February 22, 2026 • 40 mins
Dr. Galati starts talking about the big win for Team USA in the Hockey game this morning. He also shares his thoughts on second opinions in regard to health issues. Dr. Galati talks about the Nancy Guthrie situation and disuses whether older parents should be living by themselves. He also has a few articles of intertest on weight loss drugs and garlic supplements.
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Speaker 1 (00:01):
Initial life Sequencing coming to you live from Houston, Texas,
home to the world's largest medical center.
Speaker 2 (00:08):
He approach bads everything looking.
Speaker 1 (00:09):
At This is your Health First, the most beneficial health
program on radio with doctor Joe Bellotti. During the next hour,
you'll learn about health, wellness and the prevention of disease.
Speaker 2 (00:30):
Now here's your host, doctor Joe Bellotti. Well, a good
Sunday evening to everybody. Doctor Joe Glotti, thanks for tuning
in on this Sunday night. We're here every Sunday evening
(00:54):
between seven and eight p m. Central Time, broadcast from
our home base in Houston, Texas. KTRH is our flagship station,
but heard around the country on the iHeartRadio app. And
(01:18):
what a Sunday it's been. You know. The Olympics finished
up today and I was up early. My son is
in town visiting, and we were up watching the men's
hockey team and it was great. USA won the gold
medal in hockey. That hadn't happened since nineteen eighty Lake Placid.
(01:44):
I was going to school at Syracuse University at the time,
so it was the proxisity. The proximity of Syracuse to
Lake Placid was not too far, and I remember a
lot of my college buddies had gone up to see
the Olympics that year. I think it was forty six
(02:05):
years to the day that the Miracle on ice took place.
But in looking at the hockey game today now, I
grew up on Long Island, as many of you know,
and I was a tremendous New York Islander fan. The
(02:27):
arena for the New York Islanders was probably no more
than ten minutes away from my house at the Nasau Coliseum,
and I played. I watched a lot of New York
Islander games because the tickets would cheap back then, and
you know, your parents would drop you off. There was
no worry about crime. They'd drop you off, you'd go
see the game and then you'd give them a call,
(02:49):
or you'd have a pre determined meetup and go with
your friends and it is really no problem. And I
played a lot of street hockey, and I never was
a big ice skater, but I played roller hockey on
roller skates and on Long Island there were a number
of surfaces that we would play roller hockey, so street
(03:15):
hockey roller hockey. I loved hockey growing up, and you know,
the funny thing was I had some cousins that were
New York Ranger fans, and so we would always try
to get tickets when the Rangers and the Islanders would play,
either at the Nasau Coliseum on Long Island or we'd
go into Madison Square Garden. But looking at the game today,
the speed of the game, the excitement of the game,
(03:40):
I think that it is way better than the NBA.
Speaker 1 (03:46):
Now.
Speaker 2 (03:47):
While I'm also a big baseball fan, you know, baseball
is pretty slow compared to hockey, obviously, but I but
I think that this is going to do a lot
to get a lot of young kids interested in hockey,
which which I think from a spectator standpoint, is really
pretty amazing. But hats off to the American team. It's
(04:09):
always great to see the Americans win, obviously against Canada.
My goodness. All right, So, if you want to participate
in the program, our website Doctor Joegalotti dot com, d
R J O E G A l A t I
dot com, you can send me a message. You can
(04:30):
soner for our weekly newsletter. All of our social media
is their past programming, our blog, our podcast episodes, or
their doctor Joe Galotti dot com. So let's see. So
I often on a regular basis tell everybody to send
(04:55):
me a message. It's great to hear from our listeners.
And if you go to after jogilati dot com, you
could send me a message. It says contact us, and
a form comes up and you can ride away what
you want. But a couple of weeks ago, a woman
by the name of Erica, she said she's from the
(05:15):
Denver area, sent a message and that the gist of
the message had to do with her husband, who was
or is fifty nine years old. He has had heart
disease for many years. He now has congestive heart failure,
(05:38):
he has diabetes, his kidneys are starting to not work
so well. And her question was what role might a
second opinion be? And her thought was, he has art,
(06:00):
he has heard issues, he's got diabetes, and now the kidney.
Is anybody going to be able to do anything different?
She doesn't want to go down the path of a
second opinion when really nothing could be done. Sort of,
that's what she's saying. And I looked at that question.
(06:21):
I said, you know what, this is a very illustrative
issue for so many people, my own patients that I
see with liver disease. I'm a hepatologist take care of
patients with liver disease, and I would say there never
is a reason not to get a second opinion, another
(06:44):
set of eyes looking over the case. Now, the issue
that comes up all the time is that there is
and there still is a high degree of regard or
respect for physicians. Let's all admit it. Physicians go into
(07:05):
taking care of people for the right reason, to make
them better, treat disease, reduce disease, reduce suffering. And the
relationship that you have with your doctor, your physician is
usually one that you think you trust them and they
are doing the best thing and they are offering all
(07:28):
of the right things to you or your family member
or friend. And that is true. But there are you know,
when you get a second opinion, you get it. It
allows somebody else to look at the case a little
bit differently, and you may troubleshoot a little bit differently.
(07:55):
And so yes, if you just break it down for
the heart failure, the heart issues that Erica's husband is suffering,
he's allegedly what she wrote down was fifty nine. I
believe so relatively younger on the grand scheme of things
and going to a different cardiologist. Let's say there may
(08:18):
be a particular practice or a hospital system that has
added or different technology, a certain philosophy on how to
manage heart failure or hypertension, or if there is a
problem with one of the valves, let's say that's contributing
to the heart failure. And so what happens is physicians
(08:42):
will get comfortable in a sense with what they're able
to do. This is their range of therapy, this is
their range of expertise. But when you get somebody else
to look at it, to say, look, I can do
all of that plus a little bit extra, or there's
somebody on another doctor's team that has added expertise in
(09:08):
a certain aspect, or they're doing research, so that would
be a reason to get a second opinion. With regard
to the diabetes, yes, diabetes care is in a sense standardized,
but here again you never know. If somebody wants to
intensify a particular therapy, their tolerance for certain levels of
(09:36):
blood sugar may be a lot less and thus you're
going to get some benefit from this. And also with
regard to kidney disease, across the board, kidney disease management
is sort of standardized. But here again you get another
kidney expert, let's say, that has more experience with people
(10:01):
in heart failure or those with diabetic kidney disease. Can
alter how management is undertaken. And at the end of
the day, you hope that this new set of eyes,
multiple eyes, can give you some additional benefit. Maybe it
(10:26):
can delay the progression of the kidney disease, delay progression
of the heart disease so that the person with heart
kidney disease does not end up on dialysis or needing
a kidney transplant. All right, So I would say to Erica, yes,
no doubt, seek out a second opinion, and you really
(10:52):
do not have to worry about upsetting your primary team.
And I would say if, now this is sort of
a big if, If your doctor is offended by you
seeking out a second opinion, that's sort of a red
flag on its own, because you should be willing to say, Look,
(11:18):
I understand you are concerned, but I am fine with
you seeking out a second opinion because at the end
of the day, everybody, the doctors, the nurses, the pas,
the nurse practitioners, everybody should be behind that patient and
wanting them to get the best possible care. This should
(11:42):
not be a situation where there's some sort of turf
war where hey, if you don't like what I'm doing,
go find somebody else or get fired. Now. I've seen that.
I've seen circumstances where patients will show up in my
office and I'll say, look, you're seeing doctor X four three, four,
(12:02):
five years, why switch now? And the family will tell me, well,
we started asking questions about getting a second opinion, and
they were given an ultimatum, stay with me. I know
what I'm doing. Nobody else is going to be able
to do anything better. And then when they do leave,
(12:23):
they release them from the practice. That is not That's
usually the exception to the rule. But I would believe
if you have a good relationship with your team, your
medical team, and you're asking for not really asking, but
you're telling them you want a second opinion because you
(12:45):
are concerned about your husband, you're concerned about your son,
and whatever it may be, they should understand that your
your interest is to do the best for the patient
and it should not be taken personally. Once you start
getting personalities into the discussion, it all falls apart. First
(13:05):
and foremost, you want to take care of the patient.
You want to take care of your loved one, and
everybody on the team should understand that is the motivation. Now,
if you've got a bad relationship, or communication is bad,
or the office is a little screwy, that's a whole
second thing. But getting a second opinion is never ever
(13:26):
going to be frowned upon. And I would say the
vast majority of people that go for a second opinion,
that go for a second opinion, will even if they
stay with the main team, they will glean more information
or better understanding of the disease process. So I'm, you know,
always going to be good with second opinions. All right,
(13:52):
So Erica, thank you for reaching out. I hope you're
listening tonight, and that's what it is about. Go to
doctor Jogilotti. You can send me a message just like Erica,
and we have a conversation like this. All right, Stay tuned.
Doctor Joeglotti dot com is our website. I'll be back
in a minute, go Usa. Thanks very much for tuning
(14:14):
in on this Sunday evening. Doctor Joe Galotti. The name
of the program is Your Health First. That's exactly what
we want you to do putting your health first, make
you better consumers of healthcare, Raise your health IQ, and
don't forget doctor Joeglotti dot Com is our website. I
(14:37):
was talking at the beginning of the program about hockey,
how the men's hockey team won the gold medal, and
it would really be great, especially you know, we're based
in Houston here. If Houston was able to get an
(14:58):
NHL team, I think it would be tremendous for the
city to have an NHL team, and I would think
that the patrons of Houston would support it. So if
anybody's listening tonight that has anything to do with the
NHL getting a franchise here, I would say, I think
(15:18):
even after this gold medal win may increase the interest
in getting a team here. All right, we only have
a few minutes on this segment before the news comes up.
But coming up next month is colon Cancer Awareness Month,
(15:40):
and we'll be talking much more about that in far
more greater detail. And you know, certainly colon cancer is
one of the top cancers that adults face. The interesting
thing about colon cancer is that we are over the
(16:00):
last ten years, younger people are developing polyps and colon cancer.
We're not quite sure why. It may be the diet,
it may be obesity, but we have to be on guard.
And the main take home message tonight is that do
(16:20):
not do not blow off abdominal pain or abdominal symptoms,
meaning all of a sudden you are becoming more constipated,
or you are having more diarrhea, or you are seeing
blood in your stool and you say, well, man, I
(16:41):
got hemorrhoids. I got the hemorrhoids. That's why I'm bleeding now.
I'm not talking about if you're eighteen or nineteen years old.
I'm talking if you're thirty five and old or forty
years old and you are noticing that you have blood
in your stool. This is something that you cannot ignore.
(17:03):
You have to raise your hand and say, I need
to get this evaluated. Do not stick your head in
the sand like an ostrich because many patients I see
that come with these kinds of symptoms, they've had it
for four or five six months, and then you do
a colon oscar. I mean, you find something bad. And
(17:25):
so this is one of those situations that you don't say, oh,
it's the other guy. It's the other woman that's going
to have the problems, not me. Never gonna happen to me.
But I would say if you are suffering from what
we like to say changes in bowel habits, so you
have you know, everybody has their own routine. Everybody should
(17:48):
be a looker to see what their stool looks like
in the toilet. I know it's gross on Sunday evening,
but that is that is the truth. But if you
are noticing that your stool is more narrow or rich,
or is more straining when you have a baltet movement,
or you notice that you're more constipated, or you've got
diarrhea and or you see blood, or you're having pain
(18:10):
in the abdomen, the lower left side, the right lower side,
the upper abdomen. Maybe you're losing a little weight, Maybe
your appetite is a little bit on the decline. You
need to get that looked at. Is it always going
to be colon cancer? No, maybe something else. But you
(18:32):
don't want to sit on these symptoms and assume it
is something else, or assume that your diet is too good,
or I exercise enough, or my weight is good. I
don't smoke, I don't drink. You can't talk yourself out
of this sort of problem. So next month we'll be
(19:01):
talking more about colon cancer screening strategies, symptoms, and we'll
have some experts come on with yours truly. All right,
we're gonna take a break right now, Doctor Joe Galotti.
Don't forget doctor Joglotti dot com. Stay tuned. We'll be
back in a few minutes. Welcome back, everybody, doctor Joglotti.
Thanks for tuning in on this Sunday evening. Don't forget
(19:25):
we're here. We Sunday evening between seven and eight pm.
Don't forget. Our website is doctor Joglotti dot com. Sign
up for our newsletter, send me a message. All of
our social media is posted there. Find out what we're
all about. Plenty of health and wellness information there for
(19:47):
you to peruse and check out. All right, So sort
of a quick thought here, there's been I don't know
if you've been following this Nancy Guthrie story, the kidnapping
(20:08):
in Tucson, which on a whole separate note, is bizarre.
I have no idea, as an armchair armchair detective, have
any idea what's going on there? Middle of the night,
somebody comes to the door, they see it on the
ring camera, this dude that sort of doesn't know what
(20:30):
he's doing. Next thing, you know, she's gone and there's
no trace. Either this is a bungled set of detective
work or this is a very slick set of hoodlums
that pulled us off. But you know, I don't know.
(20:51):
And in looking at all of this, I sort of
came up with two separate ideas. Number one and I'm way,
and it's horrible to say that, but I'm waiting for
companies like Ring Doorbell or simply Safe, these do it
yourself home security systems come out and start pitching you
(21:14):
to say, do you love your family? Do you love
your grandmother? Well, not only by a ring doorbell, but
you know, pay the nineteen ninety five to have the subscription,
you know, so that it's monitored twenty four hours a
day and has you know, back up memory on the cloud.
I'm just waiting for that to happen, because I'm sitting
(21:35):
here saying the whole story would have been different if
there were cameras inside and outside the house. Let's face it,
it would have been a whole different story. The other
issue that comes up is and reporters have talked about
this is and you know, it's sort of a little
(21:58):
over the top. Some of the reporters were like, Okay,
call your grandmother tonight, your call your parents to see
that they are safe. Now, my parents pretty much live
by themselves until they passed. But I never ever, ever
had the idea that somebody was going to come in
(22:20):
and kidnap my mother at ninety years old. It just
wasn't going to happen. These are like one in a
trillion episodes, but there is a lot of discussion now
to say, should your older parents be living by themselves?
(22:42):
Not only is it a health and wellness concern? Are
they going to fall, are they going to trip in
a bathroom, or are they going to have a medical
emergency at night and there's nobody around. These are all
real issues. And for those of you that have that
have older parents or older relatives that you take care of,
(23:02):
or older parents, this is a nightmare. This is the
kind of stuff that keeps you awake at night. I
know it kept me awake, But is this a wake
up call to say, Number one, do we take our
parents out of their house and move them in with you,
which is many times a big deal. Or are we
going to move them into from their house, take them
(23:26):
away from the environment they lose into a senior living
or assisted living. Well, that might not always be good.
It's expensive, it disrupts their social network, which all the
research in the world shows that older people that have
a solid social network do better. So should we react
(23:50):
to this really unbelievable story and apply those concerns to us?
Is this you know? Are people sitting around there saying, Man,
if it could happen to Nancy Guthrie, it could happen
to my mother. I don't think so. Now, do you
have to make sure that your older parents living alone
(24:12):
or living on their own are safe? Yes? Is it
worthwhile to have maybe cameras in the house or outside. Probably,
There's a lot of good technology with regard to lighting
and reducing trip hazards, burns around the stove, slipping in
(24:34):
tubs and showers and things like that. Yeah. I think
you all need to make sure that the environment that
our older relatives are living in are safe. Is somebody
checking in on them? Okay? So those are all good things,
but I think that we have to really go over
(24:56):
the top here is a little too much. I would
think that safety of our older parents, our older relatives
should always be a priority. I don't think we have
to like kick this up to another orbit. But again,
everybody is going to have their own, you know, their
(25:19):
own issues with their older relatives than their own health
and safety. All right, Doctor Joe Glotti final segment coming up.
Don't forget doctor Joegalotti dot com. I hope you all
had and are having a great weekend. The weather in Texas,
here in Houston is marvelous. I know friends on the
East coast are getting hammered with a possible blizzard, so
(25:42):
everybody be careful there. All right, stay tuned, we'll be
right back. Welcome back, everybody, Thanks for tuning in on
this glorious Sunday evening to your health First every Sunday,
we're here between seven and a pm raising your health IQ,
making you better consumers of healthcare. And don't forget our
Our website is doctor Joegalotti dot com d R J
(26:04):
O E G A L A T. I don't forget.
Send me an email, let me know what you like
about the program, topics that you'd like to hear about,
and if there is any way we could assist you
in your health journey, Doctor Joegalotti dot com is the message,
and don't forget in this past hour have we raised
(26:26):
your health IQ? Have we made you better consumers of healthcare?
That is really our mission every Sunday evening when we're
on the radio. All right, in the final segment here,
what I like to do is select a few news
articles of interest that apply to the general population. Hopefully
(26:46):
there's a little something here for everybody. This one article
that I found what to know before buying weight loss
drugs online. And this is a huge I believe it's
a huge problem because the GLP one drugs, the ozempics
of the world, Wagovi, Manjaro, these are medications that work,
(27:10):
There's no doubt about it. There are a lot of
obese people. There are a lot of people that need
to lose weight. They need to get their blood pressure
under control, their cholesterol down, their diabetes under control. But
instead of going to a doctor and being thoroughly evaluated
and basically saying are you an appropriate candidate for this,
(27:30):
you're able to go on the line, maybe not even
see a doctor, and they tout that these drugs are
delivered to you at your doorstep without having to go
to your doctor. Now, many of the times these drugs
that are being sold online are you know, you could
(27:53):
call them whatever you want, copycats, or they are knockoffs.
They are compounded from a pharmacy. They are not necessarily
the brand name Ozepic or Wagovi or Manjaro. They're close.
They are not as strictly regulated in their production, so
(28:14):
that right away you have to be careful. Now, they
may also add additional elements to the drug. A lot
of the times they'll add vitamins or something called nad
and so you're getting a bit of a tainted product
(28:36):
that you think is going to be brand name lagov
or whatever it may be. Now, the issue is if
you're doing this for weight loss, or you have type
two diabetes, or you want to get your cholesterol and
blood pressure under control, simply taking the drug the shot
is just the beginning of it. You have to be
(28:58):
evaluated for different lifestyle interventions, be it diet and exercise.
You need to make sure by seeing a doctor that
you do not have underlying cardiovascular disease or kidney disease
or other issues that would make this medical therapy literally
(29:19):
dangerous and are you getting the proper work up. The
one issue with all of these GLP one drugs, like
I said they do work you will lose weight, is
that you may become malnourished. You may lose so much
muscle because your diet is not getting enough protein. And
(29:46):
many patients that are getting these glp ones from websites
or medical spas, you might be left to manage your
own risks yourselves. Are you eating the right diet, are
you exercising?
Speaker 1 (29:58):
Now?
Speaker 2 (29:58):
There are a the number of potential minor and serious
complications from these GLP one agents, everything from gastrointestinal problems, nausea, vomiting, constipation,
down to some neurologic and issues, complications with your eyes.
(30:22):
And so these GLP one drugs are a tool, but
they're not a substitute for proper obesity care. And you
have to look at it. People that are obese, like
it or not, they are at risk for lots of
other complications and things that I see underlying liver disease,
fatty liver diabetes, hypertension, and where you have the diabetes
(30:44):
and high pertension and high cholesterol, you're at risk for
cardiovascular disease, which you know we talked about many times
here before, So proceed with absolute great caution. I personally
would not reckon men getting these online. You have to
see a physician, be evaluated and make sure you're not
(31:06):
creating more more trouble than good. The other article I
ran into is whether or not garlic supplements are good
for your heart. Garlic supplements Now, growing up Italian in
New York, this was never a problem for us. We
cook with garlic every day. Every I don't want to
(31:29):
say every dish I make has garlic in it, So
I do not think that me personally, I am not
getting enough garlic. But there is a whole world of
garlic supplements out there, and there are claims that it
helps with blood pressure and may lower your cholesterol, and
there is I would say fair too okay studies out
(31:53):
there that supplemental garlic, and there's many different products you
could buy out there may actually help reduce blood pressure
and blood cholesterols, which will you know, certainly slow down
plaque build up in the arteries. Now, one of the
problems because you have to look at these garlic supplements
(32:16):
as supplements. They are not regulated by the FDA or
anybody else. So you go to Costco and buy a
garlic supplement, somebody else goes to Walgreen, somebody else gets
one on Amazon. You do not know the potency or
purity of these different garlic products, and so the studies
(32:40):
tried to control for this, but it makes all of
this research very, very difficult to control. So the wild
card here is the product you're taking. Is it what
it says it is supposed to be? But when you
look at some of the studies, there will be slow
light reduction in the LDL cholesterol, which is the bad cholesterol.
(33:04):
There may be some slight reduction in your blood pressure,
and the general recommendations are if you have elevated cholesterol
and or hypertension and you have risk factors for cardiovascular disease,
that maybe taking these garlic supplements may be of slight value.
(33:25):
But again you have to look at it to say,
are you exercising, are you eating a heart healthy diet?
Something in the Mediterranean realm. Now the other part is
just you know, can you get the garlic naturally in
your diet? That would be really the best thing to do,
(33:48):
And I won't even get into you know, the standard
dose of garlic is like six hundred milligrams twice a
day of this what they call aged garlic extract. But
really the experts are stress that it is always going
to be best to get this kind of a nutrink
garlic in your food, and that these supplements are not
(34:11):
a substitute for I would say, proven strategies to treat
or prevent heart disease, regular exercise, heart healthy diet, not smoking,
and weight loss. All right, so there may be some value,
but again number one, get the garlic through your diet.
(34:35):
Number two, proceed with caution. The last article here is
what's a story with energy drinks? Okay, I know a
lot of people that consume these energy drinks. They may
or may not be a fan of coffee. And is
(34:57):
there any benefit beyond the kayfke. Now, again, this is
a marketing bonanza for those that are selling these products.
They tout all kinds of claims, helps with memory, helps
you feel better, helps your mood. And again you really
(35:21):
don't know what is going into these drinks and the claims.
They don't have to prove the claims with any sort
of scientific research. Now, these typical energy drinks have about
between one to three hundred milligrams of caffeine preserving, which
is usually a bit more than a cup of black coffee.
(35:45):
And there's no doubt that high doses of caffeine will
boost your energy. But all of these energy drinks are
throwing in again B vitamins and all kinds of plant
extracts which claim to boost focus and stamina or reduce fatigue.
(36:05):
That's where you have to have a really really healthy
dose of skepticism. And this is being a good consumer.
You have to be skeptical. You can't just walk into
a store and say better energy, better focus, I'm gonna
feel better. Oh this is for me, So you have
to be careful. Now, a lot of these botanicals that
they throw into these agents may interact with other medicines.
(36:31):
There may be so much caffeine that it's going to
make you jittery, it may raise your blood pressure, it
may give you palpitations, and so all of these various
plant derived chemicals that they're putting into the drinks, they
themselves can act as stimulants above and beyond the caffeine.
(36:56):
Keep in mind that four hundred millions of caffeine a
day is the safe upper limit. They are including all
kinds of B vitamins niacin B six, B twelve, which
have to be careful with all kinds of amino acids.
The other thing is that there's a ton of sugar.
(37:17):
Many of these energy drinks are going to have sixty
grams of sugar per serving, and you have to watch out.
Sometimes these cans or bottles have more than one serving,
so you're getting more than sixty grams. Keep in mind
that the guidelines for added sugar is around ten grams
(37:42):
per meal, and you're getting sixty and one drink. So
I would say here again, be cautious. If it sounds
too good, it probably is a fake. If you need
more energy, well you have to look at and say
(38:04):
is there something wrong with me as to why my
energy is low? Are you getting enough sleep, you have
sleep apnea, you have a thyroid problem. Is your blood
sugar too high or too low? Are you taking other
medications that can affect your energy. There's a lot of
blood pressure medicines out there that can cause fatigue, daytime sleepiness,
(38:29):
and so don't just look at it to say I'm
fatigued and I'm going to take this drink and everything's
going to be fine. It may be more of a
problem than you think. And so between the garlic extract
and these you know, energy drinks, be careful. Same with
the online GLP one drugs. Proceed with caution. Proceed with caution.
(38:55):
There really is no shortcut to good health. As I
would say, all right, well, thanks very much for tuning
into your health first this Sunday evening, have a great
rist of the evening. Do put your health first. That's
the name of the program, Your health first. And make
(39:18):
sure every single day you make sure. Am I eating
the right food? Am I taking time to exercise? Am
I getting this sleep that I need? Am I doing
all of the important health habits to support wellness and
to fight off or prevent chronic disease. Don't forget to
(39:39):
go to doctor Joegalotti dot com. That's where you can
find me. All of our social media is there. Sign
up for our newsletter. If there's anything I could do
for you, topics you want to hear about, get a
copy of my book Eating Yourself Sick. It's all on
doctor Joegalotti dot com. So until next Sunday evening, stay blessed,
take care of yourselves and we'll see you.
Speaker 1 (40:00):
Then you've been listening to your Health First with doctor
Joe Glotti. For more information on this program or the
content of this program, go to your health first dot com.
Initial life Sequencing coming to you live from Houston, Texas,
home to the world's largest medical center.
Speaker 2 (00:08):
He approach bads everything looking.
Speaker 1 (00:09):
At This is your Health First, the most beneficial health
program on radio with doctor Joe Bellotti. During the next hour,
you'll learn about health, wellness and the prevention of disease.
Speaker 2 (00:30):
Now here's your host, doctor Joe Bellotti. Well, a good
Sunday evening to everybody. Doctor Joe Glotti, thanks for tuning
in on this Sunday night. We're here every Sunday evening
(00:54):
between seven and eight p m. Central Time, broadcast from
our home base in Houston, Texas. KTRH is our flagship station,
but heard around the country on the iHeartRadio app. And
(01:18):
what a Sunday it's been. You know. The Olympics finished
up today and I was up early. My son is
in town visiting, and we were up watching the men's
hockey team and it was great. USA won the gold
medal in hockey. That hadn't happened since nineteen eighty Lake Placid.
(01:44):
I was going to school at Syracuse University at the time,
so it was the proxisity. The proximity of Syracuse to
Lake Placid was not too far, and I remember a
lot of my college buddies had gone up to see
the Olympics that year. I think it was forty six
(02:05):
years to the day that the Miracle on ice took place.
But in looking at the hockey game today now, I
grew up on Long Island, as many of you know,
and I was a tremendous New York Islander fan. The
(02:27):
arena for the New York Islanders was probably no more
than ten minutes away from my house at the Nasau Coliseum,
and I played. I watched a lot of New York
Islander games because the tickets would cheap back then, and
you know, your parents would drop you off. There was
no worry about crime. They'd drop you off, you'd go
see the game and then you'd give them a call,
(02:49):
or you'd have a pre determined meetup and go with
your friends and it is really no problem. And I
played a lot of street hockey, and I never was
a big ice skater, but I played roller hockey on
roller skates and on Long Island there were a number
of surfaces that we would play roller hockey, so street
(03:15):
hockey roller hockey. I loved hockey growing up, and you know,
the funny thing was I had some cousins that were
New York Ranger fans, and so we would always try
to get tickets when the Rangers and the Islanders would play,
either at the Nasau Coliseum on Long Island or we'd
go into Madison Square Garden. But looking at the game today,
the speed of the game, the excitement of the game,
(03:40):
I think that it is way better than the NBA.
Speaker 1 (03:46):
Now.
Speaker 2 (03:47):
While I'm also a big baseball fan, you know, baseball
is pretty slow compared to hockey, obviously, but I but
I think that this is going to do a lot
to get a lot of young kids interested in hockey,
which which I think from a spectator standpoint, is really
pretty amazing. But hats off to the American team. It's
(04:09):
always great to see the Americans win, obviously against Canada.
My goodness. All right, So, if you want to participate
in the program, our website Doctor Joegalotti dot com, d
R J O E G A l A t I
dot com, you can send me a message. You can
(04:30):
soner for our weekly newsletter. All of our social media
is their past programming, our blog, our podcast episodes, or
their doctor Joe Galotti dot com. So let's see. So
I often on a regular basis tell everybody to send
(04:55):
me a message. It's great to hear from our listeners.
And if you go to after jogilati dot com, you
could send me a message. It says contact us, and
a form comes up and you can ride away what
you want. But a couple of weeks ago, a woman
by the name of Erica, she said she's from the
(05:15):
Denver area, sent a message and that the gist of
the message had to do with her husband, who was
or is fifty nine years old. He has had heart
disease for many years. He now has congestive heart failure,
(05:38):
he has diabetes, his kidneys are starting to not work
so well. And her question was what role might a
second opinion be? And her thought was, he has art,
(06:00):
he has heard issues, he's got diabetes, and now the kidney.
Is anybody going to be able to do anything different?
She doesn't want to go down the path of a
second opinion when really nothing could be done. Sort of,
that's what she's saying. And I looked at that question.
(06:21):
I said, you know what, this is a very illustrative
issue for so many people, my own patients that I
see with liver disease. I'm a hepatologist take care of
patients with liver disease, and I would say there never
is a reason not to get a second opinion, another
(06:44):
set of eyes looking over the case. Now, the issue
that comes up all the time is that there is
and there still is a high degree of regard or
respect for physicians. Let's all admit it. Physicians go into
(07:05):
taking care of people for the right reason, to make
them better, treat disease, reduce disease, reduce suffering. And the
relationship that you have with your doctor, your physician is
usually one that you think you trust them and they
are doing the best thing and they are offering all
(07:28):
of the right things to you or your family member
or friend. And that is true. But there are you know,
when you get a second opinion, you get it. It
allows somebody else to look at the case a little
bit differently, and you may troubleshoot a little bit differently.
(07:55):
And so yes, if you just break it down for
the heart failure, the heart issues that Erica's husband is suffering,
he's allegedly what she wrote down was fifty nine. I
believe so relatively younger on the grand scheme of things
and going to a different cardiologist. Let's say there may
(08:18):
be a particular practice or a hospital system that has
added or different technology, a certain philosophy on how to
manage heart failure or hypertension, or if there is a
problem with one of the valves, let's say that's contributing
to the heart failure. And so what happens is physicians
(08:42):
will get comfortable in a sense with what they're able
to do. This is their range of therapy, this is
their range of expertise. But when you get somebody else
to look at it, to say, look, I can do
all of that plus a little bit extra, or there's
somebody on another doctor's team that has added expertise in
(09:08):
a certain aspect, or they're doing research, so that would
be a reason to get a second opinion. With regard
to the diabetes, yes, diabetes care is in a sense standardized,
but here again you never know. If somebody wants to
intensify a particular therapy, their tolerance for certain levels of
(09:36):
blood sugar may be a lot less and thus you're
going to get some benefit from this. And also with
regard to kidney disease, across the board, kidney disease management
is sort of standardized. But here again you get another
kidney expert, let's say, that has more experience with people
(10:01):
in heart failure or those with diabetic kidney disease. Can
alter how management is undertaken. And at the end of
the day, you hope that this new set of eyes,
multiple eyes, can give you some additional benefit. Maybe it
(10:26):
can delay the progression of the kidney disease, delay progression
of the heart disease so that the person with heart
kidney disease does not end up on dialysis or needing
a kidney transplant. All right, So I would say to Erica, yes,
no doubt, seek out a second opinion, and you really
(10:52):
do not have to worry about upsetting your primary team.
And I would say if, now this is sort of
a big if, If your doctor is offended by you
seeking out a second opinion, that's sort of a red
flag on its own, because you should be willing to say, Look,
(11:18):
I understand you are concerned, but I am fine with
you seeking out a second opinion because at the end
of the day, everybody, the doctors, the nurses, the pas,
the nurse practitioners, everybody should be behind that patient and
wanting them to get the best possible care. This should
(11:42):
not be a situation where there's some sort of turf
war where hey, if you don't like what I'm doing,
go find somebody else or get fired. Now. I've seen that.
I've seen circumstances where patients will show up in my
office and I'll say, look, you're seeing doctor X four three, four,
(12:02):
five years, why switch now? And the family will tell me, well,
we started asking questions about getting a second opinion, and
they were given an ultimatum, stay with me. I know
what I'm doing. Nobody else is going to be able
to do anything better. And then when they do leave,
(12:23):
they release them from the practice. That is not That's
usually the exception to the rule. But I would believe
if you have a good relationship with your team, your
medical team, and you're asking for not really asking, but
you're telling them you want a second opinion because you
(12:45):
are concerned about your husband, you're concerned about your son,
and whatever it may be, they should understand that your
your interest is to do the best for the patient
and it should not be taken personally. Once you start
getting personalities into the discussion, it all falls apart. First
(13:05):
and foremost, you want to take care of the patient.
You want to take care of your loved one, and
everybody on the team should understand that is the motivation. Now,
if you've got a bad relationship, or communication is bad,
or the office is a little screwy, that's a whole
second thing. But getting a second opinion is never ever
(13:26):
going to be frowned upon. And I would say the
vast majority of people that go for a second opinion,
that go for a second opinion, will even if they
stay with the main team, they will glean more information
or better understanding of the disease process. So I'm, you know,
always going to be good with second opinions. All right,
(13:52):
So Erica, thank you for reaching out. I hope you're
listening tonight, and that's what it is about. Go to
doctor Jogilotti. You can send me a message just like Erica,
and we have a conversation like this. All right, Stay tuned.
Doctor Joeglotti dot com is our website. I'll be back
in a minute, go Usa. Thanks very much for tuning
(14:14):
in on this Sunday evening. Doctor Joe Galotti. The name
of the program is Your Health First. That's exactly what
we want you to do putting your health first, make
you better consumers of healthcare, Raise your health IQ, and
don't forget doctor Joeglotti dot Com is our website. I
(14:37):
was talking at the beginning of the program about hockey,
how the men's hockey team won the gold medal, and
it would really be great, especially you know, we're based
in Houston here. If Houston was able to get an
(14:58):
NHL team, I think it would be tremendous for the
city to have an NHL team, and I would think
that the patrons of Houston would support it. So if
anybody's listening tonight that has anything to do with the
NHL getting a franchise here, I would say, I think
(15:18):
even after this gold medal win may increase the interest
in getting a team here. All right, we only have
a few minutes on this segment before the news comes up.
But coming up next month is colon Cancer Awareness Month,
(15:40):
and we'll be talking much more about that in far
more greater detail. And you know, certainly colon cancer is
one of the top cancers that adults face. The interesting
thing about colon cancer is that we are over the
(16:00):
last ten years, younger people are developing polyps and colon cancer.
We're not quite sure why. It may be the diet,
it may be obesity, but we have to be on guard.
And the main take home message tonight is that do
(16:20):
not do not blow off abdominal pain or abdominal symptoms,
meaning all of a sudden you are becoming more constipated,
or you are having more diarrhea, or you are seeing
blood in your stool and you say, well, man, I
(16:41):
got hemorrhoids. I got the hemorrhoids. That's why I'm bleeding now.
I'm not talking about if you're eighteen or nineteen years old.
I'm talking if you're thirty five and old or forty
years old and you are noticing that you have blood
in your stool. This is something that you cannot ignore.
(17:03):
You have to raise your hand and say, I need
to get this evaluated. Do not stick your head in
the sand like an ostrich because many patients I see
that come with these kinds of symptoms, they've had it
for four or five six months, and then you do
a colon oscar. I mean, you find something bad. And
(17:25):
so this is one of those situations that you don't say, oh,
it's the other guy. It's the other woman that's going
to have the problems, not me. Never gonna happen to me.
But I would say if you are suffering from what
we like to say changes in bowel habits, so you
have you know, everybody has their own routine. Everybody should
(17:48):
be a looker to see what their stool looks like
in the toilet. I know it's gross on Sunday evening,
but that is that is the truth. But if you
are noticing that your stool is more narrow or rich,
or is more straining when you have a baltet movement,
or you notice that you're more constipated, or you've got
diarrhea and or you see blood, or you're having pain
(18:10):
in the abdomen, the lower left side, the right lower side,
the upper abdomen. Maybe you're losing a little weight, Maybe
your appetite is a little bit on the decline. You
need to get that looked at. Is it always going
to be colon cancer? No, maybe something else. But you
(18:32):
don't want to sit on these symptoms and assume it
is something else, or assume that your diet is too good,
or I exercise enough, or my weight is good. I
don't smoke, I don't drink. You can't talk yourself out
of this sort of problem. So next month we'll be
(19:01):
talking more about colon cancer screening strategies, symptoms, and we'll
have some experts come on with yours truly. All right,
we're gonna take a break right now, Doctor Joe Galotti.
Don't forget doctor Joglotti dot com. Stay tuned. We'll be
back in a few minutes. Welcome back, everybody, doctor Joglotti.
Thanks for tuning in on this Sunday evening. Don't forget
(19:25):
we're here. We Sunday evening between seven and eight pm.
Don't forget. Our website is doctor Joglotti dot com. Sign
up for our newsletter, send me a message. All of
our social media is posted there. Find out what we're
all about. Plenty of health and wellness information there for
(19:47):
you to peruse and check out. All right, So sort
of a quick thought here, there's been I don't know
if you've been following this Nancy Guthrie story, the kidnapping
(20:08):
in Tucson, which on a whole separate note, is bizarre.
I have no idea, as an armchair armchair detective, have
any idea what's going on there? Middle of the night,
somebody comes to the door, they see it on the
ring camera, this dude that sort of doesn't know what
(20:30):
he's doing. Next thing, you know, she's gone and there's
no trace. Either this is a bungled set of detective
work or this is a very slick set of hoodlums
that pulled us off. But you know, I don't know.
(20:51):
And in looking at all of this, I sort of
came up with two separate ideas. Number one and I'm way,
and it's horrible to say that, but I'm waiting for
companies like Ring Doorbell or simply Safe, these do it
yourself home security systems come out and start pitching you
(21:14):
to say, do you love your family? Do you love
your grandmother? Well, not only by a ring doorbell, but
you know, pay the nineteen ninety five to have the subscription,
you know, so that it's monitored twenty four hours a
day and has you know, back up memory on the cloud.
I'm just waiting for that to happen, because I'm sitting
(21:35):
here saying the whole story would have been different if
there were cameras inside and outside the house. Let's face it,
it would have been a whole different story. The other
issue that comes up is and reporters have talked about
this is and you know, it's sort of a little
(21:58):
over the top. Some of the reporters were like, Okay,
call your grandmother tonight, your call your parents to see
that they are safe. Now, my parents pretty much live
by themselves until they passed. But I never ever, ever
had the idea that somebody was going to come in
(22:20):
and kidnap my mother at ninety years old. It just
wasn't going to happen. These are like one in a
trillion episodes, but there is a lot of discussion now
to say, should your older parents be living by themselves?
(22:42):
Not only is it a health and wellness concern? Are
they going to fall, are they going to trip in
a bathroom, or are they going to have a medical
emergency at night and there's nobody around. These are all
real issues. And for those of you that have that
have older parents or older relatives that you take care of,
(23:02):
or older parents, this is a nightmare. This is the
kind of stuff that keeps you awake at night. I
know it kept me awake, But is this a wake
up call to say, Number one, do we take our
parents out of their house and move them in with you,
which is many times a big deal. Or are we
going to move them into from their house, take them
(23:26):
away from the environment they lose into a senior living
or assisted living. Well, that might not always be good.
It's expensive, it disrupts their social network, which all the
research in the world shows that older people that have
a solid social network do better. So should we react
(23:50):
to this really unbelievable story and apply those concerns to us?
Is this you know? Are people sitting around there saying, Man,
if it could happen to Nancy Guthrie, it could happen
to my mother. I don't think so. Now, do you
have to make sure that your older parents living alone
(24:12):
or living on their own are safe? Yes? Is it
worthwhile to have maybe cameras in the house or outside. Probably,
There's a lot of good technology with regard to lighting
and reducing trip hazards, burns around the stove, slipping in
(24:34):
tubs and showers and things like that. Yeah. I think
you all need to make sure that the environment that
our older relatives are living in are safe. Is somebody
checking in on them? Okay? So those are all good things,
but I think that we have to really go over
(24:56):
the top here is a little too much. I would
think that safety of our older parents, our older relatives
should always be a priority. I don't think we have
to like kick this up to another orbit. But again,
everybody is going to have their own, you know, their
(25:19):
own issues with their older relatives than their own health
and safety. All right, Doctor Joe Glotti final segment coming up.
Don't forget doctor Joegalotti dot com. I hope you all
had and are having a great weekend. The weather in Texas,
here in Houston is marvelous. I know friends on the
East coast are getting hammered with a possible blizzard, so
(25:42):
everybody be careful there. All right, stay tuned, we'll be
right back. Welcome back, everybody, Thanks for tuning in on
this glorious Sunday evening to your health First every Sunday,
we're here between seven and a pm raising your health IQ,
making you better consumers of healthcare. And don't forget our
Our website is doctor Joegalotti dot com d R J
(26:04):
O E G A L A T. I don't forget.
Send me an email, let me know what you like
about the program, topics that you'd like to hear about,
and if there is any way we could assist you
in your health journey, Doctor Joegalotti dot com is the message,
and don't forget in this past hour have we raised
(26:26):
your health IQ? Have we made you better consumers of healthcare?
That is really our mission every Sunday evening when we're
on the radio. All right, in the final segment here,
what I like to do is select a few news
articles of interest that apply to the general population. Hopefully
(26:46):
there's a little something here for everybody. This one article
that I found what to know before buying weight loss
drugs online. And this is a huge I believe it's
a huge problem because the GLP one drugs, the ozempics
of the world, Wagovi, Manjaro, these are medications that work,
(27:10):
There's no doubt about it. There are a lot of
obese people. There are a lot of people that need
to lose weight. They need to get their blood pressure
under control, their cholesterol down, their diabetes under control. But
instead of going to a doctor and being thoroughly evaluated
and basically saying are you an appropriate candidate for this,
(27:30):
you're able to go on the line, maybe not even
see a doctor, and they tout that these drugs are
delivered to you at your doorstep without having to go
to your doctor. Now, many of the times these drugs
that are being sold online are you know, you could
(27:53):
call them whatever you want, copycats, or they are knockoffs.
They are compounded from a pharmacy. They are not necessarily
the brand name Ozepic or Wagovi or Manjaro. They're close.
They are not as strictly regulated in their production, so
(28:14):
that right away you have to be careful. Now, they
may also add additional elements to the drug. A lot
of the times they'll add vitamins or something called nad
and so you're getting a bit of a tainted product
(28:36):
that you think is going to be brand name lagov
or whatever it may be. Now, the issue is if
you're doing this for weight loss, or you have type
two diabetes, or you want to get your cholesterol and
blood pressure under control, simply taking the drug the shot
is just the beginning of it. You have to be
(28:58):
evaluated for different lifestyle interventions, be it diet and exercise.
You need to make sure by seeing a doctor that
you do not have underlying cardiovascular disease or kidney disease
or other issues that would make this medical therapy literally
(29:19):
dangerous and are you getting the proper work up. The
one issue with all of these GLP one drugs, like
I said they do work you will lose weight, is
that you may become malnourished. You may lose so much
muscle because your diet is not getting enough protein. And
(29:46):
many patients that are getting these glp ones from websites
or medical spas, you might be left to manage your
own risks yourselves. Are you eating the right diet, are
you exercising?
Speaker 1 (29:58):
Now?
Speaker 2 (29:58):
There are a the number of potential minor and serious
complications from these GLP one agents, everything from gastrointestinal problems, nausea, vomiting, constipation,
down to some neurologic and issues, complications with your eyes.
(30:22):
And so these GLP one drugs are a tool, but
they're not a substitute for proper obesity care. And you
have to look at it. People that are obese, like
it or not, they are at risk for lots of
other complications and things that I see underlying liver disease,
fatty liver diabetes, hypertension, and where you have the diabetes
(30:44):
and high pertension and high cholesterol, you're at risk for
cardiovascular disease, which you know we talked about many times
here before, So proceed with absolute great caution. I personally
would not reckon men getting these online. You have to
see a physician, be evaluated and make sure you're not
(31:06):
creating more more trouble than good. The other article I
ran into is whether or not garlic supplements are good
for your heart. Garlic supplements Now, growing up Italian in
New York, this was never a problem for us. We
cook with garlic every day. Every I don't want to
(31:29):
say every dish I make has garlic in it, So
I do not think that me personally, I am not
getting enough garlic. But there is a whole world of
garlic supplements out there, and there are claims that it
helps with blood pressure and may lower your cholesterol, and
there is I would say fair too okay studies out
(31:53):
there that supplemental garlic, and there's many different products you
could buy out there may actually help reduce blood pressure
and blood cholesterols, which will you know, certainly slow down
plaque build up in the arteries. Now, one of the
problems because you have to look at these garlic supplements
(32:16):
as supplements. They are not regulated by the FDA or
anybody else. So you go to Costco and buy a
garlic supplement, somebody else goes to Walgreen, somebody else gets
one on Amazon. You do not know the potency or
purity of these different garlic products, and so the studies
(32:40):
tried to control for this, but it makes all of
this research very, very difficult to control. So the wild
card here is the product you're taking. Is it what
it says it is supposed to be? But when you
look at some of the studies, there will be slow
light reduction in the LDL cholesterol, which is the bad cholesterol.
(33:04):
There may be some slight reduction in your blood pressure,
and the general recommendations are if you have elevated cholesterol
and or hypertension and you have risk factors for cardiovascular disease,
that maybe taking these garlic supplements may be of slight value.
(33:25):
But again you have to look at it to say,
are you exercising, are you eating a heart healthy diet?
Something in the Mediterranean realm. Now the other part is
just you know, can you get the garlic naturally in
your diet? That would be really the best thing to do,
(33:48):
And I won't even get into you know, the standard
dose of garlic is like six hundred milligrams twice a
day of this what they call aged garlic extract. But
really the experts are stress that it is always going
to be best to get this kind of a nutrink
garlic in your food, and that these supplements are not
(34:11):
a substitute for I would say, proven strategies to treat
or prevent heart disease, regular exercise, heart healthy diet, not smoking,
and weight loss. All right, so there may be some value,
but again number one, get the garlic through your diet.
(34:35):
Number two, proceed with caution. The last article here is
what's a story with energy drinks? Okay, I know a
lot of people that consume these energy drinks. They may
or may not be a fan of coffee. And is
(34:57):
there any benefit beyond the kayfke. Now, again, this is
a marketing bonanza for those that are selling these products.
They tout all kinds of claims, helps with memory, helps
you feel better, helps your mood. And again you really
(35:21):
don't know what is going into these drinks and the claims.
They don't have to prove the claims with any sort
of scientific research. Now, these typical energy drinks have about
between one to three hundred milligrams of caffeine preserving, which
is usually a bit more than a cup of black coffee.
(35:45):
And there's no doubt that high doses of caffeine will
boost your energy. But all of these energy drinks are
throwing in again B vitamins and all kinds of plant
extracts which claim to boost focus and stamina or reduce fatigue.
(36:05):
That's where you have to have a really really healthy
dose of skepticism. And this is being a good consumer.
You have to be skeptical. You can't just walk into
a store and say better energy, better focus, I'm gonna
feel better. Oh this is for me, So you have
to be careful. Now, a lot of these botanicals that
they throw into these agents may interact with other medicines.
(36:31):
There may be so much caffeine that it's going to
make you jittery, it may raise your blood pressure, it
may give you palpitations, and so all of these various
plant derived chemicals that they're putting into the drinks, they
themselves can act as stimulants above and beyond the caffeine.
(36:56):
Keep in mind that four hundred millions of caffeine a
day is the safe upper limit. They are including all
kinds of B vitamins niacin B six, B twelve, which
have to be careful with all kinds of amino acids.
The other thing is that there's a ton of sugar.
(37:17):
Many of these energy drinks are going to have sixty
grams of sugar per serving, and you have to watch out.
Sometimes these cans or bottles have more than one serving,
so you're getting more than sixty grams. Keep in mind
that the guidelines for added sugar is around ten grams
(37:42):
per meal, and you're getting sixty and one drink. So
I would say here again, be cautious. If it sounds
too good, it probably is a fake. If you need
more energy, well you have to look at and say
(38:04):
is there something wrong with me as to why my
energy is low? Are you getting enough sleep, you have
sleep apnea, you have a thyroid problem. Is your blood
sugar too high or too low? Are you taking other
medications that can affect your energy. There's a lot of
blood pressure medicines out there that can cause fatigue, daytime sleepiness,
(38:29):
and so don't just look at it to say I'm
fatigued and I'm going to take this drink and everything's
going to be fine. It may be more of a
problem than you think. And so between the garlic extract
and these you know, energy drinks, be careful. Same with
the online GLP one drugs. Proceed with caution. Proceed with caution.
(38:55):
There really is no shortcut to good health. As I
would say, all right, well, thanks very much for tuning
into your health first this Sunday evening, have a great
rist of the evening. Do put your health first. That's
the name of the program, Your health first. And make
(39:18):
sure every single day you make sure. Am I eating
the right food? Am I taking time to exercise? Am
I getting this sleep that I need? Am I doing
all of the important health habits to support wellness and
to fight off or prevent chronic disease. Don't forget to
(39:39):
go to doctor Joegalotti dot com. That's where you can
find me. All of our social media is there. Sign
up for our newsletter. If there's anything I could do
for you, topics you want to hear about, get a
copy of my book Eating Yourself Sick. It's all on
doctor Joegalotti dot com. So until next Sunday evening, stay blessed,
take care of yourselves and we'll see you.
Speaker 1 (40:00):
Then you've been listening to your Health First with doctor
Joe Glotti. For more information on this program or the
content of this program, go to your health first dot com.
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