Rethinking Health and Longevity with Dr. Joel Wussow

 The one finite resource that we have is time, right?
 That's something that you can't take back.
 You can't necessarily turn back the clock.
 We don't have any medicine right now to turn back the clock.
 You're listening to The Radcast,
 a top 25 worldwide business podcast.
 If it's radical, we cover it.
 Here's your host, Ryan Alford.
 Hey, guys, welcome to the least edition of The Radcast.
 I'm Ryan Alford your host.
 We're excited to get in studio today.
 A friend, but actually by doctor.
 And I'm excited to tell you about this because Dr. Joel
 was so was going to tell us some stories.
 And he's going to enlighten us on some things that might
 save your life.
 And at the end of the day, we're about bringing value in that.
 We can't bring any more value, Chris and saving lives.
 And that's what our good friend Dr. Joel said is every day.
 What's up, Dr?
 Thank for having me, Ryan.
 Of course.
 Pumped excited.
 The full disclosure.
 Dr. Joel is my my longevity doctor,
 which we're going to be talking about, which is a lot of his
 passion and what we're working on.
 He's working on.
 He's working on me, I should say.
 And I know Chris, you and Dr. Joel,
 who so are our friends as well.
 So it's always fun that we can do the show and have not only a
 friend, someone we believe in and someone that has great passion
 around something that's going to change the world.
 Absolutely.
 What's happening, Doc?
 In studio here in Greenville, we appreciate you being here.
 I love I think we love to sit the table for our audience.
 Just maybe given the who the hell is Dr. Joel was so story.
 But I know you currently need our doctor in Texas, but in the midst
 of bringing to life a longevity practice, which we'll get into.
 And but let's tell the audience a little bit about you.
 Sure.
 So my name is Joel Wooden.
 So actually I met Ryan through a mutual friend in Miami,
 where I currently live now and we hit it off.
 But let's backtrack.
 So born and raised in Texas, I went to college in Arizona.
 I actually believe it or not.
 I didn't go straight into medical school.
 I did pharmaceutical sales for a couple of years.
 This is way back in the day before there was a lot of regulation.
 And then it was there.
 I always kind of thought that I wanted to be a doctor.
 I did all of the pre-rex.
 And then I went to this career fair and I kind of got sucked in
 because I did do the business as a minor.
 So I had some background there as well.
 So I decided to pharmaceutical sales.
 You're doing it when it was fun.
 It was fun.
 It was definitely fun.
 I President did that shit.
 And I was like, that was like the glory days.
 We're fully put all the damn regulations in where you anything
 pretty much went everything.
 I did especially in Texas.
 Oh no, this was in Arizona.
 So I did it, but still it's still kind of cow pretty cowboy state
 also Arizona in my experience with medical business.
 100%.
 I mean, there's not really no other way of putting putting a lot of
 this stuff was just borderline unethical and I didn't feel
 comfortable taking that path.
 And I'm just looking at these doctors and like I can be you and
 not only can I be you, I feel like I can practice medicine better
 than what you're doing.
 I ditched that gig and then I went to medical school in Philadelphia
 at Jefferson Medical College.
 And then from there, I decided I wanted to practice emergency
 medicine.
 I think it just kind of goes along with my personality.
 I'm an adrenaline junkie.
 I like to be managing a lot of things at one time.
 I like the variety that goes along with my kind of my background
 in sports and training.
 I like to be really active.
 I've always been that way.
 So that's why I decided emergency medicine.
 And so I did my emergency medicine residency at New York
 Presbyterian Hospital, which is there's a Columbia campus
 as well as a Cornell campus.
 So I did a residency of both those campuses.
 And then after residency, I went back to Texas where I'm
 from and then I started practicing emergency.
 The is that like a natural path?
 I think I hear a lot of doctor friends that I know is the ER
 path like a natural path for a lot of doctors.
 Or is it like mainly they go to be a physician's practices
 like that?
 I mean, emergency medicine is it's one of many specialties.
 I mean, you could be general surgeon.
 You can do orthopedics.
 You could do internal medicine, family medicine, dermatology.
 Really, I chose emergency medicine to speak.
 I like to I like the pressure.
 I like life and death.
 I like using my hands during procedures.
 I like the variety.
 So it takes a very unique bird to want to practice that type
 of medicine.
 And again, as you'll findable probably talk about this
 some more, it takes its toll man.
 I mean, it's a very stressful type of a profession.
 And is it sort of the hot shot track?
 Is it kind of is it the path top gun?
 Yeah, you know what that varies actually when I was going
 when we call it the match.
 So you go through your medical training and you decide
 what you want to do a residency in and essentially you do
 this whole courtship of going to a residency and you do
 all these interviews and then you decide what you want
 to specialize in and you have to go through the match
 process every year.
 It's different in terms of which specialty is more
 competitive to match in because you can try to get into
 one residency, but you may not get it when I was going
 through emergency medicine was one of the toughest
 residencies to get in regardless of the program.
 Now it's actually kind of dropped off a bit.
 And I mean, I understand what COVID I think has a lot
 to do with it.
 People are switching just lifestyle in general.
 It's just a really tough job, but it fluctuates.
 How many is there always and I want to get into some
 of the specific things, both good bad and interesting
 in the yard, but is it does it always have a life shelf
 people aren't ER doctors forever early or are some
 people does it a career?
 I mean, it's supposed to be a career, but unfortunately
 there's, I mean, the statistics show there's a shelf
 life for emergency medicine.
 It's around 10 years and lo and behold, Dr. Joel Wusso
 is that right?
 Why is that 11 years right now?
 Yeah, white.
 I mean, just, yeah, just the stress.
 So you think the emotional stress, the hours, like it's
 just, it's everything, man.
 I mean, or is it people moving on to, like I always
 compared to lawyers when they'd be like a public defender,
 you kind of pay your dues and then you go private
 and you're making the big books.
 That, no, I mean, the money if you want it to be is great.
 So it's not a money issue.
 It's not a job security issue.
 I think it really comes down to, it's just a very stressful
 and hard job.
 And if your goal is to maximize your health span, which
 we'll talk about, it's very hard.
 You're going to be challenged to do that because the hours
 are long.
 Sometimes you do get breaks.
 I've gone through shifts where I don't even P for 11
 hours straight, let alone try to eat something.
 We don't, I don't get a lunch break.
 Are you kidding me?
 I mean, sometimes we're afforded the opportunity to do
 that, but there's just a lot going on.
 If it's super busy, you just may not be taking breaks.
 You have hospital administration.
 You got to meet your metrics.
 You're seeing really sick people.
 You are working very odd hours, days, afternoons, nights,
 having to switch back and forth from that.
 So that's really messing up your circadian rhythm.
 There's just really a lot involved there.
 And if you are someone that practice general emergency
 medicine, you're seeing geriatrics, regular adults, kids,
 just the stakes are high.
 You're dealing with life and death and you're having to do
 with death a lot and, I mean, we're human beings, right?
 I am trained to cope with that, and to deal with that,
 and to be professional, and to when the stakes are on the line
 to be hold my composure, but where do all those feelings
 and emotions go?
 This is a question.
 In the long run, I think it really takes its toll.
 Is sounds so morbid, but like, roughly, how many people
 have you had to witness disease in 11 years?
 I don't think I've ever been asked that question.
 Is it a lot?
 I mean, I mean, I would say, I mean, if I could thinking
 about it just from a month at a time, I'd say at least
 five to six a month, and then you factor that by 11 years.
 Four to five hundred, five hundred, six hundred people.
 Yeah.
 So it's a lot.
 And people ask me like, how do you deal with that?
 And I don't know if it sounds callous, but oftentimes,
 it doesn't really affect me much the actual deceased person
 that I'm taking care of, but it's more so whenever I have to,
 because I'm the one that has to break the news, right?
 I have to talk to the family members when this happens.
 And if you could just imagine,
 but you watch all these TV shows and dramas like,
 sometimes people have no idea what's going on, right?
 And you have to tell them that their loved one is dead.
 And that's, it's very emotional when seeing the reaction
 on their face and you have to desensitize yourself.
 You do.
 You have to like kind of turn that on.
 But that whole, I mean, how you relay that information,
 I think you do a better, you with practice you get better at it,
 but those emotions that are going on inside your head
 that people aren't seeing that none of that gets old.
 Like every time I have to do that, it's always hard.
 Yeah.
 Yeah, Doc, my question was obviously those are very difficult
 conversations that most of us, I would venture to say,
 nine percent of us have probably never even had to entertain.
 Do you think, and I know you said you never used to it,
 but do you think it's carried over in other parts of your life
 with just how you communicate?
 Is it easier for you to have difficult conversations now?
 It's a good question.
 I think so.
 I think for sure, it's easier to have more difficult conversations.
 But when it comes to your personal life,
 one thing that I've had to work on definitely is being able
 to shut things off, right?
 And yeah, I've had a hard time initially in this career
 shedding off my brain.
 I've done a much better job of that in my personal life.
 But initially, if you don't shut it off,
 you're not vulnerable, right?
 And that really did.
 I felt like that bled over into my personal life.
 Now I'm doing a much better job of that.
 So by training myself to do that, some of those skills just
 kind of go away because I've trained my body to do that so that
 I can be more vulnerable and not be so much a machine.
 Because to be honest with you guys, you kind of have to
 in a high-pressure situation, you have to work like a machine.
 Because you have to be, you have to hold your composure.
 You're leading this group.
 And if you are showing signs that you are in distress,
 everybody's going to feel that.
 But yes, the switch, I feel like the switch is there now.
 And I think also that comes with time and practice.
 But to answer your question about the personal life,
 I try not to carry that over into my personal life
 and be this stoic robot.
 That's the same when I'm practicing.
 What related and related?
 Why are so many doctors seemingly so unhealthy?
 It always blows my mind.
 And look and look.
 If you're not watching the YouTube, the Instagram, TV,
 slash videos, slash real video, but you will.
 Dr. Joel's a very healthy, attractive,
 old boxes check, but most doctors are not.
 Let's be honest.
 And I've never, it has nothing to do with you,
 probably personally.
 You may not even know.
 But I'm sure you have a guess.
 I know, but it's you guys know more than anyone.
 What's killing us?
 It always blows my mind when the doctor walks in.
 But in the, maybe you are like my personal doctors,
 not that healthy either, actually, or in the past.
 Now he is.
 But why is that?
 I think that's a complicated question.
 And I don't know that there's one answer for it.
 But my theory is twofold.
 One in medical training.
 So both.
 So you go to medical school for four years.
 And then in those four years,
 you just get like a general overview on everything
 that medicine has to offer, right?
 It's not tailored specifically to what you're going to specialize in.
 So you go from everything from basic biochemistry,
 disease pathology, biology,
 all the different disease state.
 But so we do an amazing job in medical training
 in medical school.
 We do such an amazing job of taking a fire hose
 full of information, distilling it down, regurgitating it.
 That's what we're training for in medical schools.
 How can you take an abundance of information,
 make sense out of it and use it?
 But interesting enough in medical training,
 there's very little training or insight
 into lifestyle optimization.
 We don't ever talk about, really talk about diet,
 nutrition, exercise.
 Did you realize that the most like most college,
 maybe things have changed.
 I'm however many years,
 eleven years removed from medical school.
 But I had like maybe an hour or two hour lecture on sleep.
 And when we're talking about optimizing one's health
 and you're sleeping 33% of your life,
 wouldn't you want your practitioner
 be being an expert on how to get someone to sleep the best they can
 because sleep is so important.
 It's such a huge component.
 So I think to answer your question from one standpoint,
 lifestyle optimization matters.
 We're not taught that in medical training.
 And number two, doctors live extremely stressful lives.
 And we're taught to be selfless.
 And we take the back seat.
 And that includes your health.
 It's all about helping other people.
 So you may know what you need to do.
 But if you're taking the back seat,
 you're going to develop really bad habits.
 So you're not putting yourself forward or putting yourself first.
 And that includes diet, exercise, sleep.
 That's where I think it comes from.
 Not that most doctors aren't genuine.
 They don't know what they're talking about.
 And they just can't practice what they preach
 because that was never instilled in them from the gecko.
 With kind of transitions to some of your passions
 and where you're moving towards
 because you're...
 It's always been about treating symptoms, right?
 Treating conditions versus proactive
 like management and getting ahead of living
 not just a long life, but a long life.
 I mean, where did your passion run all that come from?
 I've always had the passion.
 That's the thing.
 I've always been like an exercise nut.
 I've always been into health and nutrition.
 I have experimented with every single diet under this on me.
 Just because I've...
 I've been weird like that.
 I tried to take like during medical school,
 I remember they offered this integrative medicine course
 where this was very cutting edge,
 but again, this was an elective.
 This wasn't something that was required, right?
 So this kind of gives you the framework of
 this is how medical schools want you to learn.
 Oh, if you want to get this elective
 this quote-unquote lifestyle medicine,
 longevity medicine,
 you can take it as an elective,
 but it's not an requirement.
 But I was totally fascinated with that stuff.
 Everything from genetic testing really wasn't out yet,
 but learning about different types of diet,
 what you're putting in your body and how that affects
 how everything works out in a cellular level.
 All that impact you get there, emotional health,
 emotional well-being, all that stuff.
 I don't know, that stuff was really taught in medical training.
 So yeah, I've always had the passion.
 And now it's...
 I just decided, like,
 we need to make a change.
 It's time to make a change.
 And I've just become frustrated
 with the way that our system is.
 We are a...
 Our medical system is amazing.
 Don't give me wrong.
 We have the latest and greatest,
 the best technology,
 the smartest minds out there,
 especially in America,
 our American medical system.
 I wouldn't change it for anything in the world.
 I just think that we can optimize it.
 We can make it better.
 We can piggyback off all of the innovations
 that we've made today.
 Talking with Dr. Joel,
 who's so...
 Dr. longevity.
 Who's trademarked or owns that?
 Your name we're trademarking you too, right?
 Yes, the name is.
 Dr. longevity.
 How we live longer.
 How we live longer well.
 So we're trademarking Dr. longevity.
 By the way, not only are we talking about it,
 we're actually doing it.
 But Dr., what's interesting to me about medicine
 is I feel like I've also been in health and fitness
 and supplements and all these things.
 I feel like you're seeing this
 medicine start to be influenced by the biohacking commute.
 Consumers, people,
 have been clamoring.
 I think I want to get ahead.
 How can I be most productive?
 How can I live longer?
 How can I do these things?
 While medicine is kind of trailed
 behind with still treating symptoms,
 still, yeah, you do blood work,
 but we're only checking for the worst things possible
 and not necessarily how to get ahead and live better,
 but how to treat diseases we already have,
 while these communities have built up around biohacking,
 and how can I be most productive?
 How can I live longer?
 Where's the fountain of youth?
 And I feel like it's somewhat those worlds
 are starting to collide in you
 on the professional medical level,
 bringing to life what we're working on.
 I don't know, talk to me about your perspective
 of those worlds and coming together
 or being influenced by one another.
 For sure.
 So when you look at,
 let's call it conventional medicine,
 and that's what you're seeing now
 in today's healthcare system,
 I think that the general audience,
 people that don't have a lot of experience
 or with science background,
 medicine in order to actually see results
 or for you to create something that's innovative,
 it takes time.
 And the reason why it takes time
 is nothing is going to be given to the masses
 until we know that it works,
 we know the side effects that are associated with it,
 and to do that, you need to have numbers.
 In addition, and that's called power,
 but in addition to numbers,
 you need to be able to test things effectively.
 So randomized controlled trials.
 So there are a lot of biohackers out there
 that claim that this and that works,
 which is great,
 and it may work for some people,
 but as far as conventional medicine is concerned,
 it's going to move much slower
 because that needs to be run through the whole system
 to make sure that you're getting consistent results.
 So stuff just doesn't work as quickly as the way
 that our society is growing
 and how fast and innovative things are going
 with technology medicine doesn't work like that.
 Unfortunately, I kind of have been an adopter of both,
 and I think that we can piggyback off conventional medicine,
 and at the same time, we can look at new innovative stuff
 and intuitively think,
 okay, this potentially makes sense,
 and looking at risk benefit,
 we can try some things out.
 They don't necessarily have all the literature there,
 and stuff hasn't been 100% validated,
 but in theory, it makes sense.
 I kind of integrate both of those styles together.
 But don't you think it's like,
 in a way though, it's telling that,
 it obviously takes, I totally get the trials thing
 because everybody's body is different.
 There's so many different variables
 and chemicals, structures within the body
 because some biohacking formula works for 20 people
 does it make it safe?
 But it's like the fact that we've been,
 we have these groundswells of people doing this,
 I think goes to show that the medical world's a little behind,
 like in, they should be doing testing on these things
 maybe before, right?
 Yeah, and I think that, I mean, some people,
 I mean, in the medical community,
 or not gonna what I have to say,
 but there's also a reason why things lag behind,
 in addition to making sure that the data is validated,
 because I think that's extremely important.
 But what happens if you flip the switch
 or you turn the table and you're taking a proactive approach
 to where you're actually preventing disease?
 Because our whole system is based off of treating disease
 and chronic disease right now.
 That's lots of money to be made
 by hospital systems, pharmaceutical companies,
 treating disease, right?
 But what if you are actually turning the table
 and you're preventing that disease from even existing
 in your timeline, in life, period?
 Your hospital systems are gonna lose a lot of money
 if they're not feeling beds,
 if they're not writing, or pharmaceutical companies
 are not, you know, you're putting money into R&D
 for prescriptions for specific disease processes,
 which quite frankly, a lot of them are preventable.
 And then not only that, yeah.
 Dr. Joel.
 All right.
 It's off the wrong people.
 Oh, yeah.
 But just look at...
 You're speaking our language.
 Yeah.
 Look at insurance companies, right?
 There's no, we call them ICD 10 codes.
 There's no ICD 10 code for anything preventable
 and no preventative medicine.
 So it's really sad because if you have...
 Quite in fact, even the opposite, I would say,
 which I'll show after I continue.
 For sure.
 But if you look at a doctor and he or she is...
 They have to make a living, right?
 So if they're sitting there counseling a patient
 on what they can do to prevent them
 from getting this disease,
 and there's no ICD 10 code for that
 to be built for insurance,
 how are they supposed to make money off of that?
 So how are they...
 And a doctor's day is already jam-packed
 all of that time that they're spending
 with preventative care
 and they're not getting reimbursed for it.
 How can they do that, right?
 Unless they're doing charity work.
 I've kind of...
 I've just decided that...
 I'm still going to practice some emergency medicine.
 But I really have become frustrated
 treating chronic disease.
 And the problem also lies with...
 Not only our medical system,
 we need to hold the whole society accountable
 because people want to be spoon-fed their health, right?
 Or at least our medical system has kind of...
 has made it...
 made the thought process
 that it's okay for us to tell you what to do.
 It's okay to take this pill
 and to have this disease.
 This is part of life.
 But there needs to be education around...
 No, you need to be proactive.
 You need to be proactive in preventing this stuff.
 You need to have insight into your own health.
 The patient or the human
 who's being treated needs to have some autonomy
 and not 100% rely on your physician.
 You need to have the structure in place.
 All of these lifestyle modifications
 optimize your lifestyle, right?
 Diet, exercise, nutrition, sleep.
 If you have all those things dialed in
 for the most part,
 at least in your young life,
 and when I say young,
 I'm saying for most people
 into their 50s,
 if you are exercising regularly,
 good strength training,
 you're eating clean,
 getting plenty of protein,
 avoiding excess sugar,
 and you are getting good quality sleep
 and tracking that,
 and you're doing something
 for your emotional health
 to help decompress,
 reflect, meditate, journaling,
 things of that nature.
 You are going to be leaps and bounds
 above 99% of the population in the world.
 Because most people don't do that.
 I'll let you guys talk.
 Yeah, no, you're not.
 No, it's your right.
 And I think,
 Awesome.
 Yeah, at the motivations of doctors
 and the people,
 it's the irony of this is,
 we go to the doctor when we're sick
 and we get prescribed something
 that makes it better.
 And so we're valuing that relationship
 and that exchange
 when there are a lot of times
 if it had been preventative,
 you might not have needed it to begin with.
 It's like we're treating
 the wrong end of the spectrum.
 That's the eye opener.
 That's what people...
 Oh, thank you.
 Thank you, Doc.
 You saved me.
 You saved me, Doc.
 When...
 No, they didn't really save you.
 They saved you from what they could have prevented
 to begin with.
 That's the scary proposition here.
 Yeah, it is.
 You know what?
 I saw this on your...
 Or it was an Instagram reel
 and you talked about.
 And this...
 I think this really hits home,
 especially with executives
 of people that have everything figured out
 or they have a lot going for them.
 The one finite resource that we have is time, right?
 That's something that you can't take back.
 You can't necessarily turn back the clock.
 We don't have any medicine right now
 because we're not going to be able to
 get back to the clock, okay?
 And I'm not going to pretend that we do.
 However, if you look at things
 in a way where...
 If you're optimizing your health,
 then if you're optimizing your health
 and you're trying to maximize your health span,
 which is your quality of life,
 and you're trying to...
 The name of the game in life
 is to compress morbidity.
 And that means to compress the time
 where you're sick.
 Or getting some of that time back.
 If you're constantly working that
 in the forefront,
 you're going to gain more quality years in the end.
 So you are buying time.
 I kind of argue,
 if you treat your health
 as just an integral part of your life,
 you are getting some time in the back end.
 You are investing for the future.
 If you don't do that,
 you're going to lose those years.
 I don't know. I was just thinking about that one.
 I'm sure you talked about that.
 That's why you're my doctor now.
 Because I want to prove myself
 and what's wrong.
 The time is finite.
 And even if you worked with me and all that,
 I can get hit by some more.
 But I'm healthy.
 Whenever that moment comes,
 I think it's more that we don't ever know
 when that clock's going to end.
 Because there's a lot of variables
 beyond how healthy you're going to make me
 think it could be.
 Because think about the people that live
 that are healthy that are 20, 30, 40 years old.
 But they spend 130 out of 360 days
 a year sick or feeling bad.
 That's not a good quality of life.
 Right.
 But Chris, please jump in here.
 And if you want to learn from me directly,
 join my newsletter,
 Ryanoffer.com, Backslash Newsletter.
 Sign up.
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 Give that a shout.
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 Staley, just like this show.
 Give away our best advice.
 I agree with everything everyone's saying
 and something I thought of when Joel was speaking
 is about the system in general
 and my experience with my medical
 laboratory business.
 There was a point in time
 we did genetic testing.
 And we all talked about this
 in a genetic testing where
 if your doctor was going to put you on a medication
 and let's use the example in antidepressants,
 we worked with a lot of psychiatry offices with this.
 We could essentially swap your mouth
 and tell the doctor which medication metabolizes best
 based on your genetic makeup.
 What is going to be the best medication for you?
 Especially with something like antidepressants,
 you know, this can take
 three, six months to even know
 if it's working or not.
 And I would tell doctors,
 hey, you can do this test before you've been prescribing
 anything and know
 and you'll start out with the right medication.
 You won't need to do this trial and error
 that could take, honestly, nine months
 to a year to find the right med.
 And what doctors,
 how many doctors were like, nah,
 and they would just stick with the drug
 they were used to or the rep
 they saw the most.
 I would say it's prozac, for example.
 They're just like, I know my prozac rep
 we know that the data is pretty good.
 And I would always think,
 why would you not utilize
 another tool, especially a genetic test?
 Genetics are pretty fucking black and white.
 But you add on top of that,
 reason we stopped doing it,
 because we did have doctors that saw a lot of value.
 The insurance companies stop covering it.
 They considered it preventative.
 And they actually said, we won't cover this
 until you've showed the patient has failed
 on three other medications.
 And I would always think, because I have depression
 in my family, and I've seen the members go through it.
 Three, six, nine months for someone in depression
 is a long-ass time.
 What you guys said, how many times
 are you seeing because you're quality of life?
 But that, to me,
 kind of pissed me off with the system.
 That was one of the aha moments I had where
 there's tools out there to treat people better
 and quicker, save that time.
 But the insurance companies don't want to
 they don't want to get on board with it.
 They don't want to pay for it.
 But there was no codes the doctor could
 bill for performing that test.
 So not only is it new,
 kind of new science, the doctors
 are like, I can't make money on it.
 So we have this disconnect
 from actual technology
 and progress in the tools we have.
 And then the insurance companies
 and the way you said kind of medicine is being taught.
 And one more thing I want to add on that,
 I was, because I had this conversation
 with somebody last night about
 cancer as a whole really
 of you and I spent a lot of time
 in Houston as well with the Med Center there.
 Huge one of the best cancer treatments in the world.
 And we celebrated and part of me is like,
 why are we celebrating?
 I don't think this is a sign that our society is doing good.
 If we have these sky-rise hospitals coming up everywhere
 for cancer, it tells me
 we have a cancer problem that's being treated properly.
 Yeah, that's, we're celebrating the wrong thing.
 That's what I'm saying.
 Thank you, Doc. Thank you, Doc, for saving me.
 Oh, we got a new hospital.
 Yay.
 We're celebrating the wrong end of the spectrum.
 Let's have this big ribbon cutting ceremony
 that we're opening this brand new
 cancer in town.
 And it's, I would rather be opening a new
 gym and cold plunge place in town,
 because everyone's so damn healthy.
 And we don't need a cancer center,
 because everyone's got that much cancer.
 It's literally like celebrating.
 I mean, like, at the end of the day,
 it's, I'm serious.
 Okay, ice cream stores in,
 but look, we have this wool pulled over our eyes.
 Okay, the ice cream store is there
 because they're in business.
 It may not be good for you,
 but it's the American way it's consumers
 and they're making money.
 Hospitals somehow get cloaked
 not being a business.
 It's a fucking business.
 I mean, you guys probably, I mean,
 hopefully don't spend much time inside a hospital.
 But I mean, I've worked at a lot of hospitals.
 I can't tell you.
 Actually, I can think of one.
 But most hospitals,
 you look inside their cafeteria.
 What are they feeding you?
 Tick-f-a-a.
 What kinds of snacks
 and what's the nutrition inside of a hospital?
 If this is the mecca for your health.
 Okay, three.
 It's a lot of the processed macaroni
 and mashed potato and everything else.
 Oh, I had a family member
 in the hospital this weekend.
 And
 they're telling me they don't feel good.
 Now to go, first of all, you've been in a hospital bed
 for two, three days, eating what?
 Jello.
 And shit, cafeteria.
 Process, Salisbury steak.
 It's like kind of what you said,
 Joel, if this is the pinnacle of health,
 what are we feeding the people
 while they're in the hospital?
 Is it healthy food, even?
 Yeah.
 Not at all.
 Just to piggyback off what you're,
 Chris, what you're talking about
 with that genetic testing
 for an antidepressant.
 And I think
 the genetics is a relatively,
 I mean, genetic testing
 is a relatively new technology
 that's how it's integrated
 into our overall health care.
 But it's so exciting
 and that I use it in my practice
 and to kind of go along
 with why we do all these randomized
 control trials and
 in conventional medicine
 and you want to adequately power a study
 meeting the number of people that are in a study
 to make it validated.
 But there's one caveat to this
 and that is everybody's biochemistry
 and genetics is unique.
 So sometimes you have to take studies
 with a grain of salt because
 everybody's genetics is unique.
 So one person's not going to necessarily
 how they
 respond to a study,
 it's not going to pan out the same for another person
 because they're genetics are unique.
 The approach that I'm taking with medicine
 is everybody is unique.
 Every single workup that I do
 on a patient, I get a blueprint on them
 and we go all the way
 down to the bare bones.
 All the way down to the molecular level
 we're looking at their blood work
 with biomarkers paired with genetic testing
 so I can come up with a tailored
 customized plan just
 for that particular patient.
 And yes, we look at studies
 and we reference that
 based off of the masses
 but everything needs to be tailored
 individually to the patient
 if you want to optimize your health.
 I think that's where
 in some regards but
 just like anything else,
 if you're going to get a suit
 if it's not tailor-made,
 it's just not going to look as good.
 It won't fit me.
 But yeah,
 personal work.
 Big and tall store.
 Yeah, big and tall but then they're all too big.
 I've got a dainty waist for how big it is.
 Big and tall store is my girl's figure.
 The broad shoulders but girl's figure.
 Power glass.
 But what we're dancing around
 and this is what I love about what
 Dr. Joel is doing
 is personalized medicine.
 I mean,
 growing but it's in nascent and early category.
 That's why you're so ahead.
 I think yes, there's a couple of dots.
 We can name two maybe.
 I don't know who they are.
 That's why it's exciting to see you head of the game.
 I want those, we can
 tailor into the show here.
 I do want to talk about
 the specific markers
 in this personalized medicine.
 I know we could talk hours on each one
 but the types of things
 that are available now
 to be that you can see
 with this personalized blueprint
 and what can be
 preemptively
 treated again, the preventative side.
 Sure. What are some things
 that might
 surprise and delight
 the audience that you'll be able to do
 that these
 markers that are able to be seen and treated are?
 Okay.
 We already touched on it
 a little bit before and
 I don't want to understress
 the value
 of optimizing
 your lifestyle factors
 because if you're not
 optimizing sleep,
 exercising regularly,
 eating clean,
 and having some form
 of an emotional outlet
 and work on your emotional health,
 all of these tactics
 that I'm going to be guiding you through
 are essentially a drop in the bucket.
 This is more so icing on the cake
 but it's a big icing.
 I like to lick off the top
 but I won't be doing it much anymore,
 I'll get that spoon out.
 That made me a piece of cake
 and all he does is eat the icing
 all the top. We're talking about thick icing.
 It really is just like building
 that foundation
 and once you've built that foundation
 we can really work from there
 but we're going to be chasing our tail
 if you don't have all that other stuff
 dialed in so I want to emphasize
 and I have tools
 so I focus on that first.
 In combination first
 we get a blueprint
 by looking at your blood work
 with biomarkers and I have
 a little over 70 biomarkers
 that we look at.
 I'm not going to bore you guys with the details
 but some of them include
 just looking at stuff for your
 cardiovascular, your heart health,
 just optimizing your lipids.
 Things that are not necessarily done
 in traditional labs
 or traditional blood work
 order by your doctor
 like one being
 in terms of lipids
 your APOB level.
 Your APOB
 is the number one biomarker
 that is linked to heart disease
 and that's not routinely checked
 by most doctors.
 That's just one example.
 Others being markers of inflammation
 also vitamin
 mineral deficiencies
 such as hormone binding
 globulin,
 a number of other
 sex hormones to get those
 optimized thyroid function.
 So those are just to name
 a few. So what we do is
 we take your blood work
 and I think blood work
 needs to be done regularly
 on a routine basis.
 My clients are doing
 them on a quarterly basis
 because you have to be looking
 to optimize your health
 if you're not looking into
 regularly.
 One check-up, a 30-minute annual
 check-up which is the traditional
 conventional medicine way.
 That's just not enough.
 Not if you want to optimize your health.
 We're doing quarterly blood work
 and then we pair that
 with your genetic testing.
 You do a little cheek swab
 order that,
 comes back in a couple of weeks
 and you're doing it
 regularly and I can help
 make a tailored plan just for you.
 I know what foods work for you.
 I know where a lot of your genetic
 deficiencies are.
 I can tell if you're metabolizing
 vitamin D correctly.
 I can see whether or not you
 process saturated fat well.
 If you don't process saturated fat well
 that leads to rises in apob
 some people like for me
 I eat bake, I look at bacon.
 We haven't done a genetic testing yet
 but he may not be sensitive
 to saturated fat.
 I hope not, I hope not.
 Christopher fingers crossed, legs
 crossed toes crossed.
 But again, this is where
 the custom made personalization comes into play.
 So making a blanket statement,
 oh you should just eat this or
 do this or that.
 No, everything needs to be
 custom made just for you.
 I think there's a lot of value in that
 because health professionals
 are making blanket statements
 which doesn't apply to everybody.
 So that's what I do in a nutshell.
 Those two things.
 And we can talk about
 diagnostic imaging and stuff.
 And cancer prevention
 a little bit later on.
 But I do a lot of diagnostic imaging.
 I'll just touch very briefly.
 Full body MRI.
 I do that for early cancer detection
 as well as a screening called
 biopsy which is another cancer screening test.
 And it detects over 50 types of cancer
 in a very early stage.
 These are all things
 that you can be doing to be proactive.
 And looking at things before they even begin.
 And that's the name of the game.
 I want to be looking.
 If I see a little blip that's incorrect,
 we address it.
 As opposed to saying, oh, I've got symptoms.
 It's already too late.
 How often are we doing body scans?
 How often do you do those?
 When you say body scans.
 So a full body MRI.
 I mean, we'll probably do that on a...
 Depending on your age group.
 Starting in your mid-40s,
 I like to do that on a bi-annual basis.
 So twice every two years do a full body MRI.
 But then there's another scan
 that I like to be doing
 a couple of times a year.
 It's called the DEXIS scan.
 Now, a DEXIS scan is very useful
 as one of the main reasons.
 It does a lot of things.
 But it looks at organ fat,
 causes havoc in your body,
 causes a bunch of metabolic issues,
 insulin resistance, diabetes,
 inflammation,
 some lipid dysfunction.
 So I can see with a DEXIS scan
 how much fat you have around your organ.
 This is called visceral fat.
 So this is another marker that we're looking at.
 So I can see through time,
 through our interventions,
 visceral fat, are you losing?
 Which, in turn,
 provides beneficial information
 for overall well-being.
 Hmm.
 I love it.
 I mean, it just makes sense to me.
 Like 20 years ago,
 when my friend came home and said
 he just had his blood drawn,
 and he's going to internal medicine doctor.
 I was like, that makes sense to me.
 Okay, because I just go into there.
 I feel like I've always been
 being told me that and made sense to me.
 And then the same thing.
 When I know it, I know.
 And I feel the internal medicines advance.
 And I've been pleased with that doctor
 for the most part.
 But then I've seen in her
 doctoral stuff and,
 okay, wait, there's advancements in this and that
 and these markers and that markers.
 And I don't know that the internal medicine
 has come along fast enough for
 the personalized level.
 I still feel like I'm getting,
 that medicine is such a young age that I did.
 But now I feel like I'm behind in its
 notch as personalized internal medicine.
 I think that's the key word.
 Because everything is so individualistic
 to each person.
 100%.
 Any final thoughts here, Chris,
 as we come down to the end?
 Kind of what Joel said.
 Yeah.
 Yeah.
 Yeah.
 It seems so silly to even say that.
 Like you go get your oil change in your car.
 Like.
 It almost blows my mind.
 We talked about this a lot of.
 Why this hasn't been a conversation.
 Kind of.
 Being more over the last couple of years.
 It almost seems like COVID really made a shift.
 And people looking more for preventative solutions
 and whatnot.
 So I just am a huge proponent.
 Obviously.
 I'm a big believer in what.
 For Joel's doing and.
 Yeah.
 And it's ready for the future.
 And think about the people to take their own health in their control.
 Exactly.
 And I think.
 It's also.
 Let's be honest.
 You know, just to pay for a lot of premium experiences.
 And the one thing that's not fucking premium.
 Is healthcare.
 For the most part.
 It's just not.
 And I mean, I.
 To have on speed like.
 Think of how.
 Even me.
 I have a really good doctor.
 I've been very pleased.
 I don't want to put down.
 still a cloak of unavailability that comes with doctors and medicine, all that, you know,
 that there's this wall there so that you don't feel like you're getting personalized premium
 experience with the doctor. And why does anything else matter if we're not getting premium,
 the best that we can afford, like, why would you, whatever the best health care and the most
 premium experience and health care that you could afford, why would you not do that? And I
 think the answer is we would if we knew it was available and we knew there were doctors like Dr.
 Joel. And I'm talking about the ones that can afford it and do all that, but just like I made
 some people drive a Mercedes and some people drive a Honda and some people drive that,
 but why wouldn't you want the Mercedes of Dr Care? I don't know. I think the answer is you would,
 but we need the availability of that. And to feel like that you have that concierge slash premium
 experience slash personalized, I think you're going to see that market explode. Dr. Joel's going to
 be in the front of it. And I think there's a lot of people that are ready for it. I think so too.
 It's been a great discussion. I think we'll be having many more and you'll see my journey
 with Dr. Joel and Dr. Lonjeevdi on all my feeds and his as we go through this discovery
 with all my stuff. I'll be transparent. There's no STDs I'm hiding or anything. I'm a buried man.
 I'm not worried about that. It's it will all be. How many markers do I have? I'm up for the
 good one. I just want that bacon eaten one. I'll work on it. I see if I can find that one for you.
 Sure. I know. Dude, if you guys, and I was not looking good, you might need to cut out
 fucking hotcake Fridays of Mickey D. Oh, I know. I have got I will say this. I've cut back to I
 take my protein bar Dr. We will be happy. I take my protein bar with me. The kids eat the hot
 cakes and I eat my protein bar and have my energy drink. You just smell them McDonald's bag and
 then yeah, free smells. The smells don't mess my markers are right. Oh, if that went away,
 I'll like you couldn't smell anything. It's like it sticks to you. We appreciate you coming on,
 Dr. Joel. It's been a pleasure. Hey guys, we're to find us the radcast.com. Use that search button.
 Search for Dr. Joel who's or Dr. Lonjeevdi. You'll find all the highlight clips from today. We'll
 see you next time. All right guys. To listen and watch full episodes, visit us on the web at
 the radcast.com or follow us on social media at our Instagram account v.rad.cast or at Ryan
 Alford. Stay radical.