WEBVTT 1 00:00:01.679 --> 00:00:07.360 Initialize sequencing coming to you live from Houston, Texas, home to the world's 2 00:00:07.480 --> 00:00:20.160 largest medical center in the Approach bras everything looking at GM to. This is 3 00:00:20.199 --> 00:00:25.640 Your Health First, the most beneficial health program on radio with doctor Joe Bellotti. 4 00:00:25.960 --> 00:00:29.600 During the next hour, you'll learn about health, wellness and the prevention 5 00:00:29.719 --> 00:00:44.039 of disease. Now here's your host, doctor Joe Bellotti. Well, a 6 00:00:44.079 --> 00:00:48.359 good Sunday evening to everybody. I'm doctor Joe Galotti. Thanks for tuning into 7 00:00:48.439 --> 00:00:54.280 Your Health First. We're here every single Sunday evening between the hour of seven 8 00:00:54.439 --> 00:01:02.320 and eight pm. And our single minded goal that I tip start every program 9 00:01:02.359 --> 00:01:07.200 off with is to make you better consumers of healthcare, raising your health IQ 10 00:01:08.519 --> 00:01:17.599 so that you can take controls, take the reins of your health and stay 11 00:01:17.640 --> 00:01:22.760 healthy. That is it. That is our single mission. It's a big 12 00:01:22.879 --> 00:01:27.599 order, but that's what we are looking for now. Our website, it's 13 00:01:27.680 --> 00:01:33.439 very easy to communicate with me and my team. Find out what we're all 14 00:01:33.480 --> 00:01:40.280 about. Simplest our website Doctor Joegalotti dot com, d R J O E 15 00:01:40.480 --> 00:01:45.560 G A L A t I dot com, Doctor Joegalotti dot com and you 16 00:01:45.680 --> 00:01:51.799 can sign up for our newsletter. Check out our podcast episodes, all of 17 00:01:51.959 --> 00:01:57.719 our learning and educational material that's there be it, things that are you know, 18 00:01:57.879 --> 00:02:02.959 articles that have been printed, videos on YouTube, Instagram, our practice 19 00:02:04.000 --> 00:02:08.800 website which is Texasliver dot com. We take care of patients with various liver 20 00:02:09.240 --> 00:02:15.400 disease ailments and digestive disorders when we are not on the radio. So it's 21 00:02:15.439 --> 00:02:20.159 all there. You could find it by going to doctor Joegalatti dot com. 22 00:02:20.840 --> 00:02:27.400 Well, unfortunately, the Texans took a tough one on the chin this evening. 23 00:02:27.960 --> 00:02:31.599 If you are football fans, they were in New York playing the Jets, 24 00:02:32.360 --> 00:02:38.520 and the Jets are not really that great of a team, and the 25 00:02:38.560 --> 00:02:42.400 Texans have certainly had a lot of steam and a momentum going into the game, 26 00:02:42.400 --> 00:02:46.240 but they sort of fell apart and so that sort of that sort of 27 00:02:46.240 --> 00:02:52.360 stinks. But nonetheless, hope you all had a good Sunday. It was 28 00:02:53.199 --> 00:02:58.759 plenty nice out and hopefully you had some time to get out and recreate and 29 00:02:58.879 --> 00:03:01.960 exercise and take care yourselves. All right, So on the program now, 30 00:03:02.080 --> 00:03:07.400 you know, here we are with the with Christmas a few weeks away. 31 00:03:07.560 --> 00:03:15.159 Traditionally I have we have during the season, we've talked about holiday gift ideas 32 00:03:15.960 --> 00:03:21.360 and those types of things, how to handle holiday stress, and how to 33 00:03:21.520 --> 00:03:28.159 not overeat, over drink and get sick at the multitude of holiday parties that 34 00:03:28.199 --> 00:03:32.800 you'll be going to if you are part of that crowd. But but for 35 00:03:32.919 --> 00:03:39.360 tonight instead, what I want to try to talk about is really, at 36 00:03:39.360 --> 00:03:44.000 this point in time, it's a little premature and and and you know, 37 00:03:44.080 --> 00:03:46.759 of course, when New Year's comes around, it's New Year's resolutions, and 38 00:03:46.840 --> 00:03:50.560 now's the time that I'm going to lose weight, and I'm going to exercise, 39 00:03:51.000 --> 00:03:53.800 I'm going to start walking, I'm going to ride a bike, et 40 00:03:53.840 --> 00:04:00.159 cetera. I was thinking, why not just start talking about this now? 41 00:04:00.680 --> 00:04:05.120 All right? Really, every day that I see patients, I am talking 42 00:04:05.280 --> 00:04:11.840 about things that they need to do now. And we don't necessarily have a 43 00:04:12.000 --> 00:04:14.719 date and a timeline. Yes, I know this is a tough time of 44 00:04:14.719 --> 00:04:18.600 the year, the new year's coming in. Traditionally we will make a plan 45 00:04:18.759 --> 00:04:23.680 for the new year, new year planning. Okay, I get that, 46 00:04:24.800 --> 00:04:31.079 But I do believe that in our quiet time, when we are reflecting on 47 00:04:31.160 --> 00:04:39.920 ourselves, we can start thinking about our own health. And the reason I 48 00:04:40.000 --> 00:04:44.160 do this and it is the premise of the radio program. It is the 49 00:04:45.079 --> 00:04:54.120 background, the back bone of my practice as a practicing physician is because so 50 00:04:54.399 --> 00:04:59.959 much of what I see and I say this all the time and I try 51 00:05:00.040 --> 00:05:03.000 really do mean it, and anybody that is on my team, people that 52 00:05:03.040 --> 00:05:12.160 I work with, you will see a steady, steady stream of patients that 53 00:05:12.519 --> 00:05:16.519 come and see us for the first time, and they are very, very 54 00:05:16.560 --> 00:05:21.800 sick. And it is not taking a cheap shot at anybody that was taking 55 00:05:21.800 --> 00:05:29.480 care of these patients prior to them coming to see me. But these are 56 00:05:29.600 --> 00:05:36.240 things. These are diseases, conditions, syndromes that could have been either diagnosed 57 00:05:36.959 --> 00:05:45.560 and treated with an intervention years earlier. And I am not exaggerating when I 58 00:05:45.639 --> 00:05:49.759 say years earlier. So now when they see me, they are so far 59 00:05:50.279 --> 00:05:56.879 gone that the options for treatment, the options for a cure, the options 60 00:05:56.879 --> 00:06:00.240 for recovery are less, not zo or oh, but they're far less. 61 00:06:01.040 --> 00:06:06.079 And it just creates a lot of angst for the patient and all of us. 62 00:06:06.199 --> 00:06:14.439 And so my goal here is to try to forecast years ahead of time 63 00:06:14.519 --> 00:06:19.439 what may happen if you have a problem right now that needs to be addressed. 64 00:06:19.480 --> 00:06:26.199 It is that simple. So I have carved out a bit of a 65 00:06:27.360 --> 00:06:31.040 structure for you to think about. And for those that are regular listeners, 66 00:06:31.040 --> 00:06:33.839 those that know me, they've come to see me, whatever the case may 67 00:06:33.879 --> 00:06:44.959 be. This is a representation of my core beliefs. And the key thing 68 00:06:45.120 --> 00:06:50.040 here is for you, those of you listening tonight, those of you that 69 00:06:50.120 --> 00:06:58.040 follow us, is really to take ownership. And it is my true belief 70 00:06:58.079 --> 00:07:02.439 that good health people that are health. And you may be looking at coworkers 71 00:07:02.519 --> 00:07:06.120 or a friend or neighbor and you look at somebody and say, hey, 72 00:07:06.120 --> 00:07:10.839 that guy looks healthy. That lady, look at her, she looks fit. 73 00:07:12.000 --> 00:07:17.040 I'll tell you it is no accident. They have invested and worked on 74 00:07:17.079 --> 00:07:21.240 this. So look, we're getting signs. We've got to take a quick 75 00:07:21.240 --> 00:07:26.120 break here. So let's take a break. When we come back, we 76 00:07:26.240 --> 00:07:31.920 will start thinking about twenty twenty four and the takeaways that you all need to 77 00:07:31.959 --> 00:07:36.519 think about. So doctor Joegalotti dot com is our website. Stay tuned, 78 00:07:36.519 --> 00:07:43.639 don't go away. We will write back. Welcome back everybody, Doctor Joe 79 00:07:43.759 --> 00:07:46.920 Galotti. Every Sunday between seven and a pm, we are here trying to 80 00:07:46.959 --> 00:07:53.920 be your guiding light on your own personal health and wellness and the really the 81 00:07:53.920 --> 00:07:56.600 health and wellness of the people you love, your family, your kids, 82 00:07:56.639 --> 00:08:01.120 your grandkids, your coworkers, your neighbor, your best friend, Bob. 83 00:08:01.959 --> 00:08:07.720 We're all in is together. If any of you could share information to help 84 00:08:07.040 --> 00:08:11.680 somebody else out, why wouldn't you do it? And that's what we're here 85 00:08:11.720 --> 00:08:18.720 for every Sunday between seven and eight pm our website doctor Joegalotti dot com and 86 00:08:20.639 --> 00:08:24.879 to email me directly. Now you can send me a message through the doctor 87 00:08:24.959 --> 00:08:33.919 Joe Galotti website. That's easy to do, but the direct shortcut radio at 88 00:08:33.159 --> 00:08:39.919 doctor Joegalotti dot com. Radio at doctor Joeglotti dot com. Now we have 89 00:08:41.039 --> 00:08:43.440 been giving away. Last weekend, we gave away two books. They're in 90 00:08:43.559 --> 00:08:48.840 the mail, so if you are listening from last week, they are signed. 91 00:08:48.919 --> 00:08:52.519 You'll probably get them at the end of the week. But I will 92 00:08:52.519 --> 00:09:03.519 give away again two signed books Eating Yourself my book and email me at radio 93 00:09:03.759 --> 00:09:09.039 at doctor Joegalotti dot com. Radio. I talked to Joe Galotti dot com 94 00:09:09.440 --> 00:09:15.440 and let's just say the first two first two people that email me will get 95 00:09:15.519 --> 00:09:20.840 a signed book. You have to tell me in the message the email message 96 00:09:22.279 --> 00:09:26.600 who you want the book sent to. You know, you know to mom, 97 00:09:26.879 --> 00:09:31.840 or to your wife, or to yourself or to a kid, and 98 00:09:31.960 --> 00:09:35.679 your address where we can mail you the number, and if you want to 99 00:09:35.679 --> 00:09:37.960 throw in your phone number, we could give you a call as well. 100 00:09:39.360 --> 00:09:43.799 But two free books of eating yourself sick. If you're not so lucky, 101 00:09:43.840 --> 00:09:46.159 you could also go to the website and buy one on Amazon or any of 102 00:09:46.200 --> 00:09:54.840 the other online sources. All right, so let us start off. So 103 00:09:54.159 --> 00:10:00.320 we were talking the last segment about an approach for twenty twenty four and and 104 00:10:00.879 --> 00:10:09.759 your health, and so for everybody listening tonight, you are probably aware that 105 00:10:09.840 --> 00:10:16.919 you may be dealing with a current health problem or an impending health problem. 106 00:10:16.000 --> 00:10:20.559 You know something just is not right, But the worst thing in the world 107 00:10:22.159 --> 00:10:26.639 is to call yourself out on it, which is tough, or let alone 108 00:10:26.720 --> 00:10:33.080 be called out by a relative, spouse, a significant other, to be 109 00:10:33.240 --> 00:10:37.600 told, hey, you better check this out, and it really is one 110 00:10:37.600 --> 00:10:41.279 of the worst things you could go through. But I'd like to think in 111 00:10:41.320 --> 00:10:48.440 the end, the key is identification. Early. Identification early of a problem 112 00:10:50.039 --> 00:10:54.399 is always going to be to your advantage. So in no particular order, 113 00:10:56.080 --> 00:11:01.440 these are the things that you need to be aware of. Some are very 114 00:11:01.440 --> 00:11:05.639 obvious and you may say, is this guy kidding me? He really wants 115 00:11:05.759 --> 00:11:11.720 me to write this down. But anyway, here we go. Take, 116 00:11:13.159 --> 00:11:18.720 first of all, take an honest look at your weight. Now, with 117 00:11:20.000 --> 00:11:28.039 so many people being overweight or significantly obese, it almost has gotten to the 118 00:11:28.080 --> 00:11:37.360 point where we have dumbed down the entire weight discussion to everybody's overweight. Everybody 119 00:11:37.480 --> 00:11:39.519 is fat. Come on, why are you picking on me? Well, 120 00:11:39.559 --> 00:11:45.360 I'm not picking on you, and we're not signaling you out. But the 121 00:11:46.399 --> 00:11:54.799 amount of disease and misery that develops from obesity is certainly an indication that we 122 00:11:54.879 --> 00:11:58.320 need to address this. And again, we're not here to fat shame anybody 123 00:11:58.480 --> 00:12:03.000 or or poke at people, or think that everybody has to look as if 124 00:12:03.039 --> 00:12:11.120 they're coming out of GQ magazine or the Sports Illustrated Bathing Suit Edition. I'm 125 00:12:11.159 --> 00:12:16.720 talking just the health and wellness aspect. I don't care what you look like 126 00:12:16.759 --> 00:12:22.639 in a bathing suit. I worry about all of the downstream complications. And 127 00:12:22.720 --> 00:12:28.919 so one way to decide am I overweight or not? You know, or 128 00:12:30.000 --> 00:12:35.080 how overweighted I am it is to calculate your body mass index, and there 129 00:12:35.120 --> 00:12:41.360 are calculators online BMI calculators. Now, there are probably the naysayers out there 130 00:12:41.399 --> 00:12:46.000 that say, well, you know, BMI really doesn't indicate if I'm overweight 131 00:12:46.120 --> 00:12:48.600 or not. I'm not going to get down into the weeds with you, 132 00:12:50.240 --> 00:12:56.720 but it's a good start. I would say BMI captures eighty five ninety percent 133 00:12:56.759 --> 00:12:58.879 of the people, and lucky you if you're in the ten percent that have 134 00:13:00.039 --> 00:13:07.240 a high BMI but you're not overweight or obese. But start with your BMI 135 00:13:07.759 --> 00:13:15.440 calculation. Okay, it's a great first start, very easy to determine just 136 00:13:15.559 --> 00:13:18.679 where you are. Are you overweight or are you obese? Or are you 137 00:13:18.919 --> 00:13:24.879 morbidly obese? Number two the other numbers you need to know. Now you 138 00:13:24.919 --> 00:13:28.320 may say, well where do I get these numbers from? Well, first 139 00:13:28.399 --> 00:13:33.679 I would say, if you don't already have copies of your lab work, 140 00:13:35.480 --> 00:13:37.399 right, you go to the doctor, they draw lab and you may get 141 00:13:37.399 --> 00:13:41.799 a message, hey, hey, bob, everything is okay. You need 142 00:13:41.840 --> 00:13:46.440 to get copies of these labs and make a little file so either you have 143 00:13:46.519 --> 00:13:50.200 them. If you don't have them, contact your doctor, your nurse practitioner, 144 00:13:50.320 --> 00:13:56.200 your physician assistant, whoever you're seeing, whatever clinic office, hospital you're 145 00:13:56.200 --> 00:14:03.559 going to and request these labs, these lab results. You want to know 146 00:14:03.879 --> 00:14:11.000 your cholesterol, okay, your cholesterol. You want to know your blood sugar, 147 00:14:11.039 --> 00:14:15.559 your glucose. Now, you want to make sure the glucose was taken 148 00:14:16.399 --> 00:14:20.600 while you were fasting, meaning right not right after a big meal. You 149 00:14:20.639 --> 00:14:26.519 want to know your liver numbers. This is the ALT and the ast. 150 00:14:26.600 --> 00:14:30.440 Okay, these are very important. I'll tell you why. And you want 151 00:14:30.480 --> 00:14:35.840 to know your blood pressure now, hopefully, and we've talked about this a 152 00:14:35.879 --> 00:14:39.480 bunch. Hopefully everybody has a blood pressure cuff at home and you should have 153 00:14:39.559 --> 00:14:43.600 an idea of what your blood pressure is. Realizing that the American Heart Association 154 00:14:43.840 --> 00:14:52.759 and others have lowered the blood pressure normal range to about one hundred and twenty 155 00:14:52.840 --> 00:14:56.879 over seventy I believe, so it used to be one thirty, one hundred 156 00:14:56.879 --> 00:15:01.480 and thirty. The top number over seventy. Patients that are walking around blood 157 00:15:01.480 --> 00:15:05.600 pressure one fifty one sixty, and they're telling me that their doctor is still 158 00:15:05.679 --> 00:15:09.320 watching it. That is insane. So what I want you to do, 159 00:15:09.000 --> 00:15:13.200 and we got to take a break for news, weather or traffic, know 160 00:15:13.320 --> 00:15:16.559 your weight or your BMI, cholesterol, blood sugar, your living numbers and 161 00:15:16.600 --> 00:15:22.919 your blood pressure will come back after this. Nobody leave. Get a pencil, 162 00:15:24.360 --> 00:15:26.679 sharpen it up, get a piece of paper. Call your best friend 163 00:15:26.679 --> 00:15:30.519 on the radio, tell them to tune into your house first with doctor Golotti 164 00:15:30.960 --> 00:15:33.919 and join along in the conversation. But we'll be back. Don't forget doctor 165 00:15:35.080 --> 00:15:41.559 Joeglotti dot com. Stay tuned. We'll be back rolling along with everybody on 166 00:15:41.639 --> 00:15:46.960 this Sunday evening. We're in the Christmas spirit Hanukkah, all the holidays, 167 00:15:48.039 --> 00:15:52.200 the joy and festivities. Thanks for taking a little bit of your time. 168 00:15:52.240 --> 00:15:58.720 Maybe you're driving home from a party or driving home from the mall or store. 169 00:16:00.120 --> 00:16:03.759 We're always glad to have everybody here your health first, every Sunday between 170 00:16:03.759 --> 00:16:07.720 seven and a pm. Doctor Jogalotti dot com. Doctor Jogalotti dot com. 171 00:16:07.759 --> 00:16:15.799 And as I said at the last segment, to signed copies of my book 172 00:16:15.840 --> 00:16:23.960 Eating Yourself sick inscribe to whoever you would like your secret love, but you 173 00:16:25.000 --> 00:16:32.120 have to email me radio at doctor Joeglotti dot com. Radio at doctor Joglotti 174 00:16:32.159 --> 00:16:36.200 dot com, include your name and address and where you want the books sent 175 00:16:36.279 --> 00:16:41.039 to. But we'll get them out in the mail probably tomorrow Monday, morning. 176 00:16:42.320 --> 00:16:47.480 I've already alerted my team to get some books pulled aside for me to 177 00:16:47.639 --> 00:16:53.200 sign and put them in a brown envelope and get them off to your address. 178 00:16:53.759 --> 00:16:57.039 All right, what we have been talking about, and don't forget when 179 00:16:57.039 --> 00:17:00.159 you go to the website doctor Joglotti dot com. Follow us along on all 180 00:17:00.159 --> 00:17:08.160 the social media the video on YouTube, Instagram, Facebook, and soner. 181 00:17:08.160 --> 00:17:14.400 For our newsletter, it's every Saturday morning we send out a newsletter across the 182 00:17:14.440 --> 00:17:18.440 country with all kinds of health and wellness and exercise in food tips, recipes, 183 00:17:18.799 --> 00:17:22.960 a lot of fun stuff. But it's all at doctor Joeglotti dot com. 184 00:17:22.960 --> 00:17:30.200 All right, So planning for twenty twenty four, we are breaking ranks 185 00:17:30.240 --> 00:17:33.440 and starting off a little earlier. We're not waiting for New Year's We're doing 186 00:17:33.440 --> 00:17:38.200 it here in December. So last segment as a reminder, take an honest 187 00:17:38.200 --> 00:17:42.519 look at your weights, as hard and terrible as it is. We need 188 00:17:42.559 --> 00:17:48.000 to do that. Know your cholesterol, your blood sugar, your liver numbers. 189 00:17:48.039 --> 00:17:52.279 And again that's what I do. I'm a hepatologist, a liver specialist, 190 00:17:52.640 --> 00:17:56.799 and so we look at these liver numbers, the alt and the ast 191 00:17:56.000 --> 00:18:02.960 and then know your blood pressure. Now these one, two, three, 192 00:18:03.200 --> 00:18:08.519 four, five, These five things I would say to you and the rationale 193 00:18:08.559 --> 00:18:15.200 behind it. If you know these five numbers are values, you are going 194 00:18:15.279 --> 00:18:22.039 to cover yourself for the majority of health problems that you may have right now, 195 00:18:22.799 --> 00:18:29.839 or health problems that may be lurking in your future, that most importantly 196 00:18:30.160 --> 00:18:34.839 you can act on. All right, we don't want you to just simply 197 00:18:34.880 --> 00:18:38.000 get these numbers and say, ah, you know my blood sugar is up. 198 00:18:38.599 --> 00:18:45.559 Now what and you see the other problem here? And this is why 199 00:18:45.240 --> 00:18:52.720 I have always, just about my entire career, been a very big advocate, 200 00:18:52.839 --> 00:19:03.759 a very big fan of speaking two and speaking with patients the consumers directly. 201 00:19:03.839 --> 00:19:10.759 Now, I do a lot of physician and nursing education. That is 202 00:19:10.799 --> 00:19:15.359 a big part of our mission, but an even bigger part is speaking directly 203 00:19:15.599 --> 00:19:22.640 to the public. Because if you are going to rely one hundred percent on 204 00:19:22.839 --> 00:19:29.839 your medical team to address all of these issues, I am sorry, you 205 00:19:29.880 --> 00:19:34.519 will be disappointed in a lot of the cases. Now, physicians may be 206 00:19:34.640 --> 00:19:38.839 listening, and a lot of physicians do listen to the program, and they 207 00:19:38.839 --> 00:19:42.480 may get a bit pissed off with what I'm saying. Pardon my French. 208 00:19:44.039 --> 00:19:48.519 But the truth is not because they are not good people, not because they 209 00:19:48.559 --> 00:19:53.720 are not good providers, not because they are well trained. The system is 210 00:19:53.839 --> 00:20:00.720 working against them and all of us, including me. To keep moving, 211 00:20:02.039 --> 00:20:06.400 move fast. You've got to get people in. The reimbursements are lower, 212 00:20:06.720 --> 00:20:10.839 you're not getting paid as much, so you have to sort of see more 213 00:20:10.920 --> 00:20:15.200 patients and you can't spend the amount of time that everybody deserves. And so 214 00:20:15.400 --> 00:20:21.240 the shift, and this is what I've been really preaching for thirty years. 215 00:20:21.240 --> 00:20:26.119 The shift has to be to the patient, the patient's family, the whole 216 00:20:26.680 --> 00:20:33.920 community taking interest and understanding what the heck is going on. So that's why 217 00:20:33.960 --> 00:20:38.799 you need to do that and really work as a team with your healthcare providers. 218 00:20:40.839 --> 00:20:44.440 So if you find that your weight is going up, you have to 219 00:20:44.480 --> 00:20:48.079 sit with the doctor and say, hey, look, I need a plan. 220 00:20:48.200 --> 00:20:52.839 We're not just going to kick the can down the road. So just 221 00:20:52.920 --> 00:21:00.160 a few sobering numbers. Why it is important to know the ramification of all 222 00:21:00.240 --> 00:21:07.480 of these numbers. Now, your elevated blood sugar is a potential indication that 223 00:21:07.599 --> 00:21:11.519 you may have diabetes. Okay, you're all familiar with that. There are 224 00:21:11.640 --> 00:21:18.279 thirty eight million people in America with diabetes. That's about twelve percent of the 225 00:21:18.319 --> 00:21:23.359 population, So twelve out of one hundred people are going to have diabetes. 226 00:21:23.400 --> 00:21:29.480 It may be one of you. Now let's talk about pre diabetes. So 227 00:21:29.559 --> 00:21:34.480 this is where your blood sugar is elevated, but you're not quite meeting all 228 00:21:34.519 --> 00:21:41.920 of the requirements to call somebody diabetic, so you're instead of saying it's pre 229 00:21:41.039 --> 00:21:47.519 diabetic, let's say almost diabetic. Well that's not a comfortable position to be 230 00:21:47.599 --> 00:21:52.359 in because when you're almost diabetic, if you do nothing, you will become 231 00:21:52.400 --> 00:22:00.319 diabetic. So that is not good. A whopping one hundred million people have 232 00:22:00.039 --> 00:22:07.519 pre diabetes, which represents about thirty eight percent of the population. So for 233 00:22:07.599 --> 00:22:12.640 everybody listening tonight, there is even a greater chance that you may be pre 234 00:22:12.759 --> 00:22:18.079 diabetic if you're not one of the thirty eight million that are already diabetic. 235 00:22:18.960 --> 00:22:26.000 Okay, now why do we care? Well, Diabetes is a savage disease. 236 00:22:27.279 --> 00:22:33.920 It will put you at risk for heart disease, heart attack, stroke, 237 00:22:33.519 --> 00:22:40.039 high blood pressure, kidney disease, kidney failure, end up on dialysis, 238 00:22:41.160 --> 00:22:49.279 increase risk of cancer, and so other neurologic problems. You go blind, 239 00:22:49.599 --> 00:22:56.119 you will lose circulation to your extremities and start having your toes chopped off 240 00:22:56.240 --> 00:23:03.119 or amputations. Not a very good disease to have, and a lot of 241 00:23:03.119 --> 00:23:10.720 it can be prevented with early interventions. So again it behooves you to know 242 00:23:11.319 --> 00:23:15.079 your numbers. Number two high blood pressure. That's where we want you to 243 00:23:15.119 --> 00:23:22.240 know your blood pressure well. According to World Health Organization, in nineteen ninety, 244 00:23:22.279 --> 00:23:30.279 there were six hundred and fifty million people with hypertension. If you go 245 00:23:30.440 --> 00:23:40.440 to twenty nineteen, there are one point three billion people one point three billion 246 00:23:40.480 --> 00:23:48.119 would it be that have hypertension, which has doubled so in the from nineteen 247 00:23:48.240 --> 00:23:56.960 ninety to twenty nineteen, that's almost thirty years. With all the with all 248 00:23:57.039 --> 00:24:06.119 of the information on the internet, social media, access to information, yet 249 00:24:06.160 --> 00:24:11.559 again our health is going in the wrong direction. So about a third of 250 00:24:11.599 --> 00:24:15.920 everybody in the world has hypertension. It is a silent disease. You may 251 00:24:15.920 --> 00:24:21.200 not have any symptoms, and so you need to know your blood pressure. 252 00:24:21.680 --> 00:24:25.759 Get a decent quality blood pressure cuff. Hey, that is a great Christmas 253 00:24:25.759 --> 00:24:30.759 present. I would say, get a good blood pressure cuff, not the 254 00:24:30.920 --> 00:24:36.680 junkie ones on your wrist. You want one that goes over your arm, 255 00:24:37.079 --> 00:24:40.559 and knowing your blood pressure, you may say, hey, I feel okay, 256 00:24:41.160 --> 00:24:44.319 I'm sleeping, Okay, I don't look bad, but I have high 257 00:24:44.319 --> 00:24:48.079 blood pressure. Holy crap. I need to get this addressed again, only 258 00:24:48.319 --> 00:24:53.200 because you know your numbers and the last one is and I got to take 259 00:24:53.200 --> 00:24:57.359 a break. Final second in coming up, elevated cholesterol. Seventy one million 260 00:24:57.440 --> 00:25:04.359 Americans have high cholesterol. High cholesterol is going to lead to advancing cardiovascular disease, 261 00:25:04.440 --> 00:25:10.200 heart attack, stroke, kidney problems. And again, you may feel 262 00:25:10.880 --> 00:25:14.880 absolutely fine, you may look good, as I like to say, you 263 00:25:14.920 --> 00:25:19.000 passed the eyeball test, but nonetheless it's a problem. So you need to 264 00:25:19.039 --> 00:25:22.279 know what your labs to look like. All right, Doctor Joe Galotti, 265 00:25:22.359 --> 00:25:26.359 Doctor Joegalotti dot com. Stay tuned, don't forget if you want a book 266 00:25:27.799 --> 00:25:33.640 radio at doctor Joegalotti dot com. Stay tuned. Final segment coming right out. 267 00:25:33.839 --> 00:25:38.599 Final segment. Everybody for this week's your health First, Doctor Joe Galotti, 268 00:25:38.599 --> 00:25:44.359 thanks for tuning in and sharing a part of your evening your holiday season 269 00:25:44.480 --> 00:25:48.400 with us every Sunday between seven and eight pm. Don't forget our website, 270 00:25:48.440 --> 00:25:55.119 Doctor Joegalotti dot com. Sogna for a newsletter. Our social media is there. 271 00:25:55.200 --> 00:26:00.000 Want to send me a question, you need a consultation with a specialist, 272 00:26:00.079 --> 00:26:04.519 wherever you are, we will try to help you. This is a 273 00:26:04.599 --> 00:26:10.200 coast to coast program on the iHeartRadio app. We're broadcasting out of Houston, 274 00:26:11.960 --> 00:26:17.920 but we have friends, colleagues, connections all around the country. So if 275 00:26:17.920 --> 00:26:22.400 you need help with getting a specialist or getting some feedback, that is a 276 00:26:22.440 --> 00:26:27.799 resource of the program. And don't forget we are giving away some signed books 277 00:26:27.880 --> 00:26:34.359 Eating Yourself Sick Radio at doctor Joeglotti dot com. Email me Radio at doctor 278 00:26:34.440 --> 00:26:40.880 Joeglotti dot com. All right, so we have been talking about trying to 279 00:26:41.200 --> 00:26:45.039 strategize for twenty twenty four and it may seem a bit overwhelming, and I'll 280 00:26:45.119 --> 00:26:49.240 keep talking about this, which I do all the time, but the more 281 00:26:49.319 --> 00:26:52.519 you become familiar with the numbers and the things that you need to know, 282 00:26:52.640 --> 00:27:00.480 but also the sheer number of people that have these different disc So we left 283 00:27:00.519 --> 00:27:10.400 off with cholesterol elevated cholesterol affecting seventy one million Americans. And when you talk 284 00:27:10.400 --> 00:27:21.799 about obesity, greater than eighty percent of the population is overweight, obese, 285 00:27:21.920 --> 00:27:32.000 or severely overweight. Severely obese, and so I would say that without obesity, 286 00:27:33.559 --> 00:27:37.759 many of these diseases would not occur. With regard to fatty liver, 287 00:27:37.759 --> 00:27:42.920 that's something that you're going to continue to hear a lot about something called fatty 288 00:27:44.000 --> 00:27:49.039 liver. Eighty to one hundred million people have fatty liver, and fatty liver 289 00:27:49.480 --> 00:27:55.559 in a subset of patients will lead to cirrhosis, scarring of the liver, 290 00:27:55.680 --> 00:28:00.519 liver failure, liver cancer, may need a liver transplant. These are not 291 00:28:00.440 --> 00:28:06.799 completely benign diseases. Well, you know, look, I'm overweighed. My 292 00:28:06.960 --> 00:28:11.240 mother was big, my father was big. It runs into family. Uh 293 00:28:11.319 --> 00:28:17.440 huh. This is this is a whole new era. Other things. Other 294 00:28:17.640 --> 00:28:26.480 diseases that are common reflux, heartburn, indigestion. Thirty percent of the adult 295 00:28:26.559 --> 00:28:34.160 population has gird ges rosophageal reflux disease, and I would say directly related to 296 00:28:34.200 --> 00:28:41.839 our diet and obesity. And lastly, constipation a great topic to talk about 297 00:28:41.880 --> 00:28:47.839 on Sunday evening, maybe while you're making lunch for your kids tomorrow. Sixteen 298 00:28:47.839 --> 00:28:53.079 percent of adults have constipation, but if you're over sixty, over sixty years 299 00:28:53.119 --> 00:29:00.440 old, about thirty three percent of the population is constipated again directly related to 300 00:29:00.960 --> 00:29:08.480 diet and diabetes and obesity. All right, so there's a lot of I 301 00:29:08.519 --> 00:29:14.119 would say, misery out there that people aren't feeling well. And I see 302 00:29:14.119 --> 00:29:18.039 this every day in the practice of medicine. People come and speak with me, 303 00:29:18.119 --> 00:29:23.599 they speak with my colleagues, and adults are not feeling well. If 304 00:29:23.599 --> 00:29:27.759 you're thirty five forty years old and you have heartburn and your bowels and distension, 305 00:29:29.559 --> 00:29:33.440 and you're fatigued and you're short of breath, this is not good. 306 00:29:33.720 --> 00:29:40.880 But it is taking ownership of these numbers. And so when you look at 307 00:29:40.960 --> 00:29:45.200 the numbers that you need to do and write them down, knowing what your 308 00:29:45.240 --> 00:29:48.559 weight is, your cholesterol, blood sugar, liver numbers, and blood pressure. 309 00:29:49.640 --> 00:29:52.480 Most of these you can get yourself. So you know your weight, 310 00:29:53.079 --> 00:29:56.319 you know your blood pressure. It's the cholesterol, the blood sugar, and 311 00:29:56.359 --> 00:30:00.839 the liver numbers that you need to talk with your So for many people, 312 00:30:00.880 --> 00:30:06.880 you may want to say, all right, this week my objective, and 313 00:30:06.960 --> 00:30:11.119 maybe you're calling for a spouse, or you're calling for a family member or 314 00:30:11.359 --> 00:30:21.200 helping a friend get these numbers because trying to navigate the medical bureaucracy is tough, 315 00:30:21.640 --> 00:30:25.839 and I know that. But what you would want to do is contact 316 00:30:25.880 --> 00:30:29.920 your doctor's office and say, look, I believe I had blood work done 317 00:30:30.720 --> 00:30:33.079 a month ago, six months ago, or whenever it was at the time 318 00:30:33.119 --> 00:30:38.920 on my last visit. Can you send me these results. So they may 319 00:30:38.960 --> 00:30:44.440 say, okay, we'll put them in a mail, or they'll email them 320 00:30:44.480 --> 00:30:48.480 to you, or they'll fax them to you. People still get stuff faxed 321 00:30:48.519 --> 00:30:53.480 over. Or they may say, you know, we have a patient portal, 322 00:30:55.200 --> 00:30:56.960 and so you may need to sign up for the patient portal where you 323 00:30:57.000 --> 00:31:03.039 can communicate with your doctor's office. But you want to get these numbers, 324 00:31:03.079 --> 00:31:08.319 and once you get them, if any are abnormal, even by a point 325 00:31:08.799 --> 00:31:15.400 or two, you want to set up an appointment review these with your doctor 326 00:31:15.559 --> 00:31:19.279 or nur's practitioner or a physician assistant, your treatment team, and try to 327 00:31:19.400 --> 00:31:26.440 understand what the plan is. How are you going to address my blood pressure? 328 00:31:26.480 --> 00:31:30.400 Is it diet? Is it weight loss? Is it exercise? Is 329 00:31:30.400 --> 00:31:34.000 it cutting out salt? Is it a combination of all of them? If 330 00:31:34.039 --> 00:31:37.680 you are sitting here tonight saying you know, I think I've got a touch 331 00:31:37.720 --> 00:31:42.480 of blood pressure, but the doctor really didn't say anything, sort of blew 332 00:31:42.519 --> 00:31:49.559 me off. You need to nail them down and in a sense, in 333 00:31:49.599 --> 00:31:55.960 a nice way, confront them to say I need some help. And so 334 00:31:56.680 --> 00:32:00.319 the goal here you do not want to fall victim to chronic disease. And 335 00:32:01.079 --> 00:32:07.680 what happens here is most of the time when patients come, it is not 336 00:32:07.960 --> 00:32:13.799 just a single problem. It is they are overweight and have high blood pressure 337 00:32:13.839 --> 00:32:16.960 in the early stages of diabetes. Or they have diabetes and they have high 338 00:32:16.960 --> 00:32:23.319 blood pressure and they have shortness of breath, or they have high blood pressure 339 00:32:23.319 --> 00:32:28.359 and some kidney problems and their liver numbers are up. So it is rare 340 00:32:28.720 --> 00:32:35.720 that you will just have a single lab abnormalities. These things tend to run 341 00:32:35.759 --> 00:32:39.880 together like a pack of wolves, all right. And so that is the 342 00:32:40.039 --> 00:32:46.720 very very big message for tonight for many And I am not trying to make 343 00:32:46.759 --> 00:32:52.920 this more difficult for everybody. It may seem absolutely overwhelming. How do I 344 00:32:53.000 --> 00:32:58.880 begin to process all this? Where do I start? Well, start with 345 00:32:58.960 --> 00:33:05.640 your doctor's office. If there is a nurse or a nurse practitioner or PA 346 00:33:06.480 --> 00:33:12.640 or some other staff member that you have befriended over time, their medical assistant, 347 00:33:12.920 --> 00:33:16.400 you may want to work with them as a go between between you and 348 00:33:16.440 --> 00:33:21.599 the office and the doctor. But you need to get these numbers out there 349 00:33:21.680 --> 00:33:28.240 and a dialogue. It is really, really key. I wish I could 350 00:33:28.240 --> 00:33:32.160 personally help each and every one of you. I would think that in the 351 00:33:32.240 --> 00:33:36.039 year to come. And I'm actually no kidding, I'm actually going to make 352 00:33:36.039 --> 00:33:40.839 a note to myself when I'm done here to say we need to produce some 353 00:33:42.359 --> 00:33:47.960 online material, some videos to help people navigate their own health. That's what 354 00:33:49.000 --> 00:33:52.000 it's all about, all right. Well, once again the hour has flown 355 00:33:52.240 --> 00:33:59.680 by. Get to drive home. It's a cool evening, but hopefully the 356 00:33:59.680 --> 00:34:06.039 weather stays good now through the holidays. And don't forget doctor Joeglati dot com 357 00:34:06.119 --> 00:34:09.039 is our website, plenty of information, video, social media for you to 358 00:34:09.079 --> 00:34:14.360 look at. Send me a message if I could help any of you in 359 00:34:14.480 --> 00:34:19.599 any way. Our entire team is geared up to help our patients and help 360 00:34:19.639 --> 00:34:23.000 our radio listeners and our followers on social media. I say that with an 361 00:34:23.079 --> 00:34:30.679 absolute sincere voice and message in our heart. So in this Christmas and holiday 362 00:34:30.679 --> 00:34:34.400 season, God bless everybody, and you know what, We'll see you next 363 00:34:34.679 --> 00:34:35.760 Sunday evening.