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Those Megan thee Stallion knees sound a little creaky
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An episode of pure chaos! Dr. Sunshine's drug testing fiasco (RIP everything bagels), more sleep on the weekend is actually good for your heart health, Keith Lee thoughts on some badddd sushi and Dr. Chris' topic on osteoarthritis!
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Transcript
Meet the Hosts
00:00:17
Speaker
Welcome to another episode of The Chocolate MD's Chocolate with a Side of Medicine. I caught myself there. So welcome to the show. I'm Dr. No-No, and I'm joined by my three lovely co-hosts. We have Dr. Sunshine. Hey, y'all. Got Dr. Chris. Hello, everyone. And Amy Jo MD. What's up, y'all?
00:00:41
Speaker
All right, y'all, we've been chit-chatting quite a bit before we started. So we have a couple. As always. As always.
Countdown Mishap and Beyhive Banter
00:00:50
Speaker
I thought she was going to give us like the Beyonce countdown, like the countdown song, but then she just gave us like a room. She gave herself three extra seconds and still got it wrong. Can you stop? Stop.
00:01:05
Speaker
First of all, I'm not part of the Beyhive. I do love Beyonce, but I'm not. We'd be making love if you're the one that holds step. Oh. Earthquake. Oh, my god.
00:01:18
Speaker
It's an earthquake. Shake it, shake it, shake it. No, I promise. My phone is always on. Dr. Sunshine, silence your phone. No, my phone is. OK, first of all, I'm the noise. Dr. Sunshine is the sound.
00:01:33
Speaker
I am the noise and sound police, but that was out of my control. My phone was on silent. This was an alert. This is an emergency alert. There's an endangered missing advisory. You know what? I might as well click on it. You don't interrupt our podcast. wendy Are you in danger? dad You in danger, girl. You in danger.
Amber Alert Interruption
00:01:56
Speaker
of it Oh, it's a it's a missing minor. Yes. Amber Alert. I mean, I read those. Yeah, for sure. It's the most chaotic opening we've had. Right. ah Y'all dumbass is talking about it.
00:02:14
Speaker
You gon' die! You in danger, girl! Are you shaking? Your screen, your camera's great. I don't even see it. Remember it on. um You know what we should have done? We should have been like all said at the same time. Man, it's shaking. like You don't see that? You don't see that she got an earthquake you going on.
00:02:32
Speaker
We know one out of four of us lives in an actual earthquake zone. That's not true. Who doesn't? Wait, which one of us? I live in an earthquake zone. so What? Yeah, they have earthquakes. We have earthquakes all the time here. In the Carolinas? Yeah. Correct. I had no idea. Oh, yeah. You live in an earthquake zone, too, ah Dr. No? I have never in my entire life. I have been in an earthquake living in Illinois. Really? You live in an earthquake zone.
00:03:01
Speaker
friend what does it I'm coming from Michigan, a place of blizzards and tornadoes. I've never felt an earthquake. they're They are a fault lines. When I lived in Central Illinois, we had ah we had a big earthquake and a couple of them aftershocks and I felt it. And then when I moved here, maybe sometime in the pandemic, we had a couple of earthquakes. um I remember because the poor turtles were like,
00:03:26
Speaker
I'm like, okay. I was like, hey, y'all will be, you just don't fill out the water, okay? Like
False Positive Drug Test from Bagels
00:03:34
Speaker
stay in there. Keep swimming. Right. and So, um so yeah. Oh my gosh, my experience that I had, Dr. Chris and Amy Jo, should I share that with the audience? No, maybe I shouldn't. Maybe I shouldn't. I don't know what I called y'all about. Oh, yo, it's a, it's a lesson in, um OK, so listen, I will you know listen. I will. I will share it because it's resolved and it's fine. But let me give you a short story about what happened. And I blew up Amy Jo's phone and she did not even answer. and I blew her up her phone because I was like, oh, my goodness, I need somebody to vent to. I'm so over this that that that that that call Amy Jo. Nothing, nothing. Then she got called me back way later talking about I was hanging out with a celebrity. I'm so sorry. I wasn't available.
00:04:22
Speaker
It was true. I was sitting courtside. I wasn't available. I was with a celebrity. I was like, girl. So you know who was there for me? Dr. Chris. And I appreciate that. Thank you, Dr. Chris. The one that you said, no, don't work. Was I at work at the time? No, I wasn't at work. Maybe. Yes, I was at work. You will be out the country in a second. So do not act like you don't have to send a text like, hey, he's from WhatsApp because I'm in London. But I was at work.
00:04:51
Speaker
and yes And I'm stressing that because some people say I don't work. not That is true. I make fun of Dr. Chris because I have an ongoing joke that she don't work. But she does work out. She works really hard. But I low-key feel like she don't be at work anyway. no monday So the story goes, super short version. So I switched jobs from one company to another. And then they were doing you know like a physical and everything to get done as soon as you can, get the physical blood work, drug tests, all the stuff, right? The usual. So I'm like, all right, cool. Let me do my thing. boomm boomm Boom, boom, boom, boom, boom.
00:05:19
Speaker
Y'all, I'm gonna let you know right now, ah Dr. Sunshine, drug-free over here. That's how I live my life, always. Like, don't play with me. I did this drug test and it comes back positive. And then they were playing with me on the phone. They're like, hey, we're just calling so we can get your med list because something came up positive to make sure we don't have like a contamination. I'm like, what's it positive for? They're like, oh, well, we can't tell you we're investigating it. I'm like, no, no, no, no, no, no. What are we talking about? What are we talking about? So then I went to the office because they were like playing games on the phone. I'm like, oh, I don't I don't play about things like this. So then I went to the office.
00:05:56
Speaker
jump through hoops, did the whole thing, whatever, got my results. It was positive for morphine. And I was like, I'm sorry? What are we talking about? Meanwhile, they're talking to me like, I don't know, girl, you're positive for morphine. and I'm like, don't play me. What is happening here? Long story short, y'all. It was insane. That's not my test. Y'all switched my test. Yeah, exactly. Listen, listen. And now you try not to be the angry, weird, irate person because now I'm positive for amorphine. I'm like, y'all listen. I'm like, I am a physician. i'm like And I never pulled a physician card ever. like Whenever I go get health care somewhere, I'm just another person. like Treat me like a normal person. But I had to pull the physician. Dr. k Chris is like, never, never. You're going to know I'm a doctor. I'm not that tight. But they were talking to me lightweight, crazy. And I was like, oh, y'all must not know. Excuse me. I'm a physician. And is there a reflex on this test? I'm pretty sure this is a false positive anyway. Went through the song and danced. Long story short.
00:06:56
Speaker
My test was a false positive because of some damn poppy seeds I ate. Because if you eat too many poppy seeds, it can give your urine test a false positive for morphine. So then I'm like- You need to tell them how many poppy seeds you be out here popping any shit you know. Okay, so listen. Okay, y'all, so listen. So I have a confession. I love I love everything bagels. Like, I love them. By my Einstein's bagel, the local bakery. Like, seriously, me and my husband, we get them in a two-pack from Costco. Like, everything bagels are my jam. And they have poppy seeds. They have sesame seeds. They got cheese. Everything bagels have everything on them. And I eat one every single morning. I love everything bagels. And that week, unlike any not like unlike any other week, I eat bagels every day.
00:07:51
Speaker
So then I talked to the lab, and I talked to people, they're like, well, yeah, do you eat poppy seeds? I'm like, yeah, my bagel, like, oh, how often do you have a bagel? I'm like, every morning. They're like, for how long? I'm like, for like, ever. Like, I love to eat bagels. What do you mean for how long? Like, that's my life. Like, always.
00:08:07
Speaker
And then they're like, oh, yeah, because the level of the morphine that came up was so low. They're like, this is weird because it's not high enough to be like actually taking morphine, but it's like low enough to like make it positive. So it's a false positive because these damn poppy seeds I eat. Oh, my God, damn bagels. And I'm like, stop it.
00:08:28
Speaker
And I was like, you've got to be kidding me. And it is something that we learned like in med school like forever ago. But then I'm over here like, well, those people must have been eating like two cups of poppy seeds every day. like You gotta be like a weirdo. And I'm sitting here like, well, I guess not. Girl, those Costco bagels are humongous. What are you talking about? They're gigantic. Listen.
00:08:48
Speaker
So apparently however many poppy seeds I eat every day are enough to turn this test positive. And I had to talk to so many people and convince them that I was not on morphine. And I'm like, this is absolutely insane. And I told Amy Jo, I'm like, what if I was like an Olympian?
00:09:07
Speaker
And like, I've been training my whole life to run track or something. And then they test my urine like, oh, nah, you're disqualified. You know, we found morphine. And you just can't get your gold medal. Like, what? Like, I'd be like, this is so disgusting.
00:09:20
Speaker
From a bagel? Y'all, from bagels. From bagels, though. From bagels, though? You're not eating bagels if you're Olympian. From bagels? I'm just kind of thinking like that. You can't say Olympians. Olympians don't eat carbs. You unbagel a day. But you did like every day? Every day. My question to you now is, do you eat them now after this? No.
00:09:47
Speaker
No, no, now I have a vendetta against them, because they've betrayed me.
00:10:02
Speaker
Yes! And then we're gonna put it on my, on my file. I'm like, what? You just said, you just said you love the bagel. And just because you have a positive test, you just quit on the bagel? Yes! You messed up. Like, the test is over and done, Wes, so you can go back and enjoy your bagel. No, but you know, in any, no, no.
00:10:21
Speaker
like most places of employment gain on na na na na na no and you listen listen play me like in most other places of employment if something weird goes down they can drug tissue randomly like if they want to like let's say really weird or funky happens at the clinic and they're like hey this kind of weird everybody who was there during this time frameme give us u'reine for a drug test They can randomly drug test you at any point. Now, I Like feel like this most places of is almost like as if I smoked employment, nah, weed or something. I might as well have done nah, some nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, nah, morphine. nah, nah, nah, nah, nah, nah If y'all gonna tell me I do morphine, I might as well do some morphine. Don't be over here telling me my drug test is positive. I ain't even doing no drugs. It's not even worth it. There's a note in your file. If it comes back positive, you be like, look in the file.
00:11:05
Speaker
There's a note. I know. You'll probably You'll probably see this. Y'all, it ain't even that deep. OK, show me the seats. No, it's not even that deep. I'm going to find a new favorite bagel. Me and me and, I don't know, I got to figure it out because I love everything bagel. I see I go is.
00:11:23
Speaker
yeah You know what? yaa go big You know what? I see y'all goes are good. I see y'all goes are very good. Those are good. Until something else happen, is she going to divorce them too? Yo, no listen. Yo, all over a label. No love out here.
00:11:39
Speaker
Yo, real toss. I'm gonna be real, but the job they sent me, they sent me back the most beautiful email. They're like, you know what? We talked to the lab and the lab supervisor, and they're very aware that this can happen with poppy seed ingestion and da data the da thank you for your patience and thank you for being so nice about this. And thank you for advocating for yourself. And I was like, I don't,
00:12:04
Speaker
Right, what? And you don't do drugs, right? So nothing worse than feeling the drug test than just also feeling the drug test. And you don't do drugs. Right. Because if you did drugs, you'd be like, oh, dang. You'd be like, dang, they got it. Dang, you got it, bruh. They want to be out here clean and sober, and you're like, but I know. Right. Literally, I told my husband, and he was like, for what? What was it positive for? He's like, entertain me, please. Like, what was it positive for? I was like, right?
00:12:32
Speaker
First of all, morphine ain't even a street drug, y'all. The street drug version of morphine is heroin and fentanyl. You're not over here you're talking to your neighborhood dope guy for some damn morphine. That's not what you're asking him for. Go to the yeah ah ER. r They'll give it to you. so Morphine? No, you're doing heroin or fentanyl or something else. And it ain't it ain't that, y'all. I was blown.
00:12:55
Speaker
But it all worked out and they figured it out. And I advocated for myself because I was like, y'all are playing. What? I've never met anyone in real life that this has ever happened to. Well, hey. I'm very glad. i am your i am your one I am your one patient study. You are a patient zero for sure. patient you know the at The end of one in this study. you know I will be your one person because that is wild. um So yeah.
00:13:24
Speaker
But, uh, it does bring on point man. We, uh, earlier we were talking about, we're getting old. Um,
00:13:34
Speaker
Dr. Chris was going talking about how, you know, she looks under her glasses to read things up close. And I was like, I feel your pain because I definitely went to the eye doctor and was like, listen,
00:13:48
Speaker
I think I got some retinopathy or something. Something's got to be going on because every time I try to read something up close, I can't see it. She was like, ma'am, your eyes are healthy. You're just getting old. So, you know, I joined. Well, Dr. Chris joins me because I technically went first, but you know, this getting old stuff is is rough.
00:14:09
Speaker
And so I'm trying to, I do have to get it together. I want to lift more weights. I tried to, I tried to sign up for Pilates. So in case y'all don't know, Dr. um Chris be out here doing all these um fancy classes. I tried, but no, no, no, no. I tried to sign up for Pilates. I can't do that. Like I just told the lady, don't call me no more. It's hard. oh lot hard I'm not talking about my physical limitations. I can do Pilates. I can't spend that kind of money on Pilates every month. I'm not willing to do that. I love Pilates, but I was like, yo. And of course, since my phone spies on me, it keeps sending me that like that online Pilates class. like You can sign up and get it. But I wanted to go into the studio. Peloton has Pilates classes.
00:14:54
Speaker
You ain't heard nothing I said. No, you don't need you don't need that reformer table stuff. You can do Pilates at home. you don't She wants to go in. So she still ain't heard nothing I said. I said, I want to go into the studio. I want to do the reformer. like I wanted to do the thing. And I was like, dang. They're like almost $200 a month for reformer like sessions. And I'm like, no, I can't do that. But I do love a good Pilates class.
00:15:24
Speaker
If you want to do weight lifting, you can do power lifting. No, I'm good. I feel like you like classes in general. Like you like being around, I feel like you like being around other motivated people, like doing a class and like interacting and like, you like being in the mix and being like, ooh, good day today. Good job, guys. Good job, guys. We can't get it. I want to hear all the, ah, ooh, OK. And one, oh, ooh. Yeah, I need all of that, right? You're not trying to do it by herself. That's just, she feels good. I wouldn't do it.
00:15:57
Speaker
I would be watching it on the TV screen. I mean, you know, I did it during the pandemic, but it was different motivation. Like we were all trying to stay alive, right? Like death was like upon us. We were like, you were definitely scared about that. You were like, you were scared about that. You were like, yo, I was like, I am not trying to you eat be posting my picture on your damn Facebook page. It's awesome. She was my friend.
00:16:20
Speaker
putting folks in sad ass songs behind my pictures and some damn photo shoot. No, I'm trying to live. I was like, nah, I'm trying to live. I cannot. No, I can't go down like this. I will hunt everybody if I go out during this pandemic.
00:16:36
Speaker
so me she definitely but I You have done more. You should have done more. You should have helped me. Right. not No, wake up. You never sleep in again.
00:16:52
Speaker
ah Girl, I just got off my night share. Look along. Go hug Dr. Chris. I you be like, come on in, girl. You gonna spoon with me? Right.
00:17:18
Speaker
Oh man, I'm telling you. So no, I had to live, but now I need, I need people, but not the reformer class. Unfortunately, it's for a different tax bracket than I have clearly. Um, so they opened up, um, they opened up, uh, there's like a black girl Pilates class in Chicago. It's like, and they have a studio in Hyde park. Um, but I was, I was curious. I was going to go check it out.
00:17:44
Speaker
But um you should tell me tell me tell me i mean i did i did a couple of the peloton pilates classes and i i power lift at least two three times a week and when i did that polite like the beginner pilates class i was every muscle was shaking like it is just you're using a different set of muscles like the the you have to hold the poses for longer and it's just i don't know it's it's harder but like for a different reason But I think it would definitely give you a good workout. And if you did the classes in person, I um would be curious to see how that would go. Oh, man. ah just I was super excited. But they were like, well, just come in for a class. I i said no. No, thank you.
00:18:26
Speaker
Because you go and you love it, and then you're trying to figure out how to make it work. And I can't i can't justify it. What I need is to build more muscle, right? you know That's my new soapbox. We do not tell people to build more muscle. It's getting a sense of some trouble. So Pazai's telling people like they're under dosing their fiber ah for the day.
00:18:46
Speaker
we do not tell people to lift weights. And so everybody's doing all this super cardio and not that I don't have anything against cardio. So don't hit me up to myself. I thought you said I did. I meant it. I just also mean that you've got to lift weights. And so trying to find ways to make that work would be, you know, very helpful. and I get you. So, you know, I'm here to keep us on track and I think that we should do
Can Weekend Sleep Reduce Heart Disease Risk?
00:19:10
Speaker
trending.
00:19:10
Speaker
yeah so Trending topics. i Listen, y'all, for all of you weekend sleepers, there were some studies that suggested that sleeping in on the weekends can cut your risk of heart disease by up to 20%. Yes.
00:19:28
Speaker
So, you know, sleep in. Did y'all know that sleep deprivation is defined as anything less than seven hours of sleep a night?
00:19:40
Speaker
Less than seven? How does that work? Most people don't sleep less than that. It just means that most of us sleep deprived. Now, of course we knew that, right? Like most people are sleep deprived.
00:19:55
Speaker
So for everybody who sleeps less than seven hours, which means everybody within the sound of my voice, um when you sleep, when you sleep in on the weekends, you can potentially cut your risk of heart disease because a lack of sleep. So, you know, if you've ever been on the um American Heart Association site or anything like that, how they have their, I think they have like their seven ways to improve heart disease, sleep is one of them.
00:20:22
Speaker
And actually on the site, it says sleep up to nine hours a day. So I think their their website says six to nine hours of sleep. I know nobody's getting nine hours, at least during the week. But if you can get nine hours on the weekend, there you go. So just some motivation or some justification on why you really did not get out of bed that morning. so um And this and this um study had about, it was done in the UK,
00:20:51
Speaker
These are about 90,000 people. So was a fair, it was a fair amount of people. So you need to um get more sleep, sleep in on the weekends. And because about 30, they said 33% don't get enough sleep. But I think if you talk to each of us, we would say it's probably higher than that. I would argue that probably 80% of my patients don't sleep enough.
00:21:18
Speaker
And this is study counting, like third shifters or probably not. No, even people who work at third shift. I know, right. You still have a shift. Now, what you know, what happens is not, this is, I do not envy third shift workers because I think your job is really hard because you've got to reset your day.
00:21:38
Speaker
And what I find in third shift workers, they'll say, well, there's no time to get to sleep. What they mean is that I haven't restructured the workday. So, um, like for people who work regular shift, we get up in the morning, we go to work, we get off work. Um, some people either go straight home, cook dinner, do stuff, or some people run errands and do different things. And then there's a bedtime third shift workers.
00:22:04
Speaker
just be all over the place. Like, Oh, I got off work. I went straight to sleep. I got up, I ran into this thing and went back to sleep. And then I went to work and I'm like, but that's not a work day. Right. And so it feels really discombobulated. And so, um,
00:22:21
Speaker
you're either oversleeping or not sleeping up or you get up you get off in its daytime and you have stayed outdoors too long and so your your circadian rhythm is off and so now you don't feel sleepy and so then people end up staying up longer and your time to go to bed is always like three hours before your shift starts and that's not helpful so you do have to you know put yourself on a routine um I don't know how y'all do it. I think if they study third shift workers, you I think you probably tend to gain more weight when you work third shift. You tend to be more sleep deprived. I don't know how y'all do it. You know, it's really important just to have a routine when you if you work third shift. Like just using me as example, I get off, you know, I have shifts that may end at like five in the morning. So when I get home, I literally, you know, I i go upstairs, I take a shower.
00:23:16
Speaker
I, you know, we have blackout curtains in our room. I put all those down and I go to sleep and then I wake up at like 12. And then that's kind of like when I start my day because like, you know, five to 12, I have at least a couple hours of sleep. And then I can get up and kind of do things throughout the day if I need to work out or, you know, prepare a lunch or dinner for when I go back to work.
00:23:39
Speaker
um And that seems to kind of work for me, um but, you know, other people's third shifts maybe, you know, fall in a different timeline, but routine is really the name of the game. So as long as you have that routine set in place and you stick to it, then you'll feel a lot less tired when you get to work. And then you can kind of, the recuperation period after you get done with those shifts, it's going to be a lot less than, you know, if you didn't have a routine set in place.
00:24:05
Speaker
That's cool. I feel like the one time I was on night float, I feel like my body didn't adjust to night float until it was like over. And I was like, oh my God. through the two weeks. I'm like, I'm doing this thing for like, no, I was on night flow, I feel like for a month before they split in. We did it for a month. And then the second time we did it two weeks and two weeks, I didn't get used to it for real until like week three-ish. And then like next week they were like, all right, switch back the days. And I'm like, oh, y'all. So the thing is our night flow is not real life because you do not meet, there's very rare to find nocturnus positions that work
00:24:40
Speaker
like seven or six days straight or six nights straight like you usually are in like a block schedule where you'll work like two or three or four nights and then you're off for like maybe a week and then you go back into it that is a lot more doable than what we were doing in residency in in my opinion jeez yeah residency is just a whole other level of
00:25:03
Speaker
Well, thank you, Amy Jo. I appreciate that nugget. It's good to know. Also, I'm aware that these people in your study don't have children, because anyone who has children does not sleep for that many hours. You just don't. Seven hours, and then you said get nine? I haven't had nine hours of sleep. Six to nine. Yeah. Now, we're talking about your heart. Kids don't care about your heart there. Not at all. I'm like, these people clearly don't have children. I'm like, what? Yeah. What? Now, I do want to. Kids don't care about you.
00:25:34
Speaker
I do want to run this past y'all, because this one is like, it's so current that
Keith Lee's Sushi Surprise
00:25:38
Speaker
you have to know this. So most of us know Keith Lee. He was at a sushi restaurant not too long ago. Everybody mad at that man. I don't know why they're mad at this man, but. Because he goes to their cities and leaves bad reviews of things in their city, you know. Oh, I want to hate the internet. The only thing to say is that when he was in Chicago,
00:26:04
Speaker
ah He was in Chicago. I think he did Chicago. night Well, you know, I can't say did Chicago nice. I think, you know. Atlanta was like, uh-uh, he don't know what he talking about. He doesn't know fine Christmas. No, his review of Atlanta was spot on, was spot on. I have no qualms, but continue, sorry. So he was in Seattle, I think this time. Seattle. There was a SOB sushi bar where you kind of like, you can walk up and you can like,
00:26:30
Speaker
kind of a la carte, you know, sushi pieces, you can get all of them. And so he's on camera eating this sushi on his TikTok page. And for those who like want to go look at it, I think it's around the 150 mark. He is eating a piece of sushi that is a little bit more alive than it should. And there is a worm.
00:26:50
Speaker
in it. I think he ate it too. So the problem is that he ate it and people were like typing like, uh, Keith, uh, I think you ate some worm or something. And so of course on the playback, there it is. It is wiggling. It is so alive. my god that when it ran, you know, oh I know I was like, dang, I watched it and I was like, oh, shoot, that is moving. It was legit moving. Like, if you have not seen the TikTok, it moves.
00:27:23
Speaker
somebody So the thing is that the the restaurant, but so I watched the video multiple times and you saw it. Of course I saw it. And um the restaurant was trying to play it off as that the positioning of the chopstick can make the sushi seem like it's moving.
00:27:39
Speaker
How could that? What? And if you've seen the video, is it's moving, right? Like the chopstick is sitting there, because he puts it in the camera, and the little end is like, Carl, you're going down the hatch now. See y'all on my flip side. Yeah.
00:27:56
Speaker
So he ate this alive bug that was in his sushi. Well, the restaurant has since been you know has temporarily closed down. they had to so They need to kind of reset, but you wouldn't catch me out here in these streets. um Just, yeah. Yeah. The thing is also, they also try to say bonino flakes, which if you guys are not big on my Japanese, it's like a type of topping you can put on you know different dishes. And the bonino flakes literally look like they're moving. um But you don't put, you didn't have it on this the sushi, so that definitely wasn't it. It was definitely a little parasite that had rolled up in that little salmon roll he had. I think the problem was it was Tsushima.
00:28:43
Speaker
Yeah, yeah. Well, then the lady gets sick like a day after he posted the thing. Yeah, he did. I'd be sick too. So yeah, so um note to self. Oh, brother. me Yeah. mean yeah so immediately ah um So, you know, it it ruined a,
00:29:10
Speaker
It's going to be a long time since a long time till I eat some sushi, man. Oh my God. I mean, you just inspected it really well, but yeah, it's not, you know, that's whatever again. That's for sure. Yeah, but you can't even enjoy it if your stomach is gone. Like you're forever nervous because then you're like, okay, I didn't see anything, but what if it was inside and I didn't see it, right? Like now my stomach hurts.
00:29:32
Speaker
You're fine. You didn't have sushi. You're fine. I know, but. Yo, you should, no, no, Dr. Chris, watch the video. You think your stomach hurts. You should watch the video. It's impressive. No, I'm not going to watch the video. Even just looking at the photos of it, I'm fine. like No, you have to do it. You you got to watch it to appreciate the floor. Nope, nope, nope, nope. Because I can only imagine when people were like, oh, did anybody see that? Because it moves. Like, it moves enough that you're like, no, that's an animal in there.
00:30:02
Speaker
Yeah, he ate it. He didn't see it? No, he didn't see it. No, it looked like from the picture, it looks like he was holding it up to the camera like, oh, I'm going to eat this. And then he ate it. So the people on the camera, they can see it, but he's not like up in it. He's got a million comments. So it's here. It's like moving here. I love the demonstration. I love that.
00:30:27
Speaker
Thank you. She's showing with her hands. Yes. So what's up here in these streets? But he here backs it up. you know He doesn't reverse. He doesn't do a U-turn. He doesn't reverse in. So he never sees that front part. And that little thing is like, we going in.
00:30:48
Speaker
You know, like, you don't look here to be like wait ah before she go down the slide. That's how that little worm was. but And the the audience is not helping because they're like, yo, you ate a worm.
00:31:04
Speaker
and i think They had fishermen commenting under that. I worked in the fishery for like 40 years. You ate a worm. Like that is a parasite. We see those all the time. You ate that for sure.
00:31:20
Speaker
yeah So, well, thank you for that, Amy Jo. Yeesh. Thoughts and prayers to Keith Lee's stomach right now. Thoughts and prayers for real. man I don't like Keith Lee. He going into his, yeah he going into his PCP office talking about, so listen. He's in a center field count is elevated right now. Okay. Like let's check your heels right now. I bet there, well, I wonder how high, I wonder how long it's going to take him for a center field count to go up.
00:31:46
Speaker
I could picture his PCP being like, mm-hmm, and then what happened? I'm gonna put his stomach acid. And then what happened? And then he'd be like, I got the video to prove it. like and And then they're gonna be like, so so you didn't know, but your TikTok followers? I'm so confused. I would have been vomiting.
00:32:05
Speaker
PCP over here trying to document in the note. Okay. Patient is influencer. He did was making video. Followers then informed. He might've even chewed it up. It might've just went down whole because you know. You know what? I can't do this. I can't do this. Dr. Chris, Dr. Chris, I believe you have an actual topic to discuss. Dr. Chris, can you please talk about your topic? We have seen worse things at county. If he's trying to figure out if he grinded that parasite through his teeth or if he's trying to die, that's who I'm trying to figure out. Because that's what I would want to know. When did it die in my body? Hopefully in the stomach.
00:32:50
Speaker
right and in my like i chewed and killed it before i got to my stomach what if it's got whatever it was like in the defense mechanism oh yeah no it's doing have about i send this tap about tap out tappa why why
00:33:10
Speaker
yeah It ain't safe. It ain't safe. It's about to get worse in a film and as we deregulate things, but we're not going to talk about those. Oh, we'll have so many topics for next year. You know, just wait, just wait. Deregulation is going to keep us in business. You hear me? um but But go ahead, Dr. k Chris. i you know will let um look yeah I wish I could see Dr. Sunshine's face, right? She is over it, right? She is like,
00:33:38
Speaker
um Mainly because I love sushi. So this is like killing it for me. So I can't do it. My bagels have already betrayed me. Now y'all coming from a sushi. can't do it. I can't do it today. I just can't do it today. You're having a bad food day. And I love food. I can't.
00:33:55
Speaker
Oh, I'm sorry. Hugs. Hugs. Thoughts and prayers. Thoughts and prayers. Thoughts and prayers. You're like, you betrayed me. um Oh, yeah. Them bagels got the boot. Almost lost me my license. Get out of here. It's not your fault. You said you loved them. Thoughts and prayers.
00:34:17
Speaker
that's all That's all we got for y'all in 2025. Thoughts and prayers. Oh, yeah. We got, yes. I already said my prayer life is going to be a little bit better. It's going to have to be better over the next four years. Yes, it will be. It will be. Dr. k Chris, do not get distracted. Talk about your main topic.
Understanding Osteoarthritis
00:34:35
Speaker
So um I thought our topic was going to be ah picked osteoarthritis to talk about owner i feel like it's something that we see in the clinic a lot but reversal of the magne Mm-hmm. Mm-hmm. The stuff that can happen when you're doing all of that for many years, you know? So basically, osteoarthritis is a chronic degenerative joint disease that occurs when the cartilage in the joint kind of breaks down from various reasons, mostly from like mechanical stress, repeated um micro traumas over time, right? So I got most of my information
00:35:18
Speaker
um based on the AFP, the AFP, our organization puts out like a magazine and they kind of do like evidence reviewed. So they part like review all of the evidence that's around osteoarthritis, all the studies and things like that, and make the recommendations, right? So who is at risk of osteoarthritis? So basically,
00:35:44
Speaker
Older age, people mostly over the age of 50. Females are a high risk if you're overweight, obese. If you had a previous joint injury, you do a job that does a lot of bending or squatting.
00:36:03
Speaker
sometimes also family history if you have family history of osteoarthritis you have a higher risk of getting it um and if you participate in a lot of sports with repetitive impact such as like soccer football mostly most sports okay so some of Uh, the joints, most of the joints that are typically affected, well, most joints could be affected, but the most common ones that I see are like ah the bigger joints, like your knees, shoulders, right? You can have it in your hands too, ankles. Um, so some signs and symptoms. So usually they will get pain.
00:36:53
Speaker
like achy kind of pain worse later in the day, um relieved by rest. They can get swelling in the joint tenderness with feeling like, like kind of like you're feeling like your bones are like cracking a lot.
00:37:10
Speaker
um You can have like enlargement, like bony enlargements. So you can see that it looks like, so over time you can get this buildup of like extra bone around the joint and that can happen. You can have some stiffness. A lot of times they complain of like ah stiffness early in the morning, like that lasts for about like about 30 minutes or so. Then it kind of improves with activity as the day goes on.
00:37:39
Speaker
um and having a problem like walking downstairs walking upstairs those are some of the signs and symptoms so you guys tell me like kind of what's your experience with experience with with arthritis with the arthritis hu first I'm probably gonna end up with arthritis later in life. First, I just wanna say that- I'm being dramatic guys. You and you and Amy Jo said earlier, ah yeah we getting old and we got arthritis and we this, we that. First of all, I am not included in that we, I feel like I am young and thriving out here in the world. Wait, I didn't say I had arthritis now, hold on now, just on my mind.
00:38:26
Speaker
Y'all did a lot of we, y'all did a lot of we, we, we, we, you know, and can't see. I just said I can't see. I didn't say I had arthritis. I can't see. That might be worse than arthritis if you can't see. I mean, you know, the youngest one in the group, I did not have a dog in this fight, so carry on. I don't know how you have to say that you're the youngest one in this group. We already know. Right. Very much. Y'all pointed out every other episode, I feel like I can now use it to my advantage, so we got one chill out.
00:38:57
Speaker
Me and Dr. No will be the same age for like a good 10 months out of the year. And then that one time frame where she's like a little younger than me, it's like, oh, I'm way younger and than y'all. I'm like, we the same age. I got nine months on you. Get out of here. Get out of here. Whatever.
00:39:16
Speaker
But I will say that yes all the symptoms you described are accurate um I Do think that um, I feel like I've had bad news like forever, but I also played soccer for a really long time I played soccer my whole life started at age five Played throughout high school varsity and then was gonna walk on on college and then I realized that I'm here to be a bio major and not for an athletic scholarship I'm here for an academic scholarship So then I was like, pause, can't do that. Takes up too much time. um Because Amy Jo will tell you, ah college athletics, they be having you, that's a 24 seven job. You'd be traveling to away games. I'm like, pause. I'm a bio major. What? What? Yeah, you got bio lab chem lab and they talk about you got to get this done before you leave for the game and go out of town. I'm like, pause. What? And so I was a business major because
00:40:10
Speaker
no I'm supposed to quit in bio lab and chem lab and physics and what? Y'all want me to be where? Anyway. I couldn't imagine. Yeah. Yeah. I'm trying to get my six to nine hours of sleep. Can you imagine going to sports during that time? Jeez. Yeah.
00:40:29
Speaker
I played like you know like intramural like you know like pickup games and stuff that we had on campus but like to be like an actual like NCAA athlete oh no no no but I did play soccer my whole life and I feel like I've had bad knees for a very long time and it really makes fun of me when I say I have bad knees because they're like what you're so young I'm like listen the But just the the wear and tear from just the running, the running, the running, the running, you know, kind of and I played midfield. It wasn't like I was a goalie. I wasn't just sitting there like, you just running. It's just a lot of running. um So no, I completely get you. And people are like, oh, I got to make the stallion knees. I've never had to make stallion knees. Even when I was like 15, I had to make stallion knees. So I was like, not for me.
00:41:10
Speaker
I think, though, that the the one thing i I don't disagree with, but I think though the one thing that's going to eventually start to to come out is is not osteoarthritis, but the age in which I'm seeing it, right? So what I have learned over time is that My patients that are getting osteoarthritis, and we're picking on the knees because osteoarthritis most most often affects the weight bearing joints, so your big joints, right? Knees, hips, hips um shoulders, because we sometimes use them like their hips or knees, but that's another conversation for another day, but they get you know picked on first. yeah Nobody exercises anymore, right? So I now have 30-year-olds with crunchy knees
00:41:56
Speaker
And when you talk to them, you recognize that they are IT kids, right? So they spent a lot of time at home in the house. um Then they went to work. They're not very active. And so our activity levels um as a society are going down really fast. We do not lift any weights. We definitely don't get any cardio in. And so it's becoming a problem. So I think that we are finding damaged joints or worn down joints earlier.
00:42:26
Speaker
So I need people to live weights. I need people to get outside, right? Get your sunshine, take your vitamin D, absorb it so you can get calcium absorption and like build some muscle because um these people are melting. They have no muscle.
00:42:43
Speaker
It's a problem. The thing is like certain sports can give you a higher risk of getting the arthritis. But even if you did get arthritis and you like played sports for like a long time, you tend to fare better and do better in the course because you're typically tend to be probably more fit, right? Because you've been exercising as opposed to like the the really the weight is a big thing on the on the joints, you know,
00:43:12
Speaker
I get what you mean. You're playing these sports and you're at risk. But at the same time, you are also more fit. So then there's a trade-off there. I get what you mean. Right. You know, there was an article. I read it really quickly, so I don't have the full details. But it was an article. I think it was either in the AFP or in the American College of Orthopedic.
00:43:39
Speaker
orthopedic surgeons that was talking about the the kind of the the challenge that people now who need knee replacements are beyond the BMI requirements. So like where you know osteoarthritis has gotten bad enough that it's creating really a big dilemma. So somebody's coming in, they need a knee replacement. They're 56, the knee is just terrible. It's bone on bone. All the cartilage is gone. They cannot do anything. They can't exercise. They can't sleep. like It just is always bothering them.
00:44:16
Speaker
but their BMI is 62 and they won't do the surgeon to your BMI is 50. And so the amount of time that is going to, like like what do they do, right? So um it's hard. And we are seeing those people now in the office.
00:44:34
Speaker
And I will be honest that sometimes I actually do not know what the fix is because even though um the article that Dr. Cruz is talking about is really focused on repetitive movement and they bring up athletes, the people that I am taking care of are are not athletes or not athletes yet, right? I think anybody can become an athlete. Anybody can be an athlete. People hear athletes, they think of NBA, NFL. No, those are employed, those are employment opportunities, right? So those are their jobs. But I think anybody can be an athlete if they are committed to consistent physical activity for anything, right? You can be a weekend warrior, you can be an athlete within your own right. But most of the people now, at least people in that article, are not athletes.
00:45:20
Speaker
So even the attempt to try to get them into doing something, they have they are so not used to working out at all that their bodies are so sore for minimal exercise. They'd be like, well, I can't do it. I just can't do that anymore. um And on un you know you know unlike common belief, everybody that's obese is not diabetic. So it is like they're going to qualify for manjaro or zenfe. We're just going to give them this shot. They're going to shrink down and go get their knee replaced.
00:45:47
Speaker
like There's a big chunk of people that are morbidly obese, not diabetic, unable to lose weight, need a knee replacement, also had never been active and they have no they have no pathway to surgery. it's It's a real problem.
00:46:03
Speaker
But it's also hard to convince them to work out when they're in constant pain because the people who need the knee replacements, they're in constant pain and they're like, well, how am I supposed to exercise if I'm in pain? It's like, they don't exercise at baseline. And now when they have this excruciating nine out of 10 pain, you want them to go running? Really not doing it. I've tried this. I've tried to offer like, you know, pool exercise. Um, also tried like, you know, sitting on physical therapy, but physical therapy still presents an issue.
00:46:30
Speaker
Because they push them in physical therapy. So they're too sore when they leave physical therapy. They don't want to go back. People don't always have access to a pool. And so you you really become stuck. right So these people really feel like, well, there's not a solution for me. And to a certain extent, did that's becoming true. Because I don't think the article had a solution.
00:46:54
Speaker
you know Well, it's also because the surgeons don't want to do surgery on a patient that they feel is not going to change their lifestyle. Yeah. Yeah. And they're high risk for damaging their replace knee and then ending up back in the same situation because the weight that they're bearing on this knee is too, it's too much. So replacing the knee, you're just going to end up back where you Right. And then just risk of surgery. So I also think the anesthesia doesn't want to do it, right? It's not even a is not even a recovery issue.
00:47:24
Speaker
they're, we're getting to a point where they're saying, this is too risky in the operating room. Like, we're worried about hateful ventilation, we're worried about, you know, you know, how we're going to perfuse you, we're worried about all these things. And so oh it, it becomes the surgical risk has become high. And so somebody's put them all together to say, you know what, this is just not enough. And then they're sending them out the door. And so guess who gets to have the hard conversations and say, okay. Cause they say, well go back and see your primary care doctor. So in they walk saying, doc, you gotta, you gotta help me lose 120 pounds so I can have surgery.
00:48:07
Speaker
And you're so limited on your resources because most insurance companies now have said because we don't want to pay for, they haven't said it just like this, but essentially because we do not want to pay for a GOP one, we have decided to take the approach that we just don't cover weight loss at all. So now, you know, when the GOP ones came on the market,
00:48:31
Speaker
Um, a lot of insurance companies had some kind of weight loss coverage where you at least send people to weight loss clinic. Now some of them cover things really well. Some of them gave you the basics, but now in order to protect themselves, they just kind of said, well, we don't cover anything related to weight loss now, including bariatric surgery. So they can't go see the weight loss clinic. They can't have bariatric surgery. They can't have GLP one. Um,
00:48:57
Speaker
it's It's a problem. like how do you get these How do you fix their osteoarthritis? And unfortunately, when you got it severe enough that you've lost all the cartilage in a particular joint, you need surgery. And I'm having a hard time getting some people to surgery. For some of my patients, it's been years since we've had a chance to even do it. like I've got people that I've been talking to for at least two years that are like, I can't go back until I lose the weight.
00:49:25
Speaker
But it's going to happen more often because there's the obesity epidemic, right? So then like you have this obesity epidemic that's happening and the weight that's being bared on all of the joints. And then the surgeons know it too. And the surgeon this is this is the surgeon workaround as to, well, we're just not going to do it. But I agree with you, Amy Jo, because there's no what's what's the alternative there's no alternative right now. It's just right surgeon says no.
00:49:49
Speaker
And then what? I don't know. Because they don't do the surgery and they don't treat the pain. Right, because then you end up at this weird place of like, OK, well, is this just turning into a pain management case, right? Because it's like, oh, because at a point, they're going to get to a point where the joint injections are going to wear off too quickly because they're just not going to work. And then that one just becomes pain management because they can't get surgery. Oh my gosh, you guys are just saying, I'm on my treatment now.
00:50:18
Speaker
Sorry. Yeah. So basically, you guys kind of said most of it. Oh. We did her whole presentation. I was going to. Basically, no, but basically what I was going to say is a lot of the treatments that the evidence, like just tell people what the evidence shows about certain treatments that we have, if it's effective, not effective. So people know. I mean, there are options, but the severe cases we're talking about, the options are limited. Right. And in most cases, even when there's not a severe case, it though it requires work. I think that's the issue. like
00:50:56
Speaker
The issue is that people are coming in and saying, hey, can you fix it? And they want you to fix it the same way you would fix an infection, right? Treat this and so I can, you know, be better. And unfortunately, osteoarthritis doesn't have that kind of treatment um method.
00:51:17
Speaker
I really only get to advise and assist in, and to some degree, it really does take it. And I think this is where I really get on my soapbox about, this is the reason why I'm on my soapbox so much about lifting weights, because I realized like people have no muscular structure. And because you have no muscular structure, how your, your, your gate, how you climb in and out of things up and downstairs and stuff like that is becoming a problem.
00:51:45
Speaker
So you got a weak hip girdle, you got a weak pelvic floor, and because your knees hurt, you're now starting to sit back on that hip. You don't think about it, it's minor, but your knee hurts and so you keep doing it. So now you got knee pain and hip pain. So now the hip is worn out, the knee is worn out, you need a hip replacement and a knee replacement.
00:52:04
Speaker
but now you've been favoring the other side. So now they're both wearing out. And so I think that, you know, watching people, you know, you, you know, you could test a lot of fitness. I do a lot of just even the act of watching people get on the comp step up to get on the exam table, like how mobile they are or not will teach you a whole lot. Like I've got people that are struggling with just the step up, um, partly because their knees hurt.
00:52:31
Speaker
but there's some that have osteoarthritis in the knees and you're like, okay, I know exactly where this is going, right? You kind of see it like the, the, the knees, the lower extremities are so weak that even when they step up, right, they've got a lean or it's like, you can see it drop a little bit when they step up or they like have that pause. Like they're really like struggling to like step all the way up and you think, man, this is one step. Um, and we don't have the muscle structure to do that. And so I think, um,
00:53:01
Speaker
If we don't get people moving, we're going to be in trouble. ah I can even imagine what like our young people now, I don't even know what they're going to look like at 50. Oh, yeah. Because they don't move at all now.
00:53:18
Speaker
So now you know most of us started with some fairly decent muscle structure because we were active as kids. And then 25 hitting, we've been slowly downhill from there. But you started off with some muscle structure. um i see I see kids now and they are soft, right? They're so soft and fluffy. they there's don't They don't have a lot of muscle to them at all. So I'm like, okay, so when you hit your 25-year-old mark and you start to lose muscle, um the percentage of of total muscle loss by the time you get to 50 for someone um you know that's now currently a preteen or a teenager, my fear is that it's gonna unless they were athletes, it's gonna be so low.
00:54:00
Speaker
that they're gonna have real joint problems. Which is bad, it's all bad.
00:54:13
Speaker
So listen, live weights, exercise, be active. Treat yourself like an athlete. I just told a ah sweet person is today um who said, I don't think of myself as an athlete. This person is doing amazing work, right? Like they are losing weight. I think they're down like.
00:54:31
Speaker
50 pounds, like they're doing outstanding. And so we were kind of talking and I was like, well, you're an athlete. So, you know, you need to ice as injury. And she was like, I don't think of myself as an athlete. And I'm like, you absolutely are an athlete. I think that people think they have to look a certain way or stuff like that. But if you are if you are working out with any level of consistency, then you, my friend, I'm an athlete. You don't have to be not obese to be an athlete. You don't have to be perfect BMI to be an athlete. You don't have to have muscles popping out every way to be an athlete.
00:55:01
Speaker
You can be an everyday athlete and also think we have to treat things. So I am always surprised that people say, oh, my knees have been hurting for years. And you're like, what do you take for it? No, I never take anything. I don't like taking medicine. Did you ice them? I ain't never want to ice them. Did you start working out? Well, you know, I said I was going to get into it. I never did like doing nothing about them, but watching them decline.
00:55:23
Speaker
will not make it better. And I think people think, well, when they get really bad, when I can't tolerate it, then there must be a fix. And it's so disappointing to send you to ortho and there is not a fix. All they're offering is joint injections if you want them, but it's not time. And I think the pain kicks in well before the joint wears off to knee surgery. So you do have to work out, take care of the joints um and save them a little bit yourself because it'll get much more painful before you'll get a surgical fix.
00:55:52
Speaker
So that, I think you brought up a good point. like Like, um, you know, he may not look like an athlete, but if you're doing the work, then you are considered an athlete. And I think the best example of that, um, have you guys heard with Tamara Welcott? The, uh, is she the marathon runner? No, she's the power lifter. Oh, there's another one that said there's another lady that's a marathon runner. She's so thick and I love watching her page and she's amazing.
00:56:18
Speaker
No, this girl, so not she's a full grown woman, but so she set the world record for a raw deadlift. Um, I think her record was 641 pounds and she's, she's weighing it at around like 300 pounds, but still like to be able to deadlift that much weight with, you know, just the belt and just sheer determination like that is.
00:56:45
Speaker
That is unthinkable. And she is not something that she's not someone that you would like look at and think that she was an athlete. But my God, if you can lift the equivalent of like five grown men, then I think you're you're considered an athlete. So oh yeah, just more motivation to say you may not look like the stereotypical athlete. But if you're putting in the work, then you are by far, you you are an athlete.
00:57:12
Speaker
the Dr. Chris, did you hit everything you wanted to hit? I know we kind of stole your show. I was just going to say a few things. Go ahead. Real quick. You don't necessarily need imaging to diagnose arthritis. It is like a clinical diagnosis. But if you do get imaging and we see arthritis, we typically see narrowing of the joint space in the joint.
00:57:36
Speaker
now There's some treatment options, like we kind of discussed. And I'm just basically going to run through some of the ones that they said there's evidence to show if there's benefit, not much benefit, but it's some things that we do advise for patients. And some of them, some of the things that the studies have shown there isn't much benefit. People, sometimes people do find benefit for them. Okay.
00:58:01
Speaker
So they're saying with, we mentioned the aquatic exercises, doing aquatic exercises, studies have shown that it has short-term benefits. Vitamin D supplements, they people might think that that helps, but there's no real there's no real study that shows that it really helps with osteoarthritis and antioxidant supplements.
00:58:26
Speaker
Um, exercise to be confused with, cause this'll, this'll throw people off. and So what Dr. Chris is saying that there's no correlation that you taking vitamin D supplements is going to help fix your osteoarthritis. But your osteoarthritis is not a bone density thing or a calcium thing. So to people who are taking vitamin D because you're trying to improve your calcium levels or you've got, you know, parathyroid issues and stuff like that, vitamin D for you is still very much a thing. Somebody got a little calcium.
00:58:54
Speaker
um Vitamin D is still very much a thing. There's just no correlation to to that. But when you're thinking about your joint health, most of us, we also are thinking about your bone health. And so sometimes the education gets combined, right? So we're we're thinking about joint and bone health, and which is why sometimes you hear us say, we still want you to take your vitamin D. We still want you to get outside and absorb, you know, activate that vitamin D and absorb that calcium because you cannot have both low in bone density and osteoarthritis.
00:59:23
Speaker
That's all. Very true. Thank you for that.
Treatments for Osteoarthritis
00:59:26
Speaker
um Exercise, tai chi, taping the knee, physical therapy, all have shown to have benefits for osteoarthritis of the knee. Oddly enough, doing physical therapy for the hip for hip osteoarthritis does not show much benefit.
00:59:45
Speaker
based on the studies, a well designed study. Weight loss is recommended to help with knee and hip arthritis as far as treatments go. Uh, the treatment that they said that seems to be the most effective is taking, uh, nonsteroidal anti-inflammatory, such as diclofenac is also called Voltaren. You probably heard that on, uh, television taking that. And the next one that's more effective is naproxen Aleve taking that shows to be more effective. They're seeing that taking Tylenol arthritis didn't seem to be as effective to help with the pain.
01:00:24
Speaker
Also, we talked about joint replacement. They said that's an option for people who have moderate to severe pain. Seen on x-ray as well, if they see the moderate to severe arthritis on the x-ray. Doing the the knee replacement, joint replacement can help with that. We also mentioned about steroid injection, so basically putting a steroid into the knee to help reduce pain. They said that It can improve function and provide short term pain relief, but that's kind of it. And, and in practice, we definitely see that sometimes like when they get the knee injections, they're like, Oh, it feels great. And it's great. And you know, it improves their pain, but usually it doesn't really help when they're like really advanced in arthritis. Cause if it's like really bone on bone, doing the injection doesn't provide much relief.
01:01:21
Speaker
But the patient knows that too, because they are going to notice that the the interval that they need to get the injections starts to get shorter and shorter and shorter and shorter to the point where, because you can't give someone a joint injection every day. That's just not how it works. like Once you realize, oh, I used to get joint injections like every you know once a year. And then it's like, oh, twice a year. you know Oh, you know every four months. And then you start getting to that every three month category. And then it's like, all right, listen.
01:01:48
Speaker
And that's how you know that arthritis is advancing. And then that's when it's like, all right, we need to start thinking about other options. Usually that means, you know, you've gone from mild to moderate to severe. And then it's like, all right. Oh, and they also did a study showing like oral taking oral glucosamine with or without chondrinin doesn't appear to be as effective in well-designed studies. So, you know, they're selling those supplements and saying that it helps in these studies that they've done. They hadn't seen that it made a difference.
01:02:20
Speaker
So that's all I was going to say. Good job, Dr. Chris. i like it Thank you. I hope that was helpful. I think it's great. Very helpful for you know for everybody. You never know when it might happen to you, you know especially for some of the people out there who consider themselves old. I know. But basically, if you take anything if you take anything from what we said, right, talking about other people, not me.
01:02:46
Speaker
Y'all go catch me over here and talk about something. I'm 85 years young. Listen, that's me, y'all. That's going to be me. I'm going to be that lady in the church busting a G. Like, OK. We got to exercise.
01:03:03
Speaker
bye Okay, so y'all, we will bypass questions for this week. Sorry, I know you had your hopes up. We love you, we love you. more But we will hold questions for next week. um And I should say next episode, you know, we do every other week. um But in the meantime, Dr. No-No, would you like to tell the people where to find us? I sure can.
01:03:23
Speaker
All right y'all, so you can find us on our website at www.thechocolatemds.com um where you can send us questions, advice, comments, well wishes, all that. Also feel free to check out our handles. We're on Instagram, Facebook, and Twitter and Spill. Our handle is at thechocolatemds. So also feel free to follow us. We get the updates for episode drops and any talks that we do in between.
01:03:53
Speaker
that's And watch out for those bagels. ah watch out Watch out for the sushi. right And Amy Jo said, list some weights.