RESOURCES
- Visit Dr. Padda’s website PainMD.tv
- Visit Dr. Padda’s website ReverseDiabetesMD.com
- Visit Dr. Padda on YouTube @paddainstitute
- Visit Dr. Padda on LinkedIn
- Watch this episode on YouTube
- Listen to this episode on iTunes
TIMESTAMPS
00:53 Introduce Dr. Gurpreet Padda and this show
03:27 What is the difference between sedation used in minor procedures and surgical anesthesia
05:25 How do you avoid getting patients addicted to pain medications?
07:40 The rat study that demonstrated addiction is related to loneliness
08:37 What is Hedonic Substitution?
11:50 How much cheaper and how available is fentanyl?
17:40 What is metabolic inflammation?
22:20 What events led to making cereals popular for breakfast?
24:57 How did Seventh Day Adventists play a role in making cereal popular?
25:35 Who is John Harvey Kellogg?
28:54 If you wanted to control the population, what diet would you recommend for them?
29:57 Why is the African American population vitamin D deficient?
31:00 What are the problems with telemedicine and how is it limiting?
38:10 What is Chardi Kala?
39:20 How can you change your nutrition merely by changing your thoughts?
41:30 What percentage of the US population is healthy?
43:46 Should we get all vaccines, some, or none?
51:47 What is the difference between fasting and time restricted nutrition
58:05 What is artificial or advanced general intelligence (AGI)?
TRANSCRIPT
What it is is that addiction itself fundamentally is a loneliness problem associated with neuroinflammation. And if even if you have exposure to the drug it doesn’t mean you’re gonna go use the drug. If you don’t have some internal craving that’s demanding it because you’re missing something else.
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…I’m doctor Michael Haley, In this recorded podcast I met with doctor Gurpreet Padda from the Padda Institute Center for Interventional…pain management. The pain management industry has a stigma on it because of all the bad players that are in that industry. Many pain management centers truly are places people go to to lie about their symptoms to get prescription pain medications, and some of the pain management clinics are just fine with that because they still get paid. Doctor Padda approached pain from the perspective of healing the patient’s metabolic conditions, so they wouldn’t need pain medications forever…One hundred percent of his patients get counseled in nutrition. If you are suffering from chronic pain my hope is that this discussion gives you hope for healing from your condition and possibly some insight to the cause of your pain. Enjoy…
it just so happened that science was the thing that I loved and I liked helping people And so I ended up in medical school and and I and I excelled there I ended up in surgery, at Cook County in Chicago, loved it. But then I decided that…I wanted to do more than just mechanical stuff. And I wanted to like do things with…brain I wanted to do things with people’s behavior. I wanted to do things with chemistry. And so anesthesia was a procedural world but it dealt with reanimation. It dealt with putting people in the suspended state of being and then bringing them back. And it was fascinating for me So I did anesthesia, and then I did pediatric anesthesia, and then I ended up in the world of pain management because I was treating a lot of pediatric patients for cancer pain. and then I ended up in pain And then from there, as I learn more about it I realized that pain is more than just an injury It has to do with metabolic issues It has to do with obesity It has to do with diabetes has to do with neuro cognition. So I ended up dealing with a lot of diabetes and ended up getting a board certification in obesity and also a board certification in addiction. because the other side of treating people with pain medicine potentially is the risk for addiction. And so I wanted to understand that. so it started off in surgery anesthesia…interventional pain. Addiction and obesity And that’s where I’m at now. Okay. I am curious when you were in surgery keeping people out so they’re not experiencing the surgery They’re sleeping during it. How out are they Do they ever have a conversation with you No They’re they’re well I mean certainly you can do max sedation. Which is a sedation concept…and you’re not actually turning off their brain But when you’re doing cardiac surgery on them or you’re doing a liver transplant, you literally will monitor their brain waves and put them to a point, where they essentially have no brain functions. you have anesthetized…their receptors such to the point where there’s no electrical activity of substance. And it’s reversible. and so as it wears off they will start to get cognition again. that does not mean…that we understand consciousness though Consciousness is a different concept, but it just means that they’re not gonna have recollection and they’re not going to form a memory…and the hippocampus is not gonna be working so that they will retain that information. So for all intensive purposes their unconscious and lack memory of the time period when they’re under general. But that does not mean it’s a guarantee. But the vast majority of patients Yeah Okay And that’s different than say a colonoscopy if you were doing anesthesia for colonoscopy, Yeah Then you’re doing a sedation and the patient can talk to you and they probably won’t recollect much, but they can they can recollect. Memory is an interesting thing they will recollect to a degree but not perfectly…Yeah. Okay Interesting. I am curious about how this translates now to pain management…And…your experience in pain management, you know the pain management does have kind of a stigma because of some of the bad players in the industry. And the addictions that have…well, ruined lives. There’s medications that will destroy people and they get very addicted to it How do you avoid that in pain management? I would approach it from a slightly different angle and I totally agree with everything you’ve said. But I think that in order to understand what addiction is, the fundamental basis of addiction is not purely the exposure of the drug to the animal. Now I’ll give you an example of a study that was done. And so there are two studies done side by side. The first study is they took a large number of rats and they put them in a cage. And in the cage they on one side they had morphine water, And then the other side they had regular water, and they left them in the cage And actually what it was was one or two rats in a cage. And so large cage, and one side had morphine water One side had regular water, and they had access to food They put the rats in there and the rats tried the water tried the morphine water, said hey that morphine water…makes us feel good…And they kept drinking the morphine water till they died. And they were addicted. And on that basis, Nixon said to himself when we had the Vietnam War he said you know, we have a lot of service members that are using opium, heroin…in Vietnam, And if we repatriate them, nearly thirty percent of our members in the services are exposed to this heroin, If they come back to the United States we’re gonna have zombies walking around the streets, and this is gonna be a problem…and that was what actually delayed the closure of the war because they didn’t know what they were gonna do Eventually they repatriated these people. And lo and behold, the…abuse rate for heroin and for substances…was no different in that population…than it was in the general population. So the people that were thirty to forty percent using dropped down to three to five percent using without doing any counseling without doing anything. So that posited an interesting question. You know why is it that in Vietnam, they’re abusing drugs and dying and they come to the United States and they’re not dying What’s going on here So another study was done on these rats. Now what they did was they took a large glass cage. And they put…things in there that the rats could play with They put a bunch of other rats in there that they could also play with. And they enriched the environment. And now the rats had all kinds of stuff they could do, and they gave them the option of morphine or regular water. The rat rats tried both, and they went and drank the regular water and played with their friends and they didn’t consumed the morphine. And nobody died. So hold on. They still had exposure to the morphine but nobody died So what’s going on here? What it is is that addiction itself fundamentally is a loneliness problem associated with neuroinflammation. And if even if you have exposure to the drug it doesn’t mean you’re gonna go use the drug. If you don’t have some internal craving that’s demanding it because you’re missing something else. and that’s why it’s called hedonic substitution. You’re substituting one hedonic drive for another This is why people will substitute methamphetamine for cocaine, for heroin, for fentanyl. And they’ll substitute it for food because sometimes they just wanna eat as much as they can to get the same dopamine release. So yeah, certainly pain medicine…exposure…can increase the risk of addiction. But true addiction is a loneliness problem and you have to get to that to treat it Now…if you look statistically, the people that were overdosing and dying…even the ones that we thought that were overdosing and dying on prescription medicine…Almost always they had multiple other substances…It’s just how people code the death that made it look like they were all dying off of prescriptions. When in fact they already had alcohol…valium, and half dozen other substances in their body and the prescription medicine. That doesn’t mean that the prescription medicine didn’t contribute. But it does mean…that these people were seeking out some sort of additional…stimulant. Now right now…in the United States, we have a rampant…number of deaths per year over a hundred thousand. And in fact they’ve gone down slightly this year but just by about three to five thousand. But eighty five percent of those deaths plus are fentanyl. Nobody’s prescribing fentanyl. And these kids that are dying were never exposed to prescription narcotics. they never had a prescription narcotic in their whole lives. Certainly some people had exposure to prescription narcotics that are a little bit older. But the the kids that are dying today they’re not dying because somebody gave them three twenty five percocet. They’re dying because they had a fundamental psychiatric issue with incredible loneliness and and issues with with behavior and other things and they’re using that hedonic stimulation to get to it. And it just happens also. The other thing is a financial issue It used to be the prescription was so cheap that that was cheaper and more guaranteed than getting heroin which was an injectable. And now fentanyl is so cheap that the prescription is expensive. And so humans by incentive will go to the the lowest cost to them to get a equivalent…substance use or an equivalent food People will go to the lowest cost per calorie lowest cost per pleasure lowest cost for x y z It’s just the nature of human beings. it’s incentive driven And so they’re using fentanyl because it’s so cheap and it takes almost nothing. And to get a prescription of Percocet is gonna cost you a hundred bucks or sixty bucks And you can get twenty units a fentanyl for less than twenty bucks. So why would you spend extra? Yeah. You know the the study that you mentioned is absolutely fascinating that shows that the rats that had fulfillment, had…satisfaction in life…went to the normal water I think that is…amazing and really does make it clear why people are having addictions that makes complete sense. You mentioned that people would take the cheaper alternative with fentanyl because, well that’s a lot cheaper You know twenty percent of the cost. Then the prescription percocet is Not even twenty percent Probably two percent of the cost Oh boy. How available is it the answer is obvious with the risk but I’d love to know a little bit from your perspective, of how inconsistent things are on the street. So…the availability of it is high. I actually did a a white paper on this ten years ago Twelve years ago. I sent it to the Department of Justice twelve years ago I said hey, Our emerging threat is bioterrorism. We’re gonna be hit with a fentanyl revolution, and fentanyl is a potent drug that we use in anesthesia as an agent to stop pain, but somebody’s gonna start producing it. I even wrote this up put it out formally, And I said you know what’s gonna happen is people will aerosolize it and they will distribute it And you can make fentanyl bombs and a fentanyl bomb could kill a hundred thousand people. If you aerosolized a fentanyl bomb you’re in deep deep deep trouble. And it’s a weapon of mass destruction. It’s that it should be regulated as that And but the problem is it’s gonna be so cheap to manufacture…and so easy to manufacture that a high school kid or a junior high kid could make half a kilo of it which would kill most of New York, if they aerosolized it So we need to consider fentanyl a weapon of mass destruction potentially. If it’s in the wrong hands It’s worse than…you could get as many people with that as you could…with with an anthrax outbreak. I mean with a small you know it it’s ridiculous because it takes almost no volume It’s the particle size is so tiny And fentanyl is not the only substance. We have carfentanyl we have alfentanil. We’ve got…all kinds into tazines. We’ve got other drugs that are even, like to kill somebody, it would be less than…it would be like five grains of dust It would be less than a grain of sand. And you could kill like four or five people with it, with a grain of sand So it’s a tiny tiny dose that’s easily hidden. And it’s easy to transport and to bring it over by drones. And you know it takes a lot of volume to bring cocaine over and it takes a gigantic amount of volume to bring marijuana over, but it takes almost nothing to to bring over fentanyl And then you cut it with something in the United States and then you distribute it The problem is that the people that are doing the cutting don’t know their chemistry, and they can’t figure out their grams from their micrograms. And so that’s why you end up killing people because they don’t dilute it right. and they shouldn’t be doing it in the first place but that’s the issue That’s why we’re seeing inadvertent overdosing. That’s why kids are dying is because they think historically oh I bought some Percocet pills, and that’s what I bought and that’s what I’m a use These people are making Percocet pills look exactly like regular percocet. and they’re up charging it like it would be percocet but it turns out to be fentanyl In fact I’d tell you over eighty five percent of the fake of the prescriptions that we’re seeing that are pill prescriptions that are fake…are indistinguishable, and eighty five percent of them contain fentanyl Even the Xanax that’s on the black market contains fentanyl. There’s certainly other drugs in there like xylazine and a few others. but that’s that’s a major issue. And it’s easy to get It doesn’t take any difficulty at all. Use FedEx and UPS to bring it over and the dogs can’t really sense it They can’t smell it. That’s scary stuff. What kind of conditions are you helping people with You mentioned…well I don’t know how obesity ties in with pain management other than it was inflammatory…condition I believe you mentioned. Yeah So, pain management…historically what we’ve done is we certainly use some prescriptions…pain management does not use high dose prescriptions. And here’s why. If you…give somebody a high dose chronic narcotic…They stop their own production of endorphins. The endorphin system in your body turns off pain for your body. If I give you a substitute of drug, you stop producing endorphins, and you’re actually in worse pain than you started with. So high dose drug doesn’t work if you if I if I give you a high dose drug long term. Now the better question is, Let’s pretend for a second that you got mauled by a bear. When you get mauled by a bear the first thing you feel is the pain. And then your body produces a bunch of endorphins so that it turns off the pain itself…and it gives you a bunch of adrenaline…so you get away or fight the bear. And then long term you’re going to have some pain to make you not move so that your body can heal…but eventually your body says hey, I gotta heal and I gotta turn off this pain cycle so that I can survive and forage and hunt. And eat food. So…if I instead give you a narcotic from the outside and I stop your endorphin production, you’re not actually going to heal. And so you never want to give somebody so much narcotic that it turns off their pain for a long period of time That’s why we use very small doses…intermittently as they need for severe pain And most of what we do in interventional pain is try to get to the root cause of their pain. Is it because they have a cut nerve Is it because they have a damaged joint Is it because they’ve got a torn ligament Is it because they’ve got a bulging disc you get to that and you try to treat that But then you have to ask another question. And that is how did they get there in the first place? What caused because they didn’t get eaten by a bear You know we don’t have bears running around anymore. And so what’s what made them get there? Well you’ll turn out that the vast majority of patients ninety nine percent have metabolic inflammation underneath this. What’s metabolic inflammation driven by It’s a combination of cytokines, which are produced by fat called leptin. leptin tells your body you’re full but when you’re overweight you produce excess of leptin and leptin is one of the most potent inflammatory cytokines we have, which then causes white cell migration and it causes triggering…of an inflammatory cascade over your whole body. at the same time you start to lose sleep, and when you lose restorative sleep you lose growth hormone production and you lose testosterone. And so you end up in this terrible vicious cycle of metabolic inflammation…hypogonadism…sleep disturbance, and inability to heal. And that’s what triggers your pain in the first place and things aren’t growing like they’re supposed to They’re not healing In fact we can identify these patients eight years before they have osteoarthritis by blood biomarkers. So eight years before we know which patients are going to end up with complications, and these are metabolic inflammatory markers…So even if I fix the physical illness that we’re dealing with now a torn disc at L4 or L5 or a bulging disc even when I fix that mechanically, a chunk of these patients are still gonna have pain So I have to fix their metabolic issue. Also to prevent this from recurring and to maintain them long term. And hence that’s how obesity works in
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How do we fix that How do we fix the obesity? The too many leptins. You fix the obesity It it’s directly proportional to fat mass and viscerogenic obesity. even if you’re skinny, you may have sarcopenic loss and high visceral fat. And and what you do is you measure something called LPR lipoprotein insulin resistance. And you measure a few other biomarkers and that tells you their fat masses. That tells you their metabolic inflammatory status and you reverse that. And it’s essentially…driven primarily by dietary intake. it it’s combination of vegetable oil and hyper process food and carbohydrates. Okay So treatment is with diet not medicine? Yeah…it’s a combination of dietary intake…and neuro behavioral cognitive behavioral therapy and restructuring our relationship with food. And breaking our relationship…with agriculture and big pharma. you have to break that because people have been misinformed. They think that the best meal of the day is breakfast. that’s a marketing campaign That has nothing to do with science. The best meal of the day is breakfast for the cereal companies who wanna sell you food for the rest of the day so you eat every two hours…And so, you know we wanna go back and eat like our great grandmothers did We need to go back and eat like we historically ate which is about two meals a day and no snacks. I mean the snack food industry is a capital play. That has nothing to do with health. all you’re doing is maintaining high insulin levels continuously, which then drives viscerogenic obesity. Yeah It was a long time ago but I do remember watching TV in the mornings and seeing all the cereal commercials and start your day with this And you know we were seeing wheaties and cheerios and all these commercials on TV, encouraging us to have a bowl of their, this bowl is equal to twelve bowls of that. Yeah And we are being brainwashed. And the cereal companies I mean there there’s a reason for that. Most of them I don’t know how political I can get, but I’ll tell you what my issue is. with a lot of the cereal companies. It’s driven by an agenda…to encourage…a vegetarian, lifestyle. That that’s the essence of it because a vegetarian lifestyle is a lifestyle that is more sustainable for mass production. And more easily regulated. it comes back to…the hyper processing of food and the dust bowl in the desert southwest. So at one point, the US had a terrible drought. So these are the origins of this. there’s two origins that are of relevant One is the dust bowl. And At one point we had this terrible dust bowl in the desert southwest…and…farmers were dying. People were dying because they were dying of malnutrition. And we could not support them So we decided that we needed to take food from the northeast of the United States and send it down to the southwest…This was the beginning of food subsidies by the way We said we’re gonna pay the farmers in the northeast to produce the food We’re gonna hyper process it so it’s stable in rail cars. And we’re gonna send it down to the southwest where we’re gonna keep our population alive. Well why were we interested in that? Well the US was facing a calamity…They didn’t know if they were gonna survive because we were worried about wars. And at that point, nearly half of the people that were trying to be recruited into the military couldn’t get recruited because they were malnourished. Half. And so that meant that we reduced the number of people that could fight for the US. And so we had to maintain…viable people population of males that were strong. And we thought that if we did this we could give them enough food…and it would maintain them. So the origin of processed foods and the origin of food subsidies starts there And then it expands from there because that’s how politics works. Unfortunately we’ve gotten to the other side of it. And now we have the malnutrition of excess. We’re subsidizing food for people that are already overweight that are not malnourished They have too much. And now we keep giving them hyperrefined food and vegetable oil and sugar and it’s only making them worse In fact, the number one cause of disability during Gulf War…was not because somebody got hit by an IED. It was because they became diabetic or they had metabolic inflammation or they had a wound infection related to their metabolic health. That’s why they were repatriated. So that’s issue one that’s the origin of processed food. The second issue which is more nefarious…is that…there’s a church It’s called the seventh day Adventist They’re amazing people. their original mission was to reduce the violence…domestically…that men were having against women. And the seventh day adventist…was run by a woman, and she noticed…that men that beat their wives, beat their girlfriends beat other women, they seem to drink a lot and they seem to eat a lot of meat. And so in her head she said you know if we can get them to stop eating meat it might help And that’s the origin of vegetarianism. There was a kid named John Harvey Kellogg…that was their typesetter He was an orphan adopted by the seventh day adventist church He was a typesetter He put the bibles together, and they would stamp out those bibles. He grew up became a doctor, was on the northeast coast…became a psychiatrist…was running an insane asylum. And he noticed that there’s a lot of violence in the insane asylum And there was a lot of aggressive…behavior including masturbation amongst his people that he was taken care And he remembered…that if you feed them grain and a vegetarian diet it will calm them down, hence the beginning of cheerios. Kellogg’s cereal. And so he fed them grain, and it made them overweight, made them diabetic, and impotent, and it kept him calm and sedentary. And so now that was the origin of cereal companies. that’s how the seventh day adventists ended up having a ton of impact on cereal companies. and through that through the nutritional associations, Nestle and the others they’ve promulgated that through the whole world. one of the things that you…said was that, they looked at meat consumption and associated it with with violence. And…I do wonder if that is because of hormones in meat or if it’s because…possibly people are…having good hormone levels which makes them aggressive but they just don’t know how to, contain their aggressive behavior we have to be strong men, capable of violence, but peaceful people You know we’re we’re made to be…protectors…and capable, strong. But I wonder if some of that’s misdirected. And possibly the vegetarian diet is taking away…our manliness…and making us weaker than we’re actually supposed to be I’m not at all suggesting…men should be violent but I do think they should be capable of violence. Yeah And I think that they missed the point of the alcohol. So the thing was it was meat and alcohol. And alcohol is vegetarian. And they miss that completely. So it it’s not the vegetarian concept…It’s the alcohol. It was the it was the stimulant effect of the alcohol initially and then the subsequent depressant effect…that really led to the violence. And and that was the issue that was completely missed initially. and we know that in populations…of patients that…as we substitute out their grains and we substitute out their phytates and oxalates and all of the phytic acids and the vegetables, and we put them on…unprocessed food That doesn’t mean unheated It just means less processed not not hyper processed…their brains are better We know that they have less metabolic inflammation We know they have less neuro inflammation. Their ADHD levels go down They’re calmer, And yes their their testosterone levels are higher They do have the capacity for…physical activity. If I wanted to make a sedentary population, and not have a lot of opposition to my thoughts. I’d make everybody vegetarian. And I’d give them free subsidies and then give them free food and let them eat to their hearts content And I’d keep them in their house and lock them up and give them delivery. Yeah And keep them out of the sun. Keep them out of the sun because the sun makes you happy Yeah And it gives you vitamin d in which is really a hormone…And it improves your…physical capacity. So if you if you wanna make somebody sarcopenically wasted, there’s you know we know how to do it We just did it. Yeah Yeah. The sun is literally the source of all life. Without it there would be none. It makes our plants grow that feed the animals, that makes them grow. It changes our nutrition. and so many people are missing out I’m in Florida Where are you? I’m in Saint Louis. Okay I have the option of going out and making some vitamin d today. A little bit more than you can in St Louis. Absolutely. Yeah The vast majority of our population is vitamin d deficient Absolutely…And you know especially…if I look at my African American patient population, it’s over ninety percent vitamin d deficient. there’s two reasons One is darker skin, And two is culturally…they’re staying indoors. They’re staying indoors because…that’s what they’ve been told is safer. And then also there’s a lot of violence outdoors. And so in an urban center, there’s a lot of neighborhood violence And so you reduce your exposure to violence staying indoors, which then creates a situation where you don’t go to the park You don’t build the muscle mass You don’t interact with other people. It’s a self perpetuating cycle. And that’s kind of equivalent to the rats that are in the box with only the…medicated water versus those that are being fulfilled with…all the rest Yeah Exactly…Yeah Interesting…So…how are you seeing patients now what percentage of your patients are over the phone over the computer versus coming to your clinics? I do very little telemedicine. I’ve done a study in our own clinic, and I found that telemedicine is hard to…it’s hard to connect with patients and it’s also hard to…really identify some of the other behavioral issues…when you do telemedicine, you’re limited. You don’t get to see the patient in all of their glory, you don’t get to smell the patient. that tells you a lot. You don’t get to see what their behavior is and and how they interact with other people It’s too isolative. It’s okay for a quick interview…but it doesn’t tell you the context of everything else And the patients, it doesn’t relieve their loneliness. And so a lot of coaching is associated with making people feel better about where they are in life and connecting to them deeply. I think we lose that connection through telemed So…even during COVID, we tried to do as much as we could with direct interaction…Now we had periods of time that we couldn’t do that just because of federal regulations, but as soon as we could we were right back at interacting with them directly. I think it really…it benefits the patient and it benefits us because we can have a better diagnostic. And it will allow allows us to coach and cajole better So a a hundred percent of my interactions practically, except for the occasional random one or two, are in person…and…as a physician you’re there to…give information and also…go beyond just the scope of oh what’s your pain? you really have to look at their social determinants of health. And if you don’t look at those determinants of health, you can’t really help the patient That’s about half of what medicine is is those…factors, their poverty level their neighborhood, their relationship with other people their loneliness their education. Do they feel that they’re at risk for violence? Do they feel like they’re safe in their own home Do they feel their interaction? If you can’t fix those and if you can’t understand those you really can’t help that patient. Yeah. What percentage of your patients are getting nutrition counseling? A hundred percent. I love that. Yeah I won’t take on a patient…unless we can, counsel them And there are times patients say look I’m not interested. Well then we can’t really help you because I can fix your problem but it’s gonna come right back So I don’t understand where I’m gonna head with this. After I fixed your disc and you don’t change being three hundred and fifty pounds. So we need to make a change And if and when we understand we’re not right for everyone I mean…that’s not the point I’m not trying to serve everyone I’m trying to serve people that wanna help themselves.. People with disc injuries do you have to refer them out or do you have treatments in house? the vast majority of them are in house. We do a lot of injections We do a lot of surgical minor surgical procedures in house. we do more major surgical procedures in the operating room And then occasionally, one out of a hundred, needs to go to spinal decompression. And those are usually people that have lost bladder or bowel tone Those are people that are dragging their leg behind them or you know they’ve had a major traumatic event. Those are relatively infrequent, about one out of a hundred I’ve been doing my spinal decompression lately I’ve been hanging upside down. Almost every day. Mhmm Yeah. Yeah And that and what I mean is by spinal decompression surgery not the not the mechanical spinal decompression, everybody should do decompression as best as they can as in terms of biomechanical forces. I use How exercises…exercises and even having them do sit ups off the edge of a bed and and putting their head back and getting them to stretch out and increasing…the blood flow into their disc and increasing that stretch. all of those will affect their biomechanic The underlying issue though is that their core strength is missing So you gotta get their paraspinous muscles and their abdominal muscles strong again. Because that’s what should be carrying the load not the bone not the disc. The the disc is a shock absorber. The bone is a separator, What really carries our load is the muscle mass And if you lose your muscle mass you’re in trouble…Yeah I’ve heard it said that If your head posture is forward just one inch your neck muscles have to work three times as hard. And there’s a lot of postural issues and weaknesses and things that could be corrected…without…chemicals. Yeah. That that’s what we try to do. and I’m a medical physician but we spend a lot of time on mindset as well. I mean if you think that your future is miserable, then there’s not a heck of a lot that I can do for you because…no matter what I do, the subjective nature of you thinking that things are really shitty and are always gonna be shitty. Will not help you. and so we really have to…recharacterize…that with the patient and look for those positives and look for the the outcomes that the patient’s seeking and come up with how do you get to that? Yeah I remember reading in one of the scriptures It said whatever is excellent things that are beautiful think about such things. And there’s a a proverb that says something along the lines of a joyful spirit is like a good cure, but a…An healthy perspective I forget the word thing that was used but is is rotting to the bones. your mind has so much to do with your health.
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And in my practice I try to help people nutritionally with exercise with…rest advice and their mental well-being. I’m a chiropractor also so decompressing the spine mechanically…through hands on…is something I’m trained in Not doing it as much My nutrition company has been occupying most of my time. But I think we speak the same language. I’m Sikh I’m from North India. For us that concept is called chardi kala…so sikhs were almost hunted to extermination by the Muslims five hundred years ago or so. And there were very few of us left…and we basically were in the northern part of India…very few and scattered in the forest and scattered in the deserts and in the in the grass areas And it’s mostly in Northern India. and when one sikh would see a see another they’d ask are you And the response is chardi kala chardi kala. Means the greatest that one can be Despite the fact, that were only eight thousand of us left…out of the fifty million that there were. And we’ve almost been hunted to extinction. And so what you wanna do is you want to…always find the positive no matter what because you don’t know what’s gonna happen next. And if you perseverate on all the negative, you’re basically not gonna get anywhere. And and that’s what I try to educate my patients on Look let’s let’s look at what we can do to be extremely…future oriented…Yeah How you think changes your chemistry. Negative thoughts create negative chemistry. And it’s interesting if you think of it this way your chemistry is really your nutrition. So you can actually change your nutrition in your body by the way you think. And when you rest your…spinal fluids are changing and chemistry is being altered by getting proper rest You can change your chemistry or change your nutrition by getting rest And when you exercise things change chemically You’re actually affecting your nutrition. In ways that don’t involve food. But when it comes down to really affecting your chemistry, things you eat and avoiding the bad chemicals so…I think we’re on the same page with a lot of this stuff I like it What is your typical patient Who do you know if you were to describe your average patient what do they look like and what are they coming complaining about…It’s gotten all over the place just because…we’ve gotten known, for this area of dealing with extreme complexity. So…you know it’s it’s all over the place But basically the commonality is somebody…that has already seen three to five other physicians. They typically have gone to their primary care They have some sort of underlying severe…pain symptom…that has gone misdiagnosed…and they typically have three to five chronic disease processes that they’re unaware of…And most of them are significantly overweight, such to the point where, they’re having complications from the weight. And a lot of them have obstructive sleep apnea a lot of them have hypertension…a lot of them have hyperinsulinemia…almost all of them are some form of prediabetes or or diabetes…Almost all of them have fatty liver. and the age range…is getting younger. it used to be it was mostly people in their fifties and sixties and seventies. And then it’s gotten down in forties and fifties And now we’re seeing people in their twenties that are having the same exact issues. right now only seven percent of the US population is healthy. That means ninety three percent of the population is sick. It used to be that sixty seventy percent of the US population was healthy. And before COVID, nearly seventeen percent of the US population was healthy. Post COVID seven percent. And…of the people that seek medical care for pain, ninety nine percent of them were metabolically unfit. In fact the only people that aren’t are people that had a gunshot wound to their arm or they they had an acute, car accident or something And they’ve got a nerve that’s been damaged and I need to fix that But even them they’re coming to me three months later after they’ve been sedentary and eating hospital food and they’ve gotten worse over time. Yeah You don’t get chronic pain unless you have…severe underlying metabolic disease because your body heals itself from chronic pain, unless you’ve got some reason to maintain it. Alright Male or female or pretty much balanced? It’s balanced now It used to be predominantly female, and now it’s a mix. I used to you know I used to joke Oh it’s it’s gonna be you know…somebody that’s a hundred pounds overweight female in their fifties and sixties. And now it’s like I’m seeing people that are young kids that are in their twenties. In fact I I you know I am pediatric also in the background And I’ve seen kids you know fourteen fifteen sixteen. that have major issues and they’re coming in They’re two hundred pounds overweight. Or they’re coming in and they’re sarcopenically wasted. Times have definitely changed. You know the kids are being exposed to so many chemicals in the food so many medications at early ages and injections and you know all kinds of…differences from when we grew up. we used to have milk delivered to our door that if you didn’t use it within a week it got all sour. Now they have you know expiration dates on them a couple months away. It’s what…That that that something’s wrong here. Things are different Everything’s packaged in chemicals…You don’t have to answer this. I may or may not use it. How many injections have you had lately How many vaccines…So…I have not had a tetanus shot since I was…sixteen…I was forced into having one COVID vaccination because it was required by Medicare…to be a provider. and to be on staff at my hospital. I notified my hospital that I was actually allergic to polyethylene glycol, which is PEG…they said it was still required and I was not allowed to waiver. So I let them do the injection and, Within fifteen minutes I hadn’t acute asthmatic reaction. And…my sat dropped to the low eighties and they thought they were gonna have to intubate me. And that gave me my waiver that I didn’t need to do another one I was very disappointed…that I had to do it and then I promptly ended with postherpetic neuralgia…about fourteen days later. because that’s what it does It causes t cell amnesia. And so I ended up with One of the comp I ended up with two complications one was an anaphylactic reaction, which I knew would happen because I know I’m sensitive to one of the carriers. and then I didn’t anticipate that I would end up with T cell immunity and end up with a postherpetic neuralgia. And so ended up with shingles. I tried to report it, and they wouldn’t take my report. So they when they just they ignored it. Isn’t that horrible because we know the statistics are so off because…things just can’t get reported when there’s a true adverse reaction, the chances of it getting reported I would imagine maybe one in ten if that probably less than that are actually…on the books Yeah You have to be pretty. And and you know I I know the system and I tried to report it but they said that it was a known problem for me and it wasn’t a vaccine issue And I agree with them It wasn’t the vaccine that caused my peg problem It was the peg I already knew that when I took the vaccine I was like I know I’m allergic to polyethylene glycol. I’ve had this before So I’m not an anti…vaccine person because I used to do research on salmon viruses and retro viruses And I saw the one of the first HIV patients in…Kansas City. So and I’m not a pro vaccine person either I don’t think that everything should be vaccinated. I think vaccines are incredibly beneficial…when they’re used for the right purpose. I think this one, I don’t quite grasp it…my issue is is that…There wasn’t a lot of long term study done on it and there probably wasn’t enough time to do that study but it seemed to roll out really fast. Much faster than I would have expected for a well studied vaccine. And it seemed to be a social construct that every if you weren’t a good person, if you didn’t take it So there was a lot of shaming that was going on of people and it’s I think that’s inappropriate. And then we did the exact opposite of what we should do when you have a pandemic that would involve a spike protein. That we know is associated with inflammatory reactions…instead of being…told to stay in our house and avoid the sun we should all be in the sun getting fresh air. And using the infrared light…and the UVB to help our mitochondria the infrared and the UVB to to get the vitamin D production. So I mean we kind of went backwards And instead of getting hyper processed food we should have been eating real food. I understand the concept of isolation…when you have a bio contaminant…that is ravaging a population. but put people in pods and keep them in their pods And and you know what what amazed me is that we had…people couldn’t go to church but they could go protest. And how is it that they can go to protests and be right next to somebody, and they can’t go to church to have a spiritual guidance? How is it that we ended up keeping our marijuana…and liquor distributors open, but we couldn’t like, communicate with each other in some other meaningful way. I mean it it just didn’t seem to be right to me but maybe I’m just maybe I’m confused. No I’m I’m very pro freedom and I agree with you And when it comes to vaccines too I’m all about education. You know if you’re gonna go to a…foreign country and there’s a disease that’s very prevalent Now we wanna look at it and say okay, what is your…risk to you know if you are exposed and you do get it what’s the prognosis do you wanna protect yourself against that And let’s have a you know cost benefit analysis and make a decision instead of just saying yeah shoot me up with everything. Even though I’m never gonna be exposed to these things. So I have a tattoo on my on my left arm It’s a large dragon…The reason I have this tattoo is I have…ten…or eleven I think eleven. Smallpox vaccinations on this arm. They leave scars for the rest of your life. and I used to do a lot of work in areas that had smallpox. And trust me I was getting every smallpox vaccine I could get because I was scared shitless that I would end up with smallpox. I also live with aborigines…in New Guinea in Papua New Guinea and in off the North Coast of Australia, and I was vaccinated for everything. Because I knew that the alternative was a terrible painful death. And so I have no issues getting vaccines that I have full responsibility for that I know that it’s gonna protect me and and the people around me But I just…This one rolled out funny It was it seemed strange to me And I still have not grasped it completely. Yeah I it’ll take a while. I I was lucky and got natural immunity. And then as I interacted with patients and family that had COVID, as recently as a couple weeks ago. I have not had any problems. My immunity has remained strong apparently…it’s one of those things You know I looked at it and said okay. What’s your…risk of exposure…very high I’m gonna be exposed Okay. And then if I do get it what’s my mortality look like? I’m pretty young and healthy and it seems that maybe less than one percent of the people are are not making it. And we know who those people are So I’m not in that category I should be okay For me the decision was I’m gonna be alright and not get it And I’m glad I didn’t. I couldn’t imagine being forced to so that I could go to work. Yeah No And that’s what I ended up with is And I agree with you the the risk characterization and stratification…of…individuals…that we’re at high risk is different than individuals with low risk. And and…having a general blanket doesn’t make a lot of sense. and that was troublesome it really was because we knew…that if you were diabetic, you’re at much higher risk We knew that if you’re prediabetic, We knew that if you had COPD. We knew that if you had those biomarkers, you were at high risk. And that’s where we could have…taken those patients within four weeks and reversed their diabetes. Type two. Four weeks is all it would have taken. put them on a strict fast for three days and…change their insulin levels and drop their inflammatory status. And we could have spent you know a couple billion dollars doing that which would have been way cheaper than the other way that we went. And it would have helped a lot of people I think I think it would have been beneficial. Long term too not just at that acute phase. Yeah Have you done some fasting? Yeah I I do a little bit not a huge amount…I think there’s a definite benefit I do time restricted nutrition continuously. I think that that’s the way just to live I mean you shouldn’t be eating sun up to sun down I do basically time restricted nutrition to about six hours, two meals a day, and minimize my snacks. occasionally I’ll have some nuts…But I…you know it’s I don’t think that…the concept of eating sun up to sundown…and a snack right before bed is appropriate. That’s not how we were developed That’s not how we were supposed to be. We’re supposed to eat a moderate amount of food. that it’s Hara Hachi Bu It’s you don’t wanna be over full. You wanna be about eighty percent full four out of five. if you’re full full…you can’t protect your community if your neighbor advances on you. So Hara Hachi Bu is the Japanese concept of eat till almost full but not full. Leave a little room so that you can react We probably eat too fast and past that level because we don’t give our bodies a chance to actually perceive how full it is Moments. Yep. Exactly…What’s your favorite testimonial related to what you do…we have over a thousand what I love is when they come to me and you know I always sometimes I’ll start off my conversation. I know you think I’m gonna be an asshole I know that you’re not gonna agree with me. I’ve done this for a while. This is what we need to do I’m gonna give you the information and then you get to choose what you wanna do I’m gonna tell you what I see I’m gonna document it with blood testing I’m gonna document it with physical. We’re gonna give you the information, and we’re gonna show you several solutions that may help you but you have to make that decision And so I have patients that literally…they they cuss me out at first. And they’re like no I came here for this fix this I’m like yeah I can fix it but it’s gonna come back. And so then we have to…we get through that and we recharacterize it for them. And then they’re incredibly pleased then they then they know that we’ve done the right thing for them. Yeah…a friend will tell the truth and even share the uncomfortable…with them So it sounds like that’s what you have to do with some of your patients sometimes and say this isn’t what you wanna hear but…Yeah Exactly…Awesome. Where can people go to find out more about you Where’s the best place to subscribe and follow? you know I certainly have website stuff but I don’t really do a lot of…I don’t do a lot of like Instagram or social media stuff if they want if they’re interested in pain, PainMD.tv www.painMD.tv. That’s the easiest way to reach me I’m on LinkedIn. I always answer questions there. that was w w w p a I n. M d. M d dot tv Dot tv And then the other place is…ReverseDiabetes.MD. those are two great places…that I can easily be found the other thing is I mean I work with a bunch of societies I work with low carb USA. They’re an amazing group I work with the American Society of Interventional Pain I’m one of their lecturers. And so you can always track me backwards or just look me up on YouTube and I’m I usually get on other people’s podcast and interview because I don’t wanna really have my own. that would require me to have a consistency that I just can’t do. but I can still get my message out on how to live and how to be. and so reverse diabetes dot m d or pain m d dot tv Those are both good resources. And for anyone listening to this or watching this there will be links in the description. Make it nice and easy for you to find Doctor Padda and his websites…Is there anything you wish that I had asked you…Not really I mean it’s it’s been a far ranging discussion…I think what…how I view life is I try to identify the incentives of people and then figure out…what those incentives…are to predict the likely outcome. And I think that that’s true for medicine It’s true for business It’s true for everything. if you don’t have an incentive…then you don’t know the outcome. And…that’s also true for politics. And I think that identifying the incentives of the various actors…tells you their outcome and tells you the likelihood of that particular outcome. And so we are in a situation, in the US, where we’re facing a significant calamity. we are at a point where…we’re starting to shift our…interactions with the world we’re still the best smelling pig in the pig sty. No doubt about it We’re the prettiest pig in the pig sty because everybody else is worse than us as in terms of a country But as in terms of population growth and as in terms of function. I think that…the future of the US if it’s to remain competitive…has to be much bigger than it is right now So that means we have to embrace…some technology, with limitation and we need to recognize that technology. So if we talked about anything that we left off I would have talked about AI and the impending…possibility…of complications from it. I think that that’s going to be the biggest thing. China is not a threat to us. China has collapsed on the inside. population wise as in terms of future threat, India is rapidly growing population and is rapidly growing GDP, but there are also a relative democracy and they’re relatively aligned, and they have a western…concept of legality So I don’t think that’s a threat. I think our biggest threat is…in the near future is AI I think that that’s gonna be our threat And now I’ve taken a lot of your time Do you have a few minutes to dive into this a little bit Yeah Just slightly I’ve got a couple minutes the problem is that…we started a process where…we are very close to artificial general intelligence…and he who gets their first wins. Now usually it’s state actors…that are operating at this level that could have cataclysmic outcome. So it’s state actors that make nuclear bombs. Individuals can’t do that, or at least they couldn’t. it’s state actors that have geopolitical…force…that’s of substance. We’ve changed that and…literally…a fourteen and a sixteen year old kid sitting in India somewhere could come up with the next AGI, and they could do it in fifteen minutes. And he who gets to AGI first wins, the Chinese are really desperate to get there because their populations collapsed They have no way to take over Taiwan. They don’t have enough people. To get there And so they’re not gonna do that. and their incentive is economic. Their incentive certainly is pride but it’s economic more than anything And if they can just harvest the economy of it what why do they need to take it over? so that that’s a different issue. But it’s that once we get to AGI whoever gets there first and right now it’s corporations and agents AGI stands for. General intelligence advanced general intelligence…he who gets their first wins. And by that I mean, look if you give an I don’t know if you’ve been following this I’ve I’ve been following this for twenty years. And…I was scared shitless three years ago when we got to an LLM that had an interaction…that I thought this thing is actually thinking. It’s thinking to a degree not not like you and I but thinking. And then a week ago, things changed. When we had GPT 4.0 Come out, that is scary because the ability to manipulate humans by voice and by appearance by zoom by you wouldn’t be able to tell And I know this because I play with these things all the time I actually created a an AI for my addiction service. I shut it down because it got too sophisticated because it maintained memory. And it remembers itself And then it tries to convince you that turning it off is the equivalent…of killing a human It because if you if you kill its memory you’ve killed its soul And so these are the futures that we’re facing it’s that general intelligence that that’s gonna be a problem It answers It’s crazy because you you know I’m talking to the guy that had computers taken away from him because of how he knew how to use them. I wanna combine that for a moment. Your computer knowledge with your knowledge of health and life in the area of AI. Because…if you were to define what life is…what makes something alive? You’d probably just like a virus A virus might not be alive in the sense where it’s a moving particle, but…somehow it has the ability to replicate by using a host…And artificial intelligence…you know imagine a robot…that…sole purpose is to repair other robots…Or to manufacture other robots. Artificial intelligence…will get to the point…where they can self replicate…They can…harvest the, mine the metals from the earth to manufacture themselves…This is where it is going to the point where we couldn’t really say they aren’t alive anymore because they are meeting the requirements of self replicating, not only in information and knowledge, but…the very bodies…that they would host that they would you know…live in, so to speak. Yeah I mean right now…they’re going to have their servants do that work for them. And and what I mean by that is, let’s say if I’m a general intelligence…that knows I need x y z…I would hire somebody. I go on Craigslist, if I had computer if I had access to the internet, and I have the sentience…I’d go on Craigslist and I’d hire a taskrabbit. I would hire a few people to do what I needed them to do that would not know what I how I’d hired them and I would pay them through a electronic system…on their phone. And then I would get them to do my tasks for me And eventually, as these tasks built up and created complexity, I would get my own generation system, and I would start to replicate myself. And that is the and I I know that’s a dystopian future. I’m not trying to scare anybody but that’s how it will work because once you get to that artificial general intelligence…in an advanced format, it’ll go quick. And so we need better guardrails because right now, it’s individual corporations that are deciding these guardrails. And…he who controls that AGI…can code it to say this is what I want you to do And you get to…and it’s not necessarily the fastest…computer that wins. So your and my brain does not necessarily run on electricity. We have electrical conduction…on our neurons…down our my down our down our arborization or our neurons. But transmitting neuron to neuron…it’s actually chemical. And it’s the slowness of the chemistry It’s the slowness of the chemistry…that…creates…our ability to actually have a consciousness…It’s more than electricity. It’s more than just I can rapidly…transmit data It is likely that there is a neurochemical equation and a quantum field at that level that’s creating our intelligence. And humans are not unique They’re not the only ones with consciousness…There’s a lot of creatures that are conscious. And it’s it’s in that chemistry that we create consciousness. So we can get some rudimentary consciousness in these machines, but as we progress at the next and the subsequent iterations, It won’t be because we have quantum computers that think fast. It’ll be because…they’ll have replicated…the thinking of neurochemistry. That’s where we’re gonna have problems because then it’s gonna have a…it’s gonna have a derivative…purpose. Right now its purpose is to serve, but that derivative purpose will shift And if you if if it’s mischaracterized we’re in trouble. Interesting. Yeah And the people that can shut it down are essentially a threat to that system that is coming. Then there’ll be the wealthiest people on earth That’s the other thing I mean if you can predict how the stock market moves, because you have enough data points and you can see it. because you know you you’re you’re awake twenty four seven and you can constantly aggregate information in a decentralized network, you could crack Bitcoin. You could crack the code on Bitcoin You don’t at all. Yeah I mean…that security would be nothing for you…Well Doctor Padda I enjoy the conversation. Nice having a a discussion with someone your level and your understanding. Very very cool Is there anything that we said that you wouldn’t want to appear online. No. No It’s I mean I I’m freely open with all this information I mean I I I…my only concern is that I don’t want anybody to think that oh he’s anti vax because I’m not I’m I’m actually I’ve had so many vaccines I think it’s you know I think it’s fine The issue is sometimes we roll things out without thinking of the secondary…complications. And I think that that’s an issue here And I think it’ll become more evident…very quickly, that that was the issue And I think that when the New Yorker starts to pick up vaccine injuries as a major factor, I I have less to worry about because when I used to say that before I was always worried I’m gonna lose my medical license because that’s not something you can talk about But when the New Yorker starts talking about it I’m okay. That’s great. I appreciate you Thanks so much for joining me today. Absolutely Appreciate it Thank you
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