5 Codes Podcast

EP 15: Why Choosing The Right Support Person Matters | OR DIARIES

In this episode, I explore the hidden psychology that can unfold around major decisions, especially when identity, appearance, and social dynamics collide. Using a real patient story, I break down the cognitive biases that shape how people justify choices, project insecurities, and subtly influence those around them during vulnerable moments. We dive into cognitive dissonance, choice-supportive bias, emotional sabotage, and the social forces that quietly impact confidence, relationships, and decision-making. A fascinating look at human behavior through the lens of aesthetic medicine, emotional intelligence, and self-awareness. CONNECT WITH HOST  Website: https://clinic5c.com/  Instagram: https://www.instagram.com/chesnut.md/  YouTube: https://www.youtube.com/@chesnutMD  LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/  WAYS TO WATCH/LISTEN  YouTube: https://www.youtube.com/@5CodesPodcast  Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f  Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238  Instagram: https://www.instagram.com/5codespodcast/   TIMESTAMPS  00:00 - Intro  01:58 - Today’s Patient  05:13 - Reducing Cognitive Dissonance  06:02 - Choice-Supportive Bias  06:38 - Social Comparison Threat  07:15 - Projection  07:45 - Confirmation Bias  08:17 - The Sour Grapes Effect  08:45 - Outro ABOUT HOST  Dr. Cameron Chesnut is the host of the Five Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On Five Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life.  DISCLAIMER  The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

EP 14: How I Protect the Brain During Surgery (My Anesthesia Protocol) | DEEP FOCUS

What if surgery didn’t have to come at the cost of your brain, recovery, or long-term performance? In this episode, we break down an anesthesia and pain management protocol designed to protect neurocognition, minimize risk, and optimize recovery - without relying on opioids, benzodiazepines, or routine general anesthesia. You’ll learn how a more intentional, physiology-first approach can improve outcomes, reduce side effects, and align surgical care with long-term health instead of short-term convenience. CONNECT WITH HOST  Website: https://clinic5c.com/  Instagram: https://www.instagram.com/chesnut.md/  YouTube: https://www.youtube.com/@chesnutMD  LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/  WAYS TO WATCH/LISTEN  YouTube: https://www.youtube.com/@5CodesPodcast  Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f  Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238  Instagram: https://www.instagram.com/5codespodcast/   TIMESTAMPS  00:00 - Intro  02:27 - Neuro Inflammation  05:48 - Benzodiazepines And Opioids  06:48 - Dexmedetomidine  12:19 - Ketamine  14:46 - Propofol  17:38 - Long-Acting Local Anesthesia  18:40 - Suzetrigine  19:31 - Caffeine  20:32 - PONV (Post-Operative Nausea And Vomiting)  21:30 - Post-Operative Protocol  22:57 - Hypercapnic Tolerance  25:05 - Sunlight Exposure  28:03 - Outro ABOUT HOST  Dr. Cameron Chesnut is the host of the Five Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On Five Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life.  DISCLAIMER  The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

EP 13: How Stress and Cortisol Accelerate Facial Aging | OR DIARIES

In this episode, I share a powerful case from the operating room that highlights how chronic stress, trauma, and elevated cortisol can rapidly accelerate facial aging. I break down the physiology behind stress hormones, metabolic health, tissue quality, and why your face often reflects what’s happening internally long before labs do. You’ll learn why surgery alone isn’t always the answer, the importance of addressing root causes, and how to think about aging through a more holistic, biology-first lens. CONNECT WITH HOST  Website: https://clinic5c.com/  Instagram: https://www.instagram.com/chesnut.md/  YouTube: https://www.youtube.com/@chesnutMD  LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/  WAYS TO WATCH/LISTEN  YouTube: https://www.youtube.com/@5CodesPodcast  Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f  Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238  Instagram: https://www.instagram.com/5codespodcast/   TIMESTAMPS  00:00 - Intro 01:18 - Stress and Life Events 02:38 - Trauma and Rapid Facial Aging 03:14 - Cortisol and the Physiology of Aging 04:15 - How Do We Address This? 07:12 - Outro ABOUT HOST  Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life.  DISCLAIMER  The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

EP 12: Laser Specialist Reveals the Truth About Anti-Aging Devices | Dr. Ryan Kelm

In this episode, Dr. Ryan Kelm, Harvard-trained laser specialist and cosmetic surgeon, breaks down what actually works (and what doesn’t) when it comes to devices, longevity science, and modern facial rejuvenation. We explore cellular senescence, regenerative approaches like fat transfer, and how surgical thinking is evolving to integrate technology without compromising outcomes. If you want a clear, evidence-based perspective on the future of aesthetics, and the biggest mistakes to avoid with devices, this episode delivers. CONNECT WITH RYAN KELM Website: https://clinic5c.com/providers/ryan-c-kelm-md Instagram: https://www.instagram.com/kelm_md/   CONNECT WITH HOST  Website: https://clinic5c.com/  Instagram: https://www.instagram.com/chesnut.md/  YouTube: https://www.youtube.com/@chesnutMD  LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/    WAYS TO WATCH/LISTEN  YouTube: https://www.youtube.com/@5CodesPodcast  Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f  Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238  Instagram: https://www.instagram.com/5codespodcast/    TIMESTAMPS  00:00 - Intro 02:28 - Lift vs Tighten 06:50 - What Devices Work 13:50 - Microneedling vs RF Microneedling 16:58 - How to Tell If Microneedling Is Done Well 18:57 - CO2 Lasers 22:14 - Fractional vs Continuous Lasers 24:10 - Top Devices Ranked 25:23 - Light Devices vs Lasers 30:56 - Downtime From Lasers 33:08 - Aging and Cellular Senescence 36:56 - Can Devices Impact Cellular Senescence? 40:01 - Surgical Practice Tie-Ins 41:30 - Red Light and Other Recovery Tools 50:09 - Psychotropics 54:11 - The Surfer’s Mindset 58:07 - Co-Writen Paper 1:09:20 - The Future of Fat Transfer 1:15:37 - Future and Evolution of Facial Surgery 1:26:53 - Outro   ABOUT HOST  Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life.    DISCLAIMER  The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.

EP 11: The Surgical Reality of Thread Lifts | OR DIARIES

In this episode, I break down what I’m actually seeing in the operating room when patients have had prior thread lifts. From persistent foreign material and linear fibrosis to biofilm-related inflammation that can flare after surgery. I explain why threads often fail to deliver meaningful lift, how they can complicate future procedures, and the long-term tissue changes they may leave behind. You’ll learn the real risks that don’t get talked about, what happens beneath the skin years later, and how proper surgical planning, removal, and a targeted pre- and post-op protocol can help minimize inflammatory complications and protect your final result. CONNECT WITH HOST  Website: https://clinic5c.com/  Instagram: https://www.instagram.com/chesnut.md/  YouTube: https://www.youtube.com/@chesnutMD  LinkedIn: https://www.linkedin.com/in/cameron-chesnut-a6910baa/  WAYS TO WATCH/LISTEN  YouTube: https://www.youtube.com/@5CodesPodcast  Spotify: https://open.spotify.com/show/1FZ7vpmq21iA1noPcFhixb?si=992ef6c8d859463f  Apple: https://podcasts.apple.com/us/podcast/5-codes-podcast/id1866214238  Instagram: https://www.instagram.com/5codespodcast/   TIMESTAMPS  00:00 - Intro 01:30 - Finding Old Threads During Surgery 03:09 - Post-Op Inflammation, Fibrosis, and Biofilm 04:31 - Why Threads Don’t Actually Lift 05:52 - Outro ABOUT HOST  Dr. Cameron Chesnut is the host of the 5 Codes podcast and the founder of Clinic 5C, where he leads a team dedicated to integrative cosmetic surgery, regenerative medicine, and functional health. An internationally recognized facial plastic surgeon, Dr. Chesnut is known for producing natural, refined results that enhance rather than alter one’s appearance. His approach blends surgical precision with biological optimization and disciplined restraint, drawing patients from around the world who value excellence, longevity, and holistic care. On 5 Codes, Dr. Chesnut uncovers the mindsets and evidence-backed strategies he lives by, helping high performers perform better, recover smarter, and feel their best in every area of life.  DISCLAIMER  The views shared on this podcast are my own and are not associated with, affiliated with, or representative of my clinical teaching role at the University of Washington School of Medicine. This content is for general educational purposes only and should not be considered individualized medical advice.