May 31, 2026 • 41 mins
With it being the last day of May, Dr. Galati talks about June being Men’s Health Awareness Month. He explains his high-level sense of what this means. Two members of his practice, Natalie Oliver and Swara Modi, join to talk about food and nutrition. Dr. Galati also talks about the emotions now that he is a grandfather.
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Speaker 1 (00:01):
Initial life sequence.
Speaker 2 (00:04):
Coming to you live from Houston, Texas, home to the
world's largest medical center.
Speaker 1 (00:08):
In the approach phase. Everything looking to you.
Speaker 2 (00:19):
This is your Health First, the most beneficial health program
on radio with doctor Joe Gillotti. During the next hour,
you'll learn about health, wellness and the provention of disease.
Now here's your host, doctor Joe Bellotti.
Speaker 1 (00:45):
Well, a good Sunday evening to everybody.
Speaker 3 (00:48):
Doctor Joe Gallotti, I hope you had a marvelous weekend
so far. Nice and warm here in the Gulf Coast area.
I was talking to my sister on Saturday and she
was she was at one of her grandkids softball games
(01:12):
in the middle of the afternoon on Saturday.
Speaker 1 (01:13):
And she said, it's freezing here.
Speaker 3 (01:16):
I said, you must be kidding me, but it was cold,
it was damp, sort of unusual New York weather. But
we get a little bit spoiled here in the Gulf
Coast where we are broadcasting from live every Sunday evening
between seven and eight pm Central Time. Our home station
is seven forty KTHM. We're broadcasting globally on the iHeartRadio network,
(01:45):
which you can get online. So there's never ever, ever
an excuse not to catch your health first. No matter
where you are on vacation, business trip, you're at your
mother in law's, you could always catch your health first
seven o'clock Central, eightp in the East. To make you
(02:06):
better consumers of healthcare. That is what we've been saying
for twenty three odd years every Sunday evening. Don't forget
Doctor Joe Galotti d R J O E G A
L A TI dot com is our website. Once you
go there, it's sound for our newsletter which goes out
(02:27):
every Saturday morning. All of our social media is there,
our podcast is there, YouTube, Our practice website is linked there.
If you have any liver digestive issues, fatty liver zorosis,
liver cancer, alcohol related liver disease, that is the place
(02:49):
to go Doctor Joegalotti dot com. All right, So on
the program coming up just in a little while. Two
of my out standing staff at the practice suare Mode
she is new to our practice, and Natalie Oliver previously Amante.
(03:13):
She got married and changed her name Oliver Oliver O L.
Speaker 1 (03:18):
I V E R.
Speaker 3 (03:20):
I don't know how she did that, but that is
the truth. They They will be coming on and more
of a casual conversation tonight about some of the observations
we make with regard to our patients and food and
nutrition and what our patients are telling us. Because yes,
(03:43):
we study textbooks, read the literature, participate in research, but
our greatest attribute in a sense, is listening to our patients,
listening to all of you, and that's where we really
learn what is going on out there when you're not
visiting with us in the office, What are people doing,
(04:06):
what are people thinking? And it's look, I've said this
a whole bunch. Nobody wakes up in the morning, they
take the junk out of their eye, they brush their teeth,
they put their coffee on, they look in the mirror
and they say, how can I hurt myself today? How
(04:27):
could I do something that's harmful? I would say that
is the absolute fraction of a percent people that for
whatever reason, just don't like themselves. But for most people,
they honestly want to pretty much do okay. They want
to try and do the right thing. But if if
(04:48):
you do not know that a certain habit, a certain
food you're doing, you're eating is not healthy for the
conditions that you may have, then you're really in a
sense harming yourself or at least not doing the right
thing to make yourself well. And so sort of a
(05:12):
long winded introduction for the two of them. They'll be
coming on a little bit later, and I would say
both can articulate what's happening, and I look forward to
seeing them on here. And again, don't forget doctor Joegalotti
dot com is our website. So we're almost Today's the
last day of May, believe it or not, so on Monday,
(05:37):
tomorrow's June one. And what I like to do is
there are all of these health awareness months or weeks. Okay,
so the month of June is Men's health Awareness, and
when you search online men's health Awareness months, I would
(05:59):
say the websites that are out there are not all
that great. You may have one from University of Indiana
and there'll be a video of a doctor pretty much
saying what you need to do to honor Men's Health
(06:19):
Awareness Month. There may be something from some local plumbers union,
God's honest truth talking about what their members should do
for health awareness. So there's really no organized approach for
men's health awareness where I could say go to this
(06:40):
website and you'll get a laundry list of what really
needs to be done if you don't already know right now,
So let me just give you a very high level
sense of what I think men's health awareness is now
(07:00):
everyone is familiar with. And this was a commercial that
was hatched probably in the late seventies or early eighties,
and I think I think it was for tailanol. A
pseudomenaphin if anybody if I'm wrong, I'll have to research
(07:21):
this out. It was doctor mom. There was some drug
product over the counter where there was this mom and
they sort of described her as doctor mom. And I
think that was the first time that was ever that
phraseology was ever used, doctor mom. But the truth of
the matter is women take care of our children ninety
(07:44):
five percent of the time, and.
Speaker 1 (07:45):
They also.
Speaker 3 (07:47):
In a sense oversee the health of the family, which
includes the men, the men in the household and or
maybe their father or brothers. Okay, so that's doctor mom.
But anyway, what is it about men's health awareness that
men should be aware of? And really my point was
(08:09):
for the women listening, you are doctor mom.
Speaker 4 (08:14):
Now.
Speaker 3 (08:14):
A lot of women come to the office and basically
they shrug their shoulders. Now, they love their husbands. I'm
not saying they just show up and don't like these guys,
but there are really two types. Some of them show
up and they sit in the corner or slightly out
of sight of, you know, me talking to the patient
(08:35):
who happens to be a fifty year old guy, and
when we're talking about certain healthy habits, they're shaking their head,
they're giving me hand gestures. So there are those women
that in a sense or just you know, they're not
going to babysit their husband. On the other hand, there
are women that are aggressively intervening with the men in
(09:00):
their lives. So I'm appealing to everybody right now. So
with regard to men's health, Number one, and this is
in no particular order, you all have to be honest
about your weight. Because where there is a state of
(09:20):
being overweight, obese, or morbidly obese, which again these different
categories are going to be based on your body mass index.
If your normal weight overweight, obese, or morbidly obese, that
is going to be the driver for a wide range
(09:42):
of chronic disease that is going to make you sick,
and it's going to cut down on your life expectancy.
It's going to add to disability or your inability to
do stuff, work, fish, go on vacation, make money. It's
(10:02):
going to impact your life somehow. It may also make
you very depressed about your health that you can't do
the things you did five or ten or fifteen years ago.
So the honest opinion is, look in the mirror and
step on the scale. Now there are you could just
(10:24):
google BMI calculator body mass index calculator. Now there are
other calculations to calculate or determine if a person is
normal weight, overweight, or obese, and it has to do
with the hip and waste circumference and your height, other
(10:51):
other calculations, but BMI is probably the easiest, most available.
And if you are overweight or obese or god forbid,
morbidly obese, your health is going to be significantly at
risk or hypertension, high blood pressure. So where's high blood pressure,
there's carnary artery disease, there's heart failure, there's stroke. When
(11:17):
you're overweight or obese, there is the risk of developing
type two diabetes that leads to cardiovascular disease, stroke, heart attack,
kidney failure, nerve damage, increase risk of cognitive dysfunction, dementia.
Speaker 1 (11:36):
There is the risk of just fatty liver.
Speaker 3 (11:39):
I shouldn't say just fatty liver. Fatty liver is what
we predominantly take care of here, which is the leading
cause of cirrhosis. So when you look at men's health awareness,
and if you are the man in charge of your
own health and or doctor mom, your significant other is
(12:00):
getting on the weight and having a realistic approach to
what your weight is. The other thing is, and I've
said this many many times, I believe and I encourage everybody,
regardless of your health status, to have a blood pressure
cuff in your house. And if you have hypertension and
you're on treatment, you should still be taking your blood pressure,
(12:24):
if not daily, several times per week to see that
the medicine you're taking is controlling it. If it's not well,
you have to go see your doctor and talk about it.
If you don't have high blood pressure, and it is
true that the older we get, the risk of blood
pressure problems goes up. You may say, well, yeah, I've
(12:48):
been checking my blood pressure for the last eight years
and it's always normal. Well on that ninth year or
the tenth year, it may go up. So you want
to take a look and make sure you're monitoring your
blood pressure. You know, there's there's no check engine panel
on the human body. You have to just intuitively, you know,
(13:11):
sort of take care of things. Well, what we're gonna do?
Speaker 1 (13:14):
I see that we need to take a break here.
Speaker 3 (13:19):
All right, we're gonna I think there's enough here that
when we come back before the break, we'll finish up
on sort of this men's health awareness. But really, at
the end of the day, this is what we do
on this program to make you better consumers.
Speaker 1 (13:34):
All right, I'm.
Speaker 3 (13:35):
Doctor Joe Glotti. Stay tuned, we'll brought back. Welcome back everybody,
doctor Joe Galotti rolling around on this Sunday evening. The
name of the program is Your Health First. We hear
every Sunday between seven and eight pm. And don't forget
doctor Joegalotti dot com is our website, d R j
(13:57):
Oe G. A l Ai dot com. All right, so
we were chatting about men's health awareness a month and
we got about four and a half minutes here before
the news break. So weigh yourself. Number two, know your
blood pressure. The other thing is knowing your labs. Is
(14:17):
your cholesterol elevated Now, there have been a number of
new guidelines that have come out recently. I would refer
you all to our podcast from a few weeks ago
where I had doctor Joe Rodgers talking about cholesterol and
(14:38):
blood pressure. I mean, we bring the best experts here
on the program. Doctor Rogers is a world renowned cardiologist
and happens to be across the street from us at
the Texas Heart Institute at Bailey College of Medicine. But anyway,
I would reference you back to the interview I had
with him, which is posted on a podcast. The latest
(15:01):
issue is we all have known the good cholesterol, the
bad cholesterol, and your ratio and things like that. That
sort of is old thinking. The big emphasis now is
on your LDL cholesterol. That's the bad cholesterol. And I
see patients every single day walking into the office with
(15:24):
fatty liver diabetes and they're overweight with LDL cholesterols of
one hundred, one hundred and forty. The guidelines are that
it should be less than fifty five or lower, especially
if you have a risk factor you have hypertension and
pre diabetes or diabetes, so you have to look on
(15:50):
your phone, look at my chart, your printed medical records
that you may have, and look specifically for LDL cholesterol
and if it is above fifty five, you really need
to check in with your primary care doctor, your internist,
you're cardiologist if you see one and say are you
(16:11):
familiar with the latest guidelines that it should be fifty
five or less? Do I need a statin? And the
other notion is there is a preconceived notion and fear
about getting on a statin. Now there is any medication
(16:33):
you take, you could have an adverse event. You could
take motrin for sprained ankle and have a complication. But
when you're talking about the statins. As a liver specialist,
I almost never ever ever see liver related complications of
a statin. Can you have some muscle discomfort? Except yes
(16:57):
you can, but you have to look at it. The
risk benefit, The benefit of lowering your cholesterol protecting you
against heart disease is huge against a small risk of
a complication. So know your numbers, Know your liver numbers,
your altast alkalin phosphatase. Because many people are walking around
(17:19):
with fatty liver, abnormal liver chemistries and they're told by
their physician, don't worry about it. They're not high enough
to me as a liver expert. Any elevation of your
liver enzymes warrants further evaluation along those lines. For men,
(17:39):
check your PSA, checking with your doctor about that. There
is some controversy about checking your PSA or not. I
would say check it, talk with your doctor about it,
and knowing other lab work like your thyroid function. So
that is men's health awareness in a nutshell. The other
(18:01):
I would say is substance abuse. Be it alcohol, be
it tobacco, be it illicit drugs, pain pills. These are
issues where if you're having a problem with it, you
truly need to, you know, reach out.
Speaker 1 (18:21):
And get help to make you healthy.
Speaker 3 (18:24):
That is the key, all right, Doctor Joe Galotti doctor
joglotti dot com coming up two of the best physician
assistants in the country.
Speaker 1 (18:35):
Stay tuned. We're brought back.
Speaker 3 (18:37):
Welcome back everybody, doctor Joe Galotti. This is your health first,
every Sunday between seven and eight pm. Don't forget go
to our website, doctor Joegalotti dot com. So in the
studio tonight, one veteran, one new person. So we've got
(19:02):
Natalie Oliver maybe last time you saw her it was
Natalie Amonte, but she's been married. And you know, I
say this all the time. Your name is Oliver. I
hate you probably hate this by now, Oliver, Oliver, Oliver.
Speaker 5 (19:18):
You just you can't make that up. I'm like, is
it fate? Is it divine intervention? But yes, Oliver Oliver.
Speaker 3 (19:24):
All right, And the latest member of a team is
Swarra Modi, coming in from southern California, relocating to Houston
in the last few months. Welcome, this is your first
time on the radio show.
Speaker 4 (19:37):
Thank you, I'm excited to be here.
Speaker 3 (19:38):
Well, you know, the one topic I wanted to try
to chat with you both tonight is certainly we've talked
a lot, Natalie. You've been on in the past talking
about fatty liver and various liver issues that we take
care of. But I think that there is still a
problem with food and nutrition, and it's to the point
(20:03):
where people actually come into our office and see all
of us thinking they're eating well, they have figured out
some sort of food nutrition hack that's going to reverse
a fatty liver, lower their cholesterol, lose weight, etc. So
I'll start with you, Natalie, in a general term when
(20:28):
you take some sort of a dietary history from our patients,
what would you say? Most people say, whether right or wrong,
And I think for everybody listening, what she's going to
tell you is probably what you're sitting there in the
car tonight thinking, Oh, that's what I eat.
Speaker 1 (20:47):
So what do you say?
Speaker 5 (20:48):
Yeah, you know, I think a lot of people we
see are motivated about food. They're trying, They're putting an effort,
which is the most important part. And if you're doing
the reading putting in the effort, it's important for us
to find tune what you're eating. So a lot of
times we'll get I'm eating salads. Salads are good, but
(21:10):
you do have to be careful about what you're putting
in your salad. And so I'm telling you, if you
have a salad with bacon and cheese and ranch, that's
probably equivalent nutrition facts to getting French fries. So we
do want to maximize the lettuce is grape fiber. We
want to add some different vegetables have your protein in
it as well, so it's also a filling salad, so
(21:32):
that could be chicken, chickpeas, beans, nuts are also good away.
So I think it's using food that people are already
eating and enjoying and just making small changes.
Speaker 2 (21:45):
You know.
Speaker 5 (21:46):
Drinks are also another one. I have a lot of
people juicing fruits right now, which is interesting. I do
think there's a lot to eating the fruits and vegetables
for the fiber intake your body grace it downbutely. But
the high sugar content and juicing I think could be
a little bit of a myth there. So redirecting that
and again adding a protein maybe to a smoothie, so
(22:07):
your body's gonna absorb the nutrients better and digest.
Speaker 1 (22:10):
Yeah.
Speaker 3 (22:11):
So sware, suppose you're sitting with a patient and look,
we're not fat shaming anybody here tonight. We're just talking
the facts.
Speaker 1 (22:17):
This is a.
Speaker 3 (22:20):
One hundred and eighty pound, you know, forty year old
woman with diabetes and high blood pressure. And they will say,
as Natalie mentioned, yes, I have salad for lunch, and
you maybe ask about breakfast and dinner, and they're they're
thinking that salad is a good idea. How do you respond,
(22:43):
maybe similar to Natalie or differently about salad. There's a
sense that salad is good, so kind.
Speaker 4 (22:50):
Of echoing what Natalie had mentioned. So Yeah, salad can
be good in terms of you know, what you're putting
in the salad, but you also want to diversify the
foods that you're eating within the Mediterranean palets. So for example,
you know, we talked about you know, salad, but also
including you know, other protein sources such as the meat
that she mentioned, but you know, adding you know, Greek
(23:14):
yogurt to your diet, other protein sources like cottage cheese.
You know, in terms of the meat, we want more
leaner proteins such as chicken, fish, ground turkey, things like that.
So really trying to diversify your diet and not just
you know, pigeonholing yourself just one thing, because you're not
going to get all of the nutrients and benefits from
just that one dish.
Speaker 1 (23:35):
Yeah.
Speaker 3 (23:36):
How and again from both of your experiences getting people
to change, because if we could change behavior, so much
disease would just go away, heart disease, hypertension, the liver
disease that we see. So what what would you say,
(23:58):
Natalie is the barrier when you give them the typical
Natalie Oliver spiel. I wouldn't say it's a spiel because
each patient is is sort of custom as far as
what they need, but your set of directions and you
really inspire them to eat better.
Speaker 1 (24:19):
What do they say?
Speaker 5 (24:21):
You know, I think there are a lot of barriers
to change in general, that's human nature and as healthcare
providers recognizing that people are different and their likes, their dislikes,
their allergies, their culture, and that goes into the food
you are realistically going to eat. So listening to your
to the patients, to our listeners to know what they
(24:42):
actually likes important and then being specific. So rather than
saying follow the Mediterranean style diet, which we hear we
read about is great, but what does that mean?
Speaker 3 (24:52):
They have no idea exactly, And they have no idea
they I had a patient maybe in this week that
they somebody had said or they read eat more protein.
They and this was an intelligent woman. They had no
idea the foods that are high in protein other than
(25:14):
what do you think they said, suare sources of protein.
What do you think their favorite food was?
Speaker 5 (25:22):
Steak?
Speaker 1 (25:23):
Steak?
Speaker 3 (25:24):
Yeah, they said, I eat steak all the time to
get protein. I'm like, no, that's probably not your best idea.
So even on somebody you forget about Mediterranean diet. We're
talking about just getting protein. They know about beef, which
maybe the beef growers did a great job of convincing everybody,
but even they're they're lacking. So between the two of you,
(25:46):
name some foods that are high in protein.
Speaker 5 (25:50):
I mean, I'll start with breakfast, because, like you're saying,
if we leave the room saying follow a high protein diet,
nothing's going to change, not all. So I really you
advise the breakfast. I'm eating. What I ate that morning
is what I recommend. So today I had a serving
of non fat, plain Greek yogurt, which I don't particularly
(26:10):
like alone, but there are so many ways you can
balance that. So I put a handful of blueberries for
the good fiber you get the protein from the yogurt.
I also put about six and a half unsalted cashews
or almonds or six in the half. Yeah, specific right,
you got to use no but you know you can
(26:30):
mix it up with a different knots you like you
That adds the unsaturated fat plus more protein. I also
use a protein oat in there to add a little texture.
Another option could be I know you mentioned earlier cottage cheese,
So I'll put hard boiled eggs with a little bit
of cottage cheese and I mash half an avocado in there,
and you're getting this balanced meal that really does taste good.
Speaker 1 (26:52):
Yeah.
Speaker 5 (26:52):
And you're hitting the fats, the fiber, which is carbs.
Not all carbs are bad. Fiber is very important and
your protein, and it really does taste good. And I
have so many people come back saying, oh, I'm eating
your breakfast. Yeah, and that's it's fun.
Speaker 1 (27:06):
Yeah. So Swara, so protein, what do you like?
Speaker 4 (27:09):
So I love beans, and I love lentils. Being Indian,
you know, lentils are a huge part of our diet.
So for me, I also love Mexican food too. So
what I'll do is I'll make homemade beans with pinto beans,
even black beans, so ill you know, soak the beans
and then I'll make a you know bean. I'll make
beans at home homemade, which number one, you know, you
(27:29):
have the lower salt content because canned beans have tons
of salt, so you're basically controlling how much of the
salt and the ingredients you're putting in that and it's
not as processed. So that's something I love to do.
And other things you can do is if you like
soups you can easily add you know, lentils within your soups.
You're also getting you know a wide variety of different
vegetables and also the protein through the lentils that you're
(27:51):
adding in your ceas juice. So those are my favorite.
Speaker 3 (27:53):
No, I'll tell you when when I was out with
the knee replacement, I pretty much cooked at home, didn't
go out.
Speaker 1 (28:00):
I couldn't go out.
Speaker 3 (28:01):
I found a online Italian chef. I think he's in
Chicago or New Jersey anyway. Every day or almost every day,
he was making a new bean soup sort of dish,
and I was just making these day after day after day.
(28:23):
It was serving for four. I'd eat it like in
the entire day. I lost weight while I was home.
I felt great. I think it was part of my
recovery that I was eating well. But these are so
simple to make. Your smashed egg and avocado takes like
thirty seconds to make. Your bean's easy to make this
(28:45):
little sort of spinach broccoli bean thing with some tomatoes
and garlic in. It was so easy to make. And
I don't think the public really knows how easy it
is to cook. I mean, what do patients tell you, Oh,
I don't cook, you know, I don't know how to cook.
(29:06):
I'm not a good cook.
Speaker 4 (29:08):
What do you say to that, Swara, I mean it's
of you know people, definitely, you know, I think I
think cooking in general can be very overwhelming because you
see all these like fancy you know, recipes and things
online and on the internet. But I always tell patients,
you know, start small. There's no need to jump from
zero to one hundred.
Speaker 5 (29:24):
You know.
Speaker 4 (29:24):
For example, I definitely emphasize you know, easy you know
things such as you know, the Greek yogurt, adding in berries,
really really small, small recipes, easy recipes like that, which
can build their confidence and build their excitement to be like, hey,
you know, I did this really easy you know meal
for breakfast, So let me try to make something else
for lunch and dinner. So I think small steps really
(29:47):
you know, encourage and kind of push you towards, you know,
exploring other food options right at home.
Speaker 3 (29:53):
You know, switching gears you know, from from food and
self care. In a sense, we see a lot of
our PA pats that are and this Natalie's been around
a long time with us. This seems like it's a
broken record, but I'll keep playing the broken record until
we solve it. And we don't see this anymore. But
(30:14):
we see patients, well intentioned adults that are walking around
with elevated cholesterol, blood pressure that is really not well managed.
They've known about their abnormal liver chemistries for years to decades,
and they're prett diabetic, and for some reason, somebody is
(30:38):
telling them it doesn't meet the threshold that you need
to start a medicine or see a specialist. And that
is frustrating because the patients we see are really showing
complications of this relative neglect.
Speaker 1 (30:56):
Is that a fair word to use a little bit
too much?
Speaker 3 (30:59):
So, So, Natalie, what do you say to the people
out there tonight, our listeners that are harboring they're overweight,
they have high blood pressure, borderline diabetes, to take action.
Speaker 5 (31:13):
Yeah, our perspective is different because these yellow flags, which
really are red flags pre diabetes, high cholesterol, obesity, are
the precursors to fatty liver metabolic related fatty liver disease,
which is now one of the leading causes of sorosis
and why we're transplanting patients. So when I'm sitting there
(31:36):
with someone who has a new diagnosis of sorosis, and
the whole family is asking me, how could this have
possibly happened? We don't drink alcohol, where did this start?
The sad reality is this has been brewing for potentially
ten to twenty years and it wasn't addressed, and so
these really are red flags. I encourage you to know
your numbers, talk to your primary care doctor, and really
(31:59):
be aggressive about this.
Speaker 3 (32:00):
Yeah, I mean sware, you're relatively new to the practice
and you're seeing this and I think every day it's
just eye opening to to what you're hearing.
Speaker 1 (32:09):
So what's your take?
Speaker 4 (32:10):
Yeah, I definitely agree. I would say as a patient,
you need to advocate for yourself because sometimes you know,
like you said, you know physicians will you know undermine,
you know your your risk factors. You know you may
physically also may not be obese per se, but you
do you know have the risk factors for high blood pressure, diabetes,
you know, high cholesterol, through your family, even your lifestyles.
(32:32):
So I would say number one, just knowing what the
risk factors are, knowing you know things that you can
do in your daily life to mitigate those risks, and also,
you know, advocating for yourself after getting your blood work
being like, hey, you know X y Z is elevated.
What are you know? What are things that I can
do to you know, prevent that as well? Right, So,
(32:53):
I think prevention is the biggest key to avoiding these comms.
Speaker 3 (32:57):
And it's really understanding realizing that a glucose that's elevated
is not good. I think my latest kick, and it's
always sort of been a kick, is the LDL cholesterol
and so be at the American Heart Association American College Cardiology,
they came out within the last month saying that the
(33:18):
LDL cholesterol level that they thought it should be at
should be even lower. And I rarely see a patient
with an LDL cholesterol in the normal range. Again, this
is our population of people that are overweight, they have
high blood pressure, diabetes, and high cholesterol. And staring right
(33:40):
in the face, is this high skyrocketing LDL cholesterol. I
had doctor Rogers on a few weeks ago, and you know,
he again was echoing, you need to know your numbers,
you need to talk to your doctors and understand your risk.
Speaker 5 (33:57):
Yeah. And then the flip side is this was reversible.
Speaker 1 (34:00):
It's reversible.
Speaker 5 (34:01):
Yeah, Well, great news. It is, and there's nothing better
than we have these conversations. You go home, you make
some changes and that a one C of five point nine,
even that's pre diabetic is now five point five. That
is a huge accomplishment.
Speaker 3 (34:14):
No, it's it's really great. So we've got thirty seconds.
Sar first track on the radio here tonight. What's your
message for food for eating to inspire the great listeners.
Speaker 4 (34:27):
Tonight, I would say, you know, you don't need to
be a chef. I would say, you know, start start small,
makes these small changes, and these small changes that you
do in your diet will really add up and you'll
see really great results. You don't have to, you know,
go all the way to one hundred. You can start
small gradually exactly.
Speaker 1 (34:44):
Natalie, what do you say.
Speaker 5 (34:46):
Yeah, make it fun with your family, try a recipe
and if it fails, now now you know, but it
could be a real something, really good in a new
family tradition.
Speaker 3 (34:54):
All right, sar A Modei and Natalie Oliver to the
best physician assistants in the United States, I would say,
without a doubt, all right, thanks very much for coming
in tonight, Stay tuned more your health first.
Speaker 1 (35:10):
We'll be back in a minute. All right, final segment
of this week's Your Health First.
Speaker 3 (35:15):
I do appreciate everybody tuning in and being part of
the program. Don't forget Doctor Joeglotti dot com is our website.
Speaker 1 (35:23):
Make sure you check out our newsletter.
Speaker 3 (35:27):
The newsletter is probably the best way to stay in
touch with me and my great team as far as
what we're doing, putting on conferences, webinars.
Speaker 1 (35:37):
We've got a.
Speaker 3 (35:38):
New book coming out. Do you want to be the
first one to hear about it? So yes, Doctor Joeglotti
dot com. All right, in a last four or five
minutes here, So, something great happened to me this past week.
I became a grandfather and having your own child. And
(36:04):
I'm still trying to figure out the emotions of all
this because be it friends, be IT colleagues, patients, they
talk about their grandchildren in a totally different light compared
to their own children. And sometimes I would think to myself,
(36:24):
do you even love your kids anymore? You just put
all your love into these grandkids, but you never ever
ever stop loving your the children that you brought into
the world. And granted it was twenty five thirty years ago,
your memory of how you felt back then may have
(36:47):
dimmed a little bit. But now you've got this new,
precious child.
Speaker 1 (36:53):
That you have.
Speaker 3 (36:54):
All of the hopes and aspirations for, just like you
did for your own children. But maybe now you're not
you know, you're you're in a different stage of life.
You're you're not the primary care taker in a sense,
you become almost a consultant to raising this kid. But
(37:17):
the one point, and and I have a feeling we'll
be talking about this a little bit more in the
weeks to come.
Speaker 1 (37:24):
The baby was born.
Speaker 3 (37:27):
A couple three weeks early, and with uh it not
being born at forty weeks, there are certain predictable things
that happened to a newborn that is delivered, you know,
a couple of weeks early, but he needed to spend
(37:47):
several days in the neonatal I see you, And my
my point here is that certainly, as a physician, you
have a completely different view of what's happening. You know
almost everything. You know, the good, the bad, the indifferent.
(38:13):
You know that when somebody mentions infection sepsis, you become
very very concerned. When they mention some other issue, lung issues,
not enough oxygen, you understand the ramifications of that.
Speaker 1 (38:35):
And so as a.
Speaker 3 (38:36):
Physician, and I would think you ask any healthcare provider
that's in the know that for me, the emotions that
I was experiencing, and these emotions were slightly different than
my wife may have had, or slightly different from the
(38:57):
other grandparents. There is this concern. But instead of in
a sense standing still in a in a paralyzed state,
my reaction to all this is to act and to
(39:17):
reach out to other colleagues to make sure this child
is getting the attention that they deserve. Now, it's not
to say that the people taking care of the child
were not competent. That's that's not the point here. But
for me, an escape valve of fear and concern for
(39:42):
this new child you love is to reach out and
make sure that everybody knows what's happening. Now some some
would some would say this is sort of the privileged
state doctor Galotti. Of course, everybody's going to answer doctor
Galotti's call. But what I would and say to you
all is that you deserve to be able to communicate
(40:07):
with your team to make sure the people that are
seeing a sick one. It may not be a child,
it may be yourself or a loved one, or your
mother or father, that you are advocating for yourself. And
that's really what it comes down to. And I am
such a big fan, such an advocate of being an
advocate for yourself. And so while many would feel paralyzed
(40:31):
to sit in a waiting room waiting for the doctors
to come, what are they going to say, Oh, your
mind runs wild. I'm taking a very forward looking step
to say, let's make sure everybody is talking with one another,
and so I'll talk more about I probably will have
some of the neonatal physicians on that were involved in
(40:54):
his case. He's home, everything is fine, my daughter is fine,
her husband's great.
Speaker 1 (40:59):
But it was sort of a hairy week for everybody,
all right.
Speaker 3 (41:03):
With that said, doctor Joe Glotti signing out, don't forget
doctor Joglotti dot com.
Speaker 1 (41:08):
Thank you all for tuning in.
Speaker 3 (41:10):
I can't do it without all of you listening and
sending me messages. I truly love Sunday evening when I'm
on the radio with you all.
Speaker 1 (41:21):
Have a great week.
Speaker 3 (41:22):
Take care of yourselves, and if you're a guy, take
your blood pressure and step on the scale.
Initial life sequence.
Speaker 2 (00:04):
Coming to you live from Houston, Texas, home to the
world's largest medical center.
Speaker 1 (00:08):
In the approach phase. Everything looking to you.
Speaker 2 (00:19):
This is your Health First, the most beneficial health program
on radio with doctor Joe Gillotti. During the next hour,
you'll learn about health, wellness and the provention of disease.
Now here's your host, doctor Joe Bellotti.
Speaker 1 (00:45):
Well, a good Sunday evening to everybody.
Speaker 3 (00:48):
Doctor Joe Gallotti, I hope you had a marvelous weekend
so far. Nice and warm here in the Gulf Coast area.
I was talking to my sister on Saturday and she
was she was at one of her grandkids softball games
(01:12):
in the middle of the afternoon on Saturday.
Speaker 1 (01:13):
And she said, it's freezing here.
Speaker 3 (01:16):
I said, you must be kidding me, but it was cold,
it was damp, sort of unusual New York weather. But
we get a little bit spoiled here in the Gulf
Coast where we are broadcasting from live every Sunday evening
between seven and eight pm Central Time. Our home station
is seven forty KTHM. We're broadcasting globally on the iHeartRadio network,
(01:45):
which you can get online. So there's never ever, ever
an excuse not to catch your health first. No matter
where you are on vacation, business trip, you're at your
mother in law's, you could always catch your health first
seven o'clock Central, eightp in the East. To make you
(02:06):
better consumers of healthcare. That is what we've been saying
for twenty three odd years every Sunday evening. Don't forget
Doctor Joe Galotti d R J O E G A
L A TI dot com is our website. Once you
go there, it's sound for our newsletter which goes out
(02:27):
every Saturday morning. All of our social media is there,
our podcast is there, YouTube, Our practice website is linked there.
If you have any liver digestive issues, fatty liver zorosis,
liver cancer, alcohol related liver disease, that is the place
(02:49):
to go Doctor Joegalotti dot com. All right, So on
the program coming up just in a little while. Two
of my out standing staff at the practice suare Mode
she is new to our practice, and Natalie Oliver previously Amante.
(03:13):
She got married and changed her name Oliver Oliver O L.
Speaker 1 (03:18):
I V E R.
Speaker 3 (03:20):
I don't know how she did that, but that is
the truth. They They will be coming on and more
of a casual conversation tonight about some of the observations
we make with regard to our patients and food and
nutrition and what our patients are telling us. Because yes,
(03:43):
we study textbooks, read the literature, participate in research, but
our greatest attribute in a sense, is listening to our patients,
listening to all of you, and that's where we really
learn what is going on out there when you're not
visiting with us in the office, What are people doing,
(04:06):
what are people thinking? And it's look, I've said this
a whole bunch. Nobody wakes up in the morning, they
take the junk out of their eye, they brush their teeth,
they put their coffee on, they look in the mirror
and they say, how can I hurt myself today? How
(04:27):
could I do something that's harmful? I would say that
is the absolute fraction of a percent people that for
whatever reason, just don't like themselves. But for most people,
they honestly want to pretty much do okay. They want
to try and do the right thing. But if if
(04:48):
you do not know that a certain habit, a certain
food you're doing, you're eating is not healthy for the
conditions that you may have, then you're really in a
sense harming yourself or at least not doing the right
thing to make yourself well. And so sort of a
(05:12):
long winded introduction for the two of them. They'll be
coming on a little bit later, and I would say
both can articulate what's happening, and I look forward to
seeing them on here. And again, don't forget doctor Joegalotti
dot com is our website. So we're almost Today's the
last day of May, believe it or not, so on Monday,
(05:37):
tomorrow's June one. And what I like to do is
there are all of these health awareness months or weeks. Okay,
so the month of June is Men's health Awareness, and
when you search online men's health Awareness months, I would
(05:59):
say the websites that are out there are not all
that great. You may have one from University of Indiana
and there'll be a video of a doctor pretty much
saying what you need to do to honor Men's Health
(06:19):
Awareness Month. There may be something from some local plumbers union,
God's honest truth talking about what their members should do
for health awareness. So there's really no organized approach for
men's health awareness where I could say go to this
(06:40):
website and you'll get a laundry list of what really
needs to be done if you don't already know right now,
So let me just give you a very high level
sense of what I think men's health awareness is now
(07:00):
everyone is familiar with. And this was a commercial that
was hatched probably in the late seventies or early eighties,
and I think I think it was for tailanol. A
pseudomenaphin if anybody if I'm wrong, I'll have to research
(07:21):
this out. It was doctor mom. There was some drug
product over the counter where there was this mom and
they sort of described her as doctor mom. And I
think that was the first time that was ever that
phraseology was ever used, doctor mom. But the truth of
the matter is women take care of our children ninety
(07:44):
five percent of the time, and.
Speaker 1 (07:45):
They also.
Speaker 3 (07:47):
In a sense oversee the health of the family, which
includes the men, the men in the household and or
maybe their father or brothers. Okay, so that's doctor mom.
But anyway, what is it about men's health awareness that
men should be aware of? And really my point was
(08:09):
for the women listening, you are doctor mom.
Speaker 4 (08:14):
Now.
Speaker 3 (08:14):
A lot of women come to the office and basically
they shrug their shoulders. Now, they love their husbands. I'm
not saying they just show up and don't like these guys,
but there are really two types. Some of them show
up and they sit in the corner or slightly out
of sight of, you know, me talking to the patient
(08:35):
who happens to be a fifty year old guy, and
when we're talking about certain healthy habits, they're shaking their head,
they're giving me hand gestures. So there are those women
that in a sense or just you know, they're not
going to babysit their husband. On the other hand, there
are women that are aggressively intervening with the men in
(09:00):
their lives. So I'm appealing to everybody right now. So
with regard to men's health, Number one, and this is
in no particular order, you all have to be honest
about your weight. Because where there is a state of
(09:20):
being overweight, obese, or morbidly obese, which again these different
categories are going to be based on your body mass index.
If your normal weight overweight, obese, or morbidly obese, that
is going to be the driver for a wide range
(09:42):
of chronic disease that is going to make you sick,
and it's going to cut down on your life expectancy.
It's going to add to disability or your inability to
do stuff, work, fish, go on vacation, make money. It's
(10:02):
going to impact your life somehow. It may also make
you very depressed about your health that you can't do
the things you did five or ten or fifteen years ago.
So the honest opinion is, look in the mirror and
step on the scale. Now there are you could just
(10:24):
google BMI calculator body mass index calculator. Now there are
other calculations to calculate or determine if a person is
normal weight, overweight, or obese, and it has to do
with the hip and waste circumference and your height, other
(10:51):
other calculations, but BMI is probably the easiest, most available.
And if you are overweight or obese or god forbid,
morbidly obese, your health is going to be significantly at
risk or hypertension, high blood pressure. So where's high blood pressure,
there's carnary artery disease, there's heart failure, there's stroke. When
(11:17):
you're overweight or obese, there is the risk of developing
type two diabetes that leads to cardiovascular disease, stroke, heart attack,
kidney failure, nerve damage, increase risk of cognitive dysfunction, dementia.
Speaker 1 (11:36):
There is the risk of just fatty liver.
Speaker 3 (11:39):
I shouldn't say just fatty liver. Fatty liver is what
we predominantly take care of here, which is the leading
cause of cirrhosis. So when you look at men's health awareness,
and if you are the man in charge of your
own health and or doctor mom, your significant other is
(12:00):
getting on the weight and having a realistic approach to
what your weight is. The other thing is, and I've
said this many many times, I believe and I encourage everybody,
regardless of your health status, to have a blood pressure
cuff in your house. And if you have hypertension and
you're on treatment, you should still be taking your blood pressure,
(12:24):
if not daily, several times per week to see that
the medicine you're taking is controlling it. If it's not well,
you have to go see your doctor and talk about it.
If you don't have high blood pressure, and it is
true that the older we get, the risk of blood
pressure problems goes up. You may say, well, yeah, I've
(12:48):
been checking my blood pressure for the last eight years
and it's always normal. Well on that ninth year or
the tenth year, it may go up. So you want
to take a look and make sure you're monitoring your
blood pressure. You know, there's there's no check engine panel
on the human body. You have to just intuitively, you know,
(13:11):
sort of take care of things. Well, what we're gonna do?
Speaker 1 (13:14):
I see that we need to take a break here.
Speaker 3 (13:19):
All right, we're gonna I think there's enough here that
when we come back before the break, we'll finish up
on sort of this men's health awareness. But really, at
the end of the day, this is what we do
on this program to make you better consumers.
Speaker 1 (13:34):
All right, I'm.
Speaker 3 (13:35):
Doctor Joe Glotti. Stay tuned, we'll brought back. Welcome back everybody,
doctor Joe Galotti rolling around on this Sunday evening. The
name of the program is Your Health First. We hear
every Sunday between seven and eight pm. And don't forget
doctor Joegalotti dot com is our website, d R j
(13:57):
Oe G. A l Ai dot com. All right, so
we were chatting about men's health awareness a month and
we got about four and a half minutes here before
the news break. So weigh yourself. Number two, know your
blood pressure. The other thing is knowing your labs. Is
(14:17):
your cholesterol elevated Now, there have been a number of
new guidelines that have come out recently. I would refer
you all to our podcast from a few weeks ago
where I had doctor Joe Rodgers talking about cholesterol and
(14:38):
blood pressure. I mean, we bring the best experts here
on the program. Doctor Rogers is a world renowned cardiologist
and happens to be across the street from us at
the Texas Heart Institute at Bailey College of Medicine. But anyway,
I would reference you back to the interview I had
with him, which is posted on a podcast. The latest
(15:01):
issue is we all have known the good cholesterol, the
bad cholesterol, and your ratio and things like that. That
sort of is old thinking. The big emphasis now is
on your LDL cholesterol. That's the bad cholesterol. And I
see patients every single day walking into the office with
(15:24):
fatty liver diabetes and they're overweight with LDL cholesterols of
one hundred, one hundred and forty. The guidelines are that
it should be less than fifty five or lower, especially
if you have a risk factor you have hypertension and
pre diabetes or diabetes, so you have to look on
(15:50):
your phone, look at my chart, your printed medical records
that you may have, and look specifically for LDL cholesterol
and if it is above fifty five, you really need
to check in with your primary care doctor, your internist,
you're cardiologist if you see one and say are you
(16:11):
familiar with the latest guidelines that it should be fifty
five or less? Do I need a statin? And the
other notion is there is a preconceived notion and fear
about getting on a statin. Now there is any medication
(16:33):
you take, you could have an adverse event. You could
take motrin for sprained ankle and have a complication. But
when you're talking about the statins. As a liver specialist,
I almost never ever ever see liver related complications of
a statin. Can you have some muscle discomfort? Except yes
(16:57):
you can, but you have to look at it. The
risk benefit, The benefit of lowering your cholesterol protecting you
against heart disease is huge against a small risk of
a complication. So know your numbers, Know your liver numbers,
your altast alkalin phosphatase. Because many people are walking around
(17:19):
with fatty liver, abnormal liver chemistries and they're told by
their physician, don't worry about it. They're not high enough
to me as a liver expert. Any elevation of your
liver enzymes warrants further evaluation along those lines. For men,
(17:39):
check your PSA, checking with your doctor about that. There
is some controversy about checking your PSA or not. I
would say check it, talk with your doctor about it,
and knowing other lab work like your thyroid function. So
that is men's health awareness in a nutshell. The other
(18:01):
I would say is substance abuse. Be it alcohol, be
it tobacco, be it illicit drugs, pain pills. These are
issues where if you're having a problem with it, you
truly need to, you know, reach out.
Speaker 1 (18:21):
And get help to make you healthy.
Speaker 3 (18:24):
That is the key, all right, Doctor Joe Galotti doctor
joglotti dot com coming up two of the best physician
assistants in the country.
Speaker 1 (18:35):
Stay tuned. We're brought back.
Speaker 3 (18:37):
Welcome back everybody, doctor Joe Galotti. This is your health first,
every Sunday between seven and eight pm. Don't forget go
to our website, doctor Joegalotti dot com. So in the
studio tonight, one veteran, one new person. So we've got
(19:02):
Natalie Oliver maybe last time you saw her it was
Natalie Amonte, but she's been married. And you know, I
say this all the time. Your name is Oliver. I
hate you probably hate this by now, Oliver, Oliver, Oliver.
Speaker 5 (19:18):
You just you can't make that up. I'm like, is
it fate? Is it divine intervention? But yes, Oliver Oliver.
Speaker 3 (19:24):
All right, And the latest member of a team is
Swarra Modi, coming in from southern California, relocating to Houston
in the last few months. Welcome, this is your first
time on the radio show.
Speaker 4 (19:37):
Thank you, I'm excited to be here.
Speaker 3 (19:38):
Well, you know, the one topic I wanted to try
to chat with you both tonight is certainly we've talked
a lot, Natalie. You've been on in the past talking
about fatty liver and various liver issues that we take
care of. But I think that there is still a
problem with food and nutrition, and it's to the point
(20:03):
where people actually come into our office and see all
of us thinking they're eating well, they have figured out
some sort of food nutrition hack that's going to reverse
a fatty liver, lower their cholesterol, lose weight, etc. So
I'll start with you, Natalie, in a general term when
(20:28):
you take some sort of a dietary history from our patients,
what would you say? Most people say, whether right or wrong,
And I think for everybody listening, what she's going to
tell you is probably what you're sitting there in the
car tonight thinking, Oh, that's what I eat.
Speaker 1 (20:47):
So what do you say?
Speaker 5 (20:48):
Yeah, you know, I think a lot of people we
see are motivated about food. They're trying, They're putting an effort,
which is the most important part. And if you're doing
the reading putting in the effort, it's important for us
to find tune what you're eating. So a lot of
times we'll get I'm eating salads. Salads are good, but
(21:10):
you do have to be careful about what you're putting
in your salad. And so I'm telling you, if you
have a salad with bacon and cheese and ranch, that's
probably equivalent nutrition facts to getting French fries. So we
do want to maximize the lettuce is grape fiber. We
want to add some different vegetables have your protein in
it as well, so it's also a filling salad, so
(21:32):
that could be chicken, chickpeas, beans, nuts are also good away.
So I think it's using food that people are already
eating and enjoying and just making small changes.
Speaker 2 (21:45):
You know.
Speaker 5 (21:46):
Drinks are also another one. I have a lot of
people juicing fruits right now, which is interesting. I do
think there's a lot to eating the fruits and vegetables
for the fiber intake your body grace it downbutely. But
the high sugar content and juicing I think could be
a little bit of a myth there. So redirecting that
and again adding a protein maybe to a smoothie, so
(22:07):
your body's gonna absorb the nutrients better and digest.
Speaker 1 (22:10):
Yeah.
Speaker 3 (22:11):
So sware, suppose you're sitting with a patient and look,
we're not fat shaming anybody here tonight. We're just talking
the facts.
Speaker 1 (22:17):
This is a.
Speaker 3 (22:20):
One hundred and eighty pound, you know, forty year old
woman with diabetes and high blood pressure. And they will say,
as Natalie mentioned, yes, I have salad for lunch, and
you maybe ask about breakfast and dinner, and they're they're
thinking that salad is a good idea. How do you respond,
(22:43):
maybe similar to Natalie or differently about salad. There's a
sense that salad is good, so kind.
Speaker 4 (22:50):
Of echoing what Natalie had mentioned. So Yeah, salad can
be good in terms of you know, what you're putting
in the salad, but you also want to diversify the
foods that you're eating within the Mediterranean palets. So for example,
you know, we talked about you know, salad, but also
including you know, other protein sources such as the meat
that she mentioned, but you know, adding you know, Greek
(23:14):
yogurt to your diet, other protein sources like cottage cheese.
You know, in terms of the meat, we want more
leaner proteins such as chicken, fish, ground turkey, things like that.
So really trying to diversify your diet and not just
you know, pigeonholing yourself just one thing, because you're not
going to get all of the nutrients and benefits from
just that one dish.
Speaker 1 (23:35):
Yeah.
Speaker 3 (23:36):
How and again from both of your experiences getting people
to change, because if we could change behavior, so much
disease would just go away, heart disease, hypertension, the liver
disease that we see. So what what would you say,
(23:58):
Natalie is the barrier when you give them the typical
Natalie Oliver spiel. I wouldn't say it's a spiel because
each patient is is sort of custom as far as
what they need, but your set of directions and you
really inspire them to eat better.
Speaker 1 (24:19):
What do they say?
Speaker 5 (24:21):
You know, I think there are a lot of barriers
to change in general, that's human nature and as healthcare
providers recognizing that people are different and their likes, their dislikes,
their allergies, their culture, and that goes into the food
you are realistically going to eat. So listening to your
to the patients, to our listeners to know what they
(24:42):
actually likes important and then being specific. So rather than
saying follow the Mediterranean style diet, which we hear we
read about is great, but what does that mean?
Speaker 3 (24:52):
They have no idea exactly, And they have no idea
they I had a patient maybe in this week that
they somebody had said or they read eat more protein.
They and this was an intelligent woman. They had no
idea the foods that are high in protein other than
(25:14):
what do you think they said, suare sources of protein.
What do you think their favorite food was?
Speaker 5 (25:22):
Steak?
Speaker 1 (25:23):
Steak?
Speaker 3 (25:24):
Yeah, they said, I eat steak all the time to
get protein. I'm like, no, that's probably not your best idea.
So even on somebody you forget about Mediterranean diet. We're
talking about just getting protein. They know about beef, which
maybe the beef growers did a great job of convincing everybody,
but even they're they're lacking. So between the two of you,
(25:46):
name some foods that are high in protein.
Speaker 5 (25:50):
I mean, I'll start with breakfast, because, like you're saying,
if we leave the room saying follow a high protein diet,
nothing's going to change, not all. So I really you
advise the breakfast. I'm eating. What I ate that morning
is what I recommend. So today I had a serving
of non fat, plain Greek yogurt, which I don't particularly
(26:10):
like alone, but there are so many ways you can
balance that. So I put a handful of blueberries for
the good fiber you get the protein from the yogurt.
I also put about six and a half unsalted cashews
or almonds or six in the half. Yeah, specific right,
you got to use no but you know you can
(26:30):
mix it up with a different knots you like you
That adds the unsaturated fat plus more protein. I also
use a protein oat in there to add a little texture.
Another option could be I know you mentioned earlier cottage cheese,
So I'll put hard boiled eggs with a little bit
of cottage cheese and I mash half an avocado in there,
and you're getting this balanced meal that really does taste good.
Speaker 1 (26:52):
Yeah.
Speaker 5 (26:52):
And you're hitting the fats, the fiber, which is carbs.
Not all carbs are bad. Fiber is very important and
your protein, and it really does taste good. And I
have so many people come back saying, oh, I'm eating
your breakfast. Yeah, and that's it's fun.
Speaker 1 (27:06):
Yeah. So Swara, so protein, what do you like?
Speaker 4 (27:09):
So I love beans, and I love lentils. Being Indian,
you know, lentils are a huge part of our diet.
So for me, I also love Mexican food too. So
what I'll do is I'll make homemade beans with pinto beans,
even black beans, so ill you know, soak the beans
and then I'll make a you know bean. I'll make
beans at home homemade, which number one, you know, you
(27:29):
have the lower salt content because canned beans have tons
of salt, so you're basically controlling how much of the
salt and the ingredients you're putting in that and it's
not as processed. So that's something I love to do.
And other things you can do is if you like
soups you can easily add you know, lentils within your soups.
You're also getting you know a wide variety of different
vegetables and also the protein through the lentils that you're
(27:51):
adding in your ceas juice. So those are my favorite.
Speaker 3 (27:53):
No, I'll tell you when when I was out with
the knee replacement, I pretty much cooked at home, didn't
go out.
Speaker 1 (28:00):
I couldn't go out.
Speaker 3 (28:01):
I found a online Italian chef. I think he's in
Chicago or New Jersey anyway. Every day or almost every day,
he was making a new bean soup sort of dish,
and I was just making these day after day after day.
(28:23):
It was serving for four. I'd eat it like in
the entire day. I lost weight while I was home.
I felt great. I think it was part of my
recovery that I was eating well. But these are so
simple to make. Your smashed egg and avocado takes like
thirty seconds to make. Your bean's easy to make this
(28:45):
little sort of spinach broccoli bean thing with some tomatoes
and garlic in. It was so easy to make. And
I don't think the public really knows how easy it
is to cook. I mean, what do patients tell you, Oh,
I don't cook, you know, I don't know how to cook.
(29:06):
I'm not a good cook.
Speaker 4 (29:08):
What do you say to that, Swara, I mean it's
of you know people, definitely, you know, I think I
think cooking in general can be very overwhelming because you
see all these like fancy you know, recipes and things
online and on the internet. But I always tell patients,
you know, start small. There's no need to jump from
zero to one hundred.
Speaker 5 (29:24):
You know.
Speaker 4 (29:24):
For example, I definitely emphasize you know, easy you know
things such as you know, the Greek yogurt, adding in berries,
really really small, small recipes, easy recipes like that, which
can build their confidence and build their excitement to be like, hey,
you know, I did this really easy you know meal
for breakfast, So let me try to make something else
for lunch and dinner. So I think small steps really
(29:47):
you know, encourage and kind of push you towards, you know,
exploring other food options right at home.
Speaker 3 (29:53):
You know, switching gears you know, from from food and
self care. In a sense, we see a lot of
our PA pats that are and this Natalie's been around
a long time with us. This seems like it's a
broken record, but I'll keep playing the broken record until
we solve it. And we don't see this anymore. But
(30:14):
we see patients, well intentioned adults that are walking around
with elevated cholesterol, blood pressure that is really not well managed.
They've known about their abnormal liver chemistries for years to decades,
and they're prett diabetic, and for some reason, somebody is
(30:38):
telling them it doesn't meet the threshold that you need
to start a medicine or see a specialist. And that
is frustrating because the patients we see are really showing
complications of this relative neglect.
Speaker 1 (30:56):
Is that a fair word to use a little bit
too much?
Speaker 3 (30:59):
So, So, Natalie, what do you say to the people
out there tonight, our listeners that are harboring they're overweight,
they have high blood pressure, borderline diabetes, to take action.
Speaker 5 (31:13):
Yeah, our perspective is different because these yellow flags, which
really are red flags pre diabetes, high cholesterol, obesity, are
the precursors to fatty liver metabolic related fatty liver disease,
which is now one of the leading causes of sorosis
and why we're transplanting patients. So when I'm sitting there
(31:36):
with someone who has a new diagnosis of sorosis, and
the whole family is asking me, how could this have
possibly happened? We don't drink alcohol, where did this start?
The sad reality is this has been brewing for potentially
ten to twenty years and it wasn't addressed, and so
these really are red flags. I encourage you to know
your numbers, talk to your primary care doctor, and really
(31:59):
be aggressive about this.
Speaker 3 (32:00):
Yeah, I mean sware, you're relatively new to the practice
and you're seeing this and I think every day it's
just eye opening to to what you're hearing.
Speaker 1 (32:09):
So what's your take?
Speaker 4 (32:10):
Yeah, I definitely agree. I would say as a patient,
you need to advocate for yourself because sometimes you know,
like you said, you know physicians will you know undermine,
you know your your risk factors. You know you may
physically also may not be obese per se, but you
do you know have the risk factors for high blood pressure, diabetes,
you know, high cholesterol, through your family, even your lifestyles.
(32:32):
So I would say number one, just knowing what the
risk factors are, knowing you know things that you can
do in your daily life to mitigate those risks, and also,
you know, advocating for yourself after getting your blood work
being like, hey, you know X y Z is elevated.
What are you know? What are things that I can
do to you know, prevent that as well? Right, So,
(32:53):
I think prevention is the biggest key to avoiding these comms.
Speaker 3 (32:57):
And it's really understanding realizing that a glucose that's elevated
is not good. I think my latest kick, and it's
always sort of been a kick, is the LDL cholesterol
and so be at the American Heart Association American College Cardiology,
they came out within the last month saying that the
(33:18):
LDL cholesterol level that they thought it should be at
should be even lower. And I rarely see a patient
with an LDL cholesterol in the normal range. Again, this
is our population of people that are overweight, they have
high blood pressure, diabetes, and high cholesterol. And staring right
(33:40):
in the face, is this high skyrocketing LDL cholesterol. I
had doctor Rogers on a few weeks ago, and you know,
he again was echoing, you need to know your numbers,
you need to talk to your doctors and understand your risk.
Speaker 5 (33:57):
Yeah. And then the flip side is this was reversible.
Speaker 1 (34:00):
It's reversible.
Speaker 5 (34:01):
Yeah, Well, great news. It is, and there's nothing better
than we have these conversations. You go home, you make
some changes and that a one C of five point nine,
even that's pre diabetic is now five point five. That
is a huge accomplishment.
Speaker 3 (34:14):
No, it's it's really great. So we've got thirty seconds.
Sar first track on the radio here tonight. What's your
message for food for eating to inspire the great listeners.
Speaker 4 (34:27):
Tonight, I would say, you know, you don't need to
be a chef. I would say, you know, start start small,
makes these small changes, and these small changes that you
do in your diet will really add up and you'll
see really great results. You don't have to, you know,
go all the way to one hundred. You can start
small gradually exactly.
Speaker 1 (34:44):
Natalie, what do you say.
Speaker 5 (34:46):
Yeah, make it fun with your family, try a recipe
and if it fails, now now you know, but it
could be a real something, really good in a new
family tradition.
Speaker 3 (34:54):
All right, sar A Modei and Natalie Oliver to the
best physician assistants in the United States, I would say,
without a doubt, all right, thanks very much for coming
in tonight, Stay tuned more your health first.
Speaker 1 (35:10):
We'll be back in a minute. All right, final segment
of this week's Your Health First.
Speaker 3 (35:15):
I do appreciate everybody tuning in and being part of
the program. Don't forget Doctor Joeglotti dot com is our website.
Speaker 1 (35:23):
Make sure you check out our newsletter.
Speaker 3 (35:27):
The newsletter is probably the best way to stay in
touch with me and my great team as far as
what we're doing, putting on conferences, webinars.
Speaker 1 (35:37):
We've got a.
Speaker 3 (35:38):
New book coming out. Do you want to be the
first one to hear about it? So yes, Doctor Joeglotti
dot com. All right, in a last four or five
minutes here, So, something great happened to me this past week.
I became a grandfather and having your own child. And
(36:04):
I'm still trying to figure out the emotions of all
this because be it friends, be IT colleagues, patients, they
talk about their grandchildren in a totally different light compared
to their own children. And sometimes I would think to myself,
(36:24):
do you even love your kids anymore? You just put
all your love into these grandkids, but you never ever
ever stop loving your the children that you brought into
the world. And granted it was twenty five thirty years ago,
your memory of how you felt back then may have
(36:47):
dimmed a little bit. But now you've got this new,
precious child.
Speaker 1 (36:53):
That you have.
Speaker 3 (36:54):
All of the hopes and aspirations for, just like you
did for your own children. But maybe now you're not
you know, you're you're in a different stage of life.
You're you're not the primary care taker in a sense,
you become almost a consultant to raising this kid. But
(37:17):
the one point, and and I have a feeling we'll
be talking about this a little bit more in the
weeks to come.
Speaker 1 (37:24):
The baby was born.
Speaker 3 (37:27):
A couple three weeks early, and with uh it not
being born at forty weeks, there are certain predictable things
that happened to a newborn that is delivered, you know,
a couple of weeks early, but he needed to spend
(37:47):
several days in the neonatal I see you, And my
my point here is that certainly, as a physician, you
have a completely different view of what's happening. You know
almost everything. You know, the good, the bad, the indifferent.
(38:13):
You know that when somebody mentions infection sepsis, you become
very very concerned. When they mention some other issue, lung issues,
not enough oxygen, you understand the ramifications of that.
Speaker 1 (38:35):
And so as a.
Speaker 3 (38:36):
Physician, and I would think you ask any healthcare provider
that's in the know that for me, the emotions that
I was experiencing, and these emotions were slightly different than
my wife may have had, or slightly different from the
(38:57):
other grandparents. There is this concern. But instead of in
a sense standing still in a in a paralyzed state,
my reaction to all this is to act and to
(39:17):
reach out to other colleagues to make sure this child
is getting the attention that they deserve. Now, it's not
to say that the people taking care of the child
were not competent. That's that's not the point here. But
for me, an escape valve of fear and concern for
(39:42):
this new child you love is to reach out and
make sure that everybody knows what's happening. Now some some
would some would say this is sort of the privileged
state doctor Galotti. Of course, everybody's going to answer doctor
Galotti's call. But what I would and say to you
all is that you deserve to be able to communicate
(40:07):
with your team to make sure the people that are
seeing a sick one. It may not be a child,
it may be yourself or a loved one, or your
mother or father, that you are advocating for yourself. And
that's really what it comes down to. And I am
such a big fan, such an advocate of being an
advocate for yourself. And so while many would feel paralyzed
(40:31):
to sit in a waiting room waiting for the doctors
to come, what are they going to say, Oh, your
mind runs wild. I'm taking a very forward looking step
to say, let's make sure everybody is talking with one another,
and so I'll talk more about I probably will have
some of the neonatal physicians on that were involved in
(40:54):
his case. He's home, everything is fine, my daughter is fine,
her husband's great.
Speaker 1 (40:59):
But it was sort of a hairy week for everybody,
all right.
Speaker 3 (41:03):
With that said, doctor Joe Glotti signing out, don't forget
doctor Joglotti dot com.
Speaker 1 (41:08):
Thank you all for tuning in.
Speaker 3 (41:10):
I can't do it without all of you listening and
sending me messages. I truly love Sunday evening when I'm
on the radio with you all.
Speaker 1 (41:21):
Have a great week.
Speaker 3 (41:22):
Take care of yourselves, and if you're a guy, take
your blood pressure and step on the scale.
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