June 26, 2020 • 12 mins
Hosted by Carol Massar and Jason Kelly.Featuring a conversation with Dr. Vijay Vad, Sports Medicine Specialist at the Hospital for Special Surgery, on the future of medicine post-COVID-19. Producer: Doni Holloway.
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Episode Transcript
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Speaker 1 (00:02):
This is Bloomberg Business Week from Bloomberg Radio. I'm Jason
Kelly and I'm Carol Masster. Welcome to the Bloomberg Business
Week Extra. It's our weekly podcast bringing an in depth
interview you will not hear anywhere else. And this is
someone Jason, I know we're going to have back. Absolutely.
I have to say this came through a friend of
(00:23):
mine who had gone to see Dr vj vod. He's
a sports medicine specialist at the Hospital for Special Surgery
here in New York City. But man, he is a
big thinker in many ways, so thoughtful when he approaches
problems that so many of us have as athletes or
even just as people, like a sore back. Yeah, especially
(00:45):
something that a lot of folks are dealing with working
from home and just being at a computer or laptop
for hours on in check out our conversation. Well, you know,
this is sort of one of these historic events, especially
when it comes to healthcare. You know, we've been so
focused on chronic diseases. We almost thought we had infectition
diseases quote unquote beat but little do we know we didn't. So,
(01:09):
you know, COVID it's going to be what I call
one of these game changing or altering events and healthcare
for a long while to come. So I think telemedicine
is taking off. Although I haven't been involved in telemedicine,
it's it's really taking off. Um. And I guess if
(01:29):
the new generation likes these new technologies. Um. But I
think the negative part is that the patient doctor relationship,
you know, sort of the healing touch and the one
on one close interaction is definitely gonna suffer, at least
in the short term. Yeah, I have to say there
is something to that. And I've been in circumstances where
(01:50):
doctors just like, wait a minute, let's just stop for
a minute, what's going on, and they just pick up
on something, you know, in an office. And I do
wonder whether that gets potentially lost for some circumstance in
a virtual world. And I do see the benefits of
it in terms of the ease and the acts, especially
for routine things. But I do wonder, um that you
(02:13):
still have to have that face to face relationship. Well,
you know, definitely a lot a lot of the stuff
I do, especially chronic back pain is such a mind
body issue. The develop a report with a patient online,
I think is much more difficult than when you're in
person with them seeing them, I do I and there's
certain you know what told to pick up clinical pearl
(02:35):
pearls in person. That's what our training has been and
and I think that's where the new generation doctors that
are just getting trained might have a slight edge on
us quote unquote Oldheimer's is that you know, we're so
trained to be in the room tactile visual um for
clinical diagnosis and patient report, and I think that new
(02:57):
generation might be better at doing that online. And Dr
brod when when you think about whether this focus that
hopefully many of us have on our health and overall wellness.
We were having a conversation earlier in the show with
the c of WW International, Mindi Grossman, and she was
talking about she sees that in her business that it's
(03:18):
not just about weight loss, but but a more holistic approach.
Do you see that? First of all, do you see
that happening? And second of all, do you see it
lasting well? I think wellness is going to be the
next gigantic thing happening in health if you will, you know,
and I don't mean formal health care, but I think
(03:40):
as technologies improve, as our understanding improves and enhances. The
wellness segment is not just here to stay, but the
knowledge that we're gaining is going to give people tools
sort of take charge of their own wellness. And you know,
the prime example I give is just nutrition. I mean,
(04:00):
you know, when I trained in nineteen nineties and medicine,
we got fifteen hours on nutrition. And today, finally physicians
are woken up saying, hey, we need to pay attention
to what people are eating. You know, you are what
you eat, and this whole microbiome and what I call prebiotics,
which is the type of food that really enhances great
gut flora for great health. We're just at the beginning
(04:22):
of this um actively with a huge thing in healthcare
and medicine is a wellness segment and it's it's going
to be there to stay for the right reasons. Yeah,
and why did that takes out? I mean, that's fascinating
that there was that little training about it. Why did
it take so long for for medicine to come around
on that. Well, you know, there are many factors that
(04:44):
influence medical education. You know, there are many industrial influences,
pharmaceutical influences, and so you know, you have to in
medical training be actively thinking about how I don't get
boxed in. Yeah, you know the power of the prescription pad.
You know that means highpertension is not just taking out
(05:04):
a prescription pad and writing a pill. It's like, look,
here are five things you can do on your own
that can get real borderline high blood pressure versus giving
your pill. It's so true, you know. I have to
say my sister worked as a registered nurse and I'm
Royal Stone Catterying and also at MD Anderson and they
were doing research specifically looking at nutrition and how that
(05:25):
can help a cancer patient with all And this was
years ago, but it was considered like why are you
doing that? That sounds like kind of out there. But
I do feel like we're realizing maybe you know, UM
talked about as we we learn more about the body
kind of how it really works and and understanding you know,
the significance of truly what we put in there. I mean,
(05:49):
you know it's five old sunscript problem. You are what
you eat? No, no kidding. Something that you've been working
on I believe is it's a type of medical food
that helps with metabolism and basically minimizes the amount of
that patients have to rely on drugs, especially like in
(06:11):
a leave or other sorts of medicines that we might
normally use for things like arthritis. So, uh, tell me
how that works and how you came upon it. Well,
how I came upon it actually is. You know, life
is a personal journey. Actually, my grandmother was prescribed heavy
doses anti inflammatories after just a routine cataract. You know,
(06:35):
this is like thirty years ago, and she actually died
from a bleeding ulcer m. And you know, forty people
die year in our country to this day from reckless
anti inflammatory use. Wow. Yeah, and that's not to mention
these anti inflappators can cause high blood pressure in cruise,
risk of heart disease, kidney damage, especially in diabetics. So
(07:00):
sort of my personal mission. Of course. It took me
twenty some years after what happened to my grandmother, you know,
medical college inventing things. But I stumbled upon circuman, you know,
which is a turmeric extract which is very very hard
to absorb. But I was fortunate that I was able
to work with a really bright scientific team in Boston
(07:21):
who figured out how to get this curricuman into the
bloodstream and into the inflamed tissues. UM and so we
did research on it and clinical trials that showed that
it held up with an approximate in clinical trials for
near threat is. But the other big sort of serendipity
was that it reduced something called high sensitive CRP, which
(07:44):
is inflammation of the heart vessels so um, which was
a total surprise and serendipity along the on the journey
of trying to invent things for a better life. Um
and it's it's you know, the results have been fun
dominal and hope. It's my hope that we can get
decent number of people of anti inflammatories, but that give
(08:06):
them options that will do no force, do no harm. Well,
so help me with this because I've I've certainly tapped
into the Tumerican cocuman, whether it's tease and different supplements.
I know some other members of my family have what
what's your view on that versus It sounds like the
concentration of what you're doing is different. So just help
(08:28):
me out here a little bit. So so you know,
I mean, so turmeric itself, there's very little cricuman in turmeric,
so you would have to eat first of all, you
know it to tend tea spoon tablespoons of it, which
is not realistic. UM. And even most of the cricuman
today it doesn't absorb well or be there is you
(08:50):
know this whole pepper theory, I really haven't bought. You
put a little pepper in there and it absorbs. And
there are a lot of manufacturing issues with crick human
in general, and some of it is laced with lead,
some of it is impure. I mean there. We just
haven't had the depth, the federal government and the FDA
hasn't had the bread to control this and to make
(09:13):
sure you're getting what the bottle says it does. So
this we brought this out as a medical food. So
every batch of tested for purity and it comes from
an organic turmeric farm in India and is manufactured in
Westchester at the FDA facility. UM. And you know that
the differences that not only absorbed no bloodstream, but that
(09:35):
it has some very high bioactivity, meaning it gets inside
and flame tissues. And we know that because it reduces
this high sensitive CRP, which should only be reduced by
penetrating those in flame blood vessels in the heart. I
do wonder because dayson I talked about this a lot
about the medical community. You know, the pharmaceutical industry is
(09:57):
so still entrenched, and I do want or that, like
what you're doing, there's got to be what seemed to
be maybe equally or more productive ways without the negative
impact on the human body. And it just feels like
we're on the cusp of of getting there. How do
you see it? Yeah, Look, I think our knowledge of
(10:19):
food is medicine is enhancing, our knowledge of non drug
related therapies is enhancing, and so look, there's so much
confusion when it comes to even pharmaceuticals. A lot of
generics are impure, and when it comes to supplements, it's
(10:40):
like the wild Wild West. I mean their studies done
on supplements there, Yeah, they're they're very impurity, from zero
percent to n Yeah. I have to say that that's
an airy Jason, you and I have talked about this
in air. I I do agree with you that it's
the wild wild West. There's no oversight of it, and
it's a huge industry. Aste is um So only about
(11:02):
a minute left here. Dr D tell us briefly about
carbo plastic. I'm fascinated by this, especially because I know
a lot of people who have had to get their
knees replaced after years and years of running. So you know,
I have a lot of technology companies. My wife thinks
I've caught lightning and a bottle on this one, so um,
(11:23):
which is saying a lot. So basically we're not even
in the joint when we're treating the ar threatis so
carbro plastic. To me, it goes where the crime is
where the cartilage and the bone meat. And the theories
that the lack of blood supply from the bone to
the cartilage gets where of the you know, gets the
cartilage just start getting sluff sluffed off, which is by definition,
(11:43):
our threatis loss of cartilage. And we basically takes themselves
from your body and we deliver them too, whether cartilage
and the bone meat. It's almost like we're getting fertilizer
to the cartilage to get it to repair and the
pain to go away. And that's Dr j Vard sports
medicine specialists at the Hospital for Special Surgery, And I
(12:03):
got to say the things that they are working on
he is working on specifically in terms of really understanding
the body, whether it's what we eat and what goes
into it, or how to use the body itself to
make us healthier. I really feel like this is a
cutting edge of medicine. You've been listening to Bloomberg Business
Week Extra. You shorty tune into Bloomberg Business Week Radio
(12:24):
like Monday through Friday at two pm. Wall Streetimeloomberg Radio.
I'm here and I'm Jason Kelly. This is Bloomberg
This is Bloomberg Business Week from Bloomberg Radio. I'm Jason
Kelly and I'm Carol Masster. Welcome to the Bloomberg Business
Week Extra. It's our weekly podcast bringing an in depth
interview you will not hear anywhere else. And this is
someone Jason, I know we're going to have back. Absolutely.
I have to say this came through a friend of
(00:23):
mine who had gone to see Dr vj vod. He's
a sports medicine specialist at the Hospital for Special Surgery
here in New York City. But man, he is a
big thinker in many ways, so thoughtful when he approaches
problems that so many of us have as athletes or
even just as people, like a sore back. Yeah, especially
(00:45):
something that a lot of folks are dealing with working
from home and just being at a computer or laptop
for hours on in check out our conversation. Well, you know,
this is sort of one of these historic events, especially
when it comes to healthcare. You know, we've been so
focused on chronic diseases. We almost thought we had infectition
diseases quote unquote beat but little do we know we didn't. So,
(01:09):
you know, COVID it's going to be what I call
one of these game changing or altering events and healthcare
for a long while to come. So I think telemedicine
is taking off. Although I haven't been involved in telemedicine,
it's it's really taking off. Um. And I guess if
(01:29):
the new generation likes these new technologies. Um. But I
think the negative part is that the patient doctor relationship,
you know, sort of the healing touch and the one
on one close interaction is definitely gonna suffer, at least
in the short term. Yeah, I have to say there
is something to that. And I've been in circumstances where
(01:50):
doctors just like, wait a minute, let's just stop for
a minute, what's going on, and they just pick up
on something, you know, in an office. And I do
wonder whether that gets potentially lost for some circumstance in
a virtual world. And I do see the benefits of
it in terms of the ease and the acts, especially
for routine things. But I do wonder, um that you
(02:13):
still have to have that face to face relationship. Well,
you know, definitely a lot a lot of the stuff
I do, especially chronic back pain is such a mind
body issue. The develop a report with a patient online,
I think is much more difficult than when you're in
person with them seeing them, I do I and there's
certain you know what told to pick up clinical pearl
(02:35):
pearls in person. That's what our training has been and
and I think that's where the new generation doctors that
are just getting trained might have a slight edge on
us quote unquote Oldheimer's is that you know, we're so
trained to be in the room tactile visual um for
clinical diagnosis and patient report, and I think that new
(02:57):
generation might be better at doing that online. And Dr
brod when when you think about whether this focus that
hopefully many of us have on our health and overall wellness.
We were having a conversation earlier in the show with
the c of WW International, Mindi Grossman, and she was
talking about she sees that in her business that it's
(03:18):
not just about weight loss, but but a more holistic approach.
Do you see that? First of all, do you see
that happening? And second of all, do you see it
lasting well? I think wellness is going to be the
next gigantic thing happening in health if you will, you know,
and I don't mean formal health care, but I think
(03:40):
as technologies improve, as our understanding improves and enhances. The
wellness segment is not just here to stay, but the
knowledge that we're gaining is going to give people tools
sort of take charge of their own wellness. And you know,
the prime example I give is just nutrition. I mean,
(04:00):
you know, when I trained in nineteen nineties and medicine,
we got fifteen hours on nutrition. And today, finally physicians
are woken up saying, hey, we need to pay attention
to what people are eating. You know, you are what
you eat, and this whole microbiome and what I call prebiotics,
which is the type of food that really enhances great
gut flora for great health. We're just at the beginning
(04:22):
of this um actively with a huge thing in healthcare
and medicine is a wellness segment and it's it's going
to be there to stay for the right reasons. Yeah,
and why did that takes out? I mean, that's fascinating
that there was that little training about it. Why did
it take so long for for medicine to come around
on that. Well, you know, there are many factors that
(04:44):
influence medical education. You know, there are many industrial influences,
pharmaceutical influences, and so you know, you have to in
medical training be actively thinking about how I don't get
boxed in. Yeah, you know the power of the prescription pad.
You know that means highpertension is not just taking out
(05:04):
a prescription pad and writing a pill. It's like, look,
here are five things you can do on your own
that can get real borderline high blood pressure versus giving
your pill. It's so true, you know. I have to
say my sister worked as a registered nurse and I'm
Royal Stone Catterying and also at MD Anderson and they
were doing research specifically looking at nutrition and how that
(05:25):
can help a cancer patient with all And this was
years ago, but it was considered like why are you
doing that? That sounds like kind of out there. But
I do feel like we're realizing maybe you know, UM
talked about as we we learn more about the body
kind of how it really works and and understanding you know,
the significance of truly what we put in there. I mean,
(05:49):
you know it's five old sunscript problem. You are what
you eat? No, no kidding. Something that you've been working
on I believe is it's a type of medical food
that helps with metabolism and basically minimizes the amount of
that patients have to rely on drugs, especially like in
(06:11):
a leave or other sorts of medicines that we might
normally use for things like arthritis. So, uh, tell me
how that works and how you came upon it. Well,
how I came upon it actually is. You know, life
is a personal journey. Actually, my grandmother was prescribed heavy
doses anti inflammatories after just a routine cataract. You know,
(06:35):
this is like thirty years ago, and she actually died
from a bleeding ulcer m. And you know, forty people
die year in our country to this day from reckless
anti inflammatory use. Wow. Yeah, and that's not to mention
these anti inflappators can cause high blood pressure in cruise,
risk of heart disease, kidney damage, especially in diabetics. So
(07:00):
sort of my personal mission. Of course. It took me
twenty some years after what happened to my grandmother, you know,
medical college inventing things. But I stumbled upon circuman, you know,
which is a turmeric extract which is very very hard
to absorb. But I was fortunate that I was able
to work with a really bright scientific team in Boston
(07:21):
who figured out how to get this curricuman into the
bloodstream and into the inflamed tissues. UM and so we
did research on it and clinical trials that showed that
it held up with an approximate in clinical trials for
near threat is. But the other big sort of serendipity
was that it reduced something called high sensitive CRP, which
(07:44):
is inflammation of the heart vessels so um, which was
a total surprise and serendipity along the on the journey
of trying to invent things for a better life. Um
and it's it's you know, the results have been fun
dominal and hope. It's my hope that we can get
decent number of people of anti inflammatories, but that give
(08:06):
them options that will do no force, do no harm. Well,
so help me with this because I've I've certainly tapped
into the Tumerican cocuman, whether it's tease and different supplements.
I know some other members of my family have what
what's your view on that versus It sounds like the
concentration of what you're doing is different. So just help
(08:28):
me out here a little bit. So so you know,
I mean, so turmeric itself, there's very little cricuman in turmeric,
so you would have to eat first of all, you
know it to tend tea spoon tablespoons of it, which
is not realistic. UM. And even most of the cricuman
today it doesn't absorb well or be there is you
(08:50):
know this whole pepper theory, I really haven't bought. You
put a little pepper in there and it absorbs. And
there are a lot of manufacturing issues with crick human
in general, and some of it is laced with lead,
some of it is impure. I mean there. We just
haven't had the depth, the federal government and the FDA
hasn't had the bread to control this and to make
(09:13):
sure you're getting what the bottle says it does. So
this we brought this out as a medical food. So
every batch of tested for purity and it comes from
an organic turmeric farm in India and is manufactured in
Westchester at the FDA facility. UM. And you know that
the differences that not only absorbed no bloodstream, but that
(09:35):
it has some very high bioactivity, meaning it gets inside
and flame tissues. And we know that because it reduces
this high sensitive CRP, which should only be reduced by
penetrating those in flame blood vessels in the heart. I
do wonder because dayson I talked about this a lot
about the medical community. You know, the pharmaceutical industry is
(09:57):
so still entrenched, and I do want or that, like
what you're doing, there's got to be what seemed to
be maybe equally or more productive ways without the negative
impact on the human body. And it just feels like
we're on the cusp of of getting there. How do
you see it? Yeah, Look, I think our knowledge of
(10:19):
food is medicine is enhancing, our knowledge of non drug
related therapies is enhancing, and so look, there's so much
confusion when it comes to even pharmaceuticals. A lot of
generics are impure, and when it comes to supplements, it's
(10:40):
like the wild Wild West. I mean their studies done
on supplements there, Yeah, they're they're very impurity, from zero
percent to n Yeah. I have to say that that's
an airy Jason, you and I have talked about this
in air. I I do agree with you that it's
the wild wild West. There's no oversight of it, and
it's a huge industry. Aste is um So only about
(11:02):
a minute left here. Dr D tell us briefly about
carbo plastic. I'm fascinated by this, especially because I know
a lot of people who have had to get their
knees replaced after years and years of running. So you know,
I have a lot of technology companies. My wife thinks
I've caught lightning and a bottle on this one, so um,
(11:23):
which is saying a lot. So basically we're not even
in the joint when we're treating the ar threatis so
carbro plastic. To me, it goes where the crime is
where the cartilage and the bone meat. And the theories
that the lack of blood supply from the bone to
the cartilage gets where of the you know, gets the
cartilage just start getting sluff sluffed off, which is by definition,
(11:43):
our threatis loss of cartilage. And we basically takes themselves
from your body and we deliver them too, whether cartilage
and the bone meat. It's almost like we're getting fertilizer
to the cartilage to get it to repair and the
pain to go away. And that's Dr j Vard sports
medicine specialists at the Hospital for Special Surgery, And I
(12:03):
got to say the things that they are working on
he is working on specifically in terms of really understanding
the body, whether it's what we eat and what goes
into it, or how to use the body itself to
make us healthier. I really feel like this is a
cutting edge of medicine. You've been listening to Bloomberg Business
Week Extra. You shorty tune into Bloomberg Business Week Radio
(12:24):
like Monday through Friday at two pm. Wall Streetimeloomberg Radio.
I'm here and I'm Jason Kelly. This is Bloomberg
Hosts And Creators
Tim Stenovec
Carol Massar
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