In this week’s health and wellness focus, dive into the world of diabetes management and education with Tim Keller. Discover the innovative approach of the U.S. Diabetes Care App that emphasizes knowledge and lifestyle changes to combat the quiet epidemic of diabetes. With a background in lifestyle medicine, and a focus on peer education over conventional symptomatic treatment, learn how empowered learning can help reverse diabetes effectively. This episode is a must-listen for those living with or concerned about diabetes and health managers looking to make informed life choices.
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This is Rush to Reason.
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You are going to shut your damn yapper and listen for a change because I got you pegged, sweetheart. You want to take the easy way out because you’re scared. And you’re scared because if you try and fail, there’s only you to blame. Let me break this down for you. Life is scary. Get used to it. There are no magical fixes.
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With your host, John Rush.
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My advice to you is to do what your parents did. Get a job done. You haven’t made everybody equal. You’ve made them the same and there’s a big difference.
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Are you crazy? Am I? Or am I so sane that you just blew your mind?
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It’s Rush to Reason with your host, John Rush. Presented by Cub Creek Heating and Air Conditioning.
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I am Hans. And I am Franz. And we just want to pop you off.
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Welcome to Health and Wellness Wednesdays on Rush to Reason. Fat, drunk, and stupid is no way to go through life, sir.
SPEAKER 06 :
I have what doctors call a little bit of a weight problem. I used to grab bear claws as a kid, two at a time, and I’d get them lodged right in this region here.
SPEAKER 04 :
Exercise gives you endorphins. Endorphins make you happy. Happy people just don’t shoot their husbands.
SPEAKER 11 :
Let me tell you something you already know. The world ain’t all sunshine and rainbows. It’s a very mean and nasty place, and I don’t care how tough you are, it will beat you to your knees and keep you there permanently if you let it. But it ain’t about how hard you hit. It’s about how hard you can get hit and keep moving forward.
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I’m sorry that I’m fat.
SPEAKER 17 :
All right, welcome. Happy Wednesday, health and wellness. Yes, I’m your host today, Charlie Grimes, of course, my engineer. As always, Al Smith hanging around after his program today. He’s on from 2 to 2.30 every Wednesday before we do health and wellness. And Al, welcome. How are you? I’m great, John. How are you? Good. Always a joy. And one of the things that Al and I were always discussing, okay, what do you want to talk about today? And I’m always open to what Al has to say because he’s much smarter in this area than I, of course. That’s why he’s our financial guru, Golden Eagle Financial. For those of you who may be listening for the first time, you can always reach Al. Just go to klzradio.com. You can find him there. You can go to rushtoreason.com, drive.com. hyphen radio.com, you get the drift there. Pretty much anywhere I am, you can find Al as well. But Al, how do we stretch those folks that even attain retirement, they get there, how do they stretch those dollars that they may not be in full retirement or they are, but they realize that, well, I’d like to have these go a little farther. I’m really feeling well. There’s no… health issues, and maybe I’ll live a little longer than maybe I even initially anticipated when I set all of this up years ago. How do they stretch that out?
SPEAKER 18 :
Well, the reason that’s a big concern, my show about a week or so ago was longevity, how we’re living so much longer. And there are some strategies to make your money last longer. The most obvious one is is to postpone drawing your Social Security to age 70 because it grows 8% each year after age 67, which is like the full retirement age. And I wouldn’t suggest that if you have serious medical problems because then you’d be postponing it and you may not be around to collect.
SPEAKER 07 :
Okay.
SPEAKER 18 :
If your health is good, postponing it will not only increase your benefits, but if you’re married, your spouse will collect a survivor benefit based on the full amount of your benefits. So that’s one of the most obvious ways of making your money last a little longer in retirement.
SPEAKER 17 :
Okay. Now, for those that maybe they weren’t able to do that, maybe they needed to take that Social Security a little bit earlier, they may be listening to us right now and saying, yeah, guys, I wish I could have done that, but I was not able to. For those individuals, how do they stretch those dollars a little farther? How do they make that work?
SPEAKER 18 :
Well, one of the things I talk to people about, and I don’t tell them, hey, you need to move or anything like that. But some people think about moving anyway, downsizing. And if some people will move to another part of the country where they have children and grandchildren. And one of the things I recommend is not necessarily getting a townhome or condominium because sometimes the HOA fees can make up for any lower home value or mortgage or property tax that you might be saving.
SPEAKER 03 :
True.
SPEAKER 18 :
And if you move to an area close to your children and you’re not familiar with it, definitely rent for a while before you decide if you even want to stay there or what part of that community you want to live.
SPEAKER 17 :
Good point. All sorts of ways to do that, and I know that a lot of folks listening, you know, you’ve got the ability to really maybe even on a short-term basis buy a used RV, stay in an RV park, rent a space for a while, all sorts of ways that you can accommodate that. The other thing that I would also suggest, this is coming from me, not Al. But maybe you’ve grown up and you’ve always spent your time in this Colorado area. And maybe the kids are still here and the grandkids are, so you want to live nearby. Well, we have areas in Colorado that are a lot less money to live in than this Front Range area. For example, you could go to the Western Slope. which is a lot less money to live in right now. It’s about half from what I’m, and maybe some of you know better than I, I might get some corrections on this, but from what I’m looking at with the real estate market and so on, Al, is the real estate market especially is at least two-thirds, if not a half, of what it is over here on the front range, meaning you’re only three hours away from the grandkids. you could effectively take what you’re doing here cost-wise, maybe not cut it quite in half, but maybe shave a third of that cost off by going to the western slope, still be close enough to the kids, still live in a great area. By the way, the climate’s a little better over there than it is here as far as the winters are concerned. So at the end of the day, there are those sorts of things you could look at as well and still not be that far away.
SPEAKER 18 :
Boy, you’re absolutely right. I have a couple of clients in Palisade. I remember going out there one time in March when we had snow on the ground and they had their tulips popping up.
SPEAKER 17 :
Right, right.
SPEAKER 18 :
So it’s a much nicer climate. It’s about 2,500 feet elevation instead of… 5,000 here or 9,000 in Summit County. And another area that is not thought of terribly highly until recently is the Pueblo area.
SPEAKER 17 :
Very true.
SPEAKER 18 :
That’s very recently. There’s some developments coming up out there.
SPEAKER 17 :
You’re correct.
SPEAKER 18 :
And you’re still an hour and a half from Denver. It’s a little bit warmer because you’re south.
SPEAKER 17 :
True. Good point. Point being, all of you listening, that you’re thinking, well, I don’t want to move away from the grandkids. And by the way, I get that. I understand that end of things. Now, I also would say this. There’s a lot of places in America that you can live for a lot less money than here. And no offense, cars travel pretty fast. when you’re not having all of the expenses we have here along the front range. And even airfare, Al, isn’t all that expensive. And you might find that you actually come and go and see the grandkids as much doing that as you would if you lived here nearby. So not telling people what to do, you’ve got to do whatever works in your own family. But point being, think outside the box, I guess is what I’m trying to say, Al.
SPEAKER 18 :
No, I totally agree. Use your imagination. Some people, for example, they will begin to do consulting in whatever field they were in before they retired, like people who work at Lockheed Martin or software engineers. And the one thing I would suggest for them is begin that process before you fully retire.
SPEAKER 17 :
Good point. Great advice.
SPEAKER 18 :
That way you have… The people lined up and the opportunities lined up how you can do some consulting before you even leave your work.
SPEAKER 17 :
And as somebody that does some of that in the business world, I think what Al is alluding to is you can make an income from anywhere. Because in most cases, you don’t have to see those people face-to-face. Occasionally, you may. You can still arrange those things, as I said a moment ago, even like seeing the grandkids. So you’ve got clients and things, Al, where you could still run around and see them occasionally on a face-to-face basis. But reality is most consulting across the country is done either phone or virtual with some sort of a Zoom meeting or something along those lines. So At the end of the day, you can do that from anywhere.
SPEAKER 18 :
Well, you’re absolutely right. And the one other thing is if you have some kind of hobby that you’re really crazy about, you can turn that into a small business, whether it’s travel, photography. If you’re an accountant, you can do bookkeeping for small businesses and work 15 hours a week and make what people would make 40 hours at a low-income part-time job.
SPEAKER 17 :
Correct. Great advice. For those of you listening, please have all this dialed in. Some of you that maybe have entered into that and you’re looking for additional advice, different ways to even do something with the money that you have, a lot of these ideas, Al could sit down with you guys on a face-to-face basis, and I would highly encourage you. to do that. Al Smith, Golden Eagle Financial. Again, go to klzradio.com or you can go to rushtoreason.com or really anything where I’m at, where I’m affiliated, my website, you will find Al. It’s that simple. And I get a lot of folks that will just on a whim text me, hey, I know you had so-and-so on. How do I get a hold of them? You can always use the text line 307-200-8222 and I can put you in direct contact with Al that way as well. But Al, as always, I always enjoy having you on. I learn something every time I’m with you.
SPEAKER 18 :
Well, I’m glad you do, John, and if you want to call my office directly, it’s 303-744-1128. When I’m not there, I do get voicemail, but I answer those very quickly.
SPEAKER 17 :
Al, as always, I appreciate you. We’re going to do kind of a part two of this next month as well, so those of you that are thinking, hey, there’s a lot more to that, yes, there is, and we’ll cover that, Al, next month when I have you back. I’ll save my notes. I appreciate it. Veteran Windows and Doors is next. Dave would love to help you with all of your window and door needs at your home. Find him today also by going to klzradio.com.
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Listen online, klzradio.com. Back to Rush to Reason.
SPEAKER 17 :
We are back, Health and Wellness Wednesday. Appreciate you all listening today. Tim Keller joining us now, and he is from the U.S. Diabetes Care App. And Tim, there’s a lot of folks out there listening, a lot of folks in general today struggle with diabetes. How can you help them?
SPEAKER 08 :
Well, how are you doing, John? I’m good, Tim. It’s great to be on. It’s great to be on. So, you know, basically, U.S. Diabetes Care was founded 12 years ago. We started a brick and mortar in Morristown, Tennessee at the time, which was the number one demographic for diabetes. In the first six years of this company, we used lifestyle education platforms with different medical entities. And then to the point where I wanted to not even do something better clinically for diabetics, which clinical care was very poor. I wanted to also use our education platform within our system. Six years later, we reversed over 72,000 diabetics of type 2, type 3, vascular dementia, diabetes with our education platform that I now decided to scale and take to a public app, U.S. Diabetes Care, to kind of help diabetes around education.
SPEAKER 17 :
Wow. By the way, big number. Thank you for doing that. There are, again, I guarantee you, Tim, a lot of folks listening to us right now that either, A, struggle with that. They could potentially have been born with that or something has developed as they’ve gotten later on in life. And as you know, it’s becoming, and I talk about this a lot during this hour, but that’s becoming one of the larger issues for Americans especially, and it is a killer. Am I right, Tim?
SPEAKER 08 :
Absolutely. And the scary part is, John, it’s a silent killer. Most people that have diabetes is asymptomatic. They don’t have symptoms of diabetes until it’s kind of too late. And when I mean too late, this is by the time they go to the doctor, they’re already having internal issues from diabetes because diabetes is an external disease. And people don’t know what I mean by that. It’s actually a muscular disease. The cells live in the muscle that take the glucagon from the liver for energy. When those cells get malfunctioned, or they call metabolic disorder, insulin resistance, whatever they want to call it, that’s the point where we need to take it serious. And people can’t fix themselves, John, if they don’t have education to fix themselves. The problem with westernized medicine, they go and sit in a waiting room for two hours. see a doctor for five minutes, doctors have less than eight hours of nutritional training in medical school. They’re not helping a diabetic get educated.
SPEAKER 17 :
You are correct. One of those things, I’m glad you’re here because we talk about these things in this hour on a routine basis. You are literally solidifying a lot of the things that over the past eight, nine years I’ve talked about during this hour because everything you just said is absolutely spot on. And, you know, we have crisis care in this country. We do not have health care.
SPEAKER 08 :
And it’s been crisis care. This all started in 1950s when big pharma took over a big medical and said, hey, we can train your residents for you. Take that cost away. And then the way they educated residents was treat a symptom, not a patient.
SPEAKER 17 :
Exactly. Okay. So your app now enters into the public realm or the mass realm, I guess you could say. What is it? How does it separate itself from some of the things that And again, I’m not a diabetic, Tim, but I do follow enough things because of this hour where I know there’s devices now where people can wear them and it’ll monitor their blood sugar and there’s an app for that and so on. What makes yours different from a lot of the others that are out there?
SPEAKER 08 :
John, that’s a great question. What makes ours different is we’re peer education. And it’s not education about just what you put in your mouth. We talk about what you mentioned earlier, epigenetics. We talk about oxidative stress. We talk about, you know, healthy fats, bad fats. We talk about, you know, anxiety and stressors that cause, you know, all these things affect your A1C and your diabetes. And so what I love about our app is instead of having a bunch of gaming on there that people get lost in translation of just focusing on measures, we actually focus on fixing the mind through education.
SPEAKER 17 :
Okay. So I assume they download the app. Are there any other devices that have to go along with it? In other words, is there anything else they have to purchase? Walk us through how this works.
SPEAKER 08 :
No, there’s nothing else they have to purchase. The app is $99.99 a year, very inexpensive to change your life. If people follow the education and do what’s asked of them, even if it’s 70% of what’s asked, they will reverse diabetes.
SPEAKER 17 :
Interesting. So you literally are, it’s almost like a high-end diet app, only it is on the focus, I guess I should say it’s focused on the diabetes side. Am I right in thinking that?
SPEAKER 08 :
Yes, you’re 100% right, but John, more than that, we are actually Loma Linda Lifestyle Medicine Education, which is the Blue Zone. I mean, that’s what our focus platform is based on. Our medical director, Dr. Daniel Castro, is a Loma Linda grad from lifestyle medicine, internal medicine from the VA. So you’ve got the best of both worlds. You’ve got a medical doctor with a lifestyle education. So we focus on that because at the end of the day, once again, power of the mind. You can fix anything in your body.
SPEAKER 17 :
Very true. Now, age-wise, does this matter if it’s somebody that was born with diabetes and they’re trying to get things under control versus somebody that has, you know, this has come on later in life or maybe, I say later in life anymore, Tim, and I know because we talk about this on these Wednesdays, some of this is happening for folks that are in their 30s and 40s where at one time it was double that age.
SPEAKER 08 :
Yeah, well, the scary part is, John, it’s happening with age. Juvenile diabetes now, type 2, not type 1. Type 1 is autoimmune, but we have children coming in our center because we see 10 and up that are 12, 13, 14, 15. Everybody thinks they’re a type 1, but then when we bring them in and do random tests and things we do, we’re like, this kid’s a type 2 diabetic at 12, 13 years old. And 93 million pre-diabetics in the United States. You know what I say, John? You’re not pre-pregnant. Either you are or you’re not. Good point. This whole pre-thing drives me crazy.
SPEAKER 17 :
No, I agree. Thank you. It’s one or the other, and I appreciate you saying that because I think we sort of steer people in the wrong direction or give them a false sense of security by saying you’re pre-anything.
SPEAKER 08 :
Yeah. Well, John, I mean, there’s no money in a cure. If we can get people believing that they’re pre-diabetic, we can sell more drugs.
SPEAKER 03 :
True.
SPEAKER 08 :
And that’s not what US Diabetes Care’s mission is. Matter of fact, John, we get everyone off insulin that’s a type 2, type 3 right away. Insulin’s poison.
SPEAKER 17 :
Really? So in other words, you’re really teaching people in their lifestyle how to handle things.
SPEAKER 08 :
Yes, exactly.
SPEAKER 17 :
Got it.
SPEAKER 08 :
So you don’t need insulin as your crutch. You don’t need insulin as your crutch. You need education. If you go out and act out education along now that education also, you know, we talk about exercise through the epigenetics. You know, if you can incorporate the two through lifestyle and exercise, even walking, just pure walking, you’re going to have a huge improvement in your diabetes.
SPEAKER 17 :
Amazing. Well, Tim, again, it was short notice getting you on. Normally I plan these things out a week or two in advance. You are a very short guest as far as notification and that goes. I, A, appreciate you accommodating us on a really short notice because, again, normally I give people a lot more time. But this was an area where I just felt like we need to get this information out to people. We here during this hour, we are really big on how can we do things on a – more collective basis, number one, but number two, without using big pharma, big healthcare, because I, like you, know that doesn’t work.
SPEAKER 08 :
Yes, John, I’m 100% of greens with you. As a matter of fact, you can tell my passion. I’m very bold with the truth about big pharma and big medical. I’ve been in that system 35 years. I’ve seen all the pitfalls. I’m about loving people and giving them a better option for health care. Anytime you want me on for a longer period of time because we can get into the big and dirty, I’m happy to do that.
SPEAKER 17 :
I will definitely do that, Tim. I’ll put things aside. Again, I know it’s the first time you’ve been with us, but I appreciate it. You can tell as well that I, we are very passionate about these same things. And again, not that I am anti-health care or anti-pharma. I know there’s a place for those things, Tim. And if you need to go in and get a heart valve fixed and things along those lines, I mean, I full well know that there is a place for that. But unfortunately, like I said earlier, we have got crisis care. We use it as a crutch. We don’t do things correctly. Big pharma, big insurance is not teaching people how to be healthy. We think popping a pill is to be healthy, and that’s not how it works, as you know.
SPEAKER 08 :
Once again, you and I are speaking the same language. Specialty care, what you just said, orthopedics, heart surgeons, cardiologists, all that’s needed if you get to that point. But crisis care is primary internal related, and it’s terrible.
SPEAKER 17 :
You’re right. For sure, Tim, I will have you back. We have folks on on a routine basis. I would love to have you be one of those, so we will definitely stay in touch. And, again, I appreciate your time last minute because normally we do it a little differently than that, but I really appreciate you taking time for us.
SPEAKER 08 :
All right. Sounds great.
SPEAKER 17 :
Tim, appreciate you. Have a great rest of your day. I appreciate that. And we definitely will have Tim back in the future. And again, U.S. Diabetes Care app. And you can look that up. Just go to either Google Play, go to your app store. You can find it either way. And we will definitely have him on again, a little bit longer segment. I’ll put him on a 330 end of things where we’ve got a little bit more time with him that way. But I would encourage those of you that may be in that world where you’re trying to figure some things out, that would be a great, great way for you to manage some things and, frankly, do some things outside of, as he said, big pharma and big health care. Golden Eagle Financial coming up next. Al was with us here just a few minutes ago, by the way, helping you stretch your retirement dollars further. Al can do that, plus help you just plan on getting there, and then, as I said a moment ago, staying there as well. Find him at klzradio.com.
SPEAKER 15 :
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SPEAKER 17 :
We are back for this Health and Wellness Wednesday edition, which we do every single Wednesday. If you’re tuning in for the first time, you maybe don’t know that. But, yes, this is what we do every Wednesday for the first hour of our Wednesday edition. And it’s Dr. Charles Antinori. Dr. Charles, welcome. How are you, sir? Good, thank you. Yeah, I’m feeling fine. Very much enjoy having you here. You fit right into what we talk about here every Wednesday, and that is the secret to fixing America’s health care crisis isn’t more technology, it’s doing less. And I think I know what you mean by that, but please explain.
SPEAKER 04 :
Yeah. As I said in the book, you know, we’d be a lot better off if we did less in the sense of, Ate less, especially less red meat and processed foods. Drank less alcohol. Smoked less tobacco. Took fewer drugs, both recreational and prescribed drugs. And basically, the last thing is less stupid behavior. Yeah.
SPEAKER 17 :
I’m laughing just because, again, I know where we’re going with this because these are things we talk about on a pretty routine basis. I even personally talk about these. It’s always nice to have an expert like yourself on backing a lot of that up. But the reality, yeah, don’t be stupid. And I think, too, Dr. Charles, that we sort of – and we talk about this every Wednesday – And I talk about, you know, how we live in a day and age now to where we don’t really have health care. We have crisis care. And so many people, you know, we run to the ER or to the urgent care for this, that, and the other. And in a lot of cases, Dr. Charles, there were ways where prior to that we could have done things differently and never been there in the first place. Am I right? Absolutely. I mean, I used to look at my list.
SPEAKER 04 :
You know, I’m starting to retire now, so I had time to write the book. But when I was working just recently, you know, it was only a year or so ago, You know, I’d look at the list and I would go down, you know, I’d have like 10, 12, 15 patients on my list. And I could go down a list and like at least half of them, 90% of their problem was like self-inflicted. You know, obesity being a big one, smoking, of course, being a big one, you know, alcohol, another one. You know, and then, you know, exercise is another one. Another thing that has really changed just in my lifetime, when I started out, I finished medical school in 1973, Harvard Medical School in 1973. All right. And at that point, if you had a heart attack, basically, you know, the treatment was to, you know, stay in bed for two weeks, you know, make oxygen, a little morphine and stay in bed for two weeks. You know, now, you know, you have a heart attack, you know, you’re in bed for a day or two, especially if it’s a horrible heart attack and you’re really in heart failure and everything, you know, you have to stay in bed. But by and large, you know, most people, they encourage them to get out of bed and get moving around within a few days, even open, you know, he did open heart surgery. And, you know, we found that if you had to get people up in two, maybe not the first day post-op to have a million lines and pipes. Right, right, right. But as soon as you get all of that out, which is usually 24 to 48 hours, pretty much most of it is out. You should be getting the people up and walking around. And it’s just so much easier. better for them and similarly you know exercise is another thing that really has has changed you know i remember like uh pitcher satchel page you know in the major leagues he was one of the first black guys to be pitching major leagues and he was always you know whatever you do never run you know uh big people used to believe in rest and you want to wear yourself out too much with exercise and now you know all the literature has come 180 degrees to where So exercise is a good thing. It’s difficult to define exactly how much is ideal for each individual person, but there’s no question that exercise on an almost daily basis is way better than no exercise at all.
SPEAKER 17 :
Well, and I appreciate you saying that because I think there’s also a lot of fitness gurus out there that will tell you that, oh, no, you’ve got to bench press this, you’ve got to do leg lifts here, you’ve got to do squats, you’ve got to go to CrossFit, you’ve got to do that. I mean, everybody’s got their thing, Dr. Charles, and I’m not – By the way, all of those I just mentioned, I’m not against any of those. But what I’m against is there is no blanket one size fits all for individuals. Some people do really well with CrossFit. Others do really well with, you know, yoga. Others might do really well just walking. And some are great runners. I’m not one of those, by the way. I don’t have the physique for that. So reality is every person is different. And I think we get into trouble when we have this, you know, one size fits all. And, you know, you need to go do X, Y, Z because I do that. Well, no, what works for you may not work for me.
SPEAKER 04 :
Yep, absolutely. You know, really, all the things you mentioned, I do, you know, I do a lot of these Beachbody routines. And they, you know, what’s good about them is that they do it. You do yoga, you do a little bit of Pilates, you do weightlifting, do a lot of cardio, a lot of just, you know, push-ups, pull-ups, all of that sort of things. And most of the literature, you know, you do see supports all that. Now they’re getting pretty scientific about it all. I mean, I try to read all the articles if I can on this stuff. And most of them end up saying, like, you know, you need to do cardio, but you also need to do resistance. In other words, you know, some weight training. And the best formula for most people seems to be do a little bit of everything. And don’t just focus on one kind of thing.
SPEAKER 17 :
Well, and I do think this, and I’ve said this many times, and I think the studies have shown, Dr. Charles, that if you can’t do anything at least go get a walk-in or something about that body movement and walking and keeping your legs moving, which when you walk, you’re balancing, you’re keeping your, in some cases, heart rate up depending upon how hard you’re walking, your arms are moving. You know, you’re just doing different things. And if nothing else, Dr. Charles, your blood’s flowing, your mental acuity is a little different. You know, just a simple walk can make the difference in a lot of people’s lives.
SPEAKER 04 :
Oh, absolutely. Walking is a great exercise. It doesn’t even have to be a fast walk. As you said, it gets the blood flowing. Again, I did peripheral vascular surgery, and we used to, you don’t see many anymore, fem-pop bypass and things like that. But when you talk about people who do that for leg claudication, cramping in the leg when you walk, that thing. And the reason why that happens, that always happens when you start to exercise. And the reason that happens is because when you walk, your leg muscles take something like 20 to 30 times the amount of blood that they take at rest. And there’s 20 to 30 times the amount of blood flow going to the leg muscles, and that’s just a good thing. It sort of clears everything out, and it burns calories. It is a terrific exercise. And like I said, there’s numerous, numerous studies. In the medical literature, and I’m not talking so much about the exercise literature, but just in the medical literature, as little as 20 minutes three times a week It gives way better results in terms of longevity and just about anything you can measure. That’s an hour a week. That’s not a lot, by the way. It’s not much at all. No, it’s not. Most things recommend a little more than that. It’s difficult to come out with what’s the ideal. amount of workouts, probably somewhere around three to five hours total workout a week.
SPEAKER 17 :
Well, and again, I know Dr. Charles, everybody’s a little different. You know, some people live on, you know, I live on a five-acre property. I do enough chores on the weekend where I feel like at the end of the day, I don’t know how many steps I’ve put in, but just walking… you know the property and getting all the things done they need to do just you know just in in you know this last weekend killing weeds and doing things along those lines you feel like holy cow how many times i walked this thing but my point is some people like me live there others live in an apartment whereby you know maybe you should be taking the stairs instead of doing the elevator if you live in that sort of a situation i mean there’s all sorts of ways to get these things in I think the thing is just being purposeful and thinking about it at all times and not just doing it periodically but making that a part of your daily life.
SPEAKER 04 :
Absolutely right. There’s no question about it. You can work those things in. Tony, I’m very similar. Right now I’m going through the same kind of phase. I have a house in Cape May. It’s only about a third of an acre, but it’s a big house, and I rent it out. At this time of year, I’m just – work all day.
SPEAKER 01 :
Oh, I know. Getting the lawn in place. Absolutely.
SPEAKER 04 :
Cleaning, painting, you know.
SPEAKER 01 :
Yep.
SPEAKER 04 :
I’m crawling under the house pulling things out, you know, the supplies and everything. And at the end of the day, I’m, like, really tired and I sleep great. That’s the other thing about exercise. That’s right. And the other thing we should talk about, I guess, is sleep. Yes. You know what?
SPEAKER 17 :
Let’s probably move into that because that’s the thing that I’ve even had folks on here during this hour. We talk about, you know, sleep and some of the sleep studies. And another thing, again, I get it. Some need more than others. Some need a little less. We all need sleep. at least X amount of sleep, and I think each person knows what that is. Bottom line, though, Dr. Charles, is I don’t think most people get enough.
SPEAKER 04 :
Yeah, again, I’m not a sleep expert. The pulmonologist knows what the guys do all these sleep studies and everything. But, again, what I’ve read, and I know speaking from my own personal experience, most people it’s somewhere around seven to eight hours a night. That’s right. Seems to be the sweet spot. And like you said, everybody’s different, and adolescents probably need more sleep. Kids, you know, different age ranges might need more. But there’s a million different reasons why you need it. So your brain apparently needs it to process the events of the day. Your body just needs it to metabolize, you know, the things that build up in the system and just what needs to be excreted and everything. But it seems like it’s, you know, it really is just very, very important that everybody gets in their sleep.
SPEAKER 17 :
Now, one thing that’s in my notes, and I was going to ask you because this is something that, this is a topic I’ve never discussed during this hour in the eight, nine years I’ve been doing this, and that is don’t over-diagnose and be careful of unnecessary tests. Explain what you mean by that.
SPEAKER 04 :
Right. Well, you know, as I wrote in the book, it’s amazing. I mean, we have tremendous improvements in diagnosis that I’ve seen, again, seen just in the 50 years that I practiced surgery with, you know, unbelievable. The first chapter I talk about, I worked in the emergency room and they bring in kids that supposedly bumped their heads. Half of them probably didn’t even. And we’d examine them and there really wasn’t a whole lot of testing we could do, but the only test we really had in a way was like skull films. And they didn’t show anything. I mean, there was an article laying in the drawer of the emergency room that said that there were 10,000 skull films done that didn’t show one unsuspected skull fracture. I mean, if somebody comes in with a hammer in their head or a big dent in their head, you know, you know, they’re going to have a skull fracture.
SPEAKER 17 :
Right.
SPEAKER 04 :
But, you know, the skull films really didn’t didn’t really pick up much. And at that time, they were like sixty five bucks a piece. I was getting paid about fifty dollars a piece for my twenty four hour for my twenty four hour shift, you know, in the emergency room. And I’d order five to ten unnecessary skull films just because basically you had to have to do it to get the patient out of the emergency room. And I talked to a program director about it. And he said, you know, he explained, I really thought it was crazy they were doing those. And he told me, get the skull films, you know, because everybody’s so concerned about litigation and everything. As time has gone on, as time went on, the first CAT scan was basically just a head CAT scan. Now, the great thing about that is it is really, they are really good studies, especially now that they’ve evolved over 30, 40 years. And have gotten very, very sophisticated. People are very, very good at reading. And the tests have gotten more and more detailed. But it was a great thing because then you really could start to pick up, you know, the CAT scans pick up lesions in the brain, CAT scans pick up lesions in the lungs and the abdomen and everything. We would never pick up until it was too late and many times before. But along with that, you know, the litigation side of it, the malpractice, the concerns about malpractice have driven the use of these things to the extreme. I had a friend of mine, the emergency room doctors are kind of the most vulnerable. They have the biggest problem in a way that they don’t know the patients. People come in, you know, and they have a problem. They have to take care of it quickly. And the easiest thing to do is to do these imaging studies. You know, it’s the safest for them and it’s the safest for patients. So they just, you know, they just run tests. I had a good friend of mine. When MRIs were relatively new, this would have been in like the early 2000s. I mean, they had been around for a while, but they weren’t. They weren’t that sophisticated. This was at a small local hospital. You had to go to a special facility to get it done. Somebody had to drive you there from the hospital to an MRI place. And this was like a weekend. There was an emergency room. And some young girl came in with some vague neurological symptoms or something like that. You didn’t get an MRI. It turned out she was like a 12, 13-year-old girl. It turned out she had some kind of a spinal cord tumor. and ended up paralyzed from the thing, and naturally he got sued. It’s one of those one-in-a-million kind of things. But that’s the problem. The one-in-a-million thing happens, and so the doctors sort of get packed into a situation of trying to protect themselves. And again, the studies themselves are good. They pick up things that we never saw before. It’s made a lot of fields just… breast surgery. You pick up these lesions almost before there are cancers in the breast. A lot of people are living from things that used to kill people all the time. But it involves an awful lot of testing that turns out to be I hate saying unnecessary, but overdone.
SPEAKER 17 :
No, it makes total sense. Now, one last thing before I let you go that’s in my notes, and this one I was curious just on my own, so if I’m curious, I’m sure people out there listening would be. Robotic surgery, you say in here, before agreeing to it, ask some tough questions. What and why would we ask questions along those lines?
SPEAKER 04 :
Well, you know, the thing with robotic surgery, it is catching on more and more, becoming more, but I just finished reading, you know, as I said, I did heart surgery at I just finished reading an article talking about putting an aortic valve and doing a coronary bypass robotically through a small, I think they said four centimeter axillary incision, you know, a two inch incision under your right arm. And you get an aortic valve replacement and coronary bypass done. You know, it’s amazing that technology exists to do that. They described this in one, it’s not like a routine thing. They described it that they were able to do it in one person. But, you know, the thing about robotic surgery, I mean, robotic is just sort of an extension of laparoscopic or thoracoscopic surgery. Right, right. You know, the surgery is being done with the instruments. The only difference with robotic is that a robot is holding the instruments, you know, and the surgeon is directing the robot. So the surgeon is not scrubbed. But what’s good about it is that you can actually sew inside the body and things like that, whereas like laparoscopically… When you try to sew, everything is kind of opposite because you’re working on a pivot, like the pivot point is like the abdominal wall. So you’ve got an instrument going through the abdominal wall, and if you try to sew or something like that, you know, up is down and down is up and right is left and left is right. And it’s amazingly difficult to do the simplest things like sew inside the abdomen or inside the chest. But with the robot, the instruments are all wristed. And, like, the name of the robot company is Intuitive, and it really is intuitive. I mean, it’s relatively easy to learn how to do fairly complicated things inside the body. And also they have better visualization, sort of a little bit of a three-dimensional visualization. And, you know, it definitely has some advantages that make some difficult procedures, you know, possible. On the other hand, it’s tremendously expensive, you know, to do. It costs only about $2 million. There’s a lot of money, but the grand scheme is not huge. But the arms that they use have to be replaced every couple hundred procedures or something like that. And they’re about $10,000 a piece or something along there. So it adds tremendously to the cost of these operations, especially when you start doing relatively simple operations robotically. Got it. On the other hand, like I say, some complicated operations like this heart surgery I was just telling you about can be done through much smaller incisions. The people, you know, get back to activities much faster. So it’s a real work in progress right now is basically what it comes down to.
SPEAKER 17 :
Okay.
SPEAKER 04 :
I mean, like I say, getting a hernia done robotically, I’m not sure it is. A regular inguinal hernia done robotically, I’m not sure it’s a big deal. Complicated ventral hernia, maybe a robot is better for something like that. Okay. Good to know. I think it’s going to be something that’s going to take time to figure out where it needs to shake down, basically.
SPEAKER 17 :
All right. Again, Dr. Charles, author of Make America Healthy Against Antarini, Lessons from a 50-Year Surgical Odyssey. Where do folks buy that, Dr. Charles?
SPEAKER 04 :
The company’s publishing now is called the Ewing’s Publishing Incorporated. But you can get it on Amazon or Barnes & Noble right online. Just put Antinori, like the wine from Italy, Antinori. You get my name and you’ll find it, I’m sure. Awesome.
SPEAKER 17 :
It’s been a joy having you. I’ve enjoyed talking to you. I’ve learned a lot, and I appreciate your time, Dr. Charles.
SPEAKER 04 :
Thank you. I say the same to you, Mr. Rush. Thank you very much.
SPEAKER 17 :
Very much. You have a great evening, and it’s A-N-T-I-N-O-R-I. And, again, I appreciate his time today very much. I learned a lot. Hopefully you guys did as well. Up next, Dr. Scott Faulkner speaking of all of the things, by the way, that we have talked about with our last two guests. Dr. Scott will be right in line with them. and literally thinks exactly the same way as our two guests did. If you need him as a doctor, which I don’t know why you wouldn’t, give him a call today, 303-663-6990.
SPEAKER 12 :
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SPEAKER 17 :
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SPEAKER 01 :
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SPEAKER 07 :
Suck it up, buttercup. Back to Rush to Reason.
SPEAKER 17 :
All right, we are back. A few minutes left of this hour, Health and Wellness Wednesday. Now, this is something that I have talked about in the past, but it’s been a little bit since I’ve done it. But I saw something on social media today. It actually showed up in my Facebook feed. And I didn’t say anything in this particular post because I don’t want to be that guy. But I’m going to say it publicly. if you are in this case this was a realtor that because of graduation coming around the corner and so on this particular realtor and bless her heart she had signs printed up with her little logo at the bottom that were congratulating seniors in this particular area where she must service and it said something to the effect of you know home of a blah blah blah i’m not going to mention any names because i don’t want to throw anybody under the bus but in other words the mascot’s name you know home of a blank so if it’s a trojan you know home of a trojan or home of a lion or home of a whatever the mascot might be for that particular school now some of you might say so what’s the big deal well if you’re putting that in your front yard which is the idea here, and it’s a congratulatory thing, you know, home of a whatever, congratulations on your graduation, blah, blah, blah, you’re literally publicizing to anybody that drives by, this is where my kid goes to school. And I get it, they’re seniors in high school. Okay, I understand. Yeah, and thank you, Charlie. I also will be gone during that graduation ceremony. So there’s two things here that are going on. Number one, you’re leaving yourself very vulnerable because you’re telling people that no one’s going to be around this house during that time because we’re all going to be at that graduation. And by the way, really easy to look up when the Lions graduation that’s near that particular neighborhood, by the way, will be not that hard to figure out. Number two, you’re telling everybody this is where my kid goes to school. Now, some pervert, and I’m just saying it as it is, could be driving by looking at a really cute girl that’s leaving that house knowing that, oh, I know where she’s going. I know where she’s headed. And by the way, perverts can go both ways, could be male or female. I know where he’s going. You get my drift here? We’ve talked about this in the past, and I know it’s kind of a PSA, but please, if you’re in that world, the business world, and I didn’t want to say anything, and I almost sent a direct message, but again, I don’t want to be that guy. And everybody was congratulating her on having these signs and so on, but nobody’s thinking the way that I am. And maybe it’s because I sit in this seat and can be kind of cynical at times because of the stories I read and the things that I bring to you from time to time. I would never put that in my front yard. And it’s nice that this realtor is thinking that way, and they’re trying to congratulate these kids. Now, keep in mind, it’s a little self-serving because she’s got her name at the bottom of it as well. So it’s not all just for you and your particular student. She’s getting some advertisement out of it as well, and it’s a great idea. But I would never, nor would I suggest any of you ever put anything like that in your front yard, period, ever. I wouldn’t even put anything up with balloons or anything congratulating my senior on graduating because the reality is I don’t want anyone knowing where they’re going or whether I will be home or not because of that event to what Charlie said earlier. I don’t want anybody knowing I’m not going to be home at that particular time. So, bad idea. If you’re somebody that’s listening to me and you’ve done something like that, I’m sorry to say, and I hate to say you wasted your money, but… You wasted your money. You should not be allowing or giving those to your prospective clients any way, shape, or form. Just stop doing those things. All right. Health and Wellness Wednesday is over. We’ll be back. Hour number two, Richard Battle, is next. This is Rush to Reason, Denver’s Afternoon Rush, KLZ 560.
SPEAKER 06 :
I’m a rich guy.
