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<v Speaker 1>Initialized Sequeenzy coming to you live from Houston, Texas, home

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<v Speaker 1>to the world's largest medical center.

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<v Speaker 2>A bunch of bays, everything looking alive.

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<v Speaker 1>To you. This is your Health First, the most beneficial

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<v Speaker 1>health program on radio with doctor Joe Bellotti. During the

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<v Speaker 1>next hour you'll learn about health, wellness, and the prevention

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<v Speaker 1>of disease. Now here's your host, doctor Joe Bellotti.

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<v Speaker 2>H Well, a wonderful Sunday evening, everybody dot Joe Galotti.

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<v Speaker 2>Hope you're doing well. Hope you have a great weekend

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<v Speaker 2>and enjoyed some of the hot, humid weather that Houston,

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<v Speaker 2>Texas dishes out this time of the year. And if

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<v Speaker 2>you're in another part of the country, I know the

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<v Speaker 2>Northeast was getting a little bit of a cooler weather

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<v Speaker 2>pattern out there. But we are happier all here this

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<v Speaker 2>Sunday evening. We're here every Sunday evening between seven and

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<v Speaker 2>a pm Central Time, and we are providing you with

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<v Speaker 2>unfiltered health and wellness information, strategies to stay healthy, strategies

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<v Speaker 2>to stay out of the hospital, and hopefully, with a

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<v Speaker 2>little bit of luck, have a long, healthy and healthy life.

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<v Speaker 2>Our website is doctor Joegalotti dot com. D R j

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<v Speaker 2>O E. G A L A T. I. And when

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<v Speaker 2>you get to that website, all of our information is there,

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<v Speaker 2>social media links, there's a tab to get in touch

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<v Speaker 2>with me, SNA FRAU newsletter which goes out every Saturday

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<v Speaker 2>every weekend across the country. And of course, if you

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<v Speaker 2>want to pick up a copy of my book Eating

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<v Speaker 2>Yourself Sick, which now more than ever makes sense for

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<v Speaker 2>you to have, it is available on Amazon. And actually

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<v Speaker 2>some good news, I am in the process of writing

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<v Speaker 2>another book, so stay tuned on that in the weeks

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<v Speaker 2>and months to come. All right, So some talk about

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<v Speaker 2>but what I want to really focus on for a

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<v Speaker 2>little while tonight is you the patient, You the family member,

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<v Speaker 2>being an advocate for yourself. And the reason this is

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<v Speaker 2>coming up now. And as I've said many many times,

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<v Speaker 2>the content for this radio program is not something that

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<v Speaker 2>is necessarily handed to me and they say you've got

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<v Speaker 2>to talk about this. It comes from real life experience.

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<v Speaker 2>In our clinical practice, we take care of people with

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<v Speaker 2>liver disease. I'm a hepatologist by the way, Liver Specialists

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<v Speaker 2>of Texas. The website is posted on our doctor Joe

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<v Speaker 2>Glotti website, So we take care of a lot of

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<v Speaker 2>sick patients, and I have always always stressed the need

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<v Speaker 2>for you to be an advocate for yourself. Now, you

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<v Speaker 2>cannot advocate for yourself if you don't understand what the

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<v Speaker 2>issue is. If you are with your family practitioner and

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<v Speaker 2>they say, look, Frank, you now have diabetes and I

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<v Speaker 2>am going to put you on this pill, all right,

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<v Speaker 2>may seem innocent enough. Oh jeeh, I've got diabetes. But

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<v Speaker 2>a well informed consumer, Well, first of all, say why

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<v Speaker 2>am I going on this medicine? Number two, what is

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<v Speaker 2>the implication of me having diabetes? Am I in a

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<v Speaker 2>situation where through lifestyle, diet, weight loss, exercise, I can

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<v Speaker 2>turn this around? Doctor, I know, because you should be

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<v Speaker 2>a good consumer. You know that diabetes can cause damage

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<v Speaker 2>to your kidneys, It can cause damage to your blood vessels,

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<v Speaker 2>It can cause damage to your nerves. I like to

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<v Speaker 2>say that diabetes takes no prisoner. You want to have

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<v Speaker 2>the conversation, say, doctor, what is the state of my kidney?

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<v Speaker 2>Am I spilling protein in my kidney? Am I having

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<v Speaker 2>problems with high blood pressure? What is my cholesterol and triglyceride?

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<v Speaker 2>Am I showing any abnormal EKG findings? Now this would

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<v Speaker 2>be advocating for yourself. Now. It is a sad state

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<v Speaker 2>of affairs where doctors are not providing this information up front. Frank,

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<v Speaker 2>let's sit down and spend ten minutes starting to educate

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<v Speaker 2>you on diabetes. No, this is not happening. Why do

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<v Speaker 2>I know it's not happening. Patients are telling me because

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<v Speaker 2>they're coming uninformed, and so you the informed customer, to

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<v Speaker 2>advocate for yourself. You have to ask all these questions

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<v Speaker 2>because you don't want to strictly go get the prescription

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<v Speaker 2>that Walgreens take your pills as ordered and business as usual.

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<v Speaker 2>You want to have that attitude of Okay, maybe I

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<v Speaker 2>need these medicines for a short while to correct some

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<v Speaker 2>blood sugar issues. But being able to advocate means you

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<v Speaker 2>have to understand you need to be schooled. And if

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<v Speaker 2>your doctor and his or her nurse and the team

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<v Speaker 2>is not going to school you, you have to seek

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<v Speaker 2>out information on your own and advocate for yourself. That

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<v Speaker 2>is what I am talking about, and you can. You

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<v Speaker 2>can substitute a new diagnosis of fatty liver, a new

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<v Speaker 2>diagnosis of high cholesterol, a new diagnosis of migraine, a

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<v Speaker 2>new diagnosis of really anything, and advocate for yourself now

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<v Speaker 2>case and point. I received a call yesterday from a

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<v Speaker 2>patient's wife. This is a gentleman that has multiple medical

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<v Speaker 2>problems related to his liver disease. We have been seeing

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<v Speaker 2>this gentleman for a good number of years and we

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<v Speaker 2>have i'd like to think, educated both him and his

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<v Speaker 2>wife on the rules of the road. If you get

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<v Speaker 2>this problem, call us. If you get this problem, do

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<v Speaker 2>not let anybody do this. They have very good boundaries.

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<v Speaker 2>And so his wife called our office on Saturday morning

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<v Speaker 2>and he had presented with what appears to be a

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<v Speaker 2>gastro intestinal bleed. He had rectal bleeding, a fair amount

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<v Speaker 2>of it, and he is known to have diverticulosis. And

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<v Speaker 2>he went to the hospital and they looked at him

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<v Speaker 2>and they said, you know what, go home. So here's

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<v Speaker 2>a gentleman that is a bit older, he has underlying

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<v Speaker 2>liver disease, and he's bleeding, and the emergency room is

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<v Speaker 2>saying go home. And that is a bad move. This

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<v Speaker 2>is not somebody you want to send home. This is

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<v Speaker 2>a person that is potentially going to rebleed and have

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<v Speaker 2>a catastrophic set of complications which may be life threatening.

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<v Speaker 2>This is critical. So his wife stood up and said,

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<v Speaker 2>you are not sending him home. We are going to stay.

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<v Speaker 2>I want you to call a gastroneurologist that is familiar

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<v Speaker 2>with him, get evaluated. He may need a colonoscopy, he

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<v Speaker 2>may need closer observation. And that is exactly what happened.

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<v Speaker 2>A life saved. And so it is this wife's aggressiveness

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<v Speaker 2>in advocating for her husband. She has done her homework,

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<v Speaker 2>she has listened to me and my team, and I'd

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<v Speaker 2>like to think that they were going to have a

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<v Speaker 2>far better outcome. But I can tell you everybody, many

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<v Speaker 2>times this doesn't happen. Patients will be discharged, things are

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<v Speaker 2>not done, and it's a bad outcome, including the loss

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<v Speaker 2>of life, and that is horrible. And so the bottom

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<v Speaker 2>line here, as we begin to take a break here,

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<v Speaker 2>advocate for yourself. But to advocate, you have to know

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<v Speaker 2>what you're advocating about. And that's why you need to

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<v Speaker 2>be knowledgeable on this whole health and wellness landscape so

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<v Speaker 2>that you can advocate. That is the word of the day, advocate.

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<v Speaker 2>All right, we're going to take a break here. I'm

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<v Speaker 2>doctor Joe Galotti. You are tuned into your health first,

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<v Speaker 2>which when we say your health First, we are saying

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<v Speaker 2>please advocate for yourself. We'll be right back to stay tuned.

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<v Speaker 2>Welcome back, everybody to your health First. It's always a

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<v Speaker 2>great pleasure being here every Sunday evening between seven and

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<v Speaker 2>eight Central Time, broadcasting from our home radio station seven

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<v Speaker 2>forty k TRH and across the globe on the iHeartRadio app.

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<v Speaker 2>Make sure this summer, as you're traveling around you say, hey,

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<v Speaker 2>it's Sunday night, doctor Galotti. We may be camping in Sedona,

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<v Speaker 2>but you can still get the program seven o'clock Central Time.

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<v Speaker 2>And don't forget doctor Joeglotti dot com is our website.

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<v Speaker 2>Send me a message. I love, love, love to hear

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<v Speaker 2>from everybody, and also all of our social media is there.

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<v Speaker 2>Pick up a copy of my book Eating Yourself Sick

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<v Speaker 2>and Again. In that book, I talked about how to

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<v Speaker 2>be an advocate for yourself. It is really really the

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<v Speaker 2>most important thing we can do, all right, So to

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<v Speaker 2>follow up on this personal advocacy, which really is very key.

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<v Speaker 2>So we talked about this wife yesterday Saturday who called

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<v Speaker 2>us to get really confirmation that she was right that

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<v Speaker 2>her husband needed to stay in the emergency room after

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<v Speaker 2>he came in with a gastro intestinal bleed. Please please,

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<v Speaker 2>please please. If that isn't grounds to admit somebody, an

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<v Speaker 2>older gentleman with multiple organ problems, then I don't know

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<v Speaker 2>what does. So she advocated happy outcome. Second thing is

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<v Speaker 2>we received a rather circuitous set of phone calls text messages.

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<v Speaker 2>It started off with a friend of a patient who

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<v Speaker 2>knows a doctor who knows me, and then we got involved.

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<v Speaker 2>So this was a gentleman with advanced livid disease. And

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<v Speaker 2>when I say advanced livid disease, I am talking about

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<v Speaker 2>life threatening livid disease. This is not ingrown toenail type material.

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<v Speaker 2>We're talking If you are not careful, this person probably

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<v Speaker 2>will not live another thirty to forty five days. There

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<v Speaker 2>is the risk of going into kidney failure, respiratory failure,

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<v Speaker 2>cardiac failure. You're already in liver failure lights out. So

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<v Speaker 2>now this person is in a let's just say a

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<v Speaker 2>secondary hospital in San Antonio. Now San Antonio is simply

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<v Speaker 2>a stone's throw from Houston, Texas, the Texas Medical Center,

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<v Speaker 2>largest complex in the world, and our liver transplant team

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<v Speaker 2>practically number one in the country. So within within site

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<v Speaker 2>is the place that you want your loved one to go.

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<v Speaker 2>And so originally the the the information came through this

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<v Speaker 2>very convoluted set of of of communic case. Get to

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<v Speaker 2>doctor Galotti. This guy will help you out and his

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<v Speaker 2>team of course, and so he you know, the problem

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<v Speaker 2>is trying to get patients from outside facilities into the

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<v Speaker 2>medical center can take several days. It's the nature of

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<v Speaker 2>the beast here. And so my recommendation was there are

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<v Speaker 2>physicians in the San Antonio area that can really take

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<v Speaker 2>care of this issue at a higher level than where

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<v Speaker 2>he was at. We gave names, we gave numbers, we

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<v Speaker 2>gave websites to to make this happen, because literally it's

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<v Speaker 2>easier to try to move latterly in the neighborhood rather

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<v Speaker 2>than pick up and drive across the state. So we

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<v Speaker 2>gave them all this information and they that the team

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<v Speaker 2>at this other program was unwilling or incapable of evaluating

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<v Speaker 2>this patient. And so this patient was stock languishing, dying

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<v Speaker 2>in this other hospital. So the advocating part was this

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<v Speaker 2>gentleman's family was unrelenting. They stayed in touch with us,

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<v Speaker 2>They were giving us updates hour by hour, giving us

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<v Speaker 2>the information we need. We had already tried to get

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<v Speaker 2>the person transferred into Houston Methodist, and again I am

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<v Speaker 2>at the mercy of availability of beds, though we can

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<v Speaker 2>certainly work to make the system be a little bit

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<v Speaker 2>more efficient. But this family was advocating for their family

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<v Speaker 2>member and because of their unrelenting pressure in a very

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<v Speaker 2>very loving way with us, with the doctors at the

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<v Speaker 2>other hospital. Good news. This person arrived last evening to

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<v Speaker 2>the place, the location this person needs to be, and

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<v Speaker 2>I would say there is a much higher probability, much

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<v Speaker 2>higher percentage that this person is going to do well

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<v Speaker 2>and get the care they need. This family advocated for

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<v Speaker 2>their loved one. And so many times we cannot advocate

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<v Speaker 2>for ourselves. You're sick, you're you know, you're out of

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<v Speaker 2>the loop, you're incapable of making all of these high

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<v Speaker 2>level decisions and communications. But here again, and I could

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<v Speaker 2>write a book about this. Patients and family members, loved ones,

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<v Speaker 2>BFFs that have advocated for somebody else, And it is

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<v Speaker 2>so so so important. And when you talk about a

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<v Speaker 2>good outcome, you talk about a lousy outcome. At the

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<v Speaker 2>center of all this, it is people advocating for themselves.

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<v Speaker 2>And not taking no for an answer, but again advocating

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<v Speaker 2>realizing that they understand what livered. You know, end stage

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<v Speaker 2>liver disease means they understand when the kidneys start going bad,

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<v Speaker 2>that that's going to have a bad out come. If

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<v Speaker 2>you are sort of neutral and you say, well, I

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<v Speaker 2>don't know what the hell's going on, and that's like

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<v Speaker 2>why did dad die? Well, I don't know. Nobody told me. No,

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<v Speaker 2>I would say, yes, nobody told you, but you did

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<v Speaker 2>not take the effort to learn and editate yourself.

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<v Speaker 1>So that is it?

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<v Speaker 2>All right? We're going to take a break right now,

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<v Speaker 2>doctor Joe Galotti every Sunday between seven and APM on

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<v Speaker 2>your Health First. Don't forget doctor Joegalotti dot com. Stay tuned,

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<v Speaker 2>we will go it back. Welcome back everybody, doctor Joe Galotti.

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<v Speaker 2>You're tuned into your Health First every Sunday between seven

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<v Speaker 2>and a PM, trying to raise your health IQ, one

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<v Speaker 2>listener at a time. We want to I guess, as

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<v Speaker 2>we've been talking about earlier, raising your advocacy IQ, advocate

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<v Speaker 2>for yourself. Don't just be a cow and take every

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<v Speaker 2>prescription you're given and not saying what the hell is this?

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<v Speaker 2>Why do I need to take it now. I am

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<v Speaker 2>not anti drug. I'm not telling you to drink an

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<v Speaker 2>oxtail soup to cure your diabetes. Okay, But you have

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<v Speaker 2>to be a good consumer. And I've been saying this

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<v Speaker 2>for twenty three years, to make you a better consumer,

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<v Speaker 2>in other words, to advocate for yourself. All right, And look,

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<v Speaker 2>I could get as ridiculous as you want here on

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<v Speaker 2>the radio tonight. Remember the days when we would go

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<v Speaker 2>to a department store or how many out there, remember Sears,

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<v Speaker 2>and you would go and you would say, hey, honey,

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<v Speaker 2>we need a new refrigerator. And you will go and

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<v Speaker 2>you will read the labels. You will go to consumer

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<v Speaker 2>Report and you will talk to the salesperson to say

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<v Speaker 2>ice maker, no ice maker, front load, whatever the feature is. Capacity,

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<v Speaker 2>you're being a good consumer. You don't want to buy

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<v Speaker 2>something and just take it home and have buyers remorse.

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<v Speaker 2>And we spend more time researching out the refrigerator we're

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<v Speaker 2>going to buy than researching out our medical conditions, or

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<v Speaker 2>our medical maladies, or the medicine we are taking. People

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<v Speaker 2>come in with zip lock bags full of pills and

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<v Speaker 2>they don't know what the hell they are. All they

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<v Speaker 2>know is that this is a blue one, this is

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<v Speaker 2>a pink capsule, this is a small white tablet. What

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<v Speaker 2>is it for? They don't know. And many times they

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<v Speaker 2>go to multiple doctors, they go to different specialists, and

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<v Speaker 2>they're get any prescriptions from everybody, and they may go

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<v Speaker 2>to different pharmacies. Now the pharmacy regulation is far better

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<v Speaker 2>today where there is cross talking. But if you go

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<v Speaker 2>to a Sam's Club to get a prescription and then

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<v Speaker 2>you go to Costco and they may not talk to

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<v Speaker 2>each other. But many drugs are generic or brand name,

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<v Speaker 2>and they're taking two of the same medicines. One is

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<v Speaker 2>generic and one is brand name, and all they know

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<v Speaker 2>is that I take one of these at eight o'clock

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<v Speaker 2>and I take this at eight o'clock or in the

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<v Speaker 2>morning as well. It is the same damn drug. And

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<v Speaker 2>you wonder why people don't feel good. So again, advocating

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<v Speaker 2>for yourself, do your research now and do if you

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<v Speaker 2>get doctor Joeglotti dot com is our website. So last

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<v Speaker 2>thing I'll talk about, and this is not so much

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<v Speaker 2>a rant. I get very passionate about this, and don't

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<v Speaker 2>take my passionate tone here, as you know, being angry.

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<v Speaker 2>I'm not an angry guy. I love what I do.

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<v Speaker 2>I love to take care of patients. I love to

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<v Speaker 2>see that they do well. I love to see when

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<v Speaker 2>patients come and their families come and they are really

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<v Speaker 2>informed and they're advocating for themselves. So here's another one.

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<v Speaker 2>So lady comes mid forties. I would say with her husband,

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<v Speaker 2>she is a professional. Her husband is a professional, well educated,

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<v Speaker 2>But that really doesn't that's not the whole story here.

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<v Speaker 2>And I would say that they or she has a

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<v Speaker 2>rather serious, potentially life threatening problem with her liver. Okay,

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<v Speaker 2>And so because of that problem, she self advocated for herself.

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<v Speaker 2>She saw local experts where she lives. She came to

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<v Speaker 2>Euston to seek out other expert opinion, but really was

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<v Speaker 2>not getting the detailed answers that she and her husband

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<v Speaker 2>were looking for. The care was not bad, it was

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<v Speaker 2>not malpractice, but it it was that sort of deeply

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<v Speaker 2>understood description that they were not getting. It was sort

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<v Speaker 2>of superficial, Yes you have this and you have to

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<v Speaker 2>do that well at forty three years old. That doesn't

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<v Speaker 2>usually settle well with people. They want to know what

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<v Speaker 2>are the next steps, what can happen? Really, they're advocating

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<v Speaker 2>for themselves, and so what they do is they pick

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<v Speaker 2>up and head to the male clinic in Rochester, Minnesota,

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<v Speaker 2>which is not a bad idea. The male clinic for

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<v Speaker 2>this particular liver disease, they are I would say, world renowned.

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<v Speaker 2>So they go there and they sort of get a direction,

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<v Speaker 2>but they still are not quite settled, and so they

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<v Speaker 2>let their fingers do the walking. They get on the

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<v Speaker 2>internet and my name pops up and they come and

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<v Speaker 2>see me earlier last week, and we go through our

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<v Speaker 2>head to toe evaluation. We look at about I think

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<v Speaker 2>it was three hundred and eighty pages worth of medical records.

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<v Speaker 2>Myself and my nurse practitioner. We looked through every single page.

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<v Speaker 2>We got her into a gown, we examined her, tried

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<v Speaker 2>to see what extent her liver disease was, and we

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<v Speaker 2>went from there. And then we sat down, the two

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<v Speaker 2>of us, and really the first thing I said is, look,

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<v Speaker 2>you've been to several different centers, you've been to a

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<v Speaker 2>world famous center at the Mail Clinic. You've come and

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<v Speaker 2>seen me now. And the question I had for her

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<v Speaker 2>is how how does she feel about the conversation we're

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<v Speaker 2>having so far? And is anything that I am saying

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<v Speaker 2>or doing or thinking different than what has already taken

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<v Speaker 2>place over the past four years. This has been a

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<v Speaker 2>four year journey for this lady. And you know what

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<v Speaker 2>she said, She said, in all these years, all the specialists,

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<v Speaker 2>all the expert locations, you are the first person that

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<v Speaker 2>got me into a gown and examined me. All I

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<v Speaker 2>did was a physical examination, an old fashioned physical examination.

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<v Speaker 2>And I said, now, wait, wait, you're telling me this

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<v Speaker 2>team that you saw did not examine you. No, they

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<v Speaker 2>did not. Okay, you went to the male clinic, the

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<v Speaker 2>world famous male clinic. They never got you into a

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<v Speaker 2>gown to even feel your abdomen and your liver and

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<v Speaker 2>your spleen which are enlarged. No, didn't listen to your

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<v Speaker 2>heart or lungs. No. And she said, and the husband said,

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<v Speaker 2>for this reason, we are staying with you now here Again,

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<v Speaker 2>I'm not here to give accolades to myself. That is

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<v Speaker 2>not the point here. I have been doing this with

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<v Speaker 2>or without accolades for thirty five years. It was just

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<v Speaker 2>the way I was trained, and it was partially the

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<v Speaker 2>way I was brought up, that we really really take

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<v Speaker 2>care of patients. But this lady advocated for herself and

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<v Speaker 2>her husband. They were trapesing all over the place to

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<v Speaker 2>get answers, and they were right, there was something that

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<v Speaker 2>was not right with this case. And many others just

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<v Speaker 2>basically said, this is your diagnosis, this is the therapy,

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<v Speaker 2>don't smoke, don't drink, and that was it. And so

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<v Speaker 2>for tonight, three illustrative cases of people advocating for themselves.

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<v Speaker 2>And all I would say is that it is so

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<v Speaker 2>sad when we see cases that get to us late

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<v Speaker 2>and there are bad outcomes, and families will sit there

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<v Speaker 2>and say, if we had only known, if I had

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<v Speaker 2>only done this sooner, if I had only sought out

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<v Speaker 2>a second opinion sooner, we would not be sitting here,

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<v Speaker 2>really in a pre morbid situation where literally nothing can

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<v Speaker 2>be done. So advocate for yourselves, advocate for each other.

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<v Speaker 2>If you know, maybe you're not the patient, but you

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<v Speaker 2>have a relative, a friend, a coworker, somebody within your

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<v Speaker 2>circle of influence, and you know that they are struggling,

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<v Speaker 2>and look everybody, at least everybody. A lot of people

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<v Speaker 2>I talk to, they talk about their medical conditions. That's

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<v Speaker 2>sort of the water cooler discussion. Ugh went to a

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<v Speaker 2>gynecologist and I got fibroids, or I have a murmur

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<v Speaker 2>in my heart, or I have some COPD from smoking

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<v Speaker 2>for thirty five years. Whatever it is. People like to

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<v Speaker 2>talk about that medical problems. And if you pick up

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<v Speaker 2>and hear that something ain't right, that they're struggling being

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<v Speaker 2>that bff, you should guide them to advocate for themselves.

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<v Speaker 2>That is the message. All right, Final segment for this

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<v Speaker 2>week's Your Health First. I have some miscellaneous items in

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<v Speaker 2>the news we're going to chat about, and don't forget

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<v Speaker 2>Eating Yourself Sick. Amazon bestseller available on our website, Doctor

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00:28:43.000 --> 00:28:47.599
<v Speaker 2>Joegalotti dot com. New book coming out sometime later this year.

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<v Speaker 2>I don't know what the title will be, but it's

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<v Speaker 2>going to be a smash. Stay tuned, we'll brite down. Okay.

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<v Speaker 2>Final segment for this week's Your Health First. Every Sunday

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<v Speaker 2>we're here between seven and eight. Tell your friends and

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<v Speaker 2>relatives about us, and of course, go to our website

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00:29:05.960 --> 00:29:09.960
<v Speaker 2>doctor Joeglotti dot com center for a newsletter. All of

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00:29:10.000 --> 00:29:13.079
<v Speaker 2>our social media is there. Pick up a copy of

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<v Speaker 2>my book, Eating Yourself Sick. It is a guideline. We've

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<v Speaker 2>been talking about advocacy for yourself. The book really does

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<v Speaker 2>that very well, giving you the tools to understand you

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<v Speaker 2>have to understand what the heck is going on. We

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<v Speaker 2>don't have an owner's manual for the human body.

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<v Speaker 1>And so.

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<v Speaker 2>My sense is that eating yourself sick is the groundwork

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<v Speaker 2>that you need to understand how the body works and

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<v Speaker 2>what you need to know. Again, it goes along with

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<v Speaker 2>raising your health at Q, making you better consumers. That's

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<v Speaker 2>what it is all about. But go to doctor Joglotti

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<v Speaker 2>dot com. Uh and of course if you have any

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<v Speaker 2>liver or digestive issues, our practice Specialists of Texas is available.

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<v Speaker 2>We see patients coast to coast. Now, in the world

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<v Speaker 2>of telemedicine, we are able to see anybody from anywhere.

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<v Speaker 2>But certainly reach out to us and one of our

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<v Speaker 2>team members will get back with you that I promise.

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<v Speaker 2>All right. So in the news, how how can we

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<v Speaker 2>have a program without talking about obesity? So this week

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<v Speaker 2>the American Diabetes Association Heather Annual meeting, and as you

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<v Speaker 2>can expect, the buzz about weight loss and the ozepics

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<v Speaker 2>and the w Goovis of the world were there. But

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<v Speaker 2>drum roll, there is now a pill. Isn't that what

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<v Speaker 2>we have always shot for? A pill? Part of the

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<v Speaker 2>pill mentality that I talked about in Eating Yourself Sick.

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<v Speaker 2>But anyway, there is a new drug called Ready for this.

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<v Speaker 2>It's a tongue twister or fog leapron or fog lepron.

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<v Speaker 2>Even my New York accent sort of stumbles over it.

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<v Speaker 2>But anyway, it's an oral medicine that works similar to ozempic,

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<v Speaker 2>the GLP one agonist type drug, and the amount of

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<v Speaker 2>weight loss is very similar to ozempic over a nine

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<v Speaker 2>month period based on the preliminary research, and they are

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<v Speaker 2>thinking that sometime later this year it may be FDA approved. Now,

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<v Speaker 2>at one end, you could say, hey, it's good because

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<v Speaker 2>we could ditch ditch the shot, right, nobody likes taking injections,

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00:31:54.880 --> 00:31:59.799
<v Speaker 2>and because it is a pill, it is much easier

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<v Speaker 2>and much cheaper, less expensive to make pills rather than

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00:32:06.079 --> 00:32:11.079
<v Speaker 2>syringes and that whole delivery system just it takes more time,

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00:32:11.359 --> 00:32:15.720
<v Speaker 2>a little more specialized, more labor, and it's more expensive

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<v Speaker 2>rather than a pill that they could just run off

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<v Speaker 2>the assembly line. And I would say, look, that is

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<v Speaker 2>good considering the millions upon millions of Americans and people

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<v Speaker 2>around the world that are obese and having trouble with

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<v Speaker 2>metabolic syndrome, which is the killer. Eighty five percent of

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<v Speaker 2>chronic disease is related to lifestyle changes or lifestyle choices.

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<v Speaker 2>This sounds like it's a good idea, but I will

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<v Speaker 2>still bring up my pet peeve. With all this, we

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<v Speaker 2>are not teaching people or I should look. Look, I

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<v Speaker 2>could stand here with a megaphone as big as man

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<v Speaker 2>could make. People won't listen. You are going to have

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00:33:02.160 --> 00:33:07.279
<v Speaker 2>to make the decision to advocate for yourself. Advocating for

417
00:33:07.640 --> 00:33:11.519
<v Speaker 2>yourself is not necessarily taking a pill. It is taking

418
00:33:11.599 --> 00:33:16.279
<v Speaker 2>a pill learning how to eat better. That is, we

419
00:33:17.960 --> 00:33:25.240
<v Speaker 2>got here by eating ourselves into a corner, eating ourselves sick.

420
00:33:25.720 --> 00:33:29.680
<v Speaker 2>It's a good book. We have to get ourselves out

421
00:33:30.000 --> 00:33:36.240
<v Speaker 2>by not eating ourselves sick, by learning how to look

422
00:33:36.279 --> 00:33:41.240
<v Speaker 2>at food and realize what is nutritious, being able to

423
00:33:41.920 --> 00:33:49.079
<v Speaker 2>look at a a processed food product and say, you

424
00:33:49.200 --> 00:33:51.839
<v Speaker 2>know what. First of all, the ad is a bit

425
00:33:51.920 --> 00:33:54.240
<v Speaker 2>of a come on. I don't really care that it

426
00:33:54.400 --> 00:33:58.599
<v Speaker 2>has more protein than an egg. I really don't care

427
00:33:58.720 --> 00:34:03.039
<v Speaker 2>that it is low fat because they probably added sugar

428
00:34:03.160 --> 00:34:05.559
<v Speaker 2>and salt to it to make it taste better. And

429
00:34:05.839 --> 00:34:10.000
<v Speaker 2>so that is the first level understanding the consumerism, Understanding

430
00:34:11.079 --> 00:34:15.000
<v Speaker 2>different foods and their nutritional content, Understanding the role of

431
00:34:15.119 --> 00:34:18.239
<v Speaker 2>dietary fiber. Where do you get fiber from. It's not

432
00:34:18.360 --> 00:34:21.079
<v Speaker 2>from just taking a cup of metamucil, It's from getting

433
00:34:21.679 --> 00:34:26.159
<v Speaker 2>beans and nuts and fruits and vegetables. Understanding portion control,

434
00:34:26.320 --> 00:34:32.440
<v Speaker 2>Understanding how to prepare food. That is what is going

435
00:34:32.519 --> 00:34:37.719
<v Speaker 2>to change the needle. And instead of a country addicted

436
00:34:37.800 --> 00:34:41.000
<v Speaker 2>to their pills, we get people addicted to the foods

437
00:34:41.039 --> 00:34:44.280
<v Speaker 2>they eat and create a certain ground swell of enthusiasm.

438
00:34:44.480 --> 00:34:48.280
<v Speaker 2>So there is a lot of new data, a lot

439
00:34:48.360 --> 00:34:51.000
<v Speaker 2>of new technology on the rise. But at the end

440
00:34:51.039 --> 00:34:56.199
<v Speaker 2>of the day, doctor Galotti, here my voice, we have

441
00:34:56.400 --> 00:35:01.400
<v Speaker 2>to change behavior and become better consumers and understand food

442
00:35:01.599 --> 00:35:04.679
<v Speaker 2>got us into the problem. Food can get us out

443
00:35:04.719 --> 00:35:05.920
<v Speaker 2>of this big hole.

444
00:35:07.239 --> 00:35:07.559
<v Speaker 1>All right.

445
00:35:07.679 --> 00:35:11.679
<v Speaker 2>Another sort of final thought here, it's summertime, it's travel time.

446
00:35:12.400 --> 00:35:15.119
<v Speaker 2>And there were a couple of articles that I came

447
00:35:15.199 --> 00:35:19.679
<v Speaker 2>across over the last couple of weeks about when you're traveling,

448
00:35:20.159 --> 00:35:24.280
<v Speaker 2>traveling yourself, traveling with your significant other, traveling with your kids,

449
00:35:24.719 --> 00:35:27.400
<v Speaker 2>the whole idea of what to bring in a little

450
00:35:27.679 --> 00:35:31.519
<v Speaker 2>mini first aid kit. And I really should get my wife,

451
00:35:31.800 --> 00:35:35.159
<v Speaker 2>Geraldine on here because she is really the planner for

452
00:35:35.280 --> 00:35:38.239
<v Speaker 2>the first aid stuff that we take. She happens to

453
00:35:38.280 --> 00:35:40.280
<v Speaker 2>be a nurse, but I think she would have done

454
00:35:40.320 --> 00:35:44.199
<v Speaker 2>this anyway. So the main thing if you're traveling, if

455
00:35:44.239 --> 00:35:46.800
<v Speaker 2>you're traveling for a long weekend, or you're traveling on

456
00:35:47.000 --> 00:35:49.639
<v Speaker 2>a two week trip, even if you go into Disneyland,

457
00:35:50.559 --> 00:35:54.280
<v Speaker 2>or if you're going overseas somewhere or somewhere more exotic.

458
00:35:54.760 --> 00:35:58.679
<v Speaker 2>First of all, make sure you have enough medicine, your

459
00:35:58.719 --> 00:36:05.639
<v Speaker 2>own prescription medicine. Plan on flights being delayed, getting detoured,

460
00:36:05.880 --> 00:36:08.199
<v Speaker 2>and so don't say, look, we're going to be gone

461
00:36:08.280 --> 00:36:11.119
<v Speaker 2>fourteen days. I'm going to take fourteen days of medicine

462
00:36:11.119 --> 00:36:13.400
<v Speaker 2>and then I run out. You probably need at least

463
00:36:13.480 --> 00:36:17.360
<v Speaker 2>another week or ten days of backup medicine. Number two,

464
00:36:18.000 --> 00:36:21.599
<v Speaker 2>here is a chance to make sure you understand all

465
00:36:21.639 --> 00:36:25.400
<v Speaker 2>of the medicines you're taking. What are they? Number three,

466
00:36:25.880 --> 00:36:30.079
<v Speaker 2>bring a print out of all of your medications, the name,

467
00:36:30.960 --> 00:36:34.920
<v Speaker 2>the dose, and the frequency. You should be able to

468
00:36:35.000 --> 00:36:38.159
<v Speaker 2>do this. Pharmacies will do this for you. Make sure

469
00:36:38.199 --> 00:36:41.800
<v Speaker 2>you carry some over the counter medicine, so a little

470
00:36:41.800 --> 00:36:45.199
<v Speaker 2>bit of a pseudo metafine, some ibuprofen in case you

471
00:36:45.280 --> 00:36:48.719
<v Speaker 2>get a sprain or a headache or something hurts, bring

472
00:36:48.880 --> 00:36:51.960
<v Speaker 2>some allergy medicine in case you have some sort of reaction.

473
00:36:53.440 --> 00:36:57.199
<v Speaker 2>Make sure you bring some GI products, be it something

474
00:36:57.239 --> 00:37:02.440
<v Speaker 2>as simple as toms may milanta, things like that. Maybe

475
00:37:02.480 --> 00:37:06.039
<v Speaker 2>a little bit of zantac pepsid over the counter if

476
00:37:06.039 --> 00:37:08.079
<v Speaker 2>you get some GI distress, and a little bit of

477
00:37:09.280 --> 00:37:13.000
<v Speaker 2>amodium in case you get some traveler's diarrhea. Talk with

478
00:37:13.119 --> 00:37:17.239
<v Speaker 2>your doctors about taking any antibiotics with you in case

479
00:37:17.320 --> 00:37:21.920
<v Speaker 2>you get hit with some traveler's diarrhea. Also, make sure

480
00:37:21.960 --> 00:37:24.880
<v Speaker 2>you take a thermometer. I cannot tell you how many

481
00:37:24.920 --> 00:37:30.440
<v Speaker 2>people travel without a thermometer. That is really important. If

482
00:37:30.760 --> 00:37:33.960
<v Speaker 2>you have trouble with high blood pressure or cardiac issues,

483
00:37:35.440 --> 00:37:38.480
<v Speaker 2>take your blood pressure cuff with you. That would be important.

484
00:37:38.920 --> 00:37:45.400
<v Speaker 2>The other is the usual band aids, bandages, gauze pads,

485
00:37:45.559 --> 00:37:50.400
<v Speaker 2>some antibiotic ointment, things like that in case you get sprains, cuts,

486
00:37:50.519 --> 00:37:54.480
<v Speaker 2>at least something to tide you over until you could

487
00:37:54.519 --> 00:37:57.559
<v Speaker 2>get to a hospital, urgent care center, or see a

488
00:37:57.639 --> 00:38:01.960
<v Speaker 2>doctor in town with out of doubt. If you're traveling

489
00:38:02.039 --> 00:38:05.000
<v Speaker 2>into more exotic places, you want to make sure you

490
00:38:05.119 --> 00:38:11.280
<v Speaker 2>have appropriate repellent against mosquitoes. And other little things that

491
00:38:11.400 --> 00:38:15.119
<v Speaker 2>you may run into the wild. Here again, I would say,

492
00:38:15.679 --> 00:38:21.280
<v Speaker 2>make sure you check in with a travel medicine physician.

493
00:38:22.239 --> 00:38:24.639
<v Speaker 2>We did it when we went to Africa last year.

494
00:38:24.880 --> 00:38:29.119
<v Speaker 2>It was amazing. They have maps of the world different diseases,

495
00:38:29.960 --> 00:38:38.079
<v Speaker 2>be it anything from hepatitis A to various water born problems, ticks, fleas, bugs,

496
00:38:38.159 --> 00:38:43.079
<v Speaker 2>all kinds of things. So travel medicine is a good idea,

497
00:38:44.039 --> 00:38:46.079
<v Speaker 2>So stay up to date on that. You want to

498
00:38:46.119 --> 00:38:48.679
<v Speaker 2>be able to go on vacation and have it stress

499
00:38:48.719 --> 00:38:52.920
<v Speaker 2>free and not worry about somebody getting sick. All right,

500
00:38:52.960 --> 00:38:55.360
<v Speaker 2>That is it for this Sunday evening. I hope you

501
00:38:55.400 --> 00:38:58.119
<v Speaker 2>have a great rest of the evening, a powerful week.

502
00:38:58.840 --> 00:39:01.599
<v Speaker 2>Take a look what you're eating, Take a look at

503
00:39:01.639 --> 00:39:04.639
<v Speaker 2>how much you're sleeping. Take a look at the food

504
00:39:04.760 --> 00:39:07.800
<v Speaker 2>you're eating. Stay away from junk food and to drive throughs.

505
00:39:08.440 --> 00:39:11.239
<v Speaker 2>It's better if you could cook it at home. Put

506
00:39:11.519 --> 00:39:13.480
<v Speaker 2>your health first. That's what we're all about.

507
00:39:13.760 --> 00:39:14.079
<v Speaker 1>All right.

508
00:39:14.199 --> 00:39:18.480
<v Speaker 2>Until next Sunday evening, I'm doctor Joe Galotti. God bless everybody.

509
00:39:18.639 --> 00:39:22.280
<v Speaker 2>Stay well, be an advocate for yourself. That's all I'll say.

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00:39:22.719 --> 00:39:25.920
<v Speaker 1>You've been listening to your health first. With doctor Joe Glotti.

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<v Speaker 1>For more information on this program or the content of

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00:39:28.639 --> 00:39:30.840
<v Speaker 1>this program, go to your health first dot com
