August 2023

Dr. Prystowsky updates us on Government Regulations, Medicaid, Medical Insurance Issues, NJ Agency for healthier babies, Pfizer issues, Energy drinks, New Alzheimer's drug, over the counter birth control drug, recalls and health and safety tips

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Episode Transcript

(00:00):
By listening and are watching this podcast, you agree not to use this podcast
is medical advice. To treat anymedical condition in either yourself or others,
including but not limited to, patientsthat you are treating. Consult your own
physician for any medical issues that youmay be having. By listening and are
watching this podcast, you agree notto use. This podcast is medical advice.
To treat any medical condition in eitheryourself or others, including but not

(00:22):
limited to patients that you are treating. Consult your own physician for any medical
issues that you may be having.Courageous Doctors. He's a newscast about healthcare
topics of concern to everyone, fromhealth and safety tips to recall notices in
medical news. Here's your host,doctor Barry Prestowsky. Hello, and welcome

(00:46):
to Courageous Doctors, the news showfor you and your doctor. It's good
to see you back again, andhappy summer to everybody, and I hope
you're all enjoying and having fun thisnews show. We will run through government
regulations, Obamacare and other government regulations. We'll look at general healthcare news and

(01:11):
updates, and we'll end with somehealth and safety tips as always. All
right, let's begin first of allon the government part. It's recently been
brought to our attention that the NationalInstitute of Health is replacing doctor Fauci with
doctor Jean Morazzo, somebody who's wellpublished and well known to government and has

(01:36):
been heading up research institutes. Andwe wish you're the best of luck.
The New York Times mentions that hundredsof thousands this past month, the past
two months, have lost their Medicaidcoverage ever since President Biding ended the COVID

(01:59):
emerged. Are so hopefully these peoplehave found a way to get back on
it. Some of them were puton it because of the extended coverage under
COVID, and some of them justfell off because they never did their renewal
stuff. So I always sell allof my patients. You guys know,

(02:19):
I'm a pediatrician. I tell allof my patients please contact us and we'll
help you if you have trouble gettingback on Let's see Washington Post. This
is a problem. Also, sixout of ten Americans had problems with their
insurance coverage, including getting the doctortheir choice. So it's not just Medicaid.

(02:44):
We really still have a problem.Star Ledger, this is good.
The New Jersey governor has created aspecial state agency to handle problems. You
know, it's been all over thenews with maternal child deaths, infant deaths.
New Jersey doesn't have a very goodrecord. I know personally, I'm

(03:06):
very involved with the State Medical Societyand we're working closely with the government and
coordinating healthcare research and trying to seeif we can find ways. I think
one of the best things to dois the more we reach out into the
community and have access to prenatal careand have nurses actually going to the homes

(03:30):
post natally to make sure a momand baby are safe. I think that's
going to have the best success.But I'm glad the governor has created an
agency, and we've mentioned before thegovernor has definitely put money so these things
can occur. Let's see US news. This was the problem the Fizer plant.
Remember we had a lot of badweather recently in Jersey. Well,

(03:53):
it was also all over the Eastcoast. In North Carolina, a tornado
hit the Baser plant. And thisis something I didn't know. Biser makes
up to a quarter of all theinjections used in hospitals, as well as
a lot of the drugs I'll useright here in my office. So we're
waiting to see what the plant damageif there's a shortage of hospital injections.

(04:18):
But see Star Ledger. This issomething I was unaware of. Senator Schumer
always does a lot of really interestingthings to help people, and he comes
through again. He's calling on theFDA to investigate Prime Energy drink because it
says even though it's not supposed,even though Prime says it's not for children,

(04:44):
not for anybody less than eighteen,the Senator says that they're targeting children
anyway. The Academy of Pediatrics saysno caffeine under twelve, and only a
hundred milligrams over twelve, which isprobably equivalent to about a cup, because
an adults should have no more thanfour hundred milligrams, which is four to
five cups. What the FDA saysis that rapidly taking in as much as

(05:10):
twelve hundred milligrams, which would belet guess about ten or twelve cups,
you can actually cause a seizure.The CDC says that there's something else in
Prime taurine and amino acid, andI was unaware of this. The taurine,
according to the CDCC can lead todehydration, insomnia, and heart problems,

(05:33):
but honestly, I've never heard ofthat, so I'm not really sure
in what regard that occurs. Butanyway, just to compare caffeine shrinks,
Prime and Celsius each have two hundredmilligrams of caffeine, which we said is

(05:53):
equal to about two cups. Let'ssee Starbucks has one hundred and fifty five,
a Little Less Monster one twenty three, Red Bull one oha equal to
about a cup, Diet Coke fortysix, and Snapple Peach thirty seven.
So you can see you're talking aboutat most two cups if they chug it

(06:16):
down in one cup if you chuckdown red Bull. But the ideas did
not do too much too fast.Okay, let's move on New York Times.
The FDA has approved an alzheimer drugcalled le can Be. It's from
Biogen in East Side, and thereis a black box warning for brain swelling

(06:41):
and bleeding if you're taking anti coagulancewith the drug. I was unaware of
that, but anyway, as youknow Alzheimer's, it's one of re diseases
where we have accumulation of Silcken proteinwaste products in the brain that destroys brain
cells. There's other diseases that havethe same problem, and what we try

(07:04):
to do with the drugs is tofind a way to decrease the accumulation of
this waste product in the cell sothe cell's not damaged. FDA has approved
in over the counter birth control pillI believe to come out by next year
two twenty four. It's the Perigocompany. I think it's called oak pill,

(07:27):
and it's a nordjest trill nor gesturethat's for jest rome. Don't go
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(09:00):
The website is www dot the Waxedendot com. We have twenty four
hour online booking it All Courageous Doctorscontinues with doctor Barry Price to ski.
Okay, let's move on now toum other interesting healthcare news. As always,

(09:24):
I start with recalls, and remembermy disclaimer on the recalls is that
I'm giving this show late. Soa lot of these things have probably been
pulled from the shelf and you mayor may not still have them in your
freezers. So what I always sayis when I mentioned something and may have
already been taken care of, justask your either pharmacists if it's a pill,

(09:50):
or ask your grocer, you know, whoever you're buying your food with.
Just ask them, Hey, isthis one of the ones that was
recalled? And are these safe?Down? So that's my disclaimer. Okay,
there's only a few of them.Let's start with Fox Fox News Johnsonville
deader alapino with cheddar smoked sausage hadsome kind of contaminant in it, and

(10:13):
I'm not sure what that was.Frozen strawberries that were cut cut frozen strawberries
from Mexico head pipatitis A. Vandsgluten free wopples are supposed to be gluten
free but actually have wee chapery groundbeef had salmonella. I'm not sure which

(10:37):
ground beef, but anyway, rememberso you just ask them, you know,
if it's been recalled. Fox said, treat Joe's um. This is
strange. Head rocks and insects intheir filocco and broccoli, cheddar soup and
almond chocolate cookies. That's weird u. The seas n said, Fredo lay

(11:01):
soft adit Oh has declared milk init, so if you're allergic to milk,
and also in their hustigo and avocado. Let's see Litel Litel has that
makes frozen shops spinach has lysteria poisoning. Again, check to see if it's
recalled. And as a general rule, the CC says that about of all

(11:28):
that food poisoning comes from sick workers. So you want to know the restaurant
you're eating at. You want tomake sure they're washing their hands and make
sure your food is welcome. Okay, let's move on. Star Ledger.
This is always scary. There's anincrease in tick disease with encephalitis that's brain
inflammation from a tick bite, andThe New York Times adds that the lone

(11:50):
startick. We've reported on this before. People that were bit by the long
startick became allergic to red knee.It's called the alpha gall syndrome. That's
the protein in the red meat thatthe body thinks it's fighting the tick when
you eat the meat, and it'sactually it fits the protein in the meat

(12:13):
thinking it's fighting the tick. It'svery strange, but some people have been
seriously injured just trying to eat meatafter a tick bite. So it's they
want all of us as physicians tokeep an eye for this. New York
Post comments on the CDC's report thatTypus is back in North Carolina. It's

(12:35):
carried in the chicker bug, theSouthern chicker bug. It's a type of
bug. It's carrying Typus. Andthere's also Typus in La Canty as well.
Let's see what use we got,okay, box box news. Malaire

(13:00):
area in Florida in Texas, andthis is really scary, you guys.
It's from local mosquitos. Usually themalaria we get is imported when you have
a mosquito bite in a malaria endemiccountry, but these mosquitoes in Florida and
Texas are local mosquitoes carrying malaria,and Fox reminds us that westmal virus is

(13:24):
also spreading that's from a mosquito biteas well. NBC News says the CDC
is warning that there was measles inMaryland and to warn everybody if you're also
traveling overseas to get measles shots.USA says the Gulf States, you know,

(13:46):
the states around the Gulf from Mexico, there's a lot of bacteria in
the soil and water, so becareful if you cut yourself and get infected
Sea kelp right away. The CDCis there's latent, in other words,
hidden unseen suberculosis and three million peoplein the country, three millions. So

(14:09):
you know, when I first startedpractice forty years ago, who used to
test TB test everybody. Now it'sonly done for people at risk or like
going into nursing or medical professions orstuff like that childcare. But I don't
know if it's still out there.That's really scary and makes it one out

(14:31):
of ten of these three millions,so that would be like three hundred thousand
will actually develop superculosis set. Sothis is not fun, you guys.
I've seen TB. It's not good, but see CBS is reminding us that
you know the ozempic, that everybody'sgoing for weight loss, that diabetic drugs.
They're saying, do people know aboutthe side effects? This was scary.

(14:54):
I did not know this, people, I didn't know this. How
scary is this? Guest? Youcan get gut problems, tumors and your
thyroid cancer, pancreas damage, loseyour vision, become get low sugar,
have kidney disease, gall bladder disease. I don't know. I've talk to

(15:16):
your doctor, but just realize thoseepic as side effects. Let's see MedPage
today. This is an article fromthe New England Journal in Medicine, and
this is exciting. Groupie Strepp vaccineis now in trials to pregnant women.
I can tell you if pediutrition,we're always extremely nervous if mom has untreated

(15:39):
Groupie strepp, it can actually killa newborn baby, and so obie obstetritions
serve very careful to treat the momsbefore they deliver so the baby doesn't get
sick. So if there's a vaccineto prevent pregnant women from getting Groupie strepped,
it's it's not the strep that's inyour throat. It's a strep that's

(16:00):
down below and it's h It's reallyscary. Let's see. Health Science says
that SNAPI has come out with anew RSD anybody vaccine. Uhay, fortis
they said, day fortis the palivisu map that we are used now.

(16:25):
Every year RSB season, we givea temiglobulin like shot starting in the fall
and going through early spring. Butit's only for small preemies or or very
small babies formed with heart and lungdisease. But this shot will be available

(16:45):
to all children. And remember wereported that this year we actually came out
with an RSV vaccine for adults aswell, so that's also exciting. Let's
see just a couple more independent saysthe University of Oxford is developing, Oh
this is cool, a blood testthat detects the DNA of fifty different cancers,

(17:07):
so you can know from one bloodtest if you have these different cancers.
I guess that's good independent news saidEmory University Children's Hospital, Seattle,
University of Washington. Oh, thisis scary. They looked at breast milk
and they found broman flame ree gardens. You know, the stuff used in

(17:33):
insulation and making TVs and furniture.They found this scary chemical in breast milk,
so that is no fun. Okay, the last section of the news
will go to health and safety tips. Not too much more, you guys,
this is going to be a fastsuccessor news show the National Capital Poison

(17:56):
Center run by doctor Johnson. We'recommenting, Oh, this is really really
bad, A TikTok challenge telling youto drink borax. How freaking stupid is
that, you guys? I mean, who wants to drink launch you detergent
and chloras and flee fax. Ican't believe it. I don't even want

(18:18):
to comment on that one. FoxNews. Oh this is important. You
know how sometimes we had boiled wateradvisories. This is really good Fox to
a good job to make sure thatincludes boiling water to make your baby formula,
to brush your tea, to makeice. People forget they get ice

(18:38):
from the refrigerator that's contaminated. Soif you're making ice, or the only
time you can use taffwater is ifyou're like bathing or washing your clothes,
or just remember if there's a boiledwater advisory, and I'll tell you something
else, you guys. I didn'twrite this down, but in previous news
shows I've mentioned that I don't needand use tap water to rent my nose

(19:02):
out with you know those saline rentsolutions. I boil my water first,
or use you know, bottled wateror boiled water even to rent my nose
out. But the Insider news thisis entering human bites. Believe it or

(19:22):
not, I see that in theoffice people do bite each other and some
people were I think died from flesheating infection. The bacteria in their mouth
actually killed people. Food spoilage,Oh, this is always good. I
love to talk about this. Thisis very interesting. Don't rely on your
smell or taste to see if thefood is good or not to eat.

(19:45):
Yeah, you know how we alwaysfelt things, you guys, and taste
it, they says, Sometimes youcan't tell and you get really sick.
It said. Also, look atthe storage charts in the US Department of
Health and Human Service. I've neverlooked at that. I have to look
those up and look for the safetimefor how much safetime it is to keep

(20:07):
in the fridge or freezer, andlook at the expiration date and the best
buy date. That's on the package. How good tips to know. Now,
let's see a few more, youguys, Fox there, Barne there,
barne weight losserve You guys, Ihonestly don't know what that is.
Is that it's not for children orpregnant women or breastfeeding women. It interacts.

(20:30):
This herb interacts with medicines used totreat diabetes, hypertension, blood thinners,
I mean those pressence and even coughmedicine. So be careful with herbs.
Make sure you know what's in it, what it reacts with with your
other medicine. Washington Post, Ohwow, this is alarming. Thirty nine
percent of young healthy women twelve totwenty one years old are low and iron

(20:56):
and you make This is from ajournal in the American Medical Associate taken from
the National Health and Nutrition Statistic Study. These girls were tired, weak,
busy, trouble concentrating. And you, guys, I see this a lot,
even as pediutrition, I always thinkiron. It's very common and a
lot of us are anemic. Youknow, they just give some pips foods

(21:19):
that have iron, lean meat,seafood, poultry, beans, lentil,
spinach, tofu nuts, raisins,and fortified cereal and bread. Let's see
what's this Peace Dermatology Journal. Ohyeah, they said the pampers. I
think I mentioned this before. Pampersare less irritating. It was a study

(21:42):
they did. I sort of seethat in the office. I don't see
as many diaper rashes with pampers.I've noticed that over the less forty years.
Wellness, Oh okay, this isgood. Laura Doorward Doorward the author.
She was mentioning foods that are laxatives, and she talked about fiber,

(22:04):
magnesium, probiotics, drinks, andherbs. I thought this was kind of
fun. So fibers, you know, like if you're constipated, you need
a laxative. Fibers will be likewhole grains, breads, cereals, fruits,
vegetables, nuts, seeds, lagoms, all the healthy stuff we eat.
But here's something you know, magnesiumlinky magnesium as a part of apparently

(22:30):
to help move your boughs, likelike milka magnesia, you know, the
laxative. And you can find magnesiumand dark leafy greens, avocado, nuts,
fortified cereals, cheese, seeds,dark chocolate, and fatty fish.
So that's dark leafy greens, avocados, nuts, fortified cereals, cheese,

(22:55):
seas, dark chocolate, and fattyfish. Let's see probiotics are good for
health. Gut, yogurt, cheese, broccoli, prunes, soy cheese,
seeds and figs. Drinks, Drinka lot of water, prune juice,
coffee, herbs like senna, youknow, like senna, cut ginger.

(23:18):
I always thought it for the stomach, but apparently it's for constipation too.
I didn't know that. Peppermint.I always think it for the stomach.
Eliva, I think it for thestomach, but they said it's good.
They hear too, the fee.I think we're almost there, you guys,
almost done, almost done. Let'ssee wellness. Oh, this is

(23:41):
always fun. Wellness is talking aboutzinc and calcium, which are good for
you. If you guys know thefoods that have zinc. I always forget
this. Fish, shellfish, beef, pork, nuts, seeds, cereal,
poultry, and mushrooms. That's fish, shellfish, beef, pork nuts,
see cereal, poultry and mushrooms.And how about calcium. We're all

(24:04):
trying to get more calcium. Dairy, soy, canned fish, nuts,
seeds, collared greens, spinach tale, forty five cereals, orange juice,
wheaten, and forty five flour.Okay, let's see. Oh they mentioned
the recommended nine theory amounts for kidslike for adults. We know we take

(24:29):
thirteen hundred milligrams starting you know,pre puberty, like nine to thirteen and
above if you're four to eight,like preschool, early school. It's only
a thousand. If you're a littletoddler at seven hundred, and if you're
a tiny little baby less than sixmonths old, it's two hundred milligrams of

(24:51):
calcium. So the calcium is notthe same. But we use adults are
thirteen hundred for that for a toddler, and of order of that or the
fifth of that for a little tinybaby. Let's see Food Network basil reminds
us we all use basil. Iuse it in pesto sauce. I know

(25:12):
all the cooking shows use it ineverything. It has a lot of good
vitamins acn k plant yogurt rather thanmade from a cow made from plants.
It's interesting. I don't know ifyou guys ever thought about this. A
lot of the big thing now ismilk substitutes and is the plant milks as
good as the regular milk. Ididn't realize they were talking about yogurt too,

(25:37):
so this is new for me too. They said, the plant yogurt
has less sodium, less sugar,more fiber, but the trade authors as
less calcium, less the patsium andless protein, so there's always tradeoffs.
Last one, you, guys,Food and drink. This was done from
Chris Michael. The author reminds usthe keen waseds are great for fiber and

(26:00):
protein. I hate them myself.Put them in your salad, soups,
chicken peela, porridge and even finerschnitzel. All right, you guys,
what's fun talking to you again?As always, enjoy the summer. Stay
say use your son Tan lotion.We talked about that last time, and
if you have comments call in we'llput it on the next show. Looking

(26:22):
forward seeing you again. You'll takecare. Courageous Doctors, Pioneers and Heroes.
Executive producers Barry S. Price Toski, MD, and Patrick Kemmrucky.
Post production Patrick Kemmrucky. Makeup byLisa McAllister, Silan Jiamy Gerards. Music
provided by Video Blocks. Special thanksto American Medical Association, and New England

(26:44):
Journal of Medicine. Visit us onthe Internet at courageous doctors dot com.