The 5 Top Health Lies & The Truth You Need to Feel Better Today
89m 45s
In this podcast episode, Mel Robbins interviews Dr. Mike Varshavsky, the world's most followed medical doctor online, about the devastating impact of health misinformation and a broken healthcare system. Dr. Mike, who practices community-based family medicine, explains that patients are flooded with conflicting advice and lies, making it hard to trust anyone or make informed choices. He critiques the system's lack of transparency, citing predatory billing, pharmacy benefit managers, and time-pressed doctors who inadvertently gaslight patients, particularly busy or marginalized individuals. He shares personal stories, including his father's journey as a Russian immigrant doctor and his mother's death from cancer, which taught him the value of humility and human connection in care. Dr. Mike offers actionable advice: argue every medical bill, validate loved ones who fall into misinformation rabbit holes, and prioritize foundational health habits like sleep, diet, exercise, and social ties over hyper-optimized trends. He warns against chemophobia and nicotine products, explaining their risks, and stresses that vaccines are rigorously tested and life-saving. His parting message encourages listeners to re-engage with primary care doctors to regain control over their health, emphasizing that healthcare is about informed choices, not fear. The episode aims to empower audiences to cut through noise and make better decisions for themselves and their families.
Hey, it's your friend Mel, and welcome to the Mel Robbins Podcast.
When I started this podcast a few years ago, I sat down and I made a list of dream guests
that I would love to talk to, and today I'm so excited because someone from that original
list is finally here in our Boston studios.
His name is Dr. Mike Varshavsky.
Now, you may have seen Dr. Mike on social media because he is the most followed medical
doctor in the world online.
Every day, he debunks medical misinformation, calls out lies, and raises awareness on health
issues to 30 million followers.
But here's what I love about Dr. Mike and why I wanted him on the show.
As a medical expert, Dr. Mike has been in clinical practice for over a decade, and to
this day continues to practice in a community-based family.
All this scary health misinformation and lies that are being spread online, he is experiencing
the devastating impact that it's having on people that come into his medical practice.
He will tell you that some of the lies online will result in children dying this year.
They will result in you or your loved ones not taking your symptoms seriously or not
consulting you.
Dr. Mike will tell you right at the beginning of our conversation today that the reason
why it is so hard to do the things you know you need to do in order to feel better is
because of all this misinformation.
You're so flooded with conflicting advice and lies, you don't know who to trust or what
to do in a world that's always selling you extremes, flat-out misrepresenting medical
facts, or trying to sell you.
So, Dr. Just not knowing what the right approach is, because you hear three different options or promises.
And they're all directly opposed to one another.
So I understand, I sympathize with my patients
why it's so hard to make the right choice,
especially with so much judgment out there as well.
You know, I think it's one of the other reasons
why I think a lot of us feel like
when we really find somebody with the medical expertise
or the research-backed expertise on a topic
related to health in particular,
the recommendations send to be like,
oh yeah, that's right, I need to move my body.
Oh yeah, that's right, I need to be healthy.
Grandma was right a lot more
than we give her credit for, you know?
But I wonder if the reminders are more important than ever
because there's so much noise that's clouding
what you really know are the true pillars
of what we should and shouldn't be doing.
Yeah, the reminders to do those basic activities,
the tenets of health that we've practiced for generations
of sleeping well, eating a plant-focused diet
with fruits, vegetables, lean sources of protein,
exercising, social connections, sleep,
all these things are so important.
But then we also need to not get distracted
off of these pillars
because it's easy to sell shortcuts.
It's hard to sleep seven to nine hours a night,
especially when you're anxious.
And then when you don't sleep well,
you become more anxious.
And when you're more anxious, you eat unhealthy
and then your weight changes
and you have a chronic health condition.
And it's this spiral that you go down
where it's like, how do I see the light?
And usually that light,
is given by people who want to weaponize that.
Or sell you something.
And honestly, I think this is where we fail in healthcare.
We have pushed patients away so far
from believing that there is a light
that we've lost that connection to our patients
and the bad actors have capitalized on it.
The grifters are partying day in and day out
because doctors have lost that alliance
that we spent years building with our patients.
And partially it's the healthcare system to blame,
but also it's us.
Well, I also, I'm just, I'm going to step in though
and say, it's also the fact that fear sells.
Sure.
And that when you start to like cast doubt
on medical expertise, it builds distrust.
Every time you go online.
Yes.
And this is not just for patients.
Doctors fall victim to this too
because the first time you go online,
the first thing you organically want to do
when you feel a symptom
or you get a diagnosis is open your phone.
And opening your phone these days
and searching for a diagnosis or a symptom
is literally like shaking a magic eight ball.
And right now, Dr. Mike,
if you're listening to this conversation,
has one of those games from childhood,
the magic eight ball.
If you're listening in a country or you didn't have it,
it's just like a plastic pool ball
and there's a window where you shake it,
you get a different answer.
And the internet is a lot like this magic eight ball
where no matter what question you ask,
depending on which echo chamber you find yourself in,
depending on who's digitally targeting the audience
and demographic you're in,
you're going to get a different answer.
So it's even more nefarious
than the traditional magic eight ball.
I think this is more honest
because at least this is a little triangle shaped thing
in here that has an equal chance at landing on both sides.
But in real life,
there's someone messing and pre-programming
the magic eight ball in order to make themselves better.
And that's where it gets really scary.
It's such a great visual because you're right.
It is almost like pulling a slot machine
or shaking that magic eight ball.
Depending upon who's targeting you,
you're going to get a different response.
And then based on what you searched,
you're going to get served up more information,
likely from people that want to sell you something
or have you signed up for something.
Correct.
And what's funny is it sounds like I'm coming down
on people making money or being financially successful.
I am not.
I am only doing. I am only doing that when people are doing it
in lieu of giving people true informed consent.
If they start hiding that informed consent
or giving partial information in order to make a profit.
I want revolutionaries to create new products,
new surgeries, new medications to cure conditions,
but I don't want it to be recommended
without informed consent.
I want people to be making the choice on good information.
There are so many symptomatic issues
in terms of the healthcare system.
But what do you see as the biggest problems
and who do they hurt the most?
People who are busy,
people who have jobs,
multiple jobs,
multiple children under their care,
multiple family members under their care.
That is why people sometimes ask me,
what is the most proud moment of your career?
And it's my day-to-day job,
taking care of patients at my community health center.
The people who need. The highest level of care
are oftentimes the ones who are left behind by our system.
In fact, most people in my position
when they're healthcare providers,
when they get a level of notoriety,
the first thing they do is they enter concierge care.
They enter a high-paying care system
where they get paid huge sums of money
to take care of patients.
But what I'm most proud of
is that we've created this very unique model
where because of my success on social media,
I'm able to deliver that high level of concierge
care to people who are underinsured,
are uninsured completely.
And they can ask me questions directly.
They can text me.
They can reach out on the electronic health record
where normally it's very difficult
for the average doctor to do
because they're facing all these pressures
from the healthcare system
where they have to see a specific number of patients.
They have to get the right number of RVUs.
That's our relative value units
that we sometimes get judged.
It's basically how doctors are judged
on their productivity.
Within a healthcare system.
And some doctors have to perform
a specific number of procedures,
see a specific number of patients
before they get their full salary
where I don't have to do that.
I can just focus on making sure
my patients are getting the best level of care.
I wish I could be there for more patients.
But the reality is
if you want to be a good doctor,
a good primary care doctor for your patients,
you can't shortcut the time.
Time is that most important variable
allows that alliance
that we've lost focus on
to be formed,
trust to be earned,
information to be adequately processed
by both parties
because while the patient
is learning about the condition,
I'm learning about the patient
and what choices they want to make.
So when I'm giving advice,
I'm not giving advice based on what I want.
I'm trying to give advice
based on what I've learned
and what's important to them.
So that takes time.
Well, and as you were just describing
that person,
which I think is basically a normal person
Yeah.
that has a tremendous amount of pressure on them.
If you go see somebody
that only has 10 minutes
and your symptoms get dismissed
or it's sort of like,
well, you're just going to brush it off,
then yet again,
you're getting the messaging
that it doesn't matter anyway
and I got to just keep on pressing forward
and living like this
and there's a way to actually reach people.
There is.
And there is a notion
in the scientific community
where people feel their doctorates
are gaslighting them more.
They're feeling that their complaints
aren't being heard.
They're being ignored.
And I understand why they feel that way.
It's reasonable to feel that way.
First of all,
we have to validate that right at the outset.
But at the same time,
I have to be honest.
I don't think doctors in 2026
are suddenly gaslighting their patients more often
because they don't care.
I think our healthcare system is so broken
and is set up in such a flawed way
where doctors have no choice
but to leave their patients
sometimes feeling gaslit.
And it's terrible.
And that is what's also leading
on the flip side of the equation,
doctors to feel more burnt out,
more upset about the field than ever before,
retiring earlier than ever before
because of this feeling where,
oh my God,
I want to do what's right by my patient,
but the system doesn't allow me
to do it at my best capacity.
What are some of the things
that you've heard people say
just for the person listening
who may have,
who may have felt funny
after seeing a doc
who is doing the best that they can
in a broken system
that is gaslighting?
Is it like denying symptoms?
Like, what does that even look like?
Yeah, sometimes it's. Because I will just say,
I don't know that I've,
at least in recent years,
experienced it.
Maybe it's because I'm bossy as hell.
But I can see how somebody
could be run over
and feel like their symptoms
are not being taken seriously.
If you have,
if you happen to be
a more passive personality type,
you don't have a caregiver by your side
to advocate on your behalf,
it's very easy for the healthcare system
to leave you behind.
I'm also a white woman.
Yeah, also true.
So I would imagine
if you are a minority,
if you are,
don't have a lot of money
for paying for bills,
that that's also increasing
how that might happen.
You also have to figure as a minority,
you're living in a city
where sometimes healthcare budgets
are even more strained.
Hospitals are more busy.
Because they're shutting down
in a lot of these inner cities.
And as a result,
there's more pressure on the ER
to see more patients.
And how can you give
accurate care,
standard care even,
to so many people
where you don't have the resources to do it
and you end up triaging in a way
where people feel unseen,
people feel hurt.
So that makes a lot of sense.
And it makes me really sad.
Another thing that makes me very sad
is the state of the cost
of getting medical treatment.
and the reality of how
many people face bankruptcy after a big diagnosis or just the fear that people have over their
medical bills. I have a very close friend who has a scan that she needs to get done.
It has been recommended by a doctor, is not getting cleared by insurance. She is not getting
it because she hasn't reached that kind of minimum payment that you need to make for it to be covered.
And it feels like this weird, just unnecessary waiting game. What do you say to somebody who
just opened a medical bill and they're panicked because they can't pay it? Whether or not they're
panicked, whether or not it's a huge amount, argue everything. Argue every bill. You will get
reductions on your bill. You will find resources to help pay your bill, financial aid to pay your
bill.
There are,
there are so many underutilized programs that just patients don't know because they get a bill and
they assume they have to pay it. I'll give you a very specific example. There was a gentleman,
I believe he was in Texas. He had a heart attack. Otherwise, healthy runner, teacher,
good insurance gets taken to an out-of-network hospital. It's not his choice. He's having a
heart attack, but he's doing everything right. You have insurance, you have a job,
you're taking care of your health. And yet you still have this, unfortunately,
an unfortunate incident. Hundreds of thousands of dollars a bill to survive this heart attack.
And what happens? He goes to the media. He tells his story. He explains how this predatory billing
practices of this hospital system was taking advantage of him. The bill is reduced to
a hundred bucks. It's such a predatory system that you have to fight everything.
And it's terrible that I have to put this on my already strained patient's backs,
that I have to say, in addition to dealing with your depression,
your anxiety, your cholesterol, your blood pressure. But hey, also call the billing
department and fight with them. But if I don't say that, they may pay it and they may face bankruptcy.
That's happening in our nation today. Dr. Micah, how do you fight a medical bill?
Call the billing office. And what do you say? I want an explanation why I need to pay this,
why my insurance isn't paying this. Reach out to the medical office that did this service.
Sometimes, Mel, because I, as a doctor, am putting on medical reasons for why I'm ordering
a certain test, they may not be the ones that the insurance company likes to be placed for that
condition. And sometimes it's as simple as getting the doctor to say, oh, well, I also ordered it for
this and put another code in. Boom, it's covered. Even worse, this is more aggravating. I order a
basic antibiotic for my patient when they have a sinus infection. And because I'm ordering an
electronic health record, I very quickly click the antibiotic. It was clindamycin. And I happen
to order capsules. As a doctor, there's no difference between capsules and tablets in my
mind. I get a denial. Patient's insurance doesn't pay for capsules, but they'll pay for tablets.
The patient went to the pharmacy, got denied, goes home. I have to call the insurer,
find this out, call the pharmacy, change this to tablets, tell the patient, hey, you got to go back.
What an ineffective, terrible system. And every-
Every one of us has been in that situation.
Correct. And here's the worst part. In any given moment of time,
most people aren't sick. Most people aren't interacting with this broken healthcare system.
But the reality is, at one point, we all will. We will all get sick. We will all have to deal
with this crap system, doctor or not doctor. We will have to be a part of it.
So if we don't advocate for this change, if we don't shine a light on these problems,
it's only going to get worse.
What's so sad about the whole thing is it could be fixed.
Which is why I look to people who want to make Americans healthy again, and I say, please,
focus on the real problems that are driving our healthcare disaster. Let's not focus on
some random ingredient in Skittles, titanium dioxide. That's not where our problems are.
Those are PR wins. Those aren't actual healthcare wins.
So the people that support those in the administration that are wanting to make
change, I feel bad for them the most because they're the ones that are being tricked right now.
Because I want to be there for those patients. I want to help them get the best quality care
for the doctor to have a discussion. Well, do you want to take an approach that's a little
bit less aggressive, less medication focused, more lifestyle focused, to give you back the time
to make sure that pharmaceutical companies aren't playing games with pharmacy benefit managers
to make sure your medications cost.
Let's address those inequities where we'll get the best outcomes for our patients.
Remains to be seen if that will happen.
Well, if we were to put you in charge, what were the big things you would go after?
Right away, transparency. The number one thing is we need to attack transparency.
What does that mean?
There are so many companies that are now functioning in all of these worlds,
and I'll explain what I mean. There's companies that function in the pharmacy space,
the pharmacy benefit manager space, where they actually decide what medications are covered,
and which ones are not.
Capsules versus tablets.
Yes.
Generics versus.
And here's the wild part about all of that. The PBMs, these pharmacy benefit managers,
were created to save us money. And now they've become billion dollar entities on their selves
because they say, oh, well, if we save a patient $2, we can take a dollar for ourselves.
And they're owned by a lot of the pharmacies?
They're owned by the pharmacies. They're owned by the healthcare insurers,
and they're owning the entire system. So they're taking money out of one pocket, shifting it to
another.
And no one knows exactly how that's happening because it's not transparent,
very poor regulation because of lobbyists. And no one's really talking about it in a way that's
getting attention. And as a result, they're allowed to make a lot of profit at our expense.
That's disgusting.
Yeah.
Well, what the hell do we do?
Fight for transparency. Support those who are going to bat for patients in this way,
where it's patient first.
It sounds like a racket, honestly. It sounds like.
It is a racket.
It would be illegal for a healthcare system to own a pharmacy and the pharmacy benefit
management company at the same time.
We should put you in charge.
I don't want to be in charge of that. I like doing what I do because I feel like I'm doing
what you're doing in a different way that I really want to try to distill down the information that
we all deserve and shine a light on the renowned and respected experts in their fields and give
them a global platform to be able to do that.
To be able to teach and to empower and to call out misinformation, to give people options that
really empower them to make better decisions in their lives.
And so I'm not the expert. I feel like I'm the conduit for conversation and information to flow
to somebody else.
I mean, it's a lot like family medicine.
How so?
I am not necessarily the expert in all of these conditions. I'm the quarterback that translates
the information.
Information from these experts because of my doctorate, being able to understand what they're
saying and why they're making their certain recommendations. And over my years, becoming
more expert in certain aspects of healthcare in order to distill that and be a conduit for my
patients to allow them to function in this broken healthcare system. And that's why family medicine
is so fun. As you said, top to bottom, head to toe. I mean, there are patients that I've had
on my OBGYN service that I've delivered their baby.
Their baby is now my patient for 10 years. Their grandparents are my patient. And you get to watch
the impact when you guide them in a good direction, where you allow them to make choices that they're
proud of across the entire spectrum of their lives. It's truly beautiful. And it's sad because
it's falling out of favor. Med students aren't picking primary care. The incentives aren't there
for them to be paid more. And it's one of the lowest paying specialties. And as a result,
we're losing the brightest minds to more procedure-based care.
You know, it's interesting. If you're listening, you're not seeing this, but if you're on
watching us on YouTube right now, maybe you caught it. You love what you do so much
that you were smiling, even as you talked about the fact that being in family medical practice
is declining because it's one of the lowest paid slices of the medical profession. But I can tell
it brings you so much joy. It really strikes at the heart of how twisted our incentives are.
In this country, instead of focusing on what matters, which is mental health,
lifestyle modifications, that's psychiatry, pediatrics, family medicine. That's not where
our incentives are pointed at. Our incentives are pointed at who's putting the stent in,
who's performing the surgery. And as a result, how much profit is the healthcare system making?
Exactly. Many patients don't have an established primary care doctor. They're relying on urgent
ERs to function as their primary care doctors. But to be fair to those people that are seeing
them as providers, they don't know them. They don't know their history. I have patients that
when they walk into my room, I can tell that something is going on with them, that they're
not even vocalizing to me. I had a patient the other day, she came in for back pain,
but in talking to her about how her life is going, just general conversation,
she started telling me about some weird symptom that she had in the middle of the night just
a few days ago. I throw the back pain conversation out the window and I say, we're focusing on your
heart.
I asked her to go see her cardiologist the next day.
She'd go see the cardiologist.
Mel, she had a heart attack.
It's a cardiologist?
During that moment when she was denying her chest pain,
she was writing off her own heart attack.
She had severe stenosis in her blood vessels in her heart.
She needed stent placed.
And now she's advocating for women
to take their chest pain seriously.
But you can't know that as an urgent care doctor
when you're meeting someone for the first time.
It's so true.
So you need that primary care.
And what I love about what you said about this
is that we tend to blame the doctors.
And yet, if you take a step back,
if you're only going to a minute click
or you're only seeing your doctor once every five years
when you need the Z-Pak for your bronchitis that's come
or you're only going,
or you don't even have a primary care.
I'm sitting here going,
oh my God, my daughter out in Los Angeles
still does not have a primary care doctor.
And she's been out there for three years.
And I realize she's young and healthy, but still.
But some of the biggest lifestyle changes
have the most important impact in that age.
What do you mean?
So for example, with heart disease,
the foundational layer of plaque that can form
in the blood vessels in your heart
start happening during your teenage years.
They do?
Yep.
You're kidding.
Yep.
What are other-
Atherosclerosis starts decades
before you have the heart attack.
Wow.
So if we can have that conversation early on,
if we can make some small tweaks
or perhaps screen more often for certain conditions
based on certain behaviors or lifestyles that you choose,
whether it's infection screening, STI screening,
we can make certain changes that can keep you healthier,
even if you want to live not the most optimal lifestyle.
And that's okay.
We live in this hyper-optimized world where,
especially in the podcast space,
I don't know if you feel this, Mel,
I see this a lot,
where doctors will come in and start going
into this hyper-perfect optimized world of,
this is how many almonds you have to eat.
This is how many minutes of your life you'll lose
if you eat one hotdog at a baseball game.
I don't practice in that world.
I don't live in that world.
I think when we chase hyper-optimization,
we actually get worse health outcomes
because we fuel health anxiety.
And no one wants to be anxious about their health.
They want just to be healthy and enjoy their life
to how they want their life to turn out.
And that's what a good primary care doctor does.
They absorb the information about you.
They explain to you what the risks of your current,
habits are.
We try and mitigate those risks
because we do have prevention strategies.
But at the same time,
we need to not over-promise
because there are products out there
that try and say,
we can prevent X, Y, Z.
And in reality, they're overselling you.
They're potentially leading you to downstream,
more testing, more radiation, more medical errors.
You want to stay away from healthcare at times
just as much as you want to get healthcare at times.
And that's a weird,
uh,
dichotomy to live in.
But that's the reality.
Well, you know, to answer your question,
I feel as though there is a lot of chasing for virality,
a lot of chasing for clicks,
a lot of content that seems only relevant
for somebody that doesn't have to work a full-time job,
isn't taking care of another human being,
has limited, uh, resources available to them
to try to optimize their health.
I've had the opposite thing
almost happen to me on this podcast.
Where the credentialed practicing medical experts
that come on,
yes, there's always amazing new research
or new insights,
but it always comes back to these foundational
principles of the way that your lifestyle
matches your health
and the magnificent ability of the human body
to adapt to change
when you give it what it needs.
I kind of feel like we're all almost like a wilting plant
in the corner.
And that if you move us into the sun
and water us,
we perk up and we grow in response
to the things that we truly need.
And to your original point,
a lot of the super complicated,
massively scientific,
hyper-optimized,
do this, it's gotta be perfect,
oh my God,
it just makes you more overwhelmed
so you do nothing.
Dr. Mike, I cannot thank you enough
for making the time to be here.
I have so many more,
more questions and topics
that we are gonna get into,
but I wanna take a quick break
so we can hear a word from our sponsors
and I wanna give you a chance
to share this episode
with everybody that you care about.
This is one of those episodes
that could truly change someone's life
and change the way they think about their health
and everything that they've been learning online.
When we come back,
Dr. Mike is gonna break down
how to tell what's real,
what's not,
and what to do when you feel stuck.
We'll be right back.
Stay with me.
Welcome back.
It's your friend, Mel Robbins.
Today, you and I are here
with Dr. Mike Varshavsky,
board-certified family medical doctor,
and today he is sharing top health lies
and the truth you need to hear today
to feel better.
We have covered so much.
There's so much more to dig into.
Dr. Mike, let's just jump right back in.
The next thing I wanted to talk about was this.
Your parents have had a very profound impact
on you personally and professionally,
and I want to talk about both of them.
Let's start with your dad.
Speaking of good doctors,
one of them was your dad who inspired you,
and I want to talk a little bit about your parents
because they are very important to you,
and I understand that your dad inspired you
to want to become a doctor,
and I'd love to hear the story.
Yeah, it's paradoxical in nature
because he actually,
was someone who was saying
that the healthcare system is quite broken,
and perhaps you should seek a different career path,
but what was interesting in coming from Russia at age six,
watching my parents adjust to a new language,
a new culture, a new lifestyle,
I got to watch them adapt,
and I got to see how difficult life can be
when you're facing limited resources,
to live on welfare,
to live in welfare housing.
That is something we all experience in my family,
living the four of us in a one bedroom.
Was your dad a doctor in Russia?
He was a physician in Russia,
and living in that moment,
coming to America,
watching him very quickly learn the language
and apply to medical school again,
apply to residency after medical school again,
in his 40s,
in a new language,
I saw how strong he was
and how strong you needed to be to overcome challenges.
And because I was nine, ten years old
when he was going through his medical training,
I was awake for it.
I got to watch him,
I got to watch his education process happen.
He would bring me on his bring your child to work day,
and I would see what it's like to be a resident,
to sit in an on-call room,
and I fell in love with family medicine.
I fell in love with the relationships
that he was making with his patients,
the ability to learn all of healthcare
and be that quarterback.
I really fell in love with the field,
and I said, there's so much value to this.
So to me, family medicine was something
I hard-headedly chose and fell in love with,
because of my father.
And at the same time, in spite of my father,
because he saw so many problems,
he foresaw a lot of the problems
that we're experiencing today.
- Now, your mom passed away
during your first year of medical school.
- Yeah.
- How did that experience shape who you are today
and how you practice?
- You know, watching my parents come to a new country
in their 40s, as I said, learning a new language.
My mom was a PhD in mathematics in Russia.
Her mom was the provost
of the department.
So when she came here and she had to walk two miles to work
to save on bus fare to sweep the floors,
I knew how hard they were working
in order to set a good life for me and my sister.
And then just as my dad was getting on his feet,
he finished residency, they struggled,
and now they were about to have a little bit of success
where they can own their own home and travel a bit more
and enjoy the fruits of their labor
that they worked so hard for.
To watch my mom get sick
and progressively pass away from this cancer,
it's a specific type of cancer called CLL.
It was just heartbreaking to go through that.
And being in medical school,
I'm just starting to learn what it means
to stop chest compressions.
I'm learning what it means that we sometimes deliver
too much care to people in their final years of their life
and how perhaps we're actually hurting them
rather than helping them.
And while I'm learning those things in school,
I'm taking my mom to her appointments
at Memorial Sloan Kettering,
and I'm seeing her get more sick, more sick.
But then there's always a ray of hope
where just days before she died,
I picked her up from Memorial Sloan
and the doctor shook my hand.
He said, "We cured her cancer.
"We just have to have her recover now
"because she had a stem cell transplant
"and now we just need her immune system to build back up
"and she will be okay."
And just a few days later,
she got a mean infection.
Her body went into gram-negative sepsis.
It's a type of bacteria that creates
an overwhelming response from the body.
Blood pressure drops.
We're all in the hospital.
And she's getting chest compressions.
And we're the ones that are having to tell them to stop.
And when you're doing that to a loved one so unexpectedly
because you have so much optimism and hope,
it really awakens you to how short life is,
how difficult our healthcare system can be,
how healthcare providers who were doing the best that they could
save my mom. Also, when they went back to their cubbies, they were laughing about their everyday
lives because they're humans too. And they have their own struggles. And I needed to be accepting
of that. So there was so much learning that happened in that moment. And I think it really
highlights an important factor in that when you're a physician, we need to remind ourselves
from this old adage, we're not robots. We're humans. If we want to cry in an exam room,
if we feel that with a patient, cry. No patient will judge you for that. In fact, it'll make you
more human. Bring your experiences, your hobbies, your passions to the art of practicing medicine.
So I think it's those moments, these moments with our families, our moments of loss,
that if we can bring them into the practice of healthcare in a meaningful way,
we can be better. We can get better outcomes for everyone.
You mentioned these moments of loss. If the person who's listening right now is in grief or
experiencing deep sadness and things just feel very, very hard, what do you want to say to them
about just the first step to take even today?
To take the first step requires some bit of action. We're all seeking motivation.
But the unfortunate truth is that action precedes motivation. We need to take some sort of action.
So I try and think about what's the easiest action one can take. For some, that might be making their
bed. For another, it may be taking a shower. For me, it was putting on my shoes. Putting on my
shoes took me to the dog park. Putting on my shoes got me to take a boxing class. Putting on my shoes
and taking a boxing class 10 years later led me to fighting on Showtime.
Pay-per-view as a professional fighter. So you will never know where putting on your shoes may
take you. But unless you take that first step of putting on your shoes, making your bed,
taking a shower, you just don't know where you'll go. So that's the simplest step.
And I know it sounds easy to someone who's not in the depths of grief, who's not going through
something. They say, oh, putting on shoes, that's not going to get you anywhere.
But when showering is hard, when combing your hair is hard, putting on your shoes is not the
easiest task. But when you do, you never know where they'll take you.
I want to stay right on this because I really deeply appreciate you validating how hard it is
to take a shower some days. How hard it is to brush your teeth.
Oh, yeah.
Not just put on your shoes, but maybe walk out the door. Why do you think
those little things feel so hard at times in life? Because to me, it's really important that we
break this apart because I think this is actually everything.
It probably strikes at the heart of the humanity of meaning. When you live every day with your
family members surrounding you, you have one idea of what life is. But when tragedy strikes,
and that gets completely flipped 180, you panic. And in order to protect yourself, your brain shuts
down and says minimal activity, much like when in boxing, you get hit with a liver shot. To make a
strange analogy, you go down because you're worried about circulation. Same thing here, your body's
protecting you.
But at the same time, you need to be able to be the judge of what's safe, what's acceptable. And sometimes it helps to have a team member. That's where doctors come in, therapists come in. The most unique part of what I've learned in practicing healthcare for the last decade is that for mental health success, support system is crucial. So having family members, friends, so important. But then getting help from a medical specialist, a mental health specialist,
is the second most important. But what's not so important is, are they a social worker? Are they a
psychologist? Are they a family medicine doctor? Are they someone from a religious background? As long
as it's someone who's not taking advantage of you and wanting to tell you the truth to help you get
through this moment and shows you that you too are valuable, validated, and wants to help you
overcome this tragedy. That's what gives you a good outcome.
Dr. Mike,
what would you say to somebody who is focused on caring for everyone, but not themselves?
Well, Mel, in front of us, we have a really good example and a clear example of how this can
devolve very quickly into everyone losing. We have five glasses here and a pitcher of blue colored
water, just to show as an example of what happens in someone's everyday life as a caregiver.
So the caregiver is the pitcher of blue water?
No, this is effort.
Oh, this is effort.
This is energy. This is what's fueling.
This is what's fueling the ability to do things.
Okay.
And each one of these cups will represent a different scenario in one's life.
Okay.
So, for example, people have to show up to work. People work, right? That takes a lot of effort,
a lot of energy. Boom. Some of the blue water goes in there. But they also need to take care
of their kids, right? That's important. I've read about the prom situation that you experienced
and how stressful that was.
A lot of energy.
Should I pour more?
Yeah.
Into that one? But look.
Feeling I need to save it for other things.
Do you see how quickly we're losing the energy?
But then you're a caregiver to your aging parents. You continue losing.
Uh-oh.
Uh-oh.
Uh-oh. Oh, wait. You have a spouse? Oh, wait. You want to maintain some sort of connection
with your spouse? You want to love each other? You want to spend time? You want to travel?
You want to do something interesting? A hobby?
Dr. Mike, that's the idea.
Okay.
Oh, my God.
There's no energy. And I have to cook dinner, go to the grocery store, clean the house.
We didn't even do laundry yet.
How are you going to take care of yourself when that's what you have left to deal with
the healthcare system? Joy, sleep, lowering your cholesterol. You've taken care of everyone
and everything else except yourself.
What the hell do I do? Because when you look at this and the visual is stunning as you're
listening.
You're like, oh, my God. The picture is empty, so we're out of energy. Four of the cups are full. We haven't even
gotten to laundry, grocery shopping, cleaning, all the other stuff that you need energy
for. And the one cup on the end has just a little tiny couple drops of blue in it that
is what you give to yourself.
And I don't want to ruin your studio setup here, but if we were being honest, these four
cups would also have cracks in them and be perpetually losing water and need refills
because that's how life is. So even when you give everyone the adequate amount of attention
and effort, there will always be problems that need refilling. And if your cup isn't
being refilled, you're going to fail at helping your loved ones.
So how do you recommend?
When this is the reality of your life, how do we get our energy back if the blue water
represents energy and we don't have any?
There are steps that we can take to help refill our cup.
What is it?
First of all, I know we're being pretty critical that four cups are full and one is empty,
but it's nice to have happy family members and healthy family members.
So we can look at positive things in our life and remind ourselves about those positive
things.
So one of the things I help my patients with is small things, right? Three good things
that happen at the end of a day. Remind yourself that there are positives here.
Okay.
Good night's sleep, making sure you're taking care of your own mind and body. And one of
those things is these little tasks that we can do, like the three positive things. And
then most importantly, validating yourself that this situation does suck. We forget that
we judge ourselves so much more harshly than we would judge someone else in the very same
scenario.
Allow yourself to feel shitty in this situation. One of the things that we try and work on with
patients in family medicine is explaining that therapy, antidepressants, they're not meant to
make you not feel sad or anxious. They're meant to give you a layer of control to identify when
you're feeling sad and in a rut, and you could take some steps to snap out of it. But it's not
to not make you feel. In fact, if a medication or a treatment that I'm giving to my patient makes
them not feel, that's probably not a good treatment for them. So reminding patients about
validating themselves is a really important tool.
It's so helpful to see the visual because you feel it in your body that, wow. And when you said
it's energy, I haven't heard anybody talk about it in that way. And it's way more hopeful because
I do believe that the energy can be regenerated.
Right.
When I see it as pieces of me versus energy that I can recoup through better sleep and taking a
little bit better care of myself versus carving out time that I don't have, that feels like
something I could do that would make a difference.
For sure.
I want to shift gears now and ask you another question.
Dr. Mike, you are known for cutting through just health misinformation and bullshit online.
What is it about your approach to spotting and calling out especially the lies and
misinformation that really makes you resonate with millions and millions of people every day?
What I strive to do, which I hope people admire or appreciate, is to be as authentic and
transparent as possible, why I'm making certain recommendations. Being someone who had to study
really hard to understand certain concepts, I had to simplify those concepts quite often.
And in doing those simplifications, I realized I can use that same simplification to teach
millions of people across the world these more complex subjects. And by being a family medicine
doctor who's on the front lines and seeing what patients are experiencing, it really made me
better to be on social media. And at the same time, when I'm researching certain topics for
social media, it makes me a better provider for my patients.
So it's this unique symbiotic relationship between health care and social media that I never knew
existed and in fact was discouraged from going down this path by some colleagues, by the medical
community at large. And I think now they're waking up and realizing, oh my God, we've let this tool
go underutilized. It was co-opted by bad actors. And now we're playing catch up in some of the
most difficult ways. I actually think people can cut through bullshit.
Yeah.
And that it's very clear if you spend any time listening to your story that there is a genuine
and authentic mission tied to what you're doing. And that's why you resonate with people.
I appreciate you saying that.
No, I mean that. I think your heart truly comes through and that's why you resonate.
I would love to know, what are the health trends and misinformation that you're seeing that drive
you?
Absolutely bananas. And since there's probably so many, what are the ones that drive you craziest
or you think are doing the most damage right now?
I think in social media, the trend surrounding longevity is one I've been fighting against for
a really long time, which sounds strange. Why is a doctor arguing against longevity?
But it feels like everyone is falling into this anti-aging bracket. And my main problems with it
are twofold. One, people view aging as a disease. And I don't feel like that necessarily needs to
be the case. There is a way to practice healthy aging that we can discuss and not view it as a
true pathology, as a true illness. And second is that a lot of times it takes information,
research that is so preliminary that it should maybe give us hope for something on the horizon.
And it gets blasted to the front pages, to the front headlines, to the Shopify stores,
where people are selling these things that don't hold up under scrutiny. And therefore,
people are not getting good care, or they're getting false information. In fact, when a doctor
says they're a longevity doctor, it kind of throws me because I think almost every doctor is a
longevity doctor, with one exception. I'm curious if you can guess what specialty is that exception?
Palliative care?
Yeah, hospice. Because they're focused on comfort, right? Not prolonging one's life.
But every other doctor wants you to live longer. They want you to have a better quality of life.
Why is this being stolen?
I, you know, I'm curious, Dr. Mike, is aging a disease?
I don't think so. I don't think it needs to be viewed that way. And in fact,
the more we view it that way, the more negative outcomes we get from aging.
Well, this is going to be one of those admissions that I kind of feel a little dumb saying. I'd
never heard.
Never heard that aging. When you said aging is a disease, I'm like, no, it's not. It's just
something we do. It's not a, but is it a disease?
Well, people feel that they break down over time. They get more tired. They can't accomplish all
of their goals that they were setting for themselves in their 20s. They can't pull 18-hour
days. But the reality is, you just told me, I think before we started this conversation,
that you're happier now than when you were earlier.
Yes. I'm way happier in my late 50s. I'm way healthier.
I'm way healthier. I'm way healthier.
I think I feel better, look better. I'm stronger. I can do more pushups. Again,
it comes back to this thing you keep saying, which is we are designed to grow. We are designed to
respond to the lifestyle and health things that our grandparents have always done. And your body
loves it when you do it. And our minds evolve. Our neurochemistry evolves. How much we sleep
evolves. We don't need as much sleep once we're older than when we were babies. So things change.
So things change. But if we view
it with a negative lens all the time, it will make it worse.
So how do you know if somebody is selling you something, is a grifter, is trying to market
something to you? He's got a red flag. You got to have one of these in your mind's eye all the
time. Dr. Mike has a red flag. Tell me how we know. Give us a few examples. Okay. Overconfidence,
overconfidence. You have to be,
I'm waving this in your head. And I'll give you a very specific example. If a patient comes in
with a symptom, the odds that I can definitively say that it's one condition is almost zero.
I can be confident that based on the presentation, my physical exam, the blood test, the scans,
that it's pointing to a condition, a diagnosis. I still have a differential, which means I have
other options of what I'm going to do. I'm going to do this. I'm going to do
what it could be that are mimicking that same presentation because humans are not all exactly
identical. So in healthcare, good doctors, good nurses will always hedge. And when you're hedging,
you don't look super confident because when a doctor is not afraid to say, I don't know,
that's when they're being honest. That's when they're being vulnerable to tell you
from a humble standpoint, that this is tough. Further,
investigation is necessary. A clear answer is not here. Most importantly,
they're not interested in slimming your wallet. That's a good one. Because it's true. When
somebody says, I don't know, you tend to go red flag. You're not listening to me. And what they're
basically saying is I'm thinking about all the things and I don't have something definitive.
We got to dig in. Because I can even think of bad actors that will make a short form piece of
talk on Instagram and we'll say, do you have headaches? And if you have headaches, you're like,
oh my God, I have headaches. You're not consuming enough pink Himalayan sea salt.
Mel, this is content that exists online. I got surprised because one of the big ones that I see
online right now is somebody going, they're in a grocery store. And I'm sure you've seen this,
even if you're listening, they flip it over, blah, blah, blah, blah, blah. And then they go to Home
Depot or a hardware store. And they're like, and this is in, I don't know,
what else? And I'm like, this is basic chemistry. What are we talking about?
Yeah, the chemophobia is real.
What is it called?
Chemophobia, where they're scared of all chemicals and it's really strong and they're really good at
it. They scare people a lot because what's a chemical? I even had, this is interesting,
the director of the FDA was on my show and he said that he encourages people to eat organic
produce. And I said, interesting, why? And he said, because traditional produce has pesticide
residues on it.
And organic means they don't use pesticides. And I had to kindly remind that there is organic
pesticides. And he said, well, no chemical pesticides. What is no chemical pesticides?
This water is a chemical. The air we're breathing is a chemical. And this chemical fear that we have
needs to be validated because there's some companies who have destroyed our environments
by throwing chemicals everywhere. We're dealing with these forever chemicals in our environment
that we need to desperately investigate and put in place.
Put money into research to see how they're impacting our health. Yes. But at the same time,
we don't want to be to the point where we're afraid of all chemicals when they can in fact
be beneficial to us.
I want you to explain to the person listening what you meant when you said water is chemical,
because you were talking about it based on the chemical property chart that we learned about
in chemistry class. But because there's so much misinformation, just you're talking about a
specific definition.
Of the word chemical that now everybody's like, wait, it's a chemical.
Water is dihydrogen monoxide. But that sounds scary. Water sounds a lot more palatable.
But in reality, it's just a chemical formula.
H2O.
Yeah, H2O, right? It's really simple. And they've even, I remember Penn and Teller did this skit
where they would go to some conference and they would get people to sign a petition
banning dihydrogen monoxide because they were telling people that, oh, someone can overdose on
it. They can, you know, they can do it. And they would get people to sign a petition banning
and drown out their electrolytes with it. And people signed it because they were being taken
advantage of. And they were highlighting it, perhaps in a bit of a predatory way, to show how
easy it is to trick someone into believing that chemicals are bad, when in reality, we can't live
without water. You need water to sustain life. Dr. Mike, thank you for just cutting through the BS.
There's so much of it out there. Thank you for being transparent about your opinions. And I
combine medical expertise with real humanity. You can really
feel how much you care about people and how much it bothers you, how this is impacting people's
ability to make choices. I have so many more questions. I know as you've been listening to
Dr. Mike, there are people in your mind that are popping up. I want you to take a moment and share
this with them, particularly if this episode is helping you. If you're feeling seen, if you feel
less alone, if you're thinking, oh my gosh, finally somebody is saying what I've been thinking.
If this is helping you, it's going to help everybody that you care about. So send this
conversation to people that you love. Alrighty, don't go anywhere. Dr. Mike
is back with so much more when we return. So stay with me.
Welcome back. Thank you for being here. Thank you for sharing
this episode with people that you care about. Mike Varshavsky,
Board Surgeon.
Certified Family Medicine Doctor, and he's sharing the top health lies and the truth you and I need
to hear today in order to feel better. All right, Dr. Mike, what do you do if somebody that you
love goes down the misinformation rabbit hole, Dr. Mike? Validate, validate, validate.
Why do we validate? Because you have to seek to understand first. How did they get there?
What are they experiencing? Perhaps you have a misread of the situation. Approaching it with
that level of challenge.
I think that's a really good point. Vaccine hesitant. One of the people said, there's nothing I could say that would change
their mind. I said, why? She said, because I actually read and study. I was bewildered
because to me, when you approach a truth-seeking conversation with that mindset,
you are making yourself more immune to facts and new information than you are to a disease.
You're missing the opportunity to become immune to illness.
So we have to be open-minded. We have to be skeptical for everyone. Be skeptical of me.
Be skeptical of your doctor. Be skeptical of new treatments. Not cynical, but skeptical.
Like we should foster that trait in people a little bit more than we have over the last few years.
The skepticism?
The skepticism.
Yeah, but I mean, the reason why I'm pushing back is I am shocked by the number of people
that are trying to be healthy and end up going down some weird rabbit hole.
And all of a sudden, they distrust doctors. They're anti-vaccine. They are suspicious of
medical and scientific institutions. And I think the distrust is a real problem right now.
It's a huge problem.
Why is this? Why do you think this is happening?
I think the pandemic hurt people's trust of the healthcare system and the government of how they
overpromise certain things.
With presenting data with perhaps too much confidence, we lost in healthcare a bit of
humility, perhaps in an understandable way during a moment that is unprecedented, a new novel
condition that was impacting the globe, and we were scared. But we made a mistake. We didn't
communicate well. And then the second thing, we wrote off social media as a tool that's beneath
us. We thought we needed to be in our Ivy League institution.
at medical conferences and research journals,
but that's not where people are.
And people want information faster than ever before.
And when you pair the difficulty it is to see a doctor
to get good quality access
with the fact that we're not communicating well,
with the fact that we're not present in the one place
where people are searching for answers the most,
that's ingredients that are bound to explode.
And that's what I think is happening with the distrust.
I also believe some of the things
that I've read from experts that I respect and trust
that when you are anxious, when you are uncertain,
you automatically look for ways to control.
And that the anxious and uncertain and upset brain
is more likely to believe conspiracy theory
than a brain that is calm and rational and strategic.
That's true.
That's just what I think,
that people reached for a lot of things that were unfounded
as a basis to put blame during a situation
that was unprecedented,
that most people were doing the best that they could
to try to navigate in real time,
whether it was the school system
or it was the healthcare system
or your local hospital, all of it.
To me, that's understandable.
We weren't there.
We weren't saying our side of the conversation.
Accurately or honestly, what do we expect?
We created a vacuum that bad actors weaponized the system,
the game against us.
And as a result, people have this very scary
or negative perception of what healthcare is,
of what a doctor is,
that when I go and do these jubilee conversations
with people who disagree with me,
the first thing the participants say is,
well, you're different.
I'm not any different.
I practice in a healthcare system with hundreds of doctors
and they're all doing the best.
They're doing the best that they can
and they all want the best for their patients.
But when on social media,
the viral pieces of content
only show the fear-mongering of the evil doctor
that doesn't care about you
versus the flip side is what they care about you.
They'll give you the natural remedy
that will solve everything that ails you.
I mean, the list of things that they claim
some products work for is just,
that's a miracle potion.
Because at some point it's like,
wait, this cures mental health disorders,
energy,
this makes me stronger, faster.
Like, how can it do everything with no side effects?
But when the healthcare system feels cynical,
like they write off natural remedies,
they write off lifestyle changes
because they're so cynical
that no one wants to make those changes.
Suddenly that person looks more reasonable
than that evil doctor that you have painted in your head.
So we need to be there.
We need to use these tools
and not just villainize them and saying,
they're what's responsible for misinformation.
Well, yeah.
We're not going to be there.
They will be.
You know, Dr. Mike,
you're making a very compelling case
for the first step, which is validate.
And whether it is you being somebody
that has gone down a rabbit hole
and you think your family's crazy
for still believing certain things,
or you have loved ones that have gone down a rabbit hole,
the first step is just validate.
Was it fear?
Was it control?
Was it that they were getting,
being dismissed by the traditional systems
in medicine or whatever else?
And once you validate,
what's the next thing to do?
Speak from your emotional side
and don't be a boss.
No one likes bosses.
They want people who empathize.
In fact, the worst thing you can do
when you're trying to seek
some sort of community eye-to-eye with someone
is put a stone in between you.
So,
explaining why someone is so important to you,
why you care about them,
the reasons for why you're making these recommendations,
a lot of times are more valuable
than the recommendations themselves.
And people want minds to be changed
in the course of one conversation,
in the course of just one statement.
And that is so far from reality.
There are stages to grief
and there are stages to behavioral changes,
especially when those,
ideological changes become part of one's identity.
So do not expect one's mind to be changed
after one conversation.
At best, you can take them one step
in the direction of perhaps they're now
in the pre-contemplation stage of making a change.
So it requires a lot of patience.
Dr. Mike, there's so much misinformation about vaccines.
What is your take on vaccines?
Vaccines are one of these advanced,
advanced treatments in scientific progress
that should be considered a miracle.
We can protect ourselves from infectious diseases
that cause death, disability, harm
without ever needing to experience this disease.
Because with many vaccines,
yes, you can have immunity
from experiencing the natural illness.
But how great without having to experience
any of the risks of having to experience
having the natural illness,
becoming immune,
or perhaps mitigating the risks
of having that condition.
And when people try and throw shade
or confuse people about vaccines,
they're raising issues
as if we haven't addressed those issues
in healthcare research.
They say statements like,
when it comes to vaccines,
we should leave no stone unturned.
There's no doctor, there's no scientist
who would disagree with that statement.
And we've overturned that statement.
We've overturned every stone.
We've looked at population studies
to hundreds of thousands
to make sure.
at the highest level of scrutiny for vaccines.
And why?
Because vaccines, unlike pharmaceuticals,
are given to otherwise healthy people.
So we need to make sure that we're approaching them
with a much higher level of scrutiny
and a much higher level of surveillance
than we do with pharmaceuticals
because those are given to people who need something.
They're sick already.
So if there's some benefit to be had,
we might be okay with more side effects.
When you're giving something to someone
who's otherwise healthy, we're not okay with side effects.
They need to be minimal to none
for us to be accepting of that treatment.
And vaccines are that.
What are some of the most common claims
you're seeing, Dr. Mike, and how do you respond
when it comes to misinformation
related to vaccines and scientific research?
To be honest, there's not many clear claims
that people make because a lot of times
it's arbitrary.
Oh, vaccines are a chemical
that we introduce to children
and people get scared of that
because of that chemophobia that we discussed before.
They try and create lies about vaccines
that they're not as tested as pharmaceuticals.
Lie, it's the exact opposite.
The first vaccine, smallpox, 1700s.
We've been doing this for centuries,
protecting people in order to,
to prevent them getting illness.
In fact, some of the community that is anti-vaccine
a lot of times criticizes our healthcare system
for being too reactive and not proactive,
not preventing illness.
And I agree, we do need to do a better job there.
But vaccines are an example of prevention.
They talk about pharmaceutical companies
making money off these medications.
Well, when you get a vaccine, you don't need treatments
because you won't get sick.
You can't quit those illnesses.
And the scariest and most sad part is
the victims of this are going to be kids.
I have no doubt in my mind
that this year, children will die unnecessarily
from vaccine-preventable illnesses like measles.
It's a guarantee.
And why those children need to die,
I don't have an answer for.
These people who are proponents of anti-vaccine,
they used to say that it was thimerosal,
a mercury component of vaccines
that was driving the autism epidemic,
why autism rates were going up.
That was a claim they made.
We've eliminated thimerosal in childhood vaccines.
Autism is still going up.
All their claims that they made are untrue.
But now they move the goalposts to another thing.
Another thing.
Where do you fall on this, Dr. Mike,
when it comes to all of the claims
all over the internet?
The internet and autism and vaccines
that prevent children from dying of preventable diseases.
Well, we need to be honest.
Autism rates are going up.
We don't have a clear answer.
This is where we had our red flag
and we need to not wave it
when the medical community says we don't know.
We need to understand that we're seeking the answers.
But Mel, the way we get answers in science
is not by just saying,
oh, the expert said this, so we will agree with them.
It's by testing different theories,
constantly being self-critical,
constantly putting forth a hypothesis
and ruthlessly testing it over and over again,
trying to disprove our own theories.
But in this day and age of social media,
people want to put out a theory
and find evidence to support their theory,
which is not how good science is done.
Good science tries to put out theories
and adequately challenge them over and over again.
And the more you fail in challenging your own theory,
that's when you,
you usually have a good theory
and we're losing sight of that.
As a medical doctor in clinical practice
and seeing the impact that it has
on the day-to-day life of your patients,
how does this misinformation show up
in your daily clinical practice,
just seeing folks as a family medical doctor?
Patients are turning down vaccines for their children.
They're turning down the hepatitis B vaccine.
And what's so wild to me is
it's not like the research isn't there.
And we have the health outcomes to prove
that the recommendation works universally.
And yes, there are isolated risks.
Correct.
I want to run through some of the things
that I know I'm seeing,
I'm sure as you're listening
or you're watching on YouTube,
you have seen or heard about,
and I would love Dr. Mike to have you give us
like your medical take.
So many parents are concerned about vaping.
One of our kids recently admitted
that we had,
no idea that there was a year or two long period
in their life where they would literally wake up,
reach for the bait, suck it in,
had it in their pocket.
I had no idea.
Absolutely no idea.
Now what I'm seeing,
I see those disgusting pouches
in everybody's mouth now
and people pretending as if it has
no real impact on anything,
which I think is the bigger issue.
Let's get this out here.
Boom.
Pouches.
Yep.
Vapes.
Smoking.
So Dr. Mike has,
he has three big mason jars.
One is labeled smoke,
the other is labeled vape,
and the other is labeled pouch.
So these are the delivery mechanisms for the nicotine.
Correct.
And here we have some good old poker chips
that allows us to show the barriers
one faces from a societal perspective
or a personal perspective
into doing each one of these habits.
Smoking.
The most problematic behavior.
The most cases of COPD.
The most cases of cancer
come from smoking.
But society frowns upon smoking
so it makes it harder to smoke.
Can't smoke indoors in most places.
Gotta put a chip in there.
Smoking stinks.
Makes your clothes stink.
People don't like it.
Societal cost.
Children of smokers,
even when they don't smoke around their children,
have higher allergy rates.
So people who smoke wanna not hurt their children.
That's why they don't smoke.
That's why they don't smoke around their children.
They don't smoke around their children.
teenager is addicted, then we have to create a strategy.
a mitigation strategy. How do we get them off without feeling the terrible impacts of withdrawal?
Because nicotine withdrawal is real. It comes in waves. It's very uncomfortable. And it's why
so many get addicted long-term to nicotine. And a lot of times end up moving up this pathway
instead of as how we'd like it to be down this pathway. So the goal is if I have a smoker,
it would be nice to get them to vape. And then from vaping, get them to a pouch,
then perhaps to a patch, and then off nicotine products altogether.
But if it's happening in the other direction, especially with teens, we can be creating
new vape users because they started with the pouch. And a lot of these vapes, a lot of these
pouches have such a potent dose of nicotine that people on their first use get nauseous from them
because it's that impactful. In the teens and young adults in my life,
I have. Heard them express this sense of wanting to not be using it, but not feeling as though
they can stop using it.
That is part of the addiction definition.
And what do you think the first step is after you've done the screening, but as a parent,
to open up the door to this conversation with your kid? If you keep throwing out the vape pens,
and you keep having the conversation, and the car stinks now, even though it smells like cherry
or whatever flavor.
I think you need to loop in someone from the healthcare community. This isn't like
getting off of soda. It's difficult. There's withdrawal symptoms to manage,
and there are approaches to manage these situations, whether it's wearing a patch
and then using gum as a breakthrough for those cravings when they do have. And education from a nicotine cessation program about how to handle those withdrawal symptoms,
what to expect. Because a lot of times, as I said, they come in waves. So sometimes if you can,
you'll get the wave. People say, well, what if I don't get. You'll get the wave.
But if you can withstand the wave, perhaps you can overcome that wave. And each time
someone tries to quit nicotine products, and they fail, that could be an opportunity for learning,
what are those triggers that led you to fail that perhaps in the future you can address
and be more successful?
What really strikes me in having this in-depth conversation with you is how reasonable you are.
That you are really trying to discern where people are coming from and then bring us back
to the facts. The person who's listening really were to just try to tune out the noise and focus
on the kind of core. Core pillars that matter to your overall health. What are those things?
None of them are novel. Sleep, eat, moderation, healthy foods, colorful foods.
That's going to be different for every person depending on genetics, choices, culture,
medical conditions, family history, exercise. Now, some people say, oh, this exercise is better
than this exercise. If you're exercising, I'm happy. Given the state of the United States right
now. How sedentary we all are, how much we're spending time in front of screens. Any exercise to me is a
win. Now, if someone's doing something that's potentially raising the risk of injury, which
will stop them from being consistent, I'll raise that flag. Or if there's a piece of exercise they
could be doing, I'm thinking about women and resistance training and how beneficial it is
to bone health, I'll recommend it. But if they want to just walk with weights, I'm for it.
They're getting their cardiovascular exercise in,
they're getting their endorphins from that. That's important. Human connection,
utmost importance. In as digitally connected world we live in, the fact that we're more lonely than
ever is confusing, but it's also extremely problematic to the quality of our lives,
to our mental health. So finding ways to connect in person is more important now than ever and
takes more effort now than ever. Dr. Mike, what are your parting words?
Some healthcare is better than none. More healthcare is not better than some,
but find a primary care doctor who can guide you on what some is appropriate for you.
You know, if the person who's listening does just that, that you re-engage with your primary care
doctor, you re-engage with the pediatrician, that you really get back into a dialogue and you think
not about sick care, but truly about your health. And I think that's a really important thing.
Healthcare and working together with that medical expert, you're going to be in much
better shape because you're not going to be alone in the sea of misinformation that we currently live
in. I can't promise that they'll be in better shape, but what I can promise is they will be
more in control of what shape they choose to be in. And ultimately life is about making choices
based on what's important to you. And what a lot of these,
voices that are popular on social media these days are doing is subliminally they're taking
away your control. They're hijacking your control over your health, your relationship with your
doctor. And if you want that control back, invest in a good primary care doctor, get individualized
care for what's right for you, learn about yourself, learn about science, and ultimately
have not just a long life, but a life that's worth living for you, whatever that means for you.
Dr. Mike, I cannot thank you enough for coming to Boston, for spending so much time with us,
and more importantly, for doing the work that you're doing, not only in the community-based
family medicine practice, but the way in which you're translating all of this information.
You are just unapologetically going after the misinformation, the nonsense,
and helping us make sense of a very confusing and
overwhelming moment. And I just, on behalf of myself, this team, the person listening,
and everybody that you inspire every day, thank you.
Thank you for the opportunity to be able to reach people with this message,
because these days it's harder than ever in the attention economy where we live.
So any opportunity to allow people to see that there's so much humility behind healthcare.
And when we are fact-checking misinformation, what we're really highlighting is how much we don't know,
as opposed to what we do know. And that there's so much more to be discovered,
which is why I'm hoping that we stop canceling clinical trials that the NIH is funding,
and we start putting funds back into researching, back into making innovations,
so that our country can be the powerhouse that allows our loved one to live 10 years,
20 years longer, in a more meaningful way.
And isn't that what we all want, Dr. Mike? So thank you for helping us sort through the noise
so we can make better decisions.
For ourselves and the people that we love. And thank you for making the decision
to listen to this or to watch this on YouTube. There's no doubt in my mind that everything that
Dr. Mike shared with you can change your life or the life of your loved ones for the better.
So I just deeply appreciate you being here. And I'm so excited for all the positive change that
can come from this one episode and you sharing it with people that you care about.
And in case no one else tells you today, as your friend, I wanted to be sure to tell you that I
love you.
And I believe in you. And I believe in your ability to create a better life.
And one of the things that will make your life better is when you start prioritizing your health,
you start taking better care of yourself. And Dr. Mike today gave you so many ways that you can do
that. I truly hope you will follow his expertise and put his advice into action. Alrighty, I will
be waiting for you in the very next episode. I'll welcome you in the moment you hit play.
You're killing it. Cool. We were doing the rehearsal for the tours yesterday. We were
talking about like your life changing in five years. And I'm like, yeah, I'm going to be 63
that year. That's a big goddamn number. Well, if you're healthy, you're probably
enjoying it just as much as you did when you were 43. Actually more.
You are so good.
Good. So good.
Oh, and one more thing. And no, this is not a blooper. This is the legal language. You know
what the lawyers write and what I need to read to you. This podcast is presented solely for
educational and entertainment purposes. I'm just your friend. I am not a licensed therapist. And
if you want to learn more, you can go to my website, www.seriousxmpodcasts.com. And I'll see
you in the next episode.
Serious XM Podcasts.
Podcast Summary
Key Points:
Dr. Mike Varshavsky, a board-certified family medicine doctor, discusses how online health misinformation harms patients, leading to distrust, delayed care, and preventable deaths.
The healthcare system is broken due to lack of transparency, predatory billing practices, and time constraints that leave patients feeling gaslit, especially marginalized groups.
Dr. Mike advocates for core health pillars—sleep, plant-focused diet, exercise, and human connection—while warning against hyper-optimization and fear-driven content.
He emphasizes the importance of primary care, using his own practice to provide concierge-level care to underinsured patients.
Personal stories, including his father's inspiration and his mother's death, shape his empathetic, human approach to medicine.
He offers practical advice
He debunks myths about vaccines, chemophobia, and nicotine products, explaining the risks of vaping and pouches.
His red flags for misinformation include overconfidence and lack of hedging, urging skepticism over cynicism.
Summary:
In this podcast episode, Mel Robbins interviews Dr. Mike Varshavsky, the world's most followed medical doctor online, about the devastating impact of health misinformation and a broken healthcare system. Dr.
Mike, who practices community-based family medicine, explains that patients are flooded with conflicting advice and lies, making it hard to trust anyone or make informed choices. He critiques the system's lack of transparency, citing predatory billing, pharmacy benefit managers, and time-pressed doctors who inadvertently gaslight patients, particularly busy or marginalized individuals. He shares personal stories, including his father's journey as a Russian immigrant doctor and his mother's death from cancer, which taught him the value of humility and human connection in care.
Dr. Mike offers actionable advice: argue every medical bill, validate loved ones who fall into misinformation rabbit holes, and prioritize foundational health habits like sleep, diet, exercise, and social ties over hyper-optimized trends. He warns against chemophobia and nicotine products, explaining their risks, and stresses that vaccines are rigorously tested and life-saving.
His parting message encourages listeners to re-engage with primary care doctors to regain control over their health, emphasizing that healthcare is about informed choices, not fear. The episode aims to empower audiences to cut through noise and make better decisions for themselves and their families.
FAQs
Health misinformation online is dangerous because it floods people with conflicting advice and lies, making it hard to trust anyone or know what to do. This can lead to serious consequences, including children dying from preventable diseases.
Argue every medical bill. Call the billing office, ask for an explanation of why you need to pay, and seek financial aid programs. Many bills can be reduced or corrected, as seen in cases where patients got huge reductions by challenging predatory billing practices.
When you're in deep grief, your brain shuts down to protect you, making even small tasks like showering or brushing your teeth feel overwhelming. The key is to take one small action, like putting on your shoes, because action precedes motivation and can lead to recovery.
Start by validating their feelings and seeking to understand how they got there. Avoid being bossy or confrontational, and speak from your emotional side. Remember that changing someone's mind takes time and patience, so aim for small steps rather than immediate agreement.
Yes, vaccines are a miracle of science that protect against deadly diseases without experiencing the illness. They are held to a higher standard of scrutiny than other medications because they're given to healthy people, and the risks are minimal to none.
The core pillars are sleep, eating a plant-focused diet with fruits, vegetables, and lean proteins, exercising regularly, and maintaining social connections. These basic tenets are more important than chasing hyper-optimized trends or shortcuts.
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