83. Pulmonary Hypertension/Scott Pinchuk (feat. Sam Perez)

Hey kids you’re about to listen to a

comedy podcast

that means that none of this is medical

advice

if you need medical advice or medical

care please contact your doctor

welcome to the jock doc podcast

featuring dr london smith

sit back relax grab yourself a few

burgers

and enjoy the show introducing your host

dr london smith

[Applause]

hello and welcome to the jock doc

podcast where we discuss

fitness and health and how to

incorporate our modern understanding of

science and medicine into our daily

lives but without it being so boring

i’m your host dr londonsmith.com

i would like to begin by apologizing to

our listeners

we’ve received some feedback about the

excessive amount of tactical medical

terms that i’ve been using

such as chondrocalcinosis and

new year’s resolutions so i will try to

temper my terminology to a simpler one

in the future

here to help with that is our producer

cameron hi dr london

hey there how’s your week you been going

yeah yeah i guess it’s been going all

right i mean it’s

you know i’m trying to keep why the uh

why the slow reaction of that

you have to really kind of think about

it well yeah so

i mean i’m just you know we’re all

trying to keep up our new year’s

resolutions and it’s

i guess you know trying to stay inside a

lot really hasn’t helped with that

yeah well and what is your resolution

yeah so mine was to to travel more

ah yeah yeah so that was uh

you’ve been updating yours daily right

my resolution yeah it’s sort of a

rotating resolution yeah

so i don’t really know what it’s going

to be one day to the next

it’s sort of an ever-evolving thing yeah

and so today

so like earlier in the week it was eat

four hamburgers i had never done that

and i didn’t know if i could

and didn’t want to right no it didn’t

was the last thing i wanted to eat

because i

just had four hamburgers the day before

okay so you said that you you hadn’t

done that before

yeah you meant until the day before that

yeah and that day i definitely didn’t

want to do it because the day before i

had eaten five hamburgers

wow was your resolution

has your resolution every day been to

eat a certain amount of hamburgers

yeah less and less hamburgers so it

started out

you know at 11

and so now or now finally we’re we’re

i’m down to just one hamburger a day

okay that’s today yeah so i

well i have to imagine because you know

you know with the expansion of your

stomach with eating so much

are you feeling more hungry now that

you’re

you’re decreasing your caloric intake oh

gosh

uh i wouldn’t say i’m definitely

hungry in terms of my passion

like if you mean like that like i’m

hungry for more

hamburgers so my passion just for

kidding

i feel like context clues it would have

been pretty obvious that i meant

like actual physical hunger but i don’t

think like that

i think in a more existential kind of

way

you say are you hungry i don’t think oh

does my does my stomach hurt do i have

little hunger pains

no i think like what am i striving after

what do i need

and that’s you i need a hamburger

[Music]

right okay well also with us is digital

in the hose

has your resolution every day been to

eat a certain amount of hamburgers

yeah did you do it in the hoses

what do i need i need a hamburger what

am i striving

for what do i need i need a hamburger

what am i striving

for what do i need i need a hamburger

i need a hamburger i need a hamburger

i need a hamburger i need a hamburger i

need a hamburger

i need a hamburger i need a ham i need

hamburger

i need a hamburger i need a hamburger

[Music]

i need a hamburger

[Music]

i need a hamburger

and later cameron tells us that we can

expect a special guest

that’s right dr london wow yeah great so

look forward to that i think

they have a book to promote it you know

it should be exciting all about

sort of improving ourselves in this new

year yeah for all our readers in our

audience you know i don’t wanna

i know everyone has different sort of

beliefs on this

and i don’t wanna i definitely don’t

want to use this podcast to ever

push an agenda or push my beliefs on

anyone

and so for the people out there who are

maybe anti-reading or

not readers or maybe you know

don’t find that appropriate we’re not

saying you have to

read every book that we talk about i i

just want to i just want to put that out

there

yeah no one’s obligated to read

a given book that we advertise a lot of

the comments

that we’ve been getting about recent

episodes have been saying that it sounds

like we look

down on people who don’t read

well i you know that’s kind of

surprising because like for one thing

this is an audio based medium so

usually that’s what i was thinking too

yeah i think it would it’s just

they a lot of people said it was just

the general vibe

they couldn’t point to anything that was

said or any specific episode

they were like i just that doesn’t seem

like the podcast for me it seems like

this is a podcast for

the kind of people who read well okay so

that so i never got around to figuring

that out

so maybe just that we’re an academic

this is me that was me

you said that yeah

okay so if all the comments even if

there are a lot of them if all the

comments are from you

then i don’t know that that’s

necessarily reflective of our broader

listenership of you know all of our

eight listeners

yeah anyway anyway

i mean it does though well before we

move on

and we we should uh i would like to

address a bit of

listener feedback so i found this note

written

on a prescription pill bottle on the

ground next to the dumpster at the

hospital

the note reads quote this is a hoax that

has been going

around the internet for years he is

alive

and living in brazil end quote

so um so first of all thank you so much

for reaching out to us here at the jock

talk podcast

um so i guess cameron

i should check with you on this one

they’re talking about a hoax

about someone being alive and in brazil

did you fake your own death again

so here i think i think

that is a very loaded question because

you’re adding a lot of context

you’re implying that

it’s a verb that i did i

faked my death do people think that i

am dead yes yeah okay okay yeah

and was it a series of actions that i

started and the domino effect of that

led to

people coming to that conclusion sure

but you’re saying that that’s

like it’s not necessarily intentional on

your part it’s not my fault

yeah it’s not my fault you know whose

fault it is it’s these zoomers

i you know these zoomers you know these

gen z

i i i i know that they yeah that they

have their own

part of the current yeah what what’s

their deal

i you know what i mean i guess

these kids these kids they weren’t even

born before

the iphone was invented and they’re out

here

saying that i’m not allowed to have a

tick tock

wow okay okay so you know and that

that’s great input from you cameron

uh so just anyone to answer this

listeners

question um so cameron is alive that was

correct but he is actually living in the

united states that’d be

he’s not in brazil cameron is here so

but if maybe some gen zers on tick tock

are sort of inspired by the death of an

artist right like kurt cobain or someone

like that

they want to make a bunch of tick tocks

about them then they should go ahead and

do that

and if they don’t if these brazilian

teenagers don’t do that

then they need to shut up and stop

making fun of me

okay and this this sounds really like

you have your own

brazilian teenage feud going on

over tick tock that

i i feel like there’s just there’s a big

gap between

that and the rest of us so i’m gonna

if you don’t mind i’ll move on from

there i mean it just i feel like it’s

pretty clear i started a tick tock i

started

immediately being hounded by brazilian

teens

who hate me they were making memes about

how stupid i

am and how my dances i had come up with

kind of a cool dance and it was called

call it was called the cam

sham and it was sort of a like a shimmy

and shay

cam sham and unfortunately in the video

that i recorded i did slip and fall and

then

i was kind of pretending like that was

part of the move

um and then as i was getting up and

trying to post the video because i

couldn’t figure out how to stop the

video

i was kind of slipping and falling the

whole time and i was pretending that was

the

that was the move and so

so they they made fun of you for that

yeah but these

you know nothing you these kids love

artists that like die in their prime

is that like kurt cobain yeah no

mr rogers like these people who

kind of at their top

and kind of peak influence they they

pass on

and it gives it it kind of brings some

clout

so you’re you want to fake your death in

your prime which you believe is right

now

yeah and then okay uh those teams will

have to stop

with the memes all right well so to this

listener thank you for listening

now for today’s medical topic pulmonary

hypertension

pulmonary hypertension is defined as a

mean pulmonary arterial pressure

greater than 25 millimeters of mercury

at rest

but simply put it means that the

arteries in your lungs have high blood

pressure

and that that high blood pressure

prevents them from functioning properly

nope lungs don’t have arteries arteries

are in

like your neck and your foot

and in a man’s hoo-ha

[Music]

so they’re not in your lungs lungs

are have air in them not arteries

okay so trick question but i caught you

we’re pretty far into you know these

lessons about the lungs i’m surprised

that this is

the first time there’s been a problem so

uh just just to give a quick rundown of

what the lungs are like

they are these but what are you hiding i

guess this is my question

is we know lungs are full of air and

full of oxygen that’s that is the basis

for

life and yet you’re trying to convince

our audience and the american public

that uh it’s full of all these it’s full

of arteries

and it’s full of all these other things

that are found

typically an artery you know on a

person’s neck

and their leg on a man’s

unmentionables and

you’re trying to say these are in your

lungs i just want to know what the end

game is because that doesn’t even make

sense to me why do you even want to

confuse people

on this subject but i i don’t really

understand most of the kind of stuff

that you guys

do and sort of to push your

agenda i’m heated i’m heated yeah i’m

mad at you

okay um so it’s it’s for

for gas exchange so the oxygen going in

the lungs has to

get into the body like be dispersed

throughout the body

by some method so blood vessels in the

lungs there’s gas exchange that happens

along alveoli in the lungs

anyway so so the um maybe just go with

me for a second

on the idea and maybe there will be a

payoff okay so i’m just going to pretend

i’m going to pretend

for a second that when i go the my lungs

aren’t full of you know oxygen

h2o but instead that they’re full

of you know blood vessels and arteries

and all these things that it’s

definitely not full of sure that’s fine

that’s easy for me to okay

so so pulmonary hypertension can be

caused by a number of factors

one cause can be passive due to uh

resistance in the pulmonary venous

system

so that’s uh that’s when the oxygenated

blood that’s returning from the lungs to

the heart becomes backed up

to the thing uh because of things like

left heart failure or mitral valve

stenosis

between those left heart chambers it can

also be caused by

obstruction from things like a pulmonary

embolism

or lung artery stenosis and that’s you

know when the

arteries in the lung are clogged up or

pulmonary vasculature obliteration due

to collagen

vascular diseases uh it can also be due

pulmonary vasoconstriction which is when

the arteries of the lungs just constrict

on their own in response to things like

chronic hypoxemia copd or

obstructive sleep apnea so clinically

but that’s just the left heart right not

the right heart

uh for for part of that it was

on the yeah the left heart is where it

can get backed up

all the way into the lungs you know i

heard people who are left-hearted

are more artistic and more creative

they say that the people who are more

right-hearted are more analytical

and sort of mathematical and focused

yeah so i’ve heard that about the brain

more than about the heart

um i’m not you know i’m not sure if

there’s a tie-in

you heard that about the brain you heard

that people who are left-brained

are more likely to be artistic than

people who are

right-brained uh there there was some

association between the brit so because

the heart is a muscle it’s not

you know it’s not where the thinking

happens okay but you don’t have two

brains obviously you do have the left

heart and the right heart

i guess so so clinically patients can

present with uh dyspnea

i am i’m so close to figuring out what

scheme you’re trying to pull off this is

insane let me think about this for a

second

uh and this means of course difficulty

breathing

uh on exertion they can have fatigue

exercise exertional chest pain even

exertional syncope which is passing out

on exam patients with pulmonary

hypertension may have loud pulmonic

component

of the second heart sound that’s p2 and

a subtle lift of the sternum

which is a sign of right ventricular

heart chamber

dilatation these may be the only

findings but the patient may have a

devastating disease

and these findings may be you know what

shows it when

right ventricular failure occurs the

corresponding signs and symptoms of that

will appear including

you know the neck veins getting big

blood getting backed up in the liver

swelling of the abdomen known as ascites

and that’s from the great term for bag

life

a diagnosis of pulmonary hypertension is

done through a few methods

a chest x-ray may reveal enlarged

pulmonary arteries

ekg can suggest right ventricular

hypertrophy

via right axis deviation and right

atrial

abnormality these occur because the

right ventricle is pumping

against the resistance of the high

pressure lung system

so this can go back up to the right

atrium as well causing that to show

expansion

echocardiography can reveal these even

as a you know dilated pulmonary artery

and okay i figured out the scam

so you are trying to convince people

that

other things are allowed in your lungs

except for air even after you’ve been

talking about smoking’s bad

and breathing water and is bad and all

of these different things that you’ve

tried to sell the audience over the last

years

but that’s not true

right so the big thing that you solved

was just that

you think some things i’ve said aren’t

true

so you’re trying to convince people that

that breathing stuff in and having stuff

that’s in your lungs other than

air is okay so that you can convince

people that they can use

spray paints and other kind of paints

that are usually quite toxic

and people you know might want to only

spray paint for like an hour

not beyond that so they’re not getting

you know high off of it and

that’s getting in their lungs and all

these things right but you don’t want

people to stop spray painting because

you’ve invested

in our art supplies right

and and

because you’ve invested in art supplies

you don’t want people to know

that left-hearted people are more

artistic

than right-hearted people who are more

analytical because then people who are

right-hearted would be like oh i guess i

don’t need to buy art supplies because

i’m not artistic

you don’t want people know that with the

because of your investment in art

supplies how close am i

i i feel like any answer i give will be

taken

the wrong way uh

yeah because you’re trapped i believe

this is called a checkmate good sir

i like i can tell that you believe it

but my conviction has never been

stronger

okay so just to kind of finish up so

diagnosing this uh

so echocardiogram as i was saying can

reveal an abnormal movement of the

interventricular septum because of this

increa

increased right ventricular volume right

heart catheterization reveals the

increased pulmonary artery pressure

additional tests like pulmonary function

tests arterial blood gas and serology

can help you

can help give enough information to

recognize heart disease or

lung disease as the cause of pulmonary

hypertension if the cause is not

revealed by either heart or lung

you know you’ve ruled out all of those

then you can obtain a vq

scan to assess for blocked arteries and

of course there is the

idiopathic cause called pulmonary artery

hypertension

which that’s that’s a diagnosis of

exclusion so the treatment

you just you treat the underlying cause

whether it’s the heart the lung

you can use vasoactive agents

potentially on

the idiopathic cause pulmonary arterial

hypertension

um many oh and why not you know what you

know would be great treatment

is uh art therapy right dr london

wouldn’t just lower it lower stress just

uh just to start painting some pictures

doesn’t that sound good to you i mean

lowering stress sounds

that does sound good

but i you know whether through art or

through other means

you know whatever kind of relaxes you

uh but we’re so many patients will

require home oxygen diuretics and

occasionally intertropes like

digoxin and in qualified patients a lung

transplant may be the treatment of

taurus

what’s your connection to rose art i

so and this may surprise you but

what we’re doing right now is probably

the most

i have a connection to you know art

things

investment wise so

you think that rose are superior crayons

to crayola

okay that’s what this is all about well

there is the

so no look i don’t want to

we could get either one as a sponsor so

i don’t want to

take a side on but

i mean i’ve i’ve you don’t want to take

a side

on crayola versus rose art yeah

you don’t want to take a side yeah i

mean

um you know why don’t we go and move on

from there

you’re a coward you’re weak all right

yeah we’ll go ahead and move on

all right uh cameron you said that we

have a guest today is that right

that’s right dr london we have i i’ve

got to say this

one of the tallest guests that we’ve

ever had

yeah i’m not seeing some height here

that’s not normally like a point to brag

on especially since

you know this this particular guest

is coming here to promote a book if i’m

not mistaken

i mean i mean sir before we even reveal

who you are can you tell us your height

uh yes i am uh six foot one

i’ve read about these types yeah that’s

that’s incredible

okay so um do you

i i i know this kind of skipping head or

whatever but like do you have to have

clothes

made to to fit you or is that

like are there stores for people like

you uh you know it’s a challenge it

really is a

a challenge but i find that when you are

you know trying to be

the best you can be you you end up

surrounding yourself with people who

want to help you

be that person and and you get it done

you get it done

you’re saying you get you get your

clothes from the people you

you’re surrounded with is that is that

right if that’s what it takes

if that’s what it takes you know once

you’ve once a lot of your friends

see seamstresses and things like that uh

no but we you know it’s all about

encouraging people

to do what needs to be done so we all we

all figured out if i need

two or three of my friends to staple

their pants together

then you know that’s what we do and it’s

yes

it’s inspiring to watch people to watch

people come together

wow and that kind of just group activity

and coming together is

really beautiful to see dr london do you

want to introduce our guest

yeah well um so this is uh scott scott

pinchuk is that right is that how you

say it yes

yes my name is scott pinchuk all right

and uh so if i’m not mistaken you’re

here today to promote your new book

very exciting uh yes but before we do i

would just want to

acknowledge the the life-giving energy

that i feel from

from your from your podcast and from

just the vibe that’s in the studio here

you know this is a podcast that is

to promote medicine and science and to

bring people into better health and i

just want to

take a moment and sit and sit in that

energy and

affirm what we’re feeling here right now

and just be thankful

be thankful for the place we’re at

and the thing you’re doing

okay we got it we gotta wait let’s let’s

sit in let’s sit in

what is that okay we’re sitting we’re

sitting here

are you feeling it but are you feeling

yes okay i i feel properly thankful

okay i’ve never not talked for that

long you know when you just when you

take some time to

just sit in the moment you will find a

new appreciation

a new appreciation for the world around

you this is

you know the a perspective i have being

you know awful two inches taller than

the average person and i’m able to see

things that

maybe not everyone has seen but i like

to think that i help people

see these who are less fortunate and i i

want to thank you for

for uh complimenting us on on the vibe

here i work a lot on sort of cultivating

a certain vibe

and that’s one thing that you know a

certain you know

there’s a certain generation that’s

younger than me that is obsessed with

vibes and keeping a good vibe and so i

thought

you know instilling a positive vibe in

this kind of place

would be cool to maybe some of these

teens

on tick tock so they’d get off my back

about tripping and falling when i’m

doing these dances

but you know what i mean and so i’ve

i’ve really kind of focused

on on creating sort of a certain vibe

because and

that’s sort of kind of been my whole

attitude

this year that was actually my first

resolution of this year

can i ask you because usually when a

vibe of this

of this magnitude of vibe of this this

directness is cultivated

this through someone who is already

practicing some very powerful

affirmations do you have do you have a

affirmations or a meditative practice

that you do to cultivate these vibes

because this is very advanced uh i don’t

really

know what they’re called i don’t know if

they’re called affirmations but i

i take two a day and they

like you can’t drive afterwards for like

three hours that’s

the only way i can sort of describe it

but yeah i do that

and i’m sorry excellent excellent i

don’t want to interrupt at this point

but i do feel like we should

you know fully introduce who you are

like not just by name

what you know yes you’re giving these

so so as a yeah as i said my name

uh my name is scott pinchuk i am a

motivational speaker

and a life coach a book author and

podcaster

you may have uh listened to my podcast

the pinchuk way or

the p way as our fans have taken to call

you may have had me speak at your

business or you may have seen many of my

inspirational quotes being shared on

instagram and other

other media um i

have spent many years in the world of

business but really in the world of life

and

understanding and while yes i’ve made an

enormous fortune i

like to think that just the

the the amount that i have drank deeply

from the experiences of life is what i

really bring to the table and i like to

help people find the way to marry

the fullness of experience with

large amounts of profit and gain for

themselves

wow so i mean it really sounds like it’s

not about it’s not like about the

money for you you know what i mean and i

think that’s

something that maybe differs from what

you do with just try to motivate people

and try to speak to people

um whereas like compared to what dr

london does which is

you know i accrue

a lot of cash through you know healing

people only let’s say 50

of the way so they have to come back and

they’ll repeat customers and these

little scams that he does

as sort of a snake oil sale salesman

well even

what you may call a scam can be

something that adds to

the volume of your life depending on how

you

how you see it and how you are speaking

it into the world so

just because it is

a ruse to make money does not

necessarily mean that it’s

diminishing your life oh yeah no it’s

definitely not diminishing

dr london’s life that he’s pulling this

scam on people to acquire a lot of money

i would say it’s diminishing the

people’s

his patience lives that he’s sort of

funneling money to the one percent you

know

right but if those people’s lives are

being diminished

it’s really because they are not trying

to be

the most alive they can be

oh it sounds like you’ve thought

do you address this in your book um not

this specifically but i have uh

i have coached many people who have

uh been dealing with the guilt of

harming others or doing what they call

what that what some have told them are

scams or crimes

or you know illegal or selfish or

harmful and i try to help them overcome

just negative words yes they are what i

call

not most words and

this actually leaves me nice so the uh

uh one of the one of the reasons i’m

here is i have written a book

called most and it is a collection of

2021

affirmations to have your most year ever

because wow everything that causes

problems in our lives every time

that we feel like we are being hurt

every time we feel

that we are we should be ashamed or that

we should

change it is really because we are

trying to take something about ourselves

and make it

less and i think

we need to take everything about who we

are

and what we’re doing and make it the

most because when you are the most to

you

when you’re having the most experiences

that is how you have

your most life it builds on the lessons

that i learned while writing my book uh

more 2020 affirmations to have

a more year than last year and i think

i’m really uh

i think i’m really getting to the core

of what’s important

and so i mean you can sort of see how

through

how it seems like it even almost comes

down to

mindset would you would you say scott

absolutely absolutely so i mean would

you

would you say like let’s say i’m just

going to be completely honest i don’t

think i’ve been having

um most right well if i can be honest as

i was listening

to the uh to the introduction as you two

were discussing it sounded like you had

been

setting uh goals for yourself to

actually

uh do less you talked about your

hamburger goals

and how you were trying to make less

and you see that is part of our cultural

tendency

to take something about you that is a

lot

and to yeah make you feel like the

volume of it is the problem when it is

but not in the way

that people think that that is and that

is a huge problem in our society is

under consumption

absolutely absolutely

and i hate to like i hate to disagree

here

on that point but you know there’s an

obesity epidemic going on

in in this country so i i

i hear i hear you i hear you i hear you

and i know that that is

a way to look at the problems that we’re

having but if i could go through a few

of my

example affirmations i think i think

you’ll see a different angle that can be

taken on on many things especially i’d

be curious on

your opinion as a medical professional i

think i think you’ll see

uh you’ll see my side on some of these

yeah i want to hear this because

dr london i mean even right here he just

uses a lot of negative

language like he’s talking about

epidemic

and all of these different just these

just nasty words these words that i

don’t want to hear

you know you see i do they’re just

bumming me out there is something

to affirm in some of these words though

because an epidemic is

extreme it means it’s everywhere it

means it’s

spread it is a it is a very most word

and so i don’t want to disparage it

much but so

let’s take a look at some of these for

example so at the beginning this is the

first one i start off this is the most

important

affirmation but you should look in the

mirror and you should tell yourself

this year will be the most of any year

i’ve ever had i will not allow

not most to take control of my life

and the way that i uh get get through

this is that

whenever i feel myself succumbing to the

pull of

not most i try to push it back

by throwing like by by revealing

that what’s happening is a not most idea

and i do that by gritting my teeth and

saying to those thoughts not most not

most not most and

usually that pushes the thought away so

i if you don’t mind i will be i will be

practicing that uh

uh going forward but yeah i wanted to

ask

real quick like how often how like how

many times a day are you

doing that little mantra to yourself to

uh well

that one to create your teeth and push

forward well um it depends on it depends

on the day

um typically uh what about today so

today i’ve done it about 18 times

okay and this was it was a little it was

a little high today not uh

not as much as it used to be when i

first started this i was uh i was

doing that mantra probably most of the

day but now

i’ve trained myself i’ve trained myself

to embrace

mostness and so it is it is rare that i

have to

um okay but

scott i don’t want to point something

out here but you

you said you’re actually doing it no

less now than you

not most not most

sounds like you should be doing that

frequently right yes so

and i i hate to interrupt here but

once again i feel like you know we’re

getting caught up in a few

of these things where okay i just

i guess i just have questions about the

book um so because you sent each of us a

copy yes

and so i’m reading this

and you know it’s 2021

affirmations so you have each one listed

yes

2 000 yes over 2 000 of them

i can’t help but feel and this may just

sound super critical on my part it’s

it feels like he got lazy at a certain

point

i’m sorry i don’t understand like

for a long for i want to say the first

several hundred you included the word

most somewhere in it but like if you get

to the you know closer to like

1903 here it says

uh maybe try a yoga pose

and i like so that doesn’t see i just

i feel like again you’re not

acknowledging the the flow of this of

this text because really

once you have opened your life

to mostness you can see the most nest

in even the most mundane thing so maybe

try

a yoga pose it’s

contrasting with a lot of the a lot of

the exact language

that is used in a lot of other books

that give advice there are books that

will say

do this though books that say do not do

this

and these are in their own way

reducing uncertainty they’re reducing

uh reducing non-committance and so

in a way sometimes not living their most

life right and so

we have to embrace mostness in different

things so this one

is an exercise in the mostness of

non-commitment it is let’s be

as non-committed as possible we will

maybe

try a yoga pose we will drink a

glass-ish of water

we will think about calling our mom

these it’s a separate category of moses

and i know how it looks because

they do get shorter at the end of the

book

and some of them did some people

some critics who were bringing a lot of

not most energy to this work

felt the need to point out that visible

timestamps make it clear that i copied

text messages that i sent to my friends

but they’re not embracing

well all this it does look like the

maybe the last seven or eight is just

you hitting the keyboard

this you see if you look at it tell me

what you feel

what is most there that

is would be reduced in a more deliberate

sentence containing

words punctuation spacing

those ones what i was kind of hearing in

my head was like

aspirin and yeah

yes that one was for me yeah can we

can we sit with that for a second say

that say that phrase again

say it right

[Applause]

[Music]

it’s it’s almost like it’s almost like

that

you’ve gotten the most out of language

to the point where you’re sort of

post language yes yes

it’s an excellent way of looking at it

and see all of this comes down to

mindsets i mean

even what dr london was talking about

with the yoga pose of course he sees it

from a medical perspective so he hears

yoga he’s like

oh well your muscle is doing this and

your

arteries are doing that and blah blah

blah blah blah but he can’t look at it

with this

the depth that you were able to look

look at it as

i appreciate that i appreciate that

observation but i want to hear i want to

hear

more about these aspirations i want to

hear like what’s uh

like uh like aspiration 136

136 this is oh you will actually

enjoy this one uh this aspiration

uh gets at the the core of i think what

uh what reality is and how we see

ourselves in the moments that exist in

time this one is

i acknowledge that disease

and injury do not exist

wow yeah dr london you should like that

one so

so let’s so so let’s do

let’s do let’s let’s do an exercise here

i want you to imagine a time

you perceived yourself as ill

or injured and sit with that for a

moment

okay and then i want you to imagine a

time

that you were not considered yourself

ill

or injured okay done so i’m thinking of

as an example

like you know on the tig talk video i

did have

a chart like a star charcuterie

chartery charcuterie board sitting

next to me so eat a bunch of little

cheeses and hams and little knives

um and so when i fell on

kind of straight on that and sort of

cheese was and little pieces of ham were

flying everywhere

one did get stuck kind of

kind of in my eye socket right

and so you can you you can you can feel

that moment you can acknowledge that

moment but it didn’t hurt

is what you’re saying right well and you

can also imagine a moment where you did

not feel that and it did not hurt yeah

he was saying it does it didn’t happen

it doesn’t exist

you’re saying when i voluntarily put ham

in my eyes in the past

right so what i’m saying is that there

was a moment for you

where that disease existed there was a

moment where you existed with that

disease but there was also a moment

where it did not exist and so

you and the disease

and the ham have realness have not

realness

you are should both be the most real

and the most non-real that you can

possibly be

they are both moments floating through

time you and the ham and the disease

are one and thus kind of none

to distinguish between disease and not

disease

is to be not most because you reduce

the mostness of one or the other

wow so it’s really it’s really sounds

like it’s

i mean it almost sounds a lot like the

the the

famous hypothetical of pandora’s box

you know like pandora’s box like

the box from the movie avatar where you

don’t know because it’s on pandora

you don’t know if the per the the person

in the box is alive or dead until you

open it

you know that’s not uh how i’ve heard it

but i feel like

that is speaking something from you so

continue continue continue to amplify

this analogy get

get the most out of your pandora’s box

oh wow i thought the analogy was

sort of done but i guess if i want to

get the most

out of it i would say if it’s done it’s

not

most okay i guess i could talk

more about avatar um i haven’t watched

it in a long time

so i don’t know but i i do want to get

the most out of this conversation the

most out of this observation yes

so i will say if i oh sorry did you have

something else you wanted to say about

avatar just maybe

you know and i hate to distract from the

avatar discussion

but you know i i i just have a question

about your bio that’s written on the

back of this book

so sure um yeah one of the big points in

the book is that you can make it

uh regardless of your station you know

you can be poor support

with this book you can you know go to

wealth riches

uh whatever you want but

you know it just says son of a wealthy

oil baron

that that’s how you got your start was

you just inherited

a vast amount of wealth it sounds like

he made the most out of being a son

he was the most son yes right and that

was

the beginning but it is really just one

possible station in life i think i’ve

learned lessons that

are universal for example affirmation

number 389

says i will not rely

100 on additional withdrawals from my

trust fund

i will make the most of the interest i

have earned on my existing assets

wow and you know i think

that that transcends

boundaries that is valuable no matter

who you are

well that’s interesting because i mean

it does say about seven

aspirations after that make the most of

your trust fund

take most of it out

let it be the most trust fund spending

that you can possibly do

so it sounds like you might have gotten

a bit bored of not spending your trust

fund money

and then about like seven days later

changed your mind is that

which i like it’s sort of like this book

evolves with you

it grows right and both

and both of those activities i was being

the most in my own way so on you know

number 541 whenever you talk about

just uh well let me read it here

uh oil is really good guys

let’s not switch any type of energy

because oil is really helping me right

now

right right and that one is uh that one

resonates really well

with uh some of the some of the groups

that i send this

book to i like to know that they are

affirming

that it goes along with i think a number

uh the one right after it

um it says i will work lots of overtime

to create

value for my boss and my company’s

executives so yeah there’s something for

everyone

in this and uh in every every ring of

the ladder

every step along the way all right well

um you know i feel like we’ve kind of

reached no no

i feel like we’re sort of needling him a

little bit not

most we need to get i need to i think we

need to elevate

this interview to be the most

it can be so i’m gonna hear what are

your what’s your favorite aspirations in

this book

i mean so there’s there’s 2021 so if you

want to get through this in a year

let’s say that’s about 288 aspirations

you’re going through in a day

there is there is there maybe a couple

of those in that mix that like really

stand out to you

so the one that i repeat the most that i

think is just the most

central to who i am as a person it’s a

bit of a longer one but it’s one that

focuses on on encouragement and

being yourself it says i will be

my most self and will not allow others

to judge me for it

nobody will persuade me to be not most

anyone who tells me to be less less

joyful

less proud less mean less selfish

less harmful they are lying and they are

not most

wow the haters hmm

so i’m trying to let that one sink in

your listeners took anything away from

this

talk i think this is the thing to

take the most that whatever you’re doing

do more and become the most

well it sounds like a big part of this

book is also telling people

to not tell you specifically

to do anything less

right you have to do the most for

yourself

yeah and a big part of that is

specifically not criticizing you

or telling you to do less of anything

absolutely because

i think with me and my company i think

this is just

basic cause and effect people who

criticize

me people who ask me to be less tend to

not have a job in the next just week or

two and i like i think those results

speak for themselves

yeah like these people you keep talking

about in the 700s

this evil union that you were

successfully able to bust there’s a lot

of union busting stuff going on in there

and a lot of parts where you keep saying

like get off my back and i will hunt you

and it at a certain point one of them is

just that

unions are a mafia and i’m just

wondering like do you

you just say that in the morning to

yourself absolutely and i encourage

everyone

to do the same to both say it to

themselves in the mirror

to say it to their employees to say it

to their loved ones

and to not only take note

of people who push back on this crucial

element of mostness

but to tell others so that we can all be

most in this way together specifically

tell me if anyone reacts poorly

to this affirmation because it’s really

key it’s really really key

i mean doctor this are you seeking the

jock doc seal of approval i know you

didn’t ask

but i’ve been kind of handing these out

like candy lately i mean we got to give

them the

this book the jock talk seal of approval

right dr london

no so i feel like this is really not

reaching out to

it it seems more like this feels

this feels like a not most affirmation

that’s about to be coming from you i

feel like

you would be the most you could be

by approving these things that affirm

the most you want to be

the most doctor you want this podcast to

have its

most year let’s be most here

yeah i mean our our ideology as a

podcast lines up perfectly with this

book we want

the most well what’s the most

things that we’re sponsoring we want the

most items that are sponsored by us i

should say

like grant cameron i see that you’ve

really taken on to this this theme

but scott so the issue that i have

is that this book primarily seems like

it’s a self-help book but it seems

primarily directed towards you

and just for you to repeat to yourself

and not really applicable to other

people

yeah a few of these i i know are like

reminders because some of them are like

like pick up your mom at the airport on

thursday and things like that

and so i do have to wonder if maybe you

were sort of padding it out to try to

get to

2021 you see i got these comments from

my editor and you know what i told him

i told him not most not most

and eventually it filled up his inbox

and he stopped

me wow and so you made the most out of

that situation

absolutely well it sounds like you did

you fire your editor is that what

happened

no i don’t i don’t have to fire him i

just

you know i did there were people on my

team

that i did uh give a cc to

with the subject not most and he was

gone

the next day but you know like that’s

just that’s how

that’s the universe rewarding mostness

and punishing not mostness wow

i mean dr london aren’t you feeling like

motivated by this aren’t you feeling a

little more confident and secure in

yourself and and don’t you feel like you

want to just

grab life by the most yes i

you know not not so much i feel like i’m

just reading

i want to say diary but that’s it’s not

you know it’s it’s not as long form as a

diary it just

seems like bullet reminders like you

said uh

you know there’s a lot of stuff like get

milk is on here

just well i am confident

that as your readers pick up my book

that they will desire the the most out

of life

and that they will let you know and

when people who have devoted themselves

to the pinchuk way

want the most from someone they often

get it

or you’ll come around else it sounds

like so

anyway we you know i i hate to wrap this

part up but we

have um you know not unlike your

tasks on in your book we we have chores

to do

oh absolutely oh right

yeah i guess i mean do we even need to

explain this anymore

i i’ve no [ __ ] for any new any new

listener

look we just let a lot of chores pile up

un done unshort and so we’ve made this

chore wheel

that we spin every week just to try to

knock one of these things on our to-do

list

off and so uh dr london

actually actually scott do you want to

give

our chore wheel a little bit of a spin

absolutely let me see you just got to

reach that lever right up

right there usually kind of usually

someone

you need a ladder for this but looks

like you can just reach it

all right and i i trust the results will

be the most because i’m going to spin it

the most just give it the most

oh no not this one oh boy i knew this

one was going to come up eventually

it had to but i just now this is a good

chance to practice these attitudes

you’re feeling towards this chore

push them away not oh stop not most

not most all right all right let’s let’s

make sure you get mom from the airport

let’s make this the most the most

short the most okay so essentially what

happened

is we got wasted the other night and we

London Smith (.com)

83. Pulmonary Hypertension/Scott Pinchuk (feat. Sam Perez)

The Life of London Smith In Video Form