The Skinny Confidential Him & Her Podcast - Dr. Rahul Jandial On Neurofitness: A Brain Surgeon's Secrets to Boost Performance and Unleash Creativity

Episode Date: March 24, 2020

#256: Today we are joined by Dr. Rahul Jandial, M.D., Ph.D. Dr. Jandial is an American, dual-trained brain surgeon and neuroscientist at City of Hope in Los Angeles, a hospital for cancer treatment designated as a Comprehensive Cancer Center by the National Cancer Institute. He  is an associate professor with expertise in the surgical treatment of cancers of the nervous system. On this episode we are discussing neurofitness. What is neuorfitness? It’s a brain surgeons secrets to boost performance and unleash creativity. We also discuss the human brain, brain surgery, and the science behind how our brains work To connect with Lauryn Evarts click HERE To connect with Michael Bosstick click HERE Read More on The Skinny Confidential HERE For Detailed Show Notes visit TSCPODCAST.COM To Call the Him & Her Hotline call: 1-833-SKINNYS (754-6697) The Episode is brought to you by Uncommon James   Uncommon James is a collection of timeless, effortless and sophisticated jewelry for women on-the-go and created by Kristin Cavallari. Inspired by her wide array of life experiences, travel and exposure to fashion from around the world, Kristin saw the need to create a jewelry brand that is both versatile and affordable for women of all ages and backgrounds.    Visit www.uncommonjames.com and use discount code Skinny20 for 20% off! This episode is brought to you by Sephora At Sephora, we know makeup. It’s been in our DNA since day one. From the contouring trend to Fenty Beauty frenzy to SEPHORiA’s lipstick-packed playground, we bring the very best the makeup world has to offer. Our latest obsession? Clean makeup. When we saw the newest wave of Clean— uncompromising in its glow-giving, pigment-rich, stay-all-day glory—we knew it was the game-changing lineup you’ve all been waiting for. These products read like a highlight reel of beauty innovation, and it just so happens that they’re packed with good-for-you ingredients, too. Sephora doesn’t make exceptions for Clean—this March, we’re raising the expectation on what Clean can be This episode is brought to you by RITUAL Forget everything you thought you knew about vitamins. Ritual is the brand that’s reinventing the experience with 9 essential nutrients women lack the most. If you’re ready to invest in your health, do what I did and go to www.ritual.com/skinny  Your future self will thank you for taking Ritual: Consider it your ‘Lifelong-Health-401k’. Why put anything but clean ingredients (backed by real science) in your body? Produced by Dear Media 

The following podcast is a Dear Media production. products they have so much clean makeup and i'm going to tell you guys a couple of my specific favorites in a second but first you should know if you are shopping at sephora and you want to buy something clean definitely look for like it's like a circle and it's a green stamp and it says clean at sephora basically they have this green clean seal on their stuff in store and online so you can find all your favorite makeup very quickly and very efficiently. I'm very into this. The one that I keep telling you to look at the clean product to check out at Sephora is the Tarte Sea Surfer Curl Mascara. It is the best clean mascara I've ever tried. Let me tell you, this mascara is vegan. It volumizes, it curls, it's sweatproof, it's vitamin

E, it's skinny confidential master list approved and it conditions your lashes it does everything and it's clean and if you're into clean beauty and you want to start sort of dip your toe in i would start with mascara just because it's the closest thing to your eye so that's what i would recommend anyways like i said all their clean products are marked with their clean green seal this seal means formulated without parabens sulfates mineral oils and even formaldehyde you can check them out online and in stores. Get the best in clean makeup at Sephora online and in stores now. Let me know what you got. DM me, slide into my inbox. And with that, let's get back to the show.

She's a lifestyle blogger extraordinaire. Fantastic. And he's a serial entrepreneur. A very smart cookie. And now Lauren Everts and Michael Bostic are bringing you along for the ride. Get ready for some major realness. Welcome to the Skinny Confidential, him and her. Calm is one element. Knowledge is another element, experience is another element, you know, commitment is another element. Having good hands is one component, but it's not the thing that makes you a badass surgeon. A badass surgeon is one that can take you out of unexpected danger. Here we go again, everybody. Happy Tuesday. Welcome back to the Skinny Confidential Him and Her Show. On this episode, we are joined by Dr. Rahul Jandayal to discuss neurofitness. What is neurofitness? It's a brain surgeon's secrets to boost performance and unleash creativity.

We also discuss the human brain, brain surgery, and the science behind how our brains work. A lot of brain going on in this episode. For those of you that are new to the show, my name is Michael Bostic. I am most recently the CEO of the Dear Media Podcast Network and the co-host of this show. And across from me, the creator of the Skinny Confidential. Drum roll, please. We've been cooped up a long time together, quarantined. Lauren Everts. It's been a long time. It's been like, what, seven days, 10 days? I can't keep track of it. It feels like a lifetime, Lauren. I know every single thing about you. You know what's weird is like,

you're going to see what I actually look like, which is like really weird. You know, my nails are chipped. I don't have a spray tan. My brows have not been double tinted in a while. My roots are starting to show. Things are unraveling slowly. I looked over there today and went,

who the hell is that? Yeah, you're going to be like, you might have a whole new girlfriend. I'm running, you know, I would, it's rare that I would say this. I may be running out of things to say to you. And I'm usually a long talker, but we've been here. We've been cooped up a long time. A lot of people have been cooped up. I know everything about you. Like there's nothing else possible to not know. I mean, I've seen every single facet of every single part of you. We're social creatures,

Lauren. We're meant to be out and about and fly. Yeah. It's weird, guys. We feel you. But thank God for podcasts because I've been listening to podcasts this entire time. And I'm trying to use this time to get quiet and go inward. And I'm trying to look at it as an opportunity instead of something negative. So, I'm doing a lot of research. I'm writing a lot. I'm working on things that I've wanted to work on for a long time, but haven't had the time. I'm spending a lot of time with Saza and I'm getting to know my husband, like really getting to know him. We're really quarantined. We're really, we're sticking to the stay home narrative. We're here. All right, guys, we got a really solid show for you today with an amazing guest. It's a subject that we haven't

necessarily touched on. So who is Dr. Rahul Jandhal? Dr. Rahul Jandhal is an American dual-trained brain surgeon and neuroscientist at City of Hope in Los Angeles as a hospital for cancer treatment designated as a comprehensive cancer center by the National Cancer Institute. He's an associate professor with expertise in surgical treatment of cancers of the nervous system. And on this episode, we're talking all about the brain, all about the life as a neuroscientist and surgeon. Guys, this one goes all over the place. It's extremely interesting. Lauren and I were glued to our seats as he was talking to us as we were learning. It's an incredible episode. Hope you enjoy it. With that, Dr. Rahul Jandayal, welcome to the show.

This is the Skinny Confidential, him and her. Okay, so the first thing is, are these headphones okay to put on your head? Because I feel like you're a brain sergeant, you would know. I would know, maybe. And I'm not taking any risk putting these headphones on, and neither is anybody else in your show. Yeah, they're just headphones. The funny thing about that is people ask me, do cell phones cause brain cancer?

And if you look like last 20 years, the rates of brain cancer have not changed, but everybody's got a cell phone. And if you're still worried about it, we're starting to lean more towards texting and having them in our hands and not next to our ears. So it's a non-issue. What are these stories though that I hear about these women that hold their phone in their breasts? Like, they hold it, like, in between their boobs, and then they get breast cancer. That's just not true.

It's just not correlated. It's just total baloney. See, this is why I love having someone that actually is a doctor on the show. Because I want to, I always, every time someone says this stuff to me, like, hey, if you hold your phone, I'm like, there is, I always say there's no data behind this. But I'm, you know, obviously speaking as somebody that's not an expert like you. Yeah, but that's kind of the weird thing now is if you say crazy stuff, there's so many outlets, you'll get the headline.

And there was a thing like the laptops is going to cause problems with your junk and stuff like that. See, she yells at me all the time if my laptop's on her junk. I yell at him if his laptop's on his balls, so I don't have to yell at him about that. Maybe that's foreplay.

That's just warm up. I'll take that off my list. It's a long fucking scroll. I'll take that one about what about like electronics like there's a lot of people ripping their their wiring out of their house and going crazy what about that so that's that's interesting so the concept between that thought so i'll take you back to a story out my three boys were born in san diego and we were buying a house there was one that was cheaper and it was underneath these like heavy wires you know i'm talking about like a giant it looks like a dinosaur with the big wire so when you have electricity it also creates a magnetic field so it's like electromagnetics like you drive with your am radio through certain spots and it gets all staticky so there is a connection between

electricity and magnetic fields and they had a sign if we were going to buy the house that this may have some health effects but you're talking about a monstrous amount of electricity at a distance and even then it's not proven but pulling wires out of your house i don't i haven't seen anything like that i might be wrong i'm just telling you like as of this moment i haven't seen anything like that and i'm in the cancer field i'm a cancer brain surgeon i've got a laboratory we we read about this stuff okay i want to let's speaking about all that let's go way back with you because you know we before we turned on the mics we were we were briefly talking about your background how did you become basically a brain surgeon and and you told me this and correct me if i'm wrong you said you were a security guard in Oakland. This has to be, this is a wild story.

I want to, I want to hear the whole, we want to hear the whole thing. Yeah. Unpack that. Yeah. Unpack. I don't know where to start with that.

Like, so I grew up here in Los Angeles and this is funny. Like I'm sitting here and it's Hollywood Hills. Everybody thinks Hollywood or the industry or whatever you guys call it, the business is Los Angeles. But if there's 20 million people from, let's say the Valley from let's say the valley let's say Ventura to San Clemente to like Inland Empire I would say almost all of them are not part of the business or the industry and so there's this giant world out there from Whittier to Compton to

you know Van Nuys and I grew up in that world I grew up off the 605 91 it's weird like you just know like where you live based on your freeway junction. And I drove through this area. I didn't know anything about this world, but I was starting to look at universities. So then I realized I want to go to a university that's not here because I wanted to get away from LA. In the 80s, things were just tense. There was AIDS was popping up in San Francisco Francisco and there was a lot of gang stuff

in LA. It was just a tense environment. It may still be tense, but that was uniquely tense for me. I just felt like I needed to get out of LA to understand who I was. So I went to Berkeley. I got into Berkeley, luckily, and I didn't even check it out. I just was like, I'm going because it's not here. And what a magical place. I mean, I didn't have to drive. I love driving, but I didn't have to drive. Berkeley, Oakland, San Francisco, you take the BART, completely different vibe. People stare at you. It's not because they want to fight. People are, they were, they would have like smokeouts on Berkeley as a campus and the cops would be like, don't, don't bother them. It was just a different environment. I'm not saying better or worse. I don't judge. I just want to understand.

And when I was there, about a year or two into it, I was like, you know, I'm not going to class. It was semester-based, not quarter. So you like had tests every like two months. So you could not go to class for a month and a half, cram for a test and still bounce out. Sounds like my cup of tea. I know. So it was my cup of tea and I dropped out because I just needed to get my head right I wanted to like bask in in the different environment so I needed a job and I there was a the dormitories are these big cafeterias so I got a job there as a security guard you know it wasn't violent but I had a uniform and a hat it was just a

different thing but the trip was like i was sitting in class with people like chemistry 101 or whatever and everybody's thinking about making big careers and then like two weeks later i'm like you can't take that out of the cafeteria you know it's like totally different role and they would look at me sideways but i never let that like i never got twisted about that i was just like whatever man this is me i don't i don't really care what you think it's none of my business but that's also where I met my wife she's from Guam they don't really have a university so she was one of the students going through there and that's how we met and so she was like I met somebody in America in Los Angeles he's a security guard and her parents weren't judgmental. Her family wasn't. And then

she inspired me to like, look at it differently. And having a year or two being a security guard, I liked it. I was volunteering in San Francisco. I was partying. But I was like, it was losing its buzz. And so I realized I wanted to do something else. And that's when I went back to school. Were you always good in school? Were you a good student? Yeah I was always sort of always lived a double life in Los Angeles like I was hanging out with the kids that were definitely not going to college and but I could just cram and and get the scores. So you're just naturally very very intelligent. Well that's a different thing intelligence I'm more tactical I would be like oh man i would if i memorize these 500 words i can do good on this test and that's what these colleges are looking at it wasn't like i'm i was a learned man and i was i had a photographic memory

i would just i was strategic like they look at grades and they look at scores let me take the easiest classes and get the easiest a's and let me cram for whatever this test is about so i can get to the next step. But it wasn't like, I wasn't the smartest out of the ones going to college. And a lot of the kids that didn't go to college, some of them went to prison, some of them had trouble. When we were, they were smart. I mean, they were, if they had been given the opportunity to go to school or good school or had the gentle pressure from family or society or culture or parents to be like, this is important. They would have exceeded me.

So it was like the first time I started seeing like there's potential inside all of us. And just because you get somewhere, you know, a lot of it is luck and opportunity that you fall into. Not that you, I pulled myself up and I did this. But like not anyone can be a brain surgeon, which is so wild to me. Yeah, but that's different. So then when I went back to school, I got into medical school

and I was not at the top of my class in medical school. I wasn't really trying. Then my wife got pregnant and she was, you know, she is a gynecologist. So it's a gynecologist who do robotic surgery to cut out like cancers in pelvis. I said, she's a gynecologist. And you said, no, she is a gynecologist. So it's a gynecologist who do robotic surgery to cut out like cancers in pelvis. I said she's a gynecologist and you said, no, she's a... Gyne-oncologist.

So they start off with gynecology, then they do three more years of training to cut out cancers of the uterus and cervix and stuff like that. And so we kind of fumbled into this stuff. But when I was in medical school, the first time I liked what I was doing, interestingly enough, when I saw them make an incision on somebody's belly who'd been shot. And we always think of the human body like cadavers, you know, or like those body exhibits. No way, man. Even in the belly, they open it up and it was like slithering snakes of bowel and it was iridescent. And we're just talking about guts.

I mean, I was like, whoa, the liver the liver it was just colorful it was almost artistic and then so i was like oh man it's nice because when you're a surgeon it's you like if you need chemotherapy or somebody needs it's the same bag of chemotherapy in new york as it is here but it's not the same hands operating in new york as it is with me or here right so it's like it's where your hands are your medicine so i was like whoa this is like this i felt ownership you know who also said something similar to this jason diamond dr jason diamond you know him he's a facial surgeon here and he said like he he saw a lot of facial trauma when he studied and he said like a light went off and he's like oh my hands could do it wait you said something though that's so interesting to me you said when you looked at it like michael just said it's artistic you you didn't look at it in a gross way because when i

saw that i'm gonna die well that's the fun okay trauma surgery can be bloody there's blood everywhere because you're rushing but when you do surgery as a scheduled kind of thing you have this like it looks like a fountain pen it looks like, and it's got electricity that shoots. So when you're cutting, you're snipping, you're controlling, it's not supposed to be bloody. And so that means you can see the anatomy. It's a window inside that's not made opaque because it's filled with blood. Actually, you're sloppy if you're just leaving blood all over the place. So when you cut it open, it's not bloody. People think, oh, I'm scared of blood.

No, it's actually, it's like, it's like, you know, it's like opening a fruit basket and get all these different shapes and colors. And that's just the belly. And then later on, I saw like, the heart and different things. So I wanted a general surgery. Since we're on the topic of health, let's talk about ritual. You guys know, I have been a fan of ritual for so long. I take it every single day. I started taking it as a multivitamin and then I got pregnant and switched to the prenatal. So why I'm obsessed with it is because they're so research driven

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I'm scared of cutting anything. I don't care if there's blood or not. If I'm looking at, I'm not looking at this like a bag of fruit. I'm looking at this like, holy shit, somebody's body's open. And the cutting is just the beginning. Like that, that's where I tell people like,

oh, the operation is six hours. The nip tuck, you know, where they show the blade. I used to love that show. But the blade part takes what? 60 seconds. What are you doing inside for the other five hours and 59 minutes or whatever, right? So like- What's the average length of surgery that you perform?

Well, it depends on- In terms of duration. So my operant on Wednesdays is usually two four-hour cases. But sometimes if it's a big case, it could be eight or nine hours. It just depends on what the patient needs. And that's the thing, though, the work inside cannot be imagined if you have not taken a look. I mean, the exact, again, what are you doing for six hours in there? If cutting the skin takes a minute or two what are all the other things and i think that's like where i like i love talking about surgery because i try to get people to imagine the incision is just opening the hood and then you see you go to ferrari dealership or whatever for dealership and they're rebuilding the engine you can imagine that because you've seen it we've looked inside when we were growing up but similarly inside the body and inside the

skull opening the skull takes 20 minutes some the operations four hours what are you doing in there what do you i mean what are you actually doing you're like slithering around valleys and singeing vessels and sucking out tumors and you're there's all this work that is completely like sculpting like whether you got a machete and you're working on a totem pole or you've got an exacto knife and you're doing arts and crafts, there's a lot of physical work in there, and some people are better at it. It's not the same 1,500 steps doing those four.

For example, if you're making a totem pole, you might take fewer whacks to make it wax me to like you know hit to make it take form and so a surgeon that's good messes with the tissue less less picking grabbing less stretching less stabbing the the the less the body notices you the more perky the patient is afterward the less the complication more precision more precision fewer steps and then the patient is the patient does better and that's like that's cool that's the competition i'm in it's like a way for me to be like super competitive but do it in a way that's like cathartic and i feel good because my complication rates my patients do better than

at the other centers across the world. So it is competitive, but it's not me against the patient. It's me. The better I get my patient to do, that's the competition I have at City of Hope where I want to be the best. You're competing with yourself in a way. Yeah. And actually the other surgeons.

I want my patients to know he crash lands the least when he flies to the moon. I still crash land land but less than the other pilots so here's a weird question and maybe you get asked this a lot but i've always wondered this as someone who could never do what you do the first time that you perform brain surgery after college i don't know if you have to go to college all the way or you do it while you're in college how much anxiety do you have what if you fuck that up i know to go to college all the way or you do it while you're in college. How much anxiety do you have? What if you fuck that up? I know that's a trip.

So the way it goes is like this. College is about four years. Medical school is about four years. You got to eat eight just to get your medical degree. But you can't touch a patient just by doing that. Then you got to do residency, which is three to eight more. So you're 16 years out from graduating high school. By the way, you guys, he looks like he's 25 and a model, but go on.

I'll let them Google you. 47 years old. And just hitting my stride, actually. It feels, this is a good age for people who are thinking 47 is old. I'm sort of just feeling it. It's a good thing to mention. So many young people listen to the show, they have things, I don't know what I'm going to do.

I know they're in their 20s. You know, like you said, you're like in your prime now, 47. Yeah. And actually don't be, I'm going to get back to that, prime now 47 yeah and actually don't be i'm gonna get back to that but what you what you're saying but don't be in a rush like rush i tell my kids like rush to like finish and have a job from 21 to 71 oh my god man it's a long time i started i started working at 36 i'm 47 i'm already feeling like man I've been doing this a while. So take time, take pauses, diversify your skill set, launch a little later. That's my advice to my own kids.

But the first time the brain surgery thing. So this is a trip because I had seen. So in medical school, four years of college at Berkeley, six because I took two years off in the middle at USC Medical School. I saw heart surgery is what you expect. Beating muscle. You're like, OK, it's flesh's flesh it's bone it's you go to the butcher shop you've seen those colors before then when they said hey you want to switch over to neurosurgery because they had a spot and they were it was sort of like i didn't apply into it they approached me because i was going into heart surgery then there's i was I was like, well, can I,

you know, well, let me just watch one because I hadn't seen one in medical school. And they like, they made an incision from your sideburn across to your other sideburn, but behind the hairline. So, you know, it's not on your forehead that there's thoughtfulness to the hairline. And they're just like, and they made these like like little holes like you'd make in the wall like pep like pep boys or home depot drills and they and then they took a jigsaw like you know like you would cut out a cardboard like the stucco and they were and they chipped off and they cracked off the just like the forehead with the skin and i was like is i mean is that even something that you're allowed to do and have patients survive and I'm like past

medical school it was that like crazy looking and then you don't see the brain right away the brain is that the beautiful brain that you're imagining from the movies it's covered with a sheath so it's almost like in a little sack like like a parachute material sack and then they lifted it up like with two pickups like little tweezers and then they snipped at it and they they unzipped it with a blade and i looked and it was white no blood just like pearl oh like it's not gray matter it looks like opalescent it was shimmery and white and had these little thin fine blue and red arteries and i was like that's gorgeous i mean just from seeing something in a

museum it was gorgeous it wasn't gray it wasn't bloody it didn't smell and the brain fluid was clear it looked like seven up without the fizz and i was like where where in the body are we it's completely different than anything i had seen and i was like where where in the body are we it's completely different than anything i had seen and i had seen leg surgery pelvic surgery heart surgery lung surgery neck surgery and i was like this is this this is something this is something to have the opportunity to potentially work in to help people i will benefit in being a space that's like whoa a rare fight space right like maybe that's how astronauts feel and then i get to make people better so i can take my competition my competitive nature i can take my fascination with being in a unique space

and then i don't have any guilt with it because i'm trying to get you better mm-hmm so let me let me ask you this. When people need brain surgery, forgive me because it's, again, not my area. Yeah, yeah, yeah. What is the most common thing you see? What's the most common reason people come and need help with the brain? Okay. That actually takes me back to a bit of the story. So when I finished San Diego and I moved up here to City of Hope in 2009. Then I was 35, 36 years old.

And I had written this handbook called 100 Questions and Answers About Head Injury. I like doing stuff for people because I always felt like our world is not good at communicating. It's like, study your butt off, stay in the library all day to get the scores, and then we're going to put you in a hospital

where people are doing drugs, they're're fighting there's crime inside the hospital there's jail wards inside the hospital there's ceos there there's business people there there's homeless people there i always felt like there was a disconnect like we weren't properly trained for a human environment and so i was like writing like book little pamphlets and books you know rest in peace with all respect liam nielsen's wife had that tragic uh snowboarding accident where she fell you know if you snowboard if you hit the wrong edge it slaps you down hard it's an unprotected fall there's no like i put my arm out and then my head hits it's a very it can be tricky i don't know if she's snowboarding or

skiing but so she had a brain hemorrhage that's the number one reason uh when someone hits their head it has a brain hemorrhage most of the the number one reason. So when someone hits their head and has a brain hemorrhage. Most of the brain hemorrhages can be just watched. They're like a bruise. If it doesn't grow too much, the skull doesn't stretch and the brain can handle a little gentle push. But if it continues to grow, it's basically like putting your fist into the brain

because the skull will not give. In the belly, if you had blood in your belly, your abdominal wall would stretch. So your guts are like, it's cool, we're expanding. But the skull doesn't stretch. So if you put blood in there, the brain gets smashed. And that is the number one reason people get brain surgery. Now that's different.

That's just opening the coconut shell. Let it out. You're actually not in the brain. You're on the surface of the brain. And then what we do is when the cancers grow within the brain, they look like strange cauliflowers stuck inside, like a strange cauliflower stuck inside a beautiful flan. And then you dissect a bit of the brain,

and you get to it, and it feels different. It looks different. And then you don't just grab at it. And like other cancers, you don't take a normal cuff around it. It's weird. You go like an egg. You go right into the middle. You core it out and then you collapse the shell onto itself.

You don't want to bother the brain. And then you find out which corridors you can actually, parts of the brain you can go through and you wake up fine. Other parts of the brain you go through and they're injured. That's brain surgery. Which valleys and which corners can we slither in to get to the disease, get out, get out of town smooth and slick, and then the patient wakes up. That's brain surgery. Of course it's brain surgery to remove the skull wakes up that's brain surgery not just of course it's brain surgery to remove the skull but that's what we do with cancer so let me ask you this so

with a brain hemorrhage how common is it people just don't know they're hemorrhaging hold up we're going to take a quick break to talk about uncommon james so you guys have probably seen uncommon james all over the show very cavalieri it's founded and creatively directed by television personality and fashion entrepreneur and mom goals k Kristen Cavallari. She basically has the storyline. That's a collection of this timeless, effortless, and sophisticated jewelry for the woman on the go. I am personally very much about the seashell earrings. I talked about them on the last episode, but I also want to tell you about another pair of earrings that I've been wearing. You've seen them on my Instagram stories and they're kind of like these like little coins.

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And you are like good to go. Throw in a candle. Have some fun. And with that, let's get back into the show. Well, I'm assuming that's a good question. I bet everybody pops a little bit and they have a bruise inside their brain and you don't feel it. And a lot of people heal. But these days with all the scans, every time you got a headache, every time you get in a car crash,

they're getting those scans in the emergency room so we're seeing little ones most of them don't need surgery the ones that grow are the ones that are growing fast we jump in open the skull and let let it drain out and put the skull i always tell people when they hit their head if they feel like they like they should just go get a check doctor you never know we know a couple people in our life that you always tell people that are you a brain surgeon that's good advice though i look at you teasing i'm not a brain surgeon but i mean they should but you know and now no yeah and like i think there's a lot of people that just don't know they're hemorrhaging they end up they end up going the other way yeah there's some tragic cases what does it take to be a really really damn good brain surgeon like it does it take a steady hand like what are give us like all the like tools that you need in your toolbox i'm assuming first you have to look at it as a fruit basket and

beautiful flan like that has to be the first priority you have to like find it beautiful yeah but i'll send you some pictures there's some like there's stuff like well i'll pass the fuck out that's funny no but brain they got like stuff about like brain art and stuff and i'll send you stuff you'll be like okay that looks pretty who are the? So you ever see that movie Hurt Locker? Yep. And the guy's completely like, he's just got a lot of issues. But he has this unique thing where he can diffuse bombs better than everybody else. He's calm as hell in the situation. Whatever it is, it's like he's calm. Calm is one element.

Knowledge is another element. Experience is another element. You know, commitment is another element. Having good hands is one component but it's not the thing that makes you a badass surgeon a badass surgeon is one that can take you out of unexpected danger they're better they're better okay perfect because i i mean i was going to get too deep on that not einstein but captain sully on the hudson i literally was just going to get too deep on that. Not Einstein, but Captain Sully on the Hudson. I literally was just going to ask you, are you Captain Sully?

I met him and I was like, this dude should be president, man. This dude is just. It's like you can land the plane calm. Well, but whatever he did, right? He flew for a while. He had just like that elusive, you can't capture it. Let's take a hundred people. Stoic.

Yeah, stoic is one of them but even if you freak out if you pull it off like i don't know how what what is a two-minute drill in football some of these quarterbacks are so good at throwing but under pressure two minutes games on the line some are better some who don't actually have the better arm and what what captain sully did was interesting to me really helped me understand was i saw him at ktla because after liam neilson's wife passed away they actually asked me to come on and that's been my like local gig i go every tuesday morning actually went this morning but i met him there and and it was interesting that when we talked about it you don't know you have that skill unless you

try and it's not the smartest ones it's not the smartest ones. It's not the show-offs. It's something you realize when you're put under pressure over and over again. Like, I want that guy to operate on my mom because the last 10 times the case kind of got out of control or you hit rough weather. Man, they did better in his hands or her hands than the other people. And so you have to be put to the test. And so steady hands is one of them. Knowledge is one of them. But that elusive, why if we both of us are given 100 airplanes to crash land, you pull off 90 and I only pull off 60.

Why did that happen? It can't be taught. It's not in a textbook. That's why I love being a surgeon. Like it's a physical performance. We work in a operating theater, right? It's a performance. And sometimes we joke, it's like, you don't want, you don't want to be, you don't want a smart surgeon. You want a capable surgeon. You know, there was a, my dad was a like part-time pilot for a while and he,

he had some training and the guy that trained him was a my dad was a like part-time pilot for a while and he he had some training and the guy that trained him was a he was an old like he was an old pilot and he said like whenever there's a problem up in the air and you got to figure out like instead of freaking out and trying to make a quick decision he's like take off your watch and start winding it like take that time as you're winding your watch and just think and be calm and like i feel like it's those guys that have the experience being in some shit like they you know the guys that freak out and like they can have all the training in the world but when shit hits the fan and then once people are put under that stress certain people show that they're remarkable and it cannot be computed it's not writing prescriptions

it's not making programs and software it is a physical performance so i always wonder about this like i have um this surgeon came on that did my boob job dr barrett shout out to him and he he is like amazing with how he his precision like everything what if like you have a bad day or what if you worked out too hard or what if your wife just bitched at you like what what if you have what if your parents just died i asked him this question like how do you go into surgery and operate on someone's brain and compartmentalize that? Yeah.

So I don't, I don't, I'm not a guy that judges or diminishes. I just like, I'm in my space. I'm hitting my stride. The interesting thing about plastic surgery is you get to see and have an opinion on the success. But none of our, whether you're here or at USC or Cedars, when we put the skull cap on and we see you afterwards, you have no idea. What the hell went on.

What the hell went on. Whoa. And that's, so it becomes a real private club of people who operate inside skulls and hearts. Even the heart, you can tell like, oh wait, you know, I'm not having chest pain. Even knees, you can tell like Dr. Josefina does the knee repair and 98% say they feel better and down the street 96. With brain surgery, it's hard because you wake up and it's like, am I thinking right? Am I moving right?

It's a very fuzzy space that only other neurosurgeons can evaluate. So what I would say is for brain surgery, you want to ask the anesthesiologists that are in the room like, hey, but you guys can't get to them, which is a weird structure. But like, hey, man, or what's going on and who's good? in the room like hey but you guys can't get to them which is weird structure but like hey man or what's going on and who's who's good they would know but with plastic surgery it's interesting the results are for you to uh collectively evaluate and with operating inside cavities the result is private and sometimes can be mispresented to the patients and the patients can't always tell and the thing about plastic surgery like no no hate at all but i like surgery

where where it's dangerous because it brings something out of me it brings a focus out in me so if i have a bad day or whatever it's actually strangely like like my meditation my golf my yoga it's like oh thank god i get to go to the operating room and shut everything out because this thing is going to get me just so jacked up and focused it's like when you drive fast you're actually sometimes well i'm not encouraging people to drive fast i'm just sharing my thoughts when you drive fast you are you have this like weird focus i think so robert it Robert Redford who mentioned that? It's like, what do you like? He's like movement and speed. So a little bit of driving,

a bit of attention to something else can actually calm the mind. So stuff like this takes you out of what could be a bad day. Yeah, exactly. Perfectly said. So the bad day, the stress, that's my escape. And I'm not sure that's true for all surgeons because here's the weird thing.

When you go into surgical training and they've never seen you operate so if you took a thousand quarterbacks without seeing them throw and you would put all of them in a game and i think that's where surgical training should say look you got to take videos you got to show your performance if you're averaged and you got to do stuff that's not dangerous and if you are talented then we're going to put you in higher risk stuff. There's like the flight simulators they would have for pilots and astronauts. We don't have that. So it's a strange world that I'm trying to explain. For me, the training was so rigorous when I was in my 20s, 40 hour shifts, easy. Come in Monday morning, 4 a.m. Leave Tuesday night, 7 p.m.

Put in a full day on Wednesday. Do it again Thursday morning, come back Friday. So the bad day, bad mood, you kind of learn, you're kind of, I'm not saying that's the way I want it to be now. If that's going to, if, you know, maybe you shouldn't be operating, doing dangerous cases if having a bad day or he's gonna rattle you if yeah if she's gonna rattle yeah if i come in somebody's upset about their wife since then you're gonna be all right i'm gonna freak the fuck out you know what do you do if you operate on someone and it doesn't go your way i can't imagine every single case is is like a win-win 100 yeah that's a good question that's proper that's what i was mentioning earlier

is that at some point you have to say if you if you try to go to the moon some of the flights won't make it or there'll be there will be issues and then so you then then that really messes with you like i took a long time trying to be like man this i was especially with the kids like children's children's brain surgery there was a couple that i have stuck with me have you know no question is ptsd they just but i try to channel that into positivity but so then that's where it comes in where you have to in some way say to yourself they need this they can this the risk can never go to zero but you in your hands it's the closest to zero compared to other people in town or other countries.

And you start taking pride in being able to do things that others can't. Your hands are like a medicine that others can't get to. And that's, so you take, you start to, you have to, you have to realize you're going to hurt some people, but you're hurting them less than then if they went into other hands in other cities. And so like next week, I'm going to hurt some people, but you're hurting them less than then if they went into other hands in other cities. And so like next week, I'm going to Bogota, Colombia, and we're going to, my buddy and I, we do children's brain surgery down there. And so I need that to keep

my mind fresh because this city, I love it. It's my town. But I need to see that too, to see the ones that don't do well. It was just sort of this strange fate that it wasn't something it's never an oops moment it's just some there's a certain percentage of complications you can't get it below that if you if you fix 100 ferraris two got to come back to the shop what what kind of emotional toll does that take in the beginning used to take a lot you know kids you know then i you know i had some complication with kids and No matter how tough you are, when you see a kid who can't move their legs and they came in moving their legs and you're the one that said you have some issues and to protect you in the future, this treatment, it happens to be surgery, but this

treatment will give you a better life, a longer life, a fuller life. And the next day they can't move their legs, you're not doing it. I don if you're not if you're okay with that then you should get out of you know you got to you had the pain so how do you cope with that i don't know the pain is the motivator to get better the the nightmares about the people that you wish you could have done better for is the motivation to get better and then a decade later, you see what others do. And then you start to understand. Again, it's not an oops moment thing. It's just you can't get certain complications down to zero

if you're doing dangerous things. You can fly to San Francisco and expect not to get in an airplane crash. But you can't expect to go to the moon and land all 100. And then you start to understand, like, okay, the 10 that crashed en route, was that an oops moment? Or was, no, you were, everything, you were flowing, but the meteor hit or something happened. It's just an inherent risk to a dangerous, dangerous project. You know, who's articulate like you about this is um and he passed away but the guy that wrote breath becomes air he was a surgeon that got cancer and his wife actually has been

speaking at schools and stuff like that wow oh i'd love to get her on the podcast that was a great book i would like to know for anyone out there who's listening if there's any symptoms that you recommend that people should go to a doctor if they're feeling in their head like is it a headache or you know a bruise or like is there something like really weird that people wouldn't think is related to the brain where their hand shakes like yeah why should someone see a doctor okay that's that's actually that's a really good question because the things that are dangerous are also the things that are super common. A headache. 99.9% of headaches tell me you have a brain tumor. And so here's what I would say.

I'll say three things. If you go bottom up. If your leg hurts and there's shooting pain, that's one thing. But if you're trying to tell your foot to move or your leg to move and it doesn't listen to you, you got to go to the doctor. And in those situations, it usually doesn't hurt. So after the Super Bowl, we get a lot of people like, my leg hasn't been moving for a day. It's not hurting, doc, but it hasn't been moving for a day. Now, you get a one-day window for us to fix that.

So not being able to move a hand or an arm or a leg without pain pain brings you in but don't ignore my legs not listening or my foot's not you're saying go in right away because you have oh yeah you have a small you got to go in before the super pull ends because those nerves if we don't open them up within like 24 hours you've lost that for good so then so so that's called so if you have weakness without pain it's still a big deal don't don't think like well it's not hurting so it's okay the other thing is your speech like strangely like the brain is super global it's not like the creativity lives here and fashion lives here all that all that stuff i read it's just just not true so we've done a

poor job of explaining it and making it appealing but interestingly language is on the left side has this unique neighborhood right here and that's why we do awake brain surgery to figure out like where everybody's address is for speech awake brain surgery yeah like the person's awake yeah that's a trip too i wrote about that in the book the book, but that's been going on for 50 years. Yeah. Now, so if you can't get the words out and you can't get them out or you're having trouble with language

or your face is droopy, and it won't hurt, that could be a stroke. That's one. And the last thing is headaches. They hurt. How do you figure out if a headache's dangerous? I don't have a simple answer for that.

But what I tell my patients is, if you have a headache and you do the usual things and it goes away, you have an espresso or you take your Advil or whatever and it goes away, that's okay. If you have a headache and that doesn't work and then the headache persists and it grows and it grows progressive. Then you're going to go in. That one is the one you want to pay attention to if your usual maneuvers handle it that one you can ignore but if it's growing and your usual tricks aren't working with it then that's something you want to get checked what about like a uh this is not to minimize this but like a bad hangover you know because

sometimes you do things but it just grows and grows that because maybe like you're you're dehydrated like more you drank too much whiskey last night i'm asking this selfishly this is not for your audience this is for yourself you drank too much whiskey last night your wife's pregnant and can't because those can progressively get worse as you're awake i mean he's not gonna operate on you if you have a bad headache because you've been drinking what's the best thing to do if you've been like for the brain if you get bad drinking yeah yeah water water for sure because dehydration is a part of it and something with like salt in it and stuff like that like so my buddies their go-to thing is menudo they get the soup and it's got like garbanzo beans and like we just went on the tangent but yeah okay i want to talk about your book neurofitness i want to i want to because there's a lot of there's a lot of young people

here i was liking the tangent by the way well it was okay so listen i have this show for a reason i got to sit down with smart guys like you and solve my own problems you know okay so your new book a brain surgeon's secrets to boost performance and unleash creativity there's a lot of people high performers listening to the show a lot of creative people let's dive into it what are some what are some tangible things and steps that they can take to boost creativity and performance yeah so the ones that have been working well particularly london so just just to go on another tangent but tangent away from ktla i got on this random fox show fox prime time it was called superhuman and the shot at cbs radford i was like, whoa. And I didn't have an agent at that time.

They just called me at work and I was like, oh, yeah, there must be another nursing home. I got to go check out a patient. Then my executive assistant was like, no, it's on. I don't think there's a nursing home. And I met with Indemol and they gave me this great opportunity and I was on a cast. And it was one season. But then your world here, they noticed like, who gets on a primetime show without an agent? This dude is random, right?

Through them, I connected with WME Literary, which is just those, you know, the guy out there, Mel Burgers, he's just been so much fun. I know you don't think of literary as fun, but this dude is fun. He's been in it 40 years. It came up from the mailroom. I know you don't think of literary as fun, but this dude is fun. He's been in it 40 years. It came up from the mailroom. I had this idea. He did the magic of auction.

I mean, the whole world was just, I don't even know it. He drove it. And then somebody bought it from Venetia Butterfield from Penguin in London in UK. And she put a different title on it just changed the like album cover changed the title changed the cover art everything and i became a bestseller in london and what was it that what was the message that people connected with so much over there she put the word storytelling on the on the cover my opinion so this one the one you're looking at it feels more like get at the airport and self-help. And that's good, too. But she put new stories of the mind.

People are like, I want to hear stories. Because you don't want to be, you don't want Wikipedia. You want to learn. You're hanging. You're telling stories. And you're growing. And you're learning. And that's each of these chapters starts with like a gnarly story.

Oh, actually, that I wrote for Vice. So I wrote a gnarly story for Vice called i said i wrote for vice so i wrote a gnarly story for vice called the first time i let someone die because people are like you know sometimes you make the decision that letting you die is the best thing people they love that title the first time i let someone die that led to this that led to that that hold on you have to unpack that really quick the first time i let someone die you wrote an article about that when you say let someone die what do you mean meaning they had a injury to the reptilian brain if the brain is a mushroom the stalk that that is underneath the canopy all those ridges you see if you get an injury there there's no there's no way to come back and you have to explain that to the family to say this one

there are no miracles god that's going to be a brutal conversation that was 27 yeah that so i wrote that like okay that's different not you know because everything is like oh you're saving lives saving you the complexity of our gig has not been revealed yet and so that would that that got traction and so back to the book over there it's called life lessons from a brain surgeon new stories and science of the mind every chapter starts off with a vice piece essentially just like a raw four pages and the chapters that have done well because you wanted to talk about the book were our sleep and creativity let's just riff on creativity for a little bit because this is the one that's really stolen my heart because

you know these tumors that grow in the brain in different ways they're not like squares inside of a circle like I mean I mean, they're wrapping around. It's three dimensional, like unimaginably. And so what are the ways to be created? So there are the ways that are illegal, that microdosing, psychedelics and stuff like that. And the way that works is think of it this way. You your brain is only three pounds, but it sucks up 20 percent of your fuel. I mean, it's just like an energy hog. So by design in its own way, it wants to form freeways to get to work, put the kids to bed. In

your mind, these pathways, these circuits, these like swarm of birds is the way I like to think of it. They get into these habits, how to get through the day without using parts of the brain they don't need to it wants to be efficient because it's an energy hog right so it's always going down the freeways in its mind when you take psychedelics you shatter all the freeways and it's only roads and so you'll have a lot of crazy thoughts but you'll also have a lot of thoughts you wouldn't have had if you're just checking your emails and that sort of thing that's the concept behind it's not putting you in like a habitual path right a rut like you if you ski or snowboard there's a mountain but there's all these lanes that everybody goes down psychedelics will take you down through the trees that's not good or bad

i'm not trying to say do them or not do them you're just saying that with like it opens what's somewhat limiting you um is there like a it's like well limit is it is uh is that the right way to say like a limiter or is it just well it takes you to thoughts you would not have in the brain's pursuit to be efficient, to tie your shoelaces and get you home and check your email. And you might get good ideas. You might get bad ideas, but that's where that psychedelic thing comes. But we are all wildly creative in our dreams. I mean, we're all tripping.

Yeah. When we dream, right? So there, that there's a built-in process for that. And then, soin process for that. And then so how to access that? I freaked myself out the other day. I really freaked myself out. I was dreaming.

This is another tangent. You know, they talk about this mucus plug that pops out when the baby. And I woke up and I was like, yo, did your spark plug come out here? And I was like, I don't know what the hell I was thinking. Anyways, sorry. Let's get going. I wish you guys could see the look between the two of you. Well, because you're talking about like, I don't know what i was tripping on in that dream but obviously something so so back so then you go to dreams right so the concept of psychedelics

are built in so this is for like the people who are trying to enhance creativity like if you're thinking like what does this dude know about creativity well if if you saw what we do with three-dimensional work you'd understand we're sculptors. So we're wildly creative in our dreams. Can that be accessed? Can that be put to use? And then I started reading about all this stuff. So Salvador Dali, wildly creative, used to write about the portal to his dreams was where he put in work. And then I was like, oh's pretty that's pretty cool and then Thomas Edison used to like do this thing where he'd have be on like uh like just the back of a chair and he'd have a notepad and like

when he was falling asleep he would write down what he was thinking at that right at that moment right and that's the basis of Inception that movie with those famous actors I can't remember their names Christopher Nolan Leonardo DiCaprio yeah yeah and and the other guy that I like actually Tom Hardy he's got he's got he's got good energy they had that thing where they had they fall backwards to pop them out of it that's from Thomas Edison's like trick to lean on a chair when he's falling he'll startle himself and so what they were what that what that is is there's to asleep that you are like partly dreaming but awake enough to write it down and so that transition is also when you go from having slept to waking up they're actually technical names for it hypnagogic and hypnopompic and if you if you put these like electrodes on

your skull like you you know people understand you put electrodes on your chest you can measure like the heart rate and stuff well electrodes on your skull stickers can measure electricity and there's their flow states it's aurora borealis it's not a computer swarm of birds you know and these there are these flow states there's typically one that you have when you're awake and there's typically one where you have when you're awake. And there's typically one where you have when you're sleeping. And so all the way from Edison to Dali to Inception, there's like a 15 minute window when you're drifting off to sleep where you actually have those both of those waves. And so there's a biological basis that you may have more creative thoughts if you think about things as you fall asleep.

And there's a caveat. And then think about them again when you wake up so the ritual for me is i got like my phone with the the notes app is ready or the google docs and it can't be when you're exhausted so you have to protect time to be creative right you can't be creative like when you're exhausted triple espresso exhausted hungover you're not things aren going to be popping then. So what I do is I dedicate a day or two of the week where I know I don't have to wake up as early. And I'll take the puzzle in my mind that's been like, damn, I've been working on this for a while. This tumor, this thought, this scientific thought. And I'll read about it on a dedicated night and drift off sleeping about it and sort of imagine me running it in my mind in that in

that dream factory in that psychedelic state that we have without the dangers of drugs and now i wake up i'll take some notes and does it work no not all the time of course not otherwise we'd all be wildly creative but i find that's where i get my good ideas in that in that process in that ritual so that's one way to enhance your creativity i call this when my husband goes cerebral uh he does i like i allow him space to go cerebral i can tell when he needs to go inward and just like i get stuck in there he gets stuck in his brain and i say oh you're going cerebral that's good living though man that's because i need time i need to like and it's not you know you know sometimes i'll just like kind of go into it. I just need time to think.

And so those windows are there. And then you're like, okay, so I would say that's one safe non-drug way to consider changing the way you do your creative process. The other question I get from people, which I love is, I mean, like this sounds like an over promise. So can we all be more creative? This is a really like passionate concept for me. And the way to think about it is this. The frontal lobes, those things behind our forehead that other animals don't have, they are so in command. They're like the air traffic controller.

And what they're doing is they're tamping down our wild side. Because you have to. You have to drop the kids off. You have to get to work, right? You've got to be efficient in getting the daily tasks done. So the windows falling into sleep and coming out of sleep is one way. But it was this fascinating thing that when you damage the frontal lobes, not on purpose, that's not some strange experiment, but in Alzheimer's clinics and institutes, nobody wants Alzheimer's.

I'm not going there, but you can learn about yourself from the ways in which other people's brains deteriorate. When you injure, in Alzheimer's, there's some of, some people have this dramatic increase in the ability to paint. Like they have shown art and then like 20 years later, it's just better. And so the concept behind that is, and then sometimes people say, well, alcohol, a lot of writers used to drink. If you can learn to have your executive functions of the frontal lobe,

take a back seat for a while, we all have the potential to be more creative. Kids' frontal lobes are the potential to be more creative. Kids' frontal lobes are not developed. They're creative. Alzheimer's patients' frontal lobes are starting to be damaged. They can display some increase in creativity. We know some people have been hit with lightning and all of a sudden something magical has happened. Savants, right right so there is this latent wild creative side that is in our core brain that that is that should be tamped down otherwise we'd just be walking around like we're all on acid so to get things done the frontal lobes really developed and let us live life but they also now get in the way of us accessing those visceral mind, which is where creativity

comes from. Are psychedelics bad for your brain? You know, I mean, I went to Berkeley and some people used to trip hard and they ended up having a lot of psychosis and issues and stuff like that. And I know Silicon Valley, which is weird, like computer people doing microdosing. I don't get that. I always thought of creativity as more of writing, graphic graphic arts you know sculpting but psychedelics are illegal but they're also oh that's here's here's a side riff too they're being tested at cancer centers in new

york i also think they're don't they testing for people with ptsd too yep yeah and some of the tests and molly or x i mean we used to call it e but e ecstasy molly was a marriage counseling drug and it's not a true just a psychedelic but the ones they're testing on cancer patients extremely powerful concept that that mushrooms shrooms whatever you want to call them that they help people help this is i just this is the complexity of the the brain that is rarely shared, that cancer patients sometimes struggle with the fact that they have grown something inside them that is eating them alive, right?

That's what cancer is. You don't get infected with it. You grew it. And it hurts to think about that. And you just feel sometimes. And so they call this an existential crisis. So in America, in New York, there are clinical trials at hospitals that are looking at Ken Shrooms in a controlled environment with a doctor to help patients be more at ease, mind ease, with the fact that they have cancer. And to me, that's amazing because that starts to talk about the wow of the brain, not this is where creativity lives and this is where fashion lives and this is where your brain lights up when you look at Brad Pitt.

You know, like that stuff is like, I think it's a disservice to us to misguide us about this complex universe inside our skulls and so like what do you mean they're using like beote or shrooms to help cancer patients be at you know be at peace with the fact that they have a terminal cancer right like that that kind of complexity is a story i want to tell about the brain that is interesting yeah right oh wow so who do you think would benefit from your book is Is it anyone? Is it someone that's looking to get in the medical field? No, it's not for people getting in. That's a fair question. I'm glad you said that. No, it's for anybody that wants to see themselves in a new light.

That's what I would say is, for example, there's stuff about creativity that you've probably never read before because that was my goal. Like, dude, I i'm not gonna just go and see what others have written and go on wikipedia and put it in a pretty package like i did a deep dive there's this like nature neuroscience journal and i was flipping through stuff from 50 years ago to now and there's references to like like i said salvador dali and edison so there's creativity there's sleep there's smart drugs stupid drugs and smart drugs, stupid drugs. And it's just a straight up presentation, but it's done in storytelling.

And I'm not telling you what to do. I'm just trying to show you there's things I know about our brains that we haven't read in the media or in the papers and books. And you might see yourself in a different light well if i need brain surgery i'm gonna call you i think you're my guy i think you're i think you're my solely i appreciate that you need a different doctor yeah i need a different doctor hopefully just as important as hopefully like tomorrow i need a different doctor where can everyone find you stalk you get your book you know, I work at City of Hope Cancer Center.

That's who I am. That's who I am. Well, it's not who I am. I'm a dad of three teenage boys, husband. My mom's living with me. We got a new puppy. Like, that's me. It's not on the resume.

But what I do, my profession, my career, and what's most important to me is I'm a cancer surgeon. And actually, that's even more important to me than a neurosurgeon. People trip out like, oh, brain surgeon, brain. Okay. But to me, I'm a cancer surgeon. And I like thinking about the fact that I've cut cancers out of thousands of people. to me that's actually more identity forming than the rarefied air of neurosurgery because there's some neurosurgeons that were just like uh they're not you know they're kind of i'm not they're not all impressive they seem like a pretty down-to-earth dude yeah the cancer surgery thing is the is the deep thing and then so i actually will tell people i'm a cancer doctor and they said what kind of cancer surgeon what kind of cancer of the brain so i'd rather start with i'm like i try to help people with cancer and then work too

so but i've been i've been enjoying my uh instagram account lately which is i put creative stuff on there pretty stuff non-gross stuff and that's at dr john deal but there's nothing i'm trying to sell i have privilege of being highly paid my wife is employed so i could just quit and do whatever i want my kids are strong they've come through puberty and adolescence and all of that nicely so the things i'm doing with you right like right now i feel like is my next the next chapter in my life is to have people see uh our world the cancer doctor world also in a new light what's important man i mean listen we've done this will be 250 of these things is the first time we've ever had a conversation like this and

so it just goes to show you like how many people don't start don't talk about this and how many people that should yeah i appreciate that a lot what you're doing is amazing i think everyone should go follow you on instagram as long as i don't faint it's not going to be stuff that i'm going to faint over no it's like it's beautiful stuff it's like art and there's like trees and different things to show people that like the way you're you got 90 billion neurons and what some of them are shaped like just like trees like the concept can you imagine the branching in a giant tree is also similar to the branching inside your brain on the tiniest little neuron and the way lightning bolts are and rivers come down mountains is the way arteries are like there's this connection between we are we are

atomic dust so it's like you know i mean it's all like lithium can help you with by being bipolar and it's also like on a meteorite so we i'm just trying to let people know like we we are this this earth it's not like us on this earth and And that's why it's trippy like that. But there's no gory stuff. What you do is very niche. It's very interesting. Thank you so much for coming on. That was one of my favorite episodes.

Where can everybody find the book? If they're interested? Just Amazon. Okay, cool. Thank you. Come back anytime. Thank you, brother. Appreciate it.

Good luck with the most important thing happening in your life. Yeah, yeah. Any day now. Thank you. Guys, wait. Don't go make sure you've rated and reviewed the skinny confidential him and her show on itunes because every week we do a giveaway this week we're giving away the cutest new tsc pop socket it's like three hearts all stuck together and says tsc it's on my phone right now you will love it all you

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