WEBVTT 1 00:00:02.160 --> 00:00:03.839 Initialize sequence. 2 00:00:04.919 --> 00:00:07.480 Coming to you live from Houston, Texas, home to the 3 00:00:07.519 --> 00:00:09.039 world's largest medical center. 4 00:00:09.160 --> 00:00:09.800 In the bunch of Bass. 5 00:00:09.919 --> 00:00:11.919 The name looking Red, Drumonial. 6 00:00:14.000 --> 00:00:15.039 Eye, Rota Copy. 7 00:00:20.039 --> 00:00:24.039 This is Your Health First, the most beneficial health program 8 00:00:24.160 --> 00:00:27.320 on radio with doctor Joe Balati. During the next hour, 9 00:00:27.440 --> 00:00:30.760 you'll learn about health, wellness, and the provention of disease. 10 00:00:31.199 --> 00:00:33.960 Now here's your host, doctor Joe Bellotti. 11 00:00:40.039 --> 00:00:44.679 Well, I hope you're all having a marvelous Sunday evening 12 00:00:44.920 --> 00:00:51.600 here in Texas or wherever you are receiving our signal, 13 00:00:51.880 --> 00:00:56.560 either through what we call a terrestrial signal that is 14 00:00:56.759 --> 00:01:01.719 over the air, or through the iHeart Radio app anywhere 15 00:01:01.920 --> 00:01:06.200 in the world. And we're here every single Sunday evening 16 00:01:06.359 --> 00:01:09.319 for just one hour between seven and eight pm. 17 00:01:09.400 --> 00:01:09.840 The name of the. 18 00:01:09.879 --> 00:01:15.280 Program is Your Health First, and I truly mean what 19 00:01:15.439 --> 00:01:19.519 the title of the program states. We want to put 20 00:01:19.840 --> 00:01:24.959 your health first. And we're beginning into that a little 21 00:01:25.000 --> 00:01:30.040 bit later. Why you have to invest in your health 22 00:01:30.120 --> 00:01:34.560 today and not all of a sudden have an epiphany. 23 00:01:35.400 --> 00:01:39.920 When something goes wrong, you develop some sort of illness, 24 00:01:39.959 --> 00:01:43.000 and it could be anything under the sun that you say, okay, 25 00:01:43.079 --> 00:01:45.640 now now now I'm going to eat better. Now, I'm 26 00:01:45.680 --> 00:01:51.480 going to exercise. Now, I'm going to get more sleep, 27 00:01:52.359 --> 00:01:55.840 cut down on my stress, et cetera, et cetera. You 28 00:01:56.040 --> 00:02:02.120 have to invest now in making your health first a priority. 29 00:02:02.959 --> 00:02:07.959 So to contact me and our your Health First team, 30 00:02:08.120 --> 00:02:12.159 Doctor Joegalotti dot com, d R J O E G 31 00:02:12.400 --> 00:02:15.840 A L A t I dot com. When you get there, 32 00:02:16.000 --> 00:02:17.800 you can do all kinds of things. Sign up for 33 00:02:18.080 --> 00:02:22.840 our newsletter which comes out every Saturday morning. There's a 34 00:02:23.000 --> 00:02:28.080 tab that says newsletter you subscribe. All of our other 35 00:02:28.360 --> 00:02:30.400 social media is there if you want to send me 36 00:02:30.479 --> 00:02:33.520 a message. If you have a medical question, a concern, 37 00:02:33.759 --> 00:02:37.280 you don't know what kind of a specialist. 38 00:02:36.759 --> 00:02:41.000 To see, send me a message. Regardless of where you are. 39 00:02:41.080 --> 00:02:44.639 We help people coast to coast, trying to be a 40 00:02:44.759 --> 00:02:51.639 connector with wherever you are and getting you in touch 41 00:02:51.719 --> 00:02:55.599 with a specialist that you may need or just some guidance. 42 00:02:56.120 --> 00:02:58.840 But you have to go to doctor Joegalotti dot com. 43 00:02:58.879 --> 00:03:02.560 All right, So on the program tonight, I had been 44 00:03:02.759 --> 00:03:06.240 overseas on vacation for a couple of weeks. 45 00:03:06.319 --> 00:03:06.840 My wife and I. 46 00:03:07.000 --> 00:03:12.680 We went to Austria and Switzerland and marvelous vacation. But 47 00:03:13.120 --> 00:03:20.120 there was a very very important issue that I not 48 00:03:20.280 --> 00:03:22.199 that I learned because I was always aware of this 49 00:03:22.319 --> 00:03:26.039 and my wife has always been in a loving way 50 00:03:26.240 --> 00:03:33.120 harping on this to say that to travel nowadays, you 51 00:03:33.319 --> 00:03:36.560 have to be in pretty good darn shape. It seems 52 00:03:36.560 --> 00:03:40.800 as if the airports are getting bigger and longer, and man, 53 00:03:40.840 --> 00:03:43.479 you got to really be in good shape. And so 54 00:03:44.439 --> 00:03:46.800 to talk about this, we're going to spend a good 55 00:03:46.840 --> 00:03:50.159 part of the program tonight. We have a physical therapist 56 00:03:50.240 --> 00:03:53.800 that's going to be coming on Alison to hang and 57 00:03:54.439 --> 00:03:59.879 we're going to talk about the state of the human 58 00:04:00.879 --> 00:04:04.080 We're going to talk about issues that are going to 59 00:04:04.560 --> 00:04:09.599 make your vacation less than a vacation, and of course, 60 00:04:09.800 --> 00:04:14.120 strategies to make you perform better or you know what 61 00:04:14.280 --> 00:04:18.160 you need to think about. Because all of my patients 62 00:04:18.240 --> 00:04:21.160 we talk and we get to know them, and some 63 00:04:21.319 --> 00:04:23.800 of them are coming up to retirement age and they're like, yep, 64 00:04:24.000 --> 00:04:27.959 I when I retire, I am going to travel. But 65 00:04:28.079 --> 00:04:30.920 they're not thinking that they are overweight, have diabetes, and 66 00:04:30.959 --> 00:04:35.079 they have heart disease. And here you are a sixty 67 00:04:35.120 --> 00:04:39.240 five year old man or woman lugging a twenty pound 68 00:04:39.399 --> 00:04:46.040 carry on schlepping through airports around the world or locally. 69 00:04:46.680 --> 00:04:47.920 You don't have to go to the other side of 70 00:04:47.959 --> 00:04:52.680 the world, but it puts into perspective that you have 71 00:04:52.759 --> 00:04:56.279 to be in pretty good shape to travel nowadays. So 72 00:04:56.319 --> 00:04:58.360 we're going to we're going to get to get to 73 00:04:58.639 --> 00:05:02.040 that shortly. The other thing I want to talk about 74 00:05:02.120 --> 00:05:03.879 here just for a few minutes, And as many of 75 00:05:03.920 --> 00:05:05.319 you know, I am a hepatologist. 76 00:05:05.360 --> 00:05:07.680 I take care of people with liver disease. 77 00:05:08.560 --> 00:05:14.199 And one of the conditions is alcohol related liver disease. 78 00:05:15.519 --> 00:05:20.439 And yesterday I participated in a really marvelous conference that 79 00:05:20.920 --> 00:05:23.920 one of my colleagues put on at Euston Methodist Hospital, 80 00:05:24.000 --> 00:05:26.040 and we'll be talking about that more in the weeks 81 00:05:26.079 --> 00:05:31.680 to come about alcohol, not so much alcoholism, but alcohol 82 00:05:31.759 --> 00:05:36.040 related liver disease. And a couple of things have changed 83 00:05:36.240 --> 00:05:41.279 in the world of alcohol. We no longer call it 84 00:05:41.600 --> 00:05:47.399 alcoholic livid disease. We call it alcohol related liver disease. 85 00:05:47.519 --> 00:05:51.680 Because when you say you've got alcoholic liver disease, that 86 00:05:51.839 --> 00:05:58.160 word alcoholic carries a bad connotation and really doesn't make 87 00:05:58.240 --> 00:06:01.120 people feel comfortable. So we've shifted in some of the 88 00:06:01.240 --> 00:06:07.560 terminology to say alcohol related hepatitis, alcohol related liver disease, 89 00:06:07.759 --> 00:06:10.879 and the main thing at this conference there were some 90 00:06:12.000 --> 00:06:20.079 marvelous national and international experts talking and there are many 91 00:06:20.360 --> 00:06:25.560 many new therapies that we have in the realm of 92 00:06:25.959 --> 00:06:29.319 alcohol related liver disease. But the key thing is timing. 93 00:06:30.199 --> 00:06:35.560 These medications and therapies work far better when we get 94 00:06:35.680 --> 00:06:40.759 these patients under our watchful eye, typically in the ICU, 95 00:06:42.079 --> 00:06:44.560 on a timely basis. But what we see all of 96 00:06:44.639 --> 00:06:50.759 us in liver disease, we see patients literally sitting in 97 00:06:51.480 --> 00:06:55.439 ICUs or hospital beds, not getting the care they need 98 00:06:55.600 --> 00:06:59.120 because many in healthcare and this is a sad thing, 99 00:06:59.199 --> 00:07:02.040 but it is true they feel as if the person 100 00:07:02.120 --> 00:07:07.639 that has alcohol related liver disease code name, you're an alcoholic. 101 00:07:08.360 --> 00:07:12.399 This is a self induced problem, and so we're going 102 00:07:12.480 --> 00:07:17.319 to punish you and not give you opportunities to get 103 00:07:17.399 --> 00:07:22.439 the care you need. So this is where families, relatives 104 00:07:22.639 --> 00:07:27.600 need to advocate for these patients. And so the message 105 00:07:27.600 --> 00:07:31.560 tonight before we take this break, if you have a 106 00:07:31.639 --> 00:07:34.519 loved one with alcohol related livid disease and they're not 107 00:07:34.920 --> 00:07:39.519 getting the attention they need, reach out to me. Well, 108 00:07:40.000 --> 00:07:42.279 no matter where you are we will get you situated 109 00:07:42.800 --> 00:07:45.480 at a center that is a bit more progressive. All right, 110 00:07:45.480 --> 00:07:47.800 we're going to take a quick break on doctor Joe Galotti. 111 00:07:48.240 --> 00:07:51.839 Doctor Joeglotti dot com is our website. Stay tuned, we'll 112 00:07:51.879 --> 00:07:57.000 bright back. Welcome back everybody, Doctor Joe Galotti. 113 00:08:00.959 --> 00:08:02.399 This is such a great song. 114 00:08:04.720 --> 00:08:07.639 And we've got to thank Dave in the control room 115 00:08:07.720 --> 00:08:09.199 for pulling this music up tonight. 116 00:08:12.680 --> 00:08:13.199 Don't forget. 117 00:08:13.319 --> 00:08:17.160 Every Sunday between seven and a pm, we're here. Live 118 00:08:17.800 --> 00:08:22.040 your health first, and my goal is to raise your 119 00:08:22.199 --> 00:08:25.879 health IQ and make you better consumers of healthcare. That 120 00:08:26.319 --> 00:08:30.000 is all we want to do. It sounds simple, but 121 00:08:30.399 --> 00:08:34.200 it is awfully tough, and don't forget. Go to doctor 122 00:08:34.519 --> 00:08:38.320 Jogalotti dot com. Doctor jogalotti dot com, sign up for 123 00:08:38.360 --> 00:08:40.639 our newsletter. All of our social media is there. You 124 00:08:40.720 --> 00:08:42.919 could send me a message, as I was saying earlier, 125 00:08:43.120 --> 00:08:48.000 if you have any medical questions you need to find 126 00:08:48.240 --> 00:08:51.879 a specialist or have a bit of a query as 127 00:08:51.960 --> 00:08:55.679 to what's going on you're not quite sure doctor Joglotti 128 00:08:55.720 --> 00:08:56.080 dot com. 129 00:08:56.639 --> 00:08:57.159 There's a. 130 00:08:58.639 --> 00:09:02.720 Tab that says contact us anywhere in the country. 131 00:09:03.000 --> 00:09:05.399 We can direct you. 132 00:09:05.759 --> 00:09:08.639 That is our goal, our goal, all right, As I 133 00:09:08.759 --> 00:09:10.759 was saying earlier my wife and I were traveling through 134 00:09:10.840 --> 00:09:15.399 Austria and Switzerland. And you know I've said before, and 135 00:09:15.440 --> 00:09:17.799 I wrote an article about this in the newsletter. 136 00:09:17.360 --> 00:09:18.159 A couple of weeks ago. 137 00:09:18.279 --> 00:09:22.240 We will always take what I would say is an 138 00:09:22.320 --> 00:09:26.919 active vacation. We're not really sitting by a pool or 139 00:09:27.120 --> 00:09:31.960 a beach. We are out hiking and exploring and doing 140 00:09:32.039 --> 00:09:34.919 all kinds of active stuff. But you have to be 141 00:09:35.000 --> 00:09:39.519 in pretty good shape to do this, and what that 142 00:09:39.759 --> 00:09:42.399 means means a lot of different things to different people. 143 00:09:42.440 --> 00:09:45.320 And so tonight we have Alison Tahang. 144 00:09:45.440 --> 00:09:46.519 She is a physical. 145 00:09:46.279 --> 00:09:51.919 Therapist with Burcutt Physical Therapy here in Houston, Texas, and 146 00:09:52.399 --> 00:09:55.000 we're going to have Allison shed a little light and 147 00:09:55.120 --> 00:09:57.960 reality on all this. So Alison, thanks for coming on 148 00:09:58.039 --> 00:09:59.519 tonight and being part of the program. 149 00:10:00.919 --> 00:10:03.200 Thanks for having me, doctor Glotti. I'm happy to be here. 150 00:10:03.600 --> 00:10:06.600 Well, we should say that you were sitting quietly in 151 00:10:06.679 --> 00:10:08.679 the studio Free Week a few weeks ago when your 152 00:10:08.720 --> 00:10:14.000 son Jack was here as a guest budding future medical student. 153 00:10:14.080 --> 00:10:16.559 I hope, and so I think when we left, I 154 00:10:16.600 --> 00:10:18.399 said we got to get you on, Allison. 155 00:10:18.519 --> 00:10:19.879 So here you are a few weeks later. 156 00:10:21.200 --> 00:10:23.879 Yeah, here I am. It's fun to be on the 157 00:10:23.919 --> 00:10:26.039 other side of this and get to share a little 158 00:10:26.039 --> 00:10:28.759 bit about what I do in my perspectives on travel. 159 00:10:29.399 --> 00:10:33.080 Yeah, it really, it really is interesting. And as I 160 00:10:33.200 --> 00:10:35.480 was saying earlier, the night is for all this is. 161 00:10:36.320 --> 00:10:39.240 You know, we had a trip that we just finished 162 00:10:39.279 --> 00:10:41.480 the other day through Austria and Switzerland, and it was 163 00:10:41.519 --> 00:10:46.960 a very active vacation, a lot of touring around and 164 00:10:47.080 --> 00:10:52.120 going up cathedral steps and climbing up mountain sides, and 165 00:10:52.360 --> 00:10:55.440 it really takes a lot out of you. So from 166 00:10:55.600 --> 00:10:58.720 your perspective as a physical therapist, first of all, why 167 00:10:58.759 --> 00:11:04.559 don't you just spend moment explaining what a physical therapist is. 168 00:11:04.720 --> 00:11:05.879 Let's keep it real simple. 169 00:11:06.200 --> 00:11:07.000 What what is it? 170 00:11:07.559 --> 00:11:08.080 What is one? 171 00:11:08.519 --> 00:11:08.799 Wow? 172 00:11:09.360 --> 00:11:13.200 So as a physical therapist, it's it's my job to 173 00:11:14.600 --> 00:11:19.159 talk to my patients and find out what their impairments are, 174 00:11:20.559 --> 00:11:24.559 what they are not able to do physically, and then 175 00:11:24.720 --> 00:11:28.480 figure out ways to help them recover from those impairments 176 00:11:28.600 --> 00:11:31.120 and get back to doing what it is that they 177 00:11:31.200 --> 00:11:31.679 want to do. 178 00:11:32.120 --> 00:11:33.639 Right now. 179 00:11:35.120 --> 00:11:40.399 I would say that most physical therapy clinics or facilities, 180 00:11:40.440 --> 00:11:44.840 they may specialize in different types of injuries, different types 181 00:11:44.879 --> 00:11:48.960 of patients. But at the thirty thousand foot view and 182 00:11:49.200 --> 00:11:53.960 the years that you've been a physical therapist, is it 183 00:11:54.200 --> 00:12:02.639 possible to declare what the state of witnesses with the 184 00:12:02.759 --> 00:12:06.440 adult population here in the United States? And again, you're 185 00:12:06.480 --> 00:12:10.840 seeing a slightly jaded population in that they're. 186 00:12:10.639 --> 00:12:11.039 Coming to you. 187 00:12:11.120 --> 00:12:14.120 They may have had some sort of surgery, they had 188 00:12:14.120 --> 00:12:17.440 a chronic illness about infection, a stroke, et cetera. But 189 00:12:17.600 --> 00:12:21.600 by and large, what are you seeing as far as 190 00:12:22.559 --> 00:12:26.919 the state of the physical fitness of the patients you're 191 00:12:26.960 --> 00:12:27.360 working with. 192 00:12:29.000 --> 00:12:33.200 Well, I think the typical American is probably in denial 193 00:12:33.480 --> 00:12:38.120 about the actual physical shape they are in. You knows, 194 00:12:38.600 --> 00:12:40.720 as we work, and we work and we work, we 195 00:12:40.840 --> 00:12:43.720 become more sedentary, and we come for a really long time, 196 00:12:43.840 --> 00:12:48.159 and then we dream of these vacations or even if 197 00:12:48.200 --> 00:12:50.840 it's just a trip, you know, one hundred miles down 198 00:12:50.879 --> 00:12:52.960 the road Disney family. We dream of these. 199 00:12:52.919 --> 00:12:55.879 Events, and then when we get out there, we go, oh, 200 00:12:55.960 --> 00:13:01.080 my gosh, I'm in a different environment. They're the streets 201 00:13:01.120 --> 00:13:04.840 are uneven, they've got stairs, they've got steps, the curbs 202 00:13:04.960 --> 00:13:07.440 or even different heights than what I'm used to at home, right, 203 00:13:07.840 --> 00:13:11.000 and things just get hard, and I think we don't 204 00:13:12.120 --> 00:13:15.639 we envision ourselves or my patients envisioning themselves is being 205 00:13:15.720 --> 00:13:18.240 able to do everything they've always been able to do, right. 206 00:13:18.320 --> 00:13:22.399 And so there's there's a level of denial about our 207 00:13:22.519 --> 00:13:27.480 physical fitness states, right because you know, for the most part, 208 00:13:27.559 --> 00:13:28.840 we don't put ourselves out there. 209 00:13:29.519 --> 00:13:32.000 No, we really we you know, we don't. 210 00:13:32.080 --> 00:13:35.919 And as I've said so many times before, patients when 211 00:13:35.919 --> 00:13:39.840 we're having a conversation about their illness or we're talking 212 00:13:39.919 --> 00:13:42.200 about the plan of care we have for them or 213 00:13:42.320 --> 00:13:47.279 their future aspirations, I would say almost everybody that is 214 00:13:47.799 --> 00:13:50.159 in and around that retirement age now it may be 215 00:13:51.000 --> 00:13:54.799 fifty five, it may be seventy. One of the things 216 00:13:54.879 --> 00:13:59.639 they will always say is we want to travel. You know, 217 00:13:59.799 --> 00:14:01.960 some will throw in I want to go fishing, I 218 00:14:02.039 --> 00:14:04.600 want to do more hunting, you know, all kinds of things. 219 00:14:04.600 --> 00:14:06.759 I just want to sit home and watercolor whatever you 220 00:14:06.840 --> 00:14:09.000 want to do. But I'd say at least fifty percent 221 00:14:09.080 --> 00:14:12.600 of the patients say they want to travel, and you 222 00:14:12.759 --> 00:14:17.960 look at them to say, man, you have poorly controlled diabetes, 223 00:14:18.200 --> 00:14:22.799 you're overweight, you have some underlying heart disease. Traveling is 224 00:14:22.879 --> 00:14:26.679 going to be tough. Now, my travel or your travel, Allison, 225 00:14:26.879 --> 00:14:30.000 may not be the same as theirs that they want 226 00:14:30.039 --> 00:14:33.720 a more pedestrian type of travel, but even traveling through 227 00:14:33.799 --> 00:14:38.039 the airport is a bear, and that that really is 228 00:14:38.120 --> 00:14:40.480 what sort of you know, triggered me to think about this. 229 00:14:41.320 --> 00:14:45.440 So is it fair without throwing the entire population under 230 00:14:45.480 --> 00:14:47.480 the bus here? And that's not my goal or to 231 00:14:47.720 --> 00:14:52.799 belittle anybody. Can you say that the patients you're seeing 232 00:14:53.960 --> 00:15:00.519 may be more chronically ill today than fifteen twenty years ago. Y, Absolutely, 233 00:15:00.799 --> 00:15:03.240 most people do have a chronic illness or. 234 00:15:04.919 --> 00:15:07.759 I hate to say, a burgeoning chronic illness, that something 235 00:15:07.879 --> 00:15:10.759 that might be coming along that they're not aware of. 236 00:15:10.960 --> 00:15:14.039 And then they try to travel and man, they're short 237 00:15:14.080 --> 00:15:17.519 of breath or they've got to drag a suitcase with 238 00:15:17.639 --> 00:15:21.200 them and they have a backpack or a handbag and 239 00:15:21.279 --> 00:15:27.200 a jacket and just juggling those items becomes really difficult. 240 00:15:27.320 --> 00:15:29.879 And then you're jostled around by all of the crowds, 241 00:15:30.240 --> 00:15:33.559 right the airport agents are yelling at you to get 242 00:15:33.600 --> 00:15:36.600 on the plane. You know, even walking down the air 243 00:15:36.759 --> 00:15:40.360 the line, the aisle, right, the aisle of an airplane 244 00:15:40.399 --> 00:15:43.960 can be a challenge when you're you're finagling all of 245 00:15:44.039 --> 00:15:45.120 your equipment. 246 00:15:45.399 --> 00:15:48.279 Right, and you know people don't you know, we could 247 00:15:48.279 --> 00:15:52.039 talk a little later about you know, what fitness means 248 00:15:52.120 --> 00:15:57.799 with agility and balance and things like that. But you know, nowadays, 249 00:15:58.080 --> 00:16:00.320 you know, like you said, walking from the back of 250 00:16:00.360 --> 00:16:03.600 the plane to the front to use the lavatory bathroom, 251 00:16:03.639 --> 00:16:07.440 whatever you want to call it, it's it's not easy 252 00:16:09.960 --> 00:16:12.600 and you need and you need that balance and sort 253 00:16:12.600 --> 00:16:13.200 of agility. 254 00:16:14.279 --> 00:16:19.559 M That's true even in a in an environment where 255 00:16:20.159 --> 00:16:23.399 it's dark outside or it's poorly lit. And if you 256 00:16:23.639 --> 00:16:27.159 have balance challenges, right, you're you're going to be at 257 00:16:27.200 --> 00:16:31.879 a disadvantage. Yeah, no it it probably don't even realize 258 00:16:31.919 --> 00:16:34.279 it or there Yeah, you get into that spot. 259 00:16:34.720 --> 00:16:36.519 And the other The other real point here in the 260 00:16:36.559 --> 00:16:42.440 message for everybody listening tonight is that it is so important. 261 00:16:43.039 --> 00:16:47.919 If you are forty, forty five, fifty, and. 262 00:16:48.000 --> 00:16:50.639 You have these aspirations of you know, working till you're 263 00:16:50.879 --> 00:16:54.000 sixty or sixty five or seventy, you have to start 264 00:16:54.240 --> 00:16:58.000 investing in your health now, not only so that you 265 00:16:58.240 --> 00:17:02.759 can avoid all these chronic diseases, but you have in 266 00:17:02.879 --> 00:17:06.480 a sense the freedom to do what you want when 267 00:17:06.559 --> 00:17:09.400 it is time to throw it all in. 268 00:17:09.799 --> 00:17:12.240 And just go and have fun. What's your thought on that? 269 00:17:13.759 --> 00:17:17.279 Oh? I think you know, if your goal is to travel, 270 00:17:17.799 --> 00:17:20.200 then you've got to be in top shape. Now you've 271 00:17:20.240 --> 00:17:23.359 got to get started, and you're not even get started. 272 00:17:23.440 --> 00:17:26.480 You need to continue being in good shape in your 273 00:17:26.519 --> 00:17:30.200 forties and fifties and keep working on that throughout your 274 00:17:30.319 --> 00:17:33.880 sixties and seventies, right that you're able to do those 275 00:17:33.920 --> 00:17:37.680 things that you dream of. Exactly, A lot of people 276 00:17:37.839 --> 00:17:43.079 find it's too late to build up that endurance to 277 00:17:44.799 --> 00:17:48.799 have the stamina, the reserves that's required just to walk 278 00:17:48.839 --> 00:17:54.000 through the airport right much less you know, figuring out 279 00:17:54.039 --> 00:17:54.640 a train. 280 00:17:54.519 --> 00:17:55.920 Station right right. 281 00:17:56.000 --> 00:17:59.319 No, No, it's so true, and you know, to me, 282 00:17:59.480 --> 00:18:03.880 it is just so sad that people work their entire 283 00:18:04.000 --> 00:18:07.200 life and then they can't really enjoy the fruit of 284 00:18:07.240 --> 00:18:09.599 all their labor. Okay, Allison, we are going to take 285 00:18:09.680 --> 00:18:13.359 a quick break news, weather, traffic. I guess we'll hear 286 00:18:13.400 --> 00:18:15.039 about the astros as well. We're going to take a 287 00:18:15.079 --> 00:18:17.839 break right now. I'm doctor Joe Galotti. Don't forget doctor 288 00:18:18.079 --> 00:18:19.319 Joegalotti dot com. 289 00:18:19.599 --> 00:18:20.319 We'll be right back. 290 00:18:21.880 --> 00:18:26.839 Welcome back, everybody, doctor Joe Galotti. So glad you're able 291 00:18:26.880 --> 00:18:32.160 to join us tonight on your Hell first every Sunday 292 00:18:32.160 --> 00:18:38.000 between seven and eight pm. And on the line tonight 293 00:18:38.319 --> 00:18:42.440 is Allison Tahang. She is a physical therapist with bur 294 00:18:42.599 --> 00:18:45.200 Cut Physical Therapy here in Houston, Texas. 295 00:18:45.680 --> 00:18:46.279 You know, Alison. 296 00:18:46.319 --> 00:18:48.720 The name of that song is pretty Woman Walking. Well, 297 00:18:48.759 --> 00:18:50.839 it's pretty woman and the line is walking down the 298 00:18:50.880 --> 00:18:54.559 street with a walker or cane. Hopefully that's not what 299 00:18:55.279 --> 00:19:00.799 we see too much. I got you there. 300 00:19:01.400 --> 00:19:03.119 We see it all the time, I know. 301 00:19:03.720 --> 00:19:06.359 So tell tell everybody a little bit about burke Cut 302 00:19:06.480 --> 00:19:07.319 Physical Therapy. 303 00:19:07.680 --> 00:19:10.119 What kind of work you will do there? 304 00:19:11.279 --> 00:19:11.599 Okay? 305 00:19:11.720 --> 00:19:14.880 Well, Birket Physical Therapy was started about ten years ago 306 00:19:15.400 --> 00:19:21.079 Cam Burkett. She started the clinic working in the female 307 00:19:21.240 --> 00:19:28.279 pelvit health arena and including you know, helping women with 308 00:19:28.440 --> 00:19:33.559 incontinent issues and then pre and postpartum issues, and they 309 00:19:33.599 --> 00:19:37.000 started working with men who'd had have some pelvic floor 310 00:19:38.559 --> 00:19:42.839 challenges as well. We do some orthopedics. We work with 311 00:19:43.079 --> 00:19:47.799 women who have had breast cancer and her challenged with 312 00:19:47.920 --> 00:19:49.000 lympedema issues. 313 00:19:49.519 --> 00:19:49.720 Wow. 314 00:19:50.000 --> 00:19:53.279 And then we also work in the vestibular arena. I'm 315 00:19:53.319 --> 00:19:56.039 a certified vestibular therapist and I work with people. 316 00:19:56.160 --> 00:20:01.640 Now wait, wait, wait, wait, vestibular the everyone's sitting wait 317 00:20:01.680 --> 00:20:02.000 a second. 318 00:20:02.079 --> 00:20:04.519 Vestibular. I can't even spell it. What is vestibular? 319 00:20:04.640 --> 00:20:08.480 So your vestibular system is part of your inner ear 320 00:20:08.680 --> 00:20:11.640 and it controls your balance. Right, So your balance is 321 00:20:11.759 --> 00:20:15.839 controlled by your vision, your inner ear, and the sensation 322 00:20:16.079 --> 00:20:17.599 or the appropriate reception in your. 323 00:20:17.599 --> 00:20:18.440 Feet mm hm. 324 00:20:18.640 --> 00:20:26.519 And so these how they your ability the world and 325 00:20:26.880 --> 00:20:27.519 stay upright? 326 00:20:28.279 --> 00:20:30.680 Well, that's all important. We don't want anybody to fall. 327 00:20:31.160 --> 00:20:35.920 So just to recap what what really was the start 328 00:20:35.960 --> 00:20:42.839 of this discussion was recent travel overseas and the travel 329 00:20:42.880 --> 00:20:50.079 through the airport I found was really excessive this this 330 00:20:50.279 --> 00:20:52.599 trip and my wife and I have traveled all over, 331 00:20:52.720 --> 00:20:55.039 but for both of us to look at each other. 332 00:20:55.000 --> 00:20:57.759 And say, what the heck is going on here with 333 00:20:57.839 --> 00:20:58.720 the airport travel. 334 00:20:59.279 --> 00:21:04.200 So we flew's from Houston to Chicago O'Hare and then 335 00:21:04.279 --> 00:21:06.880 we had to switch terminals. Now I don't know if 336 00:21:06.880 --> 00:21:09.319 it was the E terminal, the F terminal, whatever it was, 337 00:21:09.440 --> 00:21:13.799 but the international terminal. We had to walk from where 338 00:21:13.920 --> 00:21:17.279 we were and we were trying to be smart about it, 339 00:21:17.400 --> 00:21:21.720 and we carried on our luggage, so we had probably 340 00:21:22.000 --> 00:21:26.480 thirty five pound bag wheelie bags with a carry on 341 00:21:27.480 --> 00:21:30.359 walking the length of o haare Then they tell us 342 00:21:30.440 --> 00:21:35.240 we have to go down a flight of stairs, no elevator, 343 00:21:35.400 --> 00:21:40.759 no escalator, carrying this bag down a flight of stairs, 344 00:21:41.160 --> 00:21:44.119 to then walk out further onto a bus, get it 345 00:21:44.200 --> 00:21:48.559 onto the bus, and then only to have to carry 346 00:21:48.599 --> 00:21:54.359 it further to get to the gate. And even for 347 00:21:54.559 --> 00:21:58.119 someone that I would think is in pretty good shape, 348 00:21:58.319 --> 00:22:00.880 this was pretty demanding. 349 00:22:01.039 --> 00:22:04.079 Now on the way home, it was no better. 350 00:22:04.200 --> 00:22:10.319 Walking from the airport in Boston. It was about two 351 00:22:10.799 --> 00:22:13.640 and a half to three miles of walking through the 352 00:22:13.759 --> 00:22:18.960 terminal to get to our car at the end of 353 00:22:19.119 --> 00:22:22.440 the day. So, Allison, this is certainly a bit of 354 00:22:22.480 --> 00:22:24.440 a stress test. I'm sure that many people you work 355 00:22:24.480 --> 00:22:27.559 with that don't work walk more than a quarter of 356 00:22:27.599 --> 00:22:30.400 a mile a day. What are your thoughts on the 357 00:22:30.759 --> 00:22:34.599 dream of travel but having to get through the stress 358 00:22:34.640 --> 00:22:37.079 test of these big airports we all go to. 359 00:22:38.680 --> 00:22:41.599 I mean it's hard, right. You look at that and 360 00:22:41.720 --> 00:22:45.799 you go, who can do these things right at this 361 00:22:46.559 --> 00:22:50.559 time in our lives, especially someone who has retired and 362 00:22:50.720 --> 00:22:54.319 is ready to get up and go, And they realize, Man, 363 00:22:54.400 --> 00:22:56.039 I don't know how that get up and go anymore. 364 00:22:57.680 --> 00:23:02.960 And you know airports. Airports are enormous, and then you 365 00:23:03.119 --> 00:23:07.400 also are dealing with all the people. And in the 366 00:23:07.559 --> 00:23:11.759 United States, I can say airports have the walking sidewalks, 367 00:23:11.799 --> 00:23:15.680 and they have the little shuttle lands, and they have 368 00:23:16.079 --> 00:23:18.240 people who can, you know, get to a wheelchair and 369 00:23:18.319 --> 00:23:20.680 push you back and forth to the gate. But you know, 370 00:23:20.799 --> 00:23:23.359 if you're going to go travel abroad or travel across 371 00:23:23.400 --> 00:23:24.880 the country, you don't want to have to deal with 372 00:23:24.960 --> 00:23:30.160 that stuff. So you've got to know in advance of 373 00:23:30.240 --> 00:23:32.400 your trip that you can handle just getting through the 374 00:23:32.480 --> 00:23:36.960 airport before you can even dream of handling your vacation 375 00:23:37.440 --> 00:23:39.839 exactly now. And that takes a big. 376 00:23:39.759 --> 00:23:42.640 Toll on people, No, it does, and I and and 377 00:23:42.759 --> 00:23:46.400 I would also say the added sort of wild card 378 00:23:46.480 --> 00:23:49.079 here is you're under stress. 379 00:23:49.480 --> 00:23:50.279 You're rushing. 380 00:23:50.440 --> 00:23:53.400 It's not so much, Hey, take a very casual walk 381 00:23:53.480 --> 00:23:56.319 out to the mailbox and back, or walk your dog, 382 00:23:56.559 --> 00:23:59.519 and you know you're getting some exercise. It is now 383 00:23:59.720 --> 00:24:03.599 your late there is pressure. People are pushing you. It's loud, 384 00:24:04.559 --> 00:24:08.440 and I think that adds another really physiologic stress on 385 00:24:08.559 --> 00:24:11.160 your heart and your lungs and you know your muscles. 386 00:24:11.640 --> 00:24:15.880 Now for somebody that is going to be traveling that 387 00:24:16.119 --> 00:24:21.599 may have back or knee or hip trouble. What advice 388 00:24:21.920 --> 00:24:25.359 might you have? And the next the next segment, we're 389 00:24:25.400 --> 00:24:27.880 going to talk more about sort of prevention, but what 390 00:24:28.160 --> 00:24:31.559 what strategy that they need to have if they are 391 00:24:31.680 --> 00:24:35.240 going to travel and have to deal with stairs and 392 00:24:36.079 --> 00:24:39.799 walking up hills and long airport runs. 393 00:24:42.200 --> 00:24:45.079 Well, I mean, first you've got to exercise, and you've 394 00:24:45.119 --> 00:24:47.200 got to get yourself in a place where you are 395 00:24:47.319 --> 00:24:51.480 as painfree as possible, right, you know, so that you 396 00:24:51.559 --> 00:24:57.200 can tolerate climbing the stairs and running down the terminal. 397 00:24:57.319 --> 00:24:59.599 We've all had to do that. You know, our flights 398 00:24:59.599 --> 00:25:01.839 are late and we have to run, and you know, 399 00:25:02.480 --> 00:25:05.240 you've got your furniture, your furniture, you've got your luggage 400 00:25:05.319 --> 00:25:08.680 and family members and you might have kids, your grandkids, 401 00:25:08.759 --> 00:25:11.680