October 14, 2025 • 38 mins
On today’s Good Day Health Show - ON DEMAND…
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 Tramadol and the risks associated with the opioid painkiller, used to treat moderate to severe pain in adults.
Next up, the discussion shifts to Repatha, a prescription cholesterol medication, and the conflicting information coming out about cholesterol based on outdated research. Continuing on the drug discussions, the FDA has approved a new drug, Jascayd, used to treat adults with Idiopathic Pulmonary Fibrosis — a chronic progressive, and usually fatal, lung disease. While most may think of Botox as only a cosmetic injectable, it’s also a medication. New research has found Botox to demonstrate statistically significant improvement in reducing the disability from the movement disorder associated with upper limb essential tremor compared to placebo.
A continued focus on alcohol consumption and that even light alcohol consumption can still cause damage to the brain with risk levels of dementia rising with a link between alcohol consumption and negative cognitive outcome.
Over the years, there has been research on symptoms of long-Covid, specifically brain fog — the inability to think as well as you did in the past — with advanced imaging showing widespread increase in the density of AMPA-receptors in the brains of long-Covid patients who suffer from brain fog.
Rounding out the program, Doug and Dr. Ken address the government shut down and how it affects medical care. Currently, there isn’t a great effect on the local basis, but the FDA is not currently approving new drugs or more new research grants during the shut down. Lastly, what it means when you have a good night’s sleep and wake up feeling exhausted still, felling unrested.
Website: GoodDayHealthrShow.com
Social Media: @GoodDayNetworks
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 Tramadol and the risks associated with the opioid painkiller, used to treat moderate to severe pain in adults.
Next up, the discussion shifts to Repatha, a prescription cholesterol medication, and the conflicting information coming out about cholesterol based on outdated research. Continuing on the drug discussions, the FDA has approved a new drug, Jascayd, used to treat adults with Idiopathic Pulmonary Fibrosis — a chronic progressive, and usually fatal, lung disease. While most may think of Botox as only a cosmetic injectable, it’s also a medication. New research has found Botox to demonstrate statistically significant improvement in reducing the disability from the movement disorder associated with upper limb essential tremor compared to placebo.
A continued focus on alcohol consumption and that even light alcohol consumption can still cause damage to the brain with risk levels of dementia rising with a link between alcohol consumption and negative cognitive outcome.
Over the years, there has been research on symptoms of long-Covid, specifically brain fog — the inability to think as well as you did in the past — with advanced imaging showing widespread increase in the density of AMPA-receptors in the brains of long-Covid patients who suffer from brain fog.
Rounding out the program, Doug and Dr. Ken address the government shut down and how it affects medical care. Currently, there isn’t a great effect on the local basis, but the FDA is not currently approving new drugs or more new research grants during the shut down. Lastly, what it means when you have a good night’s sleep and wake up feeling exhausted still, felling unrested.
Website: GoodDayHealthrShow.com
Social Media: @GoodDayNetworks
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Transcript
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.
Speaker 2 (00:13):
A lot of people go to.
Speaker 1 (00:13):
See Ken like I do, to get a general overview
of what's going on. But he certainly as a cardiologist,
will go up and down inside and outside of your
cardiological system, your circulatory system.
Speaker 2 (00:26):
So why not pay him a visit.
Speaker 1 (00:28):
Here's how you connect dial three five two seven three
five fourteen hundred. You can also as we go through
these programs, if you forget, you can get a podcast
of Good Day Health or fourteen fifteen, sixteen hundred of
them in fact, available wherever you listen to your podcast, Apple, Spotify.
(00:48):
iHeart good Day healthshow dot com. This week, we have
lots of information about drugs, and so I thought we
ought to just kind of take it one at a time.
Time I was trying to I think I've heard of
tramadol am. I pronouncing it correctly, I recognize the way
it's spelled.
Speaker 2 (01:08):
There are risks associated.
Speaker 1 (01:10):
So this is there's some good and there's some bad
in the drug news this week. Can goes through all
of the various medical journals to isolate things that would
be important for you to know, and then he gives
us a good translation so we know exactly how we're impacted.
So how are we impacted by this news on tramadol.
Speaker 3 (01:32):
Well Doug. Traumadol is an opioid pain medication. It's used
to treat moderate, moderately severe pain in adults. It's a
controlled substance. It's available by prescription only. You know, people
have heard of it under brand names. Maybe you've heard
of it like old tram common brand of it. But
(01:57):
this analysis published this week the BMJ Evidence Based Medicine
Medical Journal is very important for those who have had
this recommended to them. You need to talk to the
doctor if the doctor isn't already reaching out to you,
because and I'm not recommending anybody stop anything. I'm recommending
(02:18):
you talk to the person who prescribed it. But there's
this analysis of the drug was published this week and
it reveals Doug that the risks of tramadol likely outweigh
the benefits for chronic pain, as the drug did not
meet the effectiveness threshold and doubled the risk of serious
(02:40):
adverse events. So I would just if I had this
medicine prescribed to me, I would talk to the doctor
about whether it's appropriate for me the individual. I've never
taken this drug personally, I've only read the literature, and
it's very difficult for some people to adequately pain. I
(03:01):
get that. And if this is the only thing that works,
you need to talk to the doctor. Whether you're a
special case.
Speaker 1 (03:09):
So you have never prescribed this, this wouldn't be some
o your wheelhouse.
Speaker 3 (03:13):
This is far out of my lane for prescribing anything
like this.
Speaker 1 (03:19):
All right, Okay, so there's the word on tramadol. Ask
your doctor, as they say, and get the inside scoop. Okay,
next item that appears to be important, something that I'm
familiar with is rapatha. Can put me on rapatha last
year and it has done what he said it would do,
(03:40):
and that was reduce the cholesterol numbers, which for people
who have certain risks. I never felt like I was threatened,
but his argument finally got through to me. Let's put
it that way, because I resisted all of these things
for a long time because and honestly, I'm still not
(04:02):
convinced about the numbers about there's so much conflicting information.
I'm convinced that you have my best interest at heart,
and so the rest of the things that I might
argue about, for example, cholesterol numbers, what's the right one,
what's the wrong one? Too much good, not enough bad,
blah blah blah. That the numbers, it's kind of like
(04:22):
a moving target. You have different numbers all the time.
We've had them all through our lives. They've been different.
When three hundred was acceptable for our cardiological I mean
for a cholesterol number, and then it was two hundred,
and now I don't know what it is. But at
any rate, I'm kind of off on a toute here
because Rapatha has done exactly what Ken said it would
(04:45):
do and what he wanted it to do. So let's
talk about drug number two this week on the horizon, Rapatha.
Speaker 2 (04:51):
What's the news there?
Speaker 3 (04:53):
Right? You know, you talk about conflicting information. I mean,
if you look around long enough, you remember the advice
they gave you for the horse and buggy, But you know,
you know you don't use it today.
Speaker 2 (05:04):
It's just.
Speaker 3 (05:06):
Yes, I mean, it's just progress and new knowledge and advances.
But anyway, yes, there's good news for people like yourself
who take this drug rapath. It's of you know, we
talk about lowering cholesterol, and we could spend three shows
(05:26):
on what the state of the art of what we
now know about lowering cholesterol, because if you haven't kept
up in the last five years, what you know five
years ago is totally outdated for cholesterol. But anyway, we
have most people have heard of statins, but in the
last ten or more years, we've developed a whole new
(05:49):
class of drugs. It's a mouthful called PCSK nine inhibitors,
and we could spend a long time explaining how these work,
but basically they're based on a genetic mutation of and
just a luck of genetics, where you don't have your
caps on your liver and the blood is just cleans
(06:12):
so much more by the liver because more blood gets
into it, and you lifelong run on these incredibly low
LDL bad cholesterol levels, you know, numbers in the twenties
to sixties. And we now have this medication where we
can turn you into this genetically gifted line of people
(06:37):
with this monoclonal antibody or path which selectively destroys the
gene which makes the caps on the liver. So your
blood just cleanses your your So the liver just cleanses
your blood so much more effectively of your cholesterol, and
you get these very low numbers. And the good news
is is that this new study put out by a
(07:01):
press release by the manufacturers this week am jen that
the repath of the PCSK nine inhibitor actually significantly reduces
the risk of major adverse cardiovascular events. These are bad
things heart attacks, etc. Hospitalization. These are bad things about
the heart in individuals who have elevated cardiovascular risk factors
(07:23):
but no prior history of heart attacker stroke. We're talking
about now primary prevention as opposed to secondary prevention. And
this is you, Doug. You've never had a heart attacker stroke.
We're giving it to you for primary prevention, and the
findings support the use of the drug in a much
broader population, and we're giving it to you. I don't
(07:44):
know how much of your hippote you want us to
give up.
Speaker 1 (07:46):
I'm happy to have people learn from my experiences, though
I help yourself.
Speaker 2 (07:50):
Go go for it right.
Speaker 3 (07:52):
But you know, a window to your circulation in your
body is looking at your carot at artery. You know
how the rest of your twenty thousand miles of circulation
are doing. Without opening you up, it's hard to get
a window, but we can see. We can peek into
that window of that highway of blood vessels that take
(08:14):
the blood away from the heart, the arteries twenty thousand
miles in the body from head to toe by looking
with an ultrasound that you're karated, and you have significant plaque,
and you're karated. And when you have it there, you
have it in other places. And you've had issues with
the microcirculation in your heart, and that's where the plaque
(08:36):
begins in the heart and then moves to the big vessels.
Fortunately it hasn't crossed the threshold into the big vessels
in your heart. But I expect, you know, if we
weren't doing what we're doing with the repath, that that
would be happening or would have happened by now. And
we've been able to prevent that from happening. And I
think that prevention is happening because of the rapath. And
(08:59):
here's a study to support in large numbers what I've
been recommending to you.
Speaker 2 (09:05):
All right, so there it is my information.
Speaker 1 (09:09):
How does it work with your information you won't know
until you talk to somebody like doctor Ken. So if
you want that personal touch, it's easy to call his
office at three five two seven three five fourteen hundred.
I promote that because I think it's good to be
exposed to somebody like Ken, especially.
Speaker 2 (09:27):
In the modern ear.
Speaker 1 (09:28):
I've been very fortunate and now I have found a
good primary care physician at Tufts University Medical Center in Boston,
and all of the people that are associated with Tufts
I have found very acceptable. I still have some people
I'm connected with at mass General and they're good, very good.
Speaker 2 (09:45):
That's why I'm staying connected to them. But they're it's
just which I feel comfortable with.
Speaker 1 (09:50):
I like the fact that, well, we were talking. Ken
and I were talking a couple of weeks ago about
an incident I had with beastings and what's the deal?
Could I have had I got nineteen beastings?
Speaker 2 (10:05):
Could I have had a heart attack?
Speaker 1 (10:07):
I suppose some people are negatively affected by the stuff
that comes from bees. My biggest problem was having the
stingers stuck in my body, and so I went to
We were first going to go to I had somebody
that was going to help me, and one of the
people on the farm, and so we were going to
(10:28):
go to the hospital emergency room. But then the wait
time I call ahead of time. I said what's the
waiting time and they said three and a half hours.
Speaker 2 (10:35):
My guys sit there for three and a half hours.
Speaker 1 (10:37):
So I called the primary care physician and he answers
the phone himself.
Speaker 2 (10:42):
And he said, go to convenient MD. And I thought, wow,
this guy tups to telling me to go.
Speaker 1 (10:48):
To a dock in the box. He said, no, I've
had a lot of experience with these, but this particular.
Speaker 2 (10:54):
Company and they're very good.
Speaker 1 (10:56):
So I went to the local one, and man, I think,
I don't think I told the story on the air,
Ken did I about how fast I was in and
out of the air. And this guy, the doctor at
Toughs calls the the MD.
Speaker 2 (11:11):
And wants to know what's going on.
Speaker 1 (11:13):
And this guy was astounded that somebody, their primary care
physician would call into his office to find out how
they were treating me.
Speaker 2 (11:22):
And so if it's a hit or miss, I get it.
Speaker 1 (11:26):
And that's one of the things that we talk about
here and continue to talk about, especially with the government shutdown.
I think we're going to get to that we'll get
to it. I have a question for you, in questions
for doctor Ken about how medicine is being affected. But
at any rate, we've got a lot of things that
are good and a lot of great care.
Speaker 2 (11:45):
That's available in America.
Speaker 1 (11:46):
Still, even though we have many many of us have
a lot of complaints, it still is better than you'd
find in most other places. Okay, stand by more good
findings from Ken's research next Good Day Health.
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Speaker 2 (13:06):
Here we are back on good day health.
Speaker 1 (13:08):
Ken said something a few minutes ago that I chuckled
about with regard to research, because there are a lot
of things that have changed, and some of them we
were talking about cholesterol numbers.
Speaker 2 (13:19):
Some of them they seem to make sense, sometimes they don't.
Speaker 1 (13:23):
But he referred me to the horse and Buggy days,
and one wonders what we're right into my mind when
you said that, Ken, was what was it like to
go to the doctor back on the horse and buggy days,
or even before that, the medicine men that used to
take care of the natives or people who you go
back three thousand years or ten thousand years or thirty
(13:45):
thousand years, what was medicine like life span and life
expectancy even what one hundred and fifty years ago was
about fifty fifty five. And you know, there are plenty
of go back in history to find that the average
life expectancy back tens of thousands of years ago was
(14:06):
twenty three twenty four, thirty if you were lucky. So, yeah,
it's not the worst.
Speaker 3 (14:12):
During the Revolutionary War it was thirty five.
Speaker 6 (14:15):
Yeah.
Speaker 1 (14:15):
Yeah, well that's because so many people are getting killed too, right,
that entered.
Speaker 3 (14:19):
Into aside from that just okay, before the Revolutionary War
it was it was thirty five. It wasn't the war
that changed that. But yeah, well in those days, a
lot of it was house calls.
Speaker 1 (14:32):
Yeah right, okay, next drug. We've been talking about tramadol.
We've been talking about ropatha. Now next up on the
list of the FDA approvals is something you man, am
I going to be Well? This is jess Kate and
guess what how is that the commercial name for it?
Speaker 3 (14:51):
Yes, yes, this is really good news, dog. The FDA
has approved a new drug. And you did a pretty
good job on Jess Kid for the brand. The scientific
names even harder. Miranda malast I believe and it's to
treat something which hopefully not a lot of people are
(15:13):
aware of. You if you've heard of this, you know
how horrible this is. It's called idiopathic pulmonary fibrosis, and
this is a chronic, progressive and usually fatal lung disease.
I have unfortunately had patients with this, and there really
have been limited treatment options that slow its progression. So
(15:33):
this is a great breakthrough. This is great news any
friends or family of people who have idiopathic. Idiopathic means
it's a big word. When doctors use that word, it
means we don't know what causes the following. So when
we call something idiopathic pulmonary the lungs fibrosis scarring and
(15:54):
it's just horrible scarring of the lungs and we just
don't know why it's being called. And when you have
scarring of the lungs, it's not compatible with breathing. At
some point you just can't breathe and that's your last
day on planet Earth. Very sad, very horrible problem. This
is a great breakthrough. We finally now have a drug
to treat this.
Speaker 1 (16:15):
So this be caused by SHERPD by smoking by breathing
a lot of bad air. Is that something would cause
these the fibrosis?
Speaker 3 (16:27):
Boy, oh boy, I guess you were just looking at
something else. I'll do it again. Idiopathic.
Speaker 2 (16:33):
So idiopathic. I unders saw that.
Speaker 3 (16:36):
Yeah, yes, we don't know, we just don't.
Speaker 2 (16:38):
I heard that too.
Speaker 3 (16:40):
So all of the questions that you asked, does this
cause it? Does that? They've all been investigated, terrifically investigated.
I remember my days at Duke in the nineteen eighties.
I'll date myself as an intern and resident. This was
an active area of investigation back then, and we have
you know, we couldn't. I still don't understand what causes it.
(17:01):
That's why it's still called idiopathic, and that term is
used for many things in medicine.
Speaker 2 (17:07):
All right, got that?
Speaker 1 (17:08):
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(18:01):
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(18:28):
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We're spending a good deal of time on drugs this week.
I guess is botox a drug?
Speaker 2 (18:41):
Would you consider botox to be a drug? Of course?
Speaker 1 (18:43):
Oh?
Speaker 2 (18:44):
Absolutely, all right, So what's the news on botox?
Speaker 3 (18:47):
Absolutely, there's good news on botex. Doug. Botox has been
demonstrated statistically significant improvement in reducing the disability from the
movement disorder associated with upper limb essential tremor compared to placebo.
So again, not an uncommon issue essential tremor where your
(19:11):
hands shake and just unclear what the cause is and
your doctors have probably struggled with it. Good news. We
now know that botox has been demonstrated to effectively treat this.
So if you're dealing with the especially the neurologists of
the people who deal with essential tremor, and you've had
(19:33):
no luck with treatment, ask your good neurologist about what
about botox is an effective treatment?
Speaker 2 (19:41):
Really?
Speaker 3 (19:42):
Hmm?
Speaker 1 (19:44):
Well, listen, there are as you said, the horse and
buggy days are gone. There's new experiments being done all
the time.
Speaker 2 (19:50):
On this stuff. A lot of people, I think.
Speaker 1 (19:52):
My generation, your our generation, thinks of botox as just
a way to get rid of the wrinkles in your face,
and that vain women are the ones who are using it.
Speaker 2 (20:01):
But that seems to have changed, hasn't it in the
last what ten years or so?
Speaker 3 (20:05):
Oh? Absolutely? And he continues to change.
Speaker 2 (20:09):
M Yeah, Well, like you said, time doesn't. Time marches on,
and so does.
Speaker 3 (20:17):
It's not only for wrinkle reduction. That's the key is
trying to point out.
Speaker 1 (20:22):
Yes, I am, thank you, all right, there's some new
findings on alcohol and the health of your brain. Why
anybody drinks alcohol is beyond me. Maybe it's because I
have no tolerance for it, and I don't have tolerance
for people.
Speaker 2 (20:36):
And I say it right up front.
Speaker 1 (20:38):
I won't spend time around people who have had too
much to drink, and abreation is not a necessary state
of what I find myself wanting to be exposed to.
Speaker 2 (20:49):
And one of the reasons is because.
Speaker 1 (20:51):
I grew up around an alcoholic I guess as much
as anything else. And I wonder how much I'm looking
at this finding here the alcohol affected my mother's brain.
Speaker 2 (20:59):
What about?
Speaker 3 (21:00):
Oh? Absolutely, Doug, This was published this week in the
British Medical Journal. It's a large scale study. Don't shoot
the messenger here, but it challenges previous ideas about the
safety of light alcohol consumption. You know, we're not talking
now about excessive alcohol consumption, as you were pointing out,
that's pretty obvious, a big as you like to call
(21:20):
a big dog. We're talking now about light alcohol consumption.
The breakthrough is that there appears, Doug to be no
level of alcohol use that is safe for the brain.
The risk of dementia actually rises in direct proportion to
alcohol consumption, overturning the belief that light drinking is protective. Doug.
(21:41):
This adds to the growing body of evidence indicating a
direct link between alcohol consumption and negative cognitive outcome that's
the ability to think and remember. And again, this comes
out of a large scale study published this week in
the British Medical Journal, challenging our previous ideas about the
safety of light alcohol consumption.
Speaker 2 (22:04):
Light alcohol consumption.
Speaker 1 (22:07):
Okay, now let's put the business together of you have
THC in one of the stories, and this may have
the same impact I've always thought that it did on
people as having alcohol. There was an accident in Ohio
recently a couple of let's see, I think four or
(22:27):
five people were killed in these crashes, and they had
a couple of them had a lot of well, what's
the measurement marijuana?
Speaker 2 (22:36):
THC? Same stuff? So what how do you read into
this with the Well.
Speaker 3 (22:43):
All right, THC is the active ingredient in marijuana. And
the important thing to realize is, you know, when you
and I were little, the active percent in what was
being smoked was maybe two to four percent THC. Today
it can be ninety to ninety eight percent THC. So
(23:07):
the amount of active drug the THC. And it's a drug,
you know, like nicotine and cigarettes THC and marijuana cigarettes
or however you get your marijuana in any form, it's
the THC which is the active drug. The levels are
just so much higher that we that one is able
(23:27):
to get into their system today by by taking it,
and in many states it is legal. And one of
the problems is have you been out on the interstates
lately and seeing how people are.
Speaker 1 (23:40):
Driving awful, not even in the Interstates, in the country
back roads. Is people that are so thoughtless, so stupid,
arrogant to you.
Speaker 3 (23:52):
You noticed how in the last ten years. People are
just driving crazy.
Speaker 2 (23:56):
Don't give a damn. Yeah, they don't care. They don't care.
Speaker 1 (23:59):
It's it's the ego, it's the narcissism. It's these people
are psychos, many of them.
Speaker 3 (24:04):
And maybe it's the and maybe it's the drugs. Maybe
it's the t andbody.
Speaker 1 (24:10):
Passed me on the road yesterday. I was on one
of my tractors going from one field to another, and
this guy screamed at me, get the f off the road.
You will be a S, T A R D.
Speaker 2 (24:20):
This is it's like my road. Get off my road.
Speaker 3 (24:25):
I drove from Orlando to Tampa yesterday and back and
trying to just do the speed limit and and and
it's it's dangerous to try and do the speed limit.
The way people tailgate you. They come within an interview
and want to push you along. Yes, and I go
slow and that happens, that just goes lower. So anyways,
(24:48):
well you take your life in your hands, I mean.
And it's crazy and and some of this what's going
on may have come out of this really amazing study
leased just this week from the American College of Surgeons
meeting in Chicago. It's a study of drivers killed in
crashes DOUG during a six year period in Montgomery County
(25:12):
in Ohio, it found are you ready for this, that
nearly forty two percent had high levels of THC and
their blood when they died. So forty two percent of
the people who died over this six year period in
this significant county in Ohio who were dead from motor
vehicle accidents had an elevated THC level. And so more
(25:34):
than two in five drivers were driving while stone when
they died in car wrecks in this major Ohio county.
Speaker 1 (25:43):
There are a lot of people say, as long as
nobody else got hurt, they got what they deserved. And
so you can think about that for a moment, whether
or not people are educated as to excuse me, what
goes on in their body and in their brain because
they see it romanticized. Willie Nelson and others who have
you know, Woody Harrelson, a lot of people who are
well known for Bill Maher for.
Speaker 2 (26:06):
Talking about smoking pot.
Speaker 1 (26:08):
It's a life choice and you make it and you
get to take the consequences.
Speaker 2 (26:13):
Some people have no consequences.
Speaker 1 (26:14):
It helps a lot of people who are in pain,
and we understand that the medical side of it but
there is there are other things to deal with, and
when they're involved in one like this, other people are involved.
Speaker 3 (26:27):
One of the big problems is is that you know,
with alcohol, you can take an alcohol test and immediately,
you know, be shown there's an issue. And it's the
sophistication the technology to assess people's MA THC levels are
just not up to where they are for alcohol. So
this is an area where we've you know, we're got
(26:48):
to get better at assessing people's levels and people, you know,
I don't know what it's going to take to convince
people to not use this and drive because it's putting
all all of us at risk. And just get anyone
get on the road these days and you realize something
is different.
Speaker 2 (27:07):
Yep, for sure.
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Speaker 1 (29:58):
We've been talking about things that affect your brain, what
with the alcohol on the brain and what with the
THC and things. So there's also some information this week
about one of the things that you experienced with COVID,
long COVID especially, and that's brain fog. So this has
(30:18):
been something that's been sort of in and out, up
and down over the years, what the past five years
since we experienced COVID.
Speaker 3 (30:25):
Right, this long COVID where the symptoms of COVID just
don't go away or they come back and three months
later you're having some of the symptoms related to it.
And this can be sometimes very very frustrating and life changing.
And one of the biggest big items of long COVID
(30:46):
is this brain fog where you just can't think as
well as you did in the past, can't remember things.
And researchers in Japan DOUG have used advanced imaging to
pinpoint a potential biological mechanism behind the cognitive impairment experience,
this inability to think remember by many long COVID patients,
(31:08):
and this is a real breakthrough these scientists. They've identified
a widespread increase in the density and this is a mouthful.
It's called the am Andrew Mary Paul Andrew Ampa receptors
in the brains of long COVID patients who suffer from
brain fog. The AMPA receptors are critical for a fast
(31:31):
synaptic those are the brain cells transmission and overall brain function.
This discovery could provide a long sought biological cause for
long COVID and related issues with the brain, and it
could open up new possibilities for targeted treatment. So basically,
it's hope for those who have long COVID and the
brain issues of long COVID because now we can see
(31:52):
what's causing it and soon coming up should be a treatment.
Speaker 2 (31:56):
Wow.
Speaker 1 (31:57):
And that's really when I think about all of various
things can happen to your brain. I have a friend
fellow that I've worked with and been on my farm
for thirty years. He was just told the sweet that
he had hardening of the arteries his brain. And it's
just like to mention it seems to be just you
can't remember anything as having a hard time even doing
things right.
Speaker 3 (32:18):
That's another way of talking about the plaque, you know,
hardening of the carotid arteries, hardening of the corner ors.
It's the same thing, and that's why this rere path
is so helpful.
Speaker 1 (32:29):
All right, coming up questions for doctor Ken here so
you can feel better. If you got a question, send
it along. I'll get to it sooner or later. I
got a questions about the government shutdown coming up next.
You're listening to Good Day Health with Doctor Ken Crownhouse.
I've Doug Stephan. Good Day Healthshow dot com is where
(32:52):
you find all the info. The weekly program is on
lots of great radio stations around the country and people
hear something at what I need more information on that,
So go back to the podcast. Okay, So I promised
a question. I think we're all wondering about the government
shutdown which continues, and how that affects medical service, how
(33:12):
that affects you in your practice, How does that affect
people and what they can get for services? And so
there is there something you know, you hear a lot
of stuff, but who trusts the news media these days?
So what's the scoop with the government shutdown on how
it affects medical care?
Speaker 3 (33:28):
Can I think that on the local basis, it's not
having a great effect yet. Right now, where I think
most of us would see the effect is more at
the drug approval level. The FDA is not a proving
new drugs, approving new research grants. That's where probably the
(33:51):
government's shutdown right now is affecting us in medicine. But
the everyday office processes, hospital processes seem to be going on.
I'm sure that there is some rare service that most
of us in healthcare are not needing is being affected.
(34:12):
So I hate to say globally it's not having an impact,
but most of healthcare is going on not affected yet,
and hopefully that will all be resolved and we won't
start feeling it. So my particular patients, you know, on
the local level, for me personally, we haven't seen an effect.
(34:33):
But you know, as this goes on more and more,
I'm sure that we're going to start feeling something.
Speaker 2 (34:41):
Okay, what can we eat?
Speaker 1 (34:43):
Does it make a difference what kind of food, whether
we eat more fruit, vegetables. What are the things that
are best for us to be eating at this time
of year. Is there a difference in seasonal approaches to eat?
Speaker 3 (34:57):
The seasons really don't change what I try to eat.
Maybe there are fruits and vegetables that are more available
at a certain time or year. But you know, I
just keep that as my fruits and vegetable department. But
I don't. I personally eat a Mediterranean training diet twelve
(35:19):
months a year. It doesn't really change. Maybe the choices
that I can put specific choices are more available at
certain times a year. That's the only thing that would change.
You know, you're a farmer. You probably have more feelings
about this than I do.
Speaker 1 (35:34):
Well, there's certainly a lot of fresh apples and products
like that this time of year. I know that there
are some fruits especially that help you fall asleep better.
Speaker 2 (35:44):
What might they be?
Speaker 3 (35:46):
Yeah, so certain fruits packed with natural hormones and minerals
DOUG can actually help people fall asleep. And there are
fruits that are rich in melotonin and antioxidants that help
regulate circadian rhythms and repair cells overnight. There are three
in this category that I've come up with. You want
(36:08):
to guess them or should I go right to them?
Speaker 1 (36:10):
No?
Speaker 3 (36:10):
Go ahead, tar cherries, kiwi, and grapes. So the three
common fruits that can help you fall asleep faster and
sleep better tart cherries, kiwi, and grapes. I love them all, so.
Speaker 2 (36:24):
I shouldn't be having kiwi in the morning. I have
all of those things. Tart Cherry usually comes.
Speaker 1 (36:29):
In a juice that you can take at night. A
lot of people do that. The essence of grapes I have.
I don't have green grapes. I have red grapes because
they have rizveritrol. And is that what helps you go
to bed to sleep.
Speaker 3 (36:42):
Among other things. Yeah, and maybe you know, not right
before you go to bed, but you know, maybe three
hours before you go to bed, you might want to
have a bowl full of kiwi grapes and wash it
down with glass tarch cherry juice and you'll sleep real well.
Speaker 1 (37:00):
I think I've heard milk helps people go to sleep
better as well. So let's turn that around and talk
about bad sleep. This is the advice for good sleep.
But I know that there has been some information this
week about bad sleep and what happens to your brain.
We've been talking a lot about that this week. The
brain and what helps to keep itself healthy.
Speaker 3 (37:21):
Yes, bad sleep. So if you wake up not fully
rested after any night's sleep, you know you think you've
had what should be a good night's sleep. You know
this is where you want to talk to the sleep doctor.
Or you just can't even get a good night's sleep,
so you can't even ask yourself if you're waking up
rested after what seems to be a good night's sleep.
(37:42):
This comes out of e bio Medicine Doug. This week,
rotten sleep accelerate the aging of the person's brain, partly
by increasing inflammation.
Speaker 2 (37:50):
Word to the wise is efficient.
Speaker 1 (37:51):
Get a good night's sleep inspiration from doctor Kenn every
week here.
Speaker 2 (37:55):
On Good Day Health. This program was produced at bob
k Sound and Recording. Please visit bobksound dot com.
Speaker 1 (38:02):
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.
Speaker 2 (00:13):
A lot of people go to.
Speaker 1 (00:13):
See Ken like I do, to get a general overview
of what's going on. But he certainly as a cardiologist,
will go up and down inside and outside of your
cardiological system, your circulatory system.
Speaker 2 (00:26):
So why not pay him a visit.
Speaker 1 (00:28):
Here's how you connect dial three five two seven three
five fourteen hundred. You can also as we go through
these programs, if you forget, you can get a podcast
of Good Day Health or fourteen fifteen, sixteen hundred of
them in fact, available wherever you listen to your podcast, Apple, Spotify.
(00:48):
iHeart good Day healthshow dot com. This week, we have
lots of information about drugs, and so I thought we
ought to just kind of take it one at a time.
Time I was trying to I think I've heard of
tramadol am. I pronouncing it correctly, I recognize the way
it's spelled.
Speaker 2 (01:08):
There are risks associated.
Speaker 1 (01:10):
So this is there's some good and there's some bad
in the drug news this week. Can goes through all
of the various medical journals to isolate things that would
be important for you to know, and then he gives
us a good translation so we know exactly how we're impacted.
So how are we impacted by this news on tramadol.
Speaker 3 (01:32):
Well Doug. Traumadol is an opioid pain medication. It's used
to treat moderate, moderately severe pain in adults. It's a
controlled substance. It's available by prescription only. You know, people
have heard of it under brand names. Maybe you've heard
of it like old tram common brand of it. But
(01:57):
this analysis published this week the BMJ Evidence Based Medicine
Medical Journal is very important for those who have had
this recommended to them. You need to talk to the
doctor if the doctor isn't already reaching out to you,
because and I'm not recommending anybody stop anything. I'm recommending
(02:18):
you talk to the person who prescribed it. But there's
this analysis of the drug was published this week and
it reveals Doug that the risks of tramadol likely outweigh
the benefits for chronic pain, as the drug did not
meet the effectiveness threshold and doubled the risk of serious
(02:40):
adverse events. So I would just if I had this
medicine prescribed to me, I would talk to the doctor
about whether it's appropriate for me the individual. I've never
taken this drug personally, I've only read the literature, and
it's very difficult for some people to adequately pain. I
(03:01):
get that. And if this is the only thing that works,
you need to talk to the doctor. Whether you're a
special case.
Speaker 1 (03:09):
So you have never prescribed this, this wouldn't be some
o your wheelhouse.
Speaker 3 (03:13):
This is far out of my lane for prescribing anything
like this.
Speaker 1 (03:19):
All right, Okay, so there's the word on tramadol. Ask
your doctor, as they say, and get the inside scoop. Okay,
next item that appears to be important, something that I'm
familiar with is rapatha. Can put me on rapatha last
year and it has done what he said it would do,
(03:40):
and that was reduce the cholesterol numbers, which for people
who have certain risks. I never felt like I was threatened,
but his argument finally got through to me. Let's put
it that way, because I resisted all of these things
for a long time because and honestly, I'm still not
(04:02):
convinced about the numbers about there's so much conflicting information.
I'm convinced that you have my best interest at heart,
and so the rest of the things that I might
argue about, for example, cholesterol numbers, what's the right one,
what's the wrong one? Too much good, not enough bad,
blah blah blah. That the numbers, it's kind of like
(04:22):
a moving target. You have different numbers all the time.
We've had them all through our lives. They've been different.
When three hundred was acceptable for our cardiological I mean
for a cholesterol number, and then it was two hundred,
and now I don't know what it is. But at
any rate, I'm kind of off on a toute here
because Rapatha has done exactly what Ken said it would
(04:45):
do and what he wanted it to do. So let's
talk about drug number two this week on the horizon, Rapatha.
Speaker 2 (04:51):
What's the news there?
Speaker 3 (04:53):
Right? You know, you talk about conflicting information. I mean,
if you look around long enough, you remember the advice
they gave you for the horse and buggy, But you know,
you know you don't use it today.
Speaker 2 (05:04):
It's just.
Speaker 3 (05:06):
Yes, I mean, it's just progress and new knowledge and advances.
But anyway, yes, there's good news for people like yourself
who take this drug rapath. It's of you know, we
talk about lowering cholesterol, and we could spend three shows
(05:26):
on what the state of the art of what we
now know about lowering cholesterol, because if you haven't kept
up in the last five years, what you know five
years ago is totally outdated for cholesterol. But anyway, we
have most people have heard of statins, but in the
last ten or more years, we've developed a whole new
(05:49):
class of drugs. It's a mouthful called PCSK nine inhibitors,
and we could spend a long time explaining how these work,
but basically they're based on a genetic mutation of and
just a luck of genetics, where you don't have your
caps on your liver and the blood is just cleans
(06:12):
so much more by the liver because more blood gets
into it, and you lifelong run on these incredibly low
LDL bad cholesterol levels, you know, numbers in the twenties
to sixties. And we now have this medication where we
can turn you into this genetically gifted line of people
(06:37):
with this monoclonal antibody or path which selectively destroys the
gene which makes the caps on the liver. So your
blood just cleanses your your So the liver just cleanses
your blood so much more effectively of your cholesterol, and
you get these very low numbers. And the good news
is is that this new study put out by a
(07:01):
press release by the manufacturers this week am jen that
the repath of the PCSK nine inhibitor actually significantly reduces
the risk of major adverse cardiovascular events. These are bad
things heart attacks, etc. Hospitalization. These are bad things about
the heart in individuals who have elevated cardiovascular risk factors
(07:23):
but no prior history of heart attacker stroke. We're talking
about now primary prevention as opposed to secondary prevention. And
this is you, Doug. You've never had a heart attacker stroke.
We're giving it to you for primary prevention, and the
findings support the use of the drug in a much
broader population, and we're giving it to you. I don't
(07:44):
know how much of your hippote you want us to
give up.
Speaker 1 (07:46):
I'm happy to have people learn from my experiences, though
I help yourself.
Speaker 2 (07:50):
Go go for it right.
Speaker 3 (07:52):
But you know, a window to your circulation in your
body is looking at your carot at artery. You know
how the rest of your twenty thousand miles of circulation
are doing. Without opening you up, it's hard to get
a window, but we can see. We can peek into
that window of that highway of blood vessels that take
(08:14):
the blood away from the heart, the arteries twenty thousand
miles in the body from head to toe by looking
with an ultrasound that you're karated, and you have significant plaque,
and you're karated. And when you have it there, you
have it in other places. And you've had issues with
the microcirculation in your heart, and that's where the plaque
(08:36):
begins in the heart and then moves to the big vessels.
Fortunately it hasn't crossed the threshold into the big vessels
in your heart. But I expect, you know, if we
weren't doing what we're doing with the repath, that that
would be happening or would have happened by now. And
we've been able to prevent that from happening. And I
think that prevention is happening because of the rapath. And
(08:59):
here's a study to support in large numbers what I've
been recommending to you.
Speaker 2 (09:05):
All right, so there it is my information.
Speaker 1 (09:09):
How does it work with your information you won't know
until you talk to somebody like doctor Ken. So if
you want that personal touch, it's easy to call his
office at three five two seven three five fourteen hundred.
I promote that because I think it's good to be
exposed to somebody like Ken, especially.
Speaker 2 (09:27):
In the modern ear.
Speaker 1 (09:28):
I've been very fortunate and now I have found a
good primary care physician at Tufts University Medical Center in Boston,
and all of the people that are associated with Tufts
I have found very acceptable. I still have some people
I'm connected with at mass General and they're good, very good.
Speaker 2 (09:45):
That's why I'm staying connected to them. But they're it's
just which I feel comfortable with.
Speaker 1 (09:50):
I like the fact that, well, we were talking. Ken
and I were talking a couple of weeks ago about
an incident I had with beastings and what's the deal?
Could I have had I got nineteen beastings?
Speaker 2 (10:05):
Could I have had a heart attack?
Speaker 1 (10:07):
I suppose some people are negatively affected by the stuff
that comes from bees. My biggest problem was having the
stingers stuck in my body, and so I went to
We were first going to go to I had somebody
that was going to help me, and one of the
people on the farm, and so we were going to
(10:28):
go to the hospital emergency room. But then the wait
time I call ahead of time. I said what's the
waiting time and they said three and a half hours.
Speaker 2 (10:35):
My guys sit there for three and a half hours.
Speaker 1 (10:37):
So I called the primary care physician and he answers
the phone himself.
Speaker 2 (10:42):
And he said, go to convenient MD. And I thought, wow,
this guy tups to telling me to go.
Speaker 1 (10:48):
To a dock in the box. He said, no, I've
had a lot of experience with these, but this particular.
Speaker 2 (10:54):
Company and they're very good.
Speaker 1 (10:56):
So I went to the local one, and man, I think,
I don't think I told the story on the air,
Ken did I about how fast I was in and
out of the air. And this guy, the doctor at
Toughs calls the the MD.
Speaker 2 (11:11):
And wants to know what's going on.
Speaker 1 (11:13):
And this guy was astounded that somebody, their primary care
physician would call into his office to find out how
they were treating me.
Speaker 2 (11:22):
And so if it's a hit or miss, I get it.
Speaker 1 (11:26):
And that's one of the things that we talk about
here and continue to talk about, especially with the government shutdown.
I think we're going to get to that we'll get
to it. I have a question for you, in questions
for doctor Ken about how medicine is being affected. But
at any rate, we've got a lot of things that
are good and a lot of great care.
Speaker 2 (11:45):
That's available in America.
Speaker 1 (11:46):
Still, even though we have many many of us have
a lot of complaints, it still is better than you'd
find in most other places. Okay, stand by more good
findings from Ken's research next Good Day Health.
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Speaker 2 (13:06):
Here we are back on good day health.
Speaker 1 (13:08):
Ken said something a few minutes ago that I chuckled
about with regard to research, because there are a lot
of things that have changed, and some of them we
were talking about cholesterol numbers.
Speaker 2 (13:19):
Some of them they seem to make sense, sometimes they don't.
Speaker 1 (13:23):
But he referred me to the horse and Buggy days,
and one wonders what we're right into my mind when
you said that, Ken, was what was it like to
go to the doctor back on the horse and buggy days,
or even before that, the medicine men that used to
take care of the natives or people who you go
back three thousand years or ten thousand years or thirty
(13:45):
thousand years, what was medicine like life span and life
expectancy even what one hundred and fifty years ago was
about fifty fifty five. And you know, there are plenty
of go back in history to find that the average
life expectancy back tens of thousands of years ago was
(14:06):
twenty three twenty four, thirty if you were lucky. So, yeah,
it's not the worst.
Speaker 3 (14:12):
During the Revolutionary War it was thirty five.
Speaker 6 (14:15):
Yeah.
Speaker 1 (14:15):
Yeah, well that's because so many people are getting killed too, right,
that entered.
Speaker 3 (14:19):
Into aside from that just okay, before the Revolutionary War
it was it was thirty five. It wasn't the war
that changed that. But yeah, well in those days, a
lot of it was house calls.
Speaker 1 (14:32):
Yeah right, okay, next drug. We've been talking about tramadol.
We've been talking about ropatha. Now next up on the
list of the FDA approvals is something you man, am
I going to be Well? This is jess Kate and
guess what how is that the commercial name for it?
Speaker 3 (14:51):
Yes, yes, this is really good news, dog. The FDA
has approved a new drug. And you did a pretty
good job on Jess Kid for the brand. The scientific
names even harder. Miranda malast I believe and it's to
treat something which hopefully not a lot of people are
(15:13):
aware of. You if you've heard of this, you know
how horrible this is. It's called idiopathic pulmonary fibrosis, and
this is a chronic, progressive and usually fatal lung disease.
I have unfortunately had patients with this, and there really
have been limited treatment options that slow its progression. So
(15:33):
this is a great breakthrough. This is great news any
friends or family of people who have idiopathic. Idiopathic means
it's a big word. When doctors use that word, it
means we don't know what causes the following. So when
we call something idiopathic pulmonary the lungs fibrosis scarring and
(15:54):
it's just horrible scarring of the lungs and we just
don't know why it's being called. And when you have
scarring of the lungs, it's not compatible with breathing. At
some point you just can't breathe and that's your last
day on planet Earth. Very sad, very horrible problem. This
is a great breakthrough. We finally now have a drug
to treat this.
Speaker 1 (16:15):
So this be caused by SHERPD by smoking by breathing
a lot of bad air. Is that something would cause
these the fibrosis?
Speaker 3 (16:27):
Boy, oh boy, I guess you were just looking at
something else. I'll do it again. Idiopathic.
Speaker 2 (16:33):
So idiopathic. I unders saw that.
Speaker 3 (16:36):
Yeah, yes, we don't know, we just don't.
Speaker 2 (16:38):
I heard that too.
Speaker 3 (16:40):
So all of the questions that you asked, does this
cause it? Does that? They've all been investigated, terrifically investigated.
I remember my days at Duke in the nineteen eighties.
I'll date myself as an intern and resident. This was
an active area of investigation back then, and we have
you know, we couldn't. I still don't understand what causes it.
(17:01):
That's why it's still called idiopathic, and that term is
used for many things in medicine.
Speaker 2 (17:07):
All right, got that?
Speaker 1 (17:08):
Yes, No, I was paying very close and I always
paid very close attention to you. As to folks listening
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They come and they go.
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Six Elizabeth Miller from top looss dot com and Calatrin.
You're listening to Good Day Health with doctor Ken Crownhouse.
You can do a Google search on him if you
want doctor Ken. I bet it even shows up under
a doctor Ken. As a matter of fact, Crownhouse is
kro n ha Us Lake Cardiology, and also look that
(18:28):
all up. And then after you've looked it up and
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We're spending a good deal of time on drugs this week.
I guess is botox a drug?
Speaker 2 (18:41):
Would you consider botox to be a drug? Of course?
Speaker 1 (18:43):
Oh?
Speaker 2 (18:44):
Absolutely, all right, So what's the news on botox?
Speaker 3 (18:47):
Absolutely, there's good news on botex. Doug. Botox has been
demonstrated statistically significant improvement in reducing the disability from the
movement disorder associated with upper limb essential tremor compared to placebo.
So again, not an uncommon issue essential tremor where your
(19:11):
hands shake and just unclear what the cause is and
your doctors have probably struggled with it. Good news. We
now know that botox has been demonstrated to effectively treat this.
So if you're dealing with the especially the neurologists of
the people who deal with essential tremor, and you've had
(19:33):
no luck with treatment, ask your good neurologist about what
about botox is an effective treatment?
Speaker 2 (19:41):
Really?
Speaker 3 (19:42):
Hmm?
Speaker 1 (19:44):
Well, listen, there are as you said, the horse and
buggy days are gone. There's new experiments being done all
the time.
Speaker 2 (19:50):
On this stuff. A lot of people, I think.
Speaker 1 (19:52):
My generation, your our generation, thinks of botox as just
a way to get rid of the wrinkles in your face,
and that vain women are the ones who are using it.
Speaker 2 (20:01):
But that seems to have changed, hasn't it in the
last what ten years or so?
Speaker 3 (20:05):
Oh? Absolutely? And he continues to change.
Speaker 2 (20:09):
M Yeah, Well, like you said, time doesn't. Time marches on,
and so does.
Speaker 3 (20:17):
It's not only for wrinkle reduction. That's the key is
trying to point out.
Speaker 1 (20:22):
Yes, I am, thank you, all right, there's some new
findings on alcohol and the health of your brain. Why
anybody drinks alcohol is beyond me. Maybe it's because I
have no tolerance for it, and I don't have tolerance
for people.
Speaker 2 (20:36):
And I say it right up front.
Speaker 1 (20:38):
I won't spend time around people who have had too
much to drink, and abreation is not a necessary state
of what I find myself wanting to be exposed to.
Speaker 2 (20:49):
And one of the reasons is because.
Speaker 1 (20:51):
I grew up around an alcoholic I guess as much
as anything else. And I wonder how much I'm looking
at this finding here the alcohol affected my mother's brain.
Speaker 2 (20:59):
What about?
Speaker 3 (21:00):
Oh? Absolutely, Doug, This was published this week in the
British Medical Journal. It's a large scale study. Don't shoot
the messenger here, but it challenges previous ideas about the
safety of light alcohol consumption. You know, we're not talking
now about excessive alcohol consumption, as you were pointing out,
that's pretty obvious, a big as you like to call
(21:20):
a big dog. We're talking now about light alcohol consumption.
The breakthrough is that there appears, Doug to be no
level of alcohol use that is safe for the brain.
The risk of dementia actually rises in direct proportion to
alcohol consumption, overturning the belief that light drinking is protective. Doug.
(21:41):
This adds to the growing body of evidence indicating a
direct link between alcohol consumption and negative cognitive outcome that's
the ability to think and remember. And again, this comes
out of a large scale study published this week in
the British Medical Journal, challenging our previous ideas about the
safety of light alcohol consumption.
Speaker 2 (22:04):
Light alcohol consumption.
Speaker 1 (22:07):
Okay, now let's put the business together of you have
THC in one of the stories, and this may have
the same impact I've always thought that it did on
people as having alcohol. There was an accident in Ohio
recently a couple of let's see, I think four or
(22:27):
five people were killed in these crashes, and they had
a couple of them had a lot of well, what's
the measurement marijuana?
Speaker 2 (22:36):
THC? Same stuff? So what how do you read into
this with the Well.
Speaker 3 (22:43):
All right, THC is the active ingredient in marijuana. And
the important thing to realize is, you know, when you
and I were little, the active percent in what was
being smoked was maybe two to four percent THC. Today
it can be ninety to ninety eight percent THC. So
(23:07):
the amount of active drug the THC. And it's a drug,
you know, like nicotine and cigarettes THC and marijuana cigarettes
or however you get your marijuana in any form, it's
the THC which is the active drug. The levels are
just so much higher that we that one is able
(23:27):
to get into their system today by by taking it,
and in many states it is legal. And one of
the problems is have you been out on the interstates
lately and seeing how people are.
Speaker 1 (23:40):
Driving awful, not even in the Interstates, in the country
back roads. Is people that are so thoughtless, so stupid,
arrogant to you.
Speaker 3 (23:52):
You noticed how in the last ten years. People are
just driving crazy.
Speaker 2 (23:56):
Don't give a damn. Yeah, they don't care. They don't care.
Speaker 1 (23:59):
It's it's the ego, it's the narcissism. It's these people
are psychos, many of them.
Speaker 3 (24:04):
And maybe it's the and maybe it's the drugs. Maybe
it's the t andbody.
Speaker 1 (24:10):
Passed me on the road yesterday. I was on one
of my tractors going from one field to another, and
this guy screamed at me, get the f off the road.
You will be a S, T A R D.
Speaker 2 (24:20):
This is it's like my road. Get off my road.
Speaker 3 (24:25):
I drove from Orlando to Tampa yesterday and back and
trying to just do the speed limit and and and
it's it's dangerous to try and do the speed limit.
The way people tailgate you. They come within an interview
and want to push you along. Yes, and I go
slow and that happens, that just goes lower. So anyways,
(24:48):
well you take your life in your hands, I mean.
And it's crazy and and some of this what's going
on may have come out of this really amazing study
leased just this week from the American College of Surgeons
meeting in Chicago. It's a study of drivers killed in
crashes DOUG during a six year period in Montgomery County
(25:12):
in Ohio, it found are you ready for this, that
nearly forty two percent had high levels of THC and
their blood when they died. So forty two percent of
the people who died over this six year period in
this significant county in Ohio who were dead from motor
vehicle accidents had an elevated THC level. And so more
(25:34):
than two in five drivers were driving while stone when
they died in car wrecks in this major Ohio county.
Speaker 1 (25:43):
There are a lot of people say, as long as
nobody else got hurt, they got what they deserved. And
so you can think about that for a moment, whether
or not people are educated as to excuse me, what
goes on in their body and in their brain because
they see it romanticized. Willie Nelson and others who have
you know, Woody Harrelson, a lot of people who are
well known for Bill Maher for.
Speaker 2 (26:06):
Talking about smoking pot.
Speaker 1 (26:08):
It's a life choice and you make it and you
get to take the consequences.
Speaker 2 (26:13):
Some people have no consequences.
Speaker 1 (26:14):
It helps a lot of people who are in pain,
and we understand that the medical side of it but
there is there are other things to deal with, and
when they're involved in one like this, other people are involved.
Speaker 3 (26:27):
One of the big problems is is that you know,
with alcohol, you can take an alcohol test and immediately,
you know, be shown there's an issue. And it's the
sophistication the technology to assess people's MA THC levels are
just not up to where they are for alcohol. So
this is an area where we've you know, we're got
(26:48):
to get better at assessing people's levels and people, you know,
I don't know what it's going to take to convince
people to not use this and drive because it's putting
all all of us at risk. And just get anyone
get on the road these days and you realize something
is different.
Speaker 2 (27:07):
Yep, for sure.
Speaker 1 (27:08):
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Speaker 1 (29:58):
We've been talking about things that affect your brain, what
with the alcohol on the brain and what with the
THC and things. So there's also some information this week
about one of the things that you experienced with COVID,
long COVID especially, and that's brain fog. So this has
(30:18):
been something that's been sort of in and out, up
and down over the years, what the past five years
since we experienced COVID.
Speaker 3 (30:25):
Right, this long COVID where the symptoms of COVID just
don't go away or they come back and three months
later you're having some of the symptoms related to it.
And this can be sometimes very very frustrating and life changing.
And one of the biggest big items of long COVID
(30:46):
is this brain fog where you just can't think as
well as you did in the past, can't remember things.
And researchers in Japan DOUG have used advanced imaging to
pinpoint a potential biological mechanism behind the cognitive impairment experience,
this inability to think remember by many long COVID patients,
(31:08):
and this is a real breakthrough these scientists. They've identified
a widespread increase in the density and this is a mouthful.
It's called the am Andrew Mary Paul Andrew Ampa receptors
in the brains of long COVID patients who suffer from
brain fog. The AMPA receptors are critical for a fast
(31:31):
synaptic those are the brain cells transmission and overall brain function.
This discovery could provide a long sought biological cause for
long COVID and related issues with the brain, and it
could open up new possibilities for targeted treatment. So basically,
it's hope for those who have long COVID and the
brain issues of long COVID because now we can see
(31:52):
what's causing it and soon coming up should be a treatment.
Speaker 2 (31:56):
Wow.
Speaker 1 (31:57):
And that's really when I think about all of various
things can happen to your brain. I have a friend
fellow that I've worked with and been on my farm
for thirty years. He was just told the sweet that
he had hardening of the arteries his brain. And it's
just like to mention it seems to be just you
can't remember anything as having a hard time even doing
things right.
Speaker 3 (32:18):
That's another way of talking about the plaque, you know,
hardening of the carotid arteries, hardening of the corner ors.
It's the same thing, and that's why this rere path
is so helpful.
Speaker 1 (32:29):
All right, coming up questions for doctor Ken here so
you can feel better. If you got a question, send
it along. I'll get to it sooner or later. I
got a questions about the government shutdown coming up next.
You're listening to Good Day Health with Doctor Ken Crownhouse.
I've Doug Stephan. Good Day Healthshow dot com is where
(32:52):
you find all the info. The weekly program is on
lots of great radio stations around the country and people
hear something at what I need more information on that,
So go back to the podcast. Okay, So I promised
a question. I think we're all wondering about the government
shutdown which continues, and how that affects medical service, how
(33:12):
that affects you in your practice, How does that affect
people and what they can get for services? And so
there is there something you know, you hear a lot
of stuff, but who trusts the news media these days?
So what's the scoop with the government shutdown on how
it affects medical care?
Speaker 3 (33:28):
Can I think that on the local basis, it's not
having a great effect yet. Right now, where I think
most of us would see the effect is more at
the drug approval level. The FDA is not a proving
new drugs, approving new research grants. That's where probably the
(33:51):
government's shutdown right now is affecting us in medicine. But
the everyday office processes, hospital processes seem to be going on.
I'm sure that there is some rare service that most
of us in healthcare are not needing is being affected.
(34:12):
So I hate to say globally it's not having an impact,
but most of healthcare is going on not affected yet,
and hopefully that will all be resolved and we won't
start feeling it. So my particular patients, you know, on
the local level, for me personally, we haven't seen an effect.
(34:33):
But you know, as this goes on more and more,
I'm sure that we're going to start feeling something.
Speaker 2 (34:41):
Okay, what can we eat?
Speaker 1 (34:43):
Does it make a difference what kind of food, whether
we eat more fruit, vegetables. What are the things that
are best for us to be eating at this time
of year. Is there a difference in seasonal approaches to eat?
Speaker 3 (34:57):
The seasons really don't change what I try to eat.
Maybe there are fruits and vegetables that are more available
at a certain time or year. But you know, I
just keep that as my fruits and vegetable department. But
I don't. I personally eat a Mediterranean training diet twelve
(35:19):
months a year. It doesn't really change. Maybe the choices
that I can put specific choices are more available at
certain times a year. That's the only thing that would change.
You know, you're a farmer. You probably have more feelings
about this than I do.
Speaker 1 (35:34):
Well, there's certainly a lot of fresh apples and products
like that this time of year. I know that there
are some fruits especially that help you fall asleep better.
Speaker 2 (35:44):
What might they be?
Speaker 3 (35:46):
Yeah, so certain fruits packed with natural hormones and minerals
DOUG can actually help people fall asleep. And there are
fruits that are rich in melotonin and antioxidants that help
regulate circadian rhythms and repair cells overnight. There are three
in this category that I've come up with. You want
(36:08):
to guess them or should I go right to them?
Speaker 1 (36:10):
No?
Speaker 3 (36:10):
Go ahead, tar cherries, kiwi, and grapes. So the three
common fruits that can help you fall asleep faster and
sleep better tart cherries, kiwi, and grapes. I love them all, so.
Speaker 2 (36:24):
I shouldn't be having kiwi in the morning. I have
all of those things. Tart Cherry usually comes.
Speaker 1 (36:29):
In a juice that you can take at night. A
lot of people do that. The essence of grapes I have.
I don't have green grapes. I have red grapes because
they have rizveritrol. And is that what helps you go
to bed to sleep.
Speaker 3 (36:42):
Among other things. Yeah, and maybe you know, not right
before you go to bed, but you know, maybe three
hours before you go to bed, you might want to
have a bowl full of kiwi grapes and wash it
down with glass tarch cherry juice and you'll sleep real well.
Speaker 1 (37:00):
I think I've heard milk helps people go to sleep
better as well. So let's turn that around and talk
about bad sleep. This is the advice for good sleep.
But I know that there has been some information this
week about bad sleep and what happens to your brain.
We've been talking a lot about that this week. The
brain and what helps to keep itself healthy.
Speaker 3 (37:21):
Yes, bad sleep. So if you wake up not fully
rested after any night's sleep, you know you think you've
had what should be a good night's sleep. You know
this is where you want to talk to the sleep doctor.
Or you just can't even get a good night's sleep,
so you can't even ask yourself if you're waking up
rested after what seems to be a good night's sleep.
(37:42):
This comes out of e bio Medicine Doug. This week,
rotten sleep accelerate the aging of the person's brain, partly
by increasing inflammation.
Speaker 2 (37:50):
Word to the wise is efficient.
Speaker 1 (37:51):
Get a good night's sleep inspiration from doctor Kenn every
week here.
Speaker 2 (37:55):
On Good Day Health. This program was produced at bob
k Sound and Recording. Please visit bobksound dot com.
Speaker 1 (38:02):
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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