Ben and Jennifer break from nutrition to talk about how to use the health care system for your best results. We tap Jennifer’s insider perspective to learn how to leverage your insurance. The key message is be your own advocate in partnership with your time-pressured providers.

Our show is an audio show in the long form, a conversation, not a clickbait soundbite. We recommend you use a podcast player on your phone to listen while driving or doing work around the house. Links below to subscribe in your favorite podcast player.

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If you would like some expert help getting started or troubleshooting your unique situation, consider booking a consulting call with Ben http://impulsiveketo.com/wp/consult/

SHOW NOTES

2:00 Conventional health care failures
11:10 How do I take control of my own health?
12:30 How to use the internet to do research
13:30 Deuterium-depleted water?
15:30 Diabetes, keto & standard of care
18:00 Thyroid issues & standard of care
19:00 Partnering with your doctor
20:00 Dr. Google & conditional probability & other cognitive errors
21:00 Doctors have useful experience and wisdom you can tap
24:30 Ben is not a doctor! But expert coaches can be helpful in certain situations, e.g. Teresa Tipton Mealy for thyroid issues, Karen Ogilvie for nutrition, Ben for weight loss/fitness/metabolic issues
27:30 Stop the Thyroid Madness & similar groups, do-it-yourself doctoring and overreach
30:30 Supplement recommendations off the internet in general, & from Ben in particular — the secret stack, fish oil and antioxidants
33:30 Epidemiological studies vs cause and effect
35:50 Chris Masterjohn podcast on ‘how to evaluate research’, or use examine.com
39:30 Treat your doctor as a paid advisor and understand your health
42:00 Keep your own medical records file
47:45 Take advantage of your doctor’s expertise
48:30 Read your insurance contract in great detail and work with your doctor’s office and insurance company to get covered
50:30 Fight and be persistent or be rich, or move to Canada
51:45 Don’t slander doctors in general, most are trying to do the best they can
54:30 Be skeptical of internet information, get multiple sources
56:00 Don’t just discontinue meds without consulting your doctor
61:00 Blogs we trust – Rhonda Patrick (not 100% but pretty good), NOT Jimmy Moore (a lot of nonsense mixed with some good stuff)

FULL TRANSCRIPT FOLLOWS

00:00 this podcast was brought to you by
00:01 impulsive keto coaching well that’s just
00:03 me Ben if you’d like to get on the phone
00:05 and spend an hour with me talking about
00:07 your unique situation
00:09 visit impulsive keto calm and click on
00:12 get coached for more information well
00:23 hello and welcome to another edition of
00:25 the impulsive keto casts I’m your host
00:28 Ben McDonald and today’s special edition
00:31 is on the state of health care I’ve run
00:33 along a subject matter expert Jennifer
00:35 Jennifer how are you doing I’m doing
00:38 fabulous no thanks to healthcare well
00:40 actually this kind of thanks to
00:41 healthcare because it has had a positive
00:44 impact on my life despite a lot of all
00:49 right now you just can’t use language
00:51 like that Jennifer this is a family show
00:53 you’re gonna give us an explicit tag I’m
00:55 I tuned in the first five seconds to I
01:00 mean
01:00 drop in the box no no f-bomb okay
01:03 alright I’ll watch my tongue from here
01:05 on out I don’t know if there is a
01:09 threshold for that but uh I’ve heard Joe
01:12 Rogan and Joe Rogan lets it fly man
01:14 so I think we’re okay now he has an
01:15 explicit tag as well so oh he does yeah
01:21 yes yes he does
01:24 alright I’m sorry Ben but the subject of
01:26 healthcare is one that I feel very
01:27 passionate about and it does bring out
01:30 the f-bombs in me uh-huh all right well
01:32 keep them in your pocket there cuts
01:34 alright no explicit tag here all right
01:38 let’s get into it so Jennifer I’m really
01:42 surprised to hear that you’re doing well
01:44 because it’s my understanding that your
01:46 doctor and Big Pharma have been doing
01:48 their best to keep you sick and on
01:50 medication this whole time there are
01:52 doctors that I have spoken to for the
01:55 most part yes if you have a chronic
01:57 condition in this country this country
02:00 being mounted states not Canada or other
02:03 countries but in the United States if
02:04 you have a chronic condition there’s a
02:06 pill for that mm-hmm and those pills are
02:09 gonna come with side effects and you’re
02:11 gonna be told by your doctor take the
02:13 pill
02:13 suffer the side-effects but wait there
02:15 is a pill for those side effects – sure
02:18 [Laughter]
02:20 alright so before we get into that let’s
02:23 back up and really talk about what we’re
02:25 getting into here today many people are
02:30 sick with chronic conditions the one
02:34 that we’re obviously particularly
02:36 interested in is metabolic diseases such
02:39 as obesity and diabetes and there’s also
02:45 related issues you know lip lipid this
02:49 lipid the cholesterol problems I can’t
02:51 even pronounce that word just lipid e me
02:53 a thank you thank you yes lifestyle
02:55 diseases that are treated by lifestyle
02:58 drugs and not just though it’s thyroid
03:01 issues depression erectile dysfunction
03:06 blood pressure
03:07 I don’t know much Eggman uh-huh uh-huh
03:10 our female lack of sexual desire
03:12 whatever it is there’s a pill for that
03:14 mm-hmm
03:15 but do those pills help people or do
03:19 they help put people on the train to
03:21 take in more and more drugs and and
03:23 paying their co-pays every month and the
03:26 pharmacy to get you know their cut and
03:29 the insurance companies getting their
03:30 cut everybody gets a cut there on the
03:36 gravy train millions of people on this
03:40 gravy train Millions
03:42 I’m on the gravy train too my
03:43 professional job is in the insurance
03:46 industry we help people communicate and
03:49 understand employee benefits provided by
03:51 your employer so I know all the details
03:53 about who’s getting a piece of the pipe
03:55 yes and I have a little slice – it’s a
03:59 good slice yeah it is
04:02 this conventional healthcare failure is
04:07 not any one person’s or one actors fault
04:12 it it does seem like there are a few
04:15 people we could point a finger at and
04:17 wag our tongues about right
04:20 I think in particular you look at what
04:24 they call Big Pharma mm-hmm and there
04:27 are some pharmacy companies out there
04:29 that you know they have monopolies on
04:31 life-saving drugs and they price those
04:34 accordingly and they’re making a ton of
04:37 money and you know when you question
04:40 them about it and they are questioned
04:41 about it they say well you know we
04:43 turned those profits in the research for
04:45 more life-saving drugs mm-hmm I don’t
04:49 know about that well so so let’s break
04:53 it down from the top that the most
04:55 important problem that we have is that
04:59 your relationship with the medical
05:01 industry starts with your primary care
05:03 physician your your medical provider I
05:06 would agree with that and I think from
05:10 all of the medical providers that I’ve
05:12 dealt with all of them have good
05:15 intentions but the way that the
05:16 healthcare system is structured if I can
05:19 get technical here for a sec then your
05:22 primary care physician is paid by not by
05:26 you you’re gonna maybe pay a copay maybe
05:28 not 20 bucks that’s not going to cover
05:29 their their heating bill for their Lobby
05:32 they get paid by the insurance company
05:35 and they only get paid by the insurance
05:36 company per visit and they get paid a
05:39 set rate and that rate isn’t a huge
05:41 amount but it will cover their base
05:44 expenses if they see a certain number of
05:46 patients per day so net rate is based on
05:49 the code which is a transactional
05:53 commodity of medical practice given
05:57 based on what they are treating you for
06:00 exactly so the financial incentive for
06:04 your doctor is to get through as many of
06:09 those transaction codes as possible
06:11 that’s right this is a game of quantity
06:14 not quality because the insurance
06:17 companies pay very little per coat and
06:20 it is the case that doctors have to keep
06:24 the lights on so a GP has to you know
06:26 you come in for your five-minute visit
06:28 and have their nurse practitioners take
06:32 care of all kinds of other procedures
06:33 for you
06:34 and the more volume they do the more
06:36 money they make so it’s not that they’re
06:38 evil but the system is set up to force
06:41 them and we’re gonna pay the bills to
06:43 force them to have that volume and
06:45 you’re you’re part of it but what about
06:49 your your personalized care you know do
06:52 you really have a relationship with your
06:54 doctor where your doctor understands
06:56 what’s going on with your unique
06:57 situation
06:58 and in-depth enough that they’re
07:01 understanding what your unique needs are
07:04 well how could they because that your
07:07 typical appointments gonna be ten
07:09 minutes two of those minutes are spent
07:12 with the doctor reviewing your chart
07:13 because they don’t know you from anybody
07:15 so before they walk in the room they’re
07:17 spending two of your 10 minutes reading
07:18 the chart to go who is this and why are
07:20 they here then it’s four or five minutes
07:24 to update your medical history based on
07:26 what’s going on now and then a few
07:30 minutes to diagnose and come up with a
07:32 treatment yeah it’s it’s impossible
07:35 under that under that circumstance you
07:38 couldn’t expect them to really give you
07:40 the sort of you know loving attention
07:43 that in our minds happened before the
07:45 insurance system that we currently have
07:48 developed you know where you had a
07:50 family doctor who knew you but I gotta
07:53 say in my personal experience I had one
07:57 of those commodity doctors and they’d
07:59 they screwed up they gave me drugs that
08:03 almost sent me into a hypoglycemic
08:05 episode uh nearly killed me and I called
08:07 them afterwards and they’re like oh yeah
08:09 that happens I fired their asses and I
08:12 searched around until I found a doctor
08:14 who did in spite of the financial
08:17 incentives who did promise to give me
08:19 personal care okay and he has been
08:22 wonderful so they’re out there or not
08:25 you know he’s not accepting new patients
08:27 so don’t ask me I think it is very rare
08:32 to find a doctor whose practice allows
08:35 them to provide individualized
08:37 personalized care to the level of
08:40 expectation that most of us would
08:42 consider to be adequate I unfortunately
08:45 agree but I think you can
08:48 you better I think if you take charge of
08:52 if you’d be attitude that you can take
08:54 control of your own health you can be
08:55 your own advocate
08:59 and you look at your doctor not as your
09:02 medical boss not as this hope you know
09:04 deity that tells you your this is your
09:07 health and here is your drugs but you
09:10 understand your own condition and done
09:13 some research and you understand the
09:16 different therapeutic options and you
09:19 walk into your doctor and you discuss
09:20 those options you’re in an informed
09:22 health consumer and you’re looking for
09:26 your doctor to give you guidance and
09:28 advice as an expert but not tell you
09:31 what to do to give you that guidance and
09:33 expert advice then you can really make
09:35 use of those five minutes I agree with
09:40 that any of these problems can be solved
09:43 with money all you need is lots of money
09:48 and you can buy a doctor’s time there
09:53 you could go to a functional medicine
09:55 doctor who has spent 90 minutes with you
09:57 in a single appointment and it will cost
09:59 you $700 cash on the barrel I’ve heard
10:04 that the US has the world’s best health
10:06 care system as long as you’re rich
10:08 that’s right it sure does
10:10 so if you are someone of resources this
10:14 problem can be easily solved good most
10:18 of us that is a goal out of reach unless
10:22 you work in the insurance industry
10:23 because let me tell ya it’s pretty good
10:25 well that’s because they’re trying to be
10:27 nice to you so for most folks it is in
10:33 their a if you do not have the money to
10:36 pay for a doctor’s extra time and you’re
10:40 not look fortunate enough to be able to
10:42 find a doctor who’s trying to practice
10:45 non-traditional business models then
10:49 your only choice is to become your own
10:52 advocate you don’t need a medical degree
10:55 you don’t have to do
10:57 it’s super in-depth research but you
11:00 can’t walk in there like a lemming have
11:03 no idea what’s going on and no idea what
11:06 the options are and expect to have an
11:09 informed conversation with a trusted
11:11 paid advisor in three minutes because
11:14 that’s how long you’re gonna get with
11:15 this guy who went to school for 17 years
11:18 maybe 30 years ago – hey so yeah you
11:23 have to bring something to the table you
11:25 think he’s gonna eat you do it and even
11:27 even the best guy is not going to
11:31 necessarily be aware of drug
11:32 interactions or your particular diet or
11:36 lifestyle and they’ll prescribe
11:38 something to you and it’s it might be a
11:41 terrible mistake and you’re not going to
11:43 sue them you don’t have if you’re you
11:46 know unless you have a lawyer on
11:47 retainer malpractice suits aren’t a dime
11:49 a dozen so you do have to be you’re you
11:54 you have to be you have to understand
11:56 what class I think that it’s always a
11:59 good idea to make sure that you
12:02 understand the treatment that’s being
12:05 offered to you and to ask if there are
12:07 alternatives and what the risks for
12:10 those alternatives may be you know with
12:14 I personally went through this whole
12:17 experience with diabetes and that’s why
12:19 I fired my old doctor because he didn’t
12:21 give me alternatives he gave me a pill
12:22 right but fortunately and this is just a
12:26 transformative situation that didn’t
12:28 exist you know even as I think even five
12:31 years ago I I go on the internet and I
12:35 find that you know there’s a there’s a
12:37 media you’re the social media platform
12:39 for everything so you can go on these
12:43 forums and I can see what you know if
12:47 there’s hundreds of people thousands of
12:49 people who have a similar issue that I’m
12:52 experiencing and I can see what they’re
12:53 going through and they’re talking about
12:55 the treatment off you know treatment
12:57 options that their doctors gave them and
13:00 I could see how that worked out so I
13:02 have this vast amount of resources that
13:05 is available to me now to kind of help
13:07 me separate out you know the good from
13:11 the bad
13:11 sure now there is also you know social
13:15 media forms out there that are kind of
13:18 crazy
13:18 uh-huh I don’t know sometimes you know
13:24 you read some forum and you’re hearing
13:25 about you know how it’s super important
13:29 to drink deuterium deuterium depleted
13:33 water and avoid blue photons at night
13:38 and I I don’t know
13:39 you know ya know
13:45 what is truth versus not is very
13:49 difficult except most of the time
13:53 common-sense is going to lead you into
13:57 the right direction if something sounds
14:00 weird it probably is weird and should be
14:03 very very skeptical
14:04 and you know a great example is a low
14:07 deuterium water I’m glad you brought
14:09 that up because that seems to be doing
14:10 the rounds here lately mm-hmm is there
14:14 anything to it I don’t think so because
14:16 how much water have you imbibed up to
14:21 this point in your life at least a few
14:23 gallons here and there that’s right hey
14:26 where’s the big outbreak I haven’t
14:31 noticed any major health correlation
14:33 between water I mean what I don’t know I
14:37 see I don’t know either right there’s
14:40 always just discussion of well it’s not
14:42 optimal okay but what what are you
14:46 asking me to do and I think that’s what
14:48 all this comes back to is look we’re all
14:52 busy nobody wants to become a health
14:54 care professional nobody wants to become
14:56 a doctor so they can deal with their own
14:58 basic medical care but what we are
15:02 advocating doing is investing a little
15:05 bit of time in understanding any chronic
15:07 conditions you have doing a little
15:09 research on every medication you might
15:11 be taking and having discussions with
15:14 trusted advisors to get a perspective
15:17 about what may be alternatives or
15:20 solutions that diabetes is such a great
15:23 example because
15:25 standard of care is insulin therapy for
15:28 diabetes however there is an alternative
15:32 and that alternative is called the
15:34 ketogenic diet you’ll never find out
15:37 about that going through the ABA or
15:39 through a standard doctor I mean very
15:42 very rare doctors are starting to
15:44 advocate it but if that was more than 5%
15:48 of the doctors out there I would be
15:49 shocked it’s not in the standard of care
15:51 and they will not get paid by the
15:53 insurance companies or advocating
15:56 anything except standard of care or for
15:59 taking 45 minutes to explain it to you
16:01 oh yeah and the fact is even if they did
16:03 the number of people who will accept
16:06 nutrition advice and follow up on it are
16:09 unfortunately hurt is small so it’s a
16:12 waste of their time anyway but this is
16:15 such a crazy thing so here we are
16:17 talking about a doctor is going to
16:21 prescribe as a standard of care a
16:25 therapy that is known to be progressive
16:28 and terminal as opposed to the 100%
16:37 remission reversal through no medication
16:42 at all just simple lifestyle changes I I
16:46 really wish that when I had first been
16:48 diagnosed with diabetes that my doctor
16:50 had explained to me that there was this
16:54 option and that if I did not take the
16:56 option I was going to lose my kidney his
17:00 eyesight and die an early death it
17:02 didn’t explain that to me no they don’t
17:04 and part of that is because the doctor
17:08 has to assume that you’re non-compliant
17:10 you’re unwilling to be compliant because
17:13 if you go on a low-carb diet as a
17:14 diabetic and don’t take insulin you’ll
17:18 burn your I set out 10 times faster
17:20 mm-hmm and you’ll you will be in big big
17:24 trouble as an unmanaged hyperglycemic
17:28 diabetic to be sure getting insulin is
17:32 better than not so I understand you know
17:35 they prescribe a pill and at least
17:37 that’s better than
17:38 nothing that’s right but I really wish
17:41 they would have told me I I think it
17:43 that’s just an example I mean we could
17:46 give ten more you know high ROI tissues
17:48 are very common one how many doctors are
17:51 using TSH to evaluate the status of your
17:54 thyroid hormone yeah I don’t think like
17:56 99% yeah Moe that is the standard of
17:59 care if TSH is normal your thyroids
18:02 normal end of discussion
18:04 we’re moving on that’s how it goes they
18:06 they have to do it because that’s in the
18:08 standard of care and they are
18:10 compensated based on that they can’t do
18:12 anything else that’s right but that’s
18:14 not correct it’s not the only choice
18:16 it’s not a sophisticated approach and
18:19 unless you arm yourself with an
18:22 understanding of your condition your
18:26 symptoms and pressure your doctor for a
18:29 sophisticated workup it is likely that
18:33 you’re going to be misdiagnosed and
18:37 under medicated absolutely and
18:41 experienced in problem the doctors you
18:44 know like I’ve had good and bad doctors
18:46 and there are good doctors that not
18:49 necessarily you know concierge rich
18:51 people doctors who will you know they
18:53 are aware of these alternative adjunct
18:55 therapies and like you know and they
18:58 will work with you to improve your
19:02 health through these methods if you show
19:03 that that’s something that you’re really
19:05 interested in you don’t have to hide
19:07 from them you can’t necessarily expect
19:11 that they’re gonna play along and if
19:12 they don’t you can get another doctor is
19:14 a partnership it is in a paid advisor
19:19 position to be a physician
19:22 absolutely now I want to be clear most
19:26 of you goofballs
19:27 do not have the technical knowledge to
19:30 go up on Google do a bunch of research
19:33 and then show up and talk to a medical
19:36 professional about a medical condition
19:38 you know they have a term for it in the
19:41 medical community they say oh the
19:43 patient came in and dr. Google told him
19:45 they were diagnosed with some crazy
19:47 disease oh yes
19:48 and probably not okay if most people if
19:52 they’re not really savvy about what’s
19:55 going on if you type through whatever’s
19:57 crazy symptoms you have into google
19:59 it’ll tell you you have this crazy rare
20:01 disease it matches your symptoms 100%
20:03 you’re like yes and then you rush in
20:06 here doctor and hi I’ve got the tardive
20:08 dyskinesia know I know you know you have
20:11 a cold I have WebMD blocked on my router
20:15 like it’s a porn site my wife cannot get
20:19 to it she is one of those people I
20:22 everything I have cancer I’m gangster
20:26 I’ve got cancer of the nose okay cancer
20:28 the year cancer the foot everything’s
20:30 cancer all the time non-stop there
20:33 there’s this common cognitive error it’s
20:37 it’s just part of our cognitive makeup
20:40 that humans do not intuitively
20:42 understand conditional probability yes
20:45 so if there’s like a thing that matches
20:48 your symptoms 100% but there is a common
20:52 condition that matches your symptoms
20:54 like 50% and that common condition is a
20:58 thousand times more you know more
21:01 thousand times more people have it than
21:02 have the rare condition you don’t have
21:05 the rare condition you have the common
21:06 condition even though the symptoms
21:07 aren’t perfect but it’s not intuitively
21:10 obvious intuitively you’re drawn towards
21:11 that perfect match doctors and computer
21:15 guys kind of have a similar skill set
21:17 the ability to troubleshoot and diagnose
21:20 a problem is based on a body of
21:23 experience and wisdom of applied science
21:27 that’s why you can’t be a doctor until
21:30 you practice medicine for a long time
21:33 you can’t just go to school and then
21:35 suddenly your doctor you go to school
21:37 and then you have to become a resident
21:39 and spend time practicing to accumulate
21:42 sufficient exposure to this incredibly
21:46 diverse body of knowledge in order to be
21:50 able to be trusted to make an impartial
21:52 diagnosis based on you know our standard
21:57 of medicine in today’s forum you know I
22:01 was really angry
22:02 with the American Diabetes Association
22:05 for for a couple years after this whole
22:07 diabetes experience where I felt that
22:09 they had given me bad advice and they
22:13 did but are they evil no I think that
22:17 you know based on our laws in the u.s.
22:20 they have to go along with you know they
22:23 have these boards of experts that set
22:25 the standard of care every year and
22:26 they’re following the evidence that’s
22:29 published in science journals and it
22:31 takes a while for evidence for
22:34 experiments to be done and and those
22:35 experiments are increasingly not funded
22:39 by the government but funded by pharma
22:41 companies and so those experiments are
22:43 not gonna there’s no Quito drug no
22:45 pharma company is going to pay for Quito
22:47 research right I worry a lot about how
22:53 people can discern alternatives and it’s
22:59 one of the reasons that we kind of exist
23:02 as impulsive Quito is because even
23:04 within something as simple as food you
23:07 put in your mouth look at the broad
23:10 level of debate and discussion and
23:13 alternatives that are available even
23:16 within Quito there are broad camps of
23:19 schools of thought you ask people how to
23:23 lose weight using a low-carb diet and it
23:27 goes from everything for drinking heavy
23:30 whipping cream and coconut oil and
23:32 coffee to people who are doing
23:35 vegetarian keto like it’s it’s across
23:38 the board of what right is
23:40 some people think calories don’t matter
23:42 some people think calories do matter
23:45 it’s very difficult for you to find the
23:50 right person to trust well and I trust
23:55 my doctor to a certain extent but I I
23:58 trust myself more and I it’s my health
24:03 and I’m going to do everything that can
24:07 I’m gonna read science papers I’m gonna
24:09 go on these forums and try to see what
24:10 the you know where the social media
24:13 heard is is going on something
24:16 and I realize that’s not a hundred
24:17 percent but it’s better than just
24:19 blindly accepting whatever my doctor
24:21 said I think a healthy skepticism is all
24:26 were advocating and being quick to ask
24:30 questions that lead to new avenues I
24:35 want to be clear I have utmost respect
24:38 for doctors I am NOT a medical
24:42 professional myself I have no medical
24:45 training but I’m very familiar with what
24:47 that looks like and what’s done I
24:49 consider myself a hobbyist at best I got
24:53 a question for you now you offer
24:54 coaching services and there’s other
24:57 people on the internet that offer you
25:00 know health coaching services and you
25:02 know you can pay for their seminars or
25:05 you know private one-on-one sessions or
25:07 whatever is that do you think is that a
25:10 useful adjunct to you know if you want
25:13 some guidance as to what alternative or
25:15 adjunct therapies you should have you
25:18 know if you’re looking for how to fix
25:19 your systemic chronic problems and your
25:22 doctor hasn’t really given you any good
25:24 solutions well that can run the gamut
25:27 because we have people like Theresa
25:31 Miele who is a medical practitioner who
25:35 you can get on skype and she will
25:37 provide an opinion for you that is a
25:39 medical opinion by a trained medical
25:41 professional Theresa is awesome Theresa
25:44 is great and that’s a very refined ass i
25:48 roy condition i could not figure out
25:50 what to do throw in a few bucks to get
25:54 Theresa’s undivided attention for half
25:56 an hour on skype will pay lifelong
26:00 dividends in helping you figure out what
26:03 course of treatment is required for
26:05 yours unique situation very helpful in
26:08 the same vein you have folks like Karen
26:12 who have gone to school for years to
26:15 learn how to become a nutritionist and
26:17 what to say and know where those
26:21 boundaries should lie what does it take
26:24 to be accredited in your ability to
26:29 provide advice
26:32 independence right it depends on what
26:34 the advice is it if someone were to book
26:38 an appointment with me and go hey I’m
26:43 pregnant and I need to know what to eat
26:45 on keto to make sure that my baby is
26:49 good and managing my gestational
26:51 diabetes and blah blah blah blah I would
26:54 give them their money back I don’t want
26:56 to talk to them i I don’t know anything
26:58 about that I’m not a medical
26:59 professional I couldn’t possibly try and
27:02 treat a medical condition by telling
27:04 people what food to eat well it’s there
27:07 that’s beyond my that’s outside of my
27:11 boundaries now if you’re obese or you
27:14 have a metabolic disease I can give you
27:16 some pretty good advice and certainly
27:18 get you on the path but when it comes to
27:21 medical conditions you have to go to
27:23 medical professionals you should you
27:26 know there are people out there there’s
27:27 a group I would call my name because I
27:30 do have some respect for what they’re
27:32 doing but a lot of what they do scares
27:34 me a lot it’s called stop the thyroid
27:36 madness mmm I am familiar with that
27:38 website this is a huge website book
27:41 group whatever you know thousand
27:43 hundreds of thousands of people but
27:46 these folks are basically advocating to
27:48 ignore your doctor get your own tests
27:50 make your own interpretations of your
27:52 thyroid tests and then go to the grey
27:55 market and buy medication prescription
27:58 medication off of the grey market with
28:00 cash and treat yourself this is bizarre
28:04 and you should not participate in that
28:06 because even doctors do not treat their
28:10 own kids but think about that Jennifer
28:15 if you were a trained doctor and your
28:18 kid is sick why wouldn’t you prescribe
28:21 them the medication they need I think
28:24 that I’ve seen I saw this episode of
28:27 house there was a conflict of interest
28:29 why would there be wouldn’t it when a
28:32 doctor have even more concern and care
28:35 for their their own loved one their own
28:37 flesh and blood
28:39 yeah we think that would be the best
28:40 patient in the world to to much
28:42 concerned
28:43 possibility of overprescribing or not
28:45 doing whatever is necessary regardless
28:49 of you know emotion or compassion see
28:52 yeah that was the episode of house he
28:53 had to you know cut off somebody’s leg
28:56 and he couldn’t do it being a trusted
29:00 adviser means that you need to have very
29:03 little skin in the game
29:05 you cannot prescribe medication for
29:09 yourself you cannot interpret your own
29:12 lab results you’re not capable of it
29:15 because you are invested in your own
29:19 interpretation in the same way that my
29:22 wife immediately jumps to worst-case
29:25 scenario on WebMD mm-hmm
29:27 your interpretation of marginally poor
29:32 reversed III maybe overreaction and not
29:38 warrant any medical treatment I would
29:42 sure in that situation I would sure like
29:44 to have a trusted professional who’s had
29:46 experience with hundreds or thousands of
29:49 people dealing with my condition to help
29:51 understand help me understand what’s
29:53 going on you want the wisdom the applied
29:55 science of a medical professional to
29:58 help you with medical issues now there’s
30:01 nothing wrong with becoming fully
30:03 skilled up on the different tests that
30:06 are available understanding the
30:07 relationship between free t3 and and
30:10 reverse t3 and why that happens but in
30:14 the end if you are interpreting your own
30:18 results and going out on the web and
30:20 ordering some gray market prescription
30:22 strength medication actually doing
30:24 yourself a disservice and we do not
30:26 advocate that I I don’t even like either
30:31 all the supplement recommendations I
30:33 mean I was somewhat you some of them are
30:36 conservative and I think realistic but
30:38 I’ve read research and then maybe you
30:40 can talk about this a little bit that
30:42 people who take multivitamins have
30:44 higher mortality than people who don’t
30:46 so is there like over supplementation
30:49 going on surely there is right well a
30:52 you know in a when I do consult calls
30:55 with people
30:56 are often something we talk about a lot
30:58 because people want to know what the you
31:01 know what the secret stack is well first
31:03 off every anything I would ever talk
31:05 about is published right on my website
31:07 and you can get it for free you don’t
31:08 have to talk to me about it but second
31:10 off the things that I recommend are
31:13 usually based on evidence you know I’ll
31:16 go to aggregation sites and research
31:19 sites you know examine commas a great
31:22 one and you can look and see and go well
31:25 there’s 17 studies and 16 of those 17
31:29 confirmed that there is a positive
31:31 impact on this situation by this vitamin
31:36 okay well that’s that’s interesting is
31:39 it worth it yeah you know some great
31:42 examples would be like wrist very tall
31:44 that’s very expensive
31:46 fish oil that’s very expensive for what
31:50 it is I mean I take a dollar fifty
31:52 official a day well it better deliver
31:55 the goods for that that kind of
31:57 investment I mean I’m spending five
31:58 hundred bucks a year on fish oil Wow but
32:02 I’m absolutely convinced based on the
32:04 research that it is worth every nickel
32:06 and it’s cheaper than actually buying
32:08 the fish is it because I can get sturdy
32:11 and pretty cheap you can’t get them
32:13 cheaper than that okay okay
32:16 tennis sardines is 1300 milligrams of
32:19 omega-3 and it cost you a buck fifty
32:22 yeah well there you go I see your point
32:28 I like Surgeons Wow that’s fine and you
32:32 know that’s that’s an approach but that
32:35 that’s a good example of something that
32:37 okay it’s not cheap but it are you gonna
32:41 take all it yeah it’s usually I spend
32:44 most of my time telling people to stop
32:46 taking stuff that they’re taking rather
32:49 than giving them new stuff to order
32:50 that’s cool I would say on average most
32:54 folks that I’m talking to are walking
32:56 away with 6.6 bills maybe and most of
33:00 those are going to be basic multi
33:03 vitamins and antioxidants to support
33:06 their fat loss journey so why do you
33:08 think that the multivitamin
33:10 mortality connection is there well this
33:14 gets into some very snooty science
33:17 discussion but it’s my point of view
33:20 that when you have a kind of study like
33:23 that it’s called epidemiological study
33:25 it’s an observational study rather than
33:27 a controlled study if you were to say
33:30 how many people that drink smoothies for
33:33 breakfast every day have health problems
33:37 hmm is it B is it people who have health
33:41 problems drink smoothies or is it that
33:44 smoothies cause health problems you
33:47 can’t tell it exactly I would wonder how
33:50 many people take vitamins because they
33:54 have existing health problems and
33:56 they’re trying to manage them versus not
34:00 because if you observed that as a single
34:03 data point mm-hmm you know what came
34:06 first I don’t know I I don’t put very
34:10 much stock in that but it certainly is
34:12 you know it for everything there’s an
34:17 opposite argument that’s the beauty of
34:20 Sciences science is a static snapshot of
34:23 our current understanding it you know
34:26 rewind the clock 40 years ago and we
34:28 were telling pregnant people to take
34:31 drugs that would make their nausea go
34:34 away of course it would make their
34:36 babies grow third arms and not have you
34:39 know spinal bifida and all that other
34:41 stuff but yeah knowledge it went away
34:44 bonus yeah well we didn’t know any
34:47 better we do now well I think just being
34:51 you know conservative yeah I mean if you
34:54 show a whole lot of studies like that
34:56 say that multivitamins are good or this
34:58 particular supplement is good I feel
35:01 better about that but you know then
35:03 there’s like supplements out there you
35:05 see like going around the trendy like
35:07 Moringa or you know one of these other
35:11 latest whatever what’s the latest
35:12 there’s a peanut from Brazil yeah you
35:18 know if epi Mina it’s the latest
35:20 superfood okay sure
35:24 you know there’s a couple studies
35:25 showing that it does you know makes your
35:28 hair grow and your erectile dysfunction
35:31 go away
35:31 hey yeah well I here’s my thing I think
35:38 you always want to you know there Chris
35:41 Master John has a fantastic podcast
35:42 entitled how to research a scientific
35:47 study and he actually spends an hour
35:50 explaining how to pick one apart because
35:52 when you say oh studies show go okay
35:56 great okay for those studies oh the
35:58 Moringa Growers Association of southern
36:01 Brazil paid for the Moringa studies that
36:04 show Moringa is positive hold on
36:07 knock me over with it right it’s the
36:10 same it’s oh sugar is perfectly good for
36:14 you and is pro very favorable for
36:17 diabetics to take on a regular basis oh
36:20 who funded that oh the sugar lobbyists
36:22 industry okay great perfectly safe
36:25 perfectly normal so you always have to
36:29 try and observe the source and sometimes
36:32 scientific studies that can be
36:35 constructed in such a way so that they
36:37 have a favorable outcome towards the
36:38 intended result rather than the unbiased
36:41 measuring eye again that that’s just
36:45 nuance you you really don’t want to get
36:46 into that what you want to really focus
36:48 on is just going all right here people
36:51 what makes sense and what is the
36:53 evidence that backs it up and a lot of
36:55 times for most folks they don’t have the
36:57 time to actually or the expertise to
36:58 actually dig into that right just use
37:01 aggregation tool examine document is a
37:03 great if most people just went to exam
37:06 accom 95 percent of the excess vitamins
37:11 and funny business would just disappear
37:14 off the market it’s just still very
37:17 there’s still some very gray areas and
37:19 almost everything I think that the
37:21 Internet has made it so that there’s
37:24 just such a huge sea of information
37:26 about everything my kids completely
37:30 devalue expertise they have no concept
37:33 of expertise and wisdom
37:37 they believe that they can google
37:38 anything and they’re very quick to
37:40 correct and to decide that they can
37:44 figure anything out because they’ll
37:46 google it and then all of a sudden it
37:48 becomes fact or I’ll tell my kid
37:51 something he’d be like well how do you
37:53 know I was like well I mean you can go
37:54 look on Wikipedia for that he’s like Oh
37:56 Wikipedia is not to be trusted I can
37:59 show you a Wikipedia article that
38:01 basically says the moon is made of
38:03 cheese oh they’re like okay yes but let
38:07 let’s go ahead and assume that most
38:09 stuff and Wikipedia can at least be
38:11 mostly trusted it perhaps there’s nuance
38:14 but let’s not let’s not overly knit back
38:18 on stuff right honestly though the world
38:21 is just too complex I want to go back
38:22 you know 30 40 years when you had to go
38:25 to the library and there was one set of
38:27 encyclopedias and that was the truth
38:31 that was I think information overload is
38:35 a problem assumed wisdom and expertise
38:39 is a problem you know you ask doctors
38:42 what’s going on that’s very difficult
38:44 they’ll talk about getting paid by code
38:47 is difficult they’ll talk about standard
38:50 of care being constraining but then
38:53 they’ll also talk about patients who
38:54 come in with printouts off WebMD we’ve
38:57 already done the diagnosis mm-hmm
39:00 and not necessarily correctly and then
39:04 they’ll argue with the lead adviser who
39:07 they’re paying cash to come see and get
39:11 treated and they’re like well that’s not
39:12 the treatment I think I need why why
39:15 would you come ask me then you asked me
39:17 for my expertise I’m a paid adviser you
39:20 you paid me here’s what I think and
39:22 here’s what I think you should do you
39:25 know people just want to argue with that
39:27 it’s like that’s not how healthcare
39:29 should work it should be a partnership
39:31 yeah it shouldn’t be arguing it should
39:34 be you know hi doctor I’m having this
39:36 issue I’ve done this research I’d like
39:38 your opinion and you know if you
39:41 understand this these issues and you
39:43 feel qualified to give me that opinion I
39:45 would like to hear it and there are some
39:48 there are some subjects doctors will
39:50 admit you know
39:51 I was having this thyroid issue and I
39:52 talked with my primary care physician
39:53 about it and he’s like we just don’t get
39:55 into that level of arid stuff here of
39:59 course not a general practitioner is not
40:02 a cardiologist right correct so if
40:05 they’re you know if that’s something
40:06 that you’re running into if you some
40:11 doctors are not going to say they don’t
40:12 know some doctors would say you know no
40:14 this is the standard of care here’s your
40:16 drug get out sure find a new doctor yeah
40:21 I I do not trust people who are not
40:24 quick to say I don’t know I don’t mind
40:26 if you say I don’t know but here’s my
40:28 guess yeah doctors doctors who say that
40:32 lose confidence with their patients so
40:34 you have to cut them a little bit of
40:36 slack and that’s where being just a
40:39 little bit educated you can ask one or
40:41 two questions ago is it are there any
40:44 alternatives to that is that the only
40:46 thing that’s out there what’s the out
40:48 okay you want to put me on insulin
40:50 therapy what’s the outcome of insulin
40:53 therapy what’s the prognosis 100% early
40:56 mortality and you know susceptibility to
41:00 infection loss of eyesight and kidney
41:01 function yeah what’s the probability
41:04 that pretty close to a hundred percent
41:06 huh any alternatives you want me to give
41:13 up bread and doughnuts yeah exactly so I
41:19 think your best thing that you can do as
41:23 a person that’s out there managing your
41:26 own healthcare is to actually care just
41:31 a little bit about what’s going on with
41:32 you take an interest in your own
41:35 indicators understand your biomarkers
41:38 which ones are important understand that
41:40 your cholesterol you know we just did a
41:42 show where we talked about how you need
41:44 to be watching your HDL and trig in your
41:47 CAC not your total cholesterol account
41:49 Ben I do something that has really
41:53 improved my life and I don’t know if
41:55 everybody else does it but this is so
41:57 easy when you go to the doctor and they
41:59 do tests or whatever get a copy of those
42:03 results and start a personal
42:05 medical file and make sure you have all
42:06 of your medical records in one place you
42:11 know it’s those are important papers you
42:12 know maybe you’ve won a like a filing
42:14 folder for your deed to your house and
42:16 your car title yeah to get your medical
42:19 records those are yours you are
42:22 fantastic my medical provider so I’m in
42:25 a big city and we have like you know a
42:28 major center like Carolinas Medical
42:31 Center and all the doctors are either
42:34 aligned with that or Novant right so
42:37 we’re a CMC patient so we can go to the
42:43 CMC website and all of our medical
42:46 records are all available and all the
42:48 test results and all lab results are all
42:50 there excellent so that it’s definitely
42:54 the electronic age has been very
42:57 favorable to a transparency in your own
43:01 medical data I think to to some
43:05 practices but I know a lot of people
43:07 that still don’t know how to go on those
43:09 web portals or are afraid to request a
43:12 copy of their own records from their
43:14 doctors there I’m not making this up
43:15 they’re afraid that their doctors will
43:18 take offense if they ask for copies of
43:20 their records right and you don’t even
43:21 need to talk to a doctor to get your
43:23 records you can just call up there and
43:25 ask the the the triage nurse and she’ll
43:28 take care of it and their doctor won’t
43:29 even know that that’s going on yeah and
43:32 they’re not gonna take offense there
43:33 your records that’s like again a doctor
43:36 is a paid adviser and he’d much rather
43:38 spend the three minutes having a
43:42 conversation with an educated patient
43:44 who actually cares about their condition
43:46 and is not just gonna sit there and
43:48 receive the the basic level of
43:52 information as opposed to asking great
43:55 questions and exploring alternatives to
43:57 make sure they give me the best possible
43:59 treatment they love motivated patients
44:01 they do they really do as would anybody
44:04 if somebody calls you up and ask you for
44:06 help and they just lie there like a dead
44:10 fish wow you do all the work I mean
44:13 think about that how many times for
44:15 people that are you know help folks with
44:17 their computer
44:18 homes or car problems or whatever like
44:21 oh my car won’t start in second all
44:23 right charge battery dude try and do a
44:26 jump
44:28 can you come do that you know it’s just
44:30 like be participant in this you know put
44:32 a little skin in the game oh my god I’m
44:34 totally a passive participant in car
44:37 repair right but but why is it really
44:41 that complicated
44:42 I can pay somebody to change the oil but
44:45 I don’t have problems with money this is
44:49 the problem is the amount of money it
44:51 takes to solve medical problems is too
44:53 much for most people so you have you
44:57 have time but you don’t have enough
44:59 money so let’s invest a little bit of
45:02 time in making sure that your standard
45:04 of care is as best as you can influence
45:10 by asking you questions having a little
45:12 bit of education having some theories
45:14 and partnering with your doctor doctor
45:18 is not evil Jennifer my old doctor was
45:23 evil all right some doctors are evil
45:26 Jennifer okay okay but most of them are
45:28 not I agree most of them really want the
45:31 best interest of their patients to be
45:33 the the fir moment for most thing but
45:35 the structure of the healthcare industry
45:37 in the United States forces them to push
45:40 you through get those transaction codes
45:42 in and wish you a healthy life until you
45:45 come visit again that’s right be a
45:49 participant in your own healthcare be
45:52 your own best advocate you care more
45:55 about the outcome of your healthcare
45:57 than your doctor does you should be
46:00 willing to put a lot of time into making
46:02 sure that every time you interact with
46:05 the medical team that you’re getting the
46:07 best possible care by understanding
46:10 what’s going on don’t just passively
46:12 ride you know it we’ve got one of those
46:15 Disney World kind of places they have
46:17 the monorail right you just hop on the
46:18 monorail it just goes around the park
46:21 you can look and see what’s going on you
46:22 don’t have to ride any rides you could
46:24 just look and see out the window what’s
46:26 happening that’s a girl all ride the
46:28 monorail oh you know it
46:32 case and don’t be afraid of a no playing
46:35 or doctor by asking questions because
46:37 either either there’s two possibilities
46:39 there either you’re being really
46:41 annoying okay and I’m sorry if that’s
46:42 the case but if you’re if you’re
46:46 annoying your doctor by asking
46:48 reasonable questions in a reasonable
46:50 fashion you need a new doctor yes I
46:53 agree with that I’ll say that it’s
46:56 unlikely the your doctor is gonna spend
46:58 enough time with you to actually get
46:59 annoyed busy trying to turf you and get
47:06 on to the guy and the room next door
47:08 than they are they’re not gonna have any
47:10 time for annoyance and probably true
47:13 frankly the training of doctors is such
47:16 that there is no amount of interrogation
47:18 that you can bring to the party that
47:20 they haven’t been subject to for the
47:22 past decade you know I really am
47:24 impressed with my current doctors level
47:26 of knowledge I’m able to come in and I
47:28 have questions and and he has informed
47:31 opinions about those questions good we
47:36 want you to take advantage of your
47:39 healthcare because you’re paying for it
47:42 and because you lack the expertise to do
47:46 it well yourself unless you’ve gone to a
47:49 medical school and even then you’ve
47:50 specialized in something and that may
47:52 not be the thing that is going on so
47:54 even doctors have these issues
47:56 absolutely and you know doctors are the
47:59 first to complain about how much
48:01 difficulty there is built into the
48:04 system
48:05 yeah but you can make it work for you
48:07 you can you have to be persistent you
48:10 have to sometimes you know pay attention
48:12 to ridiculous levels of detail buried in
48:16 your insurance contracts and that may
48:19 mean reading legalese and finding out
48:21 exactly what your insurance is going to
48:23 pay for you know a lot of people get
48:25 upset because they need some care
48:27 reasonably and their doctor says they
48:29 need it and then the insurance company
48:30 Don’s them but if you you know you you
48:33 read your insurance contracts and it
48:35 will it will spell out exactly under
48:38 what conditions this thing is going to
48:40 be covered and if you understand that
48:42 you can help your doctor work with
48:46 insurance company – to get your coverage
48:49 paper paid for and there’s often someone
48:51 dedicated in the doctor’s office not the
48:54 doctor it’ll be someone in the office
48:57 who is a specialist at negotiating with
49:01 the insurance companies directly on
49:04 behalf of you and your doctor and most
49:06 insurance companies and I like I said
49:08 I’m in the industry I know most
49:10 insurance companies aren’t evil either
49:12 no parent out there to screw you they
49:15 want you to be healthy they just don’t
49:17 want to be you screwed themselves coming
49:19 Fortescue don’t need ya and there are
49:23 people out there trying to commit fraud
49:25 and you don’t want that to happen either
49:28 so I’ve had great success I’m not going
49:32 to name my personal provider but I’ve
49:34 called the 800 number many times and
49:37 said hey I’ve got this going on there
49:40 you know there seems to be a little
49:41 pushback back and forth what are my
49:43 options here and they are usually my
49:46 advocate towards getting the right
49:47 things done they just needed to
49:49 understand more about the situation
49:53 absolutely I even I actually had to call
49:55 the president of my insurance company at
49:57 one point to have a situation dealt with
50:00 but I talked with the president I talked
50:02 with their office they were super
50:04 helpful and we got it done yep but I had
50:08 to be persistent and I had to not just
50:10 accept the situation correct you had to
50:14 fight for what the right level of care
50:17 was for your situation I did and that
50:22 did not come passively you know I’m
50:25 educated you had to care you had to
50:28 write things down you had to research
50:30 stuff on the internet you had to make a
50:32 bunch of phone calls to get the care
50:35 that your body needed to get the right
50:39 level of treatment paid for I did or you
50:43 could get a bunch of scratch-off tickets
50:45 win the lottery and just write a big
50:47 check this is the these are the options
50:50 Jennifer you you got you got to remember
50:52 the lottery is always the easy way out
50:55 no no I got it I got a Plan C which is
50:58 the plan C is
50:59 to Canada Oh oh yeah okay you get a 50%
51:04 of your income as taxes and then you
51:07 socialist medicine did you have it good
51:09 think Karen’s not on this episode Ben
51:11 because there’s a reason Karen’s not
51:14 here about her cheesy and socialist ways
51:17 I hear it’s pretty good
51:20 they’re Plan C together yeah it’s real
51:22 good you get to keep
51:23 almost half of your paycheck it’s
51:25 fantastic I’m excited all right
51:28 hopefully this conversation has led you
51:33 to have a better understanding about
51:35 what’s going on with healthcare please
51:38 do not come on my facebook forum and
51:41 start talking about how doctors are evil
51:43 big pharma just wants to keep you sick
51:45 it’s nonsense
51:47 anybody who says that has no
51:49 understanding of the system or how it
51:51 works or frankly doesn’t know very many
51:54 doctors because it’s just not the case I
51:56 hate seeing such hard-working
51:59 well-meaning people slandered it’s the
52:01 way the system is set up is not optimal
52:03 everyone knows that doctors take on
52:06 hundreds of thousands of dollars of
52:07 personal debt going to medical school
52:09 they were crazy long hours for two
52:11 decades to become a competent
52:14 professional and drive a Toyota Corolla
52:15 for ten years while they pay off the
52:17 student loans making what is a terrible
52:21 way just to become a primary care
52:23 physician it is a very self it is not a
52:29 life of luxury to be a primary care
52:31 physician they if you are not doing it
52:33 to help people you wouldn’t do it you
52:36 just wouldn’t you’d be a plastic surgeon
52:38 you’ve got to see the cars those guys
52:40 draw well that’s a whole different deal
52:42 right but your rank-and-file doctor it
52:46 does not have a $50,000 car and is not
52:50 golfing at the Country Club they are
52:52 paying off a huge student burden that
52:56 that student loan is monstrous they are
52:59 here because they want to help they got
53:02 into it to help sick people get better
53:04 that’s what they got into it for and you
53:07 have to assume that’s the case but you
53:09 also have to understand you know they
53:11 would like to be able to pay their
53:13 mortgage note every month and they’re
53:15 constrained by a business model that is
53:18 turned what used to be a service into a
53:21 commodity and I really hope that one day
53:24 the United States reorganizes how
53:27 healthcare compensation is done because
53:29 the incentives right now are for this
53:31 commodity approach and that’s the system
53:35 it’s not any evil person it’s the system
53:38 that forces it to be this way
53:39 it really does and you know until we get
53:43 away from this codes and back into
53:45 traditional service medicine it’s gonna
53:49 be tough the good news is you have the
53:52 ability to influence the outcome of your
53:55 participation within that system people
53:59 we talked to who know how the system
54:02 works are able to make this system work
54:05 for them and get what they need without
54:08 having to spend crazy money out of their
54:11 pocket really read that insurance
54:14 contract
54:15 I know it’s legalese it hurts your eyes
54:17 it hurts your brain but there’s good
54:19 information in there it spells out how
54:21 your insurance works yeah and you need
54:24 to understand that alright if you are
54:31 getting your medical information off the
54:34 internet very scary
54:37 please do not trust anything you read on
54:40 the Internet but that’s where I read
54:42 everything Ben I know they guess what
54:46 kind of qualifications you need to write
54:48 a really good blog article English maybe
54:55 maybe there’s translation tools oh
54:58 that’s true I don’t trust anything I
55:01 read on the Internet
55:02 I’d like to see multiple sources I do
55:05 not assume that stuff that you’re seeing
55:07 on the Internet even if it’s massive
55:10 quantities like the you know the
55:13 Facebook group that we were mentioning
55:14 was advocating stuff that is spooky even
55:18 coming to our own group here we are
55:20 telling you that you can go just by
55:23 changing your nutrition you can cure an
55:26 incurable disease
55:28 well we’re not promising that we’re just
55:31 saying if you do it you are probably
55:35 going to see improvement and then you
55:37 can keep doing it it’s not like eating
55:39 healthy is going to destroy somebody’s
55:41 life that’s right and that’s the trick
55:44 is don’t just go oh I learned about this
55:48 ketogenic diet I’m gonna eat bacon and
55:51 eggs and stop my insulin tomorrow
55:53 well not that don’t be that person be
55:57 the person that says oh if I go on a
55:59 low-carb diet it appears that that will
56:03 help me resolve insulin resistance and
56:05 help me lose weight which will favorably
56:08 influence my metabolic condition and I
56:10 might be able to work with my doctor to
56:12 actually get off the insulin and become
56:14 a normal person with normal metabolic
56:16 function again yeah it really does scare
56:18 me knowing as I do about all the
56:21 diabetic medications you see somebody
56:22 pop in and like oh I have discovered
56:24 keto and fasting and I’m gonna go on a
56:27 14-day fast and stop on medication like
56:29 oh my god that’s right don’t be too
56:33 enthusiastic on anything to be skeptical
56:37 tiptoe in see if it’s working hey here’s
56:41 the good news if you have metabolic
56:43 derangement you have glucose control
56:45 problems
56:46 and you go on a low-carb diet you will
56:49 within hours have a clear understanding
56:53 of whether or not this is working
56:55 because your glucose will change the
56:58 first time you have a low carb meal you
57:00 will not have a postprandial response
57:02 that is bizarre that makes it pretty
57:06 easy to manage I think that with
57:07 diabetes you have this instant not
57:09 instant but very quick feedback loop we
57:11 respect like cholesterol issues or
57:14 whatever they’re more mysterious so who
57:16 knows if diet changes affect things
57:18 that’s right you give me a diabetic who
57:20 gets 400 post brain deals I’m gonna feed
57:23 them a breakfast of bacon and eggs and
57:25 go look your your glucose went up to 160
57:29 instead of 350 okay no now we got
57:32 something not now now it’s interesting
57:34 right oh you can’t influence this with
57:37 diet well what if we keep the ball
57:39 rolling and we have a chicken Caesar
57:40 salad
57:41 lunch with no croutons huh the
57:45 blood-sugar stayed below 140 very
57:49 interesting so now we you know you’re
57:51 tiptoeing in you’re skeptical you’re not
57:53 buying it
57:54 you know insulins on quick standby but
57:57 it seems like glucose controls suddenly
58:00 coming and whatever these things that
58:02 you start pursuing that are
58:03 non-traditional approaches these
58:06 skeptical look for ways to investigate
58:10 without going all in full halt whole hog
58:13 commitment make sure you have an
58:15 understanding and talk with your doctor
58:16 if you go to your doctor and say hey I’m
58:18 an insulin dependent diabetic and I’m
58:21 interested in this alternative which is
58:24 this ketogenic model so that I can get
58:26 off insulin they’re saying that I can
58:28 get off insulin if I start doing this
58:30 dr. Bernstein says I can get off insulin
58:32 if I eat low carb I think that many
58:35 doctors would actually kind of be you
58:38 Hostel about that being the thinner good
58:40 good they should be you know why cuz
58:43 most people are not to be trusted
58:45 because the compliance rate would be
58:46 very level it could be very dangerous
58:48 for someone that’s true but then if
58:51 somebody in that condition if they do go
58:54 full hog keto and they’re still taking
58:57 the same amount of insulin they could go
58:59 hypo and kill themselves correct that’s
59:02 and that’s the point Jennifer and I’m
59:04 glad you said it exactly that way it
59:07 ain’t simple what we’re talking about
59:09 here which is why you cannot take
59:12 control of your medical situation
59:14 without advanced levels of knowledge you
59:18 have to partner with your doctor you
59:19 don’t have a choice you’re not smart
59:21 enough about this stuff you’re just not
59:23 it’s you just have to accept it but you
59:26 also have to understand that your doctor
59:28 has constraints your doctor can’t spend
59:30 45 minutes with you trying to sort all
59:31 this out you know Ben the only way this
59:34 is gonna have a good ending is for
59:37 strong artificial intelligence to be
59:38 developed and then Baker control that’s
59:40 the only way out well I you know it this
59:44 is for another show but we’re heading
59:46 towards a model of position extenders
59:48 where you’ve got pas nurse practitioners
59:51 that can buffer
59:54 actual doctors by providing medically
59:57 reasonable advice that aren’t isn’t
59:58 coming from an actual doctor that’s what
60:01 it’s gonna take in order for us to get
60:02 personalized care yeah it’s coming but
60:06 it’s got it’s a decade away and this is
60:08 what you have to do in the meantime is
60:10 you have to skill up and do research
60:13 it’s not impossible but it is a little
60:17 daunting hi I acknowledge I think for if
60:23 I may that I have invested a lot of time
60:26 trying to figure out who out there
60:27 really knows what they’re talking about
60:28 and once I’ve decided that somebody
60:31 knows what they’re talking about in a
60:32 certain area of expertise I don’t you
60:36 know I accept what they say I accept
60:38 them as a trusted expert in that area
60:40 yes and that makes it easier for me
60:43 because then I can just say oh well Ben
60:46 gave me some advice on metabolic stuff
60:48 and you know he’s been right and I
60:50 believe that without having to you know
60:53 Google every single word that he said so
60:55 I can relax about it yeah I think that’s
60:59 a great way of doing that we actually
61:02 have a thread on impulsive Kido that’s
61:05 the trusted advisors it’s like blogs I
61:08 like to read mm-hmm and we all just kind
61:10 of put in all right these are the
61:12 podcasts I listen to these are the blogs
61:14 I read these are the YouTube channels I
61:17 like watching because you know someone
61:20 like Rhonda Patrick does not blow smoke
61:22 well we know I don’t agree with
61:24 everything she says I have some
61:27 alternatives to think she proposes but I
61:30 can tell you this if she says it it’s
61:32 not complete nonsense 100% because to me
61:36 she is a trusted advisor not yeah I’m
61:40 not gonna take everything she said she
61:42 doesn’t get any blank checks from me but
61:44 when I listened to her podcast I don’t
61:46 have my peril sensitive filter nonsense
61:50 whereas take someone like jimmy moore’s
61:53 podcast when i listened his podcast
61:54 which i very rarely do yeah i have to be
61:57 very careful about what is being said
62:00 because he says nonsense absolute
62:04 incorrect information he is not trusted
62:07 and it bothers me that I that and that’s
62:11 why I can’t listen to it even if he has
62:13 a guest on I’m interested in because I
62:15 can’t sit there and I don’t have the
62:16 processing power to constantly screen
62:19 and be skeptical so I just he’s just not
62:22 on my radar at all I just don’t want to
62:23 listen to it because every third word is
62:26 gonna be wrong and I want to try and
62:28 filter that out so I’d rather just
62:29 listen to Rhonda and not listen to him
62:32 and then I’ve got you know I kind of
62:35 partitioned my trusted advisors in that
62:37 way so I only listen to people that I
62:38 trust well and could be fair if you do
62:41 listen to Rhonda do you have time to
62:42 listen to anybody else no oh that that’s
62:45 true too I mean how much time do you
62:47 have in a day to listen podcasts I mean
62:48 here you are blathering on for almost an
62:50 hour oh my god we you know we’ve only
62:54 talked about one little thing that’s
62:55 true we can talk about another thing
62:58 next week all right
63:01 that’s true we could if we continue to
63:05 do this podcast ban which I think we
63:07 should well I suppose so I mean Karen
63:10 will probably be jealous that we did an
63:12 episode well the powder let’s include
63:15 her next time I like it I’ll look into
63:18 it we won’t talk about healthcare she
63:23 won’t rub the Canadian healthcare system
63:25 in our face okay
63:27 all right folks if you have questions
63:30 about what’s going on with your
63:31 healthcare feel free not to send them to
63:34 Jennifer because although she is a in
63:37 the business person we cannot give you
63:41 direct advice about medical care because
63:44 we’re not medical professionals and
63:45 that’s not what we do we help people
63:48 with nutrition and sometimes push them
63:50 in the right direction if they’re asking
63:52 wackadoo questions we might know some
63:54 resources to go look at but when it
63:57 comes to medical care there is only one
64:00 person who you should trust and that is
64:03 a medical professional who is accredited
64:06 and is being paid by you to be your
64:10 trusted advisor not me and not Ben
64:14 correctamundo all right Jennifer this is
64:18 the state of health care show
64:21 and I’m putting a pin in it all right
64:23 sad state it is no one in this podcast
64:31 is a provider of health care and our
64:33 discussion is based on things we be done
64:34 Internet it’s not an intensive render
64:36 medical device communicating situation
64:37 and the view and their doctor practices
64:40 the treatment diagnosis and specialty
64:42 impact
64:43 are you strictly photography background
64:45 ability during meditation before
64:47 nutritional growth or fashion person
64:49 mini-vacations are known incompatible on
64:51 the fast
64:52 be safe and Okinawa
64:56 you
65:00 [Music]