23: A New Kind of Doctor Patient Relationship with Dr. Nick

08/07/19 • 42 min

Dr. E’s Highway to Health Show: Living Ageless

Get a FREE copy of my Stem Cell Book -> https://dre.show/book

Summary

Dr Nick holds an MD degree and is a board certified primary care physician who practices in Colorado and consults patients via telemedicine throughout the United States.

His view of healthcare and modern doctor-patient relationships is a much needed breath of fresh air for an already stale model of sick-care.

Actionable Steps

Only change as many habits as you feel you can sustain for any given time.
You lose fat in the kitchen and you gain muscle in the gym.
Study how you eat. And most importantly, the motivations behind how you are eating.

Show Notes

[00:03:48] Continuity of care is very important for Dr. Nick as a physician and the reason he went into family medicine.
[00:04:09] Seeing the changes that can be accomplished by patients when they act as a unit with their doctors is only possible when there's trust and a solid relationship between doctor and patient.
[00:04:50] Many Americans use Urgent Care as their primary care and that does not allow for a relationship to be built.
[00:06:14] Dr E believes that patients who trust you as a doctor adhere much better to their treatment plans.
[00:06:47] Dr Nick will not prescribe anything to his patients without them fully understanding the reasoning behind that prescription.
[00:08:02] Encouraging patients to disagree with you as a doctor is a way to ensure buy-in, compliance and adherence to treatments.
[00:09:03] Dr E thinks that as doctors we need to disclose what we think is the best course of action but always leave a door open to discussion with our patients.
[00:09:59] The three conditions to select treatments are:
Ensure that the treatment is proven safe and effective
Incorporate learnings from your own clinical experience and expertise
Consider patient preferences.
[00:10:58] If a patient does not like a course of action, it does not matter how much you insist, they will probably not follow it.
[00:12:43] Without patient buy-in they will not follow the treatment and you will become frustrated and not be able to help them.
[00:13:54] As a physician, it is very important to go where patients are. And that includes social media which is why Dr Nick is so active on Instagram.
[00:14:47] Dr Nick understands that patients will come to his office have searched their symptoms and gotten information from usually unreliable sources.
[00:14:59] Instagram profiles that Dr Nick recommends:

[00:15:22] Although social media followers are not Dr Nick's patients, he feels it is his role to help them from a health, fitness, nutrition and mindset aspects.
[00:16:00] Dr E notes that these doctor influencers not only preach but actually follow the lifestyle they recommend.
[00:17:43] Patients notice when their doctors are clearly not following themselves the advice they give out. And that shatters any notion of trust between them.
[00:19:22] Doctors and health professionals should be health educators first and health "fixers" second.
[00:20:34] Your doctor is not only responsible for your health but for the health of the community.
[00:21:30] Health professionals need to give a better example of ideal health. And we need to be very vocal about it.
[00:22:45] If doctors don't go out and educate the public, any other YouTuber will. Or they will be educated by the ads that food companies put out.
[00:24:00] We live in an obesogenic society according to Dr Nick.
[00:25:27] As consumers, we need to let companies know that they need to start putting out better products. We let them know by not buying the garbage they currently produce.
[00:28:00] Actionable advice
[00:29:58] Being dehydrated can trigger hunger because your body knows that there's water in foods.
[00:31:20] There are several benefits to working out in the gym, but it is not the way to lose excess body fat.
[00:33:47] If your goal is to lose body fat, you do that in the kitchen, not in the gym.
[00:34:06] But you can only increas...

Get a FREE copy of my Stem Cell Book -> https://dre.show/book

Summary

Dr Nick holds an MD degree and is a board certified primary care physician who practices in Colorado and consults patients via telemedicine throughout the United States.

His view of healthcare and modern doctor-patient relationships is a much needed breath of fresh air for an already stale model of sick-care.

Actionable Steps

Only change as many habits as you feel you can sustain for any given time.
You lose fat in the kitchen and you gain muscle in the gym.
Study how you eat. And most importantly, the motivations behind how you are eating.

Show Notes

Previous Episode

22: Surviving My Food Addiction with Emily Boller

Get a FREE copy of my Stem Cell Book -> https://dre.show/book

Summary

Emily Boller is the author of the book "Starved to Obesity" where she tells her story of food addiction from a chubby child to anorexic as a teenager and then becoming obese until age 47 where she decided to put an end to her addiction and turn her life around.

In this episode we discussed why food addictions are so common and often go unrecognized by most of us, the burden they place not only on the addict but on their friends and family. We also discussed how she overcame it and she gives you a few pieces of advice to do the same yourself.

Actionable Steps

Study and learn about the science behind food addiction
Understand the importance of "just one bite".
Getting professional counsel.

Episode Resources

Contact Emily

Books

Note: You should assume that all links clickable are affiliate links.

Show Notes

00:04:21 Emily explains how the more than 100 pounds of weight she lost, she's been able to keep off for over a decade.
00:04:50 Now she can participate in life, unlike before.
00:05:33 How did Emily get to become obese.
00:07:01 Her childhood chubbiness started since she was a newborn.
00:07:48 Emily shares about her upbringing and how sugar was used as a condiment in her home.
00:09:12 Why she started extreme dieting.
00:10:28 Emily became anorexic in high school.
00:11:10 After normalizing her weight and becoming engaged, a seemingly innocent comment triggered her insecurities and spiraled her out of control.
00:11:37 The price of not knowing what an eating disorder was.
00:12:06 Emily explains how unintentional bullying from her husband put her on the path to weight gain.
00:13:59 She shares her inability to manage cravings throughout her life.
00:16:14 Emily talks about all the diets and interventions she tried and how they never seemed to work.
00:17:42 Her life turned around when she started eating for nourishment instead of satiation.
00:21:51 She was finally free from food addiction.
00:22:15 Eleven years later, she had a small setback after lowering her guard during vacation.
00:23:07 Emily describes food addiction like the rip current underneath the waves in the ocean. You don't see it but it can take hold of you easily and won't let you go.
00:24:45 Emily experienced food bullying shortly after losing her 100 pounds.
00:25:10 Emily shares why she thinks people want you to stay overweight.
00:25:53 We discuss why it's so difficult to overcome food addiction. Even more so than other, better known addictions like drug and alcohol abuse.
00:26:51 Emily discovered she was on her own and had to stop caring about what others thought and said about her and her efforts.
00:27:46 Dr. E shares about how he and his wife are raising their son in terms of food choices.
00:29:01 Emily talks about how our society is normalizing food addictions.
00:31:02 Most people are unhealthy, which makes them "normal" and the people who go out of their way to be healthy are seen as "extreme".
00:31:42 Emily's first approach with the man who eventually changed her life.
00:32:47 Emily talks about her realization that she was indeed fighting an addiction.
00:33:08 The moment Emily decided to turn her life around.
00:34:03 How Emily went about changing her diet and lifestyle.
00:34:29 She shares everything else that improved in her life besides her improved appearance.
00:36:16 Emily talks about the prevalence of food addiction and how that affects families everywhere.
00:38:19 Food addicts are constantly living in shame. From themselves and others.
00:38:53 Eating habits start in childhood, and its parents who are respo...

Next Episode

Optimizing Your Stem Cell Treatment

Get this episode's resources

Summary

In this solo episode, I share with you some of the most common questions I've received recently regarding stem cell therapy. Specifically, about what else needs to be done to ensure maximum benefit from stem cell treatments.

Actionable Steps

Understand that stem cell therapy is something that must be done in conjunction with the rest of your treatment plan, not instead of it.
Make sure that you do everything within your reach to improve your current condition before stem cell treatment. So look at improving your nutrition, your physical activity, limiting toxic exposures, etc.
Ensure that you follow through with the recommended guidelines after the stem cell treatment. These include physical therapy, nutritional recommendations, rehabilitation, or even medications if your doctor prescribes them.
For more thorough recommendations, make sure to download this episode's resources here.

Get a FREE copy of my Stem Cell Book -> https://dre.show/book

Show Notes

How do stem cells work?
[00:03:24] How our stem cells work
[00:04:32] The difference between endogenous and exogenous stem cells
[00:05:05] The effect exogenous stem cells have in our bodies
What can be done to improve the outcome of stem cell therapy?
[00:06:16] The number one thing to do before stem cell therapy
[00:06:47] Ensuring that your body is in the best possible state helps ensure a maximum result from stem cell therapy
[00:07:38] Why it is important to control inflammation before stem cell treatments. Example of a patient with autism.
[00:08:16] You just need to do what you can to the best of your abilities.
[00:09:04] It is not about just signing up for stem cell therapy and showing up for an injection.
[00:09:54] Different conditions require different pre-treatment approaches
[00:10:30] If your body's immune system is not in an ideal place, it will not be able to respond to the repair stimuli put out by the exogenous stem cells it received.
[00:12:01] To know what you need to do for your specific condition, ask your doctor during consultation, what to do prior to stem cell treatment.
[00:12:58] You should always pursue stem cell treatment in conjunction with everything else you're planning to do.
What to do after stem cell therapy to ensure maximum benefit?
[00:13:20] What else can I do or what should I be expected to do after treatment?
[00:13:47] The mistake many doctors make that cause their patients to not get proper results.
[00:14:17] Why doctors are neglecting this crucial step.
[00:15:16] Why it is so important to be mindful of aftercare recommendations even if we are experiencing an immediate benefit.
[00:15:52] The difference between an immediate improvement and the regenerative results that stem cells provide long term.
[00:16:33] Rapid decrease in inflammation allows patients to feel good but this is not the complete result of treatment.
[00:17:24] Orthopedic patients still require physical therapy after stem cell therapy to achieve the full potential result.
[00:18:05] Stem cell therapy does not cure anything.
[00:18:58] The most important source of inflammation
[00:19:24] Follow up treatments may be required but they should always be disclosed prior to the initial treatment.
Should stem cell treatments be repeated?
[00:19:51] Do stem cell treatments have to be repeated?
[00:20:03] In sports injuries the objective is for a single treatment to suffice.
[00:20:21] In stem cell therapy for autism, the goal is also to achieve a noticeable improvement after a single treatment. And this improvement is expected to stay for as long as the patient avoids new toxic insults.
[00:20:55] This is different in progressive and degenerative conditions where it is important to emphasize the need for repeat treatments.
How to choose a stem cell provider
[00:21:32] The most important question to ask yourself when choosing a stem cell provider.
[00:22:19] Stem cell therapy is not a solution, it is a tool.
[00:23:13] Chiropractors and midlevels are not qualified to provide stem cell treatments.
[00:24:17] Ensuring patient safety is even more important than treatment efficacy.