I'm going to share an opinion in this video that you're not supposed to say out loud anymore: most people who believe they have ADHD, especially adults who discovered it recently, do not have it. And the way we're handling this right now is setting millions of people up for a stimulant prescription instead of an answer.
Here's the core of my argument. ADHD used to be something diagnosed in childhood, and many kids grew out of it. Now adults everywhere are identifying with it, often after a TikTok or Instagram video where someone describes lifelong low energy and poor focus, starts Adderall, and can't believe how much better they feel. But here's the thing nobody tells them: stimulants do that to everyone. More energy and sharper focus on Adderall is not evidence you have ADHD. It's evidence you took a stimulant.
So in this video I lay out a test I want you to apply before you ever accept that diagnosis: unless you are in good shape, exercising regularly, eating well, and sober, and I mean actually sober, not vaping, not smoking, not drinking heavily, you simply cannot know whether you have ADHD. Because if you're running on ultra-processed food, no movement, and a nightly drink, brain fog and low motivation aren't a disorder. They're the predictable output of how you're living, and there's a long list of health conditions that produce the same symptoms. The root cause deserves to be found, not medicated over.
I also talk about the machine making this worse: online pill mills where a questionnaire and a two-minute conversation end in a stimulant prescription, and a quieter truth from inside psychiatry, which is that many doctors like ADHD patients because they're simple, stable, reliable business. Nobody in that transaction is incentivized to ask whether the diagnosis is even right.
Start here instead: switch to a whole-foods diet, drop the ultra-processed food, and start moving your body. Give it a real chance, and then see what's left of your "ADHD."
If you want the full picture of non-drug approaches for depression, insomnia, and ADHD, I've ranked all of them in a tier-list video linked at the end of this one.
Your kid needs 8 years and hundreds of thousands of dollars to become a resident doctor.
High School → 4 years college → 4 years medical school → Residency
Meanwhile, someone from India, Pakistan, or Sudan can finish a 5-year program after high school, come to US on H-1B/J-1 visa, and take the same residency.
High School → 5 years medical school → Residency
Why is it easier for them to become US doctors, and so much harder for our kids?
Daisy sour cream has one ingredient, cultured cream. Plenty of store sour creams add milk, whey, starch, gums or preservatives on top of the cream.
Sour cream is cream with a lactic acid culture added. The bacteria sour the cream and thicken it at the same time. There's no starch or gums in the tub, so the thickness comes from the culture and the fat in the cream.
The federal standard for sour cream only requires cream and the culture, and it allows the rest as options. That's why two tubs in the same case can have very different ingredient lists.
The Little Tribe – Have Four to Six.
Have four to six children.
Not as a sacrifice. Not to fix a statistic. As the best project of your life – and the most radical one still available.
1. So that you have them to spend most of your life transmitting to. With one child, parenthood is a chapter. With six, it is the whole book. Thirty years of a full table and a full car, of stories told again and again – each time to a new face. Transmission stops being a lesson and becomes a whole life.
2. A little tribe – so they can stick together. Siblings are the first society. They argue, form alliances, betray each other over the last pancake and reconcile by dinner. Every parent of several knows the tribunal: "That’s not fair!" is the first cry of civilization. The child with five siblings learns early what a self-centered culture never teaches: you are not the center of the universe. And you are never alone in it.
3. A small society of civilizational resistance and development. The school has been captured. The media has been captured. Five siblings who grew up at the same table have not. Same stories, same jokes, same references – a shared language the system cannot edit. And cancellation depends on isolation – cut the target off from support, and the rest is easy. It is very hard to isolate someone with five siblings.
4. They can build together. Siblings start with the rarest capital there is: trust, earned over twenty years of shared bedrooms and shared secrets. The family firm is the oldest enterprise in the world for a reason – your best co-founder may be the one who knows all your weaknesses and shows up anyway. And excellence spreads in a family the way envy spreads in a committee: the younger ones chase the older ones, and the older ones cannot afford to slow down.
5. They can give each other courage. Fear works on individuals. It works much worse on tribes. One child who says the wrong thing at school is a problem. Five who say it are a family with an opinion. The family table is the first free-speech zone – the place where saying what you think is normal long before anyone explains that it is dangerous. Children raised there do not falsify their preferences easily. They have had too much practice being honest in company.
6. The objections. Too expensive – say the governments that take half your income and then explain that children are unaffordable. Rome did the same: the state removed the reason to have children, then legislated for babies. The career – almost nobody at eighty wishes for one child fewer. The planet – the Club of Rome said you were the problem, and the Club of Rome was wrong. For those who can – and not everyone can – the objections are mostly borrowed, usually from people with two children or none.
7. Maybe even a dynasty. Johann Sebastian Bach had twenty children; four of his sons became composers in their own right, and in one German town the musicians were simply called "the Bachs." The Adamses gave America a president, then a president, then an ambassador, then a historian. A dynasty is not money passed down. It is standards passed down. And a tribe carries the torch in more than one hand: one child is a thread, six are a rope.
Values without numbers lose. So does liberty.
Numbers are made at home.
The long march needed a century to capture the institutions. A tribe needs one generation to become one.
Tell the truth. Have courage. And build.
A large family.
PRO TIP: If you've been trying to teach your adolescent something and they aren't really listening, find a TED Talk where someone says the exact same thing in front of a large audience.
I've been trying to teach my shy kid some simple tricks for making friends. She wasn't interested in trying them.
Found a TED talk, and she immediately started putting them into practice.
Sometimes our jobs as parents isn't to teach, but to find teachers.
You're not going to believe how nasty Delta is.
Delta CEO Ed Bastian got caught trashing Elon Musk at internal meetings to explain why they rejected Starlink. But don't buy the corporate moral high ground for a second.
Delta tested Starlink, but Elon refused to let them trap passengers behind ad-tracking portals to farm and sell user data. SpaceX wanted instant connection just like home, with zero data harvesting.
So what did Delta do? They signed with Amazon’s completely untested satellite network which won't even launch fleetwide until 2028. Strictly to monetize passenger information.
United flyers get 300 Mbps; Delta flyers get dial-up and a data harvest.
Imagine the government creates a prepaid food program, lets call it "Foodcare," only available to a certain population.
The Foodcare beneficiaries pay a little for their coverage, but the government also taxes everyone else to fund Foodcare.
Those taxes make it so that Foodcare beneficiaries get $3 in food for every $1 they paid in. In fact, Foodcare beneficiares are so powerful a voting block, that the federal government will borrow large sums of money just to ensure the Foodcare beneficiaries continue to have access to all the kinds of food they want. Lawmakers make sure they maintain that subsidy so Foodcare beneficiaries can get three times the amount of food as they paid for.
Meanwhile, Foodcare doesn't pay chefs or restaurants very well, but they need to stay open for Foodcare customers. If they don't allow Foodcare customers, they lose the ability to take walk-in patrons. So they calculate that they need to charge private customers a lot more so that Foodcare customers can eat off the same menu. Giving everyone Foodcare prices would put everyone out of business, so the private paying customrrs need to further subsidize Foodcare.
Of course, Foodcare is popular! Foodcare beneficiaries are getting steak and lobster, subsidized by private paying customers through higher taxes and higher prices.
"Let's give Foodcare to everyone!" they say.
But wait...
It's a mathematical impossibility for everyone to get subsidized access to food. Some people are going to pay for a whole lot of food they don't eat in order for others to eat more than they paid for. That's just basic math.
So Foodcare is going to need to pay chefs and restaurants a lot more. To keep from going broke, it's going to need to strictly limit what people can order on the menu.
"No more steak or lobster," the waiter says. "The approval process for those takes months. Government bureaucrats need to authorize every item you order. Would you like some gruel instead?"
Now, all of a sudden, Foodcare isn't so popular...
📺THE TEN WAYS THE MEDIA DISTORTS THE TRUTH (a/k/a “LYING”)📰
1. EDITORIAL CHOICES. The stories the media chooses to cover are often not the issue. What matters more is the stories they deliberately choose NOT to cover, and in fact they conceal. Good economic news during Trump? CONCEAL. Bad economic news during Trump? AMPLIFY.
2. OUTRIGHT LIES. Remember that time Walter Duranty of the New York Times reported on how awesome things were in the Soviet Union during the Holodomor? “Trump/Russia Collusion” anyone?
3. HALF-TRUTHS. This means reporting half of a story that supports the media’s agenda while ignoring the other half that undermines it. Yes, Trump called the people in Charlottesville “very fine people.” THAT gets reported. The rest of the statement where he specifically condemns Nazis and white supremacists? That is deliberately left out. That is how the half-truth lie works.
4. ANONYMOUS SOURCES. Almost always anonymous sources are unelected, frustrated federal or state officials who seek to undermine the electoral choices of The People. Almost always the media never bothers to check the veracity of what the anonymous “source” claims, and the story itself becomes the fact that some anonymous person “close to the matter” alleges what they allege.
5. THE “WRAP-UP SMEAR.” Step #1: A single media source reports a bogus story. Step #2: The rest of the ideologically-aligned media reports on the fact that the first media source reported what it did, thereby amplifying and legitimizing the original, bogus story.
6. INNUENDO + HIDING THE BALL. This is the use of lawyerly “weasel words.” First, create a story intro and headline full of false innuendo so that the casual reader forms a false opinion, and then bury the few actual facts at the bottom of the story behind a paywall. (Then congratulate yourself for being "accurate" via weasel words.)
7. OPINION AS NEWS. In the era of 24/7 news coverage, inflammatory opinion is treated as news. I estimate that 80% of what passes as “news” these days is actually someone’s highly biased opinion.
8. PRETENDING TO HAVE ETHICS. So-called “journalists” tend to cover-up their lies, omissions and half-truths with bold claims of having some code of “ethics” they follow while in reality being some of the least ethical people roaming freely on the planet.
9. MEDIA-WIDE, DELIBERATE SELF-CENSORSHIP. The matter of Hunter’s laptop leaps to mind. This is the practice of the entire media colluding to suppress a story or discredit it until such time as it is OK to tell the truth (for example, after an election when the harm was already done). Another example is the non-reporting of Joe Biden’s obvious mental decline.
10. SELF-CONGRATULATION. Groups of journalists celebrating the lies of other journalists with self-congratulatory awards like the Pulitzer Prize are a cancer on the entire news media. These “awards” serve no purpose other than to legitimize lying.
************************
There is no profession that is more deceitful, evil and reprehensible than the modern incarnation of "journalism."
A 9 year old boy wrote Elon Musk a letter asking if he could be one of the first people to live on Mars. The letter was written in pencil on lined notebook paper. The spelling was imperfect. The plan was detailed.
He had calculated (incorrectly, but sincerely) how many days the trip would take. He had drawn a floor plan of his Mars habitat. He had listed the supplies he would bring: "food, water, books, my dog." He asked if SpaceX could build a rocket big enough for his dog.
The letter made it to Elon's desk through a chain of assistants who each decided independently that it should go higher. The last assistant to pass it on said she did so because the floor plan of the Mars habitat included a room labeled "for my mom so she doesn't miss me."
Elon responded. Personally. The response was short and factual in his typical style, but included one line that the boy's mother shared publicly years later: "We are building the rocket. Keep drawing the plans."
The boy is now a teenager. He is studying aerospace engineering. His mother said in an interview that the letter and the response are framed on his bedroom wall. The pencil drawing of a Mars habitat with a room for his mom sits next to a response from the man who is actually building the ship.
The mission to Mars is sustained by billions of dollars, thousands of engineers, and decades of accumulated technology. It is also sustained by a 9 year old's pencil drawing that included a room for his mother and a question about whether the rocket could fit his dog.
The technical problems will be solved by engineers. The reason to solve them is sitting in a frame on a teenager's wall.
Great op-ed from @RosenthalRC@Bloomberg health journalist who was a recent @DRsLoungePod guest
Beware our version of the Greek Sirens who are selling "no premium, no copay, no deductible — just healthcare when you need it".
That would shift trillions of dollars in healthcare spending onto the federal budget and put bureaucrats who two seconds ago were recommending your 2 year old be masked in day care, in total control of all healthcare in America. This is a very bad idea.
A much better idea I would support :
A universal guarantee against catastrophic financial losses after an income-based deductible. Allow this to be married to a HSA type plan for non catastrophic medical needs and we are gold.
https://t.co/EcyT7ef8bZ
Good morning, go to your local gas station, check if they’re reselling great value (Walmart exclusive) food products.
If they are, report them for fraud.
9 times out of ten they’re using food stamps to stock the shelves.
They get 100% profit and you get to pay twice.
Turns out my basement has been infested with mold for months and I had no idea.
Spring through autumn I keep the doors and windows open, but at the end of summer the flies got bad, so I closed up the house. I got hit hard with mold illness within days.
Lesson: mold is terrible, but indoor living with modern building materials is the actual problem.
Isn't it interesting how the fix for our air problem is the same as the fix for our light problem? Go outside, and let the outside in.
Due to careful circadian and mitochondrial health practices, my recovery has been fast. I went from feeling like I was dying to almost better in about a week.
And no, even the best air filter doesn't hold a candle to real ventilation.
I never order a coronary CT scan for people without symptoms. Here's why.
Radiation. Every coronary CT exposes you to ionizing radiation, and that exposure adds up over a lifetime.
Incidental findings. The scan also captures your lungs, liver, and chest. Small spots turn up all the time. Most are harmless, but each one means more scans and more worry.
The cascade. One picture leads to a stress test, then more imaging, then a referral to the cath lab. Each step brings its own risk.
The pharmaceuticals. Plaque on a picture usually means a prescription, often for life.
And here's the biggest reason: it shouldn't change your plan. Whether the picture shows plaque or not, the strategy is the same. Take away the bad stuff. Give the body the good stuff. Test the root causes, not the result.
Paramedic info:
Non-ambulatory (unable to walk) sitting in a chair in the garage where he sleeps. Covered in urine and feces. Cat piss smell so strong it hits you at the door. Bedbugs. Trash piled so high you can barely walk to him. Tunneling sores on his backside from sitting in one position for days. Sepsis waiting. Stained T-shirt, filthy blanket, and a hat that says VETRAN with his insignia.
Alert and oriented x4. Family gone or too old to lift him. Left there to fade.
This is how a lot of people end. We know it. We see it. That’s why they can mandate experiments, lie about the data, and get almost no real anger. A country that leaves its own veterans in a garage like this will swallow anything. And many don’t even have the garage.
God forgive us for allowing it. If it were up to me, hell would be deeper.
God bless
Running a medical practice is full of daily lessons on even how the best intentions can create unintentional problems with a practice.
I closed my panel to new patients so demand would drop and availability would improve. I sent out an email and put it on the website about the changes.
That’s not what scarcity does I found out.
It makes access feel endangered.
Existing patients heard “Dr. Brad might disappear” and I went from being booked out 2-3 months in the future to now being booked through April (~7 months in the future).
Scarcity doesn’t lower demand. It raises the fear of losing the slot.
I'm now I'm getting lots of messages about is there an option for concierge or a fee to get in earlier...
For $200, I’ll come over wearing a tool belt and a branded polo and tell your wife the renovation she wants to do is impossible because that’s a load bearing wall
For $200, I’ll come over wearing a tool belt and a branded polo and tell your wife the renovation she wants to do is impossible because that’s a load bearing wall
Stop waiting for the building.
Years ago, I had 40 boys coming for an overnight summer camp and lost the space we were supposed to use. The hotel plan didn’t work either.
My grandmother said, “Bring them here.”
So we did. Forty boys stayed at my grandmother’s house that summer.
And you know what? Their parents didn’t care that we didn’t have some beautiful facility. They trusted me with their sons because they knew my heart was in the right place and knew those boys were going to be poured into.
Sometimes your heart has to speak for you before your resources can.
Some of y’all have been sitting on a vision waiting for the building, the funding, the staff, and the perfect circumstances.
Meanwhile, somebody needs what you have right now.
Start where you are. Start with what you have.
The building can come later. The work can start now.