July 28, 2025 • 27 mins
Send us a message with this link, we would love to hear from you. Standard message rates may apply.
We break down the key differences between Tylenol (acetaminophen) and NSAIDs (ibuprofen, naproxen, aspirin) to help you make informed decisions about which pain reliever is right for you. This evidence-based discussion draws from top medical sources to explain how these common medications work differently in your body.
• Tylenol works on perception of pain and fever in the brain but doesn't address inflammation
• NSAIDs reduce pain, fever AND inflammation by blocking the prostaglandin cascade
• Both medications are commonly used for everyday pain including headaches and general discomfort
• NSAIDs are usually more effective for inflammatory conditions like sprains, arthritis, and period cramps
• Tylenol's main risk is liver damage at high doses (max 4,000mg daily for most adults)
• NSAIDs can cause stomach ulcers, GI bleeding, increased blood pressure, and kidney problems
• Consider your medical history when choosing—liver issues (caution with Tylenol), stomach/heart/kidney problems (caution with NSAIDs)
• Age is a factor—older adults generally face higher risks with NSAIDs
• Taking NSAIDs with food can help reduce stomach problems
• Always read labels and follow dosing instructions carefully
Share this episode with friends or family who take these medications regularly to help them understand what they're putting in their bodies.
Production and Content: Edward Delesky, MD & Nicole Aruffo, RN
Artwork: Olivia Pawlowski
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:08):
Hi, welcome to your checkup.
We are the patient educationpodcast, where we bring
conversations from the doctor'soffice to your ears.
On this podcast, we try tobring medicine closer to its
patients.
I'm Ed Dolesky, a familymedicine doctor in the
Philadelphia area, and I'mNicola Ruffo.
I'm a nurse and we are soexcited you were able to join us
here again today.
This isn't my line.
(00:31):
This is from Mike.
He's getting an early shout outin this episode.
I don't know whether this cameout of his own mind or he saw
this somewhere, but it wascertainly a bad week to be an
alliterative celebrity.
Speaker 2 (00:43):
I feel like that came from his mind.
Speaker 1 (00:45):
I hope it did and like I hope he gets a kick that
like right from the jump.
He's getting credit for this.
Uh, you know, hulk Hogan passedaway and Ozzy Osbourne passed
away.
That's what we have to say.
Um, both are no longer with usand that's what happened.
Speaker 2 (01:09):
Also, was it one of the guys on the Cosby Show?
Oh yeah, I don't think he wasan alliterative celebrity,
though.
Speaker 1 (01:14):
He wasn't, so unfortunately for him.
And honoring or remembering hisname it doesn't quite fit what
we're trying to do here, as wereally, at the end of the day,
respect Mike's sense of humor.
Speaker 2 (01:27):
Yeah, it's a good one , it's a great one.
Speaker 1 (01:30):
So, yeah, that's that to open up the show here.
My second thing I have to talkabout is the social contract you
engage in when you sit in aspot at the beach.
Speaker 2 (01:43):
Yeah, yeah.
Speaker 1 (01:46):
Let me set the scene for you.
You go to the beach.
It's a wide open area.
It's during the week.
You pick one spot and there's noone around you beach is miles
long miles long, no one aroundmiles long, miles wide, and
there's no one around youwhatsoever.
And so then a small family,seemingly on their like cousin
with children, family reunion,decide to go 10 feet from you.
(02:09):
Now, they were nice, but Ican't help but think that now,
if my piece is being disturbed,I've entered into this tacit
social contract where if I getup and move, they know why.
Speaker 2 (02:28):
Yeah, who cares.
Do you remember Was it lastsummer?
I swear?
It was like every weekend wewere on a run.
It was like every weekend,every time we went to the beach
and sat down, there was likepeople or like a large family
who sat like extremely close tous, like we could lean over if
we've really like like extremelyclose to us, like we could lean
over if we've really likeleaned over and stretched, like
we could, you know, grab a snackfrom them maybe we smell good
(02:52):
we have moved before.
I don't care.
Get out of here so, like I, Ididn't come to the beach with a
kid.
I don't want to sit next to oneof them while they're crying
and be that close.
Get out of here, go somewhereelse.
Speaker 1 (03:09):
I was here first, but now, since you're here, I'll
leave it is a very like youcould sprinkle some of this on
me, because my perspective is Idon't want to offend these
strangers by moving no, theycommitted the first offense by
being too close to you.
I mean truly.
The most recent instance ofthis is like Since that happened
(03:30):
, because we realized that wewent to a congested part of the
beach.
The beach is miles long, but itwas thin, narrow beach.
So it makes sense to me thatthere's only so much real estate
in this area to do that.
But this one Very different.
We moved to a different beach.
It's much wider.
There is a lot more room.
They could have picked anywhere.
(03:50):
But then I got the good bit outof it.
The guy came over and hecomplimented my sandwich.
Speaker 2 (03:56):
It was a good sandwich.
Speaker 1 (03:58):
He just walked right up to me.
He was like my 11-year-old fatkid in me is screaming right now
when is that sandwich from?
Speaker 2 (04:07):
So jealous I can't believe he didn't bring a
sandwich home for me.
Speaker 1 (04:10):
You know, I did think about it.
There was a part of me when Iwas driving back thinking I
guess I should have brought hera sandwich home if I was here.
But then the other part of mewas.
Speaker 2 (04:20):
Well, you were making dinner and stuff.
Speaker 1 (04:21):
It is my personal duty that I have bestowed upon
myself to pick you up while youare injured with your toe.
Um, give an update to theaudience.
How's it, how's the toe going?
Speaker 2 (04:34):
Oh, the toes going great.
I put a shoe on for the firsttime this week.
Every day I wore a sneaker towork, so that was nice.
Speaker 1 (04:43):
That's great.
Speaker 2 (04:44):
Yeah.
Speaker 1 (04:45):
Road to recovery.
Speaker 2 (04:46):
Road to recovery.
I got some toe cages for thePeloton.
Speaker 1 (04:51):
What's a, what's a toe cage that you put on?
Speaker 2 (04:52):
for me what's a toe cage?
Yeah, um, it's a.
Is that what they're called Atoe cage, a shoe cage, a foot
cage?
Nicholas oh my God, like thething, you can wear a regular
sneaker and it just, you know,envelops your foot, instead of
(05:14):
putting on the narrow pelotonshoe and clipping in, because I
still can't put that kind ofshoe on yet yeah, that might be
a bit for that, but road torecovery road to recovery the
pinky toe is healing excellent.
Speaker 1 (05:30):
And then, um, this all happened on the same day.
I, we were walking back, but wegot back from the beach, or I
got back from the beach andwanted to go try like a balcony
bar, and you know, we getdressed up.
We kind of like flip ourselvesaround real quick and then we're
crossing the street and I seethis guy.
(05:50):
He's like an older gentleman,older than me and a little
disheveled looking maybe.
I walk up to him and hisbackpack is like totally open,
and I just like stand next tohim, we make eye contact and I'm
like, sir, your backpack isopen.
I'm not sure if that's how youlike it.
He looks at me.
You have a one count, two count, three count.
(06:13):
It's empty.
Speaker 2 (06:16):
Yeah, that's why you don't talk to anyone around here
.
We're not at the beach.
It is so funny how, like, whenwe go to the beach or like are
in the suburbs and we're likewalking all year or whatever,
and a random person walks by thelike high that you get when you
say hi to a stranger and theysay hi back is so funny oh, me
(06:37):
personally yeah, oh oh my god,yeah or like doing the wave when
someone drives by oh the, thewave with the drive-by is just.
Speaker 1 (06:47):
I have no idea who they are.
They could be the worst personon the planet, but they gave me
that wave.
Oh man, I love it.
It just gets me going, and thisreminds me that we were doing
this thing at the beach.
But we're driving, it's fun,this is innocent fun, and we're
driving the car.
I'm usually in the driver'sseat, you're in the passenger,
princess, and we just startwaving at oncoming cars and I
(07:11):
would say, like one out of everyfive, we get a good wave uh-huh
, we do that is exhilaratingbecause then you know they're
actually paying attention to youon the road.
Some people are just liketotally out there and they have
no idea what's going on.
But yeah, that wave is awesome,I love that wave.
Oh, my god, um, any meals ofnote this week?
Speaker 2 (07:34):
um well, you made a delicious sirloin the other
night like top tier that one wasthat time.
Butter, butter, that you did.
And then we went and got tom'sdim sum on friday after we
finally picked out our weddingbands.
That was a fun day look, youneed.
Speaker 1 (07:55):
That was fun.
I, that was really fun, they.
So our normal person who welike normally work with wasn't
there.
We thought she would be, but itwas her birthday and she left.
And then we got the guy whohelped our friend Dan pick out
his engagement ring for hisfiance.
And we were a little tepid atfirst, you know, because I was
like, oh, we like have thisrelationship with this woman.
(08:17):
She helped me get theengagement ring.
This guy made the sale and putit under her name and he was so
honest and he made it really fun.
Speaker 2 (08:25):
Yeah, that was really fun.
Speaker 1 (08:27):
We were in there for like almost two hours, maybe
like an hour and a half yeah,well, it's a big decision and,
uh, you know you want to make itright, but I think he brought
out the one you liked and oh mygod, I'm so obsessed.
Speaker 2 (08:37):
I can't wait to get it.
Speaker 1 (08:38):
I can't wait until it comes in yeah, I mean, you've
been looking at this video forlike 30 times, like 20 times a
day I love it.
You love it so much.
I is, you know, because theywere like hemming and hawing
over, like this style, thatstyle, and they're all kind of
similar and I felt okay aboutthem and like obviously they're
all beautiful, but he broughtout that one and that was it.
(09:00):
You just knew.
Yeah, big winner.
Big winner and then tom's dimsum, which they had some updates
.
We've talked about thisrestaurant before.
They are a dim sum restaurant.
They are all business, no fluff.
But there's a little ambiguityin our experience.
This time in the bottom rightcorner of our table was a qr
(09:23):
code oh yeah which I thought wasso on brand for them, given
that they're, like, all aboutefficiency like the least amount
of interaction you can have,the better yeah I love that but
they like, but they still cameover.
Yeah, that was great.
I love their crab rangoon, welove their cold noodle, the cold
noodle is delicious I miss thatplace.
Speaker 2 (09:44):
we hadn't been there, and well, because like I
couldn't walk there, so it wasalso like celebratory, because I
could finally walk to Tom's dimsum.
Speaker 1 (09:52):
Yeah.
Speaker 2 (09:52):
Which is like not the closest.
I mean easily, easily walkable.
Speaker 1 (09:57):
Sure, but I think it's over a mile, yeah, and we
weren't, you know, just tryingto be careful with the toe there
, yeah, speaking of toes, whenyou were Speaking of toes, well,
I don't know if we're gonna um,if, we dump right into it as a
transition point.
Speaker 2 (10:14):
But um, oh, oh, I see I see the segue.
Speaker 1 (10:15):
You see the segue going for, or do you want to
talk about amy bradley?
Speaker 2 (10:19):
oh we, how long has it been it's been about 10
minutes yeah, that's it.
Yeah, yeah, we can talk aboutamy bradley.
Where do we start?
I?
I mean, the biggest criminaloffense in that documentary was
that her parents named herbrother Brad Bradley.
Do you think his full firstgovernment name was Bradley
(10:42):
Bradley, or maybe he's like aBradford?
Speaker 1 (10:46):
Could be a Bradford Bradalosius.
That was bad.
Speaker 2 (10:51):
Brad Bradley.
Speaker 1 (10:53):
Bradlocious, that was bad, brad Bradley, bradley.
Speaker 2 (10:56):
Bradley.
Anyway, this girl goes missingon a cruise ship and then it's
like what time, huh, what timeLike set the scene.
What time it was like early inthe morning.
Speaker 1 (11:09):
No, like it didn't happen yesterday.
Oh, it was like I don't know,it's like early in the morning.
Speaker 2 (11:11):
no, like it didn't happen yesterday oh, it was like
I don't know early 2000s, rightlate 90s, oh, late 90s, yeah,
um, yeah, she was missing on acruise ship.
And then it's like did she jump, did she fall, did someone take
her?
And then, yeah, it was like itwas like spooky kind of and like
(11:37):
weird and like I was like Ilove like a murder documentary.
I love a scary movie.
I don't get like spooked andlike freaked out, but we like
watched the whole thing.
I think it was like threeepisodes.
We watched the whole thing,stayed up kind of late watching
it and then after I was like weneed to like put something funny
on, cause I'm going to haveweird dreams now we put on
(11:57):
modern family for a couple ofminutes.
Speaker 1 (12:00):
Yeah, very eerie.
I it was eerie because thisentire, like her parents are
still looking actively and thislike documentary comes out and
like drums up a whole bunch ofinterest and it's very
compelling like they bring in alot of supposed eyewitnesses who
claim to have seen her and youknow there are some nefarious
(12:22):
accusations about things thatmay have happened.
So I you know, if you're intothat sort of thing, it's on
Netflix.
Speaker 2 (12:29):
Yeah.
Speaker 1 (12:35):
Another reason to not go on a cruise.
Yeah, In the last month and ahalf we've been very down Arrow
pointing down on the cruises.
Speaker 2 (12:41):
Yeah, my arrow, I think, has always been down, but
that's just a personalpreference To each their own.
Speaker 1 (12:46):
But yeah, arrow continues to point down.
There's no law, it's a lawlessland in the middle of the ocean,
in the international watersyeah.
Speaker 2 (12:59):
And which impaired their ability to really go
looking for her a lot.
And then, I guess, at one pointthey had maybe some sort of
like evidence or like what dothey call it Reasonable cause,
or whatever that's not it Shadowof a doubt, or is that just a
colloquial thing?
No, that's a colloquial.
They, I guess, like otherwiselike would have had a reason to
(13:20):
go get the guitar player or liketake him in, like whatever.
But they like couldn't becausehe was like in another country,
and blah, blah blah yeah, spookystuff yeah don't love it and as
you.
Speaker 1 (13:38):
As we kind of talked about here, modern family has
become a really nice comfortshow.
Speaker 2 (13:41):
These guys are so funny yeah, I don't know if we
talked about this.
We may have.
You are phil dunphy, likeunironically, like I swear every
episode there's like somethingthat happens and I'm like I've.
I'm either like watching mylife or I'm watching my future
and like I love it.
Speaker 1 (14:03):
It's great.
What a terrific show we're onlyon season one, you know,
that'll be, I think, gooddownloadable content for our 30
hours of travel to our honeymoonoh, totally, I mean we're gonna
need, we're gonna need a lotand we need like chargers I also
(14:24):
like I feel like we need tosave up some stuff.
Speaker 2 (14:30):
I feel like we need to save up some stuff, like
we're really excited about thebiggest loser documentary
That'll kill an hour or so onthe plane, you know.
Speaker 1 (14:38):
I think there are a whole series that we can watch,
like we haven't seen Yellowstone.
Speaker 2 (14:43):
Yellowstone didn't grab me, I guess I could give it
a second chance.
Speaker 1 (14:47):
In part.
I feel like it's like the firsthundred pages of a book, like
if you push through, mightreally all right.
Speaker 2 (14:57):
Intern, just hopped up on the couch just because I
love when he's on the couch.
He's so cute so cute.
Speaker 1 (14:59):
I can't tell if the wet spots are like his pee or
his drool from licking that's socute.
Speaker 2 (15:05):
He like licks the couch no, I think it's from
licking his paws that was alittle itchy paws.
Yeah, let me take him back tothe vet to see.
I don't know if that zyrtec ishelping him a ton anymore anyway
well, it's not zyrtec oritching dog paws that we're
(15:27):
talking about a classic rivalry.
Maybe, perhaps.
The pharma rivalry the good oldTylenol or Advil, or Tylenol
and NSAIDs.
Which is better?
Speaker 1 (15:42):
Which is better, which is for you At the end of
the day.
You know that, of course, we'llalways say that becomes a
question between you and yourdoctor, but everything we talk
about today is from top tiersources like the American
Academy of Orthopedic Surgeons,american College of Sports
Medicine, cochran Reviews, newEngland Journal of Medicine and
the American Journal of ManagedCare is where we got all this
(16:06):
information to help with thisbreakdown today.
All this information to helpwith this breakdown today.
All right, so these are bothreally two really common
medicines that are used like allthe time by people.
They're also both over thecounter, which also sets the
stage for a decision to be madefor people, and my hope with
(16:26):
this episode is that we kind ofmake it a little more clear for
people how to make that decision.
Yeah, yeah, can you take us atthe beginning here?
So what exactly are thesemedicines in their most basic
form?
Speaker 2 (16:44):
Well, tylenol is also called acetaminophen and that
works on like fevers and pain,but not pain that comes from
inflammation.
And then NSAIDs are um, whatwould be ibuprofen, naproxen and
aspirin and they help with pain, fever and like swelling and
(17:05):
inflammation.
Speaker 1 (17:07):
Yeah, the like, the breakdown of these is actually
really interesting.
Um, in med school is one of thefirst lectures that we got
where the acetaminophen works inthe brain and it's like
someone's perception of pain iswhat it's working on and really
great for that as well as thefever.
So that was, I mean, reallyinteresting things.
(17:28):
And then the NSAIDs actuallyget at the specific.
There is like a breakdown,there is like the inflammation
cascade that happens and itimpairs an enzyme in that
cascade that stops theinflammation from happening and
so it really likemechanistically it really is
(17:48):
interesting.
I realize that might not beinteresting to everyone
listening.
They really kind of want to getthe nitty-gritty common uses
that people have.
So both are used for everydaypain.
People use them for headaches,fevers, dental pain, an ache, a
bump.
Nsaids usually are better for,like you mentioned, this
(18:11):
inflammatory pain.
So if something happens with asprain, there might be some
inflammation that happens afterthat.
There are many different typesof arthritis.
There are going to beosteoarthritis, rheumatoid
arthritis, so sometimesarthritis can be helped with
NSAIDs and then, interestingly,helped with NSAIDs and then,
(18:35):
interestingly, period cramps canalso be helped more by NSAIDs.
And that's because thatmolecule, the prostaglandin,
that's the molecule that is madein the inflammatory process
that NSAIDs help reduce.
Prostaglandins are one of themain players in causing the
discomfort with the period crampand so in that specific case,
(18:56):
if it's healthy for you andyou've talked to your doctor and
it makes sense, nsaids might begood for that situation.
Then there are certain thingslike we're going to talk about,
where people have certain sideeffects, where Tylenol.
You might need some help withdiscomfort, but Tylenol might
just be a better option for you.
So if you're someone who hasstomach issues, heart disease,
or if you're a little older,tylenol might just be your
(19:16):
friend, more so than an NSAIDlike ibuprofen, otherwise called
Advil, naproxen, otherwisecalled Naproxen, or Aleve.
So now that we've talked alittle bit about how they work
and sort of like what they kindof narrow down into what are the
side effects of each and thesafety.
So what are some risksassociated with Tylenol?
Speaker 2 (19:40):
So Tylenol is pretty safe if it's taken in the
recommended doses.
But in really high doses or inan overdose it can cause liver
damage and then, in rare cases,it can cause liver damage and
then in rare cases, it can causea severe skin reaction.
Speaker 1 (19:56):
Yeah, I would say you know a lot of people end up
thinking like if they have liverdisease, it's an important
conversation to have with yourdoctor about how much, if any,
tylenol is safe for you.
The top end recommended dosefor someone who doesn't have any
liver problems and it's listedon the box.
You can find this anywhereavailable online is 4,000
(20:17):
milligrams a day, and so oneTylenol tablet could be I mean a
regular one could be 325milligrams.
Another could be branded as 500milligrams.
I've also seen 625.
I've seen prescriptions writtenfor 1,000 milligrams of Tylenol
every eight hours or so, and sothe level of that is really
(20:39):
between you and your doctor orwhat you see available over the
counter, since you can go to thepharmacy and buy this.
But the point is just don't usetoo much and just be safe,
because there is an upper limit.
You can hurt yourself.
Acetaminophen toxicity issomething that takes people to
the hospital.
People do sometimes getadmitted to the intensive care
unit for this.
(20:59):
It is not an uncommon thing.
So when you have importanttools like this just available
in the pharmacy and you're goingto choose to do it yourself,
just be careful.
It's really the end of the dayand I'll take this next one.
The Tylenol risks we covered,but the NSAID risks are a little
bit wider and there are a fewmore of them.
So long-term consistent use cancause stomach ulcers.
(21:22):
It can kind of just sit in thestomach lining and it can cause
issues right there.
So that is something to beaware of.
It can increase the risk of GIbleeding and so I'm more so
thinking about aspirin in thissituation.
Aspirin is considered an NSAIDand it's a very important one.
It's used widely for a lot ofdifferent characteristics, like
(21:47):
it used to be used, likeeveryone used to take it once a
day for prevention of heartattack and stroke, and now
people have come back on thatrecommendation quite a bit.
Or if people have had a heartattack or a stroke, they use it
to prevent another one, andthat's something called
secondary prevention.
But it's a powerful medicine,even though it's kind of
available everywhere and you canget your hands on it, and it
(22:09):
can cause people to bleed more,and I mean not uncommonly.
You see people who have fallenand they hit their head and
they're on aspirin and thatleads to some bad things, or
they're having some GI bleeding,so like maybe they're pooping
blood and they're on aspirin andthat leads to some bad things,
or they're having some GIbleeding, so maybe they're
pooping blood and they're onaspirin.
It's something to think aboutso it's important.
It is a side effect that doeshappen, albeit not to everyone,
but it's something to thinkabout.
(22:30):
I've had a longtime now goodfriend, old patient of mine who
we were just working on hishypertension diagnosis, who you
know we were just working on hishypertension diagnosis and you
know we were going through thelitany of things and figuring
out like it took a couple visitsbut like why he had such high
blood pressure and turns out hehad hurt some part of his hand
(22:52):
maybe it was his thumb or hiswrist and he was taking a lot of
Advil every day, or maybenaproxen he was taking all day
to try to get through thediscomfort and it turns out that
was why his blood pressure waselevated.
And so this is a side effectthat can happen.
If you use it too much, toooften, it can worsen kidney
function and, like we saidbefore, slightly worsen bleeding
(23:16):
risk, especially if it'scombined with other blood
thinners, things like the namesof Eliquis Xeralto.
Really, just be careful.
If you're going to startcombining these medicines.
Ask your doctor if it's okay orif you have an ache or a pain.
If it's safe for you, maybe youjust think about taking Tylenol
.
So there are some keydifferences between these.
We're trying to keep thisepisode as much of a like
(23:38):
pitting one against the other.
So, nikki, why don't you takeus through some of the key
differences between these twomedicines?
Speaker 2 (23:46):
at the end of the day , Okay, well, not a difference,
but they both reduce pain andfever.
A difference for Tylenol isthat that's better for any kind
of well, not any kind of but youknow stomach issues and then
heart and kidney issues.
Tylenol would be better over anNSAID and then an NSAID would
(24:09):
be better for if you are havingany kind of swelling or
inflammation.
The liver risk is very rare inNSAIDs and can happen with
Tylenol at high doses.
Speaker 1 (24:22):
Yeah, I think that's just something to be careful of.
And so at the end of the day,when you're going back and forth
thinking which one should youchoose, I would invite you to
think about your medical history.
Do you have any liver problemsthat are underlying?
Have you been told you havekidney problems?
Do you know you have heartproblems or GI problems?
That information will helpinform one way or the other,
which medicine might be betterfor you.
(24:45):
Think about the type of pain youhave.
Is it about swelling or is itnot?
Think about how old you are,the amount of age I'm thinking
that Tylenol is often safer thanany of the NSAIDs in that class
of people as a broad, sweepinggeneralization.
And think about othermedications that you could be on
.
Think about blood thinners orother things that interact with
(25:05):
the kidney, like potentially adiuretic.
Sometimes with NSAIDs you cantake them with food as a useful
tip to kind of avoid the stomachproblems.
Always read the labels tofollow the dosing instructions
that are given.
So, after today's episode, ifyou ever stopped in a pharmacy
aisle wondering which bottle tograb, we hope that this episode
helped you, and if you've gotfriends or family who take these
(25:26):
every day you can send themthis episode so they can learn a
little bit more about whatthey're putting into their body.
Speaker 2 (25:32):
Are you a Tylenol or Advil guy?
Speaker 1 (25:37):
Well, so now they're making I'm a both, I'm a both
guy and um.
I don't know if I would likeyou know a formally tell someone
else to do this.
Um, I haven't had any of theside effects happen from advil
or naproxen, and so I feel thatcan help.
(26:00):
Given that their side effectprofiles are so different
sometimes, I will alternate ortake one over the other.
This is a pretty noncommittalanswer.
Speaker 2 (26:14):
What about you?
Well, I think I've both now,but for a long time I was like
strictly an Advil girly.
Speaker 1 (26:20):
Really I don't know why Headaches is one that they
really are commonly used for.
Speaker 2 (26:28):
Yeah, I think that's why, because I just, you know,
take it for my daily headaches.
Speaker 1 (26:35):
Thank you for coming back to another episode of your
Checkup.
Hopefully you were able tolearn something for yourself, a
loved one or a neighbor.
Share this episode with someoneif you feel like you learned
something today and, mostimportantly, stay healthy.
My friends, until next time.
I'm Ed Dolesky.
I'm Nicole Rufo.
Thank you, goodbye, bye.
(26:57):
This information may provide abrief overview of diagnosis,
treatment and medications.
It's not exhaustive and is atool to help you understand
potential options about yourhealth.
It doesn't cover all detailsabout conditions, treatments or
medications for a specificperson.
This is not medical advice oran attempt to substitute medical
advice.
You should contact a healthcareprovider for personalized
guidance based on your uniquecircumstances.
(27:19):
We explicitly disclaim anyliability relating to the
information given or its use.
This content doesn't endorseany treatments or medications
for a specific patient.
Always talk to your healthcareprovider for complete
information tailored to you.
In short, I'm not your doctor,I am not your nurse, and make
sure you go get your own checkupwith your own personal doctor.
Hi, welcome to your checkup.
We are the patient educationpodcast, where we bring
conversations from the doctor'soffice to your ears.
On this podcast, we try tobring medicine closer to its
patients.
I'm Ed Dolesky, a familymedicine doctor in the
Philadelphia area, and I'mNicola Ruffo.
I'm a nurse and we are soexcited you were able to join us
here again today.
This isn't my line.
(00:31):
This is from Mike.
He's getting an early shout outin this episode.
I don't know whether this cameout of his own mind or he saw
this somewhere, but it wascertainly a bad week to be an
alliterative celebrity.
Speaker 2 (00:43):
I feel like that came from his mind.
Speaker 1 (00:45):
I hope it did and like I hope he gets a kick that
like right from the jump.
He's getting credit for this.
Uh, you know, hulk Hogan passedaway and Ozzy Osbourne passed
away.
That's what we have to say.
Um, both are no longer with usand that's what happened.
Speaker 2 (01:09):
Also, was it one of the guys on the Cosby Show?
Oh yeah, I don't think he wasan alliterative celebrity,
though.
Speaker 1 (01:14):
He wasn't, so unfortunately for him.
And honoring or remembering hisname it doesn't quite fit what
we're trying to do here, as wereally, at the end of the day,
respect Mike's sense of humor.
Speaker 2 (01:27):
Yeah, it's a good one , it's a great one.
Speaker 1 (01:30):
So, yeah, that's that to open up the show here.
My second thing I have to talkabout is the social contract you
engage in when you sit in aspot at the beach.
Speaker 2 (01:43):
Yeah, yeah.
Speaker 1 (01:46):
Let me set the scene for you.
You go to the beach.
It's a wide open area.
It's during the week.
You pick one spot and there's noone around you beach is miles
long miles long, no one aroundmiles long, miles wide, and
there's no one around youwhatsoever.
And so then a small family,seemingly on their like cousin
with children, family reunion,decide to go 10 feet from you.
(02:09):
Now, they were nice, but Ican't help but think that now,
if my piece is being disturbed,I've entered into this tacit
social contract where if I getup and move, they know why.
Speaker 2 (02:28):
Yeah, who cares.
Do you remember Was it lastsummer?
I swear?
It was like every weekend wewere on a run.
It was like every weekend,every time we went to the beach
and sat down, there was likepeople or like a large family
who sat like extremely close tous, like we could lean over if
we've really like like extremelyclose to us, like we could lean
over if we've really likeleaned over and stretched, like
we could, you know, grab a snackfrom them maybe we smell good
(02:52):
we have moved before.
I don't care.
Get out of here so, like I, Ididn't come to the beach with a
kid.
I don't want to sit next to oneof them while they're crying
and be that close.
Get out of here, go somewhereelse.
Speaker 1 (03:09):
I was here first, but now, since you're here, I'll
leave it is a very like youcould sprinkle some of this on
me, because my perspective is Idon't want to offend these
strangers by moving no, theycommitted the first offense by
being too close to you.
I mean truly.
The most recent instance ofthis is like Since that happened
(03:30):
, because we realized that wewent to a congested part of the
beach.
The beach is miles long, but itwas thin, narrow beach.
So it makes sense to me thatthere's only so much real estate
in this area to do that.
But this one Very different.
We moved to a different beach.
It's much wider.
There is a lot more room.
They could have picked anywhere.
(03:50):
But then I got the good bit outof it.
The guy came over and hecomplimented my sandwich.
Speaker 2 (03:56):
It was a good sandwich.
Speaker 1 (03:58):
He just walked right up to me.
He was like my 11-year-old fatkid in me is screaming right now
when is that sandwich from?
Speaker 2 (04:07):
So jealous I can't believe he didn't bring a
sandwich home for me.
Speaker 1 (04:10):
You know, I did think about it.
There was a part of me when Iwas driving back thinking I
guess I should have brought hera sandwich home if I was here.
But then the other part of mewas.
Speaker 2 (04:20):
Well, you were making dinner and stuff.
Speaker 1 (04:21):
It is my personal duty that I have bestowed upon
myself to pick you up while youare injured with your toe.
Um, give an update to theaudience.
How's it, how's the toe going?
Speaker 2 (04:34):
Oh, the toes going great.
I put a shoe on for the firsttime this week.
Every day I wore a sneaker towork, so that was nice.
Speaker 1 (04:43):
That's great.
Speaker 2 (04:44):
Yeah.
Speaker 1 (04:45):
Road to recovery.
Speaker 2 (04:46):
Road to recovery.
I got some toe cages for thePeloton.
Speaker 1 (04:51):
What's a, what's a toe cage that you put on?
Speaker 2 (04:52):
for me what's a toe cage?
Yeah, um, it's a.
Is that what they're called Atoe cage, a shoe cage, a foot
cage?
Nicholas oh my God, like thething, you can wear a regular
sneaker and it just, you know,envelops your foot, instead of
(05:14):
putting on the narrow pelotonshoe and clipping in, because I
still can't put that kind ofshoe on yet yeah, that might be
a bit for that, but road torecovery road to recovery the
pinky toe is healing excellent.
Speaker 1 (05:30):
And then, um, this all happened on the same day.
I, we were walking back, but wegot back from the beach, or I
got back from the beach andwanted to go try like a balcony
bar, and you know, we getdressed up.
We kind of like flip ourselvesaround real quick and then we're
crossing the street and I seethis guy.
(05:50):
He's like an older gentleman,older than me and a little
disheveled looking maybe.
I walk up to him and hisbackpack is like totally open,
and I just like stand next tohim, we make eye contact and I'm
like, sir, your backpack isopen.
I'm not sure if that's how youlike it.
He looks at me.
You have a one count, two count, three count.
(06:13):
It's empty.
Speaker 2 (06:16):
Yeah, that's why you don't talk to anyone around here
.
We're not at the beach.
It is so funny how, like, whenwe go to the beach or like are
in the suburbs and we're likewalking all year or whatever,
and a random person walks by thelike high that you get when you
say hi to a stranger and theysay hi back is so funny oh, me
(06:37):
personally yeah, oh oh my god,yeah or like doing the wave when
someone drives by oh the, thewave with the drive-by is just.
Speaker 1 (06:47):
I have no idea who they are.
They could be the worst personon the planet, but they gave me
that wave.
Oh man, I love it.
It just gets me going, and thisreminds me that we were doing
this thing at the beach.
But we're driving, it's fun,this is innocent fun, and we're
driving the car.
I'm usually in the driver'sseat, you're in the passenger,
princess, and we just startwaving at oncoming cars and I
(07:11):
would say, like one out of everyfive, we get a good wave uh-huh
, we do that is exhilaratingbecause then you know they're
actually paying attention to youon the road.
Some people are just liketotally out there and they have
no idea what's going on.
But yeah, that wave is awesome,I love that wave.
Oh, my god, um, any meals ofnote this week?
Speaker 2 (07:34):
um well, you made a delicious sirloin the other
night like top tier that one wasthat time.
Butter, butter, that you did.
And then we went and got tom'sdim sum on friday after we
finally picked out our weddingbands.
That was a fun day look, youneed.
Speaker 1 (07:55):
That was fun.
I, that was really fun, they.
So our normal person who welike normally work with wasn't
there.
We thought she would be, but itwas her birthday and she left.
And then we got the guy whohelped our friend Dan pick out
his engagement ring for hisfiance.
And we were a little tepid atfirst, you know, because I was
like, oh, we like have thisrelationship with this woman.
(08:17):
She helped me get theengagement ring.
This guy made the sale and putit under her name and he was so
honest and he made it really fun.
Speaker 2 (08:25):
Yeah, that was really fun.
Speaker 1 (08:27):
We were in there for like almost two hours, maybe
like an hour and a half yeah,well, it's a big decision and,
uh, you know you want to make itright, but I think he brought
out the one you liked and oh mygod, I'm so obsessed.
Speaker 2 (08:37):
I can't wait to get it.
Speaker 1 (08:38):
I can't wait until it comes in yeah, I mean, you've
been looking at this video forlike 30 times, like 20 times a
day I love it.
You love it so much.
I is, you know, because theywere like hemming and hawing
over, like this style, thatstyle, and they're all kind of
similar and I felt okay aboutthem and like obviously they're
all beautiful, but he broughtout that one and that was it.
(09:00):
You just knew.
Yeah, big winner.
Big winner and then tom's dimsum, which they had some updates
.
We've talked about thisrestaurant before.
They are a dim sum restaurant.
They are all business, no fluff.
But there's a little ambiguityin our experience.
This time in the bottom rightcorner of our table was a qr
(09:23):
code oh yeah which I thought wasso on brand for them, given
that they're, like, all aboutefficiency like the least amount
of interaction you can have,the better yeah I love that but
they like, but they still cameover.
Yeah, that was great.
I love their crab rangoon, welove their cold noodle, the cold
noodle is delicious I miss thatplace.
Speaker 2 (09:44):
we hadn't been there, and well, because like I
couldn't walk there, so it wasalso like celebratory, because I
could finally walk to Tom's dimsum.
Speaker 1 (09:52):
Yeah.
Speaker 2 (09:52):
Which is like not the closest.
I mean easily, easily walkable.
Speaker 1 (09:57):
Sure, but I think it's over a mile, yeah, and we
weren't, you know, just tryingto be careful with the toe there
, yeah, speaking of toes, whenyou were Speaking of toes, well,
I don't know if we're gonna um,if, we dump right into it as a
transition point.
Speaker 2 (10:14):
But um, oh, oh, I see I see the segue.
Speaker 1 (10:15):
You see the segue going for, or do you want to
talk about amy bradley?
Speaker 2 (10:19):
oh we, how long has it been it's been about 10
minutes yeah, that's it.
Yeah, yeah, we can talk aboutamy bradley.
Where do we start?
I?
I mean, the biggest criminaloffense in that documentary was
that her parents named herbrother Brad Bradley.
Do you think his full firstgovernment name was Bradley
(10:42):
Bradley, or maybe he's like aBradford?
Speaker 1 (10:46):
Could be a Bradford Bradalosius.
That was bad.
Speaker 2 (10:51):
Brad Bradley.
Speaker 1 (10:53):
Bradlocious, that was bad, brad Bradley, bradley.
Speaker 2 (10:56):
Bradley.
Anyway, this girl goes missingon a cruise ship and then it's
like what time, huh, what timeLike set the scene.
What time it was like early inthe morning.
Speaker 1 (11:09):
No, like it didn't happen yesterday.
Oh, it was like I don't know,it's like early in the morning.
Speaker 2 (11:11):
no, like it didn't happen yesterday oh, it was like
I don't know early 2000s, rightlate 90s, oh, late 90s, yeah,
um, yeah, she was missing on acruise ship.
And then it's like did she jump, did she fall, did someone take
her?
And then, yeah, it was like itwas like spooky kind of and like
(11:37):
weird and like I was like Ilove like a murder documentary.
I love a scary movie.
I don't get like spooked andlike freaked out, but we like
watched the whole thing.
I think it was like threeepisodes.
We watched the whole thing,stayed up kind of late watching
it and then after I was like weneed to like put something funny
on, cause I'm going to haveweird dreams now we put on
(11:57):
modern family for a couple ofminutes.
Speaker 1 (12:00):
Yeah, very eerie.
I it was eerie because thisentire, like her parents are
still looking actively and thislike documentary comes out and
like drums up a whole bunch ofinterest and it's very
compelling like they bring in alot of supposed eyewitnesses who
claim to have seen her and youknow there are some nefarious
(12:22):
accusations about things thatmay have happened.
So I you know, if you're intothat sort of thing, it's on
Netflix.
Speaker 2 (12:29):
Yeah.
Speaker 1 (12:35):
Another reason to not go on a cruise.
Yeah, In the last month and ahalf we've been very down Arrow
pointing down on the cruises.
Speaker 2 (12:41):
Yeah, my arrow, I think, has always been down, but
that's just a personalpreference To each their own.
Speaker 1 (12:46):
But yeah, arrow continues to point down.
There's no law, it's a lawlessland in the middle of the ocean,
in the international watersyeah.
Speaker 2 (12:59):
And which impaired their ability to really go
looking for her a lot.
And then, I guess, at one pointthey had maybe some sort of
like evidence or like what dothey call it Reasonable cause,
or whatever that's not it Shadowof a doubt, or is that just a
colloquial thing?
No, that's a colloquial.
They, I guess, like otherwiselike would have had a reason to
(13:20):
go get the guitar player or liketake him in, like whatever.
But they like couldn't becausehe was like in another country,
and blah, blah blah yeah, spookystuff yeah don't love it and as
you.
Speaker 1 (13:38):
As we kind of talked about here, modern family has
become a really nice comfortshow.
Speaker 2 (13:41):
These guys are so funny yeah, I don't know if we
talked about this.
We may have.
You are phil dunphy, likeunironically, like I swear every
episode there's like somethingthat happens and I'm like I've.
I'm either like watching mylife or I'm watching my future
and like I love it.
Speaker 1 (14:03):
It's great.
What a terrific show we're onlyon season one, you know,
that'll be, I think, gooddownloadable content for our 30
hours of travel to our honeymoonoh, totally, I mean we're gonna
need, we're gonna need a lotand we need like chargers I also
(14:24):
like I feel like we need tosave up some stuff.
Speaker 2 (14:30):
I feel like we need to save up some stuff, like
we're really excited about thebiggest loser documentary
That'll kill an hour or so onthe plane, you know.
Speaker 1 (14:38):
I think there are a whole series that we can watch,
like we haven't seen Yellowstone.
Speaker 2 (14:43):
Yellowstone didn't grab me, I guess I could give it
a second chance.
Speaker 1 (14:47):
In part.
I feel like it's like the firsthundred pages of a book, like
if you push through, mightreally all right.
Speaker 2 (14:57):
Intern, just hopped up on the couch just because I
love when he's on the couch.
He's so cute so cute.
Speaker 1 (14:59):
I can't tell if the wet spots are like his pee or
his drool from licking that's socute.
Speaker 2 (15:05):
He like licks the couch no, I think it's from
licking his paws that was alittle itchy paws.
Yeah, let me take him back tothe vet to see.
I don't know if that zyrtec ishelping him a ton anymore anyway
well, it's not zyrtec oritching dog paws that we're
(15:27):
talking about a classic rivalry.
Maybe, perhaps.
The pharma rivalry the good oldTylenol or Advil, or Tylenol
and NSAIDs.
Which is better?
Speaker 1 (15:42):
Which is better, which is for you At the end of
the day.
You know that, of course, we'llalways say that becomes a
question between you and yourdoctor, but everything we talk
about today is from top tiersources like the American
Academy of Orthopedic Surgeons,american College of Sports
Medicine, cochran Reviews, newEngland Journal of Medicine and
the American Journal of ManagedCare is where we got all this
(16:06):
information to help with thisbreakdown today.
All this information to helpwith this breakdown today.
All right, so these are bothreally two really common
medicines that are used like allthe time by people.
They're also both over thecounter, which also sets the
stage for a decision to be madefor people, and my hope with
(16:26):
this episode is that we kind ofmake it a little more clear for
people how to make that decision.
Yeah, yeah, can you take us atthe beginning here?
So what exactly are thesemedicines in their most basic
form?
Speaker 2 (16:44):
Well, tylenol is also called acetaminophen and that
works on like fevers and pain,but not pain that comes from
inflammation.
And then NSAIDs are um, whatwould be ibuprofen, naproxen and
aspirin and they help with pain, fever and like swelling and
(17:05):
inflammation.
Speaker 1 (17:07):
Yeah, the like, the breakdown of these is actually
really interesting.
Um, in med school is one of thefirst lectures that we got
where the acetaminophen works inthe brain and it's like
someone's perception of pain iswhat it's working on and really
great for that as well as thefever.
So that was, I mean, reallyinteresting things.
(17:28):
And then the NSAIDs actuallyget at the specific.
There is like a breakdown,there is like the inflammation
cascade that happens and itimpairs an enzyme in that
cascade that stops theinflammation from happening and
so it really likemechanistically it really is
(17:48):
interesting.
I realize that might not beinteresting to everyone
listening.
They really kind of want to getthe nitty-gritty common uses
that people have.
So both are used for everydaypain.
People use them for headaches,fevers, dental pain, an ache, a
bump.
Nsaids usually are better for,like you mentioned, this
(18:11):
inflammatory pain.
So if something happens with asprain, there might be some
inflammation that happens afterthat.
There are many different typesof arthritis.
There are going to beosteoarthritis, rheumatoid
arthritis, so sometimesarthritis can be helped with
NSAIDs and then, interestingly,helped with NSAIDs and then,
(18:35):
interestingly, period cramps canalso be helped more by NSAIDs.
And that's because thatmolecule, the prostaglandin,
that's the molecule that is madein the inflammatory process
that NSAIDs help reduce.
Prostaglandins are one of themain players in causing the
discomfort with the period crampand so in that specific case,
(18:56):
if it's healthy for you andyou've talked to your doctor and
it makes sense, nsaids might begood for that situation.
Then there are certain thingslike we're going to talk about,
where people have certain sideeffects, where Tylenol.
You might need some help withdiscomfort, but Tylenol might
just be a better option for you.
So if you're someone who hasstomach issues, heart disease,
or if you're a little older,tylenol might just be your
(19:16):
friend, more so than an NSAIDlike ibuprofen, otherwise called
Advil, naproxen, otherwisecalled Naproxen, or Aleve.
So now that we've talked alittle bit about how they work
and sort of like what they kindof narrow down into what are the
side effects of each and thesafety.
So what are some risksassociated with Tylenol?
Speaker 2 (19:40):
So Tylenol is pretty safe if it's taken in the
recommended doses.
But in really high doses or inan overdose it can cause liver
damage and then, in rare cases,it can cause liver damage and
then in rare cases, it can causea severe skin reaction.
Speaker 1 (19:56):
Yeah, I would say you know a lot of people end up
thinking like if they have liverdisease, it's an important
conversation to have with yourdoctor about how much, if any,
tylenol is safe for you.
The top end recommended dosefor someone who doesn't have any
liver problems and it's listedon the box.
You can find this anywhereavailable online is 4,000
(20:17):
milligrams a day, and so oneTylenol tablet could be I mean a
regular one could be 325milligrams.
Another could be branded as 500milligrams.
I've also seen 625.
I've seen prescriptions writtenfor 1,000 milligrams of Tylenol
every eight hours or so, and sothe level of that is really
(20:39):
between you and your doctor orwhat you see available over the
counter, since you can go to thepharmacy and buy this.
But the point is just don't usetoo much and just be safe,
because there is an upper limit.
You can hurt yourself.
Acetaminophen toxicity issomething that takes people to
the hospital.
People do sometimes getadmitted to the intensive care
unit for this.
(20:59):
It is not an uncommon thing.
So when you have importanttools like this just available
in the pharmacy and you're goingto choose to do it yourself,
just be careful.
It's really the end of the dayand I'll take this next one.
The Tylenol risks we covered,but the NSAID risks are a little
bit wider and there are a fewmore of them.
So long-term consistent use cancause stomach ulcers.
(21:22):
It can kind of just sit in thestomach lining and it can cause
issues right there.
So that is something to beaware of.
It can increase the risk of GIbleeding and so I'm more so
thinking about aspirin in thissituation.
Aspirin is considered an NSAIDand it's a very important one.
It's used widely for a lot ofdifferent characteristics, like
(21:47):
it used to be used, likeeveryone used to take it once a
day for prevention of heartattack and stroke, and now
people have come back on thatrecommendation quite a bit.
Or if people have had a heartattack or a stroke, they use it
to prevent another one, andthat's something called
secondary prevention.
But it's a powerful medicine,even though it's kind of
available everywhere and you canget your hands on it, and it
(22:09):
can cause people to bleed more,and I mean not uncommonly.
You see people who have fallenand they hit their head and
they're on aspirin and thatleads to some bad things, or
they're having some GI bleeding,so like maybe they're pooping
blood and they're on aspirin andthat leads to some bad things,
or they're having some GIbleeding, so maybe they're
pooping blood and they're onaspirin.
It's something to think aboutso it's important.
It is a side effect that doeshappen, albeit not to everyone,
but it's something to thinkabout.
(22:30):
I've had a longtime now goodfriend, old patient of mine who
we were just working on hishypertension diagnosis, who you
know we were just working on hishypertension diagnosis and you
know we were going through thelitany of things and figuring
out like it took a couple visitsbut like why he had such high
blood pressure and turns out hehad hurt some part of his hand
(22:52):
maybe it was his thumb or hiswrist and he was taking a lot of
Advil every day, or maybenaproxen he was taking all day
to try to get through thediscomfort and it turns out that
was why his blood pressure waselevated.
And so this is a side effectthat can happen.
If you use it too much, toooften, it can worsen kidney
function and, like we saidbefore, slightly worsen bleeding
(23:16):
risk, especially if it'scombined with other blood
thinners, things like the namesof Eliquis Xeralto.
Really, just be careful.
If you're going to startcombining these medicines.
Ask your doctor if it's okay orif you have an ache or a pain.
If it's safe for you, maybe youjust think about taking Tylenol
.
So there are some keydifferences between these.
We're trying to keep thisepisode as much of a like
(23:38):
pitting one against the other.
So, nikki, why don't you takeus through some of the key
differences between these twomedicines?
Speaker 2 (23:46):
at the end of the day , Okay, well, not a difference,
but they both reduce pain andfever.
A difference for Tylenol isthat that's better for any kind
of well, not any kind of but youknow stomach issues and then
heart and kidney issues.
Tylenol would be better over anNSAID and then an NSAID would
(24:09):
be better for if you are havingany kind of swelling or
inflammation.
The liver risk is very rare inNSAIDs and can happen with
Tylenol at high doses.
Speaker 1 (24:22):
Yeah, I think that's just something to be careful of.
And so at the end of the day,when you're going back and forth
thinking which one should youchoose, I would invite you to
think about your medical history.
Do you have any liver problemsthat are underlying?
Have you been told you havekidney problems?
Do you know you have heartproblems or GI problems?
That information will helpinform one way or the other,
which medicine might be betterfor you.
(24:45):
Think about the type of pain youhave.
Is it about swelling or is itnot?
Think about how old you are,the amount of age I'm thinking
that Tylenol is often safer thanany of the NSAIDs in that class
of people as a broad, sweepinggeneralization.
And think about othermedications that you could be on
.
Think about blood thinners orother things that interact with
(25:05):
the kidney, like potentially adiuretic.
Sometimes with NSAIDs you cantake them with food as a useful
tip to kind of avoid the stomachproblems.
Always read the labels tofollow the dosing instructions
that are given.
So, after today's episode, ifyou ever stopped in a pharmacy
aisle wondering which bottle tograb, we hope that this episode
helped you, and if you've gotfriends or family who take these
(25:26):
every day you can send themthis episode so they can learn a
little bit more about whatthey're putting into their body.
Speaker 2 (25:32):
Are you a Tylenol or Advil guy?
Speaker 1 (25:37):
Well, so now they're making I'm a both, I'm a both
guy and um.
I don't know if I would likeyou know a formally tell someone
else to do this.
Um, I haven't had any of theside effects happen from advil
or naproxen, and so I feel thatcan help.
(26:00):
Given that their side effectprofiles are so different
sometimes, I will alternate ortake one over the other.
This is a pretty noncommittalanswer.
Speaker 2 (26:14):
What about you?
Well, I think I've both now,but for a long time I was like
strictly an Advil girly.
Speaker 1 (26:20):
Really I don't know why Headaches is one that they
really are commonly used for.
Speaker 2 (26:28):
Yeah, I think that's why, because I just, you know,
take it for my daily headaches.
Speaker 1 (26:35):
Thank you for coming back to another episode of your
Checkup.
Hopefully you were able tolearn something for yourself, a
loved one or a neighbor.
Share this episode with someoneif you feel like you learned
something today and, mostimportantly, stay healthy.
My friends, until next time.
I'm Ed Dolesky.
I'm Nicole Rufo.
Thank you, goodbye, bye.
(26:57):
This information may provide abrief overview of diagnosis,
treatment and medications.
It's not exhaustive and is atool to help you understand
potential options about yourhealth.
It doesn't cover all detailsabout conditions, treatments or
medications for a specificperson.
This is not medical advice oran attempt to substitute medical
advice.
You should contact a healthcareprovider for personalized
guidance based on your uniquecircumstances.
(27:19):
We explicitly disclaim anyliability relating to the
information given or its use.
This content doesn't endorseany treatments or medications
for a specific patient.
Always talk to your healthcareprovider for complete
information tailored to you.
In short, I'm not your doctor,I am not your nurse, and make
sure you go get your own checkupwith your own personal doctor.
Popular Podcasts
Stuff You Should Know
If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.
Dateline NBC
Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Follow now to get the latest episodes of Dateline NBC completely free, or subscribe to Dateline Premium for ad-free listening and exclusive bonus content: DatelinePremium.com
The Breakfast Club
The World's Most Dangerous Morning Show, The Breakfast Club, With DJ Envy, Jess Hilarious, And Charlamagne Tha God!