Mary Beth Fuchs – A conversation on healthcare

In this special guest episode, we chat with our good friend Mary Beth Fuchs, who has been in the healthcare industry for many years, and experienced many facets, both good and bad, within the industry. Join us as we learn a ton from Mary Beth about our bodies’ natural systems for promoting our health, the healthcare industry, and many other tidbits, as we get a glimpse into how she sees it.

Listen to Part 2

Show Quotes:

Medicine isn’t about vulnerability, healing is about vulnerability.

Disclaimer:

Statements made on this podcast have not been evaluated by the U.S. Food and Drug Administration, nor are they intended to diagnose, treat, cure, or prevent any disease.

Information provided in this podcast is not a substitute for individual medical treatment or advice. It is the responsibility of you and your healthcare providers to make all decisions regarding your health. “How I See It’ recommends that you consult with your healthcare providers regarding the diagnosis and treatment of any disease or condition.

Show Notes:

Show Transcript

0:00
foreign [Music]

0:07
Health it was none of that it's like the sickest of the set they've already been to 10 12 15 doctors and it's not like

0:15
what Duke portrayed that's not what it should tell us about yeah um Trader Joe's for instance like Trader Joe's

0:21
uses canola oil canola oil is deadly Farm mitochondria okay so Trader Joe's

0:26
is a health food store but just because it says health food store right on thinking something so I

0:32
can just say that names exactly is that is that good by you yeah I mean none of

0:37
it you said I mean maybe yeah referencing specific people but organizations Traders okay I think

0:44
that's great information you know what I mean okay yeah yeah all right are you because you're censor out if I say

0:50
something okay okay thank you hello

0:55
we heard that little bit of tone there thank you

1:01
[Music] welcome to how I see it with me Mark

1:07
Pratt and Justin Sternberg this is a podcast that works to counter cultural

1:14
polarization through thoughtful conversations [Music]

1:21
hey everyone welcome back to the how I see it podcast I'm Justin Sternberg one of your co-hosts I just want to drop a

1:28
quick note here to let you know we're excited to share this interview with Mary Beth

1:34
um this is part one part two will be out next week I want to let you know the audio quality for this episode in next

1:41
week's as well is not the best um we had to edit it and clean it up a little bit and there will be a few parts

1:48
that can get a little garbled but we were really happy to have this conversation with Mary Beth and we

1:56
believe it's absolutely worth sharing with you so we hope you'll enjoy it

2:01
um the other thing is this is a an episode that deals with medic medical

2:08
um you know issues and we wanted to be clear that we're not giving medical advice on this podcast that's our little

2:15
disclaimer you should seek your own medical advice from your own medical professionals and

2:21
lastly I wanted to make sure to let you know well we'll have some additional information about this episode on the

2:29
show notes for this episode on our website and you can actually go back to

2:34
any previous episodes and click through to the show notes for that episode we'd love for you guys to check that out just

2:41
go to how I see it dot click all one word how I see it dot click and you'll

2:47
see all the episodes right there just click on any of the episodes and you'll get to the show page where you'll see

2:53
the show show notes in any other details in regards to that particular episode and that's all I got for you so I hope

3:00
you guys enjoy thanks foreign

3:11
[Laughter]

3:22
so hey this is how we see it and um today we have a guest which is awesome

3:28
we're very excited about that um and we're specifically going to be talking about things around health care

3:34
and um and the reason we wanted to talk about it is because

3:39
interestingly enough Healthcare can be very polarizing right there especially

3:45
different practices different ideologies different you know Generations even

3:50
um we come to these ideas of how health care should be done and sometimes it's passed down from our parents sometimes

3:56
it's whatever you know our doctor told us this or whatever and it can become so such a hot topic for people

4:04
um and so we want to do what we do and kind of start to have the conversation and maybe even bring up some hot topics

4:09
and discuss them but recognizing it is how we see it you know sure and it's how Mary best sees it who is our guest so

4:16
yes good morning Mary Beth good morning Mark yes I just wanted to take a moment and uh let uh our listeners know I

4:24
personally met Mary Beth through my wife's own personal health Journey and

4:30
you know it's a as I was thinking about that you know it's like we all need supports around us but I think health

4:37
care or help our health is one of those things where those supports become so

4:42
important and we even think about you know um Pro not promoting for yourself what's

4:48
what's the word the word you know you um Advocate yes that's you know and we

4:55
think about that and that's what I guess we are not offering Health advice but we

5:02
want to recognize that people have to Advocate and we have to have difficult

5:07
conversations and what when we when you and I Justin were talking about

5:13
polarizing topics and that kind of came to mind um Mary Beth was one of those people

5:18
that came to mind for me and um even when we did the podcast a little more be

5:24
all right we talked about if a person cares it's kind of defines their ability to

5:31
find success and when I first met Mary Beth I wasn't sure how to take you

5:38
initially just because what you were saying at times seemed foreign to me but

5:45
the undeniable part of who Mary Beth is is that she genuinely cares about people

5:54
being healthy and she's not afraid to have the difficult conversations that

6:00
say have you thought about this and that's what endeared true to me you know when Chris my wife had someone who was

6:08
walking alongside of her being able to offer that so Mary Beth tell us this is

6:14
this is your opportunity to tell us about you and speak to what you just

6:20
said okay then I'll tell you a little bit about myself and how I got to this journey but I feel like the reason that

6:26
Healthcare is so polarizing is for the sad fact of what you just said that we

6:31
need an advocate now I don't think we used to need an advocate I think medicine used to be about

6:37
but I went into medicine for about helping people get well um helping them to understand that their

6:44
body is the tool to get well the tools to get well get well and that we don't

6:50
it shouldn't be adversarial like I feel like medicines become I think the system

6:55
is broken by Design you've probably heard necklace shade before

7:00
um because if people get well on their own and

7:06
we did well because God gave us bodies to get well um and there's you know doctors don't

7:13
need to be there medicine doesn't need to be there pharmaceutical companies don't need to be their drug stores don't

7:18
need to be their ants don't need to be there and so there's not a

7:24
there's no benefit to getting well so in from a business aspect and that's what medicines and that's what and

7:31
that's what's the interesting part is I when you use the word medicine you're

7:36
not necessarily using health interchangeably with this help is a

7:42
different topic so yeah talk talk with me about how you see the two ten that's

7:49
what creates the polarization is it not that we've tended to

7:56
make them synonymous right the medicine Pharmaceuticals may be the same as

8:03
becoming healthy and they're not always the same

8:09
they're not always the same but maybe they should be the same medicine and Medicine how I started out in medicine

8:17
was about being healthy it was there were tools right there were tools

8:23
you could you you could change this or you could eat different you could stop

8:30
smoking and that's how you are contributing to your poor health and now

8:37
those parts seem to have been rushed aside and to me when I went to school I

8:44
was taught here's a symptom here's a several medications for that symptom here's a symptom there's several

8:51
medications for that symptom and then patients would come back and it really

8:56
feel great maybe their blood pressure was down a little bit but they were feeling sluggish they couldn't perform

9:02
at their job so the brains weren't quite as sharp they couldn't get erections on a vehicle offer so they came in with all

9:10
these new set of symptoms that they didn't have when I first saw them and so now I am going to give you well you're

9:19
having trouble and you're feeling fatigued or you're feeling blue so here's another medication that can give you and so it's just snowballed to be

9:27
stacked enough but we should be better that should be better yeah but every time you put any kind of uh

9:34
chemical or foreign substance or even

9:39
something natural like an animal to your body your body is a downstream effect

9:45
from all of those things all your cells start working there's chemical reactions

9:50
and so I think a lot of it is just becoming cognizant inside

9:55
foreign

10:02
[Music]

10:09
[Music]

10:23
[Music]

10:36
worked at the grass hospital and I was a final player well this was a file clerk I was filing charts uh there were index

10:43
that had an index card system with patients names date of birth diagnosis

10:49
and I remember filing those cards and just being curious about what are these diagnosis what are these

10:56
things I'd never heard of them some patients had one or two others might have six or seven or eight

11:03
so um I remember being curious asking a lot of questions I'm sure that I made them

11:09
crazy hair um I had a number of questions but I started learning and I started falling

11:15
in love with it and I started questioning inside why

11:20
why is that why did that happen why do our body scrape down why you're I can

11:25
see the ages you know some people were very young most people at that time were very old very old

11:33
14 years old that brings us to how I see it right

11:40
yeah so my 14 year old age like a 70 80 year

11:46
old to me was anxious and I saw that the long diagnoses were mostly on people

11:51
that were that age when I'm not younger I don't necessarily see that anymore yeah wow what helped me understand that

11:59
you don't see you so diagnoses are long-term diagnosis starting earlier is

12:06
that starting earlier now in younger people um you know there's a lot of autoimmune

12:11
disease that already got high cholesterol in high school and they've

12:17
got arthritis in high school and they've got yeah long enough to diagnosis

12:23
sorry giving us all kinds of questions uh no I guess I was gonna ask like

12:30
does that change in terms of giving diagnosis or is it change in terms of

12:35
our health or both so um when I first started practicing

12:43
um actually my second job I was told the more diagnoses you can come up with

12:49
better the chance of getting more Insurance reimbursements okay so you

12:55
come up with a really long list of diagnosis and when you do come up with a list of diagnosis then you can also

13:01
prescribe a med right diagnosis pill diagnosis pill um and so I think over time

13:09
patients came to expect it as well like they would come in they would have a sniff all along

13:19
instead of you know everybody likes it our body has

13:24
an immune response and [Music] and while I see it in moments and make

13:30
you sick of all right in your gut your immune system and so that's

13:38
something sure so in that process and I'm clarifying at

13:47
this point it's not that you're against the animal for certain items but it's like to have

13:53
it yeah so but as a long-term thing that's a less reasonable okay

14:01
if you're um you know if you're something in the hospital and you accept it you've got an

14:07
infection in your bloodstream if you've got a kidney

14:12
infections are just times sure and so if I if I may not tell us

14:19
more about who you are as far as no no it's okay but you know the to the fact

14:26
that we're recognizing this isn't somebody that we brought in off the sidewalk you notice

14:31
exactly so after doing that for a few years um I made the decision that I wanted to

14:37
be a medical assistant when I graduated so I went to school

14:43
um it was just a two-year program and I became a medical assistant uh I found a

14:48
job right away um ironically for a anesthesiologist who

14:54
did acupuncture okay in his office so that was really you know that was sort of my

15:00
future first introduction to yeah it's

15:11
yes and then I got a job as a medical assistant and family practice I worked in family practice for quite a long

15:18
while um the doctors and nurses there encouraged me

15:24
and I think Mark and I'll both do this ask questions in the middle of about things that are assumed to be understood

15:31
please ask Family Practice what the heck does that mean Family Practice means

15:37
that most family practices you see people of all ages starting with newborn

15:43
babies all the way up to the elderly some family practice doctors still deliver when I did

15:50
rotation through school I worked with a worked alongside any family practice position and yeah he still deliver

15:57
babies so it's kind of like the old tiny little things yeah okay okay

16:03
over the years yeah many family practices limit to certain ages like

16:09
they don't see younger kids anymore that's Pediatrics yeah but some Family Practice still do that so thank you sure

16:16
yeah um and it's interesting it's interesting it's a great question because as I think about it I think about how complicated

16:25
you know it is it's like you know because you at times it's like you need a referral for this yeah and I and I I

16:31
bring from my perspective that's like it affirms how complex our bodies are that

16:39
we have all of these people to deal with and you mentioned autoimmune you know

16:44
it's like you know you're you're there's doctors for all of these areas and it's just it's kind of

16:51
awe-inspiring to me in some ways to think about how our bodies are designed so complex

16:57
that we're learning more and more and it's like well then there's this this part that you've developed and this you

17:04
know so I I it's it's neat to hear that and you need to see hear your story as

17:09
you as you grew up through that process yeah because by

17:14
Nature I'm quieter so I was a quiet Observer I asked a lot of questions most of my learning came from the

17:20
patients so in being a medical assistant and working in Family Practice

17:26
um the nurses the Physicians started questioning well are you going to do

17:33
anything wrong with your career do you think you might want in advance do you have you ever thought about this or that

17:38
and so um until they went through divorce

17:44
um I couldn't make it up as a medical assistant so I discovered research so I fell into clinical research where you

17:50
test new drugs to get them on the market and working there that hired me out I just walked in the door one day and I

17:56
said I'm looking for a job and so they took me back and interviewed me and I had it

18:01
and so now I see God see though I didn't know the Lord at that time I can definitely see the Lord and where I am

18:08
now and so um when I worked there um again learned a totally different

18:14
aspects in medicine how drugs through develops how they were um you know how did how they get to the pharmaceutical

18:21
shelves I really learned about side effects from drugs I met a PA that I didn't really knows

18:29
what is a pH yeah to North Carolina

18:36
um is somebody that goes to school we go for two years of school you have to have

18:41
prerequisites ahead of time so if you have certain many patient hours class hours

18:48
um last hours you have to have the two years of class I was going to give you so many patient hours

18:54
to patience and you learn there so it's like nurse

19:00
because I understand the trajectory it doesn't you don't even have to be a nurse to be a nurse practitioner which

19:06
is pretty much the same as the physician assistant in our state they're very close very very close okay and so

19:13
um to be a nurse practitioner you have to first be a nurse you need to be a physician assistant you don't have to be

19:19
I think it's a little bit harder from how I see it to get into

19:25
EPA score [Music] um just because of the background the one should have a have a pretty good

19:32
medical background a lot of exposure a lot of exposure

19:37
um and it is hard to get in when I went I went

19:43
got to into wave Wake Forest and um at that time there were 800

19:49
applicants wow I did not have an undergraduate degree again the grace of God how did

19:54
that happen how did I get in there so I didn't have an undergraduate degree I met on my prerequisite courses I had

20:00
good backgrounds and so um see like I need to Wake Forest it was ruined it was

20:06
like nothing I had ever done before could imagine PA school yeah I was glad I didn't know

20:12
how thrilling it was going into it I was um

20:18
I I was an older student at that age that only two that were that were older

20:24
than I was and so I became like um like a mother to the kids were also all DRM

20:30
headlights and so the schooling part was wonderful and intense the best learning

20:37
part came from you have to do like an internship we called it externship

20:42
internship and externship where you have so many months in different sex of medicine yesterday surgery Pediatrics

20:51
and you sort of gets what she's applied and what you doing in school you will

20:57
buy it you see how it works um so I graduated in 2003

21:04
and Lake Forest have been kicking out pa students for so long where I lived

21:11
um that there weren't a lot of jobs and so I still had one child at home and

21:17
moving wasn't an option so the only job that came along was the emergency room

21:23
I knew the Lord

21:30
he's not sure how he feels about exposure in an emergency room yeah I wasn't sure either Justin as I see it I

21:37
felt like you did yeah yeah so yeah and so um the system where I worked in the

21:44
emergency room um we just saw the next patient that came in we weren't in a just a triage

21:50
area if it was a gunshot looking you were next to pick up a patient you picked up a patient so that was pretty

21:56
scary being a new graduate but again I learned and I learned I learned

22:01
and so the thing that I liked about emergency room setting is the Physicians are right there if you've got a question

22:08
if you need something people want some help you're not flying solo yeah yeah have a sense of support around you but

22:16
it gives you autonomy it's to a certain degree to make some decisions and yeah okay and you learn your craft really

22:23
fast because everything that you've learned now in that short amount of time you're using this yeah and again it is

22:31
fast in terms of like people are just it's coming it's coming yeah you need to make a decision so you learn really

22:37
quickly like when you go into that exam room is the patient just shuffled do you

22:43
smell alcohol do you smell smoke is there t-shirt saying what um right yeah yeah are they

22:49
grimacing are they having a hard time talking are they you know what's the eye contact are there pupils enlarged and so

22:56
you take all this in in a matter of seconds really you have to right yeah yeah and so um and then I think the good

23:03
history the physical exam and you're on your way you put your legs in the charts and then you

23:10
pick up the next patient you usually

23:18
pretty like much but yeah it's a good shot right you gotta have

23:24
them out of here like two hours okay so you learn a lot so I learned a lot so I

23:29
felt grateful for that nice me personally over time I was there for

23:36
short of eight years um but get them in get them out get them in get them out there was no

23:44
you would form our relationship with that patient and someone thinks they're dying or they have a life-threatening

23:49
illness they become so vulnerable they just open up they're honest with you you

23:55
can ask a question you'll get an honest answer um and so I really seem to appreciate

24:02
that so very much I came to appreciate and understand the fronts we put up and

24:08
kind of the I want to see a game that medicine plays but medicine definitely

24:14
isn't about vulnerability but healing is someone in there so they get them and

24:20
get them out and I thought I'm not I missed like literally hit frequent flyers sure you

24:27
call frequent flyers patients that would you know do they collect miles

24:34
yeah you get points you if you collect pills yeah you collect

24:42
um even though first psychosocial reasons

24:52
so there's various reasons yeah being a freaking fire yeah right and if you're

24:58
if you're can you address how you see the

25:03
physical health mental health you know I'm I'm just thinking about it from that

25:09
but as a therapist you know it's like I just see them as so integrated can you

25:15
speak to that to a certain degree as far as how the two tend to

25:23
[Music] um because our health depends on them

25:30
our mental state ment but also if our body isn't functioning well or it's going to break

25:36
them somewhere and how much the status isn't working so it becomes a vicious cycle and so I think you you don't want

25:44
to separate the two you want to realize [Applause] um you know in your spiritual life as well

25:51
the people that came in and had the bodies with them don't feel safe with

25:56
that has been to them um space seems to be

26:03
healthier a little bit of rest on their qualities that are going to harassed on what was going on

26:09
um because I feel like here's the soapbox

26:15
this is the one Mark and I you know the Justin I take turns with it so yeah

26:20
King of the Hill so my intention is that your spiritual life is also a big part

26:26
of health and I think it's very sad that medicine is not allowed to recognize it

26:33
so it's an example I became a Christian um when I was an emergency room and so

26:41
I have the courage to ask patients what would you like me to pray for you with you

26:46
um I only had one patient tell me no um but

26:51
The Establishment found out I was praying for patients so my supervising position pulled me

26:58
aside and he said yes and so um that's not part of your school's

27:05
practice

27:11
yeah so um later in life I took a job where I was

27:16
Integrative Health it was a Christian establishment there was encouraged to pray for your health or for your

27:21
patience I was told um as I said of the doctor he said before I

27:28
go into the examine I asked God how can I help these patient to get well and do they need prayer and so it

27:36
impress everybody sometimes you feel the Holy Spirit knocking this person is your prayer your

27:42
Mutual empathy they need to know that God is with them you're going to completely bodies and so that's a part

27:49
of medicine to see what I think is we've just lost this and it's such a big part

27:54
of it yeah Davis in his eyes is that is that not in some ways part of

28:00
polarization that we tend to where you know as we Diversified if I may say so

28:06
our health is like you know we kind of stepped away from a a integral or

28:13
holistic is that a fair word to use to describe it's like yeah it's about

28:19
mental health it's about spiritual health it's about physical health it's about emotional health yeah social

28:26
interaction is a big part of supports and yeah it is and it doesn't really

28:32
have to be a long visit I feel like you know that's I feel like with the insurance company's

28:37
mandate now you know you've got these many minutes with that patients and so

28:43
um I think it doesn't have to be on I feel like because if you're doing your job you're going in that exam room and

28:49
you're doing your 15 second assessment when you get a pretty good feel of what's going on with that patient you

28:55
watch the body language you and then I think if you sit down and you simply ask them tell me what's going on you learn a

29:03
lot it's so simple it seems so simple and it doesn't take long and is that not the care that people need to see you

29:11
know and regardless of whether it's their spiritual health it's like people don't know how much care how much you

29:17
know until they know how much you care less yeah exactly you know and I think that's what we

29:24
portray and trade but portray you know when we're actually sitting down face to

29:30
face having a conversation that says okay you can drop your mask right and

29:35
you can tell me what's really going on because then at that moment I'm better able to understand

29:41
and I'm also better equipped to help you correct yeah and then it's not about I

29:48
think if you treat the patient as tell me your symptom and I'll give you a pill

29:53
um it's not about here's a symptom there's

29:59
a pill

30:08
I mean it's very um well it's very stressful

30:16
um even when I left the emergency room they already had come up with protocols so yeah if you had a heart attack

30:22
these are the labs these are the x-rays these are the symptoms of a heart attack

30:28
if you have um you have stomach ache well the nurse make sure you know because it's time to

30:35
seriously and so it's all about yeah the get them in get them out and

30:41
to speak to that real quick Protocols are helpful right they are helpful so so

30:47
there's this there's this right there's this balance that because the reason I'm speaking to this

30:54
is because I can't speak to this in in the non-medical world right even in my job right when we introduce those kind

31:01
of automated checklists take protocol whatever it is helpful

31:07
it does help with some things like you said now the nurses can do right whatever but it also

31:14
can cause a removal of like a Cognitive Connection to what you're doing and just

31:20
well like go to the next thing you go to the next news and you check off the boxes and you move on you get the next thing that's exactly what's happened

31:25
yeah yeah okay and so a lot of times I think Physicians mood levels they aren't

31:31
given the option because there's the protocols and you've got these many

31:36
minutes with the patients and so um you get

31:42
bonuses if you spend less time you get when I work to emergency room I got

31:48
bonuses who are how many patients I saw above two and a half patients an hour and so I was rewarded well and then

31:56
there's also the bonuses for you got bonuses if you've got good satisfaction scores like when you go to the doctors

32:02
now don't you get some kind of animal texture like going anywhere yeah you get

32:08
to fill out a survey so I don't really know totally what happens with those surveys but I know that

32:14
that if I got good satisfaction scores yeah I learned that if I gave a vaccine

32:22
I got more money in my paycheck and so there's something that doesn't I don't

32:29
seem right yeah I can speak to that whole system as well because that's very

32:34
much in line with what I do okay um and I do online software essentially

32:39
okay and so we are right in the realm of what you're talking about

32:45
you know and in fact we set our own surveys and just like the protocol

32:52
allow you to take some thought of processes those surveys all those things

32:57
those are the things where money like you said that it represented money in your paycheck but it also represents

33:03
money in terms of investment and it represents proof of what you're doing

33:08
right and so right and so speaking to like my world

33:15
we don't have office visits or whatever right and so it's like how else do we

33:21
know if you approved of what we're doing and we can't sell our thing as well as

33:26
we can when we know we're doing a good job and it's interesting how

33:32
as you described what you were describing it does feel like the medical industry is leaning towards

33:39
that model of less interaction in more like the online model of

33:47
get through the protocols okay get your 15 minutes of time with them and then do

33:52
your post follow-up and keep the interaction of the actual professionals to the patient as minimal as possible

33:59
because that's how you get the most efficient correct right it's about efficiency

34:07
all right so also when I was in the emergency room

34:14
um we were encouraged to write for pain patients or pretty much any patients

34:19
right you want good satisfaction scores so if you have to send them out with

34:24
narcotics a prescription for Narcotics they're happy they're happy you get a

34:30
really good score you get more money in your paycheck right and so I think that that's how sadly how some of the

34:38
addiction I don't see this cause of it but it is encouraged right it's encouraged and I think

34:45
um chemical dependency can be a slippery slope right so you have a backache

34:51
you've got some narcotics um the narcotics will be cope with life go

34:59
back to doing what you do right yeah you feel good and so then in this sorts of Simply slippery slope you don't start

35:06
out thinking you know oh I want to hide from these you know from whatever you just want to be able to function and

35:14
then it takes the edge off of other things so maybe you don't feel so anxious and so maybe I want these a

35:19
little bit more often and I'm not abusing them but I'm having a tough day at work so you you know maybe it would

35:26
be nice to take that person or so you're you're you're you're perpetuating this your appreciation of

35:32
them increases but also they have diminishing returns right if I understand correctly so not only do you

35:39
think oh it could help also here also here but also it's doing less each time right so you need more for both of you

35:46
yeah I think um I think I guess I know

35:53
the medicines become such a business so that's what drives it what drives it is

35:58
the money and not necessarily it's going to be the best for this patient

36:05
and ultimately I think that's what you see as a demise of sorts if we're not

36:11
necessarily focused on what's best for the patient it eventually becomes the

36:17
entire Viewpoint if we're not concerned about the one I'm not saying people aren't generally

36:23
concerned you know in the health you know but yes if to the point that

36:31
relationship the individual relationship is being diminished it has a broader

36:36
effect like a ripple effect if you will on the whole Pond right and that one

36:42
individual is yeah and it's it's it's I think most

36:49
um positions with levels go into school because they do care yeah to make people

36:55
well right they don't go in to think oh I want to make a ton of money right maybe some too but I think for the most part they don't and so unfortunately

37:04
you know establishment bureaucracy whatever you want to call it makes it

37:10
very difficult to continue to care and I think that's what Physicians get burned

37:15
out like you do care you realize maybe this isn't the best interest for the

37:21
patient you realize I've got only this much time so you sort of and somebody said to shut

37:28
yourself down yeah kind of have to shut off the compassion

37:34
part so that you can do your job right yes as far as meeting expectations yeah

37:40
yeah so as I'm thinking about that I'm thinking we're talking about this

37:47
bigger structure so I'm seeing you know if I don't want if I want to genuinely

37:53
help people I'm even thinking of my daughter too if she has a desire to be a

37:59
PA that kind of thing you know it's like and I don't want to necessarily operated

38:04
what are my options yeah how do you how do you look at what it is because you're

38:10
not gonna short of some I think it's gonna change because I think patients are starting to

38:16
demolition [Music] um [Music]

38:26
it's like how you started out the conversation saying we need an advocate we shouldn't need an advocate but we do

38:33
need an advocate and so we I think when you're sick or you're scared you know sometimes you don't ask the

38:40
questions or you're to have an Advocates that come with you and say well what about this or what do you think about

38:47
this test or are there going to be side effects from that or should we know about that [Music]

38:52
um I think patients um

38:57
if they start to say I want to take those diabetic medications what else can I do yeah

39:04
um is there a way I can get my blood pressure down some other way um I think it's going to be a difficult

39:10
change because there's not money in that I think it's a difficult change because

39:16
and you're speaking to a recent graduating school it seems like you're speaking to an old timer it seems that

39:24
the medical books have not changed over the years

39:29
um [Music] here's next so that

39:35
so the science has been primarily focused on the medic

39:40
medication side of solving the problems versus like because I know there's been

39:46
a lot of studies on the body and you know our immune systems our brains all those

39:51
things over the course of however many years are you not seeing that stuff kind

39:56
of make its way back to the books because they're focused right it's not it's not time to school you're not tough

40:03
you know this patient has a stomach ache or this

40:08
patient has you know why are they nauseous

40:14
after pregnancy but other than that you just give a medication for a Menasha you don't want to look at why are they

40:22
feeling that way you know how can I help them get well there's no focus on the

40:27
top and I hope when I went to Wake Forest we had one class in nutrition it was two hours

40:36
long um is that sufficient is that what you're

40:43
saying oh okay sorry it's not everybody should know this but I guess maybe maybe

40:50
this school doesn't know that okay so that being said how important is

40:55
nutrition nutrition is a big part of our feeling okay um

41:01
nutrition is part of our healing all the things that cliches I guess you've heard but you don't really apply them you

41:08
start to apply to Small Things how much did you sleep last night yeah um do you have a good relationships

41:15
within your family are you willing to work on those relationships do you realize how stress they're making you how your body is starting to break down

41:25
how those shampoos that you're using that body we should have chosen have you

41:32
ever looked at the back of the label to see how many chemicals are in that shampoo or

41:40
how many um chemicals my life Megan's in here here's sorry he's a purveyor of

41:47
chemicals in your head she is that's true it's fact it's okay but once

41:54
in a while it's okay right but I think if we're on a daily basis using this body lotion right and you never looked

42:00
at what's on the back and you've never looked at how many chemicals are in it S effect here without

42:06
um how many chemicals the FDA here it is

42:11
um like the European Union has banned over 1300 chemicals the FDA has only been

42:18
eight and we strictly three the only cause cancer and DNA damage yeah so

42:26
you're saying we should move to Europe is that we could move to Europe or we can demands we can demand what are these

42:33
things on the labels um and I think that's what makes it important for me as you and I've got to

42:40
know it is your your knowledge of those things that most people might be unaware

42:46
of that are actually impacting their daily health and I guess that's kind of

42:53
where I'm at is you know it's like what are those things that you see and and

42:58
here again Justin and I sit before these microphones quite often is two guys yeah and you know and I and I think of my

43:05
wife I think of other ladies you know who might be you know over time are

43:10
struggling maybe with a fatigue and they just think well this is just life this is what happens as you age and I'm not

43:18
sure that's necessarily the case can you kind of see that I don't think it is I think all these insults will be in our

43:24
body it's almost like a pail right so you put an insults in it insults and an

43:29
insult in and there's only so much that probably holds and at some point it

43:34
overflows and then you have breakdown um you have breakdown and you can see

43:40
rainfall um yeah it's not that you know go to bed in time which cancer

43:47
um you're a flying you're doing your um

43:53
those insults you need to start by just taking away all yourself there what might those insults mean for

44:02
you know individuals to kind of and here again we're not offering Health advice but I think there's a I think you have

44:09
an awareness of like like with the chemicals in your hair no offense to

44:14
Megan or anybody you know that way at all but yeah exactly I'm telling but

44:19
thinking of those things that we might expose ourselves to right that have that

44:25
might we might want to think about doing different from a long-term effect

44:31
I think one of the biggest in our society now is something I've encourage xenoestrogens

44:43
he knows you know it's a big catch word now I haven't

44:50
heard it is that right okay so you know estrogen estrogens you were talking about hormones the other day yeah

44:56
xenoestrogens are man-made chemicals okay mostly found in Plastics they act

45:04
in our body like exogenous estrogens exogenous are

45:10
where our body naturally makes okay they're one thousand times times more

45:15
powerful okay endogenous hormones and so we have receptors on which the estrogens

45:22
attach Ed a thousand times

45:28
there then

45:38
[Music]

45:44
so I was listening to a podcast um and then the guest was a guy who has

45:49
his own podcast called huberman labs and if I I'd suggest maybe check it out sometime but he does a lot with uh

45:57
hormonal therapy that kind of thing he's kind of on The Cutting Edge of that stuff to the point where he does like

46:02
the injections and those kind of things right but it's fascinating as he they interviewed him the the his hobby horse

46:09
his hot button his uh soapbox was he spent probably 20 30 minutes talking

46:15
about how important the Sun is an exposure to the Sun and I'm like

46:21
this is so cool because what we're seeing is we're coming full circle that's kind of what you're saying too

46:27
like we have all these this guy he does hormonal therapy but he's talking about how important the sun is but he also

46:34
talked about um what's the chemical we take to sleep

46:40
it's away yes yeah but he was saying exactly that the version that we take

46:46
over the counters like a thousand times more than the natural melatonin that our body produces so once that kicks in if

46:53
we develop if we do that multiple times eventually your body just gives them say I can't

46:58
compete I think that's right same kind of thing right so small change I made in

47:03
my life which my husband jumps on board most of the time is as soon as the Daybreak comes we go out and we walk for

47:09
just 10 to 15 minutes so reset your meals yeah right and you get the

47:15
Melatonin so your body's already setting up melatonin yeah thank you you actually

47:21
connected all those dots yeah until you get vitamin D from the center vitamin D is a hormone and so um

47:37
um because it's something that meant Esther says xenoestrogen okay yeah

47:44
that's how we see it as men you know that's what it is

47:55
kind of the stigmatism yeah yeah because I'm around that word right

48:01
yeah and no all men have estrogen and they need

48:06
estrogen and so when the xenoestrogens come into play you get the beer bone

48:12
yeah and so the dead body

48:18
it says or the beer belly caused by too many beers

48:24
maybe probably xenoestrogens and so or a

48:29
combination or a combination of threading that's right could be partly the beer combining with the other

48:34
chemicals that we induce our receptors when those kind of toxins

48:42
come into our bodies our body recognizes them as toxins and it tries to quickly

48:48
sequester them away toxins immunoestrogens they're stored in fat cells and so hence example

48:57
so if I may for clarification you know the xenoestrogens as you're talking

49:03
about them you would mention those Plastics and I'm looking right over here are you saying I don't normally drink

49:10
that plastic well no and I'm not sure but I'm thinking about it as a culture

49:17
oh absolutely you follow me and is that is that correct on my part that I'm I'm

49:22
granted maple syrup it comes in it you know I mean I think of when I walk down the aisle at the grocery store

49:30
everything most things we purchase come out of a

49:36
plastic container right and I do think about it from as a kid I grew up with

49:41
when we bought milk it came out of the cardboard container and you know or there was the glass milk jar you know

49:48
early on my parents probably still use them because there's a bottler you know and I'm and I'm thinking about this

49:55
transition all right is that what you're exactly that's exactly what it is it's it's the paper products it's the

50:03
plastics it's like tea bags toilet paper it's engaged it has chemicals in it

50:11
you're wiping your sensitive areas with those okay the skin there absorbs things

50:16
really rapidly um most hand creams body lotions we put

50:23
on little drip into your skin 15 seconds okay so that's the part where I talk

50:28
about your pocket is full right so instead of using look at the label look at the back of

50:35
your hand cream maybe you could use coconut oil some essential oils

50:41
or you could use beef you could use we'll just hold vitamins

50:48
and nutrients for your skin and it's the essential oils if I may ask

50:55
all right is I've as I've heard the phrase before to a certain degree you know if you can't eat it don't put it on

51:02
your skin yeah is that is a different mechanism right

51:08
you may not necessarily be consuming it but if you so that's yeah and yet we eat

51:15
a lot of stuff [Music]

51:23
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