Myths in Medicine | On Call with the Prairie Doc | January 17, 2019

>> FEED A COLD AND STARVE A FEVER, OR IS IT THE OTHER WAY ROUND? THERE IS A TREASURE TROVE OF LORE THAT SURROUNDS OUR HEALTH. MYTHS IN MEDICINE, DR. GOOGLE, AND ALTERNATIVES, GOOD AND BAD? TONIGHT “ON CALL WITH THE PRAIRIE DOC.” >> GOOD EVENING, AND WELCOME TO “ON CALL WITH THE PRAIRIE DOC.” IN THE WORDS OF JONATHAN SWIFT, “FALSEHOOD FLIES, AND THE TRUTH COMES LIMPING AFTER IT”. FOR SOME REASON, PEOPLE TEND TO BELIEVE THE MYTH BUT RESIST THE REASONED RESPONSE. OUR DISCUSSION WILL SIFT AND WINNOW FOR THE TRUTH. FIRST, LET’S TAKE A LOOK AT THIS WEEK’S PRAIRIE DOC QUIZ QUESTION. IT IS A MULTIPLE CHOICE TONIGHT, CHOOSE THE BEST ANSWER. DELIRIUM IS BEST TREATED WITH… 1. HAND-HOLDING 2. ANXIOLYTIC LIKE ATIVAN 3. MAJOR TRANQUILIZER LIKE HALDOL. VIEWERS WHO CALL IN THE CORRECT ANSWER WILL BE ENTERED INTO A DRAWING TO WIN A SIGNED COPY OF OUR BOOK, “THE PICTURE OF HEALTH.” EACH OF MY ESSAYS, ORIGINALLY WRITTEN FOR THIS SHOW, COMES WITH A WONDERFUL ACCOMPANYING PHOTOGRAPH BY DR. JUDITH PETERSON. WE WILL ANNOUNCE THE ANSWER AND THE WINNER AT THE END OF THE SHOW. REMEMBER, YOU ONLY HAVE 10 MINUTES TO GET YOUR ANSWER IN! WE ANSWER YOUR QUESTIONS ABOUT MEDICAL MYTHS AS THEY ARE CALLED IN OR SENT TO US VIA FACEBOOK OR EMAIL. CALL IN QUESTIONS TO 1-888-376-6225. OR SEND US AN EMAIL TO THE ADDRESS ON THE SCREEN. JOINING US TONIGHT ARE DOCTORS CANDACE ZEIGLER AND DAVID ZEIGLER OF SANFORD INTERNAL MEDICINE CLINIC, SIOUX FALLS. THANK YOU BOTH FOR JOINING US. >> IT’S GREAT TO BE HERE. >> IT REALLY IS. >> IT’S A PLEASURE TO HAVE YOU HERE AN OF COURSE WE’RE TACKLING THE ISSUE OF MYTHS, AND SO IN PREPARATION FOR THIS, WE ASKED THE ZIEGLERS AND THE BOARD THE PHYSICIANS ON THE BOARD AND WE ASKED OUR HERO BOARD PHYSICIANS, WHAT MYTHS WOULD YOU LIKE TO HEAR US DISCUSSED AND DEBUNKED AND WE HAVE 60 QUIZ QUESTIONS MYTHS THAT ARE IN OUR FISH BOWL TONIGHT AND WE THOUGHT WE WOULD, ASIDE FROM YOUR QUESTIONS, AND COMMENTS, WE WOULD WE WOULD PULL IT OUT OF THE FISH BOWL. FIRST ONE, MILK AND WHEAT ALLERGIES ARE COMMON IN ADULTS AND YOU KNOW WHAT, I THINK WE’RE GOING TO GET THAT. IS THAT TRUE OR FALSE? >> FALSE. >> FALSE. >> OKAY. [ Laughter ] >> YOU KNOW WHAT? I’M GOING TO GO FOR THERE ARE SOME ALLERGY ONES THAT Dr. BUBACK IS GOING TO TALK ABOUT IN ONE OF OUR ROLL-INS AND HERE IS ANOTHER ALLERGY QUIZ QUESTION. HERE IS ONE. ALS, A TRIO TROPHIC LATERAL SCLEROSISIST WAS A CONDITION THAT AFFECTED STEPHEN HAWKING AND LOU GEHRIG. WE’RE NOW ABLE TO DEFINE THE CAUSE AND TREATMENT ALLOWING HAWKING TO LIVE 50 YEARS WITH THE DIAGNOSIS. WE DON’T KNOW THE CAUSE AND ANY TREATMENT WHAT’S THE ANSWER, DO WE KNOW THE CAUSE? DO WE HAVE GOOD TREATMENT, HE LIVED 50 YEARS. >> HE WAS LUCKY. WE DO NOT KNOW THE CAUSE AND THE TREATMENT IS SUPPORTIVE CARE. >> WE DON’T KNOW WHY HE LIVED SO LONG. MOST NO ONE KNOWS WHY HE LIVED SO LONG. >> HE WAS DIAGNOSED IN 1963 AND I THINK HE HAD EXCELLENT CARE AND IT PROBABLY WASN’T AN AGGRESSIVE DISEASE IN HIM AS OTHER CASES, SO HIS WAS HIS WAS AN UNUSUAL >> THE AVERAGE CASE OF A.L.S., THOUGH MATTER WHAT WE DO, THEY’RE MUSCULAR STRENGTH GETS WORSE WEAKER AND WEAKER, YET THEY STAY ALERT AND THEY LIVE, WHAT’S THE AVERAGE TIME, DO WE HAVE AN IDEA? FIVE YEARS. >> FIVE YEARS, I THINK. >> YEAH, I WOULD SAY FIVE TO 10. SO 50 WAS WAY OUT OF THE NORM. >> OKAY. WE HAVE PHYSICIANS DIE EARLIER THAN PEOPLE OF OTHER PROFESSIONS. >> I DON’T LIKE THIS THOUGHT BUT WE DON’T. WE ACTUALLY LIVE LONGER IN MANY WAYS. I THINK IT THE THINGS THAT DETERMINE HOW LONG YOU LIVE ARE PARTLY GENETICS AND PARTLY BEING INVOLVED AND ACTIVE WELL INTO YOUR 80s AND 90s. IF YOU’RE ACTIVE AND HAVE THINGS THAT YOU’RE INVOLVED IN AND INTERESTED IN IT WILL KEEP YOU ALIVE. >> THEY’VE ACTUALLY DONE SOME STATISTICS ON THIS APPEAR BOTH WHITE AND BLACK PHYSICIANS LIVE LONGER THAN, SAY, LAWYERS, OR GENERAL PROFESSIONALS. >> I HAVE FRIENDS WHO ARE LAWYERS SO I’M JUST KIDDING. >> I HAVE ALLERGY TESTING IS DANGEROUS AND INACCURATE AND SHOULD NOT BE PERFORMED IN YOUNG CHILDREN. >> THAT IS A NO. IT IS VERY SAFE. ESPECIALLY WHEN IT’S DONE BY BONA FIDE ALLERGISTS WHO KNOW WHAT THEY’RE DOING, PERFECTLY SAFE THING TO DO. >> PERFECTLY SAFE, ALTHOUGH THEY ARE PREPARED FOR SEVERE ALLERGIC REACTION. >> YEAH, THAT’S WHY YOU WANT TO GO TO SOMEBODY WHO KNOWS WHAT THEY’RE DOING WHEN YOU HAVE THE TESTING DONE. >> THE ALLERGY TESTING. >> YES. >> THE COST OF HEALTH CARE HAS ROCKETED UP IN THE UNITED STATES BECAUSE OF EXCESSIVE COST OF MEDICAL THERAPIES. EXCESS OFF COST OF MEDICAL THERAPIES. WHAT WOULD BE THE REASON THE COST OF HEALTH CARE HAS GONE UP? >> I THINK IT’S THE NUMBER OF TESTS THAT WE DO AND I THINK IT’S ALSO THE EXPECTATIONS OF PATIENTS THAT THEY WANT EVERYTHING DONE AND THEY ARE UNHAPPY WITH A LOWER EXPECTATIONS. >> WELL, THE COST OF EVERYTHING HAS GONE UP SO I DON’T THINK IT’S JUST >> MEDICINE. >> IT’S NOT JUST MEDICINE, IT’S EVERYTHING WE DO. IT’S THE COST OF THE PEOPLE THE NURSE AND THE DOCTORS, THEIR FEES, IT’S THE COST OF ALL THE TESTS. IT’S THE COST OF THE PEOPLE THAT, YOU KNOW, MOW THE LAWN AND KEEP THE PLACE RUNNING. EVERYTHING COST OF EVERYTHING HAS GONE UP. COST OF A CANDY BAR HAS ROCKETED. IF YOU LOOK AT THE WHEN I WAS A KID, IT WAS FIVE CENTS, NOW IT’S… [Laughter] >> NOW IT’S $1.50. >> I DO KNOW THIS, I READ AN ARTICLE THE OTHER DAY AND THEY TALKED ABOUT THE FACT THAT THE PRICE IS SO MUCH HIGHER AND THE PRICE IS HIGHER BECAUSE THIRD-PARTY PAYERS, THE INSURANCE COMPANY, THE GOVERNMENT >> BARGAIN >> BARGAIN WITH THE HEALTH CARE SYSTEM AND THEY SAY HOW MUCH IS AN APPENDIX, APPENDECTOMY. WELL, $500. WE’RE ONLY GOING TO PAY YOU 250. THE NEXT TIME WE COME BACK, HOW MUCH IS THE COST OF AN APPENDECTOMY, IT’S $1,000. WE’LL PAY YOU 500. THE NEXT TIME THEY GO, THAT WAS EASY, IT’S 2,000 AND THAT’S WHAT’S HAPPENING. WE ARE TWICE AS EXPENSIVE PRICE-WISE FOR EVERYTHING WE DO IN OUR COUNTRY THAN ALL THE REST OF THE TEN NEXT MOST WEALTHY COUNTRIES OF THE WORLD. >> BUT WE ALSO GET GREAT CARE IN HEALTH CARE HERE, TOO. >> AND PEOPLE WANT TO COME TO THE UNITED STATES TO GET THEIR HEALTH CARE. >> THEY DO. I LOVE THROWING THESE OVER MY SHOULDER. >> I WOULD SAY, JUST TO THAT POINT ABOUT OUR HEALTH CARE IS EXPENSIVE BUT ONLY IN AMERICA CAN WE HAVE A TEST, ORDER A TEST, HAVE IT RUN THAT DAY AND GET THE RESULTS THAT DAY OR THE NEXT DAY. I MEAN, IT IS JUST INCREDIBLE WHAT OUR PATIENTS EXPECT AND GET. >> YEAH. SOME PEOPLE LIVE FOREVER. [Laughter] >> HAVEN’T MET ONE YET. [Laughter] >> CHILDREN WILL OUTGROW THEIR ALLERGIES. >> ACKMUCH >> NO. >> WE HAVE-OH AND WHAT WAS KARNACK, THE GREAT KARNACK. AGENT OKAY, THERE’S A LOT SAID ABOUT AGENT ORANGE. ANCIENT ORANGE. >> AGENT ORANGE. >> IT’S A VEGETATIVE POISON THAT WAS SPREAD M GREAT QUANTITIES IN THE FLDS AND FORESTS OF VIETNAM DURING THE WAR IN THE ’70s AND IT HAS BEEN CONSIDERED TO BE SO DETRIMENTAL TO THE SOLDIERS THAT AGENT ORANGE HAS BEEN BANNED FOR USE IN MOST COUNTRIES SINCE SINCE. AND THE QUESTION IS, IS ROUND-UP THE SAME AS AGENT ORANGE? >> NO, IT IS NOT. MADE BY THE SAME COMPANY, I THINK MONSANTO, BUT IT IS NOT THE SAME, NO. >> BUT IT’S A COUSIN. >> RIGHT, BUT IT’S NOT A KILLER OF HUMANS. >> OF PEOPLE. >> BUT IS AGENT ORANGE A KILLER? >> I THINK IT’S YOU KNOW, I DO HAVE A LOT OF PEOPLE WHO HAVE HAD PROBLEMS FOLLOWING VIETNAM AND A LOT OF THE VEET THAT ME LIVING IN THEIR COUNTRY WHO >> EVER HAD ISSUES RELATED TO IT. >> HAD ISSUES, AS WELL. SO I THINK IT HAS CAUSED SOME HEALTH ISSUES >> I DON’T THINK MORTALITY, MAYBE, BUT HEALTH ISSUES. >> WELL, YOU KNOW THAT MORE THAN HALF THIS IS LIKE FIVE YEARS AGO, I LOOKED AT IT, MORE THAN HALF OF THE VIETNAM VETS ARE DEAD. THE MORTALITY RATE FOR THE VIETNAM VETS IS MUCH HIGHER AND FOR THOSE OF US WHO DIDN’T GO, AND WHEN YOU DON’T KNOW THE ANSWER, SOMETIMES HE- >> BLAME IT ON AGENT ORANGE. >> YEAH. >> THERE MIGHT BE OTHER PEOPLE WITH SINUS AND EAR PROBLEMS SHOULD AVOID MILK. >> NO. >> NO. >> I’M NOT EVEN SURE WHERE THAT CAME FROM. I THINK PEOPLE SAY THEY DRINK MILK AND THEY GET MUCOUS IN THEIR THROAT OR SOMETHING. >> I REMEMBER WHEN I WAS A YOUNG CHILD, I WENT TO A NON-PHYSICIAN PRACTITIONER WHO SAID YOU’RE GOING TO HAVE TO STOP MAKING STOP DRINKING MILK BECAUSE I HAD ASTHMA, THAT THE MILK WAS THE CAUSE OF THE ASTHMA. >> OH, OKAY. >> IT WAS NOT. >> NO, IT WASN’T. >> ENDOMETRIOSIS IS AN UNCOMMON CAUSE OF SEVERE AND CHRONIC ABDOMINAL PAIN AND PELVIC PAIN IN WOMEN. IS IT >> THAT IS NOT TRUE, IT IS NOT UNCOMMON. LIKE 11% OF WOMEN HAVE ENDOMETRIOSIS, SOMETIMES I THINK THAT DIAGNOSIS IS HARDER TO COME BY BECAUSE THERE IS A LOT OF THINGS THAT CAUSE ABDOMINAL PAIN BUT 11%, THAT’S NOT UNCOMMON. >> AND THERE IS A NEW DRUG TO TREAT THAT NOW. I CAN’T REMEMBER THE NAME OF IT BUT I’VE SEEN THAT THERE IS A NEW DRUG OUT THERE… [Overlapping Conversation] THAT IS AVAILABLE TO TREAT ENDOMETRIOSIS. >> WHAT IS THAT? >> SO IT’S THE CELLS THAT LINE THE UTERUS THAT GET OUT OF THE OUT ROUSE AND ARE UTERUS AND ARE GROWING >> IN THE ABDOMINAL CAVITY. >> RIGHT. >> OR THEY GO UP THE FALLOPIA TUBES AND GO OUT TO THE PELVIS >> PELVIS AND ABDOMEN AND THEY CAN GROW OUTSIDE THERE. >> AND THEN WHEN THE MENSTRUAL CYCLE COMES, THEY BLEED. >> THAT’S RIGHT. AND IT CAUSES PAIN. SO IT CAN BE VERY DEBILITATING FOR WOMEN. >> SO IT’S IT’S A COMMON CAUSE OF CHRONIC PAIN. >> YES. >> RECURRING, SEVERE, AND THEY SAY THE MOST IMPORTANT TREATMENT FOR IT IS PREGNANCY. HAVE YOU HEARD THAT? [Laughter] >> RIGHT, RIGHT, WELL, THAT’S ONE YEAH. TO GET A DEFINITIVE DIAGNOSIS, I THINK THEY DO A TISSUE EXAM BUT YOU CAN ALSO TELL BY SOME PHYSICAL EXAM AND ULTRASOUND AND STUFF. >> BUT I’VE KNOWN WOMEN WHO HAVE HAD IT’S BEEN SO BAD THEY’VE HAD TO HAVE A HYSTERECTOMY BECAUSE OF IT. YEAH. >> MULTIPLE VITAMINS HAVE IMPROVED LONGEVITY BECAUSE MANY PEOPLE DON’T EAT BALANCED DIETS. >> WRONG. [Laughter] >> IF THAT WAS ONLY TRUE. >> MOST PEOPLE EAT MORE THAN THEY NEED, BUT I DO PEOPLE THINK, ALTHOUGH I’M NOT EATING A THE ONLY PEOPLE ARE PERHAPS SOME OF THE ELDERLY WHO ARE NOT GETTING A GOOD, BALANCED DIET BUT IF YOU EAT NORMAL VEGETABLES AND FRUITS AND MEAT AND CARBOHYDRATES >> A BALANCED DIET. >> YOU’LL GET ALL THE NATURAL VITAMINS YOU NEED, PROBABLY IN A BETTER SOURCE THAN I JUST REMEMBER EARLY ON, THEY USED TO PACKAGE HORSEPILL VITAMINS AND THEY WOULD NEVER ACTUALLY BREAK APART AND SO YOU WOULDN’T [Overlapping Conversation] >> YOUR MULTIPLE VITAMIN. >> AND THERE’S NO EVIDENCE THAT IT CAUSES THAT IT HAS BENEFITS LONGEVITY. >> THE WOMAN STUDY 35 YEARS OF IT, THEY LOOKED AT THOUSANDS AND THOUSANDS OF WOMEN WHO DID AND WHO DIDN’T AND THERE WAS NO DIFFERENCE. >> NO CHANGE IN THEIR MORTALITY. >> THERE WAS A DIFFERENCE IN THE WOMEN WHO HAD A GLASS OF WINE A DAY. THEY HAD 20% LESS HEART DISEASE IN A WOMAN’S STUDY. >> JUST ONE GLASS OF WINE, NOT MULTIPLE GLASSES. >> THAT’S RIGHT. >> IT’S NOT TO SAY THAT I’M PROMOTING ALCOHOL BUT, AT THE SAME TIME, IF IT IS NOT A PROBLEM FOR YOU, A GLASS OF WINE >> IT’S NOT A PROBLEM. >> NO. >> AND CAN BE HELPFUL. >> CAN BE HELPFUL. >> NOW THERE IS SOME DISAGREEMENTS, I’VE READ SOME DISAGREEMENTS OF LATE, ONE ARTICLE AS THIS CAME OUT AND THERE’S MULTIPLE ARTICLES IN FAVOR, ONE ARTICLE, THIS CAME OUT NEGATIVE AND OF COURSE THAT’S WHAT >> AND THAT’S A GLASS OF WINE. THAT DOESN’T MEAN A BEER OR DOESN’T MEAN HARD LIQUOR, EITHER. >> DOES IT MEAN GRAPE JUICE? >> I DON’T KNOW. >> I DON’T HAVE THE ANSWER TO THAT, EITHER. >> THE STUDIES SAID A GLASS OF WINE. >> YEAH. >> PILLS CAN OFTEN DO MORE THAN LIFESTYLE CHANGES. OF COURSE YOU KNOW WHOSE QUESTION THAT WAS. THAT WAS MINE. >> THAT WAS YOURS. AND I WOULD SAY LIFESTYLE CHANGES SHOULD ALWAYS BE PROMOTED, PATIENTS LIKE TO COME IN AND THE EASY THING WOULD BE JUST GIVE ME A PILL BUT, REALLY, THEY NEED TO MAKE CHANGES IF THEY WANT TO LOSE WEIGHT, IF THEY WANT TO GET IN BETTER SHAPE. PILLS ARE NOT GOING TO GIVE YOU ENERGY, THEY’RE NOT GOING TO PROMOTE HEALTHY BODIES AND >> I TELL PEOPLE, YOU KNOW, RATHER THAN START THIS PILL, WHATEVER, WHY DON’T YOU LOSE 20 POUNDS. IT WILL MAKE YOU LOWER YOUR BLOOD PRESSURE, IT WILL LOWER YOUR CHOLESTEROL, IT WILL LOWER ALL THE OTHER PROBLEMS YOU HAVE, I MEAN, THERE ARE DEFINITELY DISEASES THAT NEED TO BE ON A MEDICATION, LIKE THYROID DISEASE >> HYPERTENSION. DIABETES, BUT EACH DIABETES, THE BASIS, YOU KNOW, UNDERLYING BASIS FOR TREATMENT IS [Overlapping Conversation] THE UNDERLYING TREATMENT IS LIFESTYLE CHANGES AND SOMETIMES, IF YOU’RE REALLY SERIOUS ABOUT IT, THEY CAN LAST FOR QUITE SOME TIME BEFORE YOU HAVE TO BE ON A MEDICINE. >> I’VE HAD I CAN’T TELL YOU HOW MANY PEOPLE WHO HAVE COME IN, I’VE MADE THE DIAGNOSIS OF DIABETES, I GETS THEM ON A WALKING PROGRAM, HAD THEM MEASURE HOW MANY CALORIES THEY’RE EATING AND >> LOSE A LITTLE WEIGHT. >> REDUCE YOUR CALORIE INTAKE, INCREASE YOUR WALKING AMOUNT AND THE DIABETES GOES AWAY. >> YES, YES. >> AND WE TRY TO PROMOTE THAT WHEN THEY’RE PRE-DIABETES SO THEY NEVER EVEN PROGRESS TO DIABETES. >> RIGHT. THERE ARE A FEW AREAS OF MEDICINE THAT HAVE MORE MYTHS THAN… THERE ARE FEW AREAS OF MEDICINE THAT HAVE MORE MYTHS THAN ALLERGIES… LET’S HEAR THIS. [DRUM ROLL] >> ACTUALLY, WE GROW INTO OUR ALLERGIES. GENETICS PLAYS A BIG ROLE INTO THAT, ALONG WITH OUR EXPOSURES AND INFECTIONS THAT WE COME ACROSS. [DRUM ROLL] >> ACTUALLY, A POSITIVE ALLERGY TEST OFTEN IS WRONG. THERE’S ABOUT A 50% FALSE POSITIVE RATE. ADDITIONALLY, SOYBEAN IS ONE OF THOSE ALLERGENS THAT WE OFTEN OUTGROW. [DRUM ROLL] >> ACTUALLY, FATAL FOOD ANAPHYLAXIS IS A REAL PROBLEM. SOME PEOPLE TALK ABOUT FOOD ALLERGY AND THEY REALLY DON’T HAVE THE SAME THING. THEY DISLIKE IT OR SUCH. IF YOU ACTUALLY HAVE ANAPHYLAXIS, IT’S CRITICAL WE AVOID THAT FOOD AND WE HAVE EPINEPHRINE ON HAND IN CASE OF ACCIDENTAL EXPOSURE. [DRUM ROLL] ACTUALLY, NOWADAYS, PATIENTS WILL EGG ALLERGY CAN TAKE THE FLU SHOTS AS THE EGG PART IS REALLY OUT OF IT. [DRUM ROLL] HIVES ALSO KNOWN AS… CERTAINLY CAN BE CAUSED BY ALLERGY TO FOOD AND OTHER THINGS BUT SO MANY CAUSES OF HIVES AREN’T ALLERGY AND INCLUDE AN INFECTION, THINGS LIKE SUNLIGHT, HEAT, COLD, VIBRATION, VIRAL INFECTIONS AND AUTOIMMUNITY. FOOD ALLERGY IS MORE LIKELY TO CAUSE ANAPHYLAXIS, A MULTI-SYSTEM REACTION. NASAL ALLERGIES ARE CAUSED BY THINGS WE BREATHE IN SO IT WOULD BE POLLENS, MOLDS, DANDERS, DUST MITE TYPES OF THINGS, THAT IS, UNLESS YOU’RE PUTTING THE FOOD UP YOUR NOSE. [DRUM ROLL] LOCAL HONEY REALLY DOESN’T DO A GOOD JOB BECAUSE A DOSE OF THE POLLENS THAT YOU’RE GETTING IS WAY TOO LOW. THAT’S WHY A LOT OF THE DROPS UNDER THE TONGUE DON’T WORK VERY WELL, EITHER, BUT I HAVE TO SAY THAT THIS IS ONE TASTY TREATMENT TO TRY. [DRUM ROLL] SINUS AND EAR PROBLEMS ARE DUE MORE TO INHALED PROBLEMS PLUS VIRAL INFECTIONS. THE MILK SOMETIMES GETS BLAMED BECAUSE OF MUCOUS BUT AVOIDING THE MILK DOESN’T REALLY FIX PEOPLE UP. [DRUM ROLL] >> INDOOR PLANTS HAVE POLLENS THAT DON’T GO VERY FAR AND WE REALLY DON’T HAVE MUCH FOR MOLD GROWING ON THEM AND IT’S THE STUFF OUTSIDE THAT OVERWHELMINGLY GIVES US OUR SYMPTOMS. [DRUM ROLL] ESSENTIAL OILS HAVE DEFINITIVELY BEEN SHOWN NOT TO HELP ALLERGIES AND ASTHMA. IN FACT, THOUGH, ESSENTIAL OILS ARE GREAT ALLERGENS OF THEMSELVES, GIVING CONTACT DERMATITIS, RASHES AND FOR MOST ALLERGY AND ASTHMA PATIENTS, THE IRRITATION FROM THE SMELL WILL FURTHER SET THINGS OFF. >> THIS IS YOUR PROGRAM AND YOUR QUESTIONS ARE KEY TO THE DIRECTION OF OUR DISCUSSION. I KNOW IT’S A DIFFERENT TOPIC BUT I WOULD LIKE TO HEAR YOUR COMMENTS, YOUR THOUGHTS. CALL IN THE QUESTIONS TO 1-888-376-6225, >> I WANTED TO TOUCH BASE, HE JUST MENTIONED EGG ALLERGIES RELATED TO VACCINATIONS AND M.M.R. IS ANOTHER ONE THEY ALWAYS SAY I CAN’T DO IT. IT’S JUST GOOD TO HEAR THAT THAT IS A MYTH. IT’S HARD TO GET THAT ACROSS TO PATIENTS THAT SAY, THEY HAVE THIS EGG ALLERGY. THERE IS MINUSCULE, IF ANY, EGG PROTEIN IN THE VACCINATIONS ANYMORE. AND THERE IS THE MYTH THAT THE FLU SHOT WILL BRING ON THE FLU. IT’S A DEAD VIRUS. >> YEAH. >> RIGHT. >> SOMETIMES IT’S NOT EVEN A LIVE VIRUS, IT CAN BE A VIRAL >> THEY GET THE FLU AFTER I GOT THE SHOT. NO, YOU DIDN’T GETS THE FLU AFTER THE SHOT. WHAT YOU GOT IS THE ALLERGIC REACTION OF YOUR BODIES TO THE VIRUS >> WHICH IS GOOD. >> WHICH IS GOOD. IF YOU DIDN’T THINK HOW MUCH WORSE IT WOULD BE IF YOU ACTUALLY GOT THE FLU RATHER THAN THE VIRUS IN COMPARISON. PEOPLE DON’T RECOGNIZE JUST HOW BAD YOU FEEL WHEN YOU GET THE ACTUAL FLU. WHAT ABOUT HIVES, THE HIVES SHOT. PEOPLE TALK ABOUT NOT THE HIVES SHOT, THE SHINGLES. SHINGLES VACCINE. SOME SAY OH, BUT I GOT SHINGLES RIGHT AFTER I HAD THE SHOT. WILL YOU GET >> NO. SO THERE IS A NEW SHINGREX, THE NEW VACCINE, IT’S SUPPOSED TO BE 97% EFFECTIVE. THE OLD ZOSTER IS MAYBE 76% EFFECTIVE SO PEOPLE COULD HAVE HAD THAT VACCINE AND STILL GOTTEN SHINGLES. WITH THIS NEW ONE, THERE WILL BE LESS SECONDARY SHINGLES AFTER 97% EFFECTIVE, THAT’S GOING TO BE GREAT: BUT IF THERE IS A SHORTAGE >> YEAH. [Overlapping Conversation] >> I GOT MINE. >> I HAVEN’T HAD MINE YET. I HAD THE OLD ZOSTREX. >> GET THIS ONE, WHEN IT’S AVAILABLE. >> WHEN IT’S AVAILABLE. I’M OLD, YOU KNOW. >> OF COURSE YOU KNOW. [Laughter] >> THE KETOSIS OR KETOGENIC DIET IS THE BEST WAY TO LOSE WEIGHT. >> OH, NO, THAT’S ABSOLUTELY FALSE. YOU LOSE A LOT OF WEIGHT INITIALLY >> WATER WEIGHT. >> WHEN YOU START ON THAT KETOGENIC DIET. >> WHICH MEANS NO CARBS >> YOU’RE BASICALLY TRYING TO GET THE BODY INTO KETOSIS SO IT BURNS NOT ONLY INGESTED FAT BUT BODY FAT. AND WHEN IT DOES THAT, YOU ALSO LOSE FLUIDS AND SOMETIMES JUST BECAUSE OF WHAT YOU’RE EATING, WHICH IS 70% FAT IN A DIET, NOT THE HEALTHIEST THING HAVE THE >> YOU HAVE TO TURN TO FAT BECAUSE ALL THAT’S LEFT IS PROTEIN AND FAT. >> RIGHT, RIGHT. [Overlapping Conversation] YOU HAVE, LIKE, 20 GRAMS OF CARBS IS ALL YOU’RE ALLOWED ON A KETOGENIC DIET. >> IT ELIMINATES FRUIT WHICH IS WRONG. FRUITS AND MOST VEGETABLES. >> A DIET HIGH IN MOST VEGETABLES AND SOME FRUITS AND FIBER AND ALSO AND SOME MEAT AND A LOT LOSS CARBOHYDRATES. BUT YOU SHOULD EAT >> SIMPLE CARBS, LIKE SUGARS… [Overlapping Conversation] >> BUT I THINK LIKE SWEET POTATOES AND OTHER, YOU KNOW, VEGETABLES LIKE CARROTS AND SO FORTH ARE GREAT FOR YOU. >> WELL, AND I THINK THERE IS NOTHING WRONG WITH THINGS LIKE POTATOES AND RICE AND NOODLES. THE PROBLEM IS, THE QUANTITY WE EAT THEM. >> THERE IT IS. >> IT’S RESTAURANT PORTION SIZE THAT WE’RE USED TO. >> YEAH. >> SO DID I WENT OUT FOR SUPPER WITH MY WIFE AND DAUGHTER ABOUT A YEAR AGO AND I WAS MEASURING CALORIES IN THE FOOD, AND SHE HAD A SALAD WITH CRISPY CHICKEN IN IT AND I HAD A ONE OF THOSE LOW-CALORIE DIETS THAT APPLEBEES WAS PROMOTING AND I HAD 350 CALORIES AND A BEER WHILE THE BEER WAS 120, OKAY, SO AND SHE HAD 1300 CALORIES IN HER CRISPY >> BECAUSE IT WAS FRIED >> IT WAS CRISPY FRIED AND THE SALAD DRESSING WAS CALORIC. AMAZING. SO IT’S A BALANCED DIET, LOTS OF FRUITS AND VEGETABLES, FIBER BUT LESS CALLRIES. >> AND COMBINE THAT WITH INCREASED EXERCISE. >> BINGO. YOU NEED TO WAKE SOMEONE UP EVERY HOUR OF A CONCUSSION TO CHECK THEM OUT. >> THAT IS NO LONGER TRUE. >> IT USED TO BE. >> I THINK YOU HAVE TO CLARIFY THAT BY SAYING YOU WANT TO MAKE SURE THAT THEY’RE CHECKED OUT BY A PHYSICIAN OR SOMEBODY WHO KNOWS ABOUT CONCUSSIONS >> AND A NEUROLOGIC EXAM. DO A NEUROLOGIC EXAM. >> TO JUST MAKE SURE THEY DON’T HAVE A BLEED AND IF THEY’RE IF IT’S A SAFE CONCUSSION, THEN, SLEEP IS ACTUALLY GOOD FOR THEM, IT HELPS WITH HEALING. >> ONE THING THEY SHOULD NEVER GET ANOTHER CONCUSSION WITHIN A CERTAIN TIMEFRAME, OR AVOID A SECOND CONCUSSION BECAUSE THAT’S TERRIBLY DAMAGING TO THE BRAIN. SO THEY NEED TO AVOID CONCUSSION >> SPORTS FOR TWO WEEKS. >> YEAH. >> FOR TWO WEEKS AT LEAST AFTER THEY’RE NORMAL. >> RIGHT, AFTER THEY’RE NORMAL. >> RIGHT. >> WE HAVE SOME QUESTIONS. THANK YOU. A WOMAN FROM BRANDON ASKS WHAT’S THE RELATION BETWEEN EATING LETTUCE AND HAVING DIARRHEA AND HAVE EXCESSIVE BOWEL MOVEMENTS. IS THERE A LEAFY GREEN THAT DOESN’T CAUSE SUCH SIDE EFFECTS? I’LL GIVE YOU A STORY. FRIEND OF MINE SAID HE COULDN’T EAT LEAFY GREEN VEGETABLES, GAVE HIM DIARRHEA EVERY TIME. FOUND OUT HE HAD GLUTEN INTOLERANCE AND AS SOON AS HIS GLUTEN INTOLERANCE WAS TREATED BY AVOIDING GLUTEN FOODS, HE COULD EAT ALL THE LEAFY GREEN VEGETABLES HE WANTED. SO I THINK IT’S IMPORTANT THAT YOU GET CHECKED OUT. >> EVALUATED, YEAH HAVE THE >> AND LETTUCE SEEMS LIKE SUCH A BENIGN THINGS, IT’S LIKE 90% WATER BUT SOME PEOPLE HAVE A LOT OF TROUBLE WITH THAT. YOU NEED TO TRY A DIFFERENT KIND OF LETTUCE AND SEE IF THERE’S ONE THAT YOU’RE MORE TOLERANT OF, OR, YOU KNOW, SWITCH TO SOME OF THE OTHER GREENS. >> AND CHECK OUT YOUR DIARRHEA, CHRONIC DIARRHEA, RECURRING DIARRHEA DESERVES AN EVALUATION BY A PHYSICIAN WHO’S COMPETENTS IN THAT. JUST BECAUSE, YOU KNOW, YOU MIGHT HAVE [ Indiscernible ] , YOU KNOW >> A SIOUX FALLS WOMAN ASKS I’M A PERSON IN CLINICAL PSYCHOLOGY. THERE HAS BEEN LOTS OF TALK ABOUT CBD OIL BEING A MIRACLE CAUSE, PROS AND CONS, IS IT DANGEROUS? [Overlapping Conversation] >> I DON’T I THINK ANY OF THOSE OILS, I THINK CAN BE, YOU KNOW, I THINK IT’S IT’S A MAREANA DERIVATIVE SO I DO THINK THAT WE DON’T KNOW ENOUGH ABOUT MAREANA TO SAY THAT IT’S SAFE. >> OR THE OILS. I DON’T THINK WE’VE HAD ANY STUDIES ABOUT USE OF THESE OILS. >> THE PROBLEM IS THEY MADE IT A LEVEL ONE DRUG THAT YOU CAN’T STUDY IT. >> IT’S THE STUPIDEST THING TO DO ABOUT A DRUG AND I THINK THERE ARE COMPONENTS OF MAREANA OR THOSE DRUGS THAT WOULD BE USEFUL FOR MEDICINE BUT BECAUSE OF THE WAY IT WAS MARKETED INITIALLY, THEY NEVER ACTUALLY DEVELOPED IT. >> SO HOW MANY PEOPLE DO YOU THINK I MEAN SOMETHING LIKE 70,000, 60, 70,000 PEOPLE DIED FROM OPIOID OVERDOSE IN 2017. HOW MANY DO YOU THINK DECIDE FROM MAREANA OR CBD OIL? >> PROBABLY >> I DOUBT IF THERE’S BEEN ANY DEATHS FROM THAT. >> BUT WE THINK ABOUT IT AS AN OPTION FOR PAIN. >> YES, YEAH. >> I WILL TELL YOU THIS, TODAY, I HAD A PHONE CALL FROM A DEAR FRIEND, A PHYSICIAN FRIEND OF MINE WHO TRAINED WITH ME AT EMERY. I CUT YOU OFF, I’LL GIVE YOU A CHANCE TO COME BACK. WHO WHO HAD SEVERE CHRONIC PAIN AND HE SAID AND I GOT RELF WITH CBD OIL. >> YEAH. I THINK THERE IS A PLACE FOR IT. IT WOULD HAVE BEEN NICE IF WE HAD STUDIED IT A LITTLE BIT MORE TO PROMOTE IT, IF IT’S HELPFUL. >> IF IT’S HELPFUL. >> YEAH. >> I THINK THERE IS A LOT OF USE OF MAREANA AND THAT IS ALSO A PROBLEM FOR A LOT OF YOUNG CHILDREN >> THERE IT IS. AND THAT IS NOT OR ADULTS, THAT IT DOES AFFECT YOU MENTALLY AND I THINK THAT THAT’S SOMETHING WE TELL PEOPLE DON’T SMOKE, DON’T DRINK EXCESSIVELY AND, YET, IT’S OKAY TO USE MAREANA? NO, IT’S NOT. I THINK YOU HAVE TO DO THINGS THAT ARE APPROPRIATE, SO… >> MY COMMENT ABOUT THAT IS THAT THE CERTAINLY, IF IT WERE LEGALIZED, WE COULD HAVE A BETTER CONTROL ON THE USE BECAUSE I THINK IT’S VERY DANGEROUS FOR THE YOUTH IN THEIR DEVELOPMENTAL THEY’RE JUST NOT AWARE OF SOME OF THE THINGS THAT YOU HAVE TO LEARN WHEN YOU’RE YOUNG AND WE COULD DO BETTER, PERHAPS, IN THAT REGARD, IF >> BUT I DON’T AGREE WITH, LIKE, WITH COLORADO WHERE THEY HAVE BASICALLY RECREATIONAL USE. I THINK IT’S NOT A PARTICULARLY USEFUL WAY TO DO IT. >> OKAY. A LOT TO LEARN ON THIS ONE, THOUGH. >> YEP, YEP. >> A WOMAN FROM FLANDER I HAVE AN ALLERGY TO PETROLEUM PRODUCTS, LIKE SKIN REACTIONS. HOW COMMON IS THIS ALLERGY OR THESE KINDS OF ISSUES? AND I HAVE TO SAY, I DON’T HAVE A GOOD ANSWER HAVE THE >> I DON’T, EITHER. I DON’T KNOW. >> BUT WE HAVE AN ALLERGIST IN THE HOUSE, IN THE BACK ROOM. HE SAYS VERY UNCOMMON. WELL, IT DOESN’T MEAN THAT IT ISN’T THERE, THOUGH, AND I DON’T HAVE A GREAT ANSWER FOR HER. I WONDER IF MARCO GIVE US A BETTER ANSWER BUT WE’RE GOING TO TAKE THIS ROLL-IN AND WE’LL HEAR FROM MARK AFTERWARDS. >> SADLY, EVEN AFTER A MYTH HAS BEEN DEBUNKED, THEY HANG ON AND NEGATIVELY AFFECT OUR HEALTH. >> WELL, ONE OF THE BIGGEST MEDICAL MYTHS THAT WE’RE DEALING WITH IS JUST THE ISSUE AROUND VACCINATION. THAT VACCINES CAUSE AUTISM. THAT MYTH HAS BEEN DEBUNKED, YOU KNOW, ANDREW WAKEFLD IN THE STUDY THAT HE PUBLISHED IN LANCET HAS BEEN RETRACTED. THERE HAVE BEEN LARGE NUMBER OF STUDIES THAT HAVE GONE ON TO SINCE IDENTIFY THAT THERE IS NO LINK BETWEEN VACCINATION AND AUTISM. YET, YOU KNOW, THAT PERCEPTION STILL EXISTS WITHIN THE COMMUNITY, UNFORTUNATELY. I THINK YOU HAVE INDIVIDUALS WHO ARE IMPACTED NEGATIVELY BY AUTISM, AND THEN, YOU KNOW, THEY’RE LOOKING FOR SOME OUTLET FOR THAT, LOOKING FOR A CAUSE, LOOKING FOR A REASON, AND THIS OFFERS ONE OF THOSE REASONS. I THINK, YOU KNOW, THERE ARE A LOT OF PEOPLE WHO LOOK INTO THE TEA LEAVES AND THINK THAT THERE’S BIG BROTHER, YOU KNOW, MANIPULATING VACCINATIONS AND THAT JUST IS NOT TRUE. THE THOUGHT WAS THAT YOU WOULD POP A PILL, YOU KNOW, YOU GET ALL YOUR PROBIOTICS, YOU WOULDN’T HAVE TO GO OUT AND PHYSICALLY EXERCISE, AND, YOU KNOW, WE’RE NOT SEEING THAT. THERE IS A MULTI-BILLION-DOLLAR INDUSTRY DEALING WITH WEIGHT LOSS SUPPLEMENTS AND THINGS ALONG THOSE LINES AND MOST OF THEM, YOU KNOW, ARE DEBUNKED. THERE’S NOT A LOT THAT IT DOES TO REALLY HELP YOU. WHAT WE DO KNOW IS THAT DIET AND EXERCISE ARE THE TWO BIGGEST THINGS THAT YOU CAN DO TO REALLY BE HEALTHY. I THOUGHT THE LAST COMMENT YOU ONLY USE 10% OF THE BRAIN, THAT’S NOT TRUE, THAT YOUR BRAIN IS CONSTANTLY GOING >> AND NOW WE HAVE IMAGING TO PROVE THAT. >> I DIDN’T KNOW THAT, THAT WAS A NICE LITTLE BLURB. I DO THINK THAT THERE IS A LOT OF POTENTIAL USE OF THE BRAIN THAT WE DON’T HAVE. THIS WHOLE FRONTAL AREA, THIS BRINGING FRONTAL CORTEX, WE DON’T KNOW WHAT IT’S DOING UP THERE. YOU COULD HAVE ANYWAY >> WE ALWAYS NEED TO STRETCH OUR BRAIN OR STRETCH IT OUT TO LEARN NEW THINGS AT ANY AGE. HEARTBURN IS MOSTLY DUE TO REFLUX ACID AND CAN BE CAUSED BY TO MANY INFLAMMATORIES LIKE YOU ABOUT PROVEN, NO DISAGREEMENT WITH THAT. NOT A MYTH. AND CAN BE EASILY DISTINGUISHED FROM THE PAIN OF A HEART ATTACK. >> NOT TRUE. IT CAN IT CAN YOU KNOW, THE VERY SAME SENSATIONS, YOU CAN HAVE HEART ATTACK GOING ON THAT YOU KEEP THINKING IS JUST ACID REFLUX. >> I’VE BEEN TRICKED BY REFLUX AND I THOUGHT FOR SURE HEART ATTACK WAS A REFLUX PROBLEM AND I THOUGHT A REFLUX PROBLEM WAS A HEART ATTACK. >> I THINK THE BOTTOM LINE IS YOU HAVE TO SAY, WHICH IS IS THE KILLER. IT’S THE HEART ATTACK SO YOU WANT TO MAKE SURE THAT YOU KNOW WHAT’S GOING ON. [Overlapping Conversation] >> RIGHT. >> WE HAVE A CALL FROM PIPETONE MAN WHO SAID IS FISH OIL OF ANY BENEFIT WHEN YOU’RE ALLERGIC TO EATING FISH? THAT’S A REALLY GOOD QUESTION. I GUESS MY ANSWER, IT DEPENDS UPON WHAT IS HIS ALLERGIC OFTENTIMES, IT’S IODINE I KNOW AND WE COULD ASK OUR HOUSE ALLERGIST ALTHOUGH I THINK I >> I DON’T THINK THERE’S MUCH IODINE IN FISH OIL. >> ALSO, I WAS JUST READING ABOUT THAT FISH ALLERGY, IT’S PROBABLY NOT THE IODINE IN THE FISH, THE SOME OF THE PROTEINS IN THE FISH THAT IS THE ALLERGEN. >> AND IF WE’D BEEN ABLE TO GET THE OIL OUT, IT ISN’T A PROBLEM. IT JUST DEPENDS. >> I DON’T THINK THAT TAKING FISH OIL, THOUGH, WILL HELP WITH YOUR FISH ALLERGY. >> TRYING TO MAKE THE FISH ALLERGY GO AWAY, NO. >> AND I WOULD BE CAREFUL WITH THAT FIRST FISH OIL TEST. TAKE THE FISH OIL, RUB IT ON YOUR FOREARM, BREAK THE AND SEE IF YOU HAVE ANY REACTION. >> SEE IF YOU GET A RASH. >> ALTHOUGH THEY HAVE DONE A STUDY TO LOOK AT FISH OIL IN REDUCTION OF HEART DISEASE AND THERE’S NOT BEEN A >> A TON OF IT. >> NO. >> NO. >> NO, ALTHOUGH THERE IS DATA FROM DENMARK THAT SHOWED THAT FISHERMEN, THAT PEOPLE LIVING IN DENMARK, GREAT NUMBER OF MEN EATING HEAVY AMOUNTS OF FISH VERSUS MEN NOT EATING ANY FISH, THERE IS A REDUCTION IN HEART DISEASE. >> IS THAT BECAUSE THEY WERE MORE ACTIVE, FISHING? >> MAYBE. COULD BE. MAY NOT HAVE BEEN FISHING. THE POINT I’M SAYING IS LIKELY NOT THE FISH OIL CAPSULE, IT’S THE FISH. >> YES. >> IT MIGHT BE THE PROTEIN. WE DON’T KNOW. >> YEAH. WE HAVE A ANOTHER MYTH. YOU WILL GET ADDICTED TO YOUR BLOOD PRESSURE MEDICINE. IS THAT TRUE OR NOT? >> NO. >> THE WHEN YOU ARE ON A BLOOD PRESSURE MEDICINE, WE DON’T CURE HYPERTENSION OR HIGH BLOOD PRESSURE. >> WE JUST CONTROL IT. >> WE JUST CONTROL IT AND I THINK THAT’S WHAT SOME PEOPLE GET MIXED UP, THEY THINK, OH, NOW MY BLOOD PRESSURE IS GOOD, I CAN GET OFF IT AND WHEN THE BLOOD PRESSURE GOES UP, THEY THINK, OH, I’M GOING TO GET ADDICTED BECAUSE I CAN’T GET OFF THE MEDICINE. >> THEY CAN GET OFF THE MEDICINE IF THEY WOULD INCREASE THEIR EXERCISE, REDUCE THE QUANTITY THAT THEY EAT AND MY COMMENT IS WHETHER YOU LOSE WEIGHT OR NOT, IF YOU EAT A LOWER CALORIE DIET, A BALANCED DIET AND YOU EXERCISE, CHANCES ARE THAT BLOOD PRESSURE WILL DROP AND THEN YOU CAN TRY GETTING ON LESS MEDICINE. >> RIGHT. NOT EVERYBODY CAN GET OFF THEIR MEDICINE. >> THE GOAL OF EVERY INTERNIST IS TO REDUCE THE NUMBER OF MEDICINES YOU HAVE TO TAKE. >> THE ROLE OF EVERY GOOD INTERNIST. >> WELL, WHATEVER. >> THERE ARE PEOPLE >> IT’S A GOOD DAY WHEN YOU CAN STAY SOMEONE OFF A MEDICINE. >> IT’S A GOOD DAY. ONE WOMAN STATES I HAVE HEARD THAT WARTS AND OTHER GROWTHS CAN BE TREATED WITH MASKING TAPE. IS THIS FACT OR A MYTH? >> MYTH. I HAVE NOT, YOU KNOW >> YOU KNOW, I THINK WARTS ARE ONE OF THOSE WEIRD THINGS THAT SOMETIMES YOU CAN COVER ‘EM, I DON’T KNOW IF IT’S BLOCKING THE OXYGEN SUPPLY OR WHAT BUT… >> I TELL YA, I HAVE HAD SUCCESS, BUT OF COURSE WHO KNOWS, THE CHANCES ARE THAT NOTHING WORKS OR >> IT IS PROBLEM IS, WARTS WILL COME AND RETRACT AT TIMES, TOO. THEY COME AND GO AND SO >> AND THAT MYTH, WELL, YOU JUST PICK IT UP AND TOSS IT OVER YOUR SHOULDER, THAT’S A MYTH. >> BUT I’VE HAD SUCCESS USING JUST >> DUCT TAPE? >> DUCT TAPE AND IT STARVES IT OF OXYGEN. >> I THINK THAT MIGHT BE >> AND THERE’S SOME DATA ON THAT AND THERE’S DATA ON BANANA PEEL, SO I’VE HAD PEOPLE TAKE RIPE BANANA PEEL, CUT A DIME-SIZE, RIPER THE BETTER, FRUIT SIDE AGAINST THE WARD AND DUCT TAPE, DUCT TAPE. [Laughter] AND THEY GET SUCCESS! HONESTLY. >> IT’S NOT GOING TO HURT THEM IF IT DOESN’T SUCCEED. >> IF YOU GO TO THE DERMATOLOGIST AND THEY USE THE LASER TREATMENT, IT’S THOUSANDS OF DOLLARS. THE INSURANCE OFTENTIMES DOESN’T PAY AND SO >> AND SOMETIMES THE WARTS COME BACK >> AMOUNTS I ASKED A DERMATOLOGIST ABOUT THE DUCT TAPE, HE SUGGESTED THE DUCT TAPE. HE SAID DO THE HE SAID HE HADN’T HEARD THE BANANA PEEL ONE. [Laughter] >> A WOMAN FROM SIOUX FALLS ASKS, MY HUSBAND WENT TO THE DOCTOR IN NOVEMBER AND HAS HAD A VIRUS IN HIS EARS. THE DOCTOR SAID THE VIRUS NEEDED TO TAKE ITS COURSE. WENT BACK A MONTH LATER, THE DOCTOR SAID HE DIDN’T WAIT LONG ENOUGH. WENT TO AN ENT AND THAT DOCTOR SAID HE WAITED TOO LONG. NOW HE HAS TO GET TUBES IN HIS EARS. ARE TUBES COMMON FOR OLD PEOPLE? YOU KNOW WHAT HAPPENED. I MEAN HE GOT AN INFECTION IN THERE AND CHRONIC SCARRING. >> YEAH. >> I DON’T KNOW THAT TUBES ARE COMMON BUT, CERTAINLY, IT’S NOT JUST THE CHILDREN THAT NEED THEM. >> YEAH. >> AND WELL YOU GET A RETRACTION, YOU KNOW, THE EUSTACHIAN TUBE IS NOT FUNCTIONING SO YOU DON’T HAVE AN AIR INTO THAT POCKET AND IT WITHDRAWS AND THEN IT SCARS THE TYMPANIC MEMBRANE THAT YOU CAN PUT A HOLE IN THE TYMPANIC MEMBRANE >> IT’S AN OFFICE PROCEDURE, NOT LIKE A BIG SURGERY. >> ONE LISTENER ASKS, IS IT TRUE IT’S NOT WORTH HAVING A BAKER’S CYST, LIKE ONE BEHIND THE KNEE, BECAUSE IT MIGHT GROW BACK? ARE YOU FAMILIAR WITH BAKERS’ CYSTS? >> YEAH, BUT I DON’T DO ANYTHING ABOUT THEM. >> I THINK A BAKER’S CYST IS AN INDICATION YOU HAVE PROBLEMS WITH YOUR KNEE JOINT AND TAKING THE CYST OUT ISN’T GOING TO FIX IT. >> SO WHAT A BAKERS’ CYST IS, YOU HAVE A SYNOVIAL SAC AND IT POUCHES OUT BACKWARDS, KIND OF LIKE A HERNIA BECAUSE THERE’S INFLAMMATION. >> YOU DON’T TAKE AWAY INFLAMMATION. >> SOMETIMES YOU NEED TO FIX THE KNEE. >> RIGHT. >> I THINK THAT’S THE BEST ANSWER. TIME FOR ANOTHER MYTH. >> THERE’S ONE THAT SAYS WE HAD A FOOD ALLERGY, WE HAD Dr. BUBACK DO THAT ONE. DELIRIUM CAN BE TREATED BY… THAT’S A QUIZ QUESTION. YOU NEED TO WAIT AN HOUR BEFORE GOING SWIMMING. >> MY PARENTS TOLD ME THAT WHEN I WAS A KID, I THINK THEY WANTED MORE TIME TO GO TO THE LAKE. IT’S FALSE. >> I HAD FORGOTTEN TO SAY, EXCEPT AFTER EATING. YOU HAD YOUR LUNCH, YOUR MOTHER SAID, TAKE A NAP, YOU CAN’T GO SWIMMING BECAUSE I’M GOING TO TAKE A NAP AND IT WILL HURT YOU. NO TRUTH TO IT. >> YOU CAN GET CRAMPS ANY TIME. [Laughter] >> OKAY. I’VE KNOWN SEVERAL PEOPLE THAT HAVE GOTTEN THE NEW SHINGLES VACCINE, IS IT COMMON TO HAVE SIDE EFFECTS SUCH AS WEAKNESS, IF HE EVER, RACING HEART RATE. ALSO, IF YOU EAT LEAFY GREENS IF YOU HAVE DIVERTICULOSIS. TWO QUESTIONS, REALLY. >> FIRST OF ALL, THE SHINGLES VACCINE, IT HURTS, LIKE A TETINUS SHOT. >> YOU CAN PRETTY MUCH GUARANTEE PAIN AT THE INJECTION SITE. AND SOME PEOPLE FEEL FLU-LIKE WITH MAYBE A LITTLE FEVER, MAYBE JUST ACHY ALL OVER. I DON’T KNOW ABOUT THE HEART RACING, THAT DOESN’T SEEM QUITE RIGHT, WELL, BUT THOSE ARE YOUR IMMUNE SYSTEM KICKING IN, I THINK. >> YEAH. AND OF COURSE, IF THEY’RE DOING ANY IF IT’S WORKING, YOU CAN FEEL IT AND IT MIGHT MAKE YOU NERVOUS AND YOUR HEART RATE WILL GO FAST. WHAT ABOUT LEAFY GREENS IF YOU HAVE DIVERTICULOSIS? >> THEY USED TO SAY WE HAD TO AVOID POPCORN AND SEEDS. >> FRUITS WITH SEEDS. >> NOW THEY SAY, NO, YOU CAN EAT PRETTY MUCH ANYTHING YOU WANT, IT’S JUST HAS TO DO WITH YOUR DIVERTICULITIS DIVERTICULOSIS AND I THINK IT’S ALWAYS BEST TO HAVE MORE FIBER IN YOUR DIET. >> I THINK THE ANSWER IS MORE FIBER, MORE POPCORN. MORE SEEDS. >> AND HAVE A BOWEL MOVEMENT EVERY DAY. >> WE LIKE A BOWEL MOVEMENT EVERY DAY. >> YEAH. SOMEONE OKAY. I’M GOING TO TAKE A MYTH. MANY HEADACHES COULD BE HELPED IF HEADACHE PATIENTS TOOK THEIR PAIN MEDICINES ON A REGULAR AND SCHEDULED MANNER. >> THIS ONE I THINK YOU NEED TO CLARIFY. IF IT IS A DAILY, CHRONIC DAILY HEADACHES, THAT ACTUALLY YOU WOULD DO BETTER TO NOT TAKE YOUR MEDICINE REGULARLY AND TRY TO GET OFF MEDICINES BECAUSE >> SUCH AS TYLENOL. >> TYLENOL OR IBUPROFEN >> CAN CAUSE >> YEAH, IT WILL JUST PERPETUATE THAT. >> ON THE OTHER HAND, AN INTERMITTENT HEADACHE, A GOOD OPTION. >> RIGHT, YES. >> GOOD ANSWER. SIOUX FALLS SOMEONE IS WONDERING ABOUT THE BENEFITS OF HEMP SEED OIL AS IT’S BEING TOUTED AS A CURE-ALL. I THINK THAT’S PURE BALONEY. >> ANYTHING THAT IS TOUTED AS A CURE-ALL, IT’S THE SNAKE OIL OF THE 20th CENTURY 21st CENTURY. >> CBD OIL, WHICH IS MAREANA OIL, WHICH IS HEMP OIL, PROBABLY THOUGHT OF AS HEMP OIL, HAS BEEN TOUTED AS A CURE FOR CANCER, A CURE FOR PEOPLE CALLED ME AND SAID, YOU GOT TO GET ON IT BECAUSE I’VE GOT CANCER, I WANT YOU TO BE CURED AND THANK YOU FOR THAT CONCERN BUT I THINK IT MAY BE HELPFUL FOR PAIN. >> YEAH. >> BUT IT’S NOT GOING TO CURE THE CANCER. >> NO. >> SIOUX FALLS MAN SAYS, TWO TO THREE YEARS AGO, MY RETINA DETACHED AND I LOST MUCH OF MY EYESIGHT, I CAN STILL DRIVE BUT I’M ALSO A DIABETIC BUT I KEEP IT IN CHECK, HEMOGLOBIN, A-1C, DOWN TO 5 TO EIGHT. HOW OFTEN SHOULD I GET MY EYES CHECKED BECAUSE I DON’T WANT IT TO AFFECT MY GOOD EYE WITH MY DIABETES? >> YEARLY. >> AT LEAST ANNUALLY AND THEN I THINK IT WOULD BE UP TO YOUR OPHTHALMOLOGIST. [Overlapping Conversation] >> EYE DOCTOR, AT LEAST ONCE A YEAR. >> AT LEAST ONCE A YEAR. >> I TELL EVERYBODY, HAVE YOU HAD IN YOUR ANNUAL EYE EXAM WHEN YOU SEE A DIABETIC? >> THERE IT IS. A MADISON MAN COMMENTS ABOUT CBD OIL, I USE IT EVERY DAY AND IT HELPS TREMENDOUSLY FOR MY ARTHRITIS. JUST A COMMENT. >> YEAH. >> SIOUX FALLS MAN ASKS, IS IT TRUE THAT THE PRIME CAUSES OF DISEASE IS INFLAMMATION? >> THAT’S A REALLY GOOD QUESTION. >> IT IS A GOOD QUESTION AND IT MIGHT BE. >> YES AND NO. >> YOU KNOW, WHY DOES A SMOKER GET CANCER OF THE LUNG? BECAUSE THERE’S CHRONIC INFLAMMATION AND THE INFLAMMATION IRRITATES AND THE IRRITATION BRINGS ON CANCER. >> WELL, GETS THE CELLS TO CHANGE. >> YOU HAVE A MUTATION IN THE CELL WHICH THEN PROGRESSES TO CANCER BUT DID THE INFLAMMATION CAUSE IT? IT’S [Overlapping Conversation] >> MAYBE AN OVER-SIMPLIFICATION. >> BUT LIKE VIRUSES OR BACTERIA, MOST OF THE SYMPTOMS YOU FEEL ARE THE INFLAMMATION ASSOCIATED WITH THAT INFECTION. >> RIGHT. AND IS REDUCING INFLAMMATION BY USING IBUPROFEN OR WHATEVER HERBAL SUPPLEMENT >> MAKES YOU FEEL BETTER. >> I THINK THE MAJOR THING, YOU TURN DOWN THE INFLAMMATION, YOU FEEL BETTER, IS IT GOING TO PREVENT MAJOR DISEASES AND PREVENT CANCER AND THE ANSWER >> PROBABLY NOT. >> BUT DON’T KNOW. >> WELL, WE DON’T KNOW, RIGHT. >> PROBABLY NOT, BUT >> THIS HAS BEEN A VERY INTERESTING TRIAL. THIS THANK YOU FOR LISTENING AND YOUR QUESTIONS. AND NOW, FOR THE WINNER OF TONIGHT’S PRAIRIE DOC QUIZ QUESTION. CHOOSE THE BEST ANSWER. DELIRIUM IS BEST TREATED WITH… 1. HAND-HOLDING 2. ANXIOLYTIC LIKE ATIVAN 3. MAJOR TRANQUILIZER LIKE HALDOL AND THE ANSWER IS NUMBER ONE, HAND-HOLDING. >> HAND-HOLDING. >> IT WORKS FOR ME. [Laughter] SOMETIMES A PERSONAL TOUCH IS BETTER THAN A PHARMACEUTICAL ANSWER. IT WAS TO BE’ TUNANDER, I HOPE I SAID THAT RIGHT, WHO ANSWERED THE QUESTION CORRECTLY. THANK YOU FOR PARTICIPATING, AND A BOOK WILL BE IN THE MAIL TO YOU SOON! WE’LL BE RIGHT BACK AFTER THIS… HAVE YOU HEARD? THE PRAIRIE DOC HAS A RADIO SHOW. LISTEN TO YOUR LOCAL SOUTH DAKOTA RADIO STATION FOR PRAIRIE DOC CONVERSATIONS. THIS PROGRAM FEATURES PHYSICIANS AND OTHER HEALTH PROFESSIONALS DISCUSSING VARIOUS MEDICAL TOPICS IMPORTANT TO YOU AND YOUR FAMILY. ASK YOUR LOCAL RADIO STATION IF THEY BROADCAST PRAIRIE DOC CONVERSATIONS. >> AND THANK YOU FOR LISTENING. UNTIL NEXT TIME, STAY HEALTHY OUT THERE, PEOPLE. >> IT WAS JUNE 10TH, OLD SETTLER’S DAY, IN DE SMET, SOUTH DAKOTA, AND THE CARNIVAL WAS IN TOWN. AS A FIFTH GRADER, I HAD BEEN DOING ODD JOBS FOR A MONTH TO SAVE UP MONEY FOR THAT DAY. FOR THE PRICE OF 25 CENTS, I FILED THROUGH A TRAILER TO SEE A “REAL ALLIGATOR WOMAN, HALF HUMAN, HALF ALLIGATOR.” OF COURSE IT WAS FAKE. SITTING ON A TABLE THERE WAS A DRIED-UP, STUFFED, ALLIGATOR BODY CONNECTED TO A LIVE HUMAN PERSON’S HEAD, WHO WAS CHATTING WITH US. THE TABLE HAD MIRRORS TO COVER THE HOLLOW BOX THAT HELD THE WOMAN’S BODY UNDERNEATH. IT WAS AN AMUSING RUSE, A TRICK, AN INTENTIONAL UNTRUTH THAT BENEFITED THE MARKETER EXACTLY 25 CENTS PER VIEWER. THAT WAS, BY DEFINITION, DISINFORMATION. HERE’S ANOTHER EXAMPLE. TEN YEARS AGO, A TELEPHONE SCAMMER GOT AHOLD OF MY CONTACTS LIST FROM MY COMPUTER AND BEGAN ASKING FRIENDS TO WIRE $2000 TO FRANCE TO HELP ME GET HOME. IT WAS A FRAUDULENT EFFORT TO STEAL MONEY FROM MY FRIENDS. MORE DISINFORMATION. MISINFORMATION IS DIFFERENT. MISINFORMATION HAPPENS WHEN PEOPLE BELIEVE SOME INEFFECTIVE TREATMENT HELPS OR EFFECTIVE TREATMENT HARMS, AND THEY SPREAD THAT MISINFORMATION. FOR EXAMPLE, IN THE 1980S, WE NOTED THAT PEOPLE, WHO WERE HAVING HEART ATTACKS, HAD MORE PREMATURE VENTRICULAR CONTRACTIONS, PVCS, AND THESE PEOPLE WERE MORE LIKELY TO DIE. RESEARCHES FOUND DRUGS THAT SUPPRESSED THOSE PVCS THINKING TO SAVE LIVES. IT TOOK ABOUT TEN YEARS TO DISCOVER THAT THOSE DRUGS INCREASED DEATHS RATHER THAN LESSENED THEM. WE THOUGHT WE WERE DOING RIGHT BUT WERE HARMING PEOPLE INSTEAD. THAT IS MISINFORMATION. ANOTHER EXAMPLE IS TELLING PEOPLE TO AVOID VACCINATING BABIES TO PREVENT AUTISM. THIS IS SPREADING MISINFORMATION. I DID THE SAME THING IN THE ’80S WHEN I ENCOURAGED PARENTS TO PLACE THEIR BABIES ON THEIR BELLIES TO SLEEP, THINKING TO PROTECT BABIES FROM INHALING DROOL. WE LATER FOUND THAT BABIES SLEEPING ON THEIR BELLIES HAD MORE SUDDEN INFANT DEATH THAN THOSE SLEEPING ON THEIR BACKS. WE WERE MISINFORMED. BOTTOM LINE… ONE, THERE WILL ALWAYS BE PEOPLE WHO WILL TELL INTENTION UNTRUTHS IN ORDER TO PROFIT THEMSELVES AND TO TAKE “EASY MONEY” FROM TRUSTING SOULS. WE NEED TO BE WATCHFUL FOR ALLIGATOR WOMEN. MARKETING IS NOT SCIENCE, IT IS MEANT ONLY TO SELL SOMETHING. CORPORATE PROFIT JUSTIFIES, TO SOME PEOPLE, THE RIGHT TO TELL UNTRUTHS. TWO, WE MUST BE HUMBLE ENOUGH TO CHANGE OUR MINDS. THERE WILL ALWAYS BE MYTHS THAT SEEM TRUE BUT, WHEN HELD UNDER THE CAREFUL SCRUTINY OF SCIENCE, ARE WRONG. AND THREE, SEEKING AND TELLING THE TRUTH IS ALWAYS THE RIGHT THING TO DO. >> A BIG THANK YOU TO OUR GUESTS, DOCTORS CANDACE ZEIGLER AND DAVID ZEIGLER FOR VOLUNTEERING AND TRAVELING TO COME TO OUR STUDIO IN YEAGER HALL ON THE CAMPUS OF SOUTH DAKOTA STATE UNIVERSITY. TAKING DOWN THE MYTHS THAT SURROUND MEDICINE IS AN IMPORTANT MISSION TO IMPROVE THE HEALTH CARE OF ALL OF US. THANK YOU VERY MUCH. >> THANK YOU, IT’S BEEN FUN. >> THE FLU SEASON IS UP AND RUNNING FOLKS! THE LATEST DATA FROM THE SOUTH DAKOTA DEPARTMENT OF HEALTH REPORT WIDESPREAD ACTIVITY WITH 571 CONFIRMED CASES, 78 HOSPITALIZATIONS AND ONE DEATH. SOMETHING LIKE SEVEN OR EIGHT MILLION PEOPLE IN THE UNITED STATES. THE IMPORTANCE OF VACCINATION CANNOT BE OVERSTATED, YOU UNDERSTAND IF YOU WATCHED OUR PROGRAM TONIGHT. IF YOU HAVEN’T ALREADY, PLEASE GET YOUR FLU SHOT. IT PROTECTS NOT ONLY YOURSELF BUT FAMILY AND FRIENDS AROUND US. THAT DOES IT FOR TONIGHT. FROM ALL OF US HERE AT “ON CALL WITH THE PRAIRIE DOC,” UNTIL NEXT TIME, STAY HEALTHY OUT THERE PEOPLE. FEW THINGS ARE SCARIER THAN THE THOUGHT OF BEING DEBILITATED BY A STROKE. WHAT ARE THE WARNING SIGNS? CAN WE DO ANYTHING TO PREVENT THEM? A STROKE OF BAD LUCK, NEXT TIME “ON CALL WITH THE PRAIRIE DOC.” HELD TO ALL, I’M Dr. TOM LaDEER, BORN IN KANSAS AND PRACTICING HERE IN SOUTH DAKOTA. I EMBRACE THE DIVERSITY OF SOUTH DAKOTA. THIS DIVERSITY COMES WITH A PRICE. LIMITED HEALTH CARE RESOURCES AND INFORMATION. THE HEALING WORDS FOUNDATION THROUGH PRAIRIE DOC PROVIDES AN OPEN, ONLINE, INTERACTIVE PUBLIC BROADCASTING FORMAT FOR RELIABLE HEALTH INFORMATION. AS A MEMBER OF THE HEALING WORDS FOUNDATION BOARD, I AM ASKING YOU, PLEASE, TO JOIN ME IN SUPPORT OF THIS WORK WHICH IS FUNDED ENTIRELY BY DONATIONS FROM YOU. PLEASE CONSIDER MAKING A PERSONAL OR CORPORATE GIFT TO HEALING WORDS FOUNDATION, A 501(c)(3). GO TO PRAIRIE.ORG AND CLICK ON THE DONATE BUTTON AND MAKE A VALUABLE CONTRIBUTION. THANK YOU. >> MAJOR FUNDING FOR “ON CALL WITH THE PRAIRIE DOC” HAS BEEN PROVIDED BY: >> AVERA IS A PROUD SPONSOR OF “ON CALL” ON SOUTH DAKOTA PUBLIC BROADCASTING. LARSON MANUFACTURING IS PROUD TO SUPPORT “ON CALL TELEVISION” AS IT CONTINUES TO OPEN DOORS FOR IMPORTANT MEDICAL INFORMATION. AND BY THE SOUTH DAKOTA FOUNDATION FOR MEDICAL CARE, THE MEDICARE QUALITY IMPROVEMENT ORGANIZATION FOR SOUTH DAKOTA. AND WITH THE ONGOING SUPPORT OF THESE INDIVIDUALS AND INSTITUTIONS.

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