Dr. Vishal Patel
speaker
90 appearances
1 recordings
1 series
first heard Jun 2025
last heard Jun 2025
Dr. Vishal Patel’s voice in public audio — every appearance, attributed to the second.
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you know so for instance i mean what's a good example so hamstrings and runners are a good example of an underused muscle they tend to be kind of chronically shortened right even in most of us as we're sitting all day so we have um kind of that they call that superior cross body position where our pectoral pectoralis and our chest muscles are tightened and constricted our backs are extended
But when we start looking at the thermography data, we can start seeing that. And I saw it in myself. So my sternocleidomastoid on my right side was flaming red, like hotter than on my left side. And because there's no normative data on thermography, there's not like age and gender databases of thermal data. We have to use internal control. So we compare left and right sides to figure out
Well, what's happening on the right side of your skin versus your left side? So my right sternocleidomastoid was incredibly tight, which was, it was incredibly hot. So it indicated either there was some inflammation or a lot of tension that is holding here. Then the exercise physiologist guide here, Brenda, she took me through a functional movement screen.
And in the functional movement screen, as I was trying to touch my hands behind my back, I know she noticed that there was asymmetries in my ability to reach behind my back. And then we noticed some hot spots in my deltoids. And so through that kind of working through the data, what we identified is that
there are some opportunities, let's call them opportunities in the way that I'm exercising in the gym. And again, this is one of those things where it's like, okay, I know a lot. I think I know how to exercise and yet maybe I'm overdoing it. Maybe there isn't enough variety in my routine because I'm developing tension in muscles that you don't want tension in.
Tension in your sternocleidomastoid is gonna extend up into my jaw. Like in a week, I'll probably get cracking in my jaw from all that tension. And I'm really happy I caught it early.
But now I need to spend a little bit more time with a coach to figure out how do I introduce some more variety and more balance into my workout routine and maybe change the ergonomics of my desk setup at home so I'm not holding so much tension there.
Then that's human nature. We just avoid them. Yeah, that's right. Yeah, that's exactly right.
That's right.
Absolutely. I'm like you. So I wore the whoop for a year, took it off, lived without it for without anything for a while, then tried the aura for a while, took that off. Now I've got an Apple watch, but I'm not using it for health tracking. Yeah. Yeah. I just use it. You know, I do look at my heart rate when I'm in the gym to make sure I'm hitting certain zones, but that's about it.
I think data and wearables feels like a, what's the word, like training wheels in a way to notice parts of your lifestyle and behavior that you may not have noticed before. But the reason that it becomes, we fixate it, fixate on it when we start wearing it, I think is because of how partly it's a little bit of the, maybe the shock and the awe of
Like you don't realize that you're sleeping poorly until you start measuring it. Or you don't realize that maybe you're not pushing yourself as hard in your runs until you start measuring your heart rate and you realize, oh, you have some room to go. That's what it was like for me. But then that initial moment of awareness, it does turn into a fixation.
And again, from the psychology of wellbeing, we know that external locus of control isn't good for you in the long run. That ultimately needs to be an internal locus of control that you need to, want to go to sleep on time and wake up early because you want to, not because you're feeling guilty of not hitting a certain recovery score or strain score on your device.
But the journey starts with that. It starts with kind of that emotional kind of gamification, like learning about the data, gamifying it for yourself. But what we notice and what the wearable companies have told us is eventually everyone takes it off and everyone switches because each wearable is right for a person at a certain point in their life.
And then they learn how to live life, you know, informed by the data and then they take it off and then maybe they live without it and they move to the next thing and, and then life changes. And so sometimes the wearables come back. Sometimes the data comes back in a, probably when you least expect it.
That's right. And I mean, the CGMs, they have like a half-life, you know, you only keep them on for a week or two and then you got to switch it out. And so like naturally after a couple of weeks, if you're switching it out, maybe you get tired of it and just keep it off.
But what I've observed is like, yeah, even with CGMs, there's that moment initially where you're suddenly measuring or suddenly, you know, the glycemic index is brought to life because you're noticing the spike in your blood sugar after eating a apple or a cookie or whatever it is. And so I think that's, I almost feel like that's enough.
Like that, that emotional moment of like shock and awe when you see your glucose, like that's enough to open your eyes and you start shifting your behavior. And then eventually I don't think you need the data for very long.
I know what you're talking about. So it's plasmapheresis, right? So they take your plasma, they filter it all out and then put it back inside of you or they give it to you so you can hang it on an IV at some point.
Yeah.
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