Michael Roizen, MD: You're listening to you The Owner's Manual Radio Podcast on Radio MD IR. Podcast Health or wherever you download us from. Thank you for doing that. This is 1265 B. The bees are always great guests And we have one for you today. Dr. Earl j Campi, junior. Brings over 35 years of critical experience And for broad board certifications, which means he's done a lot of studying to his Palm Beach concierge practice.

he's a graduate of the University of Pittsburgh School of Medicine. An excellent medical school, holds three degrees from Johns Hopkins, including a master of public health, an MBA from Duke. So he is kept studying, as well. He has a medical practice, a concierge practice in Palm Beach since 2006 called Island Medical Care.

And, maintains practice at, one of our locations, Cleveland Clinic, Florida. he's written a book, which is really quite interesting because it says that everyone can have better health with ai. And he goes further in looking at this by talking about how we, and how the industry. We will turn wearable and smartphone health data into warning signs instead of relatively unused numbers.

so first of all, Dr. Campisi, thank you for coming on. And secondly, the book by the way is, better Health with ai. And the website is better health with ai.com. And I forgot to tell about our sponsors. So before I get to the first question, our sponsors are, life's first naturals.com.

Life's first naturals.com. The makers of true biotics, bovine colostrum, and die rescue. And for young jeopardy.com, and we'll talk a little bit more about them later on. but Dr. Campi, do you have a wearable on yourself?

Earl J. Campazzi, Jr.: Yes, I've, worn the aura ring for I think three or four years now, I check it almost obsessively how well. It. I sleep last night and I also, wear an Apple watch and, try and close all three rings. people that wear it will know what that means.

Michael Roizen, MD: Do you think you are too compulsive at looking at the data or Does it motivate you to change behaviors?

Earl J. Campazzi, Jr.: I think I'm in a good place with it. I really, I check it once a day. I check it, when I wake up, And then make sure that I, for instance, I swam today even though it, it was in the sixties and, a workout tomorrow morning with a trainer.

so I try to do, do what I preach or would do what I write, in the book and, follow the metrics.

Michael Roizen, MD: So a lot of us in medicine have felt a improvement in a couple areas with ai, one of which has been that the conversations in the exam room can be recorded with AI And the medical record made a pretty good medical record. With those systems through, what would be the Epic AI system.

It's not I don't think owned by Epic, but is used in a medical record that we call Epic That is used by probably 60% of practitioners. the other place that I find it, A little bothersome is patient's come in with questions that because they are not perfectly framed, get some weird AI answers.

tell us why we will get better health.

Earl J. Campazzi, Jr.: I like to say that AI is a little like a Swiss Army knife. That it has multiple uses, probably, many more than people routinely think of. I'll get you a couple of points in just a second, but just to, notice. for instance, virtually all mammograms are now. Overread by AI or an ai, assistant is, helping the radiologist read the mammograms.

And I tell my patient's that you really wanna double check and make sure that's the case, because there's some very good studies that show, ai, is better than expert, radiologists in picking up some small tumors, et cetera. Uh, it can enhance the literal, uh, colonoscope that the, GI doctor uses.

So his, vision is enhanced, as he's looking through it and can pick up, tumors and polyps, better. So it's not just limited to kind of the, summary where, you were saying about Epic. Or just the question and answer with, like a ChatGPT can do that. but I always say that my patient's either come over-prepared or under-prepared for, the, exam and.

AI has a tendency right now to have them come in over prepared with, kind of obscure things and, too much information. I think as we work with our patient's about ai, we can improve that and lead to more of a summary.

Michael Roizen, MD: And we do, I, should say one of our sponsors for youngevity.com is a AI. Coaching program on wellness and longevity. that has saved the Cleveland Clinic. We've been using it since 2008. It saved the Cleveland Clinic $190 million a year with, its healthy Choice program. And getting and helping patient, helping our employees and dependents, get to what we call six plus two normals.

So we've been using it routinely, in a coaching situation. Another difference,

Earl J. Campazzi, Jr.: Well, that's fantastic and that's just one of many ways AI. Can be used and will be used more in the future.

Michael Roizen, MD: so tell me, you're obviously enthusiastic about it. there is the question that patient's have about, some patient's say that our quote, AI scheduling system unquote, makes it harder for them to get to the doctor they want to get to. Than they would like. and all of these things I think are part of the new system.

Tell us about the, how you are using wearables to predict disease.

Earl J. Campazzi, Jr.: It's, a lot more powerful if you can, link, your wearables and, there's some new programs called Data Aggregators. if you look for patterns for. Instance, on nights that you don't sleep well, probably your diet is not as good because, it's a natural instinct to go for more carbs when you don't have enough energy.

there are, um. programs where you can simply, take a photo of what you're about to eat and it will break down the carbs, the proteins, And the fat. And also estimate the total calories. Not perfectly accurate, but probably within about 10%, which is, good enough to see trends. And the other thing is.

if you get a poor night's sleep, you're much less likely to exercise or maybe exercise as vigorously. and that's a very simple, example, but, linking more and more, data, you can see patterns and other, caffeine and pulse rate, would be, another example.

Michael Roizen, MD: now the Apple Watch that you wear has been certified to detect atrial fibrillation. how good is that at detecting it? In other words, when someone's feeling tired, will it, almost invariably pick it up? Or is it a hit and miss thing?

Earl J. Campazzi, Jr.: there's two modes. I think that, in the passive mode where it's pretty good, but not. medical grade and as far as picking up AFib, but then there's another mode where you can, press down on the stem, and have it, do, uh, mini EKG for you. And that's really quite good in picking up, AFib there's a, an app on the, apple watch that you select And then, you put your, finger on a dial.

And, That is really very good at, determining AFib,

Michael Roizen, MD: Now you write about the flipped script method. What's the flipped script method?

Earl J. Campazzi, Jr.: Ai, is question and answer. They call it, query and response, but basically question and answer and say, you know, you had your wife, was just diagnosed with a breast mass. and of course you want the best care for you. Could you know. Ask questions like, you know, where's the best breast surgeon locally.

logical questions for you to ask, but you were far better off, saying your goal, saying, You know, my wife is, how old, and was just, diagnosed with a breast lump. What should I do? it'll come back and, you know, it'll talk about. pathology And that you could get, pathologists to overread it, at a distant location like an academic center.

it can talk about making a, one-time trip to, a cancer center, even if you want to get your care locally, the importance of the markers and explain things to you. So, you can ask basically open-ended questions, To ai, to the chat bot, And then it will advise you the additional information you need, And then the questions you should ask.

And Those are often questions you wouldn't necessarily think of, especially if, if you weren't in the medical field.

Michael Roizen, MD: So, it will help you and of course you can record and I think almost every physician I know is, more than happy. You can record the conversation on your Apple phone they can be summarized by AI pretty easily.

Earl J. Campazzi, Jr.: Yes.

Michael Roizen, MD: That's one of the, great, joys. now, in seeing that, what motivated you to write the book, and I should mention again, the name is Better Health with ai, no punctuation, better Health, with ai.com, And we're speaking with Dr. Earl. Campi. C-A-M-P-A-Z-Z-I. the book of course is better health with ai.com.

It's got a bright red cover the way I have it anyway, which I think is the cover that will appear on the real book. Is that right? It is a red cover.

Earl J. Campazzi, Jr.: Yeah, the book is out and, That is the cover. my motivation really came from my patient's. I could, see them, literally bringing me printouts from a. AI and kind of struggling with how best to use it. I thought, well, if my patient's are struggling, everyone is probably struggling. And then, you never learn something as well as when you teach it or you write about it because, you have the discipline of, researching it and putting all the facts together.

Michael Roizen, MD: I wanna thank you for, doing this, podcast with us. this has been 1265 B. Of you the Owner's Manual Radio podcast on Podcast Health Radio, md or iHeart, or wherever you download us from. Our sponsors are for youngevity.com and as I said before, they have a coaching program, that helps you.

In 18 different areas, whether it's stress or menopause or andropause That is low testosterone, or whether it is physical activity, or balance. Eye health, et cetera. They go through each of those And we will help coach you. on 180 day program. You can do a five day version or the full hundred 80 day version of the programs.

so you learn how to stay younger, longer, our other sponsor. Life's first naturals.com. Life's first naturals, the makers of bovine colostrum, true biotics, and die rescue. We'll be back next week And we hope you are too.