In this abridged episode, Paul and Howard discuss a recent Wall Street Journal article highlighting the surprisingly steep rise in knee and hip replacements among people in their forties and fifties. They get into the implications, reasons behind this trend, and question whether it is justified given the risks and lack of significant advancements in joint replacement technology. The discussion also touches on the broader medical trends, patient expectations, obesity's role, and the challenges and consequences of multiple joint replacements over a lifetime.00:00 Introduction 00:27 Rising Trend of Joint Replacements in Younger Patients01:16 Skepticism and Concerns About the Trend02:50 Technological Advancements and Their Limitations04:04 Risks and Long-Term Implications of Early Joint Replacements05:58 Patient Expectations and Doctor Responsibilities10:27 Economic and Practical Challenges in Joint Replacements19:01 Conclusion and Final ThoughtsPremium subscribers get the full episode and a complete transcript. 

In this abridged episode, Paul and Howard discuss Howard's return to trail running after a two-year hiatus. Howard shares his journey of overcoming long COVID, which left him significantly deconditioned, causing multiple injuries upon his return to running. Despite these setbacks, he's managed to push through the challenges, regain his fitness, and complete a recent race—and did it in heavy rain. Howard reflects on his experience, training, and future race plans with an emphasis on perseverance and avoiding the push to the breaking point. The conversation also touches on managing nutritional needs during long runs and the importance of listening to one's body.00:00 Introduction and Recent Race Experience02:38 Struggles and Setbacks in Recovery04:10 Pushing Through: The Turning Point05:49 Back on Track: Training and Racing Again07:07 Race Day: Challenges and Triumphs08:04 Recovery and Future Plans... Premium subscribers get the full episode, plus a complete transcript. .

The conversation delves into how sedentary lifestyles contribute to adult joint pain, challenging the notion that injuries are the primary cause. A striking image illustrates the consequences of inactivity. Regular physical activity is emphasized as a key factor in preventing inflammation and chronic diseases. The hosts share practical tips for incorporating movement into daily routines, discuss the evolutionary roots of inactivity, and explore gamification as a motivational tool. Personal anecdotes highlight the struggle against inertia to embrace a more active lifestyle.

In this abridged episode, Paul and Howard discuss the widespread panic arising from a minor market downturn and the mass attempts to sell investments, resulting in crashes for services like Vanguard and Schwab. They explore the human tendency to overreact, seek out explanations, and fail to trust in their preparation and processes. The conversation covers the parallels between financial markets, fitness routines, and the importance of patience, while highlighting the pitfalls of reactionary behavior and hedging bets. They also touch on the broader problem of loss aversion and the psychological need to feel part of significant events or movements.00:00 Introduction and Unexpected Tweet00:39 Market Panic and Human Behavior02:34 The Importance of Preparation04:08 Financial Lessons and Long-Term Thinking08:03 Trusting the Process11:02 Hedging Bets and Human Instincts14:54 The Search for Explanations17:09 Final ThoughtsPremium subscribers get access to the complete episode, as well as a full transcript. 

The discussion revolves around the overdiagnosis and overtreatment prevalent in healthcare today. Common age-related changes are often mistaken for serious issues that don't always require surgery. Patient education plays a crucial role in managing expectations and can help reduce unnecessary interventions. The importance of seeking second opinions is emphasized. Additionally, the vital role of physical activity and movement in maintaining health is highlighted, urging a shift away from fear-driven medical decisions.

Discover the truth behind common gym myths and why resistance training isn’t as scary as it seems. The hosts dive into how aging affects muscle health and debunk fears about injuries related to weightlifting. They emphasize that proper form is less critical than just getting started. Plus, the benefits of protein intake and muscle maintenance are highlighted, along with a cautious look at biotherapeutics. Overall, it’s a compelling reminder to keep moving and embracing fitness at any age!

Discover the hosts' top picks for running gear, from shorts and shirts to hydration packs, blending personal anecdotes with practical tips. They debate the merits of various running shoes, revealing what works for them on long runs. The conversation includes insights into the importance of comfy socks and lightweight fabrics. Enjoy light-hearted banter about race shirts and the quirks of athletic fashion, alongside strategies for maximizing performance on the track. It's a fun, informative journey through the essentials of running gear!

The hosts dive into the perils of exercising during a heatwave, sharing personal stories of extreme temperatures. They highlight the risks of heat exhaustion and stroke, emphasizing the need to understand how heat affects the body. Practical advice is offered for runners and cyclists on staying safe, including hydration tips and wearing protective clothing. They also discuss the importance of shade and recognizing heat distress, all while stressing the need for awareness in our warming world.

Dive into the cascading effects of minor health issues that can escalate over time. Discover how a sedentary lifestyle accelerates health decline and the importance of staying active. Hear personal stories that illustrate the complex relationship between aging and fitness, and how past injuries can foster fear and inactivity. The conversation challenges societal norms surrounding aging, urging listeners to rethink their health choices and recognize the impact of those seemingly small ailments on overall wellness.

In this free preview, Paul and Howard start with Howard's recent viral tweet about ACL surgery and the discussions it sparked. They get into knee anatomy, focusing on the function and importance of the ACL. They discuss the prevalence of ACL injuries, the debates surrounding the necessity of ACL reconstruction, and why some patients may not need surgery at all. The conversation highlights the differences in medical practices between countries, the role of physical therapy, and the emerging Cross Brace Protocol that allows ACLs to heal without surgery. Howard shares insights from his career as a knee and shoulder surgeon, emphasizing the need for a patient-specific approach rather than routine surgeries. The episode is a deep dive into the complexities and controversies of ACL injuries and treatments.00:00 Introduction to ACL and Knee Anatomy01:56 The Complexity of ACL Reconstruction04:09 Controversies in ACL Treatment05:02 Physiological and Anatomical Insights10:16 Personal Anecdotes and Real-Life Examples12:25 Surgical Decisions and Systemic Issues20:12 Summary and Final ThoughtsPremium subscribers get the complete episode, a full transcript, and many other benefits.