hcg diet while breastfeeding toddler



>>lori casey:coming up next on being well our special guest is dr. james early director of clinical preventativemedicine at the university of kansas school or medicine. dr. early will be talking aboutlifestyle related medical issues. mainly obesity stay tuned to find out more about how youcan make small yet permeanent changes that can result in better health for years to come.[music] >>lori casey: dr. early thanks for stoppingby being well you should explain first what brings you to charleston illinois becauseyou're from wichita kansas correct? >>dr. early:i'm from wichita kansas that's right university of kansas medical school though. i came toout here to visit sarah bush lincoln to really

talk about their development of health relatedprograms, lifestyle program specifically weight management programs there.>>lori casey: well tell our viewers a little bit about yourbackground. >>dr. early:by happy to, i'm a physician i started out as a family doctor, did some time at the indianhealth service delivering babies and taking care of some of the native american population.came back and did an internal medicine residence and then was an intensive care specialistfor a period of time did a lot of intensive care medicine during that time really understoodthat lifestyle issues were huge. in the intensive care unit having to do spinal taps and liverbiopics and all those things became very difficult

if people were significantly overweight orif they've been heavy smokers, and had respiratory problems. so i thought i'm going to dedicatemyself more to preventing these things. twenty years ago helped to start the department ofmedicine at the university of kansas medical school is wichita. started a weight managementprogram there actually was instrumental in starting a masters of public health programthere and have been really dedicated now to keeping my own health up as i get into mylate sixties. and helping people not get sick basically which i believe is a noble calling.>>lori casey: well you're you've got several areas of specialtybut i know one of them is lifestyle related medical issues, do you want to talk a littlebit about that and what sort of drove you

towards that?>>dr. early: sure i think the more i looked at it the morei understood things like diabetes and high blood pressure, sugar diabetes were reallylifestyle illnesses and they were totally avoidable. most of our adult diabetics wouldnot be diabetic is they were exercising and an ideal body weight. so the idea that theyneed medicine no they need a life change. high blood pressure tremendously affectedby exercise and diet so understand that i'm really on a campaign to get rid of high bloodpressure, get rid of diabetes, and most injuries. you know broken hips, back problems they revolvearound not having good posture, not having good exercise habits, and even nutrition.>>lori casey:

we've had a lot of guests on being well andwe talk about different diseases and it seems like ways to prevent them, health diet, healthyweight, no smoking there's so many things that can be prevented when you take care ofthose three main things. >>dr. early:they are but we are floating in a pond of difficulty it is very hard when out therethere's wonderful tasting foods that are high in calories, high in sugar, salt or fat andso we have to find ways to make physical activity and nutrition more fun. we have to find waysto really bring joy into the right side of the health equation.>>lori casey: right because we tend to actuate fun and familygatherings which is nothing new i mean that's

been a part of family gatherings for generations.>>dr. early: there's nothing wrong with that just whatfood. can't we really be exciting about some new ideas around fun and physical activityand food? >>lori casey:well let's before we started taping we were talking about how you know the family tableand the food on the table changed like back when people actually sat down and had a meal.talk about how that has changed. >>dr. early:we don't eat fruits and vegetables any more we've cut that by 75% i've sat at an old tableon a farm we had corn, stewed tomato, green beans and new potatoes, we had peaches andit was. grandma insisted you have a bit of

everything cause she worked hard on everyone of those dishes and if you're going to have the apple pie at the end and you're goingto eat the meat you're going to have all those other things too. so we got a lot of color,we got a lot of variety; we got a lot of fruit and vegetable whole grain foods.>>lori casey: when i think about that table yes she mayhave made that pies crust with lard probably cooked in butter, but none of those foodscame out of a box. >>dr. early:no they didn't and there were problems with those foods. in terms of saturated fat andmany people two generations ago did have heart disease. but we know better and many of ourproducts have reduced that. what we also reduced

though is the good general nutrition out ofthe garden. the fruits the vegetables and what not and then i hear the argument allthe time well we can't afford to eat well. that's not true. we really need to becomeeducated about how to eat more fruits and vegetables and what not inexpensively. youcan do it; ten pounds of potatoes are not expensive. how do you garnish them how dowe get ahold or mixed vegetables and what not. we can buy them in huge quantities atplaces like sam's and aldi's i don't know what groceries you have that are discountbut there are ways to learn to cook vibrant foods. story. the other day we had some youngfolks over and we had cut up root vegetables, turn ups, carrots and potatoes put a littleolive oil on them some thyme and rosemary

but them in the oven and roasted them. oneof the guys from a neighbor�s son said this stuffs good it tastes almost like meat. isaid yeah it is good. these are vegetables he said no these aren't vegetables mom fixesvegetables and these aren't vegetables. so we've missed the art of cooking good foodwell and that's what we need to get back to. >>lori casey:yeah cause we think of good food now as something that comes through comes either in a box orthrough a drive thru window. >>dr. early:we've forgotten that we can actually fix great, healthy food and have fun doing it.>>lori casey: well we had talked earlier that society haschanged very rapidly i think you said form

1990 to 2000 in the incidence of obesity reallyincreased fairly quickly. >>dr. early:this kind of started in 1980 for kids it started for fast food two liter coke instead of the6 oz. coke if you're going to have that and fast foods really made a difference. alsothe computerization you know everybody's like this now. where we use to actually walk toschool, and we didn't do our i pad and iphone at the same time.>>lori casey: so i would imagine as obesity has increasedall those other diseases that are related to obesity have increased as well.>>dr. early: it's scary it's really scary because i neverin the early part of my career i never saw

a ten to twenty year old person with adultdiabetes and we see it all the time. it's purely because of lack or exercise and poornutrition. these people if their diabetic at 18 because of this at 38-40 their goingto be in kidney failure and have all kinds of problems. the surgeon general�s officemade the statement not long ago that this current young generation may be the firstgeneration to die earlier than their parents did. what a sad thing given all we know aboutmedicine today why should that have to happen. >>lori casey:right well i think you know we see because of that because people are more and more overweight,new products on the market all the time, new diets on the market, what are your thoughtson product related diets or theme related

diets, do they work?>>dr. early: i'm not crazy about theme related diets becausei think you know when you look at sort of the mediterranean diet the epidemiologic thatmeans what countries over what period of time lived the longest and did they best and theyate lots of fruits, lots of vegetables, lots of whole grains, some fish in the diet, theoil were generally olive oil or monounsaturated oils. we know that works for people that livea long time. so whatever gimmick may be used and in our programs we use meal replacementswhich are very nutritious but it's only a vehicle to get people to a vibrant lifestyle.so get them eating those fruits and vegetables to teach them how. to teach them the joy ofcooking there's a cookbook called that by

the way. so if the program is not leadingto really an education based program that can take people and help them find the joyin activity and physical exercise that's not easy but using some motivational techniquesusing excellent education using skilled and pathic people we can get there. most programsare upfront take this do this, protein one or that if that's all there is it is not goingto work long time and i challenge anybody to show me data that shows me any of theseprograms will work long term if you don't also include the ability to change people�slives. the ability to get in and help them changes their lives. it just doesn't worki can show you the data. >>lori casey:you need that educational component.

>>dr. early:right and the empathy and the skill to be able to help people whose lives are oftenin chaos get enough organization and enough family cooperation and enough worksite cooperationto really make these changes. >>lori casey:so how would you help someone says it's the mom that's overweight that trying to loseweight, trying to cook for the family for the husband and not getting a lot of supportcause it is the whole it's i would imagine it has to be the whole family involved itcan't be just this one person trying to do this on their own.>>dr. early: absolutely you're absolutely correct. i thinksome of the things that we try to do and good

programs to in general is we do try to motivatewith weight loss up front because if people don't have some upfront success in terms oftheir weight loss it's very hard to stay motivated. so there's sort of a phase one of most programsand certainly ours. where people lose weight and become empowered then in phase two there'sa lot of discussion of grocery shopping, how do you make some of these better foods moreattractive, how we talk to our family and try to get them enlisted. do we bring themin the class occasionally do we do tours of grocery stores, do we try to help now it'snot always supposed to work. no sometimes there's resistance that you just got to overcomeand sometimes the timing is not right for it too. but it is probably the most complexarea of medicine that there is. it's helping

people modify their home and work environmentto successfully manage their nutrition exercise and health. it takes tremendous amounts ofskills any super short cut is doomed to fail. >>lori casey:that's what i was going to ask what do you think is the number one thing that causespeople to fail when they try and actually the losing weight is sometimes the easy partit's the keeping it off is difficult. >>dr. early:i think we have not pushed the fact that this is a life change. we've made a diet and alot of commercial programs are at fault here by having the pictures on t.v that make itlook like you know all you got to do is come to us and we're going to change your life.no. we can give weight loss but unless their

programs are really substantial and well runovertime and affordable it isn't going to happen. i think the problem is the quick fixmentality it's the pill based diet based mentality and we have to figure that one out.>>lori casey: there have been prescription medications thathave come out to aid in weight loss. some of them are no longer on the market anymorebecause most created... >>dr. early:there's a couple new ones out nothing is massive in terms of it's we had thin thin in the pastwhich in terms of that which is terms was good decreasing peoples appetite. i have nodoubt that over the years we will probably develop some pills that do help people thathave driven appetites. those people whose

chemistry really drives them to eat. thatwill be helpful but the big thing is going to be the social and public health changesthat occur, like with cigarettes. yesterday cvc said smoking rates are down to 18% nowwhy? policy, environment, laws, and taxes we have pulled out every stop to try and reducesmoking. we're only beginning to do that by rewarding nutrition by coming up with morepolicies, more vending machine policies, more dietary i mean when we serve meals in thehospitals and businesses some businesses are beginning to change the way they do that.incredible wants they started to do that change and start really exciting recipes and havethe grains and quiona salads people begin to say wow i didn't know you could do thiswith good food. that's when things will begin

to change and it's starting.>>lori casey: well and they even know one of the fast foodrestaurants now lists their calorie counts right on the menu do you think that deterspeople? it deters me when i see wow that... >>dr. early:i'm not interested in deterring people what i'd like them to do is to take those caloriesand integrate them into their plan. okay i can save some calories here and most peopledon't understand and aren't able to build the calorie map for themselves. so one ofour jobs is to help people understand how to put meals together. how to put days togetherand really have exciting and fun nutrition and exercise at the same time keeping thecalories down. because calories in the end

are what cause weight.>>lori casey: right.>>dr. early: if you reduce the calories you reduce theweight. >>lori casey:so do you think a lot of the problem with obesity is people are just not informed theydon't know how many calories they should be eating? they don't know that you should behaving a variety of foods or is it. >>dr. early:nothing is that simple you know we've spent billions of dollars marketing foods that areeasy to maintain, don't have a lot of you know the old ad that said a twinkie can siton a self for a hundred years and it's still

edible. companies that sell foods if they�renot perishable then they don't lose money with the perishable foods so we marketed thingsthat aren't perishable. now you know we really have to begin and the new farm bill it's stilldoesn't really promote fruits and vegetables and good nutrition it's a political instrument.we really need it to be sustaining by pushing the issues of good nutritious low caloriehigh nutrition food. fruits and vegetables have that list and whole grains. we need tobe promoting those everywhere. >>lori casey:i'm sure you see this too it's a generational thing if this generation to if this generationdoesn't eat healthy and doesn't know about this it gets past down to the next generation.>>dr. early:

absolutely.>>lori casey: this generation of children as you said areheavy are going to have more healthy problems than their parents.>>dr. early: they don't know how to cook many of them don't.we've taking home ec out of classroom and we don't raise gardens as much. now i wasout in colorado last week and there's some real efforts i was in glenn wood springs there'scommunity garden right by the hotel where i was staying. he did hikes every morningi mean it wasn't surprising to me that in general the population looked pretty good.is there obesity there of course it's everywhere. but it was really interesting you could seethe difference in population across the country.

if you're in middle mississippi for exampleversus middle colorado you can see the difference. >>lori casey:colorado i think is one of the healthiest states.>>dr. early: it is but even there the obesity rates arerising you know. it's hard to resist the national trends.>>lori casey: so what what would you what do you think needsto happen cause as our discussion has gone along it's not just one little thing it'sa it's big thing. >>dr. early:well i'm semi-retired so where am i dedicating my time. i'm teaching medical students tolook at the future, i teach some medical futurism.

i'm teaching motivational interviewing sotheir better at having conversations with their patients. we've just enlisted over twohundred companies in kansas through a federal grant to begin work site wellness programs.why? because if we're trying to help anyone be healthier, eat better than their worksiteneeds to be healthier, their school needs to be healthier, their church needs to behealthier and by getting into work sites and really helping them change their environmentsand policies we can provide eight more hours of support for people that are trying to behealthier. >>lori casey:so what kinds of work place wellness things are you looking at?>>dr. early:

well we're changing environments they're writingup policies for the food they serve in their meetings, the way they run their vending machines,pathways, the ability to take twenty minutes off during the day and exercise. adding showersand what not adding breast feeding rooms. so that women can breast feed because childrenthat breast feed tend to be less obese. so we're asking businesses to partner with theiremployees for better health and lower healthcare costs.>>lori casey: right healthier employees are they're notsick as much. >>dr. early:their workman's comp claims are much less and the thinner a person is the lower theirwork comp days off are the lower the cost

of a work comp are. the reasons for businessto be concerned about their employees. work absenteeism all those things that happen whentheir employees aren't healthy. >>lori casey:so you're working with medical students who will be doctors someday i would imagine. tellme when you�re a doctor if you had a woman come into your office and say i'd really liketo lose weight what would you do versus what would your doctor tell you today?>>dr. early: well when i started i was heavy so i wouldbe embarrassed and by the question and i would be silent about the question well you knowdo what you think you should do. weight watchers which is fine but i didn't have any convictionabout it so things have changed a bit and

i find the new students interested in lifestyleissues. this is really a fairly recent pneumonia plus, medicine is beginning to change, we'rebeginning to have some through the new affordable care act we're beginning to reward outcomesto some degree. so if doctors thousand patients and the blood pressures falling for the wholegroup to some degree they may get a bonus. if they're getting there diabetes as a grouphealthier they may get some reward financially and as that becomes more you'll see a hugechange in medicine. when they're not just rewarded for how many times people come tothe office but how well they're doing with their problems. that's you know that's actuallymatching up with the real world. there's one person from an aircraft industry that toldme if we have a plane fall out of the sky

we're done. you know if we have a surgerythat goes wrong we do another surgery and charge twice. it's a different outcome andmedicare is beginning to say if you readmit a patient because you didn't do somethingright the first time we're not going to pay the second time. so as we begin to insiston quality more and more and outcomes more and more i think we'll get there. i'm veryhopefully i'm very hopefully. >>lori casey:is obesity on the decline or >>dr. early:no but it's stabilizing a little bit. the data came out yesterday it was two tenthsof one percent in the recent national nutrition study. so we're stabilizing but we reallyneed to get aggressive now. that's the reason

i'm so excited that sarah bush lincoln isinstituting a serious weight management program that will get results but also be fun andengaged. i'm excited about that. >>lori casey:so it seems if you know someone sitting at home okay i need to eat better and i needto exercise it seems so easy but it hard what are some advice that you could give to someoneto get started because it could be very overwhelming. maybe they also smoke and their overweightand it's just all this all at once. how do you sort of look at that problem and go okayi want to take this one step as a time? >>dr. early:for an individual without going to a program or what not which many will need but the firstthing is what consistent positive change can

i make. the key word being consistent am igoing to walk twenty minutes at least four or five days a week and i going to do thatif i'm going to do that how can i make that a consistent change. kind of enlist the peoplearound me to make sure that that�s a change that i make long term. i said consistence,consistency, consistency is the key don't start something and stop. don't start somethingthat you know you can't continue. so start with a small step see if it works. if it doesn'tif you just can't get it done get help. tell your doctor about it. if you decide to makea change tell your friends and your doctor what you're wanting to do and ask for theirhelp and advice. >>lori casey:don't take on too many lifestyles changes

all at once it's really difficult.>>dr. early: if you are going to do a serious program doa good program? smoking sensation, weight management, don't go for the quick fix. gofor legitimacy. >>lori casey:that's kind of how we got into this mess in the first place.>>dr. early: it is how we got into this mess in the firstplace. >>lori casey:well dr. early thank you so much for stopping by i know you've had a couple of busy dayshere in coles county. >>dr. early:a fun couple of busy days.

>>lori casey:you're headed back to kansas what's next for you?>dr. early: basically some worksite wellness workshopsfor businesses in kansas right now. the next month is filled with those and those are funto. i'm seeing these business and they're eyes wide open we can do this and we can dothat and we can help our employees be well. every time i hear that i get excited.>>lori casey: alright well thank you so much it was a pleasuremeeting you and having you on being well. >>dr. early:thank you it was nice talking with you. [music]>>monica becker:

sometimes doctors have to be detectives tostop the villain that�s making their patient�s lives miserable. and sometimes, when the conditionis rarely seen and the body�s own defenses are to blame� it takes a specialist. here�sdennis douda for mayo clinic news network. i play volleyball, soccer, golf. bethany pautsch has loved sports all her life.but, she feared her athletic days were over when she was incapacitated by a mystery illness. as it progressed, i couldn't get out of bed.i wouldn't be able to lift up my arms. for a year bethany battled severe and painfulsymptoms that made doctors suspect everything from strep infections to mononucleosis�blood diseases and rheumatoid arthritis. not

until she saw mayo clinic rheumatologist timothybongartz did she get an answer. she has a rare condition called still�s disease. drains you. it feels like having a very badflu. but in addition, she had a violent, very violent immune reaction to her joints, resultingin very rapid destruction, especially of her hips. dr. bongartz explained to bethany that herimmune system had started attacking her joints. the cause is not known.still�s patients tend to have high fevers, arthritis and a rash. symptoms may also includethroat pain, swollen lymph nodes, high white blood cell counts or high levels of ferritin,a protein that binds to iron. because there�s

no simple test for it, diagnosis involvesa process of elimination, ruling out diseases it mimics like other forms of arthritis. in still's disease, you often see very prominentinvolvement of the wrist with severe narrowing of the joint space and the knuckle jointsare, you know, barely affected. bethany needed joint replacement surgery inboth of her hips to get her back on her feet. but only after doctor bongartz first broughther condition under control. regular iv infusions of a biologic drug that tames her over-activeimmune system may be a life-long necessity. i'm not really sure, but even if i just haveto do the infusion once a month, it -- i'm able to live a healthy life so it's fine.small price to pay.

i'm healthy again. i'm able to do all thethings i was able to do before i got sick and i have my life back. for the mayo clinic news network, i�m dennisdouda.

hcg diet while breastfeeding toddler,thanks for watching this episode of beingwell. join us online anytime at youtube.com/weiutv. here you can view current as well as pastepisodes. just look for the being well playlist and the select the program you want to watch.we�ll see you next time. [music]