September 17, 2025 • 36 mins
Host Doug Stephan and Dr. Ken Kronhaus of Lake Cardiology (352-735-1400) cover a number of topics affecting our health. First up, Doug and Dr. Ken discuss the biggest news stories in the medical world, starting with a focus on a risk factor of high blood pressure in children, the need for blood pressure to be monitored earlier in life, and a report of the overall health in children and addressing childhood chronic diseases due to ultra processed foods, vaccine policies, lack of exercise and chemical exposure. Then the conversation shifts to the weight loss drug Mounjaro/Zepbound may be able to shrink breast cancer tumors as proven in a study with mice. It’s an unexpected finding which may lead to a potential, new therapeutic use for the drug beyond it’s current application for obesity and diabetes. Next, Florida makes news after the announcement was made of the state lifting school vaccine mandates, there’s a new hope for people suffering from mental health issues with a new, monthly-injectable drug had been approved for Schizophrenia and Bipolar 1 Disorder, and time spent sitting on the toilet is at an all-time high due to phone use — leading to a 46% higher rate of hemorrhoids. The conversation rounds out with listener questions for Dr. Ken, including an increased requirement for pre-approval for medical tests, how to know what doctor to go see in a world now full of specialists and debating what insurance will cover, the need for a quality primary care provider, and learning about the common skin condition called eczema.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
The Good Day Health podcast with doctor Ken Cronhouse, sponsored
in part by Caldron The safe, proven Way to lose
weight and keep it off. Hi, Doug Stefan here, I'm
with doctor Ken Cronhouse on Good Day Health. Doctor Ken,
who is a researcher in addition to being an eminent cardiologist,
has his practice down in Montdurra, Florida, takes a lot
(00:22):
of the journals of medicine every week, looks through the
stories and thinks this will apply to the audience. This
applies to most everybody. So we get started with something
from his area of expertise. This week a focus on
high blood pressure in children and what that is a
risk factor for which is not a good sentence because
(00:43):
it's not a good thing to end a sentence with
a preposition. So just don't pay attention to the fact
that I ended the sentence in a preposition.
Speaker 2 (00:51):
Okay, sure, let's get away from English and elementary school
and get back to medicine. And it's nice to be
with you. And imagine, Doug, if there was a single
number that you could ask a seven year old to
be able to predict how their health would be in
(01:11):
their mid fifties. A single number about a seven year old,
and that's their blood pressure. And this comes out of
a recent meeting of the American Heart Association. It was
published in the Journal of the American Medical Association just
this week. And what we learned is that the health
of us, our health journey for all of us, begins
(01:36):
when we're a kid, and a high blood pressure at
age seven has a sharply increased risk of dying of
heart disease in your mid fifties. So it's out of
this meeting, out of this observation, we learned that our
heart health journey may start much earlier than what we
(01:58):
once thought.
Speaker 1 (02:00):
So how would that apply? How would you know is
there a sign? Is there a signal that children develop
high blood pressure? I've never really thought about it, but
I'm thinking high blood pressure is for older people. And
how frequent I guess the question is how frequent is
high blood pressure in children? Well, well, I do you
(02:21):
have any? But I do have any patients who are
younger than fifteen.
Speaker 2 (02:28):
I'm an adult cardiologist, so the cutoff is eighteen or older,
so I wouldn't have them for any reason. But the
point from this study is that we need to start
checking blood pressure in our youngsters. And that's the important
point from this, And when our little folks go to
(02:50):
the pediatrician, the pediatricians have to maybe be a little
more aggressive at checking blood pressure. And if a seven
year old has high bloodlood pressure and they might, we
need to be even more aggressive with that child with
regards to their other risk factors diet, exercise, mental stress,
(03:11):
they're sleep. All of these things have to be even
more aggressive for that child to keep their heart healthy.
Speaker 1 (03:18):
So then the assumption is always dangerous to make assumptions,
is that children are getting good health care, they're getting
regular checkups, and a pediatrician or whomever I guess would
be a pediatrician up to a certain age is going
to be aware of these things. And I just my
question would be, how often is it that youngsters at
(03:39):
age do not see a doctor, do not have regular
health care.
Speaker 2 (03:45):
Well that's for another show. But I think the important
thing is that now our pediatricians will be much more
aggressive at looking at blood pressure because this is an
interesting fact and I'm sure that our pediatricians are talking
talking about.
Speaker 1 (04:00):
This, okay. So along with that the government has released
a an overall report on the health of children in
the country. How do we shake up our shore? How
do we show up, shake out and.
Speaker 2 (04:15):
Show up well, Doug, Make Our Children Healthy Again is
a strategy report. It's a roadmap that outlines plans to
address childhood chronic diseases, including those related to ultra process foods,
vaccine policies, lack of exercise, and chemical exposure. And what
(04:37):
I really like about this plan is that it seems
there finally will be a definition of ultra processed foods
which seems to be really harming the health of all
of us.
Speaker 1 (04:53):
Well, yeah, there's plenty of that. And you wonder how
much of when it comes down to the government, how
much they should be involved, how much they need to
be involved, how much we want them involved. It doesn't
seem to me like there are a lot of other choices,
sometimes for research or for treatment. Frankly, given what the
(05:15):
realities are in our country today. All right, so let's
talk one more Let's take one more step into this
with this hypertension treatment. That is something I guess it's
a new drug, is that it?
Speaker 2 (05:31):
Well there is not only is it a new drug,
it's a new class of drugs. You know, often we
have new drugs, but they're already in the same family.
We doctors call them lookalikes. But there's a brand new
family of drug for high blood pressure and there hasn't
been a new family for blood pressure treatment in a
(05:54):
long long time. And this is a publication this week
in the New England Journal of Medicine. The name of
the drug drostat, and it's a mouthful. It's an aldo
rebaxed drostat. They haven't even come up with the brand
name yet, but it's an aldosterone synthase inhibitor. It effectively
(06:18):
lowers systolic blood pressure. That's the top number in patients
with uncontrolled or resistant hypertension. Rebaxtrostat is being considered DUG
a potential game changer for difficult to treat hypertension cases.
That was a conclusion in the New England Journal of Medicine.
There are still with all the different families of drugs
(06:39):
that we have to treat high blood pressure, there is
a subset of patients that doctors, including myself, we just
can't get the blood pressure down. So this is a
welcome addition to my black bag having another family. This
is a hormone that's made in the kidneys. We have
blockers for it so it doesn't effect it's like a
(07:02):
key going into a keyhole. We have blockers at the
receptor for this product. But this drug works by decreasing
dramatically the production of the hormone called aldosterone. And this
aldosterone it works to increase sodium retention and that's why
it increases blood pressure. And if you block sodium retention,
(07:25):
more of it gets out in the urine and it
just lowers the blood pressure. And this is a very
effective new treatment.
Speaker 1 (07:32):
All right, There's some other approvals from the FDA that
we ought to talk about, plus some breakthroughs including weight
loss drug connected to breast cancer. So there is some
important There's always important news, but this seems to be
really important stuff that Ken is reporting on this week
here on Good Day Health. Goodday Healthshow dot Com is
(07:53):
the place that you get the podcast. Wherever you get
your podcasts. If you don't hear the whole program on
the radio, or you want to catch up on some back,
some back episodes of Good Day Health, you can do
that easily by going to Gooddayhealthshow dot com wherever you
get your podcasts. I said, there's a excuse me coming
up a focus on this weight loss drug and breast cancer.
(08:17):
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so Ken, let's get a lot of talk about weight
loss here. There are some breast cancer breakthroughs. One of
them is one of these weight loss drugs and what
it does to affect tumors.
Speaker 2 (10:30):
Sure Doug. The weight loss drug to sepetide known commonly
as Manjaro or zep bound can shrink breast cancer tumors.
But this was a study initially in mice. This unexpected
finding suggests a potential new therapeutic use for the drug
beyond its current applications for obesity and diabetes. And this
(10:55):
is another new bit of hope for breast cancer.
Speaker 1 (10:59):
Really, how much is it being used so far? Is
this brand brand brand new?
Speaker 3 (11:04):
You mean for I'm not trying to try understand the question. Well,
this this weight loss drug. The fact that it's being
used on tumors, is that something that is like this
past week, this past month. How long has this been known?
Speaker 2 (11:21):
This is brand new information for Good Day Health bringing
it to you. It just published this week, and it's
not yet being used in humans. It's not FDA approved
for doing that. But the next step is research to
bring it to humans because it's been shown effective in animals.
Speaker 1 (11:44):
So this is a question for your doctor if you
have this issue with someone in your family, or you
ask them about the way the drug that shrinks tumors.
It's a weight loss drug. That's what you do.
Speaker 2 (11:55):
It's not yet it's just hold now, but they'll.
Speaker 1 (11:57):
Know about it, not just know about it. Yeah, all right,
Good Day Health continues no matter of moments here stick
around here. We are back on good day health. Let's
talk some more cannabout breast cancer and some of the
information that's been researched to breakthrough. I suppose focused on
(12:20):
the risk of developing secondary primary secondary cancers. In other words,
if you have I guess what liver cancer that might spread?
But is this not this is you can get some
other kind of cancer.
Speaker 2 (12:36):
Let me frame this up for you though. This is
actually hope and reassurance for those women who unfortunately already
have a single breast cancer. This comes out of the
British Medical Journal just this week. It's a major news
study on breast cancer, and it found the risk of
developing a second primary cancer that's a second breast cancer
(12:59):
after early invasive breast cancer is low. And this study,
published in the British Medical Journal at the end of August,
provides reassuring data for the survivors of this horrible disease
that you're not going to have to most likely worry
about it again, very rare.
Speaker 1 (13:18):
Ah. Okay, yeah, that is good news. Yep, that's very
good news. Okay. I don't know whether some people are
going to consider this good news or not. You're in Florida.
Lake Cardiology is Morduro Florida, and the announcement was made
this past week that the state will lift school of
vaccine mandates, and if you believe the news media, it's
(13:38):
every mandate. I don't believe that's the case. Do you
want to fill us in and kind of sort this out.
Speaker 2 (13:45):
It's a good thing. It's a good thing you look
at it yourself to find out the facts. As I
tell my daughter, listen to both sides, make up your
own mind. And it's a good thing you did it
here because you could be easily misled, as you're pointing out.
And the Florida Department of Health announced this week that
effective in early December twenty twenty five, Florida will lift
(14:08):
school vaccine mandates for several, not all, diseases, including hepatitis
B in chicken pox. However, requirements for polio, diphtheria, tetanus, pertussis, measles,
and mumps will remain in place.
Speaker 1 (14:25):
So you said at the beginning, we already get political.
One wonders how this gets so twisted and turned around
because the headlines that you've seen here and there are
no more vaccines being mandated in schools in Florida and
that's not the case at all. It just kind of
(14:48):
makes you wonder it is said editorials.
Speaker 2 (14:51):
I said, no, it's said about the state of the
media today. It is very said, Yep.
Speaker 1 (15:00):
It isn't. There's really no more news media per se.
I think in a man who is speaking, we could
be considered a part of the news media. As it
comes to understanding what's going on in the world of medicine,
conventional medicine, there are all different sides, and sometimes one
side is pitted against the other, which is not the
real reason. That's not the intelligent way of looking at
(15:23):
the issue. Whether it's medicine or whatever, it is always
two points of view. And thus we have doctor Ken
here with doctor Ken's Good day Health, his version of
good day health, and the research he does. We also
have Jack Stockwell, who comes at medicine from a different approach.
Doesn't mean anybody's right or wrong. As Ken just suggested,
you need to know both sides, however, to make up
(15:45):
your mind. That's the intelligent way to do it. And
people who are in lockstep with just one way of thinking,
or one way of doing, or one way of acting
or kind of tripping on themselves. So this is a
service that I offer each weekend around the country on
the radio stations to carry Good Day Health and also
(16:07):
in podcast forms, so you can avail yourself to different thoughts,
in different ways of looking at your health and well
being and you have to figure it out for yourself.
Good Day healthshow dot Com wherever you get your podcasts
coming up more conversation about the FDA and what it's
approved this week on Good Day Health. I'm Doug Stephan
and she's not. She could be Elizabeth Miller. However, as
(16:30):
a matter of fact, she is. Elizabeth Miiller. Is one
of the great reasons for going to toploss dot com
and engaging in the work of Calitron getting that weight
off the natural way.
Speaker 4 (16:42):
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(17:04):
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Speaker 1 (17:19):
Elizabeth Miller from the folks at caled Tren. Thanks Elizabeth.
Regarding drugs that mostly nobody can pronounce the name of
which no one can pronounce, like, is it in lexzo?
Is that how you pronounce that?
Speaker 2 (17:34):
Doug, let me just clarify something you said, the weight
loss drugs. There's not been research done yet on them
to show that they're effective at shrinking tumors, so it's
going to be a while before the FDA approves that
it's in an animal study. So the next step is
not to ask the FDA to approve. The next step
(17:54):
is to do the research to see if it's similar
as it usually but not always is in humans, and
if that study shows to be safe and effective, then
the step after that would be to go to the FDA.
So it's a little bit out there. It's just some hope.
Let's talk about how else very active the FDA has
been this week. You mentioned in Lexo and this is
(18:17):
some new hope DOUG. The FDA has approved in Lexo
for adults with non muscle invasive bladder cancer that has
not responded to previous treatment. This approval provides a new
treatment option for a difficult to treat cancer. This is new.
Speaker 1 (18:34):
Hope, new hope. That's what we like. Bladder cancer is difficulty.
Is it rare? Is bladder cancer rare?
Speaker 2 (18:43):
It's not so rare. Anytime you have blooding your urine,
the doctor's going to look for it because it's not rare.
Speaker 1 (18:51):
Yeah, okay, all right, let's see. Here's another drug called
von vendi I have it right, So what's this scoop
with that?
Speaker 2 (18:59):
Yeah, And the FDA has approved an expanded Indication DOUG
for von Vendy. This allows its use in children with
von Willibrand's disease. It's the first non plasma derived product
available for pediatric patients with this inherited bleeding disorder. So
(19:20):
this is hope. It's not a very common problem, but
when it presents, it's horrible. And the previous drugs were
very expensive, hard to collect because that all came from.
You had to get them out of plasma, even plasma.
And this is a recombinant von Willibrand factor performed drug
(19:44):
and it's just a high tech way of getting it
and it'll make it much more available to these unfortunate
children that are born with this inherited bleeding disorder. But
if you've ever seen one, as I have, you know
it breaks your heart.
Speaker 1 (19:57):
Right, Okay, So the third drug risperidone. How am I
doing on pronunciation ris parodone?
Speaker 2 (20:05):
Yes, And this is a new hope for many people
suffering from severe mental health issues DOUG. An extended release
injectable version of risk parodone was approved for schizophrenia and
bipolar one disorder. It offers a monthly injection a monthly injection,
and this may improve patient adherence and reduce relapse rates
(20:29):
compared to daily oral medication. The long acting injectable format
addresses a critical need in mental health DOUG, where medication
adherence can be a major challenge for people with chronic conditions.
Speaker 1 (20:44):
How frequently is how does that manifest? How frequently does
that manifest something?
Speaker 2 (20:49):
Schizophrenia? Have you been reading the newspapers?
Speaker 1 (20:54):
No? I try not to guess.
Speaker 2 (20:59):
Well, you know this is you know people who you know,
as my psychiatry professor used to call them crazy. I
mean that's you know, it may not be the best
term to use anymore, but when I was in medical school,
you know, the popular term was the person was crazy.
These are people who hallucinate, you know, see things that
(21:22):
are not there, hear things that are not there, and
also what used to be called manic depression. So these
are significant severe mental health problems where people can be
very dangerous.
Speaker 1 (21:38):
Yeah. Well, we see a lot of that stuff around unfortunately.
How much of it is the homeless or the unhoused,
or however you want to refer to people that are
on the street, how much of that affects them or
the other way around? Maybe is the question?
Speaker 2 (21:54):
Well it works in both ways.
Speaker 1 (21:57):
Yeah, going, coming and going if you will. All right,
So now the next question has to do with artificial sweeteners.
The next question of the concern some research done on
that and the results are not good.
Speaker 2 (22:13):
Yeah, Doug. This is a publication this week in the
very well regarded medical journal Neurology. That's with an end
as a Nancy Neurology, Doug. People who consume the highest
levels of artificial sweeteners during middle age show the fastest
declines in cognitive functions such as memory as they move
(22:35):
into the senior years. And these results are even worse
for diabetics. So I think the take home from this
study is you don't have to one hundred percent give
up your artificial sweeteners, and they looked at them all. Now,
you just have to do everything in moderation. You know,
when you get over two servings, you know, maybe one
(22:56):
serving a day, two servings makes me a little uneasy,
but definitely more than two. You're going to be in
this group that saw their cognitive function, the ability to think,
to remember, to cline much faster. And this is probably
one of the biggest concerns people have as they get
into adult and later, and it should be a big concern.
Speaker 1 (23:19):
Well, all this material that we're talking about, we wouldn't
be talking about it if it wasn't concerning. Frankly, as
with last week, I had some interesting feedback on our
discussion of Omega three drugs drugs, Omega three fats and
the confusion that people have with Omega six and three
and nine and YadA YadA, because there's a product around
(23:41):
that is it touts something that we talk a lot about,
olive oil and maybe taking a swig of it at night.
I encountered somebody at an event not long ago who
has been for years selling a oil compound that's three,
six and nine and said that's what you should take
at night before you go to bed. And you know,
(24:02):
he seemed credible, and maybe a little bit goes a
long way, because I know that we were really good
at focusing and explaining the omega threes, which is, frankly,
since I have known you of the last twenty years,
that's all I take. I take two or three capsules
of omega threes a day. But it was interesting that
somebody said, I'm still confused, And so maybe it's degrees omega.
(24:28):
If you're going to take a fish oil. If you
want oil from a fish, eat the fish. But if
you can't do that, then like I do this two
or three times a day, omega threes. But is there
any value? I guess the bottom line to sixes and
nine at all to clarify what we were talking about.
Speaker 2 (24:46):
You just want balance, don't overdo it, and focus on
omega threes, right.
Speaker 1 (24:52):
Okay, that's what I thought, all right, So check it
out last week's podcast a Good Day Healthshow dot com.
If you want more information on that coming up sitting
on the toilet, What does that do for you? It
may not be what you would like it. Well, listen,
we'll figure it out well, as Ken says, we'll get
to the bottom of it. We'll take this apart. Ken
(25:13):
is one of the premier good guys in medicine. That's
why he's here in this program. Has been around for
as many years as he has with me on Good
Day Health. He runs Lake Cardiology, which is a clinic
down in Mondua, Florida, near Orlando. There are people who
come from all over the country, all over the world
to see Ken, and you can do that too. You
can either go see him or you're can have that
(25:35):
telemedicine connection. What you do is you dial up the
office at three five two seven three five fourteen hundred
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Kind of if I can take a second to underscore
(25:57):
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(26:18):
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(26:39):
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(27:01):
through the night as it were. That's top loost dot
com for a calidron. All right, So the toilet and
sitting on the toilet, and what you do on the
toilet depends on I guess maybe as much as anything
else on your age. I don't know who does this,
but I guess I can envision people scrolling around on
(27:21):
their devices on the toilet. So what happens? I shouldn't
chuckle about it, but it is kind of a I mean,
you think about it.
Speaker 2 (27:29):
This is this is more common than you expect. This
was published this week in a very very esteve medical journal,
Doug plos one. And what we learn is that folks
who use a smartphone on the toilet they have a
forty six percent higher risk of hemorrhoids than those who
(27:49):
do not.
Speaker 1 (27:52):
Wow Fanning get the most from your toilet time? There
it is? Yep.
Speaker 2 (27:58):
Well, well, were you going to ask me why this
is so? As you usually do?
Speaker 1 (28:04):
Yeah, I mean I'm wondering also what it's connected to,
because a lot of men are concerned, you know, about
their prostate, etcetera. So how where does this go from here?
Speaker 2 (28:13):
Well, smartphone use Doug the theory to explain this observation,
which was done in a rather large number of people,
and that's a very significant increase smartphone use. It might
inadvertently prolong toilet time, potentially increasing pressure on the anus
(28:35):
and contributing to hemorrhoids. So just think about the next Yeah,
you close the door and pick up the phone. Maybe
you want to keep the phone out of the bathroom.
Speaker 1 (28:47):
One of the things that we are interested in doing
here is inspiring you and not interested in irritating you.
But Ken's got the rub for a lot of things,
and that certainly is one of them. Comment from you
if you care to about the huge seizure of myth,
the chemicals that came from China that have been seized
(29:09):
and what happens with you know, it's the largest seizure
apparently based back on our on our focus on the
Chinese and what goes on there. But meth, what does
it do to your body? You want to give us
a quick lesson in why you want to stay as
far away from meth or anything that's chemically like that
(29:30):
as you can.
Speaker 2 (29:33):
How do you spell kill me quickly? I mean, these
are just horrible poisons that are addictive and horribly destructive
to the body and shouldn't be near you. Picked up meth,
picked up cocaine in our shores, coming in from other countries.
It's just horrible. You know, it's an attack on us.
(29:55):
It's horrible, and it's about time this stopped. And we're
we're killing hundreds of thousands or more Americans each year
from all this stuff that's coming into our country that
should be kept out.
Speaker 1 (30:09):
Yeah, well, you know, they smile. What is the They
smile and shake your hand and they stick a knife
in your back. And that's the thing. And the younger
you are, the less you agree or know about this.
I talk to people all the time about these sorts
of things, and they think I'm exaggerating, but I'm not
so Anyway, word to the wise is sufficient coming up
(30:31):
in a matter of moments questions for doctor can and
we got plenty of them, some very interesting twists and
turns in the questions this week. So please stand by
for that the alert. Now you have the alert, so
be alert to the answers to the questions from doctor
Ken back with doctor Ken Kronhaus Doug Stephen. Some important
(30:56):
treatments and apparently there are off you probably are very
much aware of this because that's how you get paid
for most of the work that you do. There are
new focus there's a new focus on treatments that may change,
and a lot of patients are pretty leary of the changes.
What do you know about some of the things that
(31:17):
used to be covered by I didn't have to have
pre approval?
Speaker 2 (31:21):
I'm not sure. I guess you're talking about what do
I in general? What do I think about pre approval?
Is that what you're asking?
Speaker 1 (31:28):
Yeah, but is it changing the pre approval requirements for
certain things? Is it changing? It seems to according to
the popular press, it is changing.
Speaker 2 (31:37):
What you're reading, Is it getting worse or getting better? Worse?
Because it just it depends on the ensure because there's
so much pre approval right now, and it's hard to
imagine it's going to get even worse, and you know,
the hope is that it's going to get better. But
(32:00):
this is a way that it delays treatment. And it's
sad that the hurdles that that we as providers have
to go through sometimes to get treated with the hope
that we won't go through the hurdles give up and
the treatments won't occur. But pre approval is a huge
(32:20):
problem and it's something that you know, the medical organizations
are trying to limit and this, you know, this is
a huge battle all right.
Speaker 1 (32:30):
Next question comes on the weight of something. I'm trying
to understand this, but let me wrap myself around it
and see what you think. This person has a large
nodule a swelling on her elbow and she doesn't remember
whether she heard it or not, but it's swelling and
it's beginning to get sore, and so should she see
(32:51):
a dermatologist or an internist? How do you know? I
guess that specific question for that thing, but in general,
how do you know what doc to go see? Because
the world is full of specialists. Now, do you have
to go to the primary care person and then that
person tells you where to go? Or can you start?
You know, like you've got a problem coughing, you call
the guy that takes care of your lunch. So where
(33:13):
do you start? Go ahead?
Speaker 2 (33:16):
This is why everybody needs a good primary care provider
because they, if you will, are your traffic director. And
it's not a good idea to be your own primary
care provider. And a good primary care provider wants to
coordinate your care, wants to do initial evaluation and then
(33:36):
figure out where you should go, and hopefully knows the
best people in the field to refer you to and
then follows up with you to make sure it gets done.
This is what a good internist family physician does. A
good primary care person does, so if one doesn't know,
is ensure where they should be going. That's what you
(33:58):
always call first your primary care person, and that's their job.
But something like this, a large bump in the elbow,
it could be presidais from an inflamed, fluid filled sack dug.
This often causes caused by some pressure or trauma. Other
things can be things like a gangly in cyst, and
(34:22):
it could be other skin conditions psoriasis, exima, a wound,
a benign growth such as a lipoma. I just point
out all these possible diagnoses so you can see it
stretches the orthopedic doctor, the rheumatologists, the dermatologists. So often
it's very hard for a patient to know. And that's
(34:44):
why having a good primary care physician, especially for the
kind of issue that you brought up, where it can
stem from multiple potential specialties depending on the ultimate diagnosis,
it's good to have a good primary care provider.
Speaker 1 (34:58):
What's ezema? That's it? I think you just mentioned it,
and I think a lot of people don't really know
what ezema? It's it could be pronounced eema because it's
ecz or egzema.
Speaker 2 (35:10):
What is it? It's a skin condition. It's an inflammatory condition.
It's fairly common, but it's often not known what the
cause is. It's thought of as a chronic skin condition.
It's usually dry, itchy, and inflamed skin. It often affects
people children. Ten to thirty percent of children and about
(35:34):
two to ten percent of adults have this.
Speaker 1 (35:37):
Wow.
Speaker 2 (35:39):
Unknown, Yeah, it felt to be a combination of genetics
and environment. It's one of those things when we really
we say that when we really don't know.
Speaker 1 (35:48):
All right, There they are some answer to some questions
for doctor Ken. Quite a Good Day Health every week.
Catch it on a podcast or on the radio. On
the podcast. Whatever your source for podcasts, you'll find Good
Day Health show listed there. I'm Doug Stephan. This program
was produced at Bobksound and Recording.
Speaker 2 (36:05):
Please visit bobksound dot com.
Speaker 1 (36:08):
This Good Day Health Doug Stefan with Doctor Ken Cronhous
sponsored in part by Caldron, which is the safe way
for you to lose weight and keep it off.
The Good Day Health podcast with doctor Ken Cronhouse, sponsored
in part by Caldron The safe, proven Way to lose
weight and keep it off. Hi, Doug Stefan here, I'm
with doctor Ken Cronhouse on Good Day Health. Doctor Ken,
who is a researcher in addition to being an eminent cardiologist,
has his practice down in Montdurra, Florida, takes a lot
(00:22):
of the journals of medicine every week, looks through the
stories and thinks this will apply to the audience. This
applies to most everybody. So we get started with something
from his area of expertise. This week a focus on
high blood pressure in children and what that is a
risk factor for which is not a good sentence because
(00:43):
it's not a good thing to end a sentence with
a preposition. So just don't pay attention to the fact
that I ended the sentence in a preposition.
Speaker 2 (00:51):
Okay, sure, let's get away from English and elementary school
and get back to medicine. And it's nice to be
with you. And imagine, Doug, if there was a single
number that you could ask a seven year old to
be able to predict how their health would be in
(01:11):
their mid fifties. A single number about a seven year old,
and that's their blood pressure. And this comes out of
a recent meeting of the American Heart Association. It was
published in the Journal of the American Medical Association just
this week. And what we learned is that the health
of us, our health journey for all of us, begins
(01:36):
when we're a kid, and a high blood pressure at
age seven has a sharply increased risk of dying of
heart disease in your mid fifties. So it's out of
this meeting, out of this observation, we learned that our
heart health journey may start much earlier than what we
(01:58):
once thought.
Speaker 1 (02:00):
So how would that apply? How would you know is
there a sign? Is there a signal that children develop
high blood pressure? I've never really thought about it, but
I'm thinking high blood pressure is for older people. And
how frequent I guess the question is how frequent is
high blood pressure in children? Well, well, I do you
(02:21):
have any? But I do have any patients who are
younger than fifteen.
Speaker 2 (02:28):
I'm an adult cardiologist, so the cutoff is eighteen or older,
so I wouldn't have them for any reason. But the
point from this study is that we need to start
checking blood pressure in our youngsters. And that's the important
point from this, And when our little folks go to
(02:50):
the pediatrician, the pediatricians have to maybe be a little
more aggressive at checking blood pressure. And if a seven
year old has high bloodlood pressure and they might, we
need to be even more aggressive with that child with
regards to their other risk factors diet, exercise, mental stress,
(03:11):
they're sleep. All of these things have to be even
more aggressive for that child to keep their heart healthy.
Speaker 1 (03:18):
So then the assumption is always dangerous to make assumptions,
is that children are getting good health care, they're getting
regular checkups, and a pediatrician or whomever I guess would
be a pediatrician up to a certain age is going
to be aware of these things. And I just my
question would be, how often is it that youngsters at
(03:39):
age do not see a doctor, do not have regular
health care.
Speaker 2 (03:45):
Well that's for another show. But I think the important
thing is that now our pediatricians will be much more
aggressive at looking at blood pressure because this is an
interesting fact and I'm sure that our pediatricians are talking
talking about.
Speaker 1 (04:00):
This, okay. So along with that the government has released
a an overall report on the health of children in
the country. How do we shake up our shore? How
do we show up, shake out and.
Speaker 2 (04:15):
Show up well, Doug, Make Our Children Healthy Again is
a strategy report. It's a roadmap that outlines plans to
address childhood chronic diseases, including those related to ultra process foods,
vaccine policies, lack of exercise, and chemical exposure. And what
(04:37):
I really like about this plan is that it seems
there finally will be a definition of ultra processed foods
which seems to be really harming the health of all
of us.
Speaker 1 (04:53):
Well, yeah, there's plenty of that. And you wonder how
much of when it comes down to the government, how
much they should be involved, how much they need to
be involved, how much we want them involved. It doesn't
seem to me like there are a lot of other choices,
sometimes for research or for treatment. Frankly, given what the
(05:15):
realities are in our country today. All right, so let's
talk one more Let's take one more step into this
with this hypertension treatment. That is something I guess it's
a new drug, is that it?
Speaker 2 (05:31):
Well there is not only is it a new drug,
it's a new class of drugs. You know, often we
have new drugs, but they're already in the same family.
We doctors call them lookalikes. But there's a brand new
family of drug for high blood pressure and there hasn't
been a new family for blood pressure treatment in a
(05:54):
long long time. And this is a publication this week
in the New England Journal of Medicine. The name of
the drug drostat, and it's a mouthful. It's an aldo
rebaxed drostat. They haven't even come up with the brand
name yet, but it's an aldosterone synthase inhibitor. It effectively
(06:18):
lowers systolic blood pressure. That's the top number in patients
with uncontrolled or resistant hypertension. Rebaxtrostat is being considered DUG
a potential game changer for difficult to treat hypertension cases.
That was a conclusion in the New England Journal of Medicine.
There are still with all the different families of drugs
(06:39):
that we have to treat high blood pressure, there is
a subset of patients that doctors, including myself, we just
can't get the blood pressure down. So this is a
welcome addition to my black bag having another family. This
is a hormone that's made in the kidneys. We have
blockers for it so it doesn't effect it's like a
(07:02):
key going into a keyhole. We have blockers at the
receptor for this product. But this drug works by decreasing
dramatically the production of the hormone called aldosterone. And this
aldosterone it works to increase sodium retention and that's why
it increases blood pressure. And if you block sodium retention,
(07:25):
more of it gets out in the urine and it
just lowers the blood pressure. And this is a very
effective new treatment.
Speaker 1 (07:32):
All right, There's some other approvals from the FDA that
we ought to talk about, plus some breakthroughs including weight
loss drug connected to breast cancer. So there is some
important There's always important news, but this seems to be
really important stuff that Ken is reporting on this week
here on Good Day Health. Goodday Healthshow dot Com is
(07:53):
the place that you get the podcast. Wherever you get
your podcasts. If you don't hear the whole program on
the radio, or you want to catch up on some back,
some back episodes of Good Day Health, you can do
that easily by going to Gooddayhealthshow dot com wherever you
get your podcasts. I said, there's a excuse me coming
up a focus on this weight loss drug and breast cancer.
(08:17):
So let's talk about weight loss and America's number one
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can see what is and isn't a part of the
involvement that you would have getting onto this program. It's
(08:59):
really hundreds of thousands of reviews that they have eighty
six percent success, right, Well, how can you beat that?
And it can be used with some of the weight
loss drugs as well to help boaster. What you want
is success in the long term keeping the weight off.
That's where Caldron comes in and helps so much. So
if you go to top loss dot com to get
(09:19):
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(10:08):
went through the lean muscle things, so help yourself to success.
Go to toploss dot com, use the Doug code and
get this great deal this weekend toploss dot com. All right,
so Ken, let's get a lot of talk about weight
loss here. There are some breast cancer breakthroughs. One of
them is one of these weight loss drugs and what
it does to affect tumors.
Speaker 2 (10:30):
Sure Doug. The weight loss drug to sepetide known commonly
as Manjaro or zep bound can shrink breast cancer tumors.
But this was a study initially in mice. This unexpected
finding suggests a potential new therapeutic use for the drug
beyond its current applications for obesity and diabetes. And this
(10:55):
is another new bit of hope for breast cancer.
Speaker 1 (10:59):
Really, how much is it being used so far? Is
this brand brand brand new?
Speaker 3 (11:04):
You mean for I'm not trying to try understand the question. Well,
this this weight loss drug. The fact that it's being
used on tumors, is that something that is like this
past week, this past month. How long has this been known?
Speaker 2 (11:21):
This is brand new information for Good Day Health bringing
it to you. It just published this week, and it's
not yet being used in humans. It's not FDA approved
for doing that. But the next step is research to
bring it to humans because it's been shown effective in animals.
Speaker 1 (11:44):
So this is a question for your doctor if you
have this issue with someone in your family, or you
ask them about the way the drug that shrinks tumors.
It's a weight loss drug. That's what you do.
Speaker 2 (11:55):
It's not yet it's just hold now, but they'll.
Speaker 1 (11:57):
Know about it, not just know about it. Yeah, all right,
Good Day Health continues no matter of moments here stick
around here. We are back on good day health. Let's
talk some more cannabout breast cancer and some of the
information that's been researched to breakthrough. I suppose focused on
(12:20):
the risk of developing secondary primary secondary cancers. In other words,
if you have I guess what liver cancer that might spread?
But is this not this is you can get some
other kind of cancer.
Speaker 2 (12:36):
Let me frame this up for you though. This is
actually hope and reassurance for those women who unfortunately already
have a single breast cancer. This comes out of the
British Medical Journal just this week. It's a major news
study on breast cancer, and it found the risk of
developing a second primary cancer that's a second breast cancer
(12:59):
after early invasive breast cancer is low. And this study,
published in the British Medical Journal at the end of August,
provides reassuring data for the survivors of this horrible disease
that you're not going to have to most likely worry
about it again, very rare.
Speaker 1 (13:18):
Ah. Okay, yeah, that is good news. Yep, that's very
good news. Okay. I don't know whether some people are
going to consider this good news or not. You're in Florida.
Lake Cardiology is Morduro Florida, and the announcement was made
this past week that the state will lift school of
vaccine mandates, and if you believe the news media, it's
(13:38):
every mandate. I don't believe that's the case. Do you
want to fill us in and kind of sort this out.
Speaker 2 (13:45):
It's a good thing. It's a good thing you look
at it yourself to find out the facts. As I
tell my daughter, listen to both sides, make up your
own mind. And it's a good thing you did it
here because you could be easily misled, as you're pointing out.
And the Florida Department of Health announced this week that
effective in early December twenty twenty five, Florida will lift
(14:08):
school vaccine mandates for several, not all, diseases, including hepatitis
B in chicken pox. However, requirements for polio, diphtheria, tetanus, pertussis, measles,
and mumps will remain in place.
Speaker 1 (14:25):
So you said at the beginning, we already get political.
One wonders how this gets so twisted and turned around
because the headlines that you've seen here and there are
no more vaccines being mandated in schools in Florida and
that's not the case at all. It just kind of
(14:48):
makes you wonder it is said editorials.
Speaker 2 (14:51):
I said, no, it's said about the state of the
media today. It is very said, Yep.
Speaker 1 (15:00):
It isn't. There's really no more news media per se.
I think in a man who is speaking, we could
be considered a part of the news media. As it
comes to understanding what's going on in the world of medicine,
conventional medicine, there are all different sides, and sometimes one
side is pitted against the other, which is not the
real reason. That's not the intelligent way of looking at
(15:23):
the issue. Whether it's medicine or whatever, it is always
two points of view. And thus we have doctor Ken
here with doctor Ken's Good day Health, his version of
good day health, and the research he does. We also
have Jack Stockwell, who comes at medicine from a different approach.
Doesn't mean anybody's right or wrong. As Ken just suggested,
you need to know both sides, however, to make up
(15:45):
your mind. That's the intelligent way to do it. And
people who are in lockstep with just one way of thinking,
or one way of doing, or one way of acting
or kind of tripping on themselves. So this is a
service that I offer each weekend around the country on
the radio stations to carry Good Day Health and also
(16:07):
in podcast forms, so you can avail yourself to different thoughts,
in different ways of looking at your health and well
being and you have to figure it out for yourself.
Good Day healthshow dot Com wherever you get your podcasts
coming up more conversation about the FDA and what it's
approved this week on Good Day Health. I'm Doug Stephan
and she's not. She could be Elizabeth Miller. However, as
(16:30):
a matter of fact, she is. Elizabeth Miiller. Is one
of the great reasons for going to toploss dot com
and engaging in the work of Calitron getting that weight
off the natural way.
Speaker 4 (16:42):
Calatron is different than everything else out there because it's
really good for you. It's actually drug free, stimulant free,
so it's good for you. We've been helping customers since
nineteen ninety seven. It that's up for two hundred thousand
happy customers, so I know we've just helped people all
over the United States. Loz White, so if you go
to toploss dot com, you'll say the counter and sell
right there. But we do also, like Doug said, put
(17:04):
together custom packages. Usually they're available by email or our
Facebook page, or you can call us and we'll put
together something custom for you that will also have some
special pricing on there. And then of course Doug has
a promo code. If you use the promo code Doug,
that's going to say you own shipping on all orders.
Speaker 1 (17:19):
Elizabeth Miller from the folks at caled Tren. Thanks Elizabeth.
Regarding drugs that mostly nobody can pronounce the name of
which no one can pronounce, like, is it in lexzo?
Is that how you pronounce that?
Speaker 2 (17:34):
Doug, let me just clarify something you said, the weight
loss drugs. There's not been research done yet on them
to show that they're effective at shrinking tumors, so it's
going to be a while before the FDA approves that
it's in an animal study. So the next step is
not to ask the FDA to approve. The next step
(17:54):
is to do the research to see if it's similar
as it usually but not always is in humans, and
if that study shows to be safe and effective, then
the step after that would be to go to the FDA.
So it's a little bit out there. It's just some hope.
Let's talk about how else very active the FDA has
been this week. You mentioned in Lexo and this is
(18:17):
some new hope DOUG. The FDA has approved in Lexo
for adults with non muscle invasive bladder cancer that has
not responded to previous treatment. This approval provides a new
treatment option for a difficult to treat cancer. This is new.
Speaker 1 (18:34):
Hope, new hope. That's what we like. Bladder cancer is difficulty.
Is it rare? Is bladder cancer rare?
Speaker 2 (18:43):
It's not so rare. Anytime you have blooding your urine,
the doctor's going to look for it because it's not rare.
Speaker 1 (18:51):
Yeah, okay, all right, let's see. Here's another drug called
von vendi I have it right, So what's this scoop
with that?
Speaker 2 (18:59):
Yeah, And the FDA has approved an expanded Indication DOUG
for von Vendy. This allows its use in children with
von Willibrand's disease. It's the first non plasma derived product
available for pediatric patients with this inherited bleeding disorder. So
(19:20):
this is hope. It's not a very common problem, but
when it presents, it's horrible. And the previous drugs were
very expensive, hard to collect because that all came from.
You had to get them out of plasma, even plasma.
And this is a recombinant von Willibrand factor performed drug
(19:44):
and it's just a high tech way of getting it
and it'll make it much more available to these unfortunate
children that are born with this inherited bleeding disorder. But
if you've ever seen one, as I have, you know
it breaks your heart.
Speaker 1 (19:57):
Right, Okay, So the third drug risperidone. How am I
doing on pronunciation ris parodone?
Speaker 2 (20:05):
Yes, And this is a new hope for many people
suffering from severe mental health issues DOUG. An extended release
injectable version of risk parodone was approved for schizophrenia and
bipolar one disorder. It offers a monthly injection a monthly injection,
and this may improve patient adherence and reduce relapse rates
(20:29):
compared to daily oral medication. The long acting injectable format
addresses a critical need in mental health DOUG, where medication
adherence can be a major challenge for people with chronic conditions.
Speaker 1 (20:44):
How frequently is how does that manifest? How frequently does
that manifest something?
Speaker 2 (20:49):
Schizophrenia? Have you been reading the newspapers?
Speaker 1 (20:54):
No? I try not to guess.
Speaker 2 (20:59):
Well, you know this is you know people who you know,
as my psychiatry professor used to call them crazy. I
mean that's you know, it may not be the best
term to use anymore, but when I was in medical school,
you know, the popular term was the person was crazy.
These are people who hallucinate, you know, see things that
(21:22):
are not there, hear things that are not there, and
also what used to be called manic depression. So these
are significant severe mental health problems where people can be
very dangerous.
Speaker 1 (21:38):
Yeah. Well, we see a lot of that stuff around unfortunately.
How much of it is the homeless or the unhoused,
or however you want to refer to people that are
on the street, how much of that affects them or
the other way around? Maybe is the question?
Speaker 2 (21:54):
Well it works in both ways.
Speaker 1 (21:57):
Yeah, going, coming and going if you will. All right,
So now the next question has to do with artificial sweeteners.
The next question of the concern some research done on
that and the results are not good.
Speaker 2 (22:13):
Yeah, Doug. This is a publication this week in the
very well regarded medical journal Neurology. That's with an end
as a Nancy Neurology, Doug. People who consume the highest
levels of artificial sweeteners during middle age show the fastest
declines in cognitive functions such as memory as they move
(22:35):
into the senior years. And these results are even worse
for diabetics. So I think the take home from this
study is you don't have to one hundred percent give
up your artificial sweeteners, and they looked at them all. Now,
you just have to do everything in moderation. You know,
when you get over two servings, you know, maybe one
(22:56):
serving a day, two servings makes me a little uneasy,
but definitely more than two. You're going to be in
this group that saw their cognitive function, the ability to think,
to remember, to cline much faster. And this is probably
one of the biggest concerns people have as they get
into adult and later, and it should be a big concern.
Speaker 1 (23:19):
Well, all this material that we're talking about, we wouldn't
be talking about it if it wasn't concerning. Frankly, as
with last week, I had some interesting feedback on our
discussion of Omega three drugs drugs, Omega three fats and
the confusion that people have with Omega six and three
and nine and YadA YadA, because there's a product around
(23:41):
that is it touts something that we talk a lot about,
olive oil and maybe taking a swig of it at night.
I encountered somebody at an event not long ago who
has been for years selling a oil compound that's three,
six and nine and said that's what you should take
at night before you go to bed. And you know,
(24:02):
he seemed credible, and maybe a little bit goes a
long way, because I know that we were really good
at focusing and explaining the omega threes, which is, frankly,
since I have known you of the last twenty years,
that's all I take. I take two or three capsules
of omega threes a day. But it was interesting that
somebody said, I'm still confused, And so maybe it's degrees omega.
(24:28):
If you're going to take a fish oil. If you
want oil from a fish, eat the fish. But if
you can't do that, then like I do this two
or three times a day, omega threes. But is there
any value? I guess the bottom line to sixes and
nine at all to clarify what we were talking about.
Speaker 2 (24:46):
You just want balance, don't overdo it, and focus on
omega threes, right.
Speaker 1 (24:52):
Okay, that's what I thought, all right, So check it
out last week's podcast a Good Day Healthshow dot com.
If you want more information on that coming up sitting
on the toilet, What does that do for you? It
may not be what you would like it. Well, listen,
we'll figure it out well, as Ken says, we'll get
to the bottom of it. We'll take this apart. Ken
(25:13):
is one of the premier good guys in medicine. That's
why he's here in this program. Has been around for
as many years as he has with me on Good
Day Health. He runs Lake Cardiology, which is a clinic
down in Mondua, Florida, near Orlando. There are people who
come from all over the country, all over the world
to see Ken, and you can do that too. You
can either go see him or you're can have that
(25:35):
telemedicine connection. What you do is you dial up the
office at three five two seven three five fourteen hundred
for doctor Ken three five two seven three five fourteen hundred,
and you'll be on your way to an experience that
is not like anything else that you've had in medicine.
Kind of if I can take a second to underscore
(25:57):
the experience that you have taking Caldron pretty much the
same sort of thing. It's a simple habit. It takes
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It goes to work. It's not a quick fix. Takes
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then you'll notice the weight loss. And if you stay
on it, you'll see the fact not only does your
(26:18):
body reject or push the weight out, it keeps it off.
And that's why it's the best way to lose weight
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Here's another special for the month of September, and basically
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(26:39):
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(27:01):
through the night as it were. That's top loost dot
com for a calidron. All right, So the toilet and
sitting on the toilet, and what you do on the
toilet depends on I guess maybe as much as anything
else on your age. I don't know who does this,
but I guess I can envision people scrolling around on
(27:21):
their devices on the toilet. So what happens? I shouldn't
chuckle about it, but it is kind of a I mean,
you think about it.
Speaker 2 (27:29):
This is this is more common than you expect. This
was published this week in a very very esteve medical journal,
Doug plos one. And what we learn is that folks
who use a smartphone on the toilet they have a
forty six percent higher risk of hemorrhoids than those who
(27:49):
do not.
Speaker 1 (27:52):
Wow Fanning get the most from your toilet time? There
it is? Yep.
Speaker 2 (27:58):
Well, well, were you going to ask me why this
is so? As you usually do?
Speaker 1 (28:04):
Yeah, I mean I'm wondering also what it's connected to,
because a lot of men are concerned, you know, about
their prostate, etcetera. So how where does this go from here?
Speaker 2 (28:13):
Well, smartphone use Doug the theory to explain this observation,
which was done in a rather large number of people,
and that's a very significant increase smartphone use. It might
inadvertently prolong toilet time, potentially increasing pressure on the anus
(28:35):
and contributing to hemorrhoids. So just think about the next Yeah,
you close the door and pick up the phone. Maybe
you want to keep the phone out of the bathroom.
Speaker 1 (28:47):
One of the things that we are interested in doing
here is inspiring you and not interested in irritating you.
But Ken's got the rub for a lot of things,
and that certainly is one of them. Comment from you
if you care to about the huge seizure of myth,
the chemicals that came from China that have been seized
(29:09):
and what happens with you know, it's the largest seizure
apparently based back on our on our focus on the
Chinese and what goes on there. But meth, what does
it do to your body? You want to give us
a quick lesson in why you want to stay as
far away from meth or anything that's chemically like that
(29:30):
as you can.
Speaker 2 (29:33):
How do you spell kill me quickly? I mean, these
are just horrible poisons that are addictive and horribly destructive
to the body and shouldn't be near you. Picked up meth,
picked up cocaine in our shores, coming in from other countries.
It's just horrible. You know, it's an attack on us.
(29:55):
It's horrible, and it's about time this stopped. And we're
we're killing hundreds of thousands or more Americans each year
from all this stuff that's coming into our country that
should be kept out.
Speaker 1 (30:09):
Yeah, well, you know, they smile. What is the They
smile and shake your hand and they stick a knife
in your back. And that's the thing. And the younger
you are, the less you agree or know about this.
I talk to people all the time about these sorts
of things, and they think I'm exaggerating, but I'm not
so Anyway, word to the wise is sufficient coming up
(30:31):
in a matter of moments questions for doctor can and
we got plenty of them, some very interesting twists and
turns in the questions this week. So please stand by
for that the alert. Now you have the alert, so
be alert to the answers to the questions from doctor
Ken back with doctor Ken Kronhaus Doug Stephen. Some important
(30:56):
treatments and apparently there are off you probably are very
much aware of this because that's how you get paid
for most of the work that you do. There are
new focus there's a new focus on treatments that may change,
and a lot of patients are pretty leary of the changes.
What do you know about some of the things that
(31:17):
used to be covered by I didn't have to have
pre approval?
Speaker 2 (31:21):
I'm not sure. I guess you're talking about what do
I in general? What do I think about pre approval?
Is that what you're asking?
Speaker 1 (31:28):
Yeah, but is it changing the pre approval requirements for
certain things? Is it changing? It seems to according to
the popular press, it is changing.
Speaker 2 (31:37):
What you're reading, Is it getting worse or getting better? Worse?
Because it just it depends on the ensure because there's
so much pre approval right now, and it's hard to
imagine it's going to get even worse, and you know,
the hope is that it's going to get better. But
(32:00):
this is a way that it delays treatment. And it's
sad that the hurdles that that we as providers have
to go through sometimes to get treated with the hope
that we won't go through the hurdles give up and
the treatments won't occur. But pre approval is a huge
(32:20):
problem and it's something that you know, the medical organizations
are trying to limit and this, you know, this is
a huge battle all right.
Speaker 1 (32:30):
Next question comes on the weight of something. I'm trying
to understand this, but let me wrap myself around it
and see what you think. This person has a large
nodule a swelling on her elbow and she doesn't remember
whether she heard it or not, but it's swelling and
it's beginning to get sore, and so should she see
(32:51):
a dermatologist or an internist? How do you know? I
guess that specific question for that thing, but in general,
how do you know what doc to go see? Because
the world is full of specialists. Now, do you have
to go to the primary care person and then that
person tells you where to go? Or can you start?
You know, like you've got a problem coughing, you call
the guy that takes care of your lunch. So where
(33:13):
do you start? Go ahead?
Speaker 2 (33:16):
This is why everybody needs a good primary care provider
because they, if you will, are your traffic director. And
it's not a good idea to be your own primary
care provider. And a good primary care provider wants to
coordinate your care, wants to do initial evaluation and then
(33:36):
figure out where you should go, and hopefully knows the
best people in the field to refer you to and
then follows up with you to make sure it gets done.
This is what a good internist family physician does. A
good primary care person does, so if one doesn't know,
is ensure where they should be going. That's what you
(33:58):
always call first your primary care person, and that's their job.
But something like this, a large bump in the elbow,
it could be presidais from an inflamed, fluid filled sack dug.
This often causes caused by some pressure or trauma. Other
things can be things like a gangly in cyst, and
(34:22):
it could be other skin conditions psoriasis, exima, a wound,
a benign growth such as a lipoma. I just point
out all these possible diagnoses so you can see it
stretches the orthopedic doctor, the rheumatologists, the dermatologists. So often
it's very hard for a patient to know. And that's
(34:44):
why having a good primary care physician, especially for the
kind of issue that you brought up, where it can
stem from multiple potential specialties depending on the ultimate diagnosis,
it's good to have a good primary care provider.
Speaker 1 (34:58):
What's ezema? That's it? I think you just mentioned it,
and I think a lot of people don't really know
what ezema? It's it could be pronounced eema because it's
ecz or egzema.
Speaker 2 (35:10):
What is it? It's a skin condition. It's an inflammatory condition.
It's fairly common, but it's often not known what the
cause is. It's thought of as a chronic skin condition.
It's usually dry, itchy, and inflamed skin. It often affects
people children. Ten to thirty percent of children and about
(35:34):
two to ten percent of adults have this.
Speaker 1 (35:37):
Wow.
Speaker 2 (35:39):
Unknown, Yeah, it felt to be a combination of genetics
and environment. It's one of those things when we really
we say that when we really don't know.
Speaker 1 (35:48):
All right, There they are some answer to some questions
for doctor Ken. Quite a Good Day Health every week.
Catch it on a podcast or on the radio. On
the podcast. Whatever your source for podcasts, you'll find Good
Day Health show listed there. I'm Doug Stephan. This program
was produced at Bobksound and Recording.
Speaker 2 (36:05):
Please visit bobksound dot com.
Speaker 1 (36:08):
This Good Day Health Doug Stefan with Doctor Ken Cronhous
sponsored in part by Caldron, which is the safe way
for you to lose weight and keep it off.
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