Speaker 1: You are about to listen to the Doctor Dahlia show,
Speaker 1: Sasey stimulating talk radio, and now here's doctor Dahlia. Doctor
Speaker 1: doctor do me true, I'm supposed to do Hi.
Speaker 2: We are back on the Doctor Delia's show one eight
Speaker 2: seven seven Doctor Dolly one eight seven seven D O
Speaker 2: C D A L. I. So in my neck of
Speaker 2: the woods, it looks like we have a doctor accused
Speaker 2: of running a ninety five million dollar scheme to defraud Medicare.
Speaker 2: I think the cases of fraud are gonna just keep
Speaker 2: coming and keep I mean now that we have a
Speaker 2: task for us under jd Vance and doctor Oz who's
Speaker 2: the RFK junior, and under the Trump administration looking for this,
Speaker 2: I think we're gonna see a lot of these cases
Speaker 2: finally exposed.
Speaker 3: But this is an alleged case.
Speaker 2: Involving somebody I believe in my neck of the woods,
Speaker 2: a grand jury indicted doctor Stephen Dubin seventy four years
Speaker 2: old for allegedly billing for medically unnecessary amniotic wound alligraphs
Speaker 2: applied to elderly Medicare patients. This is according to the
Speaker 2: US Attorney's Office for Nevada. They say this has been
Speaker 2: reported by News Iree that this indictment exposes a scheme
Speaker 2: driven by greed, not medicine, as alleged, this provider exploited
Speaker 2: elderly patients by pushing costly and unnecessary medical procedures, then
Speaker 2: lied to Medicare to pocket millions of taxpayer dollars. That's
Speaker 2: according to Assistant Attorney General Colin M McDonald of the
Speaker 2: Justice Department's National Fund Endorsement Division. Prosecutors alleged doctor received
Speaker 2: other illegal kickbacks, bribes, and rebates from two different alligraph
Speaker 2: distributors while Medicare paid over fifty four million dollars. I'm
Speaker 2: blown away because by this, because as a physician who
Speaker 2: built Medicare, trying to get Medicare to pay me for
Speaker 2: just a simple visit of a patient I'm seeing for
Speaker 2: blood pressure or a simple urine test or a flu
Speaker 2: shot was like pulling teeth. Remember, I can only get
Speaker 2: twelve cents for a flu shot I gave with Medicare.
Speaker 2: And and I'm looking at these people. They figure out
Speaker 2: the vulnerabilities, and it's it's and and unfortunately, I'm just
Speaker 2: trying to give good care to a Medicare patient and
Speaker 2: I'm barely getting paid yet Yet uh, you know, these
Speaker 2: individuals are figuring out how to builk millions of dollars chows.
Speaker 2: The system is completely messed up. According to this article
Speaker 2: by News three, Dubin and other co conspirators applied the
Speaker 2: alligraphs to patients without regards to medical necessity. According to
Speaker 2: the allegations they use, they included applying them to infected wounds,
Speaker 2: wounds that were not responding to treatment, and in quantities
Speaker 2: that exceeded the size of wounds. So I believe they
Speaker 2: might have been able to bill per size of it.
Speaker 2: So if it was a if it was a procedure
Speaker 2: that let's say, only needed like a two by two,
Speaker 2: a two centimeter by two centimeter, or a five cent
Speaker 2: by five centimeter. Basically, an allograph is a tissue or
Speaker 2: a piece of an organ or a cell line that
Speaker 2: you can as opposed to like an autographed your own grafting.
Speaker 2: An allographed is from one person to another, and you
Speaker 2: could use it from a from a cadaver, you could
Speaker 2: use it from a human donor. But it's another tissue.
Speaker 2: It's a tissue from another body part from another individual
Speaker 2: that can be used to help you heal. So let's
Speaker 2: say somebody has severe burns and they've lost a lot
Speaker 2: of surface area of their skin. We may try to
Speaker 2: do an autographed and use some of your own, your
Speaker 2: own skin from your butt or another part of the
Speaker 2: body that didn't get hurt. But if you're injured and
Speaker 2: you're sick and you're not able to tolerate the procedure, or
Speaker 2: you have or poor skin, we're gonna want to use
Speaker 2: healthy skin from a donor. And so we use alligraphs
Speaker 2: for bones and skin ligaments and all.
Speaker 3: Sorts of different things. So it's a very very common process.
Speaker 2: It's just allegedly this doctor Duban and his co conspirators,
Speaker 2: you know, evaded the medical necessity. He took advantage from
Speaker 2: what we understand, and then they say that he funded
Speaker 2: a lavish lifestyle with multimillion dollar yachts for himself.
Speaker 4: Uh.
Speaker 2: And the indictment charges him with conspiracy to commit healthcare
Speaker 2: fraud and five counts of health care fraud. If convicted,
Speaker 2: he faces up to ten years of prison for each count.
Speaker 3: I was listening to J.
Speaker 2: D Vance today speak about the fraud. He said what
Speaker 2: surprised him was that many cases of fraud weren't even prosecuted.
Speaker 2: Cases that amounted to a million dollars where there were
Speaker 2: thresholds where the government said, we're not even going to
Speaker 2: pursue it. Now he has announced that they've identified two
Speaker 2: hundred thirty billion dollars in federal program fraud. They prevented
Speaker 2: fifty six billion dollars going out on improper payments. He
Speaker 2: is urging Congress to pass a new oversight legislation. He
Speaker 2: says some Democratic governors are working with him, but a
Speaker 2: big concern they have is when they do do snap
Speaker 2: benefits or Medicare and Medicaid benefits, that the states are
Speaker 2: not being transparent and if a state does not want
Speaker 2: to be trained, once the money goes to the state,
Speaker 2: the government doesn't get to see it or know what's
Speaker 2: going on, and so it could happen to like what
Speaker 2: we saw in Minnesota with the Somali fraud scheme that
Speaker 2: happened with some Somali residents and immigrants.
Speaker 3: So JD.
Speaker 2: Vans wants there to be laws saying if you're going
Speaker 2: to be getting government money, there has to be transparency
Speaker 2: on where the money goes. I'm surprised that there has
Speaker 2: to be a law for that that should already be commonplace.
Speaker 2: I mean, that's just it's you know, if you I
Speaker 2: don't run a nonprofit. If you run a nonprofit, if
Speaker 2: you get money into that nonprofit, you have to be
Speaker 2: very transparent or where the money goes. I think you
Speaker 2: could use up to thirty five percent for administrative costs
Speaker 2: for your phone billing, your electricity bill, and your rent
Speaker 2: and your salaries and stuff. But the rest of it,
Speaker 2: the sixty five percent, at least, you need to show,
Speaker 2: you know, where that's going to. There has to be transparency.
Speaker 2: And so this is a huge watershed moment in terms
Speaker 2: of fraud. I worry that after the Trump administration, if
Speaker 2: it's going to go back the other way. I mean,
Speaker 2: this gravy train has you know, really been so chaotic
Speaker 2: and allowed politicians and many people to take advantage. But
Speaker 2: you know, to you advance wants reforms, he does need
Speaker 2: a little bit more money, he says. Even though they're
Speaker 2: saving tax payer money, they're involving.
Speaker 3: So many task forces and so.
Speaker 2: Many government agencies that is involving resources, and they do
Speaker 2: need funds to continue to pursue this, which I completely understand.
Speaker 2: But like he said, he said, the federal government distributes
Speaker 2: money to states for the Supplemental Nutrition Assessors program SNAP,
Speaker 2: and the federal government has no visibility into who is
Speaker 2: ultimately getting those benefits.
Speaker 3: He said.
Speaker 2: If California provides those food stamp benefits to an illegal alien,
Speaker 2: to a violent criminal, the federal government has no visibility,
Speaker 2: and sometimes the states themselves have no visibility, he says.
Speaker 2: So we need to work with Congress, and we need
Speaker 2: some legislation that would actually force some data sharing between
Speaker 2: state governments and the federal governments.
Speaker 3: I agree with that. I think that is completely justifiable
Speaker 3: and valid.
Speaker 2: I don't know what the Democrats are gonna do, but
Speaker 2: they're better do something. One eight seven seven out DELI.
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Speaker 2: The back of Doctor Delia's show one eight seven seven
Speaker 2: Dot Dolly one eight seven seven d O C D
Speaker 2: A l I. Big thanks the Talk Media Network for
Speaker 2: making the show happen. Big thanks to Daniel, our producer,
Speaker 2: and big thanks.
Speaker 3: To y'all for tuning in. We really do appreciate it.
Speaker 2: Don't forget the follow us on Twitter or exit Doctor
Speaker 2: Dahlia Facebook, that Doctor Dahlia showing on YouTube, click like
Speaker 2: and subscribe. So, with the back and forth between biological
Speaker 2: men and women's sports, what a matchup like Clay Travis
Speaker 2: from OutKick had suggested, what a matchup of a boy
Speaker 2: team and a girl team?
Speaker 3: Put the discussion to rest.
Speaker 2: And he's not even asking for men's NBA to go
Speaker 2: up against the WNA or a college team like Duke
Speaker 2: to go up against the WNBA. Clay Travis is suggesting
Speaker 2: and has put ten million dollars on the line for
Speaker 2: the Las Vegas aces. We're pretty proud of good team
Speaker 2: out of my neck of the woods to play a
Speaker 2: high school boys team, and no matter who wins, we'll
Speaker 2: get the ten million.
Speaker 3: Either the WNBA team will.
Speaker 2: Get his ten million or the high school basketball team
Speaker 2: we'll get the ten million.
Speaker 3: Now, I know a lot of people thinking.
Speaker 2: Okay, well this is just Clay Travis's way of getting
Speaker 2: some attention and all that. But we keep going back
Speaker 2: and forth with what is legitimate in sports? What sidelines women?
Speaker 2: Are we hurting women's progress by forcing them to lose
Speaker 2: against a biological male and affecting their private spaces and privacy,
Speaker 2: which is something that women have long tried to fight for.
Speaker 2: Uh in sports? You know, there was it was it
Speaker 2: was all about women's It was fascinating how the Democrats
Speaker 2: were so in support of women's sports and women in
Speaker 2: safe spaces and all that. And then all of a sudden,
Speaker 2: now that the subject came up with biological males uh
Speaker 2: identified as women. Now the Democrats are split, going wait
Speaker 2: a second, Uh.
Speaker 3: Now, now they don't know what to support.
Speaker 2: And I'm frustrated that they're really starting to beat up
Speaker 2: our players about this. Okay, I I don't want our
Speaker 2: Olympic medalists, and our and our our Olympic athletes, and
Speaker 2: our w NBA players, and our football players and our
Speaker 2: basketball players and our high school player. I don't want
Speaker 2: individuals being consistently harassed by reporters to take a political side,
Speaker 2: and this is what we're seeing. Caitlin Clark was asked,
Speaker 2: Caitlin Clark the Indiana Fever, and I believe just lost
Speaker 2: to the I believe the Minnesota Lynks a few days bay.
Speaker 2: So what was she asked about the Save Women's Sports movement?
Speaker 2: And she was asked about the controversy because there's demonstrations
Speaker 2: going outside the Indiana Fever games. When her teammate Sophie
Speaker 2: Cunningham voice for support for protecting women's sports from biological
Speaker 2: males back in July. Rallies and support of Cunningham have
Speaker 2: followed the Fever to their last three games, and there's
Speaker 2: also been counter protests. Well, Caln Clark doesn't want to
Speaker 2: talk about that. They just lost the game, and so
Speaker 2: when she was asked by a reporter, she said, I
Speaker 2: think for us, it's not really a discussion we really
Speaker 2: have in our locker room. She says, I think it's
Speaker 2: for the leagues and the governing bodies to work with
Speaker 2: their athletes to find solutions. Our focus is on basketball,
Speaker 2: that's what we talk about and how we can get wins,
Speaker 2: and obviously we didn't do that tonight, so we need
Speaker 2: to find an area to improve in that way. I
Speaker 2: guess she was then hit with another follow up question
Speaker 2: and she said, I just answered for you. So these
Speaker 2: you know, making people pick a side, get political.
Speaker 3: It's really distracting. You want your athletes to focus on athletics.
Speaker 2: Just because the media and just because some politicians are
Speaker 2: all about politics doesn't mean the rest of us have to.
Speaker 3: Now I'm trying to warn medical students about this too.
Speaker 3: Don't let your patients distract you with politics.
Speaker 2: Your job is to take care of every patient, no
Speaker 2: matter their creed, their color, their race, their belief Don't
Speaker 2: be getting into these political discussions. If you like politics,
Speaker 2: that's something you want to do, that's one thing. But
Speaker 2: don't get distracted, don't get biased, don't get angry. Your
Speaker 2: job is to focus on the patient. These players' jobs
Speaker 2: are to focus on the sport.
Speaker 3: Well.
Speaker 2: So Klay Travis comes up with an idea where and
Speaker 2: I know some people think it's gimmicky, but this is interesting.
Speaker 2: I don't think it'll work, and I don't think the
Speaker 2: WNBA is gonna act on it, but it is interesting
Speaker 2: where you know, he gives a million dollars to whoever
Speaker 2: wins the game. WNBA or boys high school now like
Speaker 2: the Las Vegas Aces, I mean, their height can range
Speaker 2: anywhere from what five nine to six five one hundred
Speaker 2: seventy five pounds on average. Whereas you know a high
Speaker 2: school boys team, some of these boys don't reach their
Speaker 2: full height until they're eighteen nineteen, so you know, some
Speaker 2: of the boys could be shorter.
Speaker 3: Some of the boys might not be in the two
Speaker 3: hundred pound range, so.
Speaker 2: There could be a little bit more of a playing field.
Speaker 2: If you take a full grown woman on the WNBA
Speaker 2: and compete them in a pubert or male on a
Speaker 2: high school basketball team, and I'm assuming he's choosing varsity,
Speaker 2: so many of them have already gone through a good
Speaker 2: part of their puberty. Uh that you know, to to
Speaker 2: try to uh compare a male and female biologically in
Speaker 2: a game. I still think that if you put them
Speaker 2: up against a high school male team, I think the
Speaker 2: w NBA would win because they've been playing longer. They
Speaker 2: you know, they're they're they they there were seasoned, they
Speaker 2: have the experience, and so I think with with with
Speaker 2: the biological advantage that a high school male could have
Speaker 2: if again they haven't reached their full height or capabilities.
Speaker 2: That I mean, if you're trying to make a point
Speaker 2: the biological males without any restrictions can interfere with female sports,
Speaker 2: then you know, to kind of hinder the the or
Speaker 2: to you know, affect the sample size. I don't know
Speaker 2: if that would be the most equable I would I
Speaker 2: would like to see a w NBA against a college team.
Speaker 2: I think you would definitely see the differences and it
Speaker 2: would You'll be pretty apparent the w a A is
Speaker 2: not gonna go for this because uh and and interestingly, uh,
Speaker 2: they shouldn't. If I was advising the w NBA from
Speaker 2: a marketing standpoint, from my PR background, I would say
Speaker 2: not to because them losing to men would not be
Speaker 2: a good look. The w n B A is already
Speaker 2: struggling in terms of ticket sales, in terms of getting
Speaker 2: people interested because people really like watching male in sports.
Speaker 2: They've been struggling watching female in sports, and so some
Speaker 2: things that have they've tried to grasp onto is controversy
Speaker 2: is some notoriety of some of the players, some of
Speaker 2: the fights, the looks, trying to have attractive players. I
Speaker 2: mean they're there's there's they's they've been trying to find
Speaker 2: and they are. They're gaining especially and my next one,
Speaker 2: Las Vegas as is are pretty damn good.
Speaker 3: I mean, they're it's it's a fun game to watch.
Speaker 3: They're good.
Speaker 2: They play some damn good basketball women could play. But
Speaker 2: that will ruin it for people when they if they
Speaker 2: see them them, you know, not be able to you know,
Speaker 2: beat men.
Speaker 3: Uh uh. And and it's I I.
Speaker 2: Don't think I don't think it would help the w
Speaker 2: n b A. I think it would help the controversy.
Speaker 2: I think, you know, somebody has to understand. Somebody has
Speaker 2: to be really, really honest.
Speaker 3: I understand.
Speaker 2: I think it was the Minnesota Lynx coach that that
Speaker 2: wore a shirt saying, you know, like, uh uh, you
Speaker 2: know trans kids. I forget what her her shirt said that,
Speaker 2: you know, they should have access to sports. Any child
Speaker 2: should have access to sports, but the biological males should
Speaker 2: be playing with the biological males and the biological female
Speaker 2: should play with the biological females. You know, uh uh,
Speaker 2: it's it's and and the fact that we're having this
Speaker 2: conversation and eight to ninety percent of the country agrees
Speaker 2: with this, but it's being.
Speaker 3: Used as a distraction.
Speaker 2: This is so that people are not aware of the
Speaker 2: mess Biden did or other things going on. People are
Speaker 2: trying to use this as a distraction, and and I don't.
Speaker 3: Like that, especially when it comes to sports, and sports
Speaker 3: is supposed to be our escape.
Speaker 2: But seeing a biological high school male compete against a
Speaker 2: biological female, We've seen videos of what happens.
Speaker 3: These women are getting hurt. If you try to step.
Speaker 2: Up and use a female adult against a high school boy,
Speaker 2: that would be interesting to watch, But it's it's again,
Speaker 2: somebody with the experience could still out maneuver them, probably
Speaker 2: outshoot them now and and and then also will the
Speaker 2: boys be concerned about tackling Remember these boys might have
Speaker 2: never played against a female and having a female and
Speaker 2: they're afraid to accidentally touch something or I mean, if
Speaker 2: you watch the contact between these baseball play these basketball players,
Speaker 2: they contact.
Speaker 3: Each other a lot. They are all up in their business.
Speaker 2: And now they have a female with boobies, they're gonna
Speaker 2: act different, they're gonna play different, and so I don't
Speaker 2: think it would be a true test, But seeing a
Speaker 2: college team against a w NBA might be more of
Speaker 2: a true test.
Speaker 3: One eight to seven to seven Doctor Dollar, Doctor.
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Speaker 2: And we're back on the Doctor Dalis Show.
Speaker 3: Thank you all for tuning in.
Speaker 2: I thought Chipotle was going to be out of the
Speaker 2: news for a little bit, but they're back in the news.
Speaker 3: Poor Chipotle.
Speaker 2: I'm a big fan of Chipotle, but when we were
Speaker 2: talking about food borne illnesses, Chipotle seems to kind of
Speaker 2: keep getting you know, beat up on because they offer
Speaker 2: fresh ingredients. Well, whenever you offer fresh ingredients, you sometimes
Speaker 2: can have a higher risk of being at risk of
Speaker 2: you know, non preservatives.
Speaker 3: Fighting off some of these bacteria.
Speaker 2: And so Chipotle has had to pull teleipennos from its menus,
Speaker 2: and the US food chain said in a statement that
Speaker 2: they have proactively removed talapenos from their restaurants as public
Speaker 2: health officials are investigating ace source of a salmonella outbreak.
Speaker 2: The announcement came after Bloomberg News reporter that Chipotle had
Speaker 2: removed jalapenios from multiple stores of Minnesota. Apparently there's a
Speaker 2: salmonella outbreak in the state that has sickened over one
Speaker 2: hundred and ten people. They say Chipotle's move according to
Speaker 2: Huffington Post huff Post, they say Chipotle's move comes on
Speaker 2: the heels of two people in Michigan dying from the
Speaker 2: cyclo spora outbreak. Chipotle is not related as we know
Speaker 2: to the cyclospora outbreak, but being what happened with that
Speaker 2: and the recalls that have been done, including Taco Bell's lettuce,
Speaker 2: they're not taking any chance.
Speaker 3: Now. Salmonella is different from the parasite cyclo Spora.
Speaker 2: It's a bacteria. Many individuals will be able to self
Speaker 2: many salmonella infections may self limit, but sometimes you do
Speaker 2: need antibiotics.
Speaker 3: Chipotle said in a statement.
Speaker 2: We are aware that public health authorities are investigating the
Speaker 2: source of a salmonilla outbreak in the supply chain, impacting
Speaker 2: several food service retailers. We're cooperating with the public health
Speaker 2: authorities in their efforts. Out of an abundance of caution,
Speaker 2: we proactively remove jalapenos from our restaurants and replaced them
Speaker 2: with product from different growers. It does not mean Chipotle's
Speaker 2: jalapenos are the source of anything, but.
Speaker 3: They are playing it safe.
Speaker 2: The Cyclosporus cayatines ensis outbreak now has reached over twelve
Speaker 2: two hundred twenty five reported to the CDC. There are
Speaker 2: I believe twenty thousand now unreported or a nondocumented or
Speaker 2: confirmed cases, and the investigation by the FDA linked one
Speaker 2: of the outbreaks to Iceberg lettuce served at Taco Bell
Speaker 2: restaurants sourced from privately held Taylor Farms operations in central Mexico.
Speaker 2: Walmart and Cisco have joined Taco Bell in removing potentially
Speaker 2: affected lettuce.
Speaker 3: Also, I guess, the.
Speaker 2: Nation's largest food distributor has halted Mexican lettuce Percha. Cisco
Speaker 2: will stop buying Iceberg lettuce from Mexico as federal health
Speaker 2: officials are investigating this outbreak now. This has been reported
Speaker 2: by Fox Business. The announcer from Cisco's CEO, Kevin Hurricane,
Speaker 2: comes as the FDA and the centers of CDC investigate
Speaker 2: the outbreak after there have been two deaths reported in Michigan.
Speaker 2: Those individuals did have other medical conditions, but still because
Speaker 2: they had cyclospora. We cannot say cyclo spor is completely benign.
Speaker 2: It can cause hospitalizations as we have seen, and it
Speaker 2: can cause death. Now, the outbreak, as I said before,
Speaker 2: was linked to Iceberg lettuce sourced from Central Mexico through
Speaker 2: Taylor Farms to Mexico or Meco Taylor Farms. US businesses
Speaker 2: voluntarily were called certain Iceberg lettuce products sold under the
Speaker 2: Tailor Fresh Foods and market Side brands. The company has
Speaker 2: maintained that the FDA has still not identified a confirmed
Speaker 2: positive test for cyclo sport.
Speaker 3: Remember there was a false positive test, but out of.
Speaker 2: Precaution, they still allowed their distributors to initiate recalls. As
Speaker 2: you know, psychic sprisis is an intestinal illness, not a bacteria,
Speaker 2: but it's caused by the parasite sex Spora Caya tenensis
Speaker 2: and e. We can actually use an antibiotic such as backdrum.
Speaker 2: Even I believe xyrmyacin can be effective at preventing its
Speaker 2: replication and fullic acid metabolism. The sulfur works that way.
Speaker 2: The sulfa drug like bactrum ac courds to the CITC.
Speaker 2: The infection causes watery, often explosive diarrhea that could last
Speaker 2: for weeks or even months if untreated. Other centers include
Speaker 2: a dominal cramping, bloating, nausea, fatigue, and significant weight loss.
Speaker 2: You have some idiots on TikTok saying they want to lose.
Speaker 3: Weight and get it, get it on purpose. Please do
Speaker 3: not get this on purpose? All right? Not good? One
Speaker 3: eight seven seven Doc Dolly one eight seven seven d
Speaker 3: C D A l I. So this is a scary case.
Speaker 2: A Georgia woman is suing because she had an unnecessary
Speaker 2: hysterectomy after the lab fixed up her results and cancer misdiagnosis.
Speaker 2: She comes from Atlanta and she says there was a
Speaker 2: negligent handling of a tissue sample that led her to
Speaker 2: be misdiagnosed with aggressive form of uterine cancer. She underwent
Speaker 2: a full hysterectomy which she was forty three forced into
Speaker 2: premature menopause. Doctors removed her cervix uters Filippian tubes ovaries
Speaker 2: last year and it's against Kaiser Foundation Health Plan of Georgia,
Speaker 2: Kaiser Foundation Health Plan and Kaiser Permanente Insurance company. The
Speaker 2: lab technicians also being sued. The ones who handled Cassandra
Speaker 2: Barksdale's sample. She went to a doctor at a Kaiser
Speaker 2: Permanente Center of January twenty twenty five, had admirable uterine
Speaker 2: bleeding and uterine fibroids. The lawsuit says she was referred
Speaker 2: for a consultation, according to NBC News, and had an
Speaker 2: endometrial tissue biopsy on March twenty twenty five. The tissue
Speaker 2: was submitted to Quest Diagnostics for pathology. She was told
Speaker 2: on March seventeenth that she had a high grade aggressive
Speaker 2: endometrial uterine cancer. She had a CT scan, but the
Speaker 2: suit says there was no signs of cancer, so she
Speaker 2: was sent to a doctor at Northside Hospital, Atlanta, Barksdale.
Speaker 2: New doctor recommended in total hysterectomy, the removeover over. He's
Speaker 2: lifting her biopsies based on our previous imagine records and
Speaker 2: path reports, but testing the tissue after her surgery, which
Speaker 2: is what they do to see how you know, they'll
Speaker 2: take the uterus and the lining and they'll test it.
Speaker 2: There was no signs of cancer in the entire individual cavity,
Speaker 2: which means somebody screwed up and mixed her results up. Now,
Speaker 2: this is tricky I and it's horrific that this happened.
Speaker 2: She's seeking at least ten thousand dollars in damages in
Speaker 2: a jury trial. This is this should have never happened.
Speaker 2: But somebody could say, why didn't the doctor just redo
Speaker 2: the test? Why didn't the doctor just you know, if
Speaker 2: the CT look negative, why don't redo the biopsy? The
Speaker 2: probability of a biopsy being wrong, especially showing high grade,
Speaker 2: is so rare that let's say you decide, you know what,
Speaker 2: I'm just gonna, for poops and giggles, gonna redo the test,
Speaker 2: which insurance companies don't really let you do. We used
Speaker 2: to redo tests, do tests two three times. They don't
Speaker 2: let us do that anymore. You have the test, you
Speaker 2: need to justify why you're doing it a second time.
Speaker 2: And if you say, well, I think the lab is
Speaker 2: messing up, that you know as much as I would
Speaker 2: think that, because I've seen labs mess up that most
Speaker 2: insurance won't. They'll make the patient pay for it. But
Speaker 2: let's say you do a biops. You'd say you do
Speaker 2: an endimetroal biopsy, which is where you put a little
Speaker 2: type head into the universe and then you suck out
Speaker 2: some of the lining and then you plunge her it
Speaker 2: into a vial and send it to a lab. Let's say
Speaker 2: that comes out negative. Well, now you have a woman
Speaker 2: who has two tests, one that says negative biopsy and
Speaker 2: one that says a very highly aggressive cancer. Now one
Speaker 2: thing they might have been able to do is take
Speaker 2: her in for a procedure and do a more thorough scraping.
Speaker 2: But if you're gonna already scrape everything off and it's
Speaker 2: a woman who might not be having kids anymore, they
Speaker 2: might have suggested, do you want to just get this removed?
Speaker 2: And so it's it's it's bad that this happened because
Speaker 2: if she had a normal, normal biopsy, she might have
Speaker 2: never underwent having a hysterectomy. Now I'm very glad I
Speaker 2: had my hysterectomy, but some women who have hysterectomies everything's different,
Speaker 2: you know, their bladder, control, sex, their body image. So
Speaker 2: there's you know, it's it's not very easy for somebody
Speaker 2: to get a hysterect to me, for some of us,
Speaker 2: we love it, but others, no, they might not love it.
Speaker 2: And they have every right and she has every right to,
Speaker 2: you know, be concerned and complain. But but you know,
Speaker 2: with with something like this, you know we've we've heard
Speaker 2: of babies getting swapped right, right, we have those two
Speaker 2: men who an ancestry and me test clued them in
Speaker 2: that they might not be related to their biological or
Speaker 2: to their parents who they thought were their biological parents.
Speaker 6: Uh.
Speaker 2: Lab errors happened, and I don't know why, and that
Speaker 2: it's frightening to think that happens. And when I, you know,
Speaker 2: ran my office and I, you know, would get a
Speaker 2: lab test back. I always tried to confirm to the
Speaker 2: best of my abilities, and there's only so much you
Speaker 2: could do. You can't micromanage everything. You have to rely
Speaker 2: on a lab to do their part. And for something
Speaker 2: like this to happen. Now, you know, some of these
Speaker 2: other doctors might say, look, you know this was the
Speaker 2: lab result.
Speaker 3: I had to go with that, you know. But but a.
Speaker 2: Lawyer can still say, look, we're gonna sue because you
Speaker 2: should have double checked. That's one of the reasons why
Speaker 2: I had an X ray machine in my office.
Speaker 3: I didn't want to just believe what the radiologist said.
Speaker 2: I wanted to look at the X ray myself, because
Speaker 2: that's how I was trained. But am I able to
Speaker 2: look at the pathology myself? No?
Speaker 3: If I don't have a lab. I can't do that.
Speaker 3: One eight seven seven, Doctor Alli.
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Speaker 3: Hi everyone, Doctor Dahlia here.
Speaker 2: Thousands of physicians, residents, nurses, and medical students are silently
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Speaker 3: Four hundred.
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Speaker 2: text nine eighty eight the National Suicide and Crisis Hotline.
Speaker 2: And we're back on the Doctor Dahlia's Show. So while
Speaker 2: we're waiting for our next guest, this new study that
Speaker 2: came out earlier this week has revealed that Americans are
Speaker 2: using marijuana more than drinking alcohol, more than smoking cigarettes.
Speaker 2: Some people think this is a good thing, some people
Speaker 2: think this is a bad thing. The rise in cannabis
Speaker 2: has been always there, but now that people feel more
Speaker 2: comfortable because of the legalization, I think we're having more
Speaker 2: people admit it. And so whereas patients you say, oh,
Speaker 2: I don't use marijuana, and I'm like really, and they're like, oh, yeah,
Speaker 2: I do, now people are very open about it because
Speaker 2: they you know, back in COVID, remember you couldn't go
Speaker 2: to the dentist, you couldn't go to a restaurant, You
Speaker 2: had trouble walking into a pharmacy without showing your papers
Speaker 2: and your mask. But you could go in to a
Speaker 2: cannabis dispensary. So yes, obviously cannabis use has grown and
Speaker 2: has become very very popular. These Substance Abuse and Mental
Speaker 2: Health Services Administration released data from the twenty twenty five
Speaker 2: National Survey on Drug Use in Health last week showing
Speaker 2: twenty one point four million Americans or using marijuana daily
Speaker 2: or almost every day. The figure overtook daily cigarette smokers,
Speaker 2: which is our about twenty million, and those who consume
Speaker 2: alcohol daily seventeen point two million. Overall, SAMSA found that
Speaker 2: forty three point eight million Americans used cannabis on a
Speaker 2: regular basis. Thirty six point one million smokes cigarettes regularly.
Speaker 2: That's one in eight. You know, I'm gonna want to
Speaker 2: talk a little bit about this more later this week.
Speaker 2: But using marijuana daily? Are they using it for sleep?
Speaker 2: Are they using it for anxiety? Are they using it
Speaker 2: for pain? As a doctor, I need to know why
Speaker 2: people feel that need to use it daily. With cigarettes, okay,
Speaker 2: you could be a addicted to nicketine with alcohol?
Speaker 3: Are you addicted to alcohol?
Speaker 2: Looking at looking at what twenty million people you know
Speaker 2: smoking now still daily, almost twenty million using alcohol daily.
Speaker 2: That needs to be addressed because that's hurting people. But
Speaker 2: why why is marijuana surpassing that? Is it that people
Speaker 2: think it's healthy? Is it that they are becoming addicted
Speaker 2: as well? Is the marijuana withdrawal that we're starting to
Speaker 2: hear many stars like Sharon Stone say the marijuana withdrawal
Speaker 2: was so bad that they you know, tried to avoid that.
Speaker 3: They had to get that treated.
Speaker 2: So we we we might be you know, making great
Speaker 2: movement on the smoking cessation programs and all that.
Speaker 3: But you know, we we.
Speaker 2: Pivoted people to food, and that's why we have an
Speaker 2: obesity crisis. Now that we're using ozebic and these other medications,
Speaker 2: people are pivoting to something else. People are very addictive
Speaker 2: in nature. That's their their you know, dopaminergicusive, you know,
Speaker 2: bio makeup to to you know, do something on a
Speaker 2: regular basis habitually. And marijuana is not safe long term.
Speaker 2: It's causing a lot of issues, depression, anxiety, not to mention,
Speaker 2: you know, if this is something that I voted to
Speaker 2: legalize because I wanted to see medicinal applications for pain
Speaker 2: and anxiety and other things insulin resistance then and sensitivity.
Speaker 2: If we blow it and are over using it, then
Speaker 2: we're not gonna be able to utilize it for the
Speaker 2: medical applications that we might need in the future. So
Speaker 2: coming up, I want to switch gears to talk about
Speaker 2: back pain and our next guest, this is a very
Speaker 2: very interesting condition that's rare that uh, we're gonna learn
Speaker 2: a lot of So we're gonna be switching gears in
Speaker 2: just a second.
Speaker 3: And here we go.
Speaker 2: So August is s M a Awareness month. SMA stands
Speaker 2: for spinal muscular atrophy and I am very, very grateful
Speaker 2: for our next guest. Spinal muscular atrophy is a genetic
Speaker 2: disease that disrupts how the body supports healthy muscle function.
Speaker 2: It ultimately can lead to progressive and debilitating muscle weakness.
Speaker 2: So it's extremely critical to diagnose this early on, and
Speaker 2: we've struggled over the last century coming up with achievements,
Speaker 2: but lately we have been able to make huge, huge
Speaker 2: advancements in the SMA treatment space, including disease modifying therapies
Speaker 2: or d mts. Now these treatments target the underlying biology
Speaker 2: or root scientific cause of the progressive disease versus just
Speaker 2: managing the symptoms, and we, you know, in medicine, would
Speaker 2: rather get to the root of it. So this can
Speaker 2: actually help create a fundamental change that can slow disease
Speaker 2: progression or reduce its severity. I am really excited for
Speaker 2: our next guest, doctor Manisha Korb, neuromuscular specialist at Palm
Speaker 2: Beach Neurology, who is going to discuss the SMA patient
Speaker 2: experience and how.
Speaker 3: Advancements are helping. Doctor Corp. Thank you so much for
Speaker 3: joining us.
Speaker 4: Thanks so much for having me here today. I'm excited
Speaker 4: to be here partnering with Genentech to help raise awareness
Speaker 4: about spinal muscular atrophy as a paid spokesperson.
Speaker 2: For those who aren't familiar what exactly is spinal muscular
Speaker 2: atrophy or SMA, and talk to us about how it's diagnosed.
Speaker 4: Spinal muscular atrophy or SMA is a rare genetic condition
Speaker 4: that causes a loss of a protein in the body
Speaker 4: that is used to support the health of muscles in
Speaker 4: the body, and so that can look different from person
Speaker 4: to person depending on the age of onset of symptoms
Speaker 4: and the type of mutation that a person is born with.
Speaker 4: So for infants, they may have a very severe difficulty
Speaker 4: with breathing and swallowing and meeting their motor milestones such
Speaker 4: as sitting, crawling, standing, or walking. And for those who
Speaker 4: it presents later in life, where it's in childhood or adolescence,
Speaker 4: they may achieve those motor milestones, but they may lose
Speaker 4: the ability to do them over time where they get
Speaker 4: weaker and weaker and may revert from walking to having
Speaker 4: to use a wheelchair later in life. Now it's diagnosed
Speaker 4: with a simple genetic blood test, and that can be
Speaker 4: done with your doctor's office. It's also available in prenatal
Speaker 4: screening and newborn screening.
Speaker 2: How does SMA specifically impact a person's daily routine and
Speaker 2: their overall sense of independence.
Speaker 4: Yes, so, depending on the age of onset and the
Speaker 4: type of gene mutation severity that they have, they may
Speaker 4: have trouble with simple tasks such as breathing and swallowing
Speaker 4: in the more severe cases, but in milder cases they
Speaker 4: may be okay with those Those parts may be preserved,
Speaker 4: but they may have trouble using their hands, using their legs,
Speaker 4: so for example, getting dressed in the morning, or preparing
Speaker 4: food or driving, those things may be impaired. But one
Speaker 4: thing I want to mention it doesn't do is it
Speaker 4: does not affect your ability to think, or to learn,
Speaker 4: or to have meaningful relationships.
Speaker 2: The treatment landscape has evolved over the years in how
Speaker 2: we treat rare diseases SMA. Can you tell us about
Speaker 2: ev RISTI What are some of the considerations you have
Speaker 2: when recommending this medication to your patients.
Speaker 4: For a long time, the only methods we had to
Speaker 4: treat SME were with supportive therapies things like physical therapy
Speaker 4: and amilatory assisted devices, which still play a major role
Speaker 4: in how we manage SMA now, but in the last
Speaker 4: ten years there have been massive leaps in the space
Speaker 4: of disease modifying therapies. So those are therapies that are
Speaker 4: treating the root cause of the gene mutation and helping
Speaker 4: change the overall course of the disease. The one I
Speaker 4: want to highlight today is called ev RISD also called rizdaplan.
Speaker 4: This is the first orally administered medication that is FD approves,
Speaker 4: and it's for all ages of SME, infants, children and adults.
Speaker 4: It works by restoring that protein that's deficient and helping
Speaker 4: the muscles sustain their function over time and slowing down disease,
Speaker 4: stabilizing it and in some cases even allowing the person
Speaker 4: to get stronger and meet motor milestones. But with all
Speaker 4: medications we have to think about side effects. In adults,
Speaker 4: the most common side effects are fever, diarrhea, and rash.
Speaker 4: But as this is in oral medication, it can provide
Speaker 4: a more consistent and daily routine for patients who are
Speaker 4: looking for something that allows them to have that flexibility.
Speaker 2: For our viewers, who might be navigating an SMA diagnosis in.
Speaker 3: Their own family.
Speaker 2: What is the most important piece of advice or help
Speaker 2: you can share with them today?
Speaker 4: Well, SMA is something that someone is born with and
Speaker 4: carries as a lifelong condition. It doesn't have to limit
Speaker 4: them or define them in everything that they do and
Speaker 4: everything that they want to achieve. I've seen many patients
Speaker 4: with SME who are able to achieve advanced degrees become doctors, lawyers,
Speaker 4: or business owners, and they can have meaningful relationships and
Speaker 4: their own families. So if they have access to a
Speaker 4: disease modifying therapy, they can again change the overall course
Speaker 4: of their disease and hopefully prevent that overall progression, slow
Speaker 4: things down, and maybe even get stronger, sustain those motor
Speaker 4: functions for longer.
Speaker 2: Doctor Corb, this has been amazing. I'm so glad you've
Speaker 2: been here. Thank you for enlightening us with this. Where
Speaker 2: can our viewers go to learn more about SMA and
Speaker 2: ev risdy So?
Speaker 4: I encourage people to visit a frizzy dot com for
Speaker 4: more information and talk to the healthcare providers.
Speaker 2: All right, everybody, don't go away, We'll be right back
Speaker 2: one eight seven seven dot Dolly.
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