Participants: Don Mackintosh (Host), Dr. Neil Nedley
Series Code: HFAL
Program Code: HFAL00236B
00:01 Welcome back.
00:03 We're talking with Dr. Neil Nedley. 00:04 We're talking about really a whole bunch of things, 00:06 but the last thing you mentioned 00:07 was fascinating to me and that is that 00:10 food needs to taste good. 00:11 It's kind of a misnomer when someone says. 00:15 In another words it's not right when they say. 00:17 Well, the reason I overweight is because 00:20 I just really enjoy my food really, 00:22 if your study is correct it maybe 00:23 that they are not enjoying their foods, 00:25 that's why they are overweight. 00:26 They are not enjoying it as much, 00:28 and they need more flavor in the food. 00:30 In fact that the study what I didn't point out 00:33 in that study is it showed when the flavor 00:35 was increased people actually lost weight. 00:39 They lost 35 pounds in a year 00:41 by improving the flavor of the food. 00:44 So some of these places you go where it's just 00:46 fast food and it's and it's what not the, 00:50 it's a blend thing and they just eat 00:52 bunch of it full of void, but it's not something 00:54 they jus savoring every bite, the better the food, 00:58 the more they slowdown and enjoy it. 01:01 That's part of it as well. 01:03 You know, it's also misnomer to think 01:04 that thin people don't enjoy food. 01:06 If you watch thin people eat, 01:09 they often be thoroughly enjoying their food. 01:12 And if you watch obese people eat, 01:14 sometimes you look at them and you realize 01:17 where is the enjoyment here, you know, what's you know, 01:20 why are they continuing to do this, 01:22 but they continue to actually eat more than 01:25 they should often due to the fact that the food 01:28 that they are eating is really not 01:31 is flavorful as it should be. 01:33 And so you know, unfortunately McDonalds 01:35 scores lows is not just on health 01:37 but on flavor as well. 01:40 Interesting. Well, let's go on, 01:42 there is another interesting story, 01:43 this time with heat exhaustion. 01:46 Is it, is it problem in America, 01:47 is something that, how can we know 01:49 when we're experiencing that. 01:51 What can we do to avoid it? 01:52 What are the ramification, 01:54 what are the potential problems? 01:56 Every year in the spring, summer, rainfall 01:58 they are significant problems that occur 02:01 with certain Americans as the result 02:03 of heat exhaustion and also it going to heat stroke. 02:08 Heat exhaustion Don is the most common 02:10 type of heat related ailment and tends to occur 02:13 in those that exercise. 02:16 And it occurs when a person looses too much fluid 02:19 or too much sodium in the heat. 02:23 Symptoms of heat exhaustion include dizziness, 02:26 loss of coordination, pale skin, profuse sweating, 02:30 nausea, vomiting, stomach aches, 02:33 and intestinal cramps, diarrhea 02:36 and muscle cramps that just don't go away. 02:39 So we're supposed to take it slow 02:41 when we're exercising. 02:43 Well, that's what the study has showed, 02:44 it's not we don't exercise. 02:47 In fact if you used exercising everyday 02:49 when the heat come, you still need exercise, 02:52 but just don't exercises much as you were doing 02:55 take it little slower and then 02:57 as the summer goes on, you will be able to exercise 02:59 basically as much as you did when it wasn't summer, 03:02 but your body has to acclimate to it. 03:05 And so most people that have heat exhaustion problems, 03:08 they are not acclimating overtime, 03:10 they are overdoing on a hot day 03:13 and they haven't gradually got into the summer 03:17 by increasing the amount 03:19 of exercise that they are doing. 03:20 And they are also not staying well hydrated. 03:23 And that's an important element 03:25 is staying well hydrated. 03:27 So, your sodium goes down, all this other different 03:29 things that really just wears you out. 03:32 Now can you recover from that I mean 03:35 true or false you have heat stroke 03:37 or heat exhaustions sort to speak. 03:39 You never quite the same again, 03:41 you don't have the same stamina, 03:42 is that true, is that is false? 03:43 Yeah, will let's take a look 03:44 at different the heat exhaustion 03:46 and that can of course lead to heat stroke, 03:48 those are two different term. 03:50 Heat stoke is actually fatal or can be fatal. 03:54 Symptoms of heat exhaustion, you know, 03:58 are the symptoms I mentioned earlier 03:59 and if you are feeling those symptoms, 04:01 the key is to get to shady cool spot, 04:04 drink fluids get out of heat and really hydrate 04:08 to prevent the more fatal heat stroke 04:11 and if you do have heat stoke you may not 04:14 completely recover from that even if you do survive it. 04:18 There can be some permanent damage that can occur 04:21 to the brain as the result of heat stroke. 04:24 And we got the source for that, 04:26 where is that from? 04:27 Well, this is from 04:28 the National Athletic Trainers' Association. 04:31 There was a meeting there Dr. Brendon McDermott, 04:35 athletic trainer at the University of Connecticut, 04:38 is the one who did the study and the analysis. 04:41 And I should mention on heat stroke 04:42 the definition of that is when your 04:43 temperature goes up to over 104 degrees and then you end 04:48 with confusion mental instability, 04:51 you can have an irrational behavior 04:53 and even combativeness during the heat stroke, 04:56 when you get to that type of irrational behavior 04:59 over 104 degrees that's really 05:01 the definition of a heat stroke. 05:06 Okay, anything else on heat stroke 05:08 before we go to another fascinating study. 05:11 Oh, I think that's the main point 05:12 that he was emphasizing is get acclimated 05:15 and gradually increase your exercise 05:18 and stay well hydrated. 05:19 Here is another one, you know, from time to time 05:22 the economy goes up, the economy goes down. 05:24 In this particular study look that 05:25 when the economy goes down and when it goes down 05:29 the study said there was 05:30 an increase in cosmetic surgery. 05:32 Yes, amazingly enough you know we've had downturn 05:35 economically in this country the last couple of years. 05:38 There is no doubt that it has occurred 05:42 every economist across the nation is talking 05:44 about the economic downturn that we have experienced. 05:48 And the interesting thing as you would think 05:51 the cosmetic surgery would go down during 05:53 this time because people are under the crunch, 05:55 you now, they are having less money to deal with. 05:59 But actually the study show that cosmetic surgery 06:02 actually booms at least in Great Britain during 06:06 the economic downturn, and there is also evidence 06:09 of the same thing is true in the United States. 06:13 In fact Britain's largest cosmetic surgery provider 06:16 with the Harley Medical Group, 06:18 said the demand for procedures had grown 06:20 by 35 percent over the last 10 months, 06:23 when the economic downturn has been the steadiest. 06:27 And the tummy tuck operations cost 06:30 over 5000 pounds in the U.S that's over... 06:33 Over 10,000. That's $10,000. 06:35 Breast augmentation surgery swelled 40 percent, 06:39 the tummy tuck surgery grew 06:41 by 59 percent during the economic downturn. 06:45 And they actually did almost twice 06:48 as many surgeries in some cosmetic areas 06:51 than they had done the previous 10 months 06:54 when the economic downturn wasn't as much. 06:57 But I think the most important aspect 06:59 of this study that we can learn 07:00 from human nature is this. 07:03 And this is a study I mean I quote 07:05 from the studies author "Research among 07:07 our patients has shown that despite cutting back 07:09 across all other areas, people aren't cutting back 07:13 on money, they spend on themselves. 07:17 And so still the selfish interest 07:20 is there and what limited money they have, 07:22 they spend it on themselves and they think 07:24 this cosmetic surgery of course is going to help 07:26 them that's part of this great miss. 07:28 Help them get a job, help them do better 07:30 this economic downturn, they will go and then person 07:34 interviewing them cannot avoid hiring them 07:36 because their tummy looks better. 07:39 Well, and you know what they also think 07:40 is it's going to help themselves out emotionally. 07:43 I see. And that has been disproven by the way, 07:45 that's one of the myths of medicine that often 07:47 are repeated by plastic surgeons. 07:49 Our plastic surgeons will often say, 07:51 well you need to do this for yourself? 07:53 You feel better. You need to do 07:54 this because you feel better, 07:55 are you having some problems with depression, 07:57 some emotional problems, hey this is gonna 07:59 be the answer to it. 08:00 And you know what the study show, 08:02 not only is it not the answer, 08:04 but it actually a year or two later 08:08 their mental health is worse 08:09 than when they had the cosmetic surgery. 08:11 What do you think that it is because they, 08:13 they...you know, they think that, 08:15 that they are beauties on the outward 08:18 but not in the inward is... 08:20 Well, I think it's because they haven't dealt 08:22 with the underlying cause, their emotional problems. 08:24 They thought this might be a cause, 08:26 and so they dealt with something 08:27 that isn't a cause and whenever you are dealing 08:30 with something that isn't a cause 08:31 and you think it's the t cause, 08:32 you are setting yourself up for failure because 08:35 you know, first there is the emotional bump 08:37 that occurs after this surgeries. 08:38 People will actually transiently feel better. 08:42 But then they realize I have got the same 08:44 emotional problems I had before. 08:45 In fact I think they are worse, 08:47 I have done this, what else can I do 08:49 and they start feeling hopeless. 08:51 And for instance women who have undergone breast 08:54 augmentation procedures have over twice 08:56 this suicide risk from a year to 10 years later. 09:01 In some studies three to four fold increase 09:03 risk of suicide as compared to women 09:05 who were considering the surgery 09:06 but didn't have it done. 09:08 And that's again simply due to the myth 09:11 that this was going to help them out 09:12 emotionally when they really should have been dealing 09:15 with the primary problems 09:17 that were causing their emotional problems. 09:19 And cosmetic is not the reason 09:21 for emotional problems. 09:24 Fascinating, diabetes and hearing impairment. 09:28 Yes, for years we have known 09:30 diabetes increases the risk of blindness. 09:33 It actually is the leading cause of blindness, 09:36 or one of the leading cause of blindness 09:37 in the United States what we call 09:39 retinal diseases or retinopathy occurs 09:41 from not having controlled diabetes. 09:44 But now, we now know that hearing problems 09:47 also are very much more common in adult diabetics 09:53 or type two diabetics than in those 09:56 who do not have diabetes. 09:58 And why is that again, is that because 09:59 as the blood flow to the ear how is that works? 10:03 It maybe related to blood flow issuesto the ear, 10:05 we're not sure why at this point, 10:07 you know, with the eye disease 10:08 where you understand it more fully 10:09 it's been more fully explained. 10:11 But with the hearing impairment 10:13 we're not exactly sure, 10:15 but the study is pretty clear. 10:17 This was Dr. Kathleen Bainbridge 10:18 from Social and Scientific Systems 10:20 in Silver Spring, Maryland. 10:22 They evaluated 5000 individuals 10:25 20 to 69 years of age, and they found out 10:29 that the diabetes group had over double the risk 10:32 of hearing impairment even at the young age. 10:35 And so that begs the question well treating 10:38 this diabetes through lifestyle measures 10:40 prevent some of the hearing loss. 10:42 We don't know the answer to that yet, 10:43 but I would assume 10:45 that will be proven affirmative. 10:47 Once you loose hearing can you can get it back. 10:50 Unfortunately no, you know, that's the bad thing, 10:54 it's reversible hearing loss and 10:58 you know, once you get to that stage 11:00 it's not really reversible... Go ahead. 11:03 I was just gonna mention that study was publish 11:05 in the Annals of Internal Medicine, 11:07 July 1, 2008. 11:09 One of the think is kind of related right next 11:11 to the ear I guess diabetics 11:12 also of course have eye problems. 11:15 Diabetics do have eye problems 11:17 and that really cannot be reverse either. 11:19 In fact what they need to do is you got to see 11:22 an ophthalmologist and get laser surgery 11:25 if they have to prevent it from getting worse. 11:28 What happens is the retina sprout blood vessels 11:32 because of the blood vessel disease 11:34 are starting to spread, new blood vessels 11:36 and those new blood vessels can easily bleed, 11:38 if the retinal hemorrhage that causes 11:40 the blindness in a diabetic. 11:42 And we can prevent the retinal hemorrhage 11:44 by controlling the diabetes, by getting 11:47 on proper lifestyle and if you already 11:49 have that retinopathy where the doctor can see 11:51 in the eye getting the appropriate 11:53 ophthalmology treatment will spare you 11:58 from loosing your complete eyesight. 12:01 An ophthalmologist once told me that something 12:03 like 25 or more percent of first time diabetics 12:06 are diagnosed by an eye doctor. 12:09 Yes, because they can see it in the eyes and you know, 12:11 unfortunately that means disease 12:13 has been there for at least 10 years. 12:14 Is that right. 12:15 In fact the average diabetic by the time 12:17 they have been diagnosed, they have actually 12:19 been smoldering having smoldering 12:22 diabetes for 15 years. 12:24 And if they would known earlier 12:26 they could have intervened with diet 12:27 and lifestyle measures earlier. 12:29 But often they go undiagnosed for years. 12:34 Well, thank you so much 12:35 for being with us Dr. Nedley. 12:36 We know you have very busy schedule 12:37 and taking time out of that really means 12:39 a he lot to me and our viewers. 12:41 Well, thank you, it's always good 12:43 to be here with you on Health for Lifetime. 12:46 Thank you for joining us today. 12:48 We know you, have the schedule 12:49 that's busy as well. 12:50 What we hope this has been meaningful to you, 12:52 share with your friends. 12:53 We hope it's resolved. 12:54 You have health to last for a lifetime. |
Revised 2014-12-17