Welcome back.
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We're talking
with Dr. Neil Nedley.
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We're talking about
really a whole bunch of things,
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but the last thing you mentioned
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was fascinating to
me and that is that
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food needs to taste good.
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It's kind of a
misnomer when someone says.
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In another words it's
not right when they say.
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Well, the reason I
overweight is because
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I just really
enjoy my food really,
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if your study
is correct it maybe
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that they are not
enjoying their foods,
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that's why they are overweight.
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They are not
enjoying it as much,
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and they need more
flavor in the food.
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In fact that the study
what I didn't point out
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in that study is it
showed when the flavor
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was increased people
actually lost weight.
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They lost 35 pounds in a year
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by improving the
flavor of the food.
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So some of these
places you go where it's just
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fast food and it's
and it's what not the,
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it's a blend
thing and they just eat
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bunch of it full of
void, but it's not something
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they jus savoring every
bite, the better the food,
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the more they
slowdown and enjoy it.
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That's part of it as well.
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You know, it's
also misnomer to think
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that thin people
don't enjoy food.
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If you watch thin people eat,
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they often be
thoroughly enjoying their food.
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And if you watch
obese people eat,
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sometimes you look
at them and you realize
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where is the enjoyment
here, you know, what's you know,
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why are they
continuing to do this,
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but they continue to
actually eat more than
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they should often due
to the fact that the food
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that they are
eating is really not
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is flavorful as it should be.
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And so you know,
unfortunately McDonalds
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scores lows is
not just on health
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but on flavor as well.
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Interesting. Well, let's go on,
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there is another
interesting story,
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this time with heat exhaustion.
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Is it, is it problem in America,
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is something
that, how can we know
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when we're experiencing that.
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What can we do to avoid it?
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What are the ramification,
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what are the potential problems?
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Every year in the
spring, summer, rainfall
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they are
significant problems that occur
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with certain
Americans as the result
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of heat exhaustion and
also it going to heat stroke.
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Heat exhaustion
Don is the most common
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type of heat related
ailment and tends to occur
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in those that exercise.
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And it occurs when a
person looses too much fluid
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or too much sodium in the heat.
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Symptoms of heat
exhaustion include dizziness,
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loss of coordination,
pale skin, profuse sweating,
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nausea, vomiting, stomach aches,
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and intestinal cramps, diarrhea
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and muscle cramps
that just don't go away.
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So we're
supposed to take it slow
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when we're exercising.
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Well, that's what
the study has showed,
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it's not we don't exercise.
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In fact if you
used exercising everyday
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when the heat come,
you still need exercise,
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but just don't
exercises much as you were doing
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take it little slower and then
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as the summer goes on,
you will be able to exercise
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basically as much as you
did when it wasn't summer,
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but your body has
to acclimate to it.
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And so most people that
have heat exhaustion problems,
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they are not
acclimating overtime,
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they are overdoing on a hot day
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and they haven't
gradually got into the summer
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by increasing the amount
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of exercise that they are doing.
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And they are also not
staying well hydrated.
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And that's an important element
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is staying well hydrated.
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So, your sodium goes
down, all this other different
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things that really
just wears you out.
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Now can you
recover from that I mean
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true or false
you have heat stroke
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or heat
exhaustions sort to speak.
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You never quite the same again,
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you don't have the same stamina,
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is that true, is that is false?
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Yeah, will let's take a look
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at different the heat exhaustion
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and that can of
course lead to heat stroke,
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those are two different term.
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Heat stoke is
actually fatal or can be fatal.
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Symptoms of heat
exhaustion, you know,
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are the symptoms
I mentioned earlier
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and if you are
feeling those symptoms,
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the key is to get
to shady cool spot,
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drink fluids get out
of heat and really hydrate
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to prevent the
more fatal heat stroke
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and if you do have
heat stoke you may not
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completely recover from
that even if you do survive it.
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There can be some
permanent damage that can occur
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to the brain as the
result of heat stroke.
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And we got the source for that,
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where is that from?
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Well, this is from
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the National Athletic
Trainers' Association.
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There was a meeting
there Dr. Brendon McDermott,
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athletic trainer at the
University of Connecticut,
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is the one who did the
study and the analysis.
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And I should
mention on heat stroke
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the definition
of that is when your
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temperature goes up to over
104 degrees and then you end
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with confusion
mental instability,
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you can have an
irrational behavior
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and even combativeness
during the heat stroke,
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when you get to that
type of irrational behavior
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over 104 degrees that's really
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the definition of a heat stroke.
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Okay, anything
else on heat stroke
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before we go to
another fascinating study.
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Oh, I think
that's the main point
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that he was
emphasizing is get acclimated
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and gradually
increase your exercise
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and stay well hydrated.
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Here is another one,
you know, from time to time
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the economy goes up,
the economy goes down.
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In this
particular study look that
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when the economy goes
down and when it goes down
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the study said there was
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an increase in cosmetic surgery.
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Yes, amazingly enough
you know we've had downturn
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economically in this country
the last couple of years.
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There is no doubt
that it has occurred
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every economist
across the nation is talking
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about the economic downturn
that we have experienced.
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And the interesting
thing as you would think
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the cosmetic
surgery would go down during
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this time because
people are under the crunch,
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you now, they are
having less money to deal with.
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But actually the study
show that cosmetic surgery
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actually booms at
least in Great Britain during
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the economic downturn,
and there is also evidence
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of the same thing is
true in the United States.
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In fact Britain's largest
cosmetic surgery provider
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with the Harley Medical Group,
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said the demand for
procedures had grown
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by 35 percent over
the last 10 months,
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when the economic
downturn has been the steadiest.
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And the tummy
tuck operations cost
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over 5000 pounds in
the U.S that's over...
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Over 10,000. That's $10,000.
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Breast augmentation
surgery swelled 40 percent,
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the tummy tuck surgery grew
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by 59 percent during
the economic downturn.
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And they
actually did almost twice
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as many surgeries
in some cosmetic areas
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than they had done
the previous 10 months
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when the economic
downturn wasn't as much.
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But I think the
most important aspect
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of this study that we can learn
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from human nature is this.
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And this is a
study I mean I quote
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from the studies
author "Research among
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our patients has shown
that despite cutting back
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across all other areas,
people aren't cutting back
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on money, they
spend on themselves.
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And so still
the selfish interest
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is there and what
limited money they have,
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they spend it on
themselves and they think
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this cosmetic surgery
of course is going to help
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them that's part
of this great miss.
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Help them get a
job, help them do better
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this economic downturn,
they will go and then person
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interviewing them
cannot avoid hiring them
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because their
tummy looks better.
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Well, and you know
what they also think
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is it's going to help
themselves out emotionally.
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I see. And that has
been disproven by the way,
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that's one of the
myths of medicine that often
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are repeated by
plastic surgeons.
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Our plastic
surgeons will often say,
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well you need to
do this for yourself?
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You feel better. You need to do
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this because you feel better,
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are you having some
problems with depression,
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some emotional
problems, hey this is gonna
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be the answer to it.
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And you know
what the study show,
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not only is it not the answer,
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but it actually
a year or two later
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their mental health is worse
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than when they had
the cosmetic surgery.
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What do you think
that it is because they,
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they...you
know, they think that,
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that they are
beauties on the outward
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but not in the inward is...
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Well, I think it's
because they haven't dealt
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with the underlying
cause, their emotional problems.
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They thought
this might be a cause,
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and so they dealt with something
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that isn't a cause and
whenever you are dealing
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with something
that isn't a cause
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and you think it's the t cause,
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you are setting
yourself up for failure because
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you know, first
there is the emotional bump
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that occurs
after this surgeries.
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People will actually
transiently feel better.
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But then they
realize I have got the same
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emotional problems I had before.
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In fact I think they are worse,
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I have done this,
what else can I do
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and they start feeling hopeless.
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And for instance women
who have undergone breast
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augmentation
procedures have over twice
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this suicide risk from
a year to 10 years later.
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In some studies
three to four fold increase
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risk of suicide
as compared to women
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who were considering the surgery
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but didn't have it done.
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And that's again
simply due to the myth
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that this was
going to help them out
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emotionally when they
really should have been dealing
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with the primary problems
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that were causing
their emotional problems.
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And cosmetic is not the reason
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for emotional problems.
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Fascinating, diabetes
and hearing impairment.
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Yes, for years we have known
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diabetes increases
the risk of blindness.
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It actually is the
leading cause of blindness,
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or one of the
leading cause of blindness
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in the United
States what we call
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retinal diseases
or retinopathy occurs
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from not having
controlled diabetes.
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But now, we now know
that hearing problems
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also are very much more
common in adult diabetics
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or type two
diabetics than in those
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who do not have diabetes.
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And why is that
again, is that because
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as the blood flow to
the ear how is that works?
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It maybe related to
blood flow issuesto the ear,
00:10:03.43\00:10:05.51
we're not sure
why at this point,
00:10:05.52\00:10:06.98
you know, with the eye disease
00:10:06.99\00:10:08.06
where you
understand it more fully
00:10:08.07\00:10:09.59
it's been more fully explained.
00:10:09.60\00:10:11.47
But with the hearing impairment
00:10:11.48\00:10:13.77
we're not exactly sure,
00:10:13.78\00:10:15.44
but the study is pretty clear.
00:10:15.45\00:10:17.00
This was Dr. Kathleen Bainbridge
00:10:17.01\00:10:18.95
from Social and
Scientific Systems
00:10:18.96\00:10:20.78
in Silver Spring, Maryland.
00:10:20.79\00:10:22.68
They evaluated 5000 individuals
00:10:22.69\00:10:25.10
20 to 69 years of
age, and they found out
00:10:25.11\00:10:29.29
that the diabetes group
had over double the risk
00:10:29.30\00:10:32.86
of hearing impairment
even at the young age.
00:10:32.87\00:10:35.58
And so that begs the
question well treating
00:10:35.59\00:10:38.06
this diabetes
through lifestyle measures
00:10:38.07\00:10:40.28
prevent some of
the hearing loss.
00:10:40.29\00:10:42.30
We don't know the
answer to that yet,
00:10:42.31\00:10:43.84
but I would assume
00:10:43.85\00:10:45.33
that will be proven affirmative.
00:10:45.34\00:10:47.72
Once you loose hearing
can you can get it back.
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Unfortunately no, you
know, that's the bad thing,
00:10:50.53\00:10:54.05
it's reversible hearing loss and
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you know, once
you get to that stage
00:10:58.42\00:11:00.48
it's not really
reversible... Go ahead.
00:11:00.49\00:11:03.52
I was just gonna
mention that study was publish
00:11:03.53\00:11:05.60
in the Annals of
Internal Medicine,
00:11:05.61\00:11:07.11
July 1, 2008.
00:11:07.12\00:11:09.40
One of the think is
kind of related right next
00:11:09.41\00:11:11.24
to the ear I guess diabetics
00:11:11.25\00:11:12.64
also of course
have eye problems.
00:11:12.65\00:11:15.39
Diabetics do have eye problems
00:11:15.40\00:11:17.29
and that really
cannot be reverse either.
00:11:17.30\00:11:19.64
In fact what they need
to do is you got to see
00:11:19.65\00:11:22.36
an ophthalmologist
and get laser surgery
00:11:22.37\00:11:25.00
if they have to
prevent it from getting worse.
00:11:25.01\00:11:28.96
What happens is the
retina sprout blood vessels
00:11:28.97\00:11:32.82
because of the
blood vessel disease
00:11:32.83\00:11:34.31
are starting to
spread, new blood vessels
00:11:34.32\00:11:36.09
and those new blood
vessels can easily bleed,
00:11:36.10\00:11:38.45
if the retinal
hemorrhage that causes
00:11:38.46\00:11:40.93
the blindness in a diabetic.
00:11:40.94\00:11:42.96
And we can prevent
the retinal hemorrhage
00:11:42.97\00:11:44.73
by controlling the
diabetes, by getting
00:11:44.74\00:11:47.02
on proper
lifestyle and if you already
00:11:47.03\00:11:49.04
have that retinopathy
where the doctor can see
00:11:49.05\00:11:51.64
in the eye
getting the appropriate
00:11:51.65\00:11:53.92
ophthalmology
treatment will spare you
00:11:53.93\00:11:58.57
from loosing your
complete eyesight.
00:11:58.58\00:12:01.31
An ophthalmologist
once told me that something
00:12:01.32\00:12:03.05
like 25 or more
percent of first time diabetics
00:12:03.06\00:12:06.10
are diagnosed by an eye doctor.
00:12:06.11\00:12:09.16
Yes, because they can see
it in the eyes and you know,
00:12:09.17\00:12:11.43
unfortunately that means disease
00:12:11.44\00:12:13.00
has been there
for at least 10 years.
00:12:13.01\00:12:14.82
Is that right.
00:12:14.83\00:12:15.80
In fact the average
diabetic by the time
00:12:15.81\00:12:17.93
they have been
diagnosed, they have actually
00:12:17.94\00:12:19.72
been smoldering
having smoldering
00:12:19.73\00:12:22.32
diabetes for 15 years.
00:12:22.33\00:12:24.67
And if they would known earlier
00:12:24.68\00:12:26.31
they could have
intervened with diet
00:12:26.32\00:12:27.90
and lifestyle measures earlier.
00:12:27.91\00:12:29.53
But often they go
undiagnosed for years.
00:12:29.54\00:12:34.03
Well, thank you so much
00:12:34.04\00:12:35.01
for being with us Dr. Nedley.
00:12:35.02\00:12:36.50
We know you have
very busy schedule
00:12:36.51\00:12:37.92
and taking time out
of that really means
00:12:37.93\00:12:39.49
a he lot to me and our viewers.
00:12:39.50\00:12:41.83
Well, thank
you, it's always good
00:12:41.84\00:12:43.31
to be here with you
on Health for Lifetime.
00:12:43.32\00:12:46.87
Thank you for joining us today.
00:12:46.88\00:12:48.14
We know you, have the schedule
00:12:48.15\00:12:49.12
that's busy as well.
00:12:49.13\00:12:50.10
What we hope this has
been meaningful to you,
00:12:50.11\00:12:52.22
share with your friends.
00:12:52.23\00:12:53.75
We hope it's resolved.
00:12:53.76\00:12:54.73
You have health to
last for a lifetime.
00:12:54.74\00:12:57.52