January 18, 2026 • 40 mins
Dr. Galati starts the program by talking about his quick recovery from total knee replacement surgery and seeing Herb Alpert and the Tijuana Brass last night. Dr. Kelly Daus joins the show to talk about an emergency she had to deal with while on an airplane. Research Coordinator Callie Pettigrew at the Houston Research Institute also joins to talk about all the opportunities with the studies. Finally, Dr. Galati talks about and listens to Dr. Marc Sigel’s comments about the new food pyramid.
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Speaker 1 (00:01):
Initialize sequencing coming to you live from Houston, Texas, home
to the world's largest medical.
Speaker 2 (00:08):
Center in The approach rays everything looking at.
Speaker 1 (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 3 (00:41):
Well a good Sunday evening to everybody. Doctor Joe Galotti,
you're tuned into your Health First.
Speaker 4 (00:49):
We hear every.
Speaker 3 (00:51):
Sunday evening between seven and eight pm, bringing everybody the
best in health and wellness. Our motto is to make
you that are consumers of healthcare, raising your.
Speaker 4 (01:04):
Health.
Speaker 5 (01:04):
I Q.
Speaker 4 (01:06):
It is as simple as that.
Speaker 3 (01:08):
We're not giving stuff away, we're not selling merch, just
trying to make you a lot healthier and have the
realization and I can never say this enough. You the patient,
you the consumer, You the head of your household, your family,
(01:34):
have more control over the destiny of your life from
a health and wellness standpoint. Then you realize, if you
take a very lackadaisical approach, kick the can down the road,
don't worry about it. I don't feel that bad. Everybody
(01:56):
has these symptoms, you will be short changed, to say
the least. And as a physician seeing this, it is
horribly said to see because you look at it and say,
this did not have to happen. This person did not
have to be in a more advanced stage of a disease.
(02:20):
We could have nipped it in the bud. So that's
what I hope all of you listening tonight can gain
from it. Make sure you look certainly, tell your friends
and family to tune in, and if you have out
of town friends, we are heard across the iHeart network
on the iHeartRadio app anywhere in the world. You can
(02:43):
go to the Aiheartradio app and seven Central Time. Your
hell first is going to be on the air now.
To reach out to me doctor Joegalotti dot com d
R J O E G A L A t I.
You could send me an email a message, tell me
what you like, tell me what you don't like, topics
you want to hear about. Signer for a newsletter. Lots
of information there. You can take a look at my
(03:05):
ted talk that I gave a year or so ago.
You could get a copy of my book Eating Yourself Sick.
Signer for the newsletter because there is another book coming
out in the works. You want to be the first
to know about that, so stay tuned. Doctor Joeglotti dot com. Also,
we're going to be talking about research and one of
(03:28):
my research staff is going to be on CALI. I'll
just tell you now if you want to send me
an email, just sort of bypass everything. It's info at
Texasliver dot com. Info at Texasliver, spell out Texas Texasliver
dot com. We are certainly open to evaluating patients for research.
(03:48):
If you have obesity, if you have type two diabetes,
if you have fatty liver, if you're overweight. We have
a number of clinical trials that you could participate in.
Whether the insurance or don't have insurance or underinsured. We
will take all comers, and we're offering a free, no
charge fibro scans, a very quick test that we could
(04:11):
measure really the status of your liver, whether there's fat
or any fibrosis or scoring. But you have to reach
out info at Texasliver dot com. You go to Texasliver
dot com, send us a message, you give us a call,
but you have to say you heard you heard me
talking about on radio, so you sort of get to
the front of the line. All right, A couple of things.
(04:34):
We're gonna have a We're gonna have a surgical resonance
coming on. Who's going to tell a story about uh,
providing medical care on an airplane got to be the
scariest thing. Got to be the scariest thing. She had
to shock somebody in the aisle of a plane. And
we're gonna talk a little bit about the food pyramid.
I interviewed doctor Mark Siegel for another project, and we're
(04:57):
gonna have him weigh in with me guarding the food pyramid.
All right, A couple of things. I want to get
to number one. As many of you know, I went
for a total new replacement back to the beginning of January.
This past week I got back to work. It was
a bit of a drag. I was very drained at
the end of the day, so I have to pace myself.
(05:20):
But the key thing here is what has allowed me
to recover quickly is my commitment. Now I'm not saying
this for me to pin a metal on my chest
or to make anybody feel bad, but it is once again,
doctor is patient. I am witnessing what my patients go
(05:42):
through paying attention to my diet, paying attention to my sleep,
paying attention to me, being committed to my physical therapy
and exercising and getting my legs stronger. After the surgery,
I almost could not stand up from a chair, and
I had to learn and exercise and strengthen those muscles.
So again I would say that getting well is not easy.
(06:08):
I have too much on the line for my family,
my wife, my children, my staff, people counting on me
to be able to show up, and so I had
to commit myself totally.
Speaker 4 (06:21):
But this goes for all of you to engage.
Speaker 3 (06:27):
So a little bit on the lighter side, let me,
you know, take a listen to this music. Does anybody
know who this is?
Speaker 4 (06:39):
Now?
Speaker 3 (06:39):
If you were born in the sixties, you should know
that this is Herb Albert and the Tijuana Brass. They
were incredibly popular in the sixties and seventies and then
again later in the eighties.
Speaker 4 (06:56):
But last night.
Speaker 3 (06:59):
I went with some friends and I took some of
my research team to see Herb Albert and the Tijuana
Brass at Smart Financial Center over in Sugarland. And Herb
Albert is ninety years old and he played for two
hours with his band, and he was talking during the concert.
(07:23):
You know, people were yelling out questions and he was very,
very very cordial. But his spirit, his humanity and humility
is that he loves making music. He really doesn't know
anything else to do. And so at ninety years old,
(07:44):
this guy is trekking around the country to sold out crowds.
And I think you have to look at that for
yourself to say, what am I going to be doing
when I'm seventy or eighty or ninety. God willing stay
(08:06):
engaged and that is a testament to our health, our survival,
and the ability to make people happy in his own way. Now,
I grew up listening to this soundtrack. My parents were
big lovers of music, and you know, I had to
(08:29):
say the soundtrack of my life, my childhood. But sitting
there for two hours, I had a grin on my face.
This music was so well done, had a very good band.
Speaker 4 (08:42):
But it is.
Speaker 3 (08:46):
Just marvelous to see a man that loves what he does.
And I think it is again for our own well being,
our own health, our mental health, our relationships. Are we
doing things that are bettering our community? Take a look
at her Albert all Right, doctor Joe Glotti. Stay tuned,
don't forget doctor Jogolotti dot com.
Speaker 4 (09:07):
We'll be back in the minute.
Speaker 3 (09:08):
Every Sunday between seven and a p am. You should
be tuned into your health first. I'm doctor Joe Galotti,
and you know, while we talk about all kinds of
health and wellness and research, every so often a really
good human interest story within the medical space comes in.
And tonight we've got doctor Kelly DAWs who is a
(09:31):
surgery resident out in Seattle, and over Christmas she got
tangled up with an in flight or this was on
the ground, but an emergency on a plane. Kelly, Welcome
to the program and tell us about what the heck
happened to you over Christmas.
Speaker 5 (09:49):
Yeah, thank you so much for having me. I was
lucky to get a little bit of time off to fly.
Speaker 6 (09:55):
Home to see the family.
Speaker 4 (09:56):
Uh huh.
Speaker 5 (09:57):
Was on my way back to Seattle, was planning to
be on call at the hospital that evening, and little
did I know, my my trouble started a little bit early.
So I was sitting in my window seat on the plane.
Speaker 6 (10:10):
We were all boarded.
Speaker 5 (10:11):
But hadn't get let the left the jet way yet,
and they asked for any medical personnel who was available
on the plane. Sounded slightly panicked, right, So I got
up out of my seat and walked up. It was
actually a gentleman in first class, and got up there
there was a ic you nurse who was already thankfully there,
and was checking his pulse and looks at me, and
(10:33):
I told her I was a physician, and she says, I,
I can't find a pulse.
Speaker 4 (10:38):
Not something, not something you want to hear.
Speaker 5 (10:41):
No, no, And of course, I mean the first thing
that goes through my mind is, oh, are we sure.
Let's let's check a little bit closer, and yeah, lo
and behold that I couldn't find a pulse either, And
so we we got the gentleman into the aisle way,
which was no.
Speaker 6 (10:54):
Easy feet and she started chest compressions.
Speaker 4 (10:57):
Oh my, got.
Speaker 5 (11:00):
Got the the flight attendants to bring us the automatic
defibrillator and put the pads on the gentlemen. And they're
they're very user friendly and easy to use. Anyone else,
not even a physician, could use one. And it very
quickly analyzed his rhythm and told us that.
Speaker 6 (11:14):
We should shock him.
Speaker 3 (11:16):
And so you're probably sitting there saying I can't believe
this is happening to me.
Speaker 5 (11:22):
I yeah, And my parents asked me the same thing afterwards.
Speaker 6 (11:26):
And it's funny when you're in the moment and you're
you know.
Speaker 5 (11:28):
You're used to dealing with all sorts of medical emergencies
in the hospital. I wasn't even really aware of my surroundings.
I was mostly just focused on him and what we
needed to do. Right, But yeah, not.
Speaker 6 (11:38):
Not the ideal area or circumstances to be in a code.
Speaker 4 (11:43):
Yeah.
Speaker 3 (11:43):
Yeah, And what happened? You shocked them? And how did
this all turn out?
Speaker 5 (11:49):
Yeah, so we we shocked the gentleman resume CPR. I
took over compressions for the nurse, and as I'm doing compressions,
he's starting to wake up a little bit, not talking
to but breathing a lot more heavily, and you can
tell he's becoming more with it. And so we paused
quickly and chuck a pulse again, and thankfully he had one,
and so we at that point had all the medical
(12:12):
equipment had been brought to us. The planes are actually
fairly well stocked with medical equipment, and so we were
able to check his blood pressure, got a solid blood pressure,
checked his pulse and his oxygenation, which were all stable.
And we're then, thankfully since we were on the ground
just waiting for EMS to arrive, which at Bush Intercontinental
Airport took quite some time, but we had him stable
(12:35):
for probably another five to eight minutes before EMS arrived
and got him off the plane.
Speaker 4 (12:40):
Wow.
Speaker 3 (12:40):
Now tell me what, how were the other patients on
the plane reacting in and around your area? Did they
clear out a few seats? Was the door open where
patients not patients passengers let out? What was a whole scene?
Was it chaos or was everybody sort of controlled?
Speaker 1 (13:00):
Yeah?
Speaker 5 (13:00):
To be honest, I wasn't paying much attention to what
was going on besides my immediate vicinity, but everyone remained
in their seats. The few individuals who had medical backgrounds.
It was myself and two nurses, and then there was
a dentist who kindly was handing us supplies out of
the medical kit.
Speaker 3 (13:16):
Okay, and you know when you need a dentist on
a flight, you never know.
Speaker 5 (13:24):
But no, everyone was very helpful and it was honestly,
it went smoother than some codes that I've run in
a hospital setting. Right, And we were the flight attendants
were very helpful in getting us what we needed and
keeping us up to date, and everyone else just kind
of stayed seated.
Speaker 3 (13:41):
Now I recall that this is the second time one
of these on plane emergencies happened. What happened the first time?
Speaker 6 (13:49):
Yeah, something, I'm quite unlucky.
Speaker 5 (13:52):
It comes to be when when traveling for vacation or leisure,
that I get called to the job and to provide help.
But yeah, the first time, we were actually in flight again,
flying back home to Seattle, and a gentleman was semi unconscious,
complaining of chess pain, had slightly low blood pressure but
(14:12):
otherwise stable vital signs. And there's not much you can
do on a plane to you know, kind of work
up the the ideology or the cause of somebody's symptoms. Right,
And so we were about an hour and a half
out from Seattle. I didn't feel comfortable awaiting that amount
of time with his current state, and so the flood attendant,
again I was the only physician on board, said it
(14:33):
was my decision if we were going to divert or not.
Speaker 6 (14:36):
And so I said, yeah, how quickly can we be
on the ground.
Speaker 5 (14:39):
They told me we could be in Boise in ten
minutes and we landed in Boise and the EMS crew
was awaiting our us when we landed and came and
got him off the plane as well.
Speaker 3 (14:49):
Yeah, really really pretty amazing. And I would say in
my thirty five year career once I was at once
and it was within the last year or so, you know,
this this ominous message over the PA system, is there
a medical person on the on the flight and on
(15:12):
we were flying international, and probably about six people got up,
but it turned out that it was somebody that was
just sleeping, and so by the time I got there,
the person was awake, and I said, you know, you
don't need more people here. But you know, I would say,
as we were talking about a little earlier, the number
one place where heart attacks occur is the airport. And
(15:36):
you talk to anybody that's involved in EMS and they
will tell you airports are sort of a dangerous place
to be because when you think about it, people are rushing,
they are under stress, they are maybe they're running late,
they're they're lugging along a heavy suitcase, and this raises
your blood pressure and you know, put you at risk
for having a heart attack. With that said, I cannot
(16:00):
recall with all the traveling I've done, ever seen some
sort of medical emergency like this at an airport. But
you know, it does make sense. What do you think
about that, Kelly, and sort of a warning to the public.
Speaker 5 (16:15):
Yeah, and talking with my family, same thing, and all
of their years flying had never had an inflight emergency,
and here I've had two in the last what three years?
Speaker 7 (16:25):
Now.
Speaker 5 (16:26):
I think it's true, and I think it's interesting. A
lot of times people were traveling alone. This gentleman was
traveling alone as well, and we had no idea what
his medical history was, no one to gather any additional intel.
Speaker 6 (16:41):
And so I don't know in terms of.
Speaker 5 (16:44):
What the general public can do, but I think you know,
there's apps on your phones now where you can list
your medical history and things like that. But if you
are someone who has medical comorbidities and is at risk
of things like this happening, yeah, traveling alone, it's it's
not for the saint of heart and something to be
careful of.
Speaker 7 (17:04):
Yeah.
Speaker 3 (17:04):
You know the other thing which I've been you know,
really doing probably past fifteen years or so. Any medicines
that you take, not to put them in the check luggage.
You have to keep them in your and your carry on.
So if somebody is having an asthmatic attack or a migraine,
or you know something even worse, something cardiac related, you're
(17:27):
nitrol glystering your blood pressure medicine. It's at least handy,
rather than sitting there with symptoms and saying, oh crap,
my medicine is in the belly of the plane. So
I think we have to be better consumers and better travelers,
but putting your own health or the health of somebody
you're traveling with in line. And I guess the other
(17:48):
thing is if you are traveling or you're at the
airport and you are not feeling well and you just
get the sense that something's wrong, I really think you
just have to say I'm going to skip this flight
and get checked out. I mean, what would you say
to that.
Speaker 5 (18:03):
Yeah, no, absolutely, I mean we have I was actually
surprised and looking through the medical equipment they do have
on the plane. There's quite a bit of medications that
the every plane carries with them.
Speaker 6 (18:12):
There's epinephrine.
Speaker 5 (18:14):
There was actually atropaint and someone's heart rate was to
be too slow. There's nictro gloscer and aspirin, all the
things that kind of medics would carry, but then you
have to have someone who's capable of administering those medications, right,
and that a lot of cases can get IV access
and so yeah, if you're if you're not feeling well,
a plane is not an ideal location to be having
a medical emergency. We certainly, we were thankfully had a
(18:37):
I think a good outcome. Obviously, I don't know ultimately
what happened with this gentleman once he got to the hospital,
but we were able to get his pulse back. But
that is in no way an ideal location to be
having to do chest compressions and in an emergency.
Speaker 3 (18:50):
No, no, not at all. Well, Kelly, your training and
your commitment came through and we're happy this all turned
out just great. I'm afraid to ask you traveling anywhere
soon again? And uh, do you have to bring your
medicit with you.
Speaker 5 (19:08):
I'm actually have some vacation planned to Costa Rica at
the end of the month, so hopefully it's uneventful.
Speaker 3 (19:14):
And I can just relax, all right, Doctor Kelly DAWs
coming in from Seattle right now. Thanks very much for
sharing your story.
Speaker 6 (19:22):
To Kelly, absolutely thanks for having me all right.
Speaker 3 (19:26):
All right, always a great story to hear. All right,
stay tuned for more your health First, I'm doctor Joe Galotti.
We'll be back in a minute. Stay tuned. Welcome back everybody,
doctor Joe Galotti. Every Sunday evening, Raising your Health, Tyke,
raising your health. I Q acidemy. It spit the words
out tonight, making you better consumers. And our goal here
(19:49):
is to make you healthy.
Speaker 4 (19:53):
It is not that hard to do. Now.
Speaker 3 (19:55):
A little trivia in the background, little Tijuana Brass who
is old enough to either have played it back in
the sixties and seventies or their parents played this music.
And on the phone tonight is Kelly Pettigrew, who is
the clinical operations manager for our research unit. And last
(20:19):
night we had a little bit of a team outing
to see Herb Albert and the Tijuana Brass. It sounds
like you enjoyed it.
Speaker 6 (20:29):
It was such a fun night.
Speaker 3 (20:31):
I mean a week ago you would have never thought
you'd be at a Herb Albert concert.
Speaker 7 (20:38):
No, but now that I have been, I am very
intrigued in love listening to his music.
Speaker 3 (20:43):
Yeah, I mean, just listen to this. It's fantastic. And
at ninety years old, I was very impressed.
Speaker 7 (20:56):
What did you think, Kelly, I mean I thought he
was like maybe seventy or eighty.
Speaker 6 (21:03):
It was it was insane.
Speaker 7 (21:04):
How one he played for two hours straight, which I
was like, there's no way this nine year old can
play for two hours.
Speaker 4 (21:11):
Straight a trumpet, a trumpet, no less.
Speaker 7 (21:14):
Yes, it was crazy. He was incredible. And then his
wife came out she's saying, so it was. It was
a great night.
Speaker 3 (21:22):
It was a good good team outing. So, Kelly, you
are heading up our research efforts at the practice, and
you were on a few months ago when we first
really got underway, and so from three or four months
ago to now here we are the beginning of twenty
(21:43):
twenty six. For everybody listening, research plays a vital role
in your care if appropriate. Yes, you go to your doctor,
you see your nurse practitioner and your primary care doctor.
And there are certain state medicines that are available, Okay,
be it for blood pressure, cholesterol, control of diabetes, migraines, arthritis,
(22:08):
kidney disease, et cetera. But there is a really a
whole world of new therapies that are being developed to
improve upon what we have in many ways, to improve
the response of the medicine to the disease, reduce the
(22:28):
likelihood of having complications, and so that's where we fit in.
For almost my entire career of thirty five years, I've
been involved in clinical research and we have an awesome
team that Cali is heading up. Now, what would you
say is new with some of the studies that we
have and for everybody listening, tune in to say, may
I be a candidate for one of these studies? So
(22:50):
CALLI explain tonight what the opportunities are.
Speaker 7 (22:55):
Yeah, So, just from the time that we spoke a
few months ago to now, we've expanded our population that
we are trying to help serve. So we still focus
on fatty liver trials, cirrhosis trials, that is still the
majority of what we do, but we also have, you know,
(23:16):
trials for metabolic disorder and so we've got some weight
loss trials. We have you know, a targeted one for
diabetic patients. So it's a gop one similar to like
ozempic we go v things like that, and it's for
patients with diabetes. So if you're you know, if you're
(23:37):
not on any of those gop ones and you feel
you're overweight, you're wanting to lose some weight you're not
able to and your diabetes is controlled, you know, then
it would be a good potential for you. We've got
another weight loss trial, but it's it is paired with
fatty liver.
Speaker 6 (23:54):
So if you've got some.
Speaker 7 (23:56):
Scarring of your liver and you are overweight, we we
have a new medication that's also a gop one, trying
to kind of reduce the fat and the liver and
the overall weight of the individual.
Speaker 4 (24:11):
Yeah, and you know, nice, go ahead.
Speaker 7 (24:15):
I would say.
Speaker 6 (24:16):
The nice thing about these.
Speaker 7 (24:17):
Two is there are no biopses. So you know, as
we talked about previously, a lot of patients you know,
are very hesitant for that reason. And in these you know,
we're really just making sure your your liver is functioning.
Speaker 6 (24:33):
What we need it to be.
Speaker 3 (24:35):
And so yeah, and you know, I would I would
say that in the continuum of patient care or or
care for yourself, me the patient, you want to do,
in a sense all you can to optimize the opportunities
for therapy. All too often we see patients literally on
(24:56):
a daily basis that they're diabetes or their fatty liver
or their obesity is just being watched.
Speaker 4 (25:07):
They go to their doctor.
Speaker 3 (25:08):
The patient is being diligent, they are showing up for
their annual meeting, their every six month examination, whatever it
may be, and they are a handful of things that
are wrong. Yes, you are obese or overweight. What's the plan.
Let's watch it. Your blood sugar is just a little elevated,
(25:31):
just a touch, as I say in my book, eating
Yourself Sick. I sort of poke at that, but it
is something we see and hear every day. Slightly elevated.
What's the plan. Well, let's watch it. Come back in
six months. Your blood pressure is elevated, not that bad,
let's watch it. The bottom line here, and Kelly, you
(25:51):
could attest to this. We all need to be far
more aggressive in the management, in the intervention, in the
teaching and awareness to our patients and research in a
way is an opportunity to come in, get thoroughly evaluated
and address all of these other items that are just
(26:13):
being watched.
Speaker 4 (26:14):
What's your take on that?
Speaker 7 (26:16):
Yeah, I would agree. I would say probably half our patients.
You know they're coming in and yeah, I was totally
at fatty Liver fifteen twenty years ago. But nothing's been
done rightful and so yeah, it's crazy. And you know,
even I understand, like you know, there is newer medications,
so like previously there wasn't medication, but they you know,
(26:38):
they've been told and they're not even watching it.
Speaker 6 (26:41):
They haven't been to.
Speaker 7 (26:42):
A liver specialist in years, right, So that I would
say that is definitely the number one thing I see,
and also the education piece of it, right, So that's
what we love to do, especially research is after we
evaluate patients. You know, they might not be part of
the trial, but you know we're going to tell them why,
We're going to say what we can do next. Right,
(27:03):
there's options, and a lot of people don't understand that
because their primary care or you know, anyone that they
see it's like, okay, I've checked it off, you're good
to go. We'll watch it right well, as we've seen,
especially you being a hepatologist, if you don't take care
of it, it is likely to get worse, right, and
then once it gets worse, it's harder to actually fix.
(27:26):
And that's kind of it's frustrating for a lot of
our patients because they're like, I've been watching this for
ten years and now it's getting bad and and there
was nothing. You know, they're frustrated because they were not
told to do anything differently, right, so and then we
get them on the worst end, which is frustrating. So
you know, I think just in general, the populations that
(27:50):
are really being affected, especially with fatty liver and are
those with high blood pressure, high cholesterol, diabetes.
Speaker 6 (27:56):
Are overweight.
Speaker 7 (27:57):
If you have two of these metabolic factors like you
are at high risk to potentially have fatty liver. And
so that's why we one love to educate because you
know it might not always show in your blood work.
So we love to offer the free fiber scans, which
is that ultrasound of the liver, just to kind of
(28:17):
see where you're at. Right.
Speaker 6 (28:18):
You know, knowledge is power hearing, right.
Speaker 7 (28:21):
And you know that's that's our number one goal is
to really just educate the patients before you know, we
might not have an option, but we might.
Speaker 4 (28:29):
Right, you never know.
Speaker 3 (28:30):
And as you said, part of our program which really
is an extension of our community outreach in a sense,
because we want to help as many people. We have limitations.
I wish I could just open the doors and everybody
come in one day.
Speaker 5 (28:45):
But the.
Speaker 3 (28:48):
Easiest thing and if you've got a pin or just
want to record this. The website to reach out to
Cali and myself and our team is info at Texasliver
dot com. T e X A S L I V
e R dot com info at Texasliver dot com and
(29:11):
just send us to the email say hey, you know
you heard this on the radio tonight. You're interested in
the free scan possibly research, and we'll get you taken
care of. You know the other part about let's watch it.
The analogy that I give to my patients from when
I go out and speak is you're walking your dog
or you're jogging in the neighborhood and you see out
(29:33):
of a neighbor's house some smoke coming out of let's
say the kitchen window, and you say, hmm, I don't
see any flames. Uh, well, no flames, maybe there's no fire.
I'll just keep walking. Five minutes later, the house is
in gulfton flames. And so many times our patients are
(29:54):
coming with that proverbial smoke coming out the front window
and just wait a little bit longer before their liver,
or their kidneys or their heart is completely engulfed in
serious irreversible complications. And that is what we don't want
to watch. No one's going to say, hey, let's watch
(30:15):
the house next door with smoke billowing out the front door, right,
Would you ever do that?
Speaker 6 (30:20):
CALLI I hope not.
Speaker 3 (30:23):
No, No, I don't think anybody would. But when you
put it in that context, you see how ridiculous a
lot of patients are being treated. And I have written
about this, I have talked about this, the inadequacies of
the care that many patients are getting.
Speaker 4 (30:42):
The other thing Kelly to chat about.
Speaker 3 (30:43):
People will say, oh, you know, it's research and I'm
a guinea pig and I don't want to do this.
I tell everybody that if anybody is participating in a
research trial, it is probably one of the most scrutinized
levels of care that you're going to receive. If you
start the trial and you're enrolled and you you burp,
(31:05):
you're going to be like, look at you got to
call in?
Speaker 4 (31:08):
What's going on? Bob?
Speaker 3 (31:09):
Tell us while you're burping, So explain that and then
some of the you know, the cost or no cost
that's involved with research.
Speaker 7 (31:16):
Yeah. So that's what I love to tell patients is
if they're a little nervous, any any aspect of research.
When you're even in the screening period before you even
enroll in the medication, you're being looked at by probably
dozens of physicians doctors looking at your lab work and
you know, looking at your imaging. If we're doing that,
(31:39):
and it is the safety aspect is crazy because one,
you know, they're monitoring this. They they they're hoping their
medication can go for FDA approval, right right, Well, that
means they're they're highly alert for any safety issues. So
you know, again we have to report everything. You you
have the flu, okay, well go to report it, right
(32:00):
because you know, if you're taking a medication, we got
to make sure it doesn't interfere with the one that
you're on. So it is the safety aspect is crazy.
You know you've got you've got access to me twenty
four hours a day, every day of the week. Right,
So that is one part. And then the second part
it is free. Everything in research is free, all the testing,
(32:23):
all the imaging. Every time you even come to see us.
You know, if you just have a follow up visit,
we you know, we do pay for your time because
again it's just a choice. You do not have to
be enrolled in these but it's a great choice for
a lot of people. And you know, you know, some
some extra cash doesn't hurt, right, right.
Speaker 3 (32:42):
Especially you know, especially in these days, you know, days
people are under insured or they don't have insurance. We
really don't make any judgment on that. Patients come and
whether you're fully insured or don't have insurance, will we'll
take a look at you.
Speaker 7 (32:57):
Yeah, We're going to try to take care of you
as best as we can can. And even even traveling,
like I know, a lot of people coming to your clinic,
doctor Glotti, a lot of them live quite far away, right,
so sometimes you know, with certain trials, we can also
pay for mileage reimbursement stuff like that. Just again because
we're here for you. We're trying to help you, you know,
(33:21):
just trying to get you to your.
Speaker 3 (33:22):
Best help, right, absolutely, all right, So don't forget you know,
you could email me email CALLI info at Texas Liver
dot com and I'll put a link on the Facebook
page at doctor Joe Glotti tonight that you could take
a look at as well.
Speaker 4 (33:38):
All right, CALLI, thank you very much. I will see
you in the morning.
Speaker 6 (33:41):
Sounds good, Have a good day.
Speaker 4 (33:42):
All right, thanks so much.
Speaker 3 (33:44):
All right, all right, uh yeah, Info at Texasliver dot com. Yeah,
if we could help anybody, that's our mission. All right,
stay tuned, we'll be right back. Welcome back, everybody. Final
segment of this week's Your Health First, Doctor Joe Galotti,
don't forget go to our website. Well, we have two websites,
(34:09):
Doctor Joegalotti dot com as well as Texas Liver dot
com and at Texasliver dot com. As we were talking
about the last segment with Cali, you could send me
a message if you are interested in research, you want
more information about it, come for a a a no
(34:30):
cost fibro scan, which really is a very simple test.
It takes about five minutes to do to assess whether
or not you have any underlying fatuliver, any damage, zerosis,
and if you could participate in the study. We're located
in the Museum District in downtown Houston. So come on buy,
but go to Texasliver dot com t e x A
(34:52):
S L I v e R dot com or email
us at info at Texasliver dot com. All right, so
in the in the final eight minutes or so, here
what I want to do last week I talked a
little bit about the new food pyramid and a little
bit of controversy. There's some people that like it, some
people that love it, some people are a little bit lukewarm.
But the main the main things for you to take
(35:15):
away here. Number one, the processed and ultra processed foods
are gone. Nobody wants you to eat these foods, and
so you as a consumer sort of what I said
last week, you have to look at your own cabinets,
(35:36):
your freezer, you're refrigerator and say is this a processed
food or is it a whole food unprocessed. We want
to have you stay away from sugars, artificial sweeteners, the
sugary drinks, the sodas, the sweet iced tea, the gatorades
and things like that. Now, if you are out after
(36:00):
cutting the lawn, or you go on a long bike
ride and you come home and you want a gatorade,
I'm not going to call the food police on you.
But trust me, and you know these people, this is
all they drink. They will have four or five diet
(36:20):
cokes through the day. They will drink sweet iced tea.
Speaker 4 (36:26):
Forever. That is bad.
Speaker 3 (36:28):
It promotes obesity, diabetes since of the resistant metabolic syndrome,
fatty liver, court disease, etc. So on this pyramid, which
really is turned upside down from the old pyramid, it
is basically at the top it is protein, dairy, and
healthy fats. Now in a moment, I have a clip
(36:49):
from doctor Mark Siegel. He's one of the medical experts
on Fox News. I interviewed him for another project. I
asked him to weigh in on this, and you'll hear
his points. But the top line is, you know, red meat, fish, poultry.
I am not a big fan of all the red
meat that they are pushing, so I think you have
(37:10):
to temper that. Now in the middle are the fruits
and the vegetables. Yes, you need to be on a
whole food, plant based diet. They talk about whole fat, dairy.
The research, and again you could argue my research is
better than your researcher, my expert, etc. The research is
(37:32):
showing that whether you have one percent yogurt or whole
fat yogurt, one percent milk or whole milk, the risk
of cardiovascular disease is not increased, the risk of diabetes
is not increased. The risk of becoming obese from having
these fatty dairy products is not increased, then at the
(37:55):
bottom third of the pyramid are going to be the
whole grains. So they are tapping back on the amount
of bread and pasta and whole grains. Now you want
to have the more complex carbohydrates rather than the simple
carbohydrates of just simply white bread. You want maybe something
(38:15):
whole wheat bread or breads that are not overly processed.
So that is sort of the construct. Now, what I'm
going to do is I'm going to loop in here
comments from doctor Mark Siegel from Fox News and listen
to his take on it.
Speaker 2 (38:34):
I like ninety five percent of it.
Speaker 4 (38:36):
Yeah, I like it.
Speaker 2 (38:37):
In fact, it plugs right into this discussion because it
has to do Kennedy is a very religious guy, and
it has to do with restoring the idea of honoring
your body and putting whole foods into it, from farm
to table, real food, not fake food.
Speaker 4 (38:51):
And I think Frankenstein, Yeah, it's a.
Speaker 2 (38:55):
Deliberate attack on what happened about a decade and a
half ago when everybody said fats are bad for you,
fats are bad for you, let's have sugars instead. They
didn't say, let's have sugars instead. But that's when it
ended up happening. So we ended up with a lot
of really processed, chemical, unhealthy, sugar laden, addictive. That was
(39:16):
my wrote about addictive foods that led to the obesity epidemic.
So now Kennedy and Maha is coming back and saying,
let's let's restore whole foods. I like everything about what's
on that permit. I like the fact that the studies
over the past decade have shown that we need to
look at the microbiome in the gut and that we
(39:37):
need to build it up even with with with yogurt
or even with whole milk, but with the idea that
that that if you take.
Speaker 4 (39:47):
Schools, whole milk fills.
Speaker 2 (39:48):
You up, so you might not eat eat the bad stuff.
You might not need the ultra processed fouit. The only
caveat I want to throw into this is I'm not
a big fan of red meat. I like his point
of I like his point about protein. I like his
point about my vitamins and memorials and red meat. But
read me, there's too much saturated fat and directly linked
to heart disease. That's the one I take it.
Speaker 6 (40:10):
I take odds with all.
Speaker 3 (40:11):
Right, we're gonna cut out for this Sunday evening. Don't
forget Doctor Joe Galotti dot com is our website. For
information on research, go to Texasliver dot com. You can
email me at info at texasliver dot com. Have a
blessed week. We'll see you next Sunday evening.
Speaker 4 (40:24):
Well First with doctor Joe Glotti.
Speaker 1 (40:27):
For more information on this program or the content of
this program, go to your Health First dot com.
Initialize sequencing coming to you live from Houston, Texas, home
to the world's largest medical.
Speaker 2 (00:08):
Center in The approach rays everything looking at.
Speaker 1 (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 3 (00:41):
Well a good Sunday evening to everybody. Doctor Joe Galotti,
you're tuned into your Health First.
Speaker 4 (00:49):
We hear every.
Speaker 3 (00:51):
Sunday evening between seven and eight pm, bringing everybody the
best in health and wellness. Our motto is to make
you that are consumers of healthcare, raising your.
Speaker 4 (01:04):
Health.
Speaker 5 (01:04):
I Q.
Speaker 4 (01:06):
It is as simple as that.
Speaker 3 (01:08):
We're not giving stuff away, we're not selling merch, just
trying to make you a lot healthier and have the
realization and I can never say this enough. You the patient,
you the consumer, You the head of your household, your family,
(01:34):
have more control over the destiny of your life from
a health and wellness standpoint. Then you realize, if you
take a very lackadaisical approach, kick the can down the road,
don't worry about it. I don't feel that bad. Everybody
(01:56):
has these symptoms, you will be short changed, to say
the least. And as a physician seeing this, it is
horribly said to see because you look at it and say,
this did not have to happen. This person did not
have to be in a more advanced stage of a disease.
(02:20):
We could have nipped it in the bud. So that's
what I hope all of you listening tonight can gain
from it. Make sure you look certainly, tell your friends
and family to tune in, and if you have out
of town friends, we are heard across the iHeart network
on the iHeartRadio app anywhere in the world. You can
(02:43):
go to the Aiheartradio app and seven Central Time. Your
hell first is going to be on the air now.
To reach out to me doctor Joegalotti dot com d
R J O E G A L A t I.
You could send me an email a message, tell me
what you like, tell me what you don't like, topics
you want to hear about. Signer for a newsletter. Lots
of information there. You can take a look at my
(03:05):
ted talk that I gave a year or so ago.
You could get a copy of my book Eating Yourself Sick.
Signer for the newsletter because there is another book coming
out in the works. You want to be the first
to know about that, so stay tuned. Doctor Joeglotti dot com. Also,
we're going to be talking about research and one of
(03:28):
my research staff is going to be on CALI. I'll
just tell you now if you want to send me
an email, just sort of bypass everything. It's info at
Texasliver dot com. Info at Texasliver, spell out Texas Texasliver
dot com. We are certainly open to evaluating patients for research.
(03:48):
If you have obesity, if you have type two diabetes,
if you have fatty liver, if you're overweight. We have
a number of clinical trials that you could participate in.
Whether the insurance or don't have insurance or underinsured. We
will take all comers, and we're offering a free, no
charge fibro scans, a very quick test that we could
(04:11):
measure really the status of your liver, whether there's fat
or any fibrosis or scoring. But you have to reach
out info at Texasliver dot com. You go to Texasliver
dot com, send us a message, you give us a call,
but you have to say you heard you heard me
talking about on radio, so you sort of get to
the front of the line. All right, A couple of things.
(04:34):
We're gonna have a We're gonna have a surgical resonance
coming on. Who's going to tell a story about uh,
providing medical care on an airplane got to be the
scariest thing. Got to be the scariest thing. She had
to shock somebody in the aisle of a plane. And
we're gonna talk a little bit about the food pyramid.
I interviewed doctor Mark Siegel for another project, and we're
(04:57):
gonna have him weigh in with me guarding the food pyramid.
All right, A couple of things. I want to get
to number one. As many of you know, I went
for a total new replacement back to the beginning of January.
This past week I got back to work. It was
a bit of a drag. I was very drained at
the end of the day, so I have to pace myself.
(05:20):
But the key thing here is what has allowed me
to recover quickly is my commitment. Now I'm not saying
this for me to pin a metal on my chest
or to make anybody feel bad, but it is once again,
doctor is patient. I am witnessing what my patients go
(05:42):
through paying attention to my diet, paying attention to my sleep,
paying attention to me, being committed to my physical therapy
and exercising and getting my legs stronger. After the surgery,
I almost could not stand up from a chair, and
I had to learn and exercise and strengthen those muscles.
So again I would say that getting well is not easy.
(06:08):
I have too much on the line for my family,
my wife, my children, my staff, people counting on me
to be able to show up, and so I had
to commit myself totally.
Speaker 4 (06:21):
But this goes for all of you to engage.
Speaker 3 (06:27):
So a little bit on the lighter side, let me,
you know, take a listen to this music. Does anybody
know who this is?
Speaker 4 (06:39):
Now?
Speaker 3 (06:39):
If you were born in the sixties, you should know
that this is Herb Albert and the Tijuana Brass. They
were incredibly popular in the sixties and seventies and then
again later in the eighties.
Speaker 4 (06:56):
But last night.
Speaker 3 (06:59):
I went with some friends and I took some of
my research team to see Herb Albert and the Tijuana
Brass at Smart Financial Center over in Sugarland. And Herb
Albert is ninety years old and he played for two
hours with his band, and he was talking during the concert.
(07:23):
You know, people were yelling out questions and he was very,
very very cordial. But his spirit, his humanity and humility
is that he loves making music. He really doesn't know
anything else to do. And so at ninety years old,
(07:44):
this guy is trekking around the country to sold out crowds.
And I think you have to look at that for
yourself to say, what am I going to be doing
when I'm seventy or eighty or ninety. God willing stay
(08:06):
engaged and that is a testament to our health, our survival,
and the ability to make people happy in his own way. Now,
I grew up listening to this soundtrack. My parents were
big lovers of music, and you know, I had to
(08:29):
say the soundtrack of my life, my childhood. But sitting
there for two hours, I had a grin on my face.
This music was so well done, had a very good band.
Speaker 4 (08:42):
But it is.
Speaker 3 (08:46):
Just marvelous to see a man that loves what he does.
And I think it is again for our own well being,
our own health, our mental health, our relationships. Are we
doing things that are bettering our community? Take a look
at her Albert all Right, doctor Joe Glotti. Stay tuned,
don't forget doctor Jogolotti dot com.
Speaker 4 (09:07):
We'll be back in the minute.
Speaker 3 (09:08):
Every Sunday between seven and a p am. You should
be tuned into your health first. I'm doctor Joe Galotti,
and you know, while we talk about all kinds of
health and wellness and research, every so often a really
good human interest story within the medical space comes in.
And tonight we've got doctor Kelly DAWs who is a
(09:31):
surgery resident out in Seattle, and over Christmas she got
tangled up with an in flight or this was on
the ground, but an emergency on a plane. Kelly, Welcome
to the program and tell us about what the heck
happened to you over Christmas.
Speaker 5 (09:49):
Yeah, thank you so much for having me. I was
lucky to get a little bit of time off to fly.
Speaker 6 (09:55):
Home to see the family.
Speaker 4 (09:56):
Uh huh.
Speaker 5 (09:57):
Was on my way back to Seattle, was planning to
be on call at the hospital that evening, and little
did I know, my my trouble started a little bit early.
So I was sitting in my window seat on the plane.
Speaker 6 (10:10):
We were all boarded.
Speaker 5 (10:11):
But hadn't get let the left the jet way yet,
and they asked for any medical personnel who was available
on the plane. Sounded slightly panicked, right, So I got
up out of my seat and walked up. It was
actually a gentleman in first class, and got up there
there was a ic you nurse who was already thankfully there,
and was checking his pulse and looks at me, and
(10:33):
I told her I was a physician, and she says, I,
I can't find a pulse.
Speaker 4 (10:38):
Not something, not something you want to hear.
Speaker 5 (10:41):
No, no, And of course, I mean the first thing
that goes through my mind is, oh, are we sure.
Let's let's check a little bit closer, and yeah, lo
and behold that I couldn't find a pulse either, And
so we we got the gentleman into the aisle way,
which was no.
Speaker 6 (10:54):
Easy feet and she started chest compressions.
Speaker 4 (10:57):
Oh my, got.
Speaker 5 (11:00):
Got the the flight attendants to bring us the automatic
defibrillator and put the pads on the gentlemen. And they're
they're very user friendly and easy to use. Anyone else,
not even a physician, could use one. And it very
quickly analyzed his rhythm and told us that.
Speaker 6 (11:14):
We should shock him.
Speaker 3 (11:16):
And so you're probably sitting there saying I can't believe
this is happening to me.
Speaker 5 (11:22):
I yeah, And my parents asked me the same thing afterwards.
Speaker 6 (11:26):
And it's funny when you're in the moment and you're
you know.
Speaker 5 (11:28):
You're used to dealing with all sorts of medical emergencies
in the hospital. I wasn't even really aware of my surroundings.
I was mostly just focused on him and what we
needed to do. Right, But yeah, not.
Speaker 6 (11:38):
Not the ideal area or circumstances to be in a code.
Speaker 4 (11:43):
Yeah.
Speaker 3 (11:43):
Yeah, And what happened? You shocked them? And how did
this all turn out?
Speaker 5 (11:49):
Yeah, so we we shocked the gentleman resume CPR. I
took over compressions for the nurse, and as I'm doing compressions,
he's starting to wake up a little bit, not talking
to but breathing a lot more heavily, and you can
tell he's becoming more with it. And so we paused
quickly and chuck a pulse again, and thankfully he had one,
and so we at that point had all the medical
(12:12):
equipment had been brought to us. The planes are actually
fairly well stocked with medical equipment, and so we were
able to check his blood pressure, got a solid blood pressure,
checked his pulse and his oxygenation, which were all stable.
And we're then, thankfully since we were on the ground
just waiting for EMS to arrive, which at Bush Intercontinental
Airport took quite some time, but we had him stable
(12:35):
for probably another five to eight minutes before EMS arrived
and got him off the plane.
Speaker 4 (12:40):
Wow.
Speaker 3 (12:40):
Now tell me what, how were the other patients on
the plane reacting in and around your area? Did they
clear out a few seats? Was the door open where
patients not patients passengers let out? What was a whole scene?
Was it chaos or was everybody sort of controlled?
Speaker 1 (13:00):
Yeah?
Speaker 5 (13:00):
To be honest, I wasn't paying much attention to what
was going on besides my immediate vicinity, but everyone remained
in their seats. The few individuals who had medical backgrounds.
It was myself and two nurses, and then there was
a dentist who kindly was handing us supplies out of
the medical kit.
Speaker 3 (13:16):
Okay, and you know when you need a dentist on
a flight, you never know.
Speaker 5 (13:24):
But no, everyone was very helpful and it was honestly,
it went smoother than some codes that I've run in
a hospital setting. Right, And we were the flight attendants
were very helpful in getting us what we needed and
keeping us up to date, and everyone else just kind
of stayed seated.
Speaker 3 (13:41):
Now I recall that this is the second time one
of these on plane emergencies happened. What happened the first time?
Speaker 6 (13:49):
Yeah, something, I'm quite unlucky.
Speaker 5 (13:52):
It comes to be when when traveling for vacation or leisure,
that I get called to the job and to provide help.
But yeah, the first time, we were actually in flight again,
flying back home to Seattle, and a gentleman was semi unconscious,
complaining of chess pain, had slightly low blood pressure but
(14:12):
otherwise stable vital signs. And there's not much you can
do on a plane to you know, kind of work
up the the ideology or the cause of somebody's symptoms. Right,
And so we were about an hour and a half
out from Seattle. I didn't feel comfortable awaiting that amount
of time with his current state, and so the flood attendant,
again I was the only physician on board, said it
(14:33):
was my decision if we were going to divert or not.
Speaker 6 (14:36):
And so I said, yeah, how quickly can we be
on the ground.
Speaker 5 (14:39):
They told me we could be in Boise in ten
minutes and we landed in Boise and the EMS crew
was awaiting our us when we landed and came and
got him off the plane as well.
Speaker 3 (14:49):
Yeah, really really pretty amazing. And I would say in
my thirty five year career once I was at once
and it was within the last year or so, you know,
this this ominous message over the PA system, is there
a medical person on the on the flight and on
(15:12):
we were flying international, and probably about six people got up,
but it turned out that it was somebody that was
just sleeping, and so by the time I got there,
the person was awake, and I said, you know, you
don't need more people here. But you know, I would say,
as we were talking about a little earlier, the number
one place where heart attacks occur is the airport. And
(15:36):
you talk to anybody that's involved in EMS and they
will tell you airports are sort of a dangerous place
to be because when you think about it, people are rushing,
they are under stress, they are maybe they're running late,
they're they're lugging along a heavy suitcase, and this raises
your blood pressure and you know, put you at risk
for having a heart attack. With that said, I cannot
(16:00):
recall with all the traveling I've done, ever seen some
sort of medical emergency like this at an airport. But
you know, it does make sense. What do you think
about that, Kelly, and sort of a warning to the public.
Speaker 5 (16:15):
Yeah, and talking with my family, same thing, and all
of their years flying had never had an inflight emergency,
and here I've had two in the last what three years?
Speaker 7 (16:25):
Now.
Speaker 5 (16:26):
I think it's true, and I think it's interesting. A
lot of times people were traveling alone. This gentleman was
traveling alone as well, and we had no idea what
his medical history was, no one to gather any additional intel.
Speaker 6 (16:41):
And so I don't know in terms of.
Speaker 5 (16:44):
What the general public can do, but I think you know,
there's apps on your phones now where you can list
your medical history and things like that. But if you
are someone who has medical comorbidities and is at risk
of things like this happening, yeah, traveling alone, it's it's
not for the saint of heart and something to be
careful of.
Speaker 7 (17:04):
Yeah.
Speaker 3 (17:04):
You know the other thing which I've been you know,
really doing probably past fifteen years or so. Any medicines
that you take, not to put them in the check luggage.
You have to keep them in your and your carry on.
So if somebody is having an asthmatic attack or a migraine,
or you know something even worse, something cardiac related, you're
(17:27):
nitrol glystering your blood pressure medicine. It's at least handy,
rather than sitting there with symptoms and saying, oh crap,
my medicine is in the belly of the plane. So
I think we have to be better consumers and better travelers,
but putting your own health or the health of somebody
you're traveling with in line. And I guess the other
(17:48):
thing is if you are traveling or you're at the
airport and you are not feeling well and you just
get the sense that something's wrong, I really think you
just have to say I'm going to skip this flight
and get checked out. I mean, what would you say
to that.
Speaker 5 (18:03):
Yeah, no, absolutely, I mean we have I was actually
surprised and looking through the medical equipment they do have
on the plane. There's quite a bit of medications that
the every plane carries with them.
Speaker 6 (18:12):
There's epinephrine.
Speaker 5 (18:14):
There was actually atropaint and someone's heart rate was to
be too slow. There's nictro gloscer and aspirin, all the
things that kind of medics would carry, but then you
have to have someone who's capable of administering those medications, right,
and that a lot of cases can get IV access
and so yeah, if you're if you're not feeling well,
a plane is not an ideal location to be having
a medical emergency. We certainly, we were thankfully had a
(18:37):
I think a good outcome. Obviously, I don't know ultimately
what happened with this gentleman once he got to the hospital,
but we were able to get his pulse back. But
that is in no way an ideal location to be
having to do chest compressions and in an emergency.
Speaker 3 (18:50):
No, no, not at all. Well, Kelly, your training and
your commitment came through and we're happy this all turned
out just great. I'm afraid to ask you traveling anywhere
soon again? And uh, do you have to bring your
medicit with you.
Speaker 5 (19:08):
I'm actually have some vacation planned to Costa Rica at
the end of the month, so hopefully it's uneventful.
Speaker 3 (19:14):
And I can just relax, all right, Doctor Kelly DAWs
coming in from Seattle right now. Thanks very much for
sharing your story.
Speaker 6 (19:22):
To Kelly, absolutely thanks for having me all right.
Speaker 3 (19:26):
All right, always a great story to hear. All right,
stay tuned for more your health First, I'm doctor Joe Galotti.
We'll be back in a minute. Stay tuned. Welcome back everybody,
doctor Joe Galotti. Every Sunday evening, Raising your Health, Tyke,
raising your health. I Q acidemy. It spit the words
out tonight, making you better consumers. And our goal here
(19:49):
is to make you healthy.
Speaker 4 (19:53):
It is not that hard to do. Now.
Speaker 3 (19:55):
A little trivia in the background, little Tijuana Brass who
is old enough to either have played it back in
the sixties and seventies or their parents played this music.
And on the phone tonight is Kelly Pettigrew, who is
the clinical operations manager for our research unit. And last
(20:19):
night we had a little bit of a team outing
to see Herb Albert and the Tijuana Brass. It sounds
like you enjoyed it.
Speaker 6 (20:29):
It was such a fun night.
Speaker 3 (20:31):
I mean a week ago you would have never thought
you'd be at a Herb Albert concert.
Speaker 7 (20:38):
No, but now that I have been, I am very
intrigued in love listening to his music.
Speaker 3 (20:43):
Yeah, I mean, just listen to this. It's fantastic. And
at ninety years old, I was very impressed.
Speaker 7 (20:56):
What did you think, Kelly, I mean I thought he
was like maybe seventy or eighty.
Speaker 6 (21:03):
It was it was insane.
Speaker 7 (21:04):
How one he played for two hours straight, which I
was like, there's no way this nine year old can
play for two hours.
Speaker 4 (21:11):
Straight a trumpet, a trumpet, no less.
Speaker 7 (21:14):
Yes, it was crazy. He was incredible. And then his
wife came out she's saying, so it was. It was
a great night.
Speaker 3 (21:22):
It was a good good team outing. So, Kelly, you
are heading up our research efforts at the practice, and
you were on a few months ago when we first
really got underway, and so from three or four months
ago to now here we are the beginning of twenty
(21:43):
twenty six. For everybody listening, research plays a vital role
in your care if appropriate. Yes, you go to your doctor,
you see your nurse practitioner and your primary care doctor.
And there are certain state medicines that are available, Okay,
be it for blood pressure, cholesterol, control of diabetes, migraines, arthritis,
(22:08):
kidney disease, et cetera. But there is a really a
whole world of new therapies that are being developed to
improve upon what we have in many ways, to improve
the response of the medicine to the disease, reduce the
(22:28):
likelihood of having complications, and so that's where we fit in.
For almost my entire career of thirty five years, I've
been involved in clinical research and we have an awesome
team that Cali is heading up. Now, what would you
say is new with some of the studies that we
have and for everybody listening, tune in to say, may
I be a candidate for one of these studies? So
(22:50):
CALLI explain tonight what the opportunities are.
Speaker 7 (22:55):
Yeah, So, just from the time that we spoke a
few months ago to now, we've expanded our population that
we are trying to help serve. So we still focus
on fatty liver trials, cirrhosis trials, that is still the
majority of what we do, but we also have, you know,
(23:16):
trials for metabolic disorder and so we've got some weight
loss trials. We have you know, a targeted one for
diabetic patients. So it's a gop one similar to like
ozempic we go v things like that, and it's for
patients with diabetes. So if you're you know, if you're
(23:37):
not on any of those gop ones and you feel
you're overweight, you're wanting to lose some weight you're not
able to and your diabetes is controlled, you know, then
it would be a good potential for you. We've got
another weight loss trial, but it's it is paired with
fatty liver.
Speaker 6 (23:54):
So if you've got some.
Speaker 7 (23:56):
Scarring of your liver and you are overweight, we we
have a new medication that's also a gop one, trying
to kind of reduce the fat and the liver and
the overall weight of the individual.
Speaker 4 (24:11):
Yeah, and you know, nice, go ahead.
Speaker 7 (24:15):
I would say.
Speaker 6 (24:16):
The nice thing about these.
Speaker 7 (24:17):
Two is there are no biopses. So you know, as
we talked about previously, a lot of patients you know,
are very hesitant for that reason. And in these you know,
we're really just making sure your your liver is functioning.
Speaker 6 (24:33):
What we need it to be.
Speaker 3 (24:35):
And so yeah, and you know, I would I would
say that in the continuum of patient care or or
care for yourself, me the patient, you want to do,
in a sense all you can to optimize the opportunities
for therapy. All too often we see patients literally on
(24:56):
a daily basis that they're diabetes or their fatty liver
or their obesity is just being watched.
Speaker 4 (25:07):
They go to their doctor.
Speaker 3 (25:08):
The patient is being diligent, they are showing up for
their annual meeting, their every six month examination, whatever it
may be, and they are a handful of things that
are wrong. Yes, you are obese or overweight. What's the plan.
Let's watch it. Your blood sugar is just a little elevated,
(25:31):
just a touch, as I say in my book, eating
Yourself Sick. I sort of poke at that, but it
is something we see and hear every day. Slightly elevated.
What's the plan. Well, let's watch it. Come back in
six months. Your blood pressure is elevated, not that bad,
let's watch it. The bottom line here, and Kelly, you
(25:51):
could attest to this. We all need to be far
more aggressive in the management, in the intervention, in the
teaching and awareness to our patients and research in a
way is an opportunity to come in, get thoroughly evaluated
and address all of these other items that are just
(26:13):
being watched.
Speaker 4 (26:14):
What's your take on that?
Speaker 7 (26:16):
Yeah, I would agree. I would say probably half our patients.
You know they're coming in and yeah, I was totally
at fatty Liver fifteen twenty years ago. But nothing's been
done rightful and so yeah, it's crazy. And you know,
even I understand, like you know, there is newer medications,
so like previously there wasn't medication, but they you know,
(26:38):
they've been told and they're not even watching it.
Speaker 6 (26:41):
They haven't been to.
Speaker 7 (26:42):
A liver specialist in years, right, So that I would
say that is definitely the number one thing I see,
and also the education piece of it, right, So that's
what we love to do, especially research is after we
evaluate patients. You know, they might not be part of
the trial, but you know we're going to tell them why,
We're going to say what we can do next. Right,
(27:03):
there's options, and a lot of people don't understand that
because their primary care or you know, anyone that they
see it's like, okay, I've checked it off, you're good
to go. We'll watch it right well, as we've seen,
especially you being a hepatologist, if you don't take care
of it, it is likely to get worse, right, and
then once it gets worse, it's harder to actually fix.
(27:26):
And that's kind of it's frustrating for a lot of
our patients because they're like, I've been watching this for
ten years and now it's getting bad and and there
was nothing. You know, they're frustrated because they were not
told to do anything differently, right, so and then we
get them on the worst end, which is frustrating. So
you know, I think just in general, the populations that
(27:50):
are really being affected, especially with fatty liver and are
those with high blood pressure, high cholesterol, diabetes.
Speaker 6 (27:56):
Are overweight.
Speaker 7 (27:57):
If you have two of these metabolic factors like you
are at high risk to potentially have fatty liver. And
so that's why we one love to educate because you
know it might not always show in your blood work.
So we love to offer the free fiber scans, which
is that ultrasound of the liver, just to kind of
(28:17):
see where you're at. Right.
Speaker 6 (28:18):
You know, knowledge is power hearing, right.
Speaker 7 (28:21):
And you know that's that's our number one goal is
to really just educate the patients before you know, we
might not have an option, but we might.
Speaker 4 (28:29):
Right, you never know.
Speaker 3 (28:30):
And as you said, part of our program which really
is an extension of our community outreach in a sense,
because we want to help as many people. We have limitations.
I wish I could just open the doors and everybody
come in one day.
Speaker 5 (28:45):
But the.
Speaker 3 (28:48):
Easiest thing and if you've got a pin or just
want to record this. The website to reach out to
Cali and myself and our team is info at Texasliver
dot com. T e X A S L I V
e R dot com info at Texasliver dot com and
(29:11):
just send us to the email say hey, you know
you heard this on the radio tonight. You're interested in
the free scan possibly research, and we'll get you taken
care of. You know the other part about let's watch it.
The analogy that I give to my patients from when
I go out and speak is you're walking your dog
or you're jogging in the neighborhood and you see out
(29:33):
of a neighbor's house some smoke coming out of let's
say the kitchen window, and you say, hmm, I don't
see any flames. Uh, well, no flames, maybe there's no fire.
I'll just keep walking. Five minutes later, the house is
in gulfton flames. And so many times our patients are
(29:54):
coming with that proverbial smoke coming out the front window
and just wait a little bit longer before their liver,
or their kidneys or their heart is completely engulfed in
serious irreversible complications. And that is what we don't want
to watch. No one's going to say, hey, let's watch
(30:15):
the house next door with smoke billowing out the front door, right,
Would you ever do that?
Speaker 6 (30:20):
CALLI I hope not.
Speaker 3 (30:23):
No, No, I don't think anybody would. But when you
put it in that context, you see how ridiculous a
lot of patients are being treated. And I have written
about this, I have talked about this, the inadequacies of
the care that many patients are getting.
Speaker 4 (30:42):
The other thing Kelly to chat about.
Speaker 3 (30:43):
People will say, oh, you know, it's research and I'm
a guinea pig and I don't want to do this.
I tell everybody that if anybody is participating in a
research trial, it is probably one of the most scrutinized
levels of care that you're going to receive. If you
start the trial and you're enrolled and you you burp,
(31:05):
you're going to be like, look at you got to
call in?
Speaker 4 (31:08):
What's going on? Bob?
Speaker 3 (31:09):
Tell us while you're burping, So explain that and then
some of the you know, the cost or no cost
that's involved with research.
Speaker 7 (31:16):
Yeah. So that's what I love to tell patients is
if they're a little nervous, any any aspect of research.
When you're even in the screening period before you even
enroll in the medication, you're being looked at by probably
dozens of physicians doctors looking at your lab work and
you know, looking at your imaging. If we're doing that,
(31:39):
and it is the safety aspect is crazy because one,
you know, they're monitoring this. They they they're hoping their
medication can go for FDA approval, right right, Well, that
means they're they're highly alert for any safety issues. So
you know, again we have to report everything. You you
have the flu, okay, well go to report it, right
(32:00):
because you know, if you're taking a medication, we got
to make sure it doesn't interfere with the one that
you're on. So it is the safety aspect is crazy.
You know you've got you've got access to me twenty
four hours a day, every day of the week. Right,
So that is one part. And then the second part
it is free. Everything in research is free, all the testing,
(32:23):
all the imaging. Every time you even come to see us.
You know, if you just have a follow up visit,
we you know, we do pay for your time because
again it's just a choice. You do not have to
be enrolled in these but it's a great choice for
a lot of people. And you know, you know, some
some extra cash doesn't hurt, right, right.
Speaker 3 (32:42):
Especially you know, especially in these days, you know, days
people are under insured or they don't have insurance. We
really don't make any judgment on that. Patients come and
whether you're fully insured or don't have insurance, will we'll
take a look at you.
Speaker 7 (32:57):
Yeah, We're going to try to take care of you
as best as we can can. And even even traveling,
like I know, a lot of people coming to your clinic,
doctor Glotti, a lot of them live quite far away, right,
so sometimes you know, with certain trials, we can also
pay for mileage reimbursement stuff like that. Just again because
we're here for you. We're trying to help you, you know,
(33:21):
just trying to get you to your.
Speaker 3 (33:22):
Best help, right, absolutely, all right, So don't forget you know,
you could email me email CALLI info at Texas Liver
dot com and I'll put a link on the Facebook
page at doctor Joe Glotti tonight that you could take
a look at as well.
Speaker 4 (33:38):
All right, CALLI, thank you very much. I will see
you in the morning.
Speaker 6 (33:41):
Sounds good, Have a good day.
Speaker 4 (33:42):
All right, thanks so much.
Speaker 3 (33:44):
All right, all right, uh yeah, Info at Texasliver dot com. Yeah,
if we could help anybody, that's our mission. All right,
stay tuned, we'll be right back. Welcome back, everybody. Final
segment of this week's Your Health First, Doctor Joe Galotti,
don't forget go to our website. Well, we have two websites,
(34:09):
Doctor Joegalotti dot com as well as Texas Liver dot
com and at Texasliver dot com. As we were talking
about the last segment with Cali, you could send me
a message if you are interested in research, you want
more information about it, come for a a a no
(34:30):
cost fibro scan, which really is a very simple test.
It takes about five minutes to do to assess whether
or not you have any underlying fatuliver, any damage, zerosis,
and if you could participate in the study. We're located
in the Museum District in downtown Houston. So come on buy,
but go to Texasliver dot com t e x A
(34:52):
S L I v e R dot com or email
us at info at Texasliver dot com. All right, so
in the in the final eight minutes or so, here
what I want to do last week I talked a
little bit about the new food pyramid and a little
bit of controversy. There's some people that like it, some
people that love it, some people are a little bit lukewarm.
But the main the main things for you to take
(35:15):
away here. Number one, the processed and ultra processed foods
are gone. Nobody wants you to eat these foods, and
so you as a consumer sort of what I said
last week, you have to look at your own cabinets,
(35:36):
your freezer, you're refrigerator and say is this a processed
food or is it a whole food unprocessed. We want
to have you stay away from sugars, artificial sweeteners, the
sugary drinks, the sodas, the sweet iced tea, the gatorades
and things like that. Now, if you are out after
(36:00):
cutting the lawn, or you go on a long bike
ride and you come home and you want a gatorade,
I'm not going to call the food police on you.
But trust me, and you know these people, this is
all they drink. They will have four or five diet
(36:20):
cokes through the day. They will drink sweet iced tea.
Speaker 4 (36:26):
Forever. That is bad.
Speaker 3 (36:28):
It promotes obesity, diabetes since of the resistant metabolic syndrome,
fatty liver, court disease, etc. So on this pyramid, which
really is turned upside down from the old pyramid, it
is basically at the top it is protein, dairy, and
healthy fats. Now in a moment, I have a clip
(36:49):
from doctor Mark Siegel. He's one of the medical experts
on Fox News. I interviewed him for another project. I
asked him to weigh in on this, and you'll hear
his points. But the top line is, you know, red meat, fish, poultry.
I am not a big fan of all the red
meat that they are pushing, so I think you have
(37:10):
to temper that. Now in the middle are the fruits
and the vegetables. Yes, you need to be on a
whole food, plant based diet. They talk about whole fat, dairy.
The research, and again you could argue my research is
better than your researcher, my expert, etc. The research is
(37:32):
showing that whether you have one percent yogurt or whole
fat yogurt, one percent milk or whole milk, the risk
of cardiovascular disease is not increased, the risk of diabetes
is not increased. The risk of becoming obese from having
these fatty dairy products is not increased, then at the
(37:55):
bottom third of the pyramid are going to be the
whole grains. So they are tapping back on the amount
of bread and pasta and whole grains. Now you want
to have the more complex carbohydrates rather than the simple
carbohydrates of just simply white bread. You want maybe something
(38:15):
whole wheat bread or breads that are not overly processed.
So that is sort of the construct. Now, what I'm
going to do is I'm going to loop in here
comments from doctor Mark Siegel from Fox News and listen
to his take on it.
Speaker 2 (38:34):
I like ninety five percent of it.
Speaker 4 (38:36):
Yeah, I like it.
Speaker 2 (38:37):
In fact, it plugs right into this discussion because it
has to do Kennedy is a very religious guy, and
it has to do with restoring the idea of honoring
your body and putting whole foods into it, from farm
to table, real food, not fake food.
Speaker 4 (38:51):
And I think Frankenstein, Yeah, it's a.
Speaker 2 (38:55):
Deliberate attack on what happened about a decade and a
half ago when everybody said fats are bad for you,
fats are bad for you, let's have sugars instead. They
didn't say, let's have sugars instead. But that's when it
ended up happening. So we ended up with a lot
of really processed, chemical, unhealthy, sugar laden, addictive. That was
(39:16):
my wrote about addictive foods that led to the obesity epidemic.
So now Kennedy and Maha is coming back and saying,
let's let's restore whole foods. I like everything about what's
on that permit. I like the fact that the studies
over the past decade have shown that we need to
look at the microbiome in the gut and that we
(39:37):
need to build it up even with with with yogurt
or even with whole milk, but with the idea that
that that if you take.
Speaker 4 (39:47):
Schools, whole milk fills.
Speaker 2 (39:48):
You up, so you might not eat eat the bad stuff.
You might not need the ultra processed fouit. The only
caveat I want to throw into this is I'm not
a big fan of red meat. I like his point
of I like his point about protein. I like his
point about my vitamins and memorials and red meat. But
read me, there's too much saturated fat and directly linked
to heart disease. That's the one I take it.
Speaker 6 (40:10):
I take odds with all.
Speaker 3 (40:11):
Right, we're gonna cut out for this Sunday evening. Don't
forget Doctor Joe Galotti dot com is our website. For
information on research, go to Texasliver dot com. You can
email me at info at texasliver dot com. Have a
blessed week. We'll see you next Sunday evening.
Speaker 4 (40:24):
Well First with doctor Joe Glotti.
Speaker 1 (40:27):
For more information on this program or the content of
this program, go to your Health First dot com.
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