What I really like about Mike is that he's consistent about what he says, no matter who asks or what podcast he's on. Of course, he's a doctor and is reiterating medical facts, but still, there are professionals who bend the truth to tailor the experience to a certain audience.
MKHB and Dr Mike point out the issue about 90 percent of the "tech youtubers influencers" is that majority just regurgitate stuff from the manufacturer. They don't know the internal workings nor experts in the field. They are just influencers and most are there for entertainment purposes only. Great podcast, especially on Mike chiming in on critical aspects of the medical field.
There is an excellent youtuber called The Quantified Scientist that test primarily fitness watches against reference-hardware like proper ECG straps and sleep monitors to compare results so you get a more accurate picture of how actually accurate the data you get is, it's chocking how many "premium" devices have horrible tracking outside of step counting.
I'm a medical student and longtime lurker in the 90%. I was super excited for y'all to talk about tech in medicine. I appreciated how the discussion had research in mind. I feel like providers need reminders on what most people know about medicine the longer we're inundated in the healthcare community too. • Products: I feel like one theme was the lack of a quick fix for a lifetime of habits. Tech provides tools to improve our health, but these tools are limited without more data from studies or individual motivation to continue with a product. We're allowed to enjoy these innovations as long as there are more positives than negatives. • AI: Bedside manner was nice to hear about in the episode, since each patient takes in a negative diagnosis differently than others. I don't know how I'd feel for myself or my family with a computer for a uniquely human interaction. Supportive relationships are important for patients to deal with the news and make decisions about management in line with their wishes. Patient communication and adherence might be difficult too. Providers are trained to ask the right questions, pull out the important answers, and do a physical exam before going to labs or images. Once with a diagnosis, then patients need to feel motivated to work with providers and agree to a plan based on recommendations. All of the medical advice in the world won't change a patient who isn't interested or equipped to change with the right resources. Additionally, I think a worrisome point would be the weaponization of health data with companies and corporations.
The main thing is the health app. Which is the nerve center of everything, so you’ll have the Apple Watch and its data. But then you have a bunch of 3rd party trusted app feeding data in to the health app. For instance maybe inbody app and scale at gyms will feed data to health app and you have a sleep app, hearth rate app, maybe a running app also feeding data to the Apple health app that amalgamating all these things. We all know in the future all this data is going to be more exportable to give to your doctor for him to be able to make a better assment of things .. because people’s memories aren’t exact. Cobble that with apps that read stress levels for instance. I am in beta right now but it can measure time in daylight and so on. It won’t be long until this will be standard the ability to give data to your healthcare provider.
My cardiologist (High BP) checks my Apple Watch for historical information such as heart rate, etc. He also more importantly checks my Activity to see if I am moving/active etc. He has said the data is more of a "ok" check than a real data element for him and more of a motivation tool for me. He aligns with Dr. Mike on the watch usefulness but says it tells time well and other things like messages and alerts.
Problem is the health anxiety that comes with it, sometimes these health trackers act like negative feedback loop. But I guess everything has some pitfalls
@@NichoNick health anxiety doesn't mean you're unhealthy, but that you're obsessing over getting sick. Do you know the burden a hypochondriac has on healthcare?
As someone with type 1 diabetes, I do use tech daily. I have a CGM that automatically measures blood sugar every 5 minutes. And, I have extra software that communicates with both CGM and insulin pump to adjust insulin dosage as needed. The CGM alone already is a game changer for managing type 1 diabetes, but this combination is incredible, and I would never want to lose it. I mention this as an example for tech that indeed is incredibly useful and not just a gimmick.
I will say I've dramatically increased my health, as my Fitbit made me more cognizant of being sedentary and the food I eat. My resting heartrate has gone from ~80 to ~63, and stayed there for the past few months.
@@prafullarora sure! So, there are four categories of tracking I benefit most from, which have some overlap: sleep, heartrate, steps, and food. The fitbit is pretty good at tracking quality and length of sleep, and can help me realize when I've been kind of lying to myself about how much sleep I've been getting, and work on improving it. It also syncs with my alarm app (Sleep for Android) to wake me up each morning in a half hour window, finding the portion of that window I'm in the lightest stage of sleep to wake me up with just a vibration. Honestly, the watch is worth it for this alone. It's a wonderful way to wake up. It can take some time for it to determine what constitutes lighter/heavier sleep for you. Heartrate is good just for checking when I get stressed, but also for cardio exercise. When I do cardio, I try to maintain a heartrate over 140 bpm for as long as possible. It can actually be really tricky to consistently determine what your heartrate is, and I have found great results in optimizing around a bpm floor for my cardio. It keeps me from wearing out my muscles by just continuing to push myself without metrics. Steps... I try to walk at least 250 steps an hour (for a 12 hour period of the day). There's an acronym used to describe just little bits of movement throughout the day to break up the constant sitting we do, I can't remember what it is. But I have the watch remind me 10 minutes before the hour if I haven't gotten my steps in that hour. You can customize this or not use it at all, if you want. With the tracking of heartrate and steps, the watch has a decent estimate of your calories burned per day. Which means that when you also use the fitbit database/scan feature to input what food you've eaten, you get a good estimate of your calories in, calories out. Hope this helps!
@@aungthuhein007 I kept around that mark until the holidays. I got sick twice in a row for over a month spent sick, then the days were short, I had family to deal with, and I had access to lots of hearty food. I've since been spending the past month or so whittling my resting heartrate back down from the 80 it returned to; it's been high 60s low 70s the past week.
As a night owl, I very much appreciate that. Night owls have to deal with others making sound while we try to sleep yet we have to be quiet while others sleep. If we want to go to a government building then we have to be awake when we should be sleeping. If we want to go to school we have to function while we should be sleeping. Our job options are extremely limited if we don't work for ourselves.
As a wheelchair user, I love the fact that the Apple Watch offers wheelchair modus and takes into consideration that my movement is different but that I am still being active. In fact, I agree that the fall detection is ultimately the only useful feature. Some other data just gives me axiety.
I'm not a wheelchair user so I haven't even given that a thought to be honest, but that's so cool! Good for them for being inclusive and actually making something useful that's not just being "performative"!
the part about understanding our body first before relying on tech for diagnosis is pretty relatable.... I'm guilty of it. I also search a lot of medical stuff online and it tends to cause anxiety. I remember self diagnosing myself for kidney stone and it wont go away even after few weeks... I returned to my doctor twice. he said the results didn't find any stone or significant sign of infection. Then it dawned upon me I just really had a bad back muscle tear bc of work and posture lol
"It depends" is a frustrating answer but I appreciate how this was basically his answer to anything related to "what's good...?" No nonsense 'everyone should do this ONE thing to be healthy' At the same time I like his approach of 'if it makes you happy and doesn't hurt, why not'
Unfortunately, 'it depends' is often the right answer. There's a TON of different variables on an individual-by-individual basis, so there is no single answer that can apply to everyone.
One of the best podcast I've listen to in a while. Also great point and questions that can be turned into clips so that the information can be spread even faster!
I agree with the mental side effects he mentions. I have both garmin and Apple Watches I use to track my steps. Last year I developed a heart issue and I find that when I’m able to see my heart rate I tend to have more issue with irregular heartbeats. When I wear my analog watch I have less. I now use my garmin to track workouts, and only workouts.
Oh. .. I thought I was just imagining things when this happens to me too! I think I will move into using my analog watch as indeed when I see my heart rate going up it makes me more anxious..
I have worked in IT healthcare for the past 25 years. Some interesting stuff was not brought up while Dr. Mike was in. One, be in control of you own health records. Bring notes on an iPad or your phone to each health care provider you see. I could get way more in depth. In America no one uses the same uniform EHR, which all use different versions of DB engines to store data. There is no HIE, health information exchange. There is massive amounts of excessive duplicate testing done by providers because they don’t know what’s been done by other providers. An example is running duplicate lab panels a week apart because the patient doesn’t understand nor is it really their job to. This is one of the multiple reasons why insurance costs so much and doesn’t pay provider practices any more. The Apple Health App, to its credit, does a good job of organizing all this data if you set it up correctly and if more patients and providers would use it. Or the government needs to come up with a federal HIE. There’s a lot more to get into analytically speaking but that’s a different show I’m sure.
Real world example. I've been wearing smart watches to monitor heart rate for years. Big factor is cost. A new galaxy watch 5 is around $250. The type of heart rate monitor for constant monitoring he spoke of I wore for 14 weeks. It sticks to your chest and has a button you push every time you have a "cardiac event." The insurance bill was $1100, my out of pocket was $275. We can talk about the benefits of each in terms of health but a smartwatch is going to help in so many other ways.
My girlfriend is a physician as well an she's pretty sceptical with all the health tech as well. Mike explained it really well tough, if there is no evidence that it helps, you really have to consider the side effects. Especially with the DNA testing where you might have a genetic predisposition for some kind of disease knowing it really doesn't help at all if there is nothing that helps. Great conversation!
Well, any smart person should be skeptical in anything. You don't have be a doctor or be in health tech industry to understand it. As Dr Mike said, "There are no quick fix." Which can apply to most things in life. There should be draw backs as well as good benefits. Balance is key. Too bad, some companies aren't transparent enough on this for their consumers. Lol.
I love how he gave the trivia answers in the actual correct order lol. That alone would throw some off, thinking there’s no way they were already in the right order.
This podcast is like the restaurant scene in the Social Network movie, Mike being justin timberlake(Speaking Sense), mkbhd being Jessie Eisenberg(loving whats justins talking), Andrew being andrew garfiled(I dont have to say it)
I work an office job (now from my house, thank you pandemic) where I sit 40+ hours a week. Having a Fitbit and an old one, I think it’s three generations below the newest one, has allowed me to keep track of my heart rate and realize when I’m not getting enough exercise. I’ve kept it in the low 50s bpm pretty well, I’m amazed Marques’ is in the 40s, but he’s also way more active than me.
What a great episode with Dr. Mike. His thoughts and what he says are very clear and broken down with also being careful on stating that we are all our own person and their isn’t ONE rule for every human! Absolutely loved watching you guys today! Thank you!
37:00 I have always said that Dr's shouldn't just Tell patients but also given a transcript of the conversation, this is where an AI could assist. The patient then leaves with the notes that are quickly proof read by the Dr before the patient leaves. Everyone I know has forgotten half the stuff a Dr says in an Appointment.
55:30 just to throw my 2 cents in, i dont have blue light glasses but i use a program on my PC called Flux that basically acts as a blue light filter and i can say with 100% certainty that it helps with eye strain. I can visibly feel my eyes relax when i turn it on and i used to have pretty bad eye strain headaches but dont anymore. What Dr. Mike suggested (looking at something 20ft away for 20 seconds every 20 minutes) is helpful for sure, but I've never needed to do that after filtering out the blue light from my monitor and tinting everything more orange
A day after I got the Covid vaccine, I was wearing a Fitbit, and, coupled with the knowledge that some people can have tachycardia after the vaccine, when I was lying down with 150+ BPM, needless to say this caused a panic attack, which saw me in the emergency room. Had I not had the FitBit on, this acute elevated heart rate (that was likely related to the response the vaccine but was nonetheless harmless) could have just passed by (as everything turned out to be fine) and it didn't feel like my heart was 150+. It was a very interesting biofeedback experience. Now I am mindful of how my Apple Watch can cause this biofeedback.
@30:56 --it was Target that was culling the purchase history, and making recommendations in their weekly mailout flyers based on trends. A pretty famous case.
As a master student studying heart electrophysiology and AI, well this is entertaining and educating. Also I can validate some of the informations here XD. Glad to know that our narrow field of study got recognised
My Apple Watch gave me insight in that my rest heart rate increased by 10 bpm (on average) since I had covid in October (immediately +10 right after). If I hadn't the watch I still would have been searching for the cause of my tiredness
I am very glad doctor mike agreed to this interview. As a doctor myself he presented many of the opinions we have regarding tech in the health industry.
This discussion really talked me out of buying an Apple Watch, which I appreciate. If I ever decide to buy it, I’ll consider ignoring the health data and sticking to fitness tracking and notifications. But I can easily see myself being psyched out by seeing I didn’t get a lot of sleep on my Apple Watch, so it’s better I don’t make it easy for that to happen
I would say if you wanted one for XYZ reasons, you should still get it. I have an apple watch and it is actually very good healthwise. There are 2 sides to every coin. For example, it sends me a notification to tell me to stand every hour. I work a desk job, and whenever the watch notifies me, it makes me get up and walk around for a bit to stretch my legs. Also I track my activity per day against my friends (you see your friend's activity in the watch), it encourages me to exercise when I feel lazy, but I see my friends exercised today. Additionally when I workout, I mainly just use it to track my heart rate to make sure I'm in the zone. Apart from these health and fitness aspects, I use it for notifications, quickly setting timers for cooking etc. It is great.
@@flarierza33 oh for sure. It’s a personal costs-benefit analysis everyone should make. For me, it’s not a good thing to make the data that can have a negative impact on me easily accessible. I’ll reassess this at some point but for right now that issue outweighs the benefits for me. I’m glad that the watch has a positive effect for you though!
I love that one of the trivia questions was about the invention of optical lasers because my father, who went to the same Stevens University as MKBHD, is one of the inventors of LASIK eye laser technology
The fall feature is very cool; it didn't ever activate for me until one day, a person crashed into me while I was riding my scooter. I was unharmed, but my watch was ringing, and I was confused because it had never happened to me before. I realized it was fall detection, and I was like, oh! I forgot it existed, I'm glad it was correctly detecting a crash, though XD Unfortunately, the other guy got scratched as he was on a bike and couldn't get off without falling, but he biked off, saying it could've been a lot worse, eh? I was left standing there with my sanitiser bottle... lol
I agree with sleep and stress tracking, as constantly checking these things can make you more anxious. I also advise against checking ECG daily on the watch as it can be anxiety inducing as well. However, I believe body composition and blood pressure can really help.
For a short time I did some gpt response judgement work. We would get the prompt and two responses that the gpt could offer, and it went through several levels to basically grade the answers on accuracy, legibility, safety, and others. Bringing on more highly specialized skill for that would help for sure, but they do also require some good research. I'm not sure how many people would go over each task, but the fact it's at least two helps rule out bad research. The other nice thing is those who check second have to be pretty experienced with the job (basically team leads, but less hierarchy).
This is interesting. My dear dad got a couple of AFib alerts from his watch, called the nurse’s line, and was advised to get seen ASAP. It worries me, but also I’m glad he was alerted. He’s a relatively sedentary man of a certain age who’s starting to have some health issues, so to have something monitoring his heart health seems like a good thing. Love the whole conversation, this is a great group of people to have this kind of chat.
Note that there’s Garmin watches worth thousands of dollars specifically designed for diving and aviation so I’d trust them a lot more with these unusual situations than an Apple Watch.
This is such a great episode. Very informative and enlightening. It demystifies the so much nonsense that health product companies push to profit off people.
I took a genetic test from Genesight in order to determine my aptitude to different antidepressants. It was super useful and my psych and I use it as a guide for different treatments!
My apple watched helped me get diagnosed with inappropriate sinus tacychardia and get meds so I’m forever thankful for it. I was tired all these years and not understanding why until I got my watch and my resting heart rate stayed between 96-110. I wasn’t aware at all before.
I like his take on how marketing has affected those of us who are keen amateur athletes but by no means elite. We LIKE to have the data but don’t really need it. It’s mostly for entertainment purposes, which can be motivating.
I needed this podcast! I'm doing my master's in public policy, and this has convinced me to do my capstone (thesis) in AI and healthcare. I have a limited amount of time to complete it, so narrowing things down will be a challenge, but I'm excited about this topic :)
I've been watching you guys for a while and i really love your podcast, i think it's the only podcast that i actually listen to consistently, but i'm writing this comment to ask you for one thing: could you guys try and not talk over eachother😅 this happens often and i have to keep rewinding the podcats to figure out what each person said.
I feel like for the heart monitering thing on the applewatch should have some sort of calibration function. Obviously im not a medical professional so maybe i just dont know. But i feel like there is some variation between person to person on what their heart rate should be depending on whether theyre being active at that time or stationary. And im wondering whether or not calibrating for those scenarios could possibly make it less likely to flag something as abnormal when its actually normal or at least not problematic
I just already know what he's gonna say: these devices do not actually acurately measure anything because they're not properly calibrated and they're too small and not powerful enough. But they're good for having a consistent number to look at, measuring movement, and telling time as if that matters. Did I get that right? Guess I'll find out 😅
@@VishnuAi It's called skepticism, and it's perfectly valid from a medical standpoint where people's lives are at stake. None of these "new and exciting" tools are even close to the level where they can replace actual human professionals, and it's important to have some perspective on their actual and current capabilities.
One really underrated health Feature of the Apple Watch in my opinion is the option to wake you up with only the “taptic engine”. I sleep very deep and do not wake up unless there is a really loud noise. I always hated going to bed knowing next thing tomorrow morning will be a loud sound. The Apple Watch just wakes me up with light tabs and I love it.
Great episode! Doctor Mike simplifies everything we tend to make complicated. We want a black and white certainty with everything, but as Doctor Mike pointed out numerous times, it varies person to person. Really enjoyed this!
David Sinclair and Matthew Walker have great research based books on living better (not necessarily longer) and sleep science respectively. Why We Sleep is a phenomenal book and I'm glad Dr. Mike name dropped it because it is such a valuable book.
I 100% got the "you good?" notification from my Apple Watch when watching UNC play Kansas in the national championship game last year. It actually provided me with a little bit of levity in an otherwise tense situation. We lost by the way,...
Dr. Mike, could you please share your insights on the incidents of burns associated with prolonged use of the Apple Watch? I discontinued my own usage due to a burn sustained from the device. What are the potential causes and consequences of using such wearables?
@@ChrisParayno I wipe my watch, air pods and phone regularly. Its amazing how some people make assumptions without knowledge. "I think" is the fools who says "I don't know, but I'm still going to say something as if I know." You didn't examine my wrist, a actual doctor did.
To add to the conversation on health anxiety caused by too much information: I know Ozempic has been in the news for non-diabetics using diabetic supplies, but there’s also an industry using other diabetic supplies in the realm of medical technology - Continuous Glucose Monitors. There’s various services that will write a prescription to use these as “metabolic monitors” and spend quite a bit of effort to shame people who don’t follow their program using their weird arbitrary limits. One such service calls diabetes “chronic lifestyle disease” when even T2D is heavily influenced by genetics, and all the other types (there’s more than 2) have various other causes. Forums for support over these devices get visits from non-diabetics fairly frequently asking about numbers and whatnot and the diabetics there are like “what are you even worrying about? you look healthy” and some will clap back with “what does your doctor who prescribed you this device requiring a prescription say about your data when they interpret it?” These devices are a massive game changer for diabetes management, including for T2D, where we can make far better decisions without the anxiety of frequently poking our fingers. But there’s non-diabetic people who think they also need this, and when it’s pointed out to them it’s not really useful to them, they accuse diabetics of gatekeeping this technology. It’s a similar argument on ozempic/mounjaro. As far as wearable non-medical device tech, like smartwatches and phones: As you might guess, I’m diabetic, and I use a CGM. I’m also a techie and have a pretty elaborate setup to get my blood glucose values available on my Garmin watch. I don’t care too much about all the stuff that Garmin Connect can track, but it has been a bit of a hub for tracking actual legit health data I share with my doctor (I have their blood pressure monitor as well, I track weight and other things). But having my blood glucose glancable on my wrist is super helpful. Failing having it on my wrist, it’s also on my phone. My CGM sends its data to my phone via bluetooth, so my phone becomes my glucometer. With my setup, it reports to apple health, my watch, etc. While I don’t trust Garmin’s calculations on sleep tracking and health, body battery, etc, and I mostly don’t pay attention to it, these smart devices can enable ways to access data from actual medical devices. Some diabetics use insulin pumps and this can also go through their phone, where the user can see how it’s performing, input a need for extra insulin, have the pump talk to a CGM to balance things out, etc. But, of course, this all involves actual medical devices, with FDA approval. I guess the point I want to note is we have our medical technology talking to our personal devices, now, and that’s pretty cool, and should be further developed. I’m not sure what other tech could benefit from this blending in a safe way (maybe hearing aids?) but I’m sure there’s a lot more that could be developed as real medical devices that blend with our personal devices.
"no one is going that far to prove if anything works or not". This perfectly exemplifies the idea that no one is going to do an RCT of whether parachutes work.
Good pushback from Marques on the AI. If the algorithms are able to detect small things we can't detect yet, it's probably not a big of a deal as Dr Mike suggested, yet we could potentially start to see trends very early on, and that would mean we can start treating the diseases at its very early stage, preventing a its latter-stages, sometimes irreversible, effects. For anybody interested in the topic, there is a very good NEJM (New England Journal of Medicine) podcast series (NEJM AI Grand Rounds) available online, where both clinicians and technologists debate the use of AI in current medical practice, and in the nearest future.
Also it’s very likely the initial inquiry that leads to testing is based on actually experiencing symptoms. Therefore, deep diving into terabytes of historical health data for diagnosis is deeply useful. And if and when a treatment plan is determined, *then* the Dr. uses their expertise to outline the best choices with patient being informed and consenting. I didn’t see what was so doom n gloom about that. Dr. Mike will hopefully have a more optimistic outlook on his next tech feature??😂 who knows?
The day when Marques invites a ChatGPT model instead of a guest, is the day I believe AI tools have taken over humans (only in conversations). Great conversations btw. ✌
The only metrics I'm concerned about, is resting heart rate changes over time. I like to know, that my training is in fact improving my general fitness - and adjust accordingly if not.
Catching up to this episode finally. I think a point that wasn't made is that sometimes you don't get to have as frequent as possible checkups to know if exercise or diet are having a good effect. It's true that if you just follow the recommended advice by a professional you will get the desired result without the help of a device such as a fitness tracker. However those devices can be used by non-fit individuals to achieve good results. All I'm saying is they can be used as standard weight scales. Just because you get on a scale regular doesn't mean people are not using them to monitor how they are doing and it keeps them motivated if they are getting good results. It doesn't have to be for the 1% of super athletes that are anyway going to have access to more robust tech that is dedicated to exactly what they need.
54:10 Two years ago (August 2021) I was squatting and I felt a deep pop in my lower back. It hurt super bad, and after it didn't get better for awhile I went to the doctor in December. To make a long story short, last month the doctor was able to correctly identify my injury. However it took two entire years with various doctors, 3 x-rays, and two mri's. Turns out I herniated my L5 S1 lumbar disc. Before my doctor figured this out, I wanted to see what chatgpt had to say. Within a matter of minutes, chatgpt suggested that I herniated a lumbar disc. What an astronomical waste of my money and time. Years of depressive episodes due to losing the ability to exercise and push myself in the gym, on the golf course, or on the tennis court. Immense pain and stress everyday. I'm not sure what my point is, but I thought my story was worth sharing.
I spent all of my clinical skills class in the first year of med school learning about how to approach and interview patients. Some people might think some of the things to be too 'political' (e.g. asking for pronouns, preferred but not legal names, etc.) but these are questions that can be dropped if not applicable, rather than not being asked to begin with - and for a not insignificant amount of people, these things make a difference to make patients trust us. The questions of "what do you think is going on?" and "how has this affected you?" have been drilled into us as part of our grading rubric for all of our standardized patient interactions in an office clinic setting. In the simulated emergency setting, all bets are off 😂
There are actually quite a few features that are genuinely helpful. It would be worth going through an itemized list with real scenarios and bring a skeptical eye. Everyone is also different. One persons motivation is another person’s entertainment. That seemed true more than a few times during this video.
Docs are right when they say get to know your own body. You're the best doctor at diagnosing what might be wrong with yourself. I use heart rate monitors for health/fitness, but more to target specific fitness levels depending on the day. I was surprised to find out none of the new high tech watches can do this. I use a Polar with the chest strap. Also, as information for when to restart my current workout at the same starting heart rate, for consistency sake to guage performance. This one can be done with a cheap Fitbit, which I also use.
as a ADD person caffeine made me concentrate so much better but most didnt realize why my caffeine downs were so hard until caffeine levels like mike talked about balance out over time if not taking it. literally. 1 week without caffeine i will have massive down and full recover in 5 days and in 7 its like my body never had it even 30 lears later. its like my brain still has ADD to additive things and completely gets distracted and forgets caffeine is a thing.
I've been using Garmin trackers for years and last year I bought my first smart watch. The most interesting thing to me by now is stress. According to the app when you talk is stress, when you listen to music - stress, when you have a clam workday - also stress, when you are on a hike - ohh you are walking for hours, this is big big stress :D
garmin watches seem to sacrifice actual usability of their sensors in favor of long battery life. they are really just wrist mounted displays for the other sensors.
The ECG on my watch was great for showing me my PVCs when every time I went to the doctor it wouldn’t happen during my EKG. so being able to show them my ecg on my watch that tracked them, allowed me to determine it was PVCs quickly. So that was cool
This is such a good conversation it's almost scary. Wow. Just raise the bar, guys, why doncha... oh, and THANK YOU!! PS Re the trivia - I knew that records was the latest because my former spouse was working at a company that was trying to get them fully functional in the 90s. There were a lot of variables, including issues of confidentiality and it was a more complicated problem to solve than most people realized.
I have used my Apple Watch for 4 yrs now as a motivator. It has helped me track my exercise and given me goals. The gym I go to also has a fitness tracker, My Zone, but I like my watch better. I think anything to get us off our butts is good. We might not all use all of the features but again it is a motivator.
What I really like about Mike is that he's consistent about what he says, no matter who asks or what podcast he's on. Of course, he's a doctor and is reiterating medical facts, but still, there are professionals who bend the truth to tailor the experience to a certain audience.
He's also pretty smart tbh.
Every time I see Dr Mike and MKBHD together I remember that they’re both 6 ft 3 😂.
oh yea 😂
and allllll of mike's employees lol
They're so tall 😩 lol
For the rest of the world, 6 ft 3 means 190 cm
@@Waveformsus
The air is rarer way up there 😂
MKHB and Dr Mike point out the issue about 90 percent of the "tech youtubers influencers" is that majority just regurgitate stuff from the manufacturer. They don't know the internal workings nor experts in the field. They are just influencers and most are there for entertainment purposes only. Great podcast, especially on Mike chiming in on critical aspects of the medical field.
There is an excellent youtuber called The Quantified Scientist that test primarily fitness watches against reference-hardware like proper ECG straps and sleep monitors to compare results so you get a more accurate picture of how actually accurate the data you get is, it's chocking how many "premium" devices have horrible tracking outside of step counting.
MKHB Is literally an apple shill lol
I'm a medical student and longtime lurker in the 90%. I was super excited for y'all to talk about tech in medicine. I appreciated how the discussion had research in mind. I feel like providers need reminders on what most people know about medicine the longer we're inundated in the healthcare community too.
• Products: I feel like one theme was the lack of a quick fix for a lifetime of habits. Tech provides tools to improve our health, but these tools are limited without more data from studies or individual motivation to continue with a product. We're allowed to enjoy these innovations as long as there are more positives than negatives.
• AI: Bedside manner was nice to hear about in the episode, since each patient takes in a negative diagnosis differently than others. I don't know how I'd feel for myself or my family with a computer for a uniquely human interaction. Supportive relationships are important for patients to deal with the news and make decisions about management in line with their wishes. Patient communication and adherence might be difficult too. Providers are trained to ask the right questions, pull out the important answers, and do a physical exam before going to labs or images. Once with a diagnosis, then patients need to feel motivated to work with providers and agree to a plan based on recommendations. All of the medical advice in the world won't change a patient who isn't interested or equipped to change with the right resources. Additionally, I think a worrisome point would be the weaponization of health data with companies and corporations.
The main thing is the health app. Which is the nerve center of everything, so you’ll have the Apple Watch and its data. But then you have a bunch of 3rd party trusted app feeding data in to the health app. For instance maybe inbody app and scale at gyms will feed data to health app and you have a sleep app, hearth rate app, maybe a running app also feeding data to the Apple health app that amalgamating all these things.
We all know in the future all this data is going to be more exportable to give to your doctor for him to be able to make a better assment of things .. because people’s memories aren’t exact. Cobble that with apps that read stress levels for instance. I am in beta right now but it can measure time in daylight and so on.
It won’t be long until this will be standard the ability to give data to your healthcare provider.
My cardiologist (High BP) checks my Apple Watch for historical information such as heart rate, etc. He also more importantly checks my Activity to see if I am moving/active etc. He has said the data is more of a "ok" check than a real data element for him and more of a motivation tool for me. He aligns with Dr. Mike on the watch usefulness but says it tells time well and other things like messages and alerts.
Problem is the health anxiety that comes with it, sometimes these health trackers act like negative feedback loop. But I guess everything has some pitfalls
@@achyutamkhajuria8162 If you're being unhealthy you deserve negativity. Your body deserves the very best.
@@NichoNick health anxiety doesn't mean you're unhealthy, but that you're obsessing over getting sick. Do you know the burden a hypochondriac has on healthcare?
@@Tom-rt2 I'm just talking more about people who are overweight or don't move at all. Of course you shouldn't be worried 24/7 about getting cancer.
@@NichoNick well, you were replying to a comment about health anxiety. That's what it is 🤷
As someone with type 1 diabetes, I do use tech daily. I have a CGM that automatically measures blood sugar every 5 minutes. And, I have extra software that communicates with both CGM and insulin pump to adjust insulin dosage as needed. The CGM alone already is a game changer for managing type 1 diabetes, but this combination is incredible, and I would never want to lose it. I mention this as an example for tech that indeed is incredibly useful and not just a gimmick.
I will say I've dramatically increased my health, as my Fitbit made me more cognizant of being sedentary and the food I eat. My resting heartrate has gone from ~80 to ~63, and stayed there for the past few months.
Good job keep going.
Awesome work, dude!
@@prafullarora sure!
So, there are four categories of tracking I benefit most from, which have some overlap: sleep, heartrate, steps, and food.
The fitbit is pretty good at tracking quality and length of sleep, and can help me realize when I've been kind of lying to myself about how much sleep I've been getting, and work on improving it. It also syncs with my alarm app (Sleep for Android) to wake me up each morning in a half hour window, finding the portion of that window I'm in the lightest stage of sleep to wake me up with just a vibration. Honestly, the watch is worth it for this alone. It's a wonderful way to wake up. It can take some time for it to determine what constitutes lighter/heavier sleep for you.
Heartrate is good just for checking when I get stressed, but also for cardio exercise. When I do cardio, I try to maintain a heartrate over 140 bpm for as long as possible. It can actually be really tricky to consistently determine what your heartrate is, and I have found great results in optimizing around a bpm floor for my cardio. It keeps me from wearing out my muscles by just continuing to push myself without metrics.
Steps... I try to walk at least 250 steps an hour (for a 12 hour period of the day). There's an acronym used to describe just little bits of movement throughout the day to break up the constant sitting we do, I can't remember what it is. But I have the watch remind me 10 minutes before the hour if I haven't gotten my steps in that hour. You can customize this or not use it at all, if you want.
With the tracking of heartrate and steps, the watch has a decent estimate of your calories burned per day. Which means that when you also use the fitbit database/scan feature to input what food you've eaten, you get a good estimate of your calories in, calories out.
Hope this helps!
how long did that last? The 63 BPM.
@@aungthuhein007 I kept around that mark until the holidays. I got sick twice in a row for over a month spent sick, then the days were short, I had family to deal with, and I had access to lots of hearty food. I've since been spending the past month or so whittling my resting heartrate back down from the 80 it returned to; it's been high 60s low 70s the past week.
Dr.Mike and MKBHD together can actually make a good pair of hosts for a tech related series where they can explore and review all the health tech. ❤❤❤
Miniseries called "Second Opinion"
@@MoneybagsUkuleleand a blog series called “Opinion shopping”
Yes, I would love this to be a regular thing!
❤😢11QQ2
And Andrew can tag along and confirm the things the other two referenced are indeed "good."
I love that doctor Mike broke out the matte black scrubs for this. Dude always makes a point to dress for the occasion 💯
I love how nerdy this was. It felt warm and I felt at home.
Nerds rule 💯
As a night owl, I very much appreciate that. Night owls have to deal with others making sound while we try to sleep yet we have to be quiet while others sleep. If we want to go to a government building then we have to be awake when we should be sleeping.
If we want to go to school we have to function while we should be sleeping. Our job options are extremely limited if we don't work for ourselves.
This is the podcast we needed but weren’t to sure what to do with because it was so informative.
I love when Mike and Marques get together! It’s always a good time/episode !
To the editors: that punch zoom on "do that anyway" was awesome. Well done. I loved it.
As a wheelchair user, I love the fact that the Apple Watch offers wheelchair modus and takes into consideration that my movement is different but that I am still being active. In fact, I agree that the fall detection is ultimately the only useful feature. Some other data just gives me axiety.
I'm not a wheelchair user so I haven't even given that a thought to be honest, but that's so cool! Good for them for being inclusive and actually making something useful that's not just being "performative"!
That's why I just stick to a good old fashion regular watch. Lol.
So many benefits to the Apple Watch. I love it.
the part about understanding our body first before relying on tech for diagnosis is pretty relatable.... I'm guilty of it. I also search a lot of medical stuff online and it tends to cause anxiety. I remember self diagnosing myself for kidney stone and it wont go away even after few weeks... I returned to my doctor twice. he said the results didn't find any stone or significant sign of infection. Then it dawned upon me I just really had a bad back muscle tear bc of work and posture lol
Dr Mike what a role model you are for the medical community! Sincerely, an anaesthesiologist.
"It depends" is a frustrating answer but I appreciate how this was basically his answer to anything related to "what's good...?"
No nonsense 'everyone should do this ONE thing to be healthy'
At the same time I like his approach of 'if it makes you happy and doesn't hurt, why not'
Unfortunately, 'it depends' is often the right answer. There's a TON of different variables on an individual-by-individual basis, so there is no single answer that can apply to everyone.
One of the best podcast I've listen to in a while. Also great point and questions that can be turned into clips so that the information can be spread even faster!
I agree with the mental side effects he mentions. I have both garmin and Apple Watches I use to track my steps. Last year I developed a heart issue and I find that when I’m able to see my heart rate I tend to have more issue with irregular heartbeats. When I wear my analog watch I have less. I now use my garmin to track workouts, and only workouts.
Oh. .. I thought I was just imagining things when this happens to me too! I think I will move into using my analog watch as indeed when I see my heart rate going up it makes me more anxious..
I have worked in IT healthcare for the past 25 years. Some interesting stuff was not brought up while Dr. Mike was in. One, be in control of you own health records. Bring notes on an iPad or your phone to each health care provider you see. I could get way more in depth. In America no one uses the same uniform EHR, which all use different versions of DB engines to store data. There is no HIE, health information exchange. There is massive amounts of excessive duplicate testing done by providers because they don’t know what’s been done by other providers. An example is running duplicate lab panels a week apart because the patient doesn’t understand nor is it really their job to. This is one of the multiple reasons why insurance costs so much and doesn’t pay provider practices any more. The Apple Health App, to its credit, does a good job of organizing all this data if you set it up correctly and if more patients and providers would use it. Or the government needs to come up with a federal HIE. There’s a lot more to get into analytically speaking but that’s a different show I’m sure.
Real world example. I've been wearing smart watches to monitor heart rate for years. Big factor is cost. A new galaxy watch 5 is around $250. The type of heart rate monitor for constant monitoring he spoke of I wore for 14 weeks. It sticks to your chest and has a button you push every time you have a "cardiac event." The insurance bill was $1100, my out of pocket was $275. We can talk about the benefits of each in terms of health but a smartwatch is going to help in so many other ways.
My girlfriend is a physician as well an she's pretty sceptical with all the health tech as well. Mike explained it really well tough, if there is no evidence that it helps, you really have to consider the side effects. Especially with the DNA testing where you might have a genetic predisposition for some kind of disease knowing it really doesn't help at all if there is nothing that helps. Great conversation!
Well, any smart person should be skeptical in anything.
You don't have be a doctor or be in health tech industry to understand it.
As Dr Mike said, "There are no quick fix." Which can apply to most things in life.
There should be draw backs as well as good benefits. Balance is key.
Too bad, some companies aren't transparent enough on this for their consumers. Lol.
Love Dr Mike. He sticks to his professional knowledge, and doesn't align with products. Just provides good common sense.
Yes!
I love how he gave the trivia answers in the actual correct order lol. That alone would throw some off, thinking there’s no way they were already in the right order.
This podcast is like the restaurant scene in the Social Network movie, Mike being justin timberlake(Speaking Sense), mkbhd being Jessie Eisenberg(loving whats justins talking), Andrew being andrew garfiled(I dont have to say it)
Huh?
Ah thanks i was looking for this movie for so long since I forgot the title of this movie.
I work an office job (now from my house, thank you pandemic) where I sit 40+ hours a week. Having a Fitbit and an old one, I think it’s three generations below the newest one, has allowed me to keep track of my heart rate and realize when I’m not getting enough exercise. I’ve kept it in the low 50s bpm pretty well, I’m amazed Marques’ is in the 40s, but he’s also way more active than me.
What a great episode with Dr. Mike. His thoughts and what he says are very clear and broken down with also being careful on stating that we are all our own person and their isn’t ONE rule for every human! Absolutely loved watching you guys today! Thank you!
David’s sheer excitement at trivia was so wholesome 😂😊
37:00 I have always said that Dr's shouldn't just Tell patients but also given a transcript of the conversation, this is where an AI could assist. The patient then leaves with the notes that are quickly proof read by the Dr before the patient leaves.
Everyone I know has forgotten half the stuff a Dr says in an Appointment.
“Social media detox” and here I am watching 80 mins of this podcast Lol
Yo be fair, this is educational
55:30 just to throw my 2 cents in, i dont have blue light glasses but i use a program on my PC called Flux that basically acts as a blue light filter and i can say with 100% certainty that it helps with eye strain. I can visibly feel my eyes relax when i turn it on and i used to have pretty bad eye strain headaches but dont anymore. What Dr. Mike suggested (looking at something 20ft away for 20 seconds every 20 minutes) is helpful for sure, but I've never needed to do that after filtering out the blue light from my monitor and tinting everything more orange
Thats good to know ill give that a shot
A day after I got the Covid vaccine, I was wearing a Fitbit, and, coupled with the knowledge that some people can have tachycardia after the vaccine, when I was lying down with 150+ BPM, needless to say this caused a panic attack, which saw me in the emergency room. Had I not had the FitBit on, this acute elevated heart rate (that was likely related to the response the vaccine but was nonetheless harmless) could have just passed by (as everything turned out to be fine) and it didn't feel like my heart was 150+. It was a very interesting biofeedback experience. Now I am mindful of how my Apple Watch can cause this biofeedback.
1:40 A sign you have a good healthcare provider.
@30:56 --it was Target that was culling the purchase history, and making recommendations in their weekly mailout flyers based on trends. A pretty famous case.
Great episode! I just discovered you guys with some random youtube playlist and this is my first episode of your podcast. I'm now subscribed. 👌
As a master student studying heart electrophysiology and AI, well this is entertaining and educating. Also I can validate some of the informations here XD. Glad to know that our narrow field of study got recognised
Doctor Mike truly cares about the well being of his patients and money wise too.❤
He really does seem to
My Apple Watch gave me insight in that my rest heart rate increased by 10 bpm (on average) since I had covid in October (immediately +10 right after). If I hadn't the watch I still would have been searching for the cause of my tiredness
I am very glad doctor mike agreed to this interview. As a doctor myself he presented many of the opinions we have regarding tech in the health industry.
This discussion really talked me out of buying an Apple Watch, which I appreciate. If I ever decide to buy it, I’ll consider ignoring the health data and sticking to fitness tracking and notifications. But I can easily see myself being psyched out by seeing I didn’t get a lot of sleep on my Apple Watch, so it’s better I don’t make it easy for that to happen
bro same
Same here
I would say if you wanted one for XYZ reasons, you should still get it. I have an apple watch and it is actually very good healthwise. There are 2 sides to every coin. For example, it sends me a notification to tell me to stand every hour. I work a desk job, and whenever the watch notifies me, it makes me get up and walk around for a bit to stretch my legs. Also I track my activity per day against my friends (you see your friend's activity in the watch), it encourages me to exercise when I feel lazy, but I see my friends exercised today. Additionally when I workout, I mainly just use it to track my heart rate to make sure I'm in the zone. Apart from these health and fitness aspects, I use it for notifications, quickly setting timers for cooking etc. It is great.
Mines been great
@@flarierza33 oh for sure. It’s a personal costs-benefit analysis everyone should make. For me, it’s not a good thing to make the data that can have a negative impact on me easily accessible. I’ll reassess this at some point but for right now that issue outweighs the benefits for me. I’m glad that the watch has a positive effect for you though!
I love that one of the trivia questions was about the invention of optical lasers because my father, who went to the same Stevens University as MKBHD, is one of the inventors of LASIK eye laser technology
Wow, that's awesome!
Fun and informative episode. More episodes like this where someone outside of tech industry sharing their thoughts
19:39 that music fade in was amazing
The fall feature is very cool; it didn't ever activate for me until one day, a person crashed into me while I was riding my scooter. I was unharmed, but my watch was ringing, and I was confused because it had never happened to me before. I realized it was fall detection, and I was like, oh! I forgot it existed, I'm glad it was correctly detecting a crash, though XD
Unfortunately, the other guy got scratched as he was on a bike and couldn't get off without falling, but he biked off, saying it could've been a lot worse, eh? I was left standing there with my sanitiser bottle... lol
Mkbhd and Dr mike together is my fav collab 🙌
I agree with sleep and stress tracking, as constantly checking these things can make you more anxious. I also advise against checking ECG daily on the watch as it can be anxiety inducing as well. However, I believe body composition and blood pressure can really help.
For a short time I did some gpt response judgement work. We would get the prompt and two responses that the gpt could offer, and it went through several levels to basically grade the answers on accuracy, legibility, safety, and others. Bringing on more highly specialized skill for that would help for sure, but they do also require some good research. I'm not sure how many people would go over each task, but the fact it's at least two helps rule out bad research. The other nice thing is those who check second have to be pretty experienced with the job (basically team leads, but less hierarchy).
Just now seeing this. Always stoked to see Dr. Mike. This is such a great podcast.
This is interesting. My dear dad got a couple of AFib alerts from his watch, called the nurse’s line, and was advised to get seen ASAP. It worries me, but also I’m glad he was alerted. He’s a relatively sedentary man of a certain age who’s starting to have some health issues, so to have something monitoring his heart health seems like a good thing.
Love the whole conversation, this is a great group of people to have this kind of chat.
Yo my favorite podcast is here 🖤🖤
Note that there’s Garmin watches worth thousands of dollars specifically designed for diving and aviation so I’d trust them a lot more with these unusual situations than an Apple Watch.
My favorite content creators in one podcast! Love it
This was really an enlightening episode... Thanks Dr Mike and Waveform team.
This is such a great episode. Very informative and enlightening. It demystifies the so much nonsense that health product companies push to profit off people.
I took a genetic test from Genesight in order to determine my aptitude to different antidepressants. It was super useful and my psych and I use it as a guide for different treatments!
My apple watched helped me get diagnosed with inappropriate sinus tacychardia and get meds so I’m forever thankful for it. I was tired all these years and not understanding why until I got my watch and my resting heart rate stayed between 96-110. I wasn’t aware at all before.
I like his take on how marketing has affected those of us who are keen amateur athletes but by no means elite. We LIKE to have the data but don’t really need it. It’s mostly for entertainment purposes, which can be motivating.
Always eargasmic when intelligent pple meet and converse 🥰🥰🥰 loved it
"I feel like we all nuke each other before that happens" 💀💀💀
So hopeful and optimistic 😂 Cheers! 😂🎉
Great to watch such intelligent, eloquent young men...gives me hope for the future.
I needed this podcast! I'm doing my master's in public policy, and this has convinced me to do my capstone (thesis) in AI and healthcare. I have a limited amount of time to complete it, so narrowing things down will be a challenge, but I'm excited about this topic :)
I've been watching you guys for a while and i really love your podcast, i think it's the only podcast that i actually listen to consistently, but i'm writing this comment to ask you for one thing: could you guys try and not talk over eachother😅 this happens often and i have to keep rewinding the podcats to figure out what each person said.
I feel like for the heart monitering thing on the applewatch should have some sort of calibration function. Obviously im not a medical professional so maybe i just dont know. But i feel like there is some variation between person to person on what their heart rate should be depending on whether theyre being active at that time or stationary. And im wondering whether or not calibrating for those scenarios could possibly make it less likely to flag something as abnormal when its actually normal or at least not problematic
I just already know what he's gonna say: these devices do not actually acurately measure anything because they're not properly calibrated and they're too small and not powerful enough. But they're good for having a consistent number to look at, measuring movement, and telling time as if that matters.
Did I get that right? Guess I'll find out 😅
He just hated on everything new and exciting
@@VishnuAi It's called skepticism, and it's perfectly valid from a medical standpoint where people's lives are at stake. None of these "new and exciting" tools are even close to the level where they can replace actual human professionals, and it's important to have some perspective on their actual and current capabilities.
One really underrated health Feature of the Apple Watch in my opinion is the option to wake you up with only the “taptic engine”. I sleep very deep and do not wake up unless there is a really loud noise. I always hated going to bed knowing next thing tomorrow morning will be a loud sound. The Apple Watch just wakes me up with light tabs and I love it.
Great episode! Doctor Mike simplifies everything we tend to make complicated. We want a black and white certainty with everything, but as Doctor Mike pointed out numerous times, it varies person to person. Really enjoyed this!
I think this was one of the best episodes till now. Thanks ❤
Love the pod with Dr. Mike. One question, is the white balance off for the cam on Marques and Andrew?
This was my first time seeing your podcast obviously cos of Dr Mike but I really enjoyed that. 😀
David Sinclair and Matthew Walker have great research based books on living better (not necessarily longer) and sleep science respectively. Why We Sleep is a phenomenal book and I'm glad Dr. Mike name dropped it because it is such a valuable book.
Checking it because I clearing need it 😂
I 100% got the "you good?" notification from my Apple Watch when watching UNC play Kansas in the national championship game last year. It actually provided me with a little bit of levity in an otherwise tense situation. We lost by the way,...
Dr. Mike, could you please share your insights on the incidents of burns associated with prolonged use of the Apple Watch? I discontinued my own usage due to a burn sustained from the device. What are the potential causes and consequences of using such wearables?
I think that's just poor hygiene. You need to clean your stuff.
@@ChrisParayno I wipe my watch, air pods and phone regularly. Its amazing how some people make assumptions without knowledge. "I think" is the fools who says "I don't know, but I'm still going to say something as if I know." You didn't examine my wrist, a actual doctor did.
To add to the conversation on health anxiety caused by too much information: I know Ozempic has been in the news for non-diabetics using diabetic supplies, but there’s also an industry using other diabetic supplies in the realm of medical technology - Continuous Glucose Monitors. There’s various services that will write a prescription to use these as “metabolic monitors” and spend quite a bit of effort to shame people who don’t follow their program using their weird arbitrary limits. One such service calls diabetes “chronic lifestyle disease” when even T2D is heavily influenced by genetics, and all the other types (there’s more than 2) have various other causes. Forums for support over these devices get visits from non-diabetics fairly frequently asking about numbers and whatnot and the diabetics there are like “what are you even worrying about? you look healthy” and some will clap back with “what does your doctor who prescribed you this device requiring a prescription say about your data when they interpret it?” These devices are a massive game changer for diabetes management, including for T2D, where we can make far better decisions without the anxiety of frequently poking our fingers. But there’s non-diabetic people who think they also need this, and when it’s pointed out to them it’s not really useful to them, they accuse diabetics of gatekeeping this technology. It’s a similar argument on ozempic/mounjaro.
As far as wearable non-medical device tech, like smartwatches and phones: As you might guess, I’m diabetic, and I use a CGM. I’m also a techie and have a pretty elaborate setup to get my blood glucose values available on my Garmin watch. I don’t care too much about all the stuff that Garmin Connect can track, but it has been a bit of a hub for tracking actual legit health data I share with my doctor (I have their blood pressure monitor as well, I track weight and other things). But having my blood glucose glancable on my wrist is super helpful. Failing having it on my wrist, it’s also on my phone. My CGM sends its data to my phone via bluetooth, so my phone becomes my glucometer. With my setup, it reports to apple health, my watch, etc. While I don’t trust Garmin’s calculations on sleep tracking and health, body battery, etc, and I mostly don’t pay attention to it, these smart devices can enable ways to access data from actual medical devices. Some diabetics use insulin pumps and this can also go through their phone, where the user can see how it’s performing, input a need for extra insulin, have the pump talk to a CGM to balance things out, etc. But, of course, this all involves actual medical devices, with FDA approval. I guess the point I want to note is we have our medical technology talking to our personal devices, now, and that’s pretty cool, and should be further developed. I’m not sure what other tech could benefit from this blending in a safe way (maybe hearing aids?) but I’m sure there’s a lot more that could be developed as real medical devices that blend with our personal devices.
"no one is going that far to prove if anything works or not". This perfectly exemplifies the idea that no one is going to do an RCT of whether parachutes work.
Good pushback from Marques on the AI. If the algorithms are able to detect small things we can't detect yet, it's probably not a big of a deal as Dr Mike suggested, yet we could potentially start to see trends very early on, and that would mean we can start treating the diseases at its very early stage, preventing a its latter-stages, sometimes irreversible, effects.
For anybody interested in the topic, there is a very good NEJM (New England Journal of Medicine) podcast series (NEJM AI Grand Rounds) available online, where both clinicians and technologists debate the use of AI in current medical practice, and in the nearest future.
Also it’s very likely the initial inquiry that leads to testing is based on actually experiencing symptoms. Therefore, deep diving into terabytes of historical health data for diagnosis is deeply useful. And if and when a treatment plan is determined, *then* the Dr. uses their expertise to outline the best choices with patient being informed and consenting. I didn’t see what was so doom n gloom about that. Dr. Mike will hopefully have a more optimistic outlook on his next tech feature??😂 who knows?
The day when Marques invites a ChatGPT model instead of a guest, is the day I believe AI tools have taken over humans (only in conversations). Great conversations btw. ✌
This has to be the best episode on this podcast!!
Good dr. Mike for openings the eyes of people. ❤
Respect to Marcus for pushing back wrt to early detection and prompting a visit to the doctor.
The only metrics I'm concerned about, is resting heart rate changes over time. I like to know, that my training is in fact improving my general fitness - and adjust accordingly if not.
this was a great podcast as a former EMT and a current tech guy this was super interesting
This interview was very eye opening, Doctor Mike is a real one
Catching up to this episode finally. I think a point that wasn't made is that sometimes you don't get to have as frequent as possible checkups to know if exercise or diet are having a good effect. It's true that if you just follow the recommended advice by a professional you will get the desired result without the help of a device such as a fitness tracker. However those devices can be used by non-fit individuals to achieve good results. All I'm saying is they can be used as standard weight scales. Just because you get on a scale regular doesn't mean people are not using them to monitor how they are doing and it keeps them motivated if they are getting good results. It doesn't have to be for the 1% of super athletes that are anyway going to have access to more robust tech that is dedicated to exactly what they need.
54:10
Two years ago (August 2021) I was squatting and I felt a deep pop in my lower back. It hurt super bad, and after it didn't get better for awhile I went to the doctor in December. To make a long story short, last month the doctor was able to correctly identify my injury. However it took two entire years with various doctors, 3 x-rays, and two mri's. Turns out I herniated my L5 S1 lumbar disc.
Before my doctor figured this out, I wanted to see what chatgpt had to say. Within a matter of minutes, chatgpt suggested that I herniated a lumbar disc.
What an astronomical waste of my money and time. Years of depressive episodes due to losing the ability to exercise and push myself in the gym, on the golf course, or on the tennis court. Immense pain and stress everyday.
I'm not sure what my point is, but I thought my story was worth sharing.
Interesting discussion. Thanks for sharing it ✌️
It’s been 25 mins, how have you finished the vid?
I spent all of my clinical skills class in the first year of med school learning about how to approach and interview patients. Some people might think some of the things to be too 'political' (e.g. asking for pronouns, preferred but not legal names, etc.) but these are questions that can be dropped if not applicable, rather than not being asked to begin with - and for a not insignificant amount of people, these things make a difference to make patients trust us. The questions of "what do you think is going on?" and "how has this affected you?" have been drilled into us as part of our grading rubric for all of our standardized patient interactions in an office clinic setting. In the simulated emergency setting, all bets are off 😂
It's about time we talk more about healthcare and tech. This was very interesting. Thank you
There are actually quite a few features that are genuinely helpful. It would be worth going through an itemized list with real scenarios and bring a skeptical eye. Everyone is also different. One persons motivation is another person’s entertainment. That seemed true more than a few times during this video.
Bring more guests to the podcast, I really enjoyed this one
Docs are right when they say get to know your own body. You're the best doctor at diagnosing what might be wrong with yourself. I use heart rate monitors for health/fitness, but more to target specific fitness levels depending on the day. I was surprised to find out none of the new high tech watches can do this. I use a Polar with the chest strap. Also, as information for when to restart my current workout at the same starting heart rate, for consistency sake to guage performance. This one can be done with a cheap Fitbit, which I also use.
as a ADD person caffeine made me concentrate so much better but most didnt realize why my caffeine downs were so hard until caffeine levels like mike talked about balance out over time if not taking it. literally. 1 week without caffeine i will have massive down and full recover in 5 days and in 7 its like my body never had it even 30 lears later. its like my brain still has ADD to additive things and completely gets distracted and forgets caffeine is a thing.
I use my smartwatch for a baseline. I track steps and exercise. I find it encouraging and motivating.
I've been using Garmin trackers for years and last year I bought my first smart watch. The most interesting thing to me by now is stress. According to the app when you talk is stress, when you listen to music - stress, when you have a clam workday - also stress, when you are on a hike - ohh you are walking for hours, this is big big stress :D
garmin watches seem to sacrifice actual usability of their sensors in favor of long battery life. they are really just wrist mounted displays for the other sensors.
That was so fun, he should come back, I like his honesty 1:18:34
According to my cardiologist, the blood o2 and ecg are very helpful and accurate
Loved this show, big Dr Mike fan
The ECG on my watch was great for showing me my PVCs when every time I went to the doctor it wouldn’t happen during my EKG. so being able to show them my ecg on my watch that tracked them, allowed me to determine it was PVCs quickly. So that was cool
This is such a good conversation it's almost scary. Wow. Just raise the bar, guys, why doncha... oh, and THANK YOU!!
PS Re the trivia - I knew that records was the latest because my former spouse was working at a company that was trying to get them fully functional in the 90s. There were a lot of variables, including issues of confidentiality and it was a more complicated problem to solve than most people realized.
I have used my Apple Watch for 4 yrs now as a motivator. It has helped me track my exercise and given me goals. The gym I go to also has a fitness tracker, My Zone, but I like my watch better. I think anything to get us off our butts is good. We might not all use all of the features but again it is a motivator.