Dr. Peter Attia

And how do you predict patient comes to you and they're experiencing some pain? What are the clues that would tell you, I think TENS is going to be successful here? In other words, I think that activating A-beta fibers is going to be a tool that will reduce your perception of pain because that's what we're doing. Everything that you do is, how do I reduce your perception of pain?

And how do you predict patient comes to you and they're experiencing some pain? What are the clues that would tell you, I think TENS is going to be successful here? In other words, I think that activating A-beta fibers is going to be a tool that will reduce your perception of pain because that's what we're doing. Everything that you do is, how do I reduce your perception of pain?

I can't necessarily take away. I mean, if they have an injury that needs to be resolved, they shouldn't be seeing you. They should be seeing the surgeon or whoever fixes the physical injury, right? In short, yes.

I can't necessarily take away. I mean, if they have an injury that needs to be resolved, they shouldn't be seeing you. They should be seeing the surgeon or whoever fixes the physical injury, right? In short, yes.

So who is the, I hate to use the word poster child, but who's the patient that when you see them, your intuition says TENS is going to really work for this person?

So who is the, I hate to use the word poster child, but who's the patient that when you see them, your intuition says TENS is going to really work for this person?

Can I put a bow on the gait control thing to make sure I understood it? Yeah. It seems like a very important idea, but I also think I might be missing the juice. Is the idea that 10 people could experience the exact same peripheral injury, if you could map the action potentials, they would look identical.

Can I put a bow on the gait control thing to make sure I understood it? Yeah. It seems like a very important idea, but I also think I might be missing the juice. Is the idea that 10 people could experience the exact same peripheral injury, if you could map the action potentials, they would look identical.

You could even see identical perceptions, but they could have 10 different gating channels within the spinal cord and therefore perceive pain differently. I just want to make sure I've captured what the gating theory states. You are right.

You could even see identical perceptions, but they could have 10 different gating channels within the spinal cord and therefore perceive pain differently. I just want to make sure I've captured what the gating theory states. You are right.

Yep.

Yep.

So here's another experiment that you won't be able to do unless you get to teach this class on multiple days, but it's to go one step further, which is to do the same thing every day and see how they compare their score from day to day. I'll tell you my experience with that. I do love to use a cold plunge. So my cold plunge is at 42 degrees with circulating water.

So here's another experiment that you won't be able to do unless you get to teach this class on multiple days, but it's to go one step further, which is to do the same thing every day and see how they compare their score from day to day. I'll tell you my experience with that. I do love to use a cold plunge. So my cold plunge is at 42 degrees with circulating water.

So I don't know what that makes it feel like, but it feels like it's somewhere in the 30s. There are days when I can spend 10 minutes in there and feel like nothing is wrong. There are days when, I'm not kidding, 30 seconds in, my ankles hurt so bad I want to scream. And I think, what's different? It can't be the circulation in my ankles is better one day to the next.

So I don't know what that makes it feel like, but it feels like it's somewhere in the 30s. There are days when I can spend 10 minutes in there and feel like nothing is wrong. There are days when, I'm not kidding, 30 seconds in, my ankles hurt so bad I want to scream. And I think, what's different? It can't be the circulation in my ankles is better one day to the next.

They're a relatively avascular part of my body. Why is it that one day I can spend 10 minutes and not know I'm in this water? I mean, I know that I'm cold, but it's more like my core temp, but my joints don't hurt. And on another day, the throbbing in my joints feels like somebody's hitting them with a hammer. And I'm the same person.

They're a relatively avascular part of my body. Why is it that one day I can spend 10 minutes and not know I'm in this water? I mean, I know that I'm cold, but it's more like my core temp, but my joints don't hurt. And on another day, the throbbing in my joints feels like somebody's hitting them with a hammer. And I'm the same person.

So in other words, your point is well taken, but I would say there's a second dimension to it, which is even as individuals, we can experience things differently from day to day.

So in other words, your point is well taken, but I would say there's a second dimension to it, which is even as individuals, we can experience things differently from day to day.