Doctor Reacts To When The Try Guys Will Die

One Time

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Transcript

00:00I've reacted to a bunch of Try Guys medical videos,

00:03and now they're about to see who's going to live the longest.

00:08I don't know how long I'm going to live.

00:11That's normal.

00:11I think I'm a little afraid to know.

00:14That's normal.

00:14My biggest hurdle is that I love food,

00:18and flavors come from fat and salt and sugar

00:21and all these things that are bad for you.

00:23And I would be unpleasantly surprised to find out

00:25that some of my life habits before are unfixable.

00:28Our lifestyle habits most definitely contribute to the longevity of our lives,

00:32but something that is less often considered,

00:35the quality of our lives.

00:36What if I was to tell you one of your habits

00:38will only show in your life by maybe five years.

00:40You're going to live to 100, now 95.

00:42But the 30 years before that,

00:44you're going to have to be on oxygen.

00:46You won't be able to breathe well.

00:48You won't be able to run around with your kids and grandchildren.

00:51That's an important factor, isn't it?

00:52A couple weeks ago, we sent in this color kit

00:54with a sample of our saliva

00:56to find out about our genetic disposition

00:58and any sort of health issues we might be needing to watch out for.

01:02We analyzed 60 different genes,

01:0530 cancer, 30 heart health genes.

01:08It really just gives you kind of a more tailored look

01:11at your cancer and your heart health.

01:14I'm going to say it outright

01:16so that you understand where my biases lie going into this video.

01:19I think these types of tests are largely useless.

01:23Not saying genetic tests are largely useless

01:25because there's absolutely a role for it.

01:26We actually have geneticists that work in hospitals

01:29that help with genetic planning.

01:31If you have a genetic condition

01:32that you want to make sure that if you're having children,

01:34it won't be passed down

01:35or if it will be, what are the percentages, et cetera.

01:37But the ones that are commercially available

01:41to tell you how long you live,

01:42not only are they terribly inaccurate

01:44because they can't possibly take in all the variants

01:46that can go on in one's life,

01:48they also don't test for everything

01:51and at times can give you a false sense of security

01:54that ultimately ends up worsening your behaviors.

01:57So I took the color test,

01:59so you know everything about me now.

02:01So we...

02:02Do I have chlamydia?

02:04Color does not test for that.

02:05Oh, that was a different test, okay.

02:07So we analyzed 30 different genes

02:09related to things like hereditary high cholesterol

02:12and different heart diseases

02:14and we didn't find any mutations.

02:16Oof, that's a relief.

02:18Important, important, important point.

02:20Commercial genetic tests

02:21do not test for all the types of variants

02:25for a lot of these conditions.

02:27So I don't want people to do these tests

02:29thinking that they're all good.

02:30And remember, not all cancers are genetic.

02:33Many of them develop spontaneously.

02:35Some as a result of lifestyle habits

02:37like binging alcohol

02:38or overeating fried or fatty foods.

02:41If I'm not predisposed to having cholesterol issues,

02:43I don't have to worry about eating a ton of fried chicken

02:45like I already do.

02:46You do though.

02:46See, like that's what we want to avoid.

02:48So I'm great.

02:49My genes could not be better.

02:51That's right.

02:51Wow, so I get cancer.

02:55My genes cannot be better.

02:56She goes, that's right.

02:57That's what you paid us for.

02:59So that doesn't guarantee

03:00that you won't get cancer in the future

03:02or that you don't have an increased risk

03:04based on other genes or other non-genetic factors.

03:07There's the legal stuff.

03:08Or how about saying the fact

03:10that you may still have cancer right now?

03:12That would have been,

03:12that would have killed the vibe of the video.

03:14We did find one mutation in a gene called BRCA1

03:18or some people call it BRCA1.

03:19BRCA.

03:20Yeah, I know about BRCA.

03:22Is that something that's been tested for in your family

03:25or how did you know about it?

03:26So my mother had breast cancer

03:29and it was discovered that she had the BRCA1 gene.

03:32I know that it's very common in Ashkenazi Jews

03:35and that if you have it,

03:36there's a 50% chance of you passing it down to your children.

03:40I put off getting the test

03:43because I'm like, I don't want to know.

03:45Also, if you have a BRCA1 gene mutation,

03:48there has been a correlation

03:49with more aggressive prostate cancer

03:52if you do develop prostate cancer.

03:53BRCA2 has been more correlated

03:56with actually development of prostate cancer.

03:58I know that it affects women a lot more seriously than men

04:02and luckily my sister and the other women in my family

04:05all tested negative for it, which is relieving.

04:07But so, so I have it.

04:11So what does that mean?

04:12Having that gene increases your likelihood

04:15of getting breast cancer, not a guarantee.

04:17Something like knowing that I have the BRCA gene

04:19can be really scary,

04:21but instead I'm going to look at the positive.

04:22You know, knowledge is power.

04:24There's a lot you can do to prevent it.

04:26Reducing your risk of cancer.

04:27Oftentimes it's reducing your alcohol intake.

04:29Eating healthy, fresh foods is really important.

04:32And then exercise is really, really key in cancer reductions.

04:36Isn't it interesting how the advice

04:37for whether you're talking about reducing prostate cancer,

04:40losing weight, decreasing cardiac risk is all the same.

04:44Exercise, eat lots of fruits and vegetables

04:47and meats in moderation, sleep well, mindfulness.

04:50Like it doesn't matter,

04:51you plug in whatever disease you want, that's the advice.

04:53So why bother going to get screened for that?

04:55Exercising just 30 minutes a day, five days a week.

04:58What about an hour, three times a week?

05:01Whatever works for you,

05:02as long as you're able to put in

05:04those two and a half hours of exercise per week.

05:06It has to be moderate intensity exercise.

05:10If you know, you know.

05:11Is this moderate intensity?

05:12Is this moderate intensity exercise?

05:14No whammies, no whammies, no whammies, no whammies.

05:16So the fact that the blood pressure is being checked

05:18while he's talking is actually wrong.

05:20You have to be seated for at least 10 minutes,

05:22feet touching the ground, their feet are dangling.

05:24You have to be in a comfortable position,

05:25not have recently smoked, not have recently drank caffeine,

05:28not be talking, have your arms completely at rest.

05:31And ideally you want to do it on an automated cough

05:34and leave the room so that the cough can get the measurement

05:37without a person in the room.

05:38Because otherwise you're going to get

05:40falsely elevated readings.

05:41Your blood pressure is really nice and low.

05:43It's 112 over 70.

05:44What does your heart rate usually run?

05:45Do you know?

05:46I have no idea.

05:47Okay, well you're at 87.

05:48Is that good?

05:50It's normal.

05:50We know that we can get your heart rate lower

05:53when people do vigorous exercise.

05:55The best way to lower one's heart rate,

05:56and it's actually a training that I'm going through

05:58right now for boxing,

05:59is through high intensity interval training.

06:01I've heard the people that I work with

06:02call it almost like bodybuilding for the heart.

06:04As a doctor, I don't quite like that statement

06:06because an enlarged heart is actually a bad heart.

06:09But you want a stronger heart

06:10in that it doesn't need to pump as often,

06:13which allows it to calm down, relax better,

06:15improve filling time, all of that.

06:17And we've seen better survival rates through heart attacks,

06:20less heart attacks when you have a lower resting heart rate.

06:22Usually that comes from exercise.

06:24You can also have a low resting heart rate,

06:27very low, that is pathologic.

06:29Meaning it's not because you exercise well

06:30and you actually have a problem.

06:31That's why we have the term Bradycardia for it,

06:33because Tom Brady is really slow.

06:35And Brady, very upset.

06:38People who sleep less than seven hours a night

06:40actually have a shorter life expectancy.

06:42Wait, less than what?

06:43Seven hours.

06:44But they're also awake more.

06:46They're living life more than the sleepers.

06:51I'm pretty sure that's not the case

06:53because when we look at scientific evidence

06:54and we look at, we used to do years lost.

06:57So if like X number of people died

06:59and we know that they're age 40,

07:01we say that their average life expectancy is 77.

07:03So we do 27 years of life loss per person

07:06and 1,000 people died, we say 27,000 years lost.

07:09In this case, if you die 10 years prematurely,

07:13how many hours is that?

07:1510 years times 365 times 24.

07:19I can't do that math, but it's a huge number.

07:21I can't imagine you're saving that much more

07:23by getting one hour extra activity and not sleeping.

07:26When people aren't sleeping,

07:28it starts to affect their heart health.

07:30You might feel invincible now and it changes on a dime.

07:32And not only does it affect your heart,

07:34it also affects your brain.

07:35I feel like as we come to terms with the sleep deprivation

07:40that we currently face in our society,

07:42we'll come to terms with the idea that Alzheimer's

07:46and all of these neurological disorders

07:49that are on the rise can be potentially fueled

07:52by the lack of sleep that our society is getting.

07:54Often we think about aging with physical health only.

07:57How much does mental health actually affect

07:59how long you'll live?

08:00It's huge, yeah.

08:01It can end up increasing our risk of heart disease.

08:03It increases our risk of things like diabetes.

08:05I have a newborn baby,

08:07so sometimes it's hard to find time for myself.

08:09When we're talking about someone not sleeping enough

08:11and we're talking about chronic sleep deprivation,

08:13we're really talking about a lifestyle.

08:15If your baby for the first two, three weeks

08:17is not sleeping great and causing you to wake up early,

08:20that's not gonna have a drastic impact

08:22on your entire lifespan.

08:23But if that becomes your normal habit,

08:25that even when your child is one, two, three, four,

08:27five, six years of age,

08:29that's when it becomes a problem.

08:30It's a chronic issue.

08:31There is a healthy level of stress that you can have

08:34where it's like,

08:34I'm a little stressed about this test.

08:36It helps me perform.

08:37If you make stress your friend,

08:38if you view it in a positive light,

08:40like the doctor just said,

08:42that you view it as a preparation for a challenge

08:45and something that just comes with life

08:46that you have to manage versus all stress is bad,

08:49you actually get better outcomes

08:51even when you have more stress.

08:52Let's talk about sexual health.

08:53Sure.

08:53What do you want to know?

08:54If you have a preference for male or female partners.

08:57Wasn't this supposed to be about

08:58how long they're gonna live?

09:00Is this still the same video?

09:02The number of sexual partners you've had

09:04in the past week or the past month.

09:05I also ask my patients

09:07what body parts they have sex with.

09:09The anus.

09:09Is it the penis?

09:10Is it your mouth?

09:11Like which body parts do you use for sex?

09:18A lot of people don't feel comfortable

09:20talking to their PCPs about their sexual health.

09:22Especially in a group of their friends around them.

09:24So I understand that.

09:25I'm comfortable with it,

09:26but the person who I'm seeing,

09:29probably less comfortable with it.

09:30Yeah, and also when I have younger patients,

09:33teens and such,

09:34and their parents are in the room,

09:35I actually ask the parent to step out

09:36when I have that conversation.

09:37Is there anything that you're worried about

09:39or anything that you anticipate with your labs?

09:42No, but also everything.

09:44The one I'm always terrified of is the STD testing.

09:46What if we have one of them?

09:48We can treat you.

09:48We'll make a very interesting video.

09:50Even though I have no reason to believe

09:52that I'm positive for any.

09:53I know for the video,

09:54they're probably gonna order a broad set of labs,

09:56but I want you to know at home

09:57that not everything needs to be checked on your labs.

10:01I have many patients that come in that say,

10:03doctor, I want to be checked.

10:04I want to make sure I don't have this.

10:05I don't have cancer.

10:05I don't have that.

10:06It's impossible.

10:07I can never give you 100% assurance

10:09that you're not gonna have a heart attack

10:10when you walk outside my office,

10:11that you're not gonna develop a cancer the next day.

10:13It just, there exists no such test.

10:15Conditions that you already have,

10:17your age, your risk factors.

10:19Those are things that need to be taken into consideration

10:21when deciding what blood test to order.

10:22Lay it on me.

10:23What's the good or bad news?

10:25Your blood sugar level.

10:27We want that level to be under 100

10:29and yours was 81, which is great.

10:31And yours was 77.

10:32Yours was 117, which is totally normal for having eaten.

10:36Okay, I was about to say,

10:37I wonder if these are fasting.

10:38Ideally, we want the number to be under 100.

10:40If it's between 100 and 125,

10:42that's the pre-diabetic range.

10:43Over 125, that is the diabetic range now.

10:46Once you have diabetes,

10:47technically there is no cure.

10:48Pre-diabetes, you can reverse.

10:50So we encourage those people to work really hard

10:52to reduce that.

10:53Let's get to the STI testing,

10:55the sexually transmitted infection testing.

10:57And you don't have chlamydia, gonorrhea, HIV, or syphilis.

11:02So those all came back negative.

11:04That's great news.

11:05Which one of us do you think will live the longest?

11:07Here's why I can't know that is because I don't know

11:09when you guys walk out of this door

11:11what lifestyle changes you're gonna make.

11:13Or because you're not a psychic.

11:15Unanswerable.

11:16Let's say we make no changes.

11:17Based on a lot of sleeping habits and eating habits

11:21and exercising and mental health and wellness,

11:25I'm going to have to point to Ned.

11:28Which one of the three of us

11:30needs to make the life changes the most?

11:33Well, I would say all three of you, actually.

11:38So we're all gonna die.

11:39Being totally-

11:39We'll die together.

11:40Oh my god!

11:41Wow, that would be so cute.

11:45Did you know that I turned down a multi-million dollar TV deal?

11:48Click here for that story.

11:50It's very interesting.

11:51Tells you all about how the media process works

11:53and how truly, truly evil and corrupt the business is.

11:57Click here to check that out.

11:58As always, stay happy and healthy.

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