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Sean Mackey, M.D., Ph.D.

👤 Speaker
746 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Roll with that.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Roll with that.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I want to build off it then.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I want to build off it then.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

That is basically your longer term harm alarm. That is saying, Peter, don't go back and do that again. Back in the cave people days, it would remind you maybe it's best to sit in the cave. and let the healing occur instead of going out and fighting the woolly mammoth or the saber-toothed tiger. Because if you fought the saber-toothed tiger when you're injured, you got eaten.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

That is basically your longer term harm alarm. That is saying, Peter, don't go back and do that again. Back in the cave people days, it would remind you maybe it's best to sit in the cave. and let the healing occur instead of going out and fighting the woolly mammoth or the saber-toothed tiger. Because if you fought the saber-toothed tiger when you're injured, you got eaten.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

You didn't get to pass your genes along.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

You didn't get to pass your genes along.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Wow, that's a great question. One, I don't know. Two, there was undoubtedly genetic variations that led to behaviors, led to actions that did not promote survival of the species. And nature takes care of that. Those people died out.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Wow, that's a great question. One, I don't know. Two, there was undoubtedly genetic variations that led to behaviors, led to actions that did not promote survival of the species. And nature takes care of that. Those people died out.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And when you go back through some of the lower animal species, what happens when one of those animals gets injured in the wild? I'm not an animal pain expert, but typically they're set off. They're ostracized. Those animals just die out. What do we do? We come together as a community and we help those people. We developed empathy for pain. I did some studies on that.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And when you go back through some of the lower animal species, what happens when one of those animals gets injured in the wild? I'm not an animal pain expert, but typically they're set off. They're ostracized. Those animals just die out. What do we do? We come together as a community and we help those people. We developed empathy for pain. I did some studies on that.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And that has gotten hardwired into our brains to be able to recognize when people are in distress and pain and to reach out and help them. That was clearly beneficial to our species and conserved.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And that has gotten hardwired into our brains to be able to recognize when people are in distress and pain and to reach out and help them. That was clearly beneficial to our species and conserved.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Absolutely. And I got to tell you, hats off to half the population that are women and the women that do this. I can't imagine. I don't want to even go there.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Absolutely. And I got to tell you, hats off to half the population that are women and the women that do this. I can't imagine. I don't want to even go there.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

There is interesting protective aspects during childbirth that doesn't take away necessarily the pain, but I think some of the estrogens, the estradiols has not only an analgesic effect, but I sometimes just swear, I don't seem to remember sometimes just how painful it was and yet they do it again.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

There is interesting protective aspects during childbirth that doesn't take away necessarily the pain, but I think some of the estrogens, the estradiols has not only an analgesic effect, but I sometimes just swear, I don't seem to remember sometimes just how painful it was and yet they do it again.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I repeatedly tell Beth, I sometimes wonder why I was not a Darwin Award winner, if you've ever read the books. I remember the Darwin Awards fondly, yeah.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I repeatedly tell Beth, I sometimes wonder why I was not a Darwin Award winner, if you've ever read the books. I remember the Darwin Awards fondly, yeah.