Mind Pump: Raw Fitness Truth - 104: Dr. MindPump

Episode Date: June 26, 2015

In this episode, Sal, Adam and Justin interview an emergency room/vascular/general surgeon who will remain anonymous to protect his identity AND his reputation from the otherwise inevitable backlash of revealing the dirty details about being a doctor on MindPump.

Alright, so guys, we're gonna meet, we'll meet early and then we'll go to Adam's show all together. Yeah, let's do it. Alright, alright, that sounds good. Together we will do it. And then Doug, you were saying something about after the show? Yeah, we promise to keep the bundle open, you know, they discounted rate until Adam's show. And guess what, people? His show is coming, it's gonna be gone, and guess what's gonna happen to the bundle.

Why you gotta bring up all this, always gotta be a dick. Whoa, whoa. Hey, hey, there's a lot of people. There's a lot of people. Oh, we gotta put you back on the leash. A lot. Not the leash, but the leather vest leash. Oh, shit.

Listen, people want the bundle, bro. They don't, and if we end it, then they're not, you know what I'm saying? Well, they can still buy the bundle. I'm not good. It'll just be more expensive. Exactly. Oh, hey. So my question to you is, do know what I'm saying? Well, they could still buy the bundle. I'm not gonna- It'll just be more expensive. Exactly. Oh, hey.

So my question to you is, do you want to make more? Real nice. Real nice. Or do you just want to keep, you know, giving it away? I like people getting in shape and getting fit. So why don't you two have, I don't really have a mortgage. Yeah, yeah. What?

So when do you want to end it, Doug? I was thinking next Friday, the 3rd of July You know, look at he cock blocks your dreams right before the force. Yeah, I know. He just Un-American you just shit on America It's called you All right, listen listeners I call me a spinner. I've tried as much as I possibly can. Doug, he's put his foot down. So the promotion will end July 3rd.

That's for all the programs, Maps and Obolic program, the No BS6 pack formula, the Nutrition Survival Guide revised, the Fasting Guide, and access to our forum where you can ask this questions. It's all gonna be on sale until until the third and then that's it. You don't want to miss out. So I want to be that guy get on there and do it.

You can't you don't want to be fat anymore. Do you want to be fat still? How are you going to celebrate America and fireworks? Yeah. Yeah, with a fucking fucking Kig Around your way mind pump radio com click on the yellow button sale is ending soon If you want to pump your body and expand your mind There's only one place to go Might up might up with your hosts

Salda Stefano Adam Schaefer and Justin Andrews Welcome to Mind Pump. This is the show that's all over your business, like a bad case of crabs and herpes and veneria. All up in your business. When's the last time you've been checked, so. Let's see, what year is it? I'm never 50, yeah.

So, Adam's got the home check kits. Yeah. He's got like five of them in his bag. Although I am excited to have a doctor here today. So I'm gonna have I'm gonna have a check. How does street are those home testing kit things, right? Because your neighbor's gonna check it out. Well, that's probably some we should ask our guests, right? Yeah, maybe we can hear what's out. Who do you bring? Well, we got we have a friend of your uncle. Is this your uncle? No, no, it's a friend of mine. We can't get your dad. No, it's a friend of mine. We can't give out his name because he's a, so he's a friend of mine. Is this your uncle? No, this is not your uncle. It's a friend of mine. We can't. Is this your dad? No, it's a friend of mine. We can't give out his name because he's a doctor. He's a real doctor, a surgeon.

And we're going to be asking all kinds of fun questions and not just like the white cook guy that's on the commercial at the end. No, he doesn't play one on TV. All right. No, I just play one on the radio. On the radio. Nice.

So, but we can't, yeah. So we're not going to use his real name or anything. So he could tell us all kinds of cool stuff. So we'll just call on the radio. On the radio. Nice. But we can't, yeah. So we're not going to use this real name or anything. So we can tell us all kinds of cool stuff. So we'll just call them the doc. Doc to feel good. The doc. He's going to make a feel. All right.

So let's see here. Doc, do you got any new stories? So this guy tells me the coolest stories from, like he works, you know, the OR, the emergency. Let's real quick, real quick, before we get into all the good stuff in the stories. Like give us a little background doc. Exactly. Obviously, if you're a surgeon, you know, the OR, the emergency. Nice. Real quick before we get into all the good stuff in the stories, like give us a little background, I'll count, exactly. Obviously, if you're a surgeon,

I'm sure there's different things that you specialize in. How long you been doing it for? Kind of where you went to school, which it was a quick back. Yeah, I'm a, I'm a trauma surgeon, part-time, vascular surgeon, part-time, general surgeon, part-time, trained back east, then came out to San Diego for a vascular fellowship and then lived on Maui

for 10 years, just surfing and practicing medicine and then moved back here and now I'm doing stuff over here. I do trauma and a lot of wound related stuff. He's in the shit. Banged a lot of shit. He's out in Hawaii for sure. For sure. Is that work?

It starts off with the ultimate line. I'm a doctor. You have like a business card or something that just says, Hey, I'm a doctor. Do me. Let's do it. It's got to work, right? Depends, depends on the time.

Oh, come on, be honest. How much acid you got because you're a doctor? How much acid, when you've been sitting at a bar or just a natural conversation and I'm sure you're a closer the way you can talk and. How much has, when you've been sitting at a bar or just a natural conversation and just, and I'm sure you're a closer the way you can talk and tell your smooth already, you probably just let it kind of fumble out on accidently. Accidentally, yes.

Well, I just finished fixing this guy's brain the other day, you know? So one of the best times that I also used to play rugby and I was trying out for the US rugby team in Chicago and it was during the Magic Johnson Larry Bird years and I was watching this basketball tournament at a bar and I was totally riveted and it went into overtime, games over and I look up and this bar that was empty was now filled with all these women and it was a graduating class of nurses and it was I just looked up at the ceiling and said

thank you guys Never made it to the rugby try out it. Yeah, because I mean because Adams got in late at least a hundred times telling people He's a doctor and he's not even really I actually have a real story for that so I do it and a professional athlete So there's a rock star views that one. Yeah, I have I have used the doctor I'll sit tell you guys a little story guys. It's pretty good. I'm gonna call it so do you guys remember I was so have you guys You guys remember when on star first came out? Yeah. So it was right around the same time that I had just bought my Chevy. That was all lifted.

So I had a cool little lifted truck. Justin remembers this truck. Yeah. And it was all, we had good times together. It was all true. It was all tricked out. It was a cool trick. Well, I also had the on star package where you,

if you're not familiar with on star, you can do this premium package where it's almost like having a little secretary because an actual person comes live. I hit my OnStar button, I could be cruising anywhere, and I could ask for hotel reservations, they can order me concert tickets, they can book me anything. Anything you can really think of, they can do that. It's like having a little personal secretary. So when I bought the truck, my buddy told me all this, he says, oh, you've got to definitely set up the OnStar, you'll like it. So I set it up and he says, oh, by the way, when you set it up, my buddy told me all this, he says, oh, you got to definitely set up the on-star. You'll like it.

So I set it up and he says, oh, by the way, when you set it up, you can have them address you however you want. And I go, oh, really? So I get on there, right? The very first day and she goes, oh, hey, how you doing, Mr. Schaefer? I said, hey, is it possible that I could have you guys

address me as Dr. Schaefer, please? And she goes, oh, absolutely, sorry, Dr. I had no idea. I said, no, it's okay. It happens all the time. I said, just go. So she's like, oh, absolutely, sorry, doctor, I had no idea. I said, no, it's okay. It happens all the time. I said, just go. So she's like, so going forward, anytime that I press the on star,

but I would say, oh, bro, anytime. I press the on star when they, it doesn't matter who answers, they answer the same exact way. Every time I say, hello, Dr. Schaefer, what can we do for you today? And so I would, I would totally, you know, be with the girl and I said,

hey, would you want to get somebody to eat? And when I go, she's like, yeah, yeah, well, let's find some good places. I hit on star and it comes on and it comes on. And then right away, the girl and I'd say, hey, what do you want to go get something to eat? And when I go somewhere, she's like, yeah, yeah, well, let's find some good places. I hit on-star and it comes on. It comes on and then right away the girl looks over me, like, what? So I know I got laid out at Times Board. I was a really doctor.

So I know this dude's getting laid all the time for us. So that's awesome. Dude, how often did your friends mess with that person when they're drunk in your shuttle and them around? Well, I wouldn't let my dumb ass friends do that too much because I had had a couple couple times where they got on there and I'm like, yeah, these guys are gonna ruin this shit for me. Yeah, you know what I'm saying?

I'm trying to blow me up, although I did have one time, so I get this girl on there. I'm heading up to a snowboarding retreat and I need a place to stay. I'm decided I'm not gonna make it all the way up. I'm gonna crash last minute, so I hit her up and I'm at, and I could literally tell her, okay, I'm looking for a price range between 100 and $150 in night hotel room, you know, four star, whatever, right?

And so I tell her that and we get on talking and we're like, she's like searching, you can hear her searching, and she's like, killing time talking. And she's like, so what kind of doctor are you? Yeah, I guess you heard the author. So I go, I go, no, this is the on the guy in college. Oh, yes. So she's actually, and so, and me being a smart ass, this is when I first started of college. Yes, so this so she is actually and so and me being a smartass. This is when I first started saying I was a gynecologist.

So I go, oh, I'm a gynecologist and she goes, oh my god, that's so great. I've got this burning sensation. She's like, oh, shit. I do not want to be real. And she goes, I'm just a kid and doctor. I know you get that all the time. I'm like, oh, shit, that could have been really bad. I do not.

So I was real careful about what I said going forward about what kind of doctor I was just like, because I didn't really think about that. I'm like, you know what, I probably don't get to hear a lot of good vagina stories. I get to hear all the bad vagina stories. So I backed pedal on that one. I'm like, yeah, well speaking of that doctor,

I mean, if we can get into some maybe stories of like, yeah, what if people come in with, like when they come in for the ass. Yeah, like the worst things you've seen. The up the ass stories, that's what you're going for. Those are always fun. Okay, so probably the first one I ever had was when I was at University of Vermont, and a guy came in with four flashlight batteries up his butt.

And so the obvious question is, okay, how did this happen? And it's almost like Seinfeld, where they joke around and say, it's a million to one shot. This guy tried to tell us that he had gotten out of the shower and the light in the kitchen went off. And so he climbed up on the kitchen table and was changing the light bulb and fell and landed on all four flashlight batteries.

And that's how I got him up his desk. Guys, I'm not sure. What? That's how he really like described the story of that. Maybe you call bullshit or you just do your job. Oh no, you gotta call bullshit. It's like really, you. You.

You. Bro, I feel bad for if that actually happened though. If he actually fell and he's like, no one's gonna fucking believe me. Yeah. I just fell on all four batteries or all of my ass. Yeah, there was a stacked up on end and you fell. Yeah, there's the perfect shot.

Maybe you could pull your, maybe you could bullshit your way like one somehow accidentally, but four. Okay, Annie Oakley. What do you do? That's why he was so energized. I'm so charged right now. So, but the best one has to be the best one.

The winner that takes them all, well, there are two. One, one guy who came in 36 hours apart from two separate incidents. So he came in, had a dildo stuck up his butt and then went home and 36 hours later was back in the ER with another one. It's like, come on. He didn't let your lesson. But the best of all is the guy who came in and he had a dildo up his butt and then thought that it would be a good idea To fish it out with a coat hanger

And took a coat hanger and put it up there and perforated his coal and I've got I've got the picture of the coat hanger Sticking out and I was and these things don't happen at nine o'clock at night They happen at two in the morning and And it's kind of like, you go in there, you're tired, and you're pissed off, and it's like, at what point in time did it seem like a good idea to you to stick a coat hanger up your butt? Right? How did you not go to the hospital after the,

after they just got stuck up their life? I can do this. I can figure this out. You have how to do it. Okay, McGiver. Yeah. I'm just gonna fish for it for a little bit. That's right.

God, that's crazy. I've heard stories of people getting things stuck in their dick. Oh, McGiver. Right. I'm just gonna fish for it for a little bit. That's right. God, that's crazy. I've heard stories of people getting things stuck in their dick. Oh, dear. I've heard about that before. I've actually read about that kind of thing. Okay, I got one of those for the game. See?

Well, no, this isn't something stuck up, but literally got a guy with a gunshot wound that went into his back. Oh, remember that? And we're looking for the bullet, you know, and looking for an exit wound and could not find it at all and then did the x-ray and literally, you pulled back the foreskin on his penis and the bullet came out of the urethra. Sure.

You talk about being painful. Oh my God. That's a one in a million show. Oh, that's a lot of good aim. Yeah. And when in his back and out is dead, it's almost like dragging rights forever. No shit. What if they never found it. Yeah. And when in his back and out is dead, it's almost like cracking rights forever. No shit.

What if they never found it? He's having sex and like, he goes to orgasm. It's like boom. He feels his girlfriend. Gonna shake it out a nice. Straight up loaded weapon. Now obviously, I'm sure you guys, all you guys probably crack up about this

after these guys leave. Do you have a favorite surgery that you perform that you do? Let's see. Probably, I would say that a favorite surgery that you perform that you do? Let's see. Probably, I would say that my favorite surgery is fixing aneurysms. So that's, you know, somebody gets in a large bit of the abdominally or the reason I think that's my favorite is because you're sort of working against the clock. You know, you put a cross clamp, you cut off the blood flow to the lower half of the body

and you got it so pretty quickly. And so that's kind of an adrenaline rush. Oh wow. So I mean, this is the guy that people call, that other surgeons call when they're in the shit. Like they're in there, they're trying to do something. Oh fuck, I just, yeah. You know, I just cut something, he's bleeding out,

gotta call this doctor up and get him in here. Yeah, you're like the super surgeon that comes in, that takes over. Yeah, I don't know about that, but I've gotten out of my fair share of trouble, so I help other people too. I love it. Yeah, I know this. Okay, but here's the best, the most recent story is the best one.

Okay. So I'm on a trauma shift and, you know, when you're doing trauma, part of it, it's the same thing as doing sports or something. You're in adrenaline junky if you're doing this stuff. You always are constantly worried about not fucking up. That's one of the things that drives you. You get these ring downs in advance and you got to figure out what's coming in and then you sort of play through your mind, the obvious scenarios and what you're going to do based

on what comes in. I'm sitting there and again, none of this stuff happens that's interesting between the hours of like nine in the morning and Nine at night. It's always late at night and we get a call that they're bringing in a guy has been bobbeted and They found him on the side of the road and just Bobbited, okay And there's blood all over the place. And so, yeah. So, you know, when I'm sitting there trying to sort of

paste in back and forth, you get 15 minutes. So the guy's coming in and you're trying to figure out what you're gonna do based on how bad it is and all this stuff. And I've never seen one of these things before. I'm not a urologist, don't ever want to be one. And I'm trying to figure out what the hell I'm gonna do with this thing.

And they wheeled this guy in and guys covered in blood and Pull his pants down and I'm looking and the ER nurses are looking and He has him to bop it. He's just got a really small dick and they Maybe was hoping like by saying, that you guys were like, trans-prided one on your head. Maybe you get an upgrade. Maybe you might tell them to come back and go off. Maybe I'll get a free upgrade.

I swear to God, there was somebody lost there when they just stood on there. There were six more inches on here. I swear to God, I just swear to God. You shoot for our free erector set. So he's like, baby, baby. So talk about adding insult to injury. Wasn't even.

So, so, so, wow. Your nurses actually taught, like if you ever get someone who goes in for surgery, right? You put, they put them out adding insult to injury. Wasn't even. So, so, wow. Do nurses actually talk like, if you ever get someone who goes in for surgery, right, you put, they put them out and they've got like a massive dick. Do they talk about that or the nurses talk about, they'll like, hey, they have to. Sometimes, sometimes, yeah.

When I was in Hawaii, you'd get these Japanese guys and they'd have like these little metal, almost like shotgun balls implanted under the foreskin. I swear to God. Oh, yeah, and you'd look at it and tattoos and stuff, but I mean, these things were, I don't even, they were like shotgun pellets that were pretty good size that were in underneath the skin.

Ribbed for her pleasure. Absolutely. Oh, okay. That's dedication. Yeah. Wow. Jesus Christ. Did it vibrate too?

I mean, shit. You go that far. That's crazy. Get's crazy get it to rotate insane. Yeah, so so what you're would you know I know you pretty well and I know that a lot of times you'll you'll go days without sleeping You know three three days and then you know What's the longest you've ever gone? I think the longest I ever went was in four days I had about three hours of sleep. It was the perfect storm. It was one year right around Christmas and I was doing trauma and then the next day I was on vascular and I got called in that night and I was there all night long. Then

I was doing trauma the next day and I passed out for about four hours and then was up all night long and then another case came in. So in about four days I got four hours of sleep. Wow, what keeps you going? I mean, you have like coffee standbyes, you just adrenaline like what's... It used to be chewin' tobacco a long time ago but I gave that stuff up but just coffee doesn't do too much anymore. Just keep going dude. I've given this guy like crazy super strong pre workout samples I know that have like two servings in them. Yeah, and I'll give it to him and he's like a moon He'll drink the whole thing and then go take a nap That's not really that so I know that in an art industry in the fitness industry

I believe I can't remember where I read this But they ranked us number two. And number one was hospitals for infidelity and like everybody, everybody fucks everybody. Is that true? Is that like, I think it used to be a lot more prevalent when I was doing my residency, the call rooms were, there's a lot going on in the call rooms. Maybe it's because of my age now, but I don't see too much of it going on anymore. And it's a lot different population in the hospitals than it used to be.

I mean, when I was doing my general surgery residency at University of Vermont, that was a twisted place at night. It was pretty funny, but things have calmed down quite a bit now. Really? Yeah. Yeah, I think because they don't train them like they used to, right? No, great. You guys have to go through this shit. Oh, yeah. because they don't train them like they used to, right? No, right now.

I mean, you guys have to go through this shit. Oh, yeah. So when I interviewed for Residencies, I went down to Baylor, and I went down there for an interview, and they'd taken me around and they go, here's the ICU. And he said, you spend three months here in your third year. And I go, oh, that's okay.

What's the call like? He goes, no, you don't understand. You spend three months here during your third year. You're allowed to go out and visit your family during patient visiting hours. We put you in the ICU and you're there for three months straight because we don't want you to miss anything. And when I was there, when I did my residency,

there was a period of three months where I did 36 on 12 off for three months. These days, they don't let them work more than an 80 hour work week. I mean, they have no idea what it's like. So yeah, it's a completely different environment now. It seems to me, and I know what the rationale is, right? They say, oh, we don't wanna overwork or, but it seems to me like in order to work,

you know, to be on call, to work, you know, the emergency room to do the kind of stuff that you do as a surgeon, you gotta kind of weed out the, I hate to say, but you got to weed out the pussy's and make sure that people can, it feels like that to me, right? Like if I'm going in three o'clock in the morning with emergency, I want the dude or the woman who's been through it.

I don't want the person who did their 80 hour, a week thing, you know, it seems that way. It's not only that, but you only have so much time and training to see as much as you can see. And so the idea that that point was, we want you to spend as much time as you can to see as much as you can to get that experience. These guys that come out now, they're not used to working hard and they're not used to working late hours and long hours. And they haven't had the same operative experience as the old guys have. I mean, basically the great old surgeons were all trained during combat time.

You know, the guys in the army, they're still really good in army, Navy, the Marine, the military surgeons are still pretty damn good because they get a lot of experience in at first conditions. Yeah, I see some crazy. Oh yeah, they do. And some of the inner city guys are, you know, sees the same sort of military stuff, but with the residents, you know,

they see some of it, but not nearly as much as the older docs used to see. But now back, back, back when you were training, you know, it seems like back then, surgeons had a little more flexibility to do what they needed to do to get certain things done. I mean, is that true? Because I've heard some stories from you and from other people.

These guys were like kings, man. They had to go in there and make shit happen. And there wasn't a whole lot of... Oh yeah. There wasn't the political correctness there was these days. Those guys, that's the days when the dinosaurs moved the earth. I knew one of the guys who sowed the first aorta graft into a human being and the way he did it,

there was no IRB or FDA or anything. He went up to the guy and said, here's the situation I got this thing I want to try. Are you willing to do it? Guys said, sure, go for it and did it. And that's how things got done Crazy, that's not really so I you know since since your anonymous here I think hopefully you can be as candidate as possibly or what is your take on

Obamacare. How do you feel it sucks? Oh? Let me put it it sucks hard. Yeah, so basically what they've done is a big fat dick. Yeah, I mean basically what they've done is... It's a big fat dick. Yeah, I mean, basically what they've done is offered a bunch of medical plans to people. And I don't know how they're gonna pay for it. I mean, I really don't. Right now, three quarters of those people use the emergency room as their primary care doctor. If they want aspirin and they're sick,

they go to the ER and get aspirin because they know they're not gonna have to pay for it. And now you've taken all these other people and loaded the system down. And the people who do primary care, they can't afford to stay in business seeing people at the rate that they're willing to reimburse them.

So the whole thing is just a scam. And it's not gonna, I don't think it's gonna survive for a long period of time. Right. But I mean, when I go in now, when I go into the ER and I look at what somebody's insurance is, there's all these plans that are sort of have these couch names.

You don't know whether you're getting paid to do something or not getting paid to do something. You just sort of take care of them and see how it shakes out. But it's overloading a system that's already worn down. So, even the dock, okay, so I've obviously heard from our side, you know, I've had a lot of friends and people that have dealt with it have already seen how they've been fucked. So, even the doctors are getting... Oh, we get hosed more than anybody. Just... Oh, yeah. Oh, yeah.

Well, there's many times when they'll go in and do a one-hour procedure plus the appointment beforehand, which is an hour, then the follow-up afterwards, and they'll make less and do a one-hour procedure plus the appointment beforehand, which is an hour, then the follow-up afterwards, and they'll make less than the nurse did during the surgery. Oh yeah, there's no question about it. I mean, there are times never mind that. Just think about this, when if I operate on somebody,

that's my patient until their operative condition is over. So if somebody comes in with a ruptured aneurysm, ruptured aneurysms, 50%ured aneurysms 50% of people will die before they make it to the hospital, of those that make it to the hospital, 50% die on the table. So when they, somebody who makes it through is going to be sicker than shit and going to be on a ventilator forever. I've got to take care of that person day in and day out, field phone calls 24-7. I probably won't get paid five cents on the dollar. Oh, wow.

Yeah. I mean, that stuff happens all the time. Yeah. And then you've got the ridiculous costs of certain things. I mean, he was telling me a story. Well, the guy that was getting transferred to like the faraway hospital and they went and got a helicopter for him. Oh, yeah.

I mean, you would have mind telling a lot about that. Yeah, I can't tell you the specifics of that, but basically one of the big hospital chains in California that want you to thrive. Patients came in. That's the same thing. Yeah, patient came in and he was pretty messed up. Car accident, broken ribs, grade two liver injury, not very stable, and they insisted on sending the patient

to quote unquote their supporting hospital, which happened to be 110 miles away in Vacaville when the patient lives in Santa Cruz as family was gonna have to go back and forth to Vacaville, and they wanted to send him by ambulance. And the family just went nuts for very good reason. And they told the family that if they didn't transfer the patient that they were gonna have to foot the bill

that this certain hospital chain wouldn't pay for it. And finally, at the insistence of the family, they flew the guy by helicopter, which is about a $35,000 transport. Whoa. And the reason why they couldn't move him was because he was a stable, right? He wasn't particularly stable. Yeah, yeah. Wow. Yeah, that's pretty good. That's some crazy. Now does this cause you to think about ever

Delieving or retiring early? Well, it's caused a lot of people to retire early I mean, obviously people have you know families they got a feed and kids they got a support and stuff like that It's not the same thing that it used to be and it's gonna continue to change and get worse. I mean, eventually what's gonna happen is most of the doctors are gonna be come employees of the hospital and the hospital be able to manipulate them and do whatever they want

to make sure that they're making the most amount of money. So that's kind of what's starting to go on now. It's so silly to me because it's like the whole point of somebody like you who buss has asked all those years through school is to not have that shit. That's what everybody else has to deal with. When you make 50 to 60 grand a year, that's the bullshit they all gonna deal with. The whole reason why I go to school for eight to 12 years is to make sure I don't get a deal with that shit. And you're still getting more hurdles you get to jump over in this job than any other in terms of paperwork and stuff like that.

Yeah, it's not what it used to be. So I have another personal question for you. How do you spend your money? What's your, when you work, are you a vacation guy, are you a toy guy, are you a save tilt, save for the rest of your life guy? What do you like? I'm a got divorced and lost 60% of what I had. Oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, oh, So I actually bought a house up there that I thought was a pretty good investment in trying

to fix that up as a vacation rental when I'm not using it. But if I'm not working, I got a bunch of dogs that I play with and go running with and a wife that I like to spend time with and that kind of stuff. And we go up to the mountains and spend time up there. But I'm not a big toy guy. I have my share, but not big ones. Well, I can vouch for that because I've known this guy for about six years and for about five of them,

he drove around a, I was like a 90, what was it? 2001 Nissan Pathfinder. With like a hundred and something thousand miles. I still have it. Yeah, and that's what he drives. Well, no, I drive a Jeep now. Now, yeah, I had the Pathfinder, I still have it. That's my mountain car.

So I can totally vouch for it. I had a question about, like, you've watched all these sort of medical shows on TV and everything. I know my wife is a nurse and she always has something to say about like the procedure they're doing, or they're getting it all wrong. Like what would be like the most irritating thing

that you've seen? Like, I don't watch any of them. Okay, I really don't. I just use the watch. Although I gotta tell you, we are watching TV the other night, and it was, there's some show, you know, you go direct TV

and you can see the channel guide. Okay, so here's what the name of the show was. Sex in the ER clowns. I swear to God. I got a chick too. No question. We both stopped. They're good.

Seem in the ER clowns. I'm all over this. And we watched it. It was a bunch of different shit that was going in the ER. And one of them were these two husband and wife clowns. And they had such vigorous oral sex that she developed pulmonary edema with a pulmonary embolus. And that they couldn't figure out

why she was having chest pain. Again, you can't make this shit up. Well, there are a lot of horns in there. Oh, yeah, yeah, yeah. Oh, but they kept blowing up balloons and giving them to the doctor. I couldn't believe it. Oh, that's great.

Balloon porn. That's ridiculous. What the fuck? You ever see, you ever have any patients that, you know, because we're in the fitness industry, I couldn't believe it. It's great. Balloon porn. That's ridiculous. What the fuck? You ever see, you ever have any patients that, you know, because we're in the fitness industry, you ever see people coming in with, you know, problems due to anabolic steroids or abuse of those types of things? Is that even common or?

I used to see it more. What you'd see is somebody who is young who would need a total hip or something like that from the aceptic necrosis of the hip from doing injections and steroids and stuff like that. You guys know what that is? Yeah, there's this one artery that goes to the, you know, the ball of the hip joint. And if you can develop a thrombosis of that vessel

and then you just the ball of the hip joint basically dies. That's what happened at Bo Jackson and that's pretty much what killed his career. But I don't think that was from steroids, but it was just from a hip fracture, and that's a common thing that can happen with the hip fracture, too. That's pretty wild.

Yeah, that's crazy. That's insane. So, for fun, what do you like to do for fun? Ski. Surf. Surf, yeah. That kind of stuff. Snow or water? Like, snow or water. Snow. Snow. I used to fun? Ski, surf. That kind of stuff. Snow or water?

Snow or water? Snow. I used to water skive. I get out there every once in a while. I have a friend who's got a boat at the Delta and we'll go maybe once a summer, but not much anymore. I have a lot of problems with my shoulders from my rugby days.

And so water skiing at times can be problematic. I get to get my shoulders fixed. But that's something. What was in your room position were you in rugby inside center, okay? Did you play it man? I stood away from the scrum. Yeah, I played seven man rugby played seven man. Yeah, a lot during the summertime Yeah, I played for a team in New York City. Oh nice. That's a rough Yeah, I played a bit it was fun. Did you ever get into a scrum where it turned into a full-out brawl? No, no, I stayed out of the scrum. That was for the crazy guys. Yeah, but I'll tell you what I played and I played in Sun Valley one summer when I was out there and there was a whole ski town league and we used to go to Salt Lake City and

There was this pitch rugby pitch at Salt Lake City where there's like five fields all around and nobody would play the Tongans and there was a whole Tongan league. Oh shit. And the way these guys would play, here's how the game would go. They'd kick the ball off a guy would catch the ball and run until he got tackled, a fight would break out and they'd have a penalty. A penalty is a kick. So the penalty would go, they'd have a penalty kick. He'd kick the ball. The guy would catch it and run until he got tackled and another fight would break out. And that's all they ever did the entire game. And I mean, nobody wanted to play these guys. And so we're sitting on this hillside watching

this. And there's this guy who's kind of wimpy who's sitting at the sort of three tears up on the hill and these big tongue and women sit right in front of them so he can't see and he asked them to move and they turned around and kicked the living shit out of this guy and swear to God. And we're just watching this like, I'm not doing anything. That's not a way you're on your own pal.

I'm talking to him with that. Yeah. Yeah, the first game I played our biggest guy in the team broke his femur. That's it was like what? Oh yeah. Yeah. That was like that set the stage for the entire season for me.

I was like, wow, this is real. Do you do hang out with a lot of other doctors and nurses, do you find yourself? What because you guys work so much together? Do you build a lot of relationships? Are you kind of like Mr. I leave I disconnect completely? I would say more so that there's a couple of people who I'm friendly with,

but I don't socialize with them too much out of the hospital. I sort of just do my own thing. There's a couple of people that I used to hang out with. One of my friends is a, actually, is a retired brain surgeon. And if you put a hundred people up against the wall and said, pick the brain surgeon, this guy would be picked 98 or 99.

I mean, you'd never know he was a brain surgeon. He was a great surgeon too. He had some problems with a cervical disc, and they went to inject him with steroids to decrease the inflammation and he lost the use of his hand and had to retire. Oh, shit. Yeah. So now he's living the good life. He's out sailing in the bay and doing stuff like that.

I asked that because you don't strike me as a normal doctor. So I was wondering if you did hang out with other ones. And it sounds like he would take a unique one for you to hang out with. Yeah, pretty much. Is it, is there a reason for that? Do you find that it's because they're so different and you're not, you're different yourself as a doctor?

I mean, no, I just sort of do my own thing, I think. If I'm in there, some people who I had common interest with and those people I don't mind hanging out with, but that's pretty much it, I think. You've worked on people coming in like gang members with gunshot wounds and shit like that and cops. And how does that, I mean, does that ever get kind of hairy in there when they're coming in?

Or is it just like a normal patient coming in? Or are they like, I mean, does that ever get kind of hairy in there when they're coming in, or is it just, is it just like a normal patient coming in, or are they like, you know, you gotta hold this guy down, you can't leave, or. Well, there's ways to hold them down. So, no, when a gang guy comes in, it's not any real different than anything else. A policeman comes in, that's a whole different set

of priorities. I mean, those guys, you do anything and everything you can a whole different set of priorities. I mean those guys you do anything and everything you can do to take care of them and they're good people and you know a lot of times they're out in harm's way. Now San Jose can be hair ball but it's not like Newark New Jersey which is where I trained. I mean that place is crazy. But the gang guys you know for the most part you just take care of them. A lot of them are whiners. They really are. Oh yeah. And, you know, you talk to them and say, listen, you can either cooperate or if you don't cooperate, you're going to be smoking the white owl and you paralyze them and put an

endotracheal tube down them to control the situation. That's it. You got one shot. That's it. You know, you either cooperate so we can take care of you the best way we know how or if you're gonna give us a hard time That's what we're gonna do for your own safety. That's great. You don't want to fuck with Dr. Mindpump. No, no. Especially the later the later it gets the shorter the leash goes Three in the morning, you say boo, you're right. You see, White Al here comes. Smoke in the White Al. So, I mean, we talked a lot about a lot of the random stuff, but what about, like, I'm sure you've got to have, you know, somebody who you've saved, that's, what's the first

story that comes to mind when you think of somebody that you've, like, saved their life or that, you know, that, you know, or a spouse or someone, what's the first one? Well, one of the, well, so I did my residency, and then I did a vascular fellowship, then I went to Hawaii, and it's my first job. Didn't know anybody on the island, went there just for the adventure of it kind of thing. And about the third week I was there,

they called me because they're, so in Hawaii, they have Korean bars. You know what Korean bars are? They're like hostess bars. They're almost like the Vietnamese coffee shops. You go in and apparently they like rub your leg and make you buy them drinks and stuff like that. And I don't even think too much happens.

Well, there was a guy who was in the ER, they called me because his girlfriend, he was married, but his girlfriend from the Korean bar planted a sashimi knife in his back. And I go and literally go into the ER and look at this guy and he's lying there and there's a knife handle that's like six inches sticking out of his back, dead center, just to the left of the spleen. I mean to the spine, sorry.

And so I go up and talk to him and I said, how you doing? He said, pretty good. And I said, what's going on? He goes, can you get this knife out of my back? And it's like, I don't think we really want to do that right now. And so we moved them to the operating room, put them, because you don't want to take the knife out,

because whatever it's in, it's plugging. And if you pull it out, things can get interesting pretty quickly. So we put them between two OR tables with the knife hanging down, make a big incision and it missed his aorta by about an eighth of an inch and went right through the splinting artery. And so we pulled the knife out. Once we had control of all the blood vessels, nurse went under the table, pulled the knife out and fixed them. So that was one. Wow. That's probably one of the ones that comes to mind. That's crazy. That's when you're only let three weeks in, you said?

I was like three weeks into when I was first out and practice on my own. Oh my God. Yeah. Hello. Here you are. Actually, the first night I got called in. First night I was in Hawaii.

I got called in for a ruptured aneurysm and I was shitting bricks. I mean, I was pacing, I was smoking cigarettes, I was just beside myself. It's like, here I am, this is going to be my first operation. I'm going to box this guy. And I called up my professor and I was just, I was tripping. And he said, don't worry, you're going to do fine. And it turned out it wasn't even really ruptured. It just leaked a little bit so it's not the same sort of thing.

And I operated on the guy and the guy did fine. But that one was the biggest sphincter check I had. I mean, I was, yeah, that was unbelievable. I will never forget that night. Well, it's got to be such a hard job because you do it long enough. You're going to see people die. You're going to see people make it.

And it's almost, I mean, how do you, you know, I've never asked you this, but how do you process that, you know, how do you separate yourself from that? Because, you know, then you go home afterwards, you know, and you just saw some kid, you know, die from some accident or whatever. Yeah, there's been some bad one. That's a hard thing. It doesn't, luckily, it doesn't happen very often, but when it happened. So the guy who I trained with in San Diego, he was one of these guys who could just say, oh well, and he could distance himself from that

and that he had done everything he tried or could do. And then life took its turns. You know, when somebody got messed up, he seemed at least to me to be okay with that. I'm not that way at all. I mean, I go home and it eats at me. It just does for a long time. I mean I've seen there are a couple of them that really got to me. And you just, it takes a while to get over them. I mean it's pretty wild to see somebody who at one

minute is alive and the next minute the life is out of them and watch that change and it's a freaky thing. I mean I'm not good with death. I'll tell you that, I'm scared shitless of death. It's crazy, the profession that you're doing, that's great. That's not good at it at all. And so it weirds me out, it does. It's, are you responsible for telling the family

when someone dies like that? Yeah, and it sucks. Oh, it sucks. Oh yeah. If you had to put a percentage on how many make it, how many get saved, what would you say? It seems like I have maybe, it varies.

I mean, I don't do as much trauma as a lot of the guys do where they see it more often, but I do one or two traumaships a month. But just in general with me, it seems to happen about once a year, I would say. And that's enough. I wouldn't want to do it too much more than that. But there was like a guy who, I'm not going to remember the exact specifics of it, but whatever I remember was, it was some accident while it was at work. And he was going to be celebrating his 30th birthday and two days they had this big party plan for him. And it was more of a crush injury than

anything else, but he was messed up. And he died in the emergency room, and I had to go tell the family who had been planning to getting ready to have this big birthday celebration for his 30th birthday that he was dead. I mean, that is like the worst thing in the world. I always wonder if it changes your perspective on things, being so close to, you know, because I think we all take for granted. We walk around our daily lives, and it's like,

you know, we take everything for granted, it's nothing. But you see how fragile life is all the time. It's got to, I mean, it's got to change a perspective a little bit. It makes you realize that time is short and you got to enjoy every day that you can and just see the big picture, I think. And, you know, so many people that I know are just like, they're the, the, the gerbil on the treadmill just, you know, trying to make enough money to buy another car or do something like that. They work, work, work, work, work, and don't take the time off to enjoy stuff.

And the next thing you know is you're 75 years old and you're in a wheelchair or something like that and times flown. So, I think the Italians have the right attitude where you go for the month of August and just take it off and enjoy life. Yeah. You got to smell the roses. As a vascular surgeon, you obviously work a lot, you know, on your regular patients, a lot of issues with the, obviously the vascular system. What's the number one thing they all have in common that you think is causing them to come to see you?

You know, is it diet? Is it smoking? Is it? I think it's a common. I think, I don't think smoking so much anymore. You see, the older guys who have smoked for years, but most of it is people who are atled on set diabetics from not taking care of themselves and being overweight and that kind of stuff and just not enough exercise and all that kind of stuff. I think that it may be that the number one surgery in the United States

right now is bariatric surgery for morbid obesity instead. You know, it's if it's not number one, it's up there. I think gobladder, maybe number one, but I mean, there are guys making handover fists doing this stuff like you can't believe and it's like, you know what? Stop eating and go out for a run and go work out. And because, you know, they get some improvement with that surgery, but I think long term, they tend to put weight back on. Stretch it right back out. Yeah.

So. I knew someone like that got the surgery, lost 110 pounds, and years later, I ran into her and had gained back like 90. Oh, I've seen. With that little tiny thumbs stomach that's like, I always find ways to create a way to get calories. I swear.

Yeah. Yeah. Well, it's because, I mean, what they do, they staple it down to like, well, they used to do the vertical banded gastroplasty, which is where they would like staple off part of the stomach and then take a mesh thing and put it around there So they create a small stomach

That never I mean that didn't work over time the band would blow out and the thing would stretch up Then they did the lap band, which was a portable thing and I don't think that thing works very well Either now they're doing gastric bypass Where they're basically creating a dumping syndrome where you put a bunch of calories in and it causes people to get all flushed and to have diarrhea or something like that. I mean, I don't know a whole lot about the surgery. I've never had any desire to do any of that stuff.

When the vertical banded gastroplasty first came out, I was a fourth year resident and we had a patient, I'll never forget her, who owned a bakery who was a morbidly obese lady and they did a gastrovertical blended gastroplasty on her and she ended up getting a hole in the back wall of her stomach, pancreatitis and was in the hospital for over a year. And it was like, I have no desire to do this stuff. I'm never going to do it. But there's guys who are making a pretty good living out of doing it and just It's like the temptation for the money reasons. Oh, of course, but it's also like every nobody wants to take Responsibility for themselves these days. They want a quick fix for everything

Rather than maybe having the hard aspect of going out and going for a run and take and dieting or something like that, you know This way they have a quick fix. Yeah, you're one of the few that will still promote that, huh? Yeah. It's crazy though. Yeah, seriously, I have not met a lot of doctors that come out and say that and then promote that. Oh, no, this guy's about, this guy has zero filters.

That's why I wanted to monitor. But yeah, you know, I tell you, if you don't, if you don't deal with the root cause of the food addiction, you remove the food by cutting their stomach and making it super small. They have no more addiction, but they have an addiction still. They just, it's not food anymore,

but they have an issue still. And so a lot of these people become addicted to drugs or sex or depressed because they don't have their drug anymore. And they haven't solved the root cause of the reason why they were eating so much in the first place, because you to keep in mind to get that big you have to eat a lot of food. It's very intentional.

It's not, it's not an accident. I mean, you know, we would have to eat, you know, five, six, seven thousand calories every single day for a long time to be able to do that. So it's not, it's not an accident. Oh, a lot more than that to sustain 400 pounds of mass on you, whether it be all fat or not, you would need more than 5,000 calories. Someone like that's eating 8 to 10,000 calories and not moving. I mean, you literally are.

Yeah, well, I mean, as far as the not moving, think about what that does to the pressure on your joints and just on your heart and everything like that. I mean, it's really sad. But, you know, and I've also seen the counter. I've seen people who were addicted and their new addiction becomes exercise. Have you seen those people? Oh, yeah, yeah.

And they become exact absolute fitness Nazis and just work out like crazy, which I guess is a healthy addiction, but they still have that addiction. It can be unhealthy. Yeah, they still have that addictive behavior. Oh, they say, in my field, what I do, I do men's physique, I compete. They said over 60% of us have eating disorders.

Really? Yeah, the relationship with food start with they're just extreme. One extreme other, you know what I'm saying, we we cut down for a show super, super hard. We deprive and then after a show blow up like crazy, then cut right. We just have control of it, you know, but it's still a disorder, you know. Oh, if you saw the pictures on Instagram, the foods people eat after a show, it's crazy. It's crazy. It's one of the things that it's part of what inspired this whole thing for me is that I wanted to call a lot of that out when I got into the industry a little over three or what, two and a half, three years ago, and started competing.

I was floored by here are all these fitness people that everybody sees on magazines and they look up to and they inspire to be. And it's like they have no idea. And these guys are posting things of them eating all the shit food and all the stuff they're doing after a show. And it's like, what, what are you guys promoting? There's people that struggle with this on a daily basis. You're basically eating. Yeah, you're giving them a green light on to go do some shit like that. And, you know, it's so bad. So yeah so yeah no they say over 60% of of our of our guys have all the likes like the most likes are on the shitty food yeah of course everybody wants to know like oh yeah I get to have that if he looks like that and he gates that

shit I can do that yeah honey buns yeah little daddy yeah it's pretty crazy I just actually for I think it's probably about six weeks now, pretty much a vegetarian diet. My wife who's an incredible shape for her age, she watched some show called VEGICATED, which was all about cruelty to animals, and we've got a bunch of pets, and so she just decided one day that's it. We're not eating meat anymore, and it's like, I've never, I've always sort of taunted, toyed with the idea, and but never have done it, and it's like, I've never, I've always sort of taunt, uh, toyed with the idea and, but never have done it. And it's actually a pretty easy thing to do. And just, you know, go to the farmer's markets, get whole foods and, um, eat that kind of

stuff. And, you know, I've read a bunch of guys like Adrian Foster and a foul player who's done that and says that he feels a lot better. And so I decided to try it. Oh, yeah. That was his big, his big thing. He just came off the best year of his, his career and, and he was, when he switched over to all, all, all the budget. And he, he was down weight. Everything they were all concerned. Oh, you're not eating protein. You're going to be all frail.

You're not going to be able to, and he just, and he had one of his career years. Now, you're not vegan. You're vegetarian. Not vegan. Right. Eating fish, some dairy stuff, eggs, cheese, that sort of stuff, just having eaten any meat. Well, here's a thing, when you go vegetarian or even vegan, if you are smart about it

and you're educated about what you're eating, it's fine. The problem I've seen with people, especially going vegan, is they have no idea what they're doing. And they're like, I'm just going to eat, you know, all non-animal products, and they don't put the right foods together. It's all processed, you know, food that they're eating in and they don't put the right foods together. Processed food that's a really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, really, The other side, the Toe Ferke, whatever it is. Awesome. You stop being mean now you're eating plastic.

Good idea. How we doing on time, Doug? About 47. 47? All right, good. Well, if you guys have any more questions, we can ask them. I think we're definitely have to have them back on for sure. I love it.

Adam's going to get it STD soon. Get out of here. There's got to make him in here. Shot in the fan. Yeah, gonna get it STD soon. Yeah, I got it. There's got to make a big event here. Shot the fan. Yeah, right. Shot the fan. Awesome. When I was a medical student, I got to tell you this from a quick.

I went to medical school in Newark, New Jersey, which is not the nicest community in the world. And I did this rotation in GYN in gynecology at Hackensack Hospital and the guy who I trained with had a cream colored catalog. I swear to God You said the reason why he bought that was gonorrhea paid for it because that's the gonorrhea

Yes, well, is this license plate like Rhea Awesome That is great story Thanks for coming on my math We'll definitely have you back. Right on Doc. Cool. Thank you for listening to Mind Pump. For more information about this show and to get valuable free resources from Sal Adam and Justin, visit us at www.Mind PumpRadio.com.

Until next time, this is Mind Pump. is MindPump.