 The other thing you want to do is what I call black swan avoidance or my dirty dozen plus one So let's talk about them Big car regardless of how you feel about the environment and global warming if you want to survive Buy the biggest freaking vehicle you can afford Take it from an ER doctor force is mass times acceleration at equal speed if you got the bigger car you win Okay, if you can't afford a really big car just make sure your biggest risk in a car accident is to suffocate from all the airbags Okay, that's the number one thing that's going to kill you number two Do not ever get on a four-wheel ATV Okay, that means a little four-wheelers that you run around on the beach that means Gators Okay, last week eleven-year-old child driving a gator dead Okay, I had to go tell the mother and mother let him drive the thing Okay, if you want to die if you want to get paralyzed you want to spend the rest of your life in a wheelchair Far around on those things Roads are for cars Okay I'm a cyclist. I was a road cyclist all through college. Okay. I had some really close calls I've known two cyclists that were friends of mine that have been killed people jogging on the roadside get killed all the time People are idiots people have always been idiots and my friends that got killed was before text messaging was even invented Okay, so Find a place to do it that doesn't involve you and traffic For a pilot what does pilot mean? All right You have great success in life. You become a Neurosurgeon orthopedic surgeon internet guru you make your millions. I'm gonna take up flying Only fly if you're a professional pilot if you're a part-time pilot your skills are not going to manifest well enough For you to not crash that thing and kill yourself So if you're gonna be a pilot be a professional pilot Having said that though even if you're an amateur pilot Your chances of dying are way smaller than this one Okay He'll dust what does that mean? That means if you're walking down the sidewalk here on 4th Street And you see a group of young men that appeared Toxicated or acting puffed up and angry Cross to the other side of the street Don't get your ego tied up in this. You don't want to die. You don't get beat to a pulp So one tries to have a confrontation to you with you It's great if you have a concealed weapon and you can defend yourself, but the better choice is always to choke them with heel dust Run away Just stay out of it. Don't do it because here's the deal if you defend yourself and you kill them Do you want to go into your court system over all that? Now run away gas grill If your gas grill won't start Walk away Okay, I cannot tell you how many people I have sent out on a helicopter with third-degree burns over 80% of their body Intubated going to the burn center Because they just couldn't accept that the damn thing's not starting and They let it build up and lots of gas bill them. They lied it and poof. Okay By the way, I highly recommend just getting a plain old-fashioned grill and using charcoal feet first If you're swimming and there's a body of water don't dive in it head first Okay, when I did this whole Tony Robbins thing where we went out We're gonna be on a TV show and it didn't work out But one of the characters in the show whose life was devastated dove into a pool in Acapulco Without looking and it was a bar side pool and there was an underwater bar stool there that was made out broke his neck paralyzed himself first day of his honeymoon I always check how deep it is that you're diving into you go feet first figured out Then if you want to dive in as deep enough go for it Ladders this is the white man's scourge. I Have seen more middle-aged white dudes Pine box themselves Trying to hang a set of freaking Christmas lights or get a shingle off the roof or whatnot Then I can shake a shake a stick at I mean it is unbelievable Okay, don't keep don't get on ladders hire that out if you can hire anyone to get on a ladder for less money than you make per hour Do it? Retirement home Reason I say this is if you're at retirement age and all of a sudden you've decided you want your dream home Find it and buy it. Don't build it from scratch The number of people that have died from an acute myocardial infarction or cardiac arrhythmia and They're we live in a resort area So a lot of people come to build their dream home on the lake The number of people that have died as a result of the stress of fighting with the contractor and trying to build a home from scratch At retirement age is more than I can count It's a weekly occurrence now. I may be some selection bias there, but Find one that's already built 10 is hell no Okay, so you're out of shopping center and Someone comes up to you. It's particularly true for women pulls a gun on you says get in the car Your answer is hell no You shoot me right here in this parking lot in front of everyone with the cameras on I ain't going Do not ever get a car in a car at the point of a weapon You will most certainly die, but not until you have really really suffered Hell no bad relationships Okay 15% of the population statistically speaking are psychotic antisocial personality disorders Okay, you're going to encounter some people and when you find your interaction with them is very fatiguing or Or makes you emotionally upset and that's a recurrent pattern ditch that person immediately I don't care if it's an employee or a close relationship Or someone that you grew up with or a family member if that is the case get away from them Antisocial psychopaths will suck the soul out of your body and kill you Okay, very fortunately or maybe unfortunately the vast majority of antisocial psychopaths are absorbed by politics The remainder go into crime Which is just a different version of it and number 12 is the lottery Don't play it. Don't do it unearned wealth will destroy you Money is the biggest truth teller in the world And if you get money that you did not earn it will take you down you got it just Google stories of Lottery winners you don't want to win the lottery you want to be a millionaire you want to earn it You want to earn every penny of it? Then you can enjoy it you want to destroy your life be a lottery winner be an NFL player NFL stands for not for long The best thing that ever happened to Keith Norris was a career-ending knee injury Okay, the average life expectancy of an NFL football player is 56 years and Lastly be nice and what I meant to put on this slide and somehow nice came out was be kind How many of you have ever been in the presence of someone that has actively died? You're very privileged Okay, I have been in the presence of people that have actively died tens of thousands of times This ugly mug has been the last thing that more people have seen on the face of this earth Then I even dare to think about Being kind is the most important thing for your health. It's the most important thing for you as an individual It's the most important thing for our society people talk about capitalism being dog eat dog bullshit The essence of capitalism is kindness and The essence of kindness is you do not initiate force against anyone That's the essence of kindness when I went down to Starbucks and I ordered a grande americano The lady said that'll be $2 and 63 cents. She swiped my credit card. She gave me coffee. I said, thank you She said thank you She wanted my money more than she wanted the coffee I wanted the coffee more than she wanted her money Mutually beneficial trade is kind you want to be kind you want to be kind in every realm One of the biggest dangers with kindness is Dave talked about our forebrain and Greg talked about this huge forebrain that we have it's very important for communication And it's what's lacking when you communicate over the internet or over the cell phone or by text messaging There's a very strange version of stroke called a boolia when you have a stroke in the frontal lobe of your brain I can walk up and talk to the patient I speak to them and they just look at me with this deadpan face and their answer doesn't come out till 10 to 15 minutes after I asked the question but I can give them a cell phone and Call them step outside the room and get a complete history from them because they're communicating in a mechanism That does not involve facial recognition and the prefrontal lobes of the brain Okay, realize that when you're communicating over the internet and when you're flaming someone on the internet And you're getting in these little pissing matches that you're not engaging your frontal lobe You're saying things that you would never say to someone's face because you know damn well you're likely to get punched or killed kindness matters Because we all must die and No matter how you try to extend your life ultimately unless we figure something out which we may well We all must die and I'll leave you with the words of Ron Harris who wrote the end of faith And he said this he said consider it Every person you have ever met Every person you will pass in the street today is going to die living long of us Living long enough each of us will suffer the loss of friends and family All are going to lose everything they love in this world Why would one want to be anything but kind in the meantime? The other thing is how many of you have had a personal near-death experience It's a weird thing, isn't it? Because all of a sudden particularly when you're young you see this huge life spanning out in front of you when you have a Near-death experience is like being a little kid holding a balloon and the balloon gets away from you and It's going and there's nothing you can do about it, and it's over so being kind is everything and it's the essence of a civil society and is the essence of capitalism and That's what I advocate Kindness capitalism free trade free humans is what will make medicine great again In the meantime stay out of the belly of the beast. I thank you for your attention I will answer questions on any topic whether it be medicine exercise diet or anything you want to talk about I appreciate your attention