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Transcript
00:00I've reacted to a bunch of Try Guys medical videos,
00:03and now they're about to see who's going to live the longest.
00:08I don't know how long I'm going to live.
00:11That's normal.
00:11I think I'm a little afraid to know.
00:14That's normal.
00:14My biggest hurdle is that I love food,
00:18and flavors come from fat and salt and sugar
00:21and all these things that are bad for you.
00:23And I would be unpleasantly surprised to find out
00:25that some of my life habits before are unfixable.
00:28Our lifestyle habits most definitely contribute to the longevity of our lives,
00:32but something that is less often considered,
00:35the quality of our lives.
00:36What if I was to tell you one of your habits
00:38will only show in your life by maybe five years.
00:40You're going to live to 100, now 95.
00:42But the 30 years before that,
00:44you're going to have to be on oxygen.
00:46You won't be able to breathe well.
00:48You won't be able to run around with your kids and grandchildren.
00:51That's an important factor, isn't it?
00:52A couple weeks ago, we sent in this color kit
00:54with a sample of our saliva
00:56to find out about our genetic disposition
00:58and any sort of health issues we might be needing to watch out for.
01:02We analyzed 60 different genes,
01:0530 cancer, 30 heart health genes.
01:08It really just gives you kind of a more tailored look
01:11at your cancer and your heart health.
01:14I'm going to say it outright
01:16so that you understand where my biases lie going into this video.
01:19I think these types of tests are largely useless.
01:23Not saying genetic tests are largely useless
01:25because there's absolutely a role for it.
01:26We actually have geneticists that work in hospitals
01:29that help with genetic planning.
01:31If you have a genetic condition
01:32that you want to make sure that if you're having children,
01:34it won't be passed down
01:35or if it will be, what are the percentages, et cetera.
01:37But the ones that are commercially available
01:41to tell you how long you live,
01:42not only are they terribly inaccurate
01:44because they can't possibly take in all the variants
01:46that can go on in one's life,
01:48they also don't test for everything
01:51and at times can give you a false sense of security
01:54that ultimately ends up worsening your behaviors.
01:57So I took the color test,
01:59so you know everything about me now.
02:01So we...
02:02Do I have chlamydia?
02:04Color does not test for that.
02:05Oh, that was a different test, okay.
02:07So we analyzed 30 different genes
02:09related to things like hereditary high cholesterol
02:12and different heart diseases
02:14and we didn't find any mutations.
02:16Oof, that's a relief.
02:18Important, important, important point.
02:20Commercial genetic tests
02:21do not test for all the types of variants
02:25for a lot of these conditions.
02:27So I don't want people to do these tests
02:29thinking that they're all good.
02:30And remember, not all cancers are genetic.
02:33Many of them develop spontaneously.
02:35Some as a result of lifestyle habits
02:37like binging alcohol
02:38or overeating fried or fatty foods.
02:41If I'm not predisposed to having cholesterol issues,
02:43I don't have to worry about eating a ton of fried chicken
02:45like I already do.
02:46You do though.
02:46See, like that's what we want to avoid.
02:48So I'm great.
02:49My genes could not be better.
02:51That's right.
02:51Wow, so I get cancer.
02:55My genes cannot be better.
02:56She goes, that's right.
02:57That's what you paid us for.
02:59So that doesn't guarantee
03:00that you won't get cancer in the future
03:02or that you don't have an increased risk
03:04based on other genes or other non-genetic factors.
03:07There's the legal stuff.
03:08Or how about saying the fact
03:10that you may still have cancer right now?
03:12That would have been,
03:12that would have killed the vibe of the video.
03:14We did find one mutation in a gene called BRCA1
03:18or some people call it BRCA1.
03:19BRCA.
03:20Yeah, I know about BRCA.
03:22Is that something that's been tested for in your family
03:25or how did you know about it?
03:26So my mother had breast cancer
03:29and it was discovered that she had the BRCA1 gene.
03:32I know that it's very common in Ashkenazi Jews
03:35and that if you have it,
03:36there's a 50% chance of you passing it down to your children.
03:40I put off getting the test
03:43because I'm like, I don't want to know.
03:45Also, if you have a BRCA1 gene mutation,
03:48there has been a correlation
03:49with more aggressive prostate cancer
03:52if you do develop prostate cancer.
03:53BRCA2 has been more correlated
03:56with actually development of prostate cancer.
03:58I know that it affects women a lot more seriously than men
04:02and luckily my sister and the other women in my family
04:05all tested negative for it, which is relieving.
04:07But so, so I have it.
04:11So what does that mean?
04:12Having that gene increases your likelihood
04:15of getting breast cancer, not a guarantee.
04:17Something like knowing that I have the BRCA gene
04:19can be really scary,
04:21but instead I'm going to look at the positive.
04:22You know, knowledge is power.
04:24There's a lot you can do to prevent it.
04:26Reducing your risk of cancer.
04:27Oftentimes it's reducing your alcohol intake.
04:29Eating healthy, fresh foods is really important.
04:32And then exercise is really, really key in cancer reductions.
04:36Isn't it interesting how the advice
04:37for whether you're talking about reducing prostate cancer,
04:40losing weight, decreasing cardiac risk is all the same.
04:44Exercise, eat lots of fruits and vegetables
04:47and meats in moderation, sleep well, mindfulness.
04:50Like it doesn't matter,
04:51you plug in whatever disease you want, that's the advice.
04:53So why bother going to get screened for that?
04:55Exercising just 30 minutes a day, five days a week.
04:58What about an hour, three times a week?
05:01Whatever works for you,
05:02as long as you're able to put in
05:04those two and a half hours of exercise per week.
05:06It has to be moderate intensity exercise.
05:10If you know, you know.
05:11Is this moderate intensity?
05:12Is this moderate intensity exercise?
05:14No whammies, no whammies, no whammies, no whammies.
05:16So the fact that the blood pressure is being checked
05:18while he's talking is actually wrong.
05:20You have to be seated for at least 10 minutes,
05:22feet touching the ground, their feet are dangling.
05:24You have to be in a comfortable position,
05:25not have recently smoked, not have recently drank caffeine,
05:28not be talking, have your arms completely at rest.
05:31And ideally you want to do it on an automated cough
05:34and leave the room so that the cough can get the measurement
05:37without a person in the room.
05:38Because otherwise you're going to get
05:40falsely elevated readings.
05:41Your blood pressure is really nice and low.
05:43It's 112 over 70.
05:44What does your heart rate usually run?
05:45Do you know?
05:46I have no idea.
05:47Okay, well you're at 87.
05:48Is that good?
05:50It's normal.
05:50We know that we can get your heart rate lower
05:53when people do vigorous exercise.
05:55The best way to lower one's heart rate,
05:56and it's actually a training that I'm going through
05:58right now for boxing,
05:59is through high intensity interval training.
06:01I've heard the people that I work with
06:02call it almost like bodybuilding for the heart.
06:04As a doctor, I don't quite like that statement
06:06because an enlarged heart is actually a bad heart.
06:09But you want a stronger heart
06:10in that it doesn't need to pump as often,
06:13which allows it to calm down, relax better,
06:15improve filling time, all of that.
06:17And we've seen better survival rates through heart attacks,
06:20less heart attacks when you have a lower resting heart rate.
06:22Usually that comes from exercise.
06:24You can also have a low resting heart rate,
06:27very low, that is pathologic.
06:29Meaning it's not because you exercise well
06:30and you actually have a problem.
06:31That's why we have the term Bradycardia for it,
06:33because Tom Brady is really slow.
06:35And Brady, very upset.
06:38People who sleep less than seven hours a night
06:40actually have a shorter life expectancy.
06:42Wait, less than what?
06:43Seven hours.
06:44But they're also awake more.
06:46They're living life more than the sleepers.
06:51I'm pretty sure that's not the case
06:53because when we look at scientific evidence
06:54and we look at, we used to do years lost.
06:57So if like X number of people died
06:59and we know that they're age 40,
07:01we say that their average life expectancy is 77.
07:03So we do 27 years of life loss per person
07:06and 1,000 people died, we say 27,000 years lost.
07:09In this case, if you die 10 years prematurely,
07:13how many hours is that?
07:1510 years times 365 times 24.
07:19I can't do that math, but it's a huge number.
07:21I can't imagine you're saving that much more
07:23by getting one hour extra activity and not sleeping.
07:26When people aren't sleeping,
07:28it starts to affect their heart health.
07:30You might feel invincible now and it changes on a dime.
07:32And not only does it affect your heart,
07:34it also affects your brain.
07:35I feel like as we come to terms with the sleep deprivation
07:40that we currently face in our society,
07:42we'll come to terms with the idea that Alzheimer's
07:46and all of these neurological disorders
07:49that are on the rise can be potentially fueled
07:52by the lack of sleep that our society is getting.
07:54Often we think about aging with physical health only.
07:57How much does mental health actually affect
07:59how long you'll live?
08:00It's huge, yeah.
08:01It can end up increasing our risk of heart disease.
08:03It increases our risk of things like diabetes.
08:05I have a newborn baby,
08:07so sometimes it's hard to find time for myself.
08:09When we're talking about someone not sleeping enough
08:11and we're talking about chronic sleep deprivation,
08:13we're really talking about a lifestyle.
08:15If your baby for the first two, three weeks
08:17is not sleeping great and causing you to wake up early,
08:20that's not gonna have a drastic impact
08:22on your entire lifespan.
08:23But if that becomes your normal habit,
08:25that even when your child is one, two, three, four,
08:27five, six years of age,
08:29that's when it becomes a problem.
08:30It's a chronic issue.
08:31There is a healthy level of stress that you can have
08:34where it's like,
08:34I'm a little stressed about this test.
08:36It helps me perform.
08:37If you make stress your friend,
08:38if you view it in a positive light,
08:40like the doctor just said,
08:42that you view it as a preparation for a challenge
08:45and something that just comes with life
08:46that you have to manage versus all stress is bad,
08:49you actually get better outcomes
08:51even when you have more stress.
08:52Let's talk about sexual health.
08:53Sure.
08:53What do you want to know?
08:54If you have a preference for male or female partners.
08:57Wasn't this supposed to be about
08:58how long they're gonna live?
09:00Is this still the same video?
09:02The number of sexual partners you've had
09:04in the past week or the past month.
09:05I also ask my patients
09:07what body parts they have sex with.
09:09The anus.
09:09Is it the penis?
09:10Is it your mouth?
09:11Like which body parts do you use for sex?
09:18A lot of people don't feel comfortable
09:20talking to their PCPs about their sexual health.
09:22Especially in a group of their friends around them.
09:24So I understand that.
09:25I'm comfortable with it,
09:26but the person who I'm seeing,
09:29probably less comfortable with it.
09:30Yeah, and also when I have younger patients,
09:33teens and such,
09:34and their parents are in the room,
09:35I actually ask the parent to step out
09:36when I have that conversation.
09:37Is there anything that you're worried about
09:39or anything that you anticipate with your labs?
09:42No, but also everything.
09:44The one I'm always terrified of is the STD testing.
09:46What if we have one of them?
09:48We can treat you.
09:48We'll make a very interesting video.
09:50Even though I have no reason to believe
09:52that I'm positive for any.
09:53I know for the video,
09:54they're probably gonna order a broad set of labs,
09:56but I want you to know at home
09:57that not everything needs to be checked on your labs.
10:01I have many patients that come in that say,
10:03doctor, I want to be checked.
10:04I want to make sure I don't have this.
10:05I don't have cancer.
10:05I don't have that.
10:06It's impossible.
10:07I can never give you 100% assurance
10:09that you're not gonna have a heart attack
10:10when you walk outside my office,
10:11that you're not gonna develop a cancer the next day.
10:13It just, there exists no such test.
10:15Conditions that you already have,
10:17your age, your risk factors.
10:19Those are things that need to be taken into consideration
10:21when deciding what blood test to order.
10:22Lay it on me.
10:23What's the good or bad news?
10:25Your blood sugar level.
10:27We want that level to be under 100
10:29and yours was 81, which is great.
10:31And yours was 77.
10:32Yours was 117, which is totally normal for having eaten.
10:36Okay, I was about to say,
10:37I wonder if these are fasting.
10:38Ideally, we want the number to be under 100.
10:40If it's between 100 and 125,
10:42that's the pre-diabetic range.
10:43Over 125, that is the diabetic range now.
10:46Once you have diabetes,
10:47technically there is no cure.
10:48Pre-diabetes, you can reverse.
10:50So we encourage those people to work really hard
10:52to reduce that.
10:53Let's get to the STI testing,
10:55the sexually transmitted infection testing.
10:57And you don't have chlamydia, gonorrhea, HIV, or syphilis.
11:02So those all came back negative.
11:04That's great news.
11:05Which one of us do you think will live the longest?
11:07Here's why I can't know that is because I don't know
11:09when you guys walk out of this door
11:11what lifestyle changes you're gonna make.
11:13Or because you're not a psychic.
11:15Unanswerable.
11:16Let's say we make no changes.
11:17Based on a lot of sleeping habits and eating habits
11:21and exercising and mental health and wellness,
11:25I'm going to have to point to Ned.
11:28Which one of the three of us
11:30needs to make the life changes the most?
11:33Well, I would say all three of you, actually.
11:38So we're all gonna die.
11:39Being totally-
11:39We'll die together.
11:40Oh my god!
11:41Wow, that would be so cute.
11:45Did you know that I turned down a multi-million dollar TV deal?
11:48Click here for that story.
11:50It's very interesting.
11:51Tells you all about how the media process works
11:53and how truly, truly evil and corrupt the business is.
11:57Click here to check that out.
11:58As always, stay happy and healthy.