September 29, 2025 • 44 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):
All right, Welcome Southeast Texas Internet radio listeners. Welcome to
another edition of the Doctor Levine Medical Hour. I'm your
weekly host, Doctor Levine, coming to you live from the
studios of k lv I here and BMT on My Texas.
Taking your phone cross the street from Parkdale Mall. Great,
(00:23):
great cool Saturday morning, if you haven't been outside yet.
It's cool getting into our fall weather and getting away
from this heat, which you know, I guess I spend
most of my days indoors, whether it be in a
house or a hospital or medical office with controlled climate.
(00:43):
You know, I don't get a tremendous amount of exposure
to the heat anymore. Thank God for that, just because, yes,
it is extremely hot in Southeast Texas during these summer months,
and we do see a lot of issues related to that.
And thankfully we're sort of starting to get into our
(01:03):
fall weather. I mean, it's almost October, it's almost Halloween time, right,
and no hurricanes. Yes, because this is normally our time
of the year where we get some tropical storms and
some disturbances out there in the Gulf of Mexico or
(01:25):
Gulf of America. But we have none of that. That's
a blessing, So thank God for that. Who wants to
mess with evacuations and power outages and gutting your house
because the water is flooded and god, man, the weather
is changing so bad. So yeah, we'll get into the winter.
(01:48):
So thankfully, this is normally the time of year I
typically like because it's colder, and tend to prefer the
colder temperatures than the hot temperatures. I guess I'm not old,
and yeah, because I talk to my older patients and
they prefer a little bit of warmth. You know, you
get into your seventies and your eighties, Man, I don't know,
(02:09):
you feel cold all the time. And that's when you
walk into someone's room and they have the thermost that
at like eighty two or eighty four, and it's burning
up in there, but they feel very comfortable. And I'm sorry,
we don't really have a solution for that. If you
are suffering that event, we don't really have a solution
(02:33):
for that, to be honest with you. When someone starts
just having that sense of being cold, which I think
is an aging thing in my opinion, just the thermostat
of the human body starts to go haywire and I
find myself having this conversation quite often with my patients
(02:55):
in the office as well as in the hospital. Man,
you got to respect getting older because it's real. I mean,
it is a real process. It's a process. And yeah,
I mean I think they all lied to us years
ago when they said, you know, getting older the golden years. Yeah,
(03:16):
I don't know about that based on what I see,
my point of view, my perspective. Maybe I'm biased just
because I'm a medical doctor and I'm just interacting with
patients who have problems. I don't see the other side
of it, which occasionally we do see patients in their
eighties and nineties that are high functioning and they have
(03:37):
minimal medical problems. Those superstars are out there, and it's
always a joy to talk with them and try and
get a better understanding of how did you make it
to this point? Just incredible? How did you do it?
I mean, I want to know, so I normally we'll
interrogate them a little bit more and try to figure
(04:01):
out what the common denominator is in terms of how
they got to their eighties or nineties with almost minimal medication.
Everything is working, labs are good, no cancer, I mean
it's tremendous to see it because that just lets you
know that there is hope and that you sometimes can
(04:21):
push through the sixties and the seventies because a lot
of times for most of our patients, that's when things
start popping. Fifties, sixties, seventies, right, that's really the meat
age group of when all of these disease processes start
going on, whether it be a malignancy or a cardiovascular event,
(04:43):
that's when it starts happening. But if you can sort
of poke through that time period, nothing happens to you. Man,
you're just it's great, but you got to work at
when you're older. You got to do your part. And
it's not simply going to be be taking a nutritional
supplement here and there and that's it. I mean, you
(05:07):
have to do some basic things. And we periodically will
mention some of those basic ideas here on the show.
And it's always worth talking about it over and over
again because again, there's a lot of confusion out there
amongst the country and the average person in terms of really,
how do I get to my seventies, How do I
(05:30):
get to eighty and not be sick? How do I
do that? Because it still seems unclear to a lot
of patients, or if it's clear, it still seems to
be hard to accomplish, which in this wealthy, progressive nation
should not be. It should be pretty easy for any
average citizen to be healthy in this country. We have
(05:55):
full access to everything we need. But there are some obstacles,
no question, which have been clearly identified in terms of
why maybe someone has a hard time achieving health when
they live in this wealthy nation, this great nation we
call the United States of America. Why that is so,
(06:18):
that's another story. But certainly you have to again try
and stay away from the sugar and the ultra processed foods,
which can be very tough because obviously they're super convenient,
they taste pretty good, and they're normally affordable. I mean,
(06:41):
let's be real. I mean a lot of times these
food items and these beverage items other than water, water's cheap, still, right,
I mean, I remember when gasoline was like eighty cents
a gallon. That's when I was growing up. Eighty cents
a gallon was how much fuel cost. And you know,
(07:06):
probably I could. I remember before bottled water was a thing,
it was just tap water, and people would talk about
bottle water, like why would anybody buy a bottled water
when there's just free water in the face, Why would
anybody do that? But good old marketing and commercialism. Man
ain't America great? You walk into this store, man, and
(07:30):
that water is bottled up, and it's bright, and it's
got lettering and it's got colors, and the bottle looks cool,
and you buy into the story of whatever they're telling
you on the bottle. You know it's from the Ozarks,
it's from some ancient tribe, and it's got magic in it,
and it's going to make you feel good. And you're like, yeah,
(07:54):
I want that, I want energy, I want to be young,
I want to live forever. And this bottle right here
says it on the labeling that if I drink this,
that's what I'm that's going to happen. Fifteen dollars a bottle. Hey, Danny,
how can we help you?
Speaker 2 (08:14):
Good morning doctor, enjoy your show, Thank you. Listen, Let's
get a roll back band gout. There's a drug called
in the medicine that I would take for really the
gallup pain that also really back pain and never other
join my body pains anti plumatory drug. But my doctor
says not help to take that drug all the time.
You know, I wish it was. Is there a thing
(08:34):
kind of anti planmatory drug out there that is safer
to take that would help back pains and joint pains
and gut things like that.
Speaker 1 (08:43):
Yeah, Danny, thank you for that Question's a good question.
Gout very common in our country. And yes, we do
normally to treat an acute gouty arthritis flair, we do
normally start off with what we call anti inflammatories. That
those or insets NSAIDs non steroidal anti inflammatory drugs, and
(09:08):
you know them as motrin, advil, aliave, ibuprofen, and naperson
which is all over the counter talinol or acetamenefit is
not in that category, but it is used for pain
and control of fever. But primarily the core treatment of
acute Gaudi arthritis is the use of anti inflammatories. Culture
(09:31):
scene works by different process to control the inflammatory system,
So you technically could be on an ibuprofen and a
culture scene if you wanted to do it that way,
because it's attacking two different locations of the immune system,
and these anti inflammatories are relatively safe I think we
(09:52):
have to be aware of if you use them long term,
you might get into some issues with your kidneys or
your gi system or your blood pressure. But to briefly
use them, for most patients, it's a relatively safe drug. Certainly,
if you have heart failure or kidney failure, you might
want to stay away from them. Talk with your doctor
(10:14):
or your healthcare professional first before using that drug. But
that's primarily what we do, and most people do fine.
They don't have any adverse reaction and everybody's happy and
move on.
Speaker 2 (10:27):
Okay, I appreciate that information, all.
Speaker 1 (10:29):
Right, Danny, appreciate that, brother, And yeah, gouty arthritis, which
I think most people are familiar with gout classically, whereby
it involves acute inflammation of the big toe where they
be the right or left. You sort of wake up
with it in the middle of the night and it's
(10:51):
the worst joint pain you've ever had, Like you can't
even touch it. You can't even hardly look at it.
You don't want anything to touch it because it is
so painful, and it's normally swollen that's normally the big toe,
and you wake up with it and you basically go
into some healthcare professionals, office or minor care in a wheelchair, Yeah,
(11:16):
our crutches. Are you limping? I mean, you can't allow
anything to happen with this toe. When it happens, not certainly.
There's some milder cases of goudy arthritis. And just so
you understand, it can gaudy arthritis can involve any joint
of the human body. It just prefers or prioritizes that
(11:37):
first joint in the foot. We don't know why, but
it does. But it can cause knee pain, joint pain
of any type, elbow, wrist, just sort of a diffuse arthritis,
it can cause that. So I normally think of guardia
athritis all the time in my office, is because I
(11:58):
know it's super common. Hey, Frank, can we help you?
Speaker 3 (12:02):
Hello, doctor Levine beat up athlete, as I'll always tell you, Hey,
how about I had my knee replaced about ten years ago,
and of course they put me on a Lyrica for
a lot of the nerve damage when they did. The surgeon.
Now ten years later, have a lot of irritation around
(12:22):
the neck area. And of course I had many stingers
in my life in my neck making tackles and my
doctor's told me in the past, my cardiologists to say, well,
you know, he knows my history, so you know, all
those things didn't help. And what do you think about
at this point now? Is lyrica still a safe medication
(12:46):
to take for the nerve damage? And the other question
is I'll hang up and listen after you answer these
and now that Tyler and Hall has got so much
press over the last ten days, could comment on that,
I'll hang up and listen, Frank, Frank, Yes.
Speaker 1 (13:06):
I apologize. I've been a little busy. What's going on
with Talano? I hadn't read anything.
Speaker 3 (13:14):
What's going on with taleranhol.
Speaker 1 (13:15):
Yeah, I haven't. I've been a little busy. I haven't
been able to read the press. What's been going on
with Talano?
Speaker 3 (13:22):
Well, I think Robert Kennedy's top priority is autism, and
he's claiming that I think twenty years ago, one in
twenty thousand boys were born with autism, and now I
think it's one in twenty or born with autism. And
(13:44):
this was this statement was made IM think about five
or six seven years ago, and President Trump came out
the same day and his statement was stop taking Tyler
All and Tyler Nell's stock went to the bottom. And
(14:09):
I mean they're pretty convinced. They're convinced. I don't know
who else is convinced. I'm calling because my grandson has
autism and he he's four years old. So I mean,
I think that with that, Tyler knows his bubble.
Speaker 1 (14:26):
Is contributing to autism.
Speaker 3 (14:29):
Well that's what they said. What it came out with.
That was a big That was the first report. All weekend,
they talked about what was going to happen. They have
a big statement on autism because Kennedy's top priorities autism.
Oh and uh Monday, I think came out with that
big statement. I'll hang up and listen.
Speaker 1 (14:46):
All right, brother, all right, Frank, we appreciate that. Number one.
Lyric are what they are called pregablingist, the generic term
for Lyrica, which is been out of the market for
many years, and it's sort of one of those medications
that's in the seizure medication category, but honestly, we never
(15:10):
really use it for seizures. We primarily use pre gabbling
or Lyrica to help treat nerve pain or other diseases
that involve the nervous system, like migrant headaches, or tension headaches.
We use it a lot for pain related to spinal stenosis,
(15:33):
which a lot of Americans have. They start getting that
burning pain down the buttock area and outside part of
the leg and it goes all the way down to
the foot. That's normally related to a spinal synosis of
the lumbar back or some people call it sciatica. That's
a common term that a lot of Americans use. We
(15:55):
use that product and as far as I know, I mean,
I've been a physician for over twenty years. As far
as I know, that's a great drug. And what I
mean by that is when we prescribe it, we don't
get a lot of callbacks from patients with adverse reaction issues. Now,
there is some patients who do have slight adverse reaction
(16:20):
issues just because of the way it works. It is
somewhat sedating because it does impact the function of the
nervous system. Certainly, you can have nervous system adverse reaction
like dizziness, are confusion or loss of balance, and it
can just sort of make you feel drugged. And a
(16:41):
lot of patients don't like that when they take a medication.
They want to feel neutral, They want to feel normal.
They don't want to feel drugged, and they might tolerate
it for a couple of days, but certainly if it continues,
then they stop the drug because they just don't like
the experience that they're having with the drug. So, in
my experience, a URCA is one of those powerhouse medications
(17:04):
in my opinion, just because there's so much nerve injury,
nerve damage, nerve dysfunction out there in our country, and
a couple of common reasons would be number one age
right getting older. Two diabetes, and then three the musculo
(17:28):
skeletal disorder we call degenitive joint disease again which a
lot of us will acquire as we get older. It's
part of the aging system will start to impact the
nervous system because the musclo scletar system sort of goes
hand in hand with the nervous system. They work together.
But once the muscular scletar system starts to get older,
(17:51):
it can start to put pressure on those nerves that
are in close vicinity, and the nerves get angry and
upset and they will start to exhibit some symptoms. So
your patients come in with pain in the arm, the neck,
the shoulder headaches, and we use that product, and it
has been a product that I've used with very little
(18:15):
callback potential. Certainly the dosing can be an issue for me.
I try to start very low with these medications because
I don't want patients to give up on the drug
before we can kind of get into it. Because again,
it's a powerhouse drug. We don't have a ton of
options as it pertains to nerve pain, and I want
(18:39):
to certainly be able to use that medication before we
give up on it. So I normally started a pretty
low dose and sort of slowly incorporate the drug into
the person's routine. Because you can go pretty high on
the dosing. So yes, as you go higher and higher,
you might get into more adverse reaction. But as far
(18:59):
as I know, people can take this drug indefinitely without
any sort of long term injury or long term adverse
reaction problem. As long as they're tolerating it, then they
can take it forever. That's been my experience, and there's
been nothing on the wire, so to speak, that tells
(19:22):
doctors that we have to give patients what they call
a drug holiday, meaning after a certain period of time,
the pharmaceutical company who generates this drug or the surveillance
of this drug states that at the five year market,
the six year market, they're still taking it, then they
(19:43):
need to get off of it because beyond that we've
seen adverse reaction issues that might be irreversible or reversible,
doesn't matter. They will recommend a drug holiday to allow
your body to sort of get cleansed from that drug.
Limit exp owes you to that drug, and then maybe
you can reintroduce it at some point later. But that
(20:06):
doesn't exist with Lyrica or pre gabling. So you can
take this drug and just sort of going about your
day and hopefully it continues to control your symptoms, because
sometimes these symptoms can worsen. Then we have to go
up on the dose and that's sort of when we
get into the adverse reaction issues. But Lyric of pregabling
(20:27):
great product as far as I know. You can take
it and definitely with minimal adverse reaction. Just work with
the healthcare professional to get the right dose for you.
The cousin to Lyric or pregabling, you may have heard
this medication is called I'm sorry, a gabapentin or neurontin,
(20:48):
which I've been using since I've been a doctor. Another
powerhouse drug, great drug has a lot of flexibility. We
use it in a lot of diseases that we treat
in the adult population. So those two drugs for me
are just wonderful and I use them all the time
to try and help manage headaches and nerve pain and
(21:11):
body pain issues that patients get into back pain. I mean,
this is the bread butter of what most American doctors
are dealing with every single day. And these two drugs,
Gaba Penson and Lyrica, like I say, go hand in hand.
A lot of times I'll start with Gaba pensin if
that doesn't work, I'll switch to Lyrica, and vice versa.
(21:34):
Sometimes I go Lyrical first and then go to Gabba
if one or the other doesn't work or it causes
adverse reaction. Sometimes there's an expense issue with pregabling a Lyrica,
plus you have to you need a special prescription for
the Lyrica, but not with the gab of Penson. So
sometimes that can influence how you decide to treat a
(21:54):
patient because it requires an extra step to get the drug.
We all know how easy it is to get a
prescription from doctor Levine's office right sometimes can take a while.
We'll apologize about that. We really work hard to make
that a simple process. But unfortunately, when you're talking about
different pharmacies, different insurance companies, different pharmacists, different workers in
(22:21):
my office, different workers at the pharmacy's office, man, so
much can go wrong. Phone lines are open eight and
on six kV I won one hundred three to three
zero Kova. I'll be back in two minutes. Hight. Welcome
(22:47):
back to the doctor, Lavine Medical. Our phone lines are
open eight nine six kov I won one hundred three
to three zero ko v I, welcome back and so yes,
my producer Jim, thank you, Jim, appreciate that help. We
want to answer the second question of the caller from
our first segment concerning colonol or acidamnifin which most of
(23:12):
us have taken at one time or the other for
joint pain or fever. Apparently there's some concern based on
what I'm reading here from the US Food and Drug Administration,
and they are a governmental agency that is involved with
the surveillance of drugs that we're using here in this country,
(23:36):
that there's just this spirit and this interest to monitor
our use of certain drugs and to certainly bring attention
to drugs that might be more high risk for certain illnesses.
And in this particular instance, as the caller mentioned, autism
(23:56):
is the disease at hand. And there's been long discussion
over the many years about the causes of autism, right
we want to know, vaccines have been targeted over the
past several years in terms of it generating autism, and
that's been one of the issues as to why some
parents don't want to take vaccines. So trying to find
(24:20):
the solution and the cause of autism a very serious disease,
a very catastrophic disease, certainly for the patient and the family.
So absolutely, let's do what we can to try and
find what is causing this so we can avoid what
is causing it. The risk factors we know about risk
(24:41):
factor assessment. We hear that all the time, and autism
is up to bat right now. And certainly the use
of any drug during pregnancy, which is what this announcement
is saying, is they're concerned that the exposure of talanol
or aced of minifit during pregnancy can potentially increase the
(25:03):
risk of autism. And based on what I'm reading here,
This is from the US Food and Drug Administration sort
of a sort of an awareness letter to prescribing physicians
because during pregnancy, everyone is aware about the impact of
things that you eat and drink and how it's going
(25:23):
to affect your growing child. Everybody's aware of that. You know,
the doctor is aware of that, and the patient is
aware of that. And in my experience with the use
of websites and our smartphones, you can go to any
website and read about any drug, food item, beverage item
(25:43):
that you're drinking, eating that you're consuming and the risk
to your baby or the current understanding of the risk
to your infant or growing child, and it's made it
a lot easier to sort of figure out, well, can
I give this patient this drug? Do I not give
this patient to this drug. There's sort of a categorization
(26:06):
sort of from A to D based on my current
understanding of that D being bad, bad bad, don't touch it.
A being something that is considered relatively safe to take.
In talnol or ceda metaphine has normally been in that
A category because unfortunately, when you're pregnant, you can still
(26:27):
have acute illnesses, you can still get sick you can
still have pain, fever, whatever the case may be, and
patients will come in like, hey, I'm not feeling well,
what do I do? I need something? Because we still
have to take care of the mother so that the
mother can take care of the fetus. So we sort
of have this competition sometimes when we're prescribing drugs, but
(26:48):
we all know there is an awareness about the relationship.
Same thing with breastfeeding when mothers deliver and the baby's
out doing very well, but now the mother comes in
for some acute issue. But now they're breastfeeding, right, and
so you can still have some exposure to the child
(27:08):
that same issue comes up. Or is this a safe
drug to give? Because whatever the mother takes goes into
the milk, and then the milk goes into the child
again if they're breastfeeding. So talino is now up to
bad in terms of being looked at and maybe they're
being a relationship between the development of autism and talano. Now,
(27:29):
based on this article, it's basically saying there is some
concern about it, but it has not been proven beyond
a shadow of a doubt that yes, it is causing autism. Again,
I think it's healthy for the America, the FDA to
constantly be on the lookout for these relationships and interrogate
(27:51):
these relationships and investigate it. Just like with the vaccines
when COVID hit the scene and all the vaccines started
hitting the scene, and there was some concern learned that
one manufacturer's vaccine was causing strokes or heart attacks or
had some sort of increased risk factor issue. You know,
they paused the use of that vaccine until they can
(28:13):
sort of look at the data and calculate it and
spit out sort of a risk. It's called surveillance, and
that's just active in our country all the time. With
everything you hear news and information about any drug all
the time. I mean you pop open your phone and boom,
there's another drug that is sort of up to bad
(28:35):
and on the witness stand if you will, to be
looked at in terms of it contributing to this or
that you know, med Foreman, our friend that we've been
using for years for diabetes. It's been on the chopping
block before, but every now and then that's going to
come up, just because there's this surveillance engine in our country,
(29:00):
sure that's always looking at these relationships to see if
in fact there is relationships. So as it stands, and
my understanding and reading this alert is the FDA is
just alerting prescribers about this potential relationship and encouraging practitioners
(29:20):
to try and limit for now because there is a
concern limit the female's exposure to talanol, which can then
limit the exposure to the growing fetus because of this
new concern about talanov. But to be honest with you again,
our ability to medicate a pregnant female is very limited,
(29:44):
and so if we knock out talanol's let's just say
tomorrow or today, we say okay, no more talanol because
that was the go to drug when pregnant ladies came
with fever or pain of some type. That is, this
is currently the go to drug at this point. So, yes,
a lot of ladies are using talanal and have used
(30:07):
talanol for many years very safely. Again, I'm not investigating this.
I'm not a scientist that is that knows all the information,
and I'm just a physician that's been practicing twenty years
using talanaw And yes, I do see pregnant ladies sometimes.
I certainly haven't had experience whereby talanaw has proven to
(30:32):
be extremely toxic to the patient or to the fetus.
So that's not been my experience. But again that's what
survell surveillance is all about, is to look at the data.
I mean from year to year, from ten years to
twenty years. I mean, the way we practice medicine is different.
Some things totally flipped to one point eighty. I can
(30:55):
remember even with the treatment of heart disease, there were
certain concepts that we had about what to treat with
heart disease, and now it's been totally flipped around just
because of new information that hit the scene. They looked
at it again, looked at the data, and now we
have more information and it totally turns left because of
(31:16):
the new information. And certainly it could be that issue
with talanol. We don't know. They didn't say not to
use it, they just recommend it. Maybe limiting your use
of talnol inpregnant patients, and that makes sense. I mean,
you honestly want to limit anything. I mean, you don't
want the female to take anything that she doesn't need.
(31:39):
I mean, that's just always the issue. Other than maybe
some prenatal vitamins, that's about it. You don't want them
taking anything just because there is always a small risk,
small percentage that if they are taking a drug on
a regular basis, it could impact the fetus. So you
try to streamline the number of prescription pills and over
the kind of pills when someone is pregnant, and there
(32:02):
are certain times throughout the pregnancy where the fetus is
more vulnerable and less vulnerable. Certainly in their earlier stages
of the pregnancy, that's probably when they're most vulnerable because
that's when things are sort of starting to form, and
that's that's honestly when a lot of things can go
wrong when the fetus is growing and changing. But at
(32:25):
the later stages of the pregnancy, pretty much the fetus
is there, everything is set in place, and they're just
not ready to come out yet. That's a less risky
period of time in terms of affecting the fetus. They're
sort of already grown, that it's been built, and they're
not as vulnerable as in the earlier stages when things
(32:46):
are forming and connecting and going into the right position
to form the nose and the eyes and the spine
and how it sort of all comes together. You don't
want you don't want to interrupt that process, right, So
that's normally in the earlier stages of the pregnancy, So
that's really when you want to try and limit your
exposure to any unnecessary drug. But unfortunately, our ladies, they
(33:12):
have seizure disorders, they have diabetes, they have high blood pressure,
They come into the pregnancy with medical problems. And there
are certainly doctors that do this for a living, doctors
that help manage pregnant ladies who have other chronic medical problems.
You know, for the most part, they get through it
(33:32):
and everything works out, but every now and then, yes,
there might be some sort of adverse event that is unforeseen.
I think the OBI world has done so much since
I became a physician to try and be on top
of things in terms of doing ultrasounds at certain periods
of time during the pregnancy. There's more monitoring of the
(33:55):
growing fetus now again just to sort of be on
top of complication that might come up during pregnancy. So
they've done a better job. This is the whole medical
community done a better job of just getting better and
smarter and just trying to stay on top of things.
But this stuff is not perfect, and I know that's
(34:17):
what we want in this country. And that's fine. To
try and achieve perfection in this country. I mean, I'm
all for it. That's what makes this country so great,
is to try and be the best and just get
rid of all the problems and just every day is perfect.
Everybody's experience is perfect. But man, that's hard to achieve
(34:39):
every single day, on every single encounter. It's hard to achieve.
I mean I always sort of bring up sort of
driving your car because it's to me it's sort of
a perfect example of just how things can happen. I mean,
the cars today are built very well, very safe, and
(35:00):
we have speed limits, and we have blinkers, and we
have stop signs, we have caution lines. You got to
get a license, I mean, just all this stuff you
got to go through to make the driving experience as
safe as possible. And for the most part it is right.
You very comfortably get into your car every day. You
don't think you're going to have an accident. You don't
(35:21):
think like that because normally doesn't happen. You don't have
an accident, but my god, you see or you know
that it's happening all around you all the time. You
know that you see it on TV, you see it
on your phone. Just accidents all the time, and it's
hard to prevent everything from happening every single day. And
(35:43):
it's no different from drugs now, I mean, you know,
I talk about that all the time, just the exposure
and you got to limit that because there's unforeseen issues
that come up. Pregnancy is no different. That's a very
vulnerable time. It's growth of a human being and things
(36:04):
can go wrong even if there is no exposure to talanov,
even if there are no vaccine exposures. That female took
the vitamins and they went to the doctor and they
did everything, you can still have problems. Just like with
driving your car, you can still get in the wreck
(36:26):
even though everything apparently was done correctly. So it's not
perfect out there. Were apologize and we try to achieve that,
we really do, but it ain't perfect. So the message
is it's okay to still use a talonol, but try
to limit it. And this is during pregnancy. That makes sense.
And the jury is still out. We'll continue to look
(36:48):
for more evidence about talano on autism and hey, maybe
one day they will lock this in and they will
prove beyond a shadow of doubt or at a high
percentage that exposure to talanol does cause autism, and then hey,
we'll change. Phone lines are open eight nine six kalvi
one one hundred three three zero kvi. I'll be back
in two minutes. All right, Welcome back to the Doctor,
(37:17):
Livia metaw Our phone lines are open eight nine six
kVA one one hundred three to three zero kalvia. That's crazy. Man.
Hour goes by that quickly. It's like I just got here.
We're at the end of the show. I want to
thank all the callers who called in and some great
questions and certainly brings up some good topics about medications
(37:40):
and adverse reaction, talking about talinal and autism during pregnancy
and the concern of Robert Kennedy in terms of its relationships.
So that's his job, is to bring up some issues
that are of importance. Autism has been around for a
(38:00):
long time, and yeah, America's trying to figure out how
to lessen the frequency of autism. Vaccines have been tossed
out there now talental, which again makes sense to me
just because probably a lot of ladies are taking talental
seedamfum because it is the go to sort of drug
for fever and pain during pregnancy, and so it's a player.
(38:25):
It's a potential player in terms of contributing to that,
but has not been proven. There's concern, but has not
been proven. So this sort of advertisement or this awareness
is just letting prescribers know so they can educate their patients.
And honestly, you know, patients get information before we do.
(38:46):
A lot of times they come to us and bring
it to us, like, hey, hey, what's going on here.
It was not like that when I was coming out.
I mean, doctors only got the information first and then
distributed that to their patient. But I much rather the
way it is now that all this information is being shared.
It certainly takes less It takes a lot of the
(39:08):
pressure off of the clinician to provide all this information,
and it brings in the patient themselves, which I think
is a great way to do things. The relationship works
better that way, just because the conversation can be better,
and I think the patient feels like they had to say,
which is important with all these decisions that we're making
(39:29):
every single day, even just simple decision to start aspirin
or to start a blood pressure medicine. I mean, we're
sort of casually making these decisions every day, but these
can be very impactful decisions about these drugs. And you've
listened to my show, you know, we bring that up periodically.
(39:50):
You're taking any medication, there can be some potential harm.
Remember when you go to the pharmacy now, they give
you that huge pamphlet, right, it's about twenty pages long,
fine print on the front and the back about all
the potential side effects. And I do have a lot
of patients that once they read that, or they read
(40:10):
a few lines and like, I'm not taking that. I'm
not Doctor Levine prescribed that to me. I bought it.
I ain't taken that. No, no, no, And I'm not
offended at all because, honestly, over since the past twenty
years have been a physician, I try not to prescribe
as many medications. I really do, just because of the
(40:33):
concern of what this drug is going to do. Is
it really necessary? I do know how complicated it is
to just get your drugs refilled. The cost of drugs,
I mean, god, it's just amazing how much this stuff
costs out there. And if you can learn to exist
without having to get a prescription drug. I think that's
(40:55):
the better route. But certainly you have heart disease, you
have cancer, I mean this stuff you need to, right
because this stuff works and doing without can really increase
your chances of having a poor outcome. So we know
these things. So some of these medicines are like critical
essential sort of things. Black of blood pressure medicine or
medication for your blood sugar. I mean it's just that's critical.
(41:17):
I mean, you need to take this stuff. But as
it pertains to talentol and pregnancy, not a lot of options, man,
just because an inflammatories you mentioned that for gouty arthritis,
motri and advill leave. It's got its own issues, right,
Just it's nothing free in this world, right, maybe water,
(41:37):
But if you want that special water you know on
the bottle with all the lettering and the with the
story that they're trying to promote to you, yeah, you're
going to have to shell out fifteen dollars for that experience, right,
which again it's all about the marketing and the commercialism.
(41:57):
Just that tap water that's well, it's not necessarily free.
You got to pay water bill, but it's certainly less expensive.
And I don't know if you are aware a lot
of these sort of influences are bringing up the issues
with plastic water bottle. You know, we're talking about talinol,
but I know you may have read some about plastic
(42:18):
bottles and plastic water bottles in particular that the chemicals
the makeup of the plastic sort of leeches into the water.
You know, if these water bottles are in the heat,
which a lot of times there are, there's being stored
and it's warm, and just that temperature, the plastic ingredients
(42:40):
of what makes up the plastic itself can leach out
into the water and you're drinking it, and you're getting
exposed to micro particles or plastic particles, and if you
drink I mean, just oh my god, it just goes
on and on right. I mean, this country seems to
be super, super paranoid about everything. Sometimes you got to
(43:01):
turn that off and just go watch a movie and
go watch a comedy, listen to some good music, go
take a walk, I mean, get away from the stress
and the paranoia that seems to be preached all day long.
Even doctor Levine, eatch your vegetable, drink your water. You know, like, ah,
I want to have some burgers and fries. I want
to eat my pizza and maybe have a mixed drink
(43:23):
at the end of the day, or or smoke my
cigarette at the end of the day. And certainly, yes,
there's grown people. You can make your own decision about
all these things. We're just advising you. These are what
seems to be good for you, and we want you
to do this and do that. General statements, yes, and
every now and then you need to sort of have
(43:45):
a fun day or a fun week where you sort
of hang out and get loose and just enjoy yourself,
because man, there's just so much to be worried about
out there. You have to sometimes get away from it,
get detached from it, go off the grid, just because
it's and it's overwhelming sometimes. So thank you for joining
from the edition of the show. Remember, don't drink and drive,
(44:08):
Drink some water, eat some vegetables. We'll see you next week.
Take care,
All right, Welcome Southeast Texas Internet radio listeners. Welcome to
another edition of the Doctor Levine Medical Hour. I'm your
weekly host, Doctor Levine, coming to you live from the
studios of k lv I here and BMT on My Texas.
Taking your phone cross the street from Parkdale Mall. Great,
(00:23):
great cool Saturday morning, if you haven't been outside yet.
It's cool getting into our fall weather and getting away
from this heat, which you know, I guess I spend
most of my days indoors, whether it be in a
house or a hospital or medical office with controlled climate.
(00:43):
You know, I don't get a tremendous amount of exposure
to the heat anymore. Thank God for that, just because, yes,
it is extremely hot in Southeast Texas during these summer months,
and we do see a lot of issues related to that.
And thankfully we're sort of starting to get into our
(01:03):
fall weather. I mean, it's almost October, it's almost Halloween time, right,
and no hurricanes. Yes, because this is normally our time
of the year where we get some tropical storms and
some disturbances out there in the Gulf of Mexico or
(01:25):
Gulf of America. But we have none of that. That's
a blessing, So thank God for that. Who wants to
mess with evacuations and power outages and gutting your house
because the water is flooded and god, man, the weather
is changing so bad. So yeah, we'll get into the winter.
(01:48):
So thankfully, this is normally the time of year I
typically like because it's colder, and tend to prefer the
colder temperatures than the hot temperatures. I guess I'm not old,
and yeah, because I talk to my older patients and
they prefer a little bit of warmth. You know, you
get into your seventies and your eighties, Man, I don't know,
(02:09):
you feel cold all the time. And that's when you
walk into someone's room and they have the thermost that
at like eighty two or eighty four, and it's burning
up in there, but they feel very comfortable. And I'm sorry,
we don't really have a solution for that. If you
are suffering that event, we don't really have a solution
(02:33):
for that, to be honest with you. When someone starts
just having that sense of being cold, which I think
is an aging thing in my opinion, just the thermostat
of the human body starts to go haywire and I
find myself having this conversation quite often with my patients
(02:55):
in the office as well as in the hospital. Man,
you got to respect getting older because it's real. I mean,
it is a real process. It's a process. And yeah,
I mean I think they all lied to us years
ago when they said, you know, getting older the golden years. Yeah,
(03:16):
I don't know about that based on what I see,
my point of view, my perspective. Maybe I'm biased just
because I'm a medical doctor and I'm just interacting with
patients who have problems. I don't see the other side
of it, which occasionally we do see patients in their
eighties and nineties that are high functioning and they have
(03:37):
minimal medical problems. Those superstars are out there, and it's
always a joy to talk with them and try and
get a better understanding of how did you make it
to this point? Just incredible? How did you do it?
I mean, I want to know, so I normally we'll
interrogate them a little bit more and try to figure
(04:01):
out what the common denominator is in terms of how
they got to their eighties or nineties with almost minimal medication.
Everything is working, labs are good, no cancer, I mean
it's tremendous to see it because that just lets you
know that there is hope and that you sometimes can
(04:21):
push through the sixties and the seventies because a lot
of times for most of our patients, that's when things
start popping. Fifties, sixties, seventies, right, that's really the meat
age group of when all of these disease processes start
going on, whether it be a malignancy or a cardiovascular event,
(04:43):
that's when it starts happening. But if you can sort
of poke through that time period, nothing happens to you. Man,
you're just it's great, but you got to work at
when you're older. You got to do your part. And
it's not simply going to be be taking a nutritional
supplement here and there and that's it. I mean, you
(05:07):
have to do some basic things. And we periodically will
mention some of those basic ideas here on the show.
And it's always worth talking about it over and over
again because again, there's a lot of confusion out there
amongst the country and the average person in terms of really,
how do I get to my seventies, How do I
(05:30):
get to eighty and not be sick? How do I
do that? Because it still seems unclear to a lot
of patients, or if it's clear, it still seems to
be hard to accomplish, which in this wealthy, progressive nation
should not be. It should be pretty easy for any
average citizen to be healthy in this country. We have
(05:55):
full access to everything we need. But there are some obstacles,
no question, which have been clearly identified in terms of
why maybe someone has a hard time achieving health when
they live in this wealthy nation, this great nation we
call the United States of America. Why that is so,
(06:18):
that's another story. But certainly you have to again try
and stay away from the sugar and the ultra processed foods,
which can be very tough because obviously they're super convenient,
they taste pretty good, and they're normally affordable. I mean,
(06:41):
let's be real. I mean a lot of times these
food items and these beverage items other than water, water's cheap, still, right,
I mean, I remember when gasoline was like eighty cents
a gallon. That's when I was growing up. Eighty cents
a gallon was how much fuel cost. And you know,
(07:06):
probably I could. I remember before bottled water was a thing,
it was just tap water, and people would talk about
bottle water, like why would anybody buy a bottled water
when there's just free water in the face, Why would
anybody do that? But good old marketing and commercialism. Man
ain't America great? You walk into this store, man, and
(07:30):
that water is bottled up, and it's bright, and it's
got lettering and it's got colors, and the bottle looks cool,
and you buy into the story of whatever they're telling
you on the bottle. You know it's from the Ozarks,
it's from some ancient tribe, and it's got magic in it,
and it's going to make you feel good. And you're like, yeah,
(07:54):
I want that, I want energy, I want to be young,
I want to live forever. And this bottle right here
says it on the labeling that if I drink this,
that's what I'm that's going to happen. Fifteen dollars a bottle. Hey, Danny,
how can we help you?
Speaker 2 (08:14):
Good morning doctor, enjoy your show, Thank you. Listen, Let's
get a roll back band gout. There's a drug called
in the medicine that I would take for really the
gallup pain that also really back pain and never other
join my body pains anti plumatory drug. But my doctor
says not help to take that drug all the time.
You know, I wish it was. Is there a thing
(08:34):
kind of anti planmatory drug out there that is safer
to take that would help back pains and joint pains
and gut things like that.
Speaker 1 (08:43):
Yeah, Danny, thank you for that Question's a good question.
Gout very common in our country. And yes, we do
normally to treat an acute gouty arthritis flair, we do
normally start off with what we call anti inflammatories. That
those or insets NSAIDs non steroidal anti inflammatory drugs, and
(09:08):
you know them as motrin, advil, aliave, ibuprofen, and naperson
which is all over the counter talinol or acetamenefit is
not in that category, but it is used for pain
and control of fever. But primarily the core treatment of
acute Gaudi arthritis is the use of anti inflammatories. Culture
(09:31):
scene works by different process to control the inflammatory system,
So you technically could be on an ibuprofen and a
culture scene if you wanted to do it that way,
because it's attacking two different locations of the immune system,
and these anti inflammatories are relatively safe I think we
(09:52):
have to be aware of if you use them long term,
you might get into some issues with your kidneys or
your gi system or your blood pressure. But to briefly
use them, for most patients, it's a relatively safe drug. Certainly,
if you have heart failure or kidney failure, you might
want to stay away from them. Talk with your doctor
(10:14):
or your healthcare professional first before using that drug. But
that's primarily what we do, and most people do fine.
They don't have any adverse reaction and everybody's happy and
move on.
Speaker 2 (10:27):
Okay, I appreciate that information, all.
Speaker 1 (10:29):
Right, Danny, appreciate that, brother, And yeah, gouty arthritis, which
I think most people are familiar with gout classically, whereby
it involves acute inflammation of the big toe where they
be the right or left. You sort of wake up
with it in the middle of the night and it's
(10:51):
the worst joint pain you've ever had, Like you can't
even touch it. You can't even hardly look at it.
You don't want anything to touch it because it is
so painful, and it's normally swollen that's normally the big toe,
and you wake up with it and you basically go
into some healthcare professionals, office or minor care in a wheelchair, Yeah,
(11:16):
our crutches. Are you limping? I mean, you can't allow
anything to happen with this toe. When it happens, not certainly.
There's some milder cases of goudy arthritis. And just so
you understand, it can gaudy arthritis can involve any joint
of the human body. It just prefers or prioritizes that
(11:37):
first joint in the foot. We don't know why, but
it does. But it can cause knee pain, joint pain
of any type, elbow, wrist, just sort of a diffuse arthritis,
it can cause that. So I normally think of guardia
athritis all the time in my office, is because I
(11:58):
know it's super common. Hey, Frank, can we help you?
Speaker 3 (12:02):
Hello, doctor Levine beat up athlete, as I'll always tell you, Hey,
how about I had my knee replaced about ten years ago,
and of course they put me on a Lyrica for
a lot of the nerve damage when they did. The surgeon.
Now ten years later, have a lot of irritation around
(12:22):
the neck area. And of course I had many stingers
in my life in my neck making tackles and my
doctor's told me in the past, my cardiologists to say, well,
you know, he knows my history, so you know, all
those things didn't help. And what do you think about
at this point now? Is lyrica still a safe medication
(12:46):
to take for the nerve damage? And the other question
is I'll hang up and listen after you answer these
and now that Tyler and Hall has got so much
press over the last ten days, could comment on that,
I'll hang up and listen, Frank, Frank, Yes.
Speaker 1 (13:06):
I apologize. I've been a little busy. What's going on
with Talano? I hadn't read anything.
Speaker 3 (13:14):
What's going on with taleranhol.
Speaker 1 (13:15):
Yeah, I haven't. I've been a little busy. I haven't
been able to read the press. What's been going on
with Talano?
Speaker 3 (13:22):
Well, I think Robert Kennedy's top priority is autism, and
he's claiming that I think twenty years ago, one in
twenty thousand boys were born with autism, and now I
think it's one in twenty or born with autism. And
(13:44):
this was this statement was made IM think about five
or six seven years ago, and President Trump came out
the same day and his statement was stop taking Tyler
All and Tyler Nell's stock went to the bottom. And
(14:09):
I mean they're pretty convinced. They're convinced. I don't know
who else is convinced. I'm calling because my grandson has
autism and he he's four years old. So I mean,
I think that with that, Tyler knows his bubble.
Speaker 1 (14:26):
Is contributing to autism.
Speaker 3 (14:29):
Well that's what they said. What it came out with.
That was a big That was the first report. All weekend,
they talked about what was going to happen. They have
a big statement on autism because Kennedy's top priorities autism.
Oh and uh Monday, I think came out with that
big statement. I'll hang up and listen.
Speaker 1 (14:46):
All right, brother, all right, Frank, we appreciate that. Number one.
Lyric are what they are called pregablingist, the generic term
for Lyrica, which is been out of the market for
many years, and it's sort of one of those medications
that's in the seizure medication category, but honestly, we never
(15:10):
really use it for seizures. We primarily use pre gabbling
or Lyrica to help treat nerve pain or other diseases
that involve the nervous system, like migrant headaches, or tension headaches.
We use it a lot for pain related to spinal stenosis,
(15:33):
which a lot of Americans have. They start getting that
burning pain down the buttock area and outside part of
the leg and it goes all the way down to
the foot. That's normally related to a spinal synosis of
the lumbar back or some people call it sciatica. That's
a common term that a lot of Americans use. We
(15:55):
use that product and as far as I know, I mean,
I've been a physician for over twenty years. As far
as I know, that's a great drug. And what I
mean by that is when we prescribe it, we don't
get a lot of callbacks from patients with adverse reaction issues. Now,
there is some patients who do have slight adverse reaction
(16:20):
issues just because of the way it works. It is
somewhat sedating because it does impact the function of the
nervous system. Certainly, you can have nervous system adverse reaction
like dizziness, are confusion or loss of balance, and it
can just sort of make you feel drugged. And a
(16:41):
lot of patients don't like that when they take a medication.
They want to feel neutral, They want to feel normal.
They don't want to feel drugged, and they might tolerate
it for a couple of days, but certainly if it continues,
then they stop the drug because they just don't like
the experience that they're having with the drug. So, in
my experience, a URCA is one of those powerhouse medications
(17:04):
in my opinion, just because there's so much nerve injury,
nerve damage, nerve dysfunction out there in our country, and
a couple of common reasons would be number one age
right getting older. Two diabetes, and then three the musculo
(17:28):
skeletal disorder we call degenitive joint disease again which a
lot of us will acquire as we get older. It's
part of the aging system will start to impact the
nervous system because the musclo scletar system sort of goes
hand in hand with the nervous system. They work together.
But once the muscular scletar system starts to get older,
(17:51):
it can start to put pressure on those nerves that
are in close vicinity, and the nerves get angry and
upset and they will start to exhibit some symptoms. So
your patients come in with pain in the arm, the neck,
the shoulder headaches, and we use that product, and it
has been a product that I've used with very little
(18:15):
callback potential. Certainly the dosing can be an issue for me.
I try to start very low with these medications because
I don't want patients to give up on the drug
before we can kind of get into it. Because again,
it's a powerhouse drug. We don't have a ton of
options as it pertains to nerve pain, and I want
(18:39):
to certainly be able to use that medication before we
give up on it. So I normally started a pretty
low dose and sort of slowly incorporate the drug into
the person's routine. Because you can go pretty high on
the dosing. So yes, as you go higher and higher,
you might get into more adverse reaction. But as far
(18:59):
as I know, people can take this drug indefinitely without
any sort of long term injury or long term adverse
reaction problem. As long as they're tolerating it, then they
can take it forever. That's been my experience, and there's
been nothing on the wire, so to speak, that tells
(19:22):
doctors that we have to give patients what they call
a drug holiday, meaning after a certain period of time,
the pharmaceutical company who generates this drug or the surveillance
of this drug states that at the five year market,
the six year market, they're still taking it, then they
(19:43):
need to get off of it because beyond that we've
seen adverse reaction issues that might be irreversible or reversible,
doesn't matter. They will recommend a drug holiday to allow
your body to sort of get cleansed from that drug.
Limit exp owes you to that drug, and then maybe
you can reintroduce it at some point later. But that
(20:06):
doesn't exist with Lyrica or pre gabling. So you can
take this drug and just sort of going about your
day and hopefully it continues to control your symptoms, because
sometimes these symptoms can worsen. Then we have to go
up on the dose and that's sort of when we
get into the adverse reaction issues. But Lyric of pregabling
(20:27):
great product as far as I know. You can take
it and definitely with minimal adverse reaction. Just work with
the healthcare professional to get the right dose for you.
The cousin to Lyric or pregabling, you may have heard
this medication is called I'm sorry, a gabapentin or neurontin,
(20:48):
which I've been using since I've been a doctor. Another
powerhouse drug, great drug has a lot of flexibility. We
use it in a lot of diseases that we treat
in the adult population. So those two drugs for me
are just wonderful and I use them all the time
to try and help manage headaches and nerve pain and
(21:11):
body pain issues that patients get into back pain. I mean,
this is the bread butter of what most American doctors
are dealing with every single day. And these two drugs,
Gaba Penson and Lyrica, like I say, go hand in hand.
A lot of times I'll start with Gaba pensin if
that doesn't work, I'll switch to Lyrica, and vice versa.
(21:34):
Sometimes I go Lyrical first and then go to Gabba
if one or the other doesn't work or it causes
adverse reaction. Sometimes there's an expense issue with pregabling a Lyrica,
plus you have to you need a special prescription for
the Lyrica, but not with the gab of Penson. So
sometimes that can influence how you decide to treat a
(21:54):
patient because it requires an extra step to get the drug.
We all know how easy it is to get a
prescription from doctor Levine's office right sometimes can take a while.
We'll apologize about that. We really work hard to make
that a simple process. But unfortunately, when you're talking about
different pharmacies, different insurance companies, different pharmacists, different workers in
(22:21):
my office, different workers at the pharmacy's office, man, so
much can go wrong. Phone lines are open eight and
on six kV I won one hundred three to three
zero Kova. I'll be back in two minutes. Hight. Welcome
(22:47):
back to the doctor, Lavine Medical. Our phone lines are
open eight nine six kov I won one hundred three
to three zero ko v I, welcome back and so yes,
my producer Jim, thank you, Jim, appreciate that help. We
want to answer the second question of the caller from
our first segment concerning colonol or acidamnifin which most of
(23:12):
us have taken at one time or the other for
joint pain or fever. Apparently there's some concern based on
what I'm reading here from the US Food and Drug Administration,
and they are a governmental agency that is involved with
the surveillance of drugs that we're using here in this country,
(23:36):
that there's just this spirit and this interest to monitor
our use of certain drugs and to certainly bring attention
to drugs that might be more high risk for certain illnesses.
And in this particular instance, as the caller mentioned, autism
(23:56):
is the disease at hand. And there's been long discussion
over the many years about the causes of autism, right
we want to know, vaccines have been targeted over the
past several years in terms of it generating autism, and
that's been one of the issues as to why some
parents don't want to take vaccines. So trying to find
(24:20):
the solution and the cause of autism a very serious disease,
a very catastrophic disease, certainly for the patient and the family.
So absolutely, let's do what we can to try and
find what is causing this so we can avoid what
is causing it. The risk factors we know about risk
(24:41):
factor assessment. We hear that all the time, and autism
is up to bat right now. And certainly the use
of any drug during pregnancy, which is what this announcement
is saying, is they're concerned that the exposure of talanol
or aced of minifit during pregnancy can potentially increase the
(25:03):
risk of autism. And based on what I'm reading here,
This is from the US Food and Drug Administration sort
of a sort of an awareness letter to prescribing physicians
because during pregnancy, everyone is aware about the impact of
things that you eat and drink and how it's going
(25:23):
to affect your growing child. Everybody's aware of that. You know,
the doctor is aware of that, and the patient is
aware of that. And in my experience with the use
of websites and our smartphones, you can go to any
website and read about any drug, food item, beverage item
(25:43):
that you're drinking, eating that you're consuming and the risk
to your baby or the current understanding of the risk
to your infant or growing child, and it's made it
a lot easier to sort of figure out, well, can
I give this patient this drug? Do I not give
this patient to this drug. There's sort of a categorization
(26:06):
sort of from A to D based on my current
understanding of that D being bad, bad bad, don't touch it.
A being something that is considered relatively safe to take.
In talnol or ceda metaphine has normally been in that
A category because unfortunately, when you're pregnant, you can still
(26:27):
have acute illnesses, you can still get sick you can
still have pain, fever, whatever the case may be, and
patients will come in like, hey, I'm not feeling well,
what do I do? I need something? Because we still
have to take care of the mother so that the
mother can take care of the fetus. So we sort
of have this competition sometimes when we're prescribing drugs, but
(26:48):
we all know there is an awareness about the relationship.
Same thing with breastfeeding when mothers deliver and the baby's
out doing very well, but now the mother comes in
for some acute issue. But now they're breastfeeding, right, and
so you can still have some exposure to the child
(27:08):
that same issue comes up. Or is this a safe
drug to give? Because whatever the mother takes goes into
the milk, and then the milk goes into the child
again if they're breastfeeding. So talino is now up to
bad in terms of being looked at and maybe they're
being a relationship between the development of autism and talano. Now,
(27:29):
based on this article, it's basically saying there is some
concern about it, but it has not been proven beyond
a shadow of a doubt that yes, it is causing autism. Again,
I think it's healthy for the America, the FDA to
constantly be on the lookout for these relationships and interrogate
(27:51):
these relationships and investigate it. Just like with the vaccines
when COVID hit the scene and all the vaccines started
hitting the scene, and there was some concern learned that
one manufacturer's vaccine was causing strokes or heart attacks or
had some sort of increased risk factor issue. You know,
they paused the use of that vaccine until they can
(28:13):
sort of look at the data and calculate it and
spit out sort of a risk. It's called surveillance, and
that's just active in our country all the time. With
everything you hear news and information about any drug all
the time. I mean you pop open your phone and boom,
there's another drug that is sort of up to bad
(28:35):
and on the witness stand if you will, to be
looked at in terms of it contributing to this or
that you know, med Foreman, our friend that we've been
using for years for diabetes. It's been on the chopping
block before, but every now and then that's going to
come up, just because there's this surveillance engine in our country,
(29:00):
sure that's always looking at these relationships to see if
in fact there is relationships. So as it stands, and
my understanding and reading this alert is the FDA is
just alerting prescribers about this potential relationship and encouraging practitioners
(29:20):
to try and limit for now because there is a
concern limit the female's exposure to talanol, which can then
limit the exposure to the growing fetus because of this
new concern about talanov. But to be honest with you again,
our ability to medicate a pregnant female is very limited,
(29:44):
and so if we knock out talanol's let's just say
tomorrow or today, we say okay, no more talanol because
that was the go to drug when pregnant ladies came
with fever or pain of some type. That is, this
is currently the go to drug at this point. So, yes,
a lot of ladies are using talanal and have used
(30:07):
talanol for many years very safely. Again, I'm not investigating this.
I'm not a scientist that is that knows all the information,
and I'm just a physician that's been practicing twenty years
using talanaw And yes, I do see pregnant ladies sometimes.
I certainly haven't had experience whereby talanaw has proven to
(30:32):
be extremely toxic to the patient or to the fetus.
So that's not been my experience. But again that's what
survell surveillance is all about, is to look at the data.
I mean from year to year, from ten years to
twenty years. I mean, the way we practice medicine is different.
Some things totally flipped to one point eighty. I can
(30:55):
remember even with the treatment of heart disease, there were
certain concepts that we had about what to treat with
heart disease, and now it's been totally flipped around just
because of new information that hit the scene. They looked
at it again, looked at the data, and now we
have more information and it totally turns left because of
(31:16):
the new information. And certainly it could be that issue
with talanol. We don't know. They didn't say not to
use it, they just recommend it. Maybe limiting your use
of talnol inpregnant patients, and that makes sense. I mean,
you honestly want to limit anything. I mean, you don't
want the female to take anything that she doesn't need.
(31:39):
I mean, that's just always the issue. Other than maybe
some prenatal vitamins, that's about it. You don't want them
taking anything just because there is always a small risk,
small percentage that if they are taking a drug on
a regular basis, it could impact the fetus. So you
try to streamline the number of prescription pills and over
the kind of pills when someone is pregnant, and there
(32:02):
are certain times throughout the pregnancy where the fetus is
more vulnerable and less vulnerable. Certainly in their earlier stages
of the pregnancy, that's probably when they're most vulnerable because
that's when things are sort of starting to form, and
that's that's honestly when a lot of things can go
wrong when the fetus is growing and changing. But at
(32:25):
the later stages of the pregnancy, pretty much the fetus
is there, everything is set in place, and they're just
not ready to come out yet. That's a less risky
period of time in terms of affecting the fetus. They're
sort of already grown, that it's been built, and they're
not as vulnerable as in the earlier stages when things
(32:46):
are forming and connecting and going into the right position
to form the nose and the eyes and the spine
and how it sort of all comes together. You don't
want you don't want to interrupt that process, right, So
that's normally in the earlier stages of the pregnancy, So
that's really when you want to try and limit your
exposure to any unnecessary drug. But unfortunately, our ladies, they
(33:12):
have seizure disorders, they have diabetes, they have high blood pressure,
They come into the pregnancy with medical problems. And there
are certainly doctors that do this for a living, doctors
that help manage pregnant ladies who have other chronic medical problems.
You know, for the most part, they get through it
(33:32):
and everything works out, but every now and then, yes,
there might be some sort of adverse event that is unforeseen.
I think the OBI world has done so much since
I became a physician to try and be on top
of things in terms of doing ultrasounds at certain periods
of time during the pregnancy. There's more monitoring of the
(33:55):
growing fetus now again just to sort of be on
top of complication that might come up during pregnancy. So
they've done a better job. This is the whole medical
community done a better job of just getting better and
smarter and just trying to stay on top of things.
But this stuff is not perfect, and I know that's
(34:17):
what we want in this country. And that's fine. To
try and achieve perfection in this country. I mean, I'm
all for it. That's what makes this country so great,
is to try and be the best and just get
rid of all the problems and just every day is perfect.
Everybody's experience is perfect. But man, that's hard to achieve
(34:39):
every single day, on every single encounter. It's hard to achieve.
I mean I always sort of bring up sort of
driving your car because it's to me it's sort of
a perfect example of just how things can happen. I mean,
the cars today are built very well, very safe, and
(35:00):
we have speed limits, and we have blinkers, and we
have stop signs, we have caution lines. You got to
get a license, I mean, just all this stuff you
got to go through to make the driving experience as
safe as possible. And for the most part it is right.
You very comfortably get into your car every day. You
don't think you're going to have an accident. You don't
(35:21):
think like that because normally doesn't happen. You don't have
an accident, but my god, you see or you know
that it's happening all around you all the time. You
know that you see it on TV, you see it
on your phone. Just accidents all the time, and it's
hard to prevent everything from happening every single day. And
(35:43):
it's no different from drugs now, I mean, you know,
I talk about that all the time, just the exposure
and you got to limit that because there's unforeseen issues
that come up. Pregnancy is no different. That's a very
vulnerable time. It's growth of a human being and things
(36:04):
can go wrong even if there is no exposure to talanov,
even if there are no vaccine exposures. That female took
the vitamins and they went to the doctor and they
did everything, you can still have problems. Just like with
driving your car, you can still get in the wreck
(36:26):
even though everything apparently was done correctly. So it's not
perfect out there. Were apologize and we try to achieve that,
we really do, but it ain't perfect. So the message
is it's okay to still use a talonol, but try
to limit it. And this is during pregnancy. That makes sense.
And the jury is still out. We'll continue to look
(36:48):
for more evidence about talano on autism and hey, maybe
one day they will lock this in and they will
prove beyond a shadow of doubt or at a high
percentage that exposure to talanol does cause autism, and then hey,
we'll change. Phone lines are open eight nine six kalvi
one one hundred three three zero kvi. I'll be back
in two minutes. All right, Welcome back to the Doctor,
(37:17):
Livia metaw Our phone lines are open eight nine six
kVA one one hundred three to three zero kalvia. That's crazy. Man.
Hour goes by that quickly. It's like I just got here.
We're at the end of the show. I want to
thank all the callers who called in and some great
questions and certainly brings up some good topics about medications
(37:40):
and adverse reaction, talking about talinal and autism during pregnancy
and the concern of Robert Kennedy in terms of its relationships.
So that's his job, is to bring up some issues
that are of importance. Autism has been around for a
(38:00):
long time, and yeah, America's trying to figure out how
to lessen the frequency of autism. Vaccines have been tossed
out there now talental, which again makes sense to me
just because probably a lot of ladies are taking talental
seedamfum because it is the go to sort of drug
for fever and pain during pregnancy, and so it's a player.
(38:25):
It's a potential player in terms of contributing to that,
but has not been proven. There's concern, but has not
been proven. So this sort of advertisement or this awareness
is just letting prescribers know so they can educate their patients.
And honestly, you know, patients get information before we do.
(38:46):
A lot of times they come to us and bring
it to us, like, hey, hey, what's going on here.
It was not like that when I was coming out.
I mean, doctors only got the information first and then
distributed that to their patient. But I much rather the
way it is now that all this information is being shared.
It certainly takes less It takes a lot of the
(39:08):
pressure off of the clinician to provide all this information,
and it brings in the patient themselves, which I think
is a great way to do things. The relationship works
better that way, just because the conversation can be better,
and I think the patient feels like they had to say,
which is important with all these decisions that we're making
(39:29):
every single day, even just simple decision to start aspirin
or to start a blood pressure medicine. I mean, we're
sort of casually making these decisions every day, but these
can be very impactful decisions about these drugs. And you've
listened to my show, you know, we bring that up periodically.
(39:50):
You're taking any medication, there can be some potential harm.
Remember when you go to the pharmacy now, they give
you that huge pamphlet, right, it's about twenty pages long,
fine print on the front and the back about all
the potential side effects. And I do have a lot
of patients that once they read that, or they read
(40:10):
a few lines and like, I'm not taking that. I'm
not Doctor Levine prescribed that to me. I bought it.
I ain't taken that. No, no, no, And I'm not
offended at all because, honestly, over since the past twenty
years have been a physician, I try not to prescribe
as many medications. I really do, just because of the
(40:33):
concern of what this drug is going to do. Is
it really necessary? I do know how complicated it is
to just get your drugs refilled. The cost of drugs,
I mean, god, it's just amazing how much this stuff
costs out there. And if you can learn to exist
without having to get a prescription drug. I think that's
(40:55):
the better route. But certainly you have heart disease, you
have cancer, I mean this stuff you need to, right
because this stuff works and doing without can really increase
your chances of having a poor outcome. So we know
these things. So some of these medicines are like critical
essential sort of things. Black of blood pressure medicine or
medication for your blood sugar. I mean it's just that's critical.
(41:17):
I mean, you need to take this stuff. But as
it pertains to talentol and pregnancy, not a lot of options, man,
just because an inflammatories you mentioned that for gouty arthritis,
motri and advill leave. It's got its own issues, right,
Just it's nothing free in this world, right, maybe water,
(41:37):
But if you want that special water you know on
the bottle with all the lettering and the with the
story that they're trying to promote to you, yeah, you're
going to have to shell out fifteen dollars for that experience, right,
which again it's all about the marketing and the commercialism.
(41:57):
Just that tap water that's well, it's not necessarily free.
You got to pay water bill, but it's certainly less expensive.
And I don't know if you are aware a lot
of these sort of influences are bringing up the issues
with plastic water bottle. You know, we're talking about talinol,
but I know you may have read some about plastic
(42:18):
bottles and plastic water bottles in particular that the chemicals
the makeup of the plastic sort of leeches into the water.
You know, if these water bottles are in the heat,
which a lot of times there are, there's being stored
and it's warm, and just that temperature, the plastic ingredients
(42:40):
of what makes up the plastic itself can leach out
into the water and you're drinking it, and you're getting
exposed to micro particles or plastic particles, and if you
drink I mean, just oh my god, it just goes
on and on right. I mean, this country seems to
be super, super paranoid about everything. Sometimes you got to
(43:01):
turn that off and just go watch a movie and
go watch a comedy, listen to some good music, go
take a walk, I mean, get away from the stress
and the paranoia that seems to be preached all day long.
Even doctor Levine, eatch your vegetable, drink your water. You know, like, ah,
I want to have some burgers and fries. I want
to eat my pizza and maybe have a mixed drink
(43:23):
at the end of the day, or or smoke my
cigarette at the end of the day. And certainly, yes,
there's grown people. You can make your own decision about
all these things. We're just advising you. These are what
seems to be good for you, and we want you
to do this and do that. General statements, yes, and
every now and then you need to sort of have
(43:45):
a fun day or a fun week where you sort
of hang out and get loose and just enjoy yourself,
because man, there's just so much to be worried about
out there. You have to sometimes get away from it,
get detached from it, go off the grid, just because
it's and it's overwhelming sometimes. So thank you for joining
from the edition of the show. Remember, don't drink and drive,
(44:08):
Drink some water, eat some vegetables. We'll see you next week.
Take care,
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