« Armchair Expert with Dax Shepard

EXPERTS ON EXPERT: Sanjay Gupta

2019-04-11

Dr. Sanjay Gupta is an American neurosurgeon, medical reporter and CNN medical correspondent. He sits down with the Armchair Expert to discuss wanting to change his name to Steve as a child, performing surgery in a wartime environment and he breaks the misconception that brain size is the primary factor in intelligence. Dax and Sanjay share a Michigander past and they discuss some of the failing components of our current healthcare system. He talks about recent findings in CTE and leaves us with advice on ways to maximize health and prolong life.

This is an unofficial transcript meant for reference. Accuracy is not guaranteed.
Well gummed, arm, chair expert experts on expert. We have a very fine exciting. Yesterday, doctors, Sanjay Gupta, you probably recognise on J from his work on CNN. He Is there any house medical expert? He covers an array of topics for them he's one in Emmy. Doing that you know their Monica didn't know that, but I'm not surprised at all. He also discourse special rules in their impact is here to talk about a doc you seriously he's doing on who is crushing and around the globe with different health aspects. Yeah there are people that are doing well and we would be wise to model ourselves after them are chasing life chasing life, doctors, Sanjay Gupta. I see a man, it's gonna be a fantastic programme. Now, in all honesty, we a small window, is on J and Rafik intervened, yeah and cut them,
don't even shorter. So just now this was a thrilling. Fifty men interview for us that we want to go on for two three hours and I'm gonna, I'm gonna, be the first say he's coming back. Here are apologies for being too short, and could you Definitely to be wanting more yak zoos. Are we juicy yeah he's a grey he's, really fantastic. So please and joy, Angie Gupta? Also, just a reminder to Morrow tickets for our lives. Show in Seattle go on sale at ten, a m pessimistic time time. Good. Our website will be linked. Thirty get tickets, armchair expert, pod dot com. Please enjoy that
good doctor. We are brought to you by bless this mass so exciting to be reading an ad for my own shell momentum. My own show here shall show I mind with Lake Bow, who created it with his merry, whether if you love new girl, which everyone died, Liz Meriwether created that shown ran it. She raided with leg. This show I myself of day dreamed about the premise of the show, which is to just go move to a farm and have a simple com: quiet, peaceful existence. And my wife and I like Bell, decide to move to Nebraska and we think the house's beautiful, but it's a dump its like money, appeared in the new one, green acres, all in one so funny it is so so funny Dave Kirchner is on it. Lenin, parmesan it S. Bagley Junior plays a crazy, man who lives in our house its supervisory. What like about it too, is its super physical comedy,
a beating on your friend Jack Shepherd. But oh, it's been worth that bless his premiers in five days on April, sixteenth on abies the Tuesday night. We follow american housework, the kids are all right and black is so its wall, the wall, Tuesday night Comedy our show, starts at I'm thirty, eight, thirty central on a b c and guys, it's so funny and like a so then everyone so watch it he's Sanjay, welcome to arm chair expert pay. Experts on export the you fall into the experts category, which is very distinguished, I'm honored by yeah yeah use, as you should be fine, doesn't think of it like that is so what was so fond for me is that your folks in nineteen sixty move from India to love bone yeah,
wherein Livonia did you have right by the wonderland, more ok, there's an arby's there. So Harrison wrote. Yes, that's right, then, upon De Rossa across the street by came, aren't really knows the hand of the bee and be little drugstore yeah yeah yeah after you get went down that street. That was that's where our house was now mentioning they moved to just outside of Dearborn. First, they work therefore, rather both engineer Lord here, both both them. That's that's really unique. I'm calling the my mom was a mechanical. My dad electrical and and my mom was a first woman ever hired as an engineer, really Ford Motor Company. Why, yes, and that their eyes- and yes, it's pretty it's pretty cool and she was. She was a partition child and in India. So nineteen, forty seven there's this gigantic partition. India is broken up in the indian Pakistan ha ha is for five years old fleas from what is now Pakistan to India, aha and
twelve years. Let us a refugee. Those in refugee camps gets into a cargo right. Execs cargo ship to India goes down to corruption. And it's not funny when you live this life with her and said so part of your Europe thing and you never late When I hear someone like you actually know the story, that's all buyers right. It's bonkers, yeah, because this is such a part of our life but yeah. So she then then decide she wants to be and ingenuity which What what do you know what our car she were come in particular? Was she assigned to a platform or anything? Yes, she did a bunch of the day they had various cars, it so the tourists and the tourist chassis. Aha, what was a big one shared by the with the sable, the same artillery save. I know your cars, yes and then a very exciting addition called the show. The showed Torres which had a yamaha super high out will ye as Marinos and yeah
and every now, and then she get to bring these cars home just now. Yes, ass thing yeah and I was gonna turn and about fifteen. Sixteen at the time was there was stand ass, the eye. Similarly, we had a stepped out for a few years. Who was the ride in handling engineering, the Corvette group, so he not only brought a home corvettes before they came out, but they also on all these competitive vehicle. So you wouldn't have Lotus Esprit, Harare, Lamborghini, Coon, Tosh, that's cool yeah. That was- worth it in the end, but it was very clear, footnote, Zoo Livonia now my so my grandparents lived em on offer Merriman between five and six, and I When all my summers there it my grandma taught at events in high but didn't go there. You want to know why her I dunno vi. I we moved at at some point in their eighth grade and of eighth grade removed a few times because it was dear boy,
we remember Vanyusha and even with lonely, we moved a couple times and it's funny. I still go back and I'm out and no family. There anymore, my parents left, but but I still go back and ends and check out the old neighborhood yeah wild to go back here really is right. First of all, there is such a specific atmospheric feeling and mission especially if you're there, like late spring early summer there's just a quality of the air. For me, that is so nostalgic and I just find it intoxicating. So I to go back just to get that kind of high. late spring early summer, feeling I totally new, which mean, and it's funny, because people talk about the MID west than they said the other day.
I use and it just a good place, and all that and you can. You can talk about all that, but a but you're right, there's something that's less less easily. You know defined yes now, what's the feel of the place and are some visceral there for me, yeah now, no way I M not a ton of diverse. I can imagine that you had a ton of aid I think I was the only indian kid I think I may have been the only get any color, my skin at all jar, and I was going to school there instead of a brothers ten, the younger than me, he also into school there in it, and it had started to change their point yeah. But yeah. I mean it's funny when you're, when you're the only person whose person of color you then our ascribed every the city of absolute, I accuse fill in Rome with. I guess he ran India, but we have a huge our pop population in Detroit saw it sure, but I thought you were killed, the sometimes sums and exactly as all that, and it was a good school. I had a good experience, but I think no matter
Why, when you're the only guy that's different, there's editor what I would call it. I guess it's. It is more xenophobia, because not even like race, and what would would imply that they somehow even new up my race, washer and then felt superior to that you raise this. This was more like he's another. Yet other! Yes, you know, and so am I have a fear of others, and so there is a limit to that. And then you know everything such your name. It's type of food. You eat it, religion, parents, names, you know it's it is. It is weird while Monica as well as first generation in a half an hour. We really not her. Mother did Robin Savannah heard from area gets, it has ended in IRAN, yeah yeah yeah, but they may, when she was sick, says she really girl
Monica a hundred percent pure. We did that twenty three in me and she's is pure as it gets. Yeah nodded announced crowd at that, but see similarly grew up in in the land of Georgia, and she very much want to be white. There you go: oh yeah, I did everything I could to be as wide as planned. Just to fit in the year. I mean I I I assume I mean I. It happened so early that I wouldn't really be able to pinpoint like I'm doing this now, but machine It was just wanting to fit in with everybody else and being accepted. How did your parents have the out of those conversations? Go with them, but there are they. Did you even have their per se? If I can say from as an outsider the very progressive, not not as traditional you would imagine. Oh they're, not tradition at all, but I mean, of course, when I would come home and say, like I wish had blonde hair is in my view they ve been like Mama.
Just role our eyes at most of those comments, but she wouldn't really. She did we generally how many big time perceptions about em, and I wish we had. She probably could said like why that as raw just like us, just OPEC watch for it and that other wider step, but what we had another. We had a guest here, Rushmore cut a similar dynamics Monica and they went the other way. So it's kind of like you can either really assimilate or you can attempt to assimilate and doesn't work for. Then you find your tribe and in Russia case she ended up hanging out with other southeast asian folks that she assembled kind of a crew yeah yeah, some kids, you know. So what was her method? But well of so it's interesting. Am I don't? Oh, you are when you wanted to be white, but when I was a kid I was thirty one. That is what I wanted to change my name She wanted to be Steve sure? That's me
can is again TAT, Steve Austin, yeah and dollar man yeah you're too young. For you don't remember no era, the Stevenson so ran and my name's with it s Stephen, you seem like a very and that was gonna fix everything, Alzheimer's you're, but my mom and isn't she. I told my mom and I think it was probably six seven years old and in interesting. Now, especially when I look back on her immediate response was, whereas do it ah like? Maybe that was a thing she could me shark, as she may be recognized that there may be. It is hard for andean kid in a very, very a Maginnis, all town and when I had blue collar that makes you really know able cartel I mean where we live Non Harrison Street that street- and you know this area, but that that was that was blue cartel. My and I was in Wonder Bread Bakery Union yeah. You know yet was lottery. Indian workers level line workers signal wonderful place to live up, that's what it was and and
She said to me: are you sure you want to do this? You know I mean, because you know, maybe you shouldn't train like everybody else. I was sort of that that same thing that your friend rash, my guess, went through. Do I certainly do I not, and I decided that I did not want to assimilate, not tell you. I think I was like a really pivotal point, because the idea, then of embracing you're you're differences. I didn't really know they go hang out with a lot of the Asians after that or anything in particular- but I think for the first time I saw myself as an individual, yeah yeah? I know it's kind of weird thing to say businessman your five or six years old, but it was, but I still remember that really well knows a comedian, that's thought the end goal and can take people thirty years to find their voice basically tend to end to be distinct. yet he had his own what they their differences round, run from them in years. I think I'll just throw a hypothetical at you, you're. Obviously an incredible student right. You
that's going to U of Amity and do you believe that had you been so we're embraced in busy right bikes build imports with all the blue collar white kids with wood studies have had the same priority. Is your life on a different? Are you at a vantage point now that you could go? Oh well that thing that was challenging probably to find me and made me the person. I want to be a really good question that I think that what I would say is that I think the difference was. I was able to dig deep into topics that interested, because I wasn't out building forts, rotten, bikes and stuff, like that. I think it could have done well in school without having to dig deep into those topics. Engine saved all that for college may mean yeah right in, and so I was able to have more interests. You know some of them were academic. Some of them are just interests. I got interested in history, I get instant like I was thinking about metal, but I wasn't sure, but I get into the history of medicine just like had already gone
history has. What point do you think? Ok, it's ok for me to cut somebody open and try and heal I guess that pivotal inflection point medicine was so in four. Even didn't they like during the enlargement they would take. They were like paying grave guy the idea in there and open up some bodies, as they really were, allowed to. That's how you that's how they started to to learn. Anatomy is early stage these, unlike equestrian stuff right. I think they they cut up horses. Nearly I guess this is probably maps are already well her aid in Lahti body. The lives so all animals, I mean it- was considered dino, just absolutely sacrilegious too, to think about opening the body some of the first operations where they would take these flints. These kind of the sharp hard rocks and basically hit the skull to basically let out these bad humor
Harrison Rue Boars and delors, though it's amazing about that is they were successful because there is, if you're, forensic osteologist there they healed. That's right! Isn't that that's that's! How do you know all the anthropology yet isn't it was down at the Aztecs right? They could open up the that the skull he'll know how those patients, then we don't have a lot of medical records from back then, but I do not want when somebody has trauma, which is how most people died early on. If you had tat trauma to the head, you got bleeding and the whole thing the skull, unlike any other place in the body, is this hard. So if you have bleeding the blood is nowhere to go to open up the skull. You just relieve some of the pressure you can actually save somebody's. If doing that, someone that pressure builds up, does it say constricting the brain itself in preventing oxygen from getting like it, what what's actually killing it at that? There are three things that are basically in the intracranial cavity in the skull cavity, the brain blood vessels, answerable smile flu
and they have eight the of a fixed ratio of these things. Any given time right when you start to add something else. In this case blood which is pushing on on the brain, the brain itself starts to do you get inflamed and there's no place for it to go so the blood vessels that are providing blood to the brain they get. They get constricted and the band. So you start losing oxygenated blood to the brain and also the blood. That's trying to get out of the brain can't leave right. So the brain starts to swell and that's the real problem, the brain swells. Eventually it pushes down into the spinal canal and that's what's called honey nation, that the term the people use in the medical community, but that when some one of brain is hernia aided, it means its pushed down into the spinal canal interests, and that is without a doubt, the direction it moves. That's that's through our while pushes on the brain stem and you lose your ability to breathe on your own to regular your heart rate, and it does occur to me. You know,
everything about brains, obviously along them right. Theoretically, yea arouses urgent. When I decided to keep my name, that's when I started decided study the brain, let's quickly, because I think most but not noticing the I'd. This is one month more fastening things I learn and answer was: was there neanderthal that brain was about sixteen fifty ccs in size in the modern, homo sapiens sapiens like fifteen hundred and then so its white can see?
the bull that they were smarter than us. It's what's that supposed to be a pejorative to be called the neanderthal. Banks can weirdly a compliment, rye, Bremer, smarter than me now, oh, no! No! No! I just want you to think says. That's right. I had four things I about a morning through to a pace myself. Very stop me too. I did not know that, but that you know big size of brain. The density of the neurons in certain parts of the brain and there's parts of the brain that are called eloquent parts of the brain. That is, that is what they're called and that's because they are the most functional parts of the brain. So you not all of your brain is, is super functional. I mean it's more like it's more like a bunch of cities, and then you have a bunch of roads to to allow the cities to connect and much of the it is the roads. But there are some cities and you want those cities to be the most densely packed eloquent parts.
That's what it says more about those areas than the overall size. The brain, ok now also really fun to write, is, is convolutions right, explain that gives its also about surface area right. That's right! You can have a gigantic brain, but if it was smooth you you wouldn't have nearly the same the same surface areas. They we have all this cortex if you want travel at its much much bigger than the brain itself, because you have the isn't values- and this is an interesting everyone- always looked at thought about Einstein and noon when his brain was actually examined, and it was there for sure, but he seemed to have a lot more of these ridges and valleys convolutions within a particular area. The right parietal lobe as it turns out a real, is really responsible for spatial relations like how we actually can place herself in space and time all that gonna make sense what's relativity around. Maybe maybe that's why you came for for him. He just he's just got some of these concepts much much more easily yeah than other people.
That concept being explained when looking at elephant brains, because their highly convoluted right. That's right, that's right! It is incredible memory, yeah and then there's enough you gotta that reptiles, you you do get. Much smoother brains there much more animals of reflex in a right and then the reflexes are what drives most of their function, as opposed to actually conscious I mean they have conscious awareness, but you know that that's not as big a part of their their brain yeah it. What book thing is promote end or diminish brain health, Zurich, as I was taught him biology, that's grey matter right, those aren't somatic cells, they dont go through minds, houses, it can't really he'll itself is at all true, or is there anything that can be promoted with your brain? We are thinking there. The long held belief was
as you know, neurons, as well as cardiac cells once those died you weren't gonna, get him back and- and I think, over the last twenty thirty years, people have realised that that's probably case law really that you can have real growth, and you can also have different areas. The brain take on different purposes, which is called plasticity. The idea that your brain can plastic and malleable. You know I could be. We can point very specifically to a part of the brain, and I can tell you that this is your right hand, function and actually, unless side of the brain left hand left side of the brain controls. The body and of someone has a stroke right there and they lose upper extremity function it at some point the future. They could regain that strength, because other areas, the brain close to that motor area,
could could take over our hearts. Are the motor area does grow back other areas start to chip in and end that sort of relics, relatively new thinking over the last few decades, the out? What's gonna comforting it is it's too don't change the way we think about stroke, rehabilitation brain three overall, even things like the concussions that have led to some sort of the longer term problem, yeah city, exactly did he's a big I it is right. Yeah, yeah, ten years ago, most people in the scientific community and even the neurological community didn't think it really exist. really. So we have had a new, a new neurological disorder in our lifetime. That's been defined and now accepted at which has got. If that doesn't have
Very often, the right, let's see tee due to concussions, typically from me, no significant blows to the head is, is a new thing. Now. Is it that the damaged brain itself in city is coming from each specific impact, or does it reach a critical mass or it now starts just destroying brain on its own? It appears to be do that it is repeated blows to their heads. Are some people seem to be more vulnerable than others, even with fewer heads to the head
at a younger age they ve already developed evidence of city in the brain. I personally have seen this tragically in the autopsy of a seventeen year old, real ballplayer. He died. He had taken a blow to the head while playing football and then took a second blow to the head and that's called second impact syndrome, and that's probably what led to his death, but they family ass, for an autopsy and within his brain. He had these deposits of of these plaques. You know like amyloid and things that you'd seen on Alzheimer's patient sought in the seventeen year olds brain does it is that, because there's just poor blood in there that kind of gets viscous or something what they're not dare not sure they do. They think that the DE proteins amyloid and the Tao that they're called are responding, probably to some sort of injury, they're, not blood per se, their proteins. You know, but they're coming in probably in response to the brain being injured. There's been a belief that if we have these infect
early on in life that may not cause us to be sick. We wouldn't even know that we had them, but that the brain response that infection in late down all this, this amyloid and endow these proteins and then later on in life that leads to symptoms of of all farmers in a memory loss and functional problems. So is it an unfair just disease early in life that leads to Alzheimer's? Later on? We don't know about that, starting to look at all these different possibilities of also her people talking recently to about like gum how the end in the back and migrate in cross the blood barrier is that true. That is your ear, your mouth, and your gums are a potential large source of inflammation in the body, and so, when you inflammation, you know your basically, you you're you're telling your bodies immune system released the hounds release, all the inflammatory cells and when those inflammatory there are now in the bloodstream, they can go anywhere. So they crossed the blue,
brain barrier. They can make plaques in the heart worse, so you know people say ginger, Vitus, associate with heart disease. I'll, explain that to me although the common denominators inflammation, ah so yeah that that's that's, that's a huge thing and it's such a simple for problem: the sort of veto- that's yes inflammation in the mouth, let's discomforting assume with an auto immune disease and information that you get me into this. I have sorry attic arthritis. My wife suffers from that she dies. I would love to hear your opinion, as I have a total just arm, chair Layman's theory on all these auto immune things, which is, I think, we're all allergic to a bunch of food. We just don't know what it is and then manifest itself and all kinds of auto in my eyes. So look you're lucky they like another hour. I just tell you really quickly. She in this sound familiar to you for her steroids, nuff attracts aid, Ambrosch, Hugh MIRA, o Tesla she's, none at all,
this draft joint. She she did the t enough inhibitors in all these things, four times when they the doktor, said look. This is a medication that is probably gonna short near life. It's it's cardiac toxic substances, toxic to the heart, designing it's gonna work, but here's Rees numbering that up to your point. In the end, it is quite possible that she has an allergy to something known as basalt of Peru, which is it's. It's a naturally occurring substances in Peru and trees, but its use as a food additive to two also, two different thing that so ubiquitous you don't have the label for it, oh wow, and they believe that the it is an allergy that subsequently has caused her immune system to flare up and look like sorry attic arthritis. So she gets the. She gets. The joint joint symptom, we'll get rashes in these sort of odd play. This is the whole thing and in its been really well and by the way I got tired, you know I'm a dock dilemma.
Medical reporters like I know the medical system. Eleanor was like for you, but that was the most challenging l to navigate and figure out how to get her care, and I am so sceptical and cynical on everything and it took me going through every single western medical option before my wife. Finally forced me to go. Do poncho karma cleanse within our evading and ever say that correctly, but I rather get yes and lo and behold after ten days with them on monk beans and rise, I had no inflammation. They gave me a diet when I follow that diet to the letter on purty pain, free, it's very hard to follow, but that by far of anything I've tried, that's been the most successful and that's why just like I mean I don't think the arm makes no scientifically why it's working. It doesn't really matter to me, but I hate it worked for me.
It's maybe a restrictive diet is yes insulating you from the things, and maybe you are reacting to in some way. I guess you know yet again they didn't do blood samples right where I'm saying I don't think they were looking for markers of anything. Yet here we are this woman said here's what you're going to eat. I did it and it worked. So what am I gonna do? Let me some of that stuff has just around for a thousand years right. We always want the double blinded, randomized trial, the evidence and look I'm off the epidemic. Is it who's? Gonna, do the trick On the other hand, the beans and rice diet for sorry attic, arthritis, arrogant, take ten thousand people say you eat this ten thousand boy you eat theirs and then follow him for years and has ever gonna happen. Also to your point. They ve been Rico. Pretty now whether or not their getting into the theoretical end of what the recording they happen. Recording the health of people for a thousand years, our of accepts it's kind of like Marconi, coming up with the the wireless.
Transmit our. He didn't know scientific leave on a physics level or come chemical out what he was doing, but by his trial and ere. He did figure. That's right I gonna file and under that categories like will, they might not know, but they know I think so. I think it's too easy to me now. Frankly, I am not saying this, I grew up in indian household, so there was. There was a lot of sort of Ivy League teaching. even though my parents not doctors, but you know in some ways it people read dismissive of. Is things and there's a sentiment sometimes a bit? If it's not made in America, it's not stamped made in America that doesn't have value or hasluck best value and first vault, some of these traditions of held up for Hunter nine thousand years. That's gotta mean something yes and then Carol. I don't know if you went to care a lot and when you were doing the the the the cleanse and stuff, but that's where a lot of this stuff happens and you have some of the highest literacy and health and and over
Unicef wellness rates in the entire country, ass, others there is, there is evidence of living. that sort of I obey their life. Yeah can be beneficial in and I've seen I got it. It's gotta, Caroline see that in its it's pretty words, Carol Kerala allows it to my parents are from your peril relating. I had never been the cat units, it's funny India's country, and then you it's like twenty country, we're gonna different places, and it's like it doesn't like India, girls in the South West Coast. It's beautiful, really well what I ran a clean, her parents when they visit Santa Barbara there. They said to her only guy. We feel like we're home on my wife and I go on. I think, you're right. They do you think of liking water and age in the air and road, like the people who were held the air by we think of health as lightning this necessary evil thing we have to
think about our health and over. There is just part of how they live system, which may not be that different Zanzibar right now, like you know, you're like eat, anything that can really get think about what a meeting right but make is that food functional for me? Is it going to provide something that I need later in the day in Europe that you may think about it? With regard to work, like I'm workin out later. I should have more protein now, but that's just the way of life Carolyn yeah had function like a diet is created for society, typically because a pallet right, it tastes good, and it's got good mouth feel I prefer for Caroline that in the arabic diet, the diet was created because we're looking up food and were saying the sweet as this function the sweet as this function and here's what you should eaten here's the time a day. You should eat it and then we'll do the palate stuff after the food Delicious raw. What drove it was not out as much as function. Yeah Jesus. I think people should eat how human should each year.
No one would fill their car up with cough syrup means. Are you you understand that this setting me has it ever choirs fuel a certain type of fuel to perform this function? It was designed you know, but you don't really approach her body that way now relations and also what it stacked against us. They make it so easy for us to just sat. Try that palate and the Tanner asked all day there we are where to buy legal zoom running a small business is a lot of work. It takes a lot of time, it takes money and you want to take all that time and money. You have to go into growing your business, but what happens when the legal hurdles pop up along the way? Those whom is there to help you know in real life? I did my will on legal xenophobia. Yes, I think our plan, some kind of a state issue for my children. I did it online by myself. This really happened five years ago. I did that you're not qualify, don't know anything about anything, that's how easy the website is to use merely to
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in the world it- and I don't know how it with with Chris them, but you know I can't get to be a hero. You know a special I'm gonna come home and on the hero and I feel bad because they ve been at it with mom swoop at me, like cut her legs out Monterrey. Patients here has a judge's gives me. This look like really hit you to come in. Be funded, only live in arguing for three days, but it's just the way it goes. I know that another relationship changes. You know you know, there's ups and downs it with a mountain dad's with this year, Right now saw some. Yet what ages are they? Thirteen twelve intent Oh? Well, that's supposed to get that's supposed to be like really on the precipice for you of our easiness, but I'm holding my breath at right now, it's good how I've one I've on friend, who is older friend of mine, who has daughters that I witnessed go all the way through high school, stayed best friends and kind to each other like it can happen.
I know I just know that I needed a knows that it is possible. I I have a brother, I did not know had no sisters, I'd never knew little girls, you know just wasn't something that I knew. What is shocked me. Sometimes none of this, your kids, the unborn sex foreign secretary, so there's still young. the I'm amazed sometimes the way my my girls, my my wife, talk to each other. I get any issues, you're the meanest mom over. I hate you, I will well. Yes, and I will take them aside sometimes- and I will say, hey look first of all we're not friends, you know just where your pair Let us be clear on the item: there's no equivalency and relationship. A number two is that that woman over there will be your best friend one day, so please don't say anything that you're gonna. Like kick yourself and yours now say I wish. I hadn't said that yeah, you know. Just don't don't don't say anything. You gonna regret. I guess
it's amazing or their daughters. It seems to be a predictable pattern and there's moms in dollars and then of dads and sounds for me. That was a very dicey others. A lotta like Alford jockey, ran out her guerrilla. Are you the man beggar than you now little as little goat, this yeah, but I'm still growing up? I think it's easy to make that person that the same gender person feel you are going to be that yes, so then, whatever they do, that makes you feel crazy or annoys you. It triggers you to feel like now, I'm gonna be that are. I might be that I don't like it. So then it's really high as interesting ye. I think that's a good point. I agree to yourself a bit exactly are and then, like maybe a scary way in Euro, most defining yourself against mom or order going that I don't want that life is a kind of attack, human or being critical of it. This gets back to the whole wanting to be different
eight I mean I don't like. I love my parents, but the idea that they will become my parents that doesn't that shouldn't happen. I should be my own, my own man, my person yeah. I think you have a very interesting life and I feel, like you have so just in it in a nutshell, you graduate from no by high you go to your family, then get your. degree in oral surgery from you of em death. Then I find this very Then you you're pretty emerged. I imagine in the world of academia and then the world of medicine yeah and then in two thousand three. You go to Iraq with the Asian of Iraq and become a doktor there. What will? How did that come about and then practising medicine? I was writing a lot and on health care and care and become a journalist. You know, em mainly mainly, can talk about health care policy. That was my entire. I worked at the White House writing about, though
before two thousand three before you, the YAP back, and I worked on current administration, Knighton late nineties, I worked the White House, oh wow, and does all health care is healthy, was big, big issue for the for the Clinton's at that time, and when I was gonna when I work is a journalist ay. I was thinking. I was gonna, be health care policy. That was my interest and then nine eleven happens in the invasion into Iraq and Afghanistan, and I was always interested in how people get cared for him in more on settings. But all of a sudden I was there as an embedded reporter. You know and end is turns out the only neurosurgeon, also within the area that that I was reporting, so people get injured and got shot end They say to me: hey man, you know we know you're here reporter, but would you take off your journalist gap and put on your your surgeons, cap and opposition yeah? Of course, of course, that's that's.
Do, and so that's that's how it happened. Now I have been in an operating room in Afghanistan, Dorette when soldiers were just brought back from being shot, yeah and it is not like a hospital cedars Sinai. Why would walls but the kind of com? it's that existed with those guy. I was his real because for me, of course, it was just chaos right right and do their screaming and there's blood everywhere and acts raise our common, real, quick and only a metal here, but that the distance sea, the chill mode of the surgeons hours like they're, fucking gangster locale com, The article is really cool. I really I mean it was called to see people her. It was called to see how proficient they could take care of people that setting yes now is amazing. Emmy, nay, I like you, like. You, have tremendous respect for those guys. I mean I watched the Gulf WAR on TV and remember seeing the lights and green screen I'm looking at, is that other than a missile going up that a bomb falling on what it. But you knew people get hurt. Yeah
knew that there are people rushing into help them and the people that were helping in Russia or total strangers, and they were risking their lives and I thought Cabot's, the most human store. I mean I operate every last but not least, I am at risk in my life to take here somebody right, those guys are doing that, and so, when I covered the conflict in two thousand three and saw that than it was real that I thought I was then my entire career covering those those stories. Yes, I have tremendous respect for what the nurses and doctors do in those situations. There's something liberating about getting in. This is not to say that the cares there in that situation isn't on par, but it is a different environment altogether too, look I'm way more, like survival down to the basics. Get is the hard core gettin in their there's. Not All these administrators, therefore, wasn't all communal filling out computer work you're an enormous ain't. there is something more primitive about the helium just,
but to do your job yeah. I wondered if that was at all me. A real area is. Very, very me I mean you know that there is certainly no this this. This feeling that you're gonna take care. Somebody, then, if you don't take air them, they're gonna die. If you do take care than they could be just fine, so there's that it's that real sort of Tension is more game. Day plays right. Yeah, it's not planned out. You didn't have six consultations, it's like it's now, you you do the right thing right now or not! That's right! They need you right now. If you don't have to fill out paperwork and documents, get approvals and try this medication for all his medication for a while just do dear it was. It was very gratifying and the other thing was, I think it showed reminded people, but how much you can do with how little
you know I mean we have so many resources in its wonderful cedars, Sinai easier alleys House was its grey YAP, but it does make you realize that we probably use a lot more than we really need yeah his things down with a lot less and frankly, in most parts of the world. That's it you do and an agenda, and is this gets back to American made or not in a year and is? Is that why I imagine theres many facets to it, but is that why our health care costs per person are so outrages? Is? Is it the endless layers on top of the procedure itself? I think if you had to boil down to one thing people say well, we have to me specialists with too many these operations, whatever its cost its price. We charge lot more money for these same exact things: you're hospitalization, the doctors fees pharmaceutical caused. Some in the ridiculous. You using the headlines, people, Jack and up costs, and these drugs suddenly thousands of percent here- and these are drugs that that are brand new drugs that have gone through
all this innovation. Some of these have been existing. Drugs have been around for years, and some farm income and he suddenly says I know a lot of people are dependent on that drug to make their lives better, but I'm still gonna go and raise the cost by a thousand percent here and that that shouldn't be allowed. That's the price of these things, more than anything it is, is the price artificially high or a price that is, it is needed, Those unity is, is it to cover all the uninsured folks that are coming through the system as it is now at me, because we know that this is the private cited the system? You know the uninsured folks are coming through the system. Oftentimes are paid for if they're getting care by the public cited medicate or Medicare whatever it might be right, like you, couldn't identify who the buyers and sellers are of products like if you run in the system. You'd say what your charge me too much for that. Here's! How much I can get for over here give me a better price. Yes, problem is and met healthcare? We don't know who the buyer is exactly we don't have. The seller is doing enough. regional Monday,
and I ask because then we would be talking about this or that I was doing a spine fusion. I said how much does the Spine fusion hardware cost Huffy very simple question and I some answer. There was a version of well, that's complicated, it d and I don't have that thing right. How much is that cause? I guess it five dollars. Five hundred hours whatever depends on which Hoss borders, surgeon it is which department is doing the operation. It is so opaque and then who's the buyer. There is the patient, the buyer am I the buyer, is the hospital. The biography of go online in order, my device, yeah myself, yes, the roll up with it in a sealed bang had bought the ultimately
think, the consumers with patients in this case will probably be people who drive that change and in ways it. Thank you just described if Europe suddenly, the one who's enough, like I've, actually sing a bill here, you may go out negotiate that price and you're gonna be able to do that better than a hospital system could better than a doktor could because it in wheat, we're not gonna Medicare came and negotiate drug prices. They just pay, whatever the pharmaceutical company tells them to pay. The that asked, smacked or even like that. The way in the numerous times they ve been taken to the cleaners and Florida with the pain mills- and I was out of the way men in and again in theory, the policies great because right now, but my
standing of why they do. That is that they have made a decision. We're never gonna be standing in the way of someone getting the medicine they need right, which so, in theory, has kind of an altruistic policy underpinning that that is very easily exploited right. There can be a good thing, certainly that come out of these sorts of decisions, but the problem is that the the ramifications overall for our health care system is that their allow people who don't get what they need as a result, if that, if the decision was made to say hey, look, we don't want to get in the way of people getting their medications great. I appreciate that it was not monk malignant motives that that's that started this, problem is that you get tens of millions of people in this country. You don't have rules equal access to healthcare and look if, if you and my wife didn't have reliable access to health care with this auto immune thing, and so these drugs with thirty thousand dollars a year and it is predicted the only way we could we could have possibly afforded them in, and that is the reality for tat millions of people. So we have a health care
system where a hundred years from now people are gonna go. So let me get this straight. You guys we're so good at innovating, including these new drugs and z, treatments and procedures, and he can scan things from the moon and whatever and then the p who really need it couldn't have access to it, and somebody thought that made Then there was a good idea who same geniuses yeah that could create that stuff right there, so good at innovating, but the idea of actually making it valuable to pee having relevance in their lives I want. Ass, now very, very provocative question, and I am now first hand witnessed of done this twice with my dad and then my step. That is part of this issue that we have a hard time. Accepting that people are going to die to me, it seems like we spend a really disproportionate amount of money resources in time on people in their last year of their life, like we just throw the kitchen sink at someone with, in my dad's case,
small cell carcinoma, while he was going to die in three months really, no matter what anyone did in that best. Maybe we were getting at six months, I know, but I was just watching the fucking dump truck of of money in options other than I thought he's now consuming more medical money. Then I will probably my whole life until I'm in the same situation, could we clean up big chunk of this by just getting more realistic about eight people die, can you even absolute localised? yeah. No, I mean we spend most of our healthcare dollars and in the last couple of years of life that that's very true you know. That's that's. I think what is what is interesting is that it such an emotional decision right, I mean he's going to do This example I'm giving. I don't mean to minimize in any way, but I have I love animals I have dog and, and my dog fourteen years old got lung cancer and an we deliver the heavy smoker,
with that. I wonder why I like what is the council's view, but the year by year, long surgery and people with fundamental dog lungs has urged her out a test tube. You know he had a chest heaved and we did everything fervour dog in and we knew I mean that that implies. wasn't gonna really extend his life, but we also felt like we couldn't not do it, and I am just I'm just being totally honest with you. This isn't a health care policy comment. This is more just personal come ashore, and- and maybe you know I've gone to this with my parents, but you know part part of me. I do wonder like you just don't you wanna try. Everything in hope is a very powerful sentiments. You know who comes in this and you always feel like there might be something right around the corner,
of them, but there are many adults have to say guys were spent in forty five percent of our resources on people that live one more year will, yes, is untenable, any limitation that things will inching. You may know this, but you know when the affordable, correct our past and two thousand nine one of the things that was originally in there was a completely paid for visit with people over the age of sixty five and end of life. Councillors, miss it down and say, okay here, but the go through things. If you have this diagnosis, if you find yourself in the situation, it was like a living will plus a lot more yeah and end. It was an opportunity for these patients, while they're still here see in their right mind. Demille lay out what their families in their doctors how they would want to be treated if they really got sick enough
and there are studies are found than they did this other countries at a dramatically lowered healthcare costs that people are much less likely to seek aggressive care in when they were told what the likelihood of their outcome was. Gonna be yeah you, you know what those things up getting called. They are called death panels. Oh tat was the death. When you're hurt you gonna pull the plug on grandma, that's what Obamacare is gonna. Do it's gonna be the plug on grandma because of these visits that we're gonna be covered yeah to allow but the darkest hour processing that situation, but rather in the middle of it yeah and Canada. The game plan that that site the masters at title in things I gotta give it up or death panels that was going to say that arise, or even these date Tags teacher, changing It turned out that death acknowledge that you see poor people going, don't you the way that billionaires money and all the gives only right to do there.
We are supported by square. Another thing we use here at arm, chair, expert, we sell merchandise alive, shows which Rob takes care of all that he got us signed up a square, but let me Jake: it's not just the little white credit card rate. You. Think of it has the power to run your whole business, a point of sale That process is transactions and takes payments, but also grows with your business by letting you add features as you need to All things are running online appointments, a payroll platform in voicing solution and much much more squares. Point of sale. App is trust more than two million businesses, because it's easy to set up easy to use and free rob. Is it so easy to set up supervision? vizier Rob just said it legal see what selling best what hours are busy is all right in your dashboard, so you can make more inform business decisions. I went to a vintage market with my mom Kristen this weekend.
We bought a whole bunch of step and everyone was using square. Thank goodness cause who can cure that Another Mamma you guys were spent in over there. Don't you needed a plastic? Yes, whether you're selling clothes, your personal trainer, running a chain of restaurants or in skydiving pleasant, swears tools are built to all work together and make it easy to run and grow your business. We can speak enough about square learn about all the ways where can help your business go from square one to whatever is next at square dot com. I am. I am heartbroken that with you- and I don't have enough time using talk to you for three hours to you of a new doc. You series yeah. It's called that chasing life fell all over the world. Looking at what I think are interesting health practices. We know it's based on
the idea that we spend your trains dollars on healthcare in this country, and our life expectancy is gone. Three years in a row were twenty third in the world were expected to continue to drop, and yet there are places around the world that live happier healthier longer lives than we do. I can't I want to know what they are doing and what we learn from them. Yeah I travelled the world finding those things and and immersing myself in them- and that's always a very frustrating thing for me- is that we can visually see people there. We are doing something better than were doing and end, then no willingness to adopt that yeah. Even I look at in Scandinavia right, but your health records are not public, yet they're not closed right, so they can do these epidemiology. Because studies in five seconds like we're over debating whether or not the certain vaccine gives results autism and they figured out twenty four hours. Look how we can look, how no it doesn't do you guys have been arguing about that for years. It's it's! It's pretty
using. You know how they approach healthcare overall, the types of the types of data like that that they can give the people, but just you know you, you go these places that people live a lot better than we do here and aunt em. True, even Caroline, India, it's amazing when you look at what is possible and what we could reach simply adopt into our own lives. Here he asked not that hard, some of it when we we love the home, run. We love the touchdown. We love the big play jar, but sometimes you ignore a little place. I can have that huge huge. Back. Any life is the one thing you would say that everyone should be doing daily. That would help women these long term effects. I give you two, because there's a million of ripe and what does I think it is, we think about your diet. This is:
I say about being vigour napping begin, but by eliminating processed foods and added sugar I mean I people say this all the time, but when you look at countries where they have far less heart disease, far less diabetes, far less dementia fear its it. The diet is such a big part of it. There are, then I'll, tell you in this kind of animal squish year around the edges, but there's a lot of other countries like ours right they eat the same foods. They had the same economic challenges that have the same labour force and immigration issues, and and yet they continue to increase in life expectancy, and we continue to go down and I think it's is that really invested in the social fabric of a place where people found their tribes generally? I know you have your people and I think in the states. You know it's become the sort of rugged individual. Listen then I can the IRA and loneliness incisive social isolation is a really toxic thing and we haven't really know how to define that yeah. But you see places where people have similar lives to us, but they have the social costs
vision and it really seems to buffer them from the probable world social primary. We design the live a very specific way here in and we ve made it easy did not live that way right here right. When does this air? This area starts April, thirteen April thirteenth in its called, chasing life chasing live in advancing and am Zena. Is your deepen bed over their anywhere? We are happy about half its early fonda here your opinion and year you're, very true. swear they and I thank you. It's a lot of bad you gotta come battery. I think I could do to our to settling Mps, but that's the Laval New needs really high and in a strong Sunday. Thank you so much for coming and lilies watch the doc. You serious, I'm sure would be fantastic. Thanks, like you and now my favorite part of the show the fact check, with my soul maiden Monica bad men.
My man, man, man, naw man, man, now Mamma, Mamma Mamma, but I can't be done, gets you think you could do it now? Oh Adele you'll! Never do it never, but that was a nice try. You do that on all observers, you're making me so nervous about getting rid of flip live far too very Curio, your very mercurial awaiting Frida lash out may say look you that even made you mean because you'd, ok, you poor people and test people trick people in also trap people entrapped mainly what you do and then he and then you act like you re
right now, you're here to point out what I'm not right, which is quite frequently before we get into this yummy fact check. I need to apologize. It's too are Mormon listeners yeah. We made a mistake. I was Our earlier with my data else, and I made a mistake there. It is, but it was pointed out to me by a lot of people that gormans do not believe Jesus is born in the USA. Now Mormon did tell me you believe everything. The Bible says that when Jesus died, when he ascended into Heaven, they believe he then appeared the native Americans, improper sized in North America right so I just want to say I was wrong, but I didn't pull it completely at a nor I got confused. It was the visit
after the resurrect you knew there was some sort. The sum can visit my days at sea, but but again I d, I definitely was wrong. Also. I hope that I do not wish to offend anyone. Have any religion I think come. I try to be balanced in my critique of all religions, very open about the fact that I believe any of those any of the religious tax, but I certainly did mean the single out Mormons, and I apologise to you and I apologise for not faction doing it. All carriers has really my job and I didn't do it. So very. What do we do this weekend? We botched for lower by watching the o without bread and then, of course, this week in games. round star. So life really takes a turn this Sunday
It's very interesting because I dont remember and me they happen to match, show known in France. It's a guy started Ree watching season, seven and boy it was like. I was watching it for the first time I can think, like I'm playing a Borg. I know what's gonna happen, I don't I don't know. What's gonna happen, yeah, it's so dance you describe Are you watch him with subtitles? No, if I go back, terawatt, which I would like to do. I'm gonna watch with subtitle someone out below the confusing may help with that yeah I'll, tell you what I was reminded of, which makes me so happy
Now, the half, so I got obsessed again with the how and I was reminded that the hounds my favorite character right and then I was by myself in bed, I googled what he looks like in real life, handsome guy. He is yeah, yeah, he's good, looking and he's a big gentlemen right. That's why you like him. I do like him uneasy. I think he's like he was up. He was a painter, in Scotland or something yeah. You know with his hands and stuff. You know what I'm saying lay heated actual stuff. No, no! No! No! Like he's crazy. He can build things and stuff like that. I like one guys like build things and handle their business share. Shea I took care less about that. That's true! I could care twenty five percent beating heart when a guys like building some shit now, but I don T at all yeah you're right. I do I do it won't be a masculine two people harm buildings at your feet.
well yeah, because I don't want it to be like that. The hot thing is like a guy who can like builder share, would love to see this. As I see what you're saying, but what you say you find cyclists, hot you'd know problem serve and cyclists heart without fearing Everyone who doesn't cycled now feels worsening, so it should be the same with building yeah yeah, that's train! Do you like cyclists? particularly now that generally in your way here now I right. Yes, in fact, I'm pretty annoyed by them off it. and mostly just cuz you're nervous going to hit them right going slower than my car, and I don't want to pass them because I am nervous, but I'd like to get to know donation. They want succeeds in allay their going slower than your car at times and then going faster. The times of you yourself in the position we like, and I want to pass them right now outside the little window. But then I'm gonna get up to this lightened they're gonna pass me they have to do it all over again, as sometimes their riding right in the middle of the street yeah. They sure some of them
alright. Alright, I have to, I don't know the rules on it, but when I ride my bicycle on the street, I am hugging the curb I'm not trying to get in anyone's way you know what is illegal as you can't ride on the outside wide walk, and I I don't understand that law on real confusing. You know I've got a real issue about this. I can't stop talking about he's. Fucking scooters, you copyright all. I said he so bad about preoccupied they're, just their literary, not the whole city back yet look the coroner Nell ate it doesn't like four or five fuckin, discarded scooters I just don't know like, but because it's true rotations called it does littering every corner. I think there's that you got a bunch of both
those out their written. These things out of a never even been on a scooter, be they don't know, there's was being the sidewalk or the road. I see them everywhere. Sometimes in the middle, the Rosa names are on the sidewalk people jumping either way I mean it is pandemonium these scooter yeah. I do think maybe they should require some sort of licence. There's somethin cause it's its total chaos. With these guys, jumping Herbie there half the people I see I can. I can tell they are not comfortable autumn there there, like out of control
they go like twenty five yeah they too fat. Let's do vast resources, not adept at a scooter yeah in L, a traffic up and down the sidewalks, but I like, when it represented psych anyone can get anywhere that part schools democratizing. Oh, yes, conceivably is cutting down on traffic exert. I think that probably was the original point. Tab. Sure that was the sales pitch were the city said sure you can litter these fuckers all over to sleep in the middle. I'm waiting for some sort of get off at a stop right in the middle of the road is leaving the salary. I guarantee you'll see it now. I M so funny they care about that doesn't like. Why do you care about that? There's also other things littered all over the street. They you don't care about like who are homeless people. Oh boy. Ok well, I do care about them, but does it and I'm concerned about their leader championing that? Why well
Now I work with path. I have donated money to path. I've done move in four path, say adjacent me. I I mean I've done it to make my wife happier than eating away the fact that I gave money and stuff to them and not take no way running to take away my contribution, but do you think you're an advocate for homelessness? I don't know how I feel about homer will be totally exactly while Ethan at work less. We brought up, I guess, apparently, some some thought experiment by Jonathan HU. We love tight gap that if people want to live on the street, is it up to us to impose our will on them that they should be living on the street like if there are any kind of proposal those were there. Will there be housing bill and then there be mandatory that they leave the street and get into those houses? His thought expire
It is like morally. Is there anything wrong with living outside? I guess I'm probably fucking up his whole point, but this this is what the conversation ended up being at war upon which, even when Saint look, if, if someone Bob's living under the overpass, who are You d say that they should be doing it like what ground are you stani mountain, but your moral high ground here you'd have to probably say they do. No. What's best for themselves what gets into a big liberty thing, and I don't know I wish I knew the exact numbers, but many of the homeless population here is probably not with a mind that they could make. That decision will I can see this cousin in an answer class. I had to do a methodology on skid row, so I hung out there for a couple weeks and I interviewed all these people trying to tell you my
think all I mean ninety percent of the people I talk to were either attics. That was the vast majority there. Just attics here, you're an act. I know attics in housing is not the issue. Yeah, but then another significant percentage, of course, with people that were had been in hospitals or institutions were mental illness that were now just our raw roaming around straight yeah. That's a problem. I think I'd. Only those reports choosing like if I could pick em, Where are my life to live and I'm due weighing pros and cons? I'm gonna pick under the overpass a dummy with that. I can't imagine making decision, but I can't presume to know if someone might not prefer that here's, the walking down the street here you see the view see them use.
Oh, I see it taught me other all over right by my house. Yeah there they almost the ones, because I often will give them food like we order food for a party or go under that vital can drop off like a shitload saying. When did you know generally the person I give it to is pretty high and what I dont know if there really hungry for a sandwich or there really hungry, no bigger, I agree that now that the other, how can we still hot air? Here's? Well, here's the crazier! When you know the feeling I had after watching while world country, when the russian issues invited all those homeless people from all over the country we need to live on the compound and they gonna be dot based. Having to drug them, because people are getting violent. Andy was not the right decision, but they they decided to drug that eventually a couple
I'm choked MA, not Sheila. My girlfriend almost killed her and my conclusion, after seeing them as like, ok will the history of why we have so many homeless people, one of the biggest is there are all these expos aids in the eighties about mental institutions and how they are just like. Worse than solitary confinement present there, the apple, horrendously rod and Pierre this chain, the wall amuse so terrible, yeah that the answer was is to shut him all down maiden. Think like! Oh, let's, let's make an ex than he s, so they shut him all down than they just dumped all the people on the streets yeah. So then it was ok, what's not better for them to be in some leaky damp fuck him, isolation in a mental ass, but all manner of the streets are better option for that now, at least it's warm I'm driving. all day long, I'm seeing thousands of them a week. I dont see violence, you're, not really seen it in the news all the time, it's like a huge violence problem and then I was,
or even, if you built a beautiful compound up in Oregon, like the resignation, did you send a merit that won't work and I started thinking is this is the best solution? I think the solution is you can make those in some places better make the lady level ball and banned rehabilitative, as opposed to a horrible play. Is that I just wonder have to be the well. I guess the big thing is: can they leave if they leave than their incarcerated and if they can leave, would they just leave? I have a hunch that a big chunk of people would just leave and choose not to live in an institution. They'd rather just be walking around downtown.
I I don't know they would. Rather, we don't know if we haven't had the option of having good care. You are also being allowed to cities of built the housing and, I think, there's a fiscally conservative people are opposed to that like. Why would we give these people all these all these resources and not people who are like working but there under the poverty level, but there actually working so great, but that's illogical thought, but in those cities where they built lots of housing for them, the tall that they take on the emergency room visits on the police department on the arrests? When you add up all the expenses of someone incurs living on the streets is much cheaper for us to actually just have housing for that big. So in that case it still more some of these cities. Italy's it's more fiscally responsible us, as those people are complaining about
problem. Those people are complete, like they don't like yeah, then there is amendment homeless, people you're. So if you want a solution to that, you had this, Lucian chemicals money if you're fine with your city, just having almost people everywhere, then what's wrong, Joey. I myself have been exploring that thought. Like is it time for me to just be fine with this. It seems weird right and seems defeat this latter surrendering get. I don't think it's a good place to get too now that you're, ok with seeing people on the brink of death. Basically only you know they have helped them were only if you know they have options that options exists in their not taking them. Then it's a pretty guilt, free
assessment. I think labourers and wants to live under bridge the. I just don't think we had that right. Only after we would have all those services would we now, I think, Sir Kay Wiles big tangent, so he was talking about his Ma I'm was a partition child the partition was in August nineteen, forty seven, British India. When its independence from the british and split into two new states, I would rule themselves a two new countries were India and Pakistan. East Pakistan has since become Bangladesh. The partition of India forced millions of people to leave their homes to move to the other state. This was the largest forced migration of people that has ever happened, which was because of war or famine as Mama's all caught up in this yeah. I was a little bit of his little episode of his CNN show where he went home with his mom, not been there since she was there's no ramblings older in she like new the house, she lived there
yeah. I was really wild, but what she remembered tat- and she said it which, which came up on the progress that she left on a cargo ship just packed in with people of Steve Ass, Stan Stone, Cold, Steve, ass in professional wrestler yeah. He acted like you didn't know about what I acted that no heed it! Oh he did. He said you're too young. Ah, but you know stone call you, I think every I think, there's just like a name and design guys people nothing he's reach the whole coggan status. I today you know how cold and Andrzej the giant yeah stone, cold air, Dwayne, the rock Johnson, otherwise Goldberg I feel like. I know it even I don't watch toolbar guided. Now. That's it! That's a guy he's a big one right dead bodies, it a bigger he is not now he's not a name that everyone knows. We also of there's a lot of stone, cold Stevenson, jokes on good place.
true. We also you're here in that area, but that's why they can make that joke, because he is so ubiquitous that They can do that. Does amended Goldberg it. I would not. Have you no stone Steve Arsons thing is he'd come into the ring and he'd have to beers fucking pop on openness. Why am I right in front? Everyone gets a rustle and that's cool move. Yeah yeah. I wish you know I just don't you know like there are no less wrestling. He just down the general over peace was really funny but worries like it's just good. Ok, it's just came have shown collapse, things that were happening. Yeah yeah. It was critical of ethnic man. That's on his name: Vince VIC Man epoch, making the casualty brows inside side, while that Terrier publishers, remembering does what is most known for if your Europe, but he was sidekick, honour tonight, chauffeur fifteen.
While his legacy is that he brings checks to. He also check the people's houses. He was on an episode of lifestyles, the rich and famous. When I was younger and he built his daughter- a complete replica of their mansion, but miniature size in the back yard- all hands that she could walk around in and lights youse, really like a thousand square foot miniature version of their big house. lifestyles of the rich environmental sense I would you build a small house of is not usually does it live there. She lives in the big how's, it should be a dick, but how we wanted to give her. The experience and pride of only mahars every night can mean almost to the ceiling in the house may be in a giant. I do wonder when the people- because he certainly that they don't live in that house now someone bought housing, there's a miniature version and house in the back yard. You keep that I'd be crept out
I would keep it. Nobody had an all out effort in there. That's right maybe turn into some kind of an animal that I'd be sure that that data girl ghost will be living in them. Ok and a little white dress Gary there is was that like cribs before credit, Cs Robin Leech was the heat. Their holy cow of lifestyles are rich in dreams, and I love that arm. I got it. I love a scene of those lifestyles. Things are so late about that knowledge is you'd is dreaming, my oh, my gosh. If I had a mansion a mentor version of the mansion, the backyard yeah I'll be ok ay. So you said something about the as tax and I couldn't find any thing for brain surgery yeah, they use it like the hitting on the heads in the night was cured war
it's either he was still handier, so they ve found these skeletons that date back fifteen thousand years and they found skulls that have clearance visions in M, which would be one thing that could be an ax wonder whatever, but then they see that the bone healed itself. So the person survived that rain procedure that skull procedure. The bone grew back over worthy incision was which proves that they were doing it in the patient's were living. I see there are successful at these brain procedures. I I couldn't find anything about past tax and matters then I found a little bit, but it wasn't. It wasn't you were talking about, could be wrong. It was. It was a enamored amor. We said amerindian and enough. We still do not american, but seldom
Erica Matthew, Peachy allowed them out J, all these groups, but I think it's more than what you PETE you folks who have inhabited that came neanderthal. I say Neanderthal, yes, you do me under tall ray. I can't do it and I warn you. I don't want you to know I'm away about a lot of words. Just won't do you don't do it can't neanderthals trains, you said were one thousand six hundred and fifty cc's in size as the modern, homo Sapien Sapien Brain is one thousand five hundred from where I could find
nine. Two thousand and four there large grain of capacity, which at sixteen hundred the average cranial capacity of homo sapiens, is roughly thirteen hundred cubic centimetres swim even bigger gap, but changed because when I learned it it was fifteen, but that's fine there, but it's a big gap here it is. A big question is, is the is the brain? Are the right parts being right? That's what he was sort of saying is innocent sizes are really the matter. I have a very provocative theory. That's not good! The majority of neanderthals lived in Gall and Germany. You now east Eastern France in June no way and is now known that they didn't go extinct. They inner bread with homo sapiens, so they are absorbed into homo sapiens. Savings Germans, their great at engineering. They really are smart. You look at Einstein in the lot of our chemist and engineer
They got a real, they got something going on over there and I think that sixteen hundred brains he sees been absorbed in that population as well. so math intention here yeah. I they also not think when you go to Germany like those guys are little stouter and their forms are bigger, which are all signature signs in the end are told, but he type. I think that there, the narratives, really alive and well and Germans look. I he said that size does not is not an indicator. Is that the only indicator right right? I mean I'm gonna, build their brain. Was the exact same design as ours, which is bigger it would they be smarter. Our tax was the same proportionally if the. If his our cities were denser, then yes, the abbot, there could be there's plenty gray matter and all their I'm using the brains all being equal ones. Bigger than burger me smarter, and there are tons of people in Asia, but who are amazing,
I would say the majority of the good math people are in Asia through good practice in math, or not grated. Inventing new theorems in driving the the the discipline forward did that's not the same thing then as being create. Your creative portions are not NASA Billy the same thing as your math portions grating, creating within mouth. Yes than that part of your brain is not all Understanding over there is able to comprehend a math that no one else has even comprehended. Yet here must share yeah. I just don't think like leg is, my point would be you could get a computer to do math better than any human, but you can't get a computer to invent a new math or
the theory of relativity, or I mean some. Some people would say otherwise in regard to, I that, eventually, that I will be able in the future might be able to arms and currently camp bright, currently yeah, ok, balsam of Peru, blue AIR, also a marketing by many other names is grown in Central America, primarily in El Salvador and South America, use in food and drink for flavouring and perfumes and toiletries for fragrance and a medicine and pharmaceutical items for healing properties as sweet sand in some instances its listed on the ingredient label of a product by one of its various names, but it may not be required to be listed by its name by mandatory label.
Conventions and cause allergic reactions with numerous large surveys, identifying it as being in the top five allergens most commonly causing patch test reactions, makers, inflammation, redness, swelling soreness, itching and blisters, including allergic contact. Dermatitis, inflammation and sources of the mouth or tongue, yeah lots and lots of them ok, let's stay within this was the thing that was triggering his. Why acetate Oriana Arthur? I hate. I am so glad that he was up for that theory, but I really think that's what's going on with everyone to attack a little bit about ire, Vader Medicine, and you you say, like you, don't really you dont know if they know the science behind that right, but I feel
they do like. I think in the same way that the way that we're measuring things out based on chemical till all's, basically, I think they're doing that with urban like they know this cause is when I see this year, any new essentially doing the same thing. I agree with you. The result is the exact same, but their explanation of why this ingredient may trigger inflammation might actually be a metaphysical reason or a spiritual reason, as opposed to the chemistry they'll never say old. This binds did this receptor in this hemoglobin then does this it doesn't matter because the results the same, but they might give it more of a metaphysical reasoning for why it's doing that things. That's kind of my point is that they might think like there's all these. It say on its abrupt Weinstein's thing:
you can have it. A truth that is founded in an error, but by doing it you can have a result. That's positive room arenas about that yeah, but I guess as well. That's what I want to maybe I say we don't know that what their basing it on his in error, it could be in total we don't which was not done in the laboratory. They're, not breaking down chemicals in explaining do why it's happening on. I am biochemical way there not, but they are. They are in some ways like more turmeric is anti inflammatory like thing it is like these herbs, and these things do this. To your body so and in that way to me it's like the same, and theirs is just an oversight. Oh long of observation to figure out those thing there are broaches all I'm trying
air yeah. That's why I parallel did with Marconi, which is like he did create long way, a wireless radio yeah, but he didn't understand what was going out. The six we're going as he was designing towers. He could have had he understood the physics he could have started, but designing a tower correctly, but instead he had a new ten towers, took to stumble upon the right re yeah. My dad said that once when he was again there late, teens early twentyth, there's something he had some weird like face. Thing on his face like a fungus likes, maybe her and then you too, so he went to the real doctrine that not like dermatologists and nothing was happening, and then a friend recommended that he got. As I read a doctor, So he went in the guy who norm like the owner of this place. Wasn't there
and his son was there and so his sunlight gave him met Medicine was a pill was unlike a cap saw, wasn't Sab, wasn't atop. Now it was a real pair digestive pill, yeah and then you know he went back and make something up in the mail pill and then gave to my dad and it didn't work. irksome handling? This is born, as is borne yes, but then he saves like still having these face issues. Then he went back and then the ridge, the real dialogue spare me down the o d, the original their original doktor was there and he he saw you looked at him for like one second, I went in the back and did his thing bunker and then my dad took it and, like the next day, the next day cleared up clearing up somebody took this pill and by GOSH it just disappeared. Now
the ever have to go back for more those pills or does it keep dialogue have bar got one time treatment for I have learned to take it like a week or something, but he never had. I wanna go daddy that person about my our try to know. I thought that when he told me that story it was like. I would like for all my friends who have these chronic it. Oh man seemed to see this is probably not, although it is alarming argument of the two hundred. I hope you can go back and with the shit up now, yeah anyhow, so I believe in it. I was the first to say it worked for me, yeah yeah. I would I found her anger towards them. Just by saying I don't know they understand exactly what's going on. I know I just I just don't know if that's true- and I want to be clear about that- like I think they do not, because they think in the same way, then he looked at my dad and was like. Oh, I know what this is and I know the things that will add together. Like is still camera
story. I think using different ingredients. I think the general I dont know enough about it either, but I do believe that do like acupuncture no, but I know a lot of people they get a lot out of it. I tried it a couple different times and I didn't find it to really do anything for me yeah I've gotten then I like yep and you did YAP and did you feel burning or anything fun at the sites are now that's what I want to feel I give you put a needle in my back her, but I felt an intense heat coming from the needle a black ooh something's actually happening now. I didn't feel that at all, ok, I have a really funny story about one of the times. I did it okay, so my friends, wife, is a doctor any our doctor, but she also does acupuncture believes in it, and I was having back problem Israel and at the time they had three little kids and she said open
we're. Gonna live in urban, lay on the couch and now pull your pants down. I was already like: ok, well, all right, she's, a doctor, some line on the couch- and I have like my shirt- pulled up. My pants, like halfway down my butt cheeks, are showing right in the middle of it. One of the daughters came in and my buddies wife was like. all this is great she's interested in this I'd like to show or how all this work. So the little girl is like a kind of helping me. Mom's pudding, needles in me and then the little girl starts Jim. We notice touching my butt cheek same. It's. Ok, it's ok, my buddy walk I am basically his whole family is at my butt. Cheeks in his daughter is how, for Dell, does a magazine Ok, my red extending his arm around that's Anthony in the end is Turner. Onawandah has like I'm done,
wanna be in this position: either: nets, oh wow! Ok, how much money is spent on end of life. Care turns out. There's some controversy on this. According to help the fares, dot. Org, though end of life, medical spending is often viewed as a major component of aggregate medical expenditure, accurate measures of this type of medical spending, our scarce we use detailed health care data for the period two thousand nine to eleven from Denmark, England, France, Germany, Japan, the Netherlands, Taiwan, the United States and the canadian province of Quebec measure the composition of magnitude of medical spending in the three years before death. In all nine countries, medical spending at the end of life was high relative to spending at other ages. Spending during the last twelve months of life, made up a modest share of aggregate spending, ranging from eight point five percent in the U S to eleven point two,
percent in Taiwan, but spending in the last three calendar years of life reach twenty four point: five percent in Taiwan three years. This suggests that high aggregate medical spending is due not to last ditch efforts to save lives but to spending on p. but with chronic conditions which are associated with shorter life expectancies. So I guess I don't remember that their conclusion. I wonder if I agree with that, just basin the numbers they use through at us. Why do you think I have the ability to disagree with the conclusion? I don't know I just love witnessed twice, whereas I there's no way my dad gobbled up like a blaze of his lifetime expenditure on medical staff. Here I feel, like the last six months of his life was half of his whole life expenditure in seeing with my stepped out, maybe even more for him. She was never at the door and then
in this way, hundreds and hundreds of thousands of dollars air in the last two years. What I'd love to see as a study of the total amount of money spent last year in American Healthcare, rightly say it was a trillion dollars and their what percentage of that was spent by people in their last year of life, and if it were like twenty percent of that trillion dollars was spent. That would that's what I am suspicious is the case here, and I think I mean something. A lot of people say I do think the numbers between twenty and twenty five people say bye It says here: spending during the last twelve months of life, made up of modest share of aggregate spending, ranging from eight point five percent in the. U S do will up whatever. Thus, Taiwan but they're saying eight point: five per
Cent of the total amount spent yeah, but then you're going ok, well how many people died under care in the? U S. Last year was a hundred thousand there's three hundred million people that again normal care is pricey. We saw a lot of money and resources we do. I mean I don't know that. I think it's bad to do that. I just don't think it again. This is having on through a choice. I dont know that it has a ton of impact in many cases here. You know there are certainly even worth Barton. There were a couple different medical options offered work is gonna, be sixty thousand a month dad and at best the best case. It said it added nine weeks of right, and then I read this crazy article New York Times about that these kind of decisions or making words like a hundred eighty thousand dollars for twelve. More weeks in the best case scenario in people having to me
that decision, I know what a decision to make a lot of people and of having to make, and I guess. I guess from me. If I'm in that position, I hope that I go guys. Let's not just blow buncher money for twelve, I know of the thing, is I dont think it's the kid the poorest? then all the people around them that want twelve. Now we of course tat in a moment ago a yell pay everything I got. This went to a more weeks were within a year later, most when everything was twelve weeks. Really is my experience or bad well yeah. I now I now when he had fucking radiation is brain like weeks before he dialect dad. Why are we re? Let you on an to keep Gouty do they came in and the guy was like look. You know you have considerable cancer in the brain and I said the doktor said: is it the
the reason I would say? Yes, this is more painful for him to die of the brain cancer than it would be the lung cancer, whatever one of these cancers- and he said now that I've ones more or less announce like that. I don't same way and one with radiation, and then he went through all that radiation. All it did exist. He he slid down very fast after the regime's all this money and I don't think it helped anything and he died weeks later. You know now over me, and I was like a bad version of that. Right here is all depends like under what lens are you evaluating it? So it it's in a bubble on its own and a vacuum? Yes, you just do it right, but then, when you start looking at the fact that the maybe there's three hundred million Americans and that we have finite amount of money, we're going to spend in are we going to spend? You know a big chunk of that. I'm people that you know going from twelve more weeks to sixteen more weeks of versus ship that money over to a kid
who's gonna get down a preventive care yeah then now it is a real moral quandary. Ten is on a more common quandary. If you are rich in Europe in you want to throw money at that whatever Are you gonna? Do it every one new money yeah? But when you look at the fact that most of the healthcare in the country's subsidize in some fashion or another, is that how we want to spend money on younger people who have yeah life ahead of them. Well, yeah, I mean it's also we're it's also trigger tricky cousin. Our system, like the young people, are paying for the old people to have that, so
I guess you know, that's all the poor worrying is the fur or use a state tax and any after this tax and inheritance or a state tax is a tax paid by a person who inherits money or property on the estate of a person who has died. The term deaf tax was first point in the nineteen nineties to discuss the state, an inherent in this taxes by those who want the taxes repealed, Frank in London, is an american political consultant, pollster and public opinion guru, best known for developing talking points and other messaging for various republican causes. His work has included assistance with messaging for New Gingrich's contract with America and public relations. Support for pro Israel policies in the israeli palestinian conflict. He advocated use a vocabulary crafted to produce the desired effect,
Gooding use of the term death tax instead of a state tax and climate change who set of global warming and my very effective, both air, both of those, then you know its money for me is. I am personally opposed to a state acts because I repeat, taxes on his money may the money I give of which the government this is now my money. Have you got your you took your half an hour? going to take half again phone and give it to my kids. So I hate it. Would that say. I also recognize where the country goes. If we're just passing on multi generational well to people who don't have to do anything in the other, people are born and make you they don't have that I think the system invariably would become hugely lopsided if we weren't didn't taking back half that area as are, ultimately, I think for society in the country. It's a good thing, even though I personally don't wanna bet, makes my kids to pay it back
That's all right! Well, I sure hope he comes back me tat. We did not get enough time now. He was yummy, like you, ve all yeah, exactly at times is bogey by within Kip dropping these little nuggets like you worked for the Clinton and all these things that we could have just talked about for so long Winter WAR Yap, we took a little. Now that we have a how cool to be there as a journalist and a new start operating people now there were he'll skill like that yeah, then no matter what you're in town, doing your on vacation near their yeah as a journalist and the needle ices, in that you got it spring and actions having a superhero. I like it. I know I always think that on the airplane like when they have to be like, is there a doctor you coming
always civil happy when there is a doctor them always either wine everywhere. So happy about that- and I do feel economic, thank God there are people out in the world with that skill that can save a someone on the airplane. Yours has ever have to imagine no alot of Amerika Daisy situation because they give your an uncommon Yes, they say. Is their doctrine applying hepsey? Yes, you're a doctor, but you might know shit about clearing an airway, but they know they allowed a signal better than us way better, and I think I would be would only been drinking now. Those most leaves and ranking in other on that airplane than I expected to see me. Patients also may have a patient their power against ill, better, still better drunk, then a regular person, measles yeah. Although I do think I could perform up tricky out. I mean, if necessary, hollow out a ballpoint pan, a big pan and then,
yes slam, it ended the esophagus they get their air in their unwilling to do it. To save your life. Is ask around of those adoption before you start Doyle over the Vienna slammed with the pan in oils or of the film see that they're gonna go. Is there a pilot on board in there's not, and then I will volunteer, I think, of anyone on the plane. That's not a pilot that might have the best chance of landing it with instruction from air traffic control. I think I'm the guy had his fantasy all the time. I'm like I'm so good with mechanical devices. I could definitely land, playing of coached seducer part that ruling as you would do it, if you want do, would you rather you landed army?
I personally you but a, but I dont know who else is on the plane. I'd have to hear everybody else's store. We don't have time for that. Monica with this girl, others go raises motorcycles and cars. He certainly them next in line land. This airplane. You don't know that reading this inured is the stewards we probably would now is on a plane. All the tide of being on the plane does now normally need. They need a wealth of field with the rod all with with thronged with breaking. You know all these can, I just say in the five of our monoplane and they need to pilot the guy If there's no pilot also, I flew in a helicopter in the passenger seat. He let me fly for a minute wells and without a paddle, and I did a darn good job without any instruction and care, and I was like I could, if oh hell, bracelets, I'm the guy Willard, southern. I I'm gonna fly this helicopter helicopter. I think Seth because he's been. He sits in that cockpit all the time he says he likes doing that
Mary said that when you, as I said in the jumper seed again, I think they are driven whether my still think you'd want me, the land, the helicopter and that's no disrespect to South he's an amazing position at this. How do you know it's an ominous kalen? We have we ever friend who's a pilot and I'm gonna. Ask house the more about Roma rights. We know. No, I make no claim that similar driving a car, I'm just saying I raised I dont get. I dont get nervous I've been in the shit off road racing is there's a river where there wasn't one when you when you, when you pre, ran I'm used like shit, go and sideways and I'm stayin com, but as it actually ingredient, you need the land. The plane, with no training, Kay, my heart rate would be a steely eighty, seven beaten? And while I brought down the seven forty so that their money. be a skill that better
her parallels, then driving a car that I would prefer over the calmness that, like an actual of homelessness number, why com it's under pressure? Are you you think of your lan? Lena seven, forty seven in your lives in air traffic controller like there's a there's, a knob on your right turn that eighty degrees pull this back. You you'd be your hurry, be good! Then a moment you eat come under fire. I have not seen you under fire. I know that you're a rate of people on the street in the veto me of a lot of fears on my my high also did tricks I flying yeah. That was a lot of pressure. Yeah! That's true! I stay calm bureau, so I'm beta blockers, wasn t tease our. I love you. I love! You are you're on thence. Latvia, guinea,