April 8, 2025 • 35 mins
Tuesday, April 8 - 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 start with some good news from the world of medicine with a simple smell test for early detection of Alzheimer’s in an effort to treat the neurodegenerative disease early. Then, the conversation shifts to a focus between the connection between heart problems and brain diseases, evidence of animals and degenerative brain diseases, the FDA approves the first home-based nonprescription diagnostic test for certain STDs for women, sugar substitutes and why they aren’t always a better alternative, children of obese mothers are more likely to become an obese adult, and the differences between the diabetes and weight loss drugs. Questioning why it’s so difficult to find a doctor, and why there’s such a long weight to get in with your medical team, the latest information on the Avian Flu, and changes in Medicaid affecting your wallet. Doug and Dr. Ken discuss that, too.
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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. Over the years, Ken has
helped a lot of people, tens of thousands of people
understand their bodies what's going on in the world of
good health. Doctor Ken practices medicine at Lake Cardiology down
in Mondua, Florida, and as such, he's got a great
(00:23):
staff of people, sees people all day every day. He's
the hardest working guy. Starts in the morning. You can
find him there at ten o'clock eleven o'clock. I remember
last year one of the ladies down there said she
was working with you at midnight one night.
Speaker 2 (00:37):
So that's what you have with doctor Ken.
Speaker 1 (00:39):
Maybe it's not the rule, but he does get his
expertise from reading a lot of the journals and we
translate into English and understandable English. The results of Ken
studying what the people that write these journals have studied
about what's happening in conventional medicine today, not only in
America but around the world. And every week you can
(01:02):
hear these conversations on Good Day Health, the Health show
on hundreds of radio stations, around the country. But the
other thing that's good is if you don't get to
hear the whole thing or hear it at all on
the radio, you can hear it as a podcast at
Goodday Healthshow dot com.
Speaker 2 (01:18):
Okay, now let's see here what we have. Let's talk
about the good stuff.
Speaker 1 (01:23):
I always like to start the program with at least
if I can find one good thing that you've overviewed.
And it looks like the smell test. This is something
I read about myself this week. I was going to
ask you if you didn't bring it up, but there's
a simple smell test that is I mean, Alzheimer's is
not good news no matter how you slice it can.
But if you can prevent it by predicting it, that's
(01:48):
a good step in the right direction, isn't.
Speaker 3 (01:49):
It Absolutely, Because then you can treat it early, and
then you can know how well you're treating it. So
it's very helpful to be able to test for And
I think in the next five years plus or minus,
we're going to have definitely blood tests, objective tests for Alzheimer's.
(02:10):
They're coming and in the news and the medical news
this week, Doug is a new Peel and sniff card
that was tested by one hundred and eighty adults, and
the results showed DOUG those with mild cognitive impairment, they
had significantly more trouble identifying and remembering odors. So losing
(02:31):
your sense of smell can be an early warning sign
of Alzheimer's disease and other cognitive disorders. These are the
problems with memory and with thinking.
Speaker 1 (02:42):
All right, So how about other senses? We have the
five senses? What about losing your eyesight or I guess
hearing maybe might be even better, A better example.
Speaker 2 (02:53):
I know some people.
Speaker 1 (02:54):
I know one fellow who works with me and has
for years and years and years, is coming down with it.
He doesn't know it, but I have to.
Speaker 2 (03:01):
Be very careful.
Speaker 1 (03:02):
I want to encourage him to keep working, to keep
being around us, because where his friends, his family. He's
a wonderful fellow. He's my age. But he's failing very rapidly,
losing weight. And I keep a careful eye on him.
But I don't want to not have him around because
he doesn't really have anybody else to watch him, and
(03:23):
so I'm but he's not only is his sense of smell.
Speaker 2 (03:26):
I just realized that this week.
Speaker 1 (03:27):
But his sense of hearing does that have anything? Is
there any connection there?
Speaker 3 (03:31):
Do you think? Well? I do. But with these senses
and with loss of thinking and remembering, you have to
figure out what's the chicken and what's the end, which
is causing which? And you know, I think with in
terms of the smell, what they're trying to suggest is
that you first lose your ability to think and and
(03:56):
it then might affect your smell. But I think with
hearing it's the other way around. There has been some
data that shows that people who lose their sense of
hearing well, then it affects their thinking. And this is
one of the ways to prevent Alzheimer's, not as a
warning that there's Alzheimer's coming. So one important thing to
(04:19):
help delay the ultimate Alzheimer's that so many of us
will get at some point is to make sure that
our hearing is good. If we have diminished hearings, just
like when we have visual issues, we get glasses. If
we have hearing issues, we should get hearing aids and
improve our hearing to try to avoid delay prevent Alzheimer's.
Speaker 1 (04:44):
So if one somebody listening to this program right now
is thinking, well, I'm not smelling as well as I
did before, or I'm not hearing as well, or whatever
the other markers are of this.
Speaker 2 (04:55):
What do they do? Where are they going?
Speaker 3 (04:57):
Easy? Yeah, just tell your doctor and if your primary
care doctor, and many of them do do these thinking tests,
and they're pretty easy. It's pretty easy to give somebody
a routine thinking test, and some internals do it, but
certainly all neurologists do it. So to get a sense
(05:17):
of how thinking and remembering is. It's not too hard
to assess that by a trained physician. MM.
Speaker 1 (05:25):
Well, something to be and don't kid yourself, don't deny it.
Don't say to yourself, oh, that's not really me.
Speaker 3 (05:33):
The nice thing about it is that you can then
try to help get to it early to delay its progression,
and you can also assess how well your treatment is
doing so some way to measure it. There is practical
value to know how to measure it. And again, as
I said, I think these blood tests that are going
(05:55):
to measure the protein that's produced in the brain bad,
how protein that's produced in Alzheimer's. The blood tests that
are going to measure this specifically in the next few years,
they're available right now in some form in research hospitals,
but to be available like any routine tests. I think
(06:17):
in the next few years we're going to have this
is part of the same blood tests that you go
to the lab for each year.
Speaker 1 (06:25):
Well, you'll be recognizing what the trend might be. But
then the next problem is how do you deal with it?
How do you how do you fix it? Because there's
no fix for it at the moment, and well, if you're.
Speaker 3 (06:37):
No how to if you know how to measure it,
it makes it a little easier to help it because
you can assess how well you're doing, and you can
test various things to assess how well you're doing, so
that that would be a great milestone to help in
developing treatments if we can really better assess how well
(07:00):
we're doing with treating it.
Speaker 1 (07:02):
First part of the program this week has to do
with your brain.
Speaker 2 (07:06):
I want to go down that road a little bit
more with doctor Ken in a few moments.
Speaker 1 (07:09):
First of all, I do want to direct you to
thinking about the digital playground that's all around is certainly
here to stay. And if you're a parent, you're on
the front lines with your children. So how do you
teach your children to build a healthy relationship with the
things that they can play with if you will in
(07:29):
the digital.
Speaker 2 (07:30):
Playground like gaming.
Speaker 1 (07:32):
Jason Small here now with more on that story.
Speaker 4 (07:35):
Navigating kids and gaming, we can help stay tuned.
Speaker 5 (07:38):
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Speaker 4 (07:45):
Our top advice Play the game yourself to see if
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about it together.
Speaker 1 (07:52):
Second, create a gaming.
Speaker 4 (07:54):
Agreement with your child to set the right rules and
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Speaker 5 (08:05):
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Speaker 1 (09:06):
Back here on good Day helping doctor Ken Cronhouse. Remember
doctor Ken is at your service. Call his office for
an appointment. Go down to Florida like I'm doing as
this program is airing. I'm on my way to see
doctor Ken to have my annual overview, talk to his folks.
It seems like I love going down there, and it
seems more frequently, even though it is every year and
(09:28):
once a year, it just seems like because of the
folks on your staff, like Sandy, just be have become
great friends. And it seems like we just had lunch
like a couple of weeks ago. But there it is again.
You can take advantage of the same opportunity. Call the
office at Lake Cardiology three five two seven three five fourteen.
Speaker 2 (09:52):
Hundred for an appointment with doctor Kene.
Speaker 1 (09:55):
Five two seven three five fourteen hundred. So I want
to spend some more time talking the brain. There is
a connection between heart problems. You're a cardiologist, so you
would be on the front line of this, tied to
one's brain getting smaller, and I guess what I want.
Also here is the discussion of is Alzheimer's strictly in
(10:15):
the brain. It's just the effect of what's happening dementia.
Alzheimer's is strictly in your brain. Is that true?
Speaker 3 (10:23):
Yes? Well, this is an interesting study published this week
in the medical journal Neurology. Doug. Doug heart disease appears
to contribute to the sort of brain shrinking that's seen
in dementia. So people with early signs of heart problems
are more likely to have brain changes associated with dementia. Specifically,
(10:48):
people whose hearts are not pumping blood efficiently are more
likely to have smaller brain volumes than people with healthy hearts.
The study shows that even mild dysfunction is associated with
adverse brain health. Another interesting relationship between both the brain
(11:10):
and the heart.
Speaker 1 (11:11):
All right, by the time this program is well, you
will do our tests and one of the things that
we look at each week, and Ken, we'll talk to
you about it next week because I give up my
hippo writes because I think it's good information for people
that have is what's happening with my car carotid arteries
and how that affects what's going on in my brains.
That's stuff that is all part of this overview that
(11:33):
we've spent time on as we look at your brain
and what's going on with brains in the human condition.
If you will, all right back on good day, doctor Ken.
Let's focus on we're talking about human beings. Is there
(11:53):
any evidence because you know, I do this program the
American Family Farmer every week and on the program this
week we talk a.
Speaker 2 (11:59):
Lot about animals, therapy and that sort of thing.
Speaker 1 (12:02):
We certainly have the egg stuff and what's going on
on farms, bird flu. What about the animal world, the
animal kingdom? Do they get Alzheimer's.
Speaker 3 (12:13):
Well, some animals DOUG do exhibit age related cognitive decline
we're talking about thinking and remembering, but most do not
develop Alzheimer's disease in the same way as humans. Probably
the chimpanzee and other primates. They've been observed to develop
some changes similar to Alzheimer's, but not dogs and cats.
Speaker 1 (12:37):
Okay, all right, that's good to know. I don't know
my dog Daisy may is going to be that. She
won't go down that road.
Speaker 2 (12:45):
All right.
Speaker 1 (12:46):
So other tests we're talking about the tests that were
being done, the test smell and stuff tests for Alzheimer's.
So there's another at home test that's been approved by
the FDA. You want to tell us a story about that.
Speaker 2 (13:01):
What this is about, right?
Speaker 3 (13:03):
This has nothing to do with dementia. This is a breakthrough.
The FDA just this week has approved the first home
based ug non prescription diagnostic test for you ready, chlamydia,
gonorrhea and trick emonas and women. It's called the Visibly
(13:23):
Medical Women's Sexual Health Test. It's a mouthful, the visibly
Medical Women's Sexual Health Test. It's received marketing authorization to
diagnose chlamydia, gonorrhea and trick emmonas.
Speaker 1 (13:37):
Women, so sex sexually transmitted, sexually trans.
Speaker 2 (13:43):
Yeah, so why just women? Why not have a test
for men?
Speaker 3 (13:46):
Well?
Speaker 1 (13:50):
Yeah, right, yeah, I mean it seems to me, if
you're gonna do it, it takes two to tango. These
things don't get transmitted by themselves.
Speaker 3 (14:00):
Well, I would imagine coming down the road is industry
and will have a device. But I guess the first
one that they made, and you know it's I don't
need to remind you about the anatomy. How it's he's
a little easier to get to perhaps, And well this
was the first plus for women, But I would imagine
(14:21):
there's going to be some smart person will come up
with one for men, and the FDA will to prove it.
Speaker 1 (14:27):
With all this focus, that makes all of us, or
many of us, most of us uncomfortable talking about sexuality
in the way that it has been talked about, the
essence of the different sexual things that you know, it's
not just a man and a woman anymore. We hear
all of these stories and you know, certainly the word
of the world of homosexuality has been a part of
(14:50):
life since man has walked the planet.
Speaker 2 (14:53):
A lot of people don't like to deal with it.
To go back to the ancient Greece.
Speaker 1 (14:59):
Among the popular numbers of homosexual men lesbian world. Also,
these sexually transmitted diseases can come about as a result
of sexual activity between two women or between two men.
So it's not just the fact that it's men and women.
It's all kinds of things that go on. And there's
some other weird stuff that I don't want to talk about.
(15:21):
I don't even want to imagine.
Speaker 3 (15:22):
It wasn't it was. It was approved for sex. Is
not not for genders, and not for the sexual behavior,
but for one sex.
Speaker 1 (15:33):
Yeah, right, exactly understanding that, but also you know, in
terms of the actuality of what's going on in the world,
as disgusting as it may be to some people or
as difficult as it is to wrap your head around it,
that's what's kind of going on. So this is for
women anyway, The tests for women, no matter what their sexual.
Speaker 2 (15:51):
Proclivity is all about.
Speaker 1 (15:54):
So taking care of that, and we'll happily pause now
and come back with a little bit more on the
weight laws drugs, because the use is going up so rapidly.
Speaker 2 (16:06):
Let's talk about what's.
Speaker 1 (16:07):
Available and what reality is there. In a matter of moments,
here on Good Day Health Back. We are with Elizabeth Miller,
who's here from Caldron. One of the things that I
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There's this new Lucky bundle you want to tell us
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The discount code is Doug Doug. You can use that
to make sure you get the best product and the
best pricing. Thanks to Elizabeth Miller for being here. I
am someone who frankly enjoys a good dish of ice cream.
Although I find myself having less than I used to.
Used to have ice cream every day. Now if I
have it a couple of times a week, that's a lot.
(17:24):
I'm a chocoholic. I love chocolate and the things that
are made with chocolate.
Speaker 2 (17:29):
But that's it.
Speaker 1 (17:30):
I don't have any other don't smoke, don't drink, never
did drugs. So I wonder as I think about I
think last week we talked about using apple cider vinegar
to delay some of the impact of sugar in your system.
But let's talk about what you can use besides regular sugar.
Looks like there is some news on using sugar substitutes.
(17:56):
This mannatcome across as being very good either ken right.
Speaker 3 (18:01):
This comes out of the journal Nature and Metabolism this week,
but it's something that we all need to know. It's
regarding sucralose, and this is the primary sweetener in Splendor
and it seems that in this study changes in brain
activity related to hunger occur when you consume sucralose. These
(18:24):
results appear to be a stronger craving for food, So sucralose,
the primary sweetenes in Splendor DOUG, may actually increase your
appetite and feelings of hunger some people.
Speaker 1 (18:38):
I was at a business meeting, was somebody yesterday and
it was we happen to do it at a.
Speaker 2 (18:43):
Starbucks, and I don't drink coffee.
Speaker 1 (18:46):
So he said to me he was doing some work,
and I said, you want something, and he said, yeah,
give me a nice tea with two splendors. And I
looked at him. I said, Splendor's not good for you.
He said, no, no, that's not Splendor's okay for you.
Speaker 2 (19:00):
And he used the other thing. What was the other thing?
Beginning with an s that.
Speaker 1 (19:04):
Wasn't good for us. I can't remember what the name
of it because I never used this stuff. I don't
If I drink a cup of tea like I did yesterday,
maybe put a little cane sugar, I mean not cane
but raw sugar. But what's the It was sac What
is it? The other maybe sacri? Yeah, maybe that was it.
Speaker 2 (19:24):
Yeah, So anyway, none of those things are good for it.
Speaker 3 (19:27):
That's in sweet, that's in sweet and low.
Speaker 1 (19:29):
Yeah, okay, all right, So anyway, sugar substance is not
good for you.
Speaker 2 (19:34):
Increases your appetite. So let's go another.
Speaker 1 (19:37):
Step here and talk about what happens when you're continuing.
Speaker 2 (19:41):
To eat to your body.
Speaker 1 (19:43):
Children and children of obese mothers especially look like the
focus of this study, and this is one of the
things that we don't need to study. You just look
around and see how many just plain old fat kids
there are around they have fat mothers. I know that
sounds very insensitive, but let's face it, you're fat and
(20:04):
you've eaten. You know, maybe sometimes it's not caused by
what you eat, but most of the time it is.
Speaker 2 (20:09):
So what's this study focused on? Children?
Speaker 3 (20:12):
Can Well, let's do this a little more delicately. This
is a study reported in Plos one, and I can
see the looks on folks and faces as they're hearing DOUG.
But this study reports that a mom's health DOUG and
lifestyle choices can actually affect her kid's risk of obesity
(20:36):
as adults. Specifically, a child in this study was determined
to be three to four times more likely to become
an obese adult if their mom was obese. So just
a huge, significantly increase risk of becoming obese if your
mom is so, moms, you have an incredible effect on
(20:57):
your children, not to say the obvious.
Speaker 2 (21:00):
Right, Okay, So then there's that.
Speaker 1 (21:01):
Let's go to page three of this focus, and that's
the drugs that are being used for a weight loss.
Speaker 2 (21:09):
There are a lot of knockoffs.
Speaker 1 (21:10):
Now. I heard an ad I think yesterday of the
day before on a radio program that was aimed at
getting people to do you know how they have the
ads now for a Viagra.
Speaker 2 (21:21):
You can get cheap.
Speaker 1 (21:22):
Viagra from Canada or wherever it comes from. I've forgotten
how much they have Viagra costs per pill, but this
was something that was like pennies on the dollar. And
so apparently there's something that's been done to knockoff these
weight loss drugs as well. So you can buy them
now for ninety percent less than what you pay in
the drug store for the prescription.
Speaker 2 (21:43):
One wonders if.
Speaker 1 (21:44):
It really works, and maybe we can talk about that
after you give us the update on how much actually
if these weight loss drugs are being used.
Speaker 3 (21:54):
Well, the simple answer is a huge amount, and this
was confirmed this week in the Annals of Internal Medicine,
a very believable medical journal read by most docs. So
the number of Americans taking cutting edge weight loss drugs
DOUG like ozempic with govi zepbound has skyrocketed in recent years.
(22:19):
According to this new study, seems the number of people
without diabetes taking a GLP one drug more than tripled
between twenty eighteen and twenty twenty two. And that's where
this data went to and I tell you it is
accelerated even further up to today. And that's in the
United States. And again this research was reported just this
(22:42):
week in the Annals of Internal Medicine.
Speaker 1 (22:45):
Okay, so these drugs you mentioned three, I think are
they're just other three.
Speaker 3 (22:51):
There's actually two compounds, and they've been marketed with both
a diabetic form and and a weight loss form. There's someemeglatide,
which is what goovi in the diet form, or zepic
in the diabetes form, and terzepetide and Manjaro is the
(23:14):
diabetes form, zep down is for the weight loss form.
They're the same compound, they're just branded with different names
for different uses. People who have trouble with serum blood
sugar and those who don't.
Speaker 1 (23:27):
Right, So, Ken, let's talk about the knockoffs again and
what people would expect to get. Would you advise your
client because a lot of people come to you with
heart problems. I need to lose weight, and you prescribe
this stuff. I'm sure you've been prescribing it hundreds of times.
Would you send them to the knockoff?
Speaker 3 (23:45):
Well, you're talking now about these compounded drugs, and I
would not because I have actually had a few patients
who've had safety issues with these trying to save money,
I've had a few patients where the outcomes, the effectiveness
clearly is nowhere near the actual. So the problem with
(24:08):
the knockoffs or the compounded ones are we just don't
know if they're safe. And you're taking your own safety
in your own hands, and if you are going to
take a knockoff, you need to make sure from the
manufacturer that they're safe and it's going to be up
to yourself to figure that out.
Speaker 1 (24:30):
Right, Okay, as long as you're doing all this discussion
about weight loss, let's talk about the problem the folks
that are listening to this problem to this program who
have a real serious problem with their weight.
Speaker 2 (24:43):
You're looking for help. A lot of you have gone
to the drugs.
Speaker 1 (24:46):
I've got another solution that works fine with the drugs.
It's a product called caldron C A L O t
R E N. You can take this drug loss product.
It's all natural, no toxicity at all. The no sugar
is not thing is three ingredients that are aimed at
helping you rebuild your body, lose the weight and rebuild
(25:07):
it the safe way. Go to toploss dot com, which is
the website for Caldron and see how the program works,
how it is compatible.
Speaker 2 (25:16):
With these drugs that Ken was talking about.
Speaker 1 (25:18):
A lot of people take them and they use it
as a backdrop for it because it's another way of
assuring you're going to return to health hopefully.
Speaker 2 (25:24):
By losing the weight.
Speaker 1 (25:27):
This is America's number one way to lose weight, the
natural way. And there are all kinds of things you
can find out on the website toplass dot com. You
can click on a particular area for the clinical trials
that have been done, the things that have happened, the
side benefits beside weight loss, joint pain is better, you
(25:48):
sleep better, all of those things that you hear me
talk about Elizabeth Miller all the time on this program.
As we review the good that comes from using Caldron.
Right now, I here's something else that's good. Back for
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(26:34):
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Speaker 1 (26:53):
All right, back on good day, healthy doctor Ken, Let's
focus on the problem. This is the most among doctors anyway,
And I'm going to tell you what an experience I
had with the doctor this weekend. The number of people
who want to go into medicine, and then numbers keep
going down and down, and it doesn't look like that number.
(27:14):
Those numbers. If you will plural are getting better. What's
the scoop here from the New England Journal of Medicine.
Speaker 3 (27:20):
Doug by twenty fifty the year twenty fifty, the number
of adults over eighty five is expected to triple, which
will just intensify the strain on an already stretched healthcare system.
So if you have a doctor, you may want to
wrap your arms around them because it's just not going
(27:44):
to get easier to find one. And it's challenging even now,
I especially hear from my patients to find an available,
good primary care doctor and even many specialists. And there's
a lot of reasons why it's getting even harder to
find a doctor. We could talk about some of them. Certainly,
(28:08):
COVID nineteen encouraged a lot to retire. There's burnout going on.
There's also issues with reimbursement. You know that, you know
the doctors don't want to complain about payments, but you
know when that payment that goes to the physician pays
for all the overhead for running a small business, which
(28:30):
is what a practice is, and that amount is thirty
percent of what it was in two thousand and one,
and over the last five years we all know go
to the grocery store that will have the prices have
gone up, but the reimbursements for physician services have gone
down the last five years, and they've gone down thirty
(28:50):
percent since two thousand and one inflation included. So it's
it's getting you know, you know, it's just getting challenging
for people to practice medicine with all the issues. And
I think that's why we're losing a lot of great doctors.
Speaker 1 (29:07):
Speaking of losing that was, by the way, an excellent summary.
Val Kilmer, as we're doing this program, has passed away
with sixty five years of age. Here's a fellow that's
had a lot of health issues due to various things
that he might not have done if he had thought
about it, but he did. And the last of the
second of the Top Gun movies, Val Kilmer was in it,
(29:31):
and he was he played the role with the disease
that he died from, and he was in his attire
included the way he had to live his life. He
was dressed with in the things that he needed to
sustain his life at sixty five. But if you look
at the illness and what he had to live through,
(29:54):
you look at some of the things that people who
go through these lung.
Speaker 2 (29:59):
Diseases they have.
Speaker 3 (30:00):
I just.
Speaker 2 (30:03):
He got it when.
Speaker 1 (30:04):
He was I think fifty four fifty five, and he
lived with her for ten years. But having those those
devices and having to live with them, Ken, it's got
to be a horrible way to live and die.
Speaker 3 (30:16):
Yeah, it's sad at sixty five at a young age.
Speaker 1 (30:19):
Yeah, yeah, I don't know. Anyway, I'm next questions for
doctor Ken on Good Day Health. All right, So I'm
going to wrap myself around. I have one question I
want to talk about. Then I want to talk about
an experience that I had with a doctor this week.
Speaker 2 (30:40):
What do we need to know? What's new on the
bird flew front? Ken?
Speaker 1 (30:44):
Human cases Now a few more of them around as
we go into April, a few more dairy cattle I've
had outbreaks of the disease. The government supposedly is taking
six hundred samples a day of blood from chickens, from cows,
I guess from even from people.
Speaker 3 (31:05):
Well, I think basically the problem is expanding, and the
people like yourself who work around the cows and on
the farms are the people who are most at risk.
And it's still fortunately not many non farm workers who
have gotten it, but it's probably down the road a.
Speaker 2 (31:28):
Bit something to think about.
Speaker 1 (31:30):
Anyway, Right now I want to tell you about I'm
going to have a procedure done. I've had back trouble
all my life. The lower extremities of my spine are arthritic.
Speaker 2 (31:44):
I started on the farm. I was as a kid,
the strongest kid around for my size. I was lifting.
Speaker 1 (31:49):
Jugs of milk and bags of grain and bales of hay,
and I lifted them the wrong way. Lifting them with
my back is tead of my legs. Nobody told me
that I wasn't very smart doing it the way I
was doing it, And so by the time I was eighteen,
I had serious problems with my lower back. And all
through my life I've had problems with my back, and
they've culminated recently in I walk okay, but every step hurts.
(32:13):
And I've found out that it's a combination of bresidas
in my left hip, but more importantly in my lower spine.
So I've decided to have an experience that I'll tell
you about as I go through it. But the doctor
the reason I'm bringing up, well, it's two reasons, because
I'm going to get it done. What it is is
shots of various things like steroids and the things that
(32:38):
dead and the pain when you get them in any
part of your body. But these go into special places
in your spine. And so I'll tell you what happens
after I have the experience. But the doctor and I
had a conversation that was very disturbing, not that we
haven't had it here Ken, but I thought i'd devote
a few minutes to this whole business.
Speaker 2 (33:00):
Is what we said.
Speaker 1 (33:01):
Earlier in the program about physician shortages and what's causing them.
One of the things this fellow says that he's an
Egyptian that came to America to go to school and
he stayed here and he's very well known in our
area as a specialist of the spine. But he said,
you know, he was talking to me like you talked
to me about Medicare. His premiums are up twenty five
(33:22):
percent and what he's getting reimbursement for is down twenty
five percent.
Speaker 2 (33:27):
So there's a huge.
Speaker 1 (33:28):
Gap, and people are wondering why when identify pay before,
do I have to pay now? Do you want to
add to that conversation about Medicare because you're going to
be going through the same thing as well.
Speaker 3 (33:39):
That's what I was stating. And the issue these days
is that all of the insurers decide how much they're
going to pay physicians based on what the government decides
the Medicare reimbursements will be. Well, the dirty little secret
is that physicians have no control over what they can
charge you. Because very few people just pay self pay.
They pay based on what the guaranteed rate is for
(34:01):
their insurance, and so doctors' physicians have very little control
over what they charge anybody. They basically take what they're
given by the insurer, and it comes from the top
from what Medicare decides it's going to pay its physicians.
Each year. This payment not only goes very a small
fraction if it goes directly to the physician, it's what's
(34:24):
used to pay for the entire practice, all the overhead,
to pay the employees, everything to run the practice. And
again what I said earlier, what I would get paid
for any procedure in two thousand and one today is
thirty percent less. And how do you run a business
when you're getting paid thirty percent less of what you
(34:46):
did in two thousand and one With the way costs
have gone up, and that's why this doctor's telling you
the same thing. And that's why so many of my
colleagues have one foot out the door. They just can't
run it anymore. Or they're turning it over to corporation,
and you've had your experience with corporate medicine, how you
love it. And or they're turning it over to some
(35:06):
big institution where the relationship is not with you, it's
with the institution, you being the doctor. So tell your
congress person there's a bill up for Congress, both sides
supported to get rid of these cuts in physician reimbursement.
Speaker 1 (35:22):
All right, Ken, thank you for that expertise in that story.
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. Over the years, Ken has
helped a lot of people, tens of thousands of people
understand their bodies what's going on in the world of
good health. Doctor Ken practices medicine at Lake Cardiology down
in Mondua, Florida, and as such, he's got a great
(00:23):
staff of people, sees people all day every day. He's
the hardest working guy. Starts in the morning. You can
find him there at ten o'clock eleven o'clock. I remember
last year one of the ladies down there said she
was working with you at midnight one night.
Speaker 2 (00:37):
So that's what you have with doctor Ken.
Speaker 1 (00:39):
Maybe it's not the rule, but he does get his
expertise from reading a lot of the journals and we
translate into English and understandable English. The results of Ken
studying what the people that write these journals have studied
about what's happening in conventional medicine today, not only in
America but around the world. And every week you can
(01:02):
hear these conversations on Good Day Health, the Health show
on hundreds of radio stations, around the country. But the
other thing that's good is if you don't get to
hear the whole thing or hear it at all on
the radio, you can hear it as a podcast at
Goodday Healthshow dot com.
Speaker 2 (01:18):
Okay, now let's see here what we have. Let's talk
about the good stuff.
Speaker 1 (01:23):
I always like to start the program with at least
if I can find one good thing that you've overviewed.
And it looks like the smell test. This is something
I read about myself this week. I was going to
ask you if you didn't bring it up, but there's
a simple smell test that is I mean, Alzheimer's is
not good news no matter how you slice it can.
But if you can prevent it by predicting it, that's
(01:48):
a good step in the right direction, isn't.
Speaker 3 (01:49):
It Absolutely, Because then you can treat it early, and
then you can know how well you're treating it. So
it's very helpful to be able to test for And
I think in the next five years plus or minus,
we're going to have definitely blood tests, objective tests for Alzheimer's.
(02:10):
They're coming and in the news and the medical news
this week, Doug is a new Peel and sniff card
that was tested by one hundred and eighty adults, and
the results showed DOUG those with mild cognitive impairment, they
had significantly more trouble identifying and remembering odors. So losing
(02:31):
your sense of smell can be an early warning sign
of Alzheimer's disease and other cognitive disorders. These are the
problems with memory and with thinking.
Speaker 1 (02:42):
All right, So how about other senses? We have the
five senses? What about losing your eyesight or I guess
hearing maybe might be even better, A better example.
Speaker 2 (02:53):
I know some people.
Speaker 1 (02:54):
I know one fellow who works with me and has
for years and years and years, is coming down with it.
He doesn't know it, but I have to.
Speaker 2 (03:01):
Be very careful.
Speaker 1 (03:02):
I want to encourage him to keep working, to keep
being around us, because where his friends, his family. He's
a wonderful fellow. He's my age. But he's failing very rapidly,
losing weight. And I keep a careful eye on him.
But I don't want to not have him around because
he doesn't really have anybody else to watch him, and
(03:23):
so I'm but he's not only is his sense of smell.
Speaker 2 (03:26):
I just realized that this week.
Speaker 1 (03:27):
But his sense of hearing does that have anything? Is
there any connection there?
Speaker 3 (03:31):
Do you think? Well? I do. But with these senses
and with loss of thinking and remembering, you have to
figure out what's the chicken and what's the end, which
is causing which? And you know, I think with in
terms of the smell, what they're trying to suggest is
that you first lose your ability to think and and
(03:56):
it then might affect your smell. But I think with
hearing it's the other way around. There has been some
data that shows that people who lose their sense of
hearing well, then it affects their thinking. And this is
one of the ways to prevent Alzheimer's, not as a
warning that there's Alzheimer's coming. So one important thing to
(04:19):
help delay the ultimate Alzheimer's that so many of us
will get at some point is to make sure that
our hearing is good. If we have diminished hearings, just
like when we have visual issues, we get glasses. If
we have hearing issues, we should get hearing aids and
improve our hearing to try to avoid delay prevent Alzheimer's.
Speaker 1 (04:44):
So if one somebody listening to this program right now
is thinking, well, I'm not smelling as well as I
did before, or I'm not hearing as well, or whatever
the other markers are of this.
Speaker 2 (04:55):
What do they do? Where are they going?
Speaker 3 (04:57):
Easy? Yeah, just tell your doctor and if your primary
care doctor, and many of them do do these thinking tests,
and they're pretty easy. It's pretty easy to give somebody
a routine thinking test, and some internals do it, but
certainly all neurologists do it. So to get a sense
(05:17):
of how thinking and remembering is. It's not too hard
to assess that by a trained physician. MM.
Speaker 1 (05:25):
Well, something to be and don't kid yourself, don't deny it.
Don't say to yourself, oh, that's not really me.
Speaker 3 (05:33):
The nice thing about it is that you can then
try to help get to it early to delay its progression,
and you can also assess how well your treatment is
doing so some way to measure it. There is practical
value to know how to measure it. And again, as
I said, I think these blood tests that are going
(05:55):
to measure the protein that's produced in the brain bad,
how protein that's produced in Alzheimer's. The blood tests that
are going to measure this specifically in the next few years,
they're available right now in some form in research hospitals,
but to be available like any routine tests. I think
(06:17):
in the next few years we're going to have this
is part of the same blood tests that you go
to the lab for each year.
Speaker 1 (06:25):
Well, you'll be recognizing what the trend might be. But
then the next problem is how do you deal with it?
How do you how do you fix it? Because there's
no fix for it at the moment, and well, if you're.
Speaker 3 (06:37):
No how to if you know how to measure it,
it makes it a little easier to help it because
you can assess how well you're doing, and you can
test various things to assess how well you're doing, so
that that would be a great milestone to help in
developing treatments if we can really better assess how well
(07:00):
we're doing with treating it.
Speaker 1 (07:02):
First part of the program this week has to do
with your brain.
Speaker 2 (07:06):
I want to go down that road a little bit
more with doctor Ken in a few moments.
Speaker 1 (07:09):
First of all, I do want to direct you to
thinking about the digital playground that's all around is certainly
here to stay. And if you're a parent, you're on
the front lines with your children. So how do you
teach your children to build a healthy relationship with the
things that they can play with if you will in
(07:29):
the digital.
Speaker 2 (07:30):
Playground like gaming.
Speaker 1 (07:32):
Jason Small here now with more on that story.
Speaker 4 (07:35):
Navigating kids and gaming, we can help stay tuned.
Speaker 5 (07:38):
This audio piece is brought to you by Verizon. Bundle
your Internet and mobile for easy savings. Learn more at
Verizon dot com.
Speaker 4 (07:45):
Our top advice Play the game yourself to see if
you think it's a fit for your child. From there,
you can watch your child play the game and talk
about it together.
Speaker 1 (07:52):
Second, create a gaming.
Speaker 4 (07:54):
Agreement with your child to set the right rules and
explain what's behind them. Victor and Dad finally join in
the game and make it something you enjoy together. For
more parent proven tips, visit Verizon dot com slash parenting.
Speaker 5 (08:05):
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Learn more at autotrader dot com.
Speaker 1 (09:06):
Back here on good Day helping doctor Ken Cronhouse. Remember
doctor Ken is at your service. Call his office for
an appointment. Go down to Florida like I'm doing as
this program is airing. I'm on my way to see
doctor Ken to have my annual overview, talk to his folks.
It seems like I love going down there, and it
seems more frequently, even though it is every year and
(09:28):
once a year, it just seems like because of the
folks on your staff, like Sandy, just be have become
great friends. And it seems like we just had lunch
like a couple of weeks ago. But there it is again.
You can take advantage of the same opportunity. Call the
office at Lake Cardiology three five two seven three five fourteen.
Speaker 2 (09:52):
Hundred for an appointment with doctor Kene.
Speaker 1 (09:55):
Five two seven three five fourteen hundred. So I want
to spend some more time talking the brain. There is
a connection between heart problems. You're a cardiologist, so you
would be on the front line of this, tied to
one's brain getting smaller, and I guess what I want.
Also here is the discussion of is Alzheimer's strictly in
(10:15):
the brain. It's just the effect of what's happening dementia.
Alzheimer's is strictly in your brain. Is that true?
Speaker 3 (10:23):
Yes? Well, this is an interesting study published this week
in the medical journal Neurology. Doug. Doug heart disease appears
to contribute to the sort of brain shrinking that's seen
in dementia. So people with early signs of heart problems
are more likely to have brain changes associated with dementia. Specifically,
(10:48):
people whose hearts are not pumping blood efficiently are more
likely to have smaller brain volumes than people with healthy hearts.
The study shows that even mild dysfunction is associated with
adverse brain health. Another interesting relationship between both the brain
(11:10):
and the heart.
Speaker 1 (11:11):
All right, by the time this program is well, you
will do our tests and one of the things that
we look at each week, and Ken, we'll talk to
you about it next week because I give up my
hippo writes because I think it's good information for people
that have is what's happening with my car carotid arteries
and how that affects what's going on in my brains.
That's stuff that is all part of this overview that
(11:33):
we've spent time on as we look at your brain
and what's going on with brains in the human condition.
If you will, all right back on good day, doctor Ken.
Let's focus on we're talking about human beings. Is there
(11:53):
any evidence because you know, I do this program the
American Family Farmer every week and on the program this
week we talk a.
Speaker 2 (11:59):
Lot about animals, therapy and that sort of thing.
Speaker 1 (12:02):
We certainly have the egg stuff and what's going on
on farms, bird flu. What about the animal world, the
animal kingdom? Do they get Alzheimer's.
Speaker 3 (12:13):
Well, some animals DOUG do exhibit age related cognitive decline
we're talking about thinking and remembering, but most do not
develop Alzheimer's disease in the same way as humans. Probably
the chimpanzee and other primates. They've been observed to develop
some changes similar to Alzheimer's, but not dogs and cats.
Speaker 1 (12:37):
Okay, all right, that's good to know. I don't know
my dog Daisy may is going to be that. She
won't go down that road.
Speaker 2 (12:45):
All right.
Speaker 1 (12:46):
So other tests we're talking about the tests that were
being done, the test smell and stuff tests for Alzheimer's.
So there's another at home test that's been approved by
the FDA. You want to tell us a story about that.
Speaker 2 (13:01):
What this is about, right?
Speaker 3 (13:03):
This has nothing to do with dementia. This is a breakthrough.
The FDA just this week has approved the first home
based ug non prescription diagnostic test for you ready, chlamydia,
gonorrhea and trick emonas and women. It's called the Visibly
(13:23):
Medical Women's Sexual Health Test. It's a mouthful, the visibly
Medical Women's Sexual Health Test. It's received marketing authorization to
diagnose chlamydia, gonorrhea and trick emmonas.
Speaker 1 (13:37):
Women, so sex sexually transmitted, sexually trans.
Speaker 2 (13:43):
Yeah, so why just women? Why not have a test
for men?
Speaker 3 (13:46):
Well?
Speaker 1 (13:50):
Yeah, right, yeah, I mean it seems to me, if
you're gonna do it, it takes two to tango. These
things don't get transmitted by themselves.
Speaker 3 (14:00):
Well, I would imagine coming down the road is industry
and will have a device. But I guess the first
one that they made, and you know it's I don't
need to remind you about the anatomy. How it's he's
a little easier to get to perhaps, And well this
was the first plus for women, But I would imagine
(14:21):
there's going to be some smart person will come up
with one for men, and the FDA will to prove it.
Speaker 1 (14:27):
With all this focus, that makes all of us, or
many of us, most of us uncomfortable talking about sexuality
in the way that it has been talked about, the
essence of the different sexual things that you know, it's
not just a man and a woman anymore. We hear
all of these stories and you know, certainly the word
of the world of homosexuality has been a part of
(14:50):
life since man has walked the planet.
Speaker 2 (14:53):
A lot of people don't like to deal with it.
To go back to the ancient Greece.
Speaker 1 (14:59):
Among the popular numbers of homosexual men lesbian world. Also,
these sexually transmitted diseases can come about as a result
of sexual activity between two women or between two men.
So it's not just the fact that it's men and women.
It's all kinds of things that go on. And there's
some other weird stuff that I don't want to talk about.
(15:21):
I don't even want to imagine.
Speaker 3 (15:22):
It wasn't it was. It was approved for sex. Is
not not for genders, and not for the sexual behavior,
but for one sex.
Speaker 1 (15:33):
Yeah, right, exactly understanding that, but also you know, in
terms of the actuality of what's going on in the world,
as disgusting as it may be to some people or
as difficult as it is to wrap your head around it,
that's what's kind of going on. So this is for
women anyway, The tests for women, no matter what their sexual.
Speaker 2 (15:51):
Proclivity is all about.
Speaker 1 (15:54):
So taking care of that, and we'll happily pause now
and come back with a little bit more on the
weight laws drugs, because the use is going up so rapidly.
Speaker 2 (16:06):
Let's talk about what's.
Speaker 1 (16:07):
Available and what reality is there. In a matter of moments,
here on Good Day Health Back. We are with Elizabeth Miller,
who's here from Caldron. One of the things that I
find most beneficial, but we don't talk about it very much,
is taking these capsules before you go to bed and
the impact it has on the best sleep you know.
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It really does help you sleep more soundly. The ingredients
in it our collagen, protein and digestive enzymes, and those
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There's this new Lucky bundle you want to tell us
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We have a big Saint Patrick's Day sale. We put
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always call us if you wanted to put together something special.
But we do have a big sale too right now,
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Speaker 1 (17:01):
The discount code is Doug Doug. You can use that
to make sure you get the best product and the
best pricing. Thanks to Elizabeth Miller for being here. I
am someone who frankly enjoys a good dish of ice cream.
Although I find myself having less than I used to.
Used to have ice cream every day. Now if I
have it a couple of times a week, that's a lot.
(17:24):
I'm a chocoholic. I love chocolate and the things that
are made with chocolate.
Speaker 2 (17:29):
But that's it.
Speaker 1 (17:30):
I don't have any other don't smoke, don't drink, never
did drugs. So I wonder as I think about I
think last week we talked about using apple cider vinegar
to delay some of the impact of sugar in your system.
But let's talk about what you can use besides regular sugar.
Looks like there is some news on using sugar substitutes.
(17:56):
This mannatcome across as being very good either ken right.
Speaker 3 (18:01):
This comes out of the journal Nature and Metabolism this week,
but it's something that we all need to know. It's
regarding sucralose, and this is the primary sweetener in Splendor
and it seems that in this study changes in brain
activity related to hunger occur when you consume sucralose. These
(18:24):
results appear to be a stronger craving for food, So sucralose,
the primary sweetenes in Splendor DOUG, may actually increase your
appetite and feelings of hunger some people.
Speaker 1 (18:38):
I was at a business meeting, was somebody yesterday and
it was we happen to do it at a.
Speaker 2 (18:43):
Starbucks, and I don't drink coffee.
Speaker 1 (18:46):
So he said to me he was doing some work,
and I said, you want something, and he said, yeah,
give me a nice tea with two splendors. And I
looked at him. I said, Splendor's not good for you.
He said, no, no, that's not Splendor's okay for you.
Speaker 2 (19:00):
And he used the other thing. What was the other thing?
Beginning with an s that.
Speaker 1 (19:04):
Wasn't good for us. I can't remember what the name
of it because I never used this stuff. I don't
If I drink a cup of tea like I did yesterday,
maybe put a little cane sugar, I mean not cane
but raw sugar. But what's the It was sac What
is it? The other maybe sacri? Yeah, maybe that was it.
Speaker 2 (19:24):
Yeah, So anyway, none of those things are good for it.
Speaker 3 (19:27):
That's in sweet, that's in sweet and low.
Speaker 1 (19:29):
Yeah, okay, all right, So anyway, sugar substance is not
good for you.
Speaker 2 (19:34):
Increases your appetite. So let's go another.
Speaker 1 (19:37):
Step here and talk about what happens when you're continuing.
Speaker 2 (19:41):
To eat to your body.
Speaker 1 (19:43):
Children and children of obese mothers especially look like the
focus of this study, and this is one of the
things that we don't need to study. You just look
around and see how many just plain old fat kids
there are around they have fat mothers. I know that
sounds very insensitive, but let's face it, you're fat and
(20:04):
you've eaten. You know, maybe sometimes it's not caused by
what you eat, but most of the time it is.
Speaker 2 (20:09):
So what's this study focused on? Children?
Speaker 3 (20:12):
Can Well, let's do this a little more delicately. This
is a study reported in Plos one, and I can
see the looks on folks and faces as they're hearing DOUG.
But this study reports that a mom's health DOUG and
lifestyle choices can actually affect her kid's risk of obesity
(20:36):
as adults. Specifically, a child in this study was determined
to be three to four times more likely to become
an obese adult if their mom was obese. So just
a huge, significantly increase risk of becoming obese if your
mom is so, moms, you have an incredible effect on
(20:57):
your children, not to say the obvious.
Speaker 2 (21:00):
Right, Okay, So then there's that.
Speaker 1 (21:01):
Let's go to page three of this focus, and that's
the drugs that are being used for a weight loss.
Speaker 2 (21:09):
There are a lot of knockoffs.
Speaker 1 (21:10):
Now. I heard an ad I think yesterday of the
day before on a radio program that was aimed at
getting people to do you know how they have the
ads now for a Viagra.
Speaker 2 (21:21):
You can get cheap.
Speaker 1 (21:22):
Viagra from Canada or wherever it comes from. I've forgotten
how much they have Viagra costs per pill, but this
was something that was like pennies on the dollar. And
so apparently there's something that's been done to knockoff these
weight loss drugs as well. So you can buy them
now for ninety percent less than what you pay in
the drug store for the prescription.
Speaker 2 (21:43):
One wonders if.
Speaker 1 (21:44):
It really works, and maybe we can talk about that
after you give us the update on how much actually
if these weight loss drugs are being used.
Speaker 3 (21:54):
Well, the simple answer is a huge amount, and this
was confirmed this week in the Annals of Internal Medicine,
a very believable medical journal read by most docs. So
the number of Americans taking cutting edge weight loss drugs
DOUG like ozempic with govi zepbound has skyrocketed in recent years.
(22:19):
According to this new study, seems the number of people
without diabetes taking a GLP one drug more than tripled
between twenty eighteen and twenty twenty two. And that's where
this data went to and I tell you it is
accelerated even further up to today. And that's in the
United States. And again this research was reported just this
(22:42):
week in the Annals of Internal Medicine.
Speaker 1 (22:45):
Okay, so these drugs you mentioned three, I think are
they're just other three.
Speaker 3 (22:51):
There's actually two compounds, and they've been marketed with both
a diabetic form and and a weight loss form. There's someemeglatide,
which is what goovi in the diet form, or zepic
in the diabetes form, and terzepetide and Manjaro is the
(23:14):
diabetes form, zep down is for the weight loss form.
They're the same compound, they're just branded with different names
for different uses. People who have trouble with serum blood
sugar and those who don't.
Speaker 1 (23:27):
Right, So, Ken, let's talk about the knockoffs again and
what people would expect to get. Would you advise your
client because a lot of people come to you with
heart problems. I need to lose weight, and you prescribe
this stuff. I'm sure you've been prescribing it hundreds of times.
Would you send them to the knockoff?
Speaker 3 (23:45):
Well, you're talking now about these compounded drugs, and I
would not because I have actually had a few patients
who've had safety issues with these trying to save money,
I've had a few patients where the outcomes, the effectiveness
clearly is nowhere near the actual. So the problem with
(24:08):
the knockoffs or the compounded ones are we just don't
know if they're safe. And you're taking your own safety
in your own hands, and if you are going to
take a knockoff, you need to make sure from the
manufacturer that they're safe and it's going to be up
to yourself to figure that out.
Speaker 1 (24:30):
Right, Okay, as long as you're doing all this discussion
about weight loss, let's talk about the problem the folks
that are listening to this problem to this program who
have a real serious problem with their weight.
Speaker 2 (24:43):
You're looking for help. A lot of you have gone
to the drugs.
Speaker 1 (24:46):
I've got another solution that works fine with the drugs.
It's a product called caldron C A L O t
R E N. You can take this drug loss product.
It's all natural, no toxicity at all. The no sugar
is not thing is three ingredients that are aimed at
helping you rebuild your body, lose the weight and rebuild
(25:07):
it the safe way. Go to toploss dot com, which is
the website for Caldron and see how the program works,
how it is compatible.
Speaker 2 (25:16):
With these drugs that Ken was talking about.
Speaker 1 (25:18):
A lot of people take them and they use it
as a backdrop for it because it's another way of
assuring you're going to return to health hopefully.
Speaker 2 (25:24):
By losing the weight.
Speaker 1 (25:27):
This is America's number one way to lose weight, the
natural way. And there are all kinds of things you
can find out on the website toplass dot com. You
can click on a particular area for the clinical trials
that have been done, the things that have happened, the
side benefits beside weight loss, joint pain is better, you
(25:48):
sleep better, all of those things that you hear me
talk about Elizabeth Miller all the time on this program.
As we review the good that comes from using Caldron.
Right now, I here's something else that's good. Back for
the weekend. You buy three caltrin get the Lucky Bundle
free plus twenty five dollars off. If you need to
explain to you, it's it's not complicated. Just look at
(26:10):
the website toplass dot com for the best deals of
the week. As a matter of fact, when you're checking out,
when you've decided to buy calitrin and some of the
other related products, use the discount code Doug dug and
you'll get this three the bundle I'm talking about the local,
the Lucky Bundle, which includes three caltrin, some probiotics, the
(26:34):
belly blaster, to Merrik, all of this stuff. Huge discount
on these products right now. Check it out at toploss
dot com. Lose the weight, keep it off, be healthy.
And that comes from the people who lose the weight
feel so much better and they are healthier.
Speaker 2 (26:50):
So fix that problem. Lose the weight with caltrin.
Speaker 1 (26:53):
All right, back on good day, healthy doctor Ken, Let's
focus on the problem. This is the most among doctors anyway,
And I'm going to tell you what an experience I
had with the doctor this weekend. The number of people
who want to go into medicine, and then numbers keep
going down and down, and it doesn't look like that number.
(27:14):
Those numbers. If you will plural are getting better. What's
the scoop here from the New England Journal of Medicine.
Speaker 3 (27:20):
Doug by twenty fifty the year twenty fifty, the number
of adults over eighty five is expected to triple, which
will just intensify the strain on an already stretched healthcare system.
So if you have a doctor, you may want to
wrap your arms around them because it's just not going
(27:44):
to get easier to find one. And it's challenging even now,
I especially hear from my patients to find an available,
good primary care doctor and even many specialists. And there's
a lot of reasons why it's getting even harder to
find a doctor. We could talk about some of them. Certainly,
(28:08):
COVID nineteen encouraged a lot to retire. There's burnout going on.
There's also issues with reimbursement. You know that, you know
the doctors don't want to complain about payments, but you
know when that payment that goes to the physician pays
for all the overhead for running a small business, which
(28:30):
is what a practice is, and that amount is thirty
percent of what it was in two thousand and one,
and over the last five years we all know go
to the grocery store that will have the prices have
gone up, but the reimbursements for physician services have gone
down the last five years, and they've gone down thirty
(28:50):
percent since two thousand and one inflation included. So it's
it's getting you know, you know, it's just getting challenging
for people to practice medicine with all the issues. And
I think that's why we're losing a lot of great doctors.
Speaker 1 (29:07):
Speaking of losing that was, by the way, an excellent summary.
Val Kilmer, as we're doing this program, has passed away
with sixty five years of age. Here's a fellow that's
had a lot of health issues due to various things
that he might not have done if he had thought
about it, but he did. And the last of the
second of the Top Gun movies, Val Kilmer was in it,
(29:31):
and he was he played the role with the disease
that he died from, and he was in his attire
included the way he had to live his life. He
was dressed with in the things that he needed to
sustain his life at sixty five. But if you look
at the illness and what he had to live through,
(29:54):
you look at some of the things that people who
go through these lung.
Speaker 2 (29:59):
Diseases they have.
Speaker 3 (30:00):
I just.
Speaker 2 (30:03):
He got it when.
Speaker 1 (30:04):
He was I think fifty four fifty five, and he
lived with her for ten years. But having those those
devices and having to live with them, Ken, it's got
to be a horrible way to live and die.
Speaker 3 (30:16):
Yeah, it's sad at sixty five at a young age.
Speaker 1 (30:19):
Yeah, yeah, I don't know. Anyway, I'm next questions for
doctor Ken on Good Day Health. All right, So I'm
going to wrap myself around. I have one question I
want to talk about. Then I want to talk about
an experience that I had with a doctor this week.
Speaker 2 (30:40):
What do we need to know? What's new on the
bird flew front? Ken?
Speaker 1 (30:44):
Human cases Now a few more of them around as
we go into April, a few more dairy cattle I've
had outbreaks of the disease. The government supposedly is taking
six hundred samples a day of blood from chickens, from cows,
I guess from even from people.
Speaker 3 (31:05):
Well, I think basically the problem is expanding, and the
people like yourself who work around the cows and on
the farms are the people who are most at risk.
And it's still fortunately not many non farm workers who
have gotten it, but it's probably down the road a.
Speaker 2 (31:28):
Bit something to think about.
Speaker 1 (31:30):
Anyway, Right now I want to tell you about I'm
going to have a procedure done. I've had back trouble
all my life. The lower extremities of my spine are arthritic.
Speaker 2 (31:44):
I started on the farm. I was as a kid,
the strongest kid around for my size. I was lifting.
Speaker 1 (31:49):
Jugs of milk and bags of grain and bales of hay,
and I lifted them the wrong way. Lifting them with
my back is tead of my legs. Nobody told me
that I wasn't very smart doing it the way I
was doing it, And so by the time I was eighteen,
I had serious problems with my lower back. And all
through my life I've had problems with my back, and
they've culminated recently in I walk okay, but every step hurts.
(32:13):
And I've found out that it's a combination of bresidas
in my left hip, but more importantly in my lower spine.
So I've decided to have an experience that I'll tell
you about as I go through it. But the doctor
the reason I'm bringing up, well, it's two reasons, because
I'm going to get it done. What it is is
shots of various things like steroids and the things that
(32:38):
dead and the pain when you get them in any
part of your body. But these go into special places
in your spine. And so I'll tell you what happens
after I have the experience. But the doctor and I
had a conversation that was very disturbing, not that we
haven't had it here Ken, but I thought i'd devote
a few minutes to this whole business.
Speaker 2 (33:00):
Is what we said.
Speaker 1 (33:01):
Earlier in the program about physician shortages and what's causing them.
One of the things this fellow says that he's an
Egyptian that came to America to go to school and
he stayed here and he's very well known in our
area as a specialist of the spine. But he said,
you know, he was talking to me like you talked
to me about Medicare. His premiums are up twenty five
(33:22):
percent and what he's getting reimbursement for is down twenty
five percent.
Speaker 2 (33:27):
So there's a huge.
Speaker 1 (33:28):
Gap, and people are wondering why when identify pay before,
do I have to pay now? Do you want to
add to that conversation about Medicare because you're going to
be going through the same thing as well.
Speaker 3 (33:39):
That's what I was stating. And the issue these days
is that all of the insurers decide how much they're
going to pay physicians based on what the government decides
the Medicare reimbursements will be. Well, the dirty little secret
is that physicians have no control over what they can
charge you. Because very few people just pay self pay.
They pay based on what the guaranteed rate is for
(34:01):
their insurance, and so doctors' physicians have very little control
over what they charge anybody. They basically take what they're
given by the insurer, and it comes from the top
from what Medicare decides it's going to pay its physicians.
Each year. This payment not only goes very a small
fraction if it goes directly to the physician, it's what's
(34:24):
used to pay for the entire practice, all the overhead,
to pay the employees, everything to run the practice. And
again what I said earlier, what I would get paid
for any procedure in two thousand and one today is
thirty percent less. And how do you run a business
when you're getting paid thirty percent less of what you
(34:46):
did in two thousand and one With the way costs
have gone up, and that's why this doctor's telling you
the same thing. And that's why so many of my
colleagues have one foot out the door. They just can't
run it anymore. Or they're turning it over to corporation,
and you've had your experience with corporate medicine, how you
love it. And or they're turning it over to some
(35:06):
big institution where the relationship is not with you, it's
with the institution, you being the doctor. So tell your
congress person there's a bill up for Congress, both sides
supported to get rid of these cuts in physician reimbursement.
Speaker 1 (35:22):
All right, Ken, thank you for that expertise in that story.
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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