10 Burst results for "Endocrine Diseases"

"endocrine diseases" Discussed on Veterinary Podcast by the VetGurus

Veterinary Podcast by the VetGurus

08:02 min | 11 hrs ago

"endocrine diseases" Discussed on Veterinary Podcast by the VetGurus

"Oh come everyone subscribers on subscribers. Anybody just listened out of the blue. It's brendan here with mark episode. Two hundred seven was a bit curious. Friday september twenty fourth two thousand and twenty. Take three or four four five bucks. That's an interesting time with this. This particular recording updated the software. And we're looking vote to use in new faith.'. In it and i don't know whether it was part of that switch back to the old method and hopefully it will work this time so and i play. We haven't run out of things to say after previous how are you. I'm great brennan. great. And i've got some some interesting com of receives interesting comments about the home merchandise idea. Jesus Taken off people a asking me. When are we gonna have the gear. And what what will it be. M. a hat or sloppy joe or it's really unsurprised at the marketing. Power of the okay. Well that case so we'll get onto it of already. Got a few ideas for catchy. One liners will without logo mark. And i'll oh shit democrats to you. Over the next few days as you now have have a little bit of spare time waco side disquiet To be able to do that. So we will An and i it. Yes we will have of the Looked with print on demand will have the option of things like A mug coffee mob tarmac A a baby A hoodie mark. So i thought was stray. I thought would be good to do. I stick as well sire if anybody's interested in heaven at gerbers sticker shock on the back of the whatever. Then we end up putting is on there as well Cy young. i'm really as so to and and and it makes me reminds me of Hopefully the benefit that's provided to alum sponsors wonderful sponsor. Often think that. Tom you know when we started this the that just a few people have probably have close family and each other would listen to it and ask bounces jumped on board. And they support was What wonderful caves going with the costs of running. Podcast surprise me But but hopefully This little awareness up become aware of the the reach of the podcast and hopefully l. wonderful sponsors getting some positive feedback about the products and benefits to supporting al podcast. Yes i think. An option. The areas in wife to chat to us mind sponsors is also having some merchandise for their little goes on an as well so huffing. That's another little project. That i might get stuck into as well max. I yes so vagaries dot com as a place to go And hopefully we'll have some links to merchandise up if you want to become a patron office. Goes there as well. And what does that mean. It means giving us a little bit of money to help. Cover the cost for the production and the storage and You know I love to say goes to retirement fund. Doesn't it just goes to help and cover some of the costs for it. So you know i think the way some people look at it back who who were generous enough to give us a little bit of money every different and again is you know. We don't want that much just lucky equipment of my cup of coffee and whatever that costs in your country once a month. I just think that's a pretty chepe. Abc continuing education Sort of donation. Isn't it back for some and pap some very poor dead jokes thrown in as well max. I so that's the place to vet goes dot com. Oh if you wanna drop is an email and chat about what sort things should like on submerged. Dosage vickers at j. mount comments at simple apart from that mark. Well it's been issue worked at. It's funny how things coming in in runs. We had one day in the last week. Quit sore bet Five or six beta dragons Almost roy mark Console iso is crazy and then the next day tend to just have by a whole host of rabbits for instance. And then the next i might be in i three or four particular types of little geckos that you don't say for eight months then ebb say four separate clients dies. Kick is coming in cy an interesting late. Those those Veterinary runs will recognize now industry with no statistical like. We don't know why that happened. There should be no reason. They should just randomly but often. It's not just the same species but Analagous conditions you often have iran of. You know obviously this time of the again have run a very productive things. I'm but tom thin. You'll hit a you know a bunch of endocrine diseases a bunch of china's They do seem to go in bunches. Agree brennan at throw. It is let is talk about the trams in melbourne dimac. Mark the term. Why why the treadmill. I'm trying to remember the jug. Why and tramps melba like bananas. I because they this was dived. Keller but they they grain and they attended arrive in bunches is to not have not have a triumph rages and then you'd have a whole group of them said league Very to stop so yes. So that's what's been happening at at work max and a bit of run with those babies with Skin conditions you mentioned particular conditions including a few of the usual sort of partial amputations. Tom we need to you. Know whether it's tiles all limbs or or toes Yet at said his is trying to say mac. And i'm sure the statisticians would probably look at the figures in that inside now. It's just sort of random chance. I'm you distinct pattern and yet it isn't When you look at the iro pitch. Oh that's so they go. That's what made up to apart from. I'm looking forward to hearing in the southern hemisphere mac. Why would coming into a spring season and on in a few Pills for high favorites pane particularly bad. Even though aspyring really hasn't kicked in we've had still a lot of really cool and called where the mark but been particularly high favorite. Marcus i had to. If had forget to tighten the tablet. When i head off to work by the time i get to work often allied arms done to get a bit sniffly in each nuys and sneezing and our papa tablet often allied lighter it stopped but wonder of antihistamines. I have not been afflicted by An allergic rhinitis. I'm pollens and things haven't given much trouble but these c- just while we've been traveling and when the wind has come up i really have been Knocked rount smush like you. So I'll have to give the antihistamines. A bit of a wack and.

brennan Dosage vickers brendan roy mark waco Tom mark joe Abc iran Keller melbourne tom china Mark Marcus allergic rhinitis rount smush
"endocrine diseases" Discussed on The Long Run

The Long Run

04:14 min | 1 year ago

"endocrine diseases" Discussed on The Long Run

"I fell in love with kind of the the the concept of the compounds, and what we could do for patients and talk a little bit more about why is such a huge unmet need and what we're doing, but the second piece is. Really reflecting on you know what do I believe on a where? Where's the most value? I can bring to an organization and what aligned very well as I talked to. You know the team nea in longitude capital, another one of our our our lead investors. is a clear path in a vision to build a broader organization in the rare endocrine space, and ultimately. That's what I'm great at. Is You know building in creating a vision and then really building an organization in a team that can really execute on that vision, and there was just such a clear alignment there between me and the investors where you know ultimately, we saw it as a good fit. Now by this time were you forty or not quite? I'm forty two now, so I J- had just turned forty at the when I was evaluating this opportunity Yuck and now you're now. You're getting your shot. As a CEO this really is a a a whiteboard kind of opportunity you got. You're looking at a couple of compounds from Ip San. And for one reason or another they they weren't interested in further developing them. Yeah, you know I, think it's a very similar story that you know now receiving so often in our industry, is that you know. Some of the greatest opportunities can sit with technology that may be just D- prioritized within larger organizations, and it just takes the you know the right team in the right minds to be able to find the opportunities to to to to carve a path forward for these technologies. So, it was one of those opportunities where it had just been de prioritized within Epson. Okay and so site on is this rare disease accelerator incubator and Kendall Square they were aware of it, and seeking to in license it but needed. A CEO in a team to to you know, breathe life into this exactly and any a is one of the investors there is that right correct and he as eight investor. What was it about? These components that that really stood out for you as opposed to the other things, you could have gone and worked on. So the first was. Ultimately the science driving our lead compound TB are seven sixty so the scientific platform driving both compounds that we brought in from from Epson. Are there the shorthand on? They've been called doper Stein's so it's both dopamine as well. Sonata Stan agonise targeting endocrine disease, specifically to power to a tear diseases. And these kamera compounds really had a long history. And both dopamine as well Samat Stat and have really Def- well defined mechanisms within two itary disease, so for me the first thing that I evaluate when I think about opportunity is ultimately can get passionate, and can I believe in the science that. When, we do all of the rigorous work that we're going to do that. We can get something to patients, so the first thing that interested me was one that really check the box. You know a clear scientific rationale for the mechanism both across joke, mean as well some out of Stan and then given the work that was done at Epson. there is a clear proof of mechanism as well as clinical proof of concept of that supported both comp compounds. What can you talk a little bit about the first molecule is it's some kind of combination of dopamine and Somatostatin like a couple of well known it is so so so it is a true American.

dopamine Stan agonise Epson CEO Kendall Square Ip San doper Stein Epson. Somatostatin
"endocrine diseases" Discussed on News Talk 1130 WISN

News Talk 1130 WISN

10:44 min | 2 years ago

"endocrine diseases" Discussed on News Talk 1130 WISN

"Internal medicine specialist Horia good how are you doing it's it's great to see you and and and I think internal medicine is is really interesting but doctor worth your colleague said that to you folks are kind of those detectives the sleuths as it as it were a with regard to veterinary medicine which puts you mean by that yeah I mean she's completely right so for internal medicine a lot of the times patients will come to us because they have health issues that we need some advanced work up and then a little bit more fact finding so kind of that more analysis so you know the lot of times the regular vets will get the ball rolling check blood work to X. rays whatever but then kind of once they find that they're unable to sort of determine or they think the animal needs more dense agnostics than we get involved to sort of read through everything and then come up with the diagnostic plan to sort of step by step by step figure out like what's going on and how do I address it going forward so when when you are doing an examination and you've got you've got maybe something that could be one of several things is it a rule process or a rule in process that's really the the one they get me get get in the annals can't speak they can tell you so I had to go look at it yeah that's a good question I thinks it it's a it's a difficult question answer because sometimes it is just we start by doing some screening tests you know like a dog comes in with chronic diarrhea you know like I'm going to screen the blood work and make sure that there's no issues with like the kidneys or the liver causing these issues I'll do maybe an abdominal ultrasound to look at the other organs look at the got in more detail and then once I've sort of rule that some of the big things like you know an obvious mass somewhere or yes their liver is failing whatever then it starts becoming more like of you have to look a little bit more intensively and causing the real failure liver failure whatever maybe right right so it's a little bit of polls interesting I assume it without knowing for sure that you see a lot of vomit hers and in B. L. a lot as well of dogs we have our cancer that been having difficulty processing from either end and so you how do you kind of attack that to your problem yeah it's a good question I mean I think that we will especially if it's a chronic issue if it's like the you know they come in and they've been vomiting for like two three days you know okay we'll do blood work will do X. rays will sort of do the symptomatic management but if it's like a chronic issue like you know the dog comes in or the cat comes in because they've been vomiting for two three months or even you know three weeks or so then we'll need to start looking a little bit more aggressively sold screening blood work to rule out other organ issues we'll maybe test for endocrine diseases ultimately for a lot of these pets though like once we get past the initial screening test we're at the point of obtaining intestinal biopsies and that a lot of times is kind of the main thing that will tell me what's going on you know how do I manage it what's the prognosis associated with it and that sort of thing going forward catcher but it is interesting insofar as there are some some side effects to to those problems too I I assume that these animals can become dehydrated pretty quickly that can be pretty dangerous right yes absolutely yeah so I mean it is a situation where you see an animal that might have had this problem for five six seven days is still sort of cute is happening with some frequency and if ya get a minor you know stabilized IV that service at the process yeah yeah so if it's it it varies because like if it's there really sick like they're not eating there having large volumes of funding Derry if there's blood in it you know those are the pets where I'm like you know even if it's been going on for one day I want to take it seriously so those are the pets were were hospitalized them do IV used to the aggressive symptomatic care just to help them sort of become more stable and then decide how you know do we need to be more aggressive in and sometimes we do I need to mention the spot on balance do pet owners come in to see or wait too long in situations like that to be as a dog or cat B. C. you know I think we get a little bit of full lot of where it's appropriate for sure not only are specialists in internal medicine to quit the diplomat well I took my hat you but I I guess I I mean I I know other pet owners I I'm the I'm the previous one yeah the first side of the aisle the dog throws up three times all work on a new yeah yeah although I know guys are throwing up for a month yeah it's it's probably not a good idea to wait that long no I agree I would rather people be more aggressive like if you're worried and if it's not right you're the one who knows your pet the best if it's if they're just not right it's okay to just say you know what I know this is been going on for two hours I still think we need to check it out come on and I think it's totally appropriate I'd rather that than the people who sit on a vomiting dog who's getting sicker and sicker for like a week and then they come in in in quite critical condition because of how sick they are hydrated they are what what what sort of the of the common things common diseases that you see in the dogs and cats yeah so I am internet so I deal with a lot of the internal organs so I mean we deal with a ton of cheap GI disease pancreatitis talk a little bit about that that's how I got familiar eyes as W. V. R. C. three dogs ago he ate all the sausage of a frozen pizza and that is pancreas is shut down and regular in there and doctor bills will are IV in in twenty four hours he was he was better than when we brought him in yeah I mean so we do see a lot of Pingree Titus and dogs because they do things like that little bit silly to certain breeds are they more prone to to that we yeah there are some like schnauzers for example are your poster child for pancreatitis was mine yeah yeah they get a ton of it but you know we do see it in all breeds like if you're gonna you know the fried chicken dinner that we were intending to have like you're you're setting yourself up for some issues there so you know that would sort of dietary indiscretion often but I mean an older dog sometimes like we do just see issues with the pancreas causing GI upset and and there's no good reason for it too so interesting anything else that's that's that's common that is not related to do the de iced system yeah I mean I think we manage a lot of immune mediated disease like dogs can get condition similar like rheumatoid arthritis in people we can get stuff where the immune system is attacking your blood cells like your red blood cells platelets which responsible for helping plot blood and that can make these pets really second so that can be challenging but also really rewarding to work on those animals you know and then we can also see some chronic kidney disease where it's just the kidneys are as the H. R. starting shut down and and manage that and how do you how do you assess kidney failure is that is that a blood test urine test what I'm usually blood to blood work will tell us your analysis as well because you need to have good kidney function to produce concentrated urine so we need to look at the your analysis and then sometimes we'll do imaging to see if we can find an underlying cause so what's your symptoms with a dog with kidney disease present with a low energy that sort of thing I would say the first thing we see is increases and thirst and urination yeah so increases and thirst and urination for any reason I think are a sign that something is wrong and they should be assessed but then as the kidney disease progresses then we might see you know low energy decreased appetite weight loss just feeling tired and achy basically you know the clinical term for that is taking exact he it's interesting you mention ultrasound before as a diagnostic tool there are some diagnostic imaging things that a dog or cat would have to be under general as study for a cat scan rate or in our I like that but also sound is is relatively quick and easy and you just stick a dog in a sling and you can go to get it done right yeah yeah I would say ultrasounds minimally invasive so it's many times one of the first things we do because all they have to do is kind of lay on their back and be still in an the majority of dogs and cats we see especially with medicine oncology even emergency like that they're willing to lay still for us yeah I mean not no dog I've ever owned but that there are some other that that will do that so what with her a referral from a from a primary veterinarian which what sorts of of things is is the primary but seeing whether they're going Hey you need to to go to be their CCS specialist sometimes it's because they need a more intensive work up then props what the that can offer like the advanced imaging some of the dance blood testing whatever and so they want somebody to sort of be the detective to help figure out what's wrong how do we manage it so that's pretty common sometimes they come with the diagnosis already in maybe it's the Pat has a bunch of concurrent health issues like kidney issues but also as liver disease and some sort of endocrine dysfunction and so the vat want somebody to be the one who's intensively managing each little step of it because it can be really complicated this certainly makes a ton of sense of this truth I got a minute two things real quick some treatment for cats I one thirty one what's I one thirty one so it's in cats with hyperthyroidism that's a condition in which you're producing excess thyroid hormone and it causes weight loss vomiting agitation whatever radioactive iodine injections can be given to cure hyperthyroidism yeah so it's well like assess the make sure they're a good candidate but yes we can treat them we can cure hyperthyroidism it also there's a lot of questions about what people feed their passive me is there any sort of trend dietary trend that might lessen the the the causes of and a chronic condition that you would be addressing is internal medicine should be feed my dog gluten free stuff for you know that you know no no I think that we should just be the balanced diets I would be a little careful about raw diets grain free diets we found some evidence that it can be so see with heart disease so I think if you're doing something balanced from somewhere reputable that's probably the best starting point insuring like a good healthy dog or cat if if my dog is it has some GI upset on either side and I do the old boil hamburger and rice thing my doing the right thing yeah that is fine that's fine it's just that's not something you should feed for like more than a couple of weeks right just to get get a break the cycle right yeah yeah that's fine its it's it's really fascinates of why why did you pick this is especially I really like problem solving and I so you do that every day yeah yeah so that's fun and then also like we do a lot of follow up with patients building relationships with clients because we're seeing the Pat like every two weeks that's it is really rewarding a doctor needs a gym a car is a internal medicine specialist at.

Horia five six seven days twenty four hours two three months two three days three weeks two hours two weeks one day
"endocrine diseases" Discussed on News 96.5 WDBO

News 96.5 WDBO

11:14 min | 2 years ago

"endocrine diseases" Discussed on News 96.5 WDBO

"Physicians for invision physician services I understand that this current study says that millennials are experiencing their health problems that we kind of associate with later in life they're experiencing them early is is that basically what the study is saying yeah that's correct and it's somewhat alarming I mean basically what this is this is a Blue Cross blue shield health study and they took out of the seventy six million persons that they consider millennials you know in the they took all fifty five million who are insured so basically it's a insurance claims database so we don't have the data on the remaining numbers who are not in the insurance database that fifty five million to pretty good sample size and so what they did is they look at overall health index and then they also looked at specific areas of decreased wellness so they they have a health index that is a percentage of one hundred so for example like an overall had index of ninety five point eight means that you are living at you know a little under ninety six percent of your optimal help your optimal being hundred percent millennials just to clarify are are basically listings early twenties actually they are the ones who are born from I think nineteen eighty one to nineteen ninety five okay and so really like I know a lot of the think of millennials at the college kids but these are really college kids from ten years ago so most of these guys are actually young adults who are starting families and in the work force so the average age of millennials in two thousand nineteen is twenty five to thirty nine years old forty percent of these are parents and the the staff star that approximately eighty eight percent live in metro areas and sixty three percent carry debt of over ten thousand dollars they are considered bill south to be somewhat behind other generations in terms of milestones such as your marriage homeownership parenthood the reason I even ask the question to clarify the ages I'm also thinking about insurance and how that plays in the health but maybe before get to that we need to talk a little bit more about what kinds of health problems are they experiencing the four main areas where they saw that there was an increase among millennials and really like a market a significantly different different statistic is in the areas of behavioral health which includes depression hyperactivity being the two most common and the endocrine disorders including diabetes and cardiovascular health overall if you wanted to broaden categorize it you could say depression hyperactivity diabetes and obesity tell you know diabetes obesity at all of course going to contribute to poor cardiovascular health as well now I'm I'm sure the study does it go this far but maybe it prompts it what we think is causing this is it social or is it genetic so I mean I in preparation for this interview I actually spoke to a lot of people in the millennial generation just because I thought you know I'd really like to get some first hand perspective here and it's easy enough for me because all the residents that I trained in my program in emergency medicine internal medicine neurology they're all levels they said Hey you know the study came out and showed this this and this we think is the reason just so that I'm not judging it as a parent or as an old person or whatever and it's interesting because they all more or less said the same thing they touched on two major points which is one nutrition so poor nutrition and to social isolation and I've been really it seems like people are pretty social I mean I don't know and tell you was my kids seem to always be under devices and stuff but here it was I heard it like literally from the horse's mouth millennial people telling me like yeah it seems like we're always super connected but it's actually really lonely first of all talk to me about that had to be lonely if you're constantly like monitoring your chance and like reading back and forth and I guess somehow even though you are always on your device you're dependent on this inanimate object to give you feedback and if you don't get feedback then you're reading a lot into it may answer me why did you so long to answer me maybe they don't like me anymore maybe they don't want to do what I'm doing maybe I shouldn't suggest that where they think in olden times when we didn't have this constant feedback I think we just thought okay well that probably they don't get back to me and leave it at that and not you know try to read into why is there a ten second delay or even a five minute or one hour delay it seems like instead of turning to the person that's right next to them there's a lot of still looking at the phone and connecting trying to connect with those people so may be right the concerns are misplaced it at some level I mean it's you know I I think it's important as the I mean I don't know like I'm from my generation X. according to all the website so I'm not sure like which generation you're coming from but I do I definitely don't want to you know judges generation because I'm a little bit older than they are but I think I definitely they're going up in a time where there are structures that at least my generation did not experience and one of the other stressors that a lot of people mention was just financial pressures to so meaning you know a lot of these kids have their you know their graduating college with dad and it's almost as if these days a college degree really doesn't get you what it used to it's almost like a high school degree was many years ago and so I think there's a lot of social factors that play into high levels of anxiety depression and then of course that can lead to you know poor eating habits and weight gain and poor cardiovascular health of course the flip side is two two if you have poor nutrition then you're going to be obese you're going to have a higher risk of developing type two diabetes cardiovascular disease and that in turn will make you depressed it's almost I mean they're both inter related okay and that was gonna be my next question how the obesity a figured into that in the diabetes so it kind of seeing that they're they're going to gather there are certainly a lot of other factors that could be as you're well aware so what what's going on with the results of the study is Blue Cross using it in a certain way or does it lead to more more studies I think it's it's definitely a great springboard for more study definitely when I looked at these data and it's nice they actually have the broad data on the website for anybody to look at so I actually downloaded the raw data at play with the numbers myself yet to see if I was being what they got and so I definitely and it's great that the study is out there and that there you know sharing their raw data for anyone wants to look at it and I definitely think it's going to lead to more study so of course we're in Florida in Orlando so I looked at the overall national data and then I specifically looked at Florida data an Orlando data so the good news is Orlando is not doing that bad but as the state we're not doing that good so for example in terms of the index for behavioral health nationally it's two point four two in Florida with two point four seven so higher numbers is worse that we're a little bit work that national average for behavioral health problems but in Orlando or one point nine degrees so somehow in our metro area we do have some pockets of increased good mental health which is probably making those numbers come a little bit down for cardiovascular disease the national number was zero point nine three wars in Florida overall is one point one force the worst Carty bachelor help but in Orlando we were point nine nine so pretty close to the national average although still not as good the place where we really do see a difference is the endocrine disease category which is diabetes and you know the south has long been known as you know for being the stroke belt just the southern diet the southern habit and his body habitus and things like that national average there was zero point nine nine in Florida was one point two overall and in Orlando pretty close one point one seven so for me this study does a lot of things one it raises awareness and wished awareness and you can actually do something about it great if you don't even know there's a problem that exists and you can't do anything about it so I like how they show the numbers and there were not any you know the study really didn't comment on why and it wasn't very you know it didn't make any comment that would sound judge G. or judgmental it didn't single out any particular group the only comparison they made in terms of subset when they did see that women had a higher rate of depression and high rate of endocrine problems so just looking at men versus women not breaking it down by race or any sensitive ages within the millennial category they did find it millennial Wimberley were at a higher risk of depression and high risk of diabetes as well so what do we do with these results I mean I think what's important is now we now know we have a problem I think targeted education campaign to try to mitigate some of these things I mean that's that's where I would start yeah I want to clarify something though so the the numbers you were getting and comparing national to Florida that was strictly in that millennial age group or was that okay okay so dealing with that being that there might be then some follow up in terms of intervention and intervention may be earlier than we would normally think is necessary yes so I mean they're two things one is of course if you have the illness earlier then you're gonna have to have intervention earlier and having type two diabetes as a young adult is terrible tech today give me the SBI for old people you know we usually think of it as well you're getting older your knees hurt and then you gonna get type two diabetes you don't think of it as you know you finally finish school and you gonna get your first job and now you have type two diabetes is not supposed to be a disease of young people but type two diabetes unlike type one is very related to lifestyle habits so poor eating poor exercising poor even social networking contribute to this kind of thing so interesting because when that when a lot of people brought up social isolation I do a little more reading and the you know the concept of social capital it is actually a thing you know her not to sound like a millennial myself but social capital is a concept that you are well can also come from the people around you so they actually look at this more in the geriatric literature so it's a little bit different from millennials but really related in terms of concept the concept of social capital means the people who are older like eighty ninety and who are living well are actually those who have a lot of social connection so you can take to people who are ninety years old.

"endocrine diseases" Discussed on Pet Life Radio

Pet Life Radio

03:27 min | 2 years ago

"endocrine diseases" Discussed on Pet Life Radio

"Because this is now in LA it's been this way for a I mean, we've for me. Many many years they couldn't do it in Los Angeles. But now it's anywhere in the state of California. So that's pretty good. So cold weather. Let's talk about cold weather. So birth of all we also know all these things about hot weather, but cold weather, also present some problems, this is from the Avium may the American very medical association. So first of all you have to understand pets tolerance to cold. Alright really varies based on individual dog based on breed cetera. Obviously coat plays a big part body, fat stores activity level age and health are all important. So there, you know, some basic recommendations are to basically shorten walks, especially for older arthritic dogs because they have made more difficulty on the snow and ice, they may slip and fall. So that's important. Of course, long thick co God's maybe a little bit more tolerant. We're short coated dogs. Basically, they can feel the cold faster and less protection and short legged dogs. Know like the dachshunds in the corgis also are at a disadvantage because because of their increased likelihood of their bellies touching the snow or the ice when they're walking. And so that also can cause some problems with Thermo problems losing too much of their own body heat to the cold, of course, pets with any kind of Indo diseases like diabetes, heart disease, kidney disease, hormonal balances, like cushing's also may have harder time regulating body temperature. So things like that. So any any systemic disease or endocrine disease can also put dogs at a disadvantage and also very young and very old pets. So here's some suggestions. First of all understand that dogs may want to change their sleeping place, for example, if they typically sleep in the laundry room or someplace where the house he doesn't get you may want to move into something that's warmer. However, send so many people like to keep their own bedrooms. Two more for the dog. So then they may want to go to someplace less less let them dictate kind of what they want and where they want. Of course, you wanna keep pets inside more and even like long and coated dogs that should be left outside for long periods of time below freezing. And especially without some sort of shelter. People say similarities huskies Malibu. Yes. Yes. They are used to really really cold temperatures. But not just sitting in one place. You know, that's I don't remember that movie eight blow or something how sad it was. But yeah, when these animals are moving, and they're working, it's one thing. But if they are left outside without shelter from the wind the wind chill factor that sometimes is the problem. These dogs can also suffer from frostbite and just from just a cold weather itself. And also if you're gonna leave them make sure they have access to some water, and it's obviously going to be non frozen water. So if it's really cold, you can get these in their safe while you wanna make sure they're safe that these. Water bowls that keep the sort of called heated water bowls that will keep the water from freezing inside. So they have access to water. And of course, they should obviously welfare because that's important to talk about that in a minute. Here's another one for you. And a lot of people a lot of people that live in cities where there's a lot of driving Chicago New York City, Kansas City, Minneapolis when you walk outside. And you know, it's freezing up the Dakotas. You want to bang your car the hood of your car or when you get in just hunker horn why? Because a lot of stray cats a lot of indoor outdoor cats a lot of Farrell's, they will find comfort.

Los Angeles cushing California New York City Farrell Minneapolis Kansas City
"endocrine diseases" Discussed on 790 KABC

790 KABC

12:19 min | 2 years ago

"endocrine diseases" Discussed on 790 KABC

"Calls. Eight hundred five two two two aides drew. With leeann tweeden, and you can get it. Right. This midday live and three hundred five to two and we're about to enter into a medical topic here with Dr Joseph Lee, he is chairman of board of directors chaired, the board of directors of the neural enter consumer research foundation, and you may not have heard of neuro consumers, but they are not that uncommon. And they're rather devastating and they have affected people in the public without much conversation, which I found rather lacking. So this is our chance to talk about it. Dr Lee, welcome to the program. Thank you. Dr am I right that Steve Jobs had pancreatic neuro endocrine tumor? Yeah. That's my understanding that unfortunately, Mr. jobs died of that disease. And again, if people had even a passing understanding of this disease. They would understand that there was very effective treatment and the weird. I don't understand why anybody allowed him to die because it didn't have to happen. Correct. Well, I don't know that the specifics of Mr. jobs treatment because I wasn't involved in. But certainly, you know, I think that. I don't know that I would describe that we have a set of treatments. There are a number of patients, unfortunately worldwide who are dying this disease. But in part of what we're trying to do at the foundation is to bring awareness. So we have earlier diagnosis and with early diagnosis. We can treat patients with surgery and remove the tumors. That's the point I want to make is that he refused. Surgery. Pancreatic? Cancer is devastation Adna carcinoma of the pancreas. But neuro endocrine tumor of the pancreas a small one without any evidence of metastatic disease. You are doing a dance when you get that. And you are going, and you take it out, and he refused that and that was the tragedy in my opinion. Now as we both have said neither of us took care of him. He may have had some metastatic disease that wasn't evident or who knows. But my understanding is he had curable disease. And that's insane. That they didn't go after it. So I'm looking at the paper here that was put in front of me. And it says a lot of times this diseases, commonly overlooked or misdiagnosed wire. Go ahead. Yeah. Jason what we know is that based on studies, we find that patients oftentimes takes over four to five years before patients are finally diagnosed with this disease and a big reasons because the symptoms are very common. So for example, and somebody who has loose stools. You know, it's on and communist that you might have some food poisoning or you might have irritable bowel syndrome, but that is really one that earlier symptoms of the small bowel new different cancer. But let's let's be clear you're not because somebody comes to your office like myself primary care doctor and says, I'm having diarrhea. You don't go straight to. Oh, let me test you for cancer. No because diarrheas, right? And it's also presentation of lymphoma and leukemia and thousand other things infectious diseases of all types and a million different things at present like that and neuro endocrine disease. Does not have a simple screening tests. That's the hard part. Would you agree with that? I absolutely agree. And as a as a general generalists like like yourself, I take care of patients daily who come in with very common symptoms like loose stool, and you're absolutely correct. More common things happen commonly. But however that being said if patients continue to persist in having symptoms, it's reasonable. At that point to work down the list of differential diagnoses. And well, one of the things that we want people to think about is a possibility that cancer is on that left. I completely agree with you. And you're sighing because you're you're pointing at a weakness in our profession, generally as doctors don't have time and do not generally take the initiative to think they have to think about Dr Lee is advocating, hey, guys, think hard about what this is every time. You see diarrhea don't blow it off think it through. And I'm going down the list. In our head. Trust me. I mean, what is it? Are you backed up because insurance, Mike, it's. And and I'm not sure. Well, my goodness. I'm gonna show my bias here. I'm not sure we're training doctors think critically as we used to be an timer. There's all kinds of distracting is. But let's get back to the Naranjo consumers. The it's a it's a family of disorders. Let's talk about that a little bit. Yeah. It is a family disorders. You know? I think that part of the confusion is that when we think about Mr. jobs, and and people like Franklin, we think that they died a patriotic cancer and say did die of pancreatic cancer. But not the traditional type of Admiral carcinomas at most commonly afflicts patients with pancreatic cancer. They they unfortunately pass away with pancreatic Narender cancers, and we have neuro endocrine cells throughout the body. They can happen. We have near the consoles and the lungs never under consoles pancreas. We have them small Dow, and depending on where the cancers arise they can have different symptoms. So for example, in patients who developed near Anderson cancers of the lung they may develop a shortness of breath, or or weasing or as a tumors grow. And obstructive the Broncos name he developed pneumonia. So these are all you know, we know again thinking about leasing that's more likely reactive airway disease or asthma near Entercom cancers. When we think about patients with appendicitis, you know, more commonly, it's not due to a tumor like a neuro endocrine cancer obstructing the appendix. But we do see with some regularity that this does happen patients get up in the Seitis, and when they get their appendix removed lo and behold, there's a near endocrine tumor, they're causing the problems. So I think that one of the things I think about is that for patients is that if you develop symptoms, and you're not getting the answers, please keep going back to your primary provider. No matter what you think the symptoms are always get symptoms are not a diagnose diagnosis, no treatment. So until you have at least a provisional diagnosis don't going back to doctor. And if you're not satisfied, you go and get a second opinion. You're all out. But let's go back to the Carson. I'd actually so again, we're talking about the neuro enter consumer research foundation. That's the entry doctor. We're talking to Dr Joseph Lee and with the increase use of antibiotics to treat acute appendicitis. Are you seeing an increase in miss Carson tumors of the pancreas? Yeah. I think that I don't know that we have enough data to understand the diagnosis of appendicitis as a relation to new and different cancers in this era, where we are using more antibiotics than ever what we do know is that. My question there is a there is a body of literature that's recommending particularly elderly patients. We don't operate on appendix, and we're doing treating it with antibiotics and thereby we're going to leave a couple Carson always behind because the you know, the calm down. It will come back. I guess recurring appendicitis carcenoid until proven otherwise. But I'm just wondering if that has any data to show with the effect of that has been yet. Yeah. I don't know. I'm not aware of any data as such, but one would expect that if you have a tumor large enough, that's obstructing appendix that it's absolutely what you said it's gonna come back, and am I guess more likely than not recurrent appendicitis is going to be less likely treated just medically surgically at some point. But, but I think we're going to have to see some data's whether or not getting there late or has any real effect on the course of these cars, and I I gotta tell you. I've I've seen. I've seen a lot of bizarre carcenoid where they're just in the tail of the appendix, and they may not have been the causative factor directly to the appendicitis. And this is all kinds of ways the carcenoid fits into the story. So it's it's a it's a complex complex story and one of the points. I wanna make you know, the nomenclature has changed over time. Yeah. Exactly. What you're referring to in terms of carcenoid? You know, there are some providers out there that have a belief that carcenoid is not cancer. Oh, yeah. That's cancer. Like, and and that's part of the reason why the nomenclature we've really moved to the nomenclature of using your indoor cancers throughout the body, personal and more often, not refers to near Entercom cancers of the small, and, but you know, I I think that there is a level of confusion out there that has persisted over time with with the nomenclature, can I ask if you get neuro endocrine tumor that's cancerous in you. Discover it early what are the chances that you will survive this. You know, I know. Like. Real early. 'cause I know you don't like with breast cancer. You know, now the chances of survival are better if you have even a tiny pain-free add no Carson with a pancreas pretty much curtains. You have a small near Entercom tumor of the pancreas, and you discover guy said we should be joyous. We can go after that. So I'll let you ask that doctor. That's my position. I don't disagree. Dr true. I think that right now the standard of care for treatment of cancers, if it's isolated is to respective because that's the only hope for cure. You know, the the reason why I'm involved in foundation because I have a family member who's close to me who has this disease, and and there are many people with this disease. In fact, right now, the United States, we believe that over one hundred and seventy thousand Americans currently, I have this have been diagnosed with this disease. What we don't know how many more have not yet been diagnosed, and you know, this is really a six and a half fold increase over the past forty years. So wishing. A lot more this disease than we did back in the in the seventy s going back. So I think that the real focus of this disease, like mini cancers is really focusing on trying to make sure that to diagnose it as soon as possible. And if it's isolated reception surgical reception is vessel. Procure I have a patient with an adrenal tumor that I thought was a what's called a feels Chroma Saitama feels are not in Iran. Are they know Anderson feels they are part of the neuro endocrine families. They absolutely are. But I want to ask you this. It's not a fear turned out. But I'm still worried because this is a lot of bizarre things are happening. And I can't identify what it is. I can't get the insurance to pay for an endocrinologist. And I'm sitting here going, how am I going to work damn thing up? What are your recommendations for something like that where it's Lear you thinking neuro endocrine, but you can't quite nail it down. You know, I I would refer the patient again. Can't get the do. It is driving me. Crazy. I worry about this every day. So any any advice? Yeah. No. I think that's a real challenge because we really talking about a sub special field where their specific scanning that is. Exactly. I know what scans you're talking about. I can't get the first of all I have to send them to a tertiary center. And Secondly this insurance company that this patient, see an endocrinologist. I mean, it's unbelievable. It's unbelievable. The world we practice. This is why doctors are unhappy all the time. I see Dr L let you finish. I'm sorry to see push one of my buttons. No, no. I I understand your frustration. And you know in general insurance companies do with your good job. What is he? Yeah. There are situations. Like this I've encountered, and you know, I try to speak with the folks on the phone, and and really also solicit and tried to engage the patient in helping them advocate for themselves as well. This is a primitive patient with lots of difficulty cognitively and a family that is not Fisk enough to do this. And that's it. So it's me doing it every day for months. That's how our system works everybody. That's it. But again, this is why common but somewhat opaque conditions like near endocrine tumors can get missed number one..

Cancer appendicitis Dr Joseph Lee Steve Jobs diarrhea metastatic disease pancreatic cancer Carson leeann tweeden Entercom curable disease Anderson breast cancer chairman Broncos bowel syndrome Dr L Jason
"endocrine diseases" Discussed on Pet Life Radio

Pet Life Radio

03:08 min | 2 years ago

"endocrine diseases" Discussed on Pet Life Radio

"So that's pretty good. So cold weather. Let's talk about cold weather. So first of all, we also know all these things about hot weather, but cold weather, also present some problems, this is from the Avium as the American very medical. Association. So first of all you have to understand pets tolerance to cold. Alright really varies based on individual dog based on Brita cetera. Obviously coat plays a big part body, fat stores activity level age and health are all important. So the, you know, some basic recommendations are to basically, shorten walks, especially for older and arthritic dogs because they may have more difficulty on the snow and ice, they may slip and fall. So that's important. Of course, long thick coated dogs, maybe a little bit more tolerant where short coated dogs, basically. They can feel the cold faster and less protection and short legged dogs. The dachshunds in the corgis also are at a disadvantage because because of their increased likelihood of their bellies touching the snow or the ice when they're walking. And so that also can cause some problems with Thermo problems losing too much of their own body heat to the cold, of course, pets with any kind of diseases like diabetes, heart disease, kidney disease, hormonal imbalances, like cushing's also may have harder time regulating body temperature. So things like that. So any any systemic disease or endocrine disease can also put dogs at a disadvantage and also very young and very old pets. So here's some suggestions. First of all understand that dogs may want to change their sleeping place, for example, if they typically sleep in a laundry room or someplace where house he doesn't get there. You may want to move into something that's warmer. However, send so many people like to keep their own bedrooms. To warm for the dogs. And then they may want to go to someplace a little less. Let's let them dictate kind of what they want and where they want. Of course, we want to keep pets inside more, and you know, even like long and thick Oregon's that should be left outside for long periods of time below freezing. And especially without some sort of shelter. People say well similarities huskies the Malibu. Yes. Yes. They are used to really really cold temperatures. But not just sitting in one place. You know, I don't remember that movie eight blow or something how sad it was like. Yeah. When these animals are moving and they're working, oh, it's one thing. But if they are left outside without shelter from the wind. It's the wind chill factor that sometimes it's the problem. These dogs can also suffer from frostbite and just from just a cold weather itself. And also if you're gonna leave him make sure they have access to some water, and it's obviously got to be non frozen water. So it's really cold. You can get these and they're safe while you wanna make sure they're safe that these. Water bowls that keep the sort of called heated water bowls that will keep the water from freezing inside. So they have access to water. And of course, they should obviously be welfare because that's important talk about that minute. Here's another one for you. And a lot of people put a lot of people that live in cities where there's a lot of driving Chicago, New York City, Kansas City, Minneapolis when you walk outside, and you know, it's freezing up the Dakotas. You want bang your.

cushing Avium Oregon Chicago Minneapolis Kansas City New York City
"endocrine diseases" Discussed on KGO 810

KGO 810

13:00 min | 2 years ago

"endocrine diseases" Discussed on KGO 810

"Hundred two two two five two two two ju drew with. And you can get it. Right. Man. This midday live leeann tweeden, Dr juror number eight hundred two two two five two two two. And we're about to enter into a medical topic here with Dr Joseph Lee, he is chairman of board of directors chaired, the board of directors of the enter consumer research foundation, and you may not have heard of neuro consumers, but they are not that uncommon. And they're rather devastating and they have affected people in the public without much conversation, which I found rather lacking. So this is our chance to talk about it. Dr Lee, welcome to the program. Thank you. Dr am I right that Steve Jobs had a pancreatic Neuromancer consumer? Yeah. That's my understanding that, unfortunately, Mr. jobs, so died of that disease. And again, if people had even a passing understanding of this disease. They would understand that there was very effective treatment. And the weird. I understand why his anybody allowed him to die because it didn't have to happen. Correct. Wow. I don't know that the specifics of Mr. jobs treatment because I wasn't involved in. But certainly, you know, I think that. I don't know that I would describe that we have affective treatments. There are a number of patients, unfortunately worldwide who are dying this disease. But in part of what we're trying to do at the foundation is to bring awareness. So we have earlier diagnosis and with early diagnosis. We can treat patients with surgery and removes a tumor. That's the point. I want to make is that he refused. Surgery. Pancreatic cancer is devastation. No carcinoma of the pancreas. But neuro endocrine tumor of the pancreas a small one without any evidence of metastatic disease. You are doing a dance when you get that. And you're going, and you take it out, and he refused that and that was the tragedy my opinion. Now as we both have said, neither is it took care of him. He may have had some metastatic disease that wasn't evident or who knows. But my understanding is he had curable disease. And that's insane. That they didn't go after it. So I'm looking at the paper here that was put in framing. It says a lot of times this diseases, commonly overlooked or misdiagnosed. Go ahead. What we know is that based on studies we find that patients oftentimes takes over four to five years before patients are finally diagnosed with this disease and a big reasons because the symptoms are very common. So for example, and somebody who has loose stools. Communist thing that you might have some food poisoning or you might have irritable bowel syndrome, but that is really one that earlier symptoms, of example, a small bowel cancer. But let's let's be clear you're not because somebody comes to your office like myself primary care doctor and says, I'm having diarrhea. You don't go straight to test you for cancer. No because diarrheas, right? And it's also presentation of lymphoma and leukemia and thousand other things infectious diseases of all types, and there's a million different things at present like that and neuro endocrine disease. Does not have a simple screening tests. That's the hard part. Would you agree with that? I absolutely agree. And as a as a general generalist like like yourself? I take care of patients daily who come in with very common symptoms like loose stool, and you're absolutely correct. More common things happen commonly. But however that being said patients continue to persist in having symptoms. It's reasonable to point to work down the list of differential diagnoses. And well, one of the things that we want people think about is a possibility that near Anderson Cancer is on that list. I completely agree with your your sighing. Because you're you're pointing at a weakness in our profession, generally as doctors don't have time and do not generally take the initiative to think they have to think about Dr Lee is advocating, hey, guys, think hard about what this is every time. You see diarrhea don't blow it up think it through and down the list. The listener in our head trust me about lakes. I mean, what is it? Are you backed up because insurance might difficult. And and I'm not sure. Well, my goodness. I'm gonna show my bias here. I'm not sure we're training doctors think is critically as we used to be. There's all kinds of distracting is. But let's get back to the consumers. The it's a it's a family of disorders. Let's talk about that a little bit. Yeah. It is a family disorders. You know? I think that part of the confusion is that when we think about Mr. jobs, and and people like Rica Franklin, we think that they died a paint Graddick cancer and say did die of pancreatic cancer. But not the traditional type of ad no carcinoma that most commonly patients with pancreatic cancer say they unfortunately passed away with pancreatic, Noor under cancers, we have new intercom cells throughout the body can happen. We have new cells in the lungs. We have neuron cells in the pancreas. We have in the small Dow, and depending on where to cancers arise they can have different symptoms. So for example, in patients who develop near endocrine cancers of the lung they may develop shortness of breath. Or are we seeing or as a tumors grow? And obstructive the Broncos they may develop pneumonia. So these are all we know again thinking about leasing that's more likely reactive airway disease or asthma near Anderson cancers. When we think about patients with appendicitis, you know, more commonly, it's not due to a tumor like a neuro endocrine cancer obstructing appendix. But we do see with some regularity that this does happen patients get up in the scientists, and when they get their appendix removed lo and behold, there's a new independent tumor, they're causing the problems. So I think that one of the things I think about is that for patients is that if you develop symptoms, and you're not getting the answers, please keep going back to your provider. No matter what you think the symptoms are always get symptoms are not a diagnose diagnosis treatment. So until you have at least a provisional diagnosis don't sit back through doctor. And if you're not satisfied, you go and get a second opinion. If you're all out, but let's go back to the Carson. I'd actually again, we're talking about the Noor enter consumer research foundation. That's the entry. We're talk to Dr Joseph Lee and with the increase use of antibiotics to treat acute appendicitis. Are you seeing an increase in miss Carson? I tumors of the pancreas. Yeah. But I don't know that we have enough data to understand the diagnosis of appendicitis. As it relates to near endocrine cancers in this era, where we are using more antibiotics than ever what we do know is that. Are you miss? My question. There is a there is a body of literature that's recommending particularly elderly patients. We don't operate on appendix. We're doing treating it with antibiotics and thereby we're going to leave a couple of Carson always behind because the you know the. Calmed down. It will come back. I guess recurring appendicitis has carcenoid until proven otherwise. But I'm just wondering if that has any data to show what the effect of that has been yet. Yeah. I don't know. I'm not aware of any data as such but one would expect that you have a tumor large enough. That's obstructing the appendix that it's absolutely what you said it's going to come back, and am I guess more likely than not recurrent appendicitis is going to be less likely treated medically surgically at some point. But I I think we're gonna have to see some data's whether or not getting there late later has any real effect on the course of these cars, and I I gotta tell you. I've I've seen. I've seen a lot of bizarre carcenoid where they're just in the tail of the appendix, and they may not have been the causative factor directly to the appendicitis. And this is all kinds of ways the carcenoid fits into the story. So it's it's a it's a complex complex story and one of the points. I wanna make the nomenclature has changed over time. Yeah. Exactly. What you're referring to in terms of carcenoid? There are some providers out there that have a belief that carcenoid is not cancer cancer like, and and that's part of the reason why the nomenclature we've really moved to the nomenclature of using neuro endocrine cancers throughout the body personal and more often refers to near Anderson cancers of the small bow. And, but I I think that there is a level of confusion out there that has persisted over time with with what the nomenclature can I ask if you get neuro endocrine tumor that's cancerous in you discovery. It early. What are the chances that you will survive this? You know, I know. Like real early. Yeah. Like with breast cancer. You know now the chances of survival are better. Even a tiny pain created. No Carson of the pancreas pretty much curtains. You have a small near Entercom tumor pancreas, and you discover a guy said we should be joyous. We can go after that. So I'll let you assets. Actually, it's my position. I don't disagree. Dr drew. I think that right now the standard of care for treatment of urinary cancers, if it's isolated is to respect it because that's the only hope for cure. You know, the the reason why I'm involved in foundation because I have a family member who's close to me who has this disease, and and there are many people with this disease. In fact, right now, the United States, we believe that over one hundred and seventy thousand Americans currently, I have this have been diagnosed with this disease. What we don't know how many more have not yet been diagnosed, and you know, this is really a six and a half fold increase over the past forty years. So we're seeing a lot more this disease, and we did back in the seventy s going back. So I think. The real focus of this disease. Like mini cancers is really focusing on trying to make sure that to diagnose it as soon as possible. And if it's isolated reception surgical reception is the best hope for a cure. I have a patient with an adrenal tumor that I thought was a what's feels Chroma Saitama feels are not in Iran corner or they Narendra Anderson. Feels they are part of the neuron into the absolutely all right. So I want wanna ask you this. It's not a fear turned out. But I'm still worried because this is a lot of bizarre things are happening. And I can't identify what it is. I can't get the insurance to pay for an endocrinologist. And I'm sitting here going, how am I going to work? This damn thing up. What are your recommendations for something like that where it's Lear you thinking neuro endocrine, but you can't quite nail it down. You know, I I would refer the patient again. Thank you. I can't get them to do. It is driving me. Crazy. I worry about this every day. So any any advice? Yeah. No. I think that's a real challenge because we really talking about a sub special field where their specific scanning that is. Study either. I know what you're talking about. I can't get there. First of all I have to send them to a tertiary center. And Secondly this insurance company that this patient endocrinologist? I mean, it's unbelievable. It's unbelievable. The world we practice. This is why doctors are unhappy all the time. I save Dr L let you finish. I'm sorry to see you push one of my buttons. No, no. I I understand your frustration. And you know in general. The insurance companies do with your good job. What's he dare? You. Yeah. There are situations. Like this I've encountered, and I try to speak with the folks on the phone, and and really also solicit and try to engage the patient in helping them advocate for themselves as well. This is a primitive patient with lots of difficulty cognitively and a family that is not Fisk enough to do this. And that's it. So it's me doing it every day for months. That's how our system works everybody. That's it. But again, this is why common but somewhat opaque conditions like ner endocrine tumors can get missed number one. And number two. I don't understand how people can live in a world where somebody like Steve Jobs dies of this. When he had potentially curable thing. I just I we were we were all robbed of this guy. He was robbed of his life to allow him to believe he could treat this with diet was the most I just looked at it when it when he started. And I thought this is a disaster and the low, and behold, it was so let's not let that happen to any more of us adeptly is there their website or any place subject send people? Absolutely. Hey you. I would encourage people who are interested in learning. More to come to the neuro enter consumer research foundation website. And you can find that online at WWW dot e r s dot ORG..

Steve Jobs appendicitis Dr Joseph Lee Anderson Cancer Pancreatic cancer Carson diarrhea metastatic disease Noor leeann tweeden curable disease breast cancer chairman Broncos bowel syndrome United States Fisk
"endocrine diseases" Discussed on Pet Life Radio

Pet Life Radio

10:34 min | 2 years ago

"endocrine diseases" Discussed on Pet Life Radio

"Daughter who's here with the little one. Sippy this picture. There's a little guy Jackson. Yeah. He's he's really good. Anyway, the story that I saw just as I was going through my notes that California. Now, this is not this is not citywide like it in some other cities. And I applaud them all the time. When we talk about this. This is statewide that now in California pet stores can only sell shelter or rescue animals, no breeder paths. And that includes obviously puppy mill pets sold in pet stores. The only way breeders are only allowed to sell singles. So they can only sell just to private parties. This is the first state that made it a statewide rule. I mean, we talked about many municipalities many cities, many counties that have done this. And we talked about over the weeks every time. I I do see it. I applaud him. But I think California deserves kudos now in LA. It's been this way for awhile. I mean, we've for many many years they couldn't do it in Los Angeles. But now it's anywhere in the state of California. So that's pretty good. So cold weather. Let's talk about cold weather. So first of all, you know, we also know all these things about hot, weather, but cold weather, also. Present some problems. This is from the ABM made the American very medical association. So first of all you have to understand pets tolerance to cold. Alright really varies based on individual dog based on Brita cetera. Obviously coats plays a big part body, fat stores activity level age and health are all important. So the, you know, some basic recommendations are to basically shorten walks, especially for older and arthritic dogs because they have more difficulty on the snow and ice, they may slip and fall. So that's important. Of course, long thick to God's maybe a little bit more tolerant or short coated dogs. Basically, they can feel the cold faster and less protection and short legged dogs. You don't like the dachshunds and the corgis also are at a disadvantage because because of their increased likelihood of their bellies touching the snow or the ice when they're walking. And so that also can cause some problems with thermal problems losing too much of their own body heat to the cold, of course, pets with any kind of indicators. Seizes like diabetes, heart disease, TV disease, hormonal balances, like cushing's also may have harder time regulating body temperature. So things like that. So any any systemic disease or endocrine disease can also put dogs at a disadvantage and also very young and very old pets. So here's some suggestions. First of all understand that dogs may want to change their sleeping place, for example, if they typically sleep in the laundry room or someplace where the house he doesn't get you may want to move them to something it's warmer. However since so many people like to keep their own bedrooms, two more for the dogs. And then they may want to go to someplace a little less less. I'm supposed to let them dictate what they want and where they want. Of course, they wanna keep pets inside more, and you know, even like long and thick Oregon's that should be left outside for long periods of time below freezing. And especially without some sort of shelter. People say. Huskies the Malibu. Yes. Yes. They are used to really really cold temperatures. But not to sitting in one place. You know, remember that movie eight below or something how sad it was like. Yeah. When these animals are moving and they're working, oh, it's one thing. But if they are left outside without shelter from the wind. It's wind chill factor that sometimes the problem these dogs can also suffer from frostbite and just from just the cold weather itself. And also if you're gonna leave them make sure they have access to some water, and it's obviously got to be non frozen water. So it's really cold, you can get these and they're safe while you wanna make sure they're safe that these water bowls that keep the sort of called heated water bowls that will keep the water from freezing inside. So they have access to water. And of course, they should obviously be welfare because that's important. Minute. Here's another one for you. And a lot of people. But a lot of people that live in cities where there's a lot of driving Chicago, New York City, Kansas City, Minneapolis when you walk outside, and you know, it's freezing up the Dakotas. You want wanna bang your car the hood of your car or when you get in just hunker horn why? Because a lot of stray cats a lot of an indoor outdoor cats a lot of Farrell's, they will find comfort and warmth on the engine block. So you got home the night before and park your car, right? They win jumped up in the engine block. It was warm sheltered from the cold, and they fall asleep sometimes somewhere inside your under in your engine area under your hood. You can only imagine what happens and I'm not going to go through the graphic details. But if you start your engine in the morning, and that fan belt starts going not a pretty sight. So you to kinda wake them up. Let them first before you actually start your car a very important. I hear terrible stories about that. And let's see oh also you want to check paws off. Because they cracked we do in the cold weather. They can crack they can bleed. And also a lot of dogs that have a lot of hair in between their toes and inside their pads on the bottom. You wanna get that hair trim again because what happens is they sort of seemed to collect ice balls and things like that. And it's not a bad idea when they come in that you can also, you know, clean their feet. Really, well, sweaters and coats, stop laughing. It turns out that especially short haired dogs more than long, of course. But little dogs even little long haired dogs even take like a little Papillon or something a pomeranian. The smaller the dog the larger the surface area in relation to their body weight. So that means that the larger the area where they can actually lose their body heat to the external environment. So these dogs are much more prone to to suffering from the cold. So it's very important to make sure they're wearing a sweater. And also make sure it's dry. So if you took him out in the morning, and it got rolled around the snow got what? Whatever. And then you took it off inputs hung in someplace, and then you put it back on a night. Well now we or a damp sweater in the cold the ice. So you gotta make sure that you that when you put them on that they are dry, and that's that's very important. And again, make sure why all the dogs down body feet legs bellies river snow might accumulate. That's important. Of course as with anytime dogs have outside access during the day. Make sure the microchip make sure they have identification. If you want them, I mean, obviously in Cobra needs to be found if they get away and they need to be found fast. When you do microchip. It's also important. I say this all the time that you want to make sure that you keep the registrations up to date. I can't tell you. How many times we find ourselves there? Microchip we go onto the different microchip registries and many of them now. And there's some that that all Vigo specialized, and we can't find the owner is all the information is is different you, call the numbers. The numbers are disconnected. It's almost a fifty fifty sometimes so. Why a terrible thing to say. But Gog that are getting out are either because of truly an accident something you didn't know about. There was a hole in the fence that out someone left the gate open. But also more often it's because of irresponsible pet parenting. Well, that's irresponsible. Pet parent. Can we really trust that they're going to keep their microchip data up to date? And so that's why I say it's almost like Murphy's law. When we find a dog running around the streets. Even if microchip we have a tough time identifying finding the owner so general also trying to keep them at home. If you don't have to take him in the car. Yes. You know, we talk about all the time summertime and don't leave a dog in a car, we get it. But guess what as you know, in your car is outside during the day. And you're at work, and you get the end of work you get into that car. It is cold. So you can imagine you don't want to leave your pet in the car even with the window. It's too cold to them. They can't they can't they can't work up the body heat. So I just said if it's not essential that you take them someplace where you're going somewhere for brief you have the heater on the car. And then you're gonna get out of the cartoon. You just don't leave him sitting in a car. Also, make sure your your home are safe. Again. It gets really cold in some parts of the country. So you may have heaters space here your furnace so things like for the cordial safe. They don't knock it over. If you're going to get fireplace. Make sure it's safe you pets away. It's one of those screens. So the cats don't go. I mean who knows what they're capable of doing. But they're not always smart as we think and also make sure to check this is very important your carbon monoxide detectors, of course. You have your firearm you fire detectors also for carbon monoxide because you're using your heaters during the winter more frequently more often, they're on more is there's a problem. You don't want that to carbon monoxide to escape. So that's very very important to keep up to date. And then also just basically recognize some of the symptoms some of the problems associated with freezing Hypo Thermes listen to your pet, and they'll often give you signs. And of course, you want to keep them in a healthy way. We just earlier about obesity. So some people. Rightly so say, well, you know, what I'm not exercising my pet as much. So therefore, if I feed them exactly what we fed them during the spring and summer months, they're going to put on some weight, and they put on the winter way. And it's true. So you wanna make necessary adjustments based on their activity level and talk to you veterinarian. If you have dogs seem to maintain just fine. Then leave me alone dogs that are clearly exercising less, and you're gonna you're not gonna make any Justice in their diet. It turns out they may put on that winter weight, which is we know is not good for them. So a lot of information there. I want you to keep your pets. Very safe. I can only tell you. I was in Kansas City in usually there's this conference. I go to every year in August. And I love Kansas City. Now, August is great. I went to another one in February. And I think the Bartle hall was giving it away for free because who wants to be and Kansas City in February. Well, I was staying near the plaza and anyone who goes to city noses, and we were staying at a hotel. I can look. It was really close to the plaza. So you can walk outside of the hotel, and you could just see walk across park. And you're you're like at the plaza. So other the cab lines were long cold, you what walk. We can watch. Whatever we tell you. We got to the restaurant. And I was sure you're still attach it would so cold. So anyway, I don't gets cold out there. So thanks for joining me here. I hope you all at once again had a great New Year's I hope two thousand nineteen brings good things for you in to you and other than that we will be here next week same time. And and I will be maybe the good mood or.

California Kansas City Los Angeles Bartle hall ABM Oregon obesity cushing Farrell Chicago Vigo Murphy Minneapolis New York City mill
Thyroid medication recalled after failed inspection at Chinese manufacturer

Dr. Daliah

01:23 min | 3 years ago

Thyroid medication recalled after failed inspection at Chinese manufacturer

"I guess the FDA has now had to recall thyroid eight. Tablets that were made by Chinese firm he was announced the recall of Westminster pharmaceutical. Tablets gives you the risk of adulteration, he said in an August ninth, statement the FDA said that Levi firearms sin and Lyle fiber. Nin fifteen milligrams thirty milligrams sixty ninety one hundred twenty milligram. Tablets are being recalled as precautionary measures some leave off the, rocks and doesn't come. In those doses the life, thyroid does but the Leyva Farrukh said I don't have the doses if it's the fifty microgram or the seventy five microgram So the agency. Said they were manufactured using active pharmaceutical, ingredients that were sourced prior to, the FDA's import alert regarding that a Chinese firm made the. Products a two thousand seventeen inspection of China's one friendly pharmaceutical. Company drugs discovered deficiencies and could represent the possibility of risk, being introduced into the. Manufacturing process was Mr. pharmaceutical, Senate has received any reports of adverse incidents related to the products which is good But the FDA of course stake of cautions

China FDA Westminster Pharmaceutical United States Doxycycline Leyva Farrukh Mr. Pharmaceutical NIN Levi Endocrine Diseases Hong Kong NBC Hastings Center Lyle Rosemary Gibson Senior Adviser