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Summary
Dr Nick holds an MD degree and is a board certified primary care physician who practices in Colorado and consults patients via telemedicine throughout the United States.
His view of healthcare and modern doctor-patient relationships is a much needed breath of fresh air for an already stale model of sick-care.
Actionable Steps
- Only change as many habits as you feel you can sustain for any given time.
- You lose fat in the kitchen and you gain muscle in the gym.
- Study how you eat. And most importantly, the motivations behind how you are eating.
Show Notes
[00:03:48] Continuity of care is very important for Dr. Nick as a physician and the reason he went into family medicine.
[00:04:09] Seeing the changes that can be accomplished by patients when they act as a unit with their doctors is only possible when there's trust and a solid relationship between doctor and patient.
[00:04:50] Many Americans use Urgent Care as their primary care and that does not allow for a relationship to be built.
[00:06:14] Dr E believes that patients who trust you as a doctor adhere much better to their treatment plans.
[00:06:47] Dr Nick will not prescribe anything to his patients without them fully understanding the reasoning behind that prescription.
[00:08:02] Encouraging patients to disagree with you as a doctor is a way to ensure buy-in, compliance and adherence to treatments.
[00:09:03] Dr E thinks that as doctors we need to disclose what we think is the best course of action but always leave a door open to discussion with our patients.
[00:09:59] The three conditions to select treatments are:
Ensure that the treatment is proven safe and effective
Incorporate learnings from your own clinical experience and expertise
Consider patient preferences.
[00:10:58] If a patient does not like a course of action, it does not matter how much you insist, they will probably not follow it.
[00:12:43] Without patient buy-in they will not follow the treatment and you will become frustrated and not be able to help them.
[00:13:54] As a physician, it is very important to go where patients are. And that includes social media which is why Dr Nick is so active on Instagram.
[00:14:47] Dr Nick understands that patients will come to his office have searched their symptoms and gotten information from usually unreliable sources.
[00:14:59] Instagram profiles that Dr Nick recommends:
[00:15:22] Although social media followers are not Dr Nick's patients, he feels it is his role to help them from a health, fitness, nutrition and mindset aspects.
[00:16:00] Dr E notes that these doctor influencers not only preach but actually follow the lifestyle they recommend.
[00:17:43] Patients notice when their doctors are clearly not following themselves the advice they give out. And that shatters any notion of trust between them.
[00:19:22] Doctors and health professionals should be health educators first and health "fixers" second.
[00:20:34] Your doctor is not only responsible for your health but for the health of the community.
[00:21:30] Health professionals need to give a better example of ideal health. And we need to be very vocal about it.
[00:22:45] If doctors don't go out and educate the public, any other YouTuber will. Or they will be educated by the ads that food companies put out.
[00:24:00] We live in an obesogenic society according to Dr Nick.
[00:25:27] As consumers, we need to let companies know that they need to start putting out better products. We let them know by not buying the garbage they currently produce.
[00:28:00] Actionable advice
[00:29:58] Being dehydrated can trigger hunger because your body knows that there's water in foods.
[00:31:20] There are several benefits to working out in the gym, but it is not the way to lose excess body fat.
[00:33:47] If your goal is to lose body fat, you do that in the kitchen, not in the gym.
[00:34:06] But you can only increase your metabolism in the gym. By lifting weights.
[00:35:51] How to work with Dr Nick
[00:39:10] You need to choose your doctor based on the trust they inspire you.
Complete Show Notes