Episode Transcript
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Speaker 1 (00:11):
You are about to listen to the Doctor Dahlia Show,
sase stimulating medical talk radio. Any medical advice doctor Dhia
Wax gives on her show should not be substituted for
an actual visit to your medical provider. And now here's
doctor Dahlia.
Speaker 2 (00:35):
All right, they're back on the Doctor Dolli Show. Thank
you all for tuning in. One eight seven seven Doctor
Dolly one eight seven seven d O C D A
L I. So every year, sadly we hear of these
outbreaks of Leschionnaire's and apparently there's a disease cluster going
on in New York City. We are being told by
ABC News that three have died and sixty seven are
(00:59):
currently sick. Although I thought I saw another report where
the numbers over seventy who have been diagnosed with lesionnaires.
Apparently this started in the Harlem area of New York
City last week. ABC News is saying the New York
City Health Department announced the cluster of cases last week.
At the time, one person had died in twenty two
were sick. The cases are clustered and five zip codes
(01:21):
in central Harlem, according to the Health Department, and they
say people living or working in the area with flu
like symptoms like cough, fever, chills, muscle aches, difficulty breathing
need to contact a healthcare provider immediately. It is especially
important for people at higher risk, especially those over age
fifty cigarette smokers, those with chronic lung disease, or incompromise
(01:42):
immune systems, to get care if they have symptoms so
Lesionaire's disease can cause a very serious pneumonia caused by
the bacteria Legionella and Lisionella. Oftentimes people get from exposure
to warm water. This is why we see lisionnaires oftentimes
in warmer months, or we see it in terms of
(02:04):
exposures in hotels showers when people take warm showers. Now,
according to the latest Health Department update, they say this
is not an issue with any building's plumbing system. They
say residents in these zip codes can continue to drink water, bathe, shower,
cook and use your air conditioner. So the New York
City Health Department said they are investigating this and the
(02:28):
remediation required by the department has been completed for the
eleven cooling towers, and they say initial positive screening results
showing the presence of Legionella pneumophilia, which is a type
of bacteria that causes the Lesionnaire's disease. Now, Lesionnaire's disease
can be caused by plumbing systems if the conditions are
hospitable to this bacteria growth, cooling towers, whirlpools, spas, hot tubs, humidifiers,
(02:53):
hot water tanks, evaporative condensers of large air conditioning systems.
According to health officials, you breathe in the water vapor
that contains a legion of bacteria, you could then get exposed.
We don't see Legionella spread from person to person as
much as others. Usually you get it because you inhaled
(03:18):
it yourself. Where this name came from was the one
of the initial outbreaks which it was named after, was
at the Pennsylvania American Legion Convention held out the Bellevue
Stratford Hotel in Philly back in July of nineteen seventy six.
(03:39):
They believe that caused a pretty large outbreak and it
later got the name Legion for the Legion Convention American
Legion Legionnaire's disease. But it's a bacteria that is found
in soil, grows in water, and as we said, we
see it in water systems, rivers, storage tanks, air conditioning units,
so we don't have any detail yet as of who died.
(04:03):
We also will you'll hear the term of pontiac fever.
Pontiac fever is a milder illness of lesionnaires. Untreated lesionnaires, however,
can kill. Fortunately, we have antibiotics. It's a bacteria. We
do have antibiotics that can address it, which is why
as soon as you detect any symptoms, we want to
(04:25):
make sure you get checked out. So what are the
symptoms of lesionnaires. Well, it often starts two to ten
days after contact. According to MAO Clinic. You might start
feeling headache, muscle egges. You might have a fever that's
over one oh four. Even if you have a mild fever,
that could still be lesionnaire. So don't say, oh my
fever is only one oh three point nine, I'm good.
(04:46):
A fever could of any level still suggest By the
second or third day, you might start seeing cough. You
might see some blood in your mucus. Anytime you see
blood in your mucus, do not call telemedicine. Get yourself
seen right away. We have got to make sure that
this isn't a pneumonia like a Lesionaire's pneumonia, a tuberculosis,
(05:07):
or malignancy. But you sometimes you might cough up blood,
sometimes you don't. Lesionnaire's disease can also cause shortness of breath,
chest pain, nausea, vomiting, diarrhea. As you get more ill,
you can become confused, have mental changes, become hypoxic. So
it's definitely a serious illness. The mild reform pontiac fever,
(05:30):
we build excitement pontiac sorry, that can cause fever, chills, headache,
muscle aches. It Pontiac fever, interestingly, doesn't necessarily infect the lungs.
Many people resolve within a week. That's not for you
to decide if you have pontiac or Lesionnaire's disease. Right
if at all you're not feeling well, or you are
told that you stayed in a hotel, or you were
(05:53):
in an apartment or a facility where other people might
have gotten it, get yourself checked out. So you know
this bacteria Legionella pneumophilia, like I said, it lives in
soil and water, and we don't usually see people get
sick from those. So my guess is what's happening is
(06:14):
it's these big, shall we say, concentrated doses of exposure.
So when you do have this bacteria grow, such as
like in a shower, I have recommended that you let
the shower run a few minutes, open the door, let
the steam out. So how I usually shower is I
(06:38):
get the water really hot and then the door closes.
I like the steam, and then I go in and
I love having the steam to open up my lungs,
et cetera. But if you're at risk for lesionaires, if
lesionaires or Legionella bacterias in the water system, now you're
going to get a big dose or a big aliquad
of it. So one recommendation I would then make is
if you do start a shower at a foreign place,
(07:01):
not necessarily foreign versus domestic, but in a shower that's
not your own or not vetted, let it run, doors open,
et cetera. Then go into the shower. You could close
the door and then hopefully that might minimize a little
bit of that early exposure to it. But hot tub
(07:21):
syncs can do it as well. Fountains, birthing pools, drinking
water systems, let things run, and that would be my recommendation.
Of course, if you smoke, stops smoking. If you have
an immune weekend immune system, make sure to contact your
medical provider, or even if you don't have an immune,
(07:41):
weaken immune system with those symptoms one eight seven seven
doctor Elly.
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Speaker 2 (10:16):
Right, we are back on the Doctor Dollar Show. Thank
you all for tuning in. One eight seven seven Doctor
Dolly one eight seven seven d O C D A
l I. Big thanks to Talk Media Network for making
the show happen. Big thanks to Daniel, our producer, and
big thanks to you all for tuning in. We really
do appreciate it. Don't forget to follow us on Twitter
or exit Doctor Dahlia, Facebook, The Doctor Dahlia Show, and
(10:37):
on YouTube, click like and subscribe. So I remember years
ago and again recently, listeners have asked if we do
too much in the obstetrical world with delivering babies. If
women have been delivering babies since the dawn of time
and we have issues with children now such as rising
(11:00):
autism chronic disease, is there an argument that what we
do in the prenatal, obstetrical, maternal fetal world could be
too much. Now, I've delivered babies and in my training
one of my favorite things to do. It was so
(11:21):
much fun, It was so rewarding. And my answer, my
response to that is even though yes, we have been
able to give birth, we see animals give birth, we
see you know, it's something that is in our genetic
nature and in our species evolution. It's something we could do.
(11:45):
We humans are a little different than how we were
in cave men dates, and we have thirty five year
old moms, forty two year old moms giving birth, not
as it was back in caveman days, where once kids
(12:05):
were pubertle, they were already mating and starting their family
and having delivered women of multiple ages. It gets more
difficult the older somebody is. I told you one time
I heard a screaming mommy, mommy, mommy in one of
(12:26):
the obi rooms. I was in the nurses station. I
was monitoring the monitors of all the women that were
in labor, saying, I think this one's about to go.
I'm going to go in there and check on them
because they had just newly gotten in there, and somebody's
got to deal with the kid. We got a kid
in there screaming, so I need someone to deal with
the kids so I could deliver mom. And I walk
(12:48):
into the room and Mom is sitting in a chair
by a bed, and the patient is an eleven year
old girl holding a teddy bear, and the mom is
looking scared to death, and the eleven year old was
scared to death because she was in labor. Now, we
(13:10):
made it as easy as possible. In fact, that was
the fastest delivery I ever had, and from what we
were told, it wasn't a rape. It was her boyfriend,
and I guess the family was going to take on
the baby, but an eleven year old. I delivered a
mom who was eleven years old, but the delivery was fast.
(13:33):
Now I'm not saying that is not anything we advocate for,
but in modern day, you know, the average woman now
starting her family is late twenties, early thirties, and we
you know, there could be some complications. The older you are,
the heavier you are, if you have high blood pressure,
(13:53):
insulin resistance. If the baby was not eating nuts and
berries and fish and a healthier diet but we were
snacking on junk food, the baby could be enlarged for
its macrosomia, could have oligo, hydramnials, low fluid. There could
(14:15):
be a lot of issues going on. And so we
have a different species now than we did back of
the olden days, and we don't want people to die
of childbirth like they did in the olden days as well.
So I am a huge proponent of us having medical intervention.
That being said, do we sometimes do too much? Hard
(14:37):
to say, don't quote me on this, but what we've
been able to do in terms of stopping pre term
labor is amazing. The medications we could implement and make
sure you know and try to slow down and let
that baby cook or bake for as long as possible.
(14:57):
But one of my training physicians, my ten was an
old farm doc and he was family medicine and one
of the best doctors in the world, doctor Donald Wickler
Wicker and I started to feel some preterm labor with myself.
I was like, oh, no, are you kidding me. I
was in my second try mester and I started a contract.
So I call him up to say, look, I think
(15:17):
I want you to meet me at the hospital. I
think I'm going into preterm labor. He said, Before you
get tributeline and magnesium and all the things they're gonna
give you, the steroids, et cetera, I want you to
do one thing. I want you to open up a
glass of wine, have some wine and see if the
contraction stop. And I'm like, I can't have wine. You're
(15:38):
not supposed to have wine. You're not supposed to have alcohol.
That's a big no no, he said, do it. Well,
I don't have wine. I'm not a wine drinker. So
the only alcohol I could find is one of my
husband's wine coller. He hates me telling the story because
you know the wine coolers. He but, yeah, he's a dude.
I also think he likes zema, but don't say anything
to I like, zeeba, that's okay. Well, that's why we're compatible.
(16:00):
So there was a wine coller. So I drank a
half a wine, not even a half a third of
a wine coller, because I was scared to death, and
the contraction stopped. So I called back doctor Wicker and
he said, if they start again, let me know. He goes,
how much did you drink? I go, I only drank
a third and he's like, I don't think that's going
to be enough. I go, I just don't want to
(16:20):
drink alcohol. He goes, do you want to go to
the hospital and get these medications in you? And I go,
if it's to protect the baby, he said, call me
back if you get any more contractions, and I didn't.
Now his thinking, which has been now rebuked, was the
old school treatment for preterm labor, where we would give
alcohol to stop preterm labor. We don't do that because
(16:42):
alcohol could hurt the baby. But when you hear of
these stories or these cases where somebody talks to an
old school doc and something in their house was able
to prevent them from needing to have expensive medical care,
it does beg the question when can we do something
simple and when can't we Well, you have to get
(17:03):
the lawyers on board with that one. Now, if there
are studies saying resveritol or something in wine can help
with preterm labor, how do you protect against feedal alcohol syndrome.
How do you protect against somebody drinking and it raising
their blood pressure or increasing their sugar and then there's
(17:25):
liability there. So what we do is tried and true
to medicine that we know is safe, that gives the
baby the best possible outcomes. But oftentimes that is a
lot more medical intervention that we would have done earlier.
But here's the argument to make the case to have
medical intervention. Apparently there is a huge campaign for free births,
(17:49):
where people give birth at home in a birthing pool
and completely avoid medical care. Well, a newborn baby girl
is dead as a result of that. There's an influencer
daily mail Issay named Emily Lai from Melbourne, and she
makes content that opposes medical intervention during pregnancy, known as
(18:10):
free births. She offers rentals for birthing pools. Now, I
don't know what the hell sort of medical credential she has,
but she's disillusioned with the medical system. She's disillusioned with
midwives who say they are complicent in and contributing to
the harm of women, which I disagree with. I love midwives.
(18:33):
But she apparently now is being named in a report
because a baby we're calling baby E has died. The
mom of this baby did not seek regular help during pregnancy.
She might have had one visit to a GP when
she was thirty eight to six weeks pregnant, but she
(18:53):
decided to follow miss Law engage with her directly, who
was known as the authentic birthkeeper, rented one of her
birthing pools and only texted this influencer. She ends up
giving birth the evening of December twenty eighth in twenty
twenty two, text her saying I did it. The problem
(19:14):
is is she did not deliver the placenta until the
following morning, the third stage of birth of labor. Then
she became concerned that the baby was suffering complications. She
decides to text the influencer again, saying we can't wake her,
we aren't sure if she's breathing, and the newborn is
now blue in the face, and she submits a picture.
(19:37):
Paramedics finally are called, but the child died the morning
of December twenty ninth. According to an autopsy report, the
cause of death was neonatal pneumonia maconium aspiration. Maconium is
the stool that the baby may make during distress or
during early birth coreo amnionitis, which is inflammation of the
(19:59):
fluid round and then secondary to prolonged labor in a
home birthing pool. If this birth occurred in a hospital,
and if the mom had proper prenatal care, the baby
could be alive and not to mention if even if
there was hypoxia or issues with the baby early on,
(20:21):
the hospital in the nionatal unit could have helped provide
the baby. This is scary, so I will always be
on the side of having the medical community involved home burths.
You know, if your medical team is there. I leave
that up to you and your medical team. But I
(20:41):
prefer you being in a hospital setting because you never
know what could go wrong. One eight seven seven Doctor Ali.
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Speaker 2 (22:23):
All right, ween, you're back on the Doctor DOLLI Show.
Thank you all for tuning in. One eight seven seven
Doctor Dolly one eight seven seven d O C D
A l I. So many of you have been really
disappointed in these GLP one agonist shots. You're hearing your
neighbors and friends are getting their insurance to cover their
(22:45):
ozempic or WeGo v we Go v zep bound Majaro,
and they are acting like they are bikini ready for
the beach, and you don't seem to share their same enthusiasm.
One is you might not be getting the medication, your
(23:07):
insurance won't cover it, or if they do cover it,
you still have to come out of pocket for five
hundred bucks, even though I think Eli Lilly has offered
or nov Noordsk has offered you to be able to
get at cash price for five hundred bucks a month.
Still that's ridiculously expensive. Or you're on it, you're taking
(23:29):
the shots, you're spending the money. You still don't look
like you're ready for a bathing suit. And what a
lot of people are telling me is it's not working anymore.
It controlled their hunger, it controlled their cravings, but they
stopped losing weight. We need something else. Well, Eli Lilly
(23:54):
is already working on something else. And I told you, guys,
I go look if these medicais are fantastic for those
with diabetes and may have a lot of applications to
get people off alcohol, to temporarily work with people on
their cravings. But we just don't have enough long term
data where we think you're going to lose all the weight,
(24:17):
keep the weight off and never rebound. We can't say
that yet. We do notice people lose weight in the
short term, absolutely, but how to keep it off if
you can't get the medication. Well, ELI Lilly is reporting
that they have a pill that causes people who do
(24:40):
I have obesity or are overweight to lose significant amounts
of weight. And it's a pill. The drug is called
or Sorry or faux glypron and it's not an an
injectable drug like their truzeppetite. Truzepetite targets two hormones, your
GLP one in your gip your or full glipron targets
(25:06):
just the GLP one Lily and other companies make similar
medications that have been trying to mimic the efficacy of
these shots, and some people don't like to do the injections.
You also have to buy alcohol pads. You have to
purchase needles if you don't have enough. Know, the pens
come with enough needles. But some people are microdosine or
(25:28):
they're playing around with it and then they drop the needle.
And so many individuals just want to go back to
old school and they want just a pill. So according
to Time magazine, the trial include thirty one hundred overweight
or opius adults who had an obesity related medical problem
but not diabetes. Those taking the bill daily the pill
(25:49):
daily for almost a year and a half lost ten
percent of their body weight on average, or twenty seven pounds.
People taking a placebo lost just over two pounds. I
got it. I tell you, I love hearing how people
are losing weight on placebo. Can I just buy the placebo?
It's gotta be cheap. Placebo are the dummy pills. But
(26:10):
you'll hear, you'll hear people on placebo lost this amount
of weight. Well, then let me buy the placebo, all right, Okay,
I'll even call it placebo if I could just lose
a few more pounds without taking the medication. The findings
have not yet been published in a peer review journal,
but it is going to be presented in September at
the annual meeting of the European Association for the City
(26:31):
of Diabetes Excuse me. Based on these results, ELI Lilly
says it plans to file for approval of or fog
lapron from the USFDA to treato BC by the end
of the year. If it proved, we will be able
to have access to these pills by next year. Now
what we run into the same problems. Their study looked
(26:56):
at a year and a half, which a lot of
these studies are doing. Looking at a year year and
a half. Losing twelve percent of your body weight on
average is fantastic. So if you are two hundred pounds,
your new weight might be one to eighty. That's wonderful,
(27:17):
that's fantastic, But that's not bikini weight. Except for those
of us who don't care. What'll just worry of bikini
no matter what. And I keep seeing this in the
studies they talk about you lost twelve percent or ten
percent of your body weight, Well, twelve percent. Okay, If
it's twelve percent, then you would be losing twenty four pounds,
so you would be one seven, one hundred and seventy
(27:38):
six pounds, which is still huge. I mean, losing twelve
percent of your body weight is huge, but that's might
not be exactly what you're looking for. And one thing
I've stressed with all of this is people aren't necessarily
talking to a doctor about the medication looking at influencers,
(28:01):
they're talking to their neighbor, they're talking to their body,
and they see somebody who look at Kelly Clarkson. Now
I don't know if she took any medication, but she
went from being overweight to looking really thin. So people
look at that go, okay, well that's what the medicine
is supposed to do. Look at Oprah, she looks great,
(28:21):
and for some the medicine might do that. But what
I think is happening our individuals are losing ten percent
of their body weight and then that's it, or losing
twelve percent, and then it doesn't budget. It could be
because you're plateauing, it could be because your body's getting
used to the medicine. But then they say, well, I'm
(28:45):
not losing weight, and they don't keep at it. These
medications are not supposed to be skinny pills. They do
help curb your appetite, but to make you you know
your high school body, you're shooting for too much. You
can get your high school body back in some cases,
(29:08):
but we are talking you need to be at the
gym every day. We are talking strict calorie restriction and
years and months of work. But people are looking at
these pills and these shots says this is what's gonna
make me skinny. And I do see people who are
skinny on it. But you need to talk to your
(29:28):
medical provider about the studies and how honest the results are. Now,
many people do hear these results and say, well, ten
percent of my body weight, that's fine for me. That
would mean I would get down to one hundred and twenty.
I go, how much do you weigh? Oh that that's
not important. Okay, you're acting like you weigh one hundred
and thirty six pounds. Yeah, come on, man, that's yeah.
(29:52):
You need to know your your real weight. So these medications, right,
if you lose the weight and you keep it off,
you are going to improve your cholesterol. Levels, your try
glyterid levels, your blood pressure, your heart markers of inflammation,
may even minimize dementia, sleep apnea. It's amazing, but how
(30:15):
long do you? How can you take these medications for?
With the pills were being told that they had to
gradually increase their dose before reaching the maximum dose. So
this wasn't just on a low dose. They had to
do this because they had to slowly increase and augment
the potency because of GI side effects. So they started
(30:38):
out at six milligrams, then after four weeks they went
to twelve milligrams. Then the maintenance dose was thirty six milligrams.
So these medicines max at some point. And I'm not
saying they're bad. I love the idea that these companies
are working on ways that could safely help reduce weight.
(31:00):
But I think the American people, or any consumer needs
to be educated on what we're really looking at. I
had a person call in for diet or a patient
called in for diet pills because they started to plateau
on their ozempic, and I go, you aren't really supposed
(31:21):
to be taking diet pills, plus you're ozempic, And they
were not on ozempic for diabetes. They were on ozempic
for weight, but they were afraid that they were going
to go off the ozempic due to costs and it
not working anymore, and then they gain their way back.
So yeah, we need to be practical about this, We
(31:41):
need to be transparent about it. They're great medications, but
how long can people take them? For? One? Eight seven
seven doct ali.
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Speaker 2 (34:16):
All right, we are back on the Doctor Doli Show.
Thank you all for tuning in one eight seven seven
doct DOLLI one eight seven seven Doc d a l I.
So hopefully many of us got our good dose of
vitamin D. We were out in the sun, we vacationed
a lot. But what is always striking to me is
we think of summer as swimming and beaches and sunscreen
(34:40):
and and then school comes and we think of back
to school backpacks and pencils and all that. But we
still have the sun. And for those of us that
live in areas where these kids are back to school
and it's about what one hundred degrees where I am
right now, we need to still think about protecting against
the sun. So joining us today is renowned dermatologist doctor
(35:03):
a Usha Patel Shaw here to explain why everyday use
of sunscreen is still just as important during the school
year as during the summer, even when it's not hot.
Doctor Shaw is a Fellow with the American Academy at
Dermatology and adjunct Assistant Professor of Dermatology at Emory University
and Head of Medical Affairs in North America for Skin
Health and Beauty at Kenview. Doctor Shaw, thank you so
(35:26):
much for joining us.
Speaker 8 (35:29):
Thank you, it's such a pleasure to be here.
Speaker 2 (35:32):
Wow. So I love that you're bringing this up because
many parents are putting away the sunscreen for next summer
and no, no, no, no, no. Sunscreen is still important.
Speaker 8 (35:43):
Absolutely. So you know, as you elluded, most people think
it's park but honestly, the UV rays just don't take
a vacation, and our children are spending many, many hours
outside during the entire school year. And we also know
that even one blistering sunburn in childhood more than doubles
(36:03):
the lifetime risk of melanoma. So that's why our team
at Kendu, the makers of Nutrigena, are spreading the word
for me. Bottom line, daily sun protection remains critical, just
like brushing our teeth. It's a small step but makes
a big impact.
Speaker 2 (36:19):
Absolutely, and I love Nutrigena. Many of their products I've
recommended to also help prevent acne, and so they're a huge,
huge help, especially for our kids and adolescent populations. You know,
our back to school shopping list always seems to include
pencils and pens and crayons and rulers and protectors. Sunscreen
(36:40):
needs to be on that shopping list, shouldn't it.
Speaker 8 (36:45):
Hmm. Totally agree with you. So, you know, as our
children return back to school, the need for everyday sun
protection is just as important as it was during the
summer months. And as you may know, actually many states
now have passed laws allowing students to you sunscreen and
sun protective clothing at school without a physician's note or
prescription to help protect them from the dangers of cumulative
(37:08):
UV exposure.
Speaker 2 (37:10):
And so I think one apprehension parents have is how
does their child bring it to school and then get
access to apply do you recommend as a physician as well?
Maybe notes you know, provided by the parent to the
teacher saying look, we would like this reapplied before they
go out for recess or pe.
Speaker 5 (37:31):
Yes.
Speaker 8 (37:32):
And so I'm really excited that a lot of states
now are getting on board so that the children can
actually carry sunscreen without the obstacle of needing a note.
But in some states it's still needed, and so I
would recommend looking up your state and figuring out whether
you can just place a travel size sunscreen or a
stick applicator in your student's backpack just for you know,
(37:53):
convenient reapplication, or do you need that additional note to
leave at the nurse's office so that they are allowed
to do that.
Speaker 2 (38:01):
A big question I get from parents is our children
still getting And I answered yes, but you know, they're
concerned that it's blocking vitamin D and the benefits of
sun While we want to protect against melanoma, these kids
are still getting good sources of vitamin D.
Speaker 8 (38:20):
Correct, absolutely, So it's all about risk versus benefit. And
you know, application of appropriate sunscreen does not block vitamin
D production, and so we get vitamin D through various sources,
not just the sun, but also a good healthy diet,
and so most kids are pretty sufficient with vitamin D.
(38:42):
But again, sunscreen does not block vitamin D protection. You
can have it both. You should be protecting your skin,
you should be getting vitamin D, and you should be
enjoying the outdoors. Frankly as well.
Speaker 2 (38:54):
We're speaking to doctor Shaw Fellow with the American Academy
of Dermatology, adjunct Assistant Professor of Dermatology at every university
and had a medical affairs in North America for skin
health and beauty. It can view What sunscreens do you
recommend for parents to use now that these kids are
going back to school.
Speaker 8 (39:13):
Yeah, So, to be perfectly honest with you, the best
sunscreen is the one that you and your family will
consistently use every day, because really to unlock the power
of sun screen, you have to be able to use it,
and you have to want.
Speaker 5 (39:25):
To use it.
Speaker 8 (39:26):
And so for children, I really do like the Beach
Defense Kids line and the Sharesink Kids Mineral options because
it makes protection very convenient and very gentle, not just
for daily use but also for reapplication. And those lines
also have a variety of vehicle options like sprays and
sticks and motions to just give that diversity of choice
(39:47):
so you actually use the product right.
Speaker 2 (39:49):
Any other advice you have for parents.
Speaker 8 (39:53):
Yes, I always say please start early, stay consistent, and
also just lead by example because your children are watching
and skin health is a long game. We also know
that sun safety habits and sun education within childhood is
very important because not only will they continue those practices
(40:14):
throughout life, but they will also protect themselves against that
cumulative sun damage that may turn into skin cancer one day.
Speaker 2 (40:22):
So true, Doctor Shaw. Where can my listeners go for
more information?
Speaker 8 (40:28):
Yes? So for helpful sun safety tips, please visit kenview
dot com Flash sun Wonderful.
Speaker 2 (40:35):
Well can't wait to have you back. We appreciate everything
you and ken you do, and thank you.
Speaker 8 (40:39):
So much, Thank you so much, it was a pleasure.
Speaker 2 (40:44):
One eight seven seven Doctor Dolly one eight seven seven
d O C. D Ali. I was at the grocery
store the other day and I saw a mom kind
of like skip out of the car smiley. I wanted
to go up to her and say, you just dropped
your kids off at school? Huh. I gotta tell you
it's a happy, happy time. I love my kids, listen,
(41:06):
I love them. But for me, I just always loved
back to school. When I see a back to school
supply aisle in a grocery store and a Target or
Walmart and back to school spies, I just get excited.
Maybe it's because of the colors, maybe it's because everything
is so crisp and new. I just get excited by
(41:28):
that because I've always left school. I was a real
dork as a kid. I love school. But it's interesting.
I grew up in Las Vegas. I grew up in Phoenix, Arizona.
I was born in La They did it at the time,
really talk about skin protection. We knew there were sunscreens
and sun blocks. But I was a kid of the
eighties and I wasn't very tan. I have very very
(41:52):
fair skin, and so I was of the age and
the generation where you laid outside and you got as
much sun is possible. And so I'm just shuddering with
all the skin damage I got. You know. Another thing
that you know, I was a blonde kid, and then
the blonde hair falls, you know, changes to dark. And
(42:15):
then I had darker hair. And so in the eighties
we had something called sun In where it had I
think lem or we would use lemon juice to spray
on our hair to make our hair more blonde. Well,
my hair wasn't blonde. It became orange. But that's what
I did to lighten my hair. It was a product
called sun In. And when I look at what I
(42:36):
did to myself in terms of, you know, putting myself
at so much sunder risk just to get a temporary tan.
I'm nervous. We flew to Florida to see some family
and my sunscreen wasn't applied properly and I ended up
having a black circle from a sunburn. I burned that
(42:57):
bad where it was black right in the lower part
of my chest, and I watch that area all the
time because I wonder if I'll later get skin cancer
because of that damage. So we can't overestimate the power
of sunscreen on what that needs to do to protect
her skin. However, you know, we we do want to
(43:18):
play a fine line between our kids sitting in the
house playing video games, not getting out and getting some
fresh air and sun and being able to produce vitamin
D with with our son's help, versus skin cancer risk.
So make sure you talk to your medical provider and
make sure you protect your kids skin one eight seven
seven Doctulli.
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You are about to listen to the Doctor Dahlia Show,
sase stimulating medical talk radio. Any medical advice doctor Dhia
Wax gives on her show should not be substituted for
an actual visit to your medical provider. And now here's
doctor Dahlia.
Speaker 2 (00:35):
All right, they're back on the Doctor Dolli Show. Thank
you all for tuning in. One eight seven seven Doctor
Dolly one eight seven seven d O C D A
L I. So every year, sadly we hear of these
outbreaks of Leschionnaire's and apparently there's a disease cluster going
on in New York City. We are being told by
ABC News that three have died and sixty seven are
(00:59):
currently sick. Although I thought I saw another report where
the numbers over seventy who have been diagnosed with lesionnaires.
Apparently this started in the Harlem area of New York
City last week. ABC News is saying the New York
City Health Department announced the cluster of cases last week.
At the time, one person had died in twenty two
were sick. The cases are clustered and five zip codes
(01:21):
in central Harlem, according to the Health Department, and they
say people living or working in the area with flu
like symptoms like cough, fever, chills, muscle aches, difficulty breathing
need to contact a healthcare provider immediately. It is especially
important for people at higher risk, especially those over age
fifty cigarette smokers, those with chronic lung disease, or incompromise
(01:42):
immune systems, to get care if they have symptoms so
Lesionaire's disease can cause a very serious pneumonia caused by
the bacteria Legionella and Lisionella. Oftentimes people get from exposure
to warm water. This is why we see lisionnaires oftentimes
in warmer months, or we see it in terms of
(02:04):
exposures in hotels showers when people take warm showers. Now,
according to the latest Health Department update, they say this
is not an issue with any building's plumbing system. They
say residents in these zip codes can continue to drink water, bathe, shower,
cook and use your air conditioner. So the New York
City Health Department said they are investigating this and the
(02:28):
remediation required by the department has been completed for the
eleven cooling towers, and they say initial positive screening results
showing the presence of Legionella pneumophilia, which is a type
of bacteria that causes the Lesionnaire's disease. Now, Lesionnaire's disease
can be caused by plumbing systems if the conditions are
hospitable to this bacteria growth, cooling towers, whirlpools, spas, hot tubs, humidifiers,
(02:53):
hot water tanks, evaporative condensers of large air conditioning systems.
According to health officials, you breathe in the water vapor
that contains a legion of bacteria, you could then get exposed.
We don't see Legionella spread from person to person as
much as others. Usually you get it because you inhaled
(03:18):
it yourself. Where this name came from was the one
of the initial outbreaks which it was named after, was
at the Pennsylvania American Legion Convention held out the Bellevue
Stratford Hotel in Philly back in July of nineteen seventy six.
(03:39):
They believe that caused a pretty large outbreak and it
later got the name Legion for the Legion Convention American
Legion Legionnaire's disease. But it's a bacteria that is found
in soil, grows in water, and as we said, we
see it in water systems, rivers, storage tanks, air conditioning units,
so we don't have any detail yet as of who died.
(04:03):
We also will you'll hear the term of pontiac fever.
Pontiac fever is a milder illness of lesionnaires. Untreated lesionnaires, however,
can kill. Fortunately, we have antibiotics. It's a bacteria. We
do have antibiotics that can address it, which is why
as soon as you detect any symptoms, we want to
(04:25):
make sure you get checked out. So what are the
symptoms of lesionnaires. Well, it often starts two to ten
days after contact. According to MAO Clinic. You might start
feeling headache, muscle egges. You might have a fever that's
over one oh four. Even if you have a mild fever,
that could still be lesionnaire. So don't say, oh my
fever is only one oh three point nine, I'm good.
(04:46):
A fever could of any level still suggest By the
second or third day, you might start seeing cough. You
might see some blood in your mucus. Anytime you see
blood in your mucus, do not call telemedicine. Get yourself
seen right away. We have got to make sure that
this isn't a pneumonia like a Lesionaire's pneumonia, a tuberculosis,
(05:07):
or malignancy. But you sometimes you might cough up blood,
sometimes you don't. Lesionnaire's disease can also cause shortness of breath,
chest pain, nausea, vomiting, diarrhea. As you get more ill,
you can become confused, have mental changes, become hypoxic. So
it's definitely a serious illness. The mild reform pontiac fever,
(05:30):
we build excitement pontiac sorry, that can cause fever, chills, headache,
muscle aches. It Pontiac fever, interestingly, doesn't necessarily infect the lungs.
Many people resolve within a week. That's not for you
to decide if you have pontiac or Lesionnaire's disease. Right
if at all you're not feeling well, or you are
told that you stayed in a hotel, or you were
(05:53):
in an apartment or a facility where other people might
have gotten it, get yourself checked out. So you know
this bacteria Legionella pneumophilia, like I said, it lives in
soil and water, and we don't usually see people get
sick from those. So my guess is what's happening is
(06:14):
it's these big, shall we say, concentrated doses of exposure.
So when you do have this bacteria grow, such as
like in a shower, I have recommended that you let
the shower run a few minutes, open the door, let
the steam out. So how I usually shower is I
(06:38):
get the water really hot and then the door closes.
I like the steam, and then I go in and
I love having the steam to open up my lungs,
et cetera. But if you're at risk for lesionaires, if
lesionaires or Legionella bacterias in the water system, now you're
going to get a big dose or a big aliquad
of it. So one recommendation I would then make is
if you do start a shower at a foreign place,
(07:01):
not necessarily foreign versus domestic, but in a shower that's
not your own or not vetted, let it run, doors open,
et cetera. Then go into the shower. You could close
the door and then hopefully that might minimize a little
bit of that early exposure to it. But hot tub
(07:21):
syncs can do it as well. Fountains, birthing pools, drinking
water systems, let things run, and that would be my recommendation.
Of course, if you smoke, stops smoking. If you have
an immune weekend immune system, make sure to contact your
medical provider, or even if you don't have an immune,
(07:41):
weaken immune system with those symptoms one eight seven seven
doctor Elly.
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Speaker 2 (10:16):
Right, we are back on the Doctor Dollar Show. Thank
you all for tuning in. One eight seven seven Doctor
Dolly one eight seven seven d O C D A
l I. Big thanks to Talk Media Network for making
the show happen. Big thanks to Daniel, our producer, and
big thanks to you all for tuning in. We really
do appreciate it. Don't forget to follow us on Twitter
or exit Doctor Dahlia, Facebook, The Doctor Dahlia Show, and
(10:37):
on YouTube, click like and subscribe. So I remember years
ago and again recently, listeners have asked if we do
too much in the obstetrical world with delivering babies. If
women have been delivering babies since the dawn of time
and we have issues with children now such as rising
(11:00):
autism chronic disease, is there an argument that what we
do in the prenatal, obstetrical, maternal fetal world could be
too much. Now, I've delivered babies and in my training
one of my favorite things to do. It was so
(11:21):
much fun, It was so rewarding. And my answer, my
response to that is even though yes, we have been
able to give birth, we see animals give birth, we
see you know, it's something that is in our genetic
nature and in our species evolution. It's something we could do.
(11:45):
We humans are a little different than how we were
in cave men dates, and we have thirty five year
old moms, forty two year old moms giving birth, not
as it was back in caveman days, where once kids
(12:05):
were pubertle, they were already mating and starting their family
and having delivered women of multiple ages. It gets more
difficult the older somebody is. I told you one time
I heard a screaming mommy, mommy, mommy in one of
(12:26):
the obi rooms. I was in the nurses station. I
was monitoring the monitors of all the women that were
in labor, saying, I think this one's about to go.
I'm going to go in there and check on them
because they had just newly gotten in there, and somebody's
got to deal with the kid. We got a kid
in there screaming, so I need someone to deal with
the kids so I could deliver mom. And I walk
(12:48):
into the room and Mom is sitting in a chair
by a bed, and the patient is an eleven year
old girl holding a teddy bear, and the mom is
looking scared to death, and the eleven year old was
scared to death because she was in labor. Now, we
(13:10):
made it as easy as possible. In fact, that was
the fastest delivery I ever had, and from what we
were told, it wasn't a rape. It was her boyfriend,
and I guess the family was going to take on
the baby, but an eleven year old. I delivered a
mom who was eleven years old, but the delivery was fast.
(13:33):
Now I'm not saying that is not anything we advocate for,
but in modern day, you know, the average woman now
starting her family is late twenties, early thirties, and we
you know, there could be some complications. The older you are,
the heavier you are, if you have high blood pressure,
(13:53):
insulin resistance. If the baby was not eating nuts and
berries and fish and a healthier diet but we were
snacking on junk food, the baby could be enlarged for
its macrosomia, could have oligo, hydramnials, low fluid. There could
(14:15):
be a lot of issues going on. And so we
have a different species now than we did back of
the olden days, and we don't want people to die
of childbirth like they did in the olden days as well.
So I am a huge proponent of us having medical intervention.
That being said, do we sometimes do too much? Hard
(14:37):
to say, don't quote me on this, but what we've
been able to do in terms of stopping pre term
labor is amazing. The medications we could implement and make
sure you know and try to slow down and let
that baby cook or bake for as long as possible.
(14:57):
But one of my training physicians, my ten was an
old farm doc and he was family medicine and one
of the best doctors in the world, doctor Donald Wickler
Wicker and I started to feel some preterm labor with myself.
I was like, oh, no, are you kidding me. I
was in my second try mester and I started a contract.
So I call him up to say, look, I think
(15:17):
I want you to meet me at the hospital. I
think I'm going into preterm labor. He said, Before you
get tributeline and magnesium and all the things they're gonna
give you, the steroids, et cetera, I want you to
do one thing. I want you to open up a
glass of wine, have some wine and see if the
contraction stop. And I'm like, I can't have wine. You're
(15:38):
not supposed to have wine. You're not supposed to have alcohol.
That's a big no no, he said, do it. Well,
I don't have wine. I'm not a wine drinker. So
the only alcohol I could find is one of my
husband's wine coller. He hates me telling the story because
you know the wine coolers. He but, yeah, he's a dude.
I also think he likes zema, but don't say anything
to I like, zeeba, that's okay. Well, that's why we're compatible.
(16:00):
So there was a wine coller. So I drank a
half a wine, not even a half a third of
a wine coller, because I was scared to death, and
the contraction stopped. So I called back doctor Wicker and
he said, if they start again, let me know. He goes,
how much did you drink? I go, I only drank
a third and he's like, I don't think that's going
to be enough. I go, I just don't want to
(16:20):
drink alcohol. He goes, do you want to go to
the hospital and get these medications in you? And I go,
if it's to protect the baby, he said, call me
back if you get any more contractions, and I didn't.
Now his thinking, which has been now rebuked, was the
old school treatment for preterm labor, where we would give
alcohol to stop preterm labor. We don't do that because
(16:42):
alcohol could hurt the baby. But when you hear of
these stories or these cases where somebody talks to an
old school doc and something in their house was able
to prevent them from needing to have expensive medical care,
it does beg the question when can we do something
simple and when can't we Well, you have to get
(17:03):
the lawyers on board with that one. Now, if there
are studies saying resveritol or something in wine can help
with preterm labor, how do you protect against feedal alcohol syndrome.
How do you protect against somebody drinking and it raising
their blood pressure or increasing their sugar and then there's
(17:25):
liability there. So what we do is tried and true
to medicine that we know is safe, that gives the
baby the best possible outcomes. But oftentimes that is a
lot more medical intervention that we would have done earlier.
But here's the argument to make the case to have
medical intervention. Apparently there is a huge campaign for free births,
(17:49):
where people give birth at home in a birthing pool
and completely avoid medical care. Well, a newborn baby girl
is dead as a result of that. There's an influencer
daily mail Issay named Emily Lai from Melbourne, and she
makes content that opposes medical intervention during pregnancy, known as
(18:10):
free births. She offers rentals for birthing pools. Now, I
don't know what the hell sort of medical credential she has,
but she's disillusioned with the medical system. She's disillusioned with
midwives who say they are complicent in and contributing to
the harm of women, which I disagree with. I love midwives.
(18:33):
But she apparently now is being named in a report
because a baby we're calling baby E has died. The
mom of this baby did not seek regular help during pregnancy.
She might have had one visit to a GP when
she was thirty eight to six weeks pregnant, but she
(18:53):
decided to follow miss Law engage with her directly, who
was known as the authentic birthkeeper, rented one of her
birthing pools and only texted this influencer. She ends up
giving birth the evening of December twenty eighth in twenty
twenty two, text her saying I did it. The problem
(19:14):
is is she did not deliver the placenta until the
following morning, the third stage of birth of labor. Then
she became concerned that the baby was suffering complications. She
decides to text the influencer again, saying we can't wake her,
we aren't sure if she's breathing, and the newborn is
now blue in the face, and she submits a picture.
(19:37):
Paramedics finally are called, but the child died the morning
of December twenty ninth. According to an autopsy report, the
cause of death was neonatal pneumonia maconium aspiration. Maconium is
the stool that the baby may make during distress or
during early birth coreo amnionitis, which is inflammation of the
(19:59):
fluid round and then secondary to prolonged labor in a
home birthing pool. If this birth occurred in a hospital,
and if the mom had proper prenatal care, the baby
could be alive and not to mention if even if
there was hypoxia or issues with the baby early on,
(20:21):
the hospital in the nionatal unit could have helped provide
the baby. This is scary, so I will always be
on the side of having the medical community involved home burths.
You know, if your medical team is there. I leave
that up to you and your medical team. But I
(20:41):
prefer you being in a hospital setting because you never
know what could go wrong. One eight seven seven Doctor Ali.
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to read this powerful book, Common Sense Income Strategies brings
to you what Mark has been teaching in person and
talking about on the radio for decades. You've worked too
long and too hard not to see the fruits of
your labor. To learn how to receive your free copy,
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(21:46):
five Secure your future with Common Sense Income Strategies by
Mark Falter again. To learn how to receive your free
copy call eight six six seven six four two six
three five. That's eight six six seven sixty four two
six three five.
Speaker 2 (22:23):
All right, ween, you're back on the Doctor DOLLI Show.
Thank you all for tuning in. One eight seven seven
Doctor Dolly one eight seven seven d O C D
A l I. So many of you have been really
disappointed in these GLP one agonist shots. You're hearing your
neighbors and friends are getting their insurance to cover their
(22:45):
ozempic or WeGo v we Go v zep bound Majaro,
and they are acting like they are bikini ready for
the beach, and you don't seem to share their same enthusiasm.
One is you might not be getting the medication, your
(23:07):
insurance won't cover it, or if they do cover it,
you still have to come out of pocket for five
hundred bucks, even though I think Eli Lilly has offered
or nov Noordsk has offered you to be able to
get at cash price for five hundred bucks a month.
Still that's ridiculously expensive. Or you're on it, you're taking
(23:29):
the shots, you're spending the money. You still don't look
like you're ready for a bathing suit. And what a
lot of people are telling me is it's not working anymore.
It controlled their hunger, it controlled their cravings, but they
stopped losing weight. We need something else. Well, Eli Lilly
(23:54):
is already working on something else. And I told you, guys,
I go look if these medicais are fantastic for those
with diabetes and may have a lot of applications to
get people off alcohol, to temporarily work with people on
their cravings. But we just don't have enough long term
data where we think you're going to lose all the weight,
(24:17):
keep the weight off and never rebound. We can't say
that yet. We do notice people lose weight in the
short term, absolutely, but how to keep it off if
you can't get the medication. Well, ELI Lilly is reporting
that they have a pill that causes people who do
(24:40):
I have obesity or are overweight to lose significant amounts
of weight. And it's a pill. The drug is called
or Sorry or faux glypron and it's not an an
injectable drug like their truzeppetite. Truzepetite targets two hormones, your
GLP one in your gip your or full glipron targets
(25:06):
just the GLP one Lily and other companies make similar
medications that have been trying to mimic the efficacy of
these shots, and some people don't like to do the injections.
You also have to buy alcohol pads. You have to
purchase needles if you don't have enough. Know, the pens
come with enough needles. But some people are microdosine or
(25:28):
they're playing around with it and then they drop the needle.
And so many individuals just want to go back to
old school and they want just a pill. So according
to Time magazine, the trial include thirty one hundred overweight
or opius adults who had an obesity related medical problem
but not diabetes. Those taking the bill daily the pill
(25:49):
daily for almost a year and a half lost ten
percent of their body weight on average, or twenty seven pounds.
People taking a placebo lost just over two pounds. I
got it. I tell you, I love hearing how people
are losing weight on placebo. Can I just buy the placebo?
It's gotta be cheap. Placebo are the dummy pills. But
(26:10):
you'll hear, you'll hear people on placebo lost this amount
of weight. Well, then let me buy the placebo, all right, Okay,
I'll even call it placebo if I could just lose
a few more pounds without taking the medication. The findings
have not yet been published in a peer review journal,
but it is going to be presented in September at
the annual meeting of the European Association for the City
(26:31):
of Diabetes Excuse me. Based on these results, ELI Lilly
says it plans to file for approval of or fog
lapron from the USFDA to treato BC by the end
of the year. If it proved, we will be able
to have access to these pills by next year. Now
what we run into the same problems. Their study looked
(26:56):
at a year and a half, which a lot of
these studies are doing. Looking at a year year and
a half. Losing twelve percent of your body weight on
average is fantastic. So if you are two hundred pounds,
your new weight might be one to eighty. That's wonderful,
(27:17):
that's fantastic, But that's not bikini weight. Except for those
of us who don't care. What'll just worry of bikini
no matter what. And I keep seeing this in the
studies they talk about you lost twelve percent or ten
percent of your body weight, Well, twelve percent. Okay, If
it's twelve percent, then you would be losing twenty four pounds,
so you would be one seven, one hundred and seventy
(27:38):
six pounds, which is still huge. I mean, losing twelve
percent of your body weight is huge, but that's might
not be exactly what you're looking for. And one thing
I've stressed with all of this is people aren't necessarily
talking to a doctor about the medication looking at influencers,
(28:01):
they're talking to their neighbor, they're talking to their body,
and they see somebody who look at Kelly Clarkson. Now
I don't know if she took any medication, but she
went from being overweight to looking really thin. So people
look at that go, okay, well that's what the medicine
is supposed to do. Look at Oprah, she looks great,
(28:21):
and for some the medicine might do that. But what
I think is happening our individuals are losing ten percent
of their body weight and then that's it, or losing
twelve percent, and then it doesn't budget. It could be
because you're plateauing, it could be because your body's getting
used to the medicine. But then they say, well, I'm
(28:45):
not losing weight, and they don't keep at it. These
medications are not supposed to be skinny pills. They do
help curb your appetite, but to make you you know
your high school body, you're shooting for too much. You
can get your high school body back in some cases,
(29:08):
but we are talking you need to be at the
gym every day. We are talking strict calorie restriction and
years and months of work. But people are looking at
these pills and these shots says this is what's gonna
make me skinny. And I do see people who are
skinny on it. But you need to talk to your
(29:28):
medical provider about the studies and how honest the results are. Now,
many people do hear these results and say, well, ten
percent of my body weight, that's fine for me. That
would mean I would get down to one hundred and twenty.
I go, how much do you weigh? Oh that that's
not important. Okay, you're acting like you weigh one hundred
and thirty six pounds. Yeah, come on, man, that's yeah.
(29:52):
You need to know your your real weight. So these medications, right,
if you lose the weight and you keep it off,
you are going to improve your cholesterol. Levels, your try
glyterid levels, your blood pressure, your heart markers of inflammation,
may even minimize dementia, sleep apnea. It's amazing, but how
(30:15):
long do you? How can you take these medications for?
With the pills were being told that they had to
gradually increase their dose before reaching the maximum dose. So
this wasn't just on a low dose. They had to
do this because they had to slowly increase and augment
the potency because of GI side effects. So they started
(30:38):
out at six milligrams, then after four weeks they went
to twelve milligrams. Then the maintenance dose was thirty six milligrams.
So these medicines max at some point. And I'm not
saying they're bad. I love the idea that these companies
are working on ways that could safely help reduce weight.
(31:00):
But I think the American people, or any consumer needs
to be educated on what we're really looking at. I
had a person call in for diet or a patient
called in for diet pills because they started to plateau
on their ozempic, and I go, you aren't really supposed
(31:21):
to be taking diet pills, plus you're ozempic, And they
were not on ozempic for diabetes. They were on ozempic
for weight, but they were afraid that they were going
to go off the ozempic due to costs and it
not working anymore, and then they gain their way back.
So yeah, we need to be practical about this, We
(31:41):
need to be transparent about it. They're great medications, but
how long can people take them? For? One? Eight seven
seven doct ali.
Speaker 6 (32:03):
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Speaker 2 (33:01):
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Speaker 2 (34:16):
All right, we are back on the Doctor Doli Show.
Thank you all for tuning in one eight seven seven
doct DOLLI one eight seven seven Doc d a l I.
So hopefully many of us got our good dose of
vitamin D. We were out in the sun, we vacationed
a lot. But what is always striking to me is
we think of summer as swimming and beaches and sunscreen
(34:40):
and and then school comes and we think of back
to school backpacks and pencils and all that. But we
still have the sun. And for those of us that
live in areas where these kids are back to school
and it's about what one hundred degrees where I am
right now, we need to still think about protecting against
the sun. So joining us today is renowned dermatologist doctor
(35:03):
a Usha Patel Shaw here to explain why everyday use
of sunscreen is still just as important during the school
year as during the summer, even when it's not hot.
Doctor Shaw is a Fellow with the American Academy at
Dermatology and adjunct Assistant Professor of Dermatology at Emory University
and Head of Medical Affairs in North America for Skin
Health and Beauty at Kenview. Doctor Shaw, thank you so
(35:26):
much for joining us.
Speaker 8 (35:29):
Thank you, it's such a pleasure to be here.
Speaker 2 (35:32):
Wow. So I love that you're bringing this up because
many parents are putting away the sunscreen for next summer
and no, no, no, no, no. Sunscreen is still important.
Speaker 8 (35:43):
Absolutely. So you know, as you elluded, most people think
it's park but honestly, the UV rays just don't take
a vacation, and our children are spending many, many hours
outside during the entire school year. And we also know
that even one blistering sunburn in childhood more than doubles
(36:03):
the lifetime risk of melanoma. So that's why our team
at Kendu, the makers of Nutrigena, are spreading the word
for me. Bottom line, daily sun protection remains critical, just
like brushing our teeth. It's a small step but makes
a big impact.
Speaker 2 (36:19):
Absolutely, and I love Nutrigena. Many of their products I've
recommended to also help prevent acne, and so they're a huge,
huge help, especially for our kids and adolescent populations. You know,
our back to school shopping list always seems to include
pencils and pens and crayons and rulers and protectors. Sunscreen
(36:40):
needs to be on that shopping list, shouldn't it.
Speaker 8 (36:45):
Hmm. Totally agree with you. So, you know, as our
children return back to school, the need for everyday sun
protection is just as important as it was during the
summer months. And as you may know, actually many states
now have passed laws allowing students to you sunscreen and
sun protective clothing at school without a physician's note or
prescription to help protect them from the dangers of cumulative
(37:08):
UV exposure.
Speaker 2 (37:10):
And so I think one apprehension parents have is how
does their child bring it to school and then get
access to apply do you recommend as a physician as well?
Maybe notes you know, provided by the parent to the
teacher saying look, we would like this reapplied before they
go out for recess or pe.
Speaker 5 (37:31):
Yes.
Speaker 8 (37:32):
And so I'm really excited that a lot of states
now are getting on board so that the children can
actually carry sunscreen without the obstacle of needing a note.
But in some states it's still needed, and so I
would recommend looking up your state and figuring out whether
you can just place a travel size sunscreen or a
stick applicator in your student's backpack just for you know,
(37:53):
convenient reapplication, or do you need that additional note to
leave at the nurse's office so that they are allowed
to do that.
Speaker 2 (38:01):
A big question I get from parents is our children
still getting And I answered yes, but you know, they're
concerned that it's blocking vitamin D and the benefits of
sun While we want to protect against melanoma, these kids
are still getting good sources of vitamin D.
Speaker 8 (38:20):
Correct, absolutely, So it's all about risk versus benefit. And
you know, application of appropriate sunscreen does not block vitamin
D production, and so we get vitamin D through various sources,
not just the sun, but also a good healthy diet,
and so most kids are pretty sufficient with vitamin D.
(38:42):
But again, sunscreen does not block vitamin D protection. You
can have it both. You should be protecting your skin,
you should be getting vitamin D, and you should be
enjoying the outdoors. Frankly as well.
Speaker 2 (38:54):
We're speaking to doctor Shaw Fellow with the American Academy
of Dermatology, adjunct Assistant Professor of Dermatology at every university
and had a medical affairs in North America for skin
health and beauty. It can view What sunscreens do you
recommend for parents to use now that these kids are
going back to school.
Speaker 8 (39:13):
Yeah, So, to be perfectly honest with you, the best
sunscreen is the one that you and your family will
consistently use every day, because really to unlock the power
of sun screen, you have to be able to use it,
and you have to want.
Speaker 5 (39:25):
To use it.
Speaker 8 (39:26):
And so for children, I really do like the Beach
Defense Kids line and the Sharesink Kids Mineral options because
it makes protection very convenient and very gentle, not just
for daily use but also for reapplication. And those lines
also have a variety of vehicle options like sprays and
sticks and motions to just give that diversity of choice
(39:47):
so you actually use the product right.
Speaker 2 (39:49):
Any other advice you have for parents.
Speaker 8 (39:53):
Yes, I always say please start early, stay consistent, and
also just lead by example because your children are watching
and skin health is a long game. We also know
that sun safety habits and sun education within childhood is
very important because not only will they continue those practices
(40:14):
throughout life, but they will also protect themselves against that
cumulative sun damage that may turn into skin cancer one day.
Speaker 2 (40:22):
So true, Doctor Shaw. Where can my listeners go for
more information?
Speaker 8 (40:28):
Yes? So for helpful sun safety tips, please visit kenview
dot com Flash sun Wonderful.
Speaker 2 (40:35):
Well can't wait to have you back. We appreciate everything
you and ken you do, and thank you.
Speaker 8 (40:39):
So much, Thank you so much, it was a pleasure.
Speaker 2 (40:44):
One eight seven seven Doctor Dolly one eight seven seven
d O C. D Ali. I was at the grocery
store the other day and I saw a mom kind
of like skip out of the car smiley. I wanted
to go up to her and say, you just dropped
your kids off at school? Huh. I gotta tell you
it's a happy, happy time. I love my kids, listen,
(41:06):
I love them. But for me, I just always loved
back to school. When I see a back to school
supply aisle in a grocery store and a Target or
Walmart and back to school spies, I just get excited.
Maybe it's because of the colors, maybe it's because everything
is so crisp and new. I just get excited by
(41:28):
that because I've always left school. I was a real
dork as a kid. I love school. But it's interesting.
I grew up in Las Vegas. I grew up in Phoenix, Arizona.
I was born in La They did it at the time,
really talk about skin protection. We knew there were sunscreens
and sun blocks. But I was a kid of the
eighties and I wasn't very tan. I have very very
(41:52):
fair skin, and so I was of the age and
the generation where you laid outside and you got as
much sun is possible. And so I'm just shuddering with
all the skin damage I got. You know. Another thing
that you know, I was a blonde kid, and then
the blonde hair falls, you know, changes to dark. And
(42:15):
then I had darker hair. And so in the eighties
we had something called sun In where it had I
think lem or we would use lemon juice to spray
on our hair to make our hair more blonde. Well,
my hair wasn't blonde. It became orange. But that's what
I did to lighten my hair. It was a product
called sun In. And when I look at what I
(42:36):
did to myself in terms of, you know, putting myself
at so much sunder risk just to get a temporary tan.
I'm nervous. We flew to Florida to see some family
and my sunscreen wasn't applied properly and I ended up
having a black circle from a sunburn. I burned that
(42:57):
bad where it was black right in the lower part
of my chest, and I watch that area all the
time because I wonder if I'll later get skin cancer
because of that damage. So we can't overestimate the power
of sunscreen on what that needs to do to protect
her skin. However, you know, we we do want to
(43:18):
play a fine line between our kids sitting in the
house playing video games, not getting out and getting some
fresh air and sun and being able to produce vitamin
D with with our son's help, versus skin cancer risk.
So make sure you talk to your medical provider and
make sure you protect your kids skin one eight seven
seven Doctulli.
Speaker 4 (43:53):
Looking for an easy read that can actually help secure
someone's future, pick up a copy of Mark Falter's book,
Common Sense Income Strategies. For the past thirty plus years,
Mark has helped thousands of hard working Americans secure their
financial future by using strategies that continue to create.
Speaker 2 (44:12):
Wealth whether the market is up or down.
Speaker 4 (44:15):
Strategies that will make perfect sense once you take the
time to read this powerful book, Common Sense Income Strategies
brings to you what Mark has been teaching in person
and talking about on the radio for decades. It's not
rocket science.
Speaker 2 (44:27):
It's a pretty easy read.
Speaker 4 (44:29):
You've worked too long and too hard not to see
the fruits of your labor.
Speaker 2 (44:33):
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Speaker 4 (44:36):
Now on Amazon or by calling eight six six seven
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