Speaker 1: Initialize sequence.
Speaker 2: Coming to you live from Houston, Texas, home to the
Speaker 2: world's largest medical center.
Speaker 3: In the bunch of days. On the day we're leave Dremont.
Speaker 1: Island, right Coty.
Speaker 2: This is Your Health First, the most beneficial health program
Speaker 2: on radio with doctor Joe Galotti.
Speaker 3: During the next.
Speaker 2: Hour you'll learn about health, wellness and the prevention of disease.
Speaker 2: Now here's your host, doctor Joe Bellotti.
Speaker 1: Well, a good Sunday evening to everybody, doctor Joe Galotti.
Speaker 1: If it's Sunday evening at seven pm Central time, of
Speaker 1: course I want all of you listening to your Health First.
Speaker 1: We hear every Sunday evening, and our single mind the
Speaker 1: goal is to make you better consumers of healthcare, period,
Speaker 1: end of story. That is our sole mission. We've been
Speaker 1: on the air for twenty two years every Sunday, and
Speaker 1: we'll be getting into some other items here a little
Speaker 1: bit later in the program. But I always have looked
Speaker 1: at the value of a program like this as educating
Speaker 1: the public. We're not selling anything. We're not trying to
Speaker 1: have you do anything out of the ordinary other than
Speaker 1: arm you with information you could use to take care
Speaker 1: of yourselves, yourself, your family, your best friends, your co workers,
Speaker 1: your community. So that is what we're all about. Your
Speaker 1: health first. Our website doctor Jogalotti dot com, Doctor Joegalotti
Speaker 1: dot com. And I would say say, if you wanted
Speaker 1: to find out about us, that is the place to go.
Speaker 1: There's a link to Soner for our weekly newsletter, send
Speaker 1: me a message. All of our social media is posted there,
Speaker 1: doctor Joegalotti dot com. Now on the program tonight one
Speaker 1: of my favorite experts, doctor Mike Wilson. He is a
Speaker 1: cardiologist here in the Texas Medical Center. I actually think Mike,
Speaker 1: and I'll have to ask him. I think Mike dabbled
Speaker 1: in radio in college. That that fact sort of sits
Speaker 1: in the back of my head. And so he's got
Speaker 1: a great, great radio presence. He speaks clearly, he's knowledgeable,
Speaker 1: and he's able to explain complicated things. That's what that's
Speaker 1: what this program was all about. We don't want to
Speaker 1: throw a bunch of doctor talk at you. Just keep
Speaker 1: it simple and actionable things that we can share with
Speaker 1: you tonight. You should be able to who put into
Speaker 1: play immediately. So the election is over, my goodness, now
Speaker 1: not getting into the politics. You love Trump, you don't
Speaker 1: like them you voted for him, you didn't vote for him. Etc.
Speaker 1: But one of the themes that came out of the campaign,
Speaker 1: and it really was once RFK Junior joined in and
Speaker 1: became part of the campaign, was this slogan of make
Speaker 1: America healthy again, Make America healthy again. I would say,
Speaker 1: as simple as that is. Now, some of you may
Speaker 1: think it's a little bit corny. For years we've been
Speaker 1: hearing make America great again, make America safe again, make
Speaker 1: America prosperous again. Now we have make America healthy again.
Speaker 1: But I do believe and serely that we have a
Speaker 1: great opportunity to keep pushing this narrative forward because we
Speaker 1: have to. We absolutely have to commit ourselves to making
Speaker 1: America healthy because really there's a lot of unhealthiness that
Speaker 1: I see every day that doctor Wilson sees every day,
Speaker 1: all of my colleagues in the Texas Medical Center, doctors
Speaker 1: across the country, and I'd say, sadly a lot have
Speaker 1: thrown their arms up to say, yeah, everybody out there
Speaker 1: is too damn unhealthy. I can't fix it myself, so
Speaker 1: let's just kick the can down the road. But that's
Speaker 1: not what we're going to do. So second, next segment.
Speaker 1: After we get done here, I'll be giving a little
Speaker 1: bit of an intro of what I think make America
Speaker 1: healthy is, and then doctor Wilson will be joining me
Speaker 1: just a little bit later on. But don't forget go
Speaker 1: to doctor Joeglotti dot com. All right, So today I
Speaker 1: went on a field trip with my wife. We went
Speaker 1: to Trader Joe's. Now, I have always liked Trader Joe's
Speaker 1: going to shop there. I think they have a good
Speaker 1: selection of vegetables, fruit, some select items that we like
Speaker 1: to get. But for some reason, it was sort of
Speaker 1: at about twelve one o'clock today, the store was absolutely mobbed.
Speaker 1: And I when it was that crowded, I had a
Speaker 1: chance to sort of look at what other people were buying.
Speaker 1: And I've said this before in the radio. I do
Speaker 1: some of my best research at the grocery store. You
Speaker 1: get to check out what everybody is buying. It's my
Speaker 1: consumer research in a sense. And the most crowded aisle
Speaker 1: was the processed food. Well, all of these frozen meals,
Speaker 1: frozen pizza, frozen lasagna. And while Trader Joe's has this
Speaker 1: sense that it is maybe a little better quality, it
Speaker 1: is exactly the same it is a highly processed meal,
Speaker 1: high in fat, sugar, and salt, and responsible for all
Speaker 1: of the obesity and chronic disease that we're seeing now.
Speaker 1: For me, when I go to Trader Joe's, the majority
Speaker 1: of things that I buy were my family buys frozen fruit,
Speaker 1: frozen vegetables. We buy some canned goods there that are
Speaker 1: not very processed at all. We'll get some dairy products there.
Speaker 1: But when you really really take a look, and it
Speaker 1: really dawned on me and my wife today that there
Speaker 1: are a lot of candy, sweets, chips, frozen dinners, And
Speaker 1: again they're laid out from a marketing standpoint, very very
Speaker 1: well with these end caps. The end caps are the
Speaker 1: displays that aren't on the end of the aisle that
Speaker 1: they want to lure you in and buy stuff that
Speaker 1: you have no intention of buying, but your hand just
Speaker 1: gravitates and pulls it in and you buy it. But
Speaker 1: a lot of it is cheap, highly flavored foods that
Speaker 1: you're tempted to buy. And when you go shopping to
Speaker 1: a place like Trader Joe's or any supermarket, you have
Speaker 1: to have a strategy. All Right, We're going to take
Speaker 1: a break, Doctor Joe Galotti. This is your health First.
Speaker 1: Stay tuned. We will be right back every Sunday between
Speaker 1: seven and eight pm. I'm doctor Joe Galotti. You should
Speaker 1: be tuned in your health first. And our website is
Speaker 1: doctor Joegalotti dot com. Sign up for our newsletter. All
Speaker 1: of our social media is there. You get send me
Speaker 1: a message. This is a two way street, says contact us.
Speaker 1: Pull it up, send me a message, hit send, I
Speaker 1: get it, and we'll communicate back with you. Coming up
Speaker 1: in just a short bit, doctor Mike Wilson will be
Speaker 1: joining us a cardiologist here in the Texas Medical Center.
Speaker 1: He and I are going to get a little bit
Speaker 1: more in depth on this whole notion of make America
Speaker 1: healthy again. And I firmly believe that for those of
Speaker 1: us that are in healthcare, those of us that truly
Speaker 1: want to prevent disease. See the missing link here is
Speaker 1: in many cases, we're good at fixing stuff that's broken. Okay,
Speaker 1: how do we seriously, in a big, big way, prevent
Speaker 1: things your body from falling apart in us having to
Speaker 1: patch it together with glue, band aids, tape, duct tape.
Speaker 1: All right, we have the wrong mentality here, and so
Speaker 1: by educating the public, having them understand what their risk
Speaker 1: factors are. Early warning signs you get in early, okay,
Speaker 1: and I you know, you know, we don't have a
Speaker 1: check engine light on our body, but if we did,
Speaker 1: a lot of people would be walking around with a
Speaker 1: red light on their forehead saying that there's something wrong.
Speaker 1: You need to go and get checked out. Now, with
Speaker 1: this whole make America Healthy again idea, why is it
Speaker 1: that we are so unhealthy? Why do we why do
Speaker 1: we even have to talk about this? Well, there are
Speaker 1: all kinds of I don't want to say theories, but
Speaker 1: reasons why our population has become so unhealthy. Is it
Speaker 1: just related to the food? Well, I do believe that
Speaker 1: a large portion of the problems we're seeing are indeed
Speaker 1: related to what we're eating or not eating. All right, now, again,
Speaker 1: looking at Trader Joe's, and I like Trader Joe's, but
Speaker 1: it was like a feeding frenzy in that frozen aisle.
Speaker 1: People were going for all kinds of frozen crap and
Speaker 1: that was their dinner. Monday, Tuesday, Wednesday, Thursday, Friday, and
Speaker 1: Saturday and Sunday. They're going to a restaurant. They're not
Speaker 1: cooking the fresh fruits and vegetables. It's not portion controlled,
Speaker 1: it's not low in salt, it's not high in fiber.
Speaker 1: So the food is an issue. The second thing is
Speaker 1: lack of exercise. People are not walking around the way
Speaker 1: they used to, especially in Houston or other big metropolitan cities.
Speaker 1: We drive around everywhere. The thought of walking just doesn't
Speaker 1: even cross our mind. When I travel to other cities
Speaker 1: and you realize, A, the people are thin. B you
Speaker 1: got to walk everywhere, and just being in a city
Speaker 1: at a meeting, I'm putting on twelve thirteen thousand steps.
Speaker 1: In Europe, forget about it. Everybody's walking everywhere. I do
Speaker 1: think that stress, we are stressing ourselves out part of it.
Speaker 1: There is a basis for it. Other would just worrying
Speaker 1: about stuff that doesn't need to be worried about. And
Speaker 1: we have basically taken our eye off the ball, meaning
Speaker 1: we're not really paying attention to symptoms. Everybody I see
Speaker 1: in not everybody should. That's a broad statement. A lot
Speaker 1: of my patients they are chronically fatigued, and they are
Speaker 1: accepting of it. They get home from work, they fall asleep.
Speaker 1: I get some of my best work done after I
Speaker 1: get home after twelve fourteen hours I come home, I
Speaker 1: will still exercise even if it's in the early evening
Speaker 1: because I have to to stay healthy. I don't want
Speaker 1: to get chronically ill. And the bigger question, which I'll
Speaker 1: get around to doctor Wilson, what do we have to
Speaker 1: do to get back on track and how long will
Speaker 1: it take? Now? With RFK Junior, and again he at
Speaker 1: times has been controversial on some items. I think we're
Speaker 1: going to have to really listen to if he's given
Speaker 1: some sort of a platform in the administration, what does
Speaker 1: he say. But when you look at the numbers, the
Speaker 1: numbers are staggering as far as the amount of chronic disease.
Speaker 1: If you look at the numbers for the CDC Centers
Speaker 1: for Disease Control and Prevention, around one hundred and twenty
Speaker 1: nine million Americans are living with at least one chronic
Speaker 1: disease such as heart disease, cancer, diabetes, obesity, hypertension, or
Speaker 1: fatty lever. Chronic conditions account for five of the top
Speaker 1: ten leading causes of death. So this is not a
Speaker 1: benign problem. Key thing, vast majority of these can be
Speaker 1: prevented with lifestyle modification. Lifestyle choices which is what do
Speaker 1: we eat, how much will we x, what time do
Speaker 1: we go to bed, do we drink too much alcohol?
Speaker 1: We're taking too many pills prescription or not prescription. And
Speaker 1: these numbers over the past twenty years just continue to increase,
Speaker 1: and so there's no no end in sight. These numbers
Speaker 1: are going to continue. And my biggest concern, and if
Speaker 1: you have children or grandchildren, here's the guilt trip. When
Speaker 1: you see your grandchildren next time, you could look at
Speaker 1: them and essentially say you are not going to live
Speaker 1: as long as mom or dad because they're going to
Speaker 1: be afflicted with chronic disease decades earlier. And the sad
Speaker 1: thing is, so I practice live a disease. That is
Speaker 1: my day job, if you want to say. And so,
Speaker 1: we have fifteen, sixteen, seventeen year old kids I'll call
Speaker 1: them kids coming in with abnormal liver chemistries. Their blood
Speaker 1: work is abnormal, they have an ultrasound that shows a
Speaker 1: fatty liver, and we investigate it further and we find
Speaker 1: out that they are on the verge of developing soorrosis.
Speaker 1: And he said, oh wait a second, doctor Galotti, cirrhosis
Speaker 1: is only in alcoholics alcohol use disorder, well alcohol only
Speaker 1: accounts for about forty nine percent of all the cirrhosis
Speaker 1: we see. The other fifty percent or fifty one if
Speaker 1: you're really listening, is due to things like hepatitis B,
Speaker 1: hepatitis C, autoimmune disease. But fatty liver is a major
Speaker 1: major cause of chronic liver disease. So now you've got
Speaker 1: an eighteen year old that either is on the verge
Speaker 1: of sorosis or does have cirrhosis, and it may be
Speaker 1: too late to turn around. And this is unrelated to
Speaker 1: alcohol or drug use. This is related to what you ate.
Speaker 1: And now these people they graduate high school, they want
Speaker 1: to get into the workforce, they want to go to college,
Speaker 1: and they're chronically ill. They have a lot of symptoms,
Speaker 1: they're on medications. Medications give you maybe side effects. You
Speaker 1: have appointments with one doctor after another. So instead of
Speaker 1: strategizing on your school work, your career, your occupation, the
Speaker 1: skills that you're going to develop, you're spending time in
Speaker 1: the office with me or doctor Wilson or any other
Speaker 1: physician around the country on medicine's side effect. So it
Speaker 1: is it. And look, I'm not here to paint a
Speaker 1: bleak picture and have you all get depressed and tune
Speaker 1: off the radio. Is that this is a wake up call,
Speaker 1: to energize you to say, Okay, enough is enough. This
Speaker 1: is the wake up call. And my sense is that
Speaker 1: if what the administration does or can do, if it
Speaker 1: is executed properly, make America healthy again, this could be
Speaker 1: an amazing wake up call that can transform the United States.
Speaker 1: And I do mean that now. I came across earlier
Speaker 1: today a video on President Kennedy in nineteen sixty two,
Speaker 1: and what I'll do. I'll probably post it, but it
Speaker 1: may take time to get posted up. But one of
Speaker 1: the things he said, a country is as strong as
Speaker 1: its citizens. And I think that mental and physical vigor
Speaker 1: go hand in hand. So back in nineteen sixty two,
Speaker 1: when we didn't have have these problems, he nailed it.
Speaker 1: A strong and healthy citizenship means a strong, healthy country.
Speaker 1: We'll leave it at that. Doctor Mike Wilson is coming
Speaker 1: up after news, weather and traffic. I'm doctor Joe Glotti.
Speaker 1: Stay tuned, we will be right back. Welcome back, everybody,
Speaker 1: Doctor Joe Galotti. And tomorrow you should all know this.
Speaker 1: It is Veterans Day and we'd like to say thank
Speaker 1: you to all of the veterans that have served to
Speaker 1: make our country great. And you know, it's funny. My
Speaker 1: father was a World War Two veteran and actually in
Speaker 1: a couple of weeks he's he died a couple of
Speaker 1: years ago, but he's going to be celebrating in heaven.
Speaker 1: I guess his one hundredth birthday, and all the years
Speaker 1: that it would be Veterans Day or fourth of July,
Speaker 1: i'd play this patriarch music and he would get such
Speaker 1: a kick out of it, as do I. We're all
Speaker 1: kids at heart. But thank you again to all of
Speaker 1: our veterans, and our hats off to you, and thank
Speaker 1: you for your service that we so preciously need. All right, well,
Speaker 1: doctor Joeglotti dot com is our website. Let us get
Speaker 1: doctor Mike Wilson on the line. Mike, carry you tonight.
Speaker 3: Wonderful. Thanks for having me.
Speaker 1: Oh absolutely. Now, at the beginning of the program, I
Speaker 1: don't know if you heard this, but I had thought
Speaker 1: years ago you had said that in college you dabbled
Speaker 1: in college radio. Is that true?
Speaker 3: Well, yeah, it was a little I was a little
Speaker 3: bit younger, but yes, I was a disc jockey for
Speaker 3: a country music station. How old?
Speaker 1: How old were you at that time?
Speaker 3: I was from the time I was fifteen until I
Speaker 3: was eighteen?
Speaker 1: Wow, Like, did you have an on air handle or
Speaker 1: name or did you just go as Mike? This is
Speaker 1: Mike Wilson on the air.
Speaker 3: I've mostly stayed nameless. They kept a pretty firm handle
Speaker 3: on me.
Speaker 1: All right, Well, we love having you on. You always
Speaker 1: do such a great job. And you know, for those
Speaker 1: for those that are new to the program or old
Speaker 1: to the program, I love to tune in every Sunday evening.
Speaker 1: The whole goal here is to have experts and guests
Speaker 1: that I bring on that can speak common sense, common language.
Speaker 1: And I'd have to think that, Mike, you're one of
Speaker 1: the best we have. So thank you for coming on.
Speaker 3: Oh well, I appreciate it.
Speaker 1: So, uh, make America healthy again. Now we'll get into
Speaker 1: the heart disease part and you know where you get
Speaker 1: your hands dirty. But what is your take on this?
Speaker 1: We could call it a slogan, but I really would
Speaker 1: like to think that we do have an opportunity to
Speaker 1: raise awareness to make the country healthy. What what is
Speaker 1: your take with all of the years and all that
Speaker 1: you've seen, explain to us where you know really what
Speaker 1: you're thinking.
Speaker 3: I think you really hit the nail on the head
Speaker 3: with your opening segment and discussing much of what you
Speaker 3: found in Trader Joe's. And as you said, you find
Speaker 3: a lot of material for your show by walking through
Speaker 3: the grocery store.
Speaker 1: Absolutely.
Speaker 3: A few years ago, I worked briefly with a guy
Speaker 3: who did some studies with adolescents and with long term
Speaker 3: health with the Bogaloosa Heart Study in South Louisiana, and
Speaker 3: one of their discoveries that was, if you'll pardon the pun,
Speaker 3: very disheartening, was that our trend towards ill health actually
Speaker 3: begins when you're twelve, thirteen, fourteen years old. That excess
Speaker 3: body weights started then, and the habits started then. Even
Speaker 3: high blood pressure, not the kind you and I treat,
Speaker 3: but high for that age range, was already appearing in adolescence. Right.
Speaker 3: And what we need to get back to is the
Speaker 3: education and giving a good example to our children. Eating right, exercising,
Speaker 3: doing the very simple things right pay off in a
Speaker 3: long term.
Speaker 1: Right now, my goal here is not to make this
Speaker 1: a political statement. As I was saying earlier, it's make
Speaker 1: America great again, make America safe again, make America healthy again.
Speaker 1: But if you could, just like off the off the
Speaker 1: top of your head here, give a grade from A
Speaker 1: to F on the general state of health of our country.
Speaker 1: Now again, we're a little bit skewed. We're in the
Speaker 1: Texas Medical Center. We tend to see the sick of
Speaker 1: the sick, and so you know, we don't see really
Speaker 1: healthy people. But you're gestaled on this. Where do you
Speaker 1: think we're really at?
Speaker 3: You know, I would put us at about a C minus.
Speaker 1: Okay, that's what I would say.
Speaker 3: You know, there is there are the acquired illnesses that
Speaker 3: nature has waiting out there for us. And there are
Speaker 3: a lot of places on Earth that are suffering or
Speaker 3: great deal from those type of illnesses, from malnutrition, malaria,
Speaker 3: all kinds of awful illnesses. They're in a much worse way.
Speaker 3: Where we're suffering is really from the opposite, from excess and.
Speaker 1: Sloth, right, sloppy. I mean, it's the truth.
Speaker 3: And we're going to we're living healthy through many of
Speaker 3: our productive years, but where we're going to pay the
Speaker 3: price is in longevity.
Speaker 1: Yeah. And you know, you know the type of patients
Speaker 1: you see in the cardiovascular realm are very similar to
Speaker 1: the ones that I see on the liver front, and
Speaker 1: my patients when I see them, some of them or
Speaker 1: many of them are later fifties, early sixties, and retirement
Speaker 1: is sort of just around the corner. They're starting to
Speaker 1: project what they want to do, and it is everything
Speaker 1: from just you know, go fishing every afternoon, to travel
Speaker 1: with their grandchildren or pick up a new hobby. And
Speaker 1: I have to look at them and say, you know
Speaker 1: you're here with me now because you have a serious,
Speaker 1: potentially life threatening disease that may, if it does not
Speaker 1: kill you prematurely, you're going to be severely disabled in
Speaker 1: a sense. And what do you see and how do
Speaker 1: you articulate that to everybody tonight on the radio.
Speaker 3: Yeah, you're absolutely right. And what I'm seeing more and
Speaker 3: more of, along with the excess body weight obesity, is
Speaker 3: a type of heart disease that I think the best
Speaker 3: term for it is called failed aging. It is a
Speaker 3: heart that has gone through life without being challenged, without
Speaker 3: being exercised, without being work and it's then adapted to
Speaker 3: its workload so that as age comes or as other
Speaker 3: illness comes, the heart can't really help and becomes an impediment.
Speaker 3: So many people develop a form of heart disease that
Speaker 3: we're labeling heart failure that is severely limiting and very
Speaker 3: difficult to treat and not something that you can really
Speaker 3: undo later.
Speaker 1: Right, And it really is, in a sense a disease
Speaker 1: of neglect, people not checking in on things until the hubcaps,
Speaker 1: the wheels start falling off, and then you say, oh gee,
Speaker 1: I have to go see doctor Wilson now, right, Yeah,
Speaker 1: all right, Well what we're gonna do, Mike, We're going
Speaker 1: to take a quick break. I'm with doctor Mike Wilson.
Speaker 1: For those that want to learn more about doctor Wilson
Speaker 1: in his practice. Euston MDS dot org is the website.
Speaker 1: I'm doctor Joeglotti. Stay tuned. Final segment coming up in
Speaker 1: a minute final segment of this week's Your Health First,
Speaker 1: Doctor Joe Galotti our website Doctor Joglotti dot com. We
Speaker 1: are talking about make America healthy again, and I think
Speaker 1: we've got a lot of work to do. Him on
Speaker 1: with doctor Mike Wilson. Mike, you know a lot of
Speaker 1: doctors by yeah, I don't want to say by experience,
Speaker 1: they they tend to be a bit a political. I
Speaker 1: don't think I saw anybody around the hospital wearing a
Speaker 1: button on any candidate which way or the other. But
Speaker 1: you know, I I you know, after uh Donald Trump
Speaker 1: won with such huge margins the other day, I really
Speaker 1: started to think about this to say, if there is
Speaker 1: the quote unquote mandate that you know, maybe this little
Speaker 1: little piece of the puzzle here could get pushed through
Speaker 1: and and pick up some steam. What what do you think?
Speaker 3: I sure, I certainly hope. So it's it's uh uh
Speaker 3: many many initiatives like this, uh false for just a
Speaker 3: variety of reasons. But I don't know if you remember
Speaker 3: so many years ago when the government decided they were
Speaker 3: going to try to help us out with our diet,
Speaker 3: and they came up with this whole food group business.
Speaker 3: Many of the nutritionists when you mentioned that, their hair
Speaker 3: stands straight up right. But the initiative has stuck around.
Speaker 3: It had a great deal of impact. And if the
Speaker 3: initiative has no more impact, then to get people to
Speaker 3: pay a little closer attention to their diet like you
Speaker 3: were talking about with processed foods, and to get out
Speaker 3: and take a walk for twenty minutes every day, it's
Speaker 3: going to have a big impact.
Speaker 1: No, for sure. And you know what I see every
Speaker 1: day and I'm sure you and many of our colleagues
Speaker 1: in the medical center see this and other big centers
Speaker 1: around the country. We get patients that are late. Now,
Speaker 1: I look at that as a symptom. You have to
Speaker 1: look upstream to say, how how is it that somebody
Speaker 1: was referred late? They they're late, They're late to the game. Okay,
Speaker 1: they're showing up in the bottom of the ninth instead
Speaker 1: of showing up in the first or second inning. And
Speaker 1: is it a problem with the system? Is it a
Speaker 1: problem with their primary care physician ors whoever is taking
Speaker 1: care of them, or is it a is the responsibility
Speaker 1: on the individual to say, look, man, you've got to
Speaker 1: take some responsibility. You're not feeling good, You're short of breath,
Speaker 1: you've got chest pain, you have palpitations. Why are you
Speaker 1: waiting till it's critical? And you have to call nine
Speaker 1: to one one? And you know when you're taking a
Speaker 1: history and you're like, oh, yeah, you know, I've had
Speaker 1: these palpitations for years. What do you see in your
Speaker 1: real world, everyday practice.
Speaker 3: It's a fantastic question. And I think a major part
Speaker 3: of the problem is some of these things are so
Speaker 3: difficult to tease out from some of the common symptoms
Speaker 3: that you and I feel every day, and especially in
Speaker 3: someone who's very overweight or obese, it is exceptionally difficult
Speaker 3: to determine whether part of the limitation is simply the
Speaker 3: excess body weight, or whether the excess body weight has
Speaker 3: started to turn into a disease state with formed heart
Speaker 3: failure or with the liver with a fatty liver. That
Speaker 3: on us is going to be on the patient and
Speaker 3: doing the simple things and maintaining your health and maintaining
Speaker 3: your body weight. But where we go on the other
Speaker 3: side is the screening tools that we really need to
Speaker 3: have interness and general practitioners aware of. With with a heart,
Speaker 3: we can tell a great deal by echo. Now that's
Speaker 3: almost as good, if not better sometimes than hard caathorization, okay,
Speaker 3: or or as you're as you're saying so much of now,
Speaker 3: I think liver disease has just skyrocketed, right, and ultrasound
Speaker 3: there can be extraordinarily.
Speaker 1: Useful exactly, And you know, I think, uh, you're you're
Speaker 1: on our speed dial. Where we see patients that come
Speaker 1: in with abnormal liver chemistries, their lab work is abnormal,
Speaker 1: they've been told they have fanny liver and nobody really
Speaker 1: raises it to any concern to you know, sit them
Speaker 1: down to say, look, if we do not address this
Speaker 1: in the next few years, you could be in much
Speaker 1: more serious state. And when they don't hear that, they
Speaker 1: go home to their family and they say, well, but
Speaker 1: the doctor say, well, it's not that bad. Did you
Speaker 1: get a new prescription? Now I didn't get a prescription.
Speaker 1: Did he do any extra test? No, you didn't do
Speaker 1: any extra tests. Well, then I guess it's sort of okay.
Speaker 1: And and you know, the can, the can get kicks
Speaker 1: down the road until they show up and you know
Speaker 1: the dirty little secret, which you're well aware of. Most
Speaker 1: of these people with fatty liver die have cardiovascular disease
Speaker 1: and that's not you know, a good situation. So I
Speaker 1: would say to let you share your heart disease wisdom
Speaker 1: with the audience. Now, first, symptoms that that need to
Speaker 1: not so much panic and hopefully nobody has to call
Speaker 1: nine to one one during this program, But the symptoms
Speaker 1: that they should really be familiar with. What what are they? How?
Speaker 1: How would you list this off?
Speaker 3: I say that the single most important thing to be
Speaker 3: aware of is that many people have the misconception that
Speaker 3: when i'm my heart gets into try, I'm going to
Speaker 3: feel chest pain. The vast majority of people that run
Speaker 3: into difficulties with corner ritory disease or blockage don't describe
Speaker 3: what they felt as pain, right, and many will sit
Speaker 3: home thinking, well, it's not hurting, so that the sensation
Speaker 3: is a discomfort or an awareness that something is badly amiss. Right,
Speaker 3: You're unable to carry out activities that you should normally
Speaker 3: do without being unduly fatigued or breathless, and you feel
Speaker 3: an odd sensation that's uncomfortable beneath the sternum, the shoulders,
Speaker 3: in the neck or the jaws. And if you're doing
Speaker 3: something and you get the sensation that makes you want
Speaker 3: to stop, and that sensation goes away, it's time to
Speaker 3: call for help.
Speaker 1: Right, I would agree, Where would you throw in shortness
Speaker 1: of breath with, you know, either walking or going upstairs,
Speaker 1: carrying a suitcase at the airport, compared to that sort
Speaker 1: of just general discomfort, Just hey, I'm just sure to
Speaker 1: breath all of a sudden, and people will say I'm overweighted,
Speaker 1: and you know, whatever the case may be, they make
Speaker 1: up all kinds of excuses.
Speaker 3: Right, And that's where the daily physical activity is very
Speaker 3: useful because what I ask I usually go through daily
Speaker 3: activities with people to find out where their limitation is right.
Speaker 3: And the point is, do you become breathless with activities
Speaker 3: that you're normally capable of doing comfortably? And if the
Speaker 3: answer is yes, it's time to find out why.
Speaker 1: Yeah. And a bigger part of this is really people
Speaker 1: being in sync with their body understanding, Hey, in the past,
Speaker 1: I've been able to do this, or I never had
Speaker 1: these symptoms. Now it's very subtle, and there's that wake
Speaker 1: up call to say, something is amiss. I need to
Speaker 1: check in, right.
Speaker 3: Can't walk up that flight of stairs, you know. That's
Speaker 3: that's one of the things that if you're not exercising,
Speaker 3: if you're not engaging in physical activity, a lot of
Speaker 3: times you don't get the warning until, like you were
Speaker 3: pointing out earlier, you're way late in the.
Speaker 1: Game, exactly exactly. We don't like any of these nice
Speaker 1: inning cases.
Speaker 3: All right.
Speaker 1: So in the last minute or so here, doctor Mike Wilson,
Speaker 1: let's say that I've got the hotline after January to
Speaker 1: the White House, and President Trump is on the line. JFK.
Speaker 1: Junior is on the line, what do you tell them
Speaker 1: with regard to make America healthy again.
Speaker 3: I'd say, let's let's put that emphasis on America's dietary
Speaker 3: habits and the epidemic of obesity and getting everybody enough
Speaker 3: time and engagement to get into some regular physical activity.
Speaker 3: We are made for regular daily physical activity, and we're
Speaker 3: also made really not to have a full three square
Speaker 3: meals a day. Right, we need to limit our caloric
Speaker 3: intake by limiting the process foods and about, and that
Speaker 3: really needs to be the flag that we're waving.
Speaker 1: Absolutely, all right, Doctor Mike Wilson Euston MDS dot org. Mike,
Speaker 1: it's always such a pleasure to have you on.
Speaker 3: Thank you, sir, thank you for having me.
Speaker 1: All right, good, we'll get you back on a lot
Speaker 1: to talk about, all right, So everybody go to doctor
Speaker 1: Jogalotti dot com sign for our newslet us stay in
Speaker 1: touch with all that we do. And again, I would say,
Speaker 1: for the end of this year and all of next year,
Speaker 1: this make America Healthy again, I think is without a
Speaker 1: doubt going to be a theme. So until then, you
Speaker 1: all take care of yourselves. We'll see you.
Speaker 2: You've been listening to your health first with doctor Joe Galotti.
Speaker 2: For more information on this program or the content of
Speaker 2: this program, go to your health first dot com