YouSaid · the spoken record
Philip Ovadia
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- 2023-04-20
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- 2023-04-20
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“DL cholesterol or nicknamed bad cholesterol, which is an inaccurate nickname, but not important right now. We want to look at two of the other measures of cholesterol, what we call the HDL cholesterol, again nicknamed good cholesterol. And we want to look at your triglyceride levels. And when you look at those five measures, those five measures will tell you whether or not your metabolically healthy or not. But the problem is, as you were talking to, you can't just look at yourself and know what those measures are. You have to.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“It's one of the five indicators. It's the easiest one for us to. Tell just looking at it by ourselves. The other indicators are our blood pressure. So, you know, almost everyone when they go to the doctor, they get their blood pressure checked every time. And the reason that we check people's blood pressure so commonly is because it is an indicator of health, of metabolic health specifically. Some other measurements, you can't tell just by looking at yourself. You need to get your blood work checked. You need to see what the level of sugar in your blood is, what we call the fasting blood glucose level. And then you do need to know what some of your cholesterol levels are. But importantly, and this is one key thing that I want people to understand, is we're not focused on the cholesterol measure that most doctors talk to you about, what we call the L.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, so there is just by looking at yourself, you may not be able to tell. But it turns out that your waist circumference is one good thing you can look at in yourself. And in general, having a larger waist circumference is an indicator of being in poor metabolic health.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“I don't think it's only sugar. I think sugar plays a large part in the process. And the way that I look at it is we have to look at what leads to sugar building up in our bloodstream. And this is another important concept to understand because most people think, oh, well, the reason that we get high amounts of sugar in our blood is because we're eating too much sugar. And that's indirectly true. But the reason that we end up really getting high amounts of sugar and arrow bloodstream is because our metabolic health, what we kind of started talking about earlier, gets broken. So we have to look at what's breaking our metabolic health if we really want to get to the root of this problem.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“The other theory won out that it was the cholesterol in the diet, and like I said, it makes sense to go down that pathway and we can see how we started pursuing that. But we need to step back now 70 years later, seeing that it's not working and maybe saying that maybe it was sugar all along. Maybe it was sugar in the first place.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“And maybe it was something else. So, you know, when we look at what else might it be, and again, when we go back to the early days of this science, the other thing that was talked about was sugar. And there were many leading scientists, again, going back to the 1950s who were saying that it was sugar that was causing this problem. Because sugar damages blood vessels. Again, we know this, that sugar damages the lining of the blood vessel. And maybe the cholesterol is there to repair that damage. Theory, that hypothesis”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Isn't going away, and it's actually getting worse. So we have to step back and say, maybe we were wrong about it being cholesterol that was causing the heart disease in the first place”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“So, when we were first trying to figure out what was causing heart disease and the early scientists, the early physicians were looking under the microscope and they were seeing that there was cholesterol in these plaques. And they said it must be cholesterol and fat in the foods that we are eating that are causing these problems made a lot of sense and we set down a pathway to try and get people to eat less cholesterol. We set down a pathway of developing drugs that lower cholesterol and it would make perfect sense that that would take care of heart disease. And yet here we are seventy years later and people are eating less cholesterol and people are taking medications to lower their cholesterol and yet heart disease.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Well, you know, that's really the million dollar question. So when you look at it under the microscope, what you see is plaque builds up in the blood vessel. And that plaque is composed of cholesterol, fatty stuff, and it has calcium in it. And, you know, when you really get into the microscopic levels, it has some of the blood cells, both the red blood cells, which are oxygen-carrying cells, and white blood cells, which are our immune cells, are all involved in these plaques.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Like any muscle, it needs oxygen. It needs blood to carry that oxygen to it so it can work. Now the unique thing about the heart as a muscle is that it never stops working until the day we die. So it needs that constant supply of oxygen and blood. And when the blood vessels that are carrying that oxygen to the muscle of the heart start to get blocked, start to get clogged, there may not be enough oxygen making it to the heart anymore. That's what we call a heart attack, basically that there's not enough blood flow, that there's not enough oxygen getting to an area of the heart. And that's the most common cause of heart disease. That's what most people are referring to when they say heart disease.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, no, that's down the right pathway. So realize that there are a number of different forms of heart disease. But when most people refer to heart disease, they're referring to what we call atherosclerosis. And what that big fancy word means is exactly what you were getting to. Something gets blocked. The blood vessels on the heart get blocked. So realize that the heart is a muscle.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Sugar the consumption of sugar starts rising dramatically along with the incidence of heart disease, packaged foods, processed foods, whatever you want to call them. These are the things that we see being introduced widespread into society around that time”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, so here in the United States, you know, starting right around 1950, there was a sharp increase in the incidence of heart disease. And at the time, we actually, our sitting president, while in office, had a heart attack. And this set off the alarm bells. And everyone started asking, where did all this heart disease come from? Because it's real interesting. You go back to some of the medical reports from 1900, 50 years before, and heart disease is incredibly rare. The leading physicians of the time would go their entire careers without really seeing heart disease. So something changes in a pretty short period of time. What does that correlate with? It correlates with the introduction of processed food, things like, you know,”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“have become so busy taking care of all the sick people that we've kind of lost the time and the ability to think about why there are so many sick people to start with. And so when I look at something like heart disease and I start to think about why is it so common, why has this become everyone knows someone with heart disease? Everyone knows someone probably that died of heart disease that is suffering from heart disease. It literally is all around us. And I want us to step back and start asking, why is that?”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Heart disease is the number one killer here in the United States and worldwide. Here in the US hundred thousand. Quarter, twenty-five percent of the deaths every year are due to heart disease. So heart disease is incredibly common. But it wasn't always that way. It really only became that way within the past seventy years or so. And we have to ask why. Because if we're going to take the view, which the healthcare system largely has, that heart disease is inevitable. It's so common it must be inevitable, then why wasn't it always a problem? And those are the questions that I think we don't do a good job of asking. We as physicians”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, I definitely carry that weight from all of the times that I've had that conversation. And you know, whether it's an 80 or a 90 year old. That many people would say they lived a good life. They did everything they wanted to do. Or whether it's a 30-year-old young mother who did not get to see her children grow up and whose children need to grow up without her. The conversation is never any easier. And especially Recognizing That most of the time they didn't need to be there in the first place. that they could have heard made changes in their life that would have kept them from getting there. That their doctors could have given them better advice to help them make those changes.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“I said, I'm sorry I said, No. I'm sorry that we weren't able to save. Your mother I said that Your mother came to us. came to me with a devastating problem. and I did everything I could try and save her. Situation Saveable And I just said that I'm sorry no longer with you.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“I realize in the back of my mind every time I'm doing heart surgery, essentially, that I shouldn't need to be doing this. I believe I know that the vast majority of heart disease is preventable, the vast majority of the surgeries that I do are preventable shouldn't need to be done in the first place. And that's why the My mission is so important. That's why I'm doing what I do, that's why I wrote the book. That's why I'm here talking to your audience today. Because it doesn't need to be this way”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“There is no training to do that. Unfortunately, as a heart surgeon, I have that conversation with family members, not infrequently. But having that conversation With children with such a young family members. I don't know that there's any way to prepare for that. I certainly wasn't prepared for it. One of the things that I've come to realize is no matter how good a heart surgeon I might be, no matter how good all the heart surgeons out there are. You're always better off if you never needed the surgery in the first place And understand that I'm essentially looking to put myself out of business. I spent my entire life. Becoming a heart surgeon, preparing to be a heart surgeon. I still love being a heart surgeon, but”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Different condition, a congenital heart condition I've operated on 20 year olds. I haven't operated on 20 year olds with atherosclerosis. But I don't think we're far from that point. When we look at the fact that a third of the children are obese. That we see metabolic disease increasingly in teenagers and even children as young as eight or nine years old. There were going to be 20 year olds ending up on my operating table in not too long a time.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, she was 38. This is one of the most troubling things that I have seen during my career as a heart surgeon. Understand that I started my career as a heart surgeon twenty years ago, and at that time I We would operate on seventy and eighty year olds. 60 year old it was rare that we would operate on fifty year olds. Today, just twenty years later, I routinely operate on forty year olds, and I occasionally operate on a thirty year old like that woman.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Clinically obese, high blood pressure, I would say she had probably all five measurements of her metabolic health abnormal, and no one would have. Although I don't know this for sure. No one likely ever had that discussion with her.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“So Developed a condition. It's called an aortic dissection, where her blood vessel leading out from her heart tore, and that comes from high blood pressure and she had high blood pressure that wasn't adequately addressed, wasn't adequately treated. And I believe that her condition was a hundred percent preventable. I believe that if had understood that her high blood pressure was because of the food that she was eating. If they had given her better advice around the food that she could be eating and the impact that this was having on her life, that her path could have been changed.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Well, it's actually the opening chapter of my book. It was the day that a very young woman ended up on my operating table, and she did not make it off my operating table. She came to me with a devastating cardiac condition. Me and my team spent over ten hours trying to save her life, but ultimately we could not save her life. And I had to go tell her young children. That their mother Was not coming home to them? That The most challenging day of my Career That was a day that I realized things had to change. That was one of the days that set me on this pathway that set me made me realize the mission that I needed to be on, to keep people off of my operating table.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“And what has happened in our modern environment is that system has broken down. And we end up storing too much of the energy, and we end up not being able to ever use that stored energy. And that has a whole host of downstream problems that it creates. And these are things like heart disease that I treat every day. These are things like diabetes, cancer, Alzheimer's disease. All of these chronic issues that we see becoming so common in our society today.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“So I define health today as our bodies working the way they should. So, you know, I talk about metabolic health in the book. And the way that I define metabolic health is that our bodies are properly utilizing the inputs that we are giving it. And the primary input that we give our bodies is the food that we eat. And so when we eat one of three things is really supposed to happen to that food. Some of it gets turned immediately into energy for us to fuel all of the activities throughout our day Some of it gets broken down so that we can build and rebuild the tissues in our bodies, processes that are always going on. And then a little of it is supposed to be stored for times when energy is not available.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, I wrote the book because I struggled to find this information. I, as a heart surgeon, I as a doctor, I as someone in the medical system that is supposed to be built around making people healthy and keeping people healthy, struggled to figure out the information that's in that book.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Sort of assumption built into that that the human body is destined to become ill, that we're destined to develop these problems and that the only way that we are going to be able to manage and head off these problems is by advancing science, by coming up with more pharmaceuticals and more surgeries to treat the problems. Instead of considering the fact that it might be something we are doing to ourselves.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, I think my view now is that medicines should be necessary a lot less often than we use them. When we look at our health, we shouldn't really have the baseline assumption that we have today that if someone's in poor health, it's because they're lacking medicine. It's because we haven't figured out the right treatment for them. Usually pharmaceutical based treatments, maybe it's going to be a procedure or surgery. But there's almost a”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Usually it was the counting calories, it was eating less, doing more, it was eating a low-fat diet. It was all of the advice that we have heard our entire lives. It was everything that I had been taught in school, in medical school, about how to Educate people on being healthy, and yet what I realize in retrospect, and I didn't really recognize at the time, admittedly, but I realize now, is that it wasn't working for me and it wasn't working for my patients. But I had fallen into, I think one of the common traps that we fall into. And when we give people advice, and the advice doesn't work, we just assume it's because people weren't following our advice. And we as individuals, but certainly we as the healthcare system, are not very good at considering that maybe we're giving lousy advice.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“And I had the same short term success that I had had before. I was able to lose a bunch of weight and I said this is great. But I realized that something was different because month after month, year after year, I was able to maintain it. And I was, as I learned more, as I walked down this journey, I came to realize what is at the true cause, the true root cause of our health problems. And understanding those true root causes of our health problems is what has now led me to the long-term success. And I can sit here now, you know, eight years later and say that I know that I have truly tackled my health challenges, and now I can help others.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“And Gary introduced some concepts to me that I really hadn't heard before, that the types of food that we eat may be more important than the amount of food that we eat. And it made a lot of sense and it sent me down a pathway where I started to think differently about my health. And so I read Gary's books and I eliminated sugar at first and started changing the foods that I was eating.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“You know, there were many times during my life when I told myself that. And I would make changes and I would have some short-term success. I would change what I eat. I would try and do different activities. I would lose some weight. But like many people have experienced, it didn't last over the long term. Turning point really came a little bit unexpectedly for me. I was actually attending a medical meeting, a conference of heart surgeons, and the speaker, one of the guest speakers, was a journalist by the name of Gary Tobbs. And he had just written a book at that time called The Case Against Sugar prior to that he had written good calories, bad calories, and why we get fat.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“And the reason that we know this is because human genetics don't change that quickly. Yet in the past hundred to one hundred fifty years, we've seen this explosion, this epidemic of chronic disease, things like obesity, diabetes, even heart disease, the very condition that I have spent my life treating was relatively rare, was almost undescribed a hundred twenty years ago. And so we know that human genetics don't change that quickly, yet we see these diseases developing so quickly, and that should tell us that it's not genetic, yet almost everyone when they go to their doctors and they ask why did this happen, the common answer they're going to get is because it's our genetics.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, so my parents were both overweight, had both struggled with obesity their entire lives, and as I mentioned, my father had developed heart disease, and I was under that same impression that there really wasn't much I could do because it was genetic. But I think that's one of the biggest myths we need to dispel around medicine today. Very little of the sickness that we see so prevalent in society around us is truly genetic.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, so I was morbidly obese. I was a hundred pounds heavier than I am today. I was pre-diabetic and I was in my late 30s and realized that I was going to end up on my own operating table, so to speak. I was walking the same path that so many of my patients had walked down. I had family history. My grandmother died of heart disease. My father has had heart surgery, and I knew the path that I was headed down, but I didn't know how to change that pathway. And that's the problem that I'm really trying to solve for people, to get them to realize how they can change what many of them see as their destiny.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“So I am on a mission to normalize health. I want people to be healthy again. And it really was my own personal journey that set me off on that mission. I found myself at a spot that I was a very unhealthy heart surgeon. And that's going to sound pretty surprising, I think, to people. You know, they think that here I was, here I am a heart surgeon. In many ways at the pinnacle of medicine and trying to get people back from the brink of death and yet I was headed down that same pathway myself and I was so unhealthy myself and I had to figure out how to save myself and that has really opened my eyes to how much we need to save society at this point because we are a very sick society and we need to be saved.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT
“I was 100 pounds heavier than I am today. I was going to end up on my own operating table. I came to realize the true root cause of our health problem. Sugar is more addictive than heroin. Processed food is addictive. 88% of adults are not healthy, and 600,000 people die from heart disease every year. If we don't change the course in the next 50 years, we're not going to have a society left. A very young woman, a 30-year-old, ended up on my operating table, and I had to go tell her young children, I'm sorry that we weren't able to save your mother.”
2023-04-20 · The Diary of a CEO · No.1 Heart Surgeon: Cardio Is A Waste Of Time For Weight Loss! Philip Ovadia · IDENTIFIED FROM THE TRANSCRIPT