurate. Most people you can just tell by their muscle mass just by looking at that. These are malnourished. You can also just tell from their skin and how early they are that they're not peeling well or they're not practicing at all, they're outside. And so it's not very, it's very, not very difficult. - Yeah, I can remember if we're going to get back and remember, patients pull a particularly older base where you barely just touch your skin and it can... - Rips, it's so fragile. You can have to be in early form. - Move these bases, put up a skin. - Yeah, whether it is a cane, in that regard. - Is there any options of you? Like when you have a patient there at a hospital and you have to, as soon as you invent them, you're already dieting well. That's part of the emission process. Do you have any way to say give this person more protein or how does it, how do you deal with that? Or can you deal with that? - If you put in that, yeah, it should be a, like, acid protein, the linear, like an extra, extra, and... Make sure there's a complete disaster. It's like a liquid, nutritional supplement that they did for patients. It's down like a protein shake, but it's all nailed off. Stowing protein and the vegetables, see the world for fat and a lot of carbohydrates. So it's a disaster. If you know everything on the dietitians, see the patients, she's also going to recommend adding an insurer. And so it's not. And then if she sees that the patient is protein malnourished and there's actually a diagnosis that will be included in say, that emission paper was... She would recommend, "Oh, we need to need more peanut butter. Oh, we need to need more soy." Because again, me, this is the enemy. - Yeah, some pollution, my gosh. What about, how do you, I assume your poor neighbor is from mostly all the war, I assume. How do you get your nourishment off? I know I was working, I could get an egg, I could get a hamburger, patties, single like that. How do you be able to be there and bring your own food? Not eat the hospital, I'm sure you're working. What, several, four hours shifts a month out of how our system works, but... - Yeah, I bring my food from home. I cook everything, breakfast and lunch for the day. I just bring my ideas on my knee, clip me. The hospital food for the staff is, that's delicious as well. - Yeah, the buck is great for them and there's usually a bunch of muffins and navels and a lot of them are in the next one. - Are there anybody, like where you practice, I don't know if you're in a group setting or are any of your colleagues glued into diet or are they all just kind of corporate medicine that's really in sick part of the stuff? - No, nobody even comes to us thinking about these things, so the way physicians think about it is, I am exempt from thinking about the stuff on beyond it. I am more knowledgeable and I care about more complicated things. I should be thinking about diet. Diet is not such an important thing to the care of our patients. Which is unfortunate because you wouldn't have these patients to choose their end if some of them are not diet at any point. - Okay, 'cause they can move your complicated drugs and look at labs that the other, the basis don't matter. - Yeah, I'm simply trying to relate to. - We're that. - You said you're doing this for visa purposes. What is the timeframe on that? If you like had your sort of choice of how you would practice, what are you planning on doing? - I think I'm hoping it's only a more six more months than I'll be done with this hospital job. And my hope is to have my own clinic where I can see people address root cause, whether it's diet, whether it's other lifestyle factors and hopefully you get people off medications. And medicine is like an old school private care physician is they used to get to know people. It's not just you see the loss and the why. And I'm hoping to be in those relationships with my patients. And I've already started seeing some patients online. I think that's other avenue that you can make a difference because you need to get access to business to appear. I've already started talking to them that's for the lifestyle rather than pushing us. - Yeah. One of our physicians that we have at the very last company, Eli Giruge, that he was in two months and last, but it's like you don't even need to be. - He's attacking this crap. - I've seen a trickle agent over in New York also has done something similar. So we see more and more physicians that are like saying, look, I'm fired at the, just the stuff. I know you captured at the moment due to visa stuff. - I think it was a like growing significant number of physicians that are there with the system. What do you think are the biggest sort of problems that you see with either inpatient or the health resistance in general? - Yeah, it's a very good question. We know that it's far and specifically driven that all the treatments are recommended so that you end up despite any medication because that's how a pharmaceutical company can make money out of it. But what I think I wanna raise more awareness about and many of the people that are some of the health community are not aware of is why did we get to that point? Why we go to the point where there's only pharmaceutical medicine that is practiced? And I think it's important to, up about something called the flattening point was started in the early 1910s. And that was a movement to try and standardize medical education in the US. And what they said, what they mean by standardize is they simply switch any old deaths in medical schools to medical schools just starting about from cloud, from ology and from physical treatments. And since we started that, any sort of other schools of medicine that were more health-style-oriented, they talk about that, they talk about natural treatments, all of these were shut down. And that's where we get to the point right now where most of the system is captured by pharmaceutical medicine. And it wasn't like, people say, it's just the market because people wanna make money. No, it was an alternative to fashion, medical education. And that's the reason why most fuckers now have no idea how to act as exact as fabulous medications. So I think that's something work that the people need to know about. - Yeah, the Flexner bora. Prior to that, it was an even distribution of reality, some of the other things, and they are often vilified these days as quackery, and chiropractic evens, a lot different than quack. And yet, there is tremendous value between nutrition and gosh. And if we would put the resource and warrior into studying how nutrition and cooling and access with the amount of funding that pharmaceutical companies have, I think we know there are different points more also. - Yeah, that's interesting to see. Do you see, I just wonder if you said that the albathic medical system can be changed from within or is it just too intertwined with the pharmaceutical topics? My opinion is it probably is purely why, but I don't know if you're cheating. Can you change the system with it from within inside? - I think, I don't think so. I believe the system stands right now where there's sections in the sort of medicine that medical schools indeed, the sort of medicine that you could practice. And that's what makes our modern system. And these need to go away before the English field system can come up. And I don't think it's gonna happen where all people are gonna wake up one day and realize all we need to change this system. I think the system is just gonna prioritize on. You don't even be a fellow by going to the physicians and not getting answers. They're gonna start seeing that people online are benefiting from changing their diet. They're now doctors that talk to you about this stuff. And that I'm with this number of all. And this is gonna be an asset to fixing the old-case system, I think. - The answer is not just pretty real, is that a big shot, right? - You have experience with that? Is that something that impacts you in any way? I don't know if you see any reports around this. - I've seen a lot of people with that side effects on it, it's like very bad constipation, very bad nausea, vomiting. - And you don't hear enough about the side effects, but you hear a lot about the success stories and all the weight loss? - Yeah, the side effects are always now. This is almost, they've been to a bank that any pharmaceutical drug will always oversell their benefits and undersell their, under talk about the side effects, which we find about it, find out if physicians, find yours in, just saying, oh my gosh, all these patients you're having, need sort of complications and so on and so forth. And as we see, the thought is, we're just gonna develop better and better drugs. More technology, more drugs, more testing. And up to this point, but I don't think there's a reduction in incidence of any drug, any chronic disease. So we have not seen a reduction in any of these, if they always can get more and more diabetes drugs. - Well diabetic patients, it's just, like when I was, when I started medicine back, like that would have been in 1989, the term, at least I had never heard it, disease management could not exist yet. I mean, at some point they roll out this disease management term, what is that mean? And basically, this medicine means keep people medicated the rest of their lives. And that's what we have in system that practices that. Let's talk about what you said, red meat is a devil, meat is a devil, phytosome. Why do you, what are some of the misconceptions about that? Obviously people are heard from a well saturated fat and cholesterol or blah, blah, blah. What are your thoughts around? - Yeah, so the entire fat, high-quality fat offices and the notification of fat, it helped the quantum system in many ways. And number one, it vilified animal fats and produced people to eat processed feed oils. In that sense, all of the oil manufacturers made a lot of money through that. That's one. Number four is, like people cutting down their meat consumption, but people cutting down on the protein of fat. Naturally, the alternative to that is eating more carbohydrates. All the processed, sugary foods, manufacturers are meditative. And the third way is, now that you're verifying cholesterol and say, setting this certain learning on what healthy cholesterol is, you start selling people cholesterol medications, what's happens. And those were the most successful drugs in history. And so there was a lot of money to rename that. - So these three endeavors out notice the situation right now where fat is the enemy. That's because they need so much money. It's selling these three things to us. - How much, when you practice, when you see a patient, I remember when I was, we had these various electric medical requirements in what's a simple epic, which is, I don't know if there's a certain sin worth, but it would have basically algorithms. You just follow them, it's like, you know, patient admitted for whatever, I don't know, yeah, I don't know, but it's for acute renal failure, something like diabetic. You have a cookbook algorithm, then if you don't follow it, you have to justify it like, hey, there's pretty much just running an algorithm all the time. - Yeah, that's how medicine has become. There's no, it's becoming less and less personalized. It just wants to follow algorithms. And there's other algorithms are basically medications and more medications. And the start of this medication, start this medication, wait for a couple of days, and send the patient to home. That's basically the way it works. And any sort of nuance is distorted, and how do you see a nuance is seen as a waste of time, and it's not helping the patient in that way. - That's so inclined, as much as I can, trying v-prescribe medications for patients. - Yeah, especially I'm not a big fan of Saffen's aggressive medication for elderly people so hard. - Stop being a lot of people than have seen such improvements in their cognition, and their strength, and just how well they feel, and that's fucking it. - And do you see that acutely, like while they're in a patient, or do you see it when someone visits, how does that work? And you see somebody's admitted to the hospital for two weeks, and you say, let's take you off this, look towards something like that. Are you seeing those benefits at that acute level? - So this is a trick that I do, and I don't, I don't put it out there publicly, but that's what I do is, whenever I have someone who's elderly, I just stop their cluster on an occasion, and they're either admitted. And as I'm sure you've seen this before, a lot of these older patients come in, they have this thing called delirium, what do they get, acutely, if you lose their nines when they're in the hospital. I know I don't have a lawyer about that if you stop this data, because they've got mention just immediately rules. You are finally giving their dayings the faster they need, and so I don't have a lawyer about that. I've had a lot of cases of family numbers coming to me and telling me, oh, this, are then okay, until a few weeks ago, where the best, that stock was started down this cluster on my occasion, I just stop it, and we didn't be able to, clinicians just improved, and then rumoured is that quick. - Yeah, it's interesting, there was a pilot study down where they did this statin removal, and then we challenged study. And all the patients that had cognitive issues got better when they took the statins away, and they got worse when they better added it back, oh, I've never seen the following study, and one of them never did a following study, I'm not worried if they did, which you wonder, if you look at the data, at least in my view of the literature on elderly patients and cholesterol levels, doesn't seem that it's a net matter of it, we certainly don't call it mortality, to keep these people suppressed, because they've watched all the numbers. - Yeah, higher outcomes associated with longevity, so what are we doing by lowering people's cholesterol and causing them to leak and choose, and causing them to be invented? - They're doing them wrong. It's just a lot of the most problematic aspects of medicine is this fascination with cholesterol level and with statins, and you have this 35 year old where they check, they're on the profile and their lipids are earlier, and they won't go to a statin. - Very low than the data, have you looked at the studies? The benefits of statins are usually, if any, if the studies show 10 to 20 years later, why are you doing that to the patients? - Yeah, and so it sounds like you see a lot of geric, mostly geriatric patients, is that your... - Yeah, I do see all the most of the young patients tend to be very obese, and that's not the best in the ideal. Lots of their benefits as well. - Okay, yeah. And do you, I don't know how long you've been in practice, but are you seeing an increase in problems of eight particular conditions now, at least days? - I've been back this for three years, so... - Probably not, but... - What I'm noticing is, now, by month, the system is just being more and more complicated and more and more congested, so that the way it is here in Massachusetts, near the Boston area, all these hospitals are usually at it. 100 or 120% capacity, there are people in the hallways all the time, people wait and release rooms for days before they get up to their room even. And there's a lot of, the mainstream has a lot of theories about why this is the case. And I think in the most important inventory is that, people are coming to us, we're not conversing those costs, so they will keep coming back. - How often are you able to, obviously you have discussion with nearly your patients, check on the well on daily and stuff like that? How often are you able to address some of these issues with them, these few levels to a conversation? So a lot of these issues will go away if you did it as far as leaving with your buy bar stuff. - Unfortunately, often. And this is a, because I don't really have the time for that, but more importantly is people go to the hospital and they're not expecting anyone to talk to know about this stuff. It's, they go there, they just want to be NASA and be kicking here and then they go home and they get back to where they were. They don't expect any conversation about anything that they do, they don't expect any effort on their part. So it's, yeah, I feel that it's very difficult for me on my own to try and change that. And I think the less we are also start to start self-selecting your patients, the ones that are willing and once you are these things. I think there's enough people out there that want to do that. - Yeah, that's one of the frustrations I had when I actually wanted to be. So I started to realize that nutrition was so important in the mitigation, the prevention, the improvement of disease and I had no resources. And I literally had no resources. I was, well, to describe drug and get proceeded, I had all the resources in the world. But now when I came there, let's fix your diet and what I saw them before, and they'll think there. Some of the dietization is very good. It was the same old, really fragile, you know, real, just older things and food and, you know, well, it just doesn't work. And it's a lot of people, you start to eat them so bad. - So are you someone that also is a portfolio mid-corp? Is that certainly weird or whatever as well? - Yes, I'm beginning from one of them, Bitcoin. My brother wrote a book about Bitcoin. It is my standard, which was pretty popular. We've talked about these things a lot. Like at the time when I was having this revelation about Bitcoin, I was having my relation a lot, understanding the medical system, our understanding, how valuable does it apply to Bitcoin, why it starts to back into our medical system? - I think it's useful to understand our quantum economic system. To me, they don't understand why the odds and the predictions we are in the healthcare system. And again, it's going back to the stress that it works. It's going back to our recruitment of medical education and now standardization of this process and how it was all just made for the benefit of pharmaceutical companies. And you start to understand that that is only possible if we live under a, now you standard, that is not controlled by a free market. When we live under a money standard that is controlled by a central agency, that gets to be taken out of my integration, which is where we live right now. We have a very powerful element that can grant money one big piece as much as they can use. And this government gets to dedicate what sort of healthcare that people need to get, what sort of dieter and what people need to get. And so when there's a central agency picking that, that's where agency is, a lot easier to be on the control of certain factors such as the cross-school industry. And currently on a dollar-based system is doing that we have, they have the ability to turn to my, I don't know where, and that leads to government being disproportionately large and powerful. And this is hopefully something, if we get people to be into Bitcoin more and more, the power of the system will start to go down. And whatever the market forces dictate, whatever's helping people will become popular and will cross out rather than what's dictated by a government. - Yeah, yeah, I was at the, I wanted to let it with the Bitcoin coffins in Nashville two weeks ago. And that's interesting, there is a, it seems like a lot of people that adopt that monetary philosophy that they wouldn't share money I guess about, the concept of money also seem to have alternative use on diet like I do and some of this is a lot more alive than that too. There's a kind of a probably different thing. We'll leave some odd, all things, something like that. What about for as, let's talk about this protein in general? Or are people going to have poor gaming interview? These old people, is that a significant bond with them? - Yes, if you'd love to them, most of them don't have a single animal-based protein during the day, and if they do need his rev meat is notified, so it tends to be the chicken or fish, which is fine, but so they go through an entire month without having wet meat. And if they even see it as like a cheat day, if they have a steak, and that's the problem. That's a new problem. - What are the problems you even code that? - What are the, what are the possible consequences about eating enough, or doing a red meat? - Yeah. - We have experience. - It starts with people on their young guys, tends to get worse on their older quads. If you're not having, feeling meals, if you're not having good breakfast, a good lunch, or a good dinner, you tend to, if you're not having the protein that makes you full, you tend to always be hungry, and you're in chase of the next sugar high, because you're not getting what your body is once, and swear all this diabetes starts from. And then, also the lack of protein in an older patient is what needs to suck a pia, or low muscle mass. And this is a recipe for shorter lifespan, more risk of falls, more risk of tractors, that add also leads to osteoporosis, or low intensity. So these are all these problems that we see. And yeah, they're malnourished, and you detour, you're in it when you're 15, and you're in it when you're 80, it's a lot more difficult. - Yeah, and so the, as you mentioned, the protein augmentation is often done for healing in the patient, I think it's like these insured diets, which are, as you mentioned, they're just disaster foods, soybean oil, and soy protein often, things like that, which really are helpful to you. So you mentioned, he's going to replace me by having the fats with vegetables, which clearly occur, and we look at the stats from going back, and at least in the US, going back from the early 1900s to now, and the reduction has been, tremendous and it's been replaced, and even, I think we now consume something like seven-hand or calories a day, but personally on these various oils, which is something I call the lower calories, it's coming from soybean oil, or some sort of vegetable oil. What do you think, what do you think the consequence of that is? Are they, I don't know if you haven't, it's worth eating anything in sightness, but a lot of people will say they are, they're good, and lower LDL cholesterol, there's RCTs that seem to show some sort of benefit, there are other people that feel that they are among the most toxic foods that we can consume. Or do you, what do you think about that, or do you think there's evidence that shows one way or the other? - Yeah, the, - Hello, we know the hypothesis, they'll mean the cholesterol in this. The study is that link high cholesterol with adverse cardiovascular events are not the way they've been saying. The acid piece done in the 700 study is not the way you can do the same. - How about studies that link going to some sort of benefits are, not very, not a large J studies, but they tend to be marked out by cholesterol, staph, and manufacturers, and by also processed food manufacturers. - So I think to even the benefits of, I believe in the benefits of importance. I believe in the importance of animal facts for our diet. - Again, most physicians these days, they're not looking at the data. They just look at what the guidelines say. I'm sure you've read what up to date. You've know what, what up to date. Up to date is like a medical website and it just gives you basically bullet points of what we need to do. And they don't question what, where do these bullet on stuff are? But for me personally, my major driver is my house. I've tried being on low fat. I've tried being on seed oil instead of animal fat. I don't feel well on it. I feel long ago all the time. I lack mental therapy. I lack energy. And that's the new driver. And I've seen with people who have told to increase the fat in the diet and I've seen the benefit that you get out of it. - And how much of an impact does pharmaceutical industry gal on your day-to-day practice? Are you seeing like grand rounds swabbed by them? Are you seeing the various drug reps from into the hospital and in the train practice? - But how do you see it on the day-to-day? I know there's been some crack down on that, but it's not going to leave them. - Oh, that's interesting. - Yeah, I'm honest. - But it takes them. - Yeah. - The way I like to think about it is pharmaceutical company is not actually interacting with the physician. It's, the physician is directly benefiting from the hospital company. The issue is a lot bigger than that. The issue is when the peaking rack and the diet licence are benefiting from pharmaceutical companies are getting benefit from that. And I mean, if you look at the American College of Corniology, you look at their sponsors, it says that up there you're sponsored by the XMI Talk Company, Stated for American Indecraft Society. And these are the people that are right, the guidelines. And you, as a physician, are supposed to follow the guidelines because if you go and follow the guidelines, you're either liable, your licence is liable to be revoked if you don't. And this is how the system is captured. It's an actual scale that the situation is not actually benefiting. - Yeah, we stopped some of that. So anyway, within this sort of relationship to COVID pandemic where physicians were threatened with their license if they didn't just follow along with certain procedures. No, it was a little in zero room for anyone to practice an antibody in the way. Well, I guess you were probably maybe you're finishing a residency of that point. Is that we were adding that situation, maybe? - I was a residency, and yeah, it was amazing. I got any of the stuff that we saw and also very difficult in the noise that I have to think outside the main narrative that was being told at that time. - I think the silver lining of that event, in my view, is a lot of people have come to question a lot of these authorities, whether it's a CD, CD, FDA, various hospital systems, there's multiple organizations because of this massive suppression of independent thought, since ship difficulty. And a lot of it turned out to be showing that a lot of things they were saying were actually wrong. And so then if they're wrong about that, what else are they wrong about? Are they wrong about a lot of nutrition stuff? They're wrong about one of the things for us, for us, it's me, is most of the studies that are produced in 8-4 by 12-7 people. Companies, they don't share their data. They don't have all these sorts of data. They hide it, it's proprietary. You don't even want to know what they actually found. It's gonna give a summary of what they say they saw and you have to take the word for it, and yet they have a financial problem if an interest that runs into the, you'd sometimes find things about it, so you're like, I'll, I could not take things. - How would, let's just say you, they made you the surgeon general of the therapist, I'd fuck that, or you had some unlimited power to correct the overall system. - Where would you start? - I'm not happy. But the day was you were gonna make me the surgeon sort of in general, or any of that stuff. I think that's, you definitely captured any of that, but what would you do? - I think the main issue is just, trying to do it in regulations out there. Let leave medicine to the free market. The free market works in all other social industries, it would work in medicine as well. The point being is, a physician can go and practice which other type of medicine he wants, or she wants. If the patient is not happy with that level of care, do you just have to go to another physician? That's it. No physician out there, it's gonna go and try and arm take out the infection. Because if you do that, do you don't want to stop anything? So that's, those of the rules of the free market, which seems to exist here anymore. There are a lot of innovations on it where all can get back to this bothering device and who can get to go to a medical school. A lot of the limitations on what kind of material can be taught in your medical school. And a lot of limitations on how you can back to your list. Unless you get living these limitations, a traditional start right in the diet that it changes. And people will stop blocking them to their motor. And then how other physicians are like, "Oh wow, this seems to be working for people." And all the physicians will be interested in that war. And this is how you need to be able to get out of the system we're in right now. - Yeah. I mean, what we're doing with our company around there, we're going to publish our data. We're going to share our results and how it falls. If we are seeing everything really better than standard care, then hopefully the market will reward that. And I think that's reasonable. Now, if you say, "Hey, look, I just wonder," because as most physicians you conventionally train, if you say, "Hey, look," if you start practicing a more lifestyle medicine approach with proper nutrition and all, that some of the other things are probably lifestyle. And you get far better results than I can handing out in a new suppressive carugage, which I'd be like, "Oh, that's going to be all immune diseases." Do the physicians because they lose potentially some of their income in a way. And it's not that you're making money directly off of utilizing these are all some physicians are capable to and so they get a speaking on area with many, many thousands of laws and they do that. And I see that some of the, for instance, correct me if I'm wrong, but is your salary in somewhat a secondary to compliance level of life? If certain percentage of my patients that have this issue are treated with this drug, is it does it impact you in a way and that would work? - My practice doesn't do that, but some practices do, yes. Following the guidelines. - Yeah, I've seen that. I've seen that work. If you would get five percent 10 percent fullness, if you've got 90 percent of patients with this condition tree with this particular medication or something like that. And then there is some sort of level of direct compensation at least in some practices. - What, as far as you said, you've been able to do a little bit of online stuff, what are the things you think are most easily addressed by nutrition? - I think a lot of new issues tend to be due to irritating foods that are in the immune system. So starting all the process foods and not so helpful plants that are causing these issues, you start seeing improvement in the autoimmune issues quite quickly, actually. As you said, it's not afraid of disease or mackerel arthritis. You're not still arthritis. Now, those are one of the first issues that we see in truth with diet. - Well, there are some substances that mainly they take a little bit longer. But the way to think about it is if you're improving so on lifestyle, you are getting faster on it as on the side. When you're prescribing drugs, you are getting extra side effects on the side. - That's the way to think about it. - Well, yeah, elderly people will see a lot of issues with bowel obstructions in a very particularitis and things like that. How often is one of the things that I'm sure you, I'm sure as a hospital, is you often refer to it in total, very specialist, whether it's GIs, prophrology, things like that thing on the complexity of the patient. Do you find that any specialist, particularly the GIs, the question is, I'm amazed that many of them, in fact, most of them would say that it has nothing to do with these particular GIs. So it's fun to provide bowel disease, which is, my view, where we go is, but do you see that? Do you have any particular frustration with any particular questions in it? Obviously the hospital is a lot of drugs being utilized, but my understanding is, cardiology, as a general practice, prescribes more medications than any other specialty, and they have the highest utilization of drugs over all, whereas so you don't own all of these things a lot, and make so-and-so, which special things you find are the most challenging, at least in your mind, with your background, to people who else can say it. - Yeah, gastroenterology is quite incredible, that you handle the gastroenter's track, you handle the system that is managed to handle food, and they have no idea how a diet works. - They have people come to them with irritable bowel syndrome, which is obviously due to diet, and all they could recommend is just medication lubrication. And then people with more serious inflammatory bowel disease, which you make sure you put out all the success stories about how eliminating certain foods can help with, and they absolutely never mention it, and they just keep wishing more and more toxic medications on people. So gastroenterology is quite a, it's quite the challenging field, and in my practice, I refer to me both, but I have gastroenterology and salt on service, and some patients actually want to know, so what should I be eating for my diverse greatest, what should I be eating for my intranet analysis? And the gastroenterologist let them know, so they end up asking me, which is good because I know I think it's all about diet, but yeah, the specialist doesn't know. Guadalupe are still very fixated on the lipid hypothesis, so they're really into just checking people's lipids and helping their statins, and that I also find very frustrating because I only don't need to have a statin on 85 whales. Yeah, just on it from a legal standpoint, you're probably obligated to consult certain specialists that have certain level of care, right? Is that pretty much it was proteinized XYZ condition, some automatic, partiology, automatic, being a found solver support, but. Yes. And you have to follow what they say, because then you'll be alive if he wants. Yeah, now often as a hospitalist, are you working on a night shift or so? How does your, 'cause a lot of times it seems like the hospital is just managing the overall care of the patient, their admitted hospital, so it's constant. I used to be at a lot of the pizza all the time, and the things we didn't really get into died, it wasn't something we cared about, honestly, they mentioned patients fed and wasn't something. I ever thought of as a long, as an admitting physician. I'm embarrassed to say that, but I was just not on my phone with you. Probably it's more care of your participation when you're 15 out for you, but. So are you primarily, are you? Are you ever admitting patients just to your service where you don't have a lot of costs and some more or as it was as long as costs are heavy? I mean, I guess. Yeah, so you have a little bit more, a little more, I guess some of you, and I realize it's not an interesting system, it's tough, but your media opinion should set it. What, let me ask you this. What drove you to pursue internal lesson and going to the VA hospital is, given your background, seems, I don't know, they probably care of made sense to me in many ways, because when Tricia and so forth, if I were to do it again, I don't know that we went in all the things long, I know now, because I'm literally seeing all the other issues you get better with that. I was fond of it until I did school, but what drove you to choose what you did? I think I still... I have this old-school vision of the family doctor, and with everything, I have continuity of care in patients, followed them up. I think that's what drove me to internal medicine. I found out that the reality of primary care, especially in the US, is a lot more complicated, a lot more dark than that. No, certainly something to learn. Well, yeah, the main driver was to... be able to look at the patients holistically. And firstly, it seems to me that the standard physician is trying to self-specialize just so they don't take a bold role, actually, because the whole role, actually is so complicated and miserable, that there's a lot of focus on their heart, just so I don't have to look at other things. I don't have to think about their lifestyle, and not to think a lot of it isn't from day to day. But... They're going to start. If you listen to patients, this is what they want to talk to you about. They want to talk to you about their needs, and they want to talk to you about their own complaints. And if you want to be a doctor, you should try and listen to that stuff. Yeah, I was just thinking about, obviously, you know, you probably get in between specialists, where the cardiologist wants one thing, and the nephrologist is saying, "Oh, it's going to kill his kidneys," and they fight, and you've got... You don't have to make that dilemma, or like you've got two specialists recommending oral opposite things. There's no one's going... Not that often. It's always more and more medications than... It's not really something too exciting or too life-changing for patients. How many typical geriatric patients do you see there? How many of them? How many medication do you see people all into a career? Can they never be in the hospital for you? EV10 for a medicine? Usually they're eyes. Five, yeah. And then, yeah, then, of course, you're adding on to that and considering I would imagine that adding all these other barriers. We, unfortunately, we are running out of time here. I know, I think I see you on Twitter or X now. Do you have social media? Do you have any other websites or anything like that, but people can reach out and contact you, but, partly... Yeah, so, I'm just running on tunnels and E. I also have my website, Amazon.com, and I'm happy to hear from A people. This is probably this awareness, this issue. It's probably awareness to why our system is going in this. And I'll teach you a little bit in the comments as well. Awesome, very well. Thank you for doing this. I encourage you to say how to safely inform me when you hear it, when you talk to them next. And this will be out, and I'm about to reach yourself. Something like that, okay. Thanks for the latest on our show.
