35 Burst results for "Dr Mike"
"dr mike" Discussed on The Ready State
"You can transition faster cool that means you're more metabolic healthy and I would say that that's that's a good thing. In a sort of Meta level that kind of matches, a lot of other principles that we've associated with physiology to. That's really brilliant and I'm going to say 'cause room native I don't say it. We often do a fast once a month. Juliet loves to go thirty six hours twenty four hours I said you know what to eat, but I'm not cranky. But I also we to five. And Juliette. Seen my which does not look like a couch cushion. We'll tell you Dr Mike that I haven't always been successful. In one time I broke my fast by eating an entire bag of popcorn. Which I don't recommend because it then me endless amounts of digestive problems. So I. I'm generally very good at fasting and don't have a lot of issues, but there's there's been some moments. Yeah, I mean I use the knobby good at fasting I was like the real skinny guy, and I read a lot of John. Varieties early stuff and I'm like Oh man I need a lot so I said a watch and I would eat every two and a half hours for literally like three years to get up to a whole one eighty five. And kept doing that for awhile. You know Benchley. The ever got up to forty five. But, then overdoing that for like literally like a decade. I went to go on. A trip to Europe or food wasn't as plentiful because I was. A poor bastard didn't have any money and I would did not want to be around next I was very cranky. Time. Doing the research on them like Oh. Oh. Maybe this isn't the best thing. Maybe I need to chain yes, brings up a couple of ideas. It's interesting that knowles the original knowles cookbook. Packing, long periods of time they would actually program in days of fasting as a way of as a way of just conserving wait in the backpacks. It'll sons think it's really interesting and also something that you address which we don't often hear. I think most of the time when we're talking about eating. It's always about losing weight in what I've heard you kind of several times references. Gaining weight is very difficult and also, if I am not mental inflexible, that could be a component to not being able to gain weight. Is that also? Do you think fair? I think possible. In Yeah, they're definitely people that have a harder time gaining weight and I was definitely one of them for a while. I think about metabolic flexibility as also hedging my bets towards health a little bit. Ride so we could eat a lot of crazy food. We could argue about. Is that really quote a good food or a bad food? But I'm more interested in what is the physiologic response to that person might survive an athlete who needs to gain some legitimate wait. Okay. We'll. We'll figure out a way of meeting the objective like before in the background. I'm still thinking about health I may have them do just simple HR V. in Am Blood Glucose rikers at some point. If we push too hard than their health. They'RE GONNA start. Losing metabolic flexibility in their health is going to start to go a little bit. So we're trying to kind of walk that tight rope a little bit and you see this in some. You know some athletes who? Take strongman. You know we were talking earlier before the podcasts about some more extent, efforting has done with some of those guys. You know and just seeing how large massive human means different states in their career. They've had also different states of health also. so I think keeping that in mind and my lens of you that is if I can keep them metabolic flexible. If we do have to let a do a short period of cutting calories. If they are able to switch faster to using fat as a fuel I'll have some athletes. Just go right into doing okay. Your new setup is Monday. You're going to nineteen to twenty four hour fast, and if they still have that ability to down regulate and use fat pretty well, they're going to be able to do. The fast is going to be relatively easy for them. If we have another athlete, who doesn't have that capacity or as lost it. Oh Man, that's going to be pretty hard for them do that. Maybe takes us in those six day weeks to get back. We have to take a different method, so yeah de calories absolutely do matter. No one's violating the laws of physics or anything but I like to still keep that capacity because it gives me more options of what to do if we need to change within a short period of time, love that. That's the I mean can you be? Can this be call, not flexibility, but look supple. German.
"dr mike" Discussed on The Ready State
"That's an I've even seen more guys now coming in just these crazy low calorie amounts and it wasn't that they were. Doing it for its set goal for a super acute period of time, it's like Nah I've been doing this for like the last couple of years. Oh wow is a good. so Dr Mike. If I'm listening to this and I think I need to become more metabolic flexible and or figure out. If I already am or am not, what would be the steps I would take? The two markers that I kind of us. That are would say field tests. If you don't have any equipment at all. Though on the carbohydrates, the end of the spectrum and a similar to alert was talking about I use that I. Call the POP Tart Test. I don't like what food can I find? That has about eighty grams of glucose as dirt cheap. You can find it almost anywhere a hell. The frosting doesn't even melt in the toaster. I did find. If you leave it in a defective toaster will catch fire. Be To pop tarts right so can you eat to pop tarts for breakfast? Then D. Okay. Are you gonNA be like passed out on the floor and not feel very good right? Can you handle about eighty grams of glucose with very little fiber, very little, micro nutrition, and very little anything else. And can you still be okay? Right if we were to put a mark around, and we look at rise in blood glucose things of that nature. on the other end of the spectrum records Inc. piece of cake. Yes, you could use something else to. which that I get hate mail from people who are like so against pop tarts and stuff and is the test right? I'm not saying you pop tarts for breakfast every day. That's not what I said. so everyone's mad about but another instructor and the use of fat. Fasting is probably a pretty good marker for that. There's there's a new study that came out. That looked at that, so we know about fasting. If you're not consuming anything that has calories that insulin levels go down lower and lower as insulin levels. Go down. That's like your fuel selector switched I stole from Geoff Bullock that low levels of insulin push your body to use more fat as a fuel, though if I have someone who can fast for you know nineteen hours twenty hours and field pretty good might feel a little bit hungry, but you know they're not super angry. They're going to be okay. They're not angry the whole time. They're probably pretty good at using fat. As a fuel. If they can't make it more than two hours while they're awake from one meal to the next, probably not so good in that end of the spectrum. So if you have both of those covered, assist a rough proxy. You're probably pretty good. I would say pretty metabolic flexible. This is a great examples and I just WANNA to go on record as saying one time after running out of food on long endurance paddle. We're running a river in the middle of winter. Basically I went for help and I opened the van, and there's a box of COSCO pop tart Sir and I didn't I didn't crush to think of course twenty. He was only eighteen months or so. Completely okay, just want to go on record saying at that point in my life so I. This is the greatest thing I've learned in this nutrition. Thank you for your science? Except for you a little angry when you're fasting, so don't Mike. Okay so, but I wanNA. Follow up because I love the sort of low low test, the pop tart test fasting, and then were someone to want to get a little more techie about it. What would they do? Oh, yes, so in the loud. There's not necessarily a gold standard of metabolic flexibility yet. There's a bunch of different tests so what we're kind of looking at is. If we have some in like a metabolic cart, we have this thing where you breathe into a tube, and it'll tell you with each breast. How much fat and how much carbohydrates are using indirect Calorie Ministry? And I actually bought one so I. Have One here I can do. All sorts of fun tasks is pretty cool. so with that if you were to come in the lab and you were completely fasted, and we do some very light exercise, we would expect that it's GonNa show. You're using mostly fat, so you're good on the fat end of the spectrum. and then if we give you pop tarts, give you like a glucose challenge eighty grams of dextrose. We would expect that that number. What's called? The rr is going to shift, and it's going to go up. Your body is going to transition to using those carbohydrates, so the machine's GonNa. Tell us okay yeah your metabolism now as running more on carbohydrates, because a bunch of came in, but then it goes back down relatively fast. Then a couple of hours goes back down. You've used through those carbohydrates increase carbohydrate oxidation, and then you're back down to using fats again. Someone, who is not as metabolic flexible with just that simple test, their Ari are are how well they're using fat at rest or during low exercise. They're not going to be super heavy on the fat use. They're going to be a little bit heads. That dimmer switch is going to be pushed a little bit more towards carbohydrates. They can't down regulate as hard to use fat. And consequently if we give them the to pop tarts are a bunch of carbohydrates. Their blood glucose may spike super high, and it may go higher than what we would expect at may hang out there a lot longer. Meaning the one study that compared lean to overweight individuals Misawa this. Then they'll hang out there for maybe two three four sometimes worse cases five hours right? It takes them a long time to switch back to using fat after a carbohydrate challenge. Though if you go up a level. You think about high level athletics right so I always think of how fast can you do a transition right? People who are really good say the NFL, whatever or probably pretty good at going from zero to very fast change direction all sorts of different things. They're really good at transitions, and in essence, metabolic flexibility is how well are you at doing transitions between fat and carbohydrates?.
"dr mike" Discussed on The Ready State
"Lions ability to change. Like a frigging one. That's horrible I don't like. Mystic. Discussions about sleep I know it's important. But I know that this is not going to end well. Scoring. A nine, but if we go to the other end and go like what number one is, which is protein lots physiologic impact we needed for recovery helps us tidy benefits to it. Might tell people who wanna look better naked that hey, I want you to go home and eat more of this particular thing. Really wait a minute. Hold on like. I just GONNA. Slash my calories and tell me to eat less now. You're telling me you want me need more of something. I yeah, I want you more, but it has to be protein. Here's what it looks like that type of thing. It takes a little bit of effort and sometime in learning, but you know physiology impact, maybe nine winds ability to change I'll the nine right so they're? They're pretty good at doing that with not as much effort. So that went to a higher leverage. Point that. Though because the issue I saw with trainers were well while intention as if it gets some new data, they listened to people like you. Carsley other people than party like uh, sleep man sleep! Does this thing look all these physiology? Changes Asleep get super stoked. They go to talk to their clients disaster then. They're like Oh my God. What am I doing I just gotTa talk a more about it and they're just. kind of hounding their head against the wall when their clients eating like you know forty grams of protein a day like Nah just maybe start somewhere else I kinda rigged the system a little bit in your favor, and your clients favor yet them going, and then once you have a lot more buyin you're like. Hey, you know. We've done these six different things. Everything's gone really well. You kind of get to stuff. It's a harder conversation, but you got Margaret. Forward got more buy in your like these other stuff they have me. Do you know we're works? Really well? Okay, maybe I'll you know go to bed and our earlier do something different? I have to tell you that Kelly and I started tracking everything on a whoop, which were a huge fan of earlier this year, and obviously I know a lot about sleep and talked about talk about sleep and read books about it, but for some reason that the biggest piece of information I've gotten out of it is. How much more time you need to be laying in bed? Send you actually actually get eight hours right and so there'd be certainly nice, rose sweetnam in bed, baton, waking up at six and getting eight hours in the night would be like. Six hours and fifty eight minutes. Only to learn only learned that amount. Look up to an hour of disturbances in the night is actually totally normal so man? That was a big revelation for me and I probably wouldn't have gotten it if I wasn't tracking, but that leads me right into my next question. which is I know you're? A specialized in heart rate variability. Which I think first of all for. Everybody if you could define what that is, and what that means. And how does how do you think that factors into all this and especially from sort of? Nutrition given that this whole thing is about nutrition have. How does it factor into that generally? Yeah, so because HIV was part of my research back when I started doing it, they had to come into the lab I. Mean we had bought some used equipment I had a customer a frigging. Matlab Program on top of it the customer. Bought US those about ten grand worth stuff, and he's still had come in the loud just to get a single heart rate variability measurement. Now you've got you know. Watches apps all sorts of stuff that can get an HIV. Reading. We can argue later, which were accurate, which are useful, not useful so it's becoming much more ubiquitous now. An HIV at the end of the day is just a marker of stress, so it's specifically a marker, a stress on what's called your automatic nervous system. Your nervous system has two main branches. One is the Para sympathetic side, which is like the brake pedal on your car. If I push harder on the brake pedal, my car is going to slow down a increase. Something called Vegas tone by increase it, but I press harder on that break. My car is going to slow now so Paris. Empathetic tone. Pairs sympathic side is more your rest and digest my heart. Rate's going to become lower. And then we also have the sympathetic side, says more of the stress side vice step harder on the gas pedal. My car I'm an apply more stress to the engine, but I'm going to get a little bit higher performance out of the car. The car is going to go faster. On so HIV is a really good way of looking at the status of the autonomic nervous. Beacon look at the changes from one of the are ways to the next r wave, so we have the Ekg, so the the big sharp pointy thing we measure really really accurately from one of those to the next May, do instead of an average we do of variability analysis. They should move just a little bit. So I sitting here at rest, not doing anything our heart rate's GonNa kind of oscillate a little bit around an average point, those little bit of Oscillations. That's the heart rate variability, and that's a proxy measure for the stress. That's on our nervous system. And what I like about it is that with most clients? They're completely oblivious to the amount of stress that they're under. The past Kinda like with sleep I used to have all these arguments with clients about their stress level, and they're like no I'm not that stressed and I'm like, but we know from physiology that. As people get more stressed. They're probably not making the best nutrition decisions. I told him I think back to a time in your life where you were really stressed like what was your nutrition like wine? Was the finding pre intro. shes yeah, right because they're you know bio chemically trying to to sue themselves from their stress level a lot of times. They only really know a biochemical solution most of the time. so by making them aware of it, that's okay. Let's just do this HIV measurement, and let's just do it for four weeks and we'll just kind of look at it and see. And by having them look at us specific measure the like Oh. Wow, this thing says that actually more stressed and at the same time I haven't reported some type of context right so they can use self report of distant asleep energy training things of that nature. And if we go back to the argument I, mean is been man. Lots of years is arguing about sleep with clients as argument about stress? Then they went US stupid. Maybe I should monitor it and just show them. The data create a little graph that would be their hov score, and how much time they spent in bed, and they would see that how much time is spent in bed went less their stress. Get Super High, and I would literally just send him this little graph and be like the single email. What do you think is going on here? And they look at it and they go. Oh, my God like when I don't see much, I get really stressed. Like yes, and this is like the same conversations. We've had AD NAUSEAM for like two months before, but they would smile another head, and then they go back to sleep in six hours it. Without seeing, some data didn't register nice partisan. You can use that data as long as it's done in a helpful way to say oh look. You've got seven hours of sleep a night. You may not necessarily feel amazing now we can see your stress is getting a little bit better day to day now you get that little bit of the improvement that they can see and oh okay. Oh, yeah, so it is.
"dr mike" Discussed on The Ready State
"Involves a heat transfer, but you don't have any transfer classes so pair. Go teach yourself transfer. You've got four weeks over Christmas break. Here's the book half on. My Call God, this is horrible, but unlike ailsa graduate whatever. But I do that and I ended up generating a model used to sit a monkeys in front of a large. GIGAHERTZ transmitter about five years after I graduated. My adviser sends me this little thing from the clipping from the paper at says military declassify Ray gun he goes. Yeah, this is your your thesis project. You've worked on unlike Oh. He's like yeah was classified. We didn't tell you it was classified. I'm like okay and what it was was. It's the active denial system. The military has big transmitter, but it's in the gigahertz range so very very high frequency. What's called millimeter wave? and it only penetrates very shallow onto the skin. Zeno the end of your skin is very sensitive. And what they wanted was something that will light up all those those nerves and make it feel like your skin's being burnt by light bulb that they wanted to test and make sure there was no a deep tissue heating effects. That's ended up doing doing my masters on. And then decided I know we're going back to school again. That was eight years that really sucked I made it I worked for a cardiovascular company actually for about ten years in pacemakers implantable devices. And realize that they're like. Hey, if you wanna take, more college will pay for it. Right, so I started taking more. Advanced physiology classes. Met A guy and he's like well. You should just you know. Don't get masters in physiology. Just apply to the PhD program in biomedical. The did that. eventually got in which took quite a while. And by the end of it had taken five years of classes I remember sitting in a class memorize and the professors like all right. We're now going to derive all the equations that are used in. Me Starts scribbling a a now on the board. That I didn't even recognize. I had a minor mathematics by this point. Sitting there thinking, what am I doing with my life? Like do I really. WanNa be here. This is really what I WANNA do. And the meantime I've been going to exercise physiology conferences for fun and sit in the back and poke trainers and be like hey, did you see this research study about this cool thing about protein and stuff, and like no, but you guys are trainers. Right your read research, don't you? Like no research, we come to these conferences. Who The hell are you? Lead dropped out and then went to the exercise physiology department. And that took me seven years to do my PhD in that and the so are you crazy parties out? Are you one hundred one hundred years old now? Just kidding kidding! I started this whole process right when I turned eighteen I graduated with my PhD. Right before I turned forty. Not not the recommended course of actual I want to jump in because he said something. That's really interesting. That turns out even when you were working on the Reagan. and. You've come to measure yourself in lab monkey years. In terms of school, you said something about active denial, which is such an interesting, the psychology of nutrition, and what we tell ourselves around self soothing, and I think it's so interesting that you come to be able to speak to the lay person at this very easy to understand. distilled complexity model after having spent so much time from the other side of the curtain of big medicine of complex physiology. Do you think that's? been an asset as you know, you aren't doing what you originally studied, but coming from that school of Rigor, and that school of complexity and sophistication has to have changed how you thought about this big problem. Oh yeah, definitely. Little phrase I have stole from someone is. Is Complex but your actions are relatively simple. And I. Think! We always want to invert that. Right is much cheaper like to respect hall complex physiology isn't just any aspect. And they also WanNa make all the actions like really complicated to right so I think if you can understand the complex museology at least the best that you can, especially if you're working as a an educator or or someone in the field. To me, your job is like a glorified translator. It's like yes, the physiology understand all these nuances as best that you can or find people who can help translate for you. But then what is the action that comes out of that that the clients or the patient or whoever your role is in front of you can actually do 'cause. They probably don't need all of the complexity, but they need to know. Yeah, eat more protein. Let's start there right? That's. Actionable that's correct that they can do. I think it's real easy to get kind of lost on both ends of that spectrum. Dr Mike. Can you explain to us what the flex diet is, and also sort of tie in metabolic flexibility, and before I let you do that? That was actually a phrase. I think we heard. I heard from Markson actually on our in the last season of our podcast I. Listen To that one and I actually had never heard that and I think at the end Kelly and concluded that we were not metabolic flexible and needed to become so. but We, we actually loved that phrase and concept, and anyway if you could sort of talk about that and the flex, which invented and let us know what that all is. Yeah so the flex diet is a system US trainers and coaches, and it's just a combination of metabolic flexibility plus flexible dieting. And how I got into metabolic flexibility was when I transferred to do my PhD and exercise Phys I did it to avoid math and the first day I sat down a meeting with my new adviser visor walks in and goes. Hey got to new projects and they both involve mass. Mike Oh, and he's like they're on heart, rate, variability and metabolic flexibility. It looks around the table and you points at music. Hey, you, math, boy, whatever your name is. These are your projects now? Show. I'm length happens when you get when you go to school for so long, everyone's just assumes your math guy. Yeah and because I transferred from engineering. Never Go, you must math so that's all I got into metabolic flexibility, which in English is in fitness is kind of this debate, which is still going on about what is the best fuel right it's. Oh, fats, the best fuel ever or or no carbohydrates are better in you know you need. Keep tones, and it gets kind of confusing I'm GonNa, Balk Flexibility is? How can your body US and handle? Our hydrates awoke her body used in handle fats. Let's could be dietary fat from what you consume or even just the breakdown of Audie Sat. And, then how can you switch back and forth between both of them?.
"dr mike" Discussed on The Ready State
"The gator roller the gator gator. My at my my grandfather was from. Floor Bama Right Pensacola Florida and he called the Gatiss Davis and you know we have seen the roller become a ubiquitous piece of equipment and. I think I won't start out as. To. They were like pool toys, foam noodles, and we're like. Hey, you put your leg on this. But what we found out is our friends at rumble roller did a great job of. Tripling utility quadrupling utility so one reason we love the gator so much. It's a little bit smart hammer and softer, which actually allows us to handle forces and do a little bit more interesting sheer. But the texture allows us to do something we even we coined scrubbing which we can restore those us. Your fashion connections of connected to bone. To Tendon and so there's a lot more we can get out of. Experience tides roll the muscle right so I love the gator. It's become sort of one of the standards that I think people which will. Start there start with the gator. I mean here's the deal. There's a reason why in every ready state video where there is a roller being used. It's the gator. There's a reason for that, and that's because it's our favorite roller out there. So if you're interested, go to the ready state DOT com slash rumble. The reds dot com slash rumble. Check it out. Dr Mike Nelson Known as Dr Mike is a researcher natick. Who Specializes in metabolic flexibility and heart rate variability? He is also an online trainer. Adjunct Professor Faculty member at the Carrick. Institute present her creator of the Flex Diet cert- kite border and somewhat incongruously a heavy metal enthusiast, the techniques he's developed, and the results might gets for his clients have been featured in international magazines, scientific publications and on websites across the globe. Dr Mike Thank. You so much for jumping on the PODCAST. Thank you both so much for having me here I'm super honored, so I want to start Mike by asking. You are or at least asking you to comment on the fact that I think you're basically the most highly educated and certified. Nutrition person basically on earth. So could you tell us a little bit about you know who you are from an educational background standpoint, and why you are so into learning and let me just add all piggyback on that. How did you end up just marrying yourself to this third rail of human? Exposure of nutrition because it's really it takes a special person to wait in here especially when you are so well educated. Yeah so the answer to that part I'll go into education after that is i. just sort of looked into it by studying metabolism and was kind of. A more of an idiot about it and just thought that Oh, we just kinda figure out the science, and you explain the science to people. Then we'll will solve all the discussions and arguments and as. Not True at all. I appreciate the naivety. In that like Oh this'll be. Yeah, it's. Definitely have days where I'm like. Why did I pick nutrition because it's? Is Very charged topic even more so now, and I think part of it is because. People can choose to exercise or not, but everyone kind of has to eat, so you're trying to get people to change behaviors and habits of something that there have to do all the time and then gets into. How do they feel about it? And then this person said that in this person said this and everyone's trying to sell something and. Yes so I like it, but yeah I do agree some days I'm like Maybe I should have done more exercise stuff. Well hopefully in this podcast season. We'll try to unpack a little bit of that. That's that's honestly our goal, but. I'm going to hold you to it. I have to know about your education motivation. I sorted out like probably most males going to college I'm like Oh, I'm a six foot three hundred fifty six pound. You'll shape rakes looking person. Maybe maybe I should do those lifting weights things I don't end up disappearing down the drain when I shower next time and I did my Undergrad a scholas- skin Duluth Minnesota did a bachelor of arts. Natural Science. I remember from my fired elective. I took a class on weight. Training was the first quarter I was there and I was all excited I'm like Oh, I'm gonNA. Learn exactly all the techniques and everything to do. This is gonNA. Be Great I was signed up for anatomy and physiology where we got to work with actual cadavers great. And, the coach for pe class comes in, and he takes attendance me looks at us, and he goes all right. All you people. You'RE GONNA. Learn how to lift weights and some of you. You need to lose some weight. And some of you. He points at me and goes all his ship. Some of you need to gain weight. I'm like okay, and then he literally disappeared the second day. I'm like you teach US anything. It was just you know. Check in and was a free gym whatever you want. So I, you know of course screwed everything up and turned everything into benchpress today, and was you know trying to get the ninety five pounds up and eventually got to the one thirty five weeks, but the forty five pound. Things on the bar and stuff so. but kept doing more physiology. I just thought it was interesting. But I didn't know what to do with it. When I was a kid I used to race these radio controlled cars and would tear everything apart in my parents house to not put it back together so like. Oh, you should go into engineering. Have this new thing now called biomedical engineering. But it was so new like HR departments didn't know what to do with you, so I ended up doing Basically mechanical engineering and looked at more a bio mechanics was area I worked in but I couldn't find funding for the project so at the end I ended up doing a master's in it. And went to the Center for Biomedical Engineering and worked on he transferred..
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"The WHO's emergencies expert Dr Mike Ryan says the data may be preliminary but it's clear social distancing and wearing a mask helps the real science challenge now is to fully understand what is the contribution of purely a symptomatic people to transmission and can we find strategies to detect those individuals and and on also control the spread of disease at
US speculates that China released virus in lab 'mistake'
"According to secretary of state Mike Pompeii over the weekend at the U. S. has evidence that the virus came from a lab in Wuhan he also agrees with the scientific evidence though that suggests the virus is natural not manmade or genetically modified I have no reason to believe that they've got it wrong so what does the US know that the W. H. O. does we would be very willing to receive any information WHO's Dr Mike Ryan says they still don't know what animal it was that became infected from a back then infected a human if that was being investigated in a Chinese lab and somehow the virus got out from there the WHL would like to know about it but the U. S. has not said what evidence it
Washington Gov. Jay Inslee blasts Trump's 'dangerous' tweets
"To critics to question if the early predictions were too dire Murray says the local health care industry so as it was ready for the situation to be much worse but they might have been overwhelmed if they were under prepared hospitals across the state are now asking the governor to ease up on restrictions and allow them to slowly reopened all elective surgeries and non emergency procedures are not allowed the move was made to keep hospitals ready for surgeon coronavirus patients but the Grays harbor community hospital doesn't have any covert nineteen patients because work at the hospital scaled back they've had to lay off eighteen percent of their staff Chris majors as a hospital administrator I think we're getting to a point for some patients whose whose care week postponed that it's getting past the idea of being elected the hospital association says that there's a surgeon Culver nineteen cases they can dial back elective surgeries and there are still undetected coronavirus cases spreading in king county but the numbers are improving according to a new study more from come was supposed to look the greater Seattle coronavirus assessment network only has preliminary data but the first eighteen days the scandal rolled more than four thousand people and we found forty four who tested positive for call the nineteenth that's researcher Dr Mike from alara who says the idea was to find and identify cases that weren't being detected by clinical testing he says the numbers amount to somewhere between point zero five eight point seven five percent of the population likely to be infected however he adds that there is evidence the infections are beginning to plateau or even decline Jeff Pohjola come on news the governor Jay Inslee is voicing new frustration with president Donald Trump the governor tells CNN the president's comments on Twitter about liberating parts of the country from corona virus stay at home orders put millions of Americans at risk of contracting covert nineteen and encourages illegal and dangerous acts there are some things you cannot reconcile you have to stand against them and as I said we we had a good working relationship with a lot of people in the administration the president's comments seem to be aimed at encouraging protesters in a number of states including
Fauci sees possibility of MLB season amid strict conditions
"Hi pro Dr Mike football Crossey Anthony hall Fauci of of reporting Famer claims in Green the president Bay thanks Packers to readies the corona legend to reveal virus Willie guidelines Davis there was died only for re Wednesday one opening way in a the pro California nation sports from can hospital the return virus this summer shut to according downs the U. S. to wife Carol that's president if he there are had trump no kidney fans is sounding related in the stands encouraged issues and the players by the Davis latest stay starred data in hotels on as a the defensive covert nineteen in end an on interview the epidemic dominant with Snapchat's Packer the data teams suggests of the Peter sixties Hamby that they should under wide phone head she we says coach have passed the Vince players Lombardi would need to be quote the he peak played tested on five at every Wednesday's single NFL week coronavirus championship and make sure task squads they don't force wind briefing up including infecting the president the first each other two said super or their family guidelines bowls and for just re five opening let them times play the country this season he was will selected out be unveiled all pro about Thursday she responded and was to considered a but question Dr about one Deborah of an the abbreviated great Brooks defensive the White baseball House players coronavirus season of his era response and the coordinator start Davis of football was cautioned eighty five always I'm Bruce a chance Morton I am mark Myers that a a symptomatic person can spread the virus unknowingly and Burke said the final call on re opening for business will rest with state and local officials so that they can do what's best for their communities they are at the frontline Burke said nine states have fewer than one thousand cases of covert nineteen Mike Crossey up Washington
US Surgeon General Sees 'Light At The End Of This Tunnel'
"The Surgeon General Jerome Adams is echoing optimistic comments by president trump and vice president pence saying that if Americans do keep practicing social distancing for the rest of the month it is likely we can start to slowly reopen in some places on Good Morning America on ABC Adam said officials are watching to see how China and South Korea and all their own re openings the World Health Organization says when those do happen they need to be in baby steps we've all been under some sort of lockdown orders of various degree he's for a number of weeks now and many are asking what data do governments need to see before these lockdowns were lifted first there needs to be several days of declining new cases before governments can even consider it and then consider how the current conditions affects each area of the mandates secondly says the WHO's Dr Mike Ryan it depends on the health care system you need to be in a position where you now have free beds in your system so that you're managing and coping with with the case law other considerations are how many days does it take for cases to double what percentage of tests come back positive the number of contacts generated per case
Atlanta - Fulton County Schools teacher tests positive for coronavirus; schools closed Tuesday
"Fulton County schools are closed Tuesday after teacher comes down with corona virus we're lied to W. espys Sabrina Cupid that's right and the teacher got sick Friday while on campus at Bear Creek middle school teacher fell ill at work nine one one was called us these this particular teacher was transported from school campus and I presume to a local hospital but I can confirm that that's old county school superintendent Dr Mike Looney he says the teacher had also been at woodland middle school in creekside high school now the district in the process of contacting those who may have been in contact with this teacher they're gonna be tested and Dr Looney says that they'll have more information tomorrow afternoon Edgar when Fulton County schools might reopen
WHO Says Risk Of COVID-19 Is Now 'Very High At A Global Level'
"All the help from the risk of the spread of the virus is up but not enough for the World Health Organization to declare a global pandemic more on that now from correspondent Jim Roope the alert level has been raised from high to very high but the reason says WHO's Dr Mike Ryan for no pandemic declaration is that a pandemic suggests all citizens on the planet will likely be exposed to a virus within a defined period of time what we've seen with this virus is that with containment measures with robust public health response the course of this these multiple epidemics can be significantly altered he says it has been proven the virus can be contained declaring a pandemic is giving up on containment and moving to mitigation there are still no widespread community transmission anywhere outside of
WHO Says Risk Of COVID-19 Is Now 'Very High At A Global Level'
"On the health front the risk of the spread of the virus is up but still not enough for the World Health Organization to declare a global and Democrats here's correspondent Jim Roope the alert level has been raised from high to very high but the reason says WHO's Dr Mike Ryan for no pandemic declaration is that a pandemic suggests all citizens on the planet will likely be exposed to a virus within a defined period of time what we've seen with this virus is that with containment measures with robust public health response the course of this these multiple epidemics can be significantly altered he says it has been proven the virus can be contained declaring a pandemic is giving up on containment and moving to mitigation there are still no widespread community transmission anywhere
88 More Test Positive for Virus on Diamond Princess
"Fourteen Americans with coronavirus who arrived on flights from Japan yesterday are now in isolation at the university of Nebraska Medical Center in Omaha emergency medicine chair Dr Mike what made the individuals who would stay in the quarantine unit for the fourteen days and less they developed symptoms or other concern signs that point we would have to reassess they were diagnosed right after they were allowed to leave a quarantine cruise ship eighty eight more cases have just been diagnosed on the diamond princess bringing the total to five hundred forty two the director of Wuhan hospital in China where the outbreak originated has died after he contracted the virus
U.S. officials: Cruise ship quarantine has failed
"Than three hundred Americans who have been aboard that cruise ship stranded off the coast of Japan due to the corona virus were finally evacuated from the ship and flown to the U. S. today aboard to charter flights CBS's Carter and crews in protective suits greeted the American says the two charter flights landed in Texas Travis Air Force base in California U. S. officials said the quarantine on the diamond princess in Japan had failed fourteen evacuations tested positive for the virus and had to be isolated from other passengers thirteen of the fourteen were transported to a specialized medical facility in Nebraska as for most of the evacuees they'll be kept in quarantine for two weeks Dr Mike Weidman the individuals who would stay in the quarantine unit for the fourteen days and less they developed symptoms or other concern signs that point we would have to reassess
Coronavirus death toll seems to be slowing
"The number of new coronavirus cases reported in China seems to be slowing public health officials say it's too soon to know what's going on the most hopeful explanation is that the disease now called cove ID nineteen is starting to ebb that's the most hopeful but there are other possible explanations as NPR science correspondent Richard Harris is here to tell us hi Richard hello Mary Louise so when we say it seems to be slowing one of the numbers look like well the in absolute numbers that they're still kind of grim the number of cases now tops forty five thousand ninety nine percent of them are in China and there was an eleven hundred deaths also reported in China so but the toll the good news is the toll doesn't seem to be mounting quite as quickly as it had had been and today the World Health Organization give a briefing about the situation and one top official Dr Mike Ryan give his interpretation of what's going on the stabilization in cases in the last number of days it is very reassuring the behavior of the virus also one who pay doesn't appear at this point to be as aggressive or as acceleration Nick is is the opportunity for containment intention interruption of transmission of the virus okay but so Richard what else other than a real slowing of the epidemic what else would explain this trend well we don't have a really clear idea about the time lag between when cases are our rights and how soon the reported so this could be you know sensually variation in how quickly paperwork moves through the Chinese healthcare system and then on to the W. H. O. in Switzerland it's also the case that China has been tweaking the definition of this disease and that can certainly affect trends but Ryan says it appears the Chinese are now using a broader definition of the disease the shift is actually likely to generate more confirmed cases not less this is not an attempt to ignore cases it's an attempt to widen the net and include my other cases of all lab confirmed cases regardless of the symptoms that said the W. H. O. hosted a two day meeting our technical experts identify urgent priorities and on that list was the need for better disease tracking as well as a better understanding of exactly how this virus is transmitted we still don't really know yeah okay so there's that there's better disease tracking as you mention what else is the W. H. O. as saying could help the situation well officials said the Chinese scientists who called into the meeting said what they really need is a faster test for the disease when that they could run quickly in doctors offices and clinics and so on I like your rapid strep test at your doctor's office right end up finding new drugs of course it's a priority but to do that site to see what they would really like to have a standing standard testing pro calls so results from the studies that are already springing up in trying to can be compared with one another what about trying to prevent it all together a vaccine absolutely that's a or they're already number those in the works but at least a year away so that's sort of a middle range hope if you will at Texans are not going to stop a new epidemic certainly not to the early going question that's been on my mind which is there but a lot of questions about how China handled this particularly in the early stages the WHL has repeatedly come to China's defense why and is it warranted well we clearly don't have the whole story about how China as reacted within its own borders but we do know that unlike the sars epidemic nearly two decades ago China has been very helpful in controlling the global spread of the new coronavirus W. H. O. director general doctor to address a non Cabrera assist said he's not feeling any pressure to praise China he says it's deserved if you see the number of cases in China it's more than forty thousand but in the rest of the what did we have around four hundred and only one death so let the Druze speak for itself he said after the crisis is over everyone can go back identify the inevitable missteps and then learn
"dr mike" Discussed on A New Direction
"A new direction what would be dr mike garrett lee for a new direction for our listeners one word collaborate let me say it again there's a whole chapter on it collaborate i've done podcast before been asked the same question before and i keep coming back to collaborate what do i mean back to elaborate i'm gonna make your quick is there's a verse in the bible says the two are to become tom one so there's a becoming process there's you're not instantaneously one and in harmony and partnership you have to work at a. becoming unified in a partnership we call that process collaboration so we describe it how do you go about collaborating so if you want a quality relationship whether it's dealing with your sexual relationship communication your priorities conflict you need to collaborate you need to sit down together kind of like what you were saying j. stop the finger-pointing stopped the blame to fan and let's collaborate collaborate means you let your partner influence you you let your partner influence you you listen and you consider others more than yourself off and you you you come together the man listens to the woman the woman listens to the man and then we say how can we meet in the middle hack what do we need to give of a in order to get together that's collaboration you need to collaborate experience oneness if you.
UN health emergencies chief: "It's way too early" to predict the beginning of the end of China's virus outbreak
"Head of emergencies for the World Health Organization says it is much too early to try to predict the beginning of the end of the corona virus outbreak in China in Geneva today Dr Mike Ryan the knowledge that it's reassuring that the number of daily cases appears to be stabilizing mainly because of China's huge public health operation which is placed some sixty million people under a
"dr mike" Discussed on Rob Has a Podcast
"I'm a chocolate chocolate death for all right. If you if you don't have a condom what common household item would service the most reliable so come on people stop it. I mean lover plastic bag from the infant gercy store. I don't think you should have sex economists. If you're if you're at a point where you're looking for a condom don't have sex if you don't vice I I hope you guys yes Dr Mike You guys kept talking about thirty two fans. Yes yes what is. Is that the same thing. As only we think he's cast sneakier. It's very similar. The difference like yeah. Oh Yeah it's similar. Let me explain should explore. We should explain things that AKIVA and I are like that married swinging couple And that that is a different podcasts. That Akiva does without me From cheating on him. Oh Oh okay yeah Mike. Are you sportsman now. Okay it's busy. Yeah it's about sports. Another another question was do you know Alexander. Chester is but I guess you're answering that you do not know Alexander Chester's now sports podcast. I do well. He wouldn't but he you're going to fans was reviewed the thirty two best. Only fan sites. That will you know. Listen in the football season. We need a lot of ideas so so for this for the listeners. That do not know stands because I had no idea about this entire listen to Korean. Only fans is basically the sort of instagram celebrities or reality stars will go go to this website and have naked pictures of themselves. Yeah it's it's a Patriot for porn rob. That's why it's funny that he was asking thirty. I didn't for the right price it's chester. We'll put up some tasteful news of himself so yes the question is.
"dr mike" Discussed on Rob Has a Podcast
"Than Dunkin right. I started thinking about donuts. And you always thinking about what Robin Akiva need and I think that you guys need donut. Shop donut the donut shop competition decide. What the best on it is Yeah Yeah I figure we could probably just split a dozen donuts between US I. Yeah why not all right all right I to Mike. Do you have any questions for Dr Mike so we have hundreds hundreds of questions. Why should I'm not sure we're GONNA get to all of them? Try and get through one all right. Okay this is from a lady. All these questions are anonymous as a busy career oriented woman. I don't really have the time or mental energy for dating and I'm fine with that at least until the next rolls around and I get to meet my soulmate however I would like to get some no strings attached action. There's a super super tractive guy. No way the mutual friend. We've met twice. We follow each other and social media where we flirted heavily on occasion response to each other is instant stories. I've found out that he lives within walking distance of me now recently apprently pretty blatantly sent him a you up style message. And he thought and he sent back he thought apply indicating that he finds me attractive and would be down to hook up but could not proceed without telling me has tested positive for genital herpes. I backed out for the time being but now I'm wondering if I should reconsider my understanding. Is that the risk of transmission mission is quite low if protection is used but at the same time I totally be kicking myself if I broke my dry spell only to immediately contract incurable. Sti Dr Mike. Do you have any advice. Yes you know what I actually I am sitting here with almost a smile on my face because has I think I've just made it to become one of the love. Know it alls yes Stephen Spa. Yes you did Taylor finally does not know this podcast. The gas even so he's not so either way. Stephen was so uncomfortable time we talked to Dr by on the love. Love know it alls couldn't get out of there quick enough. I think he literally like all right. How can we get to the didn't Stephen Gale he did he did that? Sounds about right that. Is that a shot at Yale. Harvard Guy Dr Mike Brown. Okay all right okay. So in any prevent. Let's talk about this. Here's the thing when you look at statistics about S. T.. is.
"dr mike" Discussed on Gambling Podcast: You Can Bet on That
"Yeah it used to be built gambling hall before that it was Rico's Rico you know and I always wondered too about is Kinda loud in the rooms because the nightclub you know right there so yeah. I don't know we'll have to do it sometimes. We'll have to stay there. Also donation from John. Thanks very much and a donation from Rob Mark and Dr Mike. I really enjoy your podcast and look forward to each episode. Here's a Karma donation from a trip to Vegas and a couple of weeks and I also have a question about a bar for for a large group. I am attending a gaming convention at bally's and need to find a place for a meet up Saturday night for about thirty people. We WanNA place. That won't be super loud so we can catch up with old friends has a good bar slash drinks probably something close to bally's but just looking for potential spots right now having in gambling close doesn't hurt but it isn't a priority as many of the folks aren't into it. Thanks and looking forward to the next episode. The only thing I can think we don't spend a lot of time in the bars of the lounges. At bally's right there to the entrance where you would go to go to Paris right now that hallway there there's a lounge called the indigo lounge and and you know a few years back. The three Sixty Vegas vacation people went there. I think that would be a pretty good place. It's a fairly large area and it is Kinda right there on the casino. So that's the only thing I can think of Bali and yeah it's actually in balance so yeah hey be sure to check out our. TV listing showing all the gambling. ambling related shows coming up within the next two weeks we update those listings every Wednesday using a program. I wrote myself that searches through all.
"dr mike" Discussed on Gambling Podcast: You Can Bet on That
"So they try you do but you know how do in Vegas where sure. Yeah you could go back and listen to episode nine of our show. That's where we first talked about poker. It's one of the last shows that I think we recorded in the bathroom aathroom so the audio is not also I talk with cousin Vito about Paiko poker on his show episode. Seventy three so you can go back excellent of that or really the best advice. Go to the wizard of odds pi-chao poker page and you'll get some great information there and I'll put a link in the show notes as far as word. Ah Ah I'll tell you what another good thing. I think. Play at home just practice dealing out some hands with you and your friend your wife whoever just still out hands and play against each other and see how the game flow see. You know when when you think it's wise to play to pair behind and a pair on top and you know and then look up the answer and see you know were were you right. Yeah that is good advice because there are some automated games for free that you can play online but when you really have the cards in your hand and you're having to separate the two cards easy a game to a play at home. I mean we play on the plane all the flying place. I mean you can play Paiko pretty much anywhere. You don't even have to bed. Just just keep him up one game game to whatever. That's right and play against Dr Mike if you can because you're almost guaranteed to win big wing as far as where to play. We definitely recommend downtown downtown. It's hard to find low limit pi-chao poker on the Strip anymore right but if you look around you might even find a five dollar game downtown may expect it to be. You know ten enter more but every once in a while yet to realize to buy a lot of pushes so you know if you're playing at a ten dollar table it's not as bad as you think.
"dr mike" Discussed on Gambling Podcast: You Can Bet on That
"Him. Mark Doctor My this an from Oregon Colin with a trip report. My husband and I were in Vegas over Christmas. We took my parents. Is this year. They had never really been and done vegas before so we thought that would be great. My husband and I teach had two nights comps at MGM Grand So. We were able to treat my parents to one of those reservations and we took the other one. I'm we were able to get our room upgraded to one of the seats. That's got some seating being area so it was just really fantastic for weeks in Vegas Mike wrap story and we are low rollers we like thing at MGM grand because we like playing excalibur which yes we can almost always guarantee finding a five dollar table and Christmas Eve. We were over at caliber. And the craps table was ten dollars. They had a crap US table open for five so we decided to go and we would just play by placing the six eight. Things are gonNA find nothing too exciting until I got dice and and before long. We realized that I almost had the all small and kept throwing twos and twelve and there was this guy at the other end of the table. Both who is definitely betting a lot bigger than weaver and making some pretty good money off of us at one point I think he maybe had bought the two two and twelve. Maybe and one of four hundred dollars. I think he took me a little bit. I'm not one and then very few roles later. I hit the Paul so managed to get the all tall small. I think he had five dollars on each. Unfortunately neither my husband or I were on it at that time it. It's pretty fun. My Dad was there with us and he had never really watched a crap game before so that was pretty exciting thing for him to get to witness. The next morning Christmas day we hop up back over to x calibre to suit with fine and sure enough the regular craps table with open at five dollars minimum so we got an played and they icing around to me and this is the first time I've had the dice since rolling all tall small the night before my husband decided to place one dollar bet on it and Lo and behold I hit it again so have the day's play hit the althouse small twice. My husband ended up with a good winner center ten dollars. My Dad was there to witness that and it was pretty exciting so we tell her up and moved on with our holiday. Thanks again for your pod and second again. Next time I love hearing those. I guess. Weird crap crap wrap stories saying oh he bought the two and twelve right because you can. You can buy the two three eleven and twelve right because those can be points. Yeah two and twelve. You pay the big five. I percents then pays six to one so right there. I bet you'd love that I that I do love that. If they're hitting. Oh okay. Yeah you're saying anyway. Thanks for the trip report and all right next up is Neil. Hey Mark and Dr Mike this is Neil from riverside. Yeah you go sparked not a thing that I noticed that I heard you guys draftengine too when you guys were up at the San Manuel Casino. A little north of you. You did have a friend that worked at one of the bars there that I would frequent and just hang out and play video poker and so you know the habit of scrolling through different games games on the video poker machine and knowing that generally the bar top video poker. There's a lesser pay out. I was doing this this and I got to Dollar denomination nine six jacks or better and I was like Oh awesome so I'm not a dollar player. I'm a quarter player. But you know I would play Taller single coin in ninety six Jackson better. Rather than then you know seven five Jackson better at a dollar and quarter and I'm pulling this. I'm playing a couple of hands and then I got dealt four to the royal and I wasn't as lucky as you guys to hit the royal extent but what I noticed was is the Max payouts with five coin in instead of paying the typical four thousand coins the match payout was actually twenty five hundred coins. Esa Rip off. You know on nine six so the casinos are thinking being right there. Engineering these things. But they're getting in the long run by instead of going. The True Denomination got cut off. If they're all right so a lot to break down here from his call so first of all he's saying okay. He was kind of excited to see nine six jacks or better but he said he was only going to play one point in which does increase the house edge a little bit but let's talk about some numbers so he was saying okay as opposed to playing a dollar caller twenty five a hand on a quarter game of seven five Jackson better. The return on that is ninety six point one percent actually pretty poor when it comes to video poker pay. Hey table now. If you're playing full pay nine. Six Jackson better five coin in the return is ninety around ninety nine point five percent sent which is definitely one of the better games now in this nine six Jackson better that he saw. If all the pay table is exactly the same name except for that five coin royal payout which he said was twenty five hundred instead of four thousand. That return is going to be ninety. Eight point nine percent now if he's just putting one coin and the pay table is like a typical nine six jacker better machine that is the royal pays two hundred fifty fifty for one. Just one point in the return is ninety eight point four percent so not really that much difference and again if he's putting just one coin in it doesn't matter the payout is twenty five hundred on the five point in it doesn't matter if it's eight thousand right. He's just putting one coin right but it's going to be ninety eight point four percent for one coin in which is it's not that bad but I am kind of surprised I'm wondering I'd Kinda like to see the whole pay table to see if maybe something else is going on because it just seems really strange it would be twenty five hundred. I'm not sure what's significant about that because it doesn't put you under the W two g range right because that's is twelve hundred so you have to be careful with some of those slot machines like we always look at the whole pay tape When we go because sometimes you'll think oh this is you know like say bonus poker especially bonus poker because they have won seven five but then you look to pair pays even money right or something like that or sometimes we've seen it lists list as bonus poker but it's just a standard Jackson better known as poker and then you look is just jacks or better so you do need to watch out for them yeah they have a lot of little caveats shots To some of the Games that take them away from what. They're advertised as I don't know if that's false advertising. I don't know if that's just saying this is our bonus poker and twenty five cents. Well Anyway Neal. If you go back to salmon well take a picture the pay table Senate to us. Yeah we'd be curious to see all right. I'll have my brother do that. Oh yeah that's it's a good idea if you can find it. It was a top but yeah all right next up is jess hi. This is just from San Francisco just going live UH UH couple trip reports. I've done quite a few trips since I've called but to kind of interesting one ones that I taught a friend had a play down in Albuquerque at Sandia and it went pretty good. We had one session together and she was able to double all nearly double the hundred dollars I gave her. So that was great and also Dangerous as we all know we played and the table with super busy and there was another guy. They're teaching someone had a clay and he had her playing on the hot bet and they were working out all right for him but I just thought like Oh what an awful way to teach someone to play. Sorry sorry Dr Mike. There was another guy on the table and you just Kinda referred to him as that guy. 'cause he was just very irritated with how slow it was going with all the proper but some stuff well the next morning I played again by myself and it was just me and that guy on the table and I had one of those killer roles he was much higher rulers than myself and he was starting off covering all across the top. I think twenty five outside and thirty on a six and eight and he was just press every time and he also gave one of the numbers the pick to the dealers they picked the nine one. This role I had had the eight nine and ten up to the table maximum. Well he did and he was very happy. I think I need him. I don't know see she southbound four grand baby and then I subsequent role. He covered the topic for me at his normal betting rate which was awesome. Didn't work out very very well for me but it was really. It was a nice tip. It was one of the better tips. I've ever gotten the second trip I went to Reno and again was helping your friends learn how to play and again this girl double their money different girl but still if the holder money by have been smart and walked away I would have been up quite a bit as well. But Ah you know gotta play gotTa keep real in so I ended up just a little bit down for the church but it still had a great time played for probably eight hours on two hundred dollars dollars. So that's a big win in my book so great trips. Grand Sierra resort in Reno. I've just love love love and thanks for what you do. I look look forward to the next episode. I it must be nice to teach the game of craps to somebody for the first time and have them win. Yeah double their money. I don't I don't I don't think that's ever happened for us. We've ever experienced. Seems like every time we teach the game. It's funny too. And when we teach just for the record I teach everyone how to play a like as if they were you very conservative areas or either you know combats or just starting with a lot of money. I want him to be there a while. I don't WanNa be you know all hop the nine. Put it all on nine. No we teach them very conservatively and then once somebody knows the game then they they can make decisions whether they want to waste their money on oblates or not but ah yeah it seems like whenever we cheat somebody never goes that well. Maybe that's good. Yeah for the player. Maybe that's maybe that's Karma coming back to us. Yeah yeah all right next call. Hey Mark and Dr Mike. This is Austin from Orlando and then listen to podcasts. The last few months trying to catch up on all the spoke. I thank you for everything. He's been doing there. He's made my commute much more better than in the past few months so I have a trip to Vegas and the end of February and I I was wondering what your podcast is really. Maybe want to try out for the first time I actually put out poker so I'm wondering if you guys had any advice on. Hey any tips. For the first time I got so Kosei or go into the plane so anywhere practice or anything donell and see any casinos. You might just. I thought I have better side bets or lower limits or something for a low roller to get started out further..
"dr mike" Discussed on Gambling Podcast: You Can Bet on That
"Skirting small college for this past weekend. My wife and our seven fifty four college basketball ballgame which we decided to leave the day before this kind of the last. Get away before we go back to work after the holidays and we decided to stay firm river. Resort in talk of the city is has to casinos all the property. The Silver Star the golden both properties have combined around two hundred eighty table games. Twenty five pretty big facility and they're connected by a walkway that's in close Scott Wall though you actually don't. I have to go outside the travel between the two casinos. So we decide to play craps silverstone Be More high on the crew and then everybody their the game was fine dealers also ten dollar craps on three or four tables that were open on Friday at one table. Have the all the others didn't have any of the spends like that anyway. I had a really good. Is there the next morning is where I have a question. Okay got the absolute wake up the next morning. And that's all of those hotel. Did some breakfast on our players. Here's card from our points that we accumulate in the not for you know. We played probably three and a half hours before bed. Several hundred dollars on the table. And so oh I got in my car and tells me bitch. Give me six dollars because the future program show that I was in the positive and I said what difference does that. Make them into positive. THAT'S A to not be rated based on the rate of a fifty dollars.
"dr mike" Discussed on The Dental Hacks Podcast
"Kit of Mir magic again magic retrial. Retrial Kit of Mir Magic with twelve hd Mir's Zirk because time is everything like nation welcome back to another very exciting segment from the Spear Summit Twenty Nineteen here we are at the J W Marriott Desert Ridge resort. I'm getting better now every time Mike. I'm trying to get kickbacks from from the resorts I've been saying it every time joining US Dr. Mike Gunson Mike. Welcome to the show. Thanks thank you for having me. Mike is he. He's a spear guy. He teaches at sphere. He's actually about to go lecture here in a few minutes at the summit. He's in Santa Barbara. We just found that out right and okay so tell us you're you're general surgeon or you know yes okay. So That's interesting. An oral surgeon speaking at the teaching. It's beer yes it's true. That's that's kind of cool. Actually I well I I I love it I you know I I knew spare from my own group in Santa Barbara the time and I was invited from Steve to lecture in Two Thousand Fifteen fifteen. Okay that was nerve wracking. I was used to talking to orthodontist and oral surgeons but then to stand in front of you know thousand dentists to be interesting as an oral surgeon. That was that was taxing at the time so but I found that spirit dentists Dennis general but especially the spirit. Dennis the ravenous just for information and they liked what I had to say and and as time went on I just I felt more and more guests this at home with a spear group. Sure so what's interesting to me. Is it okay so it sounds like you were working with the study group. Study Club before you came into to the lecturing on that subset right the. There's a study club in town in our. Were you part of that. Yes okay okay. So you're study club in with an oral surgeon. I mean just the training in in in the day to day the way things work in roles surgery officer pretty significantly different from a dental office. And so it's like. How did you find working with restore Dennis that were kind of keyed into this stuff and orthodontist and all that stuff because that's a working in a team is hard? Yeah Yeah it is Communications always difficult. Yeah human beings. It's a little different for me. I'm not I'm a sub specialist. I guess I don't. I don't do dental implants. I don't extract wisdom teeth. Okay no pathology. I do orphan ethics surgery. And that's all I do. Okay so you have to work with you have to work with people than that's exactly and for better for worse I mean. It's a complex system. I got have to deal deal with With Orthopedic Surgery and so then I've got to communicate to the prostate. Honest the restorative Dennis. I need to take a look like this and being this place I have to communicate with the orthodontist. I need the teas lined up here and the same at the end. You know I could spend all this time doing Josh Surgery. And and then have the restorative dentist get a hold of the case and alter the goals and so that that can be frustrating. Sure so through over. The years learned to communicate really well enjoy communicating working with a process Johnson restorative dentist. Yeah so I think it was a fit because I I. Because of that communication it's or surgery demands and interdisciplinary approach at all times. Honestly maybe more than anything else like. I'm I'm thinking about that. Unlike in you've also a lot of north honest working with it too is that almost always ask. So you've got I mean you're already at least three people working working together and sometimes probably more. That's interesting we're finding in our area that a lot less or searches are doing or thematic or the night of the with a lot of those people are doing the surgery having to look outside of state state boundaries. Are you finding that as well yes. It's it's a difficult surgery to do day in and day out. There's so many ways to do it wrong. I think that's what leads me to my topic. Today I'm talking about temperament joins how they change ENJ- why would a be interested in that. Well I'm interested in it because if you don't respect the joint before surgery during especially during surgery surgery and after surgery it's GonNa buy you know the joints not concrete instead same so if changes on you then now you're chasing your tail. Yeah so hello to protect myself and my results and to get good results keep patients happy. It required understanding the joints. Really well just just as you know. I love NAFF allergy. I love a collusion. I mean I tell you the first day of a clue dental school. I thought it was the worst class on the planet. Yeah more follow Jay's transverse Ridge who cares you know but now that transverse ridges really a deal you know it's important and why why is it important and so those are the kinds of things that over time and maturity and trying to get good results. These are important. Things we talked to to. Jim ECKES IT yesterday. And and and a lot of talk about him was imaging and understanding that joint and he talked about his growth and understanding that joint. So what's what's been your the journey. Yeah as far as understanding the joint to the level that you're right now. Well I think I think the first first thing to realize is the joints are as individuals individuals fingerprints. They respond is complex is a complex system. It's never just one thing that influences the joining and it's never just one thing that the joint influences right so I think it's it's complicated and I think realizing how complicated it is and all the systems that are connected to it is for me intriguing. Exciting to discover those those aspects one again to protect your results but to when you start seeing the interplay between all the systems. That's what I like. I I've always been a generalist like looking the entire systems and seeing how they function worked together. So that's that's the thing I've learned number one that it's very complex to patients very different but three the it's like Sherlock Holmes House and why is the joint look like this. Why is the patient having pain and the answers are not well? I'll be frank. I think the answers answers that we go and try to find in our own literature and Dentistry are rife was trouble yes is why when you bring up. TM J. or at a meeting dental that'll meeting usually involves throwing tomatoes at each other. There's a lot of motion. Yeah and there's there's there's less facts a lot of emotion. Yes and we don't make it easy theon ourselves like in my lecture I talk about my opening statement. Is You know it's it's funny when I find it funny when a patient comes to the office and I say well why are you hear my dentist says that I have. TM J. as well. He's not wrong actually actually have two of them and and then and we don't make it any better because we think we're smart and we said the patient was not Tim j two of them actually. Amd Yeah So. We've changed one letter and we've made it all better now right. But what is temporary versus function. And it's interesting because is not in fact most of the the things that we lump and temporal mandibular dysfunction disorder. have nothing to do with the temperamental. Mueller joined yeah. Yeah but that's how we structure our research so all the articles that are published. Unlike do these people have. TMD that have this problem. What do you mean by TMD? Well we mean the face hurts. It's a pretty broad brush. Yeah and so. How can we function as clinicians? If like will you have this problem so your face must hurt. Well that's why there's so many arguments right because somebody else is going to stand up and says why. See this patient. That has this problem in. Their face. Doesn't hurt so you're wrong. What I find in dentistry is when there's argument and conflict like that? The questions are bad. It's like the literature. The larger can come to a lot of conclusions. But maybe we don't know maybe we're not measuring what we think we're making SAC- yeah that's the point. That's that's across. The I mean that's we talked to. We talked to Lou Berman You Know Endo literature is I mean. He almost can't be contained. Talk and delivers rife with it. That's a dental problem like we really maybe aren't measuring measuring things. We think we're measuring exactly and I don't think it's just dentistry. Obviously I'm sure at the engineering meetings. They probably L. each other a lot too. Yeah I'm sure that's right too but I mean we have human beings on the other and what they bring a lot of confusion because they use words they use their words to tell you what their problem is and if those words words don't Mesh with what we think as dentist one of the common reactions and say well you're crazy especially doing the TMD right. Actually it's assumed you're crazy ever see exactly it's right because they're using words that don't fit our literature. And so we're left as clinicians scratching our head going I. I don't know what you're saying. But I'm hoping that at least through the lecture more discussion that we can listen more it if I can't Dan I mean one of the benefits of having my md was as I got to go into these different rotations. And I did a six week rotation in secretary sure so and I was for those six weeks I was on. What's called the dual diagnosis words? So I was with schizophrenics yeah and those. These schizophrenics a frantic. When they talk to you they don't make any sense to you? They make perfect sense to them. They're all your world is completely logical. Yeah that's right. What's interesting is is? If you spend time trying to figure out their past and their experiences actually the words they use have meaning so it could be this completely foreign language. They're using metaphor to talk to well. Our patients are not crazy is a different language and listen to what they're saying we can actually apply clinical unethical aspects of tm Jay and and make sense of it and then it's much less painful for us. Actually this morning when I got up ahead. Get those random videos on on your facebook feed and somebody had posted interviews with schizophrenic patients from the nineteen fifties and just kind of looking talking at the dark ages of It's interesting that you chronicity isn't Ed facebook's listening dissipating reading reading my mind now but beyond that that's such a great statement to say that Jameson Spencer says all patients and nuts understanding their symptoms. Yeah that's set up so it's funny to to go in this direction but I mean we've talked a lot about communication with a lot of the lot of the Spear Faculty and so clearly. You've had to really work on that yourself. I'm able to to be able to. I mean if you've recognized all the different ways people describe what they're going through and it's I mean that applies to tm Jay but it applies to practice management. And even right so when at least in my in my opinion when when the patient comes shoot you can play it marriage and personal relationships right Lou. Everybody has their story and I to be successful. There has to be empathy. Yeah well for empathy do exist. I have to understand your story. You have to understand my story and eventually it has to become our story. Now it's empathy so to get our story. There has to be a lot of listening also in both directions on the clinician has sit and listen to the patient. Obviously the patient Asian has to listen to the words coming out of our mouths to otherwise. You don't get anywhere so that communication is really really important. There's a story that's being told old and we have to listen and then we have to reflect and say well. This is what I understand and knowing.
"dr mike" Discussed on Rob Has a Podcast
"Please welcome in the great Dr. Mike Sahal ska- what's going on. Hey, rob Dr. Mike view. I'm good until that intro. He's. Gonna cut this, but he changed the intro said I was his favourite doctor, and then he was like really, like Allison, his new doctor. Well, so he changed the injure my not your favorite Dr ho. You're my favorite. You're rollin gist. But yeah, I don't want to get off on the wrong foot with Dr Alison. There's been a lot of doctors. I talked to Dr Shawn from survivor over the summer. I don't want a noise him getting all violent up. Good. Good value makes best podcasting. Yes, I tell you something that actually really riles me up. Sure. Josh Wigger, Josh Witter me off. Why can we talk about him for second? Sure. Quickly office. Okay, Josh, let me tell you something, Josh, you're days on. First one out are done now on. I don't want to listen to you speed dating anymore. I had to listen in order to do this podcast to fully prepare for anything. I listened to like nine hours of Josh dating. So Wendy different people is what I think is going on. So you are one of the first people that you went through the first one out process that you were in the first season of first one out and you sat there and you talk to Josh wiggle, and it's like, hey, I got something special going on with this guy me and me, and this guy Wigley where really vibe in we're really hitting it off and then doctor you listen to all of your season and you feel like, okay, well, maybe him and I had something unique, but then you listen to all of ghost island, and then he's got a great report with everybody. And now again, you and you feel like, hey, I was just another notch on his podcast post. Exactly. Like like I thought he had a trust on Devon. Now I see that crush on Alex. He has the type of the surfer dude that's Josh wig. Type? Yeah, I thought he got along with me. No. Now he has this VO pot guy. Oh, it's so get so angry. You're, you're my Josh. These done now on this, is that if they're being a first one out, I think it needs to be changed I fall. That's right. I. Authors out. Yup, we're going to change it from the wiggle room to the zigal room zigal Rome. Okay. Is he going on? We're going back all and from now on instead of having to wiggle room, we have to be in like the Sesto Nina cesspool. Let's let's let's. Let's get it. Let's get down to business Dr. Mike, and then we'll, we'll go wherever you want to go. I'm currently texting. You. Pose me. ING a Throwdown with Josh Wigley. Like Johnny body slam, king style, inner circle, circle, whatever it is. Just talk about wrestling canvas, be resting podcast. Are you a wrestling fan? I've always been a wrestling fan who wasn't growing up, but you're not a wrestling fan now, so you don't know John Hennigan. I don't know John how to yet. Okay. But at high school graduation, I was z. and we went in reverse order and I had my hands out because that's the macho man. Randy savage is in song and I got in trouble for that. Like he. Do do you know Cogan theme song? Yes, I still do you sing it for me. I could could I could. I Trump it. Okay. Ricki..
"dr mike" Discussed on Rob Has a Podcast
"Really bad all right well let's lear doctor dr mike john tinkham wants to go on your podcast but i'm my podcast i'm talking about survivor only no sex power and money yes will you give away t shirts to people on your podcast that's a popular way to support a podcast you mean like am i going to sell t shirt yes no i'm not going to sell i'm not going to sell t shirts yes even if people listened to the podcast you won't tell them to support your podcasts by buying t shirts no i'm not going to know i would but i do like but honestly jonny fairplay has some really cool t shirts yes and he has some funny every him into this i'm talking about you okay yeah but i do want like a coconut i've never gotten around to buying it only they haven't had the time to literally go on the computer and by the coconut t shirt but like who else is going to make a tshirt with my face on it that's pretty funny we'll joe men be a guest on your podcasts i don't think joe is going to want to be a guest on but why is your friends right can't just because you're a friend of mine doesn't mean you you have what it takes to make it to my podcast and vice versa and vice versa right i mean like i think you know it's true i think joe like every other guy has what takes you know like snow street things but it's a you know what does he have to tell say about tele dill domic's i don't know do you know what that means.
"dr mike" Discussed on Rob Has a Podcast
"Always used as well with my mom dave me which was that he asked a buttering jack free the there exact now she said look the ask out ten hot girls one of them says yes you know what you did in hot girl just put yourself out there and i think steven said that on the first podcast like don't be scared to ask people out he as now worst atamans as they say no but eventually people it'll be the time right place somebody like is going to say yes and then you dating a good you know somebody good for you people feel so much shame about rejection and it's like who cares there's no shame who cares someone says no here's whatever our eyes here all right well dr mike follow dr mike on twitter you're just di mike the hall that's it makes a healthy you know i also said that i'm gonna have my own podcast in rob one you said this coast thing one of the things i'd like to do on my podcast rob is heavy there and call your ex girlfriend's while you're there and ask them what you did wrong quick segment like how was a dating rot like these how do you understand when people always wonder like why it is that you get broken up with like why are you getting broken up with why are you getting dumped wasn't my small penis was a bad embed like i think you have to tackle those things need to do that on the ghost island version of loved though it all so i don't think you'll find you'll be able to find anybody dr my for for me but may be maybe you're different gas you'll be able to contact their axes i'd be horrified of people contacted my axes.
"dr mike" Discussed on Rob Has a Podcast
"But i am i am not okay i don't know what's what what does he i don't know which of those through things he has the replied now i know i've never heard this come on a you kidding okay so you're going to go back to a year's when i run for office my campaign slogans getting to be play with yourself not gowns well what office yeah what what what avas you got my vote dr mike i'm going to take office sure and years you never know coming theo with you not it will help they never find this podcast dr mike that's why you think this could be sure let's go but let's get back to will arrive wrapping this up this is not damaging to me now like now others were were unable tighten our i'll tell you rub test and he now that we talked about your we talked about the flashlight on your podcast yes i got my own birthday pro i mean somebody sent me birthday present in the need to be it live up to your expectations dr mike i have no comment but i'll tell you that we didn't talk to at hot october puskas johnny fairplay said and happy that's not can in it didn't happen on this podcast what somebody sent him a birthday present he applicant on boxing video so like i like what sees a hot octopuslike a flashlight i apparently i think it like for to houston bone i have to pick a boy the boehner i have to pick with with people like men male masturbation is like a comment opic that people just talk about and laugh about right but we've in it's like almost taboo for women to masturbate but like it's not talked about as much.