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October 16, 2025 • 44 mins
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Episode Transcript

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Speaker 1 (00:13):
You are about to listen to the Doctor Dahlia show,
sase stimulating medical talk radio. Any medical advice doctor Dahlia
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 (00:36):
Him your back of Doctor w Show one eight seven
seven Doctor Dolly one eight seven seven.

Speaker 3 (00:41):
D O C D A L. I.

Speaker 2 (00:43):
So I went to twelve schools and I remember one
time during pe my teachers, the coach had us walk
around on all fours, like crawl around, but we weren't
allowed to be on our knees.

Speaker 3 (00:58):
We had to be on our feed crawling.

Speaker 2 (01:00):
I forget if they called it like a spider walk
or something. And you know, our butts were up in
the air, and luckily we were wearing gym shorts, and
you know it was you know, just the girls in
the room and all that. But I remember everybody was
kind of giggling, you know, because all our butts were
up in the air.

Speaker 3 (01:19):
But it was a it was a difficult workout. I mean,
you were moving your.

Speaker 2 (01:23):
Arms and legs, your back was not taking the brunt
of the fours, so you had to have good arm
and lake strength, you know, moving around the gym floor.
And I remember not liking it, you know, because I
liked run I was a pretty good runner. I loved relay,
and I loved kickball, volleyball, that kind of stuff. I

(01:47):
didn't really like this activity and we didn't do a
lot of it. But now I'm hearing that some people
are doing this to improve their workout, and some people
were claiming they're getting a nice six pack in their
abs as.

Speaker 3 (01:59):
A result of it.

Speaker 2 (02:01):
The only thing is is you see some individuals actually
dress up like a cat, dress up in a mask,
like an animal. And are they, you know, identifying as
a free or are they identifying as the animal? Are
they crazy? Or are they really doing a physical activity.
They call it call it quad aerobics, like aerobics, quad aerobics,

(02:29):
And some fitness experts are saying this actually.

Speaker 3 (02:32):
Might be good.

Speaker 2 (02:34):
It's bear crawls, cat leaps, things like that. And you
know what's interesting because as much as I do not
want to see anybody wear a mask and you know,
try to pretend to be an animal, we're humans.

Speaker 3 (02:46):
Okay, we're humans. I don't care. You know, if you
identify as a dog or a cat.

Speaker 2 (02:51):
You know, I don't mind if you think in some
other lifetime you might have been a cat or a
dog or whatever. But you know, if you are human
here on this earthly human and you know, I'm not
gonna let you go to a vet for your medical issues.
You're going to go to a human or I mean,
vets are human, but you're gonna go to a doctor
for humans. But there is something about how we walk

(03:14):
and do things that might not be necessarily helping.

Speaker 3 (03:18):
Our backs and our hips. You know, I was telling
a friend of.

Speaker 2 (03:22):
Mine, I feel like I'm already ready for both my
hips to be replaced. I know my knees need to
be replaced, but my hips need to be replaced. And
you know, I ran for years skied. Now I've worked
out every day of my life, even when I was
supposed to be on bed rest, and really my hips
aren't lasting my whole life?

Speaker 3 (03:45):
Well? Is it because I don't walk around.

Speaker 2 (03:50):
Or I walk around by pedally and not as let's
say a gorilla does or another animal does on all fours. Now,
mind you, dog and cats get hip arthritis just like
the best of them. But this downward force, this axial load,
that we're getting on our necks and her spine and

(04:11):
our backs and our hips.

Speaker 3 (04:13):
Maybe needs to be changed up a little.

Speaker 4 (04:16):
Now.

Speaker 2 (04:16):
I'm not saying to leap around and try to be
a deer and innocent doed a little deer. I'm not
telling you to do that, especially since it's hunting season.
Last thing I need is you guys prancing around in
the forest.

Speaker 3 (04:30):
And getting shot because somebody's got a deer tag.

Speaker 2 (04:33):
But I am wondering if part of our workouts need
to you know, I'll.

Speaker 3 (04:40):
Be a little bit varied. So when I in the eighties,
we were really really.

Speaker 2 (04:46):
Big on aerobics and the whole chain fond of thing,
and a lot of our leg exercises and leg lifts
and sit ups and things like that, and I really
alternated my standing up and lifting weights to my bench weightlifting,
to my floor exercises to yoga. The variance, the variegation

(05:10):
of your workout I think might be the healthiest. And
I do believe that there are some exercises you could
do not outside in the wild.

Speaker 3 (05:19):
Now.

Speaker 2 (05:19):
I mean, if you really want the fresh air, just
don't get shot. But I think there are some exercises
you can do that allow you to shift that extra
pressure off your back and spine. And and I'd like
to look a little bit more into that, So quad
aerobics might not be all that crazy. The idea, though,

(05:43):
of dressing up like an animal, I think does not
do justice. Some people are saying they feel connected to
ibex or wild goats. They may wear masks alluding to this.
But primal movement, animal flow, or these other practices are

(06:04):
gaining traction, and some people think that we might be
doing things differently because society has made humans, you know,
shall we say, act a certain way, But that might
not necessarily be very healthy ergonomically. So for example, when
we go to the bathroom, we're supposed to squat. We're

(06:25):
supposed to stand and pee or squat and poop. We're
not supposed to sit on a throne. Now, I love
the toilet, and sitting on a toilet for me makes
it a hell of a lot easier. I wish I
was a man so I could pee. I mean what
I wish I was a man? It was only so
I could pee, because it really seems to be easy,

(06:48):
and they could just whip it out and do what
they need to and pee and then get back in
the car instead, I have to find a place where
I disrobe and have to squat, so I can't stand that.
I would just like to stand and pete. That's why
pete in the shower are so popular, because people could
just stand and do it. But in terms of your
bowl health, sitting on.

Speaker 3 (07:08):
A toilet is not the safest. It's squatting.

Speaker 2 (07:11):
In fact, giving birth, we're in the lithotomy position where
we're on our back and we bring our knees to
our chest and the baby gets delivered and it really
shortens the canal, which is nice, and that's how we've
been delivering babies. But when my mother was trying to
give birth to a ten pound five my brother, who
was ten pounds five ounces, she couldn't give.

Speaker 3 (07:33):
Birth in the normal position.

Speaker 2 (07:34):
They made her stand and squat and she was able
to get him out. So sometimes we do have to
go back to old school. But I wouldn't recommend to
do this unless a trainer or your medical provider. Make
sure you're not hurting any of your joints, and no
mask one eight seven seven out. Dolly, don't go away.

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Speaker 3 (10:22):
All right, we are back on The Doctor Dolli You Show.
Thank you O for tuning.

Speaker 2 (10:25):
In one eight seven seven Doctor Dolli 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. Big thanks to you all
for tuning in. We really do appreciate it. Don't forget
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Speaker 3 (10:41):
Click like and subscribe.

Speaker 2 (10:43):
So William asks what do I think of prevagen for
memory loss? Does prevagen work? So it's interesting. I bought
some previagon. It's very tasty, tastes like a little sugar tablet.

Speaker 3 (11:00):
It's yummy.

Speaker 2 (11:02):
I didn't notice much of a difference as it pertained
to my memory.

Speaker 3 (11:08):
I don't know much about previgen.

Speaker 2 (11:10):
I'm being told it's the apo aquorin aspect of it,
which is it's a protein that I guess binds calcium
that's supposed to regulate calcium levels in the brain. They
believe this apo acorin has neuroprotective effects, but.

Speaker 3 (11:29):
I haven't really heard of a lot of data.

Speaker 2 (11:32):
In fact, I think there might have been an FTC
issue in terms of their claims about product efficacy, and
WebMD says there is no reliable evidence that it boosts
your memory. Apparently the research there was research, according to WebMD,
where people took ten milligrams a day they had amiotrophic

(11:55):
lateral sclerosis or ALS. They in this study they took
twenty milligrams several times a day, up to two hundred milligrams,
and the supplement appeared to be safe at that level.
But they didn't I don't know if they saw enough
shall we say, progress in people's systems. So this calcium

(12:18):
binding protein affecting the imbalance of calcium is not necessarily
something that is going to prevent Alzheimer's. Alzheimer's has to
do with your neuro februllary tangles and tau and beta
protein and amyloid deposition. Yes, I mean there could be
an indirect role, but if you're trying to avoid Alzheimer's,

(12:42):
I don't think we have enough studies saying that works.
The lou Garrigg's disease or ALS studies where they took
multiple milligrams a day. We're looking at trying to protect,
you know, progression of the treatment. Now they've also looked
at it for stroke prevention, but according to WebMD, a

(13:05):
federal court ruled in favor of the FTC, who sued
the makers of previlegen, saying that their claims are not
backed by scientific evidence and that some of the claims
are misleading. So with everybody saying privileging works, privileging works. Again,
remember these are commercials, all right, you know, are you
talking to your medical provider?

Speaker 3 (13:26):
Now?

Speaker 2 (13:26):
Why would then I buy it if I knew that
there were adequate studies. Well, one is, because I knew
some I'd have listeners that would ask about it.

Speaker 3 (13:37):
And two is one of my really good friends said it.

Speaker 2 (13:41):
Did work for him and he was taking it, and
I was like, oh, that's kind of interesting, noe and
and and I found you know, and he's a skeptic
when it comes to this kind of stuff. So I
was like, okay, well, you know what, letting me do
my own experiment. It was expensive, very expensive for me.

(14:01):
I mean where I'm thinking, wait a second, how do
I keep this up?

Speaker 3 (14:05):
And no it to me.

Speaker 2 (14:07):
I didn't want to buy it or be on it
long enough when I just wasn't convinced that it was
the safest thing for me. So side effects of the
ApoA quero sorry epo air quorin is you could have headache, dizziness, nausea, constipation,
You could get edema or swelling in tissues, high blood pressure.

Speaker 3 (14:28):
It could cause anxiety and nervousness.

Speaker 2 (14:30):
One person apparently anecdotally had dropped blood pressure. Some said
they got depressed in suicidal thoughts. And so, you know,
I understand that there's been some lawsuits, and so as
far as I'm concerned, talk to your medical provider. Even
the Alzheimer's Association cautions that claims about memory enhancing dietary

(14:50):
supplements are based on very little science. And I you know,
we spoke to a doctor at this conference I was at,
and I think somebody asked, you know what kind of
a similar question, and they said, then rather you spend
the money on blueberries. We've spoken about how blueberries are
so protective, you know, in terms of cognitive effects. And
you know, if you could, if you really want to

(15:12):
spend your money on something and you really want to
get improve your memory.

Speaker 3 (15:17):
Then spend it on healthy food.

Speaker 2 (15:20):
Now, I noticed my memory start to improve one when
I was started to be treated for menopause. I did
not realize how much that estrogen helped my memory.

Speaker 3 (15:34):
And I had a memory like an elephant and a
butt to match.

Speaker 2 (15:37):
I tell you, once menopauseited and my estrogen started dropping. Wow,
So I noticed that was a biggie. And cutting back
on my sugar intake. Cutting back on my sugar intake
was huge, and cutting back on over the counter sleep aids.
So what I recommend to patients is is are you

(16:01):
taking TAILNOLPM, duck salamine or unissom melatonin. Are you doing
that on a regular basis because that could be affecting
your if you're taking ambient, ambient is notorious for affecting
one's memory. So these are things you kind of need

(16:21):
to be aware of. Another thing I ask is how
is your sleep? Are you sleeping better? Now? I've been
sleeping really good. I think I have a system down.
No alcohol right because I and I'm not a big
wine drigger anyway, take a hot shair before go to bed.

Speaker 3 (16:40):
Watch something. I do actually watch a little TV.

Speaker 2 (16:43):
I can't just jump into bed and go to sleep,
so I watch a little something with my husband. Either
we're binging on old episodes of the Shield. Although I
saw it, saw the whole whole series.

Speaker 3 (16:53):
We're watching a little bit.

Speaker 2 (16:53):
More of that, or you know, we'll watch below Deck
or something that doesn't really require us to do a
lot of thinking. Athough, I really don't want to see
a lot of blood and guts before I go to bed.
But anyway, we don't talk about work. That is a
biggie okay, don't.

Speaker 3 (17:07):
Talk about politics.

Speaker 2 (17:09):
And yeah, Obamacare, which is what kept me up, you
know for most of my younger years. And keeping the
room cold. I bring the room temperature down to about
sixty eight degrees. I do not want to look at
our air conditioning bills from this last month. But I
got to tell you, the cooler of the room, the

(17:29):
easier it is for me to sleep.

Speaker 3 (17:31):
So we do that, and my husband loves it. He
loves it.

Speaker 2 (17:33):
I'm in metopause because now I don't keep saying, oh,
the room is cold. The room is cold, but if
you get good sleep. I notice my memory is also improving.
The Mediterranean diet. The Mediterranean diet again one of the
top diets out there shown to help prevent type two diabetes.
If you do a Mediterranean diet and exercise, they found

(17:56):
that it can help prevent obese people age fifty five
to seventy five for progressing type two diabetes. So moderate
daily exercise, lean meat, fish, vegetables.

Speaker 3 (18:11):
You know, olive oil. These things are and they help
your memory.

Speaker 2 (18:16):
So I would definitely look at cutting back your sugar
eating well, but also check to see if you have
sleep apnea. If you are cutting off your air supply
when you sleep and you are hypoxic for most of
your nighttime hours, that's not going to help your memory.
But there's a huge market right now, and these commercials

(18:41):
are overwhelming for all these supplements. I think they're super beats.
You see Dana Loche selling super beats. I don't know
much about super beats, and I've tried to reach out
to the company. I haven't heard from them. But I
do think beats are extremely healthy. So if you could

(19:02):
buy beats and eat beets and know, it's interesting because
people say, well, I just can't eat it. I can't
eat bristles sprouts, I just can't eat them. Well, you know, really,
if we're talking preventing you from getting Alzheimer's or dementia,
you really can't throw a handful of these vegetables into

(19:26):
your mouth. Really, we're so used to doing things, we
want to having choices. So my husband is a fantastic cook,
and his food tastes amazing.

Speaker 3 (19:39):
Why does this food taste amazing because he uses tons
of butter. Now, my family will say I'm not a
good cook. They'll say my food.

Speaker 2 (19:48):
Tastes bland, that it doesn't taste as good, and I
use spices so for poops and giggles.

Speaker 3 (19:55):
On the meals where I throw.

Speaker 2 (19:58):
A bunch of butter, they're like, ma'am, this is so good,
this is so delicious, And I'm cringing because I'm like, well, dang,
I just gave you guys a bunch of butter. And
I tell them, I go, it's the butter. We really
need to use less. When my husband makes rice, that
rice is so delicious. Again, it's the butter. He adds

(20:19):
a ton of it. When I make a turkey butter,
I make a turkey, I use French onion dip soup,
or I use French onion soup butter. I sometimes throw
some apples and some fruit in there for sweet. But
the more butter I use, the more the kids like
my turkey. One, which we should not be doing. One

(20:42):
eight seven seven doct do out, they don't go away.

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Speaker 3 (22:21):
We are back up an und Dollie show.

Speaker 2 (22:22):
Thank you all for tuning in one eight seven seven
Doctor Dolly one eight seven seven.

Speaker 3 (22:27):
D O C D A L. I.

Speaker 2 (22:29):
So, you know, we I talk about personal stuff on
the show because I want you guys to realize that
I'm not just sitting here saying do as I do,
not as I or do as I say, not as
I do. I walk the walk too, And I've been
maybe a little dishonest with you guys, not on purpose,
but you know, I haven't really felt.

Speaker 3 (22:51):
Anxious depressed about a lot of things.

Speaker 2 (22:55):
And over the last sixteen years, almost seventeen years of
my show, yeah, I've been telling you about how somehow
my coping mechanisms are are good.

Speaker 3 (23:05):
No, I exercise, I get some sun.

Speaker 2 (23:08):
Now.

Speaker 3 (23:08):
The other day I was having some issues with we have.

Speaker 2 (23:12):
You know, my family, not my my sons and husband,
but my family is they're pretty toxic and and so
I was getting a little frustrated with them. So I
go outside, get a little bit of son walk. The
dogs come back and side and I feel happy again.
And I've been, you know, teaching you guys some of
my coping mechanisms that have really worked. But then I

(23:35):
come to find out after I go to the dentist
that I must be really stressed out.

Speaker 3 (23:44):
And it was interesting because for years dentists are like,
you know, do you have stress? Are you stressed out?

Speaker 2 (23:49):
Like no, actually no, I mean compared to medical school,
you know, compared to growing up with my parents and
all that.

Speaker 3 (23:56):
I'm I'm blessed. I'm too blessed to be stressed.

Speaker 4 (24:01):
No.

Speaker 2 (24:02):
Not, well, this last time I went to the dentist. Well,
one of the reasons why I went to the dentist
is I'm eating something and I feel something hard and
I'm like, wow, I must have lost a filling. And
it ends up it wasn't a filling. It was a
piece of bone off my tooth, one of the cusps

(24:25):
that I must have with all my I guess years
of tooth grinding have broken broke down, and my teeth
are ground down to almost the gum. Now, yes, the tooth.
Does you know there is the gum line and there
you know, there's a subterrane of your tooth. But I've

(24:48):
destroyed my teeth with my grinding. Now, if you ask me,
am I stressed?

Speaker 3 (24:56):
Am I? No? I?

Speaker 2 (24:58):
But this last time, when the dentists, I go, well, yeah,
you know, I got you know, my family is there's
this happening, This happening, and you know, the hostages, the well,
it's apparently manifesting in ways. And I didn't think I
was suppressing, because your body will find pressure points, release points,

(25:22):
and I guess I'm doing that in my sleep.

Speaker 3 (25:24):
Now I know I've.

Speaker 2 (25:25):
Been grinding my sleep for years because my husband would
say he could hear him he can't hear me grind
my teeth anymore. So I thought, Okay, then I don't
have the problem anymore. Well, why hasn't he for years
heard me grind my teeth because there's no friction, the
teeth are flat. So because I've ruined most of my feelings, which,

(25:49):
by the way, now I had fairly decent dental care.
The one thing I do have to credit my mom
for is making sure we went to the dentist even
when we didn't have money, you know, for rent and
other things. She made sure we somehow got to the dentist.
Always brushed your teeth because she had bad teeth, and
she says, you definitely don't want to hear a life

(26:10):
worth of bad teeth, and so I was. I was
very grateful for that, even though I really couldn't stand
those fluorite treatments.

Speaker 3 (26:16):
Remember you had to you had this ucky.

Speaker 2 (26:20):
Gel in a tray and you had to hold onto
the tray with your teeth and let the gel soak in.
And it was really disgusting. And I couldn't stand those
treatments and I'd be crying and drooling, and so I
hated it going to the dentist. But fortunately I don't
have a lot of cavities. I brush my teeth a lot.
I try to keep my sugar to a minimum, and

(26:42):
you know I should dental floss more and water pick more.
But the teeth grinding, I know a lot of you
will do it. A lot of you also may be
grinding your teeth and clenching when you potty. I'm starting
to be more aware of that. Yeah, and I'm thinking
about started to use my nightguard when I go to
the bathroom. I don't think I grind, but something's happening now.

(27:09):
Nightguards are a godsend, but the trick.

Speaker 3 (27:12):
Is you have to use them. I don't like using them.

Speaker 2 (27:15):
I can't sleep with something in my mouth and I
cough and it just I need to.

Speaker 3 (27:23):
I guess come up with a nightguard that'll stay.

Speaker 2 (27:25):
I did have a dentist created formed nightguard and I
chewed right through I ground right through it within a year.
And so those are expensive. So I kind of have
stalled on, you know, on getting more nightguards, but I

(27:46):
definitely recommend you do that. But another thing I also
recommend is, you know, if you're like me, going, oh,
I'm happy, go lucky. I'm good now, nothing's getting me down.
I feel great. I don't know what everybody's stressed out about.

Speaker 3 (27:57):
I'm good.

Speaker 2 (27:58):
You know, I ain't no thing but chicken wing. No,
you need to look for other sides of stress. You
can check your biomarkers, check your heart, your stomach lining.

Speaker 3 (28:08):
You know, a lot of people.

Speaker 2 (28:09):
Don't realize that their acid reflux is a sign of
their help stress. Skin picking, a lot of people will
go after their skin and unfortunately, you know, scar themselves,
or they'll pull out their hair, or they'll keep playing

(28:30):
with something like their cuticles. And and you know, as
a doctor, we learn to, you know, discover ways that
might not be obvious. When somebody says, no, I'm not
the presers, I'm not anxious, I'm good. I could tell
if you're chewing your nails, I could tell by your teeth.

Speaker 3 (28:47):
I could tell and so make sure.

Speaker 2 (28:51):
You let your doctor know that you are you know,
if you are stressed, and ask them to look at
parts of your body that might not necessarily be apparent
to you that might be showing elements of stress. Because
we talk about in terms of good health. You need

(29:13):
to have your cholesterol good, you need to have your
blood sugar down, you need to have your you know,
no high blood pressure. But we all always always say,
you know, you gotta cut the stress. I'm like, okay, yeah,
cut the stress. Okay, I'll make sure I go on vacation,
I'll sit by the pool, I'll watch a Netflix movie.

Speaker 3 (29:31):
What why do we bring up stress? Because stress kills?

Speaker 2 (29:35):
And I keep bringing up that Indiana Jones comment, you
know where he said, it's not the years, it's the miles.
And I feel like I have a lot more miles
than on me than my biological age should. And whether
it was medical school, whether it was my family, whether

(29:55):
it was I just you know, I took on a
lot of stress, and I took on other people's stress.

Speaker 3 (30:05):
Don't worry, I got this. Don't worry, I got this.
I've taken on so much more than I could chew.

Speaker 2 (30:09):
Did I really have to graduate college in four years
with no money. So I took all the classes I could,
summer classes, worked multiple parts on jobs. Did I really
have to do that? By the time I got to
people said, God, you went to medical school young. You
were just turning twenty two, and I go, I was
a forty year old by the time I got into
medical school. In terms of my you know, my attitudes

(30:34):
and my experiences, it was just, yeah, while everybody you
know sleeps how many hours a day? You know, I
all that extra time was me working or dealing with
bs or getting dumped.

Speaker 3 (30:49):
Or who knows, and and so.

Speaker 2 (30:54):
We really cannot underestimate the amount of stress we've put
our bodies through. And when I hear people, you know,
they get diagnosed with cancer, or they get diagnosed with
heart disease or liver disease, and like, well, I didn't
do anything wrong.

Speaker 3 (31:06):
I did. What about the stress?

Speaker 2 (31:10):
Even the most health conscious people may be vulnerable to that?
And so how do you limit the stress? I Mean,
one thing that's gonna help me is the hostage is
coming home, is the country not being so divided, the
laws that I see people do, the the you know,
we're gonna be talking about what happened with you know,

(31:32):
senators from publican senators being wired, being tapped. You know
that this kind of stuff really stresses me. But you know,
we'll talk about stress a little bit later, you know,
in the show. But we are limiting it is paramount
to our health. One eight seven seven dot doll.

Speaker 3 (31:48):
They don't go.

Speaker 6 (31:49):
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Speaker 3 (34:19):
All right, we here back on the Doctor Dollies Show.

Speaker 2 (34:21):
Thank you all over, tuning in one eight seven seven
Doctor Dolli one eight seven seven D O C D
A L I. So we have the Nimbus strain of covid.
Now we have the Stratus strain, which is overtaken as
the dominant strain of covid.

Speaker 3 (34:34):
And many of you, you know you say I'm over COVID.
I don't want to hear about it.

Speaker 2 (34:39):
Well, you might want to hear about this because as
we're going into cough cold flu covid season, some of
you guys might be getting.

Speaker 3 (34:45):
A really nasty cough.

Speaker 2 (34:46):
And I'm actually a fan of the COVID treatment medication
packs LOVID. It's not because I'm in bed with pharmaceutical
companies like everybody thinks all doctors are, but because what
I'm seeing with patients is they'll call up telemedicine saying, oh, yeah,
I need an antabotic.

Speaker 3 (35:06):
I got bronchitis.

Speaker 2 (35:07):
Even though the majority of bronchitis cases are viral. Sometimes
people are able to talk the doctor to give them
an antibotics, so they get an antabotic or they get
a z pac or whatever, and then a week later
they're like, I'm still coughing. Or they'll call up saying
I have the flu. Give me tamaflu. The doctor's like,
why do you think you have the flu?

Speaker 3 (35:25):
Well, because there's a coworker who says have the flu.
So I was exposed. Give me tama flu.

Speaker 2 (35:29):
So they get treated online for flu, and now here
we are seven to ten days later or fourteen days later,
and they're still sick and they're still coughing. Now, if
they were seen and tested for COVID and treated for COVID,
maybe they wouldn't still be sick or having symptoms that
are prolonging. And so I'm more about the let's figure

(35:52):
out what exactly you have and do precise treatment, as
opposed to well, let's just machine gun approach this, let's
just throw whatever you and see if you get.

Speaker 3 (36:01):
Better, because there's only a five day window.

Speaker 2 (36:03):
If you walk into an urgent care and you say
I've been coffee for a week and you're out of
that five day window to get your packsoviatreatment. You won't
get it unless they think you're rebounding and you're getting
a more severe COVID. And so I'm really concerned about
this flu season because you know, a couple of years ago,

(36:24):
we had a severe tama flu shortage, and that was
before flu season started, and it's because one of the
reasons is doctors were giving tama flu September and October
for flu like symptoms that could have been COVID.

Speaker 3 (36:39):
And so by the time flu season actually started, we were.

Speaker 2 (36:44):
In dire straits and the FDA actually had to come
out and say, look, guys, can you use the flu
medicine for those who test positive or for those who
need it, because unfortunately we had such a rampant over
prescribing of it, and so I don't want you taking
the wrong medace. If it's flu, you have about a

(37:05):
forty eight to seventy two hour window to get on
the medicine to get started on treatment.

Speaker 3 (37:08):
If it's COVID, you have a five day window.

Speaker 2 (37:10):
But for those of you who did miss the window
and now you're coughing, I think this straight of COVID
also causes like a sore throat that feels like razor blades.
We have a lot of people call in going yep,
I have STRAP, and so most telemedicine companies mandate that
you submit a picture. If you don't have a positive
STRIP test, submit a picture. If it doesn't look like STRAP,
we shouldn't be giving you antibotics. We should be considering

(37:31):
a viral cause. And I've had patient after patient call
back going I was given antabotics for STRAP, and now
I have a cough and I'm not better.

Speaker 3 (37:40):
And I look back at the picture, I go, it
didn't look like STRIP.

Speaker 2 (37:43):
So I understand a lot of us felt better with antabotics.

Speaker 3 (37:47):
That's changing.

Speaker 2 (37:48):
Another reason why, by the way, that's changing, is because
many of us have taken so many antibiotics that we
have drug resistant bugs, or it just doesn't seem to
have the same punch. So now you guys have a
chronic cough and you're peeing on yourself when you cough,
and it's not fun.

Speaker 3 (38:06):
How to quell the cough? Well, well, first, why are
we coughing?

Speaker 2 (38:09):
So the cough is actually a very brilliant defense mechanism
because it's part of our immune system. To spew out
something that could be getting into our lungs. So you
inhale something, you aspirate something, you cough it out because
the lungs and boy are theoungs have you ever, you'll
swallow down the wrong tube per se.

Speaker 3 (38:30):
Your lungs do not.

Speaker 2 (38:31):
Want anything in there. And so usually your trachea will
will trigger this response. And and and you'll you'll you
hopefully can stop it before it goes to the lower
UH lobules and and I'll VELI and and and UH
more sensitive parts of the lungs. But ther immune cells,

(38:53):
you know, learn to help then, you know, one try
to cough out and then to try to address what
gott to the system. And so lots of different things
can cause cough. You know, we talk about bacteria, we
talked about covid, you know, but also other things like
medications for those of you who take acihibitors, why center
prol binazprol captive parl or they can cause a cough.

(39:16):
So I'll have patients go, I have this dry cough.
It doesn't go away giving an antibiotic, and I'm like,
you know, you're on a medication that might be causing
a cough. No, but I've been on that medication for years.
You don't have to develop the cough right away. You
could develop the cough years later, So that's something to
be concernedive. We're getting colder weather. When the weather changes,
we notice many people cough. More pollution when pollution changes, wildfires,

(39:37):
things like that can cause cough. Acid reflux is a biggie.
When somebody has a chronic cough and I can't find
the source, I ask them to you have acid reflux,
and it's your cough worse in the morning because if
you're lying back and you're refluxing, then the acid has
a chance to go up and then could possibly affect
then the respiratory tree because you're lying down, which is

(39:59):
why we tell you elevate your bad at least forty
five degrees. Elevate the head part and the upper body
part so that maybe we could, you know, work against
the gravity. Allergies, lung conditions like asthma and physemus or cardosis,
heart conditions can cause you to have a chronic cough.
Of course, tumors and then uh tumors, and then of
course psychological some of us will cough and clear our

(40:21):
throats psychologically as a tick. And that's something that could
be very kind of debility because the more you cough,
the more you could cause inflammation. So can you cure
a cough, Well, it depends if we're dressing your acid reflux. Yes,
you know, if we cure your acid reflux, we could
cure you against the bacteria once the virus dissipates and

(40:41):
goes address allergies if it's a tumor. So yes, there
are things you could do. But in the meantime, I
like steam. So when I have a cough, I just
jump into the shower and I take a hot shower
and that steam really helps.

Speaker 3 (40:54):
Hopefully I'm not gonna leash.

Speaker 2 (40:55):
In aires from the shower head up above, but you know,
let it on first before you go into the jar.
But steam, I think is fantastic. Or lean over a pot.
The hydration really helps. The drier you are, the more inflamed,
the more you could loosen and wet your your mucus
membranes and your passages and the uh, the more you

(41:18):
could decrease your cough.

Speaker 3 (41:19):
Honey is amazing.

Speaker 2 (41:20):
We don't give honey in kids under one years old,
but honey has been tea with honey has been suppressent.
We've been using for centuries. Cough drops like menthol work.
Why because there's a local anesthetic effect that works on
the back of the throat. The cough suppresses and expectorants
they cost. Suppresses will decrease your coffe reflex and then

(41:41):
the expectorants will thin the mucus so it's not as
thick and inflamed. But again, we don't want you self
treating without you knowing why you're coughing. Many of you
might be taking the wrong thing. Peppermint helps your cough time.
Eucalyptus also yeah, time as well, but still time. Eucalyptus, licorice,
and ginger can also provide relief. We don't have a

(42:03):
lot of scientific evidence, but I take a peppermint mint
and I noticed that could come the cough. Chocolate, chocolate,
I'll find an excuse me, chocolate, PMS, hot flashes, whatever.
I love my chocolate. Theobromine can suppress the cough. In fact,
back in twenty fifteen, I found it to work better
than coding. You know, we're seeing more coughs and longer

(42:24):
coughs because we used to.

Speaker 3 (42:26):
Be very liberal with alcohol. With coating. Cough syrups with coating.

Speaker 2 (42:31):
I remember one teaspoon and cough would be gone because
you'd sleep through the night. The problem is is you
had people that abused it, and so getting cough syrup
with coating is now not common. They don't want us
to use narcotics to suppress a cough, and there is
especially now with something like COVID. You can have somebody
that gets addicted because if the cough doesn't go away

(42:52):
and they're using it every day, now they're starting to
get addicted to a narcotic. So cough SERTs with coating
are still out there, but not really favored. Same thing
with alcohol. We used to our cough SERPs used to
have alcohol back in the olden days, or grandma would
give you some schnops or brandy. We don't recommend that,
of course, because you're sick. You know, it could cause

(43:14):
you know, the alcohol could also cause inflammation of the throat.
It could cause acid reflux, so we don't recommend that.
So even though it worked, I get it. It worked
as a kid, many of us seemed to do a
lot better, you know, And now we're taking steroids and
other things to calm down our cough.

Speaker 3 (43:31):
My recommendations trying to avoid the cough, clean.

Speaker 2 (43:33):
Out your air filters, have a HEPA filter, don't let
mold get into your house. That kind of thing hope
has helped one eight seven seven Doc Valley.

Speaker 10 (43:53):
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(44:15):
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