0:05

I want to introduce

0:05

you guys to tonight's guest. And

0:11

I saw you on here, Dr. Lam. I

0:11

want to start by reading your

0:19

bio, just to kind of go there,

0:19

and then we're going to

0:22

personalize it a little bit. Dr.

0:22

Lam graduated with a Bachelor of

0:30

Science in fine arts from

0:30

Pacific Union College. That's

0:34

where we met and earned her

0:34

Doctorate of Medicine degree at

0:38

Loma Linda. She's board

0:38

certified in family medicine,

0:42

and anti aging and regenerative

0:42

medicine. She has completed her

0:46

fellowship in anti aging,

0:46

metabolic and functional

0:49

medicine and is a graduate of

0:49

the Institute of functional

0:51

medicines, applying Functional

0:51

Medicine and clinical practice

0:54

course. Her career focus is in

0:54

primary care, along with

0:59

functional and integrative

0:59

medicine, with emphasis on anti

1:02

aging, lifestyle, medicine and

1:02

nutrition. She won a Medical

1:06

Scholarship Award for

1:06

preventative medicine and is an

1:09

author of the international best

1:09

selling books, advanced symptoms

1:15

of adrenal fatigue syndrome,

1:15

metabolic approach, and adrenal

1:18

fatigue syndrome cookbook. She

1:18

also co founded the land clinic

1:25

and is the medical director

1:25

there, and has a wealth of

1:28

knowledge, but overall, is just

1:28

a really cool person guys, down

1:34

to earth, great friend, and just

1:34

incredibly knowledgeable and

1:40

willing to kind of share that

1:40

knowledge. And so that's why I

1:45

asked you to be a guest tonight.

1:45

Because, you know, the

1:49

accessibility to information, I

1:49

think is what changes things.

1:53

And so, thank you for being

1:53

willing to join us tonight and

1:57

well being Wednesday. Thanks Ted

1:57

for having me. Absolutely.

2:04

Before we get into tonight's

2:04

topic, being that this is well

2:12

being Wednesday, I want to

2:12

personalize it a little bit. So

2:16

what is something that you do to

2:16

promote your well being?

2:22

Yeah, so I

2:22

think I'm really big into

2:25

wellbeing. So yes, thanks for

2:25

the intro. I think what really

2:32

constitutes well being is t

2:32

mindset, right. I think

2:36

positivity and looking and being

2:36

fulfilled in what you do, will

2:41

also contribute to your well

2:41

being, like, Do you love what

2:45

you do? Or do you kind of go to

2:45

work and you're like, oh, I have

2:48

to go to work because I have to

2:48

go to work. So that mindset of,

2:52

it's not I get to go to work,

2:52

but I want to, or not, I have to

2:57

go to work, but I get to go to

2:57

work, you know. So as for my

3:00

well being practice, I had quite

3:00

a few. But I think Sabbath rest,

3:07

I think is one of the biggest

3:07

things I can advocate for. I

3:13

think going through college,

3:13

going through medical school and

3:16

residency, I never once studied

3:16

on Sabbath, the Sabbath day. I

3:21

think I always set that aside,

3:21

not only for my upbringing, but

3:25

just for my sanity, you know,

3:25

that my brain needs that rest.

3:32

And so the rest from work also

3:32

is very important into that God

3:37

set aside. So I feel like that's

3:37

very important. For my well

3:42

being, or else I would go crazy.

3:42

And I think in medical school,

3:45

we also have these, what we call

3:45

golden weekends, which is after

3:49

finals week, you get two whole

3:49

days off, you know, compared to

3:52

just one day. And that was so

3:52

much what we call it is like you

4:01

work hard, but you play harder,

4:01

you know, so something to look

4:04

forward to. I think that's very

4:04

important. The other thing that

4:08

I actually did a lot of is

4:08

sleep, you would think that, you

4:13

know, oh, I have so much to do,

4:13

I should study more, or I need

4:17

to catch up on everything. I'm

4:17

gonna sacrifice my sleep but no.

4:21

If I got less than six hours of

4:21

sleep, I would just get sick. So

4:26

I slept at least eight hours.

4:26

Yes, every night, you know, for

4:32

my own health, but I think also

4:32

because your brain needs that

4:36

sleep to be able to process

4:36

everything and package it into

4:40

your memory. And, the healing

4:40

also comes in the sleep. So

4:45

unlike so many people who rely

4:45

on caffeine, because they don't

4:51

sleep very well, I actually like

4:51

r rarely drink coffee even, you

4:55

know through my medical school

4:55

days, and even now I rarely

5:00

drink coffee. That's not to say

5:00

that I don't believe in coffee

5:05

or things like that. But usually

5:05

coffee is used as a crutch

5:08

because you are tired. So how do

5:08

you prevent yourself from being

5:12

tired is by, you know, making

5:12

sure you get enough good sleep,

5:16

to begin with. Definitely Eating

5:16

healthy is part of the well

5:21

being, I think a lot of people

5:21

know that. Half your plate

5:25

should be vegetables at every

5:25

meal. So that's just a general

5:30

thing that I would say, Setting

5:30

aside time to do what you love

5:36

what I love to do, I love to do,

5:36

I love to hang out with friends

5:39

and family, church, family and

5:39

community and I love to do art.

5:47

And then purpose and

5:47

fulfillment, I talked about this

5:50

in the beginning, but finding

5:50

what fulfills you and what you

5:55

do daily. For me, maybe it will

5:55

be helping to heal patients by

6:02

not only in a physical way, but

6:02

spiritually too. So that's how I

6:07

find fulfillment in what I do.

6:10

Huge. And I think

6:10

it's worth noting, right?

6:14

Sometimes the idea is it's easy

6:14

to say until you're really busy.

6:19

Right? So it's so easy to say,

6:19

Okay, so let's set time aside

6:24

for this or set time aside for

6:24

sleep or set time aside for a

6:30

whole day where you're not going

6:30

to do anything. And the excuses,

6:35

well, I'm probably busier than

6:35

you are, right. But it's very

6:40

interesting that, you know, with

6:40

everything that you've gone

6:45

through, that's busy, right,

6:45

like starting medical school,

6:50

residency, you know, all of the

6:50

things it takes, that is

6:55

extremely busy. And I think as

6:55

you enter into these spaces of

7:00

higher productivity, the rules

7:00

are more important. I don't

7:05

think you can function at the

7:05

highest areas without truly

7:10

paying attention to those rules,

7:10

because the burnout will be that

7:15

much worse. And so I do think

7:15

it's powerful, just to mention,

7:20

that it's somebody, it's coming

7:20

from someone that has been

7:25

through the busyness and it's

7:25

not a sacrifice of how much you

7:30

need to get done. It's actually

7:30

how you get that stuff done.

7:36

Right? Yeah,

7:36

if you make it a priority,

7:39

you're not going to feel like

7:39

you're missing out, you know. It

7:41

actually just relieves you. You

7:41

have those rules set.

7:46

Yeah, that's awesome.

7:46

So we talked a lot about purpose

7:50

being a foundation of well being

7:50

in well being Wednesdays. And so

7:56

I wanted to ask, just kind of

7:56

start with a purpose story. You

7:59

know, I think a lot of people,

7:59

we've talked about it as

8:03

students, but a lot of people

8:03

felt a calling or a family

8:07

member or something that led

8:07

them into healthcare or the

8:11

wanting to serve people. And so

8:11

being that you currently are the

8:16

director of your own clinic and

8:16

started the LAM clinic. Is there

8:22

a story behind how you ended up

8:22

in that current role? Or how you

8:26

ended up in medicine in the first place?

8:30

Yeah,

8:30

definitely. I'm one of those

8:32

people that say I've always

8:32

wanted to be a doctor, you know,

8:36

ever since I was young, and it

8:36

stemmed from my father. He was

8:41

also a medical doctor who went

8:41

to Loma Linda. But he ended up

8:45

actually coming out and doing

8:45

integrative medicine. He's been

8:49

doing nutritional coaching,

8:49

basically, for the past 20

8:53

years, all over the telephone,

8:53

and decided to go the natural

8:57

route. So even though we've been

8:57

trained conventionally, with the

9:02

medical school, and to be an MD

9:02

and be able to use medications,

9:06

we decided that our philosophy

9:06

on health is to get to the root

9:11

cause. And so seeing him

9:11

practice and help a lot of

9:14

different types of people. The

9:14

people that he's seen is usually

9:19

people that have gone to seven

9:19

eight doctors, have not gone to

9:23

in their answers, really jaded

9:23

by the medical system and are

9:27

really desperate for health

9:27

help, whether it's alternative

9:32

help or any type of help. And

9:32

so, having seen him help people,

9:36

I obviously wanted to come out

9:36

and you can say, help these

9:40

people but not only

9:40

conventionally, but in a whole

9:44

person type of way. And so just

9:44

knowing that I went through

9:48

medical school and residency,

9:48

knowing that I wanted to come

9:52

out and have my own clinic to be

9:52

able to help these type of

9:56

people, because I could see that

9:56

in conventional medicine, it's

10:01

not really possible to do that

10:01

type of medicine yet. Okay. But

10:05

hopefully in the future we will

10:05

be able to. And so if you don't

10:10

know what functional medicine

10:10

is, I can just give a quick

10:14

rundown. So functional medicine

10:14

is to get to the root cause of

10:18

why symptoms happen. Medicine,

10:18

as we know it, now, a lot of

10:22

times is covering up symptoms,

10:22

for example, someone has

10:26

diabetes, and we give them

10:26

Metformin or pills or insulin to

10:30

lower their blood sugars. But do

10:30

we stop to think about why their

10:35

sugars are high in the first

10:35

place? Do we take the time to

10:39

counsel our patients on diet on

10:39

lifestyle changes, on exercise,

10:43

which could be what is causing

10:43

their diabetes in the first

10:48

place? Correct. And a lot of

10:48

times this, we go see to a

10:51

doctor, oh, you have higher

10:51

sugars, you need to take this

10:55

pill in order to lower your

10:55

sugar. And that's more like

10:59

sweeping the dust under the

10:59

carpet. So with functional

11:03

medicine, we try to, you know,

11:03

get to the root cause what is

11:07

actually causing the diabetes or

11:07

any chronic disease? Integrative

11:12

Medicine is the toolbox, I like

11:12

to say. You have regular

11:16

medications are definitely good,

11:16

like you go to the hospital,

11:20

because acute care is great. And

11:20

surgery is great for keeping

11:25

people alive. But then what

11:25

about chronic diseases, there

11:29

are a lot of variety of options

11:29

that are open to people and to

11:33

patients, not only medications.

11:33

There's nutrition, there's

11:37

natural, there's alternative,

11:37

there's Eastern, there's

11:41

Western, there's a lot of

11:41

different therapies. And so

11:45

integrative medicine is the

11:45

toolbox for all of that. Because

11:49

each patient should be

11:49

personalized in their treatment

11:53

and not algorithmized. So I'm

11:53

really, you know, passionate

11:57

about ,that when patients come

11:57

to see you and they have issues,

12:01

they are a person, and they are

12:01

not a disease, right.

12:08

Figuring out what their root

12:08

cause and how to help each

12:10

individual person where they're

12:10

at is, is very important. And

12:14

then there's also preventive

12:14

medicine. So we want to focus on

12:19

health care, it's called health

12:19

care, it's not called sick care,

12:22

right, we hear that a lot. And

12:22

then nowadays, we're doing sick

12:26

care, because everyone is sick,

12:26

by the time they come in, they

12:29

see the doctor or they see the

12:29

nurses. And so what we should be

12:33

doing is trying to get people

12:33

healthy before they're even

12:36

symptomatic, before they see the

12:36

doctor, before they get to the

12:39

hospital. And so at our clinic,

12:39

we do a lot of elite workups, we

12:45

really want to make sure that

12:45

they are healthy, long term. And

12:49

they age gracefully, you can say

12:49

that. So it's quality of life.

12:55

But I also know that burnout is

12:55

very, very real. And I would say

13:02

in residency was probably the

13:02

hardest time for me for finding

13:07

my meaning in being a doctor or

13:07

in seeing patients. And a lot of

13:14

times I would say it's not the

13:14

person. It's more the system

13:17

that we're in, right? We are

13:17

just thrown in and you're

13:22

expected to meet numbers, you're

13:22

expected to see these amount of

13:27

patients and do what the

13:27

hospital tells you or do what

13:30

the clinic tells you. And you

13:30

say like Yes, sir. And you just

13:35

do it, you know. And so that

13:35

part of wanting to help people

13:40

we can lose sight of, very

13:40

easily. And I can say that if we

13:47

want to help people, we have to

13:47

first help ourselves. So when

13:51

you go on an airplane, they tell

13:51

you put your mask on first

13:55

before putting it on your child

13:55

because if you're not doing

13:57

well, you won't be able to help

13:57

them. Same thing as a healthcare

14:00

provider, you want to make sure

14:00

that you are personally well, or

14:04

else you won't be able to take care of the people that you're taking care of. Does that make

14:06

sense?

14:09

Yeah, and that's

14:09

powerful. And I think, honestly,

14:12

that's the basis of wellbeing

14:12

Wednesday, if you're gonna step

14:17

into the field, and a system

14:17

that might not be fully ready to

14:22

promote well being and I think

14:22

unfortunately, we've seen that

14:27

over the last several years.

14:27

It's a tough system to be in

14:31

and, and it's there for a

14:31

purpose, but when, when out of

14:36

whack it can create its own

14:36

issues. And I think it's, you

14:40

know, someone put in the chat

14:40

inspirational. It is

14:44

inspirational because, you know,

14:44

as a nursing model, it's like

14:49

Whole Person Care, seeing a

14:49

person as a whole. And we hear

14:53

that a lot and then sometimes we

14:53

see something that's a little

14:58

bit different, which can also

14:58

contribute to a little bit of

15:03

burnout or compassion fatigue,

15:03

which is, hey, I came into this

15:08

profession to help people. And I

15:08

don't know if I'm really helping

15:13

people. At the same time, I feel

15:13

like my health is worse than

15:18

when I started. So, I think it's

15:18

inspirational to hear, you know,

15:23

and hopefully that the, system

15:23

of, of healthcare with, you

15:27

know, funding models and changes

15:27

in structures of how you pay for

15:32

health, healthcare, promotes

15:32

more of that preventative model

15:37

and more of the whole person

15:37

then just patchwork. So that's

15:42

super inspiring. So I want to

15:42

get into, okay, so that's kind

15:46

of the macro view of, what

15:46

you're doing and the philosophy

15:51

or philosophy behind, you know,

15:51

medical care and preventative

15:56

care and, functional integrative

15:56

medicine. And I wanted to focus

16:01

on what I would add, maybe it's

16:01

an assumption, I'll let you

16:05

correct me if it is. But Adrenal

16:05

Fatigue Syndrome is one of your,

16:10

clinics expertise. You guys have

16:10

written internationally

16:15

acclaimed material books on that

16:15

subject. And it's really

16:19

connected to the concept of

16:19

stress and adrenal fatigue

16:23

syndrome. And so I wanted to

16:23

spend kind of a little bit of

16:28

time connecting those two

16:28

topics, and really, you know,

16:32

getting into your expertise in

16:32

this because, everybody on in

16:37

this, in this room, or on this

16:37

call on this virtual room, is

16:42

going to be in a constant,

16:42

stressful environment, right?

16:46

Healthcare is a constant

16:46

stressor, each student probably

16:50

feels like they're under an

16:50

immense amount of stress already

16:55

just, with school and studying

16:55

for exams and not having enough

17:00

time for anything. And so stress

17:00

is this inevitable part of life,

17:05

but probably more heightened in

17:05

this group and a group of

17:10

healthcare workers than anything

17:10

else? And so, like, just to

17:14

build a foundation of this, what

17:14

is adrenal fatigue? And then

17:19

Part B of that question would

17:19

be, what's the relationship

17:24

between stress and adrenal fatigue?

17:27

Yeah, great

17:27

questions. So stress, we know,

17:33

affects our whole body a lot. I

17:33

will start off by saying that

17:37

Adrenal Fatigue is not a medical

17:37

diagnosis, meaning it's not

17:42

recognized by the majority of

17:42

the medical community. But if

17:47

you go into the integrative and

17:47

functional world, everyone knows

17:50

what Adrenal Fatigue is. So what

17:50

does it sound like? your

17:54

adrenals are tired, right? So

17:54

what happens when your body

17:58

undergoes stress? The stress

17:58

response? We know now,

18:06

primarily, most people know

18:06

about the HPA axis, we call it

18:09

the hypothalamus, pituitary

18:09

gland and the adrenal gland. So

18:14

well, let's say you see a tiger,

18:14

what your brain does the

18:19

hypothalamus produces is

18:19

corticotropin releasing hormone

18:23

to tell the pituitary gland to

18:23

produce adrenal cortical tropic

18:28

hormone ACTH, which tells your

18:28

adrenals okay, you need to put

18:33

out epinephrine and

18:33

norepinephrine. If this is like

18:38

an acute stress. Epinephrine and

18:38

norepinephrine, as you know, is

18:44

there to really ramp you up.

18:44

It's adrenaline. And so you're

18:48

there to run away from that

18:48

tiger. So it compresses all your

18:53

blood vessels, it gets your

18:53

heart pumping really quickly.

18:56

And that's stress response. And

18:56

then your body over time says,

19:00

well, I don't need this long

19:00

term. Because imagine if your

19:03

heart was pumping all the time

19:03

really fast that would not be

19:07

good for your health. So your

19:07

adrenals release cortisol.

19:13

Cortisol is there as an

19:13

anti-inflammatory hormone in

19:17

order to reduce that stressful

19:17

response that epinephrine can

19:20

produce over time. If you think

19:20

what is cortisol, it's basically

19:25

steroids and steroids are anti

19:25

inflammatory, right? So like,

19:29

you think, oOh, someone has

19:29

asthma, I give them steroids to

19:31

reduce inflammation. That's what

19:31

cortisol is in your body, the

19:35

steroid to help reduce

19:35

inflammation that stress causes.

19:39

And so over time, let's say it's

19:39

not just you see, tiger, but

19:44

your boss is yelling at you, and

19:44

not only one time, but every

19:49

day, or you're studying for

19:49

tests. And it's not just one

19:53

time it's every day. So the

19:53

stress tends to just accumulate,

19:58

even perceived stress accumulate

19:58

in your body to release more and

20:03

more cortisol. And over time, we

20:03

call it adrenal fatigue, because

20:07

we've seen in saliva tests that

20:07

the cortisol actually drops your

20:11

output. Your adrenals output of

20:11

cortisol just gets tired over

20:14

time, and doesn't want to

20:14

produce cortisol. Kind of like

20:17

how in diabetes, your pancreas

20:17

doesn't want to produce insulin

20:22

anymore. And so what are the

20:22

collection of symptoms in the

20:26

name fatigue, right? Adrenal

20:26

Fatigue, you can feel really

20:30

tired, chronically, you can have

20:30

hormone imbalances, whether it's

20:35

in women like PMS, or you can

20:35

have heart palpitations, if it's

20:40

affecting your cardionomic

20:40

system, you can have weight

20:43

gain, or weight loss, if it's

20:43

even worse. You can have a lot

20:47

of gut issues. So a lot of these

20:47

symptoms can be very vague. But

20:54

that's where I come in to this

20:54

neuroendometabolic stress

20:58

response. Now, I know that, you

20:58

know, stress does not only

21:01

affect your adrenals, but it

21:01

affects your whole body. When

21:04

you take that test, when you're

21:04

about to ask that girl out, you

21:07

get butterflies in your stomach,

21:07

right? So stress also affects

21:11

your gut, because cortisol can

21:11

make your gut a little knotted

21:17

up, okay. So I like to see that

21:17

stress is broken down. It

21:25

affects both the neuro the

21:25

endocrine, which is the neuro is

21:30

the brain and the nervous

21:30

system. Endocrine is hormones.

21:33

And it also affects your

21:33

metabolic side, which is your

21:36

energetic, your detoxification,

21:36

and also your inflammation

21:41

circuit. So I've actually come

21:41

up with this model of six

21:46

different circuits that stress

21:46

affects,and depending how stress

21:51

affects your body, it can

21:51

actually affect the different

21:55

parts, and you can have

21:55

different types of symptoms that

21:57

come out. And so the question

21:57

is, yes, stress does affect the

22:04

human body, and it affects so

22:04

many different types of ways,

22:09

right? And how do we help it

22:09

And, and that will be a lot of

22:17

different things. And so Adrenal

22:17

Fatigue is not a medical

22:20

diagnosis. But, chronic fatigue

22:20

can be a medical diagnosis.

22:30

Chronic fatigue basically means

22:30

that you've had fatigue for more

22:32

than six months, that's how you

22:32

can diagnose chronic fatigue.

22:36

And if you've had like

22:36

lightheadedness, when you bend

22:40

down and come up too quickly, or

22:40

if you have decreased exercise

22:47

tolerance. I see a lot of

22:47

patients with adrenal fatigue,

22:50

they can have brain fog, they

22:50

can have sugar changes, meaning

22:55

after you eat, you get hungry

22:55

again, really quickly. You can

22:59

have low libido, you know, mood

22:59

changes, gut changes. And so if

23:05

you do, you know, you definitely

23:05

want to be cognizant of it. In

23:09

the beginning, it might just be

23:09

one cup of coffee, you're like,

23:11

I'm tired, I wake up tired, I'm

23:11

gonna drink coffee. And then

23:16

over time, you're like, okay,

23:16

one cup is not enough, I need

23:19

two cups, I need three cups, or

23:19

I started having palpitations,

23:23

or I start being really tired

23:23

despite drinking the coffee.

23:27

Then you kind of have to dig a

23:27

little deeper, if there's

23:30

something underlying all of

23:30

these things. Stress is a big

23:34

one. That makes sense?

23:39

Absolutely. And so

23:39

here's, here's my follow up

23:41

question to that. You know,

23:41

we're all going to be in a

23:47

stressful environment. So

23:47

everybody's going to operate

23:52

within this stressful

23:52

environment. And I think that's

23:54

one of the reasons why, like you

23:54

talked about at the very

23:57

beginning. Balance being such an

23:57

important thing. Sleep being

24:02

such an important thing, a day

24:02

off being such an important

24:05

thing. And one of the things I

24:05

always say is don't do extra

24:07

shifts ever, like never. For

24:07

extra money, make your out a

24:13

side hustle that is not in the

24:13

hospital. But I truly believe

24:19

that. But for a group of people

24:19

that are going to be for the

24:25

majority of their careers, you

24:25

know, potentially sleep deprived

24:29

and on night shift or

24:29

potentially in these stressful

24:32

environments. Is it doomed to

24:32

the negative impact of stress?

24:38

Or is there a protective

24:38

mechanism against the negative

24:43

health impacts of stress for

24:43

this adrenal fatigue?

24:50

Yeah, you

24:50

definitely want to tackle the

24:53

root cause, right, but there are

24:53

ways of dealing with stress.

24:57

Like you said, not signing up

24:57

for extra shifts or learning how

25:01

to set up your boundaries. A lot

25:01

of times we are such go getters,

25:04

we can't say no, I know that's

25:04

me. But people with adrenal

25:08

fatigue are usually type A

25:08

personalities They're

25:11

successful, because they burn

25:11

themselves out, you know, always

25:16

saying yes, always people

25:16

pleasing. So there are tools

25:20

like learning how to say no. For

25:20

me, it's my husband, he really

25:25

helps me basically say, no, you

25:25

can't do or so maybe that's an

25:29

accountability person for you.

25:29

Or one tool that I use is like,

25:33

oh, I'm sorry, I already have

25:33

something on my calendar. And

25:37

it's the word something so I'm

25:37

not lying, because there's only

25:40

something on my calendar. So

25:40

learning to satisfy your time

25:45

and your boundaries, hey, is

25:45

this a priority? Do I need to do

25:48

this now, is part of the stress

25:48

management. As you go into the

25:56

hospital and as you see patients

25:56

and as we become very busy, it

26:05

is going to be stressful, right?

26:05

But what are some of the tools

26:10

that you can take with you, even

26:10

when you are busy and stressed.

26:16

So one, stress response is

26:16

breathing exercises. As we know

26:27

the HPA axis is more of a

26:27

sympathetic response,

26:32

sympathetic, meaning fight or

26:32

flight. Okay? And then how do we

26:36

help the parasympathetic out

26:36

with the rest and digest? The

26:41

best way is breathing exercises

26:41

and what kind of breathing you

26:46

got to be careful because even

26:46

deep breathing can stimulate

26:48

someone, I've seen that. So it's

26:48

more of a calm 70% of a breath,

26:53

abdominal breathing, where you

26:53

actually get the abdomen out,

26:57

you're bringing the diaphragm

26:57

down, because that's where your

26:59

vagal nerve lies very close to

26:59

your diaphragm. So when you're

27:03

moving that you're focusing on

27:03

your breath, you're meditating

27:07

or having some mindfulness even

27:07

in between patients. That's one

27:12

way that you can kind of clear

27:12

and set your purpose and your

27:15

intention and also bring your

27:15

parasympathetic nervous system

27:20

up. So you're not always in that

27:20

overdrive, that HPA Axis

27:24

overdrive. Another tip that I

27:24

really enjoyed, or you can say

27:34

was helpful when I was in

27:34

residency was love rounds. Have

27:41

you guys talked about love

27:41

rounds before? It was started by

27:49

Dr. Will Alexander and, Dr.

27:49

Harvey Elder. And so love round

27:55

is where you would pick one

27:55

patient a week, to set aside

28:00

maybe 30 minutes, or an hour of

28:00

your time to just sit down and

28:05

talk to them, as a person, get

28:05

to know them, see who they are,

28:13

and what brings them joy, or

28:13

what are they famous for. And so

28:17

us as a family medicine

28:17

residency team with pick one

28:22

inpatient person to actually go

28:22

and talk to you for 30 minutes.

28:27

You can imagine we're so busy

28:27

all day, but we literally set

28:30

aside, it'd be like, one hour of

28:30

our time, basically. We have one

28:37

person go sit by their bedside,

28:37

and we talked to them. And Dr.

28:40

Will Alexander always loves to

28:40

open with what are you famous

28:44

for? Right? And the patient's

28:44

like, Well, what do you mean,

28:48

I'm here in the hospital? And

28:48

but no, we want to get to know

28:51

you, we'd say, hey, we're here

28:51

to just talk to you and, and

28:55

love you as a person. And it not

28:55

only brings so much meaning to

29:01

patients, but also to the team

29:01

to know that the person that

29:05

you're treating has a family,

29:05

has a dog at home that they're

29:11

missing or something, you know,

29:11

or five cats and, they are very

29:16

proud of what they've done or

29:16

their 60 year marriage or

29:20

something because then they just

29:20

light up. They're a whole

29:22

different person. t They're not

29:22

just a patient in a hospital

29:26

gown in the hospital for an

29:26

acute reason.

29:29

So that really changed my daily

29:29

flow, in that I would be looking

29:40

hey, is there a patient that I

29:40

can directly impact every day or

29:47

every week? Because in day to

29:47

day in the flow of things, we

29:55

get busy. We tend not to think

29:55

of them as patients anymore. We

29:59

just say okay, all this patient

29:59

is here for. So it was very good

30:08

to ground me. And if you, as

30:08

nursing students, you have time,

30:18

so don't say you don't have

30:18

time, okay? So everyone can make

30:21

time, find that one person, that

30:21

one patient that you can impact

30:26

that you can just sit down and

30:26

talk to. And you'll be surprised

30:30

how much meaning you can bring.

30:30

Not only to them, but to

30:34

yourself. The way we also did

30:34

it, we offered prayer at the

30:40

end, we would ask them if they

30:40

would be willing to and 99% of

30:45

the time, they would say yes,

30:45

you know, and really appreciate

30:48

it. So I became comfortable with

30:48

praying with patients just from

30:52

doing love rounds. I thought

30:52

that was like, one of the best

30:56

trainings that I got, because I

30:56

don't think you will get that

30:58

anywhere else, but in Loma

30:58

Linda. So I'm very grateful to

31:02

them all.

31:05

That's incredible.

31:05

You know, I knew about will

31:09

Alexander, but I don't think I

31:09

had heard of it as the love

31:12

rounds. But in the emergency

31:12

department, that's the one thing

31:17

that kept me from getting jaded.

31:17

I was sitting down whenever I

31:22

could and asking people, their

31:22

stories, and it brings a thread

31:28

of humanity into a place where

31:28

there's a lack of it, a lot of

31:33

times. It reminds you of your

31:33

own humanity. So it's very

31:39

interesting. That's, amazing

31:39

advice. Those three things are

31:42

huge. So, let's go through the

31:42

chat. You have a lot of people

31:50

thinking they have adrenal

31:50

fatigue syndrome. And then I

31:57

want to go back to the first

31:57

one. Could not wanting to

31:59

socialize or leave the house if

31:59

remote working be a symptom of

32:03

adrenal fatigue as well?

32:06

Well, so I

32:06

would say many people deal with

32:09

Adrenal Fatigue just depends on

32:09

the stages, of where you are,

32:13

because there's four different

32:13

stages In the beginning, yes,

32:16

you could have the wanting to

32:16

stay home not wanting to leave

32:19

house, it's more that might be

32:19

just a mood issue, okay. But

32:24

it's always good to get down to

32:24

the underlying cause. Because I

32:28

always look at, you know,

32:28

whether it's depression or

32:31

anxiety or any neural issues, I

32:31

feel like those are symptoms.

32:36

Okay, I'm depressed, how's the

32:36

depression and actual diagnosis,

32:41

when it's actually a symptom of

32:41

something underlying. Whether

32:44

it's, you know, serotonin

32:44

imbalance or a gut imbalance, or

32:48

maybe your hormones are off. I

32:48

always try to see what the root

32:53

cause of those mood issues would

32:53

be. Okay. And then, basically,

33:00

adrenal fatigue, like I said,

33:00

it's more symptomatic diagnosis,

33:03

but there is testing to be done

33:03

if you're interested. They're

33:09

not usually covered by

33:09

insurance. It's a saliva test.

33:13

And so the saliva cortisol test,

33:13

is what I would usually do for

33:19

just getting a baseline look at

33:19

how your adrenal function is.

33:23

Because it tests your saliva

33:23

four times throughout the day.

33:28

So when you wake up, at noon, at

33:28

6pm, and at night time, because

33:31

you kind of want to see the

33:31

whole curve on how your adrenals

33:35

are producing cortisol, not just

33:35

a one time blood in the morning.

33:41

In conventional world, a lot of

33:41

times they see the cortisol,

33:45

it's either gonna be super high

33:45

or super low, and you only have

33:48

two adrenal diagnoses, which is

33:48

the Cushing's or Addison's and

33:52

there's nothing in between. And

33:52

that's where adrenal fatigue

33:55

kind of falls under. It's that

33:55

in between that stress affects,

34:00

so it's not only just the

34:00

extremes. So what I do, yes, we

34:06

see a lot of people that are on

34:06

the outskirts of the bell curve.

34:10

We're not just the 95%. But we

34:10

do see people like that at Lam

34:14

clinic. I Yeah. Todd was talking

34:14

about how we can change the

34:22

system, right? Because it's the

34:22

system sometimes that we get

34:26

burned out in. And so that's why

34:26

I chose to open my own clinic.

34:30

Lam Clinic we're located in

34:30

Tustin, Orange County, so not

34:34

too far. And II decided to open

34:34

my clinic to be able to change

34:46

the future of medicine right. I

34:46

decided as a functional medicine

34:51

provider not only to take cash

34:51

patients, but to take insurance

34:55

patients, because I want to be

34:55

able to provide a model where

34:59

functional medicine, integrative

34:59

medicine can be for every, every

35:04

clinic out there or every

35:04

hospital out there, in that we

35:08

should be focusing on

35:08

prevention, and how do we change

35:11

the whole system is by really

35:11

producing this model and keeping

35:15

patients healthy. And, yeah, if

35:15

you're interested, you know,

35:19

look us up, and you can always,

35:19

you know, contact me. You can

35:24

give them my contact if you

35:24

want, and come out to our

35:28

clinic, if you want to be

35:28

patient, or if you want to

35:32

learn. I think, yes, education

35:32

is key, so read as much as you

35:37

can, as healthcare provider and,

35:37

you know, take care of

35:40

yourselves. I think that's very,

35:40

very key to that's what we're

35:44

all here to do.

35:47

Thank you so much. I

35:47

have to think about the amount

35:55

that can change if you put these

35:55

things into practice before

35:59

you're burned out. There's such

35:59

a difference in, you know,

36:04

everybody sits in that classroom

36:04

the first day, and you're only

36:08

inspired, right? You're like, I

36:08

can't wait to go help people. I

36:12

can't wait to go change people.

36:12

And then everybody works with

36:15

that one healthcare provider

36:15

that's like, how did they turn

36:18

into that? And most likely, they

36:18

were one of the people that was

36:23

sitting in the classroom

36:23

inspired on day one. So I think,

36:28

it's so important to protect it,

36:28

and understand that there's a

36:34

science behind. If you burn, if

36:34

you don't take care of yourself,

36:39

if you don't rest, if you don't

36:39

sleep, if you don't do that, and

36:42

you just, go, go, go, there's a

36:42

science behind what will happen.

36:46

It's not random, it's not

36:46

haphazard, there's a systematic

36:53

way that your body will respond.

36:53

And I think with everybody being

36:57

in healthcare and wanting to

36:57

help people, you know, you're

37:00

patient zero. So really putting

37:00

these tools into place for

37:04

yourself will allow you to take

37:04

care exponentially more people

37:08

than you would if you just got

37:08

burned out. So thank you for the

37:14

information. Thank you for

37:14

dropping knowledge and just

37:18

truly changing medicine and

37:18

changing the world. It's a

37:23

privilege to call you a friend

37:23

so thanks for being a part of

37:26

it.

37:27

Thank you

37:27

for having me. I wish everybody

37:30

a blessed night

37:39

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