Common Medical Practices You Should Stop Doing & What Happens if You Have No Will
Today something you should know simple ways to make yourself more attractive then a lot of medical things we do. We shouldn't like take all the antibiotic Isis sprain take. Anti-oxidants shouldn't even treat a fever. Fever is good everything that can walk fly. Crawler swim on. The face of this planet can make fever and we do it because our immune system works better at higher temperature. So when you give anti fever medicines you only prolong and worse than illness. Has It's been shown as study again. And again plus why? It's important to exercise now more than ever and bad things happen someday. You will die so you must have a will. The truth is it only takes a few hours to do it now rather than dozens or hundreds of hours if you die without one and your friends and family have to probate court. When you're at your worst all this today on something you should know. It's interesting. 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Car and home insurance will go today and start saving at the Zebra Dot Com Slash S. Y. S. K. That'S ZEBRA DOT COM slash S. Y. S. K. Spelled T. H. E. Z. E. B. R. A. dot com slash S. Y. S. K. somethingyoushouldknow fascinating Intel. The world's top experts and practical advice. You can use in your life today. Something you should now Mike carruthers. Hi and welcome to something. You should know I've lately been getting emails from people listeners. New Listeners. People who haven't listened to the podcast before but like so many of us have a lot more time on their hands so they found podcasting and this podcast in particular so welcome great to have new listeners to the podcast first up today. We're GONNA talk about making you more attractive. Here are some things that science says will make you more appealing. Women should wear red lipstick. A women's lips are the most attractive part of her body especially when colored with Red Lipstick. According to a study at Manchester University the study revealed that men stared at Women's lips for seven full seconds when they were colored red in comparison they spent just point nine five seconds looking at her eyes and point. Eight five seconds gazing at her hair men should play hard to get a study in psychological. Science found that women found a man more attractive when she wasn't exactly sure how strongly he felt about her as opposed to when she was certain he was interested. Men should wear a t shirt with a big T on it. Researchers at Nottingham. Trent University found that when men wore white tee shirts with a large black T. printed on the front women found them twelve percent more attractive. The scientists suggested that the shirt creates an illusion that broadens the shoulders and slim's the waste producing a more V shaped body. That women found sexy. Men should brewed more brooding and swaggering men are much more attractive than men who are smiling according to a study from the University of British Columbia and both women and men should keep their teeth looking good or get them fixed. If they're not a study confirmed that a white and evenly spaced set of teeth makes people see more attractive. They're assign of good health and good genetics. And that is something you should know. The Corona virus has probably gotten us more focused on and protective of our health and well-being than ever before. And it's interesting to me that so much of how we take care of our health we do because well. That's what we're supposed to do. That's what we've always heard. That's what your mom said or even. Maybe that's what your doctor told you but it turns out. There are a lot of things we do regarding our healthcare. The may not be so smart for example. If you get a fever you probably take something to bring the fever down which actually may be a really bad idea. And there's a lot more to within that Dr Paul off. It is a medical doctor and professor of Pediatrics at Children's Hospital in Philadelphia and he is author of a book called overkill when modern medicine goes too far. Hey Dr Welcome. Thank you so briefly. Explain your premise here. What are you talking about specifically those situations in modern medicine where there's abundant scientific evidence that we shouldn't be doing something but we do anyway? So for example treating fever finishing out of course Knee arthroscopy his heart stance. There's a lot of evidence that we shouldn't be doing what we're doing yet. We're still feel compelled to do it. Okay so grab one of those things you just said. Pick one and dive into the details. I think the one that would be the most surprising is that we finished antibiotic course so for example if you have asthma We treat people until they're using stops. If you have pain you treat people until their pain stops if the kidney infection and you have bacteria in your urine white cells year and you have fever and back pain once you give antibiotics per se. Several days and the fever is gone and the white blood cells in urine are gone and the bacteria gone. Why do we continue to treat and so there are now abundant studies showing that for virtually every bacterial infection? We don't need to treat as long as we have been treating and there was recently a paper in the Lancet that was titled has the Antibiotic Course had it stay and I think it has. The argument has always been that. You take the antibiotic until it's all gone because you don't want any of that bacteria to survive because then it can strengthen and become antibacterial resistant or you could get sick again that you really WanNa take it all to knock it all out. Yeah so this was born of a time when we didn't have the proper doses of antibiotics decades ago. So the point is is you're right. That's what people think. They think that if if they don't continue to treat that the either the disease will come back or that. We will create resistant bacteria. And now we're finding that in abundance studies that that's largely not true that you can stop earlier. One recent study in Spain was actually done looking at people in the intensive care unit with bacterial pneumonia. One group was treated for two for two days in which they no longer had fever. The other group was treated for ten to fourteen days. No difference in Ascom so I think you know. Now when removing two time when antibiotics or becoming progressively less available as bacteria become more and more resistant as we. We are now in a A time when at least Several patients who are being treated with bacteria phages meaning viruses that kill bacteria because these people are infected with bacteria that are resistant to all commercially. Available Innomax the time is now more than ever to save antibiotics for when we need them and certainly not to use them longer than we need them. So here's the thing that I don't understand. If these studies are readily available and every doctor in the world can see them probably should see them. Why doesn't the recommendation change? There has to be a reason why Dr would would read that here that and say but I'm GonNa do it the old way anyway. So what's that reason? Well first of all the recommendations have changed. I mean with Info so recommending bodies whether the Infectious Disease Society of America or other recommending about have changed their recommendations in line with these current studies. So your question is why. Is it that that many physicians haven't changed? I think either one because of inertia to because they don't read the studies don't read the recommendations or three sort of more subtle reason. I think they believe that they what they have been doing. Has always been good. I mean doctors are to help their patients and the notion that what they've been doing hasn't been necessary has been not. He's a little bit so it's hard to to make change but you know it's hard to to To learn new tricks. Yeah but but isn't continuing to take an antibiotic and saying that's what we do because it seems to work like giving a well person antibiotics and say see. You're not sick so it works happy right. Well I trained at a time when we used to treat bacterial meningitis until the patients. A spinal fluid essentially was largely clear of of white cells. I mean that was a ridiculous idea and we found out that we didn't need to treat nearly that long and so you know we learn as we go. There were a number of things that I've learned during my residency in pediatrics. In the late nineteen seventies. That are no longer done so we do evolve. I think we should always question our assumptions. But it's a matter of supporting The statements that I'm making this book with a wealth of Studies. It really doesn't matter what I say. The only thing that matters is what the data show and I think the data now clearly have shown that there are a number of things that we're doing in modern medicine. That don't need to be done so eventually the it's just a lag than you think. Maybe eventually things will catch up. Yes well. They're also sort of financial incentives. I mean so for example heart stance. I mean it. You know it makes sense right. I mean if you have a heart attack and you you then find that. The the one of the two major arteries that supplies the muscle is has a greater than seventy percent blockage and that the area where the heart was damages right leading to beyond that block. It wouldn't make sense to have a stent. It opens up the blockage. Sure it makes theoretical sense. The problem is it doesn't matter it doesn't matter whether you do that. You just do standard medical therapy meeting. Make sure that you exercise right then. You have a diet that you feel a high level cholesterol that that you reduce that that if you have high blood pressure that you reduce that and the reason is the reason it doesn't work. Is that the the smaller arteries that come from that. Larger artery are also blocked. And so you're not doing anything for them so the way that study was done. It was the definitive study. Was they put in stance in half the patients and they pretended to put in a stent and the other half of the patients so that so that half who who pretended have said they didn't know they didn't have staff they thought they did have a stand and the people who are evaluating them thought they did have a stand so and you found that there was no difference in outcome and so now there are a number of places in the United States that don't put in heart sense that just go to medical therapy but again there was a financial incentive here so it's harder to To convince some people not to do it well I would imagine. This is always interested me that there's also patient demand what you have to do something you've got to put in a stent because because that's what you do and we is the family. We is the patient. We demand that you do that. No I think that's a perfectly valid point especially with antibiotics. You WANNA walk out with a prescription. You WanNa make sure. Something's being done but something. Doing nothing is doing something and sometimes when you do something it can have an adverse outcome that you didn't anticipate so the point is is to always follow the data always follow the studies and do what is the least invasive elise potentially destructive thing. You can do to a patient to make sure that they get better well. How many patients go to a doctor when they have a cold or some virus or something and demand an antibiotic which from my understanding will do nothing and but they demand to get that Z pack. Because because that's doing something that's exactly right and in addition Physicians are often graded by their patients and physicians will great hire if there were willing to give an antibiotic even in a situation where there's a viral infection and antibiotic will do no good and we'll only do harm. One antibiotic do have side effects too. You can create resistant bacteria by treating with antibiotics. So you're doing hard but you're right in the sense the tail wags the dog there. The doctor wants to be liked by the patient and doing what the patient wants is more likely to make them like. Well that's ridiculous. I mean that's turning the system on its head or as you said the tail wagging the dog it it it. It doesn't make for good medicine right. It makes for bad medicine and but I think I think the doctors job is to is to help the patient through this sort of dense ticket of medical information to come to the best decision. I mean you're not you know you're a doctor in a hospital doctor in a clinic. You're not a waiter in a restaurant and your job isn't to just sort of say. Look here's a list of things we have. What would you like? Your job is to help them. Make the best safest decision even if it means spending more time with the patient trying to explain why it is that maybe not doing. Maybe doing nothing in a situation. It's better than doing something. It seems that and some of the examples in the in the book Would be well. You know what harm can it do it? What if you take a baby aspirin every day and maybe it does and maybe it doesn't prevent a heart attack but it isn't going do any harm or is it just? That was one of the surprising things actually for me. I mean my pediatrician. So we don't deal with this situation much but When if you've had a heart attack or a stroke then taking baby aspirin lessens your chance of having a second heart attack or a second stroke clearly those data or clear but if you're at risk of a heart attack or stroke so for example you have high blood pressure for example you have a high level of the bad cholesterol so-called low density lipoprotein cholesterol their studies. Show that if you take an aspirin It actually a greater risk to take the aspirin and not to take it. Because what do I? What is the aspirin doing? The what the aspirins doing is making it less likely for your blood to clot and so that you wouldn't have the stroke you wouldn't have the heart attack but that puts you at increased risk of bleeding including severe bleeding. Say You know between Your skull and your brain and other other places were bleeding can be dangerous and potentially fatal and though so studies are clear. Study after I so now. The recommendation is not to give baby aspirin to people who are at risk of stroke or heart attack but haven't had one yet yet. Still many people still do that. Even though that's not the recommendation by formal recommending bodies. It's hard to watch. Actually people continue to hold onto these outdated modes of therapy when they've clearly been shown to be harmful well but one of the one of the arguments that. I think people have or one of the reasons that they would say for example. Continue to do that is that new studies are always coming down the road that contradict the last one and so maybe it does maybe a dozen Because the data does change you know. I think that's a great point. I mean certainly I wouldn't be influenced by single study because you're right. I want somebody puts out something especially if it seems counter to everything we've been doing. You WanNa make sure that the other research groups continue to show the same thing in different areas you in different countries you know looking at different populations of people. So I think I guess I think science stands on two pillars. The first pillar is pure review. You know so you want to see that. The study has been published in a good journal. But that's the weaker of the two. The stronger of the two is reproducibility. I think we if you have a hypothesis. And you're right in this case let's say heart stance don't prolong lives or don't even lessen the degree of heart pain I angela. Then make sure that that studies repeated again and again and again and then I think you can feel comfortable. That a truth has emerged because truths do emerge. I mean sometimes. They take weeks sometimes. Years sometimes decades but truths do emerge. There are truths and I think what I try and go through in this book is is is those situations where I think a truth has clearly emerged yet still. We often ignore that truth. So what's your recommendation? When a patient goes to a doctor and he says well you might be at risk for heart attacks. So I want you to take a baby aspirin. You just tell them no. I'm not I'm not gonNA write you say. Look here baby. Aspirin LIKE ANYTHING. That has a positive effect can have a negative effect. Here's what the negative effect is. Here's the instance of bleeding. Here's the instances severe bleeding as compared to the the chance that you would or would not have a future a heart attack or stroke here here. The numbers here that you are much better off not taking this aspirin then taking and that is the recommendation now is it's not like I'm making these things up. The data supported the recommending body supported yet still often. It's not done. Yeah well okay. So but that's a yes or no do or don't as opposed to take all year antibiotics rather than you decide. Well the symptoms are gone. I'm going to stop now right. So so that's that's a good question. I mean how how to do that and I think that that. Now we're finding that that as people for example or better. They're they're feeling better if they you know they're they're they're appendicitis. Now is is is when we take less less severe example that they're they're bladder infection there cystitis now they no longer have pay no no longer have a fever? They noted no longer have white cells or bacteria in their urine. You can stop and I think that with pneumonia for example even bacterial pneumonia even severe bacterial pneumonia. If you have to a federal days two days without fever you can stop. And I think that when you're when you're immune system it's your immune system that causes the fever when your immune system bates with your immune system is saying to you we're done. We've treated this infection so believe it and then stop taking antibiotics because at that point. Bacterial replication is not an important part of that infection anymore. So stop when do you stop? Because you're starting to feel better or you stop because every last symptom is gone right and so so again and of the. Maybe ten infections that I go through in this book I go through each of those in terms of what the criteria are for stopping and and what the recommending bodies now are arguing for but but for the most part is when you start to turn the corner when you're starting to feel better because what that's telling you your immune system is is is abating and therefore Your immune system is telling you. We think we think we're done here. I'm speaking with Dr Paul off it. He's an MD and professor of pediatrics at Children's Hospital in Philadelphia and he is author of the book overkill. When modern medicine goes too far here Napa we salute the frontliners. Going the extra mile to get us through these uncertain times. You remind us of what really keeps this country moving forward and it's not just parts and tools it's people ended NAPA. Our people are proud to be part of your community so if your vehicle experiences a bump in the road just call your locally owned NAPA auto parts auto care or visit Napa online dot com because Napa knows how to safely support our communities the Home Depot is here to help and we have many ways to help. You can download our APP or go online to find the essential products and information. You need quickly. You can order what you need online and we can have it waiting for you the store or get free delivery a most orders over forty five dollars. We also thousands of how to videos for the projects and repairs. You need to make. We're here to help the Home Depot. How doers get more done. Some exclusions apply so doctor. I know you're concerned about sunscreen. And I've always found it interesting that you know. In recent decades the word is out and lots of people use sunscreen. It seems Pretty Common. That if you go out in the sun and you go to the beach wear sunscreen and yet the incidence of skin cancer continued to rise. So something's not right. What happens with science grant is people have a false sense of security they think of the term and I think the term they probably should never be used is sun block. If you want to block yourself from the sun stay inside or where protective clothing. Because there's nothing you're going to be able to put on your skin that will block the sun's harmful rays. It'll dramatically lessen it but it won't block it and I think you know as you get higher and higher levels so called. Spf Sun Protection Factor. You have a lesser capacity than if those harmful cancer causing a UV ray ultraviolet rays to to be able to penetrate into your skin I think what happens? Is people stay outside for long periods of time you know and especially when the sun is at? Its most likely time to her. You which is between ten in the morning in two to three o'clock in the afternoon and they're thinking on good. I've got on sunblock yet. Still what we now know from study after study is that that puts you at at greater risk because it isn't a sunblock because there is still some penetration because because now you're thinking I'm good. I can sat here for hours when you know the most dangerous. Uv Radiation is occurring You're at risk so again. It's just a I go through what the recommendations are now by dermatologists in terms of how to use sunscreen and sunblock and wanted to go outside and when not to go outside. But you're right skin cancers common. What ABOUT ICING SPRAYING? You say that. That's not but everybody does that right. And it's many many with the same reason we tweet fever you you feel better so you're thinking great. That must mean. I am better but the the the reason that it hurts when you sprain. Your ankle is because Info. It's because there's information because there's increased blood flow to that area. You're doing that for a reason. It's doing it because it wants to send all the sort of Factors you know the the the the blood proteins that need to get there to help heal that's damaged cartilage or ligament But when you is the sprain and decrease blood flow to the area although the pain decreases the those critical factors that need to get to. That area aren't getting there. And therefore you prolong the period of time during which it takes for you to really recover and again study after study has shown that but we still feel compelled to ice things because we want to feel better and the same things through either. I mean you know. Fever is is something we all can do everything that everything that can walk fly crawler swim on the face of this planet can make fever and we do it because our immune system works better at a higher temperature. So when you give anti fever medicines so called anti pyrex you only prolong and worse than illness has been has been shown in study again and again and again and you see this coming up now with Kobe. Nineteen people are saying you know. Don't give which was based on really a non study. It was mostly just a hypothesis. And says like you know you don't give that you can give a sediment FM which is tylenol. Well the the real answer is don't give either. I mean let your fever do what it's trying to do which is increase your body's ability to rid yourself of that virus that don't treat fever and you know we go through many many studies here that shows that There's no reason why there's never been a study. Actually in either experimental animals or people showing the treaty treating fever in any way lessens. The duration of illness isn't there always a concern. Though that if your fever gets too high the that that in itself can cause brain damage. Something right and so. That's it right but we're GONNA WE'RE GONNA fry the brain if we if we allow the people to get to high. That's not true physiological fevers mean to fevers that you make yourself in response to infection. It is true with environmental fever. So in other words. Hyperthermia if you're an athlete or you're in the military and you're outside on a hot and humid day wearing heavy clothing not allowing yourself to sweat and therefore dissipate heat. The you then can have a fever that rises so high that causes so-called heatstroke which can cause you know can cause brain damage in Ken 'cause muscle damage at Kinko's death. You know the child who's locked in the car on a hot sunny day and the parents don't realize what they're doing and then the child suffers heatstroke and people die every year from that. But that's that's not a physiological fever. Your body isn't going to hurt you but the You know but the the the the environmental fever can unless you're infected. Obviously with viruses bacteria that infects the brain. That's different but that's not we're talking about but see. That is so amazing. Because you ask anybody I mean. My wife is a nurse at my brother-in-law's a doctor. I I bet if I went and asked them if a patient comes to you with a high fever what do you do? The answer is always to give them something to lower the fever that is so embedded in the every mother every grandmother every doctor every nurse. It seems except you seems to believe that you're right There are though recommending groups Barton Schmidt I know one person who is a physician at the University of Colorado who who is sort of guru too many and he. He actually doesn't recommend treating fever so I think that it is out there not not to do it. Because as as doctors and nurses nurse Practitioners and clinicians we we want people to feel better and when you give them an anti Perak anti fever medicine they do feel better and we confuse that to think that therefore they are better but when you look at for example you know concrete. Things like virus shedding or bacterial shedding or length of symptoms. You know and degree of symptoms. You do worse by treating fever. The the classic studying this is years. Ago was in children with chickenpox. Right so half. The children with chickenpox retreated with tunnel and the other half weren't and what you found was the time to took for those blisters to heal was much longer and the children who were treated with tylenol. So you thought you were helping. But you're hurting. And there was an example action. Their hospital recently. The boy a a teenager who had hit his hip with a soccer ball. He developed this infection of the the the vessel so called thrombophlebitis with the bacteria. Mercer Right which the bacteria that bacteria then traveled to his lungs and caused Absences in his lungs traveled to brain and caused absent in his brain. It caused a bone infection joint infection. He was bad off. We retreating with the right antibiotic but day after day. He still had this bacteria and his bloodstream. Until finally we sit sat down with the the the medical staff. We sat down with the parents and we sat down with the boy and said look. Let's stop treating your fever because he had high spiking fevers every day and they were treating it every couple hours with either. This rotating sort of Either Ibuprofen or tylenol an end to try and keep the secret and we said let's just stop. Stop treating fevers. See what happens. And and he was a brave kid he said okay. He'll he'll see what he can take and you know. He had fever for a day or so And then the bacteria in his blood stream disappeared. Did the parents were convinced. It was because of what we did and I think it probably was what we did but it might not have been but in any case. I think it was a dramatic example of. How fever can work for you. Well it makes it makes all the sense in the world that you're the the body tries to heal itself and and when you kill the fever you you're basically blocking the the defense right right. I mean when you have fever. It's because your body wants you to have fever. I mean you when when you're infected you'll make certain proteins which then travel to the center of your brain and area called the hypothalamus that now reset your body temperature your your body once have a higher temperature so you do that you shiver you shunt blood from your arms and legs to your core you get under the covers you wear warm clothing you feel cold which which is another way of saying your body wants you to feel call so that you could then be warmer When you're you're the neutrophils the way the the white blood cells that make pus there. They can travel to the site of infection better. They can ingest bacteria better. They can kill bacteria better at a higher temperature. That's been shown in the laboratory. It's been shown in people again and again and again yet. Still we choose to blunt this vital aspect there are immune system because we can. I know sometimes I remember when I was a Kid. I would get a high fever even to the point where not that. I was hallucinating. But but you know your your mind starts to play tricks on you. And and that's alarming and I wonder is that a time where maybe maybe it's getting a little too high well again. I. It's a it's a balance and so I mean if you if you know there's a question about delirium associated with fever In any case I again. I think on balance Fever is there to help us not hurt us. And we shouldn't try and cripple a vital aspect of immune system. And that's what hippocrates said the backward is you know back in four hundred BC Saul Fever as something that was curative and he was right. I would imagine that when you talk and other doctors here you you must get some pushback. Yes and what is it that they say what? What is the argument against what you're saying? Well if you take fever discussion they'll say you're just not going to get people to buy that. It's just you know it's it's it's ingrained in our culture. You'RE NOT GONNA get people to do that. And and you know it was interesting when we had that discussion with the the you know the boy's parents who suffered this massive infection with mercer. They were really attentive to that. They wanted to do something that made sense to them and they want to do and now they were. They had a child who was severely. Ill but you know they were. They were willing to do that and When it was better they were converts. I mean I think we should you know get those parents out there and let them tell their story because clearly the data or or Support the notion that treating fevers bed. But you're right. I think it's you know people just like to feel better for the same reason sprains. I think it'd be hard to convince people not to do that. Because they wanNA feel better even if it means it's GonNa take a longer time to recover but just because people don't buy won't buy into it. That's a lousy art. I mean we could be for centuries hitting people with hammers to cure headaches and now we know it doesn't work or just because people want you to hit him with a hammer doesn't mean you should. I mean it's it. That's that's a stupid argument. I agree I think a nurse is not a good argument. I think that if you're going to argue it then show and also you know. They're now population studies showing that for example people with influenza when they treat their fever. They're much more likely to go outside much more likely to infect other people and much more likely to cause people to suffer and die from that infection there was as population models have redone showing that and you could make the same argument. Africa with nineteen. I mean when people treat their fever they may feel better. Feel like okay now. They can walk outside thinking that they're better but in fact they're actually shedding more bacteria. I'm sorry in the case with over nineteen shedding more virus than they were because then from not treating there because the fever helps make a certain kind of white blood cell called cytotoxic t cell kill virus infected cells and therefore make you less likely to shed so treating people fever crippled. That part of your municipal. You feel better. You feel like you can walk outside. In fact you're probably shedding more virus. In that setting you say that supplemental antioxidants increase the risk of cancer and heart disease. Nobody believes that everybody believes if you take antioxidants that that that will help prevent cancer because gets those little things and kills them. Y- The thing is I use the same line with us you know. It's not a belief systems in evidence basis. And you don't have to believe this you have to do is look at the data. I mean religions a belief system. But this is not. It's an evidence based system and and With antioxidants is clear. Didn't use your body. has a balance strikes a balance between oxidation and antioxidants in. You need oxidation to do certain things you need oxidation to kill cancer cells. You need oxidation to kill bacteria you need. Oxidation help clean out sort of clogged arteries if you will if you shift about too far in the direction of antioxidants and you can hurt yourself. And that's been shown again and again and again in study after study. Now if you look at people who eat diet rich in fruits and vegetables I rich attacks. It's Day tend to live longer have a lesser incidence of cancer and a lesson incidence of heart disease. But that's not the same thing as taking supplemental antioxidants. I mean the way that you're meant to take antitoxins food. Not in a tablet that is you know that is manufactured by a company. I mean if you take a thousand milligrams of Vitamin C. You would have to eat. Fourteen oranges or a cantaloupes to get that level of of Vitamin C. And you're not meant to eat. Fourteen oranges cantaloupes at once. And so if you if you go too far in the direction of Anti Oxidation. You can hurt yourself. I mean there are probably five studies now showing the people who take the mega doses of vitamin D increase the risk of prostate cancer Honestly if this were regulated industry vitamin E. Would have a black box warning on it saying that this product has been shown to increase your risk of prostate cancer. But it's not a regulated industry. So people don't know that and so there tends to be all these sort of vague claims supporting their use. Well I think there's long been a belief that vitamin supplements are a good idea because I think the belief is that their insurance against a bad diet. Yeah although it's hard. It's hard not to get. The Vitamin Vitamin D is another sort of crazy that were currently. I mean there's so many foods that are supplemented that it's I mean. How many people with scurvy do you know? How many can rick. It's too you know. Certainly we need vitamins. But it's hard to avoid them even with a an inadequate diet. I wouldn't know if I had scurvy Rick. I'm not sure what this curve. Symptoms of scurvy are and. I hope to never find out so leading. Gums would be one okay and that. Don't have any bleeding gums. You're probably good. I think my gums are good. Paul off it has been my guest. He's a medical doctor. He's a professor of pediatrics. At Children's Hospital of Philadelphia and his book is called overkill when modern medicine goes too far. You'll find a link to that book at Amazon in the show notes. Thanks Dr Thank you very much bullets. They save capital. One knows. Life doesn't alert you about your credit card dot Graham Street and bright in the KHAKI SHORTS. Your Free Child of movie pleasants tomorrow so you may be charged. Want to continue or cancel. Stand clear the closing doors so oh capital ones assistant. You know looks out for charges that might surprise you and helps you fix them another way. Capital one is watching out for your money when you're not capital one. What's in your wallet? Limitations APPLY IN UNPRECEDENTED TIMES. Like these information is critical. So is prioritizing. Your Health Walmart is doing everything we can to serve thousands of communities across the US. We're taking preventative. Measures to keep our stores clean and maintain a healthy environment. We're working to keep products docked and prices fair and as the largest employer in the country. We're working to take care of our associates to offering a new leave policy to ensure they have the support they need together. We'll get through this learn more at Walmart dot com slash. Here for you. There is something about this particular time in our lives. I don't know exactly what it is. It's just that weird feeling and it makes me and and maybe makes you think about your own mortality and are you and your loved ones prepared. Should well the euphemism is should anything happen to you but mostly that means should you die or become incapacitated particularly if it were to happen suddenly without warning in July of two and nine? Chanel Reynolds husband was tragically killed in a car crash. She and her husband were totally unprepared for that. The results of what she had to go through motivated her to write a book called what Matters Most High Chanel. Welcome hi thanks for having me. You Bet so before we get into what people really need to know for themselves share. Some of what happened to you about ten years ago. I got a phone call when I was over at a friend's house with my son and It took me a while to figure out through a number of missed messages and voicemails that my husband had been in a terrible accident and he was taken to the hospital and I didn't know where he was or how bad it was but you can tell by the of information sometimes that it was pretty serious so I got to the hospital. He was still alive but barely a week after surgery in the ER and the ICU. All the Tusk came back saying the same thing which is that his injuries were UN. Recoverable was the word that they used and so after a week of realizing that our wills were drafted but not signed and we had some insurance but not other insurance and I couldn't find the password to his phone access. Basic phone numbers ever realized that for a college educated project manager. I did not have my seen together at all and that most people also didn't chew and so when my life went sideways took me. Munson years really to kind of put the pieces back together again and I realized that We kind of suck it dying and death in this country and that there are. There are a few things that we can do in advance to make a hard time. Maybe feel a little bit softer. We can't take away all the bad things that may or may not happen but we can maybe make the cushion a little bit better to ride out the storm. Do you think it's just a case of people? Don't want to face their own mortality. So that they they kind of. It's almost like if I make a will then I'm going to die Kind of thing and and we just avoid the topic be just because it's uncomfortable. It is uncomfortable and you know there are a lot of people who talk about how we are living in denial of death and I won't say that's not true. I'd also say that you know it's been so removed from our daily lives that it's a bad thing that happens rather than a thing that's GonNa happen to everyone so the data seems to support that talking about death on actually kill you and it also seems to support that it is really the one thing we have in common so while it's or uncomfortable it's as true as gravity and oxygen is and the more were prepared for it the less awful and suck it has to be for us and everybody else around us to writing a will seems like an uncomfortable thing to do. People don't really know what it is or how to do one but the truth is it only takes a few hours to do it now rather than dozens or hundreds of hours if you die without one in your friends and family have to navigate probate court and just figure out what it is and how it works when you're at your worst and you may not have the capacity or the critical thinking skills to handle it very well. I think also people think that not only will it take a long time and that? It's very complicated. That it it takes an attorney. It's going to cost a lot of money and And so people don't do we have numbers on how many people have a will over half of US adults don't have a will and that goes the same for some of the other basic what they call a state planning documents like a living will which is also called an advanced care directive or a power of attorney document which can give somebody the ability to make decisions for you if you are not able to do it for yourself but not exactly an end of life position but say you're hospitalized for a few weeks and you're not able to pay bills and somebody needs to access your bank account or keep your phone on. I think people wonder I do. I do it myself. Do I need to get an attorney and and What do you say well? Almost every attorney. I've spoken to agrees that having something is absolutely better than having nothing if you have the resources or if you have a complicated estates which means you know you might have more than a few million dollars you might have property out of. State. Let's say you have a complicated guardianship or blended family situation. Absolutely talk to an attorney and make sure that you're covered. If you're GONNA do it you might as well do it completely improperly incorrectly however a lot of people. Their situation is pretty uncomplicated. And so a lot of the online templates work just fine for many many people. And if there are a few critical items that you wanna take care of like guardianship for your kids or pets or setting up a temporary guardian for somebody if you need to go to the hospital for a few weeks anyone your next door neighbor to take care of your kids so they can stay in the house rather than going off to live with their grandparents. In another state there are a few things you can do to cover the things that you are most concerned about. And then you can always update your wills later but it can really take a short as an hour or two. You can do it on your computer. What makes a will legally binding is signing it with two witnesses and in most states. You don't even have to have it notarized for it to be legally binding. Although it's always a good idea and what happens in you can use your example your experiences as the example. But what happens when you die and you don't have one if you die without a will. It can really really suck and a lot of the things that are confusing and awful and stressful and terrifying as because you don't know what's going to happen. Some of the states are what are it's called community property state so if you're legally married the probate process could go a little more smoothly if it's clear who your heirs are. Although I have to say that generally most people don't agree with all the decisions estate will make for you while you're alive so it could very well be that you're not gonNA agree with who gets your stuff or who the guardians are for your kids. If you don't create a will and you die what's called intestate And then the state takes over your home or your assets and even guardianship of your kids is really questionable. So things can take weeks or months or years and it's much more expensive and it's much more stressful than if you would just write down a few of your basic instructions so people can say oh. Yeah here's what. Frank wants me to do with his Abu Vinyl collection and all of his Elvis jumpsuits and and call it a wrap and when you say the state who. What does that mean? Yeah so probate is a process that goes through a legal process and there is a a judge that follows the state's rules about what happens to your assets and your stuff and usually the errors are set up ahead of time and decided based on. Who's closest to you? So if you're married if you have living parents if you have. Living children are siblings. And so there's an order of of who your heirs are an who your stuff would go to but it may not necessarily go to the people that you would want things to go to and you might be sticking somebody who may not have the capacity or the ability to Go through all your stuff say you wanted one brother rather than another brother to have elvis jumpsuits or you wanted your best friend from college to have the Elvis jumpsuits but nobody would know that and that person probably wouldn't get them because because there's no instructions left behind wrote right and so in short form list here. What are the documents in a perfect world that you should? The typical person should have an and then put it in a drawer and not have to worry about it again right well. There's three basic estate planning documents that form. What's essentially the foundation of of the instructions? The first one is your will. And that's who gets your stuff and say your money and guardianship of kids or pets. A second document is a living will also called an advanced care directive and that states. You're end of life decisions for the kind of care that you do and also don't WanNa have at the end of your life. That would be where you would say. I I don't WanNa be resuscitated or I do want. The machines turned off. The third document is a power of attorney document. And that's where you can grant someone or a couple of different people rights to be your medical power of attorney even a digital power of attorney or a financial power of Attorney. So someone can step in for you and take care of your bank accounts. Closed down your social Accounts they can make medical decisions for you on your behalf if you are not able to. There are other documents and there can be many more and many more complicated ones when it comes to trust in some states or for some people Having trust is great idea but usually those are the three main documents that cover most people. If you have children of where I guess you WanNa put that in a document. What document is that? So in your will is usually where you state guardianship of kids and or pets and you can have different levels of guardians and it's always recommended to have a backup person named so you can say that your kids will go to live with your sister. You can also have Short-term or temporary guardians listed in case. You would want to have your say grandparents have the kids for the summer so you can leave instructions about who you want to have taking care of your children or pets and then also if there's any other specifics that you'd like whereas you know you would want them to finish going to school in the same state or What kind of care you would want for them to have which would be helpful information the other two things. I'd really like to mention is you can set up temporary guardianship so for example. My parents are the Guardians. Should something happen to me before my son is an adult? They live out of state. So I actually have somebody else. Listed here is a short-term or temporary guardian who can have and take care of my son for a few weeks or a few months should my parents not be able to get here in time or if they need You know to make some accommodations so that was an important thing for me to be able to know that my son could stay in the house and then the guardianship could be smoother in that. There's a little more options for that. What happens if both parents died at the same time because I imagine a lot of people in there will put you know my wife will take care of this or my husband? We'll take care of this but if they both die in the same car accident or plane crash or whatever and that in that has happened with the then what happens when having guardianship set up for If both parents are deceased is really really important because You don't want well you don't want there to be any confusion you want your kids to know what would happen so they wouldn't be confused either and you certainly don't. WanNa have a court battle over WHO's going to get guardianship of the kids during a time when really the kids would need the most amount of love and consistency and support is as possible. So that's an extremely important reason why you have a will and for me in particular as a single widowed parent. I wanted to be really clear that my son knows that if and when well if something happens to me before he is an adult or when I die that he's going to be taken care of so our conversations actually are like he said some omelets going to happen to me if I die again. I'm like well. Connie is going to be able to have you for a week or two. But you're gonNA live with grandma and GRANDPA and they'll come move here so you can finish school in you know at Your School. And his what his response normally as is like okay. Great what are we having for dinner because because especially as a kid who knows that death can happen when he's asking? What's going to happen to me if you die? He's not looking for me to say. Don't worry sweetie I'm never going to die because it isn't true and he knows it's not true. He feels better knowing that. There's a plan for him and that he'll be taken care of if something were to happen. Yeah and that goes back to that. That thing about nobody really wants to talk about death so I imagine a lot of people say don't you know. Don't worry johnny everything will be fine. I'm not going anywhere. I'm going to be here but you might not be here. It turns out you know. Today's probably not the day that you're GonNa die but let you can't make that promise and it's important to me that my son knows he's taken care of it's true. We really are uncomfortable. Talking about death we often say if I die rather than when and so even are very casual passive language around death and dying sets it up to be something that we are excluding ourselves from his humans and I think during this time right now when the world is upside down and life has gone sideways and were were feeling this urgency and the exigency at the same time. We're not just thinking about emergency. Planning and masks. Were also thinking about. Wow what's GonNa happen if something really happens and while it's scary you know. I think we're having scary conversations about hard things but we're also starting to have more hard conversations that will bring a sense of relief afterwards right like talking about what would happen if something happens and then having a plan or some options about it makes me less anxious about the idea that something would happen. Because I don't have to run around like you know. The aliens have landed and my house is on fire looking for an emergency key or knowing. I have backup phone numbers because I've already taken care of that for the person who's listening to you who find this hard to get motivated to do something. What do you say what what can you knowing? All the things you know and all you've been through? What can you say to that person that maybe that would really help? One thing that helps me just slowly bit by bit stay on top of the stuff is is uncertainty. Sucks more for me than thinking about having a plan you know hoping for the best is nice but hoping for the best is also not a plan and so even five minutes a day of just looking online and updating your beneficiaries or making sure that somebody's written down any way doing a couple things having an emergency key outside having a backup plan you know. I'm in Seattle which is earthquake country and so a lot of emergency planning and the things that you need are kind of baked into that so if something were to happen. Let's just say what would the next twenty four hours look alike and if you know That someone can get to you or you can get to them. If you know that your pets might be taken care of so you don't come home afterwards and the dogs of eating your couch. You know just a couple of things to make the noise level. Go down when the stress or the worry or the overwhelmed goes up I find to be incredibly helpful for just having lasts less things on my to do list that are constantly kind of banging against my nervous system will. It's not a particularly fun thing to talk about. But but as your own experience illustrates it's a lot easier to take care of these things ahead of time than to have to do it after the fact after someone or you dies and as you said it's not if it's when I appreciate you spending the time with US Chanel. Chanel has some free resources on her website. That can help you get this process started. Her website is Chanel Reynolds dot com. And the name of her book is what matters most. There's a link to her website and linked to her book at Amazon in the show notes. Thanks Channel Hey thanks so much was wonderful to chat with you just from talking to people and from my own experience. I know that a lot of people who like to exercise are not exercising as much as they used to before the whole corona virus thing. Because we're supposed to stay at home and it's sometimes just easier to stay at home but it's still important to exercise and there are so many good reasons to do so first of all it's going to boost your mood. A study of eight thousand Dutch People Between Ages Sixteen and sixty five found that in general people who exercise regularly were more satisfied with their life and happier than non exercisers. It also reduces stress as well as improved your ability to cope with and respond to mentally taxing situations. Exercise also boosts your confidence a lot and it helps you sleep better. A study showed that people who worked out intensely in the evening slept better than their peers. Who didn't work out or who worked out less intensely and that is something you should know. I appreciate you spending your time listening to this podcast and I hope you'll share it with someone you know. I'm Mike carruthers. Thanks for listening to something you should know.