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<v Speaker 1>You are about to listen to the Doctor Dahlia show,

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<v Speaker 1>Sasey stimulating talk radio, and now here's doctor Dahlia. Doctor

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<v Speaker 1>doctor do me true, I'm supposed to do Hi.

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<v Speaker 2>We are back on the Doctor Delia's show one eight

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<v Speaker 2>seven seven Doctor Dolly one eight seven seven D O

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<v Speaker 2>C D A L. I. So in my neck of

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<v Speaker 2>the woods, it looks like we have a doctor accused

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<v Speaker 2>of running a ninety five million dollar scheme to defraud Medicare.

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<v Speaker 2>I think the cases of fraud are gonna just keep

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<v Speaker 2>coming and keep I mean now that we have a

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<v Speaker 2>task for us under jd Vance and doctor Oz who's

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<v Speaker 2>the RFK junior, and under the Trump administration looking for this,

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<v Speaker 2>I think we're gonna see a lot of these cases

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<v Speaker 2>finally exposed.

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<v Speaker 3>But this is an alleged case.

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<v Speaker 2>Involving somebody I believe in my neck of the woods,

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<v Speaker 2>a grand jury indicted doctor Stephen Dubin seventy four years

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<v Speaker 2>old for allegedly billing for medically unnecessary amniotic wound alligraphs

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<v Speaker 2>applied to elderly Medicare patients. This is according to the

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<v Speaker 2>US Attorney's Office for Nevada. They say this has been

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<v Speaker 2>reported by News Iree that this indictment exposes a scheme

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<v Speaker 2>driven by greed, not medicine, as alleged, this provider exploited

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<v Speaker 2>elderly patients by pushing costly and unnecessary medical procedures, then

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<v Speaker 2>lied to Medicare to pocket millions of taxpayer dollars. That's

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<v Speaker 2>according to Assistant Attorney General Colin M McDonald of the

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<v Speaker 2>Justice Department's National Fund Endorsement Division. Prosecutors alleged doctor received

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<v Speaker 2>other illegal kickbacks, bribes, and rebates from two different alligraph

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<v Speaker 2>distributors while Medicare paid over fifty four million dollars. I'm

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<v Speaker 2>blown away because by this, because as a physician who

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<v Speaker 2>built Medicare, trying to get Medicare to pay me for

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<v Speaker 2>just a simple visit of a patient I'm seeing for

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<v Speaker 2>blood pressure or a simple urine test or a flu

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<v Speaker 2>shot was like pulling teeth. Remember, I can only get

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<v Speaker 2>twelve cents for a flu shot I gave with Medicare.

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<v Speaker 2>And and I'm looking at these people. They figure out

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<v Speaker 2>the vulnerabilities, and it's it's and and unfortunately, I'm just

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<v Speaker 2>trying to give good care to a Medicare patient and

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<v Speaker 2>I'm barely getting paid yet Yet uh, you know, these

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<v Speaker 2>individuals are figuring out how to builk millions of dollars chows.

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<v Speaker 2>The system is completely messed up. According to this article

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<v Speaker 2>by News three, Dubin and other co conspirators applied the

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<v Speaker 2>alligraphs to patients without regards to medical necessity. According to

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<v Speaker 2>the allegations they use, they included applying them to infected wounds,

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<v Speaker 2>wounds that were not responding to treatment, and in quantities

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<v Speaker 2>that exceeded the size of wounds. So I believe they

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<v Speaker 2>might have been able to bill per size of it.

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<v Speaker 2>So if it was a if it was a procedure

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<v Speaker 2>that let's say, only needed like a two by two,

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<v Speaker 2>a two centimeter by two centimeter, or a five cent

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<v Speaker 2>by five centimeter. Basically, an allograph is a tissue or

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<v Speaker 2>a piece of an organ or a cell line that

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<v Speaker 2>you can as opposed to like an autographed your own grafting.

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<v Speaker 2>An allographed is from one person to another, and you

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<v Speaker 2>could use it from a from a cadaver, you could

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<v Speaker 2>use it from a human donor. But it's another tissue.

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<v Speaker 2>It's a tissue from another body part from another individual

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<v Speaker 2>that can be used to help you heal. So let's

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<v Speaker 2>say somebody has severe burns and they've lost a lot

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<v Speaker 2>of surface area of their skin. We may try to

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<v Speaker 2>do an autographed and use some of your own, your

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<v Speaker 2>own skin from your butt or another part of the

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<v Speaker 2>body that didn't get hurt. But if you're injured and

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<v Speaker 2>you're sick and you're not able to tolerate the procedure, or

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<v Speaker 2>you have or poor skin, we're gonna want to use

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<v Speaker 2>healthy skin from a donor. And so we use alligraphs

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<v Speaker 2>for bones and skin ligaments and all.

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<v Speaker 3>Sorts of different things. So it's a very very common process.

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<v Speaker 2>It's just allegedly this doctor Duban and his co conspirators,

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<v Speaker 2>you know, evaded the medical necessity. He took advantage from

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<v Speaker 2>what we understand, and then they say that he funded

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<v Speaker 2>a lavish lifestyle with multimillion dollar yachts for himself.

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<v Speaker 4>Uh.

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<v Speaker 2>And the indictment charges him with conspiracy to commit healthcare

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<v Speaker 2>fraud and five counts of health care fraud. If convicted,

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<v Speaker 2>he faces up to ten years of prison for each count.

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<v Speaker 3>I was listening to J.

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<v Speaker 2>D Vance today speak about the fraud. He said what

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<v Speaker 2>surprised him was that many cases of fraud weren't even prosecuted.

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<v Speaker 2>Cases that amounted to a million dollars where there were

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<v Speaker 2>thresholds where the government said, we're not even going to

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<v Speaker 2>pursue it. Now he has announced that they've identified two

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<v Speaker 2>hundred thirty billion dollars in federal program fraud. They prevented

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<v Speaker 2>fifty six billion dollars going out on improper payments. He

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<v Speaker 2>is urging Congress to pass a new oversight legislation. He

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<v Speaker 2>says some Democratic governors are working with him, but a

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<v Speaker 2>big concern they have is when they do do snap

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<v Speaker 2>benefits or Medicare and Medicaid benefits, that the states are

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<v Speaker 2>not being transparent and if a state does not want

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<v Speaker 2>to be trained, once the money goes to the state,

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<v Speaker 2>the government doesn't get to see it or know what's

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<v Speaker 2>going on, and so it could happen to like what

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<v Speaker 2>we saw in Minnesota with the Somali fraud scheme that

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<v Speaker 2>happened with some Somali residents and immigrants.

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<v Speaker 3>So JD.

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<v Speaker 2>Vans wants there to be laws saying if you're going

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<v Speaker 2>to be getting government money, there has to be transparency

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<v Speaker 2>on where the money goes. I'm surprised that there has

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<v Speaker 2>to be a law for that that should already be commonplace.

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<v Speaker 2>I mean, that's just it's you know, if you I

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<v Speaker 2>don't run a nonprofit. If you run a nonprofit, if

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<v Speaker 2>you get money into that nonprofit, you have to be

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<v Speaker 2>very transparent or where the money goes. I think you

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<v Speaker 2>could use up to thirty five percent for administrative costs

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<v Speaker 2>for your phone billing, your electricity bill, and your rent

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<v Speaker 2>and your salaries and stuff. But the rest of it,

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<v Speaker 2>the sixty five percent, at least, you need to show,

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<v Speaker 2>you know, where that's going to. There has to be transparency.

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<v Speaker 2>And so this is a huge watershed moment in terms

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<v Speaker 2>of fraud. I worry that after the Trump administration, if

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<v Speaker 2>it's going to go back the other way. I mean,

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<v Speaker 2>this gravy train has you know, really been so chaotic

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<v Speaker 2>and allowed politicians and many people to take advantage. But

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<v Speaker 2>you know, to you advance wants reforms, he does need

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<v Speaker 2>a little bit more money, he says. Even though they're

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<v Speaker 2>saving tax payer money, they're involving.

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<v Speaker 3>So many task forces and so.

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<v Speaker 2>Many government agencies that is involving resources, and they do

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<v Speaker 2>need funds to continue to pursue this, which I completely understand.

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<v Speaker 2>But like he said, he said, the federal government distributes

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<v Speaker 2>money to states for the Supplemental Nutrition Assessors program SNAP,

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<v Speaker 2>and the federal government has no visibility into who is

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<v Speaker 2>ultimately getting those benefits.

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<v Speaker 3>He said.

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<v Speaker 2>If California provides those food stamp benefits to an illegal alien,

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<v Speaker 2>to a violent criminal, the federal government has no visibility,

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<v Speaker 2>and sometimes the states themselves have no visibility, he says.

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<v Speaker 2>So we need to work with Congress, and we need

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<v Speaker 2>some legislation that would actually force some data sharing between

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<v Speaker 2>state governments and the federal governments.

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<v Speaker 3>I agree with that. I think that is completely justifiable

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<v Speaker 3>and valid.

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<v Speaker 2>I don't know what the Democrats are gonna do, but

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<v Speaker 2>they're better do something. One eight seven seven out DELI.

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<v Speaker 5>Let's face it, guys, we're living in times where the

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<v Speaker 5>truth is becoming more suppressed and censorship is increasing in

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<v Speaker 2>The back of Doctor Delia's show one eight seven seven

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<v Speaker 2>Dot Dolly one eight seven seven d O C D

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<v Speaker 2>A l I. Big thanks the Talk Media Network for

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<v Speaker 2>making the show happen. Big thanks to Daniel, our producer,

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<v Speaker 2>and big thanks.

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<v Speaker 3>To y'all for tuning in. We really do appreciate it.

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<v Speaker 2>Don't forget the follow us on Twitter or exit Doctor

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<v Speaker 2>Dahlia Facebook, that Doctor Dahlia showing on YouTube, click like

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<v Speaker 2>and subscribe. So, with the back and forth between biological

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<v Speaker 2>men and women's sports, what a matchup like Clay Travis

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<v Speaker 2>from OutKick had suggested, what a matchup of a boy

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<v Speaker 2>team and a girl team?

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<v Speaker 3>Put the discussion to rest.

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<v Speaker 2>And he's not even asking for men's NBA to go

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<v Speaker 2>up against the WNA or a college team like Duke

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<v Speaker 2>to go up against the WNBA. Clay Travis is suggesting

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<v Speaker 2>and has put ten million dollars on the line for

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<v Speaker 2>the Las Vegas aces. We're pretty proud of good team

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<v Speaker 2>out of my neck of the woods to play a

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<v Speaker 2>high school boys team, and no matter who wins, we'll

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<v Speaker 2>get the ten million.

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<v Speaker 3>Either the WNBA team will.

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<v Speaker 2>Get his ten million or the high school basketball team

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<v Speaker 2>we'll get the ten million.

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<v Speaker 3>Now, I know a lot of people thinking.

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<v Speaker 2>Okay, well this is just Clay Travis's way of getting

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<v Speaker 2>some attention and all that. But we keep going back

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<v Speaker 2>and forth with what is legitimate in sports? What sidelines women?

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<v Speaker 2>Are we hurting women's progress by forcing them to lose

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<v Speaker 2>against a biological male and affecting their private spaces and privacy,

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<v Speaker 2>which is something that women have long tried to fight for.

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<v Speaker 2>Uh in sports? You know, there was it was it

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<v Speaker 2>was all about women's It was fascinating how the Democrats

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<v Speaker 2>were so in support of women's sports and women in

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<v Speaker 2>safe spaces and all that. And then all of a sudden,

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<v Speaker 2>now that the subject came up with biological males uh

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<v Speaker 2>identified as women. Now the Democrats are split, going wait

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<v Speaker 2>a second, Uh.

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<v Speaker 3>Now, now they don't know what to support.

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<v Speaker 2>And I'm frustrated that they're really starting to beat up

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<v Speaker 2>our players about this. Okay, I I don't want our

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<v Speaker 2>Olympic medalists, and our and our our Olympic athletes, and

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<v Speaker 2>our w NBA players, and our football players and our

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<v Speaker 2>basketball players and our high school player. I don't want

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<v Speaker 2>individuals being consistently harassed by reporters to take a political side,

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<v Speaker 2>and this is what we're seeing. Caitlin Clark was asked,

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<v Speaker 2>Caitlin Clark the Indiana Fever, and I believe just lost

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<v Speaker 2>to the I believe the Minnesota Lynks a few days bay.

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<v Speaker 2>So what was she asked about the Save Women's Sports movement?

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<v Speaker 2>And she was asked about the controversy because there's demonstrations

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<v Speaker 2>going outside the Indiana Fever games. When her teammate Sophie

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<v Speaker 2>Cunningham voice for support for protecting women's sports from biological

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<v Speaker 2>males back in July. Rallies and support of Cunningham have

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<v Speaker 2>followed the Fever to their last three games, and there's

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<v Speaker 2>also been counter protests. Well, Caln Clark doesn't want to

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<v Speaker 2>talk about that. They just lost the game, and so

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<v Speaker 2>when she was asked by a reporter, she said, I

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<v Speaker 2>think for us, it's not really a discussion we really

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<v Speaker 2>have in our locker room. She says, I think it's

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<v Speaker 2>for the leagues and the governing bodies to work with

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<v Speaker 2>their athletes to find solutions. Our focus is on basketball,

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<v Speaker 2>that's what we talk about and how we can get wins,

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<v Speaker 2>and obviously we didn't do that tonight, so we need

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<v Speaker 2>to find an area to improve in that way. I

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<v Speaker 2>guess she was then hit with another follow up question

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<v Speaker 2>and she said, I just answered for you. So these

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<v Speaker 2>you know, making people pick a side, get political.

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<v Speaker 3>It's really distracting. You want your athletes to focus on athletics.

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<v Speaker 2>Just because the media and just because some politicians are

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<v Speaker 2>all about politics doesn't mean the rest of us have to.

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<v Speaker 3>Now I'm trying to warn medical students about this too.

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<v Speaker 3>Don't let your patients distract you with politics.

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<v Speaker 2>Your job is to take care of every patient, no

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<v Speaker 2>matter their creed, their color, their race, their belief Don't

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<v Speaker 2>be getting into these political discussions. If you like politics,

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<v Speaker 2>that's something you want to do, that's one thing. But

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<v Speaker 2>don't get distracted, don't get biased, don't get angry. Your

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<v Speaker 2>job is to focus on the patient. These players' jobs

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<v Speaker 2>are to focus on the sport.

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<v Speaker 3>Well.

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<v Speaker 2>So Klay Travis comes up with an idea where and

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<v Speaker 2>I know some people think it's gimmicky, but this is interesting.

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<v Speaker 2>I don't think it'll work, and I don't think the

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<v Speaker 2>WNBA is gonna act on it, but it is interesting

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<v Speaker 2>where you know, he gives a million dollars to whoever

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<v Speaker 2>wins the game. WNBA or boys high school now like

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<v Speaker 2>the Las Vegas Aces, I mean, their height can range

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<v Speaker 2>anywhere from what five nine to six five one hundred

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<v Speaker 2>seventy five pounds on average. Whereas you know a high

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<v Speaker 2>school boys team, some of these boys don't reach their

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<v Speaker 2>full height until they're eighteen nineteen, so you know, some

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<v Speaker 2>of the boys could be shorter.

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<v Speaker 3>Some of the boys might not be in the two

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<v Speaker 3>hundred pound range, so.

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<v Speaker 2>There could be a little bit more of a playing field.

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<v Speaker 2>If you take a full grown woman on the WNBA

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<v Speaker 2>and compete them in a pubert or male on a

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<v Speaker 2>high school basketball team, and I'm assuming he's choosing varsity,

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<v Speaker 2>so many of them have already gone through a good

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<v Speaker 2>part of their puberty. Uh that you know, to to

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<v Speaker 2>try to uh compare a male and female biologically in

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<v Speaker 2>a game. I still think that if you put them

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<v Speaker 2>up against a high school male team, I think the

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<v Speaker 2>w NBA would win because they've been playing longer. They

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<v Speaker 2>you know, they're they're they they there were seasoned, they

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<v Speaker 2>have the experience, and so I think with with with

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<v Speaker 2>the biological advantage that a high school male could have

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<v Speaker 2>if again they haven't reached their full height or capabilities.

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<v Speaker 2>That I mean, if you're trying to make a point

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<v Speaker 2>the biological males without any restrictions can interfere with female sports,

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<v Speaker 2>then you know, to kind of hinder the the or

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<v Speaker 2>to you know, affect the sample size. I don't know

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<v Speaker 2>if that would be the most equable I would I

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<v Speaker 2>would like to see a w NBA against a college team.

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<v Speaker 2>I think you would definitely see the differences and it

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<v Speaker 2>would You'll be pretty apparent the w a A is

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<v Speaker 2>not gonna go for this because uh and and interestingly, uh,

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<v Speaker 2>they shouldn't. If I was advising the w NBA from

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<v Speaker 2>a marketing standpoint, from my PR background, I would say

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<v Speaker 2>not to because them losing to men would not be

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<v Speaker 2>a good look. The w n B A is already

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<v Speaker 2>struggling in terms of ticket sales, in terms of getting

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<v Speaker 2>people interested because people really like watching male in sports.

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<v Speaker 2>They've been struggling watching female in sports, and so some

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<v Speaker 2>things that have they've tried to grasp onto is controversy

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<v Speaker 2>is some notoriety of some of the players, some of

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<v Speaker 2>the fights, the looks, trying to have attractive players. I

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<v Speaker 2>mean they're there's there's they's they've been trying to find

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<v Speaker 2>and they are. They're gaining especially and my next one,

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<v Speaker 2>Las Vegas as is are pretty damn good.

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<v Speaker 3>I mean, they're it's it's a fun game to watch.

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<v Speaker 3>They're good.

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<v Speaker 2>They play some damn good basketball women could play. But

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<v Speaker 2>that will ruin it for people when they if they

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<v Speaker 2>see them them, you know, not be able to you know,

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<v Speaker 2>beat men.

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<v Speaker 3>Uh uh. And and it's I I.

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<v Speaker 2>Don't think I don't think it would help the w

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<v Speaker 2>n b A. I think it would help the controversy.

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<v Speaker 2>I think, you know, somebody has to understand. Somebody has

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<v Speaker 2>to be really, really honest.

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<v Speaker 3>I understand.

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<v Speaker 2>I think it was the Minnesota Lynx coach that that

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<v Speaker 2>wore a shirt saying, you know, like, uh uh, you

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<v Speaker 2>know trans kids. I forget what her her shirt said that,

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<v Speaker 2>you know, they should have access to sports. Any child

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<v Speaker 2>should have access to sports, but the biological males should

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<v Speaker 2>be playing with the biological males and the biological female

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<v Speaker 2>should play with the biological females. You know, uh uh,

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<v Speaker 2>it's it's and and the fact that we're having this

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<v Speaker 2>conversation and eight to ninety percent of the country agrees

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<v Speaker 2>with this, but it's being.

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<v Speaker 3>Used as a distraction.

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<v Speaker 2>This is so that people are not aware of the

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<v Speaker 2>mess Biden did or other things going on. People are

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<v Speaker 2>trying to use this as a distraction, and and I don't.

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<v Speaker 3>Like that, especially when it comes to sports, and sports

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<v Speaker 3>is supposed to be our escape.

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<v Speaker 2>But seeing a biological high school male compete against a

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<v Speaker 2>biological female, We've seen videos of what happens.

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<v Speaker 3>These women are getting hurt. If you try to step.

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<v Speaker 2>Up and use a female adult against a high school boy,

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<v Speaker 2>that would be interesting to watch, But it's it's again,

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<v Speaker 2>somebody with the experience could still out maneuver them, probably

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<v Speaker 2>outshoot them now and and and then also will the

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<v Speaker 2>boys be concerned about tackling Remember these boys might have

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<v Speaker 2>never played against a female and having a female and

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<v Speaker 2>they're afraid to accidentally touch something or I mean, if

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<v Speaker 2>you watch the contact between these baseball play these basketball players,

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<v Speaker 2>they contact.

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<v Speaker 3>Each other a lot. They are all up in their business.

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<v Speaker 2>And now they have a female with boobies, they're gonna

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<v Speaker 2>act different, they're gonna play different, and so I don't

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<v Speaker 2>think it would be a true test, But seeing a

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<v Speaker 2>college team against a w NBA might be more of

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<v Speaker 2>a true test.

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<v Speaker 3>Thank you all for tuning in.

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<v Speaker 2>I thought Chipotle was going to be out of the

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<v Speaker 2>news for a little bit, but they're back in the news.

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<v Speaker 3>Poor Chipotle.

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<v Speaker 2>I'm a big fan of Chipotle, but when we were

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<v Speaker 2>talking about food borne illnesses, Chipotle seems to kind of

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<v Speaker 2>keep getting you know, beat up on because they offer

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<v Speaker 2>fresh ingredients. Well, whenever you offer fresh ingredients, you sometimes

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<v Speaker 2>can have a higher risk of being at risk of

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<v Speaker 2>you know, non preservatives.

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<v Speaker 3>Fighting off some of these bacteria.

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<v Speaker 2>And so Chipotle has had to pull teleipennos from its menus,

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<v Speaker 2>and the US food chain said in a statement that

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<v Speaker 2>they have proactively removed talapenos from their restaurants as public

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<v Speaker 2>health officials are investigating ace source of a salmonella outbreak.

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<v Speaker 2>The announcement came after Bloomberg News reporter that Chipotle had

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<v Speaker 2>removed jalapenios from multiple stores of Minnesota. Apparently there's a

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<v Speaker 2>salmonella outbreak in the state that has sickened over one

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<v Speaker 2>hundred and ten people. They say Chipotle's move according to

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<v Speaker 2>Huffington Post huff Post, they say Chipotle's move comes on

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<v Speaker 2>the heels of two people in Michigan dying from the

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<v Speaker 2>cyclo spora outbreak. Chipotle is not related as we know

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<v Speaker 2>to the cyclospora outbreak, but being what happened with that

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<v Speaker 2>and the recalls that have been done, including Taco Bell's lettuce,

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<v Speaker 2>they're not taking any chance.

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<v Speaker 3>Now. Salmonella is different from the parasite cyclo Spora.

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<v Speaker 2>It's a bacteria. Many individuals will be able to self

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<v Speaker 2>many salmonella infections may self limit, but sometimes you do

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<v Speaker 2>need antibiotics.

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<v Speaker 3>Chipotle said in a statement.

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<v Speaker 2>We are aware that public health authorities are investigating the

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<v Speaker 2>source of a salmonilla outbreak in the supply chain, impacting

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<v Speaker 2>several food service retailers. We're cooperating with the public health

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<v Speaker 2>authorities in their efforts. Out of an abundance of caution,

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<v Speaker 2>we proactively remove jalapenos from our restaurants and replaced them

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<v Speaker 2>with product from different growers. It does not mean Chipotle's

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<v Speaker 2>jalapenos are the source of anything, but.

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<v Speaker 3>They are playing it safe.

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<v Speaker 2>The Cyclosporus cayatines ensis outbreak now has reached over twelve

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<v Speaker 2>two hundred twenty five reported to the CDC. There are

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<v Speaker 2>I believe twenty thousand now unreported or a nondocumented or

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<v Speaker 2>confirmed cases, and the investigation by the FDA linked one

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<v Speaker 2>of the outbreaks to Iceberg lettuce served at Taco Bell

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<v Speaker 2>restaurants sourced from privately held Taylor Farms operations in central Mexico.

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<v Speaker 2>Walmart and Cisco have joined Taco Bell in removing potentially

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<v Speaker 2>affected lettuce.

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<v Speaker 3>Also, I guess, the.

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<v Speaker 2>Nation's largest food distributor has halted Mexican lettuce Percha. Cisco

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<v Speaker 2>will stop buying Iceberg lettuce from Mexico as federal health

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<v Speaker 2>officials are investigating this outbreak now. This has been reported

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<v Speaker 2>by Fox Business. The announcer from Cisco's CEO, Kevin Hurricane,

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<v Speaker 2>comes as the FDA and the centers of CDC investigate

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<v Speaker 2>the outbreak after there have been two deaths reported in Michigan.

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<v Speaker 2>Those individuals did have other medical conditions, but still because

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<v Speaker 2>they had cyclospora. We cannot say cyclo spor is completely benign.

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<v Speaker 2>It can cause hospitalizations as we have seen, and it

423
00:25:28.200 --> 00:25:31.200
<v Speaker 2>can cause death. Now, the outbreak, as I said before,

424
00:25:31.279 --> 00:25:34.200
<v Speaker 2>was linked to Iceberg lettuce sourced from Central Mexico through

425
00:25:34.240 --> 00:25:38.440
<v Speaker 2>Taylor Farms to Mexico or Meco Taylor Farms. US businesses

426
00:25:38.519 --> 00:25:41.640
<v Speaker 2>voluntarily were called certain Iceberg lettuce products sold under the

427
00:25:41.680 --> 00:25:45.440
<v Speaker 2>Tailor Fresh Foods and market Side brands. The company has

428
00:25:45.480 --> 00:25:48.599
<v Speaker 2>maintained that the FDA has still not identified a confirmed

429
00:25:48.640 --> 00:25:50.880
<v Speaker 2>positive test for cyclo sport.

430
00:25:50.960 --> 00:25:53.759
<v Speaker 3>Remember there was a false positive test, but out of.

431
00:25:53.680 --> 00:26:00.240
<v Speaker 2>Precaution, they still allowed their distributors to initiate recalls. As

432
00:26:00.279 --> 00:26:03.200
<v Speaker 2>you know, psychic sprisis is an intestinal illness, not a bacteria,

433
00:26:03.240 --> 00:26:06.079
<v Speaker 2>but it's caused by the parasite sex Spora Caya tenensis

434
00:26:06.599 --> 00:26:09.920
<v Speaker 2>and e. We can actually use an antibiotic such as backdrum.

435
00:26:11.359 --> 00:26:16.880
<v Speaker 2>Even I believe xyrmyacin can be effective at preventing its

436
00:26:16.920 --> 00:26:20.440
<v Speaker 2>replication and fullic acid metabolism. The sulfur works that way.

437
00:26:21.519 --> 00:26:23.839
<v Speaker 2>The sulfa drug like bactrum ac courds to the CITC.

438
00:26:24.000 --> 00:26:27.160
<v Speaker 2>The infection causes watery, often explosive diarrhea that could last

439
00:26:27.200 --> 00:26:29.960
<v Speaker 2>for weeks or even months if untreated. Other centers include

440
00:26:29.960 --> 00:26:33.519
<v Speaker 2>a dominal cramping, bloating, nausea, fatigue, and significant weight loss.

441
00:26:33.519 --> 00:26:36.720
<v Speaker 2>You have some idiots on TikTok saying they want to lose.

442
00:26:36.519 --> 00:26:41.960
<v Speaker 3>Weight and get it, get it on purpose. Please do

443
00:26:42.079 --> 00:26:46.640
<v Speaker 3>not get this on purpose? All right? Not good? One

444
00:26:46.680 --> 00:26:49.359
<v Speaker 3>eight seven seven Doc Dolly one eight seven seven d

445
00:26:49.720 --> 00:26:52.359
<v Speaker 3>C D A l I. So this is a scary case.

446
00:26:52.720 --> 00:26:57.119
<v Speaker 2>A Georgia woman is suing because she had an unnecessary

447
00:26:57.200 --> 00:27:04.759
<v Speaker 2>hysterectomy after the lab fixed up her results and cancer misdiagnosis.

448
00:27:05.160 --> 00:27:07.880
<v Speaker 2>She comes from Atlanta and she says there was a

449
00:27:07.920 --> 00:27:10.480
<v Speaker 2>negligent handling of a tissue sample that led her to

450
00:27:10.519 --> 00:27:13.839
<v Speaker 2>be misdiagnosed with aggressive form of uterine cancer. She underwent

451
00:27:13.839 --> 00:27:16.839
<v Speaker 2>a full hysterectomy which she was forty three forced into

452
00:27:16.839 --> 00:27:20.440
<v Speaker 2>premature menopause. Doctors removed her cervix uters Filippian tubes ovaries

453
00:27:20.519 --> 00:27:25.519
<v Speaker 2>last year and it's against Kaiser Foundation Health Plan of Georgia,

454
00:27:25.640 --> 00:27:30.240
<v Speaker 2>Kaiser Foundation Health Plan and Kaiser Permanente Insurance company. The

455
00:27:30.400 --> 00:27:36.400
<v Speaker 2>lab technicians also being sued. The ones who handled Cassandra

456
00:27:36.480 --> 00:27:39.119
<v Speaker 2>Barksdale's sample. She went to a doctor at a Kaiser

457
00:27:39.160 --> 00:27:42.480
<v Speaker 2>Permanente Center of January twenty twenty five, had admirable uterine

458
00:27:42.480 --> 00:27:45.640
<v Speaker 2>bleeding and uterine fibroids. The lawsuit says she was referred

459
00:27:45.640 --> 00:27:48.480
<v Speaker 2>for a consultation, according to NBC News, and had an

460
00:27:48.559 --> 00:27:51.960
<v Speaker 2>endometrial tissue biopsy on March twenty twenty five. The tissue

461
00:27:51.960 --> 00:27:55.640
<v Speaker 2>was submitted to Quest Diagnostics for pathology. She was told

462
00:27:56.160 --> 00:27:58.640
<v Speaker 2>on March seventeenth that she had a high grade aggressive

463
00:27:58.720 --> 00:28:02.119
<v Speaker 2>endometrial uterine cancer. She had a CT scan, but the

464
00:28:02.200 --> 00:28:04.799
<v Speaker 2>suit says there was no signs of cancer, so she

465
00:28:04.960 --> 00:28:08.240
<v Speaker 2>was sent to a doctor at Northside Hospital, Atlanta, Barksdale.

466
00:28:08.279 --> 00:28:11.319
<v Speaker 2>New doctor recommended in total hysterectomy, the removeover over. He's

467
00:28:11.359 --> 00:28:13.720
<v Speaker 2>lifting her biopsies based on our previous imagine records and

468
00:28:13.759 --> 00:28:17.480
<v Speaker 2>path reports, but testing the tissue after her surgery, which

469
00:28:17.559 --> 00:28:20.839
<v Speaker 2>is what they do to see how you know, they'll

470
00:28:20.839 --> 00:28:23.200
<v Speaker 2>take the uterus and the lining and they'll test it.

471
00:28:23.440 --> 00:28:26.440
<v Speaker 2>There was no signs of cancer in the entire individual cavity,

472
00:28:26.960 --> 00:28:31.400
<v Speaker 2>which means somebody screwed up and mixed her results up. Now,

473
00:28:31.519 --> 00:28:35.599
<v Speaker 2>this is tricky I and it's horrific that this happened.

474
00:28:35.640 --> 00:28:37.920
<v Speaker 2>She's seeking at least ten thousand dollars in damages in

475
00:28:37.960 --> 00:28:42.240
<v Speaker 2>a jury trial. This is this should have never happened.

476
00:28:42.440 --> 00:28:44.680
<v Speaker 2>But somebody could say, why didn't the doctor just redo

477
00:28:44.720 --> 00:28:47.359
<v Speaker 2>the test? Why didn't the doctor just you know, if

478
00:28:47.359 --> 00:28:50.960
<v Speaker 2>the CT look negative, why don't redo the biopsy? The

479
00:28:51.000 --> 00:28:56.200
<v Speaker 2>probability of a biopsy being wrong, especially showing high grade,

480
00:28:56.960 --> 00:29:01.559
<v Speaker 2>is so rare that let's say you decide, you know what,

481
00:29:01.640 --> 00:29:03.920
<v Speaker 2>I'm just gonna, for poops and giggles, gonna redo the test,

482
00:29:04.200 --> 00:29:07.200
<v Speaker 2>which insurance companies don't really let you do. We used

483
00:29:07.200 --> 00:29:09.480
<v Speaker 2>to redo tests, do tests two three times. They don't

484
00:29:09.559 --> 00:29:12.519
<v Speaker 2>let us do that anymore. You have the test, you

485
00:29:12.599 --> 00:29:14.640
<v Speaker 2>need to justify why you're doing it a second time.

486
00:29:14.799 --> 00:29:16.240
<v Speaker 2>And if you say, well, I think the lab is

487
00:29:16.319 --> 00:29:19.000
<v Speaker 2>messing up, that you know as much as I would

488
00:29:19.039 --> 00:29:22.519
<v Speaker 2>think that, because I've seen labs mess up that most

489
00:29:22.519 --> 00:29:25.559
<v Speaker 2>insurance won't. They'll make the patient pay for it. But

490
00:29:25.720 --> 00:29:27.599
<v Speaker 2>let's say you do a biops. You'd say you do

491
00:29:27.640 --> 00:29:29.519
<v Speaker 2>an endimetroal biopsy, which is where you put a little

492
00:29:29.559 --> 00:29:32.160
<v Speaker 2>type head into the universe and then you suck out

493
00:29:32.240 --> 00:29:34.480
<v Speaker 2>some of the lining and then you plunge her it

494
00:29:34.559 --> 00:29:38.079
<v Speaker 2>into a vial and send it to a lab. Let's say

495
00:29:38.079 --> 00:29:41.160
<v Speaker 2>that comes out negative. Well, now you have a woman

496
00:29:41.400 --> 00:29:44.920
<v Speaker 2>who has two tests, one that says negative biopsy and

497
00:29:44.920 --> 00:29:48.759
<v Speaker 2>one that says a very highly aggressive cancer. Now one

498
00:29:48.759 --> 00:29:50.680
<v Speaker 2>thing they might have been able to do is take

499
00:29:50.680 --> 00:29:54.559
<v Speaker 2>her in for a procedure and do a more thorough scraping.

500
00:29:55.200 --> 00:29:58.880
<v Speaker 2>But if you're gonna already scrape everything off and it's

501
00:29:58.920 --> 00:30:01.799
<v Speaker 2>a woman who might not be having kids anymore, they

502
00:30:01.880 --> 00:30:04.960
<v Speaker 2>might have suggested, do you want to just get this removed?

503
00:30:05.599 --> 00:30:10.000
<v Speaker 2>And so it's it's it's bad that this happened because

504
00:30:10.079 --> 00:30:13.519
<v Speaker 2>if she had a normal, normal biopsy, she might have

505
00:30:13.599 --> 00:30:16.400
<v Speaker 2>never underwent having a hysterectomy. Now I'm very glad I

506
00:30:16.400 --> 00:30:20.200
<v Speaker 2>had my hysterectomy, but some women who have hysterectomies everything's different,

507
00:30:20.640 --> 00:30:25.240
<v Speaker 2>you know, their bladder, control, sex, their body image. So

508
00:30:25.440 --> 00:30:27.680
<v Speaker 2>there's you know, it's it's not very easy for somebody

509
00:30:27.720 --> 00:30:29.039
<v Speaker 2>to get a hysterect to me, for some of us,

510
00:30:29.200 --> 00:30:31.200
<v Speaker 2>we love it, but others, no, they might not love it.

511
00:30:31.480 --> 00:30:33.240
<v Speaker 2>And they have every right and she has every right to,

512
00:30:33.359 --> 00:30:37.799
<v Speaker 2>you know, be concerned and complain. But but you know,

513
00:30:37.880 --> 00:30:41.240
<v Speaker 2>with with something like this, you know we've we've heard

514
00:30:41.279 --> 00:30:44.039
<v Speaker 2>of babies getting swapped right, right, we have those two

515
00:30:44.039 --> 00:30:48.319
<v Speaker 2>men who an ancestry and me test clued them in

516
00:30:48.759 --> 00:30:51.119
<v Speaker 2>that they might not be related to their biological or

517
00:30:51.119 --> 00:30:53.640
<v Speaker 2>to their parents who they thought were their biological parents.

518
00:30:54.000 --> 00:30:54.119
<v Speaker 6>Uh.

519
00:30:55.039 --> 00:30:58.720
<v Speaker 2>Lab errors happened, and I don't know why, and that

520
00:30:58.839 --> 00:31:01.240
<v Speaker 2>it's frightening to think that happens. And when I, you know,

521
00:31:01.400 --> 00:31:03.519
<v Speaker 2>ran my office and I, you know, would get a

522
00:31:03.599 --> 00:31:06.359
<v Speaker 2>lab test back. I always tried to confirm to the

523
00:31:06.400 --> 00:31:10.079
<v Speaker 2>best of my abilities, and there's only so much you

524
00:31:10.079 --> 00:31:12.880
<v Speaker 2>could do. You can't micromanage everything. You have to rely

525
00:31:13.000 --> 00:31:16.119
<v Speaker 2>on a lab to do their part. And for something

526
00:31:16.200 --> 00:31:19.119
<v Speaker 2>like this to happen. Now, you know, some of these

527
00:31:19.160 --> 00:31:20.960
<v Speaker 2>other doctors might say, look, you know this was the

528
00:31:21.000 --> 00:31:21.519
<v Speaker 2>lab result.

529
00:31:21.559 --> 00:31:24.039
<v Speaker 3>I had to go with that, you know. But but a.

530
00:31:24.079 --> 00:31:27.119
<v Speaker 2>Lawyer can still say, look, we're gonna sue because you

531
00:31:27.160 --> 00:31:29.559
<v Speaker 2>should have double checked. That's one of the reasons why

532
00:31:29.640 --> 00:31:31.319
<v Speaker 2>I had an X ray machine in my office.

533
00:31:31.640 --> 00:31:34.160
<v Speaker 3>I didn't want to just believe what the radiologist said.

534
00:31:34.200 --> 00:31:36.640
<v Speaker 2>I wanted to look at the X ray myself, because

535
00:31:36.640 --> 00:31:39.519
<v Speaker 2>that's how I was trained. But am I able to

536
00:31:39.559 --> 00:31:41.440
<v Speaker 2>look at the pathology myself? No?

537
00:31:41.640 --> 00:31:43.079
<v Speaker 3>If I don't have a lab. I can't do that.

538
00:31:43.640 --> 00:31:45.279
<v Speaker 3>One eight seven seven, Doctor Alli.

539
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549
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550
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551
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552
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553
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554
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555
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556
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557
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558
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559
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560
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561
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562
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563
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564
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565
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566
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567
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568
00:33:32.000 --> 00:33:33.480
<v Speaker 3>Hi everyone, Doctor Dahlia here.

569
00:33:33.799 --> 00:33:37.480
<v Speaker 2>Thousands of physicians, residents, nurses, and medical students are silently

570
00:33:37.519 --> 00:33:40.680
<v Speaker 2>dealing with depression, and tragically, four hundred take their lives

571
00:33:40.720 --> 00:33:41.319
<v Speaker 2>each year.

572
00:33:41.200 --> 00:33:41.839
<v Speaker 3>Four hundred.

573
00:33:42.319 --> 00:33:44.799
<v Speaker 2>I wrote The Depressed Doctor, hoping to reach out to

574
00:33:44.839 --> 00:33:45.720
<v Speaker 2>anyone struggling.

575
00:33:45.839 --> 00:33:47.759
<v Speaker 3>You're not alone, don't stay silent.

576
00:33:48.160 --> 00:33:50.759
<v Speaker 2>The Depressed Doctor can be found on Amazon or the

577
00:33:50.759 --> 00:33:53.279
<v Speaker 2>book can be found on doctor dalia dot com. And

578
00:33:53.359 --> 00:33:55.759
<v Speaker 2>if you are anyone you know need help, call her

579
00:33:55.880 --> 00:34:03.319
<v Speaker 2>text nine eighty eight the National Suicide and Crisis Hotline.

580
00:34:14.480 --> 00:34:16.840
<v Speaker 2>And we're back on the Doctor Dahlia's Show. So while

581
00:34:16.840 --> 00:34:19.159
<v Speaker 2>we're waiting for our next guest, this new study that

582
00:34:19.280 --> 00:34:22.920
<v Speaker 2>came out earlier this week has revealed that Americans are

583
00:34:23.000 --> 00:34:28.400
<v Speaker 2>using marijuana more than drinking alcohol, more than smoking cigarettes.

584
00:34:28.400 --> 00:34:29.920
<v Speaker 2>Some people think this is a good thing, some people

585
00:34:30.000 --> 00:34:33.280
<v Speaker 2>think this is a bad thing. The rise in cannabis

586
00:34:33.800 --> 00:34:38.000
<v Speaker 2>has been always there, but now that people feel more

587
00:34:38.039 --> 00:34:40.920
<v Speaker 2>comfortable because of the legalization, I think we're having more

588
00:34:40.960 --> 00:34:44.320
<v Speaker 2>people admit it. And so whereas patients you say, oh,

589
00:34:44.400 --> 00:34:46.719
<v Speaker 2>I don't use marijuana, and I'm like really, and they're like, oh, yeah,

590
00:34:46.719 --> 00:34:49.480
<v Speaker 2>I do, now people are very open about it because

591
00:34:49.519 --> 00:34:51.599
<v Speaker 2>they you know, back in COVID, remember you couldn't go

592
00:34:51.639 --> 00:34:55.000
<v Speaker 2>to the dentist, you couldn't go to a restaurant, You

593
00:34:55.079 --> 00:34:58.599
<v Speaker 2>had trouble walking into a pharmacy without showing your papers

594
00:34:58.599 --> 00:35:00.280
<v Speaker 2>and your mask. But you could go in to a

595
00:35:00.280 --> 00:35:05.239
<v Speaker 2>cannabis dispensary. So yes, obviously cannabis use has grown and

596
00:35:05.320 --> 00:35:08.480
<v Speaker 2>has become very very popular. These Substance Abuse and Mental

597
00:35:08.519 --> 00:35:11.480
<v Speaker 2>Health Services Administration released data from the twenty twenty five

598
00:35:11.599 --> 00:35:14.360
<v Speaker 2>National Survey on Drug Use in Health last week showing

599
00:35:14.440 --> 00:35:18.079
<v Speaker 2>twenty one point four million Americans or using marijuana daily

600
00:35:18.639 --> 00:35:23.079
<v Speaker 2>or almost every day. The figure overtook daily cigarette smokers,

601
00:35:23.079 --> 00:35:26.199
<v Speaker 2>which is our about twenty million, and those who consume

602
00:35:26.280 --> 00:35:31.199
<v Speaker 2>alcohol daily seventeen point two million. Overall, SAMSA found that

603
00:35:31.239 --> 00:35:33.760
<v Speaker 2>forty three point eight million Americans used cannabis on a

604
00:35:33.800 --> 00:35:37.920
<v Speaker 2>regular basis. Thirty six point one million smokes cigarettes regularly.

605
00:35:37.960 --> 00:35:41.599
<v Speaker 2>That's one in eight. You know, I'm gonna want to

606
00:35:41.639 --> 00:35:44.039
<v Speaker 2>talk a little bit about this more later this week.

607
00:35:44.599 --> 00:35:48.840
<v Speaker 2>But using marijuana daily? Are they using it for sleep?

608
00:35:49.119 --> 00:35:51.840
<v Speaker 2>Are they using it for anxiety? Are they using it

609
00:35:51.880 --> 00:35:55.440
<v Speaker 2>for pain? As a doctor, I need to know why

610
00:35:55.639 --> 00:35:59.519
<v Speaker 2>people feel that need to use it daily. With cigarettes, okay,

611
00:35:59.519 --> 00:36:03.519
<v Speaker 2>you could be a addicted to nicketine with alcohol?

612
00:36:03.960 --> 00:36:05.199
<v Speaker 3>Are you addicted to alcohol?

613
00:36:05.199 --> 00:36:07.400
<v Speaker 2>Looking at looking at what twenty million people you know

614
00:36:07.559 --> 00:36:11.559
<v Speaker 2>smoking now still daily, almost twenty million using alcohol daily.

615
00:36:11.599 --> 00:36:15.159
<v Speaker 2>That needs to be addressed because that's hurting people. But

616
00:36:15.719 --> 00:36:20.159
<v Speaker 2>why why is marijuana surpassing that? Is it that people

617
00:36:20.239 --> 00:36:23.599
<v Speaker 2>think it's healthy? Is it that they are becoming addicted

618
00:36:23.639 --> 00:36:27.199
<v Speaker 2>as well? Is the marijuana withdrawal that we're starting to

619
00:36:27.239 --> 00:36:30.840
<v Speaker 2>hear many stars like Sharon Stone say the marijuana withdrawal

620
00:36:30.880 --> 00:36:34.599
<v Speaker 2>was so bad that they you know, tried to avoid that.

621
00:36:34.679 --> 00:36:35.840
<v Speaker 3>They had to get that treated.

622
00:36:37.119 --> 00:36:41.039
<v Speaker 2>So we we we might be you know, making great

623
00:36:41.119 --> 00:36:43.920
<v Speaker 2>movement on the smoking cessation programs and all that.

624
00:36:44.000 --> 00:36:45.280
<v Speaker 3>But you know, we we.

625
00:36:45.320 --> 00:36:47.360
<v Speaker 2>Pivoted people to food, and that's why we have an

626
00:36:47.400 --> 00:36:51.360
<v Speaker 2>obesity crisis. Now that we're using ozebic and these other medications,

627
00:36:51.360 --> 00:36:54.920
<v Speaker 2>people are pivoting to something else. People are very addictive

628
00:36:55.079 --> 00:37:01.599
<v Speaker 2>in nature. That's their their you know, dopaminergicusive, you know,

629
00:37:01.679 --> 00:37:05.760
<v Speaker 2>bio makeup to to you know, do something on a

630
00:37:05.800 --> 00:37:10.920
<v Speaker 2>regular basis habitually. And marijuana is not safe long term.

631
00:37:11.480 --> 00:37:15.239
<v Speaker 2>It's causing a lot of issues, depression, anxiety, not to mention,

632
00:37:15.800 --> 00:37:18.480
<v Speaker 2>you know, if this is something that I voted to

633
00:37:18.559 --> 00:37:22.119
<v Speaker 2>legalize because I wanted to see medicinal applications for pain

634
00:37:22.800 --> 00:37:27.840
<v Speaker 2>and anxiety and other things insulin resistance then and sensitivity.

635
00:37:28.360 --> 00:37:31.960
<v Speaker 2>If we blow it and are over using it, then

636
00:37:32.280 --> 00:37:34.599
<v Speaker 2>we're not gonna be able to utilize it for the

637
00:37:34.639 --> 00:37:37.920
<v Speaker 2>medical applications that we might need in the future. So

638
00:37:38.880 --> 00:37:40.719
<v Speaker 2>coming up, I want to switch gears to talk about

639
00:37:40.719 --> 00:37:43.320
<v Speaker 2>back pain and our next guest, this is a very

640
00:37:43.400 --> 00:37:47.800
<v Speaker 2>very interesting condition that's rare that uh, we're gonna learn

641
00:37:47.800 --> 00:37:50.159
<v Speaker 2>a lot of So we're gonna be switching gears in

642
00:37:50.239 --> 00:37:50.840
<v Speaker 2>just a second.

643
00:37:51.119 --> 00:37:51.840
<v Speaker 3>And here we go.

644
00:37:55.199 --> 00:37:59.880
<v Speaker 2>So August is s M a Awareness month. SMA stands

645
00:37:59.880 --> 00:38:03.960
<v Speaker 2>for spinal muscular atrophy and I am very, very grateful

646
00:38:04.000 --> 00:38:07.440
<v Speaker 2>for our next guest. Spinal muscular atrophy is a genetic

647
00:38:07.480 --> 00:38:10.679
<v Speaker 2>disease that disrupts how the body supports healthy muscle function.

648
00:38:11.119 --> 00:38:14.960
<v Speaker 2>It ultimately can lead to progressive and debilitating muscle weakness.

649
00:38:15.199 --> 00:38:19.239
<v Speaker 2>So it's extremely critical to diagnose this early on, and

650
00:38:19.880 --> 00:38:25.320
<v Speaker 2>we've struggled over the last century coming up with achievements,

651
00:38:25.320 --> 00:38:28.639
<v Speaker 2>but lately we have been able to make huge, huge

652
00:38:28.719 --> 00:38:33.519
<v Speaker 2>advancements in the SMA treatment space, including disease modifying therapies

653
00:38:33.599 --> 00:38:37.840
<v Speaker 2>or d mts. Now these treatments target the underlying biology

654
00:38:37.960 --> 00:38:41.400
<v Speaker 2>or root scientific cause of the progressive disease versus just

655
00:38:41.719 --> 00:38:44.239
<v Speaker 2>managing the symptoms, and we, you know, in medicine, would

656
00:38:44.280 --> 00:38:46.119
<v Speaker 2>rather get to the root of it. So this can

657
00:38:46.280 --> 00:38:49.079
<v Speaker 2>actually help create a fundamental change that can slow disease

658
00:38:49.119 --> 00:38:52.760
<v Speaker 2>progression or reduce its severity. I am really excited for

659
00:38:52.760 --> 00:38:56.880
<v Speaker 2>our next guest, doctor Manisha Korb, neuromuscular specialist at Palm

660
00:38:56.880 --> 00:39:00.840
<v Speaker 2>Beach Neurology, who is going to discuss the SMA patient

661
00:39:00.880 --> 00:39:02.119
<v Speaker 2>experience and how.

662
00:39:02.000 --> 00:39:05.519
<v Speaker 3>Advancements are helping. Doctor Corp. Thank you so much for

663
00:39:05.599 --> 00:39:06.119
<v Speaker 3>joining us.

664
00:39:06.400 --> 00:39:08.480
<v Speaker 4>Thanks so much for having me here today. I'm excited

665
00:39:08.519 --> 00:39:11.199
<v Speaker 4>to be here partnering with Genentech to help raise awareness

666
00:39:11.239 --> 00:39:13.679
<v Speaker 4>about spinal muscular atrophy as a paid spokesperson.

667
00:39:14.639 --> 00:39:18.079
<v Speaker 2>For those who aren't familiar what exactly is spinal muscular

668
00:39:18.159 --> 00:39:21.679
<v Speaker 2>atrophy or SMA, and talk to us about how it's diagnosed.

669
00:39:22.840 --> 00:39:25.880
<v Speaker 4>Spinal muscular atrophy or SMA is a rare genetic condition

670
00:39:25.960 --> 00:39:28.719
<v Speaker 4>that causes a loss of a protein in the body

671
00:39:28.760 --> 00:39:30.960
<v Speaker 4>that is used to support the health of muscles in

672
00:39:30.960 --> 00:39:33.840
<v Speaker 4>the body, and so that can look different from person

673
00:39:33.880 --> 00:39:36.320
<v Speaker 4>to person depending on the age of onset of symptoms

674
00:39:36.360 --> 00:39:38.639
<v Speaker 4>and the type of mutation that a person is born with.

675
00:39:39.119 --> 00:39:42.480
<v Speaker 4>So for infants, they may have a very severe difficulty

676
00:39:42.519 --> 00:39:46.119
<v Speaker 4>with breathing and swallowing and meeting their motor milestones such

677
00:39:46.119 --> 00:39:49.400
<v Speaker 4>as sitting, crawling, standing, or walking. And for those who

678
00:39:49.440 --> 00:39:52.840
<v Speaker 4>it presents later in life, where it's in childhood or adolescence,

679
00:39:53.199 --> 00:39:55.960
<v Speaker 4>they may achieve those motor milestones, but they may lose

680
00:39:55.960 --> 00:39:58.039
<v Speaker 4>the ability to do them over time where they get

681
00:39:58.039 --> 00:40:01.880
<v Speaker 4>weaker and weaker and may revert from walking to having

682
00:40:01.920 --> 00:40:05.360
<v Speaker 4>to use a wheelchair later in life. Now it's diagnosed

683
00:40:05.360 --> 00:40:07.639
<v Speaker 4>with a simple genetic blood test, and that can be

684
00:40:07.679 --> 00:40:10.960
<v Speaker 4>done with your doctor's office. It's also available in prenatal

685
00:40:10.960 --> 00:40:12.639
<v Speaker 4>screening and newborn screening.

686
00:40:14.280 --> 00:40:18.519
<v Speaker 2>How does SMA specifically impact a person's daily routine and

687
00:40:18.559 --> 00:40:20.440
<v Speaker 2>their overall sense of independence.

688
00:40:21.400 --> 00:40:24.840
<v Speaker 4>Yes, so, depending on the age of onset and the

689
00:40:24.880 --> 00:40:27.719
<v Speaker 4>type of gene mutation severity that they have, they may

690
00:40:27.760 --> 00:40:30.920
<v Speaker 4>have trouble with simple tasks such as breathing and swallowing

691
00:40:31.000 --> 00:40:34.360
<v Speaker 4>in the more severe cases, but in milder cases they

692
00:40:34.400 --> 00:40:36.960
<v Speaker 4>may be okay with those Those parts may be preserved,

693
00:40:37.000 --> 00:40:39.920
<v Speaker 4>but they may have trouble using their hands, using their legs,

694
00:40:40.239 --> 00:40:43.199
<v Speaker 4>so for example, getting dressed in the morning, or preparing

695
00:40:43.239 --> 00:40:47.719
<v Speaker 4>food or driving, those things may be impaired. But one

696
00:40:47.719 --> 00:40:50.320
<v Speaker 4>thing I want to mention it doesn't do is it

697
00:40:50.360 --> 00:40:52.679
<v Speaker 4>does not affect your ability to think, or to learn,

698
00:40:52.800 --> 00:40:54.400
<v Speaker 4>or to have meaningful relationships.

699
00:40:55.760 --> 00:40:58.719
<v Speaker 2>The treatment landscape has evolved over the years in how

700
00:40:58.760 --> 00:41:02.519
<v Speaker 2>we treat rare diseases SMA. Can you tell us about

701
00:41:02.559 --> 00:41:05.719
<v Speaker 2>ev RISTI What are some of the considerations you have

702
00:41:05.800 --> 00:41:08.639
<v Speaker 2>when recommending this medication to your patients.

703
00:41:09.480 --> 00:41:11.679
<v Speaker 4>For a long time, the only methods we had to

704
00:41:11.719 --> 00:41:15.320
<v Speaker 4>treat SME were with supportive therapies things like physical therapy

705
00:41:15.480 --> 00:41:18.880
<v Speaker 4>and amilatory assisted devices, which still play a major role

706
00:41:18.880 --> 00:41:21.400
<v Speaker 4>in how we manage SMA now, but in the last

707
00:41:21.400 --> 00:41:23.679
<v Speaker 4>ten years there have been massive leaps in the space

708
00:41:23.719 --> 00:41:26.920
<v Speaker 4>of disease modifying therapies. So those are therapies that are

709
00:41:26.960 --> 00:41:30.199
<v Speaker 4>treating the root cause of the gene mutation and helping

710
00:41:30.559 --> 00:41:33.000
<v Speaker 4>change the overall course of the disease. The one I

711
00:41:33.039 --> 00:41:36.480
<v Speaker 4>want to highlight today is called ev RISD also called rizdaplan.

712
00:41:36.920 --> 00:41:40.559
<v Speaker 4>This is the first orally administered medication that is FD approves,

713
00:41:40.599 --> 00:41:43.760
<v Speaker 4>and it's for all ages of SME, infants, children and adults.

714
00:41:44.119 --> 00:41:47.400
<v Speaker 4>It works by restoring that protein that's deficient and helping

715
00:41:47.639 --> 00:41:51.199
<v Speaker 4>the muscles sustain their function over time and slowing down disease,

716
00:41:51.599 --> 00:41:54.679
<v Speaker 4>stabilizing it and in some cases even allowing the person

717
00:41:54.760 --> 00:41:58.119
<v Speaker 4>to get stronger and meet motor milestones. But with all

718
00:41:58.239 --> 00:42:01.360
<v Speaker 4>medications we have to think about side effects. In adults,

719
00:42:01.360 --> 00:42:04.159
<v Speaker 4>the most common side effects are fever, diarrhea, and rash.

720
00:42:04.880 --> 00:42:08.360
<v Speaker 4>But as this is in oral medication, it can provide

721
00:42:08.360 --> 00:42:10.840
<v Speaker 4>a more consistent and daily routine for patients who are

722
00:42:10.880 --> 00:42:13.480
<v Speaker 4>looking for something that allows them to have that flexibility.

723
00:42:15.079 --> 00:42:18.880
<v Speaker 2>For our viewers, who might be navigating an SMA diagnosis in.

724
00:42:18.880 --> 00:42:19.719
<v Speaker 3>Their own family.

725
00:42:20.159 --> 00:42:22.039
<v Speaker 2>What is the most important piece of advice or help

726
00:42:22.079 --> 00:42:23.239
<v Speaker 2>you can share with them today?

727
00:42:23.840 --> 00:42:26.000
<v Speaker 4>Well, SMA is something that someone is born with and

728
00:42:26.119 --> 00:42:29.280
<v Speaker 4>carries as a lifelong condition. It doesn't have to limit

729
00:42:29.320 --> 00:42:31.519
<v Speaker 4>them or define them in everything that they do and

730
00:42:31.559 --> 00:42:34.039
<v Speaker 4>everything that they want to achieve. I've seen many patients

731
00:42:34.039 --> 00:42:37.880
<v Speaker 4>with SME who are able to achieve advanced degrees become doctors, lawyers,

732
00:42:37.960 --> 00:42:40.880
<v Speaker 4>or business owners, and they can have meaningful relationships and

733
00:42:40.920 --> 00:42:44.039
<v Speaker 4>their own families. So if they have access to a

734
00:42:44.039 --> 00:42:47.599
<v Speaker 4>disease modifying therapy, they can again change the overall course

735
00:42:47.639 --> 00:42:51.360
<v Speaker 4>of their disease and hopefully prevent that overall progression, slow

736
00:42:51.400 --> 00:42:54.440
<v Speaker 4>things down, and maybe even get stronger, sustain those motor

737
00:42:54.440 --> 00:42:55.559
<v Speaker 4>functions for longer.

738
00:42:56.880 --> 00:42:59.559
<v Speaker 2>Doctor Corb, this has been amazing. I'm so glad you've

739
00:42:59.559 --> 00:43:04.440
<v Speaker 2>been here. Thank you for enlightening us with this. Where

740
00:43:04.440 --> 00:43:07.679
<v Speaker 2>can our viewers go to learn more about SMA and

741
00:43:07.719 --> 00:43:09.519
<v Speaker 2>ev risdy So?

742
00:43:09.559 --> 00:43:11.599
<v Speaker 4>I encourage people to visit a frizzy dot com for

743
00:43:11.639 --> 00:43:13.760
<v Speaker 4>more information and talk to the healthcare providers.

744
00:43:15.599 --> 00:43:18.039
<v Speaker 2>All right, everybody, don't go away, We'll be right back

745
00:43:18.119 --> 00:43:20.159
<v Speaker 2>one eight seven seven dot Dolly.

746
00:43:52.960 --> 00:43:56.719
<v Speaker 9>Can you believe with all the recent violent protests, looting,

747
00:43:56.800 --> 00:44:01.320
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748
00:44:01.400 --> 00:44:05.039
<v Speaker 9>the police. At a time when America's neighborhoods need the

749
00:44:05.079 --> 00:44:08.639
<v Speaker 9>protection of police the most, some elected officials would rather

750
00:44:08.719 --> 00:44:12.320
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751
00:44:12.360 --> 00:44:15.599
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752
00:44:15.880 --> 00:44:19.239
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753
00:44:19.280 --> 00:44:23.039
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754
00:44:23.079 --> 00:44:26.920
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755
00:44:26.960 --> 00:44:30.119
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756
00:44:30.159 --> 00:44:33.360
<v Speaker 9>help protect the local police that serve your community. Call

757
00:44:33.480 --> 00:44:36.880
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758
00:44:36.960 --> 00:44:42.280
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759
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760
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