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Speaker 2: This is Your Health First, the most beneficial health program
Speaker 2: on radio with doctor Joe Balati. During the next hour,
Speaker 2: you'll learn about health, wellness, and the provention of disease.
Speaker 2: Now here's your host, doctor Joe Bellotti.
Speaker 4: Well, I hope you're all having a marvelous Sunday evening
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Speaker 4: All right, So on the program tonight, I had been
Speaker 4: overseas on vacation for a couple of weeks.
Speaker 1: My wife and I.
Speaker 4: We went to Austria and Switzerland and marvelous vacation. But
Speaker 4: there was a very very important issue that I not
Speaker 4: that I learned because I was always aware of this
Speaker 4: and my wife has always been in a loving way
Speaker 4: harping on this to say that to travel nowadays, you
Speaker 4: have to be in pretty good darn shape. It seems
Speaker 4: as if the airports are getting bigger and longer, and man,
Speaker 4: you got to really be in good shape. And so
Speaker 4: to talk about this, we're going to spend a good
Speaker 4: part of the program tonight. We have a physical therapist
Speaker 4: that's going to be coming on Alison to hang and
Speaker 4: we're going to talk about the state of the human
Speaker 4: We're going to talk about issues that are going to
Speaker 4: make your vacation less than a vacation, and of course,
Speaker 4: strategies to make you perform better or you know what
Speaker 4: you need to think about. Because all of my patients
Speaker 4: we talk and we get to know them, and some
Speaker 4: of them are coming up to retirement age and they're like, yep,
Speaker 4: I when I retire, I am going to travel. But
Speaker 4: they're not thinking that they are overweight, have diabetes, and
Speaker 4: they have heart disease. And here you are a sixty
Speaker 4: five year old man or woman lugging a twenty pound
Speaker 4: carry on schlepping through airports around the world or locally.
Speaker 4: You don't have to go to the other side of
Speaker 4: the world, but it puts into perspective that you have
Speaker 4: to be in pretty good shape to travel nowadays. So
Speaker 4: we're going to we're going to get to get to
Speaker 4: that shortly. The other thing I want to talk about
Speaker 4: here just for a few minutes, And as many of
Speaker 4: you know, I am a hepatologist.
Speaker 1: I take care of people with liver disease.
Speaker 4: And one of the conditions is alcohol related liver disease.
Speaker 4: And yesterday I participated in a really marvelous conference that
Speaker 4: one of my colleagues put on at Euston Methodist Hospital,
Speaker 4: and we'll be talking about that more in the weeks
Speaker 4: to come about alcohol, not so much alcoholism, but alcohol
Speaker 4: related liver disease. And a couple of things have changed
Speaker 4: in the world of alcohol. We no longer call it
Speaker 4: alcoholic livid disease. We call it alcohol related liver disease.
Speaker 4: Because when you say you've got alcoholic liver disease, that
Speaker 4: word alcoholic carries a bad connotation and really doesn't make
Speaker 4: people feel comfortable. So we've shifted in some of the
Speaker 4: terminology to say alcohol related hepatitis, alcohol related liver disease,
Speaker 4: and the main thing at this conference there were some
Speaker 4: marvelous national and international experts talking and there are many
Speaker 4: many new therapies that we have in the realm of
Speaker 4: alcohol related liver disease. But the key thing is timing.
Speaker 4: These medications and therapies work far better when we get
Speaker 4: these patients under our watchful eye, typically in the ICU,
Speaker 4: on a timely basis. But what we see all of
Speaker 4: us in liver disease, we see patients literally sitting in
Speaker 4: ICUs or hospital beds, not getting the care they need
Speaker 4: because many in healthcare and this is a sad thing,
Speaker 4: but it is true they feel as if the person
Speaker 4: that has alcohol related liver disease code name, you're an alcoholic.
Speaker 4: This is a self induced problem, and so we're going
Speaker 4: to punish you and not give you opportunities to get
Speaker 4: the care you need. So this is where families, relatives
Speaker 4: need to advocate for these patients. And so the message
Speaker 4: tonight before we take this break, if you have a
Speaker 4: loved one with alcohol related livid disease and they're not
Speaker 4: getting the attention they need, reach out to me. Well,
Speaker 4: no matter where you are we will get you situated
Speaker 4: at a center that is a bit more progressive. All right,
Speaker 4: we're going to take a quick break on doctor Joe Galotti.
Speaker 4: Doctor Joeglotti dot com is our website. Stay tuned, we'll
Speaker 4: bright back. Welcome back everybody, Doctor Joe Galotti.
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Speaker 4: That is our goal, our goal, all right, As I
Speaker 4: was saying earlier my wife and I were traveling through
Speaker 4: Austria and Switzerland. And you know I've said before, and
Speaker 4: I wrote an article about this in the newsletter.
Speaker 1: A couple of weeks ago.
Speaker 4: We will always take what I would say is an
Speaker 4: active vacation. We're not really sitting by a pool or
Speaker 4: a beach. We are out hiking and exploring and doing
Speaker 4: all kinds of active stuff. But you have to be
Speaker 4: in pretty good shape to do this, and what that
Speaker 4: means means a lot of different things to different people.
Speaker 4: And so tonight we have Alison Tahang.
Speaker 1: She is a physical.
Speaker 4: Therapist with Burcutt Physical Therapy here in Houston, Texas, and
Speaker 4: we're going to have Allison shed a little light and
Speaker 4: reality on all this. So Alison, thanks for coming on
Speaker 4: tonight and being part of the program.
Speaker 3: Thanks for having me, doctor Glotti. I'm happy to be here.
Speaker 4: Well, we should say that you were sitting quietly in
Speaker 4: the studio Free Week a few weeks ago when your
Speaker 4: son Jack was here as a guest budding future medical student.
Speaker 4: I hope, and so I think when we left, I
Speaker 4: said we got to get you on, Allison.
Speaker 1: So here you are a few weeks later.
Speaker 3: Yeah, here I am. It's fun to be on the
Speaker 3: other side of this and get to share a little
Speaker 3: bit about what I do in my perspectives on travel.
Speaker 4: Yeah, it really, it really is interesting. And as I
Speaker 4: was saying earlier, the night is for all this is.
Speaker 4: You know, we had a trip that we just finished
Speaker 4: the other day through Austria and Switzerland, and it was
Speaker 4: a very active vacation, a lot of touring around and
Speaker 4: going up cathedral steps and climbing up mountain sides, and
Speaker 4: it really takes a lot out of you. So from
Speaker 4: your perspective as a physical therapist, first of all, why
Speaker 4: don't you just spend moment explaining what a physical therapist is.
Speaker 1: Let's keep it real simple.
Speaker 3: What what is it?
Speaker 1: What is one?
Speaker 2: Wow?
Speaker 3: So as a physical therapist, it's it's my job to
Speaker 3: talk to my patients and find out what their impairments are,
Speaker 3: what they are not able to do physically, and then
Speaker 3: figure out ways to help them recover from those impairments
Speaker 3: and get back to doing what it is that they
Speaker 3: want to do.
Speaker 1: Right now.
Speaker 4: I would say that most physical therapy clinics or facilities,
Speaker 4: they may specialize in different types of injuries, different types
Speaker 4: of patients. But at the thirty thousand foot view and
Speaker 4: the years that you've been a physical therapist, is it
Speaker 4: possible to declare what the state of witnesses with the
Speaker 4: adult population here in the United States? And again, you're
Speaker 4: seeing a slightly jaded population in that they're.
Speaker 1: Coming to you.
Speaker 4: They may have had some sort of surgery, they had
Speaker 4: a chronic illness about infection, a stroke, et cetera. But
Speaker 4: by and large, what are you seeing as far as
Speaker 4: the state of the physical fitness of the patients you're
Speaker 4: working with.
Speaker 3: Well, I think the typical American is probably in denial
Speaker 3: about the actual physical shape they are in. You knows,
Speaker 3: as we work, and we work and we work, we
Speaker 3: become more sedentary, and we come for a really long time,
Speaker 3: and then we dream of these vacations or even if
Speaker 3: it's just a trip, you know, one hundred miles down
Speaker 3: the road Disney family. We dream of these.
Speaker 5: Events, and then when we get out there, we go, oh,
Speaker 5: my gosh, I'm in a different environment. They're the streets
Speaker 5: are uneven, they've got stairs, they've got steps, the curbs
Speaker 5: or even different heights than what I'm used to at home, right,
Speaker 5: and things just get hard, and I think we don't
Speaker 5: we envision ourselves or my patients envisioning themselves is being
Speaker 5: able to do everything they've always been able to do, right.
Speaker 5: And so there's there's a level of denial about our
Speaker 5: physical fitness states, right because you know, for the most part,
Speaker 5: we don't put ourselves out there.
Speaker 1: No, we really we you know, we don't.
Speaker 4: And as I've said so many times before, patients when
Speaker 4: we're having a conversation about their illness or we're talking
Speaker 4: about the plan of care we have for them or
Speaker 4: their future aspirations, I would say almost everybody that is
Speaker 4: in and around that retirement age now it may be
Speaker 4: fifty five, it may be seventy. One of the things
Speaker 4: they will always say is we want to travel. You know,
Speaker 4: some will throw in I want to go fishing, I
Speaker 4: want to do more hunting, you know, all kinds of things.
Speaker 4: I just want to sit home and watercolor whatever you
Speaker 4: want to do. But I'd say at least fifty percent
Speaker 4: of the patients say they want to travel, and you
Speaker 4: look at them to say, man, you have poorly controlled diabetes,
Speaker 4: you're overweight, you have some underlying heart disease. Traveling is
Speaker 4: going to be tough. Now, my travel or your travel, Allison,
Speaker 4: may not be the same as theirs that they want
Speaker 4: a more pedestrian type of travel, but even traveling through
Speaker 4: the airport is a bear, and that that really is
Speaker 4: what sort of you know, triggered me to think about this.
Speaker 4: So is it fair without throwing the entire population under
Speaker 4: the bus here? And that's not my goal or to
Speaker 4: belittle anybody. Can you say that the patients you're seeing
Speaker 4: may be more chronically ill today than fifteen twenty years ago. Y, Absolutely,
Speaker 4: most people do have a chronic illness or.
Speaker 3: I hate to say, a burgeoning chronic illness, that something
Speaker 3: that might be coming along that they're not aware of.
Speaker 3: And then they try to travel and man, they're short
Speaker 3: of breath or they've got to drag a suitcase with
Speaker 3: them and they have a backpack or a handbag and
Speaker 3: a jacket and just juggling those items becomes really difficult.
Speaker 3: And then you're jostled around by all of the crowds,
Speaker 3: right the airport agents are yelling at you to get
Speaker 3: on the plane. You know, even walking down the air
Speaker 3: the line, the aisle, right, the aisle of an airplane
Speaker 3: can be a challenge when you're you're finagling all of
Speaker 3: your equipment.
Speaker 4: Right, and you know people don't you know, we could
Speaker 4: talk a little later about you know, what fitness means
Speaker 4: with agility and balance and things like that. But you know, nowadays,
Speaker 4: you know, like you said, walking from the back of
Speaker 4: the plane to the front to use the lavatory bathroom,
Speaker 4: whatever you want to call it, it's it's not easy
Speaker 4: and you need and you need that balance and sort
Speaker 4: of agility.
Speaker 3: M That's true even in a in an environment where
Speaker 3: it's dark outside or it's poorly lit. And if you
Speaker 3: have balance challenges, right, you're you're going to be at
Speaker 3: a disadvantage. Yeah, no it it probably don't even realize
Speaker 3: it or there Yeah, you get into that spot.
Speaker 4: And the other The other real point here in the
Speaker 4: message for everybody listening tonight is that it is so important.
Speaker 1: If you are forty, forty five, fifty, and.
Speaker 4: You have these aspirations of you know, working till you're
Speaker 4: sixty or sixty five or seventy, you have to start
Speaker 4: investing in your health now, not only so that you
Speaker 4: can avoid all these chronic diseases, but you have in
Speaker 4: a sense the freedom to do what you want when
Speaker 4: it is time to throw it all in.
Speaker 1: And just go and have fun. What's your thought on that?
Speaker 3: Oh? I think you know, if your goal is to travel,
Speaker 3: then you've got to be in top shape. Now you've
Speaker 3: got to get started, and you're not even get started.
Speaker 3: You need to continue being in good shape in your
Speaker 3: forties and fifties and keep working on that throughout your
Speaker 3: sixties and seventies, right that you're able to do those
Speaker 3: things that you dream of. Exactly, A lot of people
Speaker 3: find it's too late to build up that endurance to
Speaker 3: have the stamina, the reserves that's required just to walk
Speaker 3: through the airport right much less you know, figuring out
Speaker 3: a train.
Speaker 1: Station right right.
Speaker 4: No, No, it's so true, and you know, to me,
Speaker 4: it is just so sad that people work their entire
Speaker 4: life and then they can't really enjoy the fruit of
Speaker 4: all their labor. Okay, Allison, we are going to take
Speaker 4: a quick break news, weather, traffic. I guess we'll hear
Speaker 4: about the astros as well. We're going to take a
Speaker 4: break right now. I'm doctor Joe Galotti. Don't forget doctor
Speaker 4: Joegalotti dot com.
Speaker 1: We'll be right back.
Speaker 4: Welcome back, everybody, doctor Joe Galotti. So glad you're able
Speaker 4: to join us tonight on your Hell first every Sunday
Speaker 4: between seven and eight pm. And on the line tonight
Speaker 4: is Allison Tahang. She is a physical therapist with bur
Speaker 4: Cut Physical Therapy here in Houston, Texas.
Speaker 1: You know, Alison.
Speaker 4: The name of that song is pretty Woman Walking. Well,
Speaker 4: it's pretty woman and the line is walking down the
Speaker 4: street with a walker or cane. Hopefully that's not what
Speaker 4: we see too much. I got you there.
Speaker 3: We see it all the time, I know.
Speaker 4: So tell tell everybody a little bit about burke Cut
Speaker 4: Physical Therapy.
Speaker 1: What kind of work you will do there?
Speaker 2: Okay?
Speaker 3: Well, Birket Physical Therapy was started about ten years ago
Speaker 3: Cam Burkett. She started the clinic working in the female
Speaker 3: pelvit health arena and including you know, helping women with
Speaker 3: incontinent issues and then pre and postpartum issues, and they
Speaker 3: started working with men who'd had have some pelvic floor
Speaker 3: challenges as well. We do some orthopedics. We work with
Speaker 3: women who have had breast cancer and her challenged with
Speaker 3: lympedema issues.
Speaker 1: Wow.
Speaker 3: And then we also work in the vestibular arena. I'm
Speaker 3: a certified vestibular therapist and I work with people.
Speaker 4: Now wait, wait, wait, wait, vestibular the everyone's sitting wait
Speaker 4: a second.
Speaker 1: Vestibular. I can't even spell it. What is vestibular?
Speaker 3: So your vestibular system is part of your inner ear
Speaker 3: and it controls your balance. Right, So your balance is
Speaker 3: controlled by your vision, your inner ear, and the sensation
Speaker 3: or the appropriate reception in your.
Speaker 4: Feet mm hm.
Speaker 3: And so these how they your ability the world and
Speaker 3: stay upright?
Speaker 1: Well, that's all important. We don't want anybody to fall.
Speaker 4: So just to recap what what really was the start
Speaker 4: of this discussion was recent travel overseas and the travel
Speaker 4: through the airport I found was really excessive this this
Speaker 4: trip and my wife and I have traveled all over,
Speaker 4: but for both of us to look at each other.
Speaker 1: And say, what the heck is going on here with
Speaker 1: the airport travel.
Speaker 4: So we flew's from Houston to Chicago O'Hare and then
Speaker 4: we had to switch terminals. Now I don't know if
Speaker 4: it was the E terminal, the F terminal, whatever it was,
Speaker 4: but the international terminal. We had to walk from where
Speaker 4: we were and we were trying to be smart about it,
Speaker 4: and we carried on our luggage, so we had probably
Speaker 4: thirty five pound bag wheelie bags with a carry on
Speaker 4: walking the length of o haare Then they tell us
Speaker 4: we have to go down a flight of stairs, no elevator,
Speaker 4: no escalator, carrying this bag down a flight of stairs,
Speaker 4: to then walk out further onto a bus, get it
Speaker 4: onto the bus, and then only to have to carry
Speaker 4: it further to get to the gate. And even for
Speaker 4: someone that I would think is in pretty good shape,
Speaker 4: this was pretty demanding.
Speaker 1: Now on the way home, it was no better.
Speaker 4: Walking from the airport in Boston. It was about two
Speaker 4: and a half to three miles of walking through the
Speaker 4: terminal to get to our car at the end of
Speaker 4: the day. So, Allison, this is certainly a bit of
Speaker 4: a stress test. I'm sure that many people you work
Speaker 4: with that don't work walk more than a quarter of
Speaker 4: a mile a day. What are your thoughts on the
Speaker 4: dream of travel but having to get through the stress
Speaker 4: test of these big airports we all go to.
Speaker 3: I mean it's hard, right. You look at that and
Speaker 3: you go, who can do these things right at this
Speaker 3: time in our lives, especially someone who has retired and
Speaker 3: is ready to get up and go, And they realize, Man,
Speaker 3: I don't know how that get up and go anymore.
Speaker 3: And you know airports. Airports are enormous, and then you
Speaker 3: also are dealing with all the people. And in the
Speaker 3: United States, I can say airports have the walking sidewalks,
Speaker 3: and they have the little shuttle lands, and they have
Speaker 3: people who can, you know, get to a wheelchair and
Speaker 3: push you back and forth to the gate. But you know,
Speaker 3: if you're going to go travel abroad or travel across
Speaker 3: the country, you don't want to have to deal with
Speaker 3: that stuff. So you've got to know in advance of
Speaker 3: your trip that you can handle just getting through the
Speaker 3: airport before you can even dream of handling your vacation
Speaker 3: exactly now. And that takes a big.
Speaker 4: Toll on people, No, it does, and I and and
Speaker 4: I would also say the added sort of wild card
Speaker 4: here is you're under stress.
Speaker 1: You're rushing.
Speaker 4: It's not so much, Hey, take a very casual walk
Speaker 4: out to the mailbox and back, or walk your dog,
Speaker 4: and you know you're getting some exercise. It is now
Speaker 4: your late there is pressure. People are pushing you. It's loud,
Speaker 4: and I think that adds another really physiologic stress on
Speaker 4: your heart and your lungs and you know your muscles.
Speaker 4: Now for somebody that is going to be traveling that
Speaker 4: may have back or knee or hip trouble. What advice
Speaker 4: might you have? And the next the next segment, we're
Speaker 4: going to talk more about sort of prevention, but what
Speaker 4: what strategy that they need to have if they are
Speaker 4: going to travel and have to deal with stairs and
Speaker 4: walking up hills and long airport runs.
Speaker 3: Well, I mean, first you've got to exercise, and you've
Speaker 3: got to get yourself in a place where you are
Speaker 3: as painfree as possible, right, you know, so that you
Speaker 3: can tolerate climbing the stairs and running down the terminal.
Speaker 3: We've all had to do that. You know, our flights
Speaker 3: are late and we have to run, and you know,
Speaker 3: you've got your furniture, your furniture, you've got your luggage
Speaker 3: and family members and you might have kids, your grandkids,
Speaker 3: and it's a huge cognitive stress on you as well
Speaker 3: about your galatia. And I think that's something we haven't
Speaker 3: even mentioned, is the physical stress, but also the cognitive stress.
Speaker 3: You know, you're you're in your seventies and you're retired,
Speaker 3: and you know your brain's not working quite as fast
Speaker 3: as it used to. Those neurons aren't firing, not at all.
Speaker 3: You throw all that stress into the bucket and you
Speaker 3: could set yourself up or just a big oops.
Speaker 4: Yeah, no, of course, no, no, exactly before we take
Speaker 4: the break here, Alison, in the clients that you're working with,
Speaker 4: that you are in that active face of rehab, does
Speaker 4: anybody tell you or ask, Look, we are going on
Speaker 4: a cruise, we are going to a national park. Am
Speaker 4: I fit to do this? Does that conversation ever come
Speaker 4: up in the process of being rehabbed?
Speaker 3: Sure? That's what it's the most fun as a physical therapist.
Speaker 3: If I have a specific goal that a patient wants
Speaker 3: to prepare for, I can tailor my treatment to address those.
Speaker 3: So I might be able to use a rocker board
Speaker 3: if someone's going to be on a cruise ship and
Speaker 3: they can stand on it and rock back and forth
Speaker 3: and work on their balance, or we can work on
Speaker 3: stairs from time to time. But that's what makes being
Speaker 3: a physical therapist fun.
Speaker 4: Is preparing people for those absolutely. Sure, yeah, no, I
Speaker 4: think that would be very rewarding. All right, Alison, one
Speaker 4: final break coming up here. We're going to be getting
Speaker 4: into a little bit more prevention and how you all
Speaker 4: need to look at yourselves from a physical, physical therapy standpoint.
Speaker 4: I'm dot to Joe Glotti Your health First.
Speaker 1: Stay tuned back in a minute.
Speaker 4: Welcome back, everybody, final segment of this.
Speaker 1: Weeks Your hell First.
Speaker 4: Don't forget We're here every Sunday between seven and APM.
Speaker 4: You could always go to our website doctor Joegalotti dot
Speaker 4: com if you miss an episode.
Speaker 1: The podcasts are there.
Speaker 4: For replay at doctor Joegalotti dot com.
Speaker 1: I do want to say one thing.
Speaker 4: This show is constantly fact checked, and my wife sent
Speaker 4: me a message to say, what are.
Speaker 1: You talking about?
Speaker 4: Carry ons are thirty five pounds? She said they're generally
Speaker 4: fifteen to twenty five pounds. So I correct that, even
Speaker 4: though I feel like I'm carrying a thirty five to
Speaker 4: forty pound carry on. And we're on with Alison to
Speaker 4: hang with Burhut Physical Therapy. Alison, are you a heavy
Speaker 4: packer or a light packer or do you check your
Speaker 4: bag every time?
Speaker 3: I am a heavy packer and I do both. Sometimes
Speaker 3: I carry on and sometimes I check.
Speaker 1: Well.
Speaker 4: On this trip, my wife and I thought we were
Speaker 4: not so much being bright about it, but on the
Speaker 4: first leg from Houston to Austria, we had our you know,
Speaker 4: we carried on our bags, one sort of medium sized
Speaker 4: bag we put in the overhead. On the way home,
Speaker 4: we checked the bag because we knew what a hassle
Speaker 4: it was lugging this thing through the airport. We knew
Speaker 4: there was going to be a connection, and so we
Speaker 4: just we just modified that. So in the in the
Speaker 4: final few moments here, Allison, you know, my thoughts are
Speaker 4: for everybody listening, what can we do to be proactive?
Speaker 4: And really the name of the game with everything health
Speaker 4: and wellness related it is being proactive. So I look
Speaker 4: at this as whether you are taking a trip to Disney,
Speaker 4: which requires a heck of a lot of walking, going
Speaker 4: to Europe or other parts of the world, you're taking
Speaker 4: a cruise, you're going camping, strategies for stamina, strategies for strength,
Speaker 4: and what would you say is a relatively simple way
Speaker 4: anybody tonight listening could do some sort of a self
Speaker 4: assessment to you know, identify you know, problems that could
Speaker 4: be unmasked when they go travel.
Speaker 3: Sure, well, you know we say it all day long
Speaker 3: at our clinic. Is it exercise is your medicine?
Speaker 1: Right?
Speaker 3: Exercise can cure so many things and make so many
Speaker 3: things better, And so I can't stress that enough. You know,
Speaker 3: you've got to put yourself in good shape in order
Speaker 3: to enjoy and experience the life that you want to have. Right,
Speaker 3: a good test to see how you're doing the easiest one.
Speaker 3: Can you get up from the floor? Can you get
Speaker 3: up from the floor without using your hands? Can you
Speaker 3: get up from the floor using your hands or do
Speaker 3: you require furniture? Do you need to be able to
Speaker 3: get yourself to a chair to help you stand up
Speaker 3: from the floor. That that is a huge test of strength,
Speaker 3: range of motion, balance, everything that you need in order
Speaker 3: to address the day to day challenges of travel. You
Speaker 3: know you need to be able to climb stairs. Sure,
Speaker 3: you need to be able to climb stairs that might
Speaker 3: not be the same height or depth, that might have
Speaker 3: a railing, that might not have a railing. Those can
Speaker 3: throw some some wrenches in your plan. If you want
Speaker 3: to go up and see, you know, whatever it is
Speaker 3: up at the top of the stairs, you've got to
Speaker 3: be able to get there exactly. Can you reach overhead
Speaker 3: and maybe not just reach a head? Can you lift
Speaker 3: something over your head so it is your carry on
Speaker 3: and you need to get that up in the bend
Speaker 3: above your seat. Can you lift something over your head
Speaker 3: and not lose your balance. The last thing you want
Speaker 3: to do is lift up your suitcase and have it
Speaker 3: fall on somebody else. So you need to be able
Speaker 3: to do those sorts of things. As a balanced therapist,
Speaker 3: I'm going to add in, you need to be able
Speaker 3: to do all of those things in the dark or
Speaker 3: in poorly lit areas. We use, we use our vision,
Speaker 3: We use our eyes a lot for helping us maintain
Speaker 3: our balance. And the world, you know, the light changes.
Speaker 3: You're going from a bright indoors to a dark outdoors
Speaker 3: or the other way around, and you're you've got to
Speaker 3: adapt your vision quickly, and just.
Speaker 1: That can throw off your balance right exactly, So.
Speaker 3: Yeah, you need to be able to do these functional tasks.
Speaker 3: Walking is super important, and you know, exercise is not
Speaker 3: hard to come by. You can walk in place in
Speaker 3: your house, you can walk up and down steps, you
Speaker 3: can walk around the neighborhood. There are hundreds of free
Speaker 3: exercise classes online exactly. The YMCAs have their Silver Sneakers
Speaker 3: program which are fantastic, and I think you know, some
Speaker 3: insurances even cover different exercise programs at different facilities. So
Speaker 3: not being able to exercise is a poor, poor, poor
Speaker 3: excuse exactly.
Speaker 4: Now, you know, I think stretching is underrated and underdone.
Speaker 4: Thoughts on that and even for preparation to say, yes,
Speaker 4: we are going on a cruise, a vacation, to Disney
Speaker 4: trip whatever in two to four weeks. In addition to
Speaker 4: you know, more walking, going upstairs, getting some strength, working
Speaker 4: on your nutrition, which is a whole other topic, what
Speaker 4: about stretching, because you know, the more limber you are,
Speaker 4: the more you'll be able to stretch and reach and
Speaker 4: move your your joints around.
Speaker 3: That's very true. Stretching always makes you feel better. It
Speaker 3: prepares you for the exercise or the activity at hand,
Speaker 3: and it helps you recur from whatever exercise that you did. Yeah,
Speaker 3: if you don't have the ability or the range of
Speaker 3: motion in your ankles, your knees, your hips, your shoulders
Speaker 3: that you used to have, you're going to be limited
Speaker 3: in the activities that you want to do.
Speaker 1: Right right now, you know, stretching feels good.
Speaker 3: It's a great way to calm down, calm your system,
Speaker 3: and recover from what you've just taken on the weekend
Speaker 3: warrior or whatever.
Speaker 4: And I would say throw in for extra credit a
Speaker 4: good deep muscle massage as well. Now, a lot of
Speaker 4: my patients when we bring up going on an extended trip,
Speaker 4: and I will not inhibit them from going, but I
Speaker 4: would just give them a little fair warning to say, buyer, beware,
Speaker 4: make sure you pay attention to steps and strength and
Speaker 4: all this other stuff. A lot of them will tell me, no, no, no,
Speaker 4: don't worry, doctor GILLOTTEI I got it covered. I have
Speaker 4: a personal trainer, and the trainer is working with me.
Speaker 4: To me, that's sort of a fifty to fifty crap
Speaker 4: shot that they really are properly working with them to
Speaker 4: prevent disease. You know, are people coming to you for
Speaker 4: proactive rehab? Do you always need a physician's prescription? What
Speaker 4: can you tell us in thirty seconds?
Speaker 3: So to see a physical therapist, you can have an
Speaker 3: evaluation without a physician's order. But in order for us
Speaker 3: to treat you, we do have to have a doctor
Speaker 3: sign off on our plan of care, which means we
Speaker 3: just send the doctor information and the doctor has to
Speaker 3: sign it and say go ahead and do that. I
Speaker 3: would love it in a dream world people could come
Speaker 3: to PT as a proactive resource exactly if we could
Speaker 3: say everybody needs to see a pt once a year
Speaker 3: for just to check in. Right, the world would be
Speaker 3: a healthier place.
Speaker 1: You know, And I think I think you know, go ahead, sorry,
Speaker 1: go ahead.
Speaker 3: I think personal trainers are great. There are really good
Speaker 3: ones out there, but there are some bad ones out
Speaker 3: there as well, and so you do need to be
Speaker 3: cautious and make sure that what they're telling you to
Speaker 3: do makes sense.
Speaker 4: Absolutely, all right, Alison to Hanging. It's always a pleasure
Speaker 4: chatting with you. You shed a lot of light and
Speaker 4: I think the most important thing everybody needs to check
Speaker 4: in on their physical state. You know, we worry about
Speaker 4: blood pressure and diabetes and weight and all that other stuff,
Speaker 4: but your physical wellness is very, very important. Alison. We
Speaker 4: will hear again from you soon, I hope.
Speaker 3: Thank you. I appreciate it.
Speaker 4: Alrighty Well, I think that about wraps it up for tonight.
Speaker 4: We covered physical therapy. We covered travel. We covered the
Speaker 4: potential pitfalls of traveling through these ginormous airports around the world.
Speaker 4: I think one of the worst is Frankfort. Frankfurt, Germany
Speaker 4: is a behemoth of an airport and.
Speaker 1: It could easily be two to three.
Speaker 4: Miles just going from one one gate or terminal to
Speaker 4: another and it is there.
Speaker 1: There is no help for you out there. You are
Speaker 1: on your own.
Speaker 4: And we also talked a little bit about alcol and
Speaker 4: alcohol related livid disease on how if you are dealing
Speaker 4: or you know somebody that's dealing with alcohol related liver disease,
Speaker 4: timing is of essence and you need to get that
Speaker 4: person to a credible liver unit somewhere in the country.
Speaker 4: Of course, we're very blessed here in Houston, Texas with
Speaker 4: our group at Houston Methodist Hospital. But you have to
Speaker 4: be your best advocate. That's something I tell everybody every
Speaker 4: single day. All right, So wrap it.
Speaker 1: Up for tonight.
Speaker 4: We will see you next Sunday evening at seven pm.
Speaker 4: And don't forget go to doctor Joegalotti dot com. Check
Speaker 4: out all we have there. Maybe pick up a copy
Speaker 4: of my book Eating Yourself Sick if you need a new.
Speaker 1: Book to read.
Speaker 4: All right, take care everybody, We'll see you next Sunday night.
Speaker 2: You've been listening to Your Health First with doctor Joe Glotti.
Speaker 2: For more information on this program or the content of
Speaker 2: this program, go to your Health First dot com.