The core theme is the importance of proactive, long-term health planning, focusing on maintaining functional independence and a high quality of life into old age, rather than just extending lifespan. This is achieved through a combination of a strong "why," strategic health interventions like V02 max training, and minimizing friction in habit formation.
Mind Map
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What is the what's the most important
thing that we haven't discussed in your
work or the most important idea that I
don't know has changed your life? Maybe
people don't understand it or think
about it enough that's foundational to
having a great health span, living long,
being healthy, all of those things that
maybe we haven't discussed.
>> Yeah, I want to address that question in
you have to, we talked about temporal
disconnect and doing the things today
that feel good today, but for the
future. And so, the way I have really
changed since I've been through this is
uh, I have thought ahead about what I
want to be when I'm 97. And how did I
choose 97? Well, I'm 57 now. My
daughter, my youngest daughter was born
when I was 40. If I want to be around to
bug the heck out of her until she is my
age, I need to live till 97. What do I
need to do to do what I want when I want
when I want it? Like you can imagine, I
don't want to be told what to do. I'm a
surgeon. I'm usually in control of my
environment. And I think people just
want to be in control. I want to do what
I want. Well, what's it going to take if
I just wait until 63
when when my health span is over to pay
attention? I'm never going to get there.
So, that has really pivoted my mindset
that even I have to do it every day.
Now, I don't love doing it. I mean, I'm
not going to lie to you. I don't love
going and working out most days, but
with this perspective, I will. But the
other the other tenant that I think is
so important, we talked about lifting
heavy, we talked about zone two and
sprinting. Something I've layered on
this year,
uh, is the concept of our V2 max and the
fragility line. Fragility means you get
older, slower, weaker,
uh, you lose your functional capacity.
25% of all people are frail and unable
to live independently by the time
they're 85. not on my watch. And so, um,
the frailty line is the cardiovascular
health that you need, cardiovascular
capacity that you need to be independent
in your own home. You may not be running
marathons. So, for men, it's 18 uh
milliliters of oxygen per kilogram per
minute. For women, it's 16. So, how do
we figure this out? I would go have my
Have you had your V2 max tested?
>> Uh, I haven't. It's torture, but you
should do it,
>> I think. Well, I had a cardiovascular
examination and they made me sprint on a treadmill.