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Peter Attia MDPeter Attia MD

#100 – Sam Harris, Ph.D.: COVID-19—Comprehending the crisis and managing our emotions

Sign up to receive Peter's email newsletter: https://bit.ly/4c602k2 In this episode, Sam Harris, neuroscientist, author, and host of the Waking Up Podcast, joins Peter to discuss this unprecedented coronavirus (COVID-19) crisis. The discussion includes the important distinction between COVID-19 and influenza, the impact on the economy, the dire situation in New York, and the challenge of creating a safe and effective vaccine. Additionally, Sam brings insights from his extensive meditation practice to help those struggling with stress, anxiety, and fear in this extraordinary situation. We discuss: -A time unlike any other—why many people don’t seem to fully grasp the magnitude of this situation [2:00]; -Why comparing COVID-19 to influenza is a bad analogy [10:45]; -The impact on the economy of measures like shelter-in-place—Is the “cure” worse than the disease? [16:45]; -Why are some places, like New York, getting hit so much worse? [24:45]; -The trickle down effect of an overrun healthcare system on non-COVID related health issues [34:45]; -How to calm our minds and manage our emotions during this craziness [38:00]; -Talking to kids about this situation without burdening them with undue stress [50:15]; -Insights from meditation practice—Recognize and unhook yourself from a heightened emotional state [52:00]; -How to make the most of a situation where you let your emotions get the best of you [59:15]; -What are some potential positive things that Sam hopes could be learned from this crisis and applied to the future? [1:09:30]; -The unfortunate politics being layered on top of this crisis [1:15:30]; -The challenge of creating a safe and effective vaccine for COVID-19 [1:20:00]; and -More. Show notes page: https://peterattiamd.com/samharris2/ -------- About: The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 30 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more. Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life). Learn more: https://peterattiamd.com Subscribe to receive exclusive subscriber-only content: https://peterattiamd.com/subscribe Sign up to receive Peter's email newsletter: https://peterattiamd.com/newsletter Connect with Peter on: Facebook: http://bit.ly/PeterAttiaMDFB Twitter: http://bit.ly/PeterAttiaMDTW Instagram: http://bit.ly/PeterAttiaMDIG Subscribe to The Drive: Apple Podcast: http://bit.ly/TheDriveApplePodcasts Overcast: http://bit.ly/TheDriveOvercast Spotify: http://bit.ly/TheDriveSpotify Google Podcasts: http://bit.ly/TheDriveGoogle

Peter AttiahostSam Harrisguest
Mar 24, 20201h 32mWatch on YouTube ↗

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At a glance

WHAT IT’S REALLY ABOUT

Sam Harris and Peter Attia on COVID-19 Risk and Calm

  1. Attia argues the flu comparison fails because COVID-19 is still in nonlinear, exponential growth, so its ceiling is unknown, and he uses New York ICU capacity math to show hospitals could be overwhelmed even under conservative assumptions.
  2. Attia says the pandemic is better treated as many local outbreaks, citing the huge per-capita death-rate gaps between Milan, Rome, and Sicily, and he favors more local and decentralized planning.
  3. Both discuss communicating risk and uncertainty better, including error bars, honest talk about vaccine risk, and the gap between statistical risk and emotional perception.
  4. Harris explains how mindfulness lets him cut short anxiety, anger, and shame, treating them as signals that are useful briefly but wasteful when they linger, and Attia shares his own parenting lapses.
  5. They close with cautious optimism that respect for science and expertise and a recognition of government's role may grow, though Harris doubts the political divisions will ease.

IDEAS WORTH REMEMBERING

5 ideas

Exponential growth makes the flu comparison misleading.

Attia says flu mortality is spread fairly uniformly across a year, while COVID-19 is still growing geometrically, so its eventual toll cannot yet be known.

Even conservative assumptions overwhelm New York ICUs.

Attia assumes five times as many infections as confirmed, no further spread, and about 4% needing ICU care, which already exceeds roughly 2,000 stretched ICU beds.

Outbreaks are local, so response should be too.

Attia notes per-population mortality in Milan was about 40 times Rome's and 300 times Sicily's, and argues each city should be treated like its own country.

Error bars and honest risk talk improve communication.

Attia says binary projections alienate skeptics, and both agree that discussing the real but small risks of vaccines and other interventions is more credible than one-sided messaging.

Negative emotions are useful only briefly.

Harris says anxiety is helpful at the boundary of the known and unknown, but once you decide what to do, or can't do anything, it should have a short half-life.

WORDS WORTH SAVING

5 quotes

It's not a matter of banishing any particular emotion or pattern of thought from your experience for all time. I mean, that's an unrealistic goal. It's a matter of getting more and more agile in the face of these arising thoughts and emotions so that you, so that their time course is drastically shortened

— Sam Harris

You want to feel fear when it's appropriate and useful to feel it, and you, you want to be able to release it the moment there's no point to it.

— Sam Harris

It's not just a matter of getting back to zero, but you can actually get past zero

— Sam Harris

The real toxicity in all of this is in the duration over which we're caught. If this is all happening quickly, it's fine. If it's taking hours and days and weeks and months to sort out these problems, well, then you have a very unhappy life.

— Sam Harris

What's happening in the moment is rarely that bad, but what's going on in my mind is often much worse.

— Peter Attia

Flu versus COVID-19 comparisonsExponential growth and New York ICU capacityTreating cities as separate countriesCommunicating uncertainty and riskEconomic cost versus lockdownMindfulness and managing anxietyShame, anger, and parenting under stress

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