Transcript
fHkGv1HqJYI • Dr. Drew on Why Disgust Is the Best Motivation | Impact Theory
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Kind: captions Language: en everybody welcome to impact Theory you were here my friends because you believe that human potential is nearly limitless but you know that having potential is not the same as actually doing something with it so our goal with this show and company is to introduce you to the people and ideas that are going to help you actually execute on your dreams all right today's guest is not only a double board certified doctor he plays one on TV and over an insanely long and illustrious career he's become one of the most recognizable names in medicine as a whole and arguably the most recognizable name in the treatment of addiction the marriage of his medical and media careers began in the 80s when he realized someone needed to be talking about sex especially to young people during the height of the AIDS epidemic viewing himself as a civil servant using media to reach a broad audience he served as the host of love line for over 30 years including a four-year run on MTV with co-host Adam Carolla touching millions of lives in the process and that is just the tip of a very large iceberg his positive effect on people is so far-reaching that the inner main-belt asteroid number 4 or 5 3 6 is named after him I'm not kidding this self-identified recovering workaholic has hosted countless TV shows and podcasts including everything from rehab and Celebrity Rehab to this life the atom and dr. drew show dr. drew on call and about a dozen other shows in between what continues to make him the go-to guy for nationally syndicated advice is his deep desire to help people and the fact that he's kept his skills razor sharp by maintaining a thriving medical practice he's been called the dr. Ruth for Gen X but given his continued relevance I think it's fair to say that he's the soothing voice of reason and sexual and medical advice for Millennials and Gen Z as well so please help me in welcoming the man who debated whether he should become a doctor or an opera singer the New York Times bestselling author of the mirror effect and cracked putting broken lives back together again dr. Drew Pinsky [Music] they're coming because I even intro of course what jumps out of the insanely long careers happen I wondered how you ever take that that's alright so you look the same no for literally your entire careers god bless you a real did you gray early like yes a secret yes I we have triplets I think in bed a couple of when your how I didn't meet them but I've heard about yeah and that first year well your hair tall oh no it's funny but it is it and and the workaholism between the do workaholism and the triplets that pretty much died had that didn't you said you were getting up at 5:00 a.m. and now I'm struggling to get home at 10:00 p.m. p.m. you ever years years and and after years and years and years of doing that I experienced dread that my work and I thought oh this event ahead and this long story there I mean the you know love line went to five nights a week and then I had to change my schedule and that actually was good for me except I was still out to midnight because of that so it's it's I wondered about that when I was watching the show or listening to the show because I so I moved to LA as a transplant when I was 18 discovered k-rock immediately because I was my kind of music found love line and I thought how do they record this live and this guy runs a practice yeah I was crazy just don't sleep it's basically to that and in going out late at night you know my kids were in bed the the beeper sort of settled down deeper in those days and the pager settled down and I could just do it what pushed you enough to want to do that enough and insane amount of work he to be a workaholic or to do love light every night because love like was love a sort of outlet it was like creative kind of different fun thing I could do right could make a difference without some of the same sweat and liability and misery of running a medical practice I mean the medicine is not fun today I've been thinking a lot about that lately how how remember my peers you still my older peers that guy's my age when I was you know at the age we're talking about which like 20-30 years ago there was a hot not fun anymore it's not fun anymore now it can be miserable just trying to help people so I guess you have to see so many people or because the so much paperwork there's so much you're so much liability there's so little reimbursement there's so much nonsense you have to go through so much other than just what you want to do is take care of the patient right so much other so heal is something I got put on my radar I know that you're involved with those guys how on earth are they making that work like financially it's like 90 bucks all-in or something ninety-nine dollars all and you have a doctor you if you if you call some doctor right now they would be here within two hours means we carefully select each of these people they're all board certified in family practice or pediatrics or medicine and you don't understand how little doctors make in primary care it cost about $150 an hour to run a practice you get thirty-eight dollars from Medicare for every 15 minutes well that's what that's how you so if you can go and get a hundred dollars for 30 minutes in someone's home and give 20% to the heal and you get the rest that's um that's a deal Wow you have no infrastructure you have just your malpractice and that's a big deal for doctors most doctors the one you see every day are struggling to make a living Wow well that's bad no then it's bad or not whatever is it is it certainly keeps us all in it for the right reason right which is to help people so all right so talk to me about that the concept of living a good life you said that yeah one I'm oddly fascinated by how into philosophy you are so feel free to go deep on that here you're one of the few people that I research that are quoting Aristotle and you know talking about all this stuff yeah one what made you start thinking about that and what I I'm not sure about getting articulated in a way that's cohesive except to say that I see there's limits to meaning meaning making and when you're trying to help people in a medical context at a certain point you have to get philosophical like why are we doing this and what's our goal in doing this and what's our purpose in doing this I mean inevitably that comes up for instance uh you know when you're dealing with the end-of-life I mean what what you know what what are their goals we'll make life as long as possible or to give these people a good life I made it particularly working with drug addicts you get very philosophical very fast because you've got to start asking yourself what what are you doing here what why we doing this but we have now begun to think about different kinds of happiness right there's there's pleasure which is that things go it's a pretty good pretty good deal you certainly can't have a flourishing life if you're in misery or you're in hunger or you're sick and you have to have a certain amount of well-being in order to live a flourishing life and so we now distinguish between pleasure which is all my paradise get tons of pleasure they certainly aren't living a flourishing existence right that's sort of how I start of thinking about this I'm like Jesus Christ my heroin tanks were there a happy when they get that first hit that's happy no that's pleasure your demonic happiness turns out is much better for our body than our immune system it's a certain kind of flourishing happiness you know you can conceive of it it's as a nurturing state or as a well being stayed or as a state of satisfaction but when you look at humans in that state there's certain sort of requisites you have to have in order to achieve that right Aristotle had kind of two versions of what a eudaimonic happiness was one was a contemplative life which I actually don't think was his main point because main point was that real happiness and this is all the literature confirms its might certainly my clinical experience bears this out is about purpose leading a good life seeing a certain kind of light engage life leading in though in the world right and how I got the philosophy when you start talking about in the world that's a philosopher called Heidegger who starts talking about this what is being and being in the world and you can go down a huge rabbit hole but let's say with the would say with happiness so in order to be able to meaningfully give back to the point where it really feels good really satisfying Aircel said yeah I'd have a couple things you had to have amongst other things you had to have a certain amount of technical skill and called that technique and have a certain amount of experiential learning they call that wisdom he called that phronesis and in my humble opinion those two things have been completely left out of teaching people what it is to have a good life there there's a lot of hey man just give back your back and back and I have lots of friends that have done lots of cool things and are still like Nazi and the reason I'm not feeling it they didn't go back and do the hard work of developing an individual skill that can allow them to change the trajectory of another human's life it's the the interpersonal piece of one-to-one brain to brain transmission that really results in magic in my humble opinion that's it's it's humans and humans together and then dust as a large consciousness whatever that is that that really I think is what gives like purpose and gives you that satisfaction that I would call you demonic happiness you're on one of the most important things I think in the world for people out there right now to understand how to cultivate this how to cultivate happiness what happiness means to your point I think the people are hopelessly vague they want to change the world they want to have impact but they never it's all good right all good but we but you got to really dig in to define your terms you know what is happiness and then what is making every but do you really want to do how do we as individuals figure out that mind-body connection so that's my other big thing I'm sighing because it's such a gigantic topic and there's so many ways into it let me just say that that that that I am II I'm increasingly thinking that the brain is less the seed of emotion as much as it is a region of the of the central nervous system that accesses and expresses emotion or regulates emotion this is really interesting I so I'm obsessed of the brain and you're the first person I've heard say like the people are over looking at the brain I'm very deep into believing I mean when it comes to person-to-person connection and I'm way in the brain and particular to the right brain right side of the brain and holistic kinds of by holistic I mean integrative holistic experiences of the self another and we can talk about that but but the brain is embedded brain is embedded in a body and the body is embedded in a interpersonal context in a social context in a cultural context and there's social historical context the embeddedness of that brain is what's missing the amount unless yeah the embeddedness is what's so interesting because that's why I'm fascinated by person-to-person stuff because brains heal and change other brains but nominally but I'm increasingly convinced that a large part of that is is body to body transmission of some sort of attunement that goes on between and amongst humans I mean it's it's something that I'm certain came out of the environment of evolutionary adaptiveness and would probably our hunting or our before we had language our ability to sort of move as a group and you know forms cohesive units that could survive that's still in US and there's a guy named Stephen Porges who I might want to every someday is a great guy and he he has really located a lot of this connection in the vagus nerve and when I was in medical school we just learned the vagus nerve excitement slowed the heart down and then that's it and maybe messed with the stomach acid secretion a little bit and that's it turns out 70 80 percent of the vagus nerve is afrin meaning coming up out of the body and oh by the way we have these three giant knots of nerves of the parasitic nervous system they're almost like peripheral brains in our pelvis our abdomen in our in our chest that that nerve is bringing tons of information back and also sending information back down on my elated and unmyelinated early developing late developing and it turns out just like we have a homunculus for our motor and sensory system and the cortex you have a little homunculus in the brainstem that's the nucleus that receives all the afferent information from the vagus nerve but how much I mean a sort of a map of the body that's the body's autonomic or sort of visceral kinds of experiences and I think that maybe the seed of emotion myself in the brainstem in the brainstem because then we'd only know what the hell the periaqueductal gray matter does but didn't ever just heard those words put together oh no that's a very desperate brain that's where Mane is modulated but but right near the periaqueductal gray at the level the pons is this nucleus tractus solitarius which takes this all this visceral information and sends it to the amygdala and the insular cortex and I'm fighting a lot in people with trauma and over something going wrong I don't want to use when you use absolute terms of the brain it's never the right term but there's something blind ins with cortex and patients that have been traumatized they don't regulate their bodily basics fear variances coming out of their body and they're all felt as painful misery to the effect of charge of everything is overwhelming and guess how you change that other bodies in proximity it talked to me about that the one of the notes that I took researching you was every it was like everything is about the other I mean it was it was a very big statement about how much other people impact you yeah so is that something you've learned through the addiction being the object as a patient I did therapy for many many many years and through working with patients but then it also you know I've done lots lots of reading about about you know ideas about these things and you got to think about it this way where does your self emerge how do you how do you as a self develop how does that happen you really want me to answer yeah so meant from its inception yeah how does it have I'm gonna give you a really bad answer and this is why I love doing the show because you you've planted a seed now that is I think going to fundamentally shift the way that I think about this prior to researching you here's how I thought about it certainly the genetics plays a role certainly early environment plays a huge role attachment style of their okay so so what about that early environment what what what we're I'm a jump to the chase this is the first thing we know for sure the first thing the child is able to do is focus a guy's turn aliy and it tends to be focused on partially contingent phenomenology so things like pushing a mobile pulling the cat's tail but we are giant areas are a brain dedicated to the face right the fusiform gyrus we look at faces we do we can analyze micro movements of our of our muscular in our face and we that happens early so with the first thing we're doing is mother comes into focus and it's in the relationship with mom and dad that the cells experiences of the self emerge its first other that's the first thing and then these spontaneous whatever we're having these bodily based spontaneous experiences we call emotion to kind of wash over us when we're little mom is focusing on us and what the research shows Lexx on her face through Micra movements of her face and appreciation of our bodily based experiences and we learn that that's our experience yes that's me I'm seeing it reflected on your face and not only that mom offers soothing effects alongside of those identified second-order representations she allows attunes to us and gives us the interpersonal capacity for regulation right so as feelings anymore baby just wash over us it's that attunement of the other body I mean literally the hippest of the pupils of mom and child start start moving together it's crazy Larry hippos and our heart rates go the same our blood pressures to team up I mean that's that's just what happens how does not blood pressure like I can sort of get a heartbeat if it's like there's something really happening yeah but blood pressure I mean that friction of it's essentially I don't know that that's I can tell you for certain but there's exact blood pressure because you know adults and children are very very different but but it's to say that the physiologic turtle physiological milieu of matches that's so weird I was lemon getting their periods and thinking I mean it's so weird weird that's not this part of our nervous system it's this part right and we ignored it we largely ignoring now you asked me how do you get the mind-body connection yeah and before you answer that is this part of why you started working out I've always found it fascinating well you know I think I have a soul but just more fear in that kind of death okay well that's honor usual reasons and and I and now it's become my meditation now I can't I get uncomfortable when I don't do it I literally lectures and I listen to programs like this and and and now I'm fighting the clock I'm fighting aging to in them so I'm happy that I have that compulsion so going back to your question about how the self emerges is maybe less interesting to me then how do you take control of the self as an adult who's self-aware that has things like mindfulness and mind-body connection and all that to be able to sculpt and change your vision of yourself which then I believe what now I'll talk about that in in terms of identity and then how identity drives behavior and my whole thing too because if you want to change your behavior change your identity okay I believe as an adult you can do screw that so that's like the angle that I'm coming at this from like how do we how do we begin to construct our sense of self in a directed meaningful way through things like the mind-body connection yeah a couple things occurred to me one is you know we have a sort of a saying in recovery it's you know lead a certain kind of life mmm just may start being rigorously honest start being helpful start to give things you know contrary you know whatever your ideas do the contrary these sort of things and guess what when you start behaving a certain way you'll start feeling a different way and start thinking of yourself in a different way and to start internalizing some of these things so one of the things is behavior right start start really looking at your behavior and start you can make choices about your behavior that's hard you know that's the other thing that people don't understand change is really hard change is like oh yeah I just get inspired and changed oh no no I mean they're fields of study looking at change I changed as a you know pre contemplative contemplative execution and maintenance the maintenance of changes but most people leave out and most people are not able to maintain change even even something simple like stockist cigarettes the exercise more indeed you get your dad to take these pills every day I can't get somebody to take pills every day if you read the book change or die I've never the book but I will I will tell you that I've gotten fascinated there are moments of change people that really change usually have a moment they can tell you the moment a change sometimes it feels like that's where it's sort of a spiritual peace fits into this people feel like something stepped in from the outside and made them change or open them to the possibility of change I've looked at this a little bit and what I have found is in every case I've looked at I find these people and I obviously have seen a lot of addicts that first of all they feel are going to die they believe they're going to die they're like okay what do I need to do is that pretty universal drug addicts for sure I can't universalize up a drug addicts for sure when they when they really sometimes they have near-death experiences that don't believe they're going to die right when they believe they're going to die they change but that doesn't interesting that that's an easy one the one that interests me is the following when people all of a sudden go oh my god and they change what I found with those people is they usually were hanging with somebody having an intimate sort of conversation and time with somebody was sort of different than what they would normally hang with and so from my perspective it's literally they're they're using the other to see themselves through a new pair of glasses like they're experiencing themselves different because normally we are attracted to people that sort of fit our models of what we like and what our attachments work and whatever our traumatic reenactments are we we just we just go for that so we do as humans it not enough is made of how [ __ ] up attractions are some attractions attraction we're attracted to usually comes from often comes from a not-so-great place in our childhood I definitely want to talk about that but okay these people I found were usually sort of hanging out with somebody and spending time in Simon time and all of a sudden they actually didn't make the connection with the hanging out with the different I'd started asking them about it I usually would find that there but all of a sudden they would see themselves all of a sudden like one woman was hugely obese and she was walking by so she told me the exact window she was walking by I think impassive eating at a Macy's and there was a mirror and she walked by and she said oh I saw myself oh my god I'm disgusting I got a change huh disgust is the motivator I have another patient who was she was a nurse she was in denial I've been trying for years to get her sober and she was in an IVs and in hospitals and getting surgery anything get to opiates right and she said one day she'd walk into the hospital bathroom with her IV and looked in the mirror and saw herself Dookie in that moment so I could broke through all the dials in it but the commuters evidence by saying it's the other but that's two sorts of people seeing in the mirror what is it about that eight foot day fishing no no they were able to see themselves differently because they had been hanging out with I identify say they were seeing themselves so what was in those relationships do you think that it's a different Fitness a different a new pair of glasses and when I think of it like somebody done Newton a novel perception of who they were not the usual patterns that they engaged so let me say this another way just make sure I understand so hanging out with somebody new is literally you're sinking up in a way that's now called on me to write to yourself differently recurrence yourself differently and then we know that happens that's what their appease era P is taking you into a new relation ship a new kind of relationship and each little step in that therapy you experience yourself sort of differently in that context you bind to the notion that you're the average of the five people you spend the most time with I don't know I would more argue that you would choose to spend time around those five people because of some pre-existing pattern we have maps in our brain we have maps and patterns and things that we we tend to go free tend to reenact I so talk about that with the attraction way and so again I get to see extreme examples of that but many of these people when they when they see themselves as they are they feel disgust and disgust a powerful motivator disgust is something that sustains that then they change they lose the weight they do if you ever notice when you're in a diet if I get disgusted with yourself you're like oh so I can diet can we can we must burn the comments down and talk about self-loathing for a second well self-loathing is different then disgust I think it's different really you're so good at defining terms like I'm scared to challenge you but like tell me something is closer to hate right and disgusted and disgust is a very primitive as well yeah y'all keep feeling okay it doesn't motivate the way just you don't think well it doesn't hate hate gets again I'm following my thinking here and hate gets connected to shame I'm bad okay and shame is a is a deflating emotion to take you down it's not it's not a just I'm gonna die and I'm disgusting it's like I [ __ ] got a changed as I got this but I'm bad why would you change I'm already bad I'm shameful I want to be not seen you want to shrink your shame interesting I guess because I don't think of I think of humans is so malleable and that your past is not necessary to defining who you can become that now admittedly that sort of my own belief system so but I get what you're saying now about disgust and that is incredibly well and when you said by the way that the woman walked by the mirror and and said I'm disgusting I like literally internally cringe I was like oh my god I can't believe you're not like caveat in that story like no it's okay to be overweight like no no she was she I got to do something I'm changing you talked about addiction and said you know one of the number one questions I get asked is if there's a genetic component to this then there must be some conferred advantage oh your explanation of that was so breathtaking right it had to be right I mean this this is a gene that's in in the genome through essentially throughout human history right so there's got to be some adaptive advantage to it and when you look at people with addictions why I have zero moral feelings about addiction addiction makes people do some morally reprehensible things but the the use of the substance and the disease is not moral in fact these people are extraordinary they make great fighter pilots they made great extreme athletes they make great shortstops they are they're phenomenal survivors in extreme adversity so doesn't it make sense that in isolated populations that are that are distressed like there's assaulted for multiple generations that will be the population that survives well that's what we find if you look on the globe where there's a highest sort of concentration of alcoholism it's the most intense genetically Scotland Ireland North American Indian isolated population military genocidal assaults typically survivors alcoholics that is fascinating is there a similar evolutionary glimpse into why we try to recreate or why we do recreate interactions to the max yeah I I think it might have some sort of I've been thinking all about this I think it has some sort of offload memory function in other words like why do peers of Jewish heritage practice Passover every year why do they do that I believe that ritual is an offloaded traumatic memory so they do the like if we were going to remember the the blood of the Lamb and the Passover and also no way you remember the generation of generation you begin it would get telephoned into god-knows-what right it would turn into some myths and some thing about a dragon oh but when we do the same behavior every year and we eat the same things the way they did they went through this we're experiencing the same thing every year we do it as a ritual that's an offload of traumatic memory and and I think repetition compulsion is a similar thing so some but you would think it's kind of gone bad in some way in other words we're repeating a trauma that we should be avoiding and somehow it sits and maybe maybe the people that are repeating traumatic experiences or sort of the canary in the coalmine everybody else possibly I think we're altima going to find is it's whatever that mechanism is is probably the same mechanism that allows for intense deep emotional attachments in a healthy way that just gets sick just goes off so here's one thing that I found interesting about people who are highly dramatic yeah I get enough glimpse of it in myself to sort of know what that looks like we're merely having a strong emotion in any direction there's a intoxication of that there's a sense of get high yeah you're heightened like you're alive so even though it's bad it's at least elevated yes that's a complex landscape some people do get high from it my addicts get high from drama for sure and they're really recovery they're the most dramatic people on earth they are dramatic as hell and they love creating drama and conflict they get off on to get high on it I've been thinking a lot now but exactly what you're asking about the evolution of the self how do we take control of the south and right and you know the the human gathering thing I did that you mean Razak West Chapman has this little theory that I really got under my skin that that we that there's so much victim in our culture that if we could flip it into a hero archetype right we would help people mobilize exactly what you're talking about and there's something about that there's something happening I almost believe that I was never Jungian I never found it a use for that but all of a sudden I started thinking you know this country had sort of a hero archetype until the 60s and it became the antihero and the anti-social right and we're still in that kind of mode and it's resulted in a bunch of victims and we need to mobilize hero magician or something something a little more substantial in people again as our sort of myth we need myth because myth attack attaches us back to the bodily based holistic experience that our rational brain just the way mom I think about this Lewis Lee mom can reflect back with her face emotional experiences that defy words it's a much more it's communicating to a different part of the brain I'm a feeling myth communicates a holistic social sort of connectedness that we can't get any other way that that fit your insanity my friend do you know why we founded impact no no tell me literally because of that so I read the book the power of myth by Joseph Campbell and he talked about how hey you want to know what happens to a society when they no longer believe in the mythology because for millennia you told these stories rites of passage all of that and you actually believed that they were real yeah so now what happens when ritual is robbed of its power mythology is a story it's just entertainment it doesn't connote anything anymore they supposed to take into your life to connect bodily which I've never thought of it that way but for me it's about the creation of identity literally I promise you I did not set this up that's not why he came on the show I had no idea that you thought no I well it's what I find fascinating we're all going to that same place we're all trying to help people and we're all going something missing here did you see me show cure me - pure rationality is great but pure rationality would absent everything else not good this is this so I believe as an entrepreneur you have to ask a question no [ __ ] what would it take okay so when we a rational question right so when we started quest was no [ __ ] what would it take to help people be happy get out of my questions you did when they have a negative self body image right so the woman walks by the mirror and she feels disgusting how do you help her with that because she actually turns back to ice cream most of the time yes because for a moment it cheers up it's like a drug and she just gets in a really bad cycle so yeah differently which looks about usually it feels bad if I don't feel bad I feel disgust right and I got to get away from it you have to discuss something you have to get away from you have to move away from disgust now imagine we go to quest right that was certainly the hope imagine that a drug addict hey the cure for your addiction is to do heroin all the things about it and finally you're thriving at the end of it that was literally the idea behind Quest people could choose food that they or they were choosing - based on taste yeah but we had done the hard work of making it good for you yeah so with impact theory I already know so because my whole thing is leverage behavior don't try to change it I already know people are going to read books read comic books watch movies watch TV shows and play video games I know that yeah I also know that the way the humans assimilate truly disruptive information is through narrative mythology passing my side I agree with you I would not have agreed with you six months ago that's what I agree you had said something to me when I was at on your show where you said I'm actually working on scripted stuff that's why yes it has ended up why it wasn't why I started I just sort of fascinated management I wanted I always like to try new and different things and then once I got injured I'm like holy [ __ ] this is where I need to be I need to cultivate this yeah this is what gets through to people that's amazing yeah amazing yeah and that Wow but I but I don't feel and if you feel like you're there with it I'm not there with it yet with the concept or the ability to execute the there of it because I believe like with everything holistic its co-created I think we all create datas you know here we are co-creating this that you're right you're you're you're pushing me forward and new in different ways you're changing my brain as you say these things right I think I think it's we got to like get a little army together and that army is going to create something new and different in its own myth or whatever totally and I know I want to be humbled in awe of it and you know that that's where I need to be I why should I create them you know the I don't want to be that I want it to be something that speaks to the circumstance the history of the time you ready I can tell you how to do it please is literally what we're doing okay so were lit a.m. the following facts make me question whether or not we're actually living in the matrix which I don't believe by the way but every now and then so many things line up that it just it's too perfect the sort of Goldilocks moments like this wherever I know right exactly well I just think I just think we're all in this together we're more connected than we know more connected than we know technology is moving in a direction where we can connect more I think you have ambivalent feelings about social media i I don't yes I don't think it's purely bad right I think it needs to be dealt with with care and it does get in the way of some of the stuff I've been talking about it can do some yeah it can it can't replace it but it can add to it yes yeah perfect yeah totally agree with that so the way I think the modern myths are going to be created one we have to accept that people know that they're stories but if they're stories that we reach out so build an army of people around ideology that's why I do the show it gives me a chance to bring on people who I think think in phenomenal ways they can watch me changing in real time they can hear my worldview and what it's built around and all that and watch it change but ultimately it's around empowerment whether that's freeing yourself from past as whether that's just understanding neuroplasticity and myelination and all of that like holding it all together okay and then going out to them and saying hey within this universe that we have created your community submit ideas around these things so here are stories that we're trying to tell but we want you to bring us the the specific storylines the mythology around that if you will and that way then you have the crowd say these are the ones that we care about because I'm never going to guess accurately no no not only that but I feel like my mythological landscape whatever we ultimately decide what that is is a little impoverished and I like it to be nourishing and that's going to come from others others others I want to give so let's talk more about the others your concept of being embedded that like you want to talk about changing my brain in real-time that is one of those immediately true lightning rod moments how do we leverage other people to make change in our own life consciously so I'll give you an idea I'm now going to stock the [ __ ] out of you I'm going to spend more time with you it is just the way as it has to be because of the way that you think and I just want to be able down that's that's the way you do it I think that's the way is one brain at a time or that's one way of doing it right I think information media I think meat is tremendously impactful it's why I do it I think this is this is part of the deal here I'm just deeply fascinated by the human experience talk to me about that define the human experience what do you mean by that anything to do with the human whether it's how your how your intestine functions or how the founding fathers wrote the Constitution okay those are all fascist span all fascinate why I don't know I love people I guess I didn't love them that's interesting uh walk me through that because always in geology I've no interest in some interest in trees because it informs about us it's not enough Steven than being fascinated is yeah it's not a narcissism it's literally a oh oh it's I don't know it's I it's about you were you always that way I suspect but I would not know I would not have identified some of my medical training got me all the way in yeah so okay walk us through that because this is still astonishing and okay I'm just gonna ask would you sing for us like even just like a couple notes I literally I can't an opera singer at first time you met it I was like use exposing what massively bundler lot for me Taj of it or teaspoon gel for Dimona at 20 months on EE or that is incredible thank you for that and I debated whether to actually ask you to do that or not and please like only I guess I give that like the only I can sing without a piano pretty because there's in the operating sort of just I think it's Iago if I remember right so talk about that is crazy so you you have this moment where you're debating whether to go into medicine like you dad and sort of assumed that that's what you do but yeah um like how do you find your path through that how did you do it wasn't easy because you know the the tasks were so humongous and the expectations of me were high instead task of becoming a doctor and it looked too much for me I just mean part of it was I'll tell you what in retrospect a big part of it was just the male brain I swear to Christ I was just not ready to do it I was so my first year medical college I was in a big high-powered Ivy League --is-- sort of environment and getting my ass handed to me but but doing well you know and I was at the end of that first semester I was like well this is not worth it and I am miserable I got to get away from this even though I did fine it was I screw this this isn't mine I didn't you know I didn't want to do this everybody wanted me to do it so that's when I just went and just started doing other things on that school plot and it was more miserable but different visible I was depressed and law has a purpose you know where you I need structure ya know purpose of structure I need all that I like all that I didn't know it's time but but I know what now and and when I started thinking when I allowed myself which is another a year and a half later start thinking that maybe that medicine thing maybe that would be something to think about it just a thought relieve my depression just the axis just just letting it cross my mind that maybe I could do that I was like oh that feels lame it's like stop fighting stop fighting it and now I went back and that was like two years later I'm like 1920 comes 17 one went to college I was I was young and I was like oh I can do this I can know that I want to do it I can do it and that and I had to do a lot of it because now I was behind the 8-ball right I was now a junior and I'd only done one semester my pre-med semi to get my crap together and yeah and then when I got to medical school I was elated all the time I loved it I loved every minute of it so talk to me about some of the things you've experienced you said listening to addicts you'll sometimes even hear things yeah I hear things feel things all kinds of things so I'll it'll be like you know I'm feeling like my back suddenly hurts right here and is that I don't normally feel pain there and the page will go oh well that's what dad used to kick me when I was right and what's weird about it whenever you're in a close connection they'll always say it matter of fact like of course that's where dad kicked me anyway so as I'm saying no just cool well I like like not like how did you know they never say that it's so weird because you're in it together you're in it how do you explain that as a man of science and I've seen to be very careful dancers yeah there is a guy named Allan schore another guy you should in every weekend he has worked out a lot of the what's called right brain - right brain holistic interaction between and amongst people that there is a there is a whole ISM of our experience of emotional attunement with another that we're not experiencing constant minute-to-minute and we're sending tons of information back and forth is it merely some sort of state saying or is it pheromones or is a tiny micro movements of my face or I don't know what it it but I know it's I know it's back in the myth zone you know it's in the holistic some conscious back with that you know Vegas embedded sore something maybe it's these three things these are like little brains maybe these brains are doing something that we just don't haven't figured out and right I mean why not they're gigantic nervous people it's what it's the what certain philosophy is called the chakras but they're actually yeah and people say what do you what do you say when you've been emotion hurt like right my heart hurts and you know what turns out your vagus is feeling what's going on in your heart and there are all these hormones and then emotional your heart does hurt right what's happening we think of we've been always thinking oh it's just the brain reflecting something I don't think so I think your heart hurts and I think you experiencing something out of your body and and maybe this heart to heart I'm feeling something right now from you just as I sit here it feels more open you feeling that I just sitting here with you talking about my heart I feel like that has meaning to you I don't know why I think that sure but that's the kind of stuff that comes out of me want on a city in close contact with somebody Allah and that's I can always trust that stuff because I don't know what it is and where comes from but I know it has meaning Wow how many addicts of you or anybody for that matter have you sat with like really in an intense get locked in kind of what thousands and I because I believed my job was to model closeness addicts are disconnected their disconnect from the self to disk area they don't trust anything and and I always thought amongst getting them medically situated and in the program a blah blah blah I always thought that one of my Jobs was to show them that they can tolerate closeness because then they could go do that with a appear in recovery we call that a sponsor and that that was to me that was always the essential ingredient to getting them out they did have a sponsor they no chance I mean even thought about happiness I know in fact we just can't wrap without talking about it okay okay happiness I think people they got the word wrong I think I think they don't know the hell they're talking about I think people measure happiness they're measuring sort of some subjective experience that's sort of everyone has a modicum of love we our brain naturally put us into sort of a median state like that they've all shown that every time somebody has a horrific experience or quadriplegic or something their happiness their subjective - of scale returns essential to normal most people or if they win the lottery their happiness kill returns to normal I don't think they're asking about the right thing I think I think happiness is more about leading a certain kind of life and we have to really think about what that means and leading a good life may not be feel-good that really know Jesus a good life said Socrates lead a good life sure but would you say no the most the time do you think that was I wouldn't want to live though that would be my good life right that would be my good life but but there wouldn't be your good life it wouldn't be a pleasurable life neither for me I wouldn't want that I couldn't I couldn't Oliver it does too much for me I'm not up to that right that I mean I can't even aspire to it to that kind of stuff but but I do think I could lead a life that would be eudaimonic for me that would be flourishing for me that's because because I sort of have that part because I had all these greats wonderful skills I've been trained in and so I always have something to offer you know my more my thing is I'm more worrying about money to hand over to my kids and support them in graduate school but that's for me my stress is lie in terms of finding meaning and being able to make a difference I always can go do it I got something too often all the time and that sort of where my good life is is like I feel fortunate and being able to this we're doing here is sort of beyond for me like this is like oh this is beyond a good life this is something I didn't even expect but I'm I'm all about it so there were two things in that that you said earlier so tech name which you just talked about and they'll throw thesis from wisdom so this is the part that most of the Millennials are missing right now got a bunch of light lanterns so you guys have all this information all this stuff you know but you don't have any experience and experience of learning to me that's the most important part of my learning you know applied knowledge experiential you know clinical experience experiences with other people and stuff that's where you know it's whether your mind really it's a different wiring it's a different wiring and so you know they've always got their Google and they have unlimited information they do know a lot they know a lot but they have tons of knowledge but very little wisdom very little experience and that is necessary for the good life phronesis is necessary and then technique again isn't really information isn't knowledge it's a kind of some sort of skill set that you can that you can then apply that you can bring for other people think about every great man whether it's Candide right has Candida and you know full also cootie they knows our dad it's just take care of our guard take care of ourselves take care of our family take care of our community Gilgamesh the oldest myth in existence after all his things with inky due and his crazy trips and the adventures go back and serve my community that really all pretty much all great myths sort of end with that like that's really where the meaning lives you got to do all these things you got to have your life chorus and you got to identify with certain archetypes that ultimately go back to your community make a difference I love that what do you what advice yet for people that want to get more technique or phronesis go school learn towards I would I think it takes it takes a long time I mean think about it yeah you may already have it maybe somebody you have these skills or maybe you have skills you haven't thought about how you could apply them in ways it can make a difference but most of us do so maybe that's part of it is to think about using your skills and new in different ways but don't be freaked about a friend I'm I was thinking about a guy in the other day who was very successful in business and he was still had that feeling like I need to I didn't make a difference he looked back to nursery school you know what spend time like it's fantastic now always has something to offer he only does something he knows he can do people for that person in that moment he can make a difference he has a ton of skills well you don't think about that and that's that to me was like that he's got it that was it and is there anything in your life that you're trying to add now to round out your good I mean from the outside it looks seems like you live an amazing life of giving to people and helping and I feel super grateful I think gratitude is the number one sign that you're happy I think people you know people ask me how do you know if you're happy I go I think I feel gratitude two or three times a day I'm in I know I'm in the right where I need to be I love that all right where can these guys find you online just go to please go to dr. calm we've got a bunch of my wife you very kindly came on the podcast she has this life and weekly infusion these are fun podcasts when I do a bump forest the guy with the hat my glasses from Celebrity Rehab and also with if you're anybody or Carolla fans you wanna come on the crawler podcast and it's our whole other interesting person and Adam I do a podcast every day it's all it's all at dr. calm but dr. spaz dr. Bruce and I do a podcast there if you're to be any krola fans are in the mix here they will know who this doctor spat and we actually do really actually we we take very I guess we call it's on the margin medical topics and really make them come to life very very interesting stuff like a guy that you know was blind his whole life and suddenly gets his vision what is the neurobiological experience of seeing and you'd be amazed that that he just experienced his visual input as just a bunch of sensory information can't make sense of wow he literally is one day mistook a a large woman in a Costco for a forklift and he just couldn't quite couldn't process the brain is your brain is making sense of all this light your your brain is doing that if you haven't built that machinery it's almost like trying to learn a language can I do it interesting very very interesting all right last question all right what is the impact you want to have on the world III always said that if on my tomb some attended ifferent that I'd be just a grateful happy let me fine I don't know what this is I don't what their words are have to make that's kind of not up to me you know what I mean I nod to me I just would be happy if I made a difference and of course I'm not a negative to positive dr. drew thank you anyway so much reclining on the show that was amazing okay definitely guys this is somebody who I really am not sure that I've ever had as much fun researching someone as I've had researching him you guys know me I'm always trying to get people out of their loop but before you can get them out of it you have to define it and trying to define this man's loop truly proved impossible because he is an entire like all these separate universes two moving targets through every day I got news for you yeah it changed us today fit of here and I love that and I think you guys will really really enjoy that a winner in its podcast it was a lot of fun he thinks deeply about a lot of topics it's very open minded like I said it's always changing because he's willing to go in and be changed by the information I cannot encourage you guys enough to dive deeply into his world listen to his podcast they are incredible they are educating their eye opening and I think he's had an influence on multiple generations and for that I will truly be eternally grateful so if you haven't already be sure to subscribe and until next time my friends be legendary take care everybody thanks so much for joining us for another episode of impact Theory if this content is adding value to your life our one ask is that you go to iTunes and stitcher and rate review not only does that help us build this community which at the end of the day is all we care about but it also helps us get even more amazing guests on here to show their knowledge with all of us thank you guys so much for being a part of this community and until next time be legendary my friend [Music]