Jack Kruze is a narcissist
I could tell immediately. I listened to that whole conversation, but at the detriment to my mental health lol it was so triggering. Will you do an ep or series about dangerous personality disorders? Red flags? I can spot em cuz I was raised by them, but other ppl easily fall prey as victims or followers
Uterine Surgery
Recovering from abdominal surgery Please talk with us about every step of major surgery. I’ve had two abdominal surgeries – myomectomy (C-section), then 14 years later, total hysterectomy (laparoscopic). Please address preparing for, experiencing, and recovering from surgery. I’m especially interested in: How to prepare a body for surgery The cellular impact of anesthesia – all organs, all tissues – and how the body metabolizes anesthesia Sleep apnea and anesthesia CO2 used to inflate the abdomen, and how it is metabolized (ouch!) The tissue and cellular reaction to surgery – from start to finish – for example: o When an IV line is placed, this happens o The purpose of the IV fluids is…and the tissues react in this way… o When anesthesia is administered, these things happen o Etc. Super detailed, please! How is the body healing? o Tissue heals this way o Cells react this way What happens to the body when there is an internal bleed? (Happened to me – I felt the small, ballooning pool of blood below my left ribs – we went to the ED, where providers discovered a more concerning issue…hyponatremia!) o Recovering from a bleed o What to expect when the body is self-healing (my body developed a huge hematoma – something like 13” by 15”) o How the abdominal tissues align – I learned of oblique tissues that effectively form a V shape, and that blood and fluids travel along these pathways and pool at the lowest point. Uncomfortable!! How to hydrate – more or less? o Risk of hyponatremia (this happened to me, and I spent two nights and three days in hospital recovering – providers said they were surprised I was not seizing) o Preventing hyponatremia – the importance of Na+, electrolytes, etc. Should we consume more in the days preceding and following surgery? o Treatment for hyponatremia – why it’s important to increase Na+ slowly – brain impacts, etc. How to care for a body during and immediately after surgery o Rest is important because it does this for your tissues o Active recovery looks like this…and why o Ideal nutrition looks like this…and why o You should supplement with this…for this long…because… How to return to an active life o Start with this … because… o Then this…because… o What is happening in our musculoskeletal structure that supports the rest of the body, especially the surgery site How long does the body feel the impact of surgery? Or, when can a person expect to “forget” they had surgery When is internal healing complete? When is it reasonable to return to extreme activities that use a lot of core strength and proprioception like whitewater kayaking? If ever I return to the Stanford campus (was recently at SHCM) and schedules align, I’d like to shake your hand and say thank you in person. Thank you! Pardon any typos! P.S. After a friend turned me on to your show in 2022, I began recruiting everyone I know to your podcast – especially my friends in health care and other ologies. Nice work.
PTSD and or Bipolar with Lisa Feldman Barrett
I'd like to hear your dialog with Lisa as a follow up to your recent episode. Does the DSM-5 need to be scrapped? Are all mental health diagnoses constructs of millennia of misunderstanding of emotions? Are those with "PTSD" or "bipolar" simply misunderstood due to their "different" experience of emotional energetic states that don't fit into society's expectations?
Is it novelty, difficulty, or perdurance of challenge that triggers growth of the Anterior Mid-Cingulate Cortex?
I am persuaded & fascinated by your interpretation of the Colombe et al. "Aerobic Exercise Training Increases Brain Volume In Aging Humans" study, viz., that what triggered growth in the aMCC--with all its implied benefits for cognitive function and lifespan--was not so much the stimulus of aerobic exercise as the action of choosing to adopt a novel pattern of difficult action--and to stick to it. This raises a theoretical question with significant implications for how one would apply your interpretation practically in terms of a protocol, viz.: Which of the following are necessary and sufficient conditions of aMCC growth from challenge? A) Choosing to perform a hard action B) Choosing to perform a new action C) Sticking to/ repeating the performance of a new/hard action To put this question practically and concretely, if I were to use exercise as a protocol for attempting to trigger aMCC growth, which of the following would probably suffice? A) Repeatedly performing qualitatively similar but REALLY hard workouts--hard enough that they require activation of the will to overcome fear/ aversion to start? E.g.: not merely improving slightly & incrementally on running interval training by slightly increasing repetitions or speed, but adding enough repetitions or attempting to sustain so much speed that the probability of full success for any given workout is less than 90%, and pain is a certainty? B) Performing qualitatively new exercise--e.g., rock climbing, wrestling, something with a completely different physical pathway? C) If B) is required--much one stick with the new exercise and make into a new habit, as did the trainees in the study? Or is it actually better to cycle through a variety of new exercise regimens on a weekly basis? This emphasis on variety was once a feature of CrossFit training circa the early 2000s. This question may ultimately amount to a question about how aMCC growth is connected with task bracketing. If the aMCC is triggered by simply "doing hard things", i.e., sheer mental effort, then novelty of tasks will not be necessary so long as one keeps ratcheting up the difficulty of existing efforts. If novelty is required, but habit-forming is not required, then rotating a carousel of novel tasks that are entertaining--even though they are difficult--might be the answer. This does seem to be the spirit in which many highly functional elderly individuals approach their various hobbies. But if, finally, the optimal stimulus for aMCC development is connected to task bracketing, then that would suggest that the optimal protocol would involve sequentially choosing a qualitatively new, even scary task, mastering it by making it into a habit, and then moving on to another. I understand that the research may not exist yet to answer these questions definitively, but I would be grateful for any insight you could provide. Thanks, Ross