Hello and welcome to
"Health for a Lifetime"
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I'm your host Don Mackintosh
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and we're glad that you've
joined us today for the program.
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We're going to be
talking about HIVES,
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and things that
mimic hives today.
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And talking with us about
this very practical subject
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is Dr. David DeRose.
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He's a physician
from Southern Oklahoma,
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and Dr. DeRose has a
ministry that is web-based.
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It's called compasshealth. net
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and many of the things
that we talk about today
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will be able to be referenced
there on that web site.
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That's exactly right, Don
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How did you get
into the ministry
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that you're involved in now?
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Well Don, I had been a physician
for probably 15, 18, 20 years...
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You know, I hadn't
really thought about how long
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it had been when I
started "Compass Health"
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But the ministry has been
going on for about 3 years,
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but before that, I had
been doing a variety of things,
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especially emphasizing more
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natural strategies
for disease treatment.
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My board certifications
are in both internal medicine,
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and preventive
medicine and I've worked in a
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variety of
settings using those skills,
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but the real vision I had seeing
how many people could be helped
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by these more natural therapies,
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and then really
trying to translate in there
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something where it was
just more than what I was doing
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individually, getting
more things out through
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media resources,
seminars, things of this nature,
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and Compass Health was really
set up to accomplish that.
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Great, and it's
a great resource.
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I've visited the web
site a number of times,
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and it's been very useful to me.
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Let's talk today about HIVES!
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Hives and
conditions that mimic hives.
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What are hives?
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Do a lot of
people have this problem?
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Well, hives...
typically people think of them
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as being associated with
some type of allergic response.
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It's actually much more
common than many people realize.
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A lot of individuals
say, "What is a hive anyway?"
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These are reddened,
raised areas that typically
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are triggered by
anything from foods to other
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allergic exposures, medications,
other common triggers...
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And they tend to be
itching, they tend to move,
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they don't stay
in one spot for days.
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They tend to move
around on the body once they've
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kind of raised their ugly head.
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So hives or "urticaria"
is the technical medical term
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that we use. Urticaria
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It's something
that is quite prevalent.
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So a lot of people have it?
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So they're the
type that move around;
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they're not like shingles.
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Shingles stay in
one place Exactly
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This is one of the things
that we use to differentiate it
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because, yes,
whether it's shingles,
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whether it's a typical eczema...
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if you circle the
lesion, you circle the spot,
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one of the abnormal spots,
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yes with shingles,
with a patch of eczema,
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that's going to
stay in that same spot
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as long as you have the problem.
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Whereas with the hives,
especially if you've been
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exposed to a medication or you
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are continuing to
take the medication
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not aware that it's
triggering the problem,
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you'll find that patch that
you circled had become normal,
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and now some other area
is raised, red and itchy.
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So if you look across the board,
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probably about 20% 1
in 5 Americans will have
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a bout of hives at
some point in their life,
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so it's definitely something
worth spending some time
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talking about and it also
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it opens up, Don, this
whole dialog that is so needed
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with autoimmune diseases
because some people have
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chronic hives - it's
actually an autoimmune process.
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So what causes
it? Food allergies?
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Well, the acute
urticaria, the acute hives;
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food allergies is
a BIG contributor,
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and, of course, hives is on one
end of this allergic spectrum.
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I mean, no one
dies from hives, per se.
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But more severe
allergic responses,
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for example - to a food can
cause what we call angioedema.
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This can involve swelling of the
face, the lips, the oral tissue,
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the tissues in the throat,
the oropharynx, nasopharynx,
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and if those swell,
especially in the laryngeal area
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where your breathing
is being negotiated...
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Cut off breath - That's right!
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People can DIE,
anaphylactic shock is another
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extreme example of just
this continuum of more severe
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allergic reactions
that can occur with anything
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from contact
exposure to something chemical
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that you're exposed to,
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to medications, to foods.
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Medications -
what about? Definitely
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They trigger it as well.
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One of the most common
causes of urticaria that we
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often hear
about are antibiotics.
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And, whether
it's the penicillins
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or the cephalosporins,
many, many people
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are allergic to antibiotics.
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It's typically NOT the first
time they take that antibiotic,
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but it's after
they've had some exposure,
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then their body has
become more sensitive to it
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and mounts once of
these overwhelming kind of,
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or you might say,
OVERKILL responses
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involving some
immune cells that normally
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don't need to be activated.
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So now we need to
know how to figure out
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maybe what's causing hives,
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and you've talked about
the fact that the things
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you're sharing now ONLY
should be done under the
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direction of
someone who is a physician
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or someone that is
a healthcare provider
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because you don't want
to be stopping or starting
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medications on
your own, willy-nilly
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Well, I mean, if you have hives,
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and you're on medication,
this is an emergent situation
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you want to call
your doctor right away
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You're exactly right -
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you do NOT want to
stop the medication,
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but by the same token,
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you don't want to keep
taking any of those drugs that
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may be
contributing to the problem.
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So this involves some
real clinical judgments
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and expertise from
the physician to say,
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...Look-it, what
have we just added?
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That's often the
first thing to look at.
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But if you are on a
number of chronic medications,
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they may look at
rearranging those,
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as well as looking at
diet and other factors.
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So you want to
look at 2 things here,
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food items and
non-food items in terms of
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dealing with this issue.
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Exactly, it might be even more
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useful to
categorize it in 3 ways.
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You've got the food items,
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and then among the
non-food, you look at medication
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as a separate category.
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And then maybe specifically
looking at things that
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you're in contact with
that you may not think of.
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You may not be INGESTING them,
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it may be the laundry
detergent that you're using.
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It may be some jewelry
that's containing nickel
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which is a common
allergen sensitizer.
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So some things like this
that you may not think of as
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being medication-related.
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So the non-food items
would be, like you said,
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fabric softeners,
cosmetics, makeup?
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Those things would
all be on the list,
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and the special concern
should be for anything new
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REALIZING though that
something you've been using
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habitually for a period of time,
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you could have
developed a sensitivity.
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So that makeup that they put
on me before we start the show
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my good friend
who put that on me,
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could be leading me to hives.
It's possible, it's possible!
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They seem so nice in that room
when they were putting it on.
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They were very
nice to me as well.
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But, Don, let me tell
you that this whole dialogue
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about sensitivity is just
the urticaria, the hives issue,
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is just a small piece
in a much broader dialog
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because what a lot of physicians
are believing right now
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is we are seeing a
lot of food sensitivities,
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food intolerances and
other things that we may
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not have typically put
in the box, if you will,
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of allergy.
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An allergy typically relates
to an immune compound called
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IgE - immunoglobulin E
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That's what we usually
think of being activated
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in these kind of
flagrant allergic things
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like hives and angioedema.
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But there are probably
many other food intolerances
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that people are dealing with.
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So, I mean, fabric softener is
not a food - at least I hope not
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Cosmetics is not a
food. Jewelry is not a food.
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You put down here,
also rubber or latex gloves
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and stuff... That's not a food.
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These are the non-food
things you have listed here
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in part of the web page,
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but anything else in
terms of non-food items
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to just completely avoid?
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Well, I'll mention one thing.
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There are some things
that are common sensitizers.
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You know, we talked
about nickel just briefly.
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But another one is
the drug - "neomycin"
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Now, this is not
an oral medication.
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Neomycin is commonly
put in these broad spectrum
00:09:23.23\00:09:29.77
antibiotic
creams. That you rub on
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Yes, you can buy
them over-the-counter.
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Many people will
develop a sensitivity to this.
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So I recommend that
people stick with more simple
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prescriptions.
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Don't use the triple antibiotic,
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when you can just
use soap and water.
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And don't use a
triple antibiotic when you
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can use a single antibiotic.
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So, just some rules of thumb.
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You know, we get in
this mindset of overkill.
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If a little is
good, much more is better,
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and that's where
we get into problems.
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The more - is not
necessarily the merrier.
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It might be the
scarier! That's exactly right.
00:10:02.91\00:10:04.91
So antifungal agents,
those sometimes are very
00:10:04.94\00:10:07.87
related to hives.
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I mean, definitely!
Anything especially...
00:10:10.36\00:10:12.34
Think about it this way...
00:10:12.37\00:10:13.74
You put on the broken skin,
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you're going to
increase your risk of problems.
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The other thing that a
lot of people don't realize
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is if they've just
taken a shower or bath,
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the pores are open...
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They're actually much
more likely to have problems
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with something that they
put on their skin at that time.
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Any plants that we should avoid?
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I mean - pretty obvious,
poison ivy, poison oak...
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Yeah, I mean, this is an
interesting topic you bring up,
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because a lot of people
have these contact allergens
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and, you know, the
poison ivy and poison oak, Don,
00:10:42.06\00:10:44.27
sure, we say - Okay,
I'm allergic to poison ivy,
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stay away from the poison ivy.
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But you know how many
people get poison ivy rashes
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who never touch poison ivy?
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How do they do that?
00:10:55.12\00:10:56.67
Several ways.
Let's hear about them.
00:10:56.70\00:10:58.94
One of them is through
pets! PETS - a pesky pet.
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Well I wouldn't call it
a pesky pet necessarily,
00:11:04.15\00:11:06.41
but you're beloved
cat... The beloved cat!
00:11:06.44\00:11:10.33
Is out there hunting
MICE or whatever it's hunting,
00:11:10.36\00:11:13.65
and has a great time
hiding in the poison ivy.
00:11:13.68\00:11:16.93
Well what do you think
happens when you are then
00:11:16.96\00:11:19.98
sitting with Fluffy,
petting Fluffy on your lap...
00:11:20.01\00:11:21.92
And you start to get puffy!
00:11:21.95\00:11:24.17
That's right -
that's exactly what happens.
00:11:24.20\00:11:26.73
Another setting...
00:11:26.76\00:11:29.08
where you get exposed to
these things is the bonfire
00:11:29.11\00:11:33.30
or the fireplace fire.
00:11:33.33\00:11:35.73
Ooo - and it goes in the smoke
and it wafts into your nose
00:11:35.76\00:11:38.82
and causes HIVES or...
00:11:38.85\00:11:41.18
It COULD cause hives;
00:11:41.21\00:11:42.58
it could cause
other contact dermatitis
00:11:42.61\00:11:44.23
just depending on how
your body responds to that
00:11:44.26\00:11:46.25
poison ivy or
poison oak or poison sumac.
00:11:46.28\00:11:48.88
Never thought about that.
00:11:48.92\00:11:50.31
What about mowing the lawn?
00:11:50.35\00:11:51.72
Okay, now mowing the lawn
is usually not a problem with
00:11:51.75\00:11:54.54
poison ivy unless you're mowing
over the poison ivy, of course,
00:11:54.57\00:11:57.58
then that can be a problem.
00:11:57.61\00:11:58.98
But also the grass and
the grass seeds, pollens
00:11:59.01\00:12:05.83
whatever, can be aerosolized
when you're doing that.
00:12:05.86\00:12:08.40
Aerosolized means
what? Put into the air. Oh
00:12:08.43\00:12:11.42
Okay, then you
can breathe them in,
00:12:11.45\00:12:13.35
it can get on
your skin and whatever.
00:12:13.38\00:12:15.04
Self-medicate.
Well, or self-allergize,
00:12:15.07\00:12:18.40
whatever the
terminology might be.
00:12:18.43\00:12:20.41
So wow, we have to be
careful if you're out there
00:12:20.44\00:12:23.97
burning the fire and
doing those different things
00:12:24.01\00:12:26.50
that could be the real reason
that you're having these hives.
00:12:26.54\00:12:28.72
I mean, there are LOTS
of ways - lots of ways that
00:12:29.07\00:12:31.38
we're exposed to
irritant compounds
00:12:31.41\00:12:34.50
that can trigger
allergic reactions.
00:12:34.53\00:12:36.64
Well you know, what
about a lady that has all the
00:12:36.67\00:12:40.25
different kinds
of soaps and jellies,
00:12:40.28\00:12:42.20
and all the different
things in her cosmetic cupboard,
00:12:42.23\00:12:44.31
can those be causing hives?
00:12:44.34\00:12:46.76
Well they can be.
00:12:46.79\00:12:48.20
The challenge is...
many of us we were exposed to
00:12:48.23\00:12:52.05
all kinds of chemicals
every day and let's face it,
00:12:52.08\00:12:56.04
even though the
statistics are high,
00:12:56.07\00:12:57.73
1 in 5 Americans developing
00:12:57.76\00:12:59.67
hives at some
point in their life,
00:12:59.70\00:13:01.14
it's not like all of
us are walking around with
00:13:01.17\00:13:03.75
red, itchy bumps
all over, right? Right!
00:13:03.78\00:13:06.29
And they didn't have to
do THAT much work on our
00:13:06.32\00:13:07.95
makeup jobs today, did they?
00:13:07.98\00:13:10.18
Well, not as much as we would
00:13:10.21\00:13:12.69
have originally
thought, but yeah, right.
00:13:12.72\00:13:16.86
So what the point is though
00:13:16.89\00:13:18.26
is yes, these are common
but we're exposing ourselves
00:13:18.29\00:13:20.81
to these laundry detergents,
these fabric softeners,
00:13:20.84\00:13:24.18
all kinds of foods that we're
eating from all over the world
00:13:24.21\00:13:27.24
and it's not
like... you know it's
00:13:27.27\00:13:30.54
how are the hives today,
friend... you greet somebody.
00:13:30.57\00:13:34.46
So we just have to
keep that in perspective.
00:13:34.49\00:13:36.38
It's not to scare people
away from all these things,
00:13:36.41\00:13:38.67
but to say, "Look it, if
you ARE having a problem,
00:13:38.70\00:13:40.79
look at all these things.
" Yeah, the list is actually
00:13:40.82\00:13:42.63
a broad list that
you have to look at.
00:13:42.66\00:13:44.03
Now you've even put down
here hot baths or showers!
00:13:44.06\00:13:47.15
Yes and that's because
there's something called...
00:13:47.18\00:13:49.38
"cholinergic urticaria"
00:13:49.41\00:13:51.58
Cholinergic.. which is
like a reaction of the body.
00:13:51.61\00:13:54.51
The cholinergic system.
Yes, the body - actually
00:13:54.54\00:13:56.99
heat, can actually
trigger hives in some people.
00:13:57.02\00:14:00.88
Other people get
hives when they get cold.
00:14:00.91\00:14:03.36
So there are a
number of PHYSICAL things
00:14:03.39\00:14:06.05
that can trigger hives.
00:14:06.08\00:14:07.51
So when we are speaking
about hives, this isn't always
00:14:07.54\00:14:09.82
conventional allergy and
so I'm glad you bring that up
00:14:09.85\00:14:12.55
because this is important
to realize that you could
00:14:12.58\00:14:15.45
...just getting into that
hot shower - could trigger
00:14:15.48\00:14:18.96
a very serious reaction.
00:14:18.99\00:14:21.34
We've been talking
with Dr. David DeRose
00:14:21.37\00:14:24.08
covering information on HIVES...
00:14:24.11\00:14:26.53
What causes them, what to do,
00:14:26.56\00:14:28.06
what things specifically
to AVOID or to go down.
00:14:28.09\00:14:32.05
Again, the list that we're
sharing here is available on
00:14:32.08\00:14:35.52
compasshealth. net
00:14:35.55\00:14:37.77
And there also should be a
list you don't really go through
00:14:37.80\00:14:41.72
without having some assistance
from a healthcare professional.
00:14:41.75\00:14:45.12
When we come back,
we're going to look at
00:14:45.15\00:14:46.52
some other things we
can do to avoid hives.
00:14:46.55\00:14:48.36
Hope you join us
when we come back.
00:14:48.39\00:14:50.92
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00:14:51.72\00:14:53.09
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00:14:53.12\00:14:54.84
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00:14:54.87\00:14:57.81
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00:14:57.84\00:15:00.11
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00:15:00.14\00:15:03.00
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00:15:05.70\00:15:08.63
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Welcome back, we're
talking with Dr. David DeRose
00:15:51.60\00:15:54.03
We're talking about
HIVES, a very practical subject.
00:15:54.06\00:15:56.53
Hives are differentiated from
other types of skin problems
00:15:56.56\00:16:00.52
by the fact that they
move all over the place.
00:16:00.55\00:16:02.76
Isn't that right, doctor?
00:16:02.79\00:16:04.16
Yes, basically a lesion that
doesn't stay in the same place.
00:16:04.19\00:16:07.76
We have this
outbreak, if you will,
00:16:07.79\00:16:10.31
that's related to
the immune system,
00:16:10.34\00:16:12.04
and NOT to something specific
with one point on the skin.
00:16:12.07\00:16:14.95
So the old saying... Does it
hurt all over, or just in spots?
00:16:14.98\00:16:18.15
I mean, if it's all
over, it's probably hives
00:16:18.18\00:16:21.24
because it moves all over.
00:16:21.27\00:16:22.64
Just in spots.. something else.
00:16:22.67\00:16:24.04
Yeah, that's a good way
of looking at it probably.
00:16:24.07\00:16:28.09
Maybe not, but at
least it gets us started.
00:16:28.12\00:16:29.95
You said there's
also occupational hazards
00:16:29.98\00:16:33.01
or exposures that
we need to be aware of
00:16:33.04\00:16:34.99
if we're trying to
figure out why we have hives.
00:16:35.02\00:16:37.85
Yes, if we think about
it, if we're talking about
00:16:37.88\00:16:40.93
an immune-related phenomenon
00:16:40.96\00:16:42.45
and that's what this
is... anything can trigger that.
00:16:42.48\00:16:45.18
So we've been speaking about
this broad list that includes
00:16:45.21\00:16:48.19
everything from
foods to medications,
00:16:48.22\00:16:51.71
to things in the environment,
00:16:51.74\00:16:55.23
hot water with
cholinergic urticaria.
00:16:55.26\00:16:58.12
Occupationally, whenever we
talk about allergic responses,
00:16:58.15\00:17:02.52
we always have to
consider the work environment.
00:17:02.55\00:17:05.18
And one of the BEST tests
you can do is take a vacation!
00:17:05.22\00:17:09.06
Yeah, don't go to work.
00:17:09.09\00:17:10.46
That's exactly right...
You heard it here on 3ABN!
00:17:10.49\00:17:12.66
If you're gone for several
days, a week, over the weekend,
00:17:12.69\00:17:17.03
the symptoms go away;
they return when you go
00:17:17.06\00:17:21.21
back to the workplace.
00:17:21.24\00:17:22.69
I mean, that's the
classic scenario...
00:17:22.72\00:17:24.26
And this is not
just true for hives...
00:17:24.29\00:17:26.56
People with cough,
chronic cough can be an
00:17:26.59\00:17:29.09
asthma variant...
another immunity problem.
00:17:29.12\00:17:31.83
And this is why you do it
under a doctor's direction
00:17:31.86\00:17:33.75
because you don't
want to lose your job.
00:17:33.78\00:17:35.33
Doctor, says I'm
going to take off a few days
00:17:35.36\00:17:37.36
to see if this
is causing my hives.
00:17:37.39\00:17:39.42
But often what we'll
do is just simply ask...
00:17:39.45\00:17:41.52
What happens on the weekend? Oh
00:17:41.55\00:17:45.15
I mean, presumably
you're getting a weekend off,
00:17:45.18\00:17:47.86
you're getting a week vacation.
00:17:47.89\00:17:49.51
What happened then?
00:17:49.54\00:17:51.41
And it's the same in the home.
00:17:51.44\00:17:53.09
If we're concerned
that there is something
00:17:53.12\00:17:54.56
in the home, Don, that's
triggering an allergic process,
00:17:54.59\00:17:57.63
whatever that
allergic process may be;
00:17:57.66\00:17:59.22
whether it's
hives or something else.
00:17:59.25\00:18:00.88
So what do we do for hives then?
00:18:00.91\00:18:02.74
Well basically, first
you try to get a diagnosis.
00:18:02.77\00:18:06.18
What is causing the hives?
00:18:06.21\00:18:07.73
By working through all those
things you've talked about.
00:18:07.76\00:18:10.02
Yes, and actually a
dermatologist, an allergist
00:18:10.05\00:18:13.50
can actually do some
very specific testing.
00:18:13.53\00:18:16.17
With all those little
pricking you with all...
00:18:16.20\00:18:18.39
There is a variety of different
ways of testing for allergens.
00:18:18.42\00:18:21.10
It's really one of the
tried and true mechanisms
00:18:21.13\00:18:23.61
is the one that
you're not all enamored with
00:18:23.64\00:18:25.75
which is the skin
testing mechanism.
00:18:25.78\00:18:27.34
Does that really hurt?
It sounds like it hurts.
00:18:27.37\00:18:29.20
Well I mean, I've
had allergy testing done,
00:18:29.23\00:18:32.02
and I don't recall it
being a bad experience.
00:18:32.05\00:18:35.00
It was a while ago.
00:18:35.03\00:18:36.40
I didn't try to have
it done the next day.
00:18:36.43\00:18:38.80
But especially if
you're having a problem!
00:18:38.83\00:18:41.16
Exactly! I mean,
because here's the point...
00:18:41.20\00:18:43.08
Sure, someone says - I
don't want to be pricked
00:18:43.12\00:18:44.97
In a bunch of places or I
don't want to have a bunch of
00:18:45.00\00:18:47.72
blood work done or I
don't want to spend the money
00:18:47.75\00:18:49.37
to see an
allergist or dermatologist,
00:18:49.40\00:18:51.49
but maybe I should
stop and say something here
00:18:51.52\00:18:54.18
because allergist
and dermatologist are
00:18:54.21\00:18:57.93
two excellent groups of
specialists who deal with
00:18:57.96\00:19:00.48
these diseases and although
an internal medicine specialist
00:19:00.51\00:19:04.93
like myself or a
family practitioner or a GP...
00:19:04.96\00:19:09.29
they may be able to pin
down the cause pretty obviously.
00:19:09.32\00:19:12.02
Maybe it's very
straight forward,
00:19:12.05\00:19:13.45
they just started
you on penicillin,
00:19:13.48\00:19:14.85
and you broke out in a rash.
00:19:14.88\00:19:16.25
You don't necessarily need
to see an allergist for that.
00:19:16.28\00:19:19.32
But by the same
token, those 2 specialties
00:19:19.35\00:19:22.18
come at the problem often from
00:19:22.21\00:19:23.59
a little bit
different perspectives.
00:19:23.62\00:19:25.31
So if you've seen an
allergist who hasn't nailed down
00:19:25.34\00:19:28.21
the problem, see a
dermatologist or vice versa
00:19:28.24\00:19:31.00
The key is to try to
find an answer to what is
00:19:31.03\00:19:33.26
causing the hives.
00:19:33.29\00:19:34.98
So once you diagnose
it... is there another way,
00:19:35.01\00:19:36.85
I mean do you ever
just take peoples food away
00:19:36.88\00:19:39.39
one at a time or
something like that?
00:19:39.43\00:19:40.80
Well actually many
times they will not be able
00:19:40.83\00:19:43.18
to diagnose the cause.
00:19:43.21\00:19:44.58
I'm not saying 99% of
the time or 90% of the time,
00:19:44.61\00:19:48.04
many times they
WILL diagnose it...
00:19:48.07\00:19:49.90
But oftentimes the cause of
hives, especially chronic hives,
00:19:49.93\00:19:53.96
can be somewhat elusive...
00:19:53.99\00:19:55.39
And so THEN, we've got to say,
00:19:55.42\00:19:57.96
well what kind of
strategies are we going to use
00:19:57.99\00:20:00.62
to try to see if we can
find out what's causing this...
00:20:00.65\00:20:02.88
Because really, this can
be a very miserable existence
00:20:02.91\00:20:05.07
for somebody to
have chronic hives.
00:20:05.10\00:20:06.47
It can actually be caused
from an autoimmune disease.
00:20:06.50\00:20:09.54
The body can be
attacking this IgE receptor
00:20:09.57\00:20:14.41
triggering these
immune responses,
00:20:14.44\00:20:18.14
so that actually can happen.
00:20:18.17\00:20:20.15
So, what do you do then?
00:20:20.18\00:20:22.46
I see here you have
listed on the web site here
00:20:22.49\00:20:26.57
elimination diet.
00:20:26.60\00:20:29.65
Now elimination diet is on
the web site not just for hives.
00:20:29.68\00:20:33.23
But it's on the web site
because ... all kinds of things.
00:20:33.26\00:20:36.71
We use elimination
diets when we're dealing with
00:20:36.74\00:20:40.38
difficult problems to
diagnose what's triggering them
00:20:40.41\00:20:43.93
OR problems...
usually they have some kind of
00:20:43.96\00:20:46.96
inflammatory or
autoimmune component,
00:20:46.99\00:20:49.42
and we're trying to say...
00:20:49.45\00:20:51.29
"Look it, there's some evidence
in the scientific literature
00:20:51.32\00:20:54.72
that foods may be common
triggers of this condition. "
00:20:54.75\00:20:58.12
Maybe we're talking
about rheumatoid arthritis.
00:20:58.15\00:21:00.49
Maybe it's asthma and
maybe it's chronic hives,
00:21:00.52\00:21:05.01
and we're going to try an
elimination diet to see if this
00:21:05.04\00:21:10.13
can cause an
improvement in the symptoms.
00:21:10.16\00:21:11.90
If it DOES, then it's
pointing us down the direction
00:21:11.93\00:21:14.52
to the foods
that we've eliminated.
00:21:14.55\00:21:16.10
One of those foods or a number
00:21:16.13\00:21:17.50
of the foods being
the triggering cause.
00:21:17.53\00:21:19.90
Okay so, do you have a
way to through different foods
00:21:19.93\00:21:24.08
on this thing - do you
start with your corn chips,
00:21:24.11\00:21:26.59
then go to your potato
chips, then go to your whatever?
00:21:26.62\00:21:29.25
Well, if you did it
that way, think about it...
00:21:29.28\00:21:32.20
If you went down
one food at a time,
00:21:32.23\00:21:35.06
if you have a triggering
response to more than one...
00:21:35.09\00:21:38.77
We're talking
about a chronic problem.
00:21:38.80\00:21:40.17
We're not speaking about
you get hives once a month.
00:21:40.20\00:21:42.99
That's different...
We're talking about something
00:21:43.02\00:21:45.23
that's either autoimmune,
something that's chronic,
00:21:45.26\00:21:47.52
something that
you can't pin down.
00:21:47.55\00:21:49.60
Then we do one of
these elimination diets,
00:21:49.63\00:21:51.81
and again, it is, as
you've been pointing out,
00:21:51.84\00:21:53.73
it's something that
I recommend people do
00:21:53.76\00:21:55.39
under the guidance
of a physician because,
00:21:55.42\00:21:57.51
let me just tell you,
some of these problems
00:21:57.54\00:22:00.88
that we're talking about,
if you're not being monitored
00:22:00.91\00:22:03.40
by a physician, you'll get into
00:22:03.43\00:22:04.87
big trouble if you're not
moving in the right direction.
00:22:04.90\00:22:07.36
So let's go
through some of them...
00:22:07.39\00:22:08.76
You have categories here...
00:22:08.79\00:22:10.16
You have level 1, level
2; items always permissible
00:22:10.19\00:22:14.23
What are the items
always permissible?
00:22:14.26\00:22:17.36
Well basically, when we
talk about items that are
00:22:17.39\00:22:19.96
always permissible, the
elimination diet regimen
00:22:19.99\00:22:23.22
that I have on the
Compass Health web site
00:22:23.25\00:22:26.18
is something that has worked
for me in my work with patients.
00:22:26.21\00:22:29.94
There is
evidence that supports it,
00:22:29.97\00:22:31.89
but it's also based on
your clinical judgment.
00:22:31.92\00:22:35.31
So, what's on my diet
here for always permissible,
00:22:35.34\00:22:38.63
for example - under
grains, is simply millet.
00:22:38.66\00:22:41.36
Millet - no one
is allergic to that.
00:22:41.39\00:22:42.89
Well, I wouldn't say
that no one is allergic to it,
00:22:42.92\00:22:45.07
but it's a very
infrequently used grain
00:22:45.10\00:22:49.02
in the human population.
00:22:49.05\00:22:50.69
Most people that I deal
with have never heard of millet
00:22:50.72\00:22:53.71
as a food... they've
seen it in the bird food maybe
00:22:53.74\00:22:56.27
after I point out
to them what it is.
00:22:56.30\00:22:58.45
But millet is actually
a very palatable grain.
00:22:58.48\00:23:01.34
It can be cooked
like a hot cereal.
00:23:01.37\00:23:03.50
And one of the theories of
allergy and intolerance, Don,
00:23:03.53\00:23:07.54
is if someone is predisposed
to one of these conditions,
00:23:07.57\00:23:11.17
the things that they
are repetitively exposed to
00:23:11.20\00:23:14.32
are things that they
are more prone to develop an
00:23:14.35\00:23:16.79
allergic response to.
00:23:16.82\00:23:18.19
Okay, so you cut out
the things they normally eat
00:23:18.22\00:23:20.40
in terms of grains like wheat.
00:23:20.43\00:23:22.05
Yeah, high on the list, the
things that we always exclude
00:23:22.08\00:23:25.18
are the
gluten-containing grains...
00:23:25.21\00:23:27.34
So that would be
barley, rye, oat and wheat.
00:23:27.37\00:23:32.98
So those we exclude...
it doesn't mean people
00:23:33.01\00:23:34.46
can never eat those again
but during the elimination phase
00:23:34.49\00:23:37.53
we're trying to get
them off multiple foods;
00:23:37.56\00:23:40.47
see if their symptoms improve.
00:23:40.50\00:23:42.07
If they DO improve,
then we gradually start
00:23:42.10\00:23:44.39
adding foods back.
00:23:44.42\00:23:45.79
If one of those
foods triggers the problem,
00:23:45.82\00:23:48.19
whether it's the hives -
You know what it is then. Yes
00:23:48.22\00:23:50.22
So then on level
2 you have down here
00:23:50.25\00:23:51.93
would be corn and rice.
00:23:51.96\00:23:53.39
Yes, level 2 are things
that we'll add back sooner.
00:23:53.42\00:23:58.87
So in other words, rice
in particular tends to be
00:23:58.90\00:24:02.53
a less allergenic grain in our
culture in the Western culture.
00:24:02.56\00:24:07.85
It may not be true in Asia.
00:24:07.88\00:24:09.63
I haven't worked there
so I can't tell you that.
00:24:09.66\00:24:12.04
Then the next category you
have nuts and seeds and legumes.
00:24:12.07\00:24:15.93
Yeah, the nuts and seeds...
00:24:15.96\00:24:17.58
Nut, in general,
are fairly allergenic,
00:24:17.61\00:24:20.41
and so you'll notice here,
00:24:20.44\00:24:21.81
ALL nuts are excluded;
you don't add those back.
00:24:21.84\00:24:25.38
We're including
peanuts in that as well,
00:24:25.41\00:24:27.65
although it's a legume.
00:24:27.68\00:24:29.05
You'll also notice that with
the other legumes besides soy,
00:24:29.08\00:24:32.76
soy we exclude completely
in all these regimens.
00:24:32.79\00:24:36.35
If we're not doing a
strict as an elimination diet,
00:24:36.38\00:24:39.19
we may allow other legumes.
00:24:39.22\00:24:40.59
So it's garbanzo beans
or lima beans, lentils,
00:24:40.62\00:24:44.41
we may allow those in a less
strict elimination diet program.
00:24:44.44\00:24:48.00
And some of these, it
can really cause problems.
00:24:48.03\00:24:50.17
I heard about a young girl who
just was exposed to a little bit
00:24:50.20\00:24:53.51
of peanuts and with a
more severe problem than hives
00:24:53.54\00:24:58.91
I think she
actually died from this.
00:24:58.94\00:25:00.31
Yeah, she had an
anaphylactic reaction.
00:25:00.34\00:25:01.94
It got a lot of
media press some time ago.
00:25:01.97\00:25:04.91
But it's exactly true, that's
how serious these things are.
00:25:04.94\00:25:08.17
So we're not recommending
that you challenge yourself
00:25:08.20\00:25:12.10
with foods that
you've been avoiding,
00:25:12.13\00:25:13.51
especially if you have a serious
00:25:13.54\00:25:15.19
or life-threatening
allergic problem.
00:25:15.22\00:25:16.96
So you have other things listed,
we can't go through them all;
00:25:17.00\00:25:19.75
other animal products, dairy
and eggs, fruits, vegetables,
00:25:19.78\00:25:22.97
and you have them
in different columns.
00:25:23.00\00:25:24.40
A category... level 1, level 2.
00:25:24.43\00:25:26.57
I guess level 1 were things
that you always should avoid.
00:25:26.60\00:25:29.83
Well at least if you're
doing a kind of elimination diet
00:25:29.86\00:25:33.21
strategy that I'm recommending.
00:25:33.24\00:25:35.10
And then water
and then OTHER THINGS!
00:25:35.13\00:25:37.76
On that level 1, other,
you have chocolate, yeast,
00:25:37.79\00:25:40.25
alcohol, all kinds
of different things.
00:25:40.28\00:25:41.65
Well since you mentioned water,
00:25:41.68\00:25:43.05
you know, we need to
let everyone know that
00:25:43.08\00:25:44.45
we're actually not telling
you you can't drink water,
00:25:44.48\00:25:47.19
but it's toxins
that can be in water.
00:25:47.22\00:25:51.36
Other poisons and I use
that term somewhat broadly,
00:25:51.39\00:25:55.84
but it's true, there are
many compounds that get into
00:25:55.87\00:25:58.18
our water, whether it's
the products of chlorination
00:25:58.21\00:26:02.11
combining with other
compounds in the water
00:26:02.14\00:26:04.49
or traces of
pesticides and things.
00:26:04.52\00:26:06.64
So the message, distilled
water with charcoal filtration
00:26:06.67\00:26:10.07
is probably the single
best option if we're dealing
00:26:10.10\00:26:13.40
with these regimens.
00:26:13.43\00:26:14.80
And then you have
other tests there on the site
00:26:14.83\00:26:17.41
that you can go to that
are like an ANA blood test,
00:26:17.44\00:26:20.37
and different types of
blood tests that if all that
00:26:20.40\00:26:24.38
elimination doesn't work, you
can look at some other things.
00:26:24.41\00:26:26.89
That's right, sometimes
the reason why we're speaking
00:26:26.92\00:26:29.37
especially in
this show about hives,
00:26:29.40\00:26:32.11
sometimes people have hives;
00:26:32.14\00:26:33.51
they have autoimmune diseases
or autoimmune conditions
00:26:33.54\00:26:36.67
ANA is a test that most
people think of in association
00:26:36.70\00:26:39.28
with lupus but it is
something that can give us
00:26:39.31\00:26:42.40
insight into autoimmune process.
00:26:42.43\00:26:44.60
Can stress cause hives?
00:26:44.63\00:26:46.00
You know, I think a lot
of people would say "yes"
00:26:46.03\00:26:49.06
You know, we've spoken
about cholinergic urticaria,
00:26:49.09\00:26:52.05
I mean the name would
even suggest that it does that,
00:26:52.08\00:26:56.37
but I have to
be honest with you,
00:26:56.40\00:26:57.84
I have never seen a
person, in my experience,
00:26:57.87\00:27:00.82
who had hives caused by stress.
00:27:00.85\00:27:04.21
All these different
things, we discover what it is,
00:27:04.24\00:27:06.45
we take it away.
00:27:06.48\00:27:07.85
Any spiritual
insights into hives?
00:27:07.88\00:27:09.48
I know you're a
Christian clinician.
00:27:09.51\00:27:11.16
Well you know, I think it's
interesting that you mention
00:27:11.19\00:27:13.47
taking things away
sometimes would be a blessing.
00:27:13.50\00:27:15.89
You know, many times we
think, in Christ we're free,
00:27:15.92\00:27:19.34
we're in liberty... Paul
speaks about that experience.
00:27:19.37\00:27:22.02
But at the same time,
God sometimes asks us to
00:27:22.05\00:27:24.80
give up things that
are only hurting us.
00:27:24.83\00:27:26.91
I think it's a good
principle to keep in mind.
00:27:26.94\00:27:29.08
Thank you, Dr. DeRose,
for dedicating your life to...
00:27:29.11\00:27:32.06
You know many physicians
are just day-in-day-out seeing
00:27:32.09\00:27:35.80
patients and the
word doctor means teacher
00:27:35.83\00:27:38.17
and you're taking
that seriously too.
00:27:38.20\00:27:39.63
You are teaching
lots of different
00:27:39.66\00:27:41.21
groups - we appreciate that.
00:27:41.24\00:27:42.61
We appreciate the web
site compasshealth. net
00:27:42.64\00:27:44.93
and what you're doing in
your ministry. Thanks so much.
00:27:44.96\00:27:46.99
Thank you for joining us
on "Health for a Lifetime"
00:27:47.89\00:27:49.94
Go to the web
site compasshealth. net
00:27:49.97\00:27:51.64
You can look more closely.
00:27:51.67\00:27:53.08
We hope, as a result, you have
Health that lasts for a Lifetime
00:27:53.12\00:27:55.16