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 Dahalia
Wax gives on her show should not be substituted for
an actual visit to your medical provider.
Speaker 2 (00:23):
And now here's doctor Dahlia.
Speaker 3 (00:34):
All right, well we are back on the Doctor Dolli Show.
Speaker 4 (00:36):
Thank you all for tuning in one eight seven seven
Doctor Dolly one eight seven seven d O C D
A L I. So all eyes are on Jamaica. Unfortunately,
this Hurricane Melissa is one of the biggest, the most
powerful hurricane of twenty twenty five, is making landfall on
Jamaica as we speak. This has sparked huge warnings for
(00:59):
devastating damage, catastrophic damage and loss of life, and we
are praying that the island can withstand this blow. Apparently,
the winds have been clocked according to CNN, at one
hundred and eighty five miles per hour. This is one
of the strongest Atlantic hurricanes in history. In fact, they're
saying this is even stronger than Hurricane Katrina and the
(01:23):
damage it did back in five, and that actually was
a hurricane Hurricane three. It was at one point a
hurricane category five, and then it downgraded to a hurricane
three right before it hit land, but then it hovered.
Killed about eighteen hundred people, caused one hundred eight billion
(01:44):
in damage in the Louisiana and Gulf States. The deadliest
hurricane ever to hit US soil was the Great Galveston
Hurricane of nineteen hundred.
Speaker 3 (01:53):
Over ten thousand people died.
Speaker 4 (01:55):
With Jamaica, we are anticipating sadly, uh, major major damage,
and we are concerned that it could trigger a humanitarian disaster.
Speaker 3 (02:08):
Uh.
Speaker 4 (02:09):
We're being told that Hurricane Melissa has already killed seven people,
three in Jamaica while they were preparing for the storm,
three in Haiti, and one in the Dominican Republic.
Speaker 5 (02:20):
Uh.
Speaker 4 (02:20):
Melissa will not turn around and hit hit the US.
We don't believe it's supposed to. After it passes over Cuba.
Uh go uh and and shift to the right or
the east of Bahamas, go back out into the Atlantic.
But you know, being that we are coming up near
the end of hurricane season, you know, it shows you
(02:41):
how long these waters are remaining, you know, uh uh,
you know, keeping their heat and being able to produce
such a massive amount of moisture and a massive storm system.
According to a restaurant owner in the village of Alligator
Pond on the southwestern coast of Jamaica, he has described
(03:02):
scenes of panic and devastation. Hurricane Melissa, they said, already
wiped out the coastline.
Speaker 3 (03:07):
Everall Christians spoke to CNN Zieton.
Speaker 4 (03:10):
Esher over the telephone while he was evacuating and trying
to reach higher ground. It was a decision, according to CNN,
that he wished he made earlier.
Speaker 3 (03:20):
But you could hear the fierce wins. He says.
Speaker 4 (03:22):
The sea level is coming over the wall and we're
in serious trouble. The whole coastline is gone. The waves
are as high as fifteen feet, and the wind speed
is unbelievable. The electricity grid is already straining. They've had
several power outages even before Melissa came and made landfall.
The electricity grid is managed by Jamaica Public Service. It's
(03:44):
the country's only electricity provider. It's already been impacted and
the hurricane even before the hurricane started to hit. And
so unfortunately, two hundred and forty thousand people as of
this report, were already without power before landfall.
Speaker 3 (04:02):
Now they're anticipating more now.
Speaker 4 (04:04):
Most of the hospitals on the islander store receiving power
with generators, et cetera, except they say, uh, the parishes
of Manchester and Saint Elizabeth have been on standby generated
generator power already.
Speaker 3 (04:18):
So you know, as Melissa's making.
Speaker 4 (04:21):
Landfall, we are telling people to brace themselves, move to
higher ground.
Speaker 3 (04:27):
Uh.
Speaker 4 (04:27):
We know that you know, our partners in American Red
Across Salvation Army and you know, you know VI Talent
are are are working to make sure that they have
what you know, uh, as much resources for the people
as possible.
Speaker 5 (04:42):
Uh.
Speaker 4 (04:42):
I always recommend donating blood, you know, the the blood
is always needed. And if you don't have money to
donate or supplies to send, which is always you know.
I I love getting groups of people together and and
communities together to get clothes and and food.
Speaker 3 (04:59):
And by many of these many of these locations that suffer.
Speaker 4 (05:06):
From this, they can't handle the they can't get mail,
they can't get shipments, so they usually ask for money
so they could purchase their own supplies and what they need.
Earlier today, meteorologists confirmed that Melissa is now more intense
than Katrina, and this catastrophic path is in process, so
(05:31):
they believe that the storm, even though the bands have
already hit Jamaica, the most dangerous part is going to
be hitting within the next twelve hours, and then of
course affecting eastern Cuba. You know, with hurricanes, you know,
we were fairly lucky in America that we didn't have
as much of the above average hurricane that was predicted.
(05:51):
Researchers expected seventeen named storms this season.
Speaker 3 (05:55):
I don't want to jinx it. The mean is fourteen
point four.
Speaker 4 (05:59):
Nine of the storms were expected to become hurricanes, four
of which classified as major. North Carolina State University researchers
also predicted a milder but still active Atlantic basin hurricane season.
The North Carolina researchers expected twelve to fifteen named storms,
which is more closer to the fourteen point four means,
(06:20):
six to eight of them hurricanes at two three two
to three classified as major. As we said yesterday, hurricane
season usually begins June first because of.
Speaker 3 (06:30):
Special tropical weather outlooks.
Speaker 4 (06:31):
They've suggested maybe issuing hurricane season delineation prior to that,
like mid May, but they've changed it from November first
to November thirtieth, so hurricane season can extend. We still
can have another four weeks now. September is usually the
most active month. Hurricane Katrina hit end of August early
(06:56):
September back in two thousand and five. But the categories,
just to put this in perspective, this this Hurricane Melissa
is one hundred eighty five miles per hour.
Speaker 3 (07:05):
A Category five is anything over one hundred and fifty seven.
Speaker 4 (07:09):
I mean, it's gonna be a Category five for a
while until it starts to downgrade. And anything three and
above can cause devastating damage. Category four and five storms catastrophic.
And so you know, we are are praying that this
is a fast moving and doesn't hover like it did
with Katrina and quickly move past the island, not causing
(07:34):
the damage that's being predicted and anticipated. Godspeed one eight
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Speaker 3 (10:17):
All right, we are back on the Doctor Dollie Show.
Speaker 4 (10:20):
Thank you all for tuning in one eight seven seven
Dot Dolly one eight seven seven d O C D
A L I.
Speaker 3 (10:26):
Big thanks the 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.
Speaker 4 (10:32):
Don't forget to follow us on Twitter or exit Doctor Dolli, Facebook,
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So last month when President Donald Trump and Doctor Oz
and RFK Junior had born to pregnant women that there
are risks with the title and all that have been
you know, established in the literature over the past few decades,
(10:55):
but not necessarily in a very organized and.
Speaker 3 (11:01):
Concerted educational campaign.
Speaker 4 (11:03):
They did this press release, which I think was still
a little chaotic, but they did a press release to
warn pregnant women about the risks of tylenol. And this
was kind of a shock in the medical community for.
Speaker 3 (11:16):
A couple of reasons.
Speaker 4 (11:17):
One is, I've known about tilanol had some risks, and
I would warn patients, so I was assuming that other
doctors were doing that as well.
Speaker 3 (11:30):
Overall, you know, in many cases.
Speaker 4 (11:35):
If the benefits outweigh the risks, and you know, we
need to lower a woman's high fever or they're in
pain and they're going to be reaching for something that
could be even more dangerous. Doctors have allowed pregnant women
to use tailanol, but they should have always from the
beginning explained there still could be risks. And so when
(11:56):
I saw this happen, I was like, aren't doctors already
warning people? And then Trump had just told pregnant women
don't take tylerold at all, bear through it, push through it.
Speaker 3 (12:08):
And again my caveat to that.
Speaker 4 (12:10):
My only problem with that is if a pregnant woman
is having a very high fever. A high fever can
affect the fetus. But then again, pregnant women should not
be treating their high fever alone at home. If a
pregnant woman has a high fever, they need to seek
medical care because is uti is this pneumonia?
Speaker 3 (12:32):
Is this flu?
Speaker 4 (12:33):
I mean, these are things that need to be treated
in a pregnant woman. So they shouldn't be just going
to take tylanol if you have a high fever, we
need to figure out why you have the fever. But
tyler all may be indicated in the healthcare regimen of
a pregnant woman. It's just for years I've known because
(12:53):
I've been seeing study saying, you know, this may not
be one hundred percent safe. Well after that came out,
doctors again mixed along party lines, and I don't understand
why this. Really medicine should not be political. But Dodger's like, now,
take as much time as you need, it's fine, And
then others are like, well, no, you know, there's risks
(13:14):
to anything we don't understand, you know, the microscopic physiological
changes that and pharmacological effects and so you know, if
you don't need to pop a pill when you're pregnant, don't.
But let us decide, you know, the benefits versus the
risks if you need to be taking a seat of menaphit. Well,
(13:35):
now we're being told that the Texas Attorney General issuing
the makers of tailanol say they failed to warn consumers
of the risks. Now, this lawsuit is against Johnson and
Johnson and it's spinoff company. This is according to USA Today,
can View Now according to governor or attorney I'm sorry,
(13:58):
Attorney General. Well, apparently Kenview, according to USA Today, was
created to shield their assets against lawsuits when Johnson and
Johnson was getting beat up over the fentanyl crisis and
the narcotic overdose crisis, which I think I had a
(14:18):
problem with. You know, if if many people are overdosing
because of cartel or illegally made drugs, you know, going
after the pharmaceutical companies because you can't go after the cartels.
Speaker 3 (14:31):
Not that cool.
Speaker 4 (14:32):
But they were implicated based on medications that they brought
to market. And so apparently there's another company that USA
is saying. USA Today is saying that was to shield
their assets against the lawsuits. But according to Texas Attorney
General Paxton, he says these corporations quote unquote live for
(14:54):
decades knowingly in dangery millions to line their pockets. This
was a statement he made yet or today he's had
additionally seen that the day of reckoning was coming. Johnson
and Johnson attempted to escape responsibility by illegally offloading their
liability into a different company. By holding Big Pharmat accountable
for poisoning our people, we will help make America healthy again.
(15:16):
And so Tiland all the makers of tiler Hall or
a ceed of metafin is say it's safe, and it's
safe throughout the whole pregnancy. And they are concerned about
the perpetuation of quote unquote of misinformation. They said they're
going to defend themselves against baseless claims. So a few
(15:36):
years back, in twenty twenty one, you know, we had
talked about how, you know, the FDA may be reclassified
or considering reclassifying Thailand all, especially since you had pregnant
women with COVID that were turning towards the Tamaw. COVID
back in twenty twenty one gave.
Speaker 3 (15:54):
You a horrible headache.
Speaker 4 (15:56):
And you know, and some people got body aches, some
people got fever. So they were using tool to control
their symptoms, but there were We talked about this on
the show even before then that you.
Speaker 3 (16:07):
Know that they might have to reclassify it.
Speaker 4 (16:10):
It was a category B back then and I think
it still is meaning no risk has been found in
animal studies but not fully quantified in humans, but the
fetal safety had been questioned. There was a study looking
at an increased risk of ADHD attention deficit hyperactivity disorder.
Speaker 3 (16:26):
That study was.
Speaker 4 (16:28):
Let me see if I could pull it up twenty
seventeen in the journal Pediatrics Prenatal Exposure to Acetomenafine and
Risk of ADHD, and they said short term material maternal
use was negatively associated with ADHD and offspring long term
maternal use of thailandol was substantially associated with ADHD, even
(16:53):
after adjusting.
Speaker 3 (16:54):
For indications of use, family history, et cetera.
Speaker 4 (16:57):
Then there was another so that was in twenty seventeen
study express concern of aceta metafhin on fetal kidneys and
urged caution on what it could do to the eurogenital system.
Now that study came out also in twenty seventeen. The
study was in Nephrology dialysis transplantation called ibuprofen and acetamtaphit
(17:19):
consumption during first trimester or pregnancy in pat's nephygenesis or
creation of the kidneys, and those were concerning. Then in
twenty twenty one September, a study published in Nature's Review
Uto Chronology found increased fetal risk of neurodevelopmental, reproductive, and
eurogenital disorders with acetam metaphin during pregnancy and urch patients
(17:40):
to minimize exposure. A direct quote from that study was
re recommend that pregnant women should be cautioned at the
beginning of pregnancy to forego aceta metaphin unless its use
is medically indicated, consult with the physician or pharmacists of
their uncertain weather uses indicated, and before using on a
long term basis, and minimize exposure by using the lowest
(18:03):
effective dose for the shortest possible time. Why again, because
they were concerned about neurodevelopmental neurodevelopmental UH implications. So you know,
I'm not a fan of suing pharmaceutical companies, but somebody has.
Speaker 3 (18:21):
Some explaining to do.
Speaker 4 (18:23):
If these studies have been coming out, I've known about him,
Most of them have known about him. You know, the
way law works is if tilnol was aware, if the
makers of tylenol were aware, and there are studies addressing this,
you know, then then you could easily put it on
your package insert or on the box saying, you know,
there are studies evaluating you know, if you don't believe
(18:46):
the studies, you don't necessarily have to say you believe them,
but you could say, there are studies evaluating risk to
fetuses with this medication. Discuss with your provider, and I
think that would have provided them some protection.
Speaker 3 (19:02):
And like I said, I've known about.
Speaker 4 (19:04):
It, and I've told patients and I've told my listeners,
now be careful, don't be popping talanol because you know,
there's been studies showing it there could be risks.
Speaker 3 (19:13):
It's just why did it take now twenty twenty.
Speaker 4 (19:16):
Five for, you know, finally the Make America Healthy movement
to finally bring that out.
Speaker 5 (19:23):
You know?
Speaker 3 (19:23):
Is it because of government's relationship with big pharma?
Speaker 5 (19:27):
Now?
Speaker 3 (19:27):
I know people said, oh.
Speaker 4 (19:28):
Well, you know, Trump has a beef for Johnson and Johnson,
so he's trying to hurt Johnson and Johnson by this.
You know, I don't want to get into that argument.
I don't know if that is baseless as well.
Speaker 5 (19:42):
You know.
Speaker 4 (19:42):
But as I said, I did disagree with Trump saying
no tiland all whatsoever. Let us doctors guide patients with that,
thank you, you know. But and I do appreciate Trump
bringing this to light and having us talk about it.
But again, let the medical community deal with this. You know,
you know, Trump can do a lot of things. He's
a business developer, you know his FORID policy, he could
(20:04):
do a lot.
Speaker 3 (20:05):
He's he's he's pretty talented. But no, no, no, no.
Speaker 4 (20:10):
Let the medical experts deal with this. But the you
know RFK JR. And And and Trump and and the
you know, the the FDA, you know, looking at maybe
this has to be reclassified.
Speaker 3 (20:22):
In fact, they were looking at the reclasses.
Speaker 4 (20:25):
They were thinking about this back in twenty or twenty one,
even the Biden administration.
Speaker 3 (20:29):
So why were pregnant women made aware? Now?
Speaker 4 (20:33):
Do I think tyloal causes all this, all this rise
in autism.
Speaker 3 (20:37):
No, I think there's other culprits.
Speaker 4 (20:39):
But I do believe that if you weren't taking a medication,
you shouldn't be thinking it's you know, one hundred percent,
say understand that there could be risks one eight seven
seven doct Sally, don't go.
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Speaker 3 (22:19):
All right, we are back on the Doctor Dollie Show.
Thank you all for tuning in.
Speaker 4 (22:23):
One eight seven seven Doctor Dolli one eight seven seven,
Doc d A.
Speaker 3 (22:27):
L I. So nearly half of all adults in the United.
Speaker 4 (22:32):
States have hypertension high blood pressure, nearly half, and about
one in four of them, or twenty five percent of them,
we are being told, are actually in control.
Speaker 3 (22:47):
Now.
Speaker 4 (22:48):
Even though hypertension seems to affect men more than women,
women are being affected with high blood pressure also in
alarming amounts and younger individuals. And and what's so you
know ironic about it is high blood pressure is preventable.
It is one of the leading preventable risk factors for
heart disease and stroke. I am very, very excited about
(23:12):
the American Heart Association volunteer expert doctor Rachel Bond, and
Bond joined us today. She's going to talk about what
we had spoken about last month, about the new high
blood pressure guidelines and what we need to know about
the silent killer. Doctor Bond, thank you so much for
joining us.
Speaker 5 (23:31):
Thank you so much for having me. I'm looking forward
to this.
Speaker 3 (23:34):
Wow. Wow, well you are a life saver.
Speaker 4 (23:36):
So, yes, we were very excited that the American Heart
Association released new high blood pressure guidelines.
Speaker 3 (23:41):
Talk to us about those.
Speaker 5 (23:45):
Yeah, So, the American Heart Association, in conjunction with the
American College of Cardiology, release these new blood pressure guidelines.
Things that haven't changed based on the guidelines are how
we define high blood pressure, and the first way of
defining it is to understand what's normal. So, for your
audience members, when we think about high blood pressure, typically
a normal blood pressure is less than one twenty and
(24:07):
less than eighty on the bottom. Anything above that is
considered elevated up until the first stage, where the blood
pressure is above one thirty over eighty or the second stage,
which is above one forty over ninety. As you mentioned,
high blood pressure is usually a silent killer, meaning there
are no warning signs or symptoms that could really tell
(24:27):
someone that they have high blood pressure, and the only
way to better understand it is to go to the
doctor and get your blood pressure checked. The guidelines are
recommending that we do that as early as possible because
it's such a preventable long term risk factor for future
cardiovascular disease.
Speaker 4 (24:44):
Absolutely, and you know, we can also predict that people
may have it later in life when we screen them
when they're pregnant, and so high blood pressure screening during
pregnancy is extremely important. Talk to us about blood pressure
and pregnancy.
Speaker 5 (25:02):
Yeah, one thing that the guidelines wanted to highlight was
is that there are different checkpoints in a female's life
where their risk of blood pressure as well as risk
of heart disease could be much greater. One of those
checkpoints is pregnancy. When we think about pregnancy, it's actually
oftentimes the female's first stress test, and like any stress
test or blood pressure may get elevated, but unfortunately it
(25:24):
also may stay elevated. For women who have high blood
pressure during pregnancy, they're at about a two to four
time greater risk of having high blood pressure outside of pregnancy,
and also at a two to four time greater risk
of having cardiac disease. And that cardiac disease may not
be immediate, it can actually occur up to several decades
after the actual delivery. So we are encouraging our female
(25:47):
patients out there to understand their pregnancy history and share
that information, that pivotal information with their physician and healthcare professional.
Speaker 4 (25:57):
Also, you know, God bless these You know young mothers.
You know, you go through all the prenatal care. Now
you have a baby and your priorities completely shift from
you to baby. And we forget that there are things
that need to be followed up on our blood sugar,
you know, our you know, hearts, our blood pressure. So
that was some fantastic advice. And so you know, you
(26:20):
know men and high blood pressure. You we speak about
that all the time, and you know a lot of
women don't realize that their numbers are arising. Talk to
us about what actions, you know, we could take to
minimize risks.
Speaker 5 (26:35):
Yeah, so there are several, several actions, and I think
the most profound thing is that many of the actions,
meaning the prescription to medicine, actually don't come from actual prescriptions.
A lot of it comes from things that we can
do on a daily basis to lower our risk. So
that includes getting up and walking. The American Heart Association
recommends at least one hundred and fifty minutes per week
(26:57):
of some form of moderate exercise. That could include walking, jogging, swimming,
of course going to the gym, but something as basic
as walking at a brisk pace can make a big difference.
The other thing they recommend is eating clean. So a
lot of that includes limiting our saturated fat, our high
amounts of sodium and replacing that with healthy fat. A
(27:18):
lot of times healthy fat come from fish or olives
in olive oil, and also being aware of our portion sizes.
The American Heart Association also recommends getting at least six
to eight hours of sleep per night because not only
does that lower your stress level, which of course could
increase your risk of high blood pressure and heart disease,
but it also in the long run, leads to better
(27:39):
outcomes when it comes to your cardiovascular health.
Speaker 4 (27:42):
So true, you know these steps you know we all
could take there.
Speaker 3 (27:46):
You know they're not difficult to do.
Speaker 4 (27:48):
I exercise is huge, Hydrating you know, with water, avoiding stalls,
like you said, any other suggestions you have for our listeners.
Speaker 5 (27:59):
Oh, our goal right now is also to make sure
you're getting your blood pressure checked regularly. One thing that
was a little different for the guidelines this time around
was the focus on making sure that the management is
very individual. How we can do that is also investing
in a home blood pressure machine. There are websites, one
of them which is validatevp dot org that gives you
(28:20):
all of the machines that have been validated by the FDA,
and that could be the difference between your blood pressure
being well controlled versus your blood pressure being not because
although you should be going to the doctor regularly, it's
so important and pivotal to see the trends of what
your blood pressure looks like when you're at home, and that,
to me, I would say makes the biggest bang for
(28:41):
your buck when it comes to ways that you can
take control of your health and understand your.
Speaker 4 (28:46):
Numbers exactly, especially like with white code hypertensions. Sometimes it's
not that it's a doctor's code, but you're getting stressed
out by your in laws or by other things, and
blood pressure is rising. We know you have another interview.
We don't want to hold you any longer. But oh
my gosh, you have been such a wealth of information.
Where can my listeners go for more information?
Speaker 9 (29:08):
Yeah?
Speaker 5 (29:08):
So for more information, The American Heart Association has two websites.
One is heart dot org and the other one is
go red for women dot org forward slash HBP, which
stands for high blood pressure.
Speaker 3 (29:21):
Gosh, I love it.
Speaker 4 (29:22):
Thank you so much, Thank you for all you and
the American Heart Association do, and we can't wait.
Speaker 3 (29:26):
To have you back.
Speaker 5 (29:29):
Thank you. Have a good one.
Speaker 4 (29:31):
One eight seven seven dot Dolly one eight seven seven
d O C D A L I. We've talked about
this on the show. Before white code hypertension, it was
a term that came up because patients would go to
the doctor and the doctor would say, your blootpressers up,
and they like, well, that's odd.
Speaker 3 (29:46):
I think it's because I'm nervous, you know, because I'm
around you, and.
Speaker 4 (29:48):
They well, yeah, you know, the white code, you know,
is probably making you nervous. So, in fact, I even
stopped wearing a white coat for the longest time because
this white coat hypertension was technically a.
Speaker 3 (30:02):
Thing, and they still use that term.
Speaker 4 (30:05):
The problem is is I would tell patients, please check
your blood pressure at home, because if my white coat
is enough to make your blood pressure jump ten points,
fifteen points, twenty points, So what's happening when your mother
in law is calling, or your mom, or what's happening
when you're driving in your neighborhood and a kid loses
(30:26):
their ball in the middle of the street and you
have to slam on your brakes. You know, if if
your blood pressure is spiking you're watching a sexy movie,
then if a white coat is causing your blood pressure
to spike, that means your baseline might not be in
the control you need and so anybody with white coat
(30:47):
hypertension needs to have follow up. They have to be evaluated.
And and you know, blaming a white coat or in
laws that your body doesn't care because you're that high
blood pressure causes end organ damage.
Speaker 3 (31:02):
We call it end organ damage when the.
Speaker 4 (31:07):
Downstream part of that blood pressure affects the heart, affects
the brain, affects the kidneys, and it stinks because you
can't feel it.
Speaker 3 (31:15):
Now, some people can. When I have patients that say
my blood pressure is up, I could feel it.
Speaker 7 (31:19):
I believe them.
Speaker 3 (31:20):
I believe some people can feel it.
Speaker 4 (31:22):
But just because you don't feel it doesn't mean it's
not a thing, doesn't mean it's not affecting you.
Speaker 3 (31:29):
And that's what's frustrating.
Speaker 5 (31:31):
Now.
Speaker 4 (31:31):
I'm fortunate I get my blood pressure checked off and
Bloo presure high blood psure uns in the family, both
my mom and dad.
Speaker 3 (31:36):
But fortunately I've been lucky.
Speaker 4 (31:38):
I got my blood pressure checked every time I donate blood,
and so you know, I'm on top of it and.
Speaker 3 (31:43):
Every time I go to the doctor.
Speaker 4 (31:44):
But if you're not, if you don't have a regular
medical provider and you're not seeing the doctor or not
seeing somebody.
Speaker 3 (31:49):
Regularly, you need to get that done.
Speaker 4 (31:51):
One eight seven seven Doctor dollar, you don't go away.
Speaker 10 (32:02):
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(32:24):
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Speaker 7 (33:59):
Five Fine three year back.
Speaker 4 (34:20):
I'm the doctadliusha, thank you are over tuning in one
eight seven seven docadolli one eight seven seven.
Speaker 3 (34:26):
D O c d A l I.
Speaker 4 (34:28):
So bird flu never went away and bird flu cases
are rising. This is expected with you know, the colder
time of year. In fact, we're hearing that countries have
started to call many of their birds that sadly, Germany
I think had to call half a million birds as
(34:50):
bird flu is spreading, routers is reporting. Europe is concerned
about this upcoming crisis, and you know countries are now
ordering poultry indoors to protect them from wild birds that.
Speaker 3 (35:04):
Can have the virus. Again, human risk is low, but
as we know, bird flu can.
Speaker 4 (35:12):
We believe, affect other animals, as we've seen with cows
and lambs and sheep, and we have seen some human
infections who have been working with with animals afflicted with
bird flu. So this even though bird flu I think
it killed one person last year and it can be deadly.
(35:34):
Right now in terms of overall risk of the human
population is still low, but it's something we want to
curb as quickly as possible, and so governments in the
poultry industry in Europe are getting very very nervous because
of the devastation and then you know, uh inability to
then your feet. We got Thanksgiving coming up, and you know,
(35:58):
people like their like their.
Speaker 3 (35:59):
Chicken and their poultry.
Speaker 4 (36:02):
They say the diseases caused fifty six outbreaks in ten
European Union countries and Britain. As you know, Britain brexited
from the European Union, and this has been just in
the timeframe from August to mid October. Poland, one of
the top European Union poultry producers, has been affected as
(36:22):
well Spain and Germany. And so seeing it come and
spread into ten countries this early in the season is
concerning and they are they do not want this to
resemble twenty twenty two, where we had the worst bird
flu crisis. Last year there were thirty one countries or
(36:44):
outbreaks in nine countries during the same period, so this
is already odd schedule to be more aggressive. In terms
of America, they say we are starting to see.
Speaker 3 (37:00):
Bird flu hit America.
Speaker 4 (37:02):
They say since September nearly ninety US chicken and turkey
flocks have experienced avian flu outbreaks. This has led to
the destruction of seven point four million birds. I've noticed
chicken things starting to cost more at the grocery store
as it pertains to this, you know, be aware of
egg prices. But sadly, I hate to see these these
(37:24):
animals die because there's a bird flu outbreak and they're
trying to in a way protect and slow the spread.
Speaker 3 (37:31):
We don't want to wait.
Speaker 4 (37:32):
Till an animal gets sick. Unfortunately, you know you can.
If there's you know, fewer hosts to take on the disease,
it doesn't spread. It's it's a very very sad reality.
But people ask why didn't ebola spread like COVID did
(37:52):
when Ebola was deadlier.
Speaker 3 (37:54):
Well, there's the answer.
Speaker 4 (37:56):
When you have something that is so deadly, uf fewer
hosts that could then stay alive and turn around and
spread it. So some of the deadliest diseases are are
even though COVID was deadly it if people are able
(38:19):
to still live and spread it, the disease can propagate.
More so, as bird flu outbreaks are now climbing in
not only Europe and other countries, but the US, this is.
Speaker 3 (38:33):
Obviously going to be a concern.
Speaker 4 (38:35):
They say waterbirds like geese and ducks are carrying avian
flu and it could affect commercial poultry. Now there's been
a lot of now criticism as to well what is
RFK junior doing. There was a movement to vaccinate our
(38:55):
poultry where if we needed to protect our poultry from
bird flu, farmers were hoping that we would have a vaccine.
Well not all farmers, but the hope was that they
could give their animals a vaccine. It could prevent those
animals from getting the bird flu. They don't have to
(39:17):
cull them or kill them, and then they could salvage
their yep, salvage their bottom line, salvage their animals and
be able to still function and produce our eggs and
chicken and poultry, etc.
Speaker 3 (39:34):
The problem was, if you.
Speaker 4 (39:35):
Remember we talked about this, this was I think a
couple of years ago, there was a hesitation for people
to want m RNA vaccinated poultry.
Speaker 3 (39:47):
The vaccine that they were going to work on.
Speaker 4 (39:50):
Which again the science bind an m RNA vaccine has
been around for decades.
Speaker 3 (39:55):
For a while, we used.
Speaker 4 (39:58):
It and we did emergency off theations and we fast
tracked the covid vaccine. There were side effects to the
covid vaccine, but I do believe the covid vaccine saved lives.
I just think it never should have been mandated because
there are side effects. The problem is is you have
a lot of people that do not trust the m
RNA technology. I'm comfortable with the MRA technology, but hesitation
(40:22):
remained because has it been you know, do we know
much about eating something that was vaccinated with it? You
know what what we we have a manipulation of m
RNA and DNA and and and or are our cytochromes
our cells RNA, and so some people have I'm comfortable
(40:42):
with it, but you know, having not handled my booster
well and having side effects from that, anybody that experienced
something you know, remotely similar, if not more severe than
you know, what I had with with my mRNA vaccine,
it it makes.
Speaker 3 (40:59):
People start to be or cautious. And so there's been
a growing.
Speaker 4 (41:04):
Call to not vaccinate or inject our animals that we're
eating Already, there's there's huge concerns over.
Speaker 3 (41:13):
The hormones and other things that we're ingesting.
Speaker 4 (41:15):
There's a huge demand for grass fed or non hormone
fed animals and organic foods and fewer pesticides, and so.
Speaker 3 (41:26):
I don't know where you know how much.
Speaker 4 (41:28):
Movement has been made on that. I do believe we
still should develop a vaccine. I think with the way,
with the way this avian flu keeps coming back, and
it seems to keep coming back stronger, the concept of
(41:49):
let's just kill the hosts so that we can minimize spread,
I don't think that's a viable option because the ava
you can't kill all the birds, and I don't I
definitely don't want that as a precedent set for future
infectious disease. And so I do believe a vaccine, and
(42:10):
I think even Trump was actually pro you know, vaccine
as it pertains to solving the bird flu crisis. So
I know people say, well, Trump's anti vaccine, not exactly.
I believe when this was happening, he was suggesting that
we do you find a way to attack this virus
(42:30):
head on, and in doing so that would involve fighting
fire with fire or pharmacologically getting a defense that involves immunity.
But we're I I don't know where we're moving on
that as of now. On top of that, we're still
(42:51):
in the shutdown, and this government shutdown is not going
away anytime soon. I think this is going to go
on for new least another week or two unfortunately, and
we're gonna be talking about that. The ramifications of that
have have been a disaster. So once the government reopens,
we do need to hear, uh, the farmers need to
(43:13):
hear what does the CDC and the FDA plan as
it pertains to what we can do now. There are
ways we can minimize risk in terms of our animals
not being having access to wild geese and wild birds,
ventilation systems, more room, you know in in the you
(43:33):
know there, there's there's a there's there's things.
Speaker 3 (43:36):
We can do.
Speaker 4 (43:37):
But I do eventually think we might need a vaccine
one eight seven seven.
Speaker 3 (43:41):
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You are about to listen to the Doctor Dahlia Show,
sase stimulating medical talk radio. Any medical advice doctor Dahalia
Wax gives on her show should not be substituted for
an actual visit to your medical provider.
Speaker 2 (00:23):
And now here's doctor Dahlia.
Speaker 3 (00:34):
All right, well we are back on the Doctor Dolli Show.
Speaker 4 (00:36):
Thank you all for tuning in one eight seven seven
Doctor Dolly one eight seven seven d O C D
A L I. So all eyes are on Jamaica. Unfortunately,
this Hurricane Melissa is one of the biggest, the most
powerful hurricane of twenty twenty five, is making landfall on
Jamaica as we speak. This has sparked huge warnings for
(00:59):
devastating damage, catastrophic damage and loss of life, and we
are praying that the island can withstand this blow. Apparently,
the winds have been clocked according to CNN, at one
hundred and eighty five miles per hour. This is one
of the strongest Atlantic hurricanes in history. In fact, they're
saying this is even stronger than Hurricane Katrina and the
(01:23):
damage it did back in five, and that actually was
a hurricane Hurricane three. It was at one point a
hurricane category five, and then it downgraded to a hurricane
three right before it hit land, but then it hovered.
Killed about eighteen hundred people, caused one hundred eight billion
(01:44):
in damage in the Louisiana and Gulf States. The deadliest
hurricane ever to hit US soil was the Great Galveston
Hurricane of nineteen hundred.
Speaker 3 (01:53):
Over ten thousand people died.
Speaker 4 (01:55):
With Jamaica, we are anticipating sadly, uh, major major damage,
and we are concerned that it could trigger a humanitarian disaster.
Speaker 3 (02:08):
Uh.
Speaker 4 (02:09):
We're being told that Hurricane Melissa has already killed seven people,
three in Jamaica while they were preparing for the storm,
three in Haiti, and one in the Dominican Republic.
Speaker 5 (02:20):
Uh.
Speaker 4 (02:20):
Melissa will not turn around and hit hit the US.
We don't believe it's supposed to. After it passes over Cuba.
Uh go uh and and shift to the right or
the east of Bahamas, go back out into the Atlantic.
But you know, being that we are coming up near
the end of hurricane season, you know, it shows you
(02:41):
how long these waters are remaining, you know, uh uh,
you know, keeping their heat and being able to produce
such a massive amount of moisture and a massive storm system.
According to a restaurant owner in the village of Alligator
Pond on the southwestern coast of Jamaica, he has described
(03:02):
scenes of panic and devastation. Hurricane Melissa, they said, already
wiped out the coastline.
Speaker 3 (03:07):
Everall Christians spoke to CNN Zieton.
Speaker 4 (03:10):
Esher over the telephone while he was evacuating and trying
to reach higher ground. It was a decision, according to CNN,
that he wished he made earlier.
Speaker 3 (03:20):
But you could hear the fierce wins. He says.
Speaker 4 (03:22):
The sea level is coming over the wall and we're
in serious trouble. The whole coastline is gone. The waves
are as high as fifteen feet, and the wind speed
is unbelievable. The electricity grid is already straining. They've had
several power outages even before Melissa came and made landfall.
The electricity grid is managed by Jamaica Public Service. It's
(03:44):
the country's only electricity provider. It's already been impacted and
the hurricane even before the hurricane started to hit. And
so unfortunately, two hundred and forty thousand people as of
this report, were already without power before landfall.
Speaker 3 (04:02):
Now they're anticipating more now.
Speaker 4 (04:04):
Most of the hospitals on the islander store receiving power
with generators, et cetera, except they say, uh, the parishes
of Manchester and Saint Elizabeth have been on standby generated
generator power already.
Speaker 3 (04:18):
So you know, as Melissa's making.
Speaker 4 (04:21):
Landfall, we are telling people to brace themselves, move to
higher ground.
Speaker 3 (04:27):
Uh.
Speaker 4 (04:27):
We know that you know, our partners in American Red
Across Salvation Army and you know, you know VI Talent
are are are working to make sure that they have
what you know, uh, as much resources for the people
as possible.
Speaker 5 (04:42):
Uh.
Speaker 4 (04:42):
I always recommend donating blood, you know, the the blood
is always needed. And if you don't have money to
donate or supplies to send, which is always you know.
I I love getting groups of people together and and
communities together to get clothes and and food.
Speaker 3 (04:59):
And by many of these many of these locations that suffer.
Speaker 4 (05:06):
From this, they can't handle the they can't get mail,
they can't get shipments, so they usually ask for money
so they could purchase their own supplies and what they need.
Earlier today, meteorologists confirmed that Melissa is now more intense
than Katrina, and this catastrophic path is in process, so
(05:31):
they believe that the storm, even though the bands have
already hit Jamaica, the most dangerous part is going to
be hitting within the next twelve hours, and then of
course affecting eastern Cuba. You know, with hurricanes, you know,
we were fairly lucky in America that we didn't have
as much of the above average hurricane that was predicted.
(05:51):
Researchers expected seventeen named storms this season.
Speaker 3 (05:55):
I don't want to jinx it. The mean is fourteen
point four.
Speaker 4 (05:59):
Nine of the storms were expected to become hurricanes, four
of which classified as major. North Carolina State University researchers
also predicted a milder but still active Atlantic basin hurricane season.
The North Carolina researchers expected twelve to fifteen named storms,
which is more closer to the fourteen point four means,
(06:20):
six to eight of them hurricanes at two three two
to three classified as major. As we said yesterday, hurricane
season usually begins June first because of.
Speaker 3 (06:30):
Special tropical weather outlooks.
Speaker 4 (06:31):
They've suggested maybe issuing hurricane season delineation prior to that,
like mid May, but they've changed it from November first
to November thirtieth, so hurricane season can extend. We still
can have another four weeks now. September is usually the
most active month. Hurricane Katrina hit end of August early
(06:56):
September back in two thousand and five. But the categories,
just to put this in perspective, this this Hurricane Melissa
is one hundred eighty five miles per hour.
Speaker 3 (07:05):
A Category five is anything over one hundred and fifty seven.
Speaker 4 (07:09):
I mean, it's gonna be a Category five for a
while until it starts to downgrade. And anything three and
above can cause devastating damage. Category four and five storms catastrophic.
And so you know, we are are praying that this
is a fast moving and doesn't hover like it did
with Katrina and quickly move past the island, not causing
(07:34):
the damage that's being predicted and anticipated. Godspeed one eight
seven seven doct DOLLI don't go away. Hey you guys,
(08:00):
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It's Mark Falter, hosts of The Financial Fitness Show. I
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Speaker 3 (10:17):
All right, we are back on the Doctor Dollie Show.
Speaker 4 (10:20):
Thank you all for tuning in one eight seven seven
Dot Dolly one eight seven seven d O C D
A L I.
Speaker 3 (10:26):
Big thanks the 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.
Speaker 4 (10:32):
Don't forget to follow us on Twitter or exit Doctor Dolli, Facebook,
The Doctor Delly Show, and on YouTube click like and subscribe.
So last month when President Donald Trump and Doctor Oz
and RFK Junior had born to pregnant women that there
are risks with the title and all that have been
you know, established in the literature over the past few decades,
(10:55):
but not necessarily in a very organized and.
Speaker 3 (11:01):
Concerted educational campaign.
Speaker 4 (11:03):
They did this press release, which I think was still
a little chaotic, but they did a press release to
warn pregnant women about the risks of tylenol. And this
was kind of a shock in the medical community for.
Speaker 3 (11:16):
A couple of reasons.
Speaker 4 (11:17):
One is, I've known about tilanol had some risks, and
I would warn patients, so I was assuming that other
doctors were doing that as well.
Speaker 3 (11:30):
Overall, you know, in many cases.
Speaker 4 (11:35):
If the benefits outweigh the risks, and you know, we
need to lower a woman's high fever or they're in
pain and they're going to be reaching for something that
could be even more dangerous. Doctors have allowed pregnant women
to use tailanol, but they should have always from the
beginning explained there still could be risks. And so when
(11:56):
I saw this happen, I was like, aren't doctors already
warning people? And then Trump had just told pregnant women
don't take tylerold at all, bear through it, push through it.
Speaker 3 (12:08):
And again my caveat to that.
Speaker 4 (12:10):
My only problem with that is if a pregnant woman
is having a very high fever. A high fever can
affect the fetus. But then again, pregnant women should not
be treating their high fever alone at home. If a
pregnant woman has a high fever, they need to seek
medical care because is uti is this pneumonia?
Speaker 3 (12:32):
Is this flu?
Speaker 4 (12:33):
I mean, these are things that need to be treated
in a pregnant woman. So they shouldn't be just going
to take tylanol if you have a high fever, we
need to figure out why you have the fever. But
tyler all may be indicated in the healthcare regimen of
a pregnant woman. It's just for years I've known because
(12:53):
I've been seeing study saying, you know, this may not
be one hundred percent safe. Well after that came out,
doctors again mixed along party lines, and I don't understand
why this. Really medicine should not be political. But Dodger's like, now,
take as much time as you need, it's fine, And
then others are like, well, no, you know, there's risks
(13:14):
to anything we don't understand, you know, the microscopic physiological
changes that and pharmacological effects and so you know, if
you don't need to pop a pill when you're pregnant, don't.
But let us decide, you know, the benefits versus the
risks if you need to be taking a seat of menaphit. Well,
(13:35):
now we're being told that the Texas Attorney General issuing
the makers of tailanol say they failed to warn consumers
of the risks. Now, this lawsuit is against Johnson and
Johnson and it's spinoff company. This is according to USA Today,
can View Now according to governor or attorney I'm sorry,
(13:58):
Attorney General. Well, apparently Kenview, according to USA Today, was
created to shield their assets against lawsuits when Johnson and
Johnson was getting beat up over the fentanyl crisis and
the narcotic overdose crisis, which I think I had a
(14:18):
problem with. You know, if if many people are overdosing
because of cartel or illegally made drugs, you know, going
after the pharmaceutical companies because you can't go after the cartels.
Speaker 3 (14:31):
Not that cool.
Speaker 4 (14:32):
But they were implicated based on medications that they brought
to market. And so apparently there's another company that USA
is saying. USA Today is saying that was to shield
their assets against the lawsuits. But according to Texas Attorney
General Paxton, he says these corporations quote unquote live for
(14:54):
decades knowingly in dangery millions to line their pockets. This
was a statement he made yet or today he's had
additionally seen that the day of reckoning was coming. Johnson
and Johnson attempted to escape responsibility by illegally offloading their
liability into a different company. By holding Big Pharmat accountable
for poisoning our people, we will help make America healthy again.
(15:16):
And so Tiland all the makers of tiler Hall or
a ceed of metafin is say it's safe, and it's
safe throughout the whole pregnancy. And they are concerned about
the perpetuation of quote unquote of misinformation. They said they're
going to defend themselves against baseless claims. So a few
(15:36):
years back, in twenty twenty one, you know, we had
talked about how, you know, the FDA may be reclassified
or considering reclassifying Thailand all, especially since you had pregnant
women with COVID that were turning towards the Tamaw. COVID
back in twenty twenty one gave.
Speaker 3 (15:54):
You a horrible headache.
Speaker 4 (15:56):
And you know, and some people got body aches, some
people got fever. So they were using tool to control
their symptoms, but there were We talked about this on
the show even before then that you.
Speaker 3 (16:07):
Know that they might have to reclassify it.
Speaker 4 (16:10):
It was a category B back then and I think
it still is meaning no risk has been found in
animal studies but not fully quantified in humans, but the
fetal safety had been questioned. There was a study looking
at an increased risk of ADHD attention deficit hyperactivity disorder.
Speaker 3 (16:26):
That study was.
Speaker 4 (16:28):
Let me see if I could pull it up twenty
seventeen in the journal Pediatrics Prenatal Exposure to Acetomenafine and
Risk of ADHD, and they said short term material maternal
use was negatively associated with ADHD and offspring long term
maternal use of thailandol was substantially associated with ADHD, even
(16:53):
after adjusting.
Speaker 3 (16:54):
For indications of use, family history, et cetera.
Speaker 4 (16:57):
Then there was another so that was in twenty seventeen
study express concern of aceta metafhin on fetal kidneys and
urged caution on what it could do to the eurogenital system.
Now that study came out also in twenty seventeen. The
study was in Nephrology dialysis transplantation called ibuprofen and acetamtaphit
(17:19):
consumption during first trimester or pregnancy in pat's nephygenesis or
creation of the kidneys, and those were concerning. Then in
twenty twenty one September, a study published in Nature's Review
Uto Chronology found increased fetal risk of neurodevelopmental, reproductive, and
eurogenital disorders with acetam metaphin during pregnancy and urch patients
(17:40):
to minimize exposure. A direct quote from that study was
re recommend that pregnant women should be cautioned at the
beginning of pregnancy to forego aceta metaphin unless its use
is medically indicated, consult with the physician or pharmacists of
their uncertain weather uses indicated, and before using on a
long term basis, and minimize exposure by using the lowest
(18:03):
effective dose for the shortest possible time. Why again, because
they were concerned about neurodevelopmental neurodevelopmental UH implications. So you know,
I'm not a fan of suing pharmaceutical companies, but somebody has.
Speaker 3 (18:21):
Some explaining to do.
Speaker 4 (18:23):
If these studies have been coming out, I've known about him,
Most of them have known about him. You know, the
way law works is if tilnol was aware, if the
makers of tylenol were aware, and there are studies addressing this,
you know, then then you could easily put it on
your package insert or on the box saying, you know,
there are studies evaluating you know, if you don't believe
(18:46):
the studies, you don't necessarily have to say you believe them,
but you could say, there are studies evaluating risk to
fetuses with this medication. Discuss with your provider, and I
think that would have provided them some protection.
Speaker 3 (19:02):
And like I said, I've known about.
Speaker 4 (19:04):
It, and I've told patients and I've told my listeners,
now be careful, don't be popping talanol because you know,
there's been studies showing it there could be risks.
Speaker 3 (19:13):
It's just why did it take now twenty twenty.
Speaker 4 (19:16):
Five for, you know, finally the Make America Healthy movement
to finally bring that out.
Speaker 5 (19:23):
You know?
Speaker 3 (19:23):
Is it because of government's relationship with big pharma?
Speaker 5 (19:27):
Now?
Speaker 3 (19:27):
I know people said, oh.
Speaker 4 (19:28):
Well, you know, Trump has a beef for Johnson and Johnson,
so he's trying to hurt Johnson and Johnson by this.
You know, I don't want to get into that argument.
I don't know if that is baseless as well.
Speaker 5 (19:42):
You know.
Speaker 4 (19:42):
But as I said, I did disagree with Trump saying
no tiland all whatsoever. Let us doctors guide patients with that,
thank you, you know. But and I do appreciate Trump
bringing this to light and having us talk about it.
But again, let the medical community deal with this. You know,
you know, Trump can do a lot of things. He's
a business developer, you know his FORID policy, he could
(20:04):
do a lot.
Speaker 3 (20:05):
He's he's he's pretty talented. But no, no, no, no.
Speaker 4 (20:10):
Let the medical experts deal with this. But the you
know RFK JR. And And and Trump and and the
you know, the the FDA, you know, looking at maybe
this has to be reclassified.
Speaker 3 (20:22):
In fact, they were looking at the reclasses.
Speaker 4 (20:25):
They were thinking about this back in twenty or twenty one,
even the Biden administration.
Speaker 3 (20:29):
So why were pregnant women made aware? Now?
Speaker 4 (20:33):
Do I think tyloal causes all this, all this rise
in autism.
Speaker 3 (20:37):
No, I think there's other culprits.
Speaker 4 (20:39):
But I do believe that if you weren't taking a medication,
you shouldn't be thinking it's you know, one hundred percent,
say understand that there could be risks one eight seven
seven doct Sally, don't go.
Speaker 9 (20:48):
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It makes the perfect gift for that special someone in
(21:10):
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Strategies that will make perfect sense once you take the
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Speaker 3 (22:19):
All right, we are back on the Doctor Dollie Show.
Thank you all for tuning in.
Speaker 4 (22:23):
One eight seven seven Doctor Dolli one eight seven seven,
Doc d A.
Speaker 3 (22:27):
L I. So nearly half of all adults in the United.
Speaker 4 (22:32):
States have hypertension high blood pressure, nearly half, and about
one in four of them, or twenty five percent of them,
we are being told, are actually in control.
Speaker 3 (22:47):
Now.
Speaker 4 (22:48):
Even though hypertension seems to affect men more than women,
women are being affected with high blood pressure also in
alarming amounts and younger individuals. And and what's so you
know ironic about it is high blood pressure is preventable.
It is one of the leading preventable risk factors for
heart disease and stroke. I am very, very excited about
(23:12):
the American Heart Association volunteer expert doctor Rachel Bond, and
Bond joined us today. She's going to talk about what
we had spoken about last month, about the new high
blood pressure guidelines and what we need to know about
the silent killer. Doctor Bond, thank you so much for
joining us.
Speaker 5 (23:31):
Thank you so much for having me. I'm looking forward
to this.
Speaker 3 (23:34):
Wow. Wow, well you are a life saver.
Speaker 4 (23:36):
So, yes, we were very excited that the American Heart
Association released new high blood pressure guidelines.
Speaker 3 (23:41):
Talk to us about those.
Speaker 5 (23:45):
Yeah, So, the American Heart Association, in conjunction with the
American College of Cardiology, release these new blood pressure guidelines.
Things that haven't changed based on the guidelines are how
we define high blood pressure, and the first way of
defining it is to understand what's normal. So, for your
audience members, when we think about high blood pressure, typically
a normal blood pressure is less than one twenty and
(24:07):
less than eighty on the bottom. Anything above that is
considered elevated up until the first stage, where the blood
pressure is above one thirty over eighty or the second stage,
which is above one forty over ninety. As you mentioned,
high blood pressure is usually a silent killer, meaning there
are no warning signs or symptoms that could really tell
(24:27):
someone that they have high blood pressure, and the only
way to better understand it is to go to the
doctor and get your blood pressure checked. The guidelines are
recommending that we do that as early as possible because
it's such a preventable long term risk factor for future
cardiovascular disease.
Speaker 4 (24:44):
Absolutely, and you know, we can also predict that people
may have it later in life when we screen them
when they're pregnant, and so high blood pressure screening during
pregnancy is extremely important. Talk to us about blood pressure
and pregnancy.
Speaker 5 (25:02):
Yeah, one thing that the guidelines wanted to highlight was
is that there are different checkpoints in a female's life
where their risk of blood pressure as well as risk
of heart disease could be much greater. One of those
checkpoints is pregnancy. When we think about pregnancy, it's actually
oftentimes the female's first stress test, and like any stress
test or blood pressure may get elevated, but unfortunately it
(25:24):
also may stay elevated. For women who have high blood
pressure during pregnancy, they're at about a two to four
time greater risk of having high blood pressure outside of pregnancy,
and also at a two to four time greater risk
of having cardiac disease. And that cardiac disease may not
be immediate, it can actually occur up to several decades
after the actual delivery. So we are encouraging our female
(25:47):
patients out there to understand their pregnancy history and share
that information, that pivotal information with their physician and healthcare professional.
Speaker 4 (25:57):
Also, you know, God bless these You know young mothers.
You know, you go through all the prenatal care. Now
you have a baby and your priorities completely shift from
you to baby. And we forget that there are things
that need to be followed up on our blood sugar,
you know, our you know, hearts, our blood pressure. So
that was some fantastic advice. And so you know, you
(26:20):
know men and high blood pressure. You we speak about
that all the time, and you know a lot of
women don't realize that their numbers are arising. Talk to
us about what actions, you know, we could take to
minimize risks.
Speaker 5 (26:35):
Yeah, so there are several, several actions, and I think
the most profound thing is that many of the actions,
meaning the prescription to medicine, actually don't come from actual prescriptions.
A lot of it comes from things that we can
do on a daily basis to lower our risk. So
that includes getting up and walking. The American Heart Association
recommends at least one hundred and fifty minutes per week
(26:57):
of some form of moderate exercise. That could include walking, jogging, swimming,
of course going to the gym, but something as basic
as walking at a brisk pace can make a big difference.
The other thing they recommend is eating clean. So a
lot of that includes limiting our saturated fat, our high
amounts of sodium and replacing that with healthy fat. A
(27:18):
lot of times healthy fat come from fish or olives
in olive oil, and also being aware of our portion sizes.
The American Heart Association also recommends getting at least six
to eight hours of sleep per night because not only
does that lower your stress level, which of course could
increase your risk of high blood pressure and heart disease,
but it also in the long run, leads to better
(27:39):
outcomes when it comes to your cardiovascular health.
Speaker 4 (27:42):
So true, you know these steps you know we all
could take there.
Speaker 3 (27:46):
You know they're not difficult to do.
Speaker 4 (27:48):
I exercise is huge, Hydrating you know, with water, avoiding stalls,
like you said, any other suggestions you have for our listeners.
Speaker 5 (27:59):
Oh, our goal right now is also to make sure
you're getting your blood pressure checked regularly. One thing that
was a little different for the guidelines this time around
was the focus on making sure that the management is
very individual. How we can do that is also investing
in a home blood pressure machine. There are websites, one
of them which is validatevp dot org that gives you
(28:20):
all of the machines that have been validated by the FDA,
and that could be the difference between your blood pressure
being well controlled versus your blood pressure being not because
although you should be going to the doctor regularly, it's
so important and pivotal to see the trends of what
your blood pressure looks like when you're at home, and that,
to me, I would say makes the biggest bang for
(28:41):
your buck when it comes to ways that you can
take control of your health and understand your.
Speaker 4 (28:46):
Numbers exactly, especially like with white code hypertensions. Sometimes it's
not that it's a doctor's code, but you're getting stressed
out by your in laws or by other things, and
blood pressure is rising. We know you have another interview.
We don't want to hold you any longer. But oh
my gosh, you have been such a wealth of information.
Where can my listeners go for more information?
Speaker 9 (29:08):
Yeah?
Speaker 5 (29:08):
So for more information, The American Heart Association has two websites.
One is heart dot org and the other one is
go red for women dot org forward slash HBP, which
stands for high blood pressure.
Speaker 3 (29:21):
Gosh, I love it.
Speaker 4 (29:22):
Thank you so much, Thank you for all you and
the American Heart Association do, and we can't wait.
Speaker 3 (29:26):
To have you back.
Speaker 5 (29:29):
Thank you. Have a good one.
Speaker 4 (29:31):
One eight seven seven dot Dolly one eight seven seven
d O C D A L I. We've talked about
this on the show. Before white code hypertension, it was
a term that came up because patients would go to
the doctor and the doctor would say, your blootpressers up,
and they like, well, that's odd.
Speaker 3 (29:46):
I think it's because I'm nervous, you know, because I'm
around you, and.
Speaker 4 (29:48):
They well, yeah, you know, the white code, you know,
is probably making you nervous. So, in fact, I even
stopped wearing a white coat for the longest time because
this white coat hypertension was technically a.
Speaker 3 (30:02):
Thing, and they still use that term.
Speaker 4 (30:05):
The problem is is I would tell patients, please check
your blood pressure at home, because if my white coat
is enough to make your blood pressure jump ten points,
fifteen points, twenty points, So what's happening when your mother
in law is calling, or your mom, or what's happening
when you're driving in your neighborhood and a kid loses
(30:26):
their ball in the middle of the street and you
have to slam on your brakes. You know, if if
your blood pressure is spiking you're watching a sexy movie,
then if a white coat is causing your blood pressure
to spike, that means your baseline might not be in
the control you need and so anybody with white coat
(30:47):
hypertension needs to have follow up. They have to be evaluated.
And and you know, blaming a white coat or in
laws that your body doesn't care because you're that high
blood pressure causes end organ damage.
Speaker 3 (31:02):
We call it end organ damage when the.
Speaker 4 (31:07):
Downstream part of that blood pressure affects the heart, affects
the brain, affects the kidneys, and it stinks because you
can't feel it.
Speaker 3 (31:15):
Now, some people can. When I have patients that say
my blood pressure is up, I could feel it.
Speaker 7 (31:19):
I believe them.
Speaker 3 (31:20):
I believe some people can feel it.
Speaker 4 (31:22):
But just because you don't feel it doesn't mean it's
not a thing, doesn't mean it's not affecting you.
Speaker 3 (31:29):
And that's what's frustrating.
Speaker 5 (31:31):
Now.
Speaker 4 (31:31):
I'm fortunate I get my blood pressure checked off and
Bloo presure high blood psure uns in the family, both
my mom and dad.
Speaker 3 (31:36):
But fortunately I've been lucky.
Speaker 4 (31:38):
I got my blood pressure checked every time I donate blood,
and so you know, I'm on top of it and.
Speaker 3 (31:43):
Every time I go to the doctor.
Speaker 4 (31:44):
But if you're not, if you don't have a regular
medical provider and you're not seeing the doctor or not
seeing somebody.
Speaker 3 (31:49):
Regularly, you need to get that done.
Speaker 4 (31:51):
One eight seven seven Doctor dollar, you don't go away.
Speaker 10 (32:02):
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Speaker 7 (33:59):
Five Fine three year back.
Speaker 4 (34:20):
I'm the doctadliusha, thank you are over tuning in one
eight seven seven docadolli one eight seven seven.
Speaker 3 (34:26):
D O c d A l I.
Speaker 4 (34:28):
So bird flu never went away and bird flu cases
are rising. This is expected with you know, the colder
time of year. In fact, we're hearing that countries have
started to call many of their birds that sadly, Germany
I think had to call half a million birds as
(34:50):
bird flu is spreading, routers is reporting. Europe is concerned
about this upcoming crisis, and you know countries are now
ordering poultry indoors to protect them from wild birds that.
Speaker 3 (35:04):
Can have the virus. Again, human risk is low, but
as we know, bird flu can.
Speaker 4 (35:12):
We believe, affect other animals, as we've seen with cows
and lambs and sheep, and we have seen some human
infections who have been working with with animals afflicted with
bird flu. So this even though bird flu I think
it killed one person last year and it can be deadly.
(35:34):
Right now in terms of overall risk of the human
population is still low, but it's something we want to
curb as quickly as possible, and so governments in the
poultry industry in Europe are getting very very nervous because
of the devastation and then you know, uh inability to
then your feet. We got Thanksgiving coming up, and you know,
(35:58):
people like their like their.
Speaker 3 (35:59):
Chicken and their poultry.
Speaker 4 (36:02):
They say the diseases caused fifty six outbreaks in ten
European Union countries and Britain. As you know, Britain brexited
from the European Union, and this has been just in
the timeframe from August to mid October. Poland, one of
the top European Union poultry producers, has been affected as
(36:22):
well Spain and Germany. And so seeing it come and
spread into ten countries this early in the season is
concerning and they are they do not want this to
resemble twenty twenty two, where we had the worst bird
flu crisis. Last year there were thirty one countries or
(36:44):
outbreaks in nine countries during the same period, so this
is already odd schedule to be more aggressive. In terms
of America, they say we are starting to see.
Speaker 3 (37:00):
Bird flu hit America.
Speaker 4 (37:02):
They say since September nearly ninety US chicken and turkey
flocks have experienced avian flu outbreaks. This has led to
the destruction of seven point four million birds. I've noticed
chicken things starting to cost more at the grocery store
as it pertains to this, you know, be aware of
egg prices. But sadly, I hate to see these these
(37:24):
animals die because there's a bird flu outbreak and they're
trying to in a way protect and slow the spread.
Speaker 3 (37:31):
We don't want to wait.
Speaker 4 (37:32):
Till an animal gets sick. Unfortunately, you know you can.
If there's you know, fewer hosts to take on the disease,
it doesn't spread. It's it's a very very sad reality.
But people ask why didn't ebola spread like COVID did
(37:52):
when Ebola was deadlier.
Speaker 3 (37:54):
Well, there's the answer.
Speaker 4 (37:56):
When you have something that is so deadly, uf fewer
hosts that could then stay alive and turn around and
spread it. So some of the deadliest diseases are are
even though COVID was deadly it if people are able
(38:19):
to still live and spread it, the disease can propagate.
More so, as bird flu outbreaks are now climbing in
not only Europe and other countries, but the US, this is.
Speaker 3 (38:33):
Obviously going to be a concern.
Speaker 4 (38:35):
They say waterbirds like geese and ducks are carrying avian
flu and it could affect commercial poultry. Now there's been
a lot of now criticism as to well what is
RFK junior doing. There was a movement to vaccinate our
(38:55):
poultry where if we needed to protect our poultry from
bird flu, farmers were hoping that we would have a vaccine.
Well not all farmers, but the hope was that they
could give their animals a vaccine. It could prevent those
animals from getting the bird flu. They don't have to
(39:17):
cull them or kill them, and then they could salvage
their yep, salvage their bottom line, salvage their animals and
be able to still function and produce our eggs and
chicken and poultry, etc.
Speaker 3 (39:34):
The problem was, if you.
Speaker 4 (39:35):
Remember we talked about this, this was I think a
couple of years ago, there was a hesitation for people
to want m RNA vaccinated poultry.
Speaker 3 (39:47):
The vaccine that they were going to work on.
Speaker 4 (39:50):
Which again the science bind an m RNA vaccine has
been around for decades.
Speaker 3 (39:55):
For a while, we used.
Speaker 4 (39:58):
It and we did emergency off theations and we fast
tracked the covid vaccine. There were side effects to the
covid vaccine, but I do believe the covid vaccine saved lives.
I just think it never should have been mandated because
there are side effects. The problem is is you have
a lot of people that do not trust the m
RNA technology. I'm comfortable with the MRA technology, but hesitation
(40:22):
remained because has it been you know, do we know
much about eating something that was vaccinated with it? You
know what what we we have a manipulation of m
RNA and DNA and and and or are our cytochromes
our cells RNA, and so some people have I'm comfortable
(40:42):
with it, but you know, having not handled my booster
well and having side effects from that, anybody that experienced
something you know, remotely similar, if not more severe than
you know, what I had with with my mRNA vaccine,
it it makes.
Speaker 3 (40:59):
People start to be or cautious. And so there's been
a growing.
Speaker 4 (41:04):
Call to not vaccinate or inject our animals that we're
eating Already, there's there's huge concerns over.
Speaker 3 (41:13):
The hormones and other things that we're ingesting.
Speaker 4 (41:15):
There's a huge demand for grass fed or non hormone
fed animals and organic foods and fewer pesticides, and so.
Speaker 3 (41:26):
I don't know where you know how much.
Speaker 4 (41:28):
Movement has been made on that. I do believe we
still should develop a vaccine. I think with the way,
with the way this avian flu keeps coming back, and
it seems to keep coming back stronger, the concept of
(41:49):
let's just kill the hosts so that we can minimize spread,
I don't think that's a viable option because the ava
you can't kill all the birds, and I don't I
definitely don't want that as a precedent set for future
infectious disease. And so I do believe a vaccine, and
(42:10):
I think even Trump was actually pro you know, vaccine
as it pertains to solving the bird flu crisis. So
I know people say, well, Trump's anti vaccine, not exactly.
I believe when this was happening, he was suggesting that
we do you find a way to attack this virus
(42:30):
head on, and in doing so that would involve fighting
fire with fire or pharmacologically getting a defense that involves immunity.
But we're I I don't know where we're moving on
that as of now. On top of that, we're still
(42:51):
in the shutdown, and this government shutdown is not going
away anytime soon. I think this is going to go
on for new least another week or two unfortunately, and
we're gonna be talking about that. The ramifications of that
have have been a disaster. So once the government reopens,
we do need to hear, uh, the farmers need to
(43:13):
hear what does the CDC and the FDA plan as
it pertains to what we can do now. There are
ways we can minimize risk in terms of our animals
not being having access to wild geese and wild birds,
ventilation systems, more room, you know in in the you
(43:33):
know there, there's there's a there's there's things.
Speaker 3 (43:36):
We can do.
Speaker 4 (43:37):
But I do eventually think we might need a vaccine
one eight seven seven.
Speaker 3 (43:41):
Doctor Lay Looking for an easy read that can actually
help secure someone's future, pick up a copy of Mark
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Speaker 5 (44:01):
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