12 Burst results for "Dr Ayman Quigley"

"dr ayman quigley" Discussed on KTRH

KTRH

08:32 min | 5 months ago

"dr ayman quigley" Discussed on KTRH

"Seven and eight. P.m.. Rain or shine, and I do, uh, you know, we're all very concerned about what is happening in Louisiana with the storm there. We are very lucky that it has not affected us. But our prayers are with everybody in the New Orleans area and surrounding. It's just a horrible, horrible mess there. But we are here every Sunday, giving everybody the best in health and wellness. We want to make you better consumers of health care. Raise your health like you a single listener at a time. And so we are glad everybody's here now on the program two nights. We're going to get an update on Covid 19 Dr. Howard Wang, who pretty much has been my go to person. He is a pulmonary specialist. He heads up the long transplant program at Houston Methodist Hospital here in The Texas Medical Center. He's going to be coming on to give us an update on What's the latest with vaccine boosters? Masks. What are we doing? What are we finding? What about there's a lot of discussion about people that have been exposed. To covid and they have antibodies and is that as good as getting a vaccine, I don't know so well. We'll see what Dr Wang says. Then we're going to switch gears. We're going to have Couple of experts from Texas Children's here, Dr Sunny Harper that has been here a few times. He is a Pediatric hepatology ist and we have talked about fatty liver and obesity in the past, and Dr Mitra Misra, who is a pediatrician, but is very much involved in primary care of our Children, so She and Dr Harp of that will be here talking about that a little later in the program. So stay tuned and as a reminder, our website Dr Joe Galotti dot com. Sign up for a newsletter on the home page. Very simple, it says newsletter. Dr Harper Vet has helped me with that. So, uh, something to take a look at, But the newsletter comes out every Wednesday morning. So you want to get that? And of course on Facebook dot at at Dr Joe Galotti is our site for that. All right, um Couple of things in the news. Some stories that came came across my computer this week. I am sure like me. All of you have heard of this 10,000 step routine. And there was a Somewhat of an editorial in The New York Times saying, Do we really need to take 10,000 steps a day for our health? Now? The article here They go back and say that this whole 10,000 step phenomena started back in the sixties. In Japan. During the 1960 for Tokyo Olympics Now I had heard a different story. That it had to do with English. Rail workers that worked on the platforms, and they realized that these people that were on the platforms walked all day long and they were healthier than the people that did not work. On the platforms, and we're not walking as much well, either way. There. There has been this sense that you have to walk 10,000 Miles, so there is some research. That shows that if you were walk 4000 steps. 70 year old women that walked 4000 steps had a 40% decreased mortality. That's good. The benefit increased up to about 7500, but between 517,000. It's sort of plateau and you do not get Additional benefit. There's no doubt that the control in this study was only 2700 steps. These people had no significant impact in their survival. So it seems as if The target of 10,000. Maybe just a little too much now. If you want to walk it If you're running, that's fine, But strictly from a health standpoint, it seems Somewhere around 4 to 5000 up to 7500 is the sweet spot. So just something to think about. Don't bash yourself when it's the end of the day and and you say, Oh, honey, I only walked 6000 steps. Don't worry about it. You'll be fine. All right. A, uh, This was from the Wall Street Journal. Diets Engineer to work with your microbiome. Are the latest startup craze. Now in the past, we have talked about the importance of the microbiome, which are the trillion bacteria that live in our digestive, digestive tract and how these are Beneficial to Just about everything that goes on in our body, and there is a lot of research on obesity and the microbiome And so this article. Goes on to say that there are now companies that are doing various essays on your blood and on your stool to create a custom diet that fits your microbiome. Now. Sounds good, but I am not totally sold on it. Now. I did share this article with a colleague of mine, Dr Ayman Quigley, who is a world renowned expert on the Microbiome. He happens to be in Houston. And so in a week or two. I'm going to have a man come on to really weigh in on this now. One of the reasons that there is so much obesity I do believe is that the microbiome is Disturbed In some sense, we know that the alteration of the normal microbiome to the abnormal Is made worse by artificial sweeteners and a lack of fiber. Amongst all the other. Chemicals, antibiotics and whatnot. Whether or not My body. Responds better to avocado than the person sitting next to me. I'm not quite sure how that all fits in. I'm a little leery. I look at it. I am an entrepreneur. I am happy to encourage entrepreneurs. But I do wonder if there is a class of businesses that are Taking advantage of all the obesity. And capitalizing on this to say, Look, turning a stool sample, and I'm going to tell you exactly what you should eat. I don't know. Um, I'm skeptical at best. We'll get the expert in here to comment the last article before the break diabetes surges among American youth, I'm looking at two pediatricians right here. They probably know all about this. But recent article and I looked back at this. And there were articles back in 2005 that we're talking about the rise and diabetes in young people. But this particular study was 2001 through 2017. And during this 16 year period. They're saying that the rate of diabetes type two diabetes and young people Between 10 and 19 years old. Increased by 95%. Right here, read the source document. Um, which is which is just horrible, tied back to diet and obesity. So it is a problem. The The type two diabetes that used to be The disease that grandma would get is now being seen in college age. Adults, high school students and younger so all right. We have our work cut out to do all right. I'm Dr Joe Galotti. Don't forget Dr Joe Galotti dot com. Dr.

New Orleans Ayman Quigley Louisiana 2001 4000 steps 2017 2005 40% Japan Houston 6000 steps 10 10,000 Miles Howard Wang Sunny Harper Wang 16 year 95% Houston Methodist Hospital 19 years
"dr ayman quigley" Discussed on KTRH

KTRH

07:16 min | 1 year ago

"dr ayman quigley" Discussed on KTRH

"Of tonight. It's constipation. We're not ashamed to talk about it, but we talked about it with gusto with Dr Ayman Quigley, chair of medicine. At Houston Methodist Hospital, heading up the G I and digestive disorder professor of medicine. Amen. With with the discussion of constipation, I I do think the one thing I want to Cover. Is that with it being so common, and as you said, Not enough fibre not drinking enough water. People are used to it they expected there are a couple of situations that truly demand. A somewhat urgent medical evaluation, and that is what I'd like to cover in the next few minutes. What are those red flags that you cannot simply say? Oh, I'm constipated. I was I was on a trip I was travelling or I was eating too much Mexican food. Whatever the case may be, What are the red flags that Everybody now tonight needs to realise they have tto be very careful. Well, I think if you get to the stage where you haven't thought about for days, and your stomach is getting distended, and you've got pain that's a real problem couldn't affect others. That is an obstruction the bow now that the studios got so hard and Compacted that just getting out of that That would that would be a classic example of a situation would be if there any other symptoms like leaving, for example, has done the stool. I have actually progress the stage where they might be associated nausea, vomiting or weight loss. There already flags for any of these symptoms, which should be to play the immediate attention. Now there are some Aziz. We like to say more systemic disorders. Problems with the thyroid and other hormone issues, Things like multiple sclerosis, Parkinson's. Cow. How may that clue somebody in and maybe simply present with constipation? Maybe one of the more obvious complaints that they have Right and put it in perspective for the average person with constipation like because we have one of these disorders is no. Yes, but there's something we think about. So let's deal with. So if you've got an underactive thyroid, you know one of the things that paradise is a kind of regulation metabolism throughout the body, so it keeps everything kind of jeans up. So if you're thyroid level is very low, Everything kind of slows down, including the movement, talked contents to your intestine on that would lead to constipation. So that's something that people kind of counter space and we would fairly routine check for. Confusion not necessary to check it because it's something that is done by your primary care position on a fairly routine basis, anyway, particularly this area no in terms of the other conditions like Parkinson's. That's a very interesting story. My father, Freddie. Longstanding interest is you may remember. Oh, yeah, Props. Today's in the whole issue of gastrointestinal problems in provinces and there's no actually quite a bit of literature to suggest the constipation. Maybe the first symptom apart isn't right and that people may have constipation many, many years reported. The other. Typical symptoms of purpose is that when you get your training, established purposes, constipation can be a major issue. And there's this fascinating science here have one of the fascinating pieces of that If you look at the God wall, and there's a nervous system in the garden wall and everybody if you look at the nervous system of the comfortable in pockets is you see the same changes there. You see in the brain and Parker? Yeah, while so, and that leads to You know great difficulty in getting things through the gut, and also, of course, that he's created because he would coordination the same way that you get the tremor and the difficulty with balance except with Parkinson's. That can also affect the muscles that and now you, too, have defected bound book so Constipation can be a major problem for people pockets and for some people, it could be so distressing that I really told ways any of the other symptoms they have. And in fact, can you congratulate all of the neurological diseases can be associated with constipation for a variety of reasons, in some cases, because God himself is involved in other situations because they're muscle function generally so poor that they just can't have a defective ball movement. Yeah, now the one the one other and and we may have to say This is our last at last topic for for tonight. Irritable Bowel syndrome. You are truly a an expert on this, but Yes, Constipation is a big part of irritable bowel. But when? When is that an overused? Line and it really maybe something else is so what is the sort of the tolerance to say? Yes. You have IBMs and eat more fiber and go away. What do you think that Well, I think a lot of factors you have to bear in mind. We're not on Elvis state to students and some before it's all about context, right if you've got a 25 year old woman Use the woman of his constipation who has constipation is otherwise fit and healthy in most ways with the public doesn't need a lot more investigation. On the other hand, if you have somebody who's been property well, for many years, I know the age of 64 has suddenly developed constipation and abdominal pain. You need to pay attention, right. So context is all important. You already mentioned you highlighted the SUV's red flags that we look for the other blood. Still, the weight class, the nausea, the vomiting all of these symptoms, which would say Your which should lead us to say, Gee, that could be something else going on here and should be to some investigations, maybe a corn in octopi or some imaging, for example, to look into it further. Is about context and symptoms. And we can say this over and over again. Listen to the patients. They will tell you the truth. Absolutely. That is the message for tonight, Dr Ayman quickly. So much of a pleasure having you on and we will get you back on again, as promised. So great is always to talk to you. All right, All right. Have a great evening now. Alright, Doctor, Ayman Quigley does not get any better than that. And truly a gift that we have here at Houston Methodist and in Texas. All right. Josh, Let's take it away. I'm Dr Joe Galotti. Next Sunday seven o'clock your health first go to Dr Joe Galati dot com. I will see you next week. If you have constipation issues reach out to us. We're here to help you out. Take care. You've been listening to your health first with Dr Joe Bloody. For more information on this program or the content of this program, go to your health first dot com..

constipation Dr Ayman Quigley Parkinson nausea Dr Joe Galati Houston Methodist Hospital Dr Ayman Dr Joe Galotti professor of medicine Dr Joe Bloody Aziz vomiting Bowel syndrome Freddie abdominal pain Josh Parker Houston Methodist Gee
"dr ayman quigley" Discussed on KTRH

KTRH

03:53 min | 1 year ago

"dr ayman quigley" Discussed on KTRH

"What? What do you think? Correct? Correct what it's actually you know, there are a couple of things that needed to settle into conservation by common for some people's transient and one thing's. For example, When people travel, they often become constipated because maybe they know, traveling in an aeroplane can lead to some changes, which may promote constipation. Then they changed their food intake. More important than probably changed their diets. So transient constipation is very common but chronic constipation. You're absolutely correct. I would say it's more like 10 or 15% of the population, right? And of course, you know, one of the things bar things were constipation that it doesn't get more common as you get older, and and it is one of the pardons that you and I bear as wait, Wait. We have to come see that. I thought we were immune from that. Amy and I have a job to do this. We are getting older and so and you know, there are many reasons quite apart from your changes in physiology that lead to that, But it is I think you have been involved in this for many years. And every day I say to myself, you know more things that is totally being ignored. And totally enough being researched the way it should be His constipation. Distress I see for people who cannot have a normal bowel movement is incredible. Well, you know, under peace. Oh, it is and ah, you know, you know, and and for full disclosure here, you you were my teacher many, many years ago at university. Nebraska and have developed a fondness for you. But you taught me well. But I as a hepatology ist I see at least one or two patients every day. That have nothing. Nothing wrong with their liver. They're coming to me for abdominal pain to the point that they are seeing surgeons. They're going to the E. R and I hate to say in all of 10 minutes I'm like you're constipated, and it is so distressing that it is almost at epidemic levels today compared to 10 years ago. Are you seeing the same trend and it's a lot of young people. Yes, I think there are a lot of factors involved here. I think. Oh, there's obviously dietary factors right? There's no question that, you know, High fibre diet, which is the traditional like who die as a ruby or people live in the country. In contrast to the highly processed died of people live in urban areas. The new quest that died is a factor on you Remember? Ah, now I remember very well. A gentleman called Dennis parkas. Yes, who was actually a missionary doctor in Africa for many years to death a number of years now, But he made a critical observation when he worked in Africa, and that is that he didn't see constipation and ruin Africans didn't see Doc particular disease didn't see hemorrhoids and he related this correctly. I believe to the fact that these who grew an African people Didn't need a lot of meat, but they have a lot of high fiber foods, which of course, resulted in the assault, spoke his tool, which is easy to pass. It didn't cause constipation. Our driver take their disease are hemorrhoids are based on the problem. So I think that was a critical observation, I think remains true to this day. And I think, you know You know, certainly started segments of the population had become aware of this and our, you know, easy, more fiber eating more vegetables. For many people that is simply unattainable because it's expensive, right? Right. Amen. What we're going to do is take a quick break here. Dr Ayman Quigley. World famous gastroenterologist and professor of medicine. A great honor to have him on the program tonight Tonight. Stay tuned. Final.

constipation chronic constipation Africa Dr Ayman Quigley Amy abdominal pain professor of medicine Dennis parkas Nebraska assault Doc
"dr ayman quigley" Discussed on KTRH

KTRH

08:26 min | 1 year ago

"dr ayman quigley" Discussed on KTRH

"Go to Dr Joe Gulati dot com for More information about what we have, and we will be talking about. I hope you enjoyed Michael Garfield. The last segment. He is always full of energy and never know what he's going to say. All righty. Well, as I had said earlier. The next person, Dr. Ayman Quigley has been on the programme and he is one of the few people that was patient enough to die Elin during the years he lived in Ireland in the middle of the night, calling into Your health first, But let me just give you a little background on Dr quickly before we get him on. He isn't currently The David M. Underwood, chair of medicine and Digestive Disorders Department medicine professor of medicine. At Houston Methodist Hospital. He is the past president of the American College of Guest or no guest room, neurology and the world gastroenterology. Organization former editor of the American Journal of Gastroenterology. Former Dean Medical School in Cork, Ireland. Author researcher. And All around. Awesome physician. Dr Quigley, Welcome again to your health first. How are you? Very well. Thank you. Great to be with you again, Joe. Maybe a year or two since we were together, But we've we've done this many times before. In a ball. George? Yes, yes. And I and I, and I believe that the one thing you and I both share outside of patient care is education. And this is this is the crux of the programme here now. In all of the Possible topics that I could ask you to talk about constipation. Is the one tonight so Well, This is a no bars topic for this program, so I guess before we really dive into it. A lot of people say I'm constipated, but there may not be constipated. So really, what would you say is your definition of what constipation is for everybody listening tonight? First of all. I applaud you, Joe for breaking this topic up because I think it's one that's unfortunate he gets doesn't get the other time it showed because it really is very distressing from for many, many people. I think you bring up a very important point in that's the definition of constipation. Constipation means many different things to many people, and more things we have positions fails to appreciate is that it does mean different things. For many years. We were fixed to this kind of Victorian concept. The constipation men's That you didn't have a bomb would want every day or every second day way. No, no, that that's actually on the minority of the problem of constipation. For many people, constipation symptom means that they had difficulty having abound open tonight. In the essence of the problem. They have to strain They feel it's not complete. They have to try and try again or some people very distressed. They get the arch to go on. They just can't do anything and that's very distressing for people and can lead to a lot of problems. So I think would be I'm a lot more flexible in understanding of constipation, and even the guidelines on the base. Bodies that come up with these technicians know, acknowledge that we have to be a lot more. Broad, if you like, in our concept of constipation and brought in a way that truly understands, or patients herself in problem. Well, you know that approach, which I fully endorse, requires two things. One is listening on the part of the physician or having a A set of probing questions to clarify it and many times the patients when when we do ask them about how often or how much straining or what symptoms. They almost seem a little caught off guard to say, Well, you know, if I had known this question ahead of time, I would have prepared for you a little bit better. What do you think of that? That on the physician side, we're not asking the right questions or spending the time and patients aren't quite Able to describe what really is happening, Probably because they're embarrassed. What were you actually hit on two of the most important issues in this whole area on the first, Unfortunately, where we've let people down on that is not listening. And I wanted things I tell our students and our training is all the time. They say. Also source constipated assaults of diarrhea, I think. Well, what exactly does that mean? And they look at me that I got two heads because that actually is the essence of the problem. Right. And I think when you have a patient sitting with you whether your primary care, doctor or specialist and this guy got constipation, you must fully understand exactly what the patient means by that before they leave the the consulting room. If you haven't done that it actually failed a patient because you're likely To make decisions on their behalf, which may actually take them and completely the wrong direction. And you also like to prescribe things for them, which may be totally useless. So I think that's the first part of your quest. The other part actually is very important. I think we should be more proactive in terms of top looking after patients and that another was teeing up some of these issues, perhaps by questionnaires ahead of time drops by, you know, today's pieces of a patient education before had to So that they can think about things about what exactly happens when I try to have about books, Right? Right. Do I have to strain? How long? How long am I sitting there kind of a bomb movement is painful. Do I feel that it's completely have to try again. Those are questions which you know, because the that I private interest in. We asked routinely, but I think it doesn't take very long. Actually, I think you can make fatal errors on the pavement on work, but I think you make serious errors. In terms of assessment without me, if you don't have those questions. Well, you know, the one the sort of that the sister set the questions here. Which is, I think part of this whole discussion here. Is for patients to describe for me or for you what their stool looks like. And there again, there are some patients that literally will come with a sketchbook. Of the stool and others are flabbergasted that we're asking, And they will say will excuse me. I just am not a looker. And I have to say Look, start looking, because that may help out what do you say to the people that are not Looking But we actually know in our my consulting rooms when we were seeing patients who have a little chart in each of the rooms is called the Crystals to scale. Yes, on bits, of course, is a city in England and the reason for the true scale of many years ago. I'm connection off standing condition, gastroenterologist and chemical researcher had developed the Bristol stool scale whereby they have little pictures. You know, cause only diarrhea to the hardest of hearts Tool and Dick. Score them and you can look at it. And in fact, one of the things I found Amazing, Recep. You know this charges up in in our examination rooms before it went through the patient's A well I'm a 35. And you're already you're off to a great start. Yes, because 11 thing that has been discovered is that that crystals to game Actually, Carl. It's very well with the function of the column that I think that's been a major, very simple, very completely Patients orientated device, but it's actually very helpful, and I think it's it's the ultimate ice breaker in a sense to say OK, instead of getting graphic with everything, just 0.1 through five. Tell me where you're at here. And it gets down now, when? When you look at the statistics, you know everybody from the beach to the various medical societies say about 2.5 million people suffer constipation. I would almost think that you could almost double that number..

constipation Dr Joe Gulati Dr. Ayman Quigley Ireland researcher American Journal of Gastroente Patients orientated Michael Garfield Houston Methodist Hospital American College of Guest David M. Underwood professor of medicine president Digestive Disorders Department Elin Cork Dean Medical School editor George Carl
"dr ayman quigley" Discussed on KTRH

KTRH

04:15 min | 1 year ago

"dr ayman quigley" Discussed on KTRH

"Tell me where you're at here. And it gets down now, when? When you look at the statistics, you know everybody from the beach to the various medical societies say about 2.5 million people suffer constipation. I would almost think that you could almost double that number. What? What do you think? Correct If actually, you know, there are a couple of things that needed to settle in conservation by common for some people's transient and one of things. For example, When people travel, they often become constipated because maybe they are traveling in an aeroplane can lead to some changes, which may promote constipation. Then they changed their food intake. More important than probably changed their diets. So transient constipation is very common but chronic constipation. You're absolutely correct. I would say it's more like 10 or 15% of the population, right? And of course, you know, one of the things born things were conservations that it doesn't get more common as you get older, And it is one of the pardons that you and I bear as Wei Wei have to conceive that I thought we were immune from that. Amy and I have sorry, George. We are getting older and so on and so on, And there are many reasons quite apart from your changes in physiology that lead to that, But it is I think you have been involved in this for many years and every day except one things that is totally being ignored. And totally not being researched. Debate should be his constipation. Distress. I see for people who cannot have a normal bowel movement is incredible. Well, you know, under peace. Oh, it is and ah, you know, you know, and and for full disclosure here. You you were my teacher many, many years ago at university. Nebraska and have developed a fondness for you. But you taught me well. But I as a hepatology ist I see at least one or two patients every day. That have nothing. Nothing wrong with their liver. They're coming to me for abdominal pain to the point that they are seeing surgeons. They're going to the E. R and I hate to say in all of 10 minutes I'm like you're constipated, and it is so distressing that it is almost at epidemic levels today compared to 10 years ago. Are you seeing the same trend and it's a lot of young people. Yes, I think there are a lot of factors involved here. I think you know there's obviously dietary factors right? There's no question that, you know, High fibre diet, which is the traditional happy like who die as a ruby or people live in the country. In contrast to the highly processed died, people live in orbit areas. The new quest that died is a factor You remember Ah, now I remember very well. A gentleman called Dennis Parkas. Yes, who was actually a missionary doctor in Africa for many years to death a number of years now, But they made a critical observation when he worked in Africa, and that is that he didn't see constipation and ruin. Africans didn't see diverticular disease didn't see hemorrhoids and he related this Correctly. I believe to the fact that these grew in African people didn't even out of meat. But they have a lot of high fiber foods, which of course, resulted in the assault. Bulk is too, which is easy to pass. It didn't cause constipation. Our driver take their disease are hemorrhoids are based on the problem. So I think that was a critical observation, I think remains true to this day. And I think, you know You know, certainly started segments of the population have become aware of this and our, you know, easy, more fiber eating more vegetables. For many people that is simply unattainable because it's expensive, right? Right. Amen. What we're going to do is take a quick break here. Dr Ayman Quigley. World famous gastroenterologist and professor of medicine. A great honor to have him on the program tonight Tonight. Stay tuned. Final segment coming up more constipation. Going.

constipation chronic constipation Wei Wei Africa Dr Ayman Quigley professor of medicine abdominal pain Dennis Parkas Nebraska Amy assault George
"dr ayman quigley" Discussed on KTRH

KTRH

01:46 min | 1 year ago

"dr ayman quigley" Discussed on KTRH

"Cut You grandma killer Michael Very live at 8 A.m. and 5 P.m.. Weekdays on news radio 7 40. Welcome back everybody. Dr Joe Galotti. Every Sunday. We're here to raise your health. One listener at a time. That is our Amato. Go to Dr Joe Gilady dot com for more information about what we have, and we'll be talking about I hope you enjoyed Michael Garfield. The last segment. He is always full of energy and never know what he's going to say. All righty. Well, as I had said earlier. The next person, Dr. Ayman Quigley has been on the programme and he is one of the few people that was patient enough to die Elin during the years he lived in Ireland in the middle of the night, calling into Your health first, But let me just give you a little background on Dr quickly before we get him on. He isn't currently The David M. Underwood, chair of medicine and Digestive Disorders Department medicine professor of medicine. At Houston Methodist Hospital. He is the past president of the American College of Guest or no guest room, neurology and the world gastroenterology. Organization former editor of the American Journal of Gastroenterology. Former Dean Medical School in Cork, Ireland. Author researcher..

"dr ayman quigley" Discussed on KTRH

KTRH

03:40 min | 1 year ago

"dr ayman quigley" Discussed on KTRH

"You can go to our practice Web page liver specialists of Texas. And stay in touch and send me a message now for the program tonight. Action packed. We've got two very special experts at Iran Michael Garfield. And if you have been in Houston for any amount of time, you know that Michael Garfield Is a permanent Fixture on the radio landscape here and I heart He is the high tech Texan and you say, OK, What is Michael Garfield going to talk about on your health first? Well, We're going to talk about band with band with. I'll leave it at that. He'll be coming up in the next segment. Then we have One of my favorite people. My mentor, Dr Ayman Quigley. Doctor quickly and I have been working together since 1989. And of course, neither one of us have aged a bit. Dr Quigley has many, many credentials, which we'll talk about in a moment, but we're going to be talking about constipation. What better on Sunday evening than to talk about constipation, toe end You're weak on constipation and start you start your week next week Monday. On a good foot with nutrition and fiber and things like that. So high tech Texan coming up in a few minutes and then Dr Ayman Quigley talking about constipation a little later in the program, all right. So last week we had Dr Eric Lau. It's from San Antonio on the on the program talking about fatty liver disease, and I have been saying for a long time that fatty liver disease is Outside of Cove. It and all that's going on with covert now. Public enemy number one hour number one public health hazard. Related to obesity, and so This this past week War was the European Association for the Study of Liver Disease. Normally, it's a wonderful meeting somewhere in Europe. Now it was a virtual meeting, but Out of the meeting. Some good research came up and there was a lot of information about fatty liver disease. And how should we screen for this And so The background story is that fatty liver disease leading cause of cirrhosis leading cause of disease leading to liver transplant, liver failure, liver cancer, very, very serious. Medical problem Now, how do we screen for this? Do we just get people that have elevated liver chemistry's etcetera Will. This particular study looked at several 100 people with Type two diabetes? Adult onset diabetes. And what they found is that close to 50% of these people had normal liver chemistry's their blood work was normal. So if that is the case, most of these people would have missed a flag. They would have missed being Hold aside to be evaluated for possibly having fatty liver. Well, what they did was they did some additional non invasive testing. And they found that a rather high percentage Of these people had advanced liver disease. And so what does that tell us? What is the take home here? Many of you may be sitting at home. With Type two diabetes. You go to your doctor and you're told you have normal blood work Your your liver chemistry's are normal..

Liver Disease fatty liver Dr Ayman Quigley Michael Garfield Dr Eric Lau Iran Texas Europe Houston obesity San Antonio European Association cirrhosis
"dr ayman quigley" Discussed on KTRH

KTRH

05:26 min | 1 year ago

"dr ayman quigley" Discussed on KTRH

"We actually know in our my consulting rooms when we were seeing patients have a little chart in each of the rooms is called the Crystals to scale. Yes, on the course, is a city in England and the reason for the true scale of many years ago. I'm connection, outstanding condition gastroenterologist and tended to researcher Had developed the Bristol Truth game whereby they have little pictures, you know, cause only diarrhea to the hardest of hearts two and explored them and you can look at it. And in fact, one of the things I found Amazing was that You know this charges up in in our examination rooms before it went through the patient's a well on the 35. And you're already you're off to a great start. Yes, because 11 thing that has been discovered is that that game Actually, Carl. It's very well with the function of the column that I think that's been a major, very simple, very completely Patients orientated device, but it's actually very helpful, and I think it's it's the ultimate ice breaker in a sense to say OK, instead of getting graphic with everything, just 0.1 through five. Tell me where you're at here. And it gets down now, when? When you look at the statistics, you know everybody from the beach to the various medical societies say about 2.5 million people suffer constipation. I would almost think that you could almost double that number. What? What do you think? Correct? Correct it. Actually, you know, there are a couple of things that need to be settled. Conservations come for some people's transient and one thing's. For example, When people travel, they often become constipated because maybe they are traveling in an airplane completely to some changes, which may promote constipation. Then they changed their food intake. More important than probably changed their diets. So transient constipation is very common but chronic constipation. You're absolutely correct. I would say it's more like 10 or 15% of the population, right? And, of course, you know, One of the things are things are constipation that it doesn't get more common as you get older. And it and it is one of the partners that you and I bear as Wei Wei have to come see that I thought we were immune from that. Amy and I have sorry, Joe. We are getting older and so and you know, and there are many reasons quite apart from your changes in physiology that lead to that, But it is I think you might be involved in this for many years and every day except one thing that is totally being ignored and totally not being researched the way it should be. His constipation distress I see. For people who cannot have a normal bowel movement is incredible. Will you hold me under peace? Oh, it is And you know, you know, and and for full disclosure here you You were my teacher many many years ago at University of Nebraska and have developed a fondness for you. But you taught me well, but I as a hepatology ist I see at least one or two patients every day. That have nothing. Nothing wrong with their liver. They're coming to me for abdominal pain to the point that they are seeing surgeons. They're going to the E. R and I hate to say in all of 10 minutes I'm like you're constipated, and it is so distressing that it is almost at epidemic levels today compared to 10 years ago. Are you seeing the same trend and it's a lot of young people. Yes, I think there are a lot of factors involved here. I think you know there's obviously dietary factors. There's no question that, you know, High fibre diet, which is the traditional happy like Crew of diet of Ruby or people live in the country, In contrast to the highly processed dyed to people who live in urban areas, the new craft that died is a factor You remember Ah, now I remember pretty whether gentleman called Dennis Berkus. Yes, who was actually a missionary doctor in Africa for many years to death a number of years now, But they made a critical observation when he worked in Africa, and that is that he didn't see constipation. They ruin Africans. He didn't see Doc particular disease didn't see hemorrhoids. And he related this correctly. I believe to the fact that he's ruling African people didn't eat a lot of meat, but they have a lot of high fiber foods, which, of course, resulted in the assault buckets to which is easy to pass. It didn't cause constipation are diverticular disease are hemorrhoids are based on the problem. So I think that was a critical observation, I think remains true to this day, and I think you know You certainly certain segments of the population of become aware of this and our, you know easy, more fiber eating more vegetables for many people got simply on attainable because it's expensive. Right, Right. Amen. What we're going to do is take a quick break here. Dr Ayman Quigley. World famous gastroenterologist and professor of medicine. A great honor to have him on the program tonight Tonight. Stay tuned. Final segment coming up more constipation. We're going to dig a little deeper. Stay.

constipation chronic constipation Wei Wei Africa England Patients orientated researcher Carl Dr Ayman Quigley Joe University of Nebraska Dennis Berkus abdominal pain professor of medicine assault Amy Doc
"dr ayman quigley" Discussed on KTRH

KTRH

06:45 min | 1 year ago

"dr ayman quigley" Discussed on KTRH

"I hope you enjoyed Michael Garfield. The last segment. He is always full of energy and never know what he's going to say. Already well as I had said earlier. The next person, Dr Ayman Quigley has been on the programme and he is one of the few people that Was patient enough to dialled in During the years. He lived in Ireland in the middle of the night calling into your health first, But let me just give you a little background on Dr quickly before we get him on. He isn't currently The David M. Underwood, chair of medicine and Digestive Disorders Department medicine professor of medicine. At Houston Methodist Hospital. He is the past president of the American College of Guest gastroenterology and the world gastroenterology. Organization former editor of the American Journal of Gastroenterology. Former Dean Medical School in Cork, Ireland, author researcher And all around. Awesome physician. Dr Quigley, Welcome again to your health first. How are you? Right. Well, thank you. Great to be with you again. Joe scene. Maybe a year or two since we were together, But we've we've done this many kinds of corner balls, George. Yes, yes. And I and I, and I believe that the one thing you and I both share outside of patient care is education. And this is this is the crux of of the programme here now. In all of the Possible topics that I could ask you to talk about constipation. Is the one tonight so Well, This is a no bars topic for this program. So I guess before we Really dive into it. Ah, lot of people say I'm constipated, but there may not be constipated. So really, what would you say is your definition of what Constipation is for everybody listening tonight? First of all. I applaud you, Joe for breaking this topic up because I think it's one that's unfortunately gets doesn't get the air time it showed because it really is very distressing from for many, many people I think you bring up a very important point. And that's the definition of constipation. Constipation means many different things to many people, and one things were positions fails to appreciate is that it does mean different picture. For many years we were sticks to this kind of Victorian concept. The constipation meant that you didn't have a bomb would want every day or every second day way. We now know that that's actually only a minority of Of the problem of constipation. For many people, constipation simply means that they had difficulty have bamboo bridge 19 p essence of problem. They have to strain They feel it's not complete. They have to try and try again or some people very distressed. They get the arch to go on. They just can't do anything, and that's very distressing for people and can lead to a lot of problems. So I think we've become a lot more flexible. An understanding of constipation and even the guidelines and the space bodies that come up with these definitions now acknowledge that we have to be a lot more broad, if you like, in our concept of constipation and brought in a way that truly understands, or patients herself in process. Well, you know that approach, which I fully endorse, requires two things. One is listening on the part of the physician or having a A set of probing questions to clarify it and many times the patients when when we do ask them about how often or how much straining or what symptoms. They almost seem a little caught off guard to say, Well, you know, if I had known this question ahead of time, I would have prepared for you a little bit better. What do you think of that? That on the physician side, we're not asking the right questions or spending the time and patients aren't quite Able to describe what really is happening, Probably because they're embarrassed. What you've actually hit on two of the most important issues in this whole area on the first, Unfortunately, where we've let people down on that is not listening. And I want things I tell our students and our training is all the times. They say old song source. Constipated assaults of diarrhea, I say. Well, what exactly does that mean? And they look at me. I forgot to heads crab because that actually is the essence of the problem. Right? And I think when you have a patient sitting with you with your primary care, doctor or specialist And this guy got constipation. You must fully understand exactly what the patient means by that before they leave the the consulting room. If you hadn't done that it actually failed a patient because you're likely To make decisions on their behalf, which may actually take them in completely the wrong direction. And you also like to prescribe things for them, which may be totally useless. So I think that's the first part of your question. The other part actually is very important. I think we should be more proactive in terms of top looking after patients and that another was teeing up. Some of these issues props by questionnaires ahead of time drops by You know, Today's pieces of a patient education before had to so that they can talk. Think about things about what exactly happens when I try to have about bullets, right? Right. Do I have to strain? How long? How long am I sitting there? Trying to bomb movement is a painful Do I feel that it's completely have to try again. Those are questions, which you know. Because of the age that I had private interest in. We asked routinely, but I think it doesn't take very long. Actually, I think you can make fatal errors have been in the basement on work, but I think you make serious errors. In terms of assessment without me, if you don't make those questions. Well, you know, the one the sort of that the sister set the questions here. Which is, I think part of this whole discussion here. Is for patients to describe for me or for you what their stool looks like. And there again, there are some patients that literally will come with a sketchbook. Of the stool and others are flabbergasted that we're asking, and they will say. Oh, excuse me. I just am not a looker. And I have to say look, start looking, because that may help out what do you say to the people that are not looking.

Constipation Dr Ayman Quigley Ireland American Journal of Gastroente Joe scene professor of medicine Michael Garfield Houston Methodist Hospital David M. Underwood Digestive Disorders Department Cork American College of Guest president editor George Dean Medical School researcher
"dr ayman quigley" Discussed on KTRH

KTRH

04:23 min | 1 year ago

"dr ayman quigley" Discussed on KTRH

"You can go to our practice Web page liver specialists of Texas. And stay in touch and send me a message now for the program tonight. Action packed. We've got to Very special experts that Iran Michael Garfield And if you have been in Houston for any amount of time, you know that Michael Garfield Is a permanent Fixture on the radio landscape here. That I heart He is the high tech Texan and you say, OK, What is Michael Garfield going to talk about on your health first? Well, We're going to talk about band with band with. I'll leave it at that. He'll be coming up in the next segment. Then we have One of my favorite people. My mentor, Dr Ayman Quigley. Doctor quickly and I have been working together since 1989. And of course, neither one of us have aged a bit. Dr Quigley has many, many credentials, which we'll talk about in the moment, but we're going to be talking about constipation. What better on Sunday evening than to talk about constipation? Toe end? You're weak on constipation and start you start your week next week Monday. On a good foot with nutrition and fiber and things like that, so Hi tech Texan coming up in a few minutes. And then Dr Ayman Quigley talking about constipation a little later in the program, All right. So last week, we had Dr Eric Lau. It's from San Antonio on the on the program talking about Fatty liver disease, and I have been saying for a long time that fatty liver disease is Outside of Cove. It and all that's going on with covert now. Public enemy number one hour number one public health hazard. Related to obesity, and so This this past week War was the European Association for the Study of Liver Disease. Normally, it's a wonderful meeting somewhere in Europe. Now it was a virtual meeting, but Out of the meeting. Some good research came up and there was a lot of information about fatty liver disease. And how should we screen for this And so The background story is that fatty liver disease leading cause of cirrhosis leading cause of disease leading to liver transplant, liver failure, liver cancer, very, very serious. Medical problem Now, how do we screen for this? Do we just get people that have elevated liver chemistry's etcetera Will. This particular study looked at several 100 people with Type two diabetes? Adult onset diabetes. And what they found. Is that Close to 50% of these people had normal liver chemistry's their blood work was normal. So if that is the case, most of these people would have missed a flag. They would have missed being Hold aside to be evaluated for possibly having fatty liver. Well, what they did was they did some additional non invasive testing. And they found that a rather high percentage Of these people had advanced liver disease. And so what does that tell us? What is the take home here? Many of you may be sitting at home. With Type two diabetes. You go to your doctor and you're told you have normal blood work Your your liver chemistry's are normal. Nothingto worry about That dreaded fatty liver disease isn't really a problem with May But what this study is showing is that Unrelated to the lab work. The mere fact that you have Type two diabetes. They also added, if you are obese Which goes hand in hand with fatty liver. That creates the perfect storm for developing fatty liver. So the take home message here As we've been saying, Fatty liver is a huge public health problem. It seems like it is going to be a larger problem. Because there are more asymptomatic people out.

Liver Disease fatty liver Dr Ayman Quigley Michael Garfield constipation Dr Eric Lau Iran Houston Texas Europe asymptomatic obesity San Antonio European Association cirrhosis
"dr ayman quigley" Discussed on KTRH

KTRH

05:05 min | 2 years ago

"dr ayman quigley" Discussed on KTRH

"Operators are standing by twenty four seven to receive your call. Be part of the program. Get on the show. A lot of fun on the program. Tonight. We're going to be talking with Dr Ayman Quigley dot too quickly is a world renowned gastroenterologist an expert in digestive diseases, and Dr quickly and I met in nineteen eighty nine in Omaha, Nebraska, where I was in training, and we have become friends and colleagues ever since, and he is one person that I look up to in the world of medicine and research, and he is just an absolute treasure to have now at the Methodist Hospital where he is the chief of gastroenterology. And, and so it's going to be a great addition to the Texas medical center to have somebody like Dr Ayman quickly here, and he's gonna come on. We're gonna be talking about some rather basic topics, but very important, because these affect a lot of people were talking about irritable bowel syndrome. We're going to talk about the role of probiotics, these are bacteria that we take in to help cure some of our illnesses. And then we're going to talk a little bit about heartburn. It seems every everybody's got heartburn. They've taken the purple pill and wondering whether or not, this is the right thing to do dot quickly will weigh in on that my voice tonight is a little tired. I've been sick the last week, it, it sort of flared up again. So bear with me and my runny nose, which is a bit uncomfortable to have to speak to you for an hour. But that's the way it is, you know, one of the topics I wanted to touch on real fast. I received a book in the mail. It is the best of the best of health from consumer reports two hundred eighty questions. You've always wanted to ask your doctor, and I look through it. And, you know, I like the people at consumer reports that pretty decent people, and there are some things here that, you know, we can talk about for a few minutes here. One of them is how to communicate your condition if there's anything you're going to learn about me and your health. I and what we try to do here, it is to have you communicate your problems and articulated to, to the doctors that you're seeing, and one of the points. They talked about here is getting the timeline, right? Take along a written list of all of your complaints and do your best to list them in chronological order knowing, which symptoms came, I can often be the decisive factor in arriving any workable, diagnosis, and that is so true, many times patients come, and they say pain started here I started have blurred vision. Well, when I'm not quite sure it may have been a week ago. It may have been two months ago. So get the time line down the other thing that they stress, which I would agree with is get down to business right away. All of us. Doctors are time crunched. And really, we have to get right to the heart of the matter right away. You need to make your concerns known at the outset before the physician jumps to what he may think isn't eroneous conclusion. So again, if you have everything written down, it makes it go all the faster and be specific instead of complaining vaguely about pain, not knowing on, you know, how severe it is we want you to really rate, the pain on a scale of zero to ten where one zero one is very mild. Ten would be really pretty severe that gives us an idea. Is it dole or aching as a tooth pain, does your feel like it's on fire as with heartburn, does the pain? In sting, like an insect bite. Or is it a painful pressure, as if an elephant is sitting on your chest? Does the pain radiate spread to adjacent areas? These are all things that you want to be able to articulate and get straight, when you're presenting this to the doctor. All right. And the most important thing is well, really two things. If you have a fear if you feel that this is something very, very concerning. Very, very new to you. You have to let us know because if you just dismiss it as well. It's probably just gas. Well, that's what we're going to hear. We're not gonna put any additional wait on that. So that's important. The other thing is. Full disclosure. If you've seen other doctors if you've seen other specialists if you have gone in for other tests, and have the results don't be afraid that we're going to get insulted that you may, you may get the wrong impression of, of the patient. Tell us everything be transparent. And of course, that is what's always going to, you know help you out. Well anyway, we're going to take a break the our go so fast here when we come back, we're going to be talking with Dr. Kessel Heim from Boston children's hospital. We're going to be talking about an article in New England Journal.

heartburn Dr Ayman Quigley dot Dr Ayman Nebraska Methodist Hospital dot Omaha bowel syndrome Dr. Kessel Heim New England Journal Texas medical center Boston two months
"dr ayman quigley" Discussed on KTRH

KTRH

06:08 min | 2 years ago

"dr ayman quigley" Discussed on KTRH

"You need to be about a better consumer of healthcare. That's what this is all about. We are here. To make you better consumers make you understand how to stay healthy. I wish I could say how to make you wealthy and wise. But certainly, if you've got your health, as I've been told you've got everything, and, and certainly day in day out, taking care of patients. It's, it's always a terrible thing to see that people are sick, the suffering that they go through, and so many things that we're all a flooded with can be prevented and it, it comes with an ounce of prevention a little bit of understanding intervention. Our website, your health, I dot com go there to sign in front of newsletter. Let us know what is on your mind. Listen to pass programs our phone number, if you want to participate toll free one eight eight eight, get y h f one one eight eight eight four three eight nine four three one. Operators are standing by twenty four seven to receive your call. Be part of the program. Get on the show. It's a lot of fun on the program. Tonight. We're going to be talking with Dr Ayman Quigley, Dr Quigley is a world renowned gastroenterologist an expert in digestive diseases, and Dr quickly and I met in nineteen eighty nine in Omaha, Nebraska, where I was in training, and we have become friends and colleagues ever since, and he is one person that I look up to in the world of medicine and research, and he is just an absolute treasure to have now at the Methodist Hospital where he is the chief of gastroenterology. And, and so it's going to be a great addition to the Texas medical center to have somebody like Dr Ayman quickly here, and he's gonna come on. We're going to be talking about some rather basic topics, but very important, because these affect a lot of people were talking about irritable bowel syndrome. We're gonna talk about the role of probiotics, these are bacteria that we take in to help cure some of our illnesses. And then we're gonna talk a little bit about heartburn. It seems every everybody's got heartburn. They're taking the purple pill in wondering whether or not, this is the right thing to do Dr quickly will weigh in on that my voice tonight is a little tired. I've been sick the last week, it, it sort of flared up again. So bear with me and my runny nose, which is a bit uncomfortable to have to speak to you for an hour. But that's the way it is, you know, one of the topics I wanted to touch on real fast. I received a book in the mail. It is the best of the best of health from consumer reports two hundred eighty questions. You've always wanted to ask your doctor, and I look through it and, you know, I like the people that consumer reports that pretty decent people. And there are some things here that, you know, we can talk about for a few minutes here. One of them is how to communicate your condition if there's anything you're going to learn about me, and your house. I try to do here it is to have you communicate your problems and articulated to, to the doctors that you're seeing, and one of the points. They talked about here is getting the timeline, right? Take along a written list of all of your complaints and do your best to list them in chronological order knowing, which symptoms came, I can often be the decisive factor in arriving any workable diagnosis. And that is so true, many times patients come. And they say paint started here I started have blurred vision. Well, when I'm not quite sure may have been a week ago may have been two months ago. So get the time line down the other thing that they stress, which I would agree with is get down to business right away. All of us. Doctors are time crunched. And really, we have to get right to the heart of the matter right away. You need to make your concerns known at the outset before the physician jumps to what he may think isn't eroneous conclusion. So again, if you have everything written down, it makes it go all the faster and be specific instead of complaining vaguely about pain, not knowing on, you know, how severe it is we want you to really rate, the pain on a scale of zero to ten where one zero one is very mild. Ten would be really pretty severe that gives us an idea is a dull or aching as a tooth pain. Does your feel like it's on fire as with heartburn, does the pain? In sting, like an insect bite. Or is it a painful pressure, as if an elephant is sitting on your chest? Does the pain Radi or spread to adjacent areas? These are all things that you want to be able to articulate and get straight, when you're presenting this to the doctor. All right. And the most important thing is well, really two things. If you have a fear if you feel that this is something very, very concerning. Very, very new to you. You have to let us know because if you just dismiss it as well. It's probably just gas. Well, that's what we're going to hear. We're not gonna put any additional wait on that. So that's important. The other thing is. Full disclosure. If you've seen other doctors if you've seen other specialists if you have gone for other tests, and have the results don't be afraid that we're going to get insulted that you may, you may get the wrong impression of, of the patient. Tell us everything be transparent. And of course, that is what's always going to, you know help you out. Well anyway, we're going to take a break the our go so fast here when we come back, we'll give me talking with Dr. Kessel Heim from Boston children's hospital. We're gonna be talking about an article in.

heartburn Dr Ayman Quigley Dr Ayman Dr. Kessel Heim bowel syndrome Nebraska Methodist Hospital Omaha Boston Texas medical center two months