Speaker 1 0:03

Welcome to the healthy matters podcast with Dr . David Hilton , primary care physician and acute care hospitalist at Hennepin healthcare in downtown Minneapolis, where we cover the latest in health healthcare , and what matters to you. And now here's your host, Dr . David Hilton.

Speaker 2 0:20

Hey everybody welcome episode 20. One of the healthy matters podcast. I am your host, Dr. David Hilton . And today we are going to do another episode where we tackle the myriad myths of medicine. This is a show where we'll take a look at some of those things you've probably heard throughout your life and well, are they true or are they not joining me today is the producer of the healthy matters podcast. John Lucason John's gonna help us get through some of these myths.

Speaker 1 0:45

Well, we're gonna try. Here we go. Okay. So as we know, it's Minnesota and like it or not, summer's on its way out.

Speaker 2 0:50

Thanks for reminding

Speaker 1 0:51

Me. I know, I know it it's pretty, but it's short, cold weather is in the mail. Can cold weather actually make you sick? Of course you can get sick with a cold, but can cold weather actually make you sick?

Speaker 2 1:02

This is really a myth. The idea does persist that going out in cold weather makes you sick. And that's not really true. There are some things that maybe lead to this belief. One of them is, is that some viruses like flu, for instance, indeed does probably live better in cold, dry air, which we have in Northern climates much of the year, but there's a lot more to why you get the flu in the winter one. We're inside a lot. We have heating that dries out the air, and yes, the virus lives more in colder weather, but those are specific to a virus. The cold weather itself doesn't do anything for your immune system. Your body's quite good at , um, managing cold weather. Now there are in terms of infections, I should say, you're not gonna get a cold from going out in cold weather. There are other complications there's frostbite, and there is dehydration and dry skin. Those are all real, but are you gonna get an infectious illness? Like a cold? No.

Speaker 1 2:05

Okay. So it won't beat down your immune system or anything like that, or make you more susceptible to these things.

Speaker 2 2:09

If anything, you might be more hearty.

Speaker 1 2:11

Okay. I like to think so.

Speaker 2 2:12

Yeah, I do too. You know, I , you know, you know, when it's cold enough where your teeth hurt, you know, that's pretty cold and I think your immune system can handle it .

Speaker 1 2:19

All right . Okay. And so in line with that going outside in the winter with wet hair, you hear it a lot, the world over, it seems to be a hard, no, is there any logic to

Speaker 2 2:29

It? Right. And it's like that , that like describes my childhood. You , you , you know, go to school, walk into the bus stop or to your school when you're 10 years old and your hair still wet, cuz he's got straight out of the shower and your hair freezes into icicles. Mm-hmm <affirmative> , it's a good look, but it's not particularly , it's cheap, it's cheap and it's not particularly dangerous. So there's a whole bunch of people who live in Northern climates who go out in their hair freezes. Cuz it went while you were, while your hair was wet. You're not gonna get sick from that. Okay . Um , uh, in the absence of other reasons you would've got sick. If you're already sick or you're in, you're coughing on by somebody who has a cold, it has nothing to do with your wet hair.

Speaker 1 3:05

All right . Okay, cool. So parents, that is the verdict on that one, you know, in this theme of being cold and being sick, the idea of how to take care of us when we're sick feed a cold Starva fever, it's a common phrase. Is there any truth to it? Yeah.

Speaker 2 3:20

I wonder where that one actually came from because it there's not really any truth to that. So I , I think it might have something to do with like way back to the middle ages and nobody knew what was pulling off with illness and, and a cold as you're sort of, you feel cold and you need to get rev up your body and a fever was your body's already revved up. So you need to slow it down and you have to starve it. It's all hog wash . None of that is actually true. If you have an illness of that has a fever or doesn't have a fever, whether it's the cold or a flu or some other illness, it's COVID in general, you wanna feed all of that stuff. Okay. But it , it isn't like you need to go have a steak dinner. What you need to do is stay well hydrated. And that's what, when, when we say feed, when I say feed that it's not a term I would normally use, but in the sense of this little myth, you need to stay well hydrated and you need to stay well. Um, what do I wanna say? Well, nourished ,

Speaker 1 4:12

Well

Speaker 2 4:13

Nourished, there you go. I was gonna , you know what I was gonna say, John ? I was gonna say, well notified.

Speaker 1 4:17

Yeah . Well

Speaker 2 4:17

It's

Speaker 1 4:18

Probably why your

Speaker 2 4:18

Words <laugh> , it's probably why chicken soup works. It keeps you, it gives you some electrolytes. It gives you , uh, some basic nutrients and it gives you fluid. So you wanna do that regardless of what you have. So you can forget about the starving, anything when you're

Speaker 1 4:32

Ill. Gotcha . Okay. So, so far cold weather won't make you sick in particular. It's okay to go out with , uh, wet hair or at least that's not gonna be the greatest risk , uh, to you and then , uh, hydrate yourself, nourish yourself when you're sick. No matter whether it be a cold or a fever.

Speaker 2 4:47

Okay. That's correct. Nuttier

Speaker 1 4:48

Yourself. Excellent. Okay. So myth number four. Doesn't apple a day, actually keep the doctor away. I mean, of course it's , that's , that's a tall order , uh,

Speaker 2 4:57

For apples, that's a tall order and um , it certainly won't keep me away. Now, if you wanna keep me away as your doctor, you know, maybe wear a green bay packer shirt or something that might keep me away, but the apple won't do it. The apple won't do that. Won't do it. But there that, that myth or that saying , I don't really think that whoever made it up or whoever says it really thinks that that's all it's gonna take to keep your doctor away. Right . But there is some truth to if you eat fresh fruits and vegetables, particularly things like apples that are tasty. They're sweet. So they're a nice snack, but they also are high in fiber and have some nutrients. If you substitute an apple for a candy bar or a can of soda pop, you've done yourself, a great favor.

Speaker 1 5:41

You're going in the right direction. You

Speaker 2 5:42

Are going in the right direction. So it , it won't keep you outta it . It in and of itself isn't enough, but it is sort of emblematic of things you should do to stay the heck outta my office, you know, eat right and eat healthy. Um, things like sugar are bad for you almost all the time. Right. And apple has some sugar, but it's also got vitamins and fiber fiber fiber. So go for the apple thing. And unless you're wearing that green bay packer shirt, you're still gonna have to see me. I don't know why I'm picking on the green bay Packers, but this should originate . We originate from Minneapolis, Minnesota, and , and , you know, we had a good week

Speaker 1 6:15

Last week. Yeah. They've still got our number. I'm afraid. But anyway, that's not about medicine. Let's keep going here. So , um, this one is kind of a funny one. I always remember on , uh, that show sex in the city. I think somebody says you pluck one gray hair and a thousand show up to its funeral. Right.

Speaker 2 6:30

I have not heard that. You know , that , that particular phrase at

Speaker 1 6:34

Least, yeah. It's probably not verbatim, but uh , but the GS , I get it though . The same. So is there any kind of logic or is it a complete myth that, you know, I guess, yeah. You buck one in a thousand show up to its funeral.

Speaker 2 6:46

That is also a myth. Um, so your hair turns gray or at least , um, most of our hair turns gray. Uh, when the follicle, the hair follicle runs out a pigment and every hair follicle grows a single hair out of your head or on your arm or anywhere, that's where it happens. And if that hair follicle has sort of reached the end of its pigment producing life, nothing you can do is gonna change that. So if you pluck out a single gray hair, the next one that comes in that follicle will also be gray, but it's just that one hair. So the neighbors, not all the round ones around them , aren't gonna turn gray. Okay. Unless they were already doing so themselves. So what we tell people, if you're tired of that one gray hair, that's fine. You can pluck it out. It's gonna come back in gray again, gray again. Okay. And, but it's also, there's something not particularly healthy about plucking hairs outta your scalp. Um, they can get infected, they can get inflamed. So if you're really tired of it, maybe just cut that hair off real close to your scalp. Okay. Or try some other products. So , or maybe just , uh, live with the fact that you're looking more distinguished.

Speaker 1 7:50

Right? Yeah. And if it's stressing you out, you're only gonna get more gray hairs, I suppose. Right?

Speaker 2 7:53

Exactly. Yeah. You're gonna make it , make it go faster. Huh. But I don't think all of the other hair follicles are gonna like out of sympathy for the one

Speaker 1 8:01

Solidarity.

Speaker 2 8:02

Just you're gonna turn gray suddenly that isn't gonna happen. One hair follicle. One, one hair.

Speaker 1 8:06

Gotcha. Okay. All right . Cool. We are, we're getting wise here. Let's uh , let's look at another one. Do people shrink as they age?

Speaker 2 8:14

Do you know what? This is not a myth. They do. Wow. People do shrink, which is gonna be bad news for a lot. A

Speaker 1 8:20

Lot of people . Yeah . Well,

Speaker 2 8:20

I don't, it's not inevitable, but everybody knows, you know, you're a grandma who , who was like when you were a kid and she felt, you know, she was,

Speaker 1 8:28

I always thought I was just getting bigger.

Speaker 2 8:29

Yeah. You were getting bigger and grandma's getting smaller. It is true that both men and women can lose some height and I'm talking mostly height here. Okay . Obviously you can shrink if you lose weight, if you , you know, that kind of thing, but your height, you can lose some. And that's because , uh, for a number of factors, first, the , the little , um, cartilaginous shock absorbers between your spine can wear down. They're little , the discs in between your spine can get a little flatter. So you're not quite as tall. The bones themselves can get flatter in your spine. If you have things like osteoporosis. And that's why a lot of older adults have a curvature to their upper spine. And they're kind of hunched over is because their vertebrae are getting smaller. They're getting compression fractures, and that can lead to loss of height. You can lose muscle mass. What does happen in is people age, I think called , um, sarcopenia Sarco means , uh, the , the muscle fibers PDIA means lesser. They can get atrophy and smaller and you gain fat and you lose muscle. So all these things, losing muscle, gaining fat shrinkage of your bones in your spine, the discs between your spine, getting flatter, all of these can actually lead to height loss. That's normal. Well, even normal. Isn't the right word. Common, common. Okay. It's common. But if, if you're losing an inch a year, that's problematic. It should not be inch after inch after inch. That's

Speaker 1 9:49

Really common territory. That

Speaker 2 9:50

Exactly. Exactly. So if , if , if you are losing height, as you age, you should look into things like osteoporosis and get checked for that. Okay . Cause some of those things you can not necessarily reverse, but you can really slow down the , the , the , the

Speaker 1 10:03

Height loss. It's not a myth though. It's just dangle gravity. It

Speaker 2 10:05

Is, it is it's gravity. It's kind of pulling your , you know, pulling your body closer to the ground women. It will happen sooner because of bone mineral loss. That's why it's important for women to check their bone mineral density with something called a DEXA scan . And, but men catch up to that too, as they get

Speaker 1 10:22

Older. All right . Okay. Again, getting , uh, getting smarter by the minute here. All right . And then , uh, smarter and shorter. Yeah. Well, I suppose <laugh> and then , uh, looking at one last question kinda related to bones and these types of things, cracking knuckles, right ? Does cracking knuckles give you arthritis? Do you

Speaker 2 10:39

Do this? Do

Speaker 1 10:39

Cracking knuckles my

Speaker 2 10:40

Knuckles all the time . I can do that in my hands and in my ankles. Sometimes it's not your knuckles, but it can freak people out when you do it, but it's not particularly dangerous. Uh , um, other than the fact that you might not, you might be like a social pariah. No one wants to hang out with a guy sitting there, cracking his knuckles all the time. What it is when you crack your knuckles is it's little air bubbles popping in your joints and your joints are surrounded by something called the ovum and the synovial fluid. It's the lubricating film of fluid. That's in most of our joints, your toes, your ankles, your knuckles, and it had little air bubbles. And when you crack 'em those little air bubbles are popping. It is not dangerous to your knuckles. You are not gonna worsen arthritis for instance, by cracking your knuckles. You are gonna , that's so fun . Yeah . You're gonna worsen your social interactions is what you're gonna

Speaker 1 11:28

No , it's like bubble wrap though.

Speaker 2 11:29

It is, it is like bubble. You're probably the guy who likes to pop bubble wrap too

Speaker 1 11:34

Guilty. Yeah.

Speaker 2 11:34

You're not gonna hurt your knuckles , although you could get sore hands and stiff hands, but it isn't like it's leading to permanent arthritis or anything

Speaker 1 11:40

Like that. All right . Well, excellent. Well, I think , uh, we have come to the point where we need to take a

Speaker 2 11:44

Break. All right . We're gonna take a quick break. When we return, we'll continue to tackle some of the myriad myths of medicine, including some around food and diet. So stay with us.

Speaker 1 11:55

You're listening to the healthy matters podcast with Dr . David Hilton , have a question or a comment for the doctor become a part of our show by reaching out to us at healthy matters at HC M E d.org . Or give us a call at six one two eight seven three talk that's 6 1 2 8 7 3 8 2 5 5 . And now let's get back to more healthy conversation

Speaker 2 12:20

And more back, John , what else you got?

Speaker 1 12:22

Okay. And as promised , we were gonna talk a little bit about food and diet, so I'm pretty sure everybody's heard a few of these, but , uh, let's start with an , uh, what I presume is an easy one. Skipping breakfast can help you lose weight true or false.

Speaker 2 12:35

That's false. Uh , although you , you might wonder , uh, why that would be, you know, heck , uh, if you you're eating less, if you're eating less , um, most of the people who don't eat breakfast, they'll make up for it the rest of the day. And so , uh, there, it does make a little sense. And if there are a subset of people, I believe I don't have tons of evidence of this who are really good at monitoring their, their food intake. And they maybe don't overcompensate for the breakfast unicorns. Yeah, exactly. But most people you're gonna kind of eat roughly your calories that you are gonna eat in that day. And simply moving it later in the day, doesn't do anything for your weight. The time of day that you eat, doesn't really matter so much for weight loss. Um, so skipping the breakfast thing , if you're one of the people for whom that really gets your day off, right. And you're able to then not overdo it, then at lunchtime, it might help you. But on the whole , that's not a recommended way to do weight loss because it's just not that effective.

Speaker 1 13:33

You know, one of the things that you hear is that it starts , uh, basically your metabolism earlier in the day. Is there any truth to that?

Speaker 2 13:38

I don't think so. Okay. There , there's not really any truth to that. The , the idea being that well, your body's kind of starving, so it's gonna rev up that doesn't really pan out. Okay. There's also another corollary to that, you know, and people say breakfast is the most important food. That's a very meal of the day. Yeah . That's also not really true.

Speaker 1 13:55

It sounds like marketing

Speaker 2 13:56

A little bit. Everybody is different. Uh , I know people , uh, I live with one, my wife who, who her breakfast is , uh, a ritual. And she starts her day off with foods. She likes that makes her feel good. And she likes the quiet time of having her breakfast. I'm not awake yet. So I've never actually witnessed this in 30 some years. But , uh, but for her, it's a very important meal of the day. But for me, it's not, I could easily go till midmorning and drink my coffee and then have, have not eat until midmorning. So it's not the most important meal of the day, nor is it also the one that you're supposed to skip if you're trying to lose weight. It's it's everybody has different.

Speaker 1 14:32

It's just another meal. Exactly.

Speaker 2 14:34

All

Speaker 1 14:34

Right . Exactly. Cool. All right . Well that settles that , um, is there such a thing as a fat burning food people talk about pineapple, ginger onions, avocados, asparagus, celery, green tea, the list is huge. Um, and they say that these are fat burning foods. Curious, is it really a thing? Not

Speaker 2 14:50

Really. Uh , no . It is true that those foods that you just mentioned, John are very healthy in general. Yeah. But do they have some special quality that choose up the adipose tissue is fat? It doesn't no. Um , they don't do that. Um, so I don't know where that came from, but I do wanna qualify that one a little bit. Those are healthy foods, green tea, avocados, pineapple, ginger, the , all those things you mentioned. And then that list goes on forever. They are generally tasty and healthy foods, particularly if you eat them in whole forms and not in packaged process forms. Uh , so I recommend all of those things , um, as part of a balanced and healthy diet, but is it specifically gonna burn up the fat cells and nothing else? Is it going

Speaker 1 15:38

Matters working the other direction?

Speaker 2 15:39

Oh, no. Yeah, it doesn't do that. It's like, yeah, I've got all this big beer gut and I'm gonna eat a , some, or I'm gonna drink some green tea and that's gonna solve that. And that's not how it goes. It's far more about the balanced diet and not eating processed foods. And I might refer listeners back to our episode that we did with Dr. Shafto . She talks about that a lot in our food and nutrition episode here on the podcast.

Speaker 1 15:59

Okay. And very similar to that low fat foods aid in weight loss, true or

Speaker 2 16:04

False. Yeah. That really doesn't do it either. Yeah . And that one, I had a hard time believing because you think, well, I'm trying to lose weight. I fat is bad. So I shouldn't eat fatty foods. That is actually doesn't pan out either false. That is, that is false. So there are people on planet earth who eat whale, blubber and fatty fish people in Northern Arctic climates. And they're healthy. And they're eating things that you would think, oh , you know, so there are populations of in Alaska and Northern , um, places. There are people in Japan who eat nothing but fish that has a lot of fat, right? A lot of their fishes. There are people all over the world that live a long time whose diet has high and fat. So what is , it's not necessarily the fat content. There are good and fat , bad fats. That's a true thing. Right. But in general, it's the calories. You eat the amount of processing of that food and the sugars that you eat. So when you eat a ton of sugar and when I say sugar, I mean, even things like carbohydrates, I don't mean just white table sugar, I'm talking rice and, and French fries and all that stuff. If you're eating a lot of that, you're gonna gain more weight doing that than eating higher fat foods . So it's a balance of diets. Um , that is more important. Not necessarily is it a high fat food.

Speaker 1 17:16

Okay. All right . Let's uh , let's take a look at one more. The idea of snacking thou shelt , not snack. Is that a commandment?

Speaker 2 17:24

Well, I've heard it plenty of times and I, I confess father confessor. I'm really bad at that one. I snack all day long . Not, yeah . I snack all day long. It is not snacking per se. That is bad. It is your total daily caloric intake and what you're eating that matters. In fact, some people might do a better job of not overeating if they simply eat more frequent snacks. So it it's all about what you eat and the quantities of it. And you could conceivably never have a meal and snack all day long. If your snacks are healthy, you eat a high protein bar or you eat a fruit or a vegetable, or you could conceivably do that. If you took it to the extreme, it is not some holy thing that you have to eat three meals a day and nothing in between. I think the snacking thing was far more, you know, you come home from school and mom or dad made this wonderful dinner and they don't . They want you to sit down and eat the dinner. Exactly . And have a , a family time. Yeah . But it's not necessarily healthier. So if your snacks are, are chips and pop and candy bars, that's unhealthy, but it's not the fact that they're in snack form. It's just that what you're eating is just not healthy .

Speaker 1 18:35

It's not good food. Yeah . It's

Speaker 2 18:36

Just not good for you . So snack , light

Speaker 1 18:37

A fork in a knife and it's still

Speaker 2 18:38

Bad. Yeah , that's right. You could eat a whole plateful of that stuff three times a day and it'd be just as bad for you. That's a good way to put it actually. Gotcha . A plateful with a fork and a knife of pop and chips and candy bars is not better.

Speaker 1 18:49

Not a meal make . No . Exactly.

Speaker 2 18:50

All right . Exactly

Speaker 1 18:51

Cool. Okay. And then , um, this is one that, you know, cause I mean , everybody's trying to, you know , where's my six pack , right? Okay. So can you can target fat loss in certain areas of the body true or

Speaker 2 19:01

False? Yeah, that's false. No , the idea is this. I want six pack and who doesn't. I want to have that flat belly. And, and so you think, well, I'm gonna do a bunch of sit-ups, that's gonna do the trick. I'm gonna do , I'm gonna do my core exercises. And the answer is no that doesn't lead to a six pack . The problem with that reasoning is that you might have well developed abdominal muscles, but if they're covered by a layer of fat, no one can see your six pack abs including you. So it is, it is still true. That good core muscle workouts is good. That's still true. You should strengthen your core. Your core is your lower back, your gluteal muscles, your abdominal muscles, doing all those things are good for your posture, for your general health, for the strength of your legs, to support your skeleton. Those are all really important. But if you have a lot, a layer of belly fat over it, you're never gonna see those. So you can't just simply do sit ups to get your six pack .

Speaker 1 19:54

Okay. You have

Speaker 2 19:55

To lose the weight in your belly. So if you want a six pack, you have to generally lose weight just in addition to doing your exercise.

Speaker 1 20:02

So you get your , you get your abs in the kitchen, as they say

Speaker 2 20:04

That's exactly right.

Speaker 1 20:05

Okay. All right . Cool. We've got time for two more here. So I just want to get a quick one in here about hearing loss. Hearing loss is permanent true or false.

Speaker 2 20:13

That is mostly true. There. It is possible to have some kind of temporary hearing loss. Um, but even those temporary ones can lead to permanent loss. So there's different kinds of hearing loss. There's conductive hearing loss, which is it , the sound waves don't get conducted from the air around you, through your ear. They don't get conducted. So some of that is reversible. For instance, maybe you just have a whole bunch of ear wax in, okay. Then it's not conducting through that's reversible. If the ear wax is managed and I just wanna say a caveat, don't you manage it yourself, right? Ear wax is okay. Do we talked about , do not use a cotton swab? Nope . You I'm gonna say it again, but that's reversible, but the other kind of hearing loss is called sensoral neural. The nerves of your inner ear are getting damaged. There's little fine hairs that are microscopically small. And if you look at them under a , an electron microscope, they're , they're just microscopic little hairs that go to the nerves that go to your brain. If those get damaged by repeated loud noises or chemicals or, or toxic medicines or

Speaker 1 21:17

AirPods

Speaker 2 21:17

AirPods, you know, you know , I'm talking so loud noises is one of the ways repeated loud noises will permanently damage those. And yes, indeed. That is permanent

Speaker 1 21:27

Permanent loss.

Speaker 2 21:28

Yes . All right . So you wanna protect your ears as when you can, so , uh, you know, you should wear ear protection. Um, I actually do that when I was running my snowblower. All right . Those are loud. I recommend like you're , you're using power equipment, chainsaws, snowblowers. You should have your ear protection on, if you are at rock concerts, if you're going to rock or loud noise , uh, any kinda loud noises like that, where wear earplugs , uh, you can still hear it and you might actually hear it a little better. All

Speaker 1 21:56

Right . A little preventative medicine there. Right . Mm-hmm <affirmative> okay , cool. Excellent. Now speaking of medicine, last question. True. False laughter really is the best medicine. Oh,

Speaker 2 22:05

That's so true.

Speaker 1 22:06

That's so true. I thought so.

Speaker 2 22:07

You've gotta , you gotta know that that's true. Uh , so here's a little story that I hadn't thought about until just a second. So I I'm in a clinic and we have a team room and there's nurses running around and there's pharmacists and arm running around and we're , we're doing patients and it's generally a, kind of a high stress high action environment. Mm-hmm , <affirmative> , there's a big TV screen on the wall that we have a home screen from a computer on. It's so boring. You know what I did yesterday? I put a live cam of puppy. Dogs works every time. And so people look up at that and they start chuckling. A whole bunch of people were chuckling. We had little bulldogs on there and it was so it just makes you chuckle. I honestly think a whole bunch of things happen when we laugh. A lot of it is scientifically proven, but I think most of us just kind of know this, your blood pressure probably goes down, you know , your stress levels go down, your cortisol levels go down. It really truly is part of being human is that you laugh at things.

Speaker 1 23:01

Your six pack goes up

Speaker 2 23:02

Your six, but you , you immediately look like a body builder when you laugh. That's amazing . It's a subtle thing. But I think an extremely important one , um, laughter is truly a very potent predictor of health, I think. And I think a lot of the scientific literature actually would bear that up. That doesn't mean you'll laugh at everything under the sun, but if you're not going through your day , um, laughing here and there, you don't always have to go to like a Richard Pryor concert or whatever . Right . I'd to just little stuff like looking at the bulldogs on the screen made people chuckle, just because it's ridiculous that we have this six foot picture of a , of puppy dogs. So I think it's clearly a true thing. All

Speaker 1 23:40

Right . I will take that to the bank. Well, I think we got wise today. Uh , I know I did. Hopefully we debunked a couple of these things for other people.

Speaker 2 23:47

Oh , I'm glad John, these are fun to do. And thank you all for listening. We'll tackle more of the myths of medicine and a future episode. It's always fun to kind of see where these things came from, where, you know, what might be true, where there's a kernel of truth and what is utter, who he , I hope you all learned something as well. If you liked this episode or if you liked any of the episodes , uh, maybe share it with your friends and browse archives for some of the old shows as well. We hope you'll join us for the next episode and in the meantime, be healthy and be well.

Speaker 1 24:15

Thanks for listening to the healthy matters podcast with Dr . David Hilton , to keep up to date with the latest in healthcare and your health, subscribe to this podcast, wherever you get your podcasts for more information on healthy matters or to browse the archive, visit our website@healthymatters.org . And if you have a question or comment for the doctor, email us at healthy matters@hcmed.org , or give us a call at six one two eight seven three . Talk to catch all the latest from Dr . Hilden and the healthy matters podcast. Follow us on Twitter at Dr. David Hilton . Finally, if you enjoyed this podcast and would like to support us, please leave us a review and share the healthy matters podcast with your friends and family. The healthy matters podcast is made possible by Hennepin healthcare in Minneapolis, Minnesota, and engineered by John Lucas at highball executive producers are Jonathan Komito and Christine Hill . Please remember we can only give general medical advice during this program. And every case is unique. We urge you to consult with your personal physician. If you have more serious or pressing health concerns until next time, be healthy and be well.