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Speaker 1: When you're searching for that next big podcast, why not

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stop in at Arrow dot net A r r oe

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dot net. Not just one podcast, it's twenty different platforms,

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one of them being that Voice. I've spent the past

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ten to eleven years sharing conversations with those featured on

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NBC's The Voice. Catch Up Now, You're never too late

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Arro dot net A r r oe dot net. Enjoy

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your exploration. What an amazing book. First and foremost, let

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me thank you from the deepest part of my heart

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and soul. Thank you for doing what you do with

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er and helping people locate their path, or maybe I

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should put relocate their path because when you saw them,

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that's a broken road. Yeah.

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Speaker 2: Well, thank you for having me, and I appreciate that.

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I'm very lucky to do what I do.

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Speaker 3: You.

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Speaker 1: Wow, that's interesting. I mean I've heard us soldiers say, well,

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it's just part of my job. But you said I'm

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very lucky. That inspires me.

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Speaker 2: Doctor, Well, I hope to inspire you mostly, I hope

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to inspire you to stay alive via the book.

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Speaker 1: Well, it's such a great book because ninety nine Ways

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to Die. I mean, there's not a person on this

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planet that's not going to go oh really well, let

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me see I hope.

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Speaker 3: So, I mean that's the whole point.

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Speaker 2: If enough people read this book, lives will definitely be

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saved because there are things in here that I can

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guarantee you everyone will learn something, even if you're medical.

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But it is written for the general public.

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Speaker 1: Well, the one thing that mister Bill did not talk

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about when he was cruising through the Carolinas was the

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measles outbreakout here. And did you think that there would

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be in measles outbreaking this day and age.

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Speaker 2: I mean, it's very tragic because no child should die

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of measles. But it's not just death that we're worried

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about here, right. Measles can cause you know, very long

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term issues and deficits and other things than just death.

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Although you know, a child dying of this disease is

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tragic and completely unnecessary. A lot of it comes from

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the fact that there's a lot of misinformation out there

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right now, and that misinformation and is difficult to combat

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because it's also something that's usually very clickable and sexy

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and exciting and new. You know, drink kangaroo pea and

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it'll fear your cancer. You know, people are like, oh,

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I've never heard that before. Let me click on this. Well,

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every time we click on it, we're perpetuating the lies,

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and it's overcoming the science and what we've invested in for,

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you know, over you know, centuries at this point, becoming

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humans that have evolved past the point of you know,

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correlation to causation. We no longer are like, you know,

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I ate the berries from the bush and I threw

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up and it caused me to throw up.

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Speaker 3: So I don't eat those berries anymore.

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Speaker 2: Yeah, so that's how we used to learn, right, But

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now we know that correlations are not always true. We

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know that ice cream doesn't cause shark attacks, even though

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both of them increase in the summer, right, And so

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we don't use correlation anymore. We use causation and we

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use science. But that science is something that's very complicated.

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There's a lot of numbers and statistics involved, and it's

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something that you know, we don't explain to the public

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very well. And because that they get their information wherever

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it's the most entertaining and wherever it's the easiest, which

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is often online these days. But I try to do

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my best to combat that, whether it's my work in

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television and film, or now with this book, because these

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are ninety nine things that you don't have to die from,

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including measles. That is a vaccine preventable disease, and a

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vaccine that has been proven very safe all across the world,

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not just in the United States, so you can look

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elsewhere for that information.

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Speaker 1: So now would I get in trouble if I hung

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a sign outside doctor Google and doctor chat GP's office

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scene we're closed for the day, because my god, that's

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where everybody tends to go, and actually they need your

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book is what they need.

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Speaker 2: Well, it's getting worse and worse right because chat shept

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is specifically will give you the answers you're looking for

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because it learns your information and what you want. And

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it's just like social media, right, it creates rabbit holes.

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It wants to keep you engaged, and so in order

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to do that, it feeds into and you can call

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it out on medical things sometimes and it'll be like, oh, Okay,

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you're right, that's not the truth.

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Speaker 3: But also you need to have.

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Speaker 2: Background in order to understand the information that you're getting,

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and that background isn't something that everyone wants to earn

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with a medical degree. And that's why it's important to

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have a primary care doctor or somebody in medicine that's

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credential to trust, because these days, you can google is

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coffee good for you? And you can google is coffee

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bad for you? And you're going to get the answer

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yes for both. And that's the way that internet and

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information online is set up. So you need the information

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to be filtered by somebody that has your best interest

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at heart, and also somebody that's going to be responsible

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and culpable for that information. If an influencer with a

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million followers lies to you, they're not going to get

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in trouble. If a doctor lies to you, they could

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lose their license. So you need to have somebody who

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is going to be responsible for the medical information that

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they're telling you.

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Speaker 1: The book we're talking about is ninety nine Ways to Die.

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How much of this is associated with men on a

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Sunday afternoon who thought they could take care of the

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leaves on the roof.

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Speaker 2: I mean a lot of it, But I didn't write

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about the obvious things. I didn't write eat healthy, don't smoke,

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don't drink. I mean that stuff, you know, right. I

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wrote about the things that you probably didn't think about,

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like the fact that strapped throat can kill you, and

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drinking too much water can kill you, and that giving

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honey to a baby that's under the age of one

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can cause botulism. And you know that over the counter

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medications not only can they expire in punishing ways, but

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a lot of the things that we see overdoses of

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are over the counter medications. Those are the sometimes the

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deadliest things, like tail and all is the number one

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cause of acute liver failure in the United States. And

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so these are all things that you probably run into

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in your everyday life. But you know, maybe you've stayed

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inside the lines just enough to never have an issue

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with it. But I want to give you the background

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so you can make better decisions. And whatever decisions write

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for you.

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Speaker 1: You know, guilty, guilty, guilty, I am, I am, especially

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when it comes to water. I had a cardiologist tell

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me you better stop it, mister, start chewing on ice.

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And then when you just did the thing about the

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tile and all mine was with advil and and a

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leave and he said, you better get off this stuff, dude,

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because you're doing damage. And he proved to me the

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damage was there, and now when I sit in pain,

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I'm sitting in pain. It's the real deal. There's nothing

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hiding this stuff, man, because I'm trying to protect my liver.

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Speaker 2: Yeah, I mean, ad Phil and Tylan all can be

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tough on the kidneys, so I always talk to your

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doctor about that one. And it can also cost some

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gi stuff. And there's also topical stuff. Will tear in

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is topical, which is kind of cool because it doesn't

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absorb into the body the same way, but can help

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with joint pain. So there's all these little tips and

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tricks that medical professionals have, but maybe we don't have

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the time to give you. It's hard for me to

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do a lot of preventative teaching in the emergency department

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during CPR is not a great time to learn. So

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that's what the book's for is I really wanted to

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help people prevent these diseases, and even though it's bad

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for business, stay out of the emergency department.

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Speaker 1: You sound like a program director I once had who

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said that if you don't like change, there's the door,

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because I mean, you identify, you know, the typical day.

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There is no such thing as a typical day in

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er if you think there is, there's the door.

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Speaker 3: Yeah, it's definitely not a typical job.

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Speaker 2: You know, I in one room, I'm looking at the

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bottom of the foot, and then in the next room,

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I'm trying to save somebody with a heart attack, and

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then somebody is bleeding out, and then you know, somebody

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has a strep throat.

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Speaker 3: So it goes back and forth.

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Speaker 2: And it's definitely a job that takes all comers, which

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is something that I love. It doesn't matter who you are,

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or where you're from, or anything about you, you always

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receive the same care. And I think that that's something

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that I'm really privileged to be able to do for people.

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But you know, it's also a tough job, which is

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why there is some dark humor in this book. And

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I think that that's how we deal with compartmentalizing the

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stress in the emergency department and dealing with things that

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most people you know, don't have to and maybe shouldn't

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have to see every day.

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Speaker 1: Please do not move. There's more with doctor Ashley Alker

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coming up next. Tell I mean the book ninety nine

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Ways to Die. We are back with doctor Ashley Alker,

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ninety nine Ways to Die. You've said strep throat twice,

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which means that gave me permission to bring this up.

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So it was July twenty first, two thousand and nine.

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I went to the doctor because I assumed I had

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strapped throat. Doctor, I was having a heart attack. That's

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where my pain was. It wasn't in the chest, it

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was in my neck.

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Speaker 3: Yeah.

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Speaker 2: I mean, we do see a typical symptoms with some

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heart attacks. Usually it's in like certain subgroups, like people

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with diabetes. Women sometimes have abnormal heart attack symptoms. So,

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but it can be kind of different for different people.

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The most important thing to know is, and I say

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this in the book over and over again, never ignore

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chest pain. If your foot hurts for three months, I

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go see your primary care I don't you know, it's

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as long as it's not like a balloon or infector

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or something. If you're just having foot pain, it's it's

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probably not going to kill you if there's no other symptoms,

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you know, But if you're having chest pain, that's just

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never something to ignore. Never ignore stroke symptoms. Never ignore

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chest pain. Those are things that can kill you that day.

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Go see the emergency department, see a doctor.

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Speaker 1: What is it with our generation where we hear about

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these tropical parasites, but yet we still take the damn cruise.

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I don't understand that at all.

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Speaker 3: I mean, you can.

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Speaker 2: These are things that are very treatable and preventable. You know,

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a lot of the you know, diseases that we're talking

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about here, even malaria is very preventable, and soon hopefully

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they'll have a vaccine to prevent it as well.

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Speaker 3: You know.

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Speaker 2: The reason that you know, we have issues with traveling

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is sometimes that people aren't educated on this stuff, so

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that you know, they go in the hot springs and

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they put their head underwater and they get a braining

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eating a meba, which you can also get in the

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United States. But you know, you you go to you know,

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somewhere in sub Saharan Africa, and you are not on

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prophylactics for malaria.

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Speaker 3: So you know, these are important things to know.

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Speaker 2: Like sometimes, you know, I talk about parasites in the

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book a lot in certain chapters, and pigs are very

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responsible for a lot of parasites in humans, and so

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eating pig in another country, depending on what country you're in,

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like you should at least evaluate the risks and benefits

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of that. So you know, these are things that are

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avoidable causes of deaths. You don't want to have, you know,

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parasites in your brain, which can happen from eating pig,

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especially if it's somewhere where pork is not being processed correctly.

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Speaker 3: So you know, important things to know, you know.

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Speaker 2: And then there's a lot of fallacies out there that

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have been created and perpetuated by television, like sucking venom

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out of a snake bite, those types of things, like

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we don't need to do those.

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Speaker 3: It's not going to help.

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Speaker 1: Ninety nine Ways to Die. Now, there's one thing that

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I sat with a Kataba medicine man and he told me,

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you American doctors, you practice medicine. And I'm going, Okay,

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I'm going to take this to the doctors and see

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what they see. Because when you've got a book like this,

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ninety nine Ways to Die, this is not practicing medicine. Doctor.

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You are physically involved, and you are informing us that

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this is medicine for us to learn new things.

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Speaker 2: Yeah, and I mean it's medicine to keep you out

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of the hospital and to keep you from getting diseases

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that you don't have to get. I mean, life isn't

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just about longevity, right, it's about quality of the days

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that you have. So there's diseases in here that you

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know can cause significant like morbidity and other things than

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just death that you probably you know, don't want.

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Speaker 3: And beyond that, I didn't write.

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Speaker 2: A book about the things that you know, you know,

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to eat healthy and to not drink or smoke, and

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to exercise into sleep, and for whatever reason, those books

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continue to be sold to people because they think it's

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new information. But you know, all those things they just stink.

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And so to be healthy and to do those things,

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and to eat your you know, leafy grains and vegetables,

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and to never drink alcohol, and to exercise at least

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five times a week, if not every day. You know,

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their lifestyle changes, and they take time and commitment to

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do these things, and often they're expensive. So you know,

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those aren't the things that I wrote about. I didn't

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write about the obvious things. I wrote about leprosy and

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anthrax and botulism and parasites and you know, heart diseases

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like commotionho that you know, when you see an athlete

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drop at a football game and die, what's happening there? Like,

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those are the things that I want to teach you about.

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It's it's the science behind the diseases that you can avoid.

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Speaker 1: Well, you even put focus on the simple walk, that

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there could be something that happens on that walk.

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Speaker 2: Yeah, I mean, there's dangers everywhere, but the point is

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not to be afraid of them, but rather to be

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informed and just to make the smart decisions. Right, Like

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most people think they have a carbon monoxide detector in

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their house in the United States, there's no general rule

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about this, and a lot of the homes don't have

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carbon monoxide detectors, rather only have smoke detectors. Something like

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forty plus percent of homes in the United States still

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don't have carbon monoxide detectors in them. So, you know,

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these are things that we just don't know about and

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we just kind of go about our daily lives. And

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you can buy a twenty dollars carbon monoxide detector and

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plug it in and you know, save your whole family

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that way.

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Speaker 1: See, And the only time I hear from that from

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that detector is every six months when the battery's going dead. Booboo.

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Speaker 3: Hey, that's good. That's the best news.

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Speaker 2: You don't want to hear from it otherwise, you know,

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because carbon monoxide is odorless, it's colorless. You don't know

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until it's too late, you know, where most people can

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tell when their house is on fire. So why the

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two aren't built in together. I mean, doesn't make any

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sense to me, but that's you know, that's the.

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Speaker 3: Way it is. So we got to figure out ways

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around it.

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Speaker 1: How many people do you meet in the er that

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think that, oh I was doing everything right, I was

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taking all the supplements I was supposed to. Well, they

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didn't mix right in your human body. Do you'd run

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into that.

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Speaker 3: Oh, of course. I mean.

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Speaker 2: The problem with a lot of over the counter medications

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and supplements is that, you know, they say natural on them,

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so people take that to mean that they can't be

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an issue. Most of not most, but some of the drugs.

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A lot of the drugs that we use are basically

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synthetics from natural forms. For instance, dejoxin is made from

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a flower, which is a heart medication.

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Speaker 3: You know.

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Speaker 2: So these things are quote unquote natural, and all that

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means in the United States at least, is that they're

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unregulated because the FDA doesn't regulate supplements, so you have

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no idea how much of the medication you're getting it

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says five milligrams, It could be two, it could be ten.

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So you know, that's the problem with those medications, and

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then the fact that people often don't think of them

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as medicine, so they interact. Saint John's war is a

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really bad one that interacts with a ton of different medications. Yeah,

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and so people take it and they're like, oh, this

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is fine, it's natural, but it has a lot of

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interactions with other medications and even with foods. So if

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you're going to do that, at least talk to your

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doctor about it so they can try and help you

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at least regulate what you're on and make sure there

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aren't any interactions, even if the medication itself isn't regulated.

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Speaker 1: Oh my god. That explains why every time I go

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in there, your first ten minutes is talking about what

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you're taking for supplements. He needs to know.

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Speaker 2: Yeah, Unfortunately, we don't do a good job about communicating

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this type of stuff to people. And that's what I

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try and do when I, you know, work in television,

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and that's what I'm trying to do with this book,

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is trying to get and people the information in a

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way that's like interesting but also super understandable. We don't

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need to use big medical words. We can use you know,

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the normal English language to describe a lot of this stuff.

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And that's what the book does.

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Speaker 3: All right.

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Speaker 1: Be honest, now, who's in that emergency room when it

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comes to TikTok challenges? Is that the adult is saying,

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I'm going to be cool, I'm going to be young again.

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Speaker 3: You know what it is.

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Speaker 2: It's not really the challenges, it's the influencers. So people,

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a lot of kids will buy supplements. I mean, people

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will buy GLP ones now, people will buy these things offline,

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and I mean it's just a terrible idea. It's unregulated,

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we have no idea what you're getting. Sometimes it's you know,

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nothing and so it's not harmful, but it's a waste

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of money. And then other times it is, you know,

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these mets can kill you if they're taken improperly. So

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it's it's a problem because misinformation and medical health influencers

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have basically become one of the biggest threats to public health.

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And that's in vaccine misinformation, that's in you know, selling supplements,

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and that's just in selling ideas because these days they

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make money if you just watch or click or follow.

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So you have to understand that you're the commodity these days,

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and so just by watching something, you're perpetuating the misinformation.

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Speaker 1: All right, So let me ask you this question, because

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my entire life, we always did the humidifier, and then

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you would put some vics in there, you know, to

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kind of clear up the sinuses in the air, and

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you're going, oh, mom, you're the greatest camper on the planet.

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And then we learn that you can't even put nitall

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inside something like that.

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Speaker 2: Yeah, I mean you're you're aerosolizing like medications that you

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probably don't want to aerosolize at that point. Humidifiers are hard,

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right because like, obviously you want to keep them clean

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and free of mold, which is another chapter in the books.

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People are always curious about molds. But also you know,

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there are things you can't get from it, which is great,

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Like you can't get brain eating amibas, which you can

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get from nettipots, you can't get from humidifier. So that's

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that's wonderful. But yeah, you just got to be careful

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what you do with over the counter medications because you know,

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mixing things and putting them in like you know, weird

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places like humidifiers like you just you don't know what's

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going to happen with that stuff. I didn't hear about

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those exact cases, but you know, the point being is

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that you have to kind of use the information that's

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given to you. And that information, you know, most of

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the time is I think in the past something that hasn't.

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We haven't taken the time in the medical community to

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make it engaging and captivating, and the influencers have because

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that's their whole job.

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Speaker 3: And so that's what we're up against.

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Speaker 2: And so the hope is is that you know, learning

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about scorpions and pufferfish and tetroto tooxin and you know,

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cocaine and LSD, that these things might interest you enough

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that you'll learn something that could save your life.

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Speaker 3: And this is the science.

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Speaker 2: I did my best to make it, you know, as

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up to date and science based as possible, and so

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it's the best current information that we have.

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Speaker 1: I got to tell you something, inside my heart, You're

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going to think I'm a freak. I'm gonna I'm dying

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for the day literally for when someone says I got

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into medicine because doctor Ashley spoke the truth in ninety

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nine Ways to Die, that they find inspiration and they

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find truth and transparency. I just I just really think

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that this is the book of our times.

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Speaker 3: I hope. So I really appreciate that.

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Speaker 2: I mean, getting the book out there into people is

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you know, obviously a labor of love. But I hope

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that people find it interesting and find it, you know, funny.

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I hope it makes you laugh. But the biggest thing

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is I hope you learn something, and I know you

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will if you read the if you read even the

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chapter of the book, I promise you'll learn something new.

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I'm not giving you information you already have. Even medical

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people who have, you know, fellow doctors who have read

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the book, was like, oh, I forgot. You know, we

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learn about a lot of this stuff in medical school,

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but you don't see some of it very frequently. But

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the stuff that's infrequent that's in the book is very deadly,

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so you know, let's avoid it.

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Speaker 1: Wow. Please come back to this show anytime in the future.

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The door is always going to be open for you.

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Speaker 3: Hey, thank you, I appreciate it. Thanks for having me.

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Speaker 1: Will you be brilliant today?

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Speaker 3: Okay, doctor, thank you