Youknow, makingtheseloftyresolutions 2020 isgonnabemyyearscouldbemydecades, butwemake a fewcommonmistakes, whichiswhysomanyresolutionsdon't reallylastbeyondJanuaryorcertainlythefirstweekinFebruary.
Andthat's reallywhat I triedtotacklewiththisbookinthisapproachongetsthisideathatactuallychangedoesn't havetobeashardaswethinkitis.
I mean, whenyousaythat, I mean, weneedtoworkoutwhywefail, I suppose, onDDE a lotofuswillbegintheyearorbegin a moment, youknow, withitwith a biggoalon, besuccessfulfor a littlewhileandthenwegiveupwhatwegiveup.
Well, youjustyouactuallysaidtheantsTheysaidfor a littlewhile, and I thinkthat's thekey.
Itisquitecleartomeaftertalkingtohim, thattherewerevariouscomponentsofhislifestylethatwereactuallycontributedtothewaythathewasfeeling, and I discussed a numberofoptionsforthem.
SaidWhataboutthis?
Whataboutthat?
Theoneheweightedlikewithstrengthtraining.
Hesaidtome, especiallythat's it.
I wanttodostrengthtraining.
Whatshall I do 40 minutes, threetimes a week?
I said, Hey, ifyoucoulddothat, thatwouldbeamazing.
Sohewalksoutfeelinggoodabouthimself, andwemake a followupappointmentfor a month.
But I justwantedtostepoutofthatfor a littlemoment.
Justsayyou're a manon a mission.
I amanamounton a mission.
Yeah, I am.
Um I mean, look, I'vebeen a daughternowalmost 20 years, writesondhe.
I wenttomedicalschoolwith a viewtohelpingpeople.
That's what I thought I wasgonnalearnhowtodowhen I didupto a point.
Andas I startedpracticing, I startedoffinhospitalmedicine.
I didmyexamstobecome a specialist.
I wasworkinginkidneymedicine.
I felt, youknow, we'llbebecoming a littlebitreductionistabouthowwe'relookingatallthedifferentorgansisseparatepartson.
I justfeltforme I didn't wanttospendtherestofmycareerjustseeingkidneyproblems.
Andso I tooktheratherunusualsteptogofromthattobecoming a GP.
Mydadwas a littlebitshocked, surprisedthat I madethatmovefromgoingfromthissortofesteemed, hallowedturftraining, tobe a specialist, tomoveintobecoming a generalist.
Butthat's what I did.
I'vegottosay I lovemyjobas a GPbecause I gettoseeeverything I gettojointhedotsandseehowonethingaffectsanotherthing.
I thinkthatscenesomeonebetween 40 and 50 patientsand I lookedattheliston I askedmyself, Broken, Howmanypeoplehaveyoureallyhelpedtoday?
Andhandonheart, I thought, helpsabout 20% ofpeople.
Theother 80% I'vedonesomething, youknow, I referredthemorsomethingfor a test, but I thoughtthatyou'd beback.
I mightput a stickingplasterontheirsymptoms, buttherewouldbeback.
And I wasgettingreallyquiteforstraightsandhad a fewlifeexperiencesthatchangedmyviewon I wentouttolearn.
I said, I'm notgonnadothisAndthat's 34thyears.
I'm gonnafindanotherwaytoreallyhelpthesepeople.
Soareyouintruth, A bitof a sortof, Ah, skeptic.
Whenitcomestomedicine, it's a lotofdoctorsarebecausewhatyou'reconcentratingonthisisthishealth I'm wellbeingandlivingthebestaliveratherthanfixingthingswhentheygowrong.
Yeah, youknowwhat?
I thinkthat's aninterestingwaytoputit.
I'm notskepticalofmedicine, perse, right.
I thinkthewaywe'retrainedisforanerathathasmovedon.
Sowearetrainedtolook a setofsymptoms, comeupwith a diagnosisThen, generallyspeaking, prescribedthesolutiontothat 34 yearsago.
Questionthatwentreallywell, right?
Mostproblemsthatcametosee a doctor.
Whatacuteproblems, Right.
Solet's sayyouhad a chestinfection, right?
Reallybadchestmakesyoucoffee.
Yougot a fever.
You'rebringinguplotsofgreenflamYougonnasee a dot?
Sothedoctorsays, Yeah, actually, thismightbe a pneumonia.
Mightbe a chestinfection.
That's theovergrowthof a bug.
I'm gonnagiveyou a pillisgonnakillthatbugon a weeklater.
Thatproblem's goneaway, right?
BrilliantmodernmedicineAtitsbest, thepromiseofhealthlandscapeoftheUKinmanycountriesaroundtheworldhaschangeddramaticallyinthelast 2030 years, whenthebulkofwhatweseeisinsomewaydrivenbyourmodernlifestylesonDhe, I think 80% ofwhatGP C isnowonanygivendayisn't somewaydrivenbyourcollectivemodernlifestylesarenotputtingblameonpeople.
Therearelotsofpreciousinthemodernworld's, butwehavetoacceptthatthatishaving a negativeconsequenceonourhealth, notjustobesityandtypetwodiabetes, whichiswhateveryonealwaystalksaboutwhenitcomesto a lifestyle, butalsothingslikementalhealthproblemswhichareontherise.
Look, I wantSam, a doctorwho's notgivingthemounts.
I thinkit's abouttheappropriatecourseofactionforthepatientinfrontofyou.
Soifthepatientwants a pillbasedsolutionand I'vegiventhemotheralternatives, a camerakaywiththat, I wouldneveryouknow, withholdsomethingfrom a patientthat's theirdesiredchoice.
Butwhattimewe'renotgivingthem a choicewassaying, You'vegotthisproblem.
Thisisthedrugtotake.
I'm saying, Holdon a minute.
Whatdowehave a conversationwiththepatientandletthemchoose a question?
They'renotdoingitright, and I thinkthat's becausewedon't teachpeoplehowtodoit.
Wegivepeople a lotofwhattodobutknowhowtodoit.
Sothenthat's onecomponentthere.
But I alsothinkwelookatlifestylepurelyasprevention.
That's a year.
Licearepreventismuchbetter.
I ofcourseitis.
Butmyselfalsocanworkhistreatments, andthat's againanothermissingpiece, which I'm tryingtochangeandtheway I'm tryingtochangethat, apartfromthework I dowithpodcastsandTVshowsandbooks, youknow, I created a veryfirstRoyalCollegeofGPaccreditedprescribinglifestylemedicine.
And I said, Well, look, itseemstosaythatWednesdaymeetingisyourtriggerpointsand a wonderfullittleturnitwaythatyoumightwanttodestressandthatjustsee, thatmakes a difference.
Nowforhim, thathappenstobe a yogaclassnearhisofficeornearwithoutwherethatmissingWaason.
I said, Whatwouldyouconsiderdoingthathegets?
Look, I'llgiveit a gay I'm notveryhopefulaboutGiveit a go.
But I thinkthatthatcasewiththeillustratesjusthowpowerfulitcouldbeforallthefirstmyselfincludedtolookatourlifestyle.
Go.
What's thetriggerpoint?
Whendo I start, Godownhillandengagedandbehaviorsthat I don't ordinarilylike.
Butthisweek I'm inLondon.
I'm doingeventseveryevening.
I'm doingbreakfasteventsomethinginterviewsallday.
I'm knackered.
I'm notsleepingwell, I'm outofmyroutine.
I amstarttocrave a lotofsugarysweetsandtreats.
I actuallydon't tendtohaveoneofourhomeinmyroutineon I'm sendingin a sheepstationlookingatthatpackofsweetsomeoneYouknowwhat I'm gonnahavethatwillyoufeellikeit.
I alsowassusceptibletothesamedecidesaseveryoneelse.
And I findithardestcontrolwhen I'm tiredand I'm stressed.
Butisthathome?
I controlmyenvironment, so I don't keepthatstuffaroundMay.
Soit's hardformetodothatbehavior.
I mean, itisinterestingthatyou'reyourapproachtothisisnottosayifmodernlifeisthecauseofsomuchoftheseproblemschangethewayyou'reyou'relivingratherthan, youknow, change, changeorsortofyourhealthhabits.
You'reyou'relivingthesamekindofhecticmadlifeofbeing a doctorforhalftheweek.
Podcasting, writing, books, beingonthetelly.
Yeah, doingpromotion, I mean, I meanisthatisnotjustyou, becauseyouenjoyitorbecauseyoudon't reallythinkit's possibletooptoutofmodernlifeinthemodernworld.
Yeah, that's a greatquestion.
I thinkitisverydifficulttooptoutfully.
I guessthequestionis, howmuchdowewanttooptinuptowhatpointwearelivinginthemodernworld.
Weareallsusceptibletothepreciousoutthere.
And I'm sayingyoucan't change a lotofthat.
Butwhatyoucanchangeisfocusabout a timeeachdayonyourselfagain.
Ifwetaketoothbrushingisananalogyagainst a brilliantone.
Youbrushyourteethtwice a day, I'm guessing, right?
Probablyforaroundtwominutesinthemorning.
Twominutesintheevening.
Youdon't needtobemotivatedtodothat.
Youdon't needs.
You'llwanttoremindyou.
Hey, comeon.
Youneedtobrushyourteethtonight.
Youdidthatright.
Whetherit's January, whetheryou'reknackeredandyou'vedone a long, longday, I'm guessingyou'restillbrushyourteethbeforeyougotobed, Right?
Now I'm makingthecasebecausethefiveminuterecommendations I make a splitupintothreeareasminds, whichismentalhealthbodywhichismovingyourbodyandhearts, whichisabouthumanconnection, which I thinkisprobablythemostimportantonewecantalkaboutthathewants.
But I'm saying, ifyou'regonnagiveyourdentalhealthfourminutes a day, doweknowittoourselvestogiveofffiscalhellmentalhealthandemotionalhealthforrefinements a dayaswell?
I thinkthereasonisbecausewedon't thinkofitlikethat.
It's fiveminutesenough.
What?
Let's flipit.
Ifthatwasn't a glassofwar, saythatthatwas a glassoff a sweet, sugarybeverage, rightforthecaloriesthatsay, onif I askyouforfiveminutes a day, everydaytodrinkforfiveminutes, continue.
Seethatdrink?
Itwouldn't surpriseyou, wouldit?
Ifin a fewdaysactuallystarttofeelyourteethfeeling a bitsensitive.
Youfeelaboutmoodyfeeling a bitfatigued.
You'renotsleepingsowellorsubstitutethatfor a cigarette, right?
A fewdays.
Ifyoudon't smokeandyousmoke a cigaretteforfiveminutesthere, youknowthatyoustartcoughing, youknowgonnabefeelingsogood.
Weknowthatbadhabitsaddupveryquickly, butwedon't look a goodhabitsinthesameway.
And I knowthatifyoudevotefiveminutestogoodhabitsratherthanbadhabits, theyaddupinexactlythesameway.
Solet's breakitdownthen.
I mean, asyousay, you'vebrokenitdownbetweenmind, bodyandhearts.
Well, actually, menbetweentheageof 30 and 45 probablyoneoftheloneliestgroupsandsocietywerelivingtheseultraconnectedlivesonphotosand e mails.
Wethinkwe'remoreconnectedthaneverbefore.
Thatmaybetruewithdigitalconnection, butintermsoflikemeaningfulhumanconnection, I don't thinkwe'veeverbeenthisisolated.
Soheartisallaboutfiveminutes a dayofconnectionconnectionwithyourpartnerconnectionwithfriendsconnectionwithyourself.
And I actuallythinkthisisthemostcomponentsoffhelp, I think, themostundervaluedcomponentsofhealth.
I thinktheJanuarynarrativeisalwaysaboutalcohol, dietsandmovements.
Andactuallywhat I'veseenquestions.
Whenyougetheartsrightwhenyougetconnectionrights, bodyandmind's actuallytakecareofthemselvesbecauseoftenit's thatlackofconnectionwefeelthatcausesustoengagein a lotofthoseotherbehaviors.
Sotogiveyou a tangibleexampleofwhat I'm talkingabout, myfavoriteheartrecommendationiswhat I callthetearitualorsomething I useofpatientsthatusedwithmyself.
Itsoundssosimple, buttheregularpricesofdoingthathasmadeusfeelclosertooneanotherbearsmoreintimacyin a relationship, anditallstartswithoutfiveminutesofconnection.
OneistakingoffintheUKUm, I I inspeedNick, theCEOofParkwhen a whileagoonthepodcast, andhesaid, No, whatwronginParkRunis a socialinterventionmasqueradingas a runningevents.
Soitisnotwhat I'm aftertheir I'm aftermakingthatimpact, because I believethatpeopleareconnectingwiththeway I'm communicateswitharms, seeingtheimpactsoffthat I became a doctortohelppeople.