Hey everybody, thanks for joining us again. Today I am so excited to have my friend and colleague, Dr. Van Zant. We'll get into our story, but just a little intro before I introduce her formally. We go way back to Illinois. Yes, and it's just such a neat story because I did my medical training in Chicago, came back to Illinois, did my residency in family medicine there, and then I stayed on with the hospital that was, it's now Unity Point, but it was Methodist Medical Center. And remember really talking to the CEO and saying, you know, we need to get some integrative medicine in here. And fortunately, he was insightful enough to see the need. And we created an integrative medical center. And Dr. Van Zant was my medical partner there. And so we have actually practiced together in Illinois. And I just have such great respect. It's so fun to reconnect. And she has her own practice now in Illinois. And she'll tell you all about that. We'll be sure and link you up to that because I know a lot of you out there. In fact, if you're listening today and you're from Illinois, say hello, because we have a lot of, I still have a lot of patients from Illinois. And obviously, patients that I used to see, some of you still follow and watch these. So if you are out there and listening on any podcast, YouTube or Facebook, please say hello, because I feel like it's all my old friends in Illinois. So I'm so delighted to have Dr. Van Zant. Before I introduce her just a little background, you guys know, you can find all of my videos on my YouTube channel. It's just under my name, Dr. Jill Carnahan. There's like over 60 hours there. It's all free content. And today we're going to be doing another one, and it'll be posted there shortly. If you want anything on the website, we have free blogs and all kinds of resources at JillCarnahan.com. And my retail store is at Dr. JillHealth.com. So those are the places you can find me. Now without further ado, I want to introduce my beautiful friend and colleague, Dr. Roberta Van Zant. She practices functional and holistic medicine in Illinois. And as you've been around a while, you all know what functional integrative medicine is, kind of getting to the root cause. She is a kindred spirit in many, many ways. And we've had our own adventures. And then I moved to Colorado in 2010. And she, like I said, has her own practice. She is trained as an osteopathic physician, which is, I always feel like they have bonus material that we don't get in allopathic medicine, because she knows how to adjust entry through movement to manipulation, as well as all the same training that allopathic physicians get. I always find this may or may not be true. It's my own little take on it. But my colleagues that are osteopaths are a little bit more open-minded. And I really like that about their training. I think they get probably a little bit more nutrition in some of the things that, again, allopathic physicians miss out on. But same training, great medical doctor that she is. And she is trained in family medicine, like myself. She's board certified in family medicine and osteopathic family physicians received over 300 hours of additional training in functional integrative medicine, as well as osteopathic manipulation. She got her medical degree at University of Texas Health Science Center and Texas College of Osteopathic Medicine and completed her residency in family medicine at Harrisburg Family Medicine program in Harrisburg, Pennsylvania. Also the first graduate of the Women's Health Fellowship through the University of Illinois College of Medicine in Puria. So love, love, love having you here, Dr. Banzia. It's like old friends. It is, yes. So great. Yeah, thank you so much. It's wonderful to be able to talk with you. I'm really impressed with everything that, you know, you're able to share. You do such a great job. We do go so far back. I think when I first started as a fellow, you were in your third year of residency and then you went out and started doing functional medicine right from the get-go. And I was so blessed to be able to come on board and work with you at the Center for Integrative Medicine years back. And really, that's where I got my start, you know, was working alongside you and you have taught me so much when we worked together. And it's just been a joy to be able to continue to do functional medicine full-time. It really is amazing to me as I look back, you know, I've been doing it for 16 years now and it's hard to believe, but yeah, I started out working side-by-side with you and you taught me so much. Oh, thank you. I feel like I always went the same way.  We were just like, you know, honestly, did we really even know what we were doing? No, sometimes I still question that, but it's okay. Yeah. I know you learn along the way and you just grow. And I think that God just puts before you the things you're supposed to learn in certain seasons. And you know, I still think every day there's so much more that I could know and need to know, so we just never stop learning. Thank goodness, right? I'm the same way. I'm always like up for a new, you know, it's interesting to you. I'm sure you have this perspective, but I have patients who've been a lot of different places and different practitioners and still looking for answers. And I'm always surprised at how many times they tell me, you know, the docs said, I'm sorry, I can't help you anymore. And I just like my heart drops and I'm like shocked because I don't have all the answers, but I'll never stop trying. And I know you have team velocity. And it's always like you said, the way that I feel like I get my greatest education is through my patients, because I'll come in with something new or something slightly different than what I've seen before. And I have to help them be a team with them and figure it out. And I get excited. But that's where I that's where I learn like we wouldn't learn about the people that come in and bring me. Absolutely. Absolutely. There's no way we can know there's the amount of information, especially available to us now that, you know, we are able to search the vast internet is vast, more than we could ever stick in our brains and try and spit back out. So I'm usually appreciative when people bring new ideas to me. And, you know, whether or not I continue with exploring those ideas, it's always an option. But I think it's a good thing when we're exposed to new things, new ideas, new thought processes, because no, no two functional medicine physicians practice the same or think the same. And that's a good thing. Because as we were just talking about before we got on the air, you know, everybody has a passion based on their experience. And it's what the experience is that you have in your life, how the impact you really drive what you do and and how you then can help your patients and interact with them. So well said. And that's a great segue because what I love to start with is kind of your journey from osteopathic medicine manipulation into functional medicine and obviously family practice in there too, just like myself. Tell us a little bit about how you had interested in functional medicine and then some of your own challenges with patients or our family or friends or people that have kind of driven you where you're at today. Well, you know, I actually did not go out of come out of my undergraduate thinking I was going to go right into medical school. I went into my undergraduate thinking I was going to go into medical school. And then I discovered there was other things out there that I wanted to do. So after I graduated from college, I actually went and worked in research for a while. And then I was a medical editor for a neurosurgeon for a while. And it was while I was working with him that something happened. And I realized I wanted to go to medical school. But more than that, I had kind of had not major but some minor health challenges. I had a friend at the time who had been raised without any antibiotics and just very non traditionally. And so that introduced me to using herbals and things like that. So I that was my first taste of kind of non traditional medicine. And it was that combined with a spiritual journey that I was on really made me think that I wanted to become a physician who treated the whole person person you know that quote unquote holistic approach. And after after knowing that I started looking at where I wanted to go to medical school and ended up at the osteopathic school that you mentioned. And no, I not every person who goes to an osteopathic school has a real widened or more thoughtful approach. But I do feel like there are certain people who choose that. And it's because the philosophy really is that the body has the capacity to heal itself. That's the very essence of the osteopathic philosophy. And so I loved that. And I wanted to treat people birth to death and be able to just sit down with them and talk. So I ended up going to, you know, an osteopathic medical school and learned a couple other tricks, I guess along the way, you know, doing osteopathic manipulation, which has been wonderful. But I really loved the approach to it. Then I went into residency up in Harrisburg, as you had said, and did a family practice residency. And honestly, it was pretty traditional. And that's okay, because I always think that my traditional training gives me a sense so I can keep feet in both, both worlds, you know, and in some degree. So a foot in the traditional world, I understand how that works. I've treated patients that way. But in the integrative or functional medicine world, I can see the bigger picture, the bigger toolbox. So I had a pretty traditional training program and then moved here actually to do a women's health fellowship where I live now in Peoria, Illinois. Never thinking I would be here 16 years later, because I'm not from this area. But the way things happened, I did get a job. I met my husband who was from this area and ended up staying here. And the first job I had really was what challenged me. I again was doing, I was lucky enough to be able to spend about 30 minutes with a patient. I said, at that point, I did primary care women's health. So I was spending about 30 minutes with patients and I loved that because I could spend that time. I knew I never wanted to be a physician who just, you know, ran in and out and saw 30 to 40 patients a day. That was never going to be a good fit for me. But it was while I was working at the women's health that I started to learn about bioidentical hormone therapy. And you would think in a women's health fellowship, I wouldn't know all about that, but it was pretty traditional. And I knew some, but it was going to a conference on bioidentical hormone therapy and adrenal, thyroid testing, et cetera. I walked away and I thought, why did I not learn this in medical school? Why did I not learn this in residency? This just makes so much sense. And it was then that I started really doing what I'd call functional medicine right after I got out of my fellowship, because it was looking, you know, behind the cover, trying to figure out why, asking the question why. You feel this way, but why. And so I started really doing just more hormones, thyroid, et cetera. I worked as a faculty member for a while at a residency program here in Peoria family practice. Really enjoyed that. But when I had my second child, I knew I didn't want to work full time and you had just opened up the Center for Integrative Medicine there. And so I remember I approached you and I said, I just want to work part-time and I know that I want to do all functional medicine. I don't want to do traditional medicine. I never will.  And then it's through your own experiences in life.  We've had it either I've had it or my family member, somebody I know, you know, autoimmune or thyroid or adrenal or hormones, all of it infection, et cetera. You know, Lyme disease, tick-borne disease. So all of this has just layered on my experience. But, you know, the cardiovascular stuff that we do at my office as well is kind of my own personal experience. That's the thing that I would say has driven me to lean into that area kind of specifically in a special way because of my family history and my own personal history. Yeah, I'm so excited. Like you said, we haven't talked a lot about heart health and for women, I believe the statistic is the fourth leading cause of mortality among women. And so, often we talk about men, we think about men, we study men, but we're just as prone to this and actually I think underserved sometimes the statistics and the research and even absolutely. So, and again, I love how you frame that. I feel the same thing. We've had this wonderful conventional training and I embrace it and I love all the important things we've learned, but now we've got a bigger toolbox and more things to do. Instead of just going to drugs and surgery, we can actually go to root cause and say, how did this happen? Why did it happen and try to reverse it? So, I want to talk about that. And I just, like I said, I want to acknowledge our journeys here. One thing that came to mind as you were talking and I priced this before, but I remember back in medical school, I was like the oddball because I was interested in integrative medicine. I brought like, you know, we had an integrative club that I started at Loyola. And I remember my colleagues just kind of were like, yeah, whatever Jill does her thing. But what's happened over the years, and I'm sure you've had this too, is as they or their family members comes across their own illness or something where the commercial medicine doesn't have a great answer. I get calls all the time now where they're like, you know, Jill, we remember back in the day when you were the weird one and now is there anything you could help us? And I think things are shifting. There's more and more doctors that are frustrated with the limited time with patients and the limited answers really, because there's some great stuff with trauma and heart attack or car accident. But then more, but wait, there's more. So so cardiovascular disease, let's dive in and give us just the state of affairs. Like are you seeing a lot in women? Are you seeing younger? How does this first present? What kind of symptoms would people be concerned about or family history? And then we can talk about what you do for diagnosis and treatment. Well, I really think there's probably two categories of people when it comes to cardiovascular disease. People either know that they had a family member who had cardiovascular disease, you know, parent, grandparent, et cetera. Alzheimer's is kind of in there as well. You wrap that up as a cardiovascular issue or some type of dementia. And they they are either accept it very frankly, like, this is just something that I'm going to have, or they're scared of it and want to just ignore that they might have that. But either way, they know it's part of their family history. And then there's the patients who may not have it as part of their family history, or they're already doing something to be very proactive and think, I'm healthy, I'm taking care of myself. And obviously, lifestyle is a huge deterrent to all kinds of illness, cancer, cardiovascular disease. But the unfortunate truth is that cardiovascular illness is the number one cause of death in the United States for both men and women.  They don't actually die from it, but one in six will develop breast cancer. But we have so much technology and advancements that we can actually do many things to prevent progression, treat it, et cetera. Whereas cardiovascular disease, it kind of gets swept under the rug for women, or does it, you know, we have the Go Red for women month in February. And I think more women are aware of that, but it's still on the back burner in medicine. We don't talk about it enough. And certainly, I think most women are surprised to hear that their number one chance of dying is going to be from some type of cardiovascular related event. So telling just like when you're seeing patients in the clinic, obviously, they might be coming for hormones or that. And I'm sure as a great functional medicine, you're looking at all the risk factors because you're doing a big wide swap of testing. What percentage is kind of a new thing when you bring up, you know what, you're kind of at risk here. We need to address this. Is there a, would you say it's 50-50 people who know versus that you have to actually bring that to their attention? Or is it? I think it's probably more age related, honestly. You know, the older person gets, the more they think about their mortality. And so, you know, women who are probably 50, at least 60 or above, they're thinking about that risk for themselves. In my experience, more or less, they may have been told they have high blood pressure or high cholesterol. By that time in their life, it's supposed to younger individuals who may not have any clue about that. But my biggest concern is really for those women who are 30, I shouldn't say just women, okay? Men as well, but you kind of asked me about women. So my biggest concern is for those individuals between 30 and 50, we know that statistically plaque happens between the ages of 40 and 50 for the most part. That's when most plaque starts to occur. And I really think that that's those people that we have to educate. And this is a different brand for me of trying to share with patients in functional medicine, because I'm sure you know this. You don't have to really try and advertise functional medicine, because when people know about functional medicine, they find you. They know that it's different, that you can offer something that other physicians aren't, that you're going to look at the root cause. They're not feeling well. Something's not right for them. The cardiovascular prevention is a completely different thing. I mean, it's true. What I would hope is that it's true prevention. And so that's education. You have to educate people about understanding why they need to really get that risk, because they can obviate that risk very early in their life. And we can actually identify their risks much earlier than they would think. So in traditional medicine, there's this paradigm of either you've never had any issues with this, right? You've never had a heart attack or stroke. You've never had a stent.  You've either not had anything. Maybe you have some risk factors or you have it. And probably the one exception to that is diabetes, right? Diabetes is called the cardiac equivalent. We know that high blood sugars are hard on the blood vessels. And so that's the one thing that in conventional medicine, we try and be a little bit more aggressive about, even if a person hasn't had symptoms. But really, the amazing thing is there's plenty of tools out there, relatively simple, outpatient tools, labs, and testing that you can do to figure out if you fall into what I'd call that middle category, which is not that you haven't had symptoms, but that you actually have disease or inflammation of the blood vessels, but you haven't had an event. So really, three different categories, right? You either have no disease. This is more of an arterial disease. And I totally give credit to Dr. Bale and Dr. Donin of the Bale-Donin method for bringing this idea and this understanding so eloquently to the forefront, which is that we really have three different categories. It's arterial disease that we need to be looking at, not just have you had an issue or have you not, but rather, is there a problem with your blood vessel or not? And you either have had problems with your blood vessel or you haven't, but if you have, you're going to be in that, yeah, we know that category. If you haven't, we can actually divide that out and look at, well, do you have issues ongoing right now? Do you have plaque? Do you have inflammation in your blood vessels? And if you don't, that's true active prevention to keep it that way. But if you, if we can find, if you have plaque, or if you have endothelial inflammation in your blood vessels, then, and you haven't had an event, we can actually impact that too. You're not just a sitting duck. And so that's the paradigm shift that, you know, that we're trying to affect, which is that you can truly be preventative. You don't have to just be a sitting duck. But more than that, you can know about what's going on inside your blood vessels. And, and we can figure out what's causing the problem too. There's enough data and enough evidence out there that it's not just, do you have high cholesterol? Do you smoke? Are you overweight? Do you have high blood pressure? Those are important. Absolutely. Those are the obvious risk factors. But other things like, do you have PCOS? Do you have a nitriosis? Sleep apnea is a huge one that goes, yeah, grossly undiagnosed. Chronic inflammation, autoimmune disease, infections, you know, patients who have ongoing infections. You know, all of these things, genetics play a huge part. I know that you spoke with my friend, Sharon, husband, co, and a couple of weeks ago, I love, and, you know, the genetic component of it really, I think is so important to talk about with all illnesses. But for sure, cardiovascular illness, there's some genetic predispositions that we can actually kind of manipulate, you know, with the epigenetic impact and help offset. So I think that there's so much that can be done. It's educating people about that. Coming back around to what you were asking me a minute ago, the educating patients to know what they don't know, or they don't think is important right now, that's different than I would say more of what patients traditionally come to me for in functional medicine, which is I have this problem. I don't feel good this, this, this, and I need help. So it's a nice segue for the most part to be able to look at people's risk factors and talk about, you know, hey, we have this program or we have some ways to figure out if you're at risk now. I know we're talking about all these other things, but I know you know this, you know, in functional medicine, my goal is always to get people feeling better and out the door. I don't want them to be lifetime patients of mine. I want them to feel good and to eventually move on. But while they're there, I'm hoping that we can talk about their cardiovascular risks too and make that long-term impact on them. Gosh, love it. What a great kind of overview. And when they're coming in, are you assessing everybody who comes in for heart health and then making offering, how do you give them into the heart program? And then what does that look like? Well, I think that it's always in the back of my mind. But you know, with any person, you know, you're going to address the things that are most important to them first. And sometimes that's a discussion at the first and sometimes it's not. But if they have risk factors, it will be something that we try and get into the discussion at some point because my goal is to take care of all of them and help them to get truly healthy from whatever they're suffering from, but also for the long term. Then we also do have patients who come just for the cardiovascular program that we do. I call it the healthy heart program. And they come specifically because they know that they have risk or they're concerned because of family risk. Or, you know, they've had a family member. Now the word's getting out. We have more people who come who, you know, the husbands drag their, excuse me, the wives drag their husbands in, you know, or, you know, there are some younger people who are educated enough about cardiovascular risks that they know they still need to figure out what's going on. So it is a little bit of different. Some genetics and advanced lipid profiles kind of the basic, but what else?  What kind of a workup in general are you doing with these patients? Well, I'd have to say the various thing that I do is look at their blood vessels and that's through that simple test of CIMT crotted into me in media thickness. And do you do that or do you have any options to do that in your area? Yeah, the area. Yes. So, yeah, CIMT testing really changed the game for me because I had known about it a long time ago. I tried to get one of the local hospitals to do it and it was kind of blown off like, well, we don't do that. And nobody really, it's a very specific measurement, blah, blah, blah. So it wasn't until probably about five, six years ago that I discovered the bail-doning method, which I really credit with helping me to understand more about my own health, which is then of course how I wanted to implement it for my patients. But CIMT for me is foundational because it visualizes the arteries of the neck of the crotted and it tells us both about plaque and about inflammation in the blood vessels in the intimate media that of course that's aligning right underneath the indelium. And that is what can actually change in size. It's representative of inflammation and many different things can impact that. And all of those things we think about, gut dysbiosis, sleep apnea, high cholesterol, genetics, insulin resistance, high blood pressure, infections, inflammation, all of the things that we've discussed a minute ago, all of those things impact the thickness of the blood vessel aligning and we can actually measure that and determine if it's thicker than it should be for a person's age. And if it is more than five years discrepancy from their age, then there is something going on to accelerate their vascular aging. And if the intimate media is thickened, then that actually creates a sticking point for that LDL. So, you know, we hear a lot about whether LDL is good or bad, but I mean, it's really only bad if it's sticking in the cluster or sticking in the blood vessel wall. And so CIMT testing tells us that we can tell if you have a thickened blood vessel aligning and we can tell if you have plaque and then we can determine if the plaque is risky by how thick it is by the circumference of it and if the type is stable or unstable. You know, so that's where the rubber meets the road for heart attacks and stroke is if you have unstable plaque, you have to have plaque. You can't have a heart attack or stroke without some type of plaque for the most part. And if you have plaque, if it's unstable, you're at risk for having an event, a heart attack or a stroke and suffering some kind of illness from that. So CIMT testing is usually where I recommend everybody start because I can get a really clear picture of how immediate their risk is. Obviously, if they don't have plaque, there's some time. If they do have plaque, then we may want to be more aggressive. And then I layer in the advanced lipid testing as you referred it to. And I mean, again, simple blood tests that tell us what's going on backstage, right? It tells us what's going on as far as inflammation in the endothelial lining if the blood vessel is able to make enough of its own nitric oxide. If the blood vessels are cracked and allowing protein through, it tells us if the plaque that's present is inflamed or not. So I really feel like it's so much that we can tell from a simple blood draw in the CIMT to effectively give a person, do they need to do something now? Or if they are looking pretty good, what can they do to keep it that way? But I love this because some of the stuff that you and I do is cash only. And it sounds like the basic blood work and probably the crowded intermedial thickening, if some of that would be covered by insurance, is that true? Or can they get reimbursed? Well, the labs usually are not all of the labs. There's a few genetic tests that aren't their cash pay, but most of the labs go through insurance, especially with appropriate diagnoses, either if a person has a diagnosis of hyperlipidemia or family history, etc. The CIMT is usually not covered. Medicare will reimburse for it if it's done through a traditional office, but not much. So usually that is a cash pay out of pocket, but different places offer different prices, but usually it's not going to break the bank. You're not talking thousands of dollars, a couple hundred dollars, you can get a look at your blood vessels. And the crottids are just representative. Honestly, I don't think I said that, but they're representative of what's going on in the heart and in the brain. Easy to access. You don't have to disrobe. It's easy to get to. Do you usually do so? Say you find someone, say a 55-year-old woman or man, and you find some issues and you're starting to address them.  Yeah, usually no more than annually because you can check the blood work. The blood work is usually helpful because if you have inflammation, I always tell patients that you can tell if the chemicals are off than what's going on in your blood vessels. We can modify that and that's our roadmap, but we'll repeat the cardiovascular CIMT in a year. I remember the first patient who had, he had tried many things and he was dedicated to lifestyle change. He was not overweight. He was trying lots of supplements and when we got a CIMT, I was just floored because he had a decent amount of plaque and unstable plaque. We got his labs and his plaques were unstable and it really scared me for him honestly because we know that with certain labs, if they're off, the risk for an event could be tomorrow, i.e., a heart attack or something could be tomorrow or five years. After being able to have that conversation with him, we've made appropriate changes and the year later, some of his plaques had reversed, some of them had stabilized. He was in a much safer place and I knew that he was going to be okay. Of course, as a doctor, you want to do the best you can for your patients, but if I had known that this gentleman, despite everything, had still had a heart attack or stroke, it would have just sickened me. Going, what else could I have done? Well, I really feel like now I know. Now I know how to help people know what's going on with them and give them the information and they can make some choices. Yeah, Gaston, I love it. If you're listening, you probably know this, but what is so classical is the lipids and some of those genetic factors like you believe for, but what Dr. Van Zand and I also look at is, like what she mentioned, infections and inflammation and endothelial dysfunction is so common with viruses and bacteria and toxic exposures in our environment. So even if you are, you know, the patient like you typically, the ones that I see in my clinic, which are mold and Lyme and that, you still, even at a young age, could have a very high cardiovascular risk just because of infections and inflammation, double genetics. So it's very relevant to even populations that may not think they have a high risk. Yes, absolutely. So this is great. And I want to talk about the other part of our title was on optimal stress resilience. And if you're listening, you may wonder obviously stress and heart do go together. But I think this could be maybe one of the most important things we talk about. How do you approach, because this is a factor I always find for me or patients or anyone else, it's easy to give a pill, whether it's a drug or a supplement. It's a lot harder to make the lifestyle changes than to get people motivated to do that. And yet the most important things, what are you looking at for the program as far as stressors and sleep and what kinds of things are you looking at, what categories and what are some of the kind of practical ways people can look at those areas in their life. Absolutely. I think that you mentioned sleep. One of the things that I usually check in patients, if I have even a whiff that they may have a sleep disorder is checking for sleep apnea. And there's so many different neat ways now to treat sleep apnea. And thankfully we can do most sleep tests at home. So it's easy to have home tests looked at, because sleep apnea is something that I can't treat. You know, a patient's going to have to do something, whether it be weight loss or an oral device or potentially even a CPAP, if it's significant enough. Sleep apnea is probably one of the most undiagnosed things I see. And it always makes me a little bit sad and angry when a patient comes to me and had chronic blood pressure elevation or unfortunately chronic fatigue. And nobody's evaluated them for that in a traditional world, because to me that's like bread and butter. And so I would say that evaluating sleep is huge. And there are so many things that can disrupt sleep, but making sure that, am I okay here? I'm sorry, I'm trying to give this echo off here. There we go, we're good. Okay, all right. Yeah, so evaluating sleep apnea is a big, big thing because poor sleep is going to lead to poor stress resilience, right? Your cortisol curve is going to be significantly altered. Women who have hormone imbalance often experience sleep difficulties and so addressing hormones, obviously. And then just the stressors of life. We've had a really hard year across the board. I think everybody has felt the impact from COVID in one way, shape or form. And it's brought with both obvious stress and then that subliminal stress. So giving patients that area to talk, I think is important, talking about their concerns. And using the resources around you, I really encourage patients if they need to see counselors. Important to do, getting involved in activities. I think it's trying to have people engage in some type of exercise or activity that they like is so important. And the older I get, the more I understand that, right? There has to be joy in what you do. You can't just slog yourself to the gym every day if you absolutely hate it. Because there is that opposite down effect of a lack of gratitude. We know that gratitude and hope really create so many wonderful chemicals in our body and so many chemicals that help us to relax that if you're doing something you hate, it's not worth it. So I try and engage with patients and get them to think a little bit outside the box and talk about being active in something that they enjoy is important. And then I think that diet is obviously going to be always part of the picture. And this is where I hope that although not a dietitian or a nutritionist, just the functional approach to trying to understand what is going on for them. And there's so many layers to that. The longer I do this, the more I know that that obviously not even one functional medicine diet is appropriate for everybody, right? Paleo or low histamine or whatever. I mean, really trying to help people figure out what makes their body home. And that's that functional medicine approach to it so that their body likes what it's getting. And when it likes what it's getting, lower neurochemicals, you know, lower stress hormones. And then the genetics are huge. I have to tell you, I mean, I feel like and I used to shy away from genetics because everybody wanted MTHFR. And I felt like I don't know if it helps either here or there. Give you B12 full late. I mean, how do we know? But it was really the cardiovascular genetics that got me back involved in looking at that again. And now, of course, I do Intellex through, you know, Dr. Hausman Cohen's company. And that has really opened my eyes. There's a mental health wellness panel and really looking at how people are set up genetically to be triggered to have more chemicals, you know, more stress chemicals.  The whole the whole attitude towards mental health and mental wellness usually being one of nobody wants to talk about it. But knowing that you may be predisposed to actually having more adrenaline because you have a com T issue, you know, that that some of these things we can actually then treat through breathing exercises, humming, singing, things that stimulate your parasympathetic nervous system. You know, all these tools I think are important to talk to patients about usually don't happen in one visit, but along the way talking about, you know, reducing stress levels by looking at all of those things, body, mind and spirit. Love that because it is so critical with the cortisol and HV axis, the heart and long term outcomes on really every level and all of our patients. We were just talking before we went live about how just this next level of healing is really going to take mind, body, spirit and so critical for us to address, not just supplements and not just medications or anything like that. Yeah. So stress, resilience, absolutely critical. I know in my own journey, I've said this before as well, but it's interesting place to be a get up at 530, go do a run or go do high intensity interval training. And about three, four years ago, I realized that wasn't serving me because I was actually continuing to I have a comp to issue and I was just raising my cortisol and what I found is as I sat in the mornings and meditated and was much more slow. And now my exercise is actually quite minimal. I hike and I walk and then I do a little bit of free weights, but it's so much less than I used to do six days a week. I'm in better shape than I've ever been. The less body fat, better muscle. And it was a shock to me after going through medical school, medical training, we should know the stuff that, well, of course that for me was raising my cortisol and sabotaging metabolically. And again, I was joking. I stopped exercising. I got in the best shape in my life. Now I didn't stop exercising, but what I did is I do stuff in nature that's natural and it's not at the same program. And for me, it's really, really worked. And I think a lot of women are overtraining. And so it's great to find that balance. Not everybody, some of us need to move more and some less. I needed to actually pull it back. And it was a profound change that I found in that. And then the mental chatter we have all these things can drive cortisol. And I think that's probably one of the bigger risk factors that is unacknowledged with heart disease. So love this. Absolutely.  And I talk about that a lot. And I know that there's relation with LPS and the gut and the heart. What piece does gut play? And do you do that just in some people who have symptoms? Do you always check the gut for heart patients? Or how does that connect in your healthy heart program with the gut? Well, I think, yes, I think that's one of the pieces that we always talk about and look at. And anybody who's symptomatic needs to have some type of evaluation. And, you know, symptoms, sometimes you have to pull out from people because they may just think that it's normal. Yes, I'm fine.  But it's so important to know what is normal for what a person considers normal versus really what's optimal. And so, yes, I think digestively, it's something where we look at it individually and person's complaining of symptoms and it's going to need to be evaluated. There's some really good gene relationships between cardiovascular risk and gluten, obviously. You know, there's the haptaglobin gene, where if you have a haptaglobin gene, too, too, it increases your risk of making the LPS, I'm sorry, making zonulin, which of course, you know, you're talking about leaky gut, et cetera. So, and the things that trigger zonulin and then, you know, bacterial dysbiosis and LPS, all important parts of the immune system overreaction. So, I would say that it's part of our evaluation with every patient by looking at first what their symptoms are. I'm not going to go trying to turn over stones that don't need to be turned over, but we certainly have a good history there with evaluating what's going on and addressing it as appropriate because there's so many things that you could address. You have to go with what's going to impact the patient the most. You know, if they're not having an issue with something and you make it an issue, my opinion is it may not be the best approach for them. You want to ask them what's important to them. And then, if you find things that you don't need to be important to them, it's an educational tool. So, yeah, I feel like gut health is, it's an interesting background, a relationship for cardiovascular wellness. And that's why I really love the approach that we have because it really is a functional medicine approach. Yeah. Honestly, I just think it's a good medicine approach. I honestly hate to even label myself as a whole estate functional medicine integrative doctor because to me, I'm just practicing good medicine. That's what I say all the time. Like, to me, this is how I think all medicine should be practiced. What is odd or different about this? This is just good medicine. I listen to you. I take a good history. I do a good exam and I'm looking at all the pieces of the puzzle and we're going to figure it out together. So, that's why I love the cardiovascular program that we do because it looks at everything, including those things that may not seem to make sense initially, such as gut health. It's going to be important. Well, this is so great. And where can people find you, get more information about you, schedule appointments, where can you be found? Oh, yeah, thanks. Well, vansantmedicalgroup.com is our website. And if anybody wants more information, they can send an email to vansantmedicalgroup at gmail.com. We have a new patient tab on our website. If anybody's interested in getting testing for cardiovascular issues in particular, you just have to call. We can schedule you for CIMT testing first and then do a follow-up after that to review those results and look at your risks. I'm also on Facebook and Instagram, vansantmedicalgroup. Awesome. I will be sure and put links wherever you're watching this, you can find. And if you're in Illinois, again, we've got a lot of connection from there. I highly recommend Dr. Vansant. She's always the one, if you call me and ask me about a doc in Illinois. This is who I recommend. I appreciate that. I do. Thank you so much. Well, hi, Mary.  And I know you're an amazing blessing to many, many patients. And just doing things like this, provide people with a lot more information that they can trust. So that's important. Thank you for what you're doing. Thank you for being in Illinois. I'll drop by like in the mountains. Oh, yes. Say that again. Thank you for I live in Illinois. Sorry about the community. Thanks. You have to rub that in. Oh, gosh. Well, it has been so fun. I love all my people in Illinois. Oh, gosh. Well, I'll come visit you. You can come visit me. And anyway, that's you. And thank you so much for the great information today. Thank you. Thank you again for having me on your program. I really appreciate it. It was fun.


The Cube's live coverage is made possible by funding from Dell Technologies, creating technologies that drive human progress. Hi everybody, welcome back to day three of MWC23. My name is Dave Vellante, and we're here live at the theater of Barcelona. Lisa Martin, David Nicholson, John Furrier's in our studio in Palo Alto. A lot of buzz at the show. The mobile world daily today, front page Netflix. Chief hits back in fair share row. Greg Peters, the co-CEO of Netflix, talking about how, hey, you guys want to tax us? The telcos want to tax us? Well, maybe you should help us pay for some of the content. Your margins are higher. You have a monopoly. We're delivering all this value. You're bundling Netflix in for a lot of ISPs. So hold on, pump the brakes on that tax. So that's a big news. Lockheed Martin, boss issues AI guidelines, says AI is not going to take over your job anytime soon. Although I would say your job's going to be AI powered for the next five years. We're going to talk about data. We've been talking about the disaggregation of the telco stack. Part of that stack is a data layer. John Chrysler is here, the CMO of couch-based John. You know, we've talked about all week the disaggregation of the telco stack. They got silicon and operating systems that are real-time OS, highly reliable, compute infrastructure all the way up through a telemetry stack, et cetera. And that's a proprietary block that's really exploding. It's like the Big Bang, like we saw in the enterprise 20 years ago. And we haven't had much discussion about that data layer. Sort of that horizontal data layer. That's the market you play in. Couch-based obviously has a lot of telco customers. We've seen Snowflake and others launch telco businesses. What are you seeing when you talk to customers at the show? What are they doing with that data layer? Yeah, so they're building applications to drive and power unique experiences for their users. But of course it all starts with where the data is. So they're building mobile applications where they're stretching it out to the edge and you have to move the data to the edge. You have to have that capability to deliver that highly interactive experience to their customers or for their own internal use cases out to that edge. So seeing a lot of that with couch-based and with our customers in telco. So what do the telcos want to do with data? I mean, they've got the telemetry data. Now they frequently complain about the over-the-top providers that have used that data, again like Netflix, to identify customer demand for content. And they're mopping that up in a big way. Certainly Amazon and shopping, Google and ads. They're all using that network. But what do the telcos do today and what do they want to do in the future? They're all talking about monetization. How do they monetize that data? Yeah, well by taking that data, there's insight to be had, right? So by usage patterns and what's happening, just as you said, so that they can deliver a better experience. It's all about getting that edge, if you will, on their competition. And so taking that data, using it in a smart way, gives them that edge to deliver a better service and then grow their business. We're seeing a lot of action at the edge. And the edge can be a Home Depot or a Lowe's store, but it also could be the Far Edge. It could be an oil drilling, an oil rig. It could be a racetrack, certainly hospitals and certain situations. So let's think about that edge where there's maybe not a lot of connectivity. There might be private networks going in in the future. Private 5G networks. What's the data flow look like there? Do you guys have any customers doing those types of these cases? What are they doing with the data? Yeah, absolutely. We've got customers all across. So telco and transportation, all kinds of service delivery and healthcare, for example. We've got customers who are delivering healthcare out at the edge where they have a remote location. They're able to deliver healthcare, but as you said, there's not always connectivity. So they need to have the applications need to continue to run and then sync back once they have that connectivity. So it's really having the ability to deliver a service reliably and then know that that will be synced back to some central server when they have connection. So the processing might occur where the data- Get it to compute at the edge. What do you sync back? What is that technology? So within, so Couchspace and Couchspace's case, we have an autonomous sync capability that brings it back to the cloud once they get back to whether it's a private network that they want to run over or if they're doing it over a public Wi-Fi network once it determines that there's connectivity and it can be peer-to-peer sync. So different edge apps communicating with each other and then ultimately communicating back to a central server. I mean, the other theme here, of course, I call it the software defined telco, right? It got to run on something. It's got to have hardware. So you see companies like AWS putting outposts out to the edge. Outposts doesn't really run a lot of database to mine. I mean, it runs RDS. Maybe they're going to eventually work with companies.  So do you see that kind of cloud infrastructure that's moving to the edge? Do you see that as an opportunity for companies like Couchspace? Yeah, we do. We see customers wanting to push more and more of that compute out to the edge. And so partnering with AWS gives us that opportunity and we are certified on outposts. But you are, we are. Yeah, absolutely. When did that go down? That was last year, but probably early last year. So I can run Couchspace at the edge on outposts. That's right. I mean, outpost adoption has been slow. We reported on that. But are you seeing any traction there? Are you seeing any nipples? Are you starting to see some interest? Yeah, absolutely. And again, it has to be for the right use case. But again, for service delivery, things like healthcare and transportation, they're starting to see where they want to have that compute be very close to where the actions happen. And you can run in the data center, right? That's right. You can run in the cloud. You see HPE with GreenLake. You see Dell with Apex. That's essentially their outpost. They're saying, hey, we're going to take our whole infrastructure and make it as a service, right? And so you can participate in those environments. And then so you've got now, we call it SuperCloud, you've got the on-prem, you can run in the public cloud, you can run at the edge and you want that consistent experience from a data layer. So is that really the strategy for a data company is taking or should be taking that horizontal layer across all those use cases? You do need to think holistically about it because you need to be able to deliver as a provider wherever the customer wants to be able to consume that application. So you do have to think about any of the public clouds or private networks and all the way to the edge. What's different, John, about the telco business versus the traditional enterprise? Well, I mean, there's scale. I mean, one thing they're dealing with, particularly for end user-facing apps, you're dealing at a very, very high scale. And the expectation that you're going to deliver a very interactive experience. So I'd say one thing in particular that we are focusing on is making sure we deliver that highly interactive experience, but it's the scale of the number of users and customers that they have and the expectation that your application's always going to work. Speaking of applications, I mean, it seems like that's where the innovation is going to come from. We saw yesterday, GSMA announced, I think, eight APIs, telco APIs. You know, we were talking to theCUBE. One of the analysts was like, hey, that's nothing. One of these guys know about developers, but, you know, as Danielle Royston said, eight's better than zero. Okay, so we're starting there. But the point being, it's all about the apps. That's where the innovation's going to come from. That's right. So what are you seeing there in terms of building on top of the data app? Right. Well, you have to provide the APIs and the access because it is really, the rubber meets the road with the developers and giving them the ability to create those really rich applications where they want and create the experiences and innovate and change the way that they're giving those experiences. Yeah, so what's your relationship with developers at CouchBase? I mean, talk about that a little bit. Yeah, yeah, so we have a great relationship with developers, something we've been investing more and more in, in terms of things like developer relations teams and community. CouchBase started in open source, continually based on open source projects. And of course, those are very developer centric. So we provide all the consistent APIs for developers to create those applications, whether it's something on CouchBase Lite, which is our kind of edge-based database, or how they can sync that data back. And we actually automate a lot of that syncing, which is a very difficult developer task, which lends them to one developer. What I'm trying to figure out is, what's the telco developer look like? Is that a developer that comes from the enterprise and somebody comes from the blockchain world, or AI, or, you know, there really doesn't seem to be a lot of developer talk here, but there's a huge opportunity. Yeah, yeah.  You know, even Oracle, okay, they bought Sun, they got Java, so I guess they have developers. But, you know, IBM, for years, tried with BlueMix, they had to end up buying Red Hat, really, and that gave them the developer community. EMC used to have a thing called EMC code, which was a, you know, good effort. But, yeah, and then, you know, VMware always trying to do that. But so, as you move up the stack, obviously you have greater developer affinity. Where do you think the telco developer's going to come from? How's that going to evolve? Yeah, it's interesting. And I think, to kind of get to your first question, I think they're fairly traditional enterprise developers, and when we break that down, we look at it in terms of what the developer persona is. Are they a front-end developer, like they're writing that front-end app, they don't care so much about the infrastructure behind, or are they a full-stack developer and they're really involved in the entire application development lifecycle, or are they living at the back end and they're really wanting to just focus in on that data layer. So we tend, we lend towards all of those different personas and we think about them in terms of the APIs that we create. So that's really what the developers are for telcos, is there's a combination of those front-end and full-stack developers, and so for them to continue to innovate, they need to appeal to those developers, and that's technology like Couchbase, is what helps them do that. Yeah, and you think about the Apple's, you know, the App Store model, where Apple sort of says, okay, here's a developer kit, go create, and then if it's successful, you're going to be successful, and we're going to take a big, okay, good model. I think I'm hearing, and maybe I misunderstood this, but I think it was the CEO or Chairman of Ericsson on the day one keynotes were saying, we are going to monetize the, essentially the telemetry data through APIs, we're going to charge for that. You know, maybe that's not the best approach, I don't know, I think there's got to be some innovation on top. Now maybe some of these Greenfield telcos are going to do, you take like a dish networks, what they're doing, they're really trying to drive development layers, so I think it's like this Wild West open, you know, community that's got to be formed, and right now it's very unclear to me, do you have any insights there? I think it is more, like you said, Wild West, I think there's no emerging standard per se for across those different company types and sort of different pieces of the industry, so consequently it does need to form some more standards in order to really help it grow, and I think you're right, you have to have the right APIs and the right access in order to properly monetize, you have to attract those developers or you're not going to be able to monetize properly. Do you think that, in thinking about your business and you've always sold to telcos, but now it's like there's this transformation going on in telcos, will that become an increasingly larger piece of your business or maybe even a more important piece of your business or is it going to be steady state because it's such a slow moving industry? No, it is a big and increasing piece of our business. I think telcos, like other enterprises, want to continue to innovate, and so they look to technologies like couch base, document database, that allows them to have more flexibility and deliver the speed that they need to deliver those kinds of applications, so we see a lot of migration off of traditional legacy infrastructure in order to build that new age interface and the new age experience that they want to deliver. A lot of buzz in Silicon Valley about open AI and chat GPT. You know, what's your take on all that? Yeah, we're looking at it. I think it's exciting technology. I think there's a lot of applications that are kind of a little sort of innovate traditional interfaces. So for example, you can train chat GPT to create code, sample code for couch base, right? You can go and get it to give you that sample app which gets you a head start or you can actually get it to do a better job sorting through your documentation, like chat GPT can do a better job of helping you get access. So it improves the experience overall for developers. So we're excited about what the prospect of that is.  So are we. John, thanks for coming to theCUBE. Always great to see you, my friend. Thanks very much. You're welcome. All right, keep it right there. theCUBE will be back live from Barcelona at the theater. SiliconANGLE's continuous coverage of MWC23. Go to siliconango.com for all the news. theCUBE.net is where all the videos are. Keep it right there.


We're back, this is Dave Vellante. This is theCUBE, SiliconANGLE's continuous coverage of events around the world. We try to extract the signal from the noise, bring you the best guests that we can find. We're here at 42 South Street in Hoppington, Massachusetts. This is SAP Week at EMC. They brought in about 200 customers and a number of partners, including SAP and also Cisco. Rajiv Thomas is here. And first of all, welcome to theCUBE. Thank you very much, nice being here. So we're going to take a little different perspective here. Cisco, big partner, obviously of EMC's, VCE. You guys are the new kid in the block in the platform business, obviously a dominant company in the networking space. Talk about what's going on with SAP customers. Sure. What we've found so far in the SAP world is that, you know, being a new kid in the block is not necessarily a bad thing. You know, one of the things we've actually have seen is that the world has changed pretty dramatically. I've been very guilty in the past of actually building very, very large SAP monolithic systems. And that kind of term monolithic doesn't exist anymore. People are actually moving to this whole new model, a distributed model. Matter of fact, from a hardware perspective, we've moved there. From a software perspective, SAP has also released new applications in that space that are also now becoming very distributed. And that's pretty key. From that perspective, what we're finding is that the combination of Cisco, EMC, VMware technologies put together has this seamless approach to provide the best solution for these distributed data systems out there. So, for example, SAP HANA. SAP HANA is a new generation of application. It truly shines when you have a distributed model. What does that mean? We actually take the capabilities of software, the capabilities of storage and compute all put together. Put it on a very flat infrastructure. Low latency, highly compute intensive at the same time, but also having memory drive that compute. We lived in a world where we wanted the biggest, baddest, fastest systems in the planet, right? And that worked well for 30 years. Today, it's not about that anymore. It's also about having the right ratio of power and cooling for that environment, having the right amount of compute capacity, but also driving pricing lower into the ground, right? But providing the best performance out there. So, what Cisco and EMC have done, coupled with VMware technologies for replatforming perspectives, customers who want to move away from a monolithic world into this new world where we introduce VBlock configurations. We also have other configurations for HANA-based systems where we can actually allow you to integrate new solutions that are very scalable. In effect, I mean, we're not building for today, we're building for tomorrow. We actually have a solution that allows you to start with this configuration today, but scale seamlessly. And I really do mean schemlessly. Add components as you go and you can actually scale upwards and onwards to very large density. So those configurations truly are changing what we've seen in the market today. You talk about monolithic, obviously you think about monolithic, command and control, big, complex. There's some advantages to scale up monolithic, but as you say, increasingly they're waning and we've seen the big web giants like Google and Facebook sort of innovate in this notion of scale out. It's almost, and I'd be interested in your thoughts on this, it's almost as if companies like yours are trying to bring that sort of scale out mentality to the enterprise because the enterprise doesn't have a thousand PhDs running around to architect all these, all the software to run on top of commodity hardware. So talk about that a little bit. Sure, absolutely. I mean, right now you're 100% right. I mean, if you look at all the new category killers in the market today, the ones that are driving Wall Street in general, you're seeing distributed applications from these entities like a Facebook, like a Google truly driving that. SAP's introduced new software that has truly changed the game there. Mainframes were a great story about 30 years ago. Matter of fact, mainframes aren't going away. There's still some applications that behave really well, but there are also a ton of new applications that are mission critical for enterprises that are built for distributed data systems, that are actually built for scale out based configurations. And that's what we're finding out there in the market is that there's an explosion out there.  And so we're building the right solution to attack that kind of base. Well, a lot of people would say, Rajiv, that you talk about the mainframe, a lot of people would say, okay, well SAP is sort of the mainframe of the applications business, but their business is booming. But you see these SaaS competitors coming in, guys like Workday and obviously Salesforce. And SAP has made some acquisitions and made some moves. What gives you the confidence that SAP's got the right strategy, the right technologies in the right direction to continue to be able to innovate and keep up with this new scale out world? Great question. I mean, that's something that I love to answer. Here's an opportunity for SAP to really shine. You look back in the market, you see that SAP is a very large application, some considerate monolithic in some ways. That being said, what we'll call that in the legacy environment is something called an on-premise solution, right? SAP understands that market pretty well. They've been doing it for how many years now, over 30 years right now. And at the same time though, they recognize that the world is also moving to these kind of cloud-like architectures, like you just mentioned, NetSuite and Salesforce.com and other vendors out there. Those are cloud-like solutions, but SAP has also recognized that they need to be in both markets, not just in one. Customers truly do want to have a secure environment, perhaps owning their own data. Maybe they're going to open up and actually allow some of the data to the outside world. So will they have a hybrid approach? They're going to have to have an on-premise and an off-premise model. Perhaps that off-premise model includes a private cloud that is controlled by them, or maybe it's an off-premise model that's a public cloud. SAP is actually building solutions that are very cloud-friendly, but at the same time providing the same functionality that they've had for customers who require on-site security, on-site protection of the data. I've talked about systems architecture a little bit, and as I say, you guys are a new kid in the block, so you're bringing in some new innovations with things like UCS, bringing together the server and the networking component. I've likened systems architecture of the past to a military convoy, where the entire convoy has to decelerate, right, to allow the slowest vehicle to keep up, and that slowest vehicle, of course, is the spinning disk, and now you've got all this in-memory technology coming along, you've got flash entering the game. So what's Cisco's angle with regard to sort of future systems architectures? So what we've loaded in the past world is where a world where compute is driving all the innovation out there in the market. Today we're seeing that memory is driving innovation. Why is that? Everybody cares about the quality of data, the quality of data in real time, and because of that, we can no longer rely on being the slowest component of any kind of chain, right? We can't rely on the slowest truck and the military convoy anymore. Everybody has to move at the same speed. Matter of fact, everybody has to accelerate 10 times faster than ever before to keep up with all the data explosion that's going out there. Cisco treats the world with our partner, the EMC. We're building the fact that we're treating data just like we're treating compute out there. Memory, IO, compute requirements, they all have to be peers. It's not about a compute system that's driving and bringing along IO memory or storage. Everybody has to be on board at the same time, same frequency to go and attack that market because we recognize that the data requirements today are going to be really different a year from now, 10 years from now. So we need to be skilled to support that all forward going forward. So it's kind of a mundane topic but I want to pick your brain about metadata. So today we have all the infrastructure, a lot of the infrastructure is siloed and you've got all this great metadata locked away in storage devices or servers or networking components. You bring that together with something like UCS and V blocks. Talk about the metadata component. How does that change and what kind of value can people build on top of that? And who controls that? Is it the network? Is this a server? Is it the storage? Talk about that from an architectural perspective. So metadata, the notion of metadata is also evolving is my opinion as well. What we're seeing is the passion we can actually address metadata in traditional approaches. It's no harm in doing that. But as we're actually changing with new types of data sets out there, we're seeing distributed data. What we're seeing is that many corporations now are incorporating Twitter and Facebook as mission critical applications into their environment. That didn't happen five years ago. Matter of fact, probably not even a year ago but it's there today. And we have corporates asking for different types of data access out there. Cisco, EMC, VM where we have solutions out there that'll actually address both the legacy environments as well as the future requirements to support those. Talk a little bit about the nature of your relationship with EMC. You guys are, we live in this world of co-operation, you've got multiple partners but you seem to have this special relationship with EMC, certainly VCE. Talk about that a little bit. How do you see that evolving over time and what are you guys doing to differentiate in the marketplace? Well, I can't tell you what will happen in the future but I can tell you what's going on today. It's a great partnership. I mean, the partnership is bringing together the best-read approach. Look, we really don't understand the market for storage, the market for tech-source technologies out there as well. Matter of fact, I mean, EMC is also bringing a security and reliability solutions. More as say, bringing in virtualization solutions and other types of solutions from other joint ventures. Cisco understands the network, they understand the compute requirements, they understand the technology piece. We were also really requiring the partnership of EMC to bring all those passes together because business solutions out there in the market require that. We're not talking about technology anymore. We're talking about the fact that we can build components together, build them together seamlessly and that's critical. So with the highest levels down to the lowest levels, we work really closely with EMC to ensure we have a product to market. Hey, we have a joint venture partnership with a company called VCE and that product, their products actually are a result of the combination of those integration features VCE. Cisco has amazingly dominant market share in networking. It's like two thirds of the market.  You don't see that typically in other markets. You certainly don't see that in servers. You don't see that in storage even when the company is powerful as EMC. How was Cisco able to achieve that and what can you do to maintain that in particular with all these disruptions coming out? We talked about big data.   How were you able to achieve that dominance and how can Cisco maintain it? Interesting question. I mean, yes, Cisco has been a dominant leader in the routing switch market for quite some time. That being said though, Cisco has been deployed in many different areas. I mean, truly what's really changing, what's really driving this is one of these, right? iPhones, iPads. So the whole mobility story is kind of evolving this completely dramatically in a different way. You know, we're not talking about maybe a couple hundred thousand users anymore. We're probably talking billions of users that we need to scale and support for in the future. And that is critical for Cisco's success. So we're not just involved in one market. We understand that going forward, having software solutions, having partnerships with EMC to address those billion eyeballs out there is critical. Excellent. Listen, Rajiv, thanks very much for coming on theCUBE. Appreciate your expectations. All right, take care. Thank you very much. All right, thanks for watching everybody. This is Dave Vellante. We'll be right back with our next guest.


Hey everybody so yeah be warned this is going to be a completely unedited uncensored video so if you Don't like foul language You might want to turn the video off But yeah, as you saw from the title one of my really good friends passed away from a heroin overdose I just found out and There's a few reasons I'm making this video Now rather than Days from now or a week from now Because my channel, you know, I want to teach you guys To open up and talk about how you're feeling and I try to lead by example with that, but I also want people to know about This fucking disease of addiction. I want you know I initially started this channel to increase awareness about just all sorts of mental illness and struggles and all of that and And yeah, like if you are an addict in recovery like my friend Jeremiah was Like I hope you learn from this if you're an addict who is still in active addiction. I Hope you learn from this. I hope you see How it affects people in your lives? If you are the loved one of somebody with an addiction I want you to know that This can happen at any time Addiction doesn't care. It doesn't wait for a convenient time. It doesn't give you warning um But yeah, I want people to understand what what this is like So I don't know. Oh, I guess I'll share about how I met Jeremiah. How I know him Um, we met when I started working at the rehab company. I was working for for a few years And he was actually hired right before me and he was uh, he was the first one they hired for this alumni position I was the second one and We we clicked right away and um, you know, he had been clean for a couple years. His drug of choice was heroin and um And yeah, we talked and like as our team kind of like grew and you know, because we were the first two we were both guys and then like There we hired more women but like Jeremiah and I were like, we were the only two dudes on the team so we like would talk about it and stuff but anyways, um Yeah, we got close. We got tight. He would call me to vent about stuff. I would call him And you know, I love that dude and when we would like when I would go out to Nashville because he was originally from Dallas Not originally from Dallas, but he was in Dallas when I first met him Then he went out to Nashville, but whenever I had a chance to meet up and hang out like just Always had a blast hanging out with him. Just he's one of the guys who You know He's one of the guys who helps me stay clean by knowing that you can have fun In sobriety and we would share like weird war stories about our using days and He was actually a pretty decent freestyle rapper too. He used to post on snapchat and stuff and I was like Damn, he got some skills and I think he even like did some break dancing every now and then but I remember I don't know that he was about two years clean and I think it was new year's eve where he had to slip up And he drank. Okay, so one of the things is for us drug addicts a misconception that we have is that We're drug addicts. So we can still drink So he drank and in 12 step communities and stuff like that messes you up and people say you're not sober That's a relapse. You lose all your time and all of that and Jeremiah ended up moving out to Nashville to our corporate office to be out there and which was Probably for you know, probably for the best like he you know ended up Going out there and he got involved with you know a lot of People in the recovery community. He loved living in sober living with other sober guys and stuff and man like I knew so many people who he helped and who absolutely loved him just he he was like He was just really real and really honest like He ended up going into the admissions department to help people get into treatment and he was great at it Just because he knew and he had been there and and yeah, like it bumps me out right now, especially because I didn't talk to him and maybe a month or two Like since I left the company um And I don't know what struggles he was going through. I don't know and it's just it's just such a bitch Like I make so many videos and something i'm trying to teach all of you is to just Not run away from your feelings not run away from your emotions, but More so getting down to the root and understanding why we feel these ways. Why do we want to escape? Is there anything we can do to prevent these things like that?  Certain things out of other people. Why are we getting angry? Why are we getting upset like? and for us drug addicts like What emotion that we like what emotion can we have? That is just so unbearable That we need to turn to substances And you know after finding out about Jeremiah passing these are things that i'm wondering i'm like What were you going through like and this is what I wonder about all the addicts all the alcoholics and I look at myself and I analyze myself in my own addiction like Why was I trying to run from these things? Why are we so afraid to feel?  Like why can't we just feel these things, you know And what that's another reason why i'm making this video like i'm feeling these things right now And i'm talking about them.  Sorry for this and you know That's just one of those things about grieving. It's like That's not that's not what I want. I appreciate it Like go for it if you want to die in the comments.  What can you learn from this?  Is there somebody in your life who is using and you're turning a blind eye to it? Are you somebody who is in recovery and you're thinking about getting loaded, right? Are you somebody who's an active addiction? And you're in that that state of denial or lack of self-awareness Where you don't understand what you're doing to others like what can you take from this situation?   It's 70 something 73 74 people who I've had die in the last three years A lot of them being clients You know and things like that but a few of the people in that number are people like Jeremiah who were Good friends of mine.  It sucks And I just want You know and it sounds all hippie-dippy and stuff and like I just want people to be happy I want people to learn how to deal with their emotions. I want you know, like I don't know. I just wish I wish I could transmit what I have into everybody like Especially people like recovering addicts especially addicts man I can't think I cannot think of a scenario today in which I think Taking a drink or taking a drug would solve my problem. I can't think of one scenario You know and I don't know how I got to this place That's one of the reasons I make these videos and share my experience like I'm trying to document this and maybe something's gonna come out where somebody understands somebody it clicks with somebody where they can Figure it out or decode me like why why why?  How did I do that?  He was he was stubborn He was stubborn. He liked to do things his own way Little cocky at times, you know, but he also knew how to be humble and he reached out. He knew how to reach out and I don't know man. Like in times like this is just You know, I've had people pass away from suicide and stuff like that too and in times like this is just like what happened like what what happened why you know, not saying that I could have saved him but I was there reach out to me and you know, then my part of my brain, you know Like survivors guilt and all that shit like should I have been reaching out to him? Should I have been talking to him more?  You know what I mean? And there's just so much that we go through, you know And I don't know I might do follow-ups because I know grief is something that a lot of people struggle with but You know, like just really just really try to take lessons from this video try to learn Try to see who you can help like the last thing I'll say in this video like If you're an addict and you're out there using go get fucking help reach out to somebody leave a comment down below Like there's resources out there. You know what I mean?  He was making money.  I'm gonna go play fortnight with my son I get to move in with my beautiful girlfriend this week Gonna be pretty sweet. All right, but thanks everybody. I love you. Take care Get well work on yourself quit being stubborn help people help yourself be nice I don't know. All right guys. I'll see you next time


3. This theory refers to language determination in terms of shaping our perceptions of nature. According to this theory, language determines or shapes our perception of nature, which means that the learning of language will determine or influence the way we perceive the physical world visually and auditory. So basically it is the language which shapes our thinking or which develops certain perceptions that we have about the world around us. So it provides the clues with the help of visually and auditory mechanism and enables us to develop some kind of perceptions and views about the world around us. The proponent of this theory believes that one's knowledge of vocabulary or syntax influences one's perception and understanding of nature. So their primary focus is the fact that it's not the thought which actually enables or facilitates the language process, it's the language with the help of vocabulary and grammatical rules or syntactic rules influences one's perception and understanding of the nature. So it shapes the way we look at the world, that is the job of the language according to this particular theory. So now we will again look at some of the inadequacies that are there as far as this theory is concerned. Now let's see some of the inadequacies of the theory. The number one point is regarding perceptions, interest and need determine vocabulary. It is our interest and need that determine our coinage of vocabulary and its use. For example, children from all over the world are enchanted by dinosaurs. They perceive the types of dinosaurs then through perception they develop their interest in dinosaurs and later they feel the need to seek the names of these objects. The next point is color and snow vocabulary. Rather than language determining perception, it is perception that determines language. Color words, for example, speakers of a language with limited repertoire of color atoms appeared no different from speakers with broader repertoire of color terms in terms of distinguishing colors of rainbow. Another point is about snow words. For example, Hawaiians have only one the English word snow, but the inmates have single words for snow on the ground, hard snow on the ground, block of snow and others. As for English speaking skiers in cold countries, they name snow through its physical conditions by creating phrases namely powder snow, wet snow etc. It is because of the importance of snow in their lives that they have created more words for snow than the Hawaiians. It is this language device of creating phrases which every language has that makes up for any vocabulary deficiency. Then in the third point you have Hopi time and Chinese counterfactuals. Hopi people and time. People are not different because of their language, but because of their experience. Deep down we are all the same, it couldn't be otherwise. For example, Hopi people use periods relating to the harvest, the moon, the sun, and other significant events. And we also do the same in English such as when it gets dark, when the weather gets warm etc. Then the Chinese language and counterfactual. Chinese were not as able as English speakers to think hypothetically about what is not true because of certain grammatical features of Chinese language. This happened due to faulty translations, but once proper translations were made there was no basis for claiming a difference in thinking. Lack of vocabulary does not indicate lack of concept. We describe a thing which does not have a single word for it. With a phrase carrying a similar concept, for example, we have a name from the underside of our hand that is called palm, but we have no word for the top side. Instead we use the phrase back of the hand. This shows that lack of vocabulary item is not indicative of a lack of concept. Then we have knowledge overrides literal word meanings. We can believe something quite different from what the language literally specifies. And that the continual use of a language form may not change as underlying thought. In other words, one thing is set, but another is understood. For example, the word sunset. We always hear the use and not only hear it, we also use this word that it leads us to believe that the sun sets on its own. Although the truth is the earth that moves not the sun. Multilingual views of nature. If it is said that different languages have distinctive and important effects on the way we view nature, then the multilingual must similarly have distinctive and important ways of viewing nature. But this is not the case. Multilingual is a whole person who perceives nature as others human do. To conclude, all of these six objections to the theory show that there is no foundation to the claim that vocabulary affects our view of nature.