WEBVTT 1 00:00:01.679 --> 00:00:07.360 Initialize sequence coming to you live from Houston, Texas, home to the world's 2 00:00:07.480 --> 00:00:19.640 largest medical center. In the approach, raise Everything looking at two. This 3 00:00:20.039 --> 00:00:25.199 is your Health First, the most beneficial health program on radio with doctor Joe 4 00:00:25.199 --> 00:00:29.000 Galotti. During the next hour, you'll learn about health, wellness and the 5 00:00:29.079 --> 00:00:46.159 prevention of disease. Now here's your host, doctor Joe Galotti. Well, 6 00:00:46.200 --> 00:00:50.240 a good Sunday evening to everybody. Doctor Joe Galotti, you're tuned into your 7 00:00:50.280 --> 00:00:56.600 Health First. We are here every Sunday evening between seven and eight pm, 8 00:00:56.640 --> 00:01:00.520 assuming that the astros are not on the radio, and I'll talk about that 9 00:01:00.520 --> 00:01:06.239 in a minute, But anyway, we're here every Sunday to Raise your Health 10 00:01:06.280 --> 00:01:11.239 IQ make you better consumers of healthcare. And as I always start off the 11 00:01:11.280 --> 00:01:19.040 program with our idea here, our plan, our modus operandi, is to 12 00:01:19.079 --> 00:01:23.719 make you better consumers of healthcare so that you have an appreciation, an understanding 13 00:01:23.760 --> 00:01:30.719 of what you can do to make yourselves healthier, stay healthy, stay out 14 00:01:30.760 --> 00:01:37.719 of the doctor's office, and all around be happy. Our website doctor Joegalotti 15 00:01:37.799 --> 00:01:42.359 dot com Doctor Joegalotti dot com. And once you go there you sign a 16 00:01:42.359 --> 00:01:47.439 FROWN newsletter. You can get a copy of my audiobook Eating Yourself Sick. 17 00:01:47.799 --> 00:01:52.480 You can send me an email signer for own newsletter. Look at old broadcasts 18 00:01:52.480 --> 00:01:59.920 and podcasts and blogs and all kinds of useful information about general health and wellness, 19 00:01:59.920 --> 00:02:07.159 but also about liver disease by going to the other links we have with 20 00:02:07.280 --> 00:02:10.240 regard to keeping your liver healthy. And I'm going to be talking about liver 21 00:02:10.319 --> 00:02:15.680 cancer in just a few minutes. But anyway, it's great to see everybody, 22 00:02:16.639 --> 00:02:22.479 have everybody tuning in. We've been off for a few weeks because of 23 00:02:22.560 --> 00:02:30.520 the Astros. The Astros during the playoff and World Series run are broadcasting on 24 00:02:30.719 --> 00:02:36.879 KTRHR home radio station here in Houston, and so we've been bumped for a 25 00:02:36.919 --> 00:02:40.159 few weeks. And as soon as they lost last week, I said, 26 00:02:40.159 --> 00:02:44.400 all right, well it's back to the radio on Sunday evening. We'll have 27 00:02:44.439 --> 00:02:49.919 to wait for spring training again. But it was a good season. I 28 00:02:50.000 --> 00:02:54.039 think it was very disappointing at the end where they could not win at home. 29 00:02:55.360 --> 00:03:00.759 My sense is that there's going to be some sort of after discussion and 30 00:03:00.800 --> 00:03:05.919 figure out what the heck was going on that they could not win at home. 31 00:03:06.280 --> 00:03:10.159 It really defies all logic, but that is what happens with sports, 32 00:03:10.560 --> 00:03:17.000 all right, So for tonight, one topic that I want to chat about 33 00:03:17.039 --> 00:03:22.360 now I will be all right, let's see, let me get organized here, 34 00:03:22.400 --> 00:03:27.360 So a little later in the week, like Thursday, I have been 35 00:03:27.759 --> 00:03:32.039 honored to participate in a TED talk, which will be on Thursday. And 36 00:03:32.120 --> 00:03:37.439 what I want to do is share a little bit of that background information as 37 00:03:37.439 --> 00:03:44.639 to what I am talking about. And ultimately the TED talk that I'll be 38 00:03:44.680 --> 00:03:50.120 doing will be posted on the TED I think it's ted dot com website for 39 00:03:50.159 --> 00:03:53.719 all of you to see at a later date. But I want to give 40 00:03:53.719 --> 00:03:59.199 you a little insight onto the topics that I'll be discussing in my thirteen minute 41 00:04:00.800 --> 00:04:06.439 opportunity standing on the red carpet. But anyway, the month of October is 42 00:04:06.639 --> 00:04:14.759 liver cancer Awareness month. Now a colleague of mine, doctor Sudah Kadali, 43 00:04:15.000 --> 00:04:20.000 has been sending me reminders all month can you talk about liver cancer? Can 44 00:04:20.040 --> 00:04:24.720 you bring it up on the radio? And things were just a little too 45 00:04:24.759 --> 00:04:29.480 hectic this week and the rest of the month to have her on, but 46 00:04:29.920 --> 00:04:32.920 and we will get her back on. She's been on before. But anyway, 47 00:04:33.879 --> 00:04:38.279 liver cancer is a very important topic now. You may be sitting there 48 00:04:38.319 --> 00:04:42.839 saying, what, why on earth do I need to know about liver cancer? 49 00:04:43.519 --> 00:04:50.240 Well, when you go to the different liver cancer awareness sites, I 50 00:04:50.319 --> 00:04:55.720 do have a problem with them. Most of them talk about the science, 51 00:04:55.800 --> 00:04:59.439 the research, the new studies, the new innovative therapy, and yes, 52 00:04:59.519 --> 00:05:03.519 that is all very very important. But I believe, and this is at 53 00:05:03.519 --> 00:05:09.040 the core belief of what I do every day with my patients, and things 54 00:05:09.040 --> 00:05:13.040 we do on a radio and social media and lectures that I give you as 55 00:05:13.160 --> 00:05:16.279 the consumer, have to know if you are sitting there at home tonight, 56 00:05:16.680 --> 00:05:21.120 or you're sitting in your car coming home from work or maybe going to work, 57 00:05:23.800 --> 00:05:28.759 am I at risk for liver cancer? That is the most important thing. 58 00:05:29.720 --> 00:05:32.920 It's not so much that we want to share how great chemotherapy is, 59 00:05:33.120 --> 00:05:40.240 immunotherapy, new diagnostic, new surgical approaches, the role of transplant. Yes, 60 00:05:40.319 --> 00:05:45.439 that is all great stuff. But the idea is to be aware and 61 00:05:45.600 --> 00:05:49.399 intervene if you yourself have any risk factors. So let me give you just 62 00:05:49.759 --> 00:05:58.319 a few high level comments on liver cancer. First of all, what we 63 00:05:58.480 --> 00:06:02.879 are really talking about here, for the most part, is primary liver cancer. 64 00:06:02.920 --> 00:06:08.399 Now, a lot of people when we talk to them, or they 65 00:06:09.040 --> 00:06:13.800 give a family history of what grandma grandpa died from. They would say, 66 00:06:13.800 --> 00:06:15.920 oh, yeah, my mother, my grandmother died of liver cancer. Well 67 00:06:15.959 --> 00:06:23.519 wait a second, Maybe was breast cancer that metastasized to the liver that is 68 00:06:23.560 --> 00:06:30.120 a little bit different, Or somebody had prostate cancer that metastasized to the liver. 69 00:06:30.959 --> 00:06:36.480 We are talking about primary liver cancer, cancer that originates in the liver. 70 00:06:38.879 --> 00:06:42.759 Now. It's not to say that these other cancers are not important colon 71 00:06:42.800 --> 00:06:46.480 cancer, breast cancer, or prostate et cetera. They're very important, and 72 00:06:46.560 --> 00:06:50.319 those therapies are becoming more and more innovative as we speak. But for the 73 00:06:50.319 --> 00:06:55.560 most part, when we're talking about liver cancer awareness, we're talking about primary 74 00:06:55.600 --> 00:07:01.519 liver cancer that originates in the liver. Now, the two major liver cancers 75 00:07:02.240 --> 00:07:14.079 are hepado cellular carcinoma. The short acronym is HCC or a hepatoma. Okay, 76 00:07:14.120 --> 00:07:19.279 that's that's another name or something called calangiocarcinoma, and that is cancer of 77 00:07:19.360 --> 00:07:24.199 the bile ducts. And what I tell my patience all the time is that 78 00:07:24.240 --> 00:07:29.639 the liver really is made up of two parts, the liver cells, which 79 00:07:29.680 --> 00:07:35.199 are the hepatocytes, hence we are hepatologists. And then the other are the 80 00:07:35.199 --> 00:07:44.600 bile ducks or the calangioles and calangiocarcinoma. So they are two distinct cancers. 81 00:07:45.000 --> 00:07:49.160 One is of the liver cells, the hepatocellular carcinoma. The other is of 82 00:07:49.199 --> 00:07:55.399 the bile ducts, which is calangiocarcinoma. Now, the main thing here will 83 00:07:55.399 --> 00:08:03.759 be risk factors. So on the hepado say, carcinoma, the major risk 84 00:08:03.839 --> 00:08:11.600 factors are going to be anybody that has sorrhosis, and cirrhosis is scarring of 85 00:08:11.639 --> 00:08:16.680 the liver. Now there's a myriad of causes for cirrhosis, ranging from alcohol 86 00:08:18.319 --> 00:08:26.480 to obesity, in the development of fatty liver viruses like hepatitis B and C, 87 00:08:26.480 --> 00:08:33.039 certain autoimmune conditions that you are born with increased amounts of iron in your 88 00:08:33.080 --> 00:08:39.879 blood. These are all risk factors for developing orhosis, and a blanket statement 89 00:08:39.919 --> 00:08:48.120 would be anybody with orrhosis is at risk for liver cancer. Now we have 90 00:08:48.360 --> 00:08:56.440 various screening strategies in place to identify these patients to check on them on a 91 00:08:56.480 --> 00:09:01.600 regular basis, because we know the likelyhood of getting cancer is increased. So 92 00:09:01.720 --> 00:09:07.759 if we know it, we're going to have a much more intense surveillance process 93 00:09:09.000 --> 00:09:13.879 in place now and we're gonna be taking a break in just a second here. 94 00:09:15.480 --> 00:09:18.960 And so with that said, you have to look back and say, 95 00:09:18.440 --> 00:09:24.879 do I have a history of hepatitis B? How about hepatitis C? As 96 00:09:24.919 --> 00:09:31.559 a side note, if you still have hepatitis C and have not been treated 97 00:09:31.600 --> 00:09:35.200 with one of the new drugs that have better than a ninety five percent cureate, 98 00:09:35.840 --> 00:09:39.759 you need to call up your doctor, call me, call doctor Cadali, 99 00:09:39.840 --> 00:09:45.679 call somebody tomorrow morning and get in to get treated. There's no reason 100 00:09:45.759 --> 00:09:52.639 why we don't treat the hepatitis C in everybody. Hepatitis C is a carcinogenic 101 00:09:52.480 --> 00:09:58.279 virus. It causes cancer. So look at yourself. Do I have hepatitis 102 00:09:58.279 --> 00:10:05.600 B? Do I have petitis CE? Do I consume alcohol in an excessive 103 00:10:07.039 --> 00:10:16.200 fashion? Now, most of the time alcohol abuse in the setting of cirrhosis 104 00:10:16.279 --> 00:10:20.080 will put you at higher risk for liver cancer. There are some cases that 105 00:10:20.120 --> 00:10:24.480 I've seen where you're not quite at the point of cirrhosis, but you heavily 106 00:10:24.519 --> 00:10:30.919 abuse alcohol, you are at risk for liver cancer. The other big thing 107 00:10:31.000 --> 00:10:37.080 here is fatty livid disease. We call it metabolic associated fatty livid disease. 108 00:10:37.440 --> 00:10:43.320 These are individuals that are overweight, they have diabetes or pre diabetes, high 109 00:10:43.360 --> 00:10:50.039 blood pressure, high cholesterol. They are sitting ducts for developing more advanced liver 110 00:10:50.159 --> 00:10:54.960 disease, but also for the development of liver cancer. So in this regard 111 00:10:56.080 --> 00:11:01.279 we hope that you don't or haven't progressed to soorrhosis, but realize that if 112 00:11:01.320 --> 00:11:05.480 you have fatty liver and a little bit of scarring in the liver, you're 113 00:11:05.519 --> 00:11:11.399 at increased risk for liver cancer. You need to take this very very seriously 114 00:11:13.039 --> 00:11:18.600 and intervene and try to stop or turn back the damage that has seen. 115 00:11:18.919 --> 00:11:24.440 But the key thing is awareness, having a good communication, a good dialogue 116 00:11:24.440 --> 00:11:28.240 with your your team, your doctors, your nurses, your nurse practitioners, 117 00:11:28.240 --> 00:11:33.600 your pas, to say, hey, look, with my underlying liver issue, 118 00:11:33.000 --> 00:11:37.879 my elevated liver chemistries, do you think I'm at risk for liver cancer? 119 00:11:37.480 --> 00:11:41.879 If so, what's the plan. You have to have a plan. 120 00:11:41.000 --> 00:11:45.559 You don't want to be one of these cases that just out of the blue, 121 00:11:45.600 --> 00:11:46.879 have a little bit of pain on your side. Go see your doctor. 122 00:11:46.960 --> 00:11:52.039 And shock that you've got liver cancer. These are things that could be 123 00:11:52.440 --> 00:11:54.639 prevented and diagnosed early. All right, we're going to take a quick break 124 00:11:54.679 --> 00:12:00.480 here. I'm going to comment on a few words on collanio car sonoma, 125 00:12:00.480 --> 00:12:03.799 which is cancer of the bile ducs. I'm doctor Joe Galotti. So happy 126 00:12:03.840 --> 00:12:11.440 to be back after a little few weeks siesta from the Astros baseball run. 127 00:12:11.840 --> 00:12:16.480 Don't forget doctor Joegalotti dot com is our website. Sign up for our newsletter. 128 00:12:16.519 --> 00:12:20.799 We love sending that out on Saturday morning. Stay tuned, we'll be 129 00:12:20.879 --> 00:12:24.360 right back. All right, Welcome back everybody, doctor Joe Galotti. Thanks 130 00:12:24.360 --> 00:12:28.200 for tuning in tonight. Don't forget every Sunday between seven and eight pm, 131 00:12:28.279 --> 00:12:33.799 we're here and our mission is to raise your health IQ, one listener at 132 00:12:33.799 --> 00:12:37.960 a time. I'm talking to you. Don't forget our website, Doctor Joegalotti 133 00:12:39.039 --> 00:12:41.480 dot com. If you want to send me an email directly, it's radio 134 00:12:41.559 --> 00:12:46.519 at doctor Joegalotti dot com. Radio at doctor Joegalotti dot com. And any 135 00:12:46.759 --> 00:12:56.200 liver related issues fatty liversseorhosis, liver cancer, reach out doctor Joegalotti dot com. 136 00:12:56.240 --> 00:13:03.360 All right, so we have been talking about liver Cancer Awareness Month, 137 00:13:03.559 --> 00:13:07.559 and my good friend and colleague, doctor Suda Kadali, has been nudging me 138 00:13:07.720 --> 00:13:13.799 to talk about this. But we'll get her on soon. The schedule is 139 00:13:13.879 --> 00:13:16.399 just two nuts to get her out here. But anyway, so we talked 140 00:13:16.440 --> 00:13:24.399 about hapatosailor carcinoma. Primary liver cancer risk factors would include cirrhosis, alcohol, 141 00:13:24.799 --> 00:13:30.799 hepatitis B, hepatitis C, and fatty liver. Those are the main main 142 00:13:31.000 --> 00:13:33.279 risk factors. And as I've said, you have to look at yourself. 143 00:13:33.320 --> 00:13:37.200 And this is the part where you need to be honest with yourself to say, 144 00:13:37.600 --> 00:13:41.399 have I been told I have fatty liver? Have I been told I 145 00:13:41.440 --> 00:13:46.960 have hepatitis C? Well, for Pete's sake, get off the chair and 146 00:13:46.080 --> 00:13:52.840 get it evaluated. Okay. I never want you to just go with the 147 00:13:52.879 --> 00:13:56.120 flow. You need to be a better consumer. And this is a large 148 00:13:56.159 --> 00:14:01.600 part of what I do. You have to not simply accept the status quo 149 00:14:01.799 --> 00:14:05.279 to say, well, my my doctor said it's nothing to worry about. 150 00:14:05.759 --> 00:14:09.960 Hey, dude, it's something to worry about, okay. And trust me, 151 00:14:09.080 --> 00:14:16.879 I see patients every single day that had been told don't worry about their 152 00:14:16.879 --> 00:14:20.120 fatty liver. It's not that bad. It is a problem, huge public 153 00:14:20.159 --> 00:14:28.039 health disease and concern, and it's putting us at risk for cirrhosis and liver 154 00:14:28.120 --> 00:14:31.799 cancer. Now, the other disease, the other liver cancer, is calangiocarcinoma, 155 00:14:31.799 --> 00:14:37.960 and this is a disease of the bile ducts. Now, there are 156 00:14:37.440 --> 00:14:46.639 certain diseases that put you at risk for the development of bile duct cancer colangiocarcinoma, 157 00:14:48.080 --> 00:14:54.879 that the biggest one by far is going to be in individuals that have 158 00:14:54.039 --> 00:15:00.679 inflammatory bil disease, be it ulcer of colitis or Crohn's disease. There's a 159 00:15:01.000 --> 00:15:07.679 very peculiar disease that they are at risk for, and that is called sclerosing 160 00:15:07.200 --> 00:15:16.039 cholingitis. It is inflammation of the bile ducts related to the colitis and exposure 161 00:15:16.240 --> 00:15:22.720 of the liver to all kinds of toxins and bacteria, and it triggers a 162 00:15:22.799 --> 00:15:26.799 chain reaction that causes the bile ducts to get inflamed. And anywhere in the 163 00:15:26.840 --> 00:15:33.679 body where there is inflammation, you're going to have the risk of some sort 164 00:15:33.720 --> 00:15:43.759 of a genetic mutation where cancer can develop. And so colangiocarcinoma, bile duc 165 00:15:43.879 --> 00:15:54.200 cancer is a possibility in people that have inflammatory bowel disease, colitis or Crohn's 166 00:15:54.240 --> 00:15:58.320 disease that have these elevated liver chemistries, they may be told that they have 167 00:16:00.080 --> 00:16:04.240 Glorossing colingitis, which can lead to not only scarring and damage to the bio 168 00:16:04.360 --> 00:16:08.039 ducts, but cirrhosis of the liver, but put you at risk for bio 169 00:16:08.120 --> 00:16:14.279 duc cancer. Now, the problem with calangiocarcinoma is that in many cases it's 170 00:16:14.320 --> 00:16:19.159 hard to diagnose. And so again you have to realize if you are at 171 00:16:19.279 --> 00:16:26.840 risk for colangiocarcinoma because you have inflammatory biel disease, you have Schloessing colingitis, 172 00:16:26.240 --> 00:16:33.120 you need to make sure that you are being seen by a team of physicians 173 00:16:33.159 --> 00:16:38.159 and experts. You deserve the best, or your loved one deserves the best 174 00:16:38.600 --> 00:16:47.120 to see that they are very, very diligently evaluating for the presence of calangiocarcinoma, 175 00:16:47.200 --> 00:16:51.440 because in the earlier stages, yes, there is a far greater chance 176 00:16:51.480 --> 00:17:00.000 you could be treated and potentially cured. If left to a delayed diagnosis, 177 00:17:00.000 --> 00:17:03.599 and then I really don't have to tell you you can imagine the outcome is 178 00:17:03.759 --> 00:17:08.640 far more grim. So it's all about knowing your risk factors. And this 179 00:17:08.720 --> 00:17:18.400 goes for cardiovascular disease, for breast cancer, dementia, anything else you need 180 00:17:18.440 --> 00:17:22.200 to know what your risk factors are. So there you have it, doctor 181 00:17:22.279 --> 00:17:29.880 Kadali, I hope I met your standards of talking about cancer of the liver 182 00:17:30.000 --> 00:17:33.759 during Liver cancer Awareness Month. All right, so we're going to take a 183 00:17:33.759 --> 00:17:41.480 break. Links for these various sites information are on our Facebook page. Go 184 00:17:41.519 --> 00:17:45.799 to doctor Joeglotti dot com. Click the link for Facebook and I will leave 185 00:17:45.839 --> 00:17:48.440 them some information posted for you. All right, stay tuned. We'll be 186 00:17:48.519 --> 00:17:52.119 talking more about my ted talk later this week. I'm doctor Joe Galotti, 187 00:17:52.200 --> 00:17:56.960 doctor Joegalotti dot com. Stay tuned, we'll be right back. Well, 188 00:17:56.119 --> 00:18:00.759 so good to be here with everybody on this sun evening, doctor Joe Galotti. 189 00:18:00.799 --> 00:18:07.279 Don't forget doctor Joegalotti dot com. And if you have any liver related 190 00:18:07.640 --> 00:18:11.920 problem, be it fatty liver. We were talking about liver cancer in the 191 00:18:11.960 --> 00:18:19.039 segment before hepatitis alcohol related liver disease. We're here to give you some direction 192 00:18:19.240 --> 00:18:23.680 even if you're listening from out of town, and don't forget, we're broadcasting 193 00:18:23.720 --> 00:18:29.279 from our home station KTIH here in Houston. Texas, but we are heard 194 00:18:29.839 --> 00:18:36.680 coast to coast on the free iHeart radio app. So certainly tell your friends, 195 00:18:36.720 --> 00:18:40.880 relatives, colleagues to tune in every Sunday night, no matter where you 196 00:18:40.960 --> 00:18:47.799 live, no excuse. You can catch us at seven pm Central Time on 197 00:18:48.279 --> 00:18:51.720 the radio. All right, Doctor Joeglotti dot com is our website. All 198 00:18:51.799 --> 00:18:55.799 right. So I was saying a little earlier in the program that later this 199 00:18:55.920 --> 00:19:02.519 week I am going to be doing a TED talk, and it's a real 200 00:19:02.599 --> 00:19:07.319 honor. You know. My sense is that if you're somebody that is in 201 00:19:07.000 --> 00:19:15.200 education and you speak, and you share ideas and try to motivate people and 202 00:19:15.440 --> 00:19:19.880 inspire them, then doing a TED talk really is a dream come true. 203 00:19:19.920 --> 00:19:25.839 And I'm so thankful that I'll be able to participate. And when I got 204 00:19:25.880 --> 00:19:33.640 the invite and opportunity to speak, it really was not too hard to have 205 00:19:33.960 --> 00:19:38.519 me come up with a topic. Now, there's lots of things I believe 206 00:19:38.599 --> 00:19:45.319 I could have spoken about, but if I had one chance, one opportunity, 207 00:19:45.960 --> 00:19:49.759 I would say, it's regarding what I do every day as a practicing 208 00:19:51.440 --> 00:19:56.000 physician, as a liver specialist, and it's take care of people that have 209 00:19:56.200 --> 00:20:00.559 live a disease but fatty liver disease. But if you take it back, 210 00:20:02.079 --> 00:20:10.119 the reason we are inundated with fatty livid disease and the one hundred million people 211 00:20:10.440 --> 00:20:14.480 in the United States that have fatty liver, it's because of obesity, and 212 00:20:14.519 --> 00:20:18.519 it's because of the food we eat. That is it. It does not 213 00:20:18.559 --> 00:20:22.680 get any more complicated as that. So one of the things that I talk 214 00:20:22.759 --> 00:20:29.559 about is a phrase which people in the office have heard me say this to 215 00:20:29.720 --> 00:20:34.079 them. It is Misery is optional. Misery is optional. Those three little 216 00:20:34.079 --> 00:20:41.240 words are as simple as they are very key to all that we do. 217 00:20:41.680 --> 00:20:44.640 Now. The way this all came about, and this is the backstory, 218 00:20:45.279 --> 00:20:49.200 when I was probably about ten years old, a friend of the family used 219 00:20:49.240 --> 00:20:56.200 to make Christmas ornament Christmas tree ornaments, and he would either give it to 220 00:20:56.240 --> 00:21:00.160 my father to take home or he will put it in the mail. And 221 00:21:00.200 --> 00:21:06.559 so this particular year, it was roughly nineteen sixty nine, the envelope is 222 00:21:06.559 --> 00:21:11.319 sitting on our kitchen table and I come home from school with my sisters, 223 00:21:11.559 --> 00:21:15.640 and I have a pretty good idea I know what it is, and so 224 00:21:15.720 --> 00:21:22.559 I rip open the package and I am stunned by what's in there. It's 225 00:21:22.599 --> 00:21:27.000 a block of wood with these three words painted on it. Misery is optional. 226 00:21:27.480 --> 00:21:33.440 Now, as a ten year old kid, I'd like to think I 227 00:21:33.480 --> 00:21:38.000 was a smart kid, But intellectually, misery is optional. That is a 228 00:21:38.160 --> 00:21:45.680 very very high level intellectual, sort of brainiac kind of idea. It's very 229 00:21:45.720 --> 00:21:49.559 abstract. Misery is optional. And so I remember distinctly, and you have 230 00:21:49.640 --> 00:21:52.839 to believe me when I say I'm ten years old standing in my kitchen, 231 00:21:52.880 --> 00:21:56.079 I could see it like it was yesterday. My mother came over and she 232 00:21:56.160 --> 00:22:02.200 said two things. And she says, wow, this is profound. And 233 00:22:02.319 --> 00:22:07.720 number two she said, one day you'll understand what this means. And so 234 00:22:07.799 --> 00:22:11.400 here we are, many many years later, I am still talking about misery 235 00:22:11.480 --> 00:22:18.279 is optional. And really, throughout the family, friends of the family, 236 00:22:18.559 --> 00:22:22.079 relatives, in laws, there was always that joke in the family. If 237 00:22:22.119 --> 00:22:26.599 something was going wrong with you, either at work or with a relationship, 238 00:22:27.359 --> 00:22:32.160 one of us would say to the other, hey, look, misery is 239 00:22:32.200 --> 00:22:36.839 optional, basically saying, look, things are not that bad. If you 240 00:22:36.880 --> 00:22:41.799 want it to be bad, go ahead, sort of drown in your tears, 241 00:22:41.119 --> 00:22:45.160 but get up, pull your pants up, and get moving. And 242 00:22:45.240 --> 00:22:52.079 so I have applied that to the healthcare space, Misery is optional. Now 243 00:22:52.839 --> 00:22:57.680 looking at it this way, so much of the disease that I see and 244 00:22:57.759 --> 00:23:04.599 my colleague see, like doctor Cadali who I was talking about before the obesity 245 00:23:04.720 --> 00:23:15.839 epidemic and the complications of obesity, namely cardiovascular disease, hypertension, diabetes, 246 00:23:15.279 --> 00:23:25.319 fatty liver cancer, depression, kidney disease, dementia, neurologic disease. The 247 00:23:25.480 --> 00:23:32.680 truth is that the way you personally got that way is based on your decision 248 00:23:33.319 --> 00:23:37.200 to not cook at home and to eat processed food, to eat out every 249 00:23:37.319 --> 00:23:42.880 night. So instead of waking up in the morning and having a nice bowl 250 00:23:42.920 --> 00:23:47.680 of oatmeal with some nuts, a little bit of fruit, maybe a little 251 00:23:47.680 --> 00:23:52.359 bit of yogurt, you elected to go to Jack in the Box for a 252 00:23:52.400 --> 00:24:00.839 breakfast burrito which has enough calories and salt for the entire day. Misery is 253 00:24:00.880 --> 00:24:07.240 optional. It's your call. And so that is really the theme of the 254 00:24:07.279 --> 00:24:12.400 TED talk, that misery is optional, and pointing out to everybody the statistics. 255 00:24:12.920 --> 00:24:22.279 And while we want to say that there's some other force that's making us 256 00:24:22.319 --> 00:24:26.799 sick, that's making us overweight, that's giving us diabetes, when you look 257 00:24:26.839 --> 00:24:34.640 at the statistics, they don't lie and so some of the statistics are in 258 00:24:34.680 --> 00:24:41.400 no particular order. Let's look at childhood obesity. So that number, in 259 00:24:41.480 --> 00:24:48.359 the last twenty years, childhood obesity has quadrupled. We went from about four 260 00:24:48.480 --> 00:24:53.799 million to fifteen million overweight or obese children. Now, how did that happen. 261 00:24:56.039 --> 00:25:00.759 It wasn't global warming, it wasn't the political p already in power. 262 00:25:02.960 --> 00:25:08.359 It was basically what these kids are being fed. And I'm not here to 263 00:25:08.440 --> 00:25:17.839 blame, but there is no Captain crunch Genie that just miraculously this junk cereal 264 00:25:18.559 --> 00:25:22.960 appears in your cabinets and is on the kitchen table at eight o'clock in the 265 00:25:22.000 --> 00:25:26.559 morning when the kids are eating breakfast. It is a conscious decision to buy 266 00:25:26.559 --> 00:25:36.200 this crap. Misery is optional. So the other point about the obesity epidemic, 267 00:25:36.319 --> 00:25:41.279 especially in children, the research will support that the children of today will 268 00:25:41.279 --> 00:25:44.359 not live as long as their parents. Now let me say that again. 269 00:25:44.799 --> 00:25:48.839 The children of today, your kids, your grandkids, nieces and nephews, 270 00:25:51.200 --> 00:25:55.519 little kid next door playing Little League, will not live as long as their 271 00:25:55.559 --> 00:26:00.880 parents because they are being inundated with chronic disease, ease, heart disease, 272 00:26:02.000 --> 00:26:10.359 hypertension, diabetes, pre diabetes, kidney disease, fatty liver. I see 273 00:26:10.440 --> 00:26:14.920 kids that are eighteen years old with fatty liver and cirrhosis. That is pretty 274 00:26:14.920 --> 00:26:18.559 pathetic. But they're not going to live as long as their parents because they 275 00:26:18.599 --> 00:26:25.920 are being afflicted with the diseases that grandma and grandpa developed when they're seventy five 276 00:26:25.960 --> 00:26:30.240 eighty years old, so decades earlier. These kids are getting sick. It's 277 00:26:30.240 --> 00:26:34.680 screwing up their lives. They're not feeling well, they're chronically ill, can't 278 00:26:34.720 --> 00:26:41.039 exercise, their academic achievement goes down, and it creates a vicious cycle. 279 00:26:41.960 --> 00:26:48.799 So misery is optional is a real real thing. All right, final segment 280 00:26:48.839 --> 00:26:52.640 coming up. We're going to take a quick break here, and what I 281 00:26:52.680 --> 00:26:59.000 would say is sign up for our Instagram page which is on doctor Jogolotti dot 282 00:26:59.039 --> 00:27:02.839 com, and follow along during the week. I'll have updates from the Ted 283 00:27:02.880 --> 00:27:07.200 Talk and keep you inforumed on all that. All right, stay tuned. 284 00:27:07.240 --> 00:27:10.440 Final segment coming up. Thanks for tuning in tonight. We'll right back. 285 00:27:11.359 --> 00:27:19.359 Never afraid to push the boundaries of talk radio and your musical experience, Doctor 286 00:27:19.440 --> 00:27:25.559 Joe Galotti, your health first. Don't forget doctor Joegalotti dot com signer for 287 00:27:25.559 --> 00:27:29.920 a newsletter. Hope you're having a great Sunday. It's starting to cool down 288 00:27:29.920 --> 00:27:33.279 a little. It's still pretty warm today if he asked me, but at 289 00:27:33.359 --> 00:27:38.720 least it's not freezing and it's not two hundred degrees outside. Well, you 290 00:27:38.759 --> 00:27:41.559 know, the thing about the music that we play here, more and more 291 00:27:41.599 --> 00:27:48.359 research is coming out that music that you like, music that cheers you up, 292 00:27:48.119 --> 00:27:55.160 puts a little little step into your day, is beneficial from an emotional 293 00:27:55.200 --> 00:27:59.559 standpoint. So you know, my sense is that with the availability and the 294 00:27:59.599 --> 00:28:06.799 why range of music that we have at our fingertips, certainly make up playlists 295 00:28:06.839 --> 00:28:10.319 that make you feel good, that take you back to a better day. 296 00:28:10.359 --> 00:28:15.359 And if your greatest days were when you were a sophomore in high school and 297 00:28:15.400 --> 00:28:19.799 it was nineteen eighty three, and you play the top twenty songs of that 298 00:28:19.880 --> 00:28:23.119 year that makes you feel good, by all means, go ahead and do 299 00:28:23.200 --> 00:28:29.519 that and listen to it time and time again. The research is overwhelming that 300 00:28:30.680 --> 00:28:37.319 these stimuli, these auditory stimuli, are beneficial for our psyche. And so 301 00:28:37.400 --> 00:28:41.480 god knows what all that's going on in the world, we need it all, 302 00:28:41.559 --> 00:28:47.799 right, final segment coming up here, and as always on these Sunday 303 00:28:48.039 --> 00:28:52.559 evenings. Are you planning ahead for the week. What are you feeding the 304 00:28:52.640 --> 00:29:00.759 kids for lunch? Are you going with the standard crappy school lunch or are 305 00:29:00.839 --> 00:29:03.799 you investing a little bit of extra time and effort to make sure that it 306 00:29:03.880 --> 00:29:07.759 is something nutritious. What do the kids have for breakfast? What do you 307 00:29:07.880 --> 00:29:14.400 have for lunch? Are you going to the roach coach or greasy spoon that 308 00:29:14.519 --> 00:29:19.079 everybody else is eating at and ordering fries and onion rings and a burger dripping 309 00:29:19.119 --> 00:29:26.200 with grease. Or are you going to bring a two dollars salad from home 310 00:29:26.960 --> 00:29:30.079 with some romaine, some spinach, some tomatoes, onions, a little cut 311 00:29:30.160 --> 00:29:36.359 up broccoli and a little bit of olive oil and balsamic vinegar. It's your 312 00:29:36.480 --> 00:29:41.000 choice. As I said earlier, misery is optional. And you know the 313 00:29:41.079 --> 00:29:42.599 key thing here, and this is why I'm here every Sunday. We're in 314 00:29:42.640 --> 00:29:48.400 our twenty first year. The misery that I see, and I talk about 315 00:29:48.400 --> 00:29:52.759 this in the Ted Talk or at least that plan on it, My job 316 00:29:52.880 --> 00:29:59.240 is absolutely heartbreaking, young and old. I see people that are suffering. 317 00:30:00.000 --> 00:30:03.960 When I look at them and I say to them, this could have been 318 00:30:03.200 --> 00:30:07.240 prevented, and that is what I'm trying to instill here. So much of 319 00:30:07.240 --> 00:30:15.519 the misery that people our experience out there could have been prevented. And that 320 00:30:15.640 --> 00:30:22.279 is the absolute truth. The onus is on you. It's not somebody else's 321 00:30:22.359 --> 00:30:29.119 fault that we're eating poorly. And one, you know, my whole theme 322 00:30:29.279 --> 00:30:36.640 is cooking at home, fresh fruits and vegetables, unprocessed foods that you cook 323 00:30:36.680 --> 00:30:41.079 at home, and day after day talking with my patients, they will say 324 00:30:41.640 --> 00:30:45.559 it takes too much time, it's a hassle. It's only me. I 325 00:30:45.720 --> 00:30:53.079 don't want to make a mess. And so what people will trade off for 326 00:30:53.240 --> 00:31:03.920 making a mess in your kitchen is being on five different medications, having appointments 327 00:31:03.000 --> 00:31:08.480 all through the month, seeing their doctor, not feeling well, feeling crappy. 328 00:31:10.079 --> 00:31:12.319 You know, when you're forty years old, you should not feel like 329 00:31:12.359 --> 00:31:18.160 you've been run over by a garbage truck. You should have vitality, you 330 00:31:18.160 --> 00:31:22.920 should have energy, you should feel like you can rule the world. But 331 00:31:22.039 --> 00:31:29.000 so many patients come in and they're tired, they're whipped, and as Jacquela 332 00:31:29.079 --> 00:31:34.880 Laine said back in the nineteen fifties, pooped out itis. It shouldn't be 333 00:31:34.920 --> 00:31:42.079 that way, I am running day and night, having fun, enjoying my 334 00:31:42.160 --> 00:31:48.559 life. And I do believe because I exercise and I eat right now, 335 00:31:48.599 --> 00:31:53.720 the other point that I talk about is the amount of money we're spending on 336 00:31:55.119 --> 00:32:04.200 obesity related complications. It is estimated that we're spending about two hundred billion dollars 337 00:32:04.359 --> 00:32:08.400 a year. Two hundred billion dollars a year on all of the obesity related 338 00:32:08.519 --> 00:32:15.880 complications. Now that's a staggering number, but let's put it into perspective. 339 00:32:16.799 --> 00:32:24.960 The budget for NASA. Okay, if you recall, these are the people 340 00:32:24.960 --> 00:32:35.160 that are putting rockets into space, exploring the galaxies beyond, heading up to 341 00:32:35.200 --> 00:32:40.279 go to Mars, Venus, Jupiter, Pluto, you name it. Thirty 342 00:32:40.279 --> 00:32:50.119 three billion dollars. And so with two hundred billion dollars for obesity related we 343 00:32:50.279 --> 00:32:54.480 can figure out a way to make a better dinner for our kids. We're 344 00:32:54.480 --> 00:32:58.720 going in the wrong direction. And when you look at the total expenditure, 345 00:32:59.279 --> 00:33:05.000 the United States is outspending the world on healthcare. So we are spending more 346 00:33:05.119 --> 00:33:10.319 money than any developed country in the world, and our life expectancy is falling 347 00:33:10.599 --> 00:33:15.319 short. You need to look at this. We need to look at this. 348 00:33:15.440 --> 00:33:22.200 Our government leaders need to look at this and say what's wrong with this 349 00:33:22.319 --> 00:33:27.400 picture? And it comes down to what we're eating. A steady diet of 350 00:33:27.519 --> 00:33:31.440 processed food is killing us. And the name of my book, Eating Yourself 351 00:33:31.519 --> 00:33:37.400 Sick, I believe as time goes on is spot on, all right. 352 00:33:37.759 --> 00:33:43.559 And when you go to your typical supermarket in nineteen seventy five, there were 353 00:33:43.599 --> 00:33:57.079 about nine thousand different food products. Currently that number has bloated to over fifty 354 00:33:57.160 --> 00:34:01.759 thousand different products. And what are the these additional thirty to forty thousand products 355 00:34:01.759 --> 00:34:07.039 that you see in your typical Kroger's or HB. It is baked goods, 356 00:34:07.960 --> 00:34:19.280 it is condiments, sauces and dressings. The size of the produce area has 357 00:34:19.360 --> 00:34:23.519 really not increased. And there is not new some super duper cucumber for you 358 00:34:23.559 --> 00:34:29.639 to eat. It's the same old stuff we've been eating for years, all 359 00:34:29.719 --> 00:34:32.239 right. So a little bit of food for thought on trying to get your 360 00:34:32.280 --> 00:34:37.960 own health. And if you're sitting there not feeling well, or if you 361 00:34:37.039 --> 00:34:42.079 have more than I can't even say what the right number is. If you 362 00:34:42.079 --> 00:34:49.960 have more than one or two prescriptions and you're on fifteen medicines, something is 363 00:34:50.000 --> 00:34:53.599 wrong. You need to take control. You cannot accept this, and as 364 00:34:53.599 --> 00:34:57.079 I've said time and time again, you've got to go into your doctor and 365 00:34:57.119 --> 00:35:00.519 say, hey, what the hell do I have to do to get off 366 00:35:00.920 --> 00:35:06.039 some of these medicines. Is it a lifestyle change, is it exercise? 367 00:35:06.159 --> 00:35:10.079 Is it weight loss? Or I have to sleep better? Whatever, But 368 00:35:10.159 --> 00:35:15.800 don't tolerate such a crappy existence. All right, we're going to close out 369 00:35:15.840 --> 00:35:20.800 here today. Thank you for tuning in. It's always a pleasure. I 370 00:35:20.880 --> 00:35:24.000 tell everybody, this hour is the best hour of my week to be here 371 00:35:24.039 --> 00:35:28.199 with all of you, and it's a real joy. So look, take 372 00:35:28.280 --> 00:35:30.360 care of yourselves. Put your health first. That's the name of the program. 373 00:35:30.760 --> 00:35:35.239 And you know what, We'll see you next Sunday. Nice and I'll 374 00:35:35.239 --> 00:35:37.480 tell you all about the Ted Talk. But stay tuned. Go to the 375 00:35:37.639 --> 00:35:42.559 Instagram page and follow along for details. Take care, God bless you all. 376 00:35:42.679 --> 00:35:43.360 We'll see you later.