1
00:00:00,000 --> 00:00:02,900
Hello, ladies and gents Roberts 
like sceeto Savage.com., And 

2
00:00:02,900 --> 00:00:05,100
today I'm get special guest. 
Dr. Abdullah Khan. 

3
00:00:05,100 --> 00:00:07,800
The line and we're going to talk
about all things pregnancy. 

4
00:00:07,800 --> 00:00:12,900
He has been in the OBGYN field. 
Giving births hundreds of 

5
00:00:12,900 --> 00:00:16,400
thousands of births, lots of 
births and he knows his stuff. 

6
00:00:16,800 --> 00:00:20,000
I have not given a single birth,
but my wife crystal is pregnant,

7
00:00:20,000 --> 00:00:23,300
so I'm excited to learn more, 
dive deeper and just kind of 

8
00:00:23,300 --> 00:00:27,200
pull the curtain back on that 
world and see what I can dive 

9
00:00:27,200 --> 00:00:29,900
deeper into and hopefully, take 
with me. 

10
00:00:30,000 --> 00:00:32,800
In our own personal pregnancy. 
So, super excited about having 

11
00:00:32,800 --> 00:00:34,200
the conversation here. 
I learned a ton. 

12
00:00:34,200 --> 00:00:37,200
I've got no doubt that you will 
as well, so that for their do, 

13
00:00:37,200 --> 00:00:40,000
sit back, relax. 
Enjoy the conversation with dr. 

14
00:00:40,000 --> 00:01:01,400
Abdullah. 
Ma'am, and you want to talk 

15
00:01:01,400 --> 00:01:05,000
about pregnancy, especially as 
it relates to diet or nutrition 

16
00:01:05,000 --> 00:01:07,000
and carbohydrates throughout the
pregnancy. 

17
00:01:07,300 --> 00:01:11,300
And while I am not pregnant, my 
lovely wife is she's about 22 

18
00:01:11,300 --> 00:01:14,100
weeks in now, so, this is a 
topic that is incredibly 

19
00:01:14,100 --> 00:01:17,500
relevant to us. 
And I'm excited to dive deep and

20
00:01:17,500 --> 00:01:19,300
learn more. 
Yes. 

21
00:01:19,300 --> 00:01:22,900
I actually did. 
I listen to the crystal updates.

22
00:01:23,200 --> 00:01:25,400
Every once awhile. 
You do a trimester update on, 

23
00:01:25,800 --> 00:01:28,800
you got your pregnancy, and I'm 
really happy for you guys and 

24
00:01:28,800 --> 00:01:30,600
happy that it's going well. 
No, thanks, man. 

25
00:01:30,600 --> 00:01:32,200
Appreciate that. 
We're super excited about it. 

26
00:01:32,208 --> 00:01:34,300
We found out the sex just a few 
weeks ago. 

27
00:01:35,100 --> 00:01:38,000
So yeah, we're kind of we're 
doing things Supernatural. 

28
00:01:38,000 --> 00:01:41,800
Like, we're not doing most of 
what mainstream Society puts on 

29
00:01:41,800 --> 00:01:45,100
you as from a pregnancy 
standpoint, but from what I 

30
00:01:45,100 --> 00:01:46,900
gathered just in talking with 
you briefly, before the 

31
00:01:46,908 --> 00:01:50,100
recording you tend to kind of go
against the mainstream 

32
00:01:50,200 --> 00:01:52,000
recommendations toward pregnancy
as well. 

33
00:01:53,200 --> 00:01:55,300
Yes. 
I'd like to preface it. 

34
00:01:55,300 --> 00:01:59,200
I so I am very educated in the 
box, right. 

35
00:01:59,200 --> 00:02:03,100
I went from Go school in State 
University of New York. 

36
00:02:03,800 --> 00:02:07,700
I did a residency in OBGYN. 
I did a fellowship in Maternal, 

37
00:02:07,700 --> 00:02:12,200
Fetal Medicine, which is the 
high-risk subspecialty of 

38
00:02:12,200 --> 00:02:17,200
obstetrics. 
NYU, you know, I am of the 

39
00:02:17,200 --> 00:02:19,800
mindset, you know, you read in 
the book and it has to be true. 

40
00:02:20,400 --> 00:02:23,100
But over the last 20 years of my
career. 

41
00:02:23,900 --> 00:02:29,100
I have veered dramatically from 
conventional thinking especially

42
00:02:29,100 --> 00:02:32,500
about. 
Carbs and sugar and pregnancy 

43
00:02:32,800 --> 00:02:36,000
because not I'm not coming at 
this from a health point of 

44
00:02:36,000 --> 00:02:37,400
view. 
Because, you know, I think a lot

45
00:02:37,400 --> 00:02:41,600
of your listeners, you know, 
already really into Quito and 

46
00:02:41,600 --> 00:02:45,300
then are able to, you know, 
expand it into other areas. 

47
00:02:45,700 --> 00:02:47,400
I'm not one of these guys that 
lifts weights. 

48
00:02:47,400 --> 00:02:50,000
I mean sometimes my remote 
control might be the heavy thing

49
00:02:50,000 --> 00:02:52,200
your list. 
Uplift all day, at least you're 

50
00:02:52,200 --> 00:02:57,000
honest, but I know I mean I like
to play tennis and I generally 

51
00:02:57,400 --> 00:03:00,300
am maybe 10 pounds or so 
overweight, but You'll never 

52
00:03:00,300 --> 00:03:06,300
lose, but I'm my whole 
philosophy and moving towards 

53
00:03:06,300 --> 00:03:10,000
what I would say Akito or 
napkins or a low-carb diet, is 

54
00:03:10,000 --> 00:03:15,200
really from just experience and 
is not, there's no bias is no 

55
00:03:15,200 --> 00:03:18,100
reason for me to have come to 
these conclusions except for the

56
00:03:18,100 --> 00:03:21,300
fact that when you do the same 
thing every day for 20 years, 

57
00:03:21,600 --> 00:03:24,100
you start noticing things and 
you start getting better at it. 

58
00:03:24,500 --> 00:03:26,100
Well, I put a whole lot of 
weight in that man. 

59
00:03:26,100 --> 00:03:29,000
Like there's so many there's so 
many text books out there. 

60
00:03:29,000 --> 00:03:33,000
There's so many National schools
of thought when it comes to in 

61
00:03:33,000 --> 00:03:36,300
the right, macros the right 
protein intake, that the, you 

62
00:03:36,300 --> 00:03:39,000
know, dietary fat, and what that
does to your cholesterol in your

63
00:03:39,000 --> 00:03:43,100
arteries, and for me, like I 
don't have any acronyms behind 

64
00:03:43,100 --> 00:03:45,100
my name, I don't have any MDS 
and phds. 

65
00:03:45,100 --> 00:03:47,300
I just do things like experiment
with things. 

66
00:03:47,300 --> 00:03:50,800
I see when I can, you know, find
my clients. 

67
00:03:50,800 --> 00:03:54,100
And I feel like there's a lot to
be said with pattern 

68
00:03:54,100 --> 00:03:56,900
recognition, over time and 
working with hundreds and 

69
00:03:56,900 --> 00:03:59,300
hundreds of individuals, and 
I've had the opportunity to do 

70
00:03:59,300 --> 00:04:00,900
that, you know. 
Staying with the clients that 

71
00:04:00,900 --> 00:04:03,500
I've coached and, you know, 
people like yourself that have 

72
00:04:03,500 --> 00:04:07,000
the formal schooling as well, 
but then have just worked with 

73
00:04:07,000 --> 00:04:09,700
patients day in and day out like
that to me holds more weight 

74
00:04:09,700 --> 00:04:14,000
than anything else. 
I 100% agree and it's actually 

75
00:04:14,000 --> 00:04:18,600
ironic because I did a 
fellowship in MFM and that's 

76
00:04:18,600 --> 00:04:21,700
usually an academic Pursuit. 
Most of the people that have 

77
00:04:21,700 --> 00:04:25,500
gone, that route are climbing 
the academic ladder division, 

78
00:04:25,500 --> 00:04:28,100
directors, chairman, their 
writing papers. 

79
00:04:28,100 --> 00:04:31,500
It's, it's almost as if you 
choose to have a less of a 

80
00:04:31,500 --> 00:04:34,100
Hands-On approach, you're 
spending your day in an 

81
00:04:34,100 --> 00:04:39,400
ultrasound unit. 
You're doing consultations the 

82
00:04:39,700 --> 00:04:41,600
most Maternal. 
Fetal Medicine, doctors are On 

83
00:04:41,600 --> 00:04:44,000
spending a tremendous amount of 
time in labor and delivery. 

84
00:04:44,000 --> 00:04:46,900
They're not in the trenches. 
They are really more back at 

85
00:04:46,900 --> 00:04:48,800
headquarters, you know, looking 
at that. 

86
00:04:49,200 --> 00:04:56,000
And that's a really It's a major
detriment because you are able 

87
00:04:56,000 --> 00:04:59,700
to see and understand things. 
Could you do it everyday and if 

88
00:04:59,700 --> 00:05:02,400
all you're doing is crunching 
numbers and looking at other 

89
00:05:02,400 --> 00:05:05,500
peoples dump and reading other 
papers, you're just 

90
00:05:05,500 --> 00:05:08,400
regurgitating the same thing 
over and over because there's no

91
00:05:08,400 --> 00:05:09,900
reason for you to think 
differently. 

92
00:05:10,200 --> 00:05:12,100
You have you don't experience 
anything differently. 

93
00:05:12,500 --> 00:05:16,500
So unfortunately for you know, 
Academia after I did my 

94
00:05:16,500 --> 00:05:20,100
fellowship, my choice in life 
was to open a private practice 

95
00:05:20,400 --> 00:05:23,000
and all I wanted to do. 
Was be the guy that could take 

96
00:05:23,000 --> 00:05:24,800
you from the beginning of the 
pregnancy to the end of the 

97
00:05:24,800 --> 00:05:28,500
pregnancy to postpartum and 
include all the ultrasounds and 

98
00:05:28,700 --> 00:05:30,700
you don't have to, I don't have 
to send you anywhere else for 

99
00:05:30,700 --> 00:05:34,000
anything. 
Everything is done in house and 

100
00:05:34,000 --> 00:05:38,300
I spent just so many. 
Countless hours, getting women, 

101
00:05:38,300 --> 00:05:42,300
delivered that over the years, 
things became clearer and 

102
00:05:42,300 --> 00:05:44,000
clearer to me. 
And at this point, they're so 

103
00:05:44,000 --> 00:05:45,800
clear. 
I'm like, walking around 

104
00:05:45,800 --> 00:05:48,200
wondering if everybody's, you 
know, everybody's high like 

105
00:05:48,200 --> 00:05:51,300
what? 
Why is a cog wise, modern 

106
00:05:51,300 --> 00:05:52,100
abstract? 
Metrics. 

107
00:05:52,200 --> 00:05:56,100
Not realizing this huge problem 
that we're having with 

108
00:05:56,100 --> 00:05:59,300
interesting man, because when I 
when I started doing the 

109
00:05:59,300 --> 00:06:02,700
ketogenic diet about seven years
ago, it really kind of opened my

110
00:06:02,700 --> 00:06:06,400
eyes to the fact that you know, 
hey, what what mainstream 

111
00:06:06,400 --> 00:06:10,000
society says what conventional 
thinking says may not be the 

112
00:06:10,000 --> 00:06:14,700
most optimal path for you and 
when I started diving into then 

113
00:06:14,700 --> 00:06:17,700
I kind of really pulled the 
curtain back on what you know 

114
00:06:18,000 --> 00:06:21,500
farmer was like what the you 
know, the heavy Farm. 

115
00:06:21,700 --> 00:06:25,700
Agriculture industry was like 
how all these biases exist with 

116
00:06:25,700 --> 00:06:28,100
regards to funding and the 
median? 

117
00:06:28,100 --> 00:06:31,900
What is promoted and that that 
sounds like really far-fetched 

118
00:06:31,900 --> 00:06:33,600
conspiracy theories, but it's 
not really when you actually 

119
00:06:33,600 --> 00:06:36,100
start looking at the data and 
the cash flow and where money is

120
00:06:36,108 --> 00:06:39,200
and incentives are going and 
coming from but once I realized 

121
00:06:39,200 --> 00:06:41,900
that with regard to nutrition I 
started asking myself. 

122
00:06:41,900 --> 00:06:44,700
Okay, what other avenues can 
this apply to? 

123
00:06:45,100 --> 00:06:48,800
And when it came to pregnancy, 
you know, crystal is like a 

124
00:06:48,800 --> 00:06:51,500
very, very hardcore devout, you 
know, motherly. 

125
00:06:51,600 --> 00:06:54,000
The type. 
She's very nurturing just as her

126
00:06:54,000 --> 00:06:56,200
personality. 
So she when we decided to get 

127
00:06:56,200 --> 00:07:00,300
pregnant she'd of super deep and
all things pregnancy, learn as 

128
00:07:00,300 --> 00:07:02,500
much as she could. 
And when she started pulling the

129
00:07:02,500 --> 00:07:05,400
curtain back on that, it was 
obvious that you know, many of 

130
00:07:05,400 --> 00:07:07,000
the conventional trains of 
thought. 

131
00:07:07,000 --> 00:07:09,300
Towards pregnancy. 
We're not necessarily in line 

132
00:07:09,300 --> 00:07:13,000
with what you know is best for 
the human body, the best for the

133
00:07:13,000 --> 00:07:16,200
environment through a pregnancy,
just from like a Stress and 

134
00:07:16,200 --> 00:07:19,600
Anxiety standpoint alone from a,
you know, a medical intervention

135
00:07:19,600 --> 00:07:21,100
standpoint. 
When it comes to Conventional 

136
00:07:21,100 --> 00:07:25,300
and He's so knowing what I know 
about nutrition really opened my

137
00:07:25,300 --> 00:07:28,800
eyes to the possibility that the
same principles could probably 

138
00:07:28,800 --> 00:07:32,300
apply with regard to pregnancy 
and since doing then it's like 

139
00:07:32,300 --> 00:07:35,600
I've really changed Direction on
what I view to be the right and 

140
00:07:35,600 --> 00:07:37,600
wrong way and I'm still totally 
ignorant towards princi. 

141
00:07:37,600 --> 00:07:40,400
I'm learning as I go. 
It's been our first one, but I'm

142
00:07:40,400 --> 00:07:41,900
excited to hear what you got to 
say, man. 

143
00:07:43,200 --> 00:07:45,300
Right. 
And believe me. 

144
00:07:45,300 --> 00:07:51,000
I'm not a conspiracy conspiracy 
assist this Furious. 

145
00:07:52,000 --> 00:07:53,300
I'm not sure if it was the right
worthy. 

146
00:07:53,300 --> 00:07:55,800
But you know, if you ask me who 
killed Kennedy, I'll say Lee, 

147
00:07:55,800 --> 00:07:58,400
Harvey Oswald pretty simple, but
you're right. 

148
00:07:58,400 --> 00:08:05,800
Big Pharma has really perverted 
the landscape for medicine and 

149
00:08:05,900 --> 00:08:08,500
getting back to basics. 
Might be the greatest thing 

150
00:08:08,500 --> 00:08:11,700
anybody could do for themselves 
as far as living a healthy life.

151
00:08:12,400 --> 00:08:15,400
So One is I want to open up and 
I want to talk to the audience 

152
00:08:15,400 --> 00:08:17,100
because this is not my regular 
audience. 

153
00:08:17,100 --> 00:08:21,400
You probably don't have a lot of
pregnant, you know, related 

154
00:08:22,100 --> 00:08:24,500
issues out here a lot. 
Probably probably, are you male.

155
00:08:24,500 --> 00:08:27,400
Dominated your audience or 
little bitty little bit split. 

156
00:08:27,400 --> 00:08:30,300
I honestly have no idea what my 
podcast demographic is because I

157
00:08:30,308 --> 00:08:32,299
don't even know how to look up 
the stats on that. 

158
00:08:32,299 --> 00:08:34,299
But I feel like a pretty broad 
audience. 

159
00:08:35,600 --> 00:08:38,500
Okay. 
So everybody in the world of 

160
00:08:38,508 --> 00:08:42,400
Obstetrics and academic 
obstetrics even in the media has

161
00:08:42,400 --> 00:08:44,200
his talk. 
Talking about this is Aryan 

162
00:08:44,200 --> 00:08:47,700
section epidemic and to get an 
idea of what's going on with 

163
00:08:47,700 --> 00:08:52,200
these sections, in 1970. 
The C-section rate across the 

164
00:08:52,200 --> 00:08:57,800
board with about 5% and inlets, 
a peaked, you know, like 10 

165
00:08:57,800 --> 00:09:00,600
years ago, finally starting to 
come down a little bit but Peak 

166
00:09:00,600 --> 00:09:04,800
somewhere around 35 percent. 
So, that is completely crazy. 

167
00:09:04,800 --> 00:09:07,200
I mean, there's like seven times
more C-sections than one, there 

168
00:09:07,200 --> 00:09:11,200
were in 1970 and a lot of 
factors if somebody Google's and

169
00:09:11,200 --> 00:09:12,800
they say, you know, why are 
there so many stairs? 

170
00:09:13,000 --> 00:09:17,000
Sections are going to see many 
of the same reason than very a 

171
00:09:17,008 --> 00:09:19,700
lot of them are legitimate. 
Like one major reason is, you 

172
00:09:19,708 --> 00:09:22,000
know, there is so there are 
lawsuits, you know, you can't 

173
00:09:22,000 --> 00:09:27,100
afford to have a bad baby and 
doctors are overly cautious or, 

174
00:09:27,900 --> 00:09:29,600
or sometimes. 
There's just the overly in a 

175
00:09:29,608 --> 00:09:32,500
hurry and it's easier to do 
C-section than the way forever 

176
00:09:32,500 --> 00:09:35,300
for baby to come out. 
So that, you know, one reason 

177
00:09:35,300 --> 00:09:37,500
everybody agrees is a major 
problem. 

178
00:09:37,700 --> 00:09:40,300
Another problem with in the 
beginning of 19 in the 70s is 

179
00:09:40,300 --> 00:09:42,300
when they started something 
called fetal, monitoring, and I 

180
00:09:42,308 --> 00:09:44,000
don't know if you You guys 
haven't gotten there yet because

181
00:09:44,000 --> 00:09:47,500
you're still early in the second
trimester, but soon, crystals 

182
00:09:47,500 --> 00:09:49,700
going to be something, you know,
going to the doctor's office and

183
00:09:49,700 --> 00:09:52,700
sometimes if she's not happy 
with the movement, they might 

184
00:09:52,900 --> 00:09:55,000
put her on a tracing and they 
look at the baby's heart rate 

185
00:09:55,000 --> 00:09:58,700
over time in labor. 
That's very common, almost all 

186
00:09:58,700 --> 00:10:00,000
pregnant women while their 
labor. 

187
00:10:00,000 --> 00:10:02,700
There's continuous monitoring 
the heart rate and if the heart 

188
00:10:02,700 --> 00:10:05,800
rate acts up, the doctor has to 
be able to interpret it and make

189
00:10:05,800 --> 00:10:09,400
a decision about if, you know, 
labor can go on or if it's 

190
00:10:09,400 --> 00:10:12,200
cesarean section is needed. 
And and, of course, once you 

191
00:10:12,200 --> 00:10:15,500
start a fetal monitor Ring. 
It was much more common to have 

192
00:10:15,500 --> 00:10:18,600
to intervene the middle of a 
labor and do a C-section and 

193
00:10:18,600 --> 00:10:20,300
everybody agrees on those two 
reasons. 

194
00:10:20,500 --> 00:10:22,900
And then there's other reasons 
that are kind of obvious, like 

195
00:10:23,600 --> 00:10:28,500
skills skills have deteriorated.
It's unlikely to find, you know,

196
00:10:28,500 --> 00:10:31,400
a general, OB who's willing to 
do a breech delivery. 

197
00:10:31,600 --> 00:10:34,200
It's unlikely the, you know, 
it's sometimes it's hard to find

198
00:10:34,200 --> 00:10:35,700
their General. 
OB who's willing to deliver 

199
00:10:35,700 --> 00:10:38,800
twins vaginally as opposed to 
doing it, you know, just 

200
00:10:38,800 --> 00:10:42,100
scheduling a C-section. 
So there's, you know, the skill 

201
00:10:42,100 --> 00:10:42,800
set. 
That's kind. 

202
00:10:42,900 --> 00:10:48,300
Of Wayne because because of 
this, he sections, but I my 

203
00:10:48,300 --> 00:10:52,900
whole practice is geared towards
avoiding C-section, so I came 

204
00:10:52,900 --> 00:10:58,100
out of my fellowship and I went 
into an area where there was a 

205
00:10:58,300 --> 00:11:01,700
patient population that wanted 
to have large families, and I'm 

206
00:11:01,700 --> 00:11:02,900
not talking about like, four or 
five. 

207
00:11:02,900 --> 00:11:06,000
I'm talking about, like, in the 
double digits, and those women 

208
00:11:06,000 --> 00:11:09,600
don't want these, and if they 
don't want peace, they don't see

209
00:11:09,600 --> 00:11:11,700
second day because, you know, 
you got to go back and take care

210
00:11:11,700 --> 00:11:13,800
of a kids and it's hard to do. 
That after you've had major 

211
00:11:13,800 --> 00:11:17,200
surgery and it can really 
handicapped you in the future 

212
00:11:17,400 --> 00:11:19,700
from continuing to have more and
more children. 

213
00:11:20,000 --> 00:11:22,800
So people come seek me out 
because they don't want 

214
00:11:22,800 --> 00:11:25,300
C-sections. 
And, and very often, they've 

215
00:11:25,300 --> 00:11:27,600
already had a C-section and they
don't want another one. 

216
00:11:27,900 --> 00:11:32,100
So initially, I started really 
thinking about, like, what is 

217
00:11:32,100 --> 00:11:34,300
the problem? 
I'm having, why are people 

218
00:11:34,300 --> 00:11:36,600
having these C-sections? 
And what's the best way to avoid

219
00:11:36,600 --> 00:11:39,400
them? 
And it became obvious that 

220
00:11:39,400 --> 00:11:44,300
babies are too big and the 
average Baby is too big and that

221
00:11:44,300 --> 00:11:46,300
that sounds odd. 
But if you think about it, 

222
00:11:46,300 --> 00:11:48,400
right? 
If you say, like, what's is, if 

223
00:11:48,400 --> 00:11:51,500
somebody says, I am average. 
If any United States, I am 

224
00:11:51,500 --> 00:11:54,800
average weight, right there. 
Heavy right there because the 

225
00:11:54,800 --> 00:11:57,200
average person in this country 
is overweight. 

226
00:11:57,300 --> 00:12:00,800
So the average baby is 
overweight and if you look back 

227
00:12:00,800 --> 00:12:04,700
I was able to find some data 
from 1920, you know, the 

228
00:12:04,700 --> 00:12:06,600
internet is a wonderful thing 
unless you're looking for 

229
00:12:06,600 --> 00:12:09,100
historical data because you 
nobody was nobody was putting 

230
00:12:09,100 --> 00:12:12,600
anything on the internet 1920, 
but I was able to find some dad 

231
00:12:12,600 --> 00:12:17,500
and 1820 about the average 
weight, and it was about 1 pound

232
00:12:17,500 --> 00:12:20,700
five ounces less than today. 
So today, the average baby is 

233
00:12:20,700 --> 00:12:23,000
about 7 pounds 5, ounces and 
pounds 4 ounces. 

234
00:12:23,000 --> 00:12:25,100
That's, that's, that's the 
that's the median. 

235
00:12:25,500 --> 00:12:28,700
You go back to 1922 average, 
baby was 6 pounds. 

236
00:12:29,000 --> 00:12:33,500
So when you think about that, 
that's that's pretty impressive.

237
00:12:33,500 --> 00:12:35,900
Now, you know, you're going to 
our, somebody could argue. 

238
00:12:35,900 --> 00:12:38,400
Well, you know, we're healthier,
we're taller were bigger today 

239
00:12:38,400 --> 00:12:41,500
than they were 100 years ago. 
So maybe that's why babies are 

240
00:12:41,500 --> 00:12:45,100
bigger, but we're not. 80% 
bigger and we're not 20% taller.

241
00:12:45,100 --> 00:12:49,100
And we can and the average woman
cannot handle a 20% bigger baby.

242
00:12:49,400 --> 00:12:53,900
So the reason why we have such a
C-section epidemic is because 

243
00:12:53,900 --> 00:12:56,100
babies are getting bigger and 
bigger, and the reason they're 

244
00:12:56,108 --> 00:13:00,800
getting bigger and bigger. 
It's because carbs are just a 

245
00:13:00,800 --> 00:13:04,100
staple of our diet. 
And for some reason, there's 

246
00:13:04,100 --> 00:13:06,000
this idea that when you're 
pregnant, you get to eat for 

247
00:13:06,000 --> 00:13:09,100
two, which is probably the worst
expression ever and pregnant. 

248
00:13:09,100 --> 00:13:12,200
Women are less. 
Probably even less careful about

249
00:13:12,200 --> 00:13:14,100
how they're eating. 
Then when they're not pregnant, 

250
00:13:14,100 --> 00:13:15,700
I mean, you know, some people 
are always careful. 

251
00:13:15,700 --> 00:13:19,200
Some people are never are but 
generally pregnant women be 

252
00:13:19,200 --> 00:13:20,800
like, you know, well, you know, 
I'm growing a baby. 

253
00:13:20,800 --> 00:13:23,100
It's okay. 
And if they expose themselves to

254
00:13:23,108 --> 00:13:25,500
too many carbs, it's just simple
as that. 

255
00:13:25,500 --> 00:13:27,700
The baby is going to get big and
tell my patients. 

256
00:13:27,700 --> 00:13:30,800
When you eat ice cream. 
Your baby eats ice cream. 

257
00:13:30,800 --> 00:13:33,400
I when a person eats ice cream, 
their blood sugar is going to 

258
00:13:33,400 --> 00:13:35,800
spike. 
And that means the baby's blood 

259
00:13:35,800 --> 00:13:39,200
sugar is going to spike and the 
human body is programmed not to 

260
00:13:39,200 --> 00:13:42,000
waste calories. 
So if you get too many calories 

261
00:13:42,100 --> 00:13:44,900
and you don't have anything to 
do with them, you store them and

262
00:13:44,900 --> 00:13:47,000
we store them. 
In fact, so babies. 

263
00:13:47,000 --> 00:13:50,000
Get bigger and bigger because 
mothers are feeding their babies

264
00:13:50,000 --> 00:13:52,600
cars. 
Is there any definitive evidence

265
00:13:52,600 --> 00:13:54,000
that I don't guess you probably 
wouldn't be. 

266
00:13:54,000 --> 00:13:57,100
But is there any evidence that 
shows that it's just simply a 

267
00:13:57,700 --> 00:14:00,600
caloric Surplus issue as opposed
to a carbohydrate issue? 

268
00:14:00,600 --> 00:14:03,800
Like have there been studies 
done that compare pregnant women

269
00:14:04,200 --> 00:14:07,400
that eat more carbohydrates 
versus lower carbohydrate 

270
00:14:07,400 --> 00:14:11,800
approach with Cal acquainted for
so I don't think so. 

271
00:14:12,900 --> 00:14:16,000
You know, the sad part is, 
there's almost no real 

272
00:14:16,000 --> 00:14:20,100
literature on diet and big 
babies. 

273
00:14:20,100 --> 00:14:23,800
There's a lot of literature on, 
you know, if a baby small and 

274
00:14:23,800 --> 00:14:27,700
how the calories effect that 
like, well what's called fetal 

275
00:14:27,700 --> 00:14:30,200
growth restriction, which is a, 
you know, the opposite problem. 

276
00:14:30,200 --> 00:14:32,300
The babies are growing well and 
you're worried about the baby. 

277
00:14:32,500 --> 00:14:38,900
So what we do know is that 
babies tolerate poor diets 

278
00:14:38,900 --> 00:14:39,600
really? 
Well. 

279
00:14:39,900 --> 00:14:43,400
I think there was a study that 
came out of Norway or Finland, 

280
00:14:43,400 --> 00:14:45,800
one of these countries and World
War Two was occupied by the 

281
00:14:45,800 --> 00:14:47,600
Germans, and there was a food 
rationing. 

282
00:14:47,600 --> 00:14:51,700
And I think women were like all 
given, like 500 calories a day 

283
00:14:51,700 --> 00:14:54,300
with only a very strict, very 
regimented diet. 

284
00:14:54,300 --> 00:14:57,400
And they were able to look back 
at these children, born during 

285
00:14:57,400 --> 00:15:00,000
that time and they looked at 
their, you know, military 

286
00:15:00,000 --> 00:15:01,900
entrance test. 
Cause it was like mandatory 

287
00:15:01,900 --> 00:15:05,100
military service in that country
and they don't look at their IQs

288
00:15:05,100 --> 00:15:07,900
and their physical makeup and 
they found, oh, look at that. 

289
00:15:08,000 --> 00:15:11,600
They did not suffer at all. 
From this, you know, very carb 

290
00:15:11,600 --> 00:15:13,800
restricted diet, that was First 
on their mothers during you 

291
00:15:13,800 --> 00:15:17,800
know, they're not your patient. 
So there is a lot of thought 

292
00:15:17,800 --> 00:15:21,200
about how you know, how come 
babies are small and how to 

293
00:15:21,200 --> 00:15:24,900
avoid having a small baby. 
But very little about what do we

294
00:15:24,900 --> 00:15:27,900
do about big babies? 
Except for just a tional 

295
00:15:27,900 --> 00:15:34,500
diabetes and that is actually 
the most obvious proof of the 

296
00:15:34,500 --> 00:15:36,900
problem. 
Everybody knows every 

297
00:15:36,900 --> 00:15:39,900
obstetrician. 
Every academician knows that if 

298
00:15:39,900 --> 00:15:42,600
a woman has just a tional 
diabetes, her baby has a good. 

299
00:15:42,800 --> 00:15:45,400
Chance of being oversized. 
And she has increased chance of 

300
00:15:45,400 --> 00:15:47,800
having a c-section, right? 
Because it just a tional, 

301
00:15:47,800 --> 00:15:50,100
diabetes simply means your blood
sugar is running High. 

302
00:15:50,400 --> 00:15:54,800
The mother is insulin resistant 
and she can't pull that blood 

303
00:15:54,800 --> 00:15:58,400
sugar out of her blood and into 
the tissue but the baby can't. 

304
00:15:58,400 --> 00:16:00,900
So even though the mother's 
blood sugar is running high and 

305
00:16:00,900 --> 00:16:04,200
she might not be able to get 
those blood numbers down. 

306
00:16:04,800 --> 00:16:08,200
The babies seem the same levels 
of sugar and is no problem 

307
00:16:08,200 --> 00:16:09,900
whatsoever. 
Pulling that Sugar out of 

308
00:16:09,900 --> 00:16:14,800
circulation and turning into fat
and The benefits, one of the 

309
00:16:14,800 --> 00:16:17,900
major touted benefits of 
controlling gestational diabetes

310
00:16:18,100 --> 00:16:20,600
is a trying to avoid a C-section
because you know, your baby's 9 

311
00:16:20,600 --> 00:16:24,200
pounds and really chubby at the 
end of the pregnancy and 

312
00:16:24,200 --> 00:16:27,600
everybody agrees to that but 
very few people have said, okay.

313
00:16:27,600 --> 00:16:30,600
Well now that that's obvious. 
Let's just talk about people 

314
00:16:30,600 --> 00:16:32,200
that don't have gestational 
diabetes. 

315
00:16:32,400 --> 00:16:34,500
How about their blood sugar and 
how they eat? 

316
00:16:34,500 --> 00:16:35,900
How does that going to affect 
her baby? 

317
00:16:36,400 --> 00:16:40,500
What is a medical risk marker 
for a woman? 

318
00:16:40,500 --> 00:16:42,400
That's pregnant. 
It's likely going to have just a

319
00:16:42,400 --> 00:16:43,300
tional. 
Diabetes. 

320
00:16:44,700 --> 00:16:48,600
You mean the risk factors being 
overweight, family, history of 

321
00:16:48,600 --> 00:16:53,700
diabetes twins, family history, 
like hyper history of 

322
00:16:53,700 --> 00:16:59,600
hypothyroidism, being older as a
woman gets older, the risk of 

323
00:16:59,608 --> 00:17:03,800
diabetes goes up to the judge. 
Those General risk factors and 

324
00:17:03,800 --> 00:17:05,900
every pregnant woman across the 
country. 

325
00:17:05,900 --> 00:17:09,599
Probably every every decent, you
know, country that is screened 

326
00:17:09,599 --> 00:17:12,200
for diabetes. 
They're screened at 28 weeks or 

327
00:17:12,200 --> 00:17:15,599
so with Sugar challenge test and
if they're overweight or bad 

328
00:17:15,599 --> 00:17:18,500
history of diabetes, with the 
previous pregnancy, or you have 

329
00:17:18,700 --> 00:17:22,700
some medical Factor, like they 
have PCOS or or some other 

330
00:17:22,700 --> 00:17:24,800
medical factors that put them at
risk, you screen them even in 

331
00:17:24,800 --> 00:17:26,800
the beginning of the pregnancy 
these Freedom twice. 

332
00:17:27,800 --> 00:17:32,200
When I want to I want to ask you
one quick thing about C-section 

333
00:17:32,200 --> 00:17:34,400
is I think that's going to 
provide some more clarity and 

334
00:17:34,400 --> 00:17:35,600
context for listeners. 
Hear. 

335
00:17:36,100 --> 00:17:40,200
What, what is the main adverse 
effect for C-section versus a 

336
00:17:40,300 --> 00:17:42,600
typical vaginal birth? 
Like what is the baby missing? 

337
00:17:42,700 --> 00:17:45,500
Out on when they go to C-section
round. 

338
00:17:47,000 --> 00:17:50,000
So that's that's a very 
difficult question to answer 

339
00:17:50,000 --> 00:17:52,800
because there's so many 
different ways to approach it. 

340
00:17:53,000 --> 00:17:57,200
So some women will say, the word
thing is the recovery because 

341
00:17:57,200 --> 00:17:59,600
you know, it's major surgery and
instead of enjoying your baby, 

342
00:17:59,600 --> 00:18:02,100
you know, you're spending two 
weeks groaning and moaning every

343
00:18:02,100 --> 00:18:05,400
time you try to sit up and some 
of them would say, you know, you

344
00:18:05,400 --> 00:18:07,600
miss out on the birth 
experience, you know, that that 

345
00:18:07,600 --> 00:18:11,500
whole experience of have be able
to push a baby out and just like

346
00:18:11,500 --> 00:18:16,100
your mother did and her mother. 
For Millennia, has that other 

347
00:18:16,100 --> 00:18:19,500
people would say that it could 
be, it's more complications. 

348
00:18:19,500 --> 00:18:20,700
Like from a medical point of 
view. 

349
00:18:20,900 --> 00:18:22,100
You have a higher risk of 
hemorrhage. 

350
00:18:22,100 --> 00:18:24,300
You have a higher risk of 
infection. 

351
00:18:25,800 --> 00:18:28,300
If you ask me, it's going to 
limit your family side. 

352
00:18:28,300 --> 00:18:31,100
If I know women want to have, 
you know, a huge family. 

353
00:18:31,600 --> 00:18:34,900
They better get off the 
C-section train because that's 

354
00:18:34,900 --> 00:18:36,900
going to eventually limit. 
How many children they have 

355
00:18:36,900 --> 00:18:40,100
uterus, doesn't always feel 
perfectly and you can get to a 

356
00:18:40,100 --> 00:18:42,400
point where you just can't do it
anymore. 

357
00:18:43,300 --> 00:18:46,700
But for the most part C-sections
are safe, people shouldn't 

358
00:18:46,700 --> 00:18:48,300
think, oh no, I'm going to have 
a C-section. 

359
00:18:48,300 --> 00:18:53,500
It's terrible is probably one of
the greatest changes or or 

360
00:18:54,500 --> 00:18:57,600
Advance In Obstetrics that, you 
know, women don't die and labor 

361
00:18:57,600 --> 00:18:59,400
anymore because the baby doesn't
fit or they could they're 

362
00:18:59,400 --> 00:19:02,800
bleeding, you know, there's a 
plan B, which works really well,

363
00:19:03,500 --> 00:19:08,400
but it's overused and most women
that have a normal delivery and 

364
00:19:08,400 --> 00:19:11,600
have had a C-section will tell 
you how much nicer it is to 

365
00:19:11,600 --> 00:19:14,200
avoid the C-section. 
And a lot of the babies that are

366
00:19:14,200 --> 00:19:17,700
birth, you know, vaginally. 
They typically have better 

367
00:19:17,700 --> 00:19:19,000
immune systems. 
Is that correct? 

368
00:19:19,000 --> 00:19:22,300
Due to all the natural bacteria 
mucus that come through a 

369
00:19:22,300 --> 00:19:26,200
vaginal birth, though. 
There is a lot of speculation on

370
00:19:26,200 --> 00:19:30,100
that about being exposed to the 
vaginal flora and how that if, 

371
00:19:30,100 --> 00:19:33,400
you know, and not just that but 
that's the baby comes out of the

372
00:19:33,400 --> 00:19:35,700
birth canal. 
The chest is squeeze really 

373
00:19:35,700 --> 00:19:38,900
tight and that expels all the 
fluid from the lungs out, the 

374
00:19:38,900 --> 00:19:40,700
baby's mouth. 
So that the breathing the 

375
00:19:40,700 --> 00:19:42,400
transition to breathing is 
easier. 

376
00:19:42,800 --> 00:19:45,300
C-section babies, they don't 
have that same expulsion. 

377
00:19:45,700 --> 00:19:50,900
There are benefits and many 
people struck feel strongly 

378
00:19:50,900 --> 00:19:52,600
about them. 
I'm coming out. 

379
00:19:52,600 --> 00:19:57,800
This I don't come at avoiding 
C-section from, I think it's 

380
00:19:57,800 --> 00:19:59,300
better. 
I come out of waiting. 

381
00:19:59,300 --> 00:20:02,700
C-sections is that's what my 
patients want and women should 

382
00:20:02,700 --> 00:20:05,700
be able to choose how they want 
to deliver and there's very good

383
00:20:05,700 --> 00:20:08,300
reason to avoid a C-section and 
if somebody comes to my office 

384
00:20:08,300 --> 00:20:10,200
and says, I don't want have a 
C-section. 

385
00:20:10,500 --> 00:20:12,600
I'm always thinking about how we
can avoid that. 

386
00:20:12,800 --> 00:20:15,100
You know, if it doesn't matter, 
if it's Windsor to preach, or 

387
00:20:15,100 --> 00:20:17,700
she had a C-section, or she had 
two C-sections, I'm trying to 

388
00:20:17,700 --> 00:20:20,900
figure out how to get her the 
birth that you want. 

389
00:20:21,100 --> 00:20:25,600
So from my perspective, a woman 
who says, I want a C-section, I 

390
00:20:25,600 --> 00:20:28,300
don't want to go through Labor. 
I will talk to her about, you 

391
00:20:28,300 --> 00:20:30,400
know, pros and cons. 
And if she still feels that way,

392
00:20:30,400 --> 00:20:33,400
I'll say, alright, well book a 
C-section I'll be done in 45 

393
00:20:33,400 --> 00:20:35,000
minutes will be a good day for 
both sexes. 

394
00:20:35,400 --> 00:20:36,400
Gotcha. 
Gotcha. 

395
00:20:37,100 --> 00:20:41,000
When it comes to, you know, in 
taking taking patients in Taken 

396
00:20:41,000 --> 00:20:44,600
pregnant women in that. 
Run the risk of having 

397
00:20:44,600 --> 00:20:48,100
gestational diabetes. 
Is there like a particular 

398
00:20:48,600 --> 00:20:51,200
Baseline blood glucose that they
should try and strive below? 

399
00:20:51,200 --> 00:20:55,100
Because I know the general 
average that mainstream Society 

400
00:20:55,100 --> 00:20:57,900
especially in America and like 
their typical blood, glucose 

401
00:20:57,900 --> 00:21:01,400
levels are higher like that. 
The quote-unquote healthy range 

402
00:21:01,400 --> 00:21:03,600
is probably a little bit skewed 
towards what is actually 

403
00:21:03,600 --> 00:21:04,400
optimal. 
Right? 

404
00:21:05,400 --> 00:21:07,800
Right. 
So, I listened some of your 

405
00:21:08,200 --> 00:21:11,200
podcast where you had some 
physician guests and they all 

406
00:21:11,200 --> 00:21:13,200
they all going to say said, 
basically, The same thing I'm 

407
00:21:13,200 --> 00:21:16,000
going to tell you. 
I don't remember covering much 

408
00:21:16,000 --> 00:21:18,900
in nutrition and medical school.
I might have you know Skip that 

409
00:21:18,900 --> 00:21:20,600
day. 
I don't remember, you know, even

410
00:21:20,600 --> 00:21:24,000
discussing it. 
My nutrition knowledge comes 

411
00:21:24,000 --> 00:21:29,000
from you know, mostly things. 
I picked up along the way but 

412
00:21:29,200 --> 00:21:34,100
when when when you tackle OBGYN 
there's very little or nothing 

413
00:21:34,100 --> 00:21:36,600
in there about like, okay. 
This is the right way for women 

414
00:21:36,600 --> 00:21:39,200
to eat. 
It's about not having diabetes 

415
00:21:39,200 --> 00:21:41,500
and and the way to check that 
is, you know, you give them a 

416
00:21:41,508 --> 00:21:43,800
glucose Challenge and you Make 
sure the blood sugar say is 

417
00:21:43,800 --> 00:21:46,300
under 130. 
And if the above 130, you give 

418
00:21:46,300 --> 00:21:48,800
them a second Challenge. 
And then you see, you know, over

419
00:21:48,800 --> 00:21:53,000
a few hours how it runs. 
But if you pass that sugar 

420
00:21:53,000 --> 00:21:56,500
challenge, nobody's giving you a
kind of like, okay. 

421
00:21:56,500 --> 00:22:00,300
Now, you know, avoid carbs or 
eat this, nutritional balanced 

422
00:22:00,300 --> 00:22:03,400
meal and if a woman wants to do 
that, she's going to do it on 

423
00:22:03,400 --> 00:22:04,300
her own. 
She's going to find a 

424
00:22:04,308 --> 00:22:06,200
nutritionist or maybe she 
already. 

425
00:22:06,200 --> 00:22:09,100
Just used to eating a very nice 
balanced healthy diet, and then 

426
00:22:09,100 --> 00:22:12,600
she'll continue that way. 
But it's not part of the OBGYN. 

427
00:22:12,700 --> 00:22:16,700
Lexicon about you know nutrition
as far as you know in pregnancy 

428
00:22:16,700 --> 00:22:19,200
at how to counsel a woman catch 
him catch him. 

429
00:22:19,600 --> 00:22:21,700
Yeah. 
That that, you know, we're doing

430
00:22:21,700 --> 00:22:24,300
the whole midrash Midwife route.
So we're not even going through 

431
00:22:24,300 --> 00:22:29,200
a traditional setting and we 
opted to just skip the oral 

432
00:22:29,200 --> 00:22:31,700
glucose test because Crystal 
would probably fail anyways, but

433
00:22:31,700 --> 00:22:33,900
it wouldn't be because she was, 
you know, running the risk of 

434
00:22:33,900 --> 00:22:35,400
being diabetic. 
Just because she hadn't eaten 

435
00:22:35,400 --> 00:22:38,100
carbs or sugars, especially in 
67 years. 

436
00:22:39,700 --> 00:22:42,500
Yes, you mean her body would 
react. 

437
00:22:42,600 --> 00:22:45,700
Anjali to it. 
Yeah, that that's very possible.

438
00:22:46,300 --> 00:22:47,800
Yeah. 
I'm I'm not sure. 

439
00:22:47,800 --> 00:22:49,600
I've never had that never had 
anybody fail. 

440
00:22:49,800 --> 00:22:52,100
But even if she felt the first 
one, she would still choose to 

441
00:22:52,108 --> 00:22:55,800
do finding the second one bit. 
Besides the fact that even if 

442
00:22:55,800 --> 00:22:58,300
she failed, all they would do is
tell her to, you know, cut back 

443
00:22:58,300 --> 00:23:00,800
on the carbs dramatically, which
he's already doing. 

444
00:23:01,100 --> 00:23:03,300
So, it's hard to imagine that 
would change anything. 

445
00:23:03,700 --> 00:23:08,400
Yeah, interesting. 
So, like I said, we're doing the

446
00:23:08,408 --> 00:23:10,800
whole Midwife round. 
So we've got a pretty different 

447
00:23:10,800 --> 00:23:13,700
setting than most people. 
Going through a traditional 

448
00:23:13,700 --> 00:23:16,600
hospital setting. 
What does that look like a 

449
00:23:16,600 --> 00:23:20,300
play-by-play for traditional 
OBGYN settings, you know, for 

450
00:23:20,300 --> 00:23:23,500
pregnant, women going through, 
you know, week to week to week. 

451
00:23:23,500 --> 00:23:26,900
Like what what is, what is this 
standard of care as it currently

452
00:23:26,900 --> 00:23:31,800
says, well, that's a tough one 
because you know, every every 

453
00:23:31,800 --> 00:23:35,100
medical office is is different 
and definitely we're free 

454
00:23:35,100 --> 00:23:39,200
practice their different, 
generally a woman finds out. 

455
00:23:39,200 --> 00:23:41,200
She's pregnant. 
She makes it a point with her 

456
00:23:41,200 --> 00:23:44,000
OBGYN. 
Going to confirm it with some 

457
00:23:44,000 --> 00:23:46,800
blood work. 
They're gonna possibly do it 

458
00:23:46,800 --> 00:23:49,700
early ultrasound to get the 
correct dates. 

459
00:23:49,700 --> 00:23:52,000
Make sure that, you know, 
they're she seven weeks and I 

460
00:23:52,000 --> 00:23:54,300
did eight weeks. 
Make sure there's viability and 

461
00:23:54,300 --> 00:23:57,400
then she's going to come every 
three to four weeks initially. 

462
00:23:58,100 --> 00:24:00,500
Now, there's more and more 
genetic testing that's done 

463
00:24:00,500 --> 00:24:03,700
early on to see that the baby's 
healthy and then the ultra 

464
00:24:03,700 --> 00:24:08,800
second trimester is ultrasound 
the anatomy scan and then you 

465
00:24:08,800 --> 00:24:11,600
get me hands off just regular 
visit, check her blood pressure 

466
00:24:11,600 --> 00:24:14,200
and her urine. 
For preeclampsia answering 

467
00:24:14,200 --> 00:24:16,600
questions until she goes into 
labor. 

468
00:24:17,000 --> 00:24:18,900
But you know, I don't want that 
kind of practice. 

469
00:24:18,900 --> 00:24:21,200
It's kind of a totally die. 
Have it the holy different 

470
00:24:21,200 --> 00:24:23,900
operation going. 
Because I'm so paranoid about 

471
00:24:23,900 --> 00:24:26,900
size of the baby. 
I want to go back to what we 

472
00:24:26,908 --> 00:24:30,600
were talking about with with the
C-section epidemic. 

473
00:24:30,600 --> 00:24:34,500
Yeah, for sure. 
So 1970 comes along, you got 

474
00:24:34,500 --> 00:24:35,400
fetal. 
Monitoring. 

475
00:24:35,700 --> 00:24:39,200
You got an explosion of 
attorneys that are looking, you 

476
00:24:39,200 --> 00:24:42,900
know, to represent somebody 
within unhealthy baby. 

477
00:24:43,600 --> 00:24:49,500
You have lack of Physicians that
are learning how to do forceps 

478
00:24:49,500 --> 00:24:52,900
and and breach the liveries and 
we start seeing C-section go up 

479
00:24:52,900 --> 00:24:55,400
and up and up. 
One thing that nobody talks 

480
00:24:55,400 --> 00:24:59,800
about is the Obesity epidemic 
that completely perfectly 

481
00:24:59,800 --> 00:25:02,200
parallels. 
The caesarian. 

482
00:25:02,400 --> 00:25:05,500
Epidemic. 
And the Obesity epidemic is also

483
00:25:05,500 --> 00:25:10,500
paralleling, the sugar epidemic.
So I think one of your guests 

484
00:25:10,900 --> 00:25:15,200
and probably with dr. 
Jacoby talk about sugar and the 

485
00:25:15,200 --> 00:25:16,900
history of sugar in this 
country. 

486
00:25:16,900 --> 00:25:20,000
So cane sugar table sugar will 
recall table. 

487
00:25:20,000 --> 00:25:23,400
Sugar is not natural. 
It was not part of our diets. 

488
00:25:23,700 --> 00:25:25,800
If somebody wanted to get 
something to eat, you know, and 

489
00:25:25,800 --> 00:25:27,800
back in the day, you know, they 
had honey. 

490
00:25:28,000 --> 00:25:31,000
They had dates there was there 
was no not, there was no drawer,

491
00:25:31,000 --> 00:25:34,400
full of cookies and cakes. 
And you know, these were rare 

492
00:25:34,400 --> 00:25:35,700
items you might have at a 
wedding. 

493
00:25:36,600 --> 00:25:39,600
What happened was they 
discovered, you know, sugar cane

494
00:25:39,600 --> 00:25:42,400
sugar and I started in the 
Middle East and then they 

495
00:25:42,400 --> 00:25:45,200
wanted, they wanted to plant it 
and they, you know, the new 

496
00:25:45,200 --> 00:25:49,800
world turned out to be a perfect
climate for planting cane sugar.

497
00:25:50,000 --> 00:25:56,300
And then once you had the whole 
European New World, African kind

498
00:25:56,300 --> 00:25:59,800
of triangle, this, you know, the
same Scourge that that we 

499
00:25:59,800 --> 00:26:02,200
associated with slavery, brought
us sugar. 

500
00:26:02,600 --> 00:26:05,600
And I say that just uses sugar 
skirt, just like it was a 

501
00:26:05,608 --> 00:26:09,300
slavery Scourge sugar was being 
slaves, were being brought in 

502
00:26:09,300 --> 00:26:14,500
Sugar would being exported and 
sugar exploded and in the in the

503
00:26:14,500 --> 00:26:17,500
18, you know in the 19th century
through the beginning of the 

504
00:26:17,500 --> 00:26:22,500
20th century sugar became just 
really popular but you know, we 

505
00:26:22,500 --> 00:26:26,300
still we had an industrialized 
that much. 

506
00:26:26,300 --> 00:26:28,900
So wasn't like everything you 
bought came from a supermarket. 

507
00:26:28,900 --> 00:26:31,800
You're still eating, you know, 
food that was locally grown or 

508
00:26:31,800 --> 00:26:36,800
from your house, but then in the
last 50 years all the sudden 

509
00:26:36,900 --> 00:26:41,600
than everything was processed to
as fast food and women were 

510
00:26:41,600 --> 00:26:45,900
eating or all of us were eating 
probably five times as much 

511
00:26:45,900 --> 00:26:49,200
sugar as nature would have 
intended and not just five times

512
00:26:49,200 --> 00:26:52,600
as much sugar but unnatural 
sugar, so it wasn't there wasn't

513
00:26:52,600 --> 00:26:57,300
sugar coming from fruit or any 
type of whole grain that we just

514
00:26:57,300 --> 00:27:03,500
plain sugar that was processed 
sugar and that Explosion of 

515
00:27:03,500 --> 00:27:07,400
sugar, really correlates well 
with the how baby started 

516
00:27:07,400 --> 00:27:10,900
getting bigger and bigger. 
And at the same time, you know, 

517
00:27:10,900 --> 00:27:17,000
we moved from a society that had
a farm and, you know, milk cows 

518
00:27:17,100 --> 00:27:21,400
and raise chickens to going to 
the supermarket and buying are 

519
00:27:21,400 --> 00:27:23,700
you know your eggs. 
Here I come in a little cart and

520
00:27:23,700 --> 00:27:27,900
your milk comes in a carton and 
I'm saying this because not just

521
00:27:27,900 --> 00:27:31,000
women but the vast majority of 
us, not you Robert. 

522
00:27:31,000 --> 00:27:32,400
You're working out too much but 
most of us. 

523
00:27:32,500 --> 00:27:37,800
Are just sedentary, you know, we
you know are going to work means

524
00:27:37,800 --> 00:27:41,200
going somewhere sitting on a 
commute and then sitting behind 

525
00:27:41,200 --> 00:27:43,400
a desk and typing. 
I mean, the word work is 

526
00:27:43,400 --> 00:27:46,400
actually a misnomer double. 
Nobody's working in the sense of

527
00:27:46,400 --> 00:27:48,700
spending calories were working 
because we're working our 

528
00:27:48,700 --> 00:27:53,100
brains, but you take the 
combination of explosion of 

529
00:27:53,100 --> 00:27:57,700
sugar and processed sugar, and a
sedentary lifestyle, and then 

530
00:27:57,700 --> 00:28:00,400
you get pregnant and no 
question. 

531
00:28:00,500 --> 00:28:02,700
There's no question that the 
baby's going to get to Big and 

532
00:28:02,700 --> 00:28:06,400
actually multiple Studies have 
shown women that are workout 

533
00:28:06,400 --> 00:28:10,800
really vigorously? 
Have smaller babies healthy, 

534
00:28:10,800 --> 00:28:13,800
completely healthy. 
Nothing wrong, but just thinner,

535
00:28:14,000 --> 00:28:17,300
they weigh less and women who 
don't work out, have you know, 

536
00:28:17,300 --> 00:28:19,700
who don't exercise have larger 
Bates. 

537
00:28:20,400 --> 00:28:27,000
So for about 15 years now, not 
because I am a person who, you 

538
00:28:27,008 --> 00:28:29,200
know, I'm, I love good candy 
bar. 

539
00:28:29,400 --> 00:28:31,400
I Don't Preach this. 
I know it's not healthy, but, 

540
00:28:31,400 --> 00:28:34,300
you know, I got to have 
Addiction and it's better than 

541
00:28:34,300 --> 00:28:38,300
cocaine. 
So I have is it don't know what 

542
00:28:40,500 --> 00:28:42,000
you do. 
I don't know Robert, but I don't

543
00:28:42,000 --> 00:28:47,200
think I should find out. 
So when patients come to me and 

544
00:28:47,200 --> 00:28:49,600
they say, okay. 
I had a C-section. 

545
00:28:50,200 --> 00:28:52,300
I don't want another one. 
And, you know, of course, you 

546
00:28:52,300 --> 00:28:55,300
know, yeah, my baby ain't have 
pounds it for four hours in the 

547
00:28:55,300 --> 00:28:58,600
kid didn't come out or the 
baby's heart, rate was really 

548
00:28:58,600 --> 00:29:00,600
bad and like to see. 
No, no within the baby was too 

549
00:29:00,600 --> 00:29:02,100
big. 
It was just a heart rate. 

550
00:29:02,400 --> 00:29:05,500
You know the heart rate issue. 
I'm like, it's almost the same 

551
00:29:05,500 --> 00:29:09,600
thing. 
If a baby is not coming out in 

552
00:29:09,600 --> 00:29:12,200
labor. 
If it labor is slow, the baby 

553
00:29:12,200 --> 00:29:14,500
will only take so much many 
times. 

554
00:29:14,500 --> 00:29:18,500
The way a baby gets, you know, 
tells you I don't fit is because

555
00:29:18,500 --> 00:29:20,800
the heart rate goes down the 
baby cannot tolerate labor 

556
00:29:20,800 --> 00:29:22,700
anymore. 
The heart rate starts acting up.

557
00:29:22,800 --> 00:29:24,900
Your doctor says you need a 
C-section of the baby's heart 

558
00:29:24,900 --> 00:29:30,800
rate is not doing well, but Now 
my phone's in something weird. 

559
00:29:31,100 --> 00:29:33,900
But really what happened was the
baby didn't fit. 

560
00:29:34,000 --> 00:29:36,400
So I get all these patients and 
you know, they're all desperate 

561
00:29:36,400 --> 00:29:40,500
to avoid a C-section is okay, 
cut out all the processed sugar.

562
00:29:41,100 --> 00:29:45,000
Minimize your sugar's, go to a 
maybe 100 grams a day, which is 

563
00:29:46,000 --> 00:29:49,200
probably that more than the keto
diet even allow or yeah. 

564
00:29:49,200 --> 00:29:53,300
More than we do like 15 grams 
total a day like carbohydrates 

565
00:29:53,300 --> 00:29:56,000
in general, not just sugar a 
total carbohydrates part, right?

566
00:29:56,000 --> 00:29:59,600
So I tell them 100 grams a day 
because I Really hard for people

567
00:29:59,600 --> 00:30:01,700
to completely cut out. 
I mean it's it's almost in 

568
00:30:01,700 --> 00:30:04,700
everything. 
Yeah, but the average person is 

569
00:30:04,700 --> 00:30:08,900
on about 500 grams the day. 
So, you know try to try to cut 

570
00:30:08,900 --> 00:30:12,600
down the sugar down to the bare 
barest amount that the patient 

571
00:30:12,600 --> 00:30:14,800
can handle life. 
I've gone lower and then I've 

572
00:30:14,800 --> 00:30:16,100
gotten like, you know patient 
come back. 

573
00:30:16,100 --> 00:30:17,900
My shit. 
My nutritionist said that it's 

574
00:30:17,900 --> 00:30:19,800
not healthy to do this. 
I'm like, okay. 

575
00:30:19,800 --> 00:30:21,200
She don't know what you're 
talking about. 

576
00:30:21,500 --> 00:30:24,100
That's the way people live 
4,000, you know, from for 

577
00:30:24,100 --> 00:30:25,900
Millennia. 
Now all of a sudden that helped 

578
00:30:25,900 --> 00:30:30,200
me to healthy to cut out your 
carbs, so So Ike. 

579
00:30:30,200 --> 00:30:33,700
I had them really be careful 
with the guard and I don't start

580
00:30:33,700 --> 00:30:37,200
them till 20 weeks because as 
Crystal my tell you, you know, 

581
00:30:37,200 --> 00:30:40,600
the first half the print, the 
first trimester is about nausea 

582
00:30:40,800 --> 00:30:43,600
and not eating. 
You don't want to restrict some 

583
00:30:43,600 --> 00:30:45,200
of these diet when they're 
having a hard time getting 

584
00:30:45,200 --> 00:30:47,600
calories in it all. 
I mean at that point, you know, 

585
00:30:47,600 --> 00:30:50,100
you eat whatever you whatever is
going to stay down and doesn't 

586
00:30:50,100 --> 00:30:54,400
know and doesn't look not 
nauseating and then the second 

587
00:30:54,400 --> 00:30:58,500
trimester is when the baby's 
growth is much more. 

588
00:30:58,700 --> 00:31:01,300
Influenced by the environment. 
It's not just genetic say 

589
00:31:01,300 --> 00:31:03,700
anymore. 
It's environmental factors, 

590
00:31:03,700 --> 00:31:09,400
especially the maternal exercise
because of a woman does even 

591
00:31:09,400 --> 00:31:12,100
like 13. 
I'm not time, I going to gym, 

592
00:31:12,100 --> 00:31:15,300
I'll talk about a 30-minute 
vigorous walk, a pregnant woman 

593
00:31:15,300 --> 00:31:17,700
who was walking for Vicki to 30 
minutes is going to come home 

594
00:31:17,700 --> 00:31:20,300
huffing and puffing. 
I mean, there's that that's a 

595
00:31:20,300 --> 00:31:23,700
lot of stress on the body, 30% 
of the blood flow during 

596
00:31:23,700 --> 00:31:25,300
pregnancy. 
Go straight to the uterus. 

597
00:31:25,500 --> 00:31:27,900
So now your love is 70% that has
to, you know, take care of 

598
00:31:27,900 --> 00:31:30,100
everything else. 
If you, if you put your, if you 

599
00:31:30,100 --> 00:31:33,200
put your muscles to work, your 
hearts going to feel it, and 

600
00:31:33,200 --> 00:31:35,200
it's going to start beating and 
you're going to breathe heavy. 

601
00:31:35,200 --> 00:31:38,700
And if a woman, does that for 30
minutes a day, it's not just 

602
00:31:38,700 --> 00:31:40,200
okay. 
She burnt to a few extra 

603
00:31:40,200 --> 00:31:42,600
calories. 
Her metabolism is going to run 

604
00:31:42,600 --> 00:31:46,200
better the whole day. 
She's gonna burn fuel at a 

605
00:31:46,200 --> 00:31:49,900
better rate and the blood sugar.
They're going to stay in a 

606
00:31:49,900 --> 00:31:53,000
better Zone and the baby's not 
going to get as much sugar and 

607
00:31:53,000 --> 00:31:55,000
then the whole pregnancy, I 
washed them. 

608
00:31:55,000 --> 00:31:57,200
And okay. 
This is gonna blow your mind 

609
00:31:57,200 --> 00:31:58,600
here because this is a little 
crazy. 

610
00:31:58,700 --> 00:32:02,100
Easy, but at the end of the 
pregnancy I'm doing, I do 

611
00:32:02,100 --> 00:32:04,500
ultrasounds on my patient 
practically every visit because 

612
00:32:04,500 --> 00:32:08,000
I'm not only trying to 
understand the way that the baby

613
00:32:08,000 --> 00:32:09,700
I'm charting it. 
I want to, I want to see how 

614
00:32:09,700 --> 00:32:14,000
it's growing if the baby's big 
or getting big, especially for 

615
00:32:14,000 --> 00:32:17,200
the mother because not in a 
vacuum, you know, as five foot 

616
00:32:17,200 --> 00:32:22,500
eight woman, can have an 8-pound
baby, much easier than a 5-foot 

617
00:32:22,500 --> 00:32:25,000
woman. 
If I see a 7 pound baby in a 

618
00:32:25,000 --> 00:32:26,500
woman is 5 feet, I'm starting. 
Okay. 

619
00:32:26,500 --> 00:32:28,200
That baby might be too big for 
this woman. 

620
00:32:28,700 --> 00:32:34,200
So it at the, the maternal 
pelvis is correlated to the 

621
00:32:34,200 --> 00:32:36,400
maternal height more than 
anything else. 

622
00:32:36,400 --> 00:32:39,500
So vote woman is taller. 
She has the ability to deliver a

623
00:32:39,500 --> 00:32:41,700
larger baby. 
So yeah, he's kind of have to 

624
00:32:41,700 --> 00:32:44,400
factor that in. 
When you're looking at the big 

625
00:32:44,400 --> 00:32:49,200
picture, then when I get to the 
end of a pregnancy, is in a 

626
00:32:49,208 --> 00:32:52,800
patient that is very motivated 
to avoid a C-section. 

627
00:32:53,100 --> 00:32:56,200
If the baby's getting big and, 
you know, they might they might 

628
00:32:56,200 --> 00:32:58,500
be doing their job, just fine, 
but the baby still getting too. 

629
00:32:58,700 --> 00:33:01,200
Take. 
I introduced them because it's 

630
00:33:01,200 --> 00:33:03,300
pretty simple. 
You have a window of 

631
00:33:03,300 --> 00:33:05,500
opportunity. 
You have a window where this 

632
00:33:05,500 --> 00:33:10,200
baby still fits and then at a 
point the baby gets too big and 

633
00:33:10,200 --> 00:33:13,500
no matter how long you labor. 
It's not going to come out. 

634
00:33:13,600 --> 00:33:15,800
And you can't just, you know, 
babies don't grow to a 

635
00:33:15,800 --> 00:33:18,200
predetermined size. 
Those babies that are overdue, 

636
00:33:18,200 --> 00:33:19,900
are bigger than the ones that 
are a little early. 

637
00:33:20,200 --> 00:33:24,200
So very often with my vbacs. 
Are you familiar with the term? 

638
00:33:24,200 --> 00:33:28,200
Be back? 
I'm not be back is vaginal 

639
00:33:28,200 --> 00:33:30,200
birth. 
Birth after cesarean. 

640
00:33:30,200 --> 00:33:35,600
It's a very common acronym. 
Any woman who's had a C-section 

641
00:33:35,600 --> 00:33:36,800
that probably was familiar with 
it. 

642
00:33:36,800 --> 00:33:40,700
Most women are because it's easy
to remember, you're going to be 

643
00:33:40,700 --> 00:33:44,500
back and those women that come 
to me because they had a 

644
00:33:44,500 --> 00:33:47,800
C-section or two C-sections and 
they want to have a normal 

645
00:33:47,800 --> 00:33:50,700
delivery and you know, 
especially if they like, you 

646
00:33:50,700 --> 00:33:54,200
know, if I find out their first 
baby was six and a half pounds 

647
00:33:54,200 --> 00:33:56,900
and they couldn't push that baby
out their second baby, you know 

648
00:33:56,900 --> 00:33:59,800
was was was the same size. 
Pushed into can't get that baby 

649
00:33:59,800 --> 00:34:00,700
out. 
Then. 

650
00:34:00,700 --> 00:34:04,500
I have to figure out how to keep
this baby even smaller and get 

651
00:34:04,500 --> 00:34:07,800
the baby out earlier. 
So it fits because we're trying 

652
00:34:07,800 --> 00:34:12,199
to get, you know, back off of 
the EC section train. 

653
00:34:12,199 --> 00:34:16,100
Now, if a woman had three 
C-sections, I will not try to 

654
00:34:16,100 --> 00:34:18,500
deliver vaginally more because 
that's kind of my cutoff. 

655
00:34:18,500 --> 00:34:20,900
Is there a point where you have 
to be worried? 

656
00:34:20,900 --> 00:34:24,699
That the uterus cannot tolerate 
that labor, and that those 

657
00:34:24,699 --> 00:34:27,500
previous scars in the uterus, a 
womb will not hold up, and the 

658
00:34:27,507 --> 00:34:31,000
uterus will rupture Which is 
scary sounding topic but 

659
00:34:31,000 --> 00:34:33,900
happened during labor. 
If you turn if a woman, you 

660
00:34:33,900 --> 00:34:36,199
know, is laboring in the baby, 
is not coming out the uterus, 

661
00:34:36,199 --> 00:34:39,500
eventually will give out, can't 
you so? 

662
00:34:39,500 --> 00:34:44,000
So the might the concept that 
I've been, you know, practicing 

663
00:34:44,000 --> 00:34:50,199
now for 20 years, watch your 
carbs exercise. 

664
00:34:50,600 --> 00:34:54,100
I watch the baby and it's a 
baby's getting too big, you get 

665
00:34:54,100 --> 00:34:58,200
induced and it's very 
counterintuitive because most of

666
00:34:58,200 --> 00:35:01,300
you If you ask your Midwife, 
right, if your wife, crystal 

667
00:35:01,300 --> 00:35:05,000
says to her Midwife, what's the 
best way a person could avoid a 

668
00:35:05,000 --> 00:35:07,700
C-section? 
Her Midwife will tell her don't 

669
00:35:07,700 --> 00:35:09,800
get induced. 
Like that is the worst thing you

670
00:35:09,800 --> 00:35:11,800
can do is get induced. 
Right? 

671
00:35:12,600 --> 00:35:15,800
And that is like the gospel for 
Midwifery. 

672
00:35:16,100 --> 00:35:20,700
And for many years, the data 
supported that and now it 

673
00:35:20,700 --> 00:35:24,000
doesn't and it's like one of the
and you don't hear about it 

674
00:35:24,000 --> 00:35:27,600
because midwives are just like, 
you know, they just want to talk

675
00:35:27,600 --> 00:35:28,800
about anymore. 
They don't want to talk about 

676
00:35:28,800 --> 00:35:31,800
the last 10 years of data that 
says induction to actually 

677
00:35:31,800 --> 00:35:34,200
decrease. 
She's a cesarean section rates 

678
00:35:34,200 --> 00:35:35,500
as opposed to the other way 
around. 

679
00:35:36,200 --> 00:35:39,800
But I want to clarify because I 
think I don't want to give the 

680
00:35:39,800 --> 00:35:42,300
wrong impression. 
The best way to avoid is he 

681
00:35:42,300 --> 00:35:45,800
section is to keep your baby 
small, eat healthy live, a 

682
00:35:45,808 --> 00:35:48,800
healthy lifestyle and go into 
labor naturally a week early. 

683
00:35:49,300 --> 00:35:52,800
That's the best way now. 
Most women cannot conjure up 

684
00:35:52,800 --> 00:35:55,300
labor, you know, a week before 
their due date. 

685
00:35:55,500 --> 00:35:58,100
It's not an option. 
So then the question is, is it 

686
00:35:58,100 --> 00:36:01,100
better? 
Keep going, even go over do or 

687
00:36:01,100 --> 00:36:03,900
is it better to get induced? 
And when you look at those two 

688
00:36:03,900 --> 00:36:06,000
choices, is it just leave 
everything? 

689
00:36:06,000 --> 00:36:09,700
Because it didn't happen or get 
induced shockingly getting 

690
00:36:09,700 --> 00:36:13,300
induced has lower. 
See secretary what all goes into

691
00:36:13,300 --> 00:36:15,100
getting induced. 
Like how is that entire process?

692
00:36:15,100 --> 00:36:18,000
Roll down? 
So getting induced is the 

693
00:36:18,000 --> 00:36:23,000
artificial stimulation of Labor.
If the cervix is closed, if the 

694
00:36:23,000 --> 00:36:27,500
cervix is not open at all. 
It's a longer process, medically

695
00:36:27,500 --> 00:36:29,900
you use Pro. 
It's a gland and that caused the

696
00:36:29,900 --> 00:36:35,600
cervix to soften and to dilate 
and to thin out. 

697
00:36:35,700 --> 00:36:40,200
And then after 12 hours, that 
you break the water with, you 

698
00:36:40,200 --> 00:36:42,400
know, today on the hook, you 
artificially rupture, though, 

699
00:36:42,400 --> 00:36:46,200
the membrane and you give 
pitocin, and labor, and suits, 

700
00:36:46,200 --> 00:36:47,800
and labor, and you're off and 
running. 

701
00:36:48,600 --> 00:36:51,700
Sometimes if a woman might be 
already open, she doesn't need 

702
00:36:51,700 --> 00:36:55,200
to hold prostaglandin precept, 
and then it just break the water

703
00:36:55,400 --> 00:36:57,700
and give pitocin and then watch 
and what. 

704
00:36:57,700 --> 00:36:59,100
Wait and watch. 
Baby to come out. 

705
00:36:59,100 --> 00:37:02,900
That's, that's the induction 
process and most women, 

706
00:37:03,200 --> 00:37:06,500
especially midwives, especially 
anybody who's very granola will 

707
00:37:06,500 --> 00:37:10,300
tell you, induction is a 
terrible idea it because it 

708
00:37:10,300 --> 00:37:13,000
increases C-section rates. 
And and I'm going to, you know, 

709
00:37:13,000 --> 00:37:15,000
this is this is the, the funny 
background story. 

710
00:37:15,000 --> 00:37:19,000
So from 2000 to 2010. 
I am preaching. 

711
00:37:19,600 --> 00:37:21,800
You need to get induced to avoid
a C-section. 

712
00:37:22,000 --> 00:37:25,100
And everybody else is saying you
need to avoid it and getting 

713
00:37:25,100 --> 00:37:27,300
induced to avoid C-section right
now. 

714
00:37:27,300 --> 00:37:29,300
I'm taking no note that it's not
the way it works. 

715
00:37:29,300 --> 00:37:31,600
Babies are too big. 
You have to get them out early. 

716
00:37:31,600 --> 00:37:33,500
We don't have the luxury of 
waiting for this baby to 

717
00:37:33,508 --> 00:37:36,900
continue to grow into up till 
2010. 

718
00:37:37,200 --> 00:37:42,900
There were countless studies 
that showed randomized, trials, 

719
00:37:42,900 --> 00:37:44,800
medically scientifically. 
Well done. 

720
00:37:44,800 --> 00:37:47,800
Study that showed that. 
If you get induced your risk of 

721
00:37:47,800 --> 00:37:51,500
a C-section is elevated. 
And I was still saying, I don't 

722
00:37:51,500 --> 00:37:52,900
care. 
They're wrong. 

723
00:37:52,900 --> 00:37:57,200
I'm in the trenches. 
I know that's not true in 2010 

724
00:37:57,500 --> 00:38:01,400
to 2020. 
All the studies show the reverse

725
00:38:01,400 --> 00:38:05,000
look like all the sun. 
It was 180 degrees, every study 

726
00:38:05,000 --> 00:38:08,000
showed something different, it 
showed, if you get induced, you 

727
00:38:08,000 --> 00:38:09,700
have a lower risk of the 
C-section. 

728
00:38:09,900 --> 00:38:13,700
Now, this is a big question, 
what happened in 2010 because 

729
00:38:14,200 --> 00:38:16,300
Evolution or not. 
It didn't happen in the year, 

730
00:38:16,300 --> 00:38:18,500
right? 
The human body did not change in

731
00:38:18,500 --> 00:38:21,800
the year 2010. 
What happened in the year 2010 

732
00:38:21,800 --> 00:38:26,500
that changed every study. 
So what happened was somebody 

733
00:38:26,500 --> 00:38:29,500
who finally step back? 
And looked at the big picture 

734
00:38:29,500 --> 00:38:31,300
said these studies are 
ridiculous. 

735
00:38:31,600 --> 00:38:36,200
We are comparing women who go 
into labor at 39 weeks with 

736
00:38:36,200 --> 00:38:39,200
women who get induced at 39 
weeks and the women that went 

737
00:38:39,200 --> 00:38:43,100
into labor naturally, at 39 
weeks, had a lower C-section 

738
00:38:43,100 --> 00:38:46,200
rate than the women who got into
East, but that doesn't make any 

739
00:38:46,200 --> 00:38:49,600
sense because he alternative to 
getting induced is not going 

740
00:38:49,600 --> 00:38:52,200
into labor. 
You can't take a group of women 

741
00:38:52,200 --> 00:38:54,900
until half of them to go into 
labor and half of them, you 

742
00:38:54,900 --> 00:38:57,300
know, you're going to get 
induced the alternative to 

743
00:38:57,308 --> 00:38:59,400
getting induced is Getting 
induced. 

744
00:38:59,400 --> 00:39:02,900
So that means that if we want to
do this study correctly, we are 

745
00:39:02,900 --> 00:39:06,300
going to do some women at 39 
weeks in this group. 

746
00:39:06,300 --> 00:39:09,000
And in that group, we're not 
going to do some, unless there's

747
00:39:09,000 --> 00:39:12,500
some strong or, you know, bona 
fide, medical reason that they 

748
00:39:12,500 --> 00:39:15,400
have to be delivered. 
And when they did that study 

749
00:39:15,700 --> 00:39:19,600
over and over on 39 weeks at 40 
weeks and women whose Services 

750
00:39:19,600 --> 00:39:21,800
were ready to be induced and 
several women who had services 

751
00:39:21,800 --> 00:39:24,100
that were closed and women that 
were older. 

752
00:39:24,600 --> 00:39:27,500
Every time they do this study. 
It always comes out with the 

753
00:39:27,500 --> 00:39:30,700
same result. 
It's getting induced, decreasing

754
00:39:30,700 --> 00:39:34,500
your C-section rate. 
And the reason why a lot of 

755
00:39:34,500 --> 00:39:37,300
people have a hard time with 
this is because how can it be 

756
00:39:37,500 --> 00:39:39,200
that induction, is better than 
nature. 

757
00:39:39,200 --> 00:39:42,100
That makes no sense. 
And the answer is simple. 

758
00:39:42,500 --> 00:39:46,800
We don't live in nature, right? 
When a woman comes to me and she

759
00:39:46,800 --> 00:39:49,400
says I want to have a natural 
birth and I want to have a 

760
00:39:49,400 --> 00:39:52,100
natural delivery. 
I say, well you better go back 

761
00:39:52,100 --> 00:39:54,400
to the 1800s because, you know, 
it's really hard to do that 

762
00:39:54,400 --> 00:39:56,800
here, right? 
You don't live on a farm. 

763
00:39:57,100 --> 00:40:00,900
You work on behind a computer? 
Are you eating processed food, 

764
00:40:01,000 --> 00:40:05,600
you know, if a person that lives
that lifestyle and then wants a 

765
00:40:05,607 --> 00:40:09,200
natural delivery is making the 
mistake of thinking that, you 

766
00:40:09,200 --> 00:40:11,700
know, the delivery is all you 
got to do is just, you know, 

767
00:40:12,100 --> 00:40:14,800
avoid the epidural not going to 
do stuff and you're going to 

768
00:40:14,808 --> 00:40:16,900
have a natural delivery because 
that's the way it was intended 

769
00:40:16,900 --> 00:40:18,900
to be. 
It was intended. 

770
00:40:18,900 --> 00:40:21,000
You were intended to live in a 
different world than your 

771
00:40:21,000 --> 00:40:22,800
living. 
In the human body was not 

772
00:40:22,800 --> 00:40:27,400
designed for 21st 21st century, 
you know, first world living. 

773
00:40:27,900 --> 00:40:32,100
And if If a woman wants to have 
a natural pregnancy, I tell her 

774
00:40:32,100 --> 00:40:34,900
you better get on the nature 
train in the beginning of the 

775
00:40:34,900 --> 00:40:37,900
pregnancy. 
Imagine going to Penn Station, 

776
00:40:38,300 --> 00:40:41,300
you know, Grand Central, you go 
to Grand Central Station, you 

777
00:40:41,300 --> 00:40:44,200
randomly jump on the train and 
then while you're on that train,

778
00:40:44,200 --> 00:40:46,800
you start trying to figure out 
where you want to go, right? 

779
00:40:46,900 --> 00:40:49,000
Guess where you're going, You're
Going wherever that train is 

780
00:40:49,000 --> 00:40:51,800
going. 
If a woman, does not think about

781
00:40:51,800 --> 00:40:56,300
these things in the beginning of
the pregnancy, if she just goes 

782
00:40:56,300 --> 00:40:59,400
about her normal day, and then, 
at the end of She starts reading

783
00:40:59,400 --> 00:41:01,900
and thinking about, okay. 
Yeah, I want a natural birth. 

784
00:41:02,000 --> 00:41:03,900
She is already on a C-section 
trade. 

785
00:41:03,900 --> 00:41:06,800
She's been eating carbs. 
She has been exercising. 

786
00:41:07,000 --> 00:41:11,100
The guy she married is like, you
know, 12 inches taller than her.

787
00:41:11,100 --> 00:41:13,000
So there's a genetic problem 
right there. 

788
00:41:13,400 --> 00:41:17,500
She is headed towards cesarean 
section and it's very hard to 

789
00:41:17,500 --> 00:41:20,100
jump off a train in the middle 
and get on another train. 

790
00:41:20,300 --> 00:41:23,800
So, you know what I preach and 
I'm writing a book. 

791
00:41:23,800 --> 00:41:26,400
I'm calling it nature back, 
which is this whole theory about

792
00:41:26,500 --> 00:41:30,800
avoiding C-sections. 
Get on the natural birth, train 

793
00:41:30,800 --> 00:41:33,300
in the beginning of the 
pregnancy, not at the end of the

794
00:41:33,300 --> 00:41:35,500
pregnancy because it's too late 
at a certain point. 

795
00:41:35,500 --> 00:41:38,700
Your baby's already getting too 
big and you are not going to 

796
00:41:38,700 --> 00:41:40,700
get, you're not you're not going
to achieve your goal. 

797
00:41:40,900 --> 00:41:43,900
Even if you know, you read every
book and you choose a good 

798
00:41:43,900 --> 00:41:45,800
provider. 
And that don't, that don't make 

799
00:41:45,800 --> 00:41:47,200
sense to me. 
I'm picking up what you're 

800
00:41:47,200 --> 00:41:50,400
putting down. 
So, best case scenario. 

801
00:41:50,500 --> 00:41:52,600
They have a natural birth. 
The baby's. 

802
00:41:52,600 --> 00:41:54,600
Not too big. 
They've been active. 

803
00:41:54,600 --> 00:41:56,100
They've been healthy. 
They've been eating quality 

804
00:41:56,100 --> 00:41:58,300
foods that that's best case 
scenario. 

805
00:41:59,200 --> 00:42:01,500
That is if that's what nature 
intended. 

806
00:42:01,500 --> 00:42:04,300
Yeah, if that's not the case. 
If someone's been, you know, 

807
00:42:04,300 --> 00:42:07,200
inactive sedentary eating a lot 
of crab, lot of processed food, 

808
00:42:07,200 --> 00:42:10,200
too many calories in general, 
not active at all, and the 

809
00:42:10,200 --> 00:42:14,200
baby's too large. 
You're saying that the induced 

810
00:42:14,200 --> 00:42:18,300
labor pre, 40 weeks is better 
than the C-section. 

811
00:42:18,700 --> 00:42:21,400
And in the worst case scenario 
would be the worst-case scenario

812
00:42:21,400 --> 00:42:24,900
would be, you know, complication
to childbirth, but before that 

813
00:42:24,900 --> 00:42:29,100
you get the C-section as kind of
the next viable option, Now what

814
00:42:29,100 --> 00:42:33,600
if like in Crystal situation? 
She's you know been active and 

815
00:42:33,600 --> 00:42:36,400
been eating healthy has been for
the past several years. 

816
00:42:36,600 --> 00:42:39,700
So I'm not really worried about 
the baby being abnormally large 

817
00:42:39,700 --> 00:42:42,800
in that regard with her being a 
first-time mother though. 

818
00:42:43,100 --> 00:42:46,200
It is pretty common to see them 
go a little bit longer than the 

819
00:42:46,200 --> 00:42:47,600
typical 40 weeks. 
Right? 

820
00:42:48,800 --> 00:42:53,400
No, not necessarily 40. 
Weeks is an average and the and 

821
00:42:53,400 --> 00:42:56,500
most one will go somewhere 
between 37 and 42. 

822
00:42:56,500 --> 00:42:59,800
Probably even 43, but nobody 
really Anybody go past 42 and 

823
00:42:59,800 --> 00:43:05,300
more but yes, she'll go to 40 
weeks, give or take two to three

824
00:43:05,300 --> 00:43:10,100
weeks and not not, it's her 
first. 

825
00:43:10,100 --> 00:43:13,100
Being a first-time mother is not
the factor, just everybody's a 

826
00:43:13,100 --> 00:43:16,000
little different but you know, 
when she gets close to that 

827
00:43:16,000 --> 00:43:18,900
40-week Mark, she's gonna be 
pretty antsy about going being 

828
00:43:18,900 --> 00:43:20,500
going into labor. 
Right? 

829
00:43:20,600 --> 00:43:23,000
Right, but just because she goes
a little bit longer than 40 

830
00:43:23,000 --> 00:43:25,800
weeks with her with her 
lifestyle being like it has for 

831
00:43:25,800 --> 00:43:28,700
the past several years. 
We shouldn't automatically jump 

832
00:43:28,700 --> 00:43:31,000
to induction. 
No. 

833
00:43:31,400 --> 00:43:36,000
No, so if the fluid is good and 
the baby is, you know, the baby 

834
00:43:36,000 --> 00:43:38,800
looks happy and baby's not 
getting too big. 

835
00:43:38,900 --> 00:43:40,700
There's no reason to jump in and
do it. 

836
00:43:40,700 --> 00:43:44,200
Especially if you know that, you
know, she looks the baby looks 

837
00:43:44,600 --> 00:43:47,000
like it's in a good Zone as far 
as size. 

838
00:43:47,600 --> 00:43:52,700
Understand, you know, I have a 
philosophy but I, my job and 

839
00:43:52,700 --> 00:43:55,300
it's to take care of my patient.
I have plenty of patient to come

840
00:43:55,300 --> 00:43:56,800
in and say, I don't want to be 
reduced. 

841
00:43:56,800 --> 00:43:58,300
You know, I don't like the idea.
I want to know. 

842
00:43:58,400 --> 00:44:01,200
We'll just go wherever I go and 
for whatever reason and thats 

843
00:44:01,200 --> 00:44:04,300
cool. 
Also, this philosophy I have is 

844
00:44:04,300 --> 00:44:06,300
when somebody says, you know, 
okay doc you've been doing this 

845
00:44:06,300 --> 00:44:09,300
for 20 years. 
I've delivered over 22, thousand

846
00:44:09,300 --> 00:44:12,400
vbacs. 
I mean I might be able to claim,

847
00:44:12,400 --> 00:44:14,400
you know, u.s. 
Title in that. 

848
00:44:16,100 --> 00:44:18,300
If somebody says what, what do 
you recommend? 

849
00:44:18,300 --> 00:44:21,700
I say, getting induced, you 
know, at 39 weeks to avoid a 

850
00:44:21,700 --> 00:44:25,600
C-section, but if somebody says 
I, you know, I'm like to go 

851
00:44:25,600 --> 00:44:28,200
natural. 
I don't want to be induced like,

852
00:44:28,400 --> 00:44:29,800
Thing to happen. 
I see that's fine. 

853
00:44:29,800 --> 00:44:32,400
If the baby's a good size, not 
too big. 

854
00:44:32,900 --> 00:44:36,900
And, you know, you've been doing
your, you're working out your 

855
00:44:36,900 --> 00:44:39,400
Healthy women who work out, have
shorter labor. 

856
00:44:39,400 --> 00:44:42,700
They have healthier laborers. 
It's probably not a big deal at 

857
00:44:42,700 --> 00:44:46,200
all to go even a week overdue. 
The biggest problem with going 

858
00:44:46,200 --> 00:44:48,400
over do is the placenta has a 
life to it. 

859
00:44:48,500 --> 00:44:51,900
And when you go too far over do 
sometimes it doesn't work 

860
00:44:52,300 --> 00:44:54,900
optimally. 
And the placenta has to work 

861
00:44:55,200 --> 00:44:57,700
really well in labor, because 
what happens during labor is 

862
00:44:57,900 --> 00:44:59,600
during Fractions, baby doesn't 
get good. 

863
00:44:59,600 --> 00:45:01,300
Blood flow. 
And the baby has to hold the 

864
00:45:01,300 --> 00:45:04,200
breath for like a minute, you 
know this. 

865
00:45:04,300 --> 00:45:07,000
It's a expression not all 
babies, actually, not breathing,

866
00:45:07,000 --> 00:45:09,600
but it's not getting blood flow 
for a minute and then there's 

867
00:45:09,600 --> 00:45:12,300
two minutes between contractions
and the baby gets blood flow. 

868
00:45:12,400 --> 00:45:15,100
And then another minute minute, 
the baby is the, you know, the 

869
00:45:15,100 --> 00:45:17,600
uterus contraction babies like 
has to deal with that. 

870
00:45:17,600 --> 00:45:21,300
And and if placenta is aging, 
then you're going to be more 

871
00:45:21,300 --> 00:45:26,300
likely to have less oxygen. 
Transfer to the baby between 

872
00:45:26,300 --> 00:45:30,000
contractions and that's more 
likely Lee to cause a C-section 

873
00:45:30,000 --> 00:45:32,300
because the heart rate is acting
up. 

874
00:45:32,400 --> 00:45:36,300
So there's other reasons to 
avoid going over, do besides, 

875
00:45:36,600 --> 00:45:40,300
you know, the baby not fitting 
sometimes the placenta is not 

876
00:45:40,400 --> 00:45:44,200
working, right, but even, you 
know, even a midwife that that 

877
00:45:44,200 --> 00:45:47,000
really doesn't believe in 
induction will advocate for 

878
00:45:47,000 --> 00:45:49,300
inducing, what a woman is a week
or two weeks overdue. 

879
00:45:49,900 --> 00:45:52,800
Now the the pleasant is it like 
a specific time frame? 

880
00:45:52,800 --> 00:45:57,700
That that reduction and oxygen 
capacity, typically starts like 

881
00:45:57,700 --> 00:45:59,300
one week after. 
We get like that a pretty 

882
00:45:59,300 --> 00:46:03,700
standardized thing, know, 
sometimes, you know, I don't 

883
00:46:03,700 --> 00:46:05,300
know. 
Anybody goes 42 week, you know, 

884
00:46:05,300 --> 00:46:07,500
past two tests or do they cause 
I would never let anybody do 

885
00:46:07,500 --> 00:46:11,600
that and it's not standard. 
Anyways, let anybody go past two

886
00:46:11,600 --> 00:46:13,900
weeks, past your due date and 
the old days women. 

887
00:46:13,900 --> 00:46:16,900
Sometimes we deliver four weeks 
past your due dates, and, and, 

888
00:46:16,900 --> 00:46:18,900
and, and the police and minute, 
sometimes the send them to be 

889
00:46:18,900 --> 00:46:20,900
just fine. 
And sometimes we do an 

890
00:46:20,900 --> 00:46:24,500
ultrasound that, you know, at 36
weeks, four weeks before the due

891
00:46:24,500 --> 00:46:25,600
date. 
We look at them to send say, 

892
00:46:25,600 --> 00:46:27,500
wow. 
This thing doesn't look good at 

893
00:46:27,500 --> 00:46:29,200
all. 
So, Yeah, it's like everything 

894
00:46:29,200 --> 00:46:30,700
else. 
There's a whole bell curve to 

895
00:46:30,700 --> 00:46:32,000
it. 
Some of them can handle. 

896
00:46:32,000 --> 00:46:34,600
Some of them are great even Way 
Beyond the due date and some of 

897
00:46:34,600 --> 00:46:38,600
them are aging even early but 
you know, you can't standardize 

898
00:46:38,600 --> 00:46:41,300
it to any one person and say, 
you know, this placenta looks 

899
00:46:41,300 --> 00:46:43,500
good. 
Also, we don't have a really 

900
00:46:43,500 --> 00:46:46,000
great way of assessing the 
placental function. 

901
00:46:46,300 --> 00:46:49,000
We really have to look at the 
reflection of how the baby's 

902
00:46:49,000 --> 00:46:51,100
growing in the fluid around the 
baby to get an idea of the 

903
00:46:51,100 --> 00:46:53,900
placentas function can change. 
And that's what you're really 

904
00:46:53,900 --> 00:46:55,700
checking out. 
When you do them, the frequent 

905
00:46:55,700 --> 00:46:57,900
ultrasounds, you're looking at 
all the electrics and 

906
00:46:57,900 --> 00:47:01,200
everything. 
Is there any risk to them is 

907
00:47:01,200 --> 00:47:03,400
their ultrasound? 
Is there a risk to doing too 

908
00:47:03,400 --> 00:47:07,000
many ultrasounds? 
No, so it's been, you know, it's

909
00:47:07,000 --> 00:47:09,800
been around for 50 years, use 
regularly ultrasound has no 

910
00:47:09,800 --> 00:47:13,100
radiation. 
It sound waves early in 

911
00:47:13,100 --> 00:47:15,100
pregnancy. 
There's there's high-frequency 

912
00:47:15,100 --> 00:47:16,900
ultrasound. 
Will you listen to the heartbeat

913
00:47:16,900 --> 00:47:19,800
or look at the ultra, you know 
look at our Pete and and most 

914
00:47:19,800 --> 00:47:22,800
people feel like oh, well that 
can create those sound waves can

915
00:47:22,800 --> 00:47:26,000
create some heat. 
So maybe use that very sparingly

916
00:47:26,600 --> 00:47:32,200
but today So there's like just 
innumerable studies, then none 

917
00:47:32,200 --> 00:47:35,400
of them have found any negative 
long-term or even short-term 

918
00:47:35,400 --> 00:47:37,500
effects from ultrasound and 
pregnancy. 

919
00:47:38,200 --> 00:47:40,700
Gotcha. 
I gotcha very interesting stuff.

920
00:47:40,700 --> 00:47:43,600
And what about pitocin? 
So, like, when people are very 

921
00:47:43,600 --> 00:47:47,000
hesitant to take any pitocin and
what is the mechanism behind 

922
00:47:47,000 --> 00:47:47,700
that? 
Exactly? 

923
00:47:48,900 --> 00:47:53,600
So pitocin, is the exact 
chemically identical hormones in

924
00:47:53,600 --> 00:47:56,800
the body produces? 
That's called oxytocin, oxytocin

925
00:47:56,800 --> 00:47:58,200
is produced by the posterior 
pituitary. 

926
00:47:58,900 --> 00:48:02,600
It's it gets into the 
bloodstream in a pulse style 

927
00:48:02,600 --> 00:48:04,900
fashion. 
And at the end of the pregnancy,

928
00:48:04,900 --> 00:48:08,100
the uterus is very receptive to 
it, because it up regulates 

929
00:48:08,100 --> 00:48:12,600
receptors up regulate and it 
will cause contractions pitocin 

930
00:48:12,600 --> 00:48:15,700
has a lot of other cool effects.
It's very important, milk 

931
00:48:15,700 --> 00:48:19,400
letdown and it's also called the
hormone of love, because it 

932
00:48:19,400 --> 00:48:23,300
makes people feel close. 
Like, you know, people feel very

933
00:48:23,300 --> 00:48:28,800
close to their partner, their 
doctor or, you know, They just 

934
00:48:28,900 --> 00:48:31,500
said well, you know, when a 
woman's pregnant or just even 

935
00:48:31,500 --> 00:48:34,800
when you like, take something 
like MDMA, like ecstasy, it 

936
00:48:34,800 --> 00:48:39,200
stimulates pitocin release or 
oxytocin release and that gives 

937
00:48:39,200 --> 00:48:43,900
you this kind of a warm cuddly 
feeling and also it actually 

938
00:48:43,900 --> 00:48:46,700
makes you more Fearless. 
So which is nice because, you 

939
00:48:46,700 --> 00:48:49,300
know, pregnancy is scary. 
Labor is scary, and it's bit of 

940
00:48:49,308 --> 00:48:50,700
a woman, has some hormone going 
on. 

941
00:48:50,700 --> 00:48:55,800
That's helping her overcome that
fear, but when we use pitocin, 

942
00:48:56,000 --> 00:48:58,200
it's not having any really of 
those. 

943
00:48:58,300 --> 00:49:00,100
Mental effects because that's on
the other side of the 

944
00:49:00,100 --> 00:49:02,300
blood-brain barrier. 
I will give you directly into 

945
00:49:02,300 --> 00:49:05,700
the IV. 
The fact that we're having is 

946
00:49:05,700 --> 00:49:08,300
that we're going to cause 
contraction because it's it's 

947
00:49:08,300 --> 00:49:13,000
going to stimulate those Blues 
receptors on the uterus and each

948
00:49:13,000 --> 00:49:15,900
person responds differently. 
So pitocin has to be given in a 

949
00:49:15,908 --> 00:49:19,500
tiny amount. 
And then upped at intervals 

950
00:49:19,500 --> 00:49:21,600
until you, you know, you get to 
a safe Zone. 

951
00:49:21,600 --> 00:49:24,200
You can you just try to give 
everybody the same amount for 

952
00:49:24,200 --> 00:49:25,900
some women. 
It would be not enough and for 

953
00:49:25,908 --> 00:49:27,800
other one would be way too much 
dangerous. 

954
00:49:28,300 --> 00:49:33,200
Catch him, catch him make sense.
So, when it comes to, you know, 

955
00:49:33,800 --> 00:49:38,300
as you're tracking all these 
metrics of the fetus, when you 

956
00:49:38,308 --> 00:49:41,000
start recommending people reduce
their carbohydrate intake. 

957
00:49:41,000 --> 00:49:43,400
Are you seeing a measurable 
impact on them? 

958
00:49:43,700 --> 00:49:45,700
The growth rate of that fetus, 
as you're doing these 

959
00:49:45,700 --> 00:49:50,300
ultrasounds, so, I haven't 
crunch those numbers. 

960
00:49:50,600 --> 00:49:54,000
I hope so. 
And also I would never write a 

961
00:49:54,008 --> 00:49:55,700
patient, right? 
I would never like, oh my God, 

962
00:49:55,700 --> 00:49:57,400
your baby's getting too big. 
You're not listening to the 

963
00:49:57,408 --> 00:50:00,100
thigh, right, you know. 
You can't. 

964
00:50:00,600 --> 00:50:02,600
I have a hard time dieting and 
I'm not even pregnant. 

965
00:50:02,600 --> 00:50:04,700
Right? 
So, you know, it's hard. 

966
00:50:04,800 --> 00:50:08,600
It's very hard to to want to 
judge anybody or reprimand them.

967
00:50:09,000 --> 00:50:12,900
I get patient advice and if 
they, if they're able to use it,

968
00:50:12,900 --> 00:50:14,900
it's great. 
And if not, I still were still 

969
00:50:14,900 --> 00:50:16,200
have the same goal right there. 
Coming to me. 

970
00:50:16,200 --> 00:50:18,100
And saying, I don't want a 
C-section, right? 

971
00:50:18,100 --> 00:50:19,700
And they didn't stick to the 
diet. 

972
00:50:19,700 --> 00:50:21,300
I'm still, you know, we're still
on the same. 

973
00:50:21,300 --> 00:50:23,900
We're still on the same path. 
We trying to figure out how to 

974
00:50:23,900 --> 00:50:28,100
avoid that, that C-section. 
So the car restriction. 

975
00:50:28,200 --> 00:50:30,200
Exercise. 
And then I monitor the size of 

976
00:50:30,200 --> 00:50:33,200
the baby and then depending on 
what reason she had four 

977
00:50:33,200 --> 00:50:37,200
previous C-section, who big the 
mom is, you know, what her? 

978
00:50:37,200 --> 00:50:40,300
What her own feelings about 
induction are very often. 

979
00:50:40,500 --> 00:50:42,400
I recommend inducing a week 
early. 

980
00:50:43,100 --> 00:50:46,800
There's another very good reason
to, you know, to induce early 

981
00:50:47,800 --> 00:50:50,800
women will often say I want to 
have a natural childbirth, 

982
00:50:50,800 --> 00:50:52,500
right? 
It's been done for centuries, 

983
00:50:52,500 --> 00:50:54,600
for the forever. 
It works. 

984
00:50:55,100 --> 00:50:57,700
I don't need medical 
intervention. 

985
00:50:58,400 --> 00:51:04,000
I just can I could do this 
myself and there's a flaw a flaw

986
00:51:04,000 --> 00:51:08,100
with the logic. 
The flaw, is that forever 

987
00:51:09,000 --> 00:51:13,000
childbirth has been associated 
with maternal death, right? 

988
00:51:13,100 --> 00:51:15,100
You know, the old days if you 
didn't like your wife's just 

989
00:51:15,100 --> 00:51:17,700
keep getting her pregnant. 
Yeah, that'll take care of 

990
00:51:17,700 --> 00:51:22,500
itself because they're what 
pregnancy is a metrical 

991
00:51:22,500 --> 00:51:25,000
Hemorrhage situation. 
There's a high risk of 

992
00:51:25,000 --> 00:51:28,100
hemorrhage for many reasons, and
a lot of bad things can happen. 

993
00:51:28,200 --> 00:51:31,600
During pregnancy. 
So let's go back to the 1800 

994
00:51:32,100 --> 00:51:34,500
when we gets pregnant. 
No doctors. 

995
00:51:34,700 --> 00:51:36,800
No, ultrasound, no blood test. 
Right? 

996
00:51:37,300 --> 00:51:40,500
Basically, she just Waits until 
the baby comes out. 

997
00:51:40,600 --> 00:51:44,100
If the baby is sideways, then, 
baby's not gonna come out. 

998
00:51:44,100 --> 00:51:46,800
And she's gonna have a really 
horrendous labor, and her uterus

999
00:51:46,800 --> 00:51:48,600
going to rupture. 
And she's going to Sanguine. 8 

1000
00:51:48,600 --> 00:51:52,100
is going to be disaster. 
And if the baby's too big, which

1001
00:51:52,100 --> 00:51:54,100
it shouldn't be, because she's 
living in the 1800's. 

1002
00:51:54,100 --> 00:51:56,400
So what is she eating? 
But the baby's not going to come

1003
00:51:56,400 --> 00:52:00,500
out. 
At a conservative level, there 

1004
00:52:00,500 --> 00:52:05,000
was a one to two percent infant 
mortality rate with even 

1005
00:52:05,000 --> 00:52:09,600
full-term babies meaning 1 or 2 
and 101 and 50 babies is dying. 

1006
00:52:09,600 --> 00:52:13,100
And labor are not babies. 
I'm sorry that 10% mother's one 

1007
00:52:13,100 --> 00:52:18,100
in one in 50 or 100. 
Women are dying in labor in the 

1008
00:52:18,100 --> 00:52:20,700
old days. 
Now, if you had a hospital that 

1009
00:52:20,700 --> 00:52:23,900
had a 1% maternal mortality 
rate. 

1010
00:52:24,300 --> 00:52:26,700
It will be shut down faster than
you can imagine. 

1011
00:52:26,700 --> 00:52:29,100
It would be no. 
As the, you know, the labor of 

1012
00:52:29,100 --> 00:52:33,300
death and nobody go there, the 
government would jump all over 

1013
00:52:33,300 --> 00:52:34,800
the state would jump all over 
it. 

1014
00:52:35,100 --> 00:52:39,100
We deliver 6,000 babies at 
Hackensack Medical Center a year

1015
00:52:39,900 --> 00:52:42,600
and we have seen one, maternal 
death. 

1016
00:52:42,600 --> 00:52:45,900
I think in 10 years, right? 
Because it just doesn't happen 

1017
00:52:45,900 --> 00:52:48,100
anymore. 
If we had a two percent 

1018
00:52:48,100 --> 00:52:50,000
mortality rate. 
We would be having. 

1019
00:52:50,000 --> 00:52:52,700
I don't know was 120 dead women 
a year. 

1020
00:52:52,700 --> 00:52:57,300
I mean that we'd like, you know,
to two women dying a week and 

1021
00:52:57,500 --> 00:52:59,700
And delivery, it would just be 
the worst place ever. 

1022
00:53:00,200 --> 00:53:03,700
So a woman says, I want to have 
a natural labor. 

1023
00:53:03,700 --> 00:53:05,400
Right? 
But she doesn't say, I want to 

1024
00:53:05,400 --> 00:53:07,500
have a natural labor, and if I 
don't make it, that's okay 

1025
00:53:07,500 --> 00:53:09,900
because that's natural or if my 
baby doesn't make it. 

1026
00:53:09,900 --> 00:53:11,100
That's okay. 
That's natural. 

1027
00:53:11,400 --> 00:53:13,600
They say, I want to have a 
natural labor and I want to be 

1028
00:53:13,600 --> 00:53:15,500
safe and I want my baby to be 
safe. 

1029
00:53:15,600 --> 00:53:19,400
That's reasonable. 
Once you factor that into the 

1030
00:53:19,400 --> 00:53:23,900
equation whole many C-sections 
you have to do to avoid that 

1031
00:53:23,900 --> 00:53:26,400
maternal disaster or that fetal 
disaster. 

1032
00:53:26,700 --> 00:53:31,000
Not you're not Like every time 
there's a problem you can see 

1033
00:53:31,000 --> 00:53:33,200
into the future and say oh, 
well, this is not going to kill 

1034
00:53:33,200 --> 00:53:34,900
the mother. 
This is not going to kill the 

1035
00:53:34,900 --> 00:53:36,700
baby. 
We can we can ignore it. 

1036
00:53:37,100 --> 00:53:41,600
So now you're doing 40 or 50 C 
sections because that passed 

1037
00:53:41,600 --> 00:53:45,300
that one might be the one that 
may not come out a lot and 

1038
00:53:45,300 --> 00:53:48,700
that's acceptable because you 
can do 40 or 50 C-sections to 

1039
00:53:48,700 --> 00:53:51,200
save a mother or baby that 
everybody would agree. 

1040
00:53:51,200 --> 00:53:54,900
That's a good trade-off. 
So the idea that a natural 

1041
00:53:54,900 --> 00:53:58,400
pregnancy is been around forever
and And you want to go back to 

1042
00:53:58,400 --> 00:54:01,300
it is flawed. 
Even if you're able to 

1043
00:54:01,300 --> 00:54:05,300
completely emulate, everything 
that nature does, we are not 

1044
00:54:05,300 --> 00:54:07,400
accepting dead. 
Babies are dead mother's. 

1045
00:54:07,400 --> 00:54:12,900
The acceptance of that level is 
900 except zero tolerance for a 

1046
00:54:12,908 --> 00:54:15,000
dead baby. 
And once you get to zero 

1047
00:54:15,000 --> 00:54:17,800
tolerance for a dead baby, you 
have to do things. 

1048
00:54:17,800 --> 00:54:21,600
Different meaning, don't have a 
long labor because it's a baby's

1049
00:54:21,600 --> 00:54:24,000
heart rate starts acting up or 
the labor goes, too long. 

1050
00:54:24,000 --> 00:54:26,300
Your doctor can't say. 
Well, it's only a 2% chance. 

1051
00:54:26,300 --> 00:54:27,300
You're going to die. 
So what? 

1052
00:54:27,500 --> 00:54:30,200
Watching, right? 
You can end up with a C-section.

1053
00:54:30,500 --> 00:54:34,600
So even if a woman is doing 
everything correctly, and the 

1054
00:54:34,600 --> 00:54:38,400
baby is not big. 
She still has to take those 

1055
00:54:38,400 --> 00:54:41,400
precautions. 
That allow that baby to be 

1056
00:54:41,400 --> 00:54:43,900
delivered? 
When it's not when it will come 

1057
00:54:43,900 --> 00:54:48,000
out easier because that is the 
best way, not to get into the 

1058
00:54:48,000 --> 00:54:51,100
zone of you are in danger and 
your baby's in danger, and the 

1059
00:54:51,100 --> 00:54:53,600
doctor has to act. 
Yeah, that makes total sense. 

1060
00:54:54,100 --> 00:54:56,500
So you probably think we're a 
little bit crazy planning on 

1061
00:54:56,508 --> 00:54:59,000
doing a home birth to All right.
No. 

1062
00:54:59,100 --> 00:55:04,400
No, I'm very open-minded and I 
do, I have told many page that I

1063
00:55:04,408 --> 00:55:07,000
think home births are better for
second babies because my 

1064
00:55:07,000 --> 00:55:10,400
philosophy is, you know, your 
high risk until you prove 

1065
00:55:10,400 --> 00:55:13,100
yourself, right? 
Nobody should be. 

1066
00:55:13,100 --> 00:55:17,400
Oh, I'm high risk because I had 
a placenta previa because I have

1067
00:55:17,400 --> 00:55:20,200
hypertension. 
You should be high risk, because

1068
00:55:20,200 --> 00:55:22,300
nobody knows until you go 
through a pregnancy. 

1069
00:55:22,300 --> 00:55:27,300
You do not know what your issues
are, right, but that being said,

1070
00:55:28,500 --> 00:55:31,900
Crystal has been eating. 
Well, you are, if you're going 

1071
00:55:31,900 --> 00:55:35,300
to do a home birth close to a 
hospital with a hospital backup 

1072
00:55:35,500 --> 00:55:38,200
experience with wife. 
No, not crazy. 

1073
00:55:38,300 --> 00:55:40,900
Not crazy. 
They're actually the statistics 

1074
00:55:40,900 --> 00:55:45,100
are better than expected with, 
you know, the lack of morbidity 

1075
00:55:45,100 --> 00:55:47,500
from home births. 
I just think that women have to 

1076
00:55:47,500 --> 00:55:52,200
be chosen carefully to, you 
know, who, who is most 

1077
00:55:52,500 --> 00:55:54,500
beneficial from a home birth, 
you know, you wouldn't want to 

1078
00:55:54,500 --> 00:55:57,200
do that on somebody with our 
previous C-section, or somebody 

1079
00:55:57,200 --> 00:56:00,400
who has met, Complications. 
But if everything's going well, 

1080
00:56:00,500 --> 00:56:02,200
not at all. 
I don't think that's crazy. 

1081
00:56:02,500 --> 00:56:04,100
Okay, cool. 
That's reassuring for sure. 

1082
00:56:04,100 --> 00:56:06,500
I mean, I'm kind of going in 
blind with all this man. 

1083
00:56:06,700 --> 00:56:08,800
Like, some of the stuff that 
Chris has been like, this is 

1084
00:56:08,800 --> 00:56:11,000
what we should do. 
And then she presents it to me 

1085
00:56:11,000 --> 00:56:12,800
and I'm like, I didn't even know
this was a thing. 

1086
00:56:12,800 --> 00:56:16,400
But okay, let's let's let's roll
up our sleeves and learn learn a

1087
00:56:16,408 --> 00:56:17,700
little bit here and see what 
happens. 

1088
00:56:17,700 --> 00:56:20,800
So, yeah, this is definitely 
Uncharted Territory for me. 

1089
00:56:23,300 --> 00:56:27,900
I always advise my husband's to 
impress, your wife by reading 

1090
00:56:27,900 --> 00:56:30,200
and watching YouTube videos and 
reading about Labor. 

1091
00:56:30,500 --> 00:56:33,900
Because, you know, during the 
whole process, there's two 

1092
00:56:33,900 --> 00:56:35,400
factors. 
There's a physically 

1093
00:56:35,400 --> 00:56:38,300
uncomfortable factor, which, you
know, you're going to be there. 

1094
00:56:38,500 --> 00:56:42,100
Massaging your back and helping 
her physically, but they're the,

1095
00:56:42,400 --> 00:56:45,500
the anxiety factor. 
And if you could be the guy that

1096
00:56:45,500 --> 00:56:47,500
said though, I read about that. 
Don't worry. 

1097
00:56:47,500 --> 00:56:50,100
That's kind of normal. 
And I and that happens, you 

1098
00:56:50,100 --> 00:56:53,600
know, you are a hero. 
You're keeping your wife Medley 

1099
00:56:53,600 --> 00:56:55,300
At Ease and she's like, oh my 
gosh. 

1100
00:56:55,600 --> 00:56:58,500
He actually prepared for this 
delivery. 

1101
00:56:58,800 --> 00:57:00,500
That is a good way to score some
points. 

1102
00:57:00,500 --> 00:57:01,400
Yeah. 
No fisherman. 

1103
00:57:01,400 --> 00:57:03,600
I mean, we're actually reading a
book on it right now. 

1104
00:57:03,600 --> 00:57:05,600
We've I mean I've gone to every 
single one of the Midwife 

1105
00:57:05,600 --> 00:57:07,300
appointments. 
We're actually going to start 

1106
00:57:08,000 --> 00:57:10,700
this like couples birthing class
in January. 

1107
00:57:10,700 --> 00:57:12,300
There's like several weeks of 
that. 

1108
00:57:12,500 --> 00:57:15,600
So I feel like I'll be setting 
myself up for success in at 

1109
00:57:15,600 --> 00:57:18,200
least somewhat knowledgeable 
about what to expect from the 

1110
00:57:18,200 --> 00:57:20,800
time comes. 
Yes, we got that. 

1111
00:57:20,800 --> 00:57:22,800
All of that is really good 
stuff. 

1112
00:57:24,700 --> 00:57:26,900
I do want to actually my kind of
plug. 

1113
00:57:26,900 --> 00:57:30,300
My podcast is like yeah, most 
semen. 

1114
00:57:31,600 --> 00:57:35,800
So I start podcast about I think
six months ago, it's me and me 

1115
00:57:35,800 --> 00:57:39,700
and my colleague who's a midwife
Tristan Malvern and we talked 

1116
00:57:39,700 --> 00:57:41,900
about just pregnancy related 
topics. 

1117
00:57:41,900 --> 00:57:45,600
Some of them are really 
hardcore, like placenta previa 

1118
00:57:45,900 --> 00:57:48,800
and some of them are a little 
freely like how to choose a poet

1119
00:57:48,800 --> 00:57:51,800
pediatrician. 
But do we try to cover these 

1120
00:57:51,800 --> 00:57:56,000
like so much to talk about? 
And, and the real gist of it and

1121
00:57:56,000 --> 00:57:59,300
call it true birth? 
Because we really just give a 

1122
00:57:59,300 --> 00:58:03,400
give a really honest opinions. 
I wish big farmer would try to 

1123
00:58:03,400 --> 00:58:05,800
bribe me because I'm open to 
bride, but nobody ever does. 

1124
00:58:06,500 --> 00:58:08,300
You know, when you are an 
obstetrician. 

1125
00:58:08,500 --> 00:58:11,300
Nobody is peddling drugs. 
I mean, who, which obstetrician 

1126
00:58:11,300 --> 00:58:13,800
is giving drugs out there, you 
know, the prenatal vitamin 

1127
00:58:13,800 --> 00:58:16,600
people aren't bothering anybody.
I don't get, I've gone through a

1128
00:58:16,607 --> 00:58:22,000
whole career where big Pharma 
has ignored me, but the, the 

1129
00:58:22,000 --> 00:58:26,600
concept of the podcast is those 
things that have become obvious 

1130
00:58:26,600 --> 00:58:30,400
to me as a physician really in 
the trenches. 

1131
00:58:31,300 --> 00:58:34,400
Day after day for 20 years. 
I mean there have been several, 

1132
00:58:34,400 --> 00:58:38,000
you know, a stretch of 15 years.
I've been on call every day, you

1133
00:58:38,000 --> 00:58:42,400
know, except for an occasional 
holiday, you know, 24/7 in labor

1134
00:58:42,400 --> 00:58:45,800
and delivery and certain things 
become clearer and clearer and 

1135
00:58:46,000 --> 00:58:49,100
and and the you know, it's sad 
because I go through school and 

1136
00:58:49,300 --> 00:58:52,500
and and you were you're hungry 
to learn and everything you read

1137
00:58:52,500 --> 00:58:54,700
is Gospel. 
And then after, you know, 

1138
00:58:54,700 --> 00:58:58,700
practicing you start getting 
like why is why are they saying 

1139
00:58:58,700 --> 00:59:00,100
that? 
This makes no sense? 

1140
00:59:00,100 --> 00:59:03,800
It's like and it's so Obvious 
that, you know, in a few years 

1141
00:59:03,900 --> 00:59:06,300
eventually people realize how 
silly, you know, some of this 

1142
00:59:06,300 --> 00:59:09,900
stuff some of the 
recommendations are but we try 

1143
00:59:09,900 --> 00:59:13,500
to preach what's really healthy 
for a woman? 

1144
00:59:14,000 --> 00:59:16,000
What really makes sense? 
What works. 

1145
00:59:16,200 --> 00:59:19,500
And you know, we like to also 
call ourselves on that unedited 

1146
00:59:19,500 --> 00:59:23,100
and unprepared which is maybe 
not the best logo, but we don't 

1147
00:59:23,100 --> 00:59:24,500
I don't really have time to 
prepare. 

1148
00:59:24,500 --> 00:59:27,800
So, you know, we sit down 
Kristen and I sit down on a 

1149
00:59:27,800 --> 00:59:31,500
Wednesday night and we spitball 
some ideas for Or what we're 

1150
00:59:31,500 --> 00:59:35,000
going to talk about and then we 
just you know hit record and we 

1151
00:59:35,000 --> 00:59:37,700
let it roll. 
So very similar to this podcast 

1152
00:59:37,700 --> 00:59:41,200
that you and I are doing because
Robert and I did not have one 

1153
00:59:41,200 --> 00:59:43,700
actual conversation before we 
started podcast. 

1154
00:59:43,800 --> 00:59:46,100
Yeah, no fisherman. 
I think you know, I think it's 

1155
00:59:46,100 --> 00:59:48,500
great that you put in that this 
information because you know, 

1156
00:59:48,500 --> 00:59:50,900
I've only just started dabbling 
in this this path. 

1157
00:59:50,900 --> 00:59:54,100
And you know, what I've learned 
over the past few months is 

1158
00:59:54,100 --> 00:59:56,400
totally counter to what I had 
thought previously. 

1159
00:59:56,400 --> 00:59:58,900
So the more information is 
getting out there and you know 

1160
00:59:58,900 --> 01:00:02,500
getting in people's ears that 
that And just that a little bit 

1161
01:00:02,500 --> 01:00:05,200
deeper than what, you know, the 
conventional wisdom kind of like

1162
01:00:05,200 --> 01:00:07,800
the mainstream society says, I 
think, you know, the more, you 

1163
01:00:07,800 --> 01:00:09,600
know, the better. 
So, I think what you're doing 

1164
01:00:09,800 --> 01:00:12,200
and putting out, that podcast is
great stuff, but I'll be happy 

1165
01:00:12,200 --> 01:00:14,600
to link out to it. 
Thank you. 

1166
01:00:14,700 --> 01:00:17,800
Give me an example of things 
that have open your eyes. 

1167
01:00:18,600 --> 01:00:22,000
I mean, honestly, just like the 
whole the whole concept of home 

1168
01:00:22,000 --> 01:00:25,100
birth a midwife and I'm doing 
all this stuff more naturally 

1169
01:00:25,100 --> 01:00:29,900
like we've kind of gravitated 
towards, I mean that in itself 

1170
01:00:30,100 --> 01:00:32,500
like I never even entertained 
That as a as a possibility 

1171
01:00:32,500 --> 01:00:33,900
because I was born in hospital 
everybody. 

1172
01:00:33,900 --> 01:00:35,500
I know my family's born in a 
hospital. 

1173
01:00:35,800 --> 01:00:38,900
I mean when you start looking at
Generations way back like 

1174
01:00:38,900 --> 01:00:41,500
great-grandparents, they were 
often times born at home. 

1175
01:00:41,500 --> 01:00:43,900
And then we had this 
generational thing in which 

1176
01:00:43,900 --> 01:00:45,100
everybody just went to a 
hospital. 

1177
01:00:45,100 --> 01:00:48,000
That was the normal thing. 
But like you've mentioned in 

1178
01:00:48,000 --> 01:00:51,900
this podcast, people are not 
living natural, normal lives, so

1179
01:00:51,900 --> 01:00:54,200
to speak, because all of this 
Innovation that we've had with 

1180
01:00:54,400 --> 01:00:56,300
processed, food, 
overconsumption, lack of 

1181
01:00:56,308 --> 01:00:59,200
activity, that's not really 
natural in The evolutionary 

1182
01:00:59,200 --> 01:01:01,500
sense, either. 
So, you know, you really Kind of

1183
01:01:01,500 --> 01:01:04,200
be software and look at your own
lifestyle patterns, but you 

1184
01:01:04,200 --> 01:01:07,400
know, for us like Crystal and I 
said specifically that are very 

1185
01:01:07,400 --> 01:01:10,400
active eat, very healthy and 
have for so so long. 

1186
01:01:10,600 --> 01:01:12,800
I feel like we're pretty good 
candidates for the route that 

1187
01:01:12,800 --> 01:01:16,200
we've decided on going. 
But, you know, I think I think 

1188
01:01:16,200 --> 01:01:19,900
people need to dive deeper into 
this and also from like a 

1189
01:01:20,400 --> 01:01:22,100
epigenetic standpoint. 
I've learned a lot about 

1190
01:01:22,100 --> 01:01:25,000
epigenetics and how the 
decisions that we make directly 

1191
01:01:25,000 --> 01:01:28,500
impact our Offspring and I feel 
like not enough people give that

1192
01:01:28,500 --> 01:01:31,400
enough attention because the 
decisions you make I have a 

1193
01:01:31,400 --> 01:01:34,400
direct impact as opposed to this
genic factor that you don't have

1194
01:01:34,400 --> 01:01:37,700
control over. 
Yeah, I listen to one of your 

1195
01:01:37,700 --> 01:01:40,900
pocket here with dr. 
Seaman talked about that. 

1196
01:01:41,900 --> 01:01:44,000
I made a mental note that I 
wanted to put a little more 

1197
01:01:44,000 --> 01:01:46,700
thought or Research into that 
because that is even as a 

1198
01:01:46,707 --> 01:01:48,900
high-risk obstetrician. 
It's something that really 

1199
01:01:49,400 --> 01:01:51,100
hadn't been exposed to. 
Yeah. 

1200
01:01:51,100 --> 01:01:52,100
Yeah. 
It's interesting stuff man. 

1201
01:01:52,100 --> 01:01:55,500
It's it's empowering though 
because it makes you have a lot 

1202
01:01:55,500 --> 01:01:58,500
more of the responsibility 
because you realize that your 

1203
01:01:58,500 --> 01:02:02,000
life choices, you know, directly
impact your Spring in there. 

1204
01:02:02,000 --> 01:02:03,900
I'll spring for like three 
generations hints. 

1205
01:02:03,900 --> 01:02:07,400
So it makes you, it motivates 
your, it should motivate you to 

1206
01:02:07,400 --> 01:02:10,700
get your stuff together and make
the right choices, you know. 

1207
01:02:11,900 --> 01:02:15,700
So you're 100% right? 
I find that there's nothing more

1208
01:02:15,700 --> 01:02:19,200
motivating to a woman than the 
health of her unborn child. 

1209
01:02:19,500 --> 01:02:23,600
And that is for it is a 
wonderful time for women to give

1210
01:02:23,600 --> 01:02:27,900
up smoking. 
And if the only thing that comes

1211
01:02:27,900 --> 01:02:32,300
out of getting a woman's, you 
know to restrict her carbs and 

1212
01:02:32,300 --> 01:02:34,700
eat healthy during pregnancy, is
that there's a carryover 

1213
01:02:34,700 --> 01:02:37,400
afterwards that would be that 
would still be a home run 

1214
01:02:37,800 --> 01:02:41,000
because that you know, that is 
the best time though. 

1215
01:02:41,000 --> 01:02:43,600
That's when Women. 
I'm saying women because I'm an 

1216
01:02:43,600 --> 01:02:46,400
obstetrician and Men generally 
aren't pregnant but I'm saying 

1217
01:02:46,400 --> 01:02:49,700
that is the best time for people
to really change the lifestyle 

1218
01:02:49,700 --> 01:02:52,100
because the motivation is so 
strong. 

1219
01:02:52,100 --> 01:02:56,500
And they're so incentivize that 
and what, you know, like 

1220
01:02:56,500 --> 01:02:58,400
everything is the the hardly the
first step. 

1221
01:02:58,500 --> 01:03:01,300
The first step is always the 
hardest and then once once you 

1222
01:03:01,308 --> 01:03:04,900
do it for a little while. 
Oh, not that bad, not been lady 

1223
01:03:04,900 --> 01:03:05,800
them. 
Then after a while. 

1224
01:03:05,800 --> 01:03:08,700
It's actually I, you know, I 
actually like, you know, when I 

1225
01:03:08,700 --> 01:03:11,600
switch from from regular soda to
D2. 

1226
01:03:11,700 --> 01:03:17,200
Two diet, there was a period of 
crap diet and now I don't even 

1227
01:03:17,200 --> 01:03:19,300
like regular soda anymore and I 
should give up dying because 

1228
01:03:19,300 --> 01:03:22,500
that stuff is all so terrible. 
But you know, I'm slow on the 

1229
01:03:22,500 --> 01:03:25,100
evolutionary Health tree. 
Hey, man, you move in the right 

1230
01:03:25,100 --> 01:03:26,100
direction here. 
For too long. 

1231
01:03:26,100 --> 01:03:28,100
We'll get you holding some 
dumbbells instead of some remote

1232
01:03:28,100 --> 01:03:31,200
controls and increase the 
resistance there a little bit. 

1233
01:03:34,100 --> 01:03:37,200
Maybe maybe that'll be give me. 
I really do appreciate you 

1234
01:03:37,207 --> 01:03:39,200
reaching out and jump on the 
show man. 

1235
01:03:39,200 --> 01:03:41,100
Like I've learned a lot. 
So I think this is this is great

1236
01:03:41,100 --> 01:03:42,500
information. 
One more time. 

1237
01:03:42,500 --> 01:03:44,600
What is the name of your podcast
for people listening to go? 

1238
01:03:44,600 --> 01:03:49,100
Check it out. 
True birth true&height 

1239
01:03:50,200 --> 01:03:54,000
530&width. 
All the major podcast carriers 

1240
01:03:54,400 --> 01:03:57,200
and the you don't have to worry 
about any commercials because 

1241
01:03:57,200 --> 01:03:59,500
we're so small. 
Nobody will sponsor us. 

1242
01:03:59,800 --> 01:04:00,900
Hey, that's the way to do it, 
man. 

1243
01:04:00,900 --> 01:04:03,000
I don't even do any sponsorships
on my podcast. 

1244
01:04:03,000 --> 01:04:05,500
I feel like, you know, people 
aren't jumping on podcasts 

1245
01:04:05,500 --> 01:04:08,800
listened to several minutes of 
pre-roll ads mid-roll ads post 

1246
01:04:08,800 --> 01:04:11,100
show ads. 
So I just try and keep it crisp 

1247
01:04:11,100 --> 01:04:13,700
as well. 
Robert. 

1248
01:04:13,700 --> 01:04:16,500
It was a pleasure talking to 
you. 

1249
01:04:16,500 --> 01:04:19,000
I really, I really enjoy your 
podcast style. 

1250
01:04:19,000 --> 01:04:22,500
And when I look at the I don't 
know you've had several hundred.

1251
01:04:22,500 --> 01:04:26,600
I mean, it was so many topics 
and your guest, I can see why so

1252
01:04:26,600 --> 01:04:30,600
many people are inspired to 
change their life because it 

1253
01:04:30,600 --> 01:04:33,900
seems that people jump onto the 
ski Tow and they are thrilled 

1254
01:04:33,900 --> 01:04:36,400
with themselves afterwards. 
And that is certainly to go man.

1255
01:04:36,400 --> 01:04:37,900
I appreciate you taking the 
time. 

1256
01:04:38,000 --> 01:04:39,300
I'll definitely want to keep in 
touch. 

1257
01:04:39,300 --> 01:04:41,500
We're liable to have some more 
questions as she gets further 

1258
01:04:41,500 --> 01:04:43,700
along in this. 
Currency, so I might be reaching

1259
01:04:43,700 --> 01:04:46,100
out here soon. 
Robert. 

1260
01:04:46,100 --> 01:04:47,700
You are on the friends and 
family program. 

1261
01:04:47,700 --> 01:04:49,600
You have my cell number. 
You call me anytime. 

1262
01:04:49,700 --> 01:04:51,000
Appreciate you man. 
Take care. 

1263
01:04:51,800 --> 01:04:53,500
Have a great day. 
Happy New Year.