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 Phase Everything Looking two.
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 a good Sunday evening to everybody. Doctor Joe Galotti,
Speaker 1: I appreciate you tuning in to spend an hour of
Speaker 1: your weekend with us. The name of the program is
Speaker 1: Your Held First. We're here every Sunday between seven and
Speaker 1: a pm. And to follow along, you'll know the drill.
Speaker 1: Our website is doctor Joegalotti dot com, d R j
Speaker 1: O E G A L A t I dot com.
Speaker 1: All the information you need to know about me and
Speaker 1: our program and our team is there. SONA for our
Speaker 1: newsletter which goes out every weekend, you could send me
Speaker 1: a message. All of our social media links are there,
Speaker 1: and so that is our one stop shop to find
Speaker 1: out about the program. It is at doctor Joeglotti dot com.
Speaker 1: So you know, for this Sunday evening, I decided to
Speaker 1: break it up into four different segments. I want to
Speaker 1: really cover four separate topic with you during each segment.
Speaker 1: The first one is I want to give a quick
Speaker 1: little overview about the GLP one drugs that are on
Speaker 1: the market for weight loss. You really can't open up
Speaker 1: a newspaper, magazine, or listen to the radio or TV
Speaker 1: without hearing about ozempicg V manjaro, all of these agents.
Speaker 1: So we're going to touch on that. Second part, I
Speaker 1: want to talk about cancer screening. This is something that
Speaker 1: all of you really need to be up to speed of.
Speaker 1: Third part, we're going to talk, you know, really give
Speaker 1: you a little bit of my spin on meal prepping.
Speaker 1: A lot of people talk about how they meal prep,
Speaker 1: but others really don't have a very good sense of
Speaker 1: how to do that. And then the fourth part really
Speaker 1: is how to be a good patient, how to be
Speaker 1: a good consumer when you are getting healthcare for yourself
Speaker 1: or for your family. So I would say to make
Speaker 1: this a really good actionable radio program for tonight. Those
Speaker 1: are the four agents we you know, really the four
Speaker 1: topics we want to talk about. So to start off,
Speaker 1: these GLP one drugs, and they are probably one of
Speaker 1: the hottest topics in the news with regard to health
Speaker 1: and wellness and weight loss and looking good, and it's
Speaker 1: the cool prescription to have. But you all have to
Speaker 1: proceed with caution. And I have been saying this nearly
Speaker 1: from the beginning. Now let me let me just sort
Speaker 1: of tell you where I'm coming from. Yes, indeed, there
Speaker 1: is no denial we are facing as a country a
Speaker 1: massive obesity crisis. This is a tsunami of a health crisis.
Speaker 1: Now you would say, okay, there are these drugs, these
Speaker 1: GLP one agents. It's ozempic, wagovi, rebealsis, Victosa, Munjaro, zep bound, trulicity.
Speaker 1: These are medications that will indeed work and make you
Speaker 1: lose weight. So on one hand of the argument, you say, well, gee,
Speaker 1: you're telling us this is a tsunami of a problem
Speaker 1: and we have a fix in a sense, so what's
Speaker 1: your beef? Well, I think we have to ticket one
Speaker 1: step further and look at this a little bit more clearly.
Speaker 1: First of all, these medications are not without side effects,
Speaker 1: ranging from mild to moderate to severe side effects. Now
Speaker 1: at the absolute worst conceivable side effect, there has been
Speaker 1: talked for a long time that these GLP one agents
Speaker 1: can cause thyroid cancer. That's something you certainly don't want
Speaker 1: to deal with. But I must say there have been
Speaker 1: some recent reports that indicate that thyroid cancer is less
Speaker 1: of a problem and may not be associated with these drugs.
Speaker 1: Now I am in the next couple of weeks, I'm
Speaker 1: going to be reaching out to my thyroid expert, my
Speaker 1: diabetes expert and see what she thinks about this. But
Speaker 1: the medical literature would make you think that the risk
Speaker 1: of thyroid cancer is much less. The other serious side
Speaker 1: effect is the development of pancreatitis, which is inflammation of
Speaker 1: the pancreas. Again, this is a complication that could be mild, moderate,
Speaker 1: or severe. The monerit to severe cases of pancreatitis can
Speaker 1: really take you down and take you out, so you
Speaker 1: have to be careful. The majority of the other adverse
Speaker 1: events or side effects are related to a lot of
Speaker 1: gi disturbance, nausea, vomiting, constipation, just feeling sick to your stomach.
Speaker 1: Even more rare, developing something that would look like a
Speaker 1: bowel obstruction. But many times these feed people, these patients
Speaker 1: feel really horrible, and that is enough of a side
Speaker 1: effect to make you stop taking it. Now, the other
Speaker 1: real issue that I have is that for those that
Speaker 1: get on these drugs and pick whatever variety you want,
Speaker 1: whatever flavor of the month. It is ozembic, well go
Speaker 1: v Victosa, manjaro, zep bound, etc. Yes, you take it.
Speaker 1: You may or may not have side effects. You could
Speaker 1: sort of tolerate it, You could sort of limp through
Speaker 1: the side effects. But the key, the key issue that
Speaker 1: I have is that people are not patients, are not
Speaker 1: learning to eat better, They are not learning to take
Speaker 1: care of themselves better. They are not learning about nutrition
Speaker 1: and food. And what happens is, for whatever reason, you
Speaker 1: have success, you lose weight on these medications. We've already
Speaker 1: established that. But for some reason, either it's an insurance
Speaker 1: issue you can't pay for it, or maybe you're having
Speaker 1: some sort of side effect from it and you have
Speaker 1: to stop. So the twenty thirty, forty or fifty pounds
Speaker 1: that you've lost will come back right away, because you
Speaker 1: have not made any conscious decision to change the way
Speaker 1: you eat, the way you cook, the way you take
Speaker 1: care of yourself, your different lifestyle issues. Because with all
Speaker 1: of these medical therapies, there always is in it really
Speaker 1: is sort of in this small print associated the use
Speaker 1: of this drug associated with lifestyle modifications, and that is exercise,
Speaker 1: taking better care of yourself, sleeping better, limiting or avoiding alcohol.
Speaker 1: Eating a more nutritious diet. Now, eat a more nutritious
Speaker 1: diet is not eating out. You're going to have to
Speaker 1: bring the nutritious diet into your house, preparing meals, knowing
Speaker 1: how to meal prep, which we're going to get to
Speaker 1: a little bit later. And so if you do not
Speaker 1: make this a priority to learn how to shop and
Speaker 1: meal prep and decide which recipe or foods that you're
Speaker 1: going to eat are better than one or the other,
Speaker 1: you will not be successful long term. Will not be
Speaker 1: successful long term. Now, there are many people that are
Speaker 1: indeed overweight or in the early stages of obesity. They
Speaker 1: have never never tried to exercise more, they have never
Speaker 1: tried to adjust their lifestyle the decisions that make the
Speaker 1: habits that they have. I have had so many patients
Speaker 1: that have been in this situation, and typically they have
Speaker 1: fatty liver disease, high cholesterol, and some early diabetes changes
Speaker 1: and they take it upon themselves to eat better, learn
Speaker 1: to cook, adjust their diet, exercise, stop alcohol, stop drinking
Speaker 1: sugar sodas, get rid of the sugary cereals, all the
Speaker 1: processed foods, and they come back in six, eight, twelve,
Speaker 1: sixteen weeks later down fifteen twenty twenty five pounds and
Speaker 1: they're feeling better, and their labs look better and their
Speaker 1: diabetes markers, their blood sugar looks better. So it can
Speaker 1: be done. But if you're in this pill mentality, which
Speaker 1: I love to talk about, where I need the shot,
Speaker 1: I need the shot to lose weight, but you haven't
Speaker 1: done the hard work. And I really wouldn't look at
Speaker 1: it this hard work. It is a conscious decision that
Speaker 1: you're going to change your ways, because it really is
Speaker 1: unsustainable to think that every overweight person, every obese person
Speaker 1: is going to be on these medications for what the
Speaker 1: rest of your life. That doesn't make any sense either.
Speaker 1: So for those that have serious complications related to heart disease,
Speaker 1: serious complications of diabetes or obesity, kidney disease, et cetera, yes,
Speaker 1: these medications play a very very important life saving role.
Speaker 1: But for many others, and I don't know what the
Speaker 1: exact percentage is, is it fifty percent of the people
Speaker 1: have to or could go through the lifestyle pathway. First,
Speaker 1: eat better, exercise, stop drinking, don't you know, have a
Speaker 1: leader of doctor Pepper every day. I don't know if
Speaker 1: that's fifty percent or seventy percent of the people. I
Speaker 1: just don't know. Maybe it's twenty percent, but that is
Speaker 1: what we need to do. All right. So GOP agents
Speaker 1: they're very effective. They will work, but you have to
Speaker 1: realize that there are adverse events that can make you sick,
Speaker 1: moderately sick, mildly sick, or severely sick with complications. But
Speaker 1: at the bottom of it all, your greatest success is
Speaker 1: going to be if you intervene yourself with these life
Speaker 1: style changes. All right, all right, let's take a break.
Speaker 1: The next segment I want to come up on is
Speaker 1: we're going to be talking about cancer streak, cancer screening
Speaker 1: strategies for all of you. It's something that is always
Speaker 1: worthwhile to talk about. Don't forget Doctor Joeglotti dot Com
Speaker 1: is our website. Stay tuned. We're bright back raising your
Speaker 1: Health IQ, one listener at a time. That is our
Speaker 1: call to action for all of you. I'm doctor Joe Galotti.
Speaker 1: Every Sunday, we're here between seven and a PM, and
Speaker 1: I certainly do appreciate your giving us a little bit
Speaker 1: of your weekend. To buff you up a little bit
Speaker 1: and make you better consumers. That is it. Doctor Joglotti
Speaker 1: dot com. Doctor Joegalotti dot com is our website on
Speaker 1: a for our newsletter, send me a message. All of
Speaker 1: our resources are there social media. Uh. If you want
Speaker 1: to follow along and stay tuned with anything new that
Speaker 1: we're doing, we do webinars and our podcasting is all there,
Speaker 1: but you have to go to doctor Jogalotti dot com.
Speaker 1: All right, So segment number two we finished on the
Speaker 1: GOLP one agents sync in and think out all of that.
Speaker 1: The next thing is cancer guidelines. What is it that
Speaker 1: you need to do to reduce your chance of cancer.
Speaker 1: I think people would rather hear that they're going to
Speaker 1: be abducted by aliens and flung off to Pluto rather
Speaker 1: than be told that they have cancer. It is really,
Speaker 1: really a very feared thing, and for some reasons, yes
Speaker 1: it is. But in no particular order. Here breast cancer,
Speaker 1: and we've talked a lot about breast cancer. If you
Speaker 1: go back on our website and our podcast. I have
Speaker 1: had a number of interviews with women that have gone
Speaker 1: through breast cancer and it's great to hear their story.
Speaker 1: But from the American Cancer Society Breast Cancer. If you
Speaker 1: are forty to forty forty years old, you should have
Speaker 1: the choice to start annual breast cancer screening with a
Speaker 1: mammogram if you wish to do that. Forty five to
Speaker 1: fifty four you should get a mammogram every year. So
Speaker 1: the forty to forty four is by the American Cancer
Speaker 1: Society guidelines a little on the earlier side. If you want,
Speaker 1: you can, but they're saying forty five to fifty four.
Speaker 1: If you are fifty five and older, you should switch
Speaker 1: to a mammogram every two years and continue to screen annually.
Speaker 1: Screening should continue as long as a woman is in
Speaker 1: good health and is expected to live ten years or longer. Now,
Speaker 1: all women should be familiar with the known benefits, limitation,
Speaker 1: and potential harms associated with breast cancer screening. Keep in
Speaker 1: mind if you have a family history a genetic tendency,
Speaker 1: you need to be more aggressive the style of screening
Speaker 1: with more of a and I hate to say standard mammogram,
Speaker 1: but you may need to get scanned with MRI of
Speaker 1: the breast. But certainly you want to talk to your
Speaker 1: healthcare provider, be your primary care or your GYN physician.
Speaker 1: So you want to know your family history, your mom, grandmother, sisters, aunts,
Speaker 1: cousins that have had breast cancer, or if you have
Speaker 1: any other personal risk factors. One thing here I'll throw
Speaker 1: in alcohol and obesity is associated with a higher risk
Speaker 1: of breast cancer. So again, you can screen all you want,
Speaker 1: but if you're not intervening with these risk factors, it
Speaker 1: is you're not going to get as big of a
Speaker 1: bang for your buck. All right, let's talk about colon
Speaker 1: and rectal cancer. So as long as you don't have
Speaker 1: a family history, you are sort of an average risk
Speaker 1: type person. Screening for colon cancer starts at forty five
Speaker 1: years old. It can be a colonoscope, it could be
Speaker 1: some sort of a stool based test where you submit
Speaker 1: a stool sample. Colon guard is probably what you're most
Speaker 1: familiar with, which is an acceptable form of screening. But
Speaker 1: it's forty five years old. Certainly it's going to be
Speaker 1: younger if you have a family history of colon cancer,
Speaker 1: or family history of colon polyps, or you have other
Speaker 1: diseases that put you at risk for cancer, one of
Speaker 1: which is ulcer of colliitis or Crohn's disease that is
Speaker 1: inflammatory bowel disease. Now the key thing. The key thing here,
Speaker 1: screening is for people that have no symptoms. You do
Speaker 1: not see blood in your stool, you do not have
Speaker 1: abdominal pain, you have not had unexplained weight loss, you
Speaker 1: have not noticed that your stool caliber, the stool size
Speaker 1: has changed. If that's going on, we're no longer in
Speaker 1: a screening mode, but we're more in a diagnostic mode.
Speaker 1: Why are you having blood in your stool, Why are
Speaker 1: you constipated, Why are you having pain in your abdomen
Speaker 1: or down in your rectum. Okay, so typically screening starts
Speaker 1: at forty five obviously if you have symptoms earlier, but
Speaker 1: if you're in good health, you should continue screening through
Speaker 1: age seventy five. If you're seventy six to eighty five, again,
Speaker 1: talk with your doctor and make these decisions. Cervical cancer, certainly,
Speaker 1: this is something that's going to be discussed with your gynecologist.
Speaker 1: It should start at age twenty five for women. And
Speaker 1: of course we have the human papaloma virus vaccine, which
Speaker 1: is something that both men and women should think about
Speaker 1: getting to lower the risk. And then we have endometrial cancer. Again,
Speaker 1: this is something that you want to check in with
Speaker 1: your gyn to see what specific screening needs to take place.
Speaker 1: The last thing before we take a break is lung cancer,
Speaker 1: so with people that are smokers or have quit smoking,
Speaker 1: so it's really current smokers or people that used to smoke,
Speaker 1: and or if you have at least a twenty pack
Speaker 1: year history of smoking. So a pack year is if
Speaker 1: you smoke a pack of cigarettes a day for a year,
Speaker 1: that is a one pack year smoke. If you smoke
Speaker 1: it half a package a day for a year, that
Speaker 1: is a half pack year exposure. But anyway, if you
Speaker 1: are a smoker between fifty and eighty, the screening strategy
Speaker 1: is low dosed CT of the chest annually. All right,
Speaker 1: so that is another strategy. And then prostate cancer, certainly
Speaker 1: this is in flux. Again, talk with your doctor about
Speaker 1: getting screened, getting a PSA test, to digital rector exam.
Speaker 1: Uh and uh again talk with your doctor. The other
Speaker 1: thing I'm going to post on our Facebook page is
Speaker 1: a website from the American Cancer Society that talks about
Speaker 1: it's a little online five minute quiz that you could
Speaker 1: take about knowing your cancer risks. All Right, I'm doctor
Speaker 1: Joe Galotti. News weather, traffic coming up, Stay tuned, We'll
Speaker 1: bright back doctor Joe Galotti back. Thank you for tuning
Speaker 1: in the Needy program with your help. Kurst for Jervis
Speaker 1: Sunday between seven and eight pm and our website Doctor
Speaker 1: Joegalotti dot com, Doctor Joe Galotti dot com. You know
Speaker 1: the you know last segment, we were talking about cancer
Speaker 1: and I wanted to make sure we didn't gloss over
Speaker 1: the issues related to prostate cancer. So over the last
Speaker 1: ten fifteen years, there has been controversy or I would
Speaker 1: say lively discussion about screening for prostate cancer. One of
Speaker 1: the issues was that a lot of men were going
Speaker 1: for unnecessary prostate biopsies and this lent led to not
Speaker 1: only discomfort and cost, there could be some issues related
Speaker 1: to infection or bleeding or other issues. So the American
Speaker 1: Cancer Society, which is really one organization, it is not
Speaker 1: the ultimate voice. There are others that are going to
Speaker 1: comment on prostate cancer. But their issue is that they
Speaker 1: recommend men make an informed decision with a healthcare provider
Speaker 1: about when to be tested for prostate cancer. So starting
Speaker 1: at age fifty, men should talk to a healthcare provider
Speaker 1: about the pros and cons of test that they can
Speaker 1: decide to make the right decision. Now. If you're African
Speaker 1: American or have a father or brother who had prostate
Speaker 1: cancer before sixty five, you should have this talk with
Speaker 1: your healthcare team. Starting at age forty five, if you
Speaker 1: are going to go ahead and get tested, you should
Speaker 1: get a PSA prostate specific antigen blood test with or
Speaker 1: without a rectal exam starting at that time. How often
Speaker 1: you get tested will depend on what your PSA level is.
Speaker 1: But the overwhelming part we've talked about screening for cancer.
Speaker 1: How do you take control of your health and reduce
Speaker 1: your cancer risk? That is the whole issue here. Stay
Speaker 1: away from tobacco, limit alcohol, if not avoid it altogether.
Speaker 1: Try to get to and stay at a healthy way.
Speaker 1: More exercise, eat healthy, as I will tell everybody, plant based,
Speaker 1: whole food diet, plenty of fruits and vegetables, the idea
Speaker 1: of eliminating alcohol, protect your skin, and most importantly is
Speaker 1: know your family history. Okay, know what mom or dad
Speaker 1: died from. So many patients coming to me and they
Speaker 1: have no idea what their parents died from. Yeah, they
Speaker 1: had some sort of tumor cancer, they went for surgery, chemo, radiation,
Speaker 1: and hell if I know what it was you know what,
Speaker 1: you're not doing yourself a favor or your children or
Speaker 1: your siblings, so you really want to know about your family. Okay,
Speaker 1: for the third section here, we're going to be talking
Speaker 1: about meal prepping, and everybody talks about meal prepping. Do
Speaker 1: you meal prep? I meal prep ME and my boyfriend
Speaker 1: meal prep. I meal prep on myself. I meal prep
Speaker 1: on meal prep on Friday? Yeah yeah, yeah, yeah, yeah
Speaker 1: yeah yay. So by definition, in a sense, meal prepping
Speaker 1: is that process of planning and preparing meals in advance
Speaker 1: to save time number one and really reduce stress. So
Speaker 1: many people get really a bit whacked out when they
Speaker 1: start thinking about preparing their meals. But the third thing
Speaker 1: is also to ensure healthy eating so that you're not
Speaker 1: doing it on the fly and look, I am as
Speaker 1: guilty as anybody could be. You're starving. The last thing
Speaker 1: you may want to do is start making a meal
Speaker 1: when you're about to pass out because you haven't eaten.
Speaker 1: But if you have things prepped already most of the
Speaker 1: way done, it's going to ensure healthy eating and prevent
Speaker 1: you from going to the drive through. Okay, so now
Speaker 1: this practice of meal planning really at its simplest forum
Speaker 1: will involve cooking or portioning meals ahead time so that
Speaker 1: you're ready to eat through the week. It is preparation
Speaker 1: meal prepping. Okay, So the various components here. Number one
Speaker 1: the planning, So you have to decide on the meals
Speaker 1: for the week, what the heck you're going to do.
Speaker 1: You're going to have to make some sort of a menu,
Speaker 1: consider your nutritional needs and preferences. Do you want more fish,
Speaker 1: you want to go more high fiber, do you want
Speaker 1: to go more vegetarian without any meat? And you have
Speaker 1: to create a shopping list based on this meal plan. Okay,
Speaker 1: so that's planning. The second thing really is what we
Speaker 1: would call batch cooking, so as best you can prepare
Speaker 1: large quantities of ingredients or fo meals at once. This
Speaker 1: will save time and ensure you have healthy options available.
Speaker 1: So you plan out what you're going to eat, you
Speaker 1: go shop, you've got all the raw materials, no pun involved,
Speaker 1: and then you just prepare a whole bunch of grilled chicken,
Speaker 1: a whole bunch of fish, a whole bunch of various
Speaker 1: vegetables that are ready to go. Again, saves time to me.
Speaker 1: Saving time cuts down on anxiety, and you're going to
Speaker 1: have healthy options available at all times. The third part
Speaker 1: is portioning. You have to portion this stuff out. You
Speaker 1: got to divide meals into individual portions. Now, if you
Speaker 1: are very good at eyeballing, it good for you. But
Speaker 1: get a scale. You can buy a scale on Amazon
Speaker 1: for fifteen dollars and that way you can make sure
Speaker 1: you've got three or four ounces of a vegetable, of
Speaker 1: a protein, et ceterac. So by portioning it out both
Speaker 1: in size right, that's sort of a portion, it makes
Speaker 1: it easier to grab a meal on the goal and
Speaker 1: helps again control portion size. For the last year, I've
Speaker 1: been a big fan of these vacuum sealers. So we
Speaker 1: will make certain vegetables, fish, chicken, and vacuum seal it
Speaker 1: so that I know, if I'm home alone, nobody's here.
Speaker 1: I have a portion of chicken that's already cooked or
Speaker 1: vegetables that are already cooked. And the last thing is
Speaker 1: storage air tight containers to keep these meals fresh. You
Speaker 1: don't want it to go bad and spoil. And then
Speaker 1: label the containers with the date so that you don't
Speaker 1: find something that's like two years old and then you
Speaker 1: get sick. From that. So it's planning, batch cooking, portioning,
Speaker 1: and then storage. And the key philosophy here is not
Speaker 1: to make it difficult. Keep it simple. What was it,
Speaker 1: Bill Clinton? Keep it simple? Stupid? You want to choose
Speaker 1: simple recipes. Now, simple recipes do not mean that you're
Speaker 1: eating a lousy diet. You want to look at recipes
Speaker 1: that have minimal ingredients and preparation time. There's a lot
Speaker 1: of different meals that you can make by stir frying.
Speaker 1: You could, you know, chop up shrimp, chop up chicken
Speaker 1: fish and just sort of pan cook it. Salads, grain
Speaker 1: bowls or what a lot of people are having. So
Speaker 1: you get some brown rice, you could have quinoa, various
Speaker 1: nutritious grains, and you put it all together in a bowl,
Speaker 1: very nutritious, good portion size. The other thing is looking
Speaker 1: in bulk certainly, you know large pot baking sheets, prepare
Speaker 1: multiple servings at once, roast a whole bunch of vegetables
Speaker 1: at one time, and it makes it all the more easier.
Speaker 1: Now that the technology is here at our fingertips, A
Speaker 1: crock pot, slow cooker, insta pot certainly is very popular.
Speaker 1: A lot of my patients, a lot of friends and
Speaker 1: neighbors have these. These will allow you to basically set
Speaker 1: up the meal and come back when it's completed. You
Speaker 1: don't have to sweat over a stove or an oven,
Speaker 1: so think about getting an insta pot or some sort
Speaker 1: of crock pot. Prep the ingredients separately. You want to
Speaker 1: chop the vegetables, marinate the protein, measure out things ahead
Speaker 1: of time so that it's all ready for you. You
Speaker 1: could freeze the food. But the main issue is you
Speaker 1: have to create a schedule. You have to sit down
Speaker 1: once or twice a week and make a menu. And
Speaker 1: it's not just for dinner. You want to say what
Speaker 1: am I having for breakfast? And again I've said this many,
Speaker 1: many times. Research has been done that shows the people
Speaker 1: that have the more mundane foods through the week. Every
Speaker 1: week they have oatmeal. Every week they have some sort
Speaker 1: of Greek yogurt and fruit, or throw some sort of
Speaker 1: chia seeds in it, overnight oats. That's okay to keep
Speaker 1: it simple as long as you know it takes a
Speaker 1: lot of the anxiety out of it. What am I
Speaker 1: going to have for breakfast today? What am I going
Speaker 1: to have for lunch? It's okay to say I'm gonna
Speaker 1: have a garden fresh salad plus minus throwing a little
Speaker 1: protein in it, or are you going to throw a
Speaker 1: little keen one into it or a little bit of
Speaker 1: brown rice? Or instead of just having vegetable, you could
Speaker 1: slice up an apple, you could put slices of a banana,
Speaker 1: some peaches, some grapes, cherries, et cetera. And keep in mind,
Speaker 1: frozen vegetables are as good as fresh and same with
Speaker 1: the fruit frozen. There's a ton of frozen fruit options
Speaker 1: that you can buy. But it's setting up that schedule
Speaker 1: and so that you don't get too bored, have some variety. Okay,
Speaker 1: it's you know, just tweaking a recipe a little bit
Speaker 1: is beneficial. So that is you know, the big the
Speaker 1: big take on meal prepping and all that it goes
Speaker 1: into it. And really the under pinning value of this
Speaker 1: is that number one, you're going to have control over
Speaker 1: the ingredients. Because when you go out and you go
Speaker 1: to a restaurant, I don't care how much you pay
Speaker 1: for a meal is going to be too big. It's
Speaker 1: going to have too much salt, too much fat, and
Speaker 1: thus too many calories. Okay, so if you're trying to
Speaker 1: reduce your weight. Going out is going to sabotage it totally, okay,
Speaker 1: and having control and by meal prepping, it's going to
Speaker 1: take the hassle. And I listen to patients all day long,
Speaker 1: people that are in their twenties, people are in their
Speaker 1: sixties and seventies. They find it such a burden, such
Speaker 1: a burden to cook and prepare meals. Me I'm the
Speaker 1: happy idiot. I love to cook, I love to prepare,
Speaker 1: I love to shop an experiment and it makes me
Speaker 1: feel good. So I think if we can inspire you,
Speaker 1: motivate you to do this, it is it is you know,
Speaker 1: our mission is accomplished to make you find the joy
Speaker 1: in not only creating these meals for yourself, but having
Speaker 1: meals with your family and your children, the people you love,
Speaker 1: the people that are in your community and friends and
Speaker 1: breaking bread together. All right, all right, final segment is
Speaker 1: coming up, and according to my schedule, we're going to
Speaker 1: be talking about how to be a better patient. That's
Speaker 1: very key, Doctor Joe Galotti every Sunday, and from the
Speaker 1: bottom of my heart, it is a great pleasure to
Speaker 1: be here sharing some of the weekend with you. Whether
Speaker 1: you hear the whole hour you just hear for a segment.
Speaker 1: Don't forget. This is all going to be available on
Speaker 1: our podcast for replay and all the other social media
Speaker 1: is at Doctorjogalotti dot com. Stay tuned. Final segment coming up.
Speaker 1: We'll be right back here, all right, final segment of
Speaker 1: this week's Your Health First, Doctor Joe Galotti. And just
Speaker 1: a reminder our website, Doctor Joe Glotti dot com, Doctor
Speaker 1: Joeglotti dot com. Sign up for our newsletter. There's a
Speaker 1: tab write on the homepage. And certainly you can send
Speaker 1: me a message. And we always love to hear from
Speaker 1: our listeners and followers to give us ideas on what
Speaker 1: they may want to hear topics experts. Where very much
Speaker 1: game to hear from everybody, Doctor Joegalotti dot com. While
Speaker 1: you're at it, certainly you can pick up a copy
Speaker 1: of my book, Eating Yourself Sick in the next few weeks.
Speaker 1: It's going to be coming out as a paperback. Right now,
Speaker 1: it's still in the hardcover version, but Eating Yourself Sick
Speaker 1: is available on the website with a link to Amazon.
Speaker 1: You know, I have a you know, my fingertips all
Speaker 1: kinds of music being in the radio industry here and
Speaker 1: this song here. I don't know if anybody realizes what
Speaker 1: TV show this came from, but it was The honeymoon
Speaker 1: Owners back one of the earliest sort of sitcom shows
Speaker 1: in the nineteen fifties, Jackie Gleeson, R. Carney. It was
Speaker 1: the benchmark for a sitcom show. But hearing this music,
Speaker 1: this orchestration when I was a kid, it was already
Speaker 1: well into syndication and reruns. But such fantastic music that
Speaker 1: the Honeymooners started off with, just great to listen to.
Speaker 1: All right, So the last segment of the four topics,
Speaker 1: we talked about the GLP one agents and weight loss
Speaker 1: and or complications. We talked about cancer screening, we talked
Speaker 1: about meal prepping. Now on being a patient. So, how
Speaker 1: is it that you're supposed to behave How are you
Speaker 1: to make the most of your visit an interaction with
Speaker 1: your physician? Well, I would say the best way, and
Speaker 1: this is not so much act good or act bad.
Speaker 1: This is not a behavior sort of lecture here, but really,
Speaker 1: how do you get the most out of your healthcare provider,
Speaker 1: your healthcare team so that you are ensured good health? Well,
Speaker 1: what I would say is, first of all, understand your
Speaker 1: health insurance, your policy. What are the limits of the policies?
Speaker 1: Do you understand the copay strategy? Do you understand your deductibles? Okay, now,
Speaker 1: how are you supposed to know about this? Well? Number
Speaker 1: one on your insurance card, it should lay out your
Speaker 1: copay and or your deductible. Is it somebody in network
Speaker 1: or out of the network of the insurance. Is it
Speaker 1: a primary care? Is it a preventive visit that you're
Speaker 1: having or is it a specialist? Is it an emergency room?
Speaker 1: Is it an urgent care? What about labs, other testing,
Speaker 1: X rays and prescription You need to be a student.
Speaker 1: You cannot show up at the doctor's office. And when
Speaker 1: they say, missus Johnson, your co pay is forty dollars
Speaker 1: and you have a deductible that you have to pay
Speaker 1: one hundred and thirty dollars today, and that creates, you know,
Speaker 1: big anks. At the end of the day. It is
Speaker 1: your responsibility as a patient to know your insurance and
Speaker 1: what all offices will say, we will verify your insurance
Speaker 1: as a courtesy to you. Nobody is obligated to do this.
Speaker 1: You are supposed to know how this all works. If
Speaker 1: you are If it's not all spelled out on your
Speaker 1: insurance card. Then there is probably some sort of toll
Speaker 1: free number for you to call for customer service and
Speaker 1: ask say, I'm going to a specialist, I'm seeing a
Speaker 1: cardiologist in two weeks. How is this going to work?
Speaker 1: And they'll say, what's the name of the doctor and
Speaker 1: they'll say, well, doctor Johnson, and they look it up.
Speaker 1: They're like, doctor Johnson is in network in your Blue
Speaker 1: Cross Blue Shield network or ETNA or whatever it may be.
Speaker 1: And you will have to pay a ten dollar copay,
Speaker 1: a twenty five dollars for your deductible that is still due,
Speaker 1: and after that you're fine, okay, but you have to
Speaker 1: find out. So that is a very big part of
Speaker 1: how to behave as a patient. Number two, you have
Speaker 1: to do a little bit of your homework. If you're
Speaker 1: going to your primary care doctor or a specialist or
Speaker 1: somebody new, you want to know a little bit about
Speaker 1: why you're going to see them. If you're referred to
Speaker 1: a specialist because of a spot on your lung, a
Speaker 1: spot on your lung, it could be an old infection,
Speaker 1: it could be cancer, maybe it's nothing. You want to
Speaker 1: have a little bit of an idea talk with your doctor,
Speaker 1: talk with the nurse practitioner, talk with their staff to
Speaker 1: say why am I being referred to a lung specialist
Speaker 1: instead of just showing up? And when we sit with
Speaker 1: you and say, okay, missus Murphy, why are you here?
Speaker 1: I don't know my doctor just told me to come.
Speaker 1: That really is making it all the more difficult for
Speaker 1: the team to figure out why you're there. We can guess,
Speaker 1: we can speculate, but you want to take all the
Speaker 1: all the guessing away. The other thing is I always
Speaker 1: always recommend that you go to the doctor with somebody else.
Speaker 1: You need a wingman or a wing woman or wing person,
Speaker 1: somebody that is writing shotgun for you, somebody that could listen,
Speaker 1: somebody that may not be as emotionally charged about a
Speaker 1: diagnosis or a condition or a fear. And make sure
Speaker 1: you bring a notebook, bring some index cards, questions, and
Speaker 1: always go with at least two or three questions that
Speaker 1: are written out, not fourteen, not thirty. Don't bring a
Speaker 1: whole binder of questions and articles to look at. Go
Speaker 1: with three well thought out questions for you that'll make
Speaker 1: your visit all the more valuable. And the last thing,
Speaker 1: as we close up this Sunday evening. You want to
Speaker 1: get to know the people in the doctor's office. Who
Speaker 1: is his assistant. Is it a medical assistant, is it
Speaker 1: some other illustrative secretarial support person? Does he have a nurse?
Speaker 1: Is there a nurse practitioner a PA that works with
Speaker 1: your doctor? But you want to befriend as many people
Speaker 1: as you can so that you have really clear communication
Speaker 1: with the office and the physician. And how do you
Speaker 1: get questions answered? Do they have a portal, do they
Speaker 1: use email, texting, et cetera. So hopefully that is a
Speaker 1: few tips on being a better patient. Again, our goal
Speaker 1: with all of this is to really keep you healthy
Speaker 1: and just lead a healthier life and have fun. That's
Speaker 1: what it's all about.
Speaker 2: All right.
Speaker 1: I am doctor Joe Glotti. We are closing down now
Speaker 1: until next Sunday evening at seven o'clock. Be well, eat right, exercise,
Speaker 1: get your sleep, and really be committed to putting your
Speaker 1: health first. Take care. We'll see you next Sunday.