Speaker 1: Initialize sequence.
Speaker 2: Coming to you live from Houston, Texas, home to the
Speaker 2: world's largest medical center.
Speaker 1: Bunch of phase everything looking.
Speaker 2: This is your Health First, the most beneficial health program
Speaker 2: on radio with doctor Joe Bellotti. During the next hour,
Speaker 2: you'll learn about health, wellness and the prevention of disease.
Speaker 2: Now here's your host, doctor Joe Bellotti.
Speaker 1: Well look good Sunday evening to everybody. Doctor Joe Glotti,
Speaker 1: thanks very much for tuning in on this Sunday evening,
Speaker 1: which happens to be the Memorial Day weekend. I hope
Speaker 1: you're having a little bit of time to relax, enjoy
Speaker 1: the three days with your family and loved ones, recharge
Speaker 1: just a little bit, and enjoy the festivities of backyard
Speaker 1: pool parties, barbecues, weekend trips and getaways, or maybe simply
Speaker 1: the start of your summer vacation. But also keep in
Speaker 1: mind what Memorial Day is all about, all of the
Speaker 1: men and women over the years that sacrificed their life
Speaker 1: for our freedom. We sometimes get a little bit wrapped
Speaker 1: up in the fun and the parties and the get togethers,
Speaker 1: but really we have to be very thankful for those
Speaker 1: that sacrifice to the families that sacrifice for those that
Speaker 1: lost a loved one in the defense of the United States,
Speaker 1: the greatest country in the world, and certainly this is
Speaker 1: a health and wellness program. I would also say the
Speaker 1: greatest scientific minds in the world with regard to innovation,
Speaker 1: medical and scientific discovery, and patient care right here in
Speaker 1: the United States of America. So again, many thanks for
Speaker 1: tuning in on this weekend, and we're gonna have a
Speaker 1: lot of fun this upcoming hour with regard to health
Speaker 1: and wellness. And as I always like to say, we
Speaker 1: want to raise your health i Q. We want to
Speaker 1: make you better consumers, make you really understand the reason
Speaker 1: to be proactive with your own health and wellness. We
Speaker 1: don't want to start thinking about our health when it's
Speaker 1: too late, when too many problems have developed and the
Speaker 1: reality is it's just too hard to recover after too
Speaker 1: much damage has been done. It is early intervention. But
Speaker 1: to intervene early you have to have the knowledge and
Speaker 1: understanding and appreciation. So to set the table. Here our
Speaker 1: website Doctor Joegalotti dot com d R J O E
Speaker 1: G A L A t I dot com is our
Speaker 1: website and of course center for our weekly newsletter. Send
Speaker 1: me a message. All of our social media is posted
Speaker 1: on doctor Joeglotti dot com. Our podcast past episodes that
Speaker 1: you could listen to are all there. So be part
Speaker 1: of the community, your health first community, So do reach
Speaker 1: out and be part of it. The big story in
Speaker 1: the news this past we has to do with President
Speaker 1: Biden and his newly discovered prostate cancer diagnosis, and all
Speaker 1: of the talking heads are rendering their opinion ranging from
Speaker 1: it is a government conspiracy that they knew yet prostate
Speaker 1: cancer and didn't say anything all the way through. This
Speaker 1: was medical negligence for the most important, the most well known,
Speaker 1: the most famous gentleman, the most famous person in the
Speaker 1: world is not getting adequate medical care. And so, depending
Speaker 1: on what camp you want to follow or believe, you
Speaker 1: have a whole set of things to think about. But
Speaker 1: let me let me sort of back up and give
Speaker 1: you my spin. Now, as many of you know, I
Speaker 1: am a hepatologist. I am a liver doctor taking care
Speaker 1: of patients to livid disease. But you're involved in the
Speaker 1: care of patients, and I have some opinion on this.
Speaker 1: So the whole topic of discussion with regard to prostate
Speaker 1: cancer over the past fifteen to twenty years has gone
Speaker 1: through a number of different iterations, and there are different
Speaker 1: opinions that have been put forward by the various medical
Speaker 1: societies based on what I would say is rigorous thoughtfulness
Speaker 1: and scientific explanation. So these are not just a bunch
Speaker 1: of people that are sitting in a smoke filled room
Speaker 1: to say let's do this or that with regard to screening.
Speaker 1: And you could apply this to that, go for mammograms
Speaker 1: or screening for colon cancer, which I'll comment in a second.
Speaker 1: But anyway, so if you look at the American Cancer Society,
Speaker 1: we're just going to start there, and I'd like to
Speaker 1: think that the American Cancer Society is right down the middle.
Speaker 1: They're not too controversial on either side there. It's going
Speaker 1: to be a good reference point. So first and foremost,
Speaker 1: they talk about when you start screening for prostate cancer,
Speaker 1: you have to understand that you have to make an
Speaker 1: informed decision about whether you even want to be screened
Speaker 1: for prostate cancer. But then once you get the information,
Speaker 1: you have to look at the usual it's the benefit,
Speaker 1: the risk, and uncertainties of prostate cancer screening. It is
Speaker 1: not perfect. And to back up just a little bit,
Speaker 1: one of the issues with pross cancer screening was that
Speaker 1: there were a number of situations where too many prostate
Speaker 1: biopsies were being done which were then ultimately found to
Speaker 1: be negative, that there was no cancer. So men were
Speaker 1: going for digital rectro exams. You'd feel a little nodule
Speaker 1: on your prostate and that would trigger a biopsy of
Speaker 1: your prostate, which is uncomfortable. There's a cost involved and
Speaker 1: potential complications with any procedure, so they found that biopsying
Speaker 1: everything that you saw was probably not the best idea.
Speaker 1: The other is with the PSA test, a prostate specific
Speaker 1: antigen test. There is some variability in the PSA test,
Speaker 1: and again a rise in the PSA may not necessarily
Speaker 1: have to result in getting a buy. It may not
Speaker 1: mean you have prostate cancer, and so this is the uncertainty.
Speaker 1: It is not a water tight plan of attack for
Speaker 1: preventing or limiting the number of cases of prostate cancer.
Speaker 1: So inherently the testing is not perfect. So with that said,
Speaker 1: the guidelines are you should think about getting tested at
Speaker 1: age fifty for men who are at average risk for
Speaker 1: prostate cancer and are expected to live at least ten
Speaker 1: years or more. Okay, Number two for men forty five
Speaker 1: at high risk for developing prostate So this would include
Speaker 1: African American male, African American men, and men who have
Speaker 1: a first degree relatives that would be a father or
Speaker 1: a brother diagnosed with prostate cancer at an early age,
Speaker 1: typically younger than sixty five. The third category would be
Speaker 1: men age forty at even higher risk, those with one
Speaker 1: or more first degree relatives who had prostate cancer at
Speaker 1: an early age. So you have to see where do
Speaker 1: you fit in? So where did Joe Biden fit in? Well,
Speaker 1: he probably not knowing his whole history, let's just say
Speaker 1: age fifty, who's at average risk. I don't know if
Speaker 1: his brother or father had prostate cancer. So at this
Speaker 1: point they then say, if your PSA is normal, then
Speaker 1: you need to be retested maybe every two years. Now,
Speaker 1: of course, if new symptoms come up, new complaints, urinary symptoms,
Speaker 1: you should get tested moro offin or should be looked
Speaker 1: at a little bit more. Now, why they were saying that,
Speaker 1: I think his last PSA was in twenty fourteen, so
Speaker 1: that was over ten years ago, so he was in
Speaker 1: his seventies at that point. You would have thought he
Speaker 1: would live at seventy seventy two years old. He would
Speaker 1: live to eighty two, so I don't know why he
Speaker 1: was not tested more frequently. Now. What they're also saying
Speaker 1: is that this was an advanced case of prostate cancer
Speaker 1: that had spread to the bones. So one could theorize
Speaker 1: that maybe he had prostate for three years, five years,
Speaker 1: eight years. I really don't know. Of course, there are
Speaker 1: certain malignancies that do not follow the normal natural history
Speaker 1: of a slow growing malignancy, and you could you could
Speaker 1: say this for any kind of cancer or disease. It
Speaker 1: just bed genes, bad biology. This tumor is just going
Speaker 1: to take off like wildfire. That is always a possibility.
Speaker 1: But why he was not screened? Now to something that
Speaker 1: I do colon cancer screening, most would say, most authorities
Speaker 1: would say after the age of eighty, you don't need
Speaker 1: a screening colonoscopy for colon cancer. But yet I have
Speaker 1: patients that are seventy five, eight eighty two years old.
Speaker 1: They are still working, very active, running companies, traveling, exercising.
Speaker 1: Why would I not want to screen that person and
Speaker 1: maybe find an early lesion that could be removed. It's
Speaker 1: relatively easy to do a colonoscopy. There is a cost,
Speaker 1: there is certain precautions that need to be taken. So
Speaker 1: along those lines, I feel very comfortable on a case
Speaker 1: by case basis doing these screening tests, even though the
Speaker 1: guidelines for colon cancer totally different here say after eighty
Speaker 1: you should sort of hang it up and not screen anymore.
Speaker 1: Same thing for prostate cancer. This man has access to
Speaker 1: the world's greatest medical care, one would think. But yet
Speaker 1: nobody decided to say, let's just get a PSA on
Speaker 1: the president and see how he's doing early intervention, whether
Speaker 1: he's going to remain in office or not go in office.
Speaker 2: You know.
Speaker 1: Again, maybe there was this dementia diagnosis and they said, look,
Speaker 1: this guy's not going to live more than a few years,
Speaker 1: stop screening. I don't know. That gets into sort of
Speaker 1: the conspiracy that people knew that he was on the decline.
Speaker 1: So either way, I would say, what problem do I
Speaker 1: have with this number one? He is the most important, famous,
Speaker 1: well known, most observed person in the world. I would
Speaker 1: have thought that his doctors would be all over him
Speaker 1: screening like crazy. Throw the guidelines out the door. He
Speaker 1: is not your usual patient. And so that's all I
Speaker 1: could really say is PSA probably was elevated years ago. Now,
Speaker 1: whether or not they knew it and they said let's
Speaker 1: watch it, and then they watched it to the point
Speaker 1: that it just spread and broke loose. That may be
Speaker 1: a possibility, but to think that this is something new
Speaker 1: is a little hard to believe. And why again, why
Speaker 1: they were not screening him with a PSA, checking all
Speaker 1: kinds of other lab tests on him or imaging studies
Speaker 1: is a little, a little beyond me. So that is
Speaker 1: my take on President Biden's prostate cancer. It's a very
Speaker 1: unfortunate situation. I hope he does well. It'll be interesting
Speaker 1: to see what therapies are going to be offered to
Speaker 1: him and how public this all becomes in the week
Speaker 1: months to come. All Right, we're gonna take a quick
Speaker 1: break on this Memorial Day weekend of doctor Joe Galotti.
Speaker 1: Don't forget doctor Joegalotti dot com is our website. Stay
Speaker 1: tuned more health and wellness when we get back. Welcome
Speaker 1: back everybody, doctor Joe Galotti. This is your health First.
Speaker 1: Every Sunday between seven and eight pm, we're here. Don't
Speaker 1: forget our website, Doctor Joeglotti dot com. And you know,
Speaker 1: while we're talking about Memorial Day planning, a little patriotic
Speaker 1: music for your summer plans. If I could advise you,
Speaker 1: I would definitely say, if you're looking for a relatively
Speaker 1: close road trip and you like American history or World
Speaker 1: War two history, and maybe you want to take your
Speaker 1: school age kids, or your high school kids, or even
Speaker 1: your college kids on a really worthwhile outing. The World
Speaker 1: War Two Museum in New Orleans is absolutely outstanding. I've
Speaker 1: been there twice and I am thoroughly blown away as
Speaker 1: to the scale and scope of the museum. It is
Speaker 1: on par or better than anything you could see in
Speaker 1: Washington and the Smithsonian. The history is Originally it was
Speaker 1: going to be a D Day museum, but then in
Speaker 1: a short period of time they realized that this museum
Speaker 1: was so much more than just D Day that they
Speaker 1: turned it into a full scale World War Two museum.
Speaker 1: So I would definitely allot two full days to see
Speaker 1: all of the museum and you will leave really enriched
Speaker 1: with the history of World War Two. Highly recommended World
Speaker 1: War Two Museum in New Orleans. Whether you're here in
Speaker 1: Texas or anywhere in the country and you're looking for
Speaker 1: a summer idea with your family, definitely look up the
Speaker 1: World War two museum. All right, so last segment, we
Speaker 1: were talking about prostate cancer and the dilemma of what
Speaker 1: happened to President Biden. Again, I believe that this is
Speaker 1: going to be discussed, argued, litigated for years, and we're
Speaker 1: all living it in real time here. But as we
Speaker 1: are speaking of cancer, I'm posting on our Facebook page,
Speaker 1: which is at doctor Joe Galotti on the Facebook page,
Speaker 1: but you can get their Facebook page by going to
Speaker 1: our website, doctor Joegalotti dot com. Through the American Cancer Society,
Speaker 1: they have a one page screening recommendations and I would
Speaker 1: certainly this is one of those things that you would
Speaker 1: want to take to your doctor when you visit them
Speaker 1: for you or annual visitor, bi annual visit, whatever it is.
Speaker 1: And it goes through the screening recommendations for people that
Speaker 1: are at average risk for certain different types of cancer.
Speaker 1: And so if you just break it off into three
Speaker 1: big categories, if you're twenty five to thirty nine years old,
Speaker 1: this is going to be predominantly women with cervical cancer
Speaker 1: screening typically starting at about age twenty five. Then when
Speaker 1: you get to the forty to forty nine year old range,
Speaker 1: breast cancer screening starts at forty five, with the option
Speaker 1: to begin at age forty again, cervical cancer screening continues.
Speaker 1: Collo rectal cancer is going to start at age forty five,
Speaker 1: and also at forty five. African American individuals should discuss
Speaker 1: prostate cancer screening with a doctor. If you know, forty
Speaker 1: five a little bit younger, then fifty and above can
Speaker 1: breast cancer screening, cervical cancer screening, colding cancer screening continues,
Speaker 1: and then people who currently smoke are used to smoke,
Speaker 1: should discuss lung cancer screening. There are a number of
Speaker 1: strategies using low dose radiation imaging of the lungs to
Speaker 1: screen for colding cancer that has certainly been shown to
Speaker 1: be effective in picking up early lung cancers. And then,
Speaker 1: of course fifty and older, the ongoing discussion about about
Speaker 1: prostate cancer screening as recommended by your doctor. So this
Speaker 1: will be posted on the Facebook.
Speaker 2: Page of.
Speaker 1: Our website at doctor Joe Galotti. Is the Facebook link.
Speaker 1: All right, we're going to take a break news, weather, traffic.
Speaker 1: Maybe we'll hear about the astros coming up in just
Speaker 1: a minute. I'm tout to Joe Galotti. This is your
Speaker 1: health First Day Tunes welcome back, everybody to your health
Speaker 1: first doctor Joe Galotti every Sunday between seven and eight pm.
Speaker 1: And another news story that hit the paper this week.
Speaker 1: Billy Joel, the piano man, a fellow Long Islander like me,
Speaker 1: was diagnosed with normal pressure hydrocephalis. And you're probably saying,
Speaker 1: what on earth is that man? And it's interesting to
Speaker 1: note that a few months ago there was a video
Speaker 1: clip of Billy Joel on concert and sort of moving
Speaker 1: around that I don't know if he was going up
Speaker 1: steps on the stage, but he fell over and it
Speaker 1: looked like an innocent enough kind of a fall, though
Speaker 1: you never like to see this. Bruce Springsteen fell about
Speaker 1: two weeks ago on stage and that made the headlines.
Speaker 1: But it turns out that he has normal pressure hydrocephalis.
Speaker 1: Whether or not this was all part of the disease,
Speaker 1: you know, we don't know at this point. But here again,
Speaker 1: this is one of those conditions that when celebrities develop it,
Speaker 1: all of a sudden people start talking about it. And
Speaker 1: I would say that's a good thing. It's horrible for
Speaker 1: Billy Joel. I've seen Billy Joel a number of times
Speaker 1: in concert. Yes, he did grow up about ten minutes
Speaker 1: from where I grew up. He is many years older
Speaker 1: than me, but there is a certain connection with him
Speaker 1: with Long Island and all the work that he's done
Speaker 1: in the greater New York area. He is just iconic
Speaker 1: and legendary to those of us that are from New
Speaker 1: York loving his music. But again, it's a great excuse
Speaker 1: in a sense to talk about normal pressure hydrocephalus and
Speaker 1: for all of you to have an idea of what
Speaker 1: on earth this is. Now the symptoms or the signs
Speaker 1: of normal pressure hydrocephalis are are rather curious, and I'm
Speaker 1: going to go over that in a minute, but it
Speaker 1: makes us pause to say, hey, do I have any
Speaker 1: of these symptoms or somebody that you're close with, a coworker,
Speaker 1: a family member, a friend, Bob, the neighbor next door,
Speaker 1: could it be that there's normal pressure hydrocephalis going on?
Speaker 1: And again, the key thing here is there are surgical
Speaker 1: and therapeutic remedies for this, but if you come too
Speaker 1: late in the disease, you are not able to recover
Speaker 1: and reverse from it. So, first of all, what is
Speaker 1: normal pressure hydrocephalis? So, in the most very basic description,
Speaker 1: of this. This is a plumbing problem in your brain.
Speaker 1: So within the brain there is cerebral spinal fluid. This
Speaker 1: is the fluid that's in and around your brain, the
Speaker 1: ventricles and the different chambers of your brain. And what
Speaker 1: happens is there is an accumulation or build up because
Speaker 1: the flow of this cerebral spinal fluid. I like to
Speaker 1: call it the Champagne of body fluids. The cerebral spinal
Speaker 1: fluid is not circulating properly. There is a blockage of
Speaker 1: some kind. And as a result of this increased pressure
Speaker 1: on the brain, you have difficulty walking, trouble controlling your bladder,
Speaker 1: and memory problems. Now, the triad of those three bladder, walking,
Speaker 1: and memory problems really in a sense, can cinch to diagnosis.
Speaker 1: But there are many other diseases, conditions, syndromes that can
Speaker 1: just cause difficulty walking, or difficulty controlling ones bladder or
Speaker 1: your memory problems. And so what happens is you may
Speaker 1: have this constellation of these three major symptoms or complaints.
Speaker 1: But you may say the bladder control, okay, oh I'm
Speaker 1: getting older. All of my friends and girlfriends and relatives,
Speaker 1: they all get up in the middle of the night
Speaker 1: and you're in an aid and they're up tinkling three
Speaker 1: times a Night's that's pretty normal. Why should I raise
Speaker 1: a red flag and go marching into the doctor. The
Speaker 1: other is memory problems here again, as the population is
Speaker 1: getting older, everybody just thinks, oh, you know, to see
Speaker 1: in your moment, I'm sixty, I'm seventy, I'm eighty, and
Speaker 1: of course I forget. Everybody has memory problems. You watch
Speaker 1: TV at night and there were all these wacky supplements
Speaker 1: that you should be taking to sharpen your memory and
Speaker 1: make you function at a higher level. Again, this is
Speaker 1: at the wholesale level. Everybody has memory problems. Come on,
Speaker 1: I'm seventy five years old. I'm going to forget the
Speaker 1: name of my grandkid's school, or who is you know,
Speaker 1: baseball buddy is? But really, and of course the walking problems.
Speaker 1: People say, oh, I've got a bed knee, I have
Speaker 1: a bed hip. I slept on my side and it
Speaker 1: am a little little cock eyed when I walk around.
Speaker 1: But really, this may be the early warning signs of
Speaker 1: normal pressure hydrocephalis. Now it really does not affect that
Speaker 1: many people, probably less than one percent of the population
Speaker 1: age sixty five to eighty, okay, but if you're over eighty,
Speaker 1: it represents about five percent of the population. So this
Speaker 1: is one of those diseases that as we get older,
Speaker 1: more things come up, and so we have to stay
Speaker 1: on guard. So you know the problem is a condition
Speaker 1: like this, because some of the symptoms are so vague
Speaker 1: and everybody has them, it's likely underdiagnosed because people will
Speaker 1: simply say and really dismiss it. It's part of the
Speaker 1: normal aging process. Come on, Joe, if you're seventy five,
Speaker 1: you're going to have a little loss of memory. But
Speaker 1: I think that this is where we have to be
Speaker 1: better consumers. We have to understand really what the hell
Speaker 1: is going on here, so you know, to make the diagnosis. Yes,
Speaker 1: you could first see the increased pressure in the brain,
Speaker 1: your ventricles. Now you have ventricles in your heart, but
Speaker 1: ventricles are just simply a term for a chamber you'll have.
Speaker 1: The ventricles in your brain will be swollen, they'll be
Speaker 1: enlarged due to the increased pressure. So you could see
Speaker 1: this on a cat scan or an MRI, and then
Speaker 1: of course the diagnostic test is typically going to be
Speaker 1: a spinal tap where they can measure this increase in pressure,
Speaker 1: and also by taking a little bit of the fluid out,
Speaker 1: some of the symptoms may temporarily be alleviated. So the
Speaker 1: treatment of this sounds a little archaic, but this is
Speaker 1: what has been around for a good number of decades.
Speaker 1: You develop, you have a surgical procedure where they are
Speaker 1: going to insert a shunt or a tube that is
Speaker 1: going to go from the ventricle in your brain and
Speaker 1: tunnel this out of your brain, typically along your chest
Speaker 1: into your abdomen. So it's a bypass in a sense
Speaker 1: where the excess fluid is going to drain directly into
Speaker 1: your abdomen. And these these tubes have valves on them,
Speaker 1: so if the pressure increases to a point, it pops
Speaker 1: open and the fluid will drain into your abdomen and
Speaker 1: you normalize the fluid and people will be better. But
Speaker 1: the key thing is that you want to catch this early.
Speaker 1: So if a patient shows up having had incontinence or
Speaker 1: urinary problem for months to years, they've had memory problems
Speaker 1: progressive for months to year, they have gate abnomalities to
Speaker 1: the point where you take your loved one into the neurologist,
Speaker 1: let's say, and they can't walk their wheelchair bound, I
Speaker 1: would say, and experts would say, it's very unlikely that
Speaker 1: you're going to be able to reverse the neurologic damage.
Speaker 1: All right, So here again, you want to not put
Speaker 1: your head in the sand and think that we're all
Speaker 1: going to live to one hundred and have no complications. Now,
Speaker 1: you know, the issue is we have to be aware
Speaker 1: not only in identifying these problems, identifying these conditions, but
Speaker 1: for things other than normal pressure hydrocephalis. What can I
Speaker 1: do with my lifestyle, my diet, certain other interventions to
Speaker 1: prevent this. So factors that affect the outcome of normal
Speaker 1: pressure hydrocephalus early diagnosis and treatment, okay, cognitive symptoms that
Speaker 1: develop after gate issues and or urinary problems. You have
Speaker 1: to address these. Okay, positive outcome are going to be
Speaker 1: less likely. So bad outcome, delay in diagnosis and treatment,
Speaker 1: cognitive symptoms that start earlier before the gate issues, So
Speaker 1: it's bad if the neurologic mental part starts early, or
Speaker 1: if you have severe cognitive symptoms, you're going to have
Speaker 1: a much poorer outcome. So again, normal pressure hydrocephalus. Again,
Speaker 1: we'll have to see how Billy Joel does. And you
Speaker 1: know with diseases like this, having a celebrity that sheds
Speaker 1: light on it, and certainly what I think we're doing
Speaker 1: here is to talk about it and get early intervention.
Speaker 1: Typically patients are going to be seen by a neurologist.
Speaker 1: You may be seen by a neurosurgeon who's going to
Speaker 1: put in the drain, but it's going to start off
Speaker 1: with a neurologic evaluation, thinking could this be normal pressure hydrocephalus?
Speaker 1: All right, Final segment coming up, Doctor Jogolotti. I'm also
Speaker 1: going to post a little bit of information on normal
Speaker 1: pressure hydrocephalis on the Facebook page which is at doctor
Speaker 1: show Galatti if you go directly to Facebook. But of
Speaker 1: course our website doctor Jogolotti dot com is where you
Speaker 1: can get all these links. Stay tuned. Final segment coming up.
Speaker 2: We'll worry.
Speaker 1: Final segment on this Memorial Day weekend, Sunday. I'm doctor Jogalotti.
Speaker 1: Thanks again for taking an hour and tuning in with us,
Speaker 1: me and my team, your health first team, our website
Speaker 1: doctor Joglotti dot com, Doctor Joglotti dot com and a
Speaker 1: lot of people ask or message me. Yes, we have
Speaker 1: a medical practice. Is liver Specialists of Texas. That website
Speaker 1: is Texas Liver dot com and we see patients with
Speaker 1: all aspects of livid disease, alcohol related livid disease, fatty liver.
Speaker 1: We are conducting a wide range of research studies within
Speaker 1: the liver realm. Let's say, we certainly are concentrating on
Speaker 1: fatty liver something called metabolic syndrome obesity diabetes now. So
Speaker 1: if you want to reach outreach out and find out more,
Speaker 1: certainly go through a website Doctor Joglotti dot com and
Speaker 1: signing off for our newsletter is probably the best way
Speaker 1: to stay in touch with us. It comes out every
Speaker 1: weekend and you'll get updates on the goings on as
Speaker 1: I like to say, of me and my team and
Speaker 1: all of your health first, so doctor Joglotti dot com,
Speaker 1: I want to give a dear shout out to my wife, Geraldine,
Speaker 1: who for twenty two twenty three years now has allowed
Speaker 1: me every Sunday to do this radio program. And she
Speaker 1: is a die hard, die hard Rod Stewart fan, So
Speaker 1: this is for her, all right. You know, I think
Speaker 1: if there's one area that has controversy surrounding it, not
Speaker 1: only in our medical practice office, but in the research realm,
Speaker 1: but also on social media. It is food and obesity
Speaker 1: and how we address obesity and what is the root
Speaker 1: cause of obesity. Where do we point the finger or
Speaker 1: do we point multiple fingers. Now, a few years ago
Speaker 1: I wrote a book Eating Yourself Sick, which by the way,
Speaker 1: is available on the website. And the premise of that
Speaker 1: is from my perspective, and it's a very personal perspective,
Speaker 1: is that we have strayed away from not only eating properly,
Speaker 1: but understanding food. How to analyze commercially made food, how
Speaker 1: to read labels, how to know which foods really are
Speaker 1: high in fiber, high in macronutrients, high in various substances
Speaker 1: that are going to promote a healthy microbiome, and which
Speaker 1: foods are the absolute opposite. Okay, there is a lot
Speaker 1: of political dancing going on out there with regard to
Speaker 1: food labeling, market pressure, basically somebody else. Now if you
Speaker 1: want to say it is big food, it is Campbell's soup.
Speaker 1: It is the people that make chef Boyer d be Ferroni,
Speaker 1: the government. I don't know who really is behind all this,
Speaker 1: but we're basically being told what is healthy for us,
Speaker 1: what we should eat, and we are not doing all
Speaker 1: that well because if you look at the amount of
Speaker 1: chronic disease, and this is a broken record for me
Speaker 1: and my colleagues that really live in this space of
Speaker 1: obesity related medicine or obesity related surgery, diabetes, cardiovascular disease, cancer,
Speaker 1: kidney disease. Of course course all of the fatty liver
Speaker 1: that we see. Now it's really pretty sick when you
Speaker 1: think that we have a condition and the root cause
Speaker 1: is obesity. Okay, obesity leads to fatty liver. In a
Speaker 1: subset of people with fatty liver, you're going to develop cerosis.
Speaker 1: Once you develop cerosis, you're going to probably progress to
Speaker 1: end stage liver disease, and you're going to go into
Speaker 1: liver failure. What is the rescue a liver transplant. So
Speaker 1: a problem that we know about that takes years to
Speaker 1: decades to form, we neglect and then the solution is,
Speaker 1: let's pay for a multi million dollar solution to fix
Speaker 1: something that could have been remedied years or decades earlier. Now, again,
Speaker 1: the remedy to that is going to be public education
Speaker 1: on food and nutrition. Had a meal prep how to
Speaker 1: select food for our children, getting the consumerism out of food.
Speaker 1: It's it's a it's a billion, billion, billion dollar market,
Speaker 1: and there's going to be a lot of people that
Speaker 1: that don't want to lose their their their steak in
Speaker 1: this Uh, it is the availability of food. We don't
Speaker 1: want people to eat cheap, crappy food that has no nutrition.
Speaker 1: But why is it that there are neighborhoods that don't
Speaker 1: have decent or safe supermarkets or pharmers' markets things like that.
Speaker 1: So anyway, so it's a big complicated problem. But the
Speaker 1: reason I'm getting to this and we just have a
Speaker 1: few minutes left, there was an article in the New
Speaker 1: York Times talking about how American breakfast cereal is becoming
Speaker 1: more unhealthy. We always knew it was crap. It was
Speaker 1: a mouthful of sugar. But a study published in the
Speaker 1: Journal of the American Medical Association this past week shows that,
Speaker 1: based on an analysis of twelve hundred new or reformulated
Speaker 1: cereal products in the United States between twenty ten and
Speaker 1: twenty twenty three, they are adding to childhood obesity and
Speaker 1: the rise in chronic disease. And what they found is
Speaker 1: the fat content per serving of newly launched breakfast cereals
Speaker 1: increased by thirty four percent, sodium content thirty two percent,
Speaker 1: and sugar content increased by nearly eleven percent. So these
Speaker 1: ready to eat cereals, which is basically, you know, your
Speaker 1: typical cold breakfast cereal that you throw a little milk into,
Speaker 1: is not getting any healthier. And most of the people
Speaker 1: that are consuming this are kids between five to twelve
Speaker 1: years old, and we are seeing rises in childhood obesity, fatty,
Speaker 1: liver dia, BET this cardiovascular disease. And the truth is
Speaker 1: that the children of this generation are not going to
Speaker 1: live as long as their parents, and so you have
Speaker 1: to be a better consumer. Understand that a steady diet
Speaker 1: and I'm talking about a steady diet. You know, do
Speaker 1: you want fruit loops? You know, once every couple of weeks.
Speaker 1: That's not going to kill you. But it is the
Speaker 1: steady dose where kids are not getting foods that are
Speaker 1: high in fiber, unprocessed foods instead of this ultra processed diet.
Speaker 1: So anyway, this is sort of a rant right now,
Speaker 1: but I think be where there's a lot of research
Speaker 1: going on and as consumers, and I say this at
Speaker 1: the beginning of the program, we want to raise your
Speaker 1: health IQ make you better consumers of healthcare and realizing
Speaker 1: that the alleged claims that these foods are healthy they're
Speaker 1: high in iron, ail protein or low in sugar is
Speaker 1: sort of a farce. And I take game with the
Speaker 1: American Heart Association on a lot of these crappy series.
Speaker 1: There's a little heart that says the American Heart Association
Speaker 1: has approved this food. Well that's the wrong message. But anyway, beware,
Speaker 1: I'll try to continue to talk about this and maybe
Speaker 1: get some experts to talk about it in the weeks
Speaker 1: to come. All right, we're going to wrap up here.
Speaker 1: Hope you all have a great rest of your Memorial
Speaker 1: Day weekend. I'm doctor Joe Golotti. Don't forget doctor Joeglotti
Speaker 1: dot com is our website. Take care, be blessed, take
Speaker 1: care of your body. We'll see you next Sunday night.
Speaker 2: You've been listening to Your hel First with doctor Joe Glotti.
Speaker 2: For more information on this program or the content of
Speaker 2: this program, go to your Health First dot com. H