August 25, 2025 • 41 mins
- Listen Saturday mornings at 8 as Dr. Msonthi Levine discusses medical issues and takes your calls on News Talk 560 KLVI. Dr Levine is board certified in Internal Medicine and Geriatrics. His office is located at 3080 Milam in Beaumont, Texas. He can be reached at 409-347-3621.
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Episode Transcript
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Speaker 1 (00:00):
Hey, welcome South East Texas Internet radio listeners. This is
Doctor Levine here. We're another edition of the Doctor Levine
Medical Hour, taking your phone calls, answering questions, trying to
help you figure out what to do about healthcare. So
many questions out there, few answers. It's so confusing. Where
(00:20):
do I go? My doctor, my mother, my spouse, chat
GBT GDT Is that what it is? Anyway? What is it?
Speaker 2 (00:32):
GPT?
Speaker 1 (00:34):
Oh? Well, who are you? We have guests? You snuck
in here? All right? Thank you for joining me for
the another edition of this show again. Give us a
call phone lines or open eight nine to six kV
I one one hundred and three to three zero kalva.
I just try to answer some questions and help you
figure out how you want to live your life so
(00:56):
that you can stay alive as long as possible without
any sort of health problems, disease, hospitalizations, having to take
a ton of medications, go visit the doctor so much time.
Who wants to do that? So anyway, give us a
call phone on Joe. We love hearing from you. As
(01:17):
you know, we try to bring on guests as much
as possible. That can be kind of difficult, but periodically
every now and then we have a couple of guests.
One notable guest is my better have the Master of
administration of the healthcare world, missus Charlotte Deviane. How you
(01:37):
doing this morning?
Speaker 2 (01:38):
I am wonderful.
Speaker 1 (01:40):
How are you rolled out of bed today? And you
got all dressed up and you got out of bed
early too, you say, surprised.
Speaker 2 (01:48):
Saturday, I come, I get up.
Speaker 1 (01:49):
Early because sometimes you just kind of hang out and
all day long get your rest.
Speaker 2 (01:55):
Yeah, it's required sometimes because.
Speaker 1 (01:57):
It's stressful running a job like that, right, I don't
think running the joint, I don't think most patients really
get that. They don't see that side of it, right,
They just sort of come in, get their prescriptions and leave.
But man, there's a big process that goes on just
to make that happen every single day as flawless as possible.
(02:21):
It can be difficult. So we always like you to
come on and maybe share some thoughts about that, or
maybe the listeners have questions about that. It's always a
bunch of insurance questions about that. But we also needed
a little bit of backup, because man, this is a
hard show to do, and we need a lot of
expert opinion, so we had to go out and get
(02:43):
some experts. So our third guest, it's crowded here this morning,
a long. I feel it's feeling a little stuffy in here.
Our third guest is our granddaughter, missus London Bryan. She
was actually on the show years ago, introduced me. She
probably wouldn't remember, but she's all grown up now. She's
(03:04):
got long hair, she's tall, she's doing cheerleading, and she
wanted to come and just chat with us and spend
some time with us. How you doing this morning?
Speaker 3 (03:14):
Good? How about you?
Speaker 1 (03:16):
I'm doing good? Thanks for joining us today. I know
you like to sleep in on the weekends. You have
a long because school just went back in the session,
right Yeah, got a bunch of projects and tests and
all that stuff, right.
Speaker 3 (03:30):
Yeah, like seven of them.
Speaker 1 (03:32):
The summer went by so fast.
Speaker 3 (03:34):
Yeah, especially July it was hot too.
Speaker 1 (03:37):
Right Now. You normally go like on a little trip
right to your a camp or something like that. How
was that or what do you want to share with
the audience? How your trip was this year? You go
there every year.
Speaker 3 (03:51):
I actually had just started acute when I first went,
so I was purging and you know, like you can't
really go in this done a lot and that's all
we were doing. So I got someburn.
Speaker 2 (04:04):
And you have no air conditioning, and you.
Speaker 3 (04:05):
Have no air conditioning yet, and I also ended up
catching flu tight b Yeah, it was around the whole
entire camp and I had to go home early. But
other than that, it was good.
Speaker 2 (04:17):
Well, you got to sit on the porch at the
medical center and watch all the other children come in
and get tested, Yeah, with your big mask on and yeah,
hanging out all your buds that had the flu chilling
like a psych ward locked in.
Speaker 4 (04:34):
Yeah.
Speaker 1 (04:34):
I mean you were pretty sick there. I mean you
had fevers, sore throat. I mean it was pretty bad
there for a while. Yeah, and we were really concerned
about you. You had to with some tammy flu and
some other medicais I believe. Yeah, and you got over
that pretty good. Yeah. So we're appreciate you joining us
this morning and spending some time with the crew. The family.
(04:57):
We have Glinda from Needland. How can we help you?
Speaker 3 (05:01):
Yeaes sir.
Speaker 5 (05:01):
About nine o'clock last night, I was perfectly fine. About
nine fifteen I started having like a heartburn, So I
take petaprosol so I took one of those tablets. By
from nine thirty till two or three in the morning,
everything on my inside was gone. I said, the whole
night in the bathroom. Is there John need to go
(05:22):
to urgent?
Speaker 1 (05:22):
Here?
Speaker 5 (05:23):
Is there something over the kunder I.
Speaker 1 (05:24):
Can get for diarrhea?
Speaker 5 (05:28):
Well, I mean, I think I'm stopping outs. I don't know,
there's nothing in me anymore.
Speaker 1 (05:33):
Mm hm.
Speaker 5 (05:34):
So if I need to get tama flu or.
Speaker 1 (05:38):
And what is the symptom that you're trying to.
Speaker 5 (05:40):
Treat, well, just what happened last night, I.
Speaker 1 (05:46):
Would say, Glinda, if you feel better and the symptoms
are mild, that it's probably good. I did just to
see how you do today and hydrated, Yeah, you can
always that's all. A good idea is to stay hydrated.
But yeah, if your symptoms are better, the symptoms are mild,
I wouldn't necessarily think you need medical attention. I would
(06:09):
only go if your symptoms worsened or you just didn't
feel well despite using the medications that you tried. Because sometimes,
yes there's a metabolic problem. An X ray might pick
up on something. So if you don't feel better you're worsening,
then yes, I would go in and seek medical attention.
(06:29):
But if you feel fine, you functioning okay, I think
it's okay to just see how you do today without
going and seeing a healthcare professional.
Speaker 5 (06:39):
All right, thank you?
Speaker 1 (06:41):
All right, yes, ma'am, it's Glinda would appreciate that. Did
you have anything to add londonto that. No. I thought
you were going to get on chat GDP and look
up answers the g what GPT, GPT What does that
stand for?
Speaker 2 (06:58):
I don't know. Let's see.
Speaker 1 (07:00):
What's that stand for?
Speaker 4 (07:00):
Long?
Speaker 3 (07:01):
I don't know. I think it's just let's see.
Speaker 1 (07:05):
It's the new way to look up things. If you
have any questions, you don't even have to go to
the doctor. You just go to chat GPT and it
can give you all the answers. Just so you know,
doctors go to that as well. Periodically. We have our
own resources that we go to a lot of times
to look up things. Just because we don't know everything
every single day. We have to sometimes look up these
(07:26):
fine little details when it comes to that. But yeah,
people get sick periodically, just like London. You got sick
with the flu, and do you remember what your symptoms
were when you got sick?
Speaker 3 (07:39):
I had a really bad fever and a cough, a
sore throat, and I couldn't really walk. I'm not gonna lie.
Speaker 1 (07:49):
You're like really weak, n't fatigue?
Speaker 3 (07:53):
Yeah, So whenever we are walking the streets of Hot Springs,
I would start coughing and like I would like literally
sit on the ground. Mm hmmm because of how weak
I was.
Speaker 2 (08:05):
But you bounced back.
Speaker 3 (08:09):
Yeah.
Speaker 1 (08:09):
Did you have dizziness at all?
Speaker 3 (08:15):
Sometimes it depended if I was like overworking myself or not.
Speaker 1 (08:19):
How about like diarrhea or rashes or anything.
Speaker 3 (08:22):
I didn't have any of that.
Speaker 1 (08:23):
Okay, I mean because a lot of times fever you
can kind of work through that. I guess it was severe, right,
I mean, something was happening to you and you're like,
this is different. I need to go get checked out.
And luckily they had what said, what, I have nurses
there or who's there on the camp?
Speaker 3 (08:40):
They have like a bunch of nurses all around the camp.
And then they have like doctors doctors.
Speaker 1 (08:45):
Yeah, oh they do okay, and they have like a
little clinic and all that. Okay, Yeah, that's good.
Speaker 2 (08:51):
That's where she hung out until we got there to
get her. Okay at the medical center.
Speaker 1 (08:55):
Now, did you have to go in like quarantine or anything.
When you're there.
Speaker 3 (08:59):
I wasn't allowed near any other kids.
Speaker 1 (09:01):
Did you have to wear a mask?
Speaker 3 (09:03):
Yeah, we were only allowed to not wear a mask
around the kids that didn't have it. That did have it,
got it?
Speaker 1 (09:10):
Wow, this is that summer camp on at Camp I know. Well,
that's why you go, right to have some experiences and
sort of get out of Beaumont and experience what the
world is like out of Beaumont. I wish i'd had.
Did you ever go to Camp Charlotte?
Speaker 2 (09:23):
I don't think so.
Speaker 1 (09:25):
I never went to any camp either.
Speaker 2 (09:27):
I went to vacation Bible School. That was about the
big biggest thing I did.
Speaker 1 (09:32):
And how long was that? Like a week or two weeks.
Speaker 2 (09:34):
Or somewhere, And then you did all these things.
Speaker 1 (09:38):
But it was in the area you grew up in.
Or did you go out of town or no?
Speaker 2 (09:41):
No, no, no, it was in the area I grew
up in. And then your parents come and you do
a little ceremony and take all your things home and
hang them on the wall.
Speaker 3 (09:50):
It was cute.
Speaker 1 (09:50):
Yeah, your camp is in Arkansas? Is that correct? Okay?
Camp Ozark, Camp Ozark, Right, and you've been there several years, right,
it was like your fifth year or something like that,
six years, not six.
Speaker 3 (10:02):
I think it was my fifth year. Yeah, it was
my fifth year.
Speaker 2 (10:05):
Are you counting the one that it was closed because
of COVID remember you couldn't the camp was closed.
Speaker 3 (10:12):
Okay, then I might have been going for six years,
yeah if you count that.
Speaker 1 (10:16):
Yeah. And she loves going there, and I think it's
a good positive thing. Just interacting with other people from
other states, right, people come from all over the place, right, Yeah.
Speaker 3 (10:26):
There's people from the UK in Australia.
Speaker 1 (10:28):
Wow. Okay, and just interacting with them and getting that
exposure again of bo might it can be a good thing.
My phone lines are opened eight nine to six kov
I won one hundred and three to three zero. Kova
here chatting with missus Levigne and London Bryan. If y'all
have any questions, give us a call. Be back in
two minutes. All right, welcome back to Octavia Medical. Our
(10:59):
phone line to open eight nine to six Kova one
one hundred and three three zero. Kiova sitting here chatting
with Miss Lavena as well as London Bryn are a
special guest today. And you had mentioned on the first
segment that you're at this camp and you started some
medicine called acutane, which is used for a condition called acne,
(11:20):
and we all went through that. I went through it, Charlotte,
you went through it right, sure. Yeah, it was just
one of those things. I remember taking a medication called
oxy five and oxy ten. It was just sort of
this over the counterproduct, just slatted it all on your face.
I don't even know if it worked, but that was
the thing. But the treatment of acne has come a
(11:40):
long long way, and one of the medications is called acutane.
But you and I have talked about how to manage that.
What are some ways that maybe you can reduce acne?
We've talked about diet, right, and as all the listeners know,
I'm a big fan of eating a clean, healthy diet
and London, you and I have talked about an infla
lamatory diet, right or anti inflammatory diet? Is that correct?
Speaker 3 (12:04):
Yeah?
Speaker 1 (12:05):
And so what's your understanding of that or have you
tried that or are you going to try it or
do you think it's important or what's your position on
an anti inflammatory diet as it pertains to health or
skin health or hair growth? You're a cheerleader also, right,
you cheer for your school legacy, right, throwing you up
(12:29):
in the air and all that, and just being athletic.
You have to be in shape. You have to be strong.
What's your position on diet?
Speaker 3 (12:39):
I really think if you're young like me, sometimes if
it's like weight gaining, it might depend on the metabolism
and genetics. But if you are dieting isn't always about weight.
Most of the time it can be about skin issues,
maybe even stop issues, gut health. I honestly think that
(13:01):
if nothing else works for you, that you could try
an anti inflammatory diet. If you have acne, I try
to do it. Then. My grandmother brought cookies, so I quit.
Speaker 2 (13:12):
You're fourteen, I should bring cookies.
Speaker 1 (13:15):
She always does that too. We bring all that stuff
in the house. I know it's hard, chocolate chip cookies,
not one, but.
Speaker 2 (13:27):
Like, could you could have said nay, I'm on an
antiflammatory diet, thank you, but no, thanks?
Speaker 5 (13:34):
All right?
Speaker 3 (13:35):
I quit?
Speaker 1 (13:36):
So so you try the anti inflammatory for one day
and like cookies, it's it's too hard.
Speaker 3 (13:42):
Yeah, Basically it's just like no sugar at all. It's
basically all everything, like God graded or everything that's not
man made, just everything that was given to us, like berries.
It's basically everything that works as an anti dioxidant, like
Barry no sodaes dairy. You could eat it, but sometimes
(14:06):
dairy can be inflammatory. I feel like because.
Speaker 1 (14:10):
Yeah, some dairy products have sugar in them, lots of sugar. Yeah,
like whole milk. It has a lot of products in
it that have been deemed to be unhealthy. So I
think most people are not consuming as much whole dairy
as they used to. I mean probably before our time.
Speaker 2 (14:29):
Charlotte, Well, we grew up with milk does the Body Good?
Speaker 1 (14:33):
Yes, that whole campaign with the sort of the white
marker above the lip. Yes, And yeah, that was a
big push to try and include the old dairy in
your diet and drink milk. That's a competition between all
of the beverage companies. I mean, I don't think, or
at least I asked my patients all the time when
you're drinking, I don't hear anyone really saying milk. I
(14:56):
really don't.
Speaker 2 (14:56):
Well, I think because there's so many alternatives.
Speaker 1 (14:58):
Now, like big Time almond.
Speaker 2 (15:02):
Yes, I mean there's.
Speaker 1 (15:03):
Of these plant based yeah, dietary beverages. Yes, exactly, and
so it's lost some of its markets share. To be
honest with you, you're right. The energy beverages are big,
dangerous sodas. The juices are still out there. The coffee
has I think, grab some of the attention, but most
(15:24):
people are putting so much stuff in their coffee that
it does become an unhealthy beverage. I do consider coffee,
just black coffee, a healthy beverage. What about you? Do
you drink coffee? London?
Speaker 3 (15:34):
I get stuff from Starbucks.
Speaker 1 (15:36):
Yeah, she's a Starbucks kid.
Speaker 2 (15:38):
She wants to work at Starbucks.
Speaker 1 (15:41):
She wants to be a barista? Is that correct?
Speaker 3 (15:44):
For a part time job?
Speaker 4 (15:46):
Oh?
Speaker 1 (15:46):
Please?
Speaker 2 (15:46):
Part time? Why part time?
Speaker 3 (15:49):
Because I'm trying to focus on academics.
Speaker 5 (15:51):
Okay?
Speaker 3 (15:52):
Yeah.
Speaker 1 (15:52):
Why don't you share with the audience what your goals
are when you grow up?
Speaker 2 (15:56):
It's pretty amazing. She's fourteen years old. Yeah, learn tell
them your goals.
Speaker 3 (16:04):
Sorry, I thought I broke the mic for a second.
Speaker 1 (16:06):
Man, tell you're doing so much talking and just so
much energy coming out right, just blew it up.
Speaker 2 (16:12):
What's your goals?
Speaker 3 (16:16):
So? Starting in seventh grade, I would say I I've
always been really smart and gifted, but I never really
used it because at the time, I was going through
a lot because I've had like a lot of family
stuff that's happened to me, yeah, like with my dad,
and I just decided, like, what's something that could make me,
(16:40):
What's something that I know I'm holding back and a
lot of this that made me realize it is my religion.
But I just can kind of came to my senses
and decided I want to be like a lawyer or
maybe going to medical because I'm really good at science. Yeah,
(17:02):
but I kind of wanted to follow my own path.
I didn't want to go I didn't want to carry
off of y'all.
Speaker 1 (17:08):
I'm sorry, that's okay, I'm fine with it. Yeah, be
your own person, absolutely being individual independent.
Speaker 3 (17:18):
Yeah, but I wanted to go to law school and
so far, my GPA last year was four point one
two five in the eighth grade and seventh grade it
was four I think that's high.
Speaker 1 (17:27):
Yeah, that's pretty high, right, that's.
Speaker 2 (17:30):
High, way higher than what mine was. I know, struggling.
Speaker 1 (17:36):
Yeah, I can't remember what my GPA was, but maybe
three nine.
Speaker 2 (17:40):
Maybe you want to be a criminal defense attorney. No,
she changed the mind already know the opposite.
Speaker 3 (17:47):
I want to be a prosecuting.
Speaker 2 (17:48):
Oh, prosecuting okay, yeah, and you want to be appointed
by the president to sit on the Supreme Court.
Speaker 3 (17:53):
Justice possibly if that's possible to have been sure, But
I would want to be the I wanted to. I
would want to be like something for the state, like
a state prosecutor. M hm, the US attorney. They're pretty
high in position. But I just like, I kind of
like arguing.
Speaker 2 (18:09):
Oh, I would have never thought.
Speaker 1 (18:11):
I know that. Yeah, And we need people like that
to argue and fight for the common person just because
not a lot, not a lot of people are comfortable
with arguing and proving a point. So yeah, that's a great,
great career option to go into. And man, you are
doing a lot of work to get there. You study hard,
(18:32):
you do all those projects, and she does really, really well.
So we're very very proud of her, and we appreciate
you sharing that information with us. Phone lines are open
eight nine six kalv I won one hundred and three
to three zero. Kovia sitting here chatting with miss Lavine
in London about anti inflammatory dot acting. If you have
any questions, give us to call you back in two minutes.
(19:00):
All right, welcome back to dot Leavin and Medical. Our
phone lines are open eight nine six kV at one
hundred and three three zero kova. I sitting here chatting
with missus Lavigne as well as London Brian giving her
some expert analysis on the anti inflammatory diet. Right, no cookies,
no sugar. But that's tough in this country, right, Yeah,
(19:24):
you have that staring in front of your face, and
all the sugary beverages out there, the juices, and even
a lot of the coffee we talked about coffee, even
a lot of the coffee beverages are not just coffee.
They have all this stuff in it. It's just sort
of hard to avoid. And then you also like, what,
what's the other restaurant you like here that you're always
eating at?
Speaker 4 (19:46):
Yeah?
Speaker 1 (19:46):
What do you tell the audience what you're eating at
Texas Roadhouse?
Speaker 3 (19:51):
I get like two baskets of the bread exactly to four,
I know it, and medium rare steak with mashed potatoes
and brown groovy and a doctor pepper.
Speaker 1 (20:07):
And butter too. Right, don't they have like a special
cinnamon butter or something like that? So do you do
you think that's pro inflammatory or do you think that's
the low inflammatory.
Speaker 3 (20:20):
It's probably pro.
Speaker 1 (20:23):
Yeah, Man fourteen is the best. Man. You can eat
whatever you want because I talk a lot about it
on the show about you know, getting older, because that's
where Papa and Nane are at. That's our secret names.
By the way, that's what she calls us at home.
But yeah, we have to you have to eat better
when you get older. When you're younger, like you, man,
you can just eat whatever and everything works.
Speaker 2 (20:44):
It's a cereal pop tart, yes, yes, oreos.
Speaker 1 (20:49):
Yes, what did you have yesterday? You were at your
school and you guys, well you guys.
Speaker 3 (20:54):
Eating, we were eating. I got two like big pretzels.
Everyone looked at me crazy, but that's okay.
Speaker 1 (21:02):
Sugar and cinnamon.
Speaker 3 (21:04):
Right, them had sugar and cinnamon and one of them
had salt. And then I went with my mom and
we went to Marble.
Speaker 1 (21:09):
Slab and yeah, just capped it off.
Speaker 3 (21:12):
Chocolate ice cream with cookie dough.
Speaker 2 (21:15):
But she made a good point. Anti inflammatory in her mind,
is anything from the earth or walks.
Speaker 1 (21:24):
I mean sugarcane, that's that's from the earth.
Speaker 2 (21:27):
Well, don't go too deep, I mean berries fruit.
Speaker 1 (21:31):
Hey, Leonard, how you doing buddy, not better for a
fat boy, and you right, absolutely, And she's I wish
you could see her. I mean she is thin, thin, thin,
I mean, very athletic looking. So yeah, when you when
you get older, you can't do that. How can we
help you today?
Speaker 4 (21:49):
About two months ago, I signed up to be a
guinea pig and a kidney study. Every Friday, I go
to this bio farm of something and they shoot me
in the stomach with some magic something and they said
one of the side effects is you might lose weight.
I lost forty three pounds in thirty days, and I
(22:10):
just don't feel right. My watch doesn't even fit right anymore. Right,
I'm having trouble. I'm down to one ninety three and
I'm having trouble gaining weight back. The doctor said, I
want you to weigh two five, and I just can't
get there from here now. I saw a photograph of
some fried shrimp the other day and I gained three pounds,
(22:30):
but other than that, I'm stuck at one ninety three.
Speaker 2 (22:34):
Yeah, keep looking at the photograph.
Speaker 4 (22:35):
How do I gain weight?
Speaker 1 (22:37):
Well, I mean, I think Leonard, if it's from the medication,
I mean, obviously, talk with the practitioners in the study
and let them know that maybe you've lost enough weight
and you don't want to lose anymore, and getting off
of the medication, because that's all a part of the
protocol of the study, and so that's the first thing,
(22:59):
probably just to get off the medication. And probably getting
off the medication, your appetite will come back and you'll
start probably eating similarly prior to starting the medication, and
that would allow you to gain some weight back. So's
it's probably what would be the first step.
Speaker 2 (23:16):
When is the last time you had a dose?
Speaker 4 (23:19):
Well, I went Friday and I said, look, this stuff
is just I ain't taken no more. And they said, okay,
let's skip this week and see what happens. So we'll
find out. I've now been eight days without an injection. Instead,
I used to be able to walk fifty feet and
then I want to sit down and take a nap.
Speaker 2 (23:39):
Now sometimes taken a little bit to get out of
your system too.
Speaker 4 (23:44):
And now I'm up to about eighty feet and I
am getting better, and I do think it's the magic,
whatever it is, but I'm still having trouble gaining weight.
I'm hovering at one ninety three.
Speaker 1 (23:58):
I think one is fine. I wouldn't be nervous about
that weight. I don't think you're in any danger of
anything happening to you. I mean, certainly losing weight your
body reacts to that, and my experience acts that most
people feel more energetic. So I'm a little surprised that
you're less heavy and you feel more fatigued. It may
have just been a drastic change in your body metabolism
(24:23):
and it's just going to take some time for your
body to catch up. Or it could just be an
adverse reaction to the medication. As missus Lavin mentioned, it's
an injectable, so it kind of hangs around in your
system a lot longer. So I think you just need
to be patient and anticipate that you will start feeling
better as the medicine gets out of your system. Because
this is pretty clear cut, right, you were fine and
(24:44):
then you started taking a medicine, and then you lost
this weight. Now you don't feel good. So I think
it's pretty direct. Just stop the medicine and you should
sort of get back to where you were before.
Speaker 4 (24:55):
Sure, I tell them I don't want to do it.
I want to skip next week.
Speaker 1 (24:58):
Also, I mean Yeah, that's a possibility. Absolutely. They typically
have sort of protocols for when patients fall out or
break the routine, so they have all of this outline
normally in their protocol of the study. So yeah, just
talk with them at the end of the day, Leonard.
(25:18):
This is all up to you, right, So if you
no longer want to participate, or you feel like the
medications affecting you in an adverse way, then they want
to know that, right. That's the whole part of the
study is sometimes patients to do poorly.
Speaker 4 (25:34):
I'll start a walking over the pain because of this stuff, right,
and you know that's that's not right.
Speaker 1 (25:40):
Yeah, you know one like statin medications, right, those are
very popular, lipotour zokor crust or great medicines. But there's
a lot of controversy about statins and adverse reaction. One
of them is, yeah, muscle weakness, muscle pain and it
can make you feel bad. So this medication that they're using, yes,
it might be in that same category. That's why they're
studying it.
Speaker 4 (26:02):
So it's not against a low to answer another one
way you chentioned on no shots.
Speaker 1 (26:06):
Not at all. It's up to you. Don't don't right,
don't feel pressured.
Speaker 4 (26:13):
Well, I'd like to give up the change people looking at.
Speaker 1 (26:17):
It, right, Yeah, that's not the point. The first thing
that they teach us is to do no harm, and honestly,
we try to do that every single time we make
a decision. World, it's not perfect. Medicines are not perfect.
So yes, if you're having an adverse reaction that's negatively
impacting your physicality, then by all means, yet you need
to get off that medication.
Speaker 4 (26:40):
All I can tell you is I ain't waited one
hundred ninety three since.
Speaker 1 (26:43):
I was bab that's right, this high school weight.
Speaker 4 (26:48):
No, No, I'm talking on third grade, you know. Yeah,
I was too eighteen for decades and then I'm ballooned
up to two forty one. And I went and he
gave me a bunch of pills and nice shot stuff, and
I just I'm having trouble geting in white back. That's
yet feel right, that's I just don't like it.
Speaker 1 (27:10):
Okay, Yeah, just let them know, thanks, big guy. All right, Lennon,
appreciate that phone call. And yeah, there's always studies new
medications and adverse reaction. We talk about that a lot, Lenda.
You mentioned accutane very strong medication for acne. Been around
for a long long time, but it's it's a strong
(27:33):
medicine and there are a lot of warnings about using that.
You tolerated pretty well. You have any comments about the
use of that. And maybe we have a listener that
may be struggling with their skin as well and they're
thinking about acutaine. Do you have any points of view?
What's your position about acutane.
Speaker 3 (27:52):
I think it works very well. I used to have
really deep acne and I've only been on it.
Speaker 4 (27:59):
I'm much.
Speaker 2 (28:00):
You started in July, yeah.
Speaker 3 (28:01):
Two months and now everything is on the surface, so yeah,
and it's a lot less red as well. It's still
I still have acne obviously, it doesn't go away that quickly. Yeah,
but it should be gone by Christmas, they said, and
then I can try a skin pin. But I would
(28:23):
say if nothing else works for you, Like before I
went on accutane, I had acne for three years. It
was a last resort and right now I have a
cut on my lip from it.
Speaker 2 (28:34):
But because it's drying, yeah bad.
Speaker 3 (28:38):
But other than that, that's really the only side effect
I have. But I used to have heartburn, but I
would have had to go off if that got bad,
but it.
Speaker 2 (28:46):
Would hold dizziness, remember.
Speaker 3 (28:49):
Yeah, but that was at the beginning. I was getting
used to it. But then if it's a last resort,
if nothing else is working, then I would try it.
Speaker 2 (28:56):
We were determined, You're like, I'm doing this.
Speaker 4 (28:58):
I don't.
Speaker 2 (28:59):
I'm gonna get through this.
Speaker 1 (29:01):
I mean, if someone asked you, should they take it,
would you recommend it to them?
Speaker 3 (29:07):
It depends on what they've tried, because I would use
it as a last resort because it's really strong.
Speaker 1 (29:12):
Right, So if they just just got diagnosed with it,
hadn't tried anything, you would probably say, try some other
things first. Not accurateaing. Yeah, yeah, absolutely.
Speaker 2 (29:22):
I think you were on Doxa cycling, yeah, for two
years or so.
Speaker 1 (29:28):
Yeah, it's an antibiotic.
Speaker 3 (29:29):
Personally, that didn't work for me.
Speaker 1 (29:31):
Yeah, oh, and I think for most people that is
what works, right, they have an oral antibiotic. A lot
of controversy about using oral antibiotics for acne, but it's
still popular. I don't really manage acne much in the office.
We were taught how to manage it, but it's not
something I do every day. And there is something just
like with every disease or somethiness and how you manage it.
(29:53):
And oral antibiotics is still used for acne. Doxicycling is
one of the more popular types of antibotics. And you
were on that for some time. It didn't help at all,
So yeah, you had to go to the strong stuff.
Just like with Leonard, he's trying to get his weight down,
and I would agree that as you get older and
that aging process kicks, and yeah, you need to kind
(30:15):
of keep your weight down. You can't really be a
big fan or a frequent flyer at some of these establishments,
you know, like the ice cream shop and the soda.
Can't do that when you're you can do that on
you're fourteen, and like I said, I'm amazed with the
stuff she's and then she's thin and athletic and like man,
and she's not dozen off young exactly. The big crash
(30:39):
right after you eat that sort of thing. So missus,
you've been quiet over there, you've been quiet talking. Yeah,
I mean your fans want to hear from you, so
they Yeah, we want to know what's going on in
the ADMIN world because it's always changing and it's always
exciting stuff and it's a very technical way to do things.
(31:03):
So what's going on in the admin at this point
as we get to the end of the year.
Speaker 2 (31:07):
Not much. I mean we're kind of chilling getting ready
for the end of the year. But what I do
want to remind everyone, excuse me, is open enrollment October
with insurances and be very careful, take your time. They're
not going to sell out. There's not two left. I mean,
just take your time, educate yourself, make sure all your
(31:31):
doctor's facilities, pharmacies, medications, make sure whatever you choose works
for you. Also, it's almost flu shot season, so I
tell everyone because everyone will ask me when is a
good time to get your flu shot, and I'll always
say when it starts getting dark early, and when the
(31:51):
time changes, it's time to get your flu shot. So
because a lot of people don't have concept of the month,
they've yeah, but they always know when the cool fronts
are starting to come in, when it starts to get darkerly,
I think that's a good time to get your flu shot.
Speaker 1 (32:09):
Yes, and we have those in the office, thankfully, not
all vaccines. We have an office. We have pneumonia, we
have shingles, but the RSV respiratories and sisue virus that
one is available, as well as your COVID boosters those
available primarily the pharmacies. Any discussion from the company that
helps us, any discussion about getting COVID in our office,
(32:31):
the vaccine, I mean our RSV. Hasn't been any talk
about that.
Speaker 2 (32:35):
No, not really.
Speaker 1 (32:36):
They don't really say why. It's I guess it just
they don't want it in doctor's offices. I'm not I
haven't kept up with.
Speaker 2 (32:43):
I need Parlan see if we can get it this year.
The reason why I think they didn't want everybody to
dispense it is because they wanted to keep a record
of how many.
Speaker 1 (32:53):
Patients are targetting it surveillance.
Speaker 2 (32:55):
Yeah, and in doctor's offices we just chart lot.
Speaker 1 (32:58):
Numbers they gave it. Yeah, I really, yes, I.
Speaker 2 (33:03):
Think once everyone calms down on that, right, I mean,
it's not like you can't manufacture two thousand and then
you sell two thousand. You know, two thousands, got it,
simple math. I don't know why they need to know
the person's name and all that, but anyway, maybe this
year I'll honestly, I do need to call and check
on that to see if we can get COVID. But
(33:26):
you know, we it's people. You either want the COVID
vaccine or they don't. That's perfectly fine. It's their choice,
so we'll see.
Speaker 4 (33:34):
Yeah.
Speaker 1 (33:34):
I mean, you were here a few weeks ago and
I asked you a question about can a person have
triple insurance coverage?
Speaker 2 (33:43):
And we ask our broker that was off?
Speaker 1 (33:46):
That's right, I just remember that. What was his answer?
Do you remember what his answer was?
Speaker 2 (33:50):
He said that if you do have it happens, but
it's wasteful because waste it's expensive and you don't need it,
or it's unnecessary because the primary and the secondary normally
covers what you need.
Speaker 1 (34:02):
Yeah, which means you don't have to pay anything. Typically,
when you have two insurances, you have to designate which
one is primary, yes, right, and then the secondary one.
If you have two, then normally you don't have to
pay much of anything for your health care, whether you
go to the er, whether you go to doctor Levine's office, whatever.
(34:25):
Just your output is minimal. Is that correct? If you
have two? And then that I guess he couldn't find
a reason for a person to have three, Like why
doesn't make sense?
Speaker 4 (34:34):
Right now?
Speaker 2 (34:34):
He said it happens, but it's not necessary for that
person to.
Speaker 1 (34:38):
Have three typically unnecessary.
Speaker 2 (34:40):
Unnecessary and wasteful because it's expensive and someone's paying for that.
It's not free.
Speaker 1 (34:47):
Okay, can you did? Okay? Can you cancel the third one?
I guess you didn We didn't ask him that. If
you get three, like, oh, just I don't want that one?
Say what I think?
Speaker 2 (34:58):
Anybody can cancel anything? But you know, we live in
a society. More the merrier, you.
Speaker 1 (35:02):
Know, Bigger is better, more is better, Yes, and so
three insurances, four insurance.
Speaker 2 (35:11):
Yes, all your insurance cards won't fit in your wallet.
Speaker 1 (35:17):
You'll have a thick wallet and start having back pain
because your wallet's so thick. Something like that. Anyway, phone
lines are open eight nine six kalva. I want one
hundred three three zero kVA. I will be back on
our last break. All right, welcome back to doc Lavine Medical.
Our phone lines are open eight nine to six kalv
I want one hundred three three zero kiofrey eyes sort of.
(35:38):
In our last segment, time goes by so so quickly,
sitting here talking with miss Lavine and our special guests
London Bryant. Any final thoughts, missus Bryant about accutaine anti
inflammatory diet. You're an athlete, exercise, anything you want to
(36:01):
mention or say to the audience before you check out.
Speaker 3 (36:05):
I think exercise.
Speaker 2 (36:07):
Oh your MIC's on.
Speaker 1 (36:08):
One, go ahead, talk again.
Speaker 3 (36:13):
I think exercise is very important because whenever I don't
do cheer, I get very fatigue personally, and I'm not
really able to function as well. I would say I'm
more like lazy. I feel like doing more cardio makes
me more energetic.
Speaker 4 (36:34):
Oh.
Speaker 1 (36:34):
Absolutely, I mean exercising is very important. Again, because you're
so young, I mean, your body is just in shape naturally.
As you get my age, you sort of have to
work at it. Just like with the diet. You can't
really be out there eating the cookies and the pies
and the cakes like you do. I mean, it's just
amazing watching or eat all that stuff breakfast cereals and
(36:57):
it's already hitting me up. So cookies, these, the cakes,
the pies. I mean you can do that stuff when
you're young and you know, have fun with it, but
certainly as you get older, yeah, you probably would have
to change that to some degree. And yeah, missus Levine,
with the open enrollment, take your time there's no rush.
(37:20):
It's complicated though We've talked about that numerous times on
this show. And what's sort of the buyout? Do you
you choose an insurance, you sign up and then oops,
I didn't see something that's not working well for me.
How do you get out of that? Or can you
get out? Do most insurances have that sort of out
clause where you can get out of it.
Speaker 2 (37:41):
I think the patient would need to ask upfront and
get that in writing, because from what I've been told,
there is no out now okay, and you just don't
want to get stuck into something that you can't get
out of m HM in life period.
Speaker 1 (37:58):
Yeah, and I think that whether you have to stay
my guess for a year. And we also talk about
getting a second policy, like well, yeah, I can't get
this one, but I like another one, so I'm just
get a second pology. And most people are not going
to do that. It's just financially not in their best
interest to do that. These policies are not cheap. I mean,
they're somewhat expensive and like I said, very complicated. And again,
(38:19):
insurance company is there to help everyone, so they're getting
a little bit more involved with doctor's offices as well
helping them achieve some of these goals like getting certain labs,
X rays, cancer screenings, checking your A one CE, checking
your blood pressure, all these Yeah, which makes sense, right,
(38:41):
It makes complete sense if you have insurance, why you're
not getting this stuff just because we want to catch
these diseases early and be as aggressive as we can
up front, and there are obstacles to achieving that at
the doctor's visit. So they have the nurse practitionan's physicians
systems actually going out of the houses and talking to
(39:01):
the patients. They bring in their folder and their sheet
and we can go over it. So I think it's
an awesome sort of relationship. And yeah, the insurance company
is certainly trying to produce a certain product in terms
of the interaction between patient, physician or patient and health
care provider, just again to get the maximum benefit out
(39:26):
of the visit and the policy, which can sometimes be
a problem.
Speaker 2 (39:30):
Well, I want to clarify something. When I talk about
open enrollment starting in October, I'm talking about Medicare patients,
not talking about commercial insurance. Well, has that different, Well,
Medicare is when you're sixty five or older. Yeah, commercial
insurance is when you're under that age.
Speaker 1 (39:48):
Right, So they don't have open enrollment.
Speaker 2 (39:50):
No, it just depends on where they work, what their
open enrollment is with their company. If you work for
the state, if you're a teacher, there's different open enrollments.
Speaker 1 (39:59):
For Oh, they don't have to go through that.
Speaker 4 (40:01):
No.
Speaker 2 (40:02):
Oh okay, And you know people my age, your age.
We have commercial insurance. We can cancel one and we
can okay blue Cross today and Percumen it tomorrow.
Speaker 1 (40:14):
So got it.
Speaker 2 (40:14):
It's just the Medicare population.
Speaker 1 (40:17):
Got it all right? And a Medicare person can have
a private insurance if they want it.
Speaker 2 (40:25):
Yes, that does happen because patients forget that they can
be on Medicare. Yes they're sixty five.
Speaker 1 (40:31):
Right, They don't get like paperwork or a letter like
hey you're getting yeah, okay, I don't live with.
Speaker 2 (40:37):
Anyone sixty five. Yeah, I'll ask maybe.
Speaker 4 (40:41):
Yeah.
Speaker 1 (40:41):
It's complicated out there. And let a lot of times,
even talk about medications, we prescribe certain medicines to patients
and we don't really know the expense of that stuff
A lot of times when we're prescribing it, just because
it depends on the policy, and we get these callbacks.
Oh it's too expensive, doc, you should have known that. No,
we don't know that.
Speaker 2 (40:58):
Star listening to Michael Broker, he said, you know Medicare
a supplement and then a some insurance that covers your medications.
So you really need three drug coverage Medicare primary, a
secondary and a drug coverage and that's all you need.
Speaker 4 (41:17):
Yeah.
Speaker 1 (41:18):
No, I was just saying, I don't a lot of
times the expense of the medication. Even I think it's
a great product and I want my patient to have it,
I don't know the expense of it. That's something we
don't have a mechanism I can help you in order
for me to check that. I wish we would so
we would know before we write the prescription patient goes
and gets that from the pharmacy. Anyway, thank you missus
Levine for joining us. Thank you London Brian for joining
(41:40):
us today and spending your time with us.
Speaker 2 (41:43):
I hope you have a good day Saturday morning.
Speaker 1 (41:44):
You have a good day. Bye bye.
Hey, welcome South East Texas Internet radio listeners. This is
Doctor Levine here. We're another edition of the Doctor Levine
Medical Hour, taking your phone calls, answering questions, trying to
help you figure out what to do about healthcare. So
many questions out there, few answers. It's so confusing. Where
(00:20):
do I go? My doctor, my mother, my spouse, chat
GBT GDT Is that what it is? Anyway? What is it?
Speaker 2 (00:32):
GPT?
Speaker 1 (00:34):
Oh? Well, who are you? We have guests? You snuck
in here? All right? Thank you for joining me for
the another edition of this show again. Give us a
call phone lines or open eight nine to six kV
I one one hundred and three to three zero kalva.
I just try to answer some questions and help you
figure out how you want to live your life so
(00:56):
that you can stay alive as long as possible without
any sort of health problems, disease, hospitalizations, having to take
a ton of medications, go visit the doctor so much time.
Who wants to do that? So anyway, give us a
call phone on Joe. We love hearing from you. As
(01:17):
you know, we try to bring on guests as much
as possible. That can be kind of difficult, but periodically
every now and then we have a couple of guests.
One notable guest is my better have the Master of
administration of the healthcare world, missus Charlotte Deviane. How you
(01:37):
doing this morning?
Speaker 2 (01:38):
I am wonderful.
Speaker 1 (01:40):
How are you rolled out of bed today? And you
got all dressed up and you got out of bed
early too, you say, surprised.
Speaker 2 (01:48):
Saturday, I come, I get up.
Speaker 1 (01:49):
Early because sometimes you just kind of hang out and
all day long get your rest.
Speaker 2 (01:55):
Yeah, it's required sometimes because.
Speaker 1 (01:57):
It's stressful running a job like that, right, I don't
think running the joint, I don't think most patients really
get that. They don't see that side of it, right,
They just sort of come in, get their prescriptions and leave.
But man, there's a big process that goes on just
to make that happen every single day as flawless as possible.
(02:21):
It can be difficult. So we always like you to
come on and maybe share some thoughts about that, or
maybe the listeners have questions about that. It's always a
bunch of insurance questions about that. But we also needed
a little bit of backup, because man, this is a
hard show to do, and we need a lot of
expert opinion, so we had to go out and get
(02:43):
some experts. So our third guest, it's crowded here this morning,
a long. I feel it's feeling a little stuffy in here.
Our third guest is our granddaughter, missus London Bryan. She
was actually on the show years ago, introduced me. She
probably wouldn't remember, but she's all grown up now. She's
(03:04):
got long hair, she's tall, she's doing cheerleading, and she
wanted to come and just chat with us and spend
some time with us. How you doing this morning?
Speaker 3 (03:14):
Good? How about you?
Speaker 1 (03:16):
I'm doing good? Thanks for joining us today. I know
you like to sleep in on the weekends. You have
a long because school just went back in the session,
right Yeah, got a bunch of projects and tests and
all that stuff, right.
Speaker 3 (03:30):
Yeah, like seven of them.
Speaker 1 (03:32):
The summer went by so fast.
Speaker 3 (03:34):
Yeah, especially July it was hot too.
Speaker 1 (03:37):
Right Now. You normally go like on a little trip
right to your a camp or something like that. How
was that or what do you want to share with
the audience? How your trip was this year? You go
there every year.
Speaker 3 (03:51):
I actually had just started acute when I first went,
so I was purging and you know, like you can't
really go in this done a lot and that's all
we were doing. So I got someburn.
Speaker 2 (04:04):
And you have no air conditioning, and you.
Speaker 3 (04:05):
Have no air conditioning yet, and I also ended up
catching flu tight b Yeah, it was around the whole
entire camp and I had to go home early. But
other than that, it was good.
Speaker 2 (04:17):
Well, you got to sit on the porch at the
medical center and watch all the other children come in
and get tested, Yeah, with your big mask on and yeah,
hanging out all your buds that had the flu chilling
like a psych ward locked in.
Speaker 4 (04:34):
Yeah.
Speaker 1 (04:34):
I mean you were pretty sick there. I mean you
had fevers, sore throat. I mean it was pretty bad
there for a while. Yeah, and we were really concerned
about you. You had to with some tammy flu and
some other medicais I believe. Yeah, and you got over
that pretty good. Yeah. So we're appreciate you joining us
this morning and spending some time with the crew. The family.
(04:57):
We have Glinda from Needland. How can we help you?
Speaker 3 (05:01):
Yeaes sir.
Speaker 5 (05:01):
About nine o'clock last night, I was perfectly fine. About
nine fifteen I started having like a heartburn, So I
take petaprosol so I took one of those tablets. By
from nine thirty till two or three in the morning,
everything on my inside was gone. I said, the whole
night in the bathroom. Is there John need to go
(05:22):
to urgent?
Speaker 1 (05:22):
Here?
Speaker 5 (05:23):
Is there something over the kunder I.
Speaker 1 (05:24):
Can get for diarrhea?
Speaker 5 (05:28):
Well, I mean, I think I'm stopping outs. I don't know,
there's nothing in me anymore.
Speaker 1 (05:33):
Mm hm.
Speaker 5 (05:34):
So if I need to get tama flu or.
Speaker 1 (05:38):
And what is the symptom that you're trying to.
Speaker 5 (05:40):
Treat, well, just what happened last night, I.
Speaker 1 (05:46):
Would say, Glinda, if you feel better and the symptoms
are mild, that it's probably good. I did just to
see how you do today and hydrated, Yeah, you can
always that's all. A good idea is to stay hydrated.
But yeah, if your symptoms are better, the symptoms are mild,
I wouldn't necessarily think you need medical attention. I would
(06:09):
only go if your symptoms worsened or you just didn't
feel well despite using the medications that you tried. Because sometimes,
yes there's a metabolic problem. An X ray might pick
up on something. So if you don't feel better you're worsening,
then yes, I would go in and seek medical attention.
(06:29):
But if you feel fine, you functioning okay, I think
it's okay to just see how you do today without
going and seeing a healthcare professional.
Speaker 5 (06:39):
All right, thank you?
Speaker 1 (06:41):
All right, yes, ma'am, it's Glinda would appreciate that. Did
you have anything to add londonto that. No. I thought
you were going to get on chat GDP and look
up answers the g what GPT, GPT What does that
stand for?
Speaker 2 (06:58):
I don't know. Let's see.
Speaker 1 (07:00):
What's that stand for?
Speaker 4 (07:00):
Long?
Speaker 3 (07:01):
I don't know. I think it's just let's see.
Speaker 1 (07:05):
It's the new way to look up things. If you
have any questions, you don't even have to go to
the doctor. You just go to chat GPT and it
can give you all the answers. Just so you know,
doctors go to that as well. Periodically. We have our
own resources that we go to a lot of times
to look up things. Just because we don't know everything
every single day. We have to sometimes look up these
(07:26):
fine little details when it comes to that. But yeah,
people get sick periodically, just like London. You got sick
with the flu, and do you remember what your symptoms
were when you got sick?
Speaker 3 (07:39):
I had a really bad fever and a cough, a
sore throat, and I couldn't really walk. I'm not gonna lie.
Speaker 1 (07:49):
You're like really weak, n't fatigue?
Speaker 3 (07:53):
Yeah, So whenever we are walking the streets of Hot Springs,
I would start coughing and like I would like literally
sit on the ground. Mm hmmm because of how weak
I was.
Speaker 2 (08:05):
But you bounced back.
Speaker 3 (08:09):
Yeah.
Speaker 1 (08:09):
Did you have dizziness at all?
Speaker 3 (08:15):
Sometimes it depended if I was like overworking myself or not.
Speaker 1 (08:19):
How about like diarrhea or rashes or anything.
Speaker 3 (08:22):
I didn't have any of that.
Speaker 1 (08:23):
Okay, I mean because a lot of times fever you
can kind of work through that. I guess it was severe, right,
I mean, something was happening to you and you're like,
this is different. I need to go get checked out.
And luckily they had what said, what, I have nurses
there or who's there on the camp?
Speaker 3 (08:40):
They have like a bunch of nurses all around the camp.
And then they have like doctors doctors.
Speaker 1 (08:45):
Yeah, oh they do okay, and they have like a
little clinic and all that. Okay, Yeah, that's good.
Speaker 2 (08:51):
That's where she hung out until we got there to
get her. Okay at the medical center.
Speaker 1 (08:55):
Now, did you have to go in like quarantine or anything.
When you're there.
Speaker 3 (08:59):
I wasn't allowed near any other kids.
Speaker 1 (09:01):
Did you have to wear a mask?
Speaker 3 (09:03):
Yeah, we were only allowed to not wear a mask
around the kids that didn't have it. That did have it,
got it?
Speaker 1 (09:10):
Wow, this is that summer camp on at Camp I know. Well,
that's why you go, right to have some experiences and
sort of get out of Beaumont and experience what the
world is like out of Beaumont. I wish i'd had.
Did you ever go to Camp Charlotte?
Speaker 2 (09:23):
I don't think so.
Speaker 1 (09:25):
I never went to any camp either.
Speaker 2 (09:27):
I went to vacation Bible School. That was about the
big biggest thing I did.
Speaker 1 (09:32):
And how long was that? Like a week or two weeks.
Speaker 2 (09:34):
Or somewhere, And then you did all these things.
Speaker 1 (09:38):
But it was in the area you grew up in.
Or did you go out of town or no?
Speaker 2 (09:41):
No, no, no, it was in the area I grew
up in. And then your parents come and you do
a little ceremony and take all your things home and
hang them on the wall.
Speaker 3 (09:50):
It was cute.
Speaker 1 (09:50):
Yeah, your camp is in Arkansas? Is that correct? Okay?
Camp Ozark, Camp Ozark, Right, and you've been there several years, right,
it was like your fifth year or something like that,
six years, not six.
Speaker 3 (10:02):
I think it was my fifth year. Yeah, it was
my fifth year.
Speaker 2 (10:05):
Are you counting the one that it was closed because
of COVID remember you couldn't the camp was closed.
Speaker 3 (10:12):
Okay, then I might have been going for six years,
yeah if you count that.
Speaker 1 (10:16):
Yeah. And she loves going there, and I think it's
a good positive thing. Just interacting with other people from
other states, right, people come from all over the place, right, Yeah.
Speaker 3 (10:26):
There's people from the UK in Australia.
Speaker 1 (10:28):
Wow. Okay, and just interacting with them and getting that
exposure again of bo might it can be a good thing.
My phone lines are opened eight nine to six kov
I won one hundred and three to three zero. Kova
here chatting with missus Levigne and London Bryan. If y'all
have any questions, give us a call. Be back in
two minutes. All right, welcome back to Octavia Medical. Our
(10:59):
phone line to open eight nine to six Kova one
one hundred and three three zero. Kiova sitting here chatting
with Miss Lavena as well as London Bryn are a
special guest today. And you had mentioned on the first
segment that you're at this camp and you started some
medicine called acutane, which is used for a condition called acne,
(11:20):
and we all went through that. I went through it, Charlotte,
you went through it right, sure. Yeah, it was just
one of those things. I remember taking a medication called
oxy five and oxy ten. It was just sort of
this over the counterproduct, just slatted it all on your face.
I don't even know if it worked, but that was
the thing. But the treatment of acne has come a
(11:40):
long long way, and one of the medications is called acutane.
But you and I have talked about how to manage that.
What are some ways that maybe you can reduce acne?
We've talked about diet, right, and as all the listeners know,
I'm a big fan of eating a clean, healthy diet
and London, you and I have talked about an infla
lamatory diet, right or anti inflammatory diet? Is that correct?
Speaker 3 (12:04):
Yeah?
Speaker 1 (12:05):
And so what's your understanding of that or have you
tried that or are you going to try it or
do you think it's important or what's your position on
an anti inflammatory diet as it pertains to health or
skin health or hair growth? You're a cheerleader also, right,
you cheer for your school legacy, right, throwing you up
(12:29):
in the air and all that, and just being athletic.
You have to be in shape. You have to be strong.
What's your position on diet?
Speaker 3 (12:39):
I really think if you're young like me, sometimes if
it's like weight gaining, it might depend on the metabolism
and genetics. But if you are dieting isn't always about weight.
Most of the time it can be about skin issues,
maybe even stop issues, gut health. I honestly think that
(13:01):
if nothing else works for you, that you could try
an anti inflammatory diet. If you have acne, I try
to do it. Then. My grandmother brought cookies, so I quit.
Speaker 2 (13:12):
You're fourteen, I should bring cookies.
Speaker 1 (13:15):
She always does that too. We bring all that stuff
in the house. I know it's hard, chocolate chip cookies,
not one, but.
Speaker 2 (13:27):
Like, could you could have said nay, I'm on an
antiflammatory diet, thank you, but no, thanks?
Speaker 5 (13:34):
All right?
Speaker 3 (13:35):
I quit?
Speaker 1 (13:36):
So so you try the anti inflammatory for one day
and like cookies, it's it's too hard.
Speaker 3 (13:42):
Yeah, Basically it's just like no sugar at all. It's
basically all everything, like God graded or everything that's not
man made, just everything that was given to us, like berries.
It's basically everything that works as an anti dioxidant, like
Barry no sodaes dairy. You could eat it, but sometimes
(14:06):
dairy can be inflammatory. I feel like because.
Speaker 1 (14:10):
Yeah, some dairy products have sugar in them, lots of sugar. Yeah,
like whole milk. It has a lot of products in
it that have been deemed to be unhealthy. So I
think most people are not consuming as much whole dairy
as they used to. I mean probably before our time.
Speaker 2 (14:29):
Charlotte, Well, we grew up with milk does the Body Good?
Speaker 1 (14:33):
Yes, that whole campaign with the sort of the white
marker above the lip. Yes, And yeah, that was a
big push to try and include the old dairy in
your diet and drink milk. That's a competition between all
of the beverage companies. I mean, I don't think, or
at least I asked my patients all the time when
you're drinking, I don't hear anyone really saying milk. I
(14:56):
really don't.
Speaker 2 (14:56):
Well, I think because there's so many alternatives.
Speaker 1 (14:58):
Now, like big Time almond.
Speaker 2 (15:02):
Yes, I mean there's.
Speaker 1 (15:03):
Of these plant based yeah, dietary beverages. Yes, exactly, and
so it's lost some of its markets share. To be
honest with you, you're right. The energy beverages are big,
dangerous sodas. The juices are still out there. The coffee
has I think, grab some of the attention, but most
(15:24):
people are putting so much stuff in their coffee that
it does become an unhealthy beverage. I do consider coffee,
just black coffee, a healthy beverage. What about you? Do
you drink coffee? London?
Speaker 3 (15:34):
I get stuff from Starbucks.
Speaker 1 (15:36):
Yeah, she's a Starbucks kid.
Speaker 2 (15:38):
She wants to work at Starbucks.
Speaker 1 (15:41):
She wants to be a barista? Is that correct?
Speaker 3 (15:44):
For a part time job?
Speaker 4 (15:46):
Oh?
Speaker 1 (15:46):
Please?
Speaker 2 (15:46):
Part time? Why part time?
Speaker 3 (15:49):
Because I'm trying to focus on academics.
Speaker 5 (15:51):
Okay?
Speaker 3 (15:52):
Yeah.
Speaker 1 (15:52):
Why don't you share with the audience what your goals
are when you grow up?
Speaker 2 (15:56):
It's pretty amazing. She's fourteen years old. Yeah, learn tell
them your goals.
Speaker 3 (16:04):
Sorry, I thought I broke the mic for a second.
Speaker 1 (16:06):
Man, tell you're doing so much talking and just so
much energy coming out right, just blew it up.
Speaker 2 (16:12):
What's your goals?
Speaker 3 (16:16):
So? Starting in seventh grade, I would say I I've
always been really smart and gifted, but I never really
used it because at the time, I was going through
a lot because I've had like a lot of family
stuff that's happened to me, yeah, like with my dad,
and I just decided, like, what's something that could make me,
(16:40):
What's something that I know I'm holding back and a
lot of this that made me realize it is my religion.
But I just can kind of came to my senses
and decided I want to be like a lawyer or
maybe going to medical because I'm really good at science. Yeah,
(17:02):
but I kind of wanted to follow my own path.
I didn't want to go I didn't want to carry
off of y'all.
Speaker 1 (17:08):
I'm sorry, that's okay, I'm fine with it. Yeah, be
your own person, absolutely being individual independent.
Speaker 3 (17:18):
Yeah, but I wanted to go to law school and
so far, my GPA last year was four point one
two five in the eighth grade and seventh grade it
was four I think that's high.
Speaker 1 (17:27):
Yeah, that's pretty high, right, that's.
Speaker 2 (17:30):
High, way higher than what mine was. I know, struggling.
Speaker 1 (17:36):
Yeah, I can't remember what my GPA was, but maybe
three nine.
Speaker 2 (17:40):
Maybe you want to be a criminal defense attorney. No,
she changed the mind already know the opposite.
Speaker 3 (17:47):
I want to be a prosecuting.
Speaker 2 (17:48):
Oh, prosecuting okay, yeah, and you want to be appointed
by the president to sit on the Supreme Court.
Speaker 3 (17:53):
Justice possibly if that's possible to have been sure, But
I would want to be the I wanted to. I
would want to be like something for the state, like
a state prosecutor. M hm, the US attorney. They're pretty
high in position. But I just like, I kind of
like arguing.
Speaker 2 (18:09):
Oh, I would have never thought.
Speaker 1 (18:11):
I know that. Yeah, And we need people like that
to argue and fight for the common person just because
not a lot, not a lot of people are comfortable
with arguing and proving a point. So yeah, that's a great,
great career option to go into. And man, you are
doing a lot of work to get there. You study hard,
(18:32):
you do all those projects, and she does really, really well.
So we're very very proud of her, and we appreciate
you sharing that information with us. Phone lines are open
eight nine six kalv I won one hundred and three
to three zero. Kovia sitting here chatting with miss Lavine
in London about anti inflammatory dot acting. If you have
any questions, give us to call you back in two minutes.
(19:00):
All right, welcome back to dot Leavin and Medical. Our
phone lines are open eight nine six kV at one
hundred and three three zero kova. I sitting here chatting
with missus Lavigne as well as London Brian giving her
some expert analysis on the anti inflammatory diet. Right, no cookies,
no sugar. But that's tough in this country, right, Yeah,
(19:24):
you have that staring in front of your face, and
all the sugary beverages out there, the juices, and even
a lot of the coffee we talked about coffee, even
a lot of the coffee beverages are not just coffee.
They have all this stuff in it. It's just sort
of hard to avoid. And then you also like, what,
what's the other restaurant you like here that you're always
eating at?
Speaker 4 (19:46):
Yeah?
Speaker 1 (19:46):
What do you tell the audience what you're eating at
Texas Roadhouse?
Speaker 3 (19:51):
I get like two baskets of the bread exactly to four,
I know it, and medium rare steak with mashed potatoes
and brown groovy and a doctor pepper.
Speaker 1 (20:07):
And butter too. Right, don't they have like a special
cinnamon butter or something like that? So do you do
you think that's pro inflammatory or do you think that's
the low inflammatory.
Speaker 3 (20:20):
It's probably pro.
Speaker 1 (20:23):
Yeah, Man fourteen is the best. Man. You can eat
whatever you want because I talk a lot about it
on the show about you know, getting older, because that's
where Papa and Nane are at. That's our secret names.
By the way, that's what she calls us at home.
But yeah, we have to you have to eat better
when you get older. When you're younger, like you, man,
you can just eat whatever and everything works.
Speaker 2 (20:44):
It's a cereal pop tart, yes, yes, oreos.
Speaker 1 (20:49):
Yes, what did you have yesterday? You were at your
school and you guys, well you guys.
Speaker 3 (20:54):
Eating, we were eating. I got two like big pretzels.
Everyone looked at me crazy, but that's okay.
Speaker 1 (21:02):
Sugar and cinnamon.
Speaker 3 (21:04):
Right, them had sugar and cinnamon and one of them
had salt. And then I went with my mom and
we went to Marble.
Speaker 1 (21:09):
Slab and yeah, just capped it off.
Speaker 3 (21:12):
Chocolate ice cream with cookie dough.
Speaker 2 (21:15):
But she made a good point. Anti inflammatory in her mind,
is anything from the earth or walks.
Speaker 1 (21:24):
I mean sugarcane, that's that's from the earth.
Speaker 2 (21:27):
Well, don't go too deep, I mean berries fruit.
Speaker 1 (21:31):
Hey, Leonard, how you doing buddy, not better for a
fat boy, and you right, absolutely, And she's I wish
you could see her. I mean she is thin, thin, thin,
I mean, very athletic looking. So yeah, when you when
you get older, you can't do that. How can we
help you today?
Speaker 4 (21:49):
About two months ago, I signed up to be a
guinea pig and a kidney study. Every Friday, I go
to this bio farm of something and they shoot me
in the stomach with some magic something and they said
one of the side effects is you might lose weight.
I lost forty three pounds in thirty days, and I
(22:10):
just don't feel right. My watch doesn't even fit right anymore. Right,
I'm having trouble. I'm down to one ninety three and
I'm having trouble gaining weight back. The doctor said, I
want you to weigh two five, and I just can't
get there from here now. I saw a photograph of
some fried shrimp the other day and I gained three pounds,
(22:30):
but other than that, I'm stuck at one ninety three.
Speaker 2 (22:34):
Yeah, keep looking at the photograph.
Speaker 4 (22:35):
How do I gain weight?
Speaker 1 (22:37):
Well, I mean, I think Leonard, if it's from the medication,
I mean, obviously, talk with the practitioners in the study
and let them know that maybe you've lost enough weight
and you don't want to lose anymore, and getting off
of the medication, because that's all a part of the
protocol of the study, and so that's the first thing,
(22:59):
probably just to get off the medication. And probably getting
off the medication, your appetite will come back and you'll
start probably eating similarly prior to starting the medication, and
that would allow you to gain some weight back. So's
it's probably what would be the first step.
Speaker 2 (23:16):
When is the last time you had a dose?
Speaker 4 (23:19):
Well, I went Friday and I said, look, this stuff
is just I ain't taken no more. And they said, okay,
let's skip this week and see what happens. So we'll
find out. I've now been eight days without an injection. Instead,
I used to be able to walk fifty feet and
then I want to sit down and take a nap.
Speaker 2 (23:39):
Now sometimes taken a little bit to get out of
your system too.
Speaker 4 (23:44):
And now I'm up to about eighty feet and I
am getting better, and I do think it's the magic,
whatever it is, but I'm still having trouble gaining weight.
I'm hovering at one ninety three.
Speaker 1 (23:58):
I think one is fine. I wouldn't be nervous about
that weight. I don't think you're in any danger of
anything happening to you. I mean, certainly losing weight your
body reacts to that, and my experience acts that most
people feel more energetic. So I'm a little surprised that
you're less heavy and you feel more fatigued. It may
have just been a drastic change in your body metabolism
(24:23):
and it's just going to take some time for your
body to catch up. Or it could just be an
adverse reaction to the medication. As missus Lavin mentioned, it's
an injectable, so it kind of hangs around in your
system a lot longer. So I think you just need
to be patient and anticipate that you will start feeling
better as the medicine gets out of your system. Because
this is pretty clear cut, right, you were fine and
(24:44):
then you started taking a medicine, and then you lost
this weight. Now you don't feel good. So I think
it's pretty direct. Just stop the medicine and you should
sort of get back to where you were before.
Speaker 4 (24:55):
Sure, I tell them I don't want to do it.
I want to skip next week.
Speaker 1 (24:58):
Also, I mean Yeah, that's a possibility. Absolutely. They typically
have sort of protocols for when patients fall out or
break the routine, so they have all of this outline
normally in their protocol of the study. So yeah, just
talk with them at the end of the day, Leonard.
(25:18):
This is all up to you, right, So if you
no longer want to participate, or you feel like the
medications affecting you in an adverse way, then they want
to know that, right. That's the whole part of the
study is sometimes patients to do poorly.
Speaker 4 (25:34):
I'll start a walking over the pain because of this stuff, right,
and you know that's that's not right.
Speaker 1 (25:40):
Yeah, you know one like statin medications, right, those are
very popular, lipotour zokor crust or great medicines. But there's
a lot of controversy about statins and adverse reaction. One
of them is, yeah, muscle weakness, muscle pain and it
can make you feel bad. So this medication that they're using, yes,
it might be in that same category. That's why they're
studying it.
Speaker 4 (26:02):
So it's not against a low to answer another one
way you chentioned on no shots.
Speaker 1 (26:06):
Not at all. It's up to you. Don't don't right,
don't feel pressured.
Speaker 4 (26:13):
Well, I'd like to give up the change people looking at.
Speaker 1 (26:17):
It, right, Yeah, that's not the point. The first thing
that they teach us is to do no harm, and honestly,
we try to do that every single time we make
a decision. World, it's not perfect. Medicines are not perfect.
So yes, if you're having an adverse reaction that's negatively
impacting your physicality, then by all means, yet you need
to get off that medication.
Speaker 4 (26:40):
All I can tell you is I ain't waited one
hundred ninety three since.
Speaker 1 (26:43):
I was bab that's right, this high school weight.
Speaker 4 (26:48):
No, No, I'm talking on third grade, you know. Yeah,
I was too eighteen for decades and then I'm ballooned
up to two forty one. And I went and he
gave me a bunch of pills and nice shot stuff, and
I just I'm having trouble geting in white back. That's
yet feel right, that's I just don't like it.
Speaker 1 (27:10):
Okay, Yeah, just let them know, thanks, big guy. All right, Lennon,
appreciate that phone call. And yeah, there's always studies new
medications and adverse reaction. We talk about that a lot, Lenda.
You mentioned accutane very strong medication for acne. Been around
for a long long time, but it's it's a strong
(27:33):
medicine and there are a lot of warnings about using that.
You tolerated pretty well. You have any comments about the
use of that. And maybe we have a listener that
may be struggling with their skin as well and they're
thinking about acutaine. Do you have any points of view?
What's your position about acutane.
Speaker 3 (27:52):
I think it works very well. I used to have
really deep acne and I've only been on it.
Speaker 4 (27:59):
I'm much.
Speaker 2 (28:00):
You started in July, yeah.
Speaker 3 (28:01):
Two months and now everything is on the surface, so yeah,
and it's a lot less red as well. It's still
I still have acne obviously, it doesn't go away that quickly. Yeah,
but it should be gone by Christmas, they said, and
then I can try a skin pin. But I would
(28:23):
say if nothing else works for you, Like before I
went on accutane, I had acne for three years. It
was a last resort and right now I have a
cut on my lip from it.
Speaker 2 (28:34):
But because it's drying, yeah bad.
Speaker 3 (28:38):
But other than that, that's really the only side effect
I have. But I used to have heartburn, but I
would have had to go off if that got bad,
but it.
Speaker 2 (28:46):
Would hold dizziness, remember.
Speaker 3 (28:49):
Yeah, but that was at the beginning. I was getting
used to it. But then if it's a last resort,
if nothing else is working, then I would try it.
Speaker 2 (28:56):
We were determined, You're like, I'm doing this.
Speaker 4 (28:58):
I don't.
Speaker 2 (28:59):
I'm gonna get through this.
Speaker 1 (29:01):
I mean, if someone asked you, should they take it,
would you recommend it to them?
Speaker 3 (29:07):
It depends on what they've tried, because I would use
it as a last resort because it's really strong.
Speaker 1 (29:12):
Right, So if they just just got diagnosed with it,
hadn't tried anything, you would probably say, try some other
things first. Not accurateaing. Yeah, yeah, absolutely.
Speaker 2 (29:22):
I think you were on Doxa cycling, yeah, for two
years or so.
Speaker 1 (29:28):
Yeah, it's an antibiotic.
Speaker 3 (29:29):
Personally, that didn't work for me.
Speaker 1 (29:31):
Yeah, oh, and I think for most people that is
what works, right, they have an oral antibiotic. A lot
of controversy about using oral antibiotics for acne, but it's
still popular. I don't really manage acne much in the office.
We were taught how to manage it, but it's not
something I do every day. And there is something just
like with every disease or somethiness and how you manage it.
(29:53):
And oral antibiotics is still used for acne. Doxicycling is
one of the more popular types of antibotics. And you
were on that for some time. It didn't help at all,
So yeah, you had to go to the strong stuff.
Just like with Leonard, he's trying to get his weight down,
and I would agree that as you get older and
that aging process kicks, and yeah, you need to kind
(30:15):
of keep your weight down. You can't really be a
big fan or a frequent flyer at some of these establishments,
you know, like the ice cream shop and the soda.
Can't do that when you're you can do that on
you're fourteen, and like I said, I'm amazed with the
stuff she's and then she's thin and athletic and like man,
and she's not dozen off young exactly. The big crash
(30:39):
right after you eat that sort of thing. So missus,
you've been quiet over there, you've been quiet talking. Yeah,
I mean your fans want to hear from you, so
they Yeah, we want to know what's going on in
the ADMIN world because it's always changing and it's always
exciting stuff and it's a very technical way to do things.
(31:03):
So what's going on in the admin at this point
as we get to the end of the year.
Speaker 2 (31:07):
Not much. I mean we're kind of chilling getting ready
for the end of the year. But what I do
want to remind everyone, excuse me, is open enrollment October
with insurances and be very careful, take your time. They're
not going to sell out. There's not two left. I mean,
just take your time, educate yourself, make sure all your
(31:31):
doctor's facilities, pharmacies, medications, make sure whatever you choose works
for you. Also, it's almost flu shot season, so I
tell everyone because everyone will ask me when is a
good time to get your flu shot, and I'll always
say when it starts getting dark early, and when the
(31:51):
time changes, it's time to get your flu shot. So
because a lot of people don't have concept of the month,
they've yeah, but they always know when the cool fronts
are starting to come in, when it starts to get darkerly,
I think that's a good time to get your flu shot.
Speaker 1 (32:09):
Yes, and we have those in the office, thankfully, not
all vaccines. We have an office. We have pneumonia, we
have shingles, but the RSV respiratories and sisue virus that
one is available, as well as your COVID boosters those
available primarily the pharmacies. Any discussion from the company that
helps us, any discussion about getting COVID in our office,
(32:31):
the vaccine, I mean our RSV. Hasn't been any talk
about that.
Speaker 2 (32:35):
No, not really.
Speaker 1 (32:36):
They don't really say why. It's I guess it just
they don't want it in doctor's offices. I'm not I
haven't kept up with.
Speaker 2 (32:43):
I need Parlan see if we can get it this year.
The reason why I think they didn't want everybody to
dispense it is because they wanted to keep a record
of how many.
Speaker 1 (32:53):
Patients are targetting it surveillance.
Speaker 2 (32:55):
Yeah, and in doctor's offices we just chart lot.
Speaker 1 (32:58):
Numbers they gave it. Yeah, I really, yes, I.
Speaker 2 (33:03):
Think once everyone calms down on that, right, I mean,
it's not like you can't manufacture two thousand and then
you sell two thousand. You know, two thousands, got it,
simple math. I don't know why they need to know
the person's name and all that, but anyway, maybe this
year I'll honestly, I do need to call and check
on that to see if we can get COVID. But
(33:26):
you know, we it's people. You either want the COVID
vaccine or they don't. That's perfectly fine. It's their choice,
so we'll see.
Speaker 4 (33:34):
Yeah.
Speaker 1 (33:34):
I mean, you were here a few weeks ago and
I asked you a question about can a person have
triple insurance coverage?
Speaker 2 (33:43):
And we ask our broker that was off?
Speaker 1 (33:46):
That's right, I just remember that. What was his answer?
Do you remember what his answer was?
Speaker 2 (33:50):
He said that if you do have it happens, but
it's wasteful because waste it's expensive and you don't need it,
or it's unnecessary because the primary and the secondary normally
covers what you need.
Speaker 1 (34:02):
Yeah, which means you don't have to pay anything. Typically,
when you have two insurances, you have to designate which
one is primary, yes, right, and then the secondary one.
If you have two, then normally you don't have to
pay much of anything for your health care, whether you
go to the er, whether you go to doctor Levine's office, whatever.
(34:25):
Just your output is minimal. Is that correct? If you
have two? And then that I guess he couldn't find
a reason for a person to have three, Like why
doesn't make sense?
Speaker 4 (34:34):
Right now?
Speaker 2 (34:34):
He said it happens, but it's not necessary for that
person to.
Speaker 1 (34:38):
Have three typically unnecessary.
Speaker 2 (34:40):
Unnecessary and wasteful because it's expensive and someone's paying for that.
It's not free.
Speaker 1 (34:47):
Okay, can you did? Okay? Can you cancel the third one?
I guess you didn We didn't ask him that. If
you get three, like, oh, just I don't want that one?
Say what I think?
Speaker 2 (34:58):
Anybody can cancel anything? But you know, we live in
a society. More the merrier, you.
Speaker 1 (35:02):
Know, Bigger is better, more is better, Yes, and so
three insurances, four insurance.
Speaker 2 (35:11):
Yes, all your insurance cards won't fit in your wallet.
Speaker 1 (35:17):
You'll have a thick wallet and start having back pain
because your wallet's so thick. Something like that. Anyway, phone
lines are open eight nine six kalva. I want one
hundred three three zero kVA. I will be back on
our last break. All right, welcome back to doc Lavine Medical.
Our phone lines are open eight nine to six kalv
I want one hundred three three zero kiofrey eyes sort of.
(35:38):
In our last segment, time goes by so so quickly,
sitting here talking with miss Lavine and our special guests
London Bryant. Any final thoughts, missus Bryant about accutaine anti
inflammatory diet. You're an athlete, exercise, anything you want to
(36:01):
mention or say to the audience before you check out.
Speaker 3 (36:05):
I think exercise.
Speaker 2 (36:07):
Oh your MIC's on.
Speaker 1 (36:08):
One, go ahead, talk again.
Speaker 3 (36:13):
I think exercise is very important because whenever I don't
do cheer, I get very fatigue personally, and I'm not
really able to function as well. I would say I'm
more like lazy. I feel like doing more cardio makes
me more energetic.
Speaker 4 (36:34):
Oh.
Speaker 1 (36:34):
Absolutely, I mean exercising is very important. Again, because you're
so young, I mean, your body is just in shape naturally.
As you get my age, you sort of have to
work at it. Just like with the diet. You can't
really be out there eating the cookies and the pies
and the cakes like you do. I mean, it's just
amazing watching or eat all that stuff breakfast cereals and
(36:57):
it's already hitting me up. So cookies, these, the cakes,
the pies. I mean you can do that stuff when
you're young and you know, have fun with it, but
certainly as you get older, yeah, you probably would have
to change that to some degree. And yeah, missus Levine,
with the open enrollment, take your time there's no rush.
(37:20):
It's complicated though We've talked about that numerous times on
this show. And what's sort of the buyout? Do you
you choose an insurance, you sign up and then oops,
I didn't see something that's not working well for me.
How do you get out of that? Or can you
get out? Do most insurances have that sort of out
clause where you can get out of it.
Speaker 2 (37:41):
I think the patient would need to ask upfront and
get that in writing, because from what I've been told,
there is no out now okay, and you just don't
want to get stuck into something that you can't get
out of m HM in life period.
Speaker 1 (37:58):
Yeah, and I think that whether you have to stay
my guess for a year. And we also talk about
getting a second policy, like well, yeah, I can't get
this one, but I like another one, so I'm just
get a second pology. And most people are not going
to do that. It's just financially not in their best
interest to do that. These policies are not cheap. I mean,
they're somewhat expensive and like I said, very complicated. And again,
(38:19):
insurance company is there to help everyone, so they're getting
a little bit more involved with doctor's offices as well
helping them achieve some of these goals like getting certain labs,
X rays, cancer screenings, checking your A one CE, checking
your blood pressure, all these Yeah, which makes sense, right,
(38:41):
It makes complete sense if you have insurance, why you're
not getting this stuff just because we want to catch
these diseases early and be as aggressive as we can
up front, and there are obstacles to achieving that at
the doctor's visit. So they have the nurse practitionan's physicians
systems actually going out of the houses and talking to
(39:01):
the patients. They bring in their folder and their sheet
and we can go over it. So I think it's
an awesome sort of relationship. And yeah, the insurance company
is certainly trying to produce a certain product in terms
of the interaction between patient, physician or patient and health
care provider, just again to get the maximum benefit out
(39:26):
of the visit and the policy, which can sometimes be
a problem.
Speaker 2 (39:30):
Well, I want to clarify something. When I talk about
open enrollment starting in October, I'm talking about Medicare patients,
not talking about commercial insurance. Well, has that different, Well,
Medicare is when you're sixty five or older. Yeah, commercial
insurance is when you're under that age.
Speaker 1 (39:48):
Right, So they don't have open enrollment.
Speaker 2 (39:50):
No, it just depends on where they work, what their
open enrollment is with their company. If you work for
the state, if you're a teacher, there's different open enrollments.
Speaker 1 (39:59):
For Oh, they don't have to go through that.
Speaker 4 (40:01):
No.
Speaker 2 (40:02):
Oh okay, And you know people my age, your age.
We have commercial insurance. We can cancel one and we
can okay blue Cross today and Percumen it tomorrow.
Speaker 1 (40:14):
So got it.
Speaker 2 (40:14):
It's just the Medicare population.
Speaker 1 (40:17):
Got it all right? And a Medicare person can have
a private insurance if they want it.
Speaker 2 (40:25):
Yes, that does happen because patients forget that they can
be on Medicare. Yes they're sixty five.
Speaker 1 (40:31):
Right, They don't get like paperwork or a letter like
hey you're getting yeah, okay, I don't live with.
Speaker 2 (40:37):
Anyone sixty five. Yeah, I'll ask maybe.
Speaker 4 (40:41):
Yeah.
Speaker 1 (40:41):
It's complicated out there. And let a lot of times,
even talk about medications, we prescribe certain medicines to patients
and we don't really know the expense of that stuff
A lot of times when we're prescribing it, just because
it depends on the policy, and we get these callbacks.
Oh it's too expensive, doc, you should have known that. No,
we don't know that.
Speaker 2 (40:58):
Star listening to Michael Broker, he said, you know Medicare
a supplement and then a some insurance that covers your medications.
So you really need three drug coverage Medicare primary, a
secondary and a drug coverage and that's all you need.
Speaker 4 (41:17):
Yeah.
Speaker 1 (41:18):
No, I was just saying, I don't a lot of
times the expense of the medication. Even I think it's
a great product and I want my patient to have it,
I don't know the expense of it. That's something we
don't have a mechanism I can help you in order
for me to check that. I wish we would so
we would know before we write the prescription patient goes
and gets that from the pharmacy. Anyway, thank you missus
Levine for joining us. Thank you London Brian for joining
(41:40):
us today and spending your time with us.
Speaker 2 (41:43):
I hope you have a good day Saturday morning.
Speaker 1 (41:44):
You have a good day. Bye bye.
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