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the following is an encore presentation

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of louisiana public square

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support for this program is provided by

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the foundation for excellence in

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louisiana public broadcasting

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and from viewers like you

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[Music]

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hello and welcome to louisiana public

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square i'm beth courtney president of

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lpb

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and joining me for tonight's discussion

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on healthy living

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is family physician and author dr ronnie

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whitfield

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welcome ronnie thank you so much beth

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it's great to be here

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you know obesity is a condition that i

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see more and more in my practice

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in fact the latest state of obesity

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report by the robert wood johnson

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foundation ranks louisiana first in the

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country for adult obesity

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unfortunately that's not a surprising in

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a state where every social event becomes

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a food event

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and our cuisine attracts the tourists

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from all around the world

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well that's certainly true but you know

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if living a healthier lifestyle is one

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of your new year's

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resolutions tonight we're here to help

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ever wonder which diet is the most

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effective for shedding extra pounds

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what weight loss surgeries are available

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and how safe are they

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how much exercise do you need and how

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can you eat healthily if you live in a

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food desert well we've brought together

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doctors

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nutritionists researchers and weight

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loss success stories to help you learn

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how to have a healthy new year

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my name is denisha thomas since

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that last summer i've lost about 12

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pounds and i've also lost about four

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percent of my body fat

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denisha thomas is a senior at lsu in the

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pre-med kinesiology program

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during the fall semester she

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participated in a trial weight loss

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program with pennington biomedical

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research center

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called healthy detours it was designed

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by dr

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valerie myers the summer before i

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started using the app i was actually at

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the heaviest weight that i

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had ever been in my entire life that

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came with back

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problems that came with problems with

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self-esteem

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people in my family were noticing it was

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overall a little embarrassing

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through an app on her phone thomas was

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prompted to eat healthier

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sleep better and get more exercise

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during the study

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the app was centered around the

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restaurants on and around campus

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there were icons beside each

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restaurant's name that showed you if

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that restaurant had low fat options

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if that restaurant had options with a

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great amount of fiber

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or a nice amount of vegetables on their

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menu

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she also learned to pre-plan her meals

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for the week i would say before the

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study i would say exercise was kind of

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like a cramp in my schedule

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the resources on the phone actually made

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it very easy to

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completely understand what type of

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workout you were doing how much was

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needed

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so i realized if i go and jog around the

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lake i only need to do that for 15

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minutes or five days out of the week

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which is completely and totally feasible

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kate blumberg is a research dietitian at

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pennington

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she says this kind of education is key

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to making a diet sustainable

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and not just a short-term solution the

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biggest problem people make when they

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are planning a diet is they don't have a

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maintenance plan

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what are they going to do after they

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lose the weight there are many diets to

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choose from but most have the same

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principle

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almost any diet can work if

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it is reducing the amount of calories

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that people are

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consuming you know if you were eating

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whatever you wanted to begin with and

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now you're following something

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most of the time you are reducing the

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amount of calories that you have

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one trend is the low carb diet the

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premise of low carb diet

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is that if you focus more on eating

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proteins and fats and less carbohydrates

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your body is going to have to use your

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fat in your protein stores

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to burn energy but if too few carbs are

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taken in

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the body can go into something called

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ketosis

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which you know can help you burn

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calories quicker but also can make you

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irritable fatigued tired those type of

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things

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but carbs are not the enemy bloomberg

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says a lot of diets they are

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seem to be the enemy but i think it's

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more the

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quality of the carbs that you are having

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so you know processed foods chips

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and you know a lot of foods with sugar

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in them and things like that

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no we don't need those but our body does

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need fruits

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and vegetables and whole grains

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bloomberg says there are pros and cons

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to meal replacement diets like slim fast

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or nutrisystem because a lot of times

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when people want to go on a diet the

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thing they say is well i just don't know

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what to eat

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and this just kind of eliminates that

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the problem with

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meal replacements is that again there's

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no plan for afterwards

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it doesn't teach people anything it

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doesn't teach them portion sizes

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or which food groups are healthy and

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which ones they need to stay away from

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pennington meal replacement studies

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often include education

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components that teach participants

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valuable nutrition lessons

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for after the study is over bloomberg

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promotes the dash diet

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developed in part by research at

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pennington

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the dash diet stands for the dietary

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approach to stop hypertension

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so it basically was designed to try to

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see if they could reduce people's blood

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pressures

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but over the course of the studies that

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they've done they have found that it not

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only

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reduced the blood pressures but it

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reduced the risk of heart disease

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diabetes

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certain cancers and of course also help

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people with weight loss

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dash requires decreased sodium and

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saturated fats

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along with more fruits and vegetables

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whole grains and low-fat dairy

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if you're looking to start a diet

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consult a dietitian for official advice

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i truthfully believe that it is not one

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size fits

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all someone who loves to cook who likes

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a lot of variety

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in their food and things like that they

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are going to do terrible at a meal

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replacement type

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diet where they have to eat the same

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things over and over and they really

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don't have much time you know they don't

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really prepare them themselves

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in louisiana a state where one in five

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residents live in poverty it's not

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always

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easy for those of low socioeconomic

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backgrounds

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to get access to healthy options monica

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mcdaniels is clinical services manager

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of the state's wic program in areas

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where

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there are high incidence of food deserts

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the accessibility to appropriate foods

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can be quite the challenge

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transportation to the grocery store a

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full-line

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grocery store may also be one of the

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challenges that our participants

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face the wic program or the special

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supplemental nutrition program for women

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infants and children helps mothers who

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qualify

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choose healthy foods the wic program

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targets

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iron nutrients vitamin a vitamin b

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vitamin c and zinc calcium vitamin d

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and we have food prescriptions

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and with that though there are only

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certain foods that

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the participant will be able to purchase

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no matter who you are

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losing weight is about learning to make

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healthy choices

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because it is a lifestyle change if you

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really want this to be long-term

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you have to learn how to make changes

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joining us to explore some of those

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changes is our studio audience

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it includes individuals who are at

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different points in their healthy

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lifestyle journey

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we'll hear what diets have worked for

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them what fitness regimens they follow

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and why some of them chose weight loss

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surgery we'll also hear from folks who

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help

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underserved communities eat healthier

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thanks to everyone for being here

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i want to toss out a few things before

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we get started we created an online

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survey about this month's topic

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among the more than 125 respondents we

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discovered the following

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of those taking the survey 71 percent

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consider themselves overweight

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28 percent a normal weight and less than

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one percent

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underweight after using a body mass

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index chart

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43 fall under the overweight category 25

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fall under the obese category and 15 in

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the extremely obese category

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17 come under the normal category when

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it comes to carbohydrates 24 percent eat

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four or more servings a day

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34 of the respondents eat three servings

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a day

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33 percent eat two servings a day and

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only nine percent

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eat one serving of carbs daily for

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vegetables 14

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have them four or more times a day 26

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percent consume vegetables three times a

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day

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most respondents about 34 percent eat

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two servings a day while six percent of

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respondings don't eat any

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vegetables during the day at all forty

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two percent of respondents haven't tried

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dieting but twenty five percent tried

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their own plan

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the most popular diet is weight watchers

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tried by twenty one percent of

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respondents

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followed by the atkins and sugar busters

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diet at thirteen and nine 9

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respectively some respondents have tried

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multiple diets

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so let's start here guys what have you

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done to get in shape

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and what motivated you to start we'll

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start with monica

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absolutely my motivating factor was

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uh not uh working so much i chose the

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field of nutrition i'm a registered

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dietitian by trade

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so i chose the field of nutrition to

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keep me accountable

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uh quite honestly and uh when life

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happens uh

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childbearing years start uh

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you see the freshman 15 and i think you

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see the the married 20.

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so uh with with everything going on once

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the children

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were independent enough to you know

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complete their own homework

292
00:10:07,800 --> 00:10:14,100
having a supportive husband i was able

293
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after several years of you know being a

294
00:10:14,100 --> 00:10:19,600
nurturing mother and wife

295
00:10:16,400 --> 00:10:20,900
to redirect my and rechannel my energy

296
00:10:19,600 --> 00:10:23,400
back to exercise

297
00:10:20,900 --> 00:10:24,700
great great yeah so and that that is

298
00:10:23,400 --> 00:10:28,200
where my journey with

299
00:10:24,700 --> 00:10:31,400
increasing my uh physical exercise

300
00:10:28,200 --> 00:10:32,800
uh began very good point we're female

301
00:10:31,400 --> 00:10:34,500
dominated on this panel but elmo i'd

302
00:10:32,800 --> 00:10:35,900
like to ask you about your journey to to

303
00:10:34,500 --> 00:10:36,700
weight loss and fitness how did you get

304
00:10:35,900 --> 00:10:38,600
involved in this

305
00:10:36,700 --> 00:10:40,800
well first of all i give a lot of credit

306
00:10:38,600 --> 00:10:42,700
to uh the people at pennington

307
00:10:40,800 --> 00:10:44,200
because they have educated me over the

308
00:10:42,700 --> 00:10:47,400
years i've been on

309
00:10:44,200 --> 00:10:49,000
a number of their studies probably

310
00:10:47,400 --> 00:10:51,200
the one that's been the most beneficial

311
00:10:49,000 --> 00:10:54,200
to me has been e-mechanic

312
00:10:51,200 --> 00:10:55,400
which basically was exercise okay and

313
00:10:54,200 --> 00:10:57,800
that helped a lot uh

314
00:10:55,400 --> 00:10:58,600
it helped me to develop a routine for

315
00:10:57,800 --> 00:11:01,300
working out

316
00:10:58,600 --> 00:11:03,300
and even today a couple of years after

317
00:11:01,300 --> 00:11:05,000
i've finished that study i'm still

318
00:11:03,300 --> 00:11:06,400
working out in the gym three to four

319
00:11:05,000 --> 00:11:07,900
times a week

320
00:11:06,400 --> 00:11:09,700
in addition to that i'm a lifetime

321
00:11:07,900 --> 00:11:12,200
weight watcher so i've been

322
00:11:09,700 --> 00:11:14,300
very conscious of what i've eaten

323
00:11:12,200 --> 00:11:15,800
although the struggle is still

324
00:11:14,300 --> 00:11:18,200
before me so it definitely was a

325
00:11:15,800 --> 00:11:20,200
lifestyle change for you yes

326
00:11:18,200 --> 00:11:21,800
lindsay you you had a different path you

327
00:11:20,200 --> 00:11:24,400
you were a little more

328
00:11:21,800 --> 00:11:26,200
strategic or surgical might i say how

329
00:11:24,400 --> 00:11:29,000
about your weight loss journey

330
00:11:26,200 --> 00:11:30,600
um well being a new mother and gaining

331
00:11:29,000 --> 00:11:33,800
weight of course i got to my

332
00:11:30,600 --> 00:11:37,100
uncomfortable weight and i wasn't um

333
00:11:33,800 --> 00:11:39,100
i guess you say confident anymore um

334
00:11:37,100 --> 00:11:40,300
i tried several diets and they just

335
00:11:39,100 --> 00:11:42,100
didn't agree with me

336
00:11:40,300 --> 00:11:43,500
i don't know if i just didn't stay with

337
00:11:42,100 --> 00:11:46,400
the plan or you know

338
00:11:43,500 --> 00:11:49,400
how um my lifestyle was especially with

339
00:11:46,400 --> 00:11:49,400
my husband's good cooking

340
00:11:49,700 --> 00:11:53,800
i went to the aspen clinic i knew a few

341
00:11:52,900 --> 00:11:57,000
people that went there

342
00:11:53,800 --> 00:11:57,800
and they had very good success with it i

343
00:11:57,000 --> 00:11:59,700
went

344
00:11:57,800 --> 00:12:01,100
i had a good success with it the pounds

345
00:11:59,700 --> 00:12:03,000
started dropping off immediately they

346
00:12:01,100 --> 00:12:05,100
helped me with my diet plan

347
00:12:03,000 --> 00:12:07,700
um my grocery list and everything i

348
00:12:05,100 --> 00:12:09,700
needed to do and um

349
00:12:07,700 --> 00:12:11,400
here i am great well from the surveys

350
00:12:09,700 --> 00:12:12,300
and talking to you guys i know structure

351
00:12:11,400 --> 00:12:14,100
is important

352
00:12:12,300 --> 00:12:15,600
but i'd like to also know what are some

353
00:12:14,100 --> 00:12:17,000
barriers david what do you think of some

354
00:12:15,600 --> 00:12:17,900
barriers to weight loss what do people

355
00:12:17,000 --> 00:12:19,600
talk about i always

356
00:12:17,900 --> 00:12:21,600
hear time is the is the biggest barrier

357
00:12:19,600 --> 00:12:24,200
but what berries might some folks face

358
00:12:21,600 --> 00:12:25,500
uh i'd have to say food number one

359
00:12:24,200 --> 00:12:30,000
louisiana cooking

360
00:12:25,500 --> 00:12:33,800
that's right but uh i i

361
00:12:30,000 --> 00:12:37,500
had lost about 25 pounds myself

362
00:12:33,800 --> 00:12:38,500
i i have a hard time i i admire and

363
00:12:37,500 --> 00:12:41,300
respect

364
00:12:38,500 --> 00:12:43,800
so many of these folks that you know uh

365
00:12:41,300 --> 00:12:47,900
count calories and carbs and

366
00:12:43,800 --> 00:12:51,100
i just uh to be honest with you i'm

367
00:12:47,900 --> 00:12:54,600
that's kind of a barrier to me i i

368
00:12:51,100 --> 00:12:57,900
i'm able to um uh to control my

369
00:12:54,600 --> 00:13:00,600
my diet just by cutting down on uh

370
00:12:57,900 --> 00:13:01,400
the amount of food that i eat in uh less

371
00:13:00,600 --> 00:13:03,700
alcohol

372
00:13:01,400 --> 00:13:05,000
uh you know we're kind of a party state

373
00:13:03,700 --> 00:13:07,700
i guess those empty calories

374
00:13:05,000 --> 00:13:09,800
and a wonderful uh way of life here but

375
00:13:07,700 --> 00:13:10,600
uh i can cut down on calories by doing

376
00:13:09,800 --> 00:13:12,600
that

377
00:13:10,600 --> 00:13:14,800
and uh my family's pretty supportive we

378
00:13:12,600 --> 00:13:18,000
don't eat a lot of processed foods

379
00:13:14,800 --> 00:13:21,100
but but anyway i i think

380
00:13:18,000 --> 00:13:24,600
i think those alcohol food uh

381
00:13:21,100 --> 00:13:26,800
those things are sort of barriers uh

382
00:13:24,600 --> 00:13:28,500
yeah you hear that more calories you

383
00:13:26,800 --> 00:13:30,000
know in and less calories out and that's

384
00:13:28,500 --> 00:13:30,500
how people continue to gain weight nurse

385
00:13:30,000 --> 00:13:32,700
row

386
00:13:30,500 --> 00:13:34,000
uh we have some nurses in the building

387
00:13:32,700 --> 00:13:35,400
and we have a different

388
00:13:34,000 --> 00:13:37,000
experiences we are battling with these

389
00:13:35,400 --> 00:13:38,900
patients constantly

390
00:13:37,000 --> 00:13:40,400
what do you think the motivation for the

391
00:13:38,900 --> 00:13:42,300
patient would be as a healthcare

392
00:13:40,400 --> 00:13:43,200
provider what can you do to motivate the

393
00:13:42,300 --> 00:13:45,000
patient

394
00:13:43,200 --> 00:13:46,300
well i actually you know started my

395
00:13:45,000 --> 00:13:49,000
journey you know because

396
00:13:46,300 --> 00:13:50,700
i was listening to you tell patients say

397
00:13:49,000 --> 00:13:52,600
hey look you know you could do this

398
00:13:50,700 --> 00:13:55,400
that you can decrease your carb increase

399
00:13:52,600 --> 00:13:58,200
your activity increase your water intake

400
00:13:55,400 --> 00:13:59,900
and i thought okay one day i went home

401
00:13:58,200 --> 00:14:02,100
and i said well i can listen to what dr

402
00:13:59,900 --> 00:14:04,700
whitfield said and do the same thing

403
00:14:02,100 --> 00:14:06,600
and it started to come off and patients

404
00:14:04,700 --> 00:14:08,300
started to notice i didn't notice

405
00:14:06,600 --> 00:14:09,800
but patients started notice and then i

406
00:14:08,300 --> 00:14:12,100
walked into the office one day

407
00:14:09,800 --> 00:14:13,800
and it was like wow i got on the scale

408
00:14:12,100 --> 00:14:15,900
and i said just those simple things of

409
00:14:13,800 --> 00:14:17,100
just saying hey look you can do it i'm

410
00:14:15,900 --> 00:14:19,400
gonna do it with you right

411
00:14:17,100 --> 00:14:20,600
so if if i could do it they could do it

412
00:14:19,400 --> 00:14:22,900
too you know

413
00:14:20,600 --> 00:14:24,700
so that was my attitude yeah and a lot

414
00:14:22,900 --> 00:14:25,800
of times patients

415
00:14:24,700 --> 00:14:27,700
being someone who went through my

416
00:14:25,800 --> 00:14:29,000
personal journey hired a nutrition coach

417
00:14:27,700 --> 00:14:30,600
and lost those pounds

418
00:14:29,000 --> 00:14:32,100
i sometimes expect the same thing for my

419
00:14:30,600 --> 00:14:34,800
patients didn't always get that

420
00:14:32,100 --> 00:14:36,300
i want to shift tracks for a minute lisa

421
00:14:34,800 --> 00:14:37,800
there are some folks and i think in this

422
00:14:36,300 --> 00:14:38,900
room we're all okay but there are some

423
00:14:37,800 --> 00:14:41,500
folks who just don't have

424
00:14:38,900 --> 00:14:43,100
access to healthy foods what are the

425
00:14:41,500 --> 00:14:45,000
options how can we how can we help those

426
00:14:43,100 --> 00:14:48,200
individuals well

427
00:14:45,000 --> 00:14:50,000
i think mainly the fact that you know i

428
00:14:48,200 --> 00:14:51,900
do i am with the red stick farmers

429
00:14:50,000 --> 00:14:55,400
market and we provide markets

430
00:14:51,900 --> 00:14:57,300
in north and south baton rouge areas

431
00:14:55,400 --> 00:14:58,700
the ones that have been mostly

432
00:14:57,300 --> 00:15:00,100
challenging are the ones in the food

433
00:14:58,700 --> 00:15:03,300
desert areas

434
00:15:00,100 --> 00:15:06,700
so i think education is is key

435
00:15:03,300 --> 00:15:09,400
to getting the word out about the the

436
00:15:06,700 --> 00:15:10,600
food travels less miles then it's more

437
00:15:09,400 --> 00:15:12,800
nutritious than

438
00:15:10,600 --> 00:15:14,300
if it's coming from you know across seas

439
00:15:12,800 --> 00:15:17,400
or other countries

440
00:15:14,300 --> 00:15:18,400
or things like that but access has been

441
00:15:17,400 --> 00:15:21,000
one of our

442
00:15:18,400 --> 00:15:22,700
major issues in the north baton rouge

443
00:15:21,000 --> 00:15:24,900
and the south baton rouge community

444
00:15:22,700 --> 00:15:26,100
with the mayor's healthy city initiative

445
00:15:24,900 --> 00:15:27,900
there was a

446
00:15:26,100 --> 00:15:30,100
quite a few programs that came out with

447
00:15:27,900 --> 00:15:31,700
that and that was break on the go to

448
00:15:30,100 --> 00:15:33,800
increase the

449
00:15:31,700 --> 00:15:35,800
physical fitness in the school systems

450
00:15:33,800 --> 00:15:37,900
and also we came with the mobile farmers

451
00:15:35,800 --> 00:15:40,200
market and the mobile food pantry

452
00:15:37,900 --> 00:15:42,600
just so we could provide food in those

453
00:15:40,200 --> 00:15:43,600
low income areas or the low food access

454
00:15:42,600 --> 00:15:45,400
areas

455
00:15:43,600 --> 00:15:47,100
so there have been different things put

456
00:15:45,400 --> 00:15:48,800
into place it's just that

457
00:15:47,100 --> 00:15:50,600
you know the community buy-in is the

458
00:15:48,800 --> 00:15:52,300
most important thing like once they

459
00:15:50,600 --> 00:15:54,200
adopt that

460
00:15:52,300 --> 00:15:56,000
idea that hey we need to change our

461
00:15:54,200 --> 00:15:57,000
diets and think about their family

462
00:15:56,000 --> 00:15:59,100
members

463
00:15:57,000 --> 00:16:00,600
who suffer from diabetes and high blood

464
00:15:59,100 --> 00:16:02,500
pressure then that's

465
00:16:00,600 --> 00:16:03,900
how we kind of tackle that situation

466
00:16:02,500 --> 00:16:05,500
great great so we do have some options

467
00:16:03,900 --> 00:16:05,800
out there by show of hands does anybody

468
00:16:05,500 --> 00:16:09,400
use

469
00:16:05,800 --> 00:16:11,000
anything unique a fitbit calculator a

470
00:16:09,400 --> 00:16:12,700
higher personal trainer to help them in

471
00:16:11,000 --> 00:16:15,700
their process other than surgical

472
00:16:12,700 --> 00:16:17,800
procedures by show of hands

473
00:16:15,700 --> 00:16:19,500
okay not as many as i thought mona what

474
00:16:17,800 --> 00:16:20,800
what what approach did you use to lose

475
00:16:19,500 --> 00:16:22,600
weight

476
00:16:20,800 --> 00:16:23,900
um that was a good answer i've actually

477
00:16:22,600 --> 00:16:27,000
had the gastric sleeve

478
00:16:23,900 --> 00:16:28,200
okay um what prompted me to have the

479
00:16:27,000 --> 00:16:30,800
surgery is i have

480
00:16:28,200 --> 00:16:32,000
11 year old and a 17 year old and i've

481
00:16:30,800 --> 00:16:35,400
watched

482
00:16:32,000 --> 00:16:36,200
my mother die from diabetes at the age

483
00:16:35,400 --> 00:16:38,700
of 62

484
00:16:36,200 --> 00:16:40,800
and it was very difficult and i didn't

485
00:16:38,700 --> 00:16:43,000
want to do that to my kids

486
00:16:40,800 --> 00:16:44,600
so i decided after being diagnosed with

487
00:16:43,000 --> 00:16:47,200
insulin resistance

488
00:16:44,600 --> 00:16:48,100
and also being diagnosed with some other

489
00:16:47,200 --> 00:16:51,200
health issues

490
00:16:48,100 --> 00:16:54,200
and i ended up being 40 bmi

491
00:16:51,200 --> 00:16:54,700
i said i had to do something and you

492
00:16:54,200 --> 00:16:57,200
took something

493
00:16:54,700 --> 00:16:58,600
all my family and friends were like oh

494
00:16:57,200 --> 00:17:00,700
you you look great

495
00:16:58,600 --> 00:17:02,400
you look great and i guess the way i

496
00:17:00,700 --> 00:17:05,099
carried my weight and stuff i

497
00:17:02,400 --> 00:17:06,599
was evenly distributed over my body

498
00:17:05,099 --> 00:17:09,800
however

499
00:17:06,599 --> 00:17:09,800
i was breathing very

500
00:17:10,000 --> 00:17:15,599
hard i was very wheezy

501
00:17:13,300 --> 00:17:16,500
i couldn't do physical exercise like i

502
00:17:15,599 --> 00:17:19,599
used to

503
00:17:16,500 --> 00:17:20,800
and i always been a gym rat and i mean i

504
00:17:19,599 --> 00:17:23,099
was

505
00:17:20,800 --> 00:17:24,500
in dance team for 18 years i was a

506
00:17:23,099 --> 00:17:26,599
cheerleader

507
00:17:24,500 --> 00:17:29,099
growing up i mean i was always very

508
00:17:26,599 --> 00:17:32,099
active but once i started having kids

509
00:17:29,099 --> 00:17:33,400
back to monica's you know use that child

510
00:17:32,099 --> 00:17:36,800
bearing and everything

511
00:17:33,400 --> 00:17:38,700
and you get complacent in life yeah life

512
00:17:36,800 --> 00:17:40,800
so i decided to do this and it's been

513
00:17:38,700 --> 00:17:43,000
the best decision i've lost over 60

514
00:17:40,800 --> 00:17:46,200
pounds in just a few months

515
00:17:43,000 --> 00:17:48,599
and um i highly recommend

516
00:17:46,200 --> 00:17:50,000
it if those individuals can do it if the

517
00:17:48,599 --> 00:17:51,700
other options don't work

518
00:17:50,000 --> 00:17:53,400
well congratulations weight loss sorry

519
00:17:51,700 --> 00:17:55,400
about your mother's loss but when we

520
00:17:53,400 --> 00:17:57,400
when we address obesity we can reduce

521
00:17:55,400 --> 00:17:59,200
our or increase our life span

522
00:17:57,400 --> 00:18:00,600
by by reducing our risk of diabetes and

523
00:17:59,200 --> 00:18:01,000
heart disease so it's very important

524
00:18:00,600 --> 00:18:03,000
that

525
00:18:01,000 --> 00:18:04,700
we use natural approaches as well but

526
00:18:03,000 --> 00:18:07,200
sometimes those salvage procedures

527
00:18:04,700 --> 00:18:08,600
are necessary that's kind of all the

528
00:18:07,200 --> 00:18:09,800
time we have for that section and i

529
00:18:08,600 --> 00:18:11,400
really appreciate you guys we're coming

530
00:18:09,800 --> 00:18:13,500
back with some more questions

531
00:18:11,400 --> 00:18:15,800
when we return we'll be joined by our

532
00:18:13,500 --> 00:18:16,600
panel to further explore how to have a

533
00:18:15,800 --> 00:18:28,800
healthy

534
00:18:16,600 --> 00:18:31,200
new year we'll be right back

535
00:18:28,800 --> 00:18:33,000
welcome back to louisiana public square

536
00:18:31,200 --> 00:18:34,700
tonight we're discussing how we can live

537
00:18:33,000 --> 00:18:37,700
healthier in the new year

538
00:18:34,700 --> 00:18:39,600
joining us now is our panel of experts

539
00:18:37,700 --> 00:18:41,100
dr drake bellinger is a bariatric

540
00:18:39,600 --> 00:18:42,700
surgeon with the weight loss surgery

541
00:18:41,100 --> 00:18:45,100
centers of louisiana

542
00:18:42,700 --> 00:18:47,100
since 1997 he has performed over two

543
00:18:45,100 --> 00:18:49,500
thousand weight loss surgical procedures

544
00:18:47,100 --> 00:18:50,700
including gastric bypass and gastric

545
00:18:49,500 --> 00:18:52,900
banding

546
00:18:50,700 --> 00:18:53,800
dr catherine champagne is a registered

547
00:18:52,900 --> 00:18:55,300
dietitian

548
00:18:53,800 --> 00:18:57,200
and professor at the pennington

549
00:18:55,300 --> 00:18:59,300
biomedical research center

550
00:18:57,200 --> 00:19:01,400
she helped to develop the dash diet

551
00:18:59,300 --> 00:19:03,700
which has been ranked number one

552
00:19:01,400 --> 00:19:06,100
by u.s news and world report for seven

553
00:19:03,700 --> 00:19:07,800
consecutive years wow

554
00:19:06,100 --> 00:19:09,800
rudy macklin is the director of the

555
00:19:07,800 --> 00:19:10,600
governor's council on physical fitness

556
00:19:09,800 --> 00:19:14,200
and sports

557
00:19:10,600 --> 00:19:16,100
for the past 23 years rudy has served as

558
00:19:14,200 --> 00:19:17,900
an advisor on health policy issues

559
00:19:16,100 --> 00:19:20,600
affecting underserved immigrants

560
00:19:17,900 --> 00:19:22,800
refugees and ethnic populations

561
00:19:20,600 --> 00:19:24,100
and stephanie m elwood is an extension

562
00:19:22,800 --> 00:19:26,200
associate with the community

563
00:19:24,100 --> 00:19:27,800
and school garden programs at southern

564
00:19:26,200 --> 00:19:29,300
university ag center

565
00:19:27,800 --> 00:19:31,100
her current work includes building

566
00:19:29,300 --> 00:19:31,800
nutrition education sites across the

567
00:19:31,100 --> 00:19:34,700
state

568
00:19:31,800 --> 00:19:36,200
and working to eradicate food deserts

569
00:19:34,700 --> 00:19:39,000
before we go to our audience

570
00:19:36,200 --> 00:19:40,700
i'd like to ask you each briefly if you

571
00:19:39,000 --> 00:19:41,400
could give louisiana a leather grade on

572
00:19:40,700 --> 00:19:44,600
its health

573
00:19:41,400 --> 00:19:46,000
dr bellinger i'd give us uh c-plus c

574
00:19:44,600 --> 00:19:48,700
plus a little higher than i thought

575
00:19:46,000 --> 00:19:50,300
dr champagne i'd give us a c-minus

576
00:19:48,700 --> 00:19:53,600
c-minus okay

577
00:19:50,300 --> 00:19:55,900
rudy and f and f and

578
00:19:53,600 --> 00:19:57,700
miss l wood i would give us a c because

579
00:19:55,900 --> 00:19:59,200
we have lots of potential

580
00:19:57,700 --> 00:20:01,400
lots of potential lots of potential to

581
00:19:59,200 --> 00:20:02,900
grow uh if you ask dr whitfield i'd

582
00:20:01,400 --> 00:20:04,600
probably give us a d

583
00:20:02,900 --> 00:20:06,200
a d plus and i think that's dealing

584
00:20:04,600 --> 00:20:08,200
mostly with the obesity

585
00:20:06,200 --> 00:20:09,600
epidemic that we have in our state i

586
00:20:08,200 --> 00:20:10,600
want to talk some questions out to the

587
00:20:09,600 --> 00:20:13,000
audience now so

588
00:20:10,600 --> 00:20:15,200
you guys help me out a little bit bianca

589
00:20:13,000 --> 00:20:17,800
you had a question about

590
00:20:15,200 --> 00:20:18,800
the resources uh could you could you

591
00:20:17,800 --> 00:20:19,300
could you tell us a little bit about

592
00:20:18,800 --> 00:20:22,600
what you

593
00:20:19,300 --> 00:20:24,700
were asking um well i work with

594
00:20:22,600 --> 00:20:25,800
lsu ag center with the healthy

595
00:20:24,700 --> 00:20:29,100
communities project

596
00:20:25,800 --> 00:20:31,400
in rural st helena parish

597
00:20:29,100 --> 00:20:33,300
and sometimes we find that there may not

598
00:20:31,400 --> 00:20:35,300
be enough resources

599
00:20:33,300 --> 00:20:37,000
because it's not necessarily a food

600
00:20:35,300 --> 00:20:41,000
desert but there's

601
00:20:37,000 --> 00:20:43,200
lack of access to different fresh foods

602
00:20:41,000 --> 00:20:44,100
fruits and vegetables for the community

603
00:20:43,200 --> 00:20:46,300
there okay

604
00:20:44,100 --> 00:20:47,500
so just wondering what type of resources

605
00:20:46,300 --> 00:20:49,800
are offered by

606
00:20:47,500 --> 00:20:51,700
the governor's initiative um

607
00:20:49,800 --> 00:20:52,500
specifically with nutrition and physical

608
00:20:51,700 --> 00:20:54,300
activity

609
00:20:52,500 --> 00:20:55,700
correct anyone in the panel would like

610
00:20:54,300 --> 00:20:58,800
to take that question oh

611
00:20:55,700 --> 00:20:59,900
i guess it was directed toward me with

612
00:20:58,800 --> 00:21:01,500
the governor's council on physical

613
00:20:59,900 --> 00:21:04,300
fitness and sports you know

614
00:21:01,500 --> 00:21:06,100
we concentrate on obesity instead of all

615
00:21:04,300 --> 00:21:07,800
the other health issues because when we

616
00:21:06,100 --> 00:21:10,600
deal with obesity

617
00:21:07,800 --> 00:21:12,400
it cross walks with a lot of other

618
00:21:10,600 --> 00:21:15,000
diseases and death

619
00:21:12,400 --> 00:21:16,500
hypertension diabetes upper respiratory

620
00:21:15,000 --> 00:21:19,200
problems even cancer

621
00:21:16,500 --> 00:21:20,100
so if you can get a handle on obesity

622
00:21:19,200 --> 00:21:22,200
you know you really

623
00:21:20,100 --> 00:21:23,600
help reduce all the other diseases and

624
00:21:22,200 --> 00:21:25,800
sicknesses around this

625
00:21:23,600 --> 00:21:27,000
around around this state now i travel

626
00:21:25,800 --> 00:21:29,700
the entire state

627
00:21:27,000 --> 00:21:31,300
and the thing that really gives me a

628
00:21:29,700 --> 00:21:33,200
great caution is the children

629
00:21:31,300 --> 00:21:34,500
when i see children at 10 11 years old

630
00:21:33,200 --> 00:21:35,800
with high blood pressure

631
00:21:34,500 --> 00:21:38,100
when i see them with respiratory

632
00:21:35,800 --> 00:21:40,000
ailments you know that tells me that

633
00:21:38,100 --> 00:21:41,900
upcoming with our our youth coming up to

634
00:21:40,000 --> 00:21:42,500
become adults they're really going to be

635
00:21:41,900 --> 00:21:44,500
sick

636
00:21:42,500 --> 00:21:45,800
when they become adults and so that

637
00:21:44,500 --> 00:21:47,400
really

638
00:21:45,800 --> 00:21:49,600
makes me really concentrated put a

639
00:21:47,400 --> 00:21:51,800
microscopic microscopic view

640
00:21:49,600 --> 00:21:52,700
on the rural areas in particular right

641
00:21:51,800 --> 00:21:54,700
right

642
00:21:52,700 --> 00:21:56,500
theresa i think you had a question that

643
00:21:54,700 --> 00:21:57,800
dr bellinger could probably address

644
00:21:56,500 --> 00:22:00,300
could you could you ask dr bellinger

645
00:21:57,800 --> 00:22:02,400
that question yes as an hr professional

646
00:22:00,300 --> 00:22:04,800
i'm always looking for opportunities

647
00:22:02,400 --> 00:22:06,200
to allow people to have good work-life

648
00:22:04,800 --> 00:22:09,400
balance

649
00:22:06,200 --> 00:22:10,200
what if any programs does the state

650
00:22:09,400 --> 00:22:13,300
offer

651
00:22:10,200 --> 00:22:16,800
that might give businesses an incentive

652
00:22:13,300 --> 00:22:19,200
a tax incentive to offer more

653
00:22:16,800 --> 00:22:20,500
work-life balance programs in their work

654
00:22:19,200 --> 00:22:22,000
establishments

655
00:22:20,500 --> 00:22:23,800
well maybe that was for for rudy instead

656
00:22:22,000 --> 00:22:26,400
of not developing okay

657
00:22:23,800 --> 00:22:27,700
well we have uh what we call employee

658
00:22:26,400 --> 00:22:29,900
wellness programs

659
00:22:27,700 --> 00:22:31,500
uh sometimes uh with your employer if

660
00:22:29,900 --> 00:22:32,200
you're involved in an employee wellness

661
00:22:31,500 --> 00:22:33,200
program

662
00:22:32,200 --> 00:22:34,600
they'll give you a break on your

663
00:22:33,200 --> 00:22:35,400
premiums on your on your health

664
00:22:34,600 --> 00:22:37,000
insurance

665
00:22:35,400 --> 00:22:38,600
and we have a program called own your

666
00:22:37,000 --> 00:22:40,700
own health where you can track your own

667
00:22:38,600 --> 00:22:43,600
physical activity and nutrition programs

668
00:22:40,700 --> 00:22:44,200
online as well as we have a city versus

669
00:22:43,600 --> 00:22:47,100
city

670
00:22:44,200 --> 00:22:49,500
uh challenges going on like we have

671
00:22:47,100 --> 00:22:52,000
monroe versus alexandria

672
00:22:49,500 --> 00:22:54,000
baxter versus tallulah and we're working

673
00:22:52,000 --> 00:22:56,600
on new orleans versus shreveport

674
00:22:54,000 --> 00:22:57,100
and to give people different ideas and

675
00:22:56,600 --> 00:22:59,400
and

676
00:22:57,100 --> 00:23:00,200
motivate them to be physically active

677
00:22:59,400 --> 00:23:02,200
and

678
00:23:00,200 --> 00:23:04,600
move more but from the employer's

679
00:23:02,200 --> 00:23:05,900
standpoint studies will show you that

680
00:23:04,600 --> 00:23:08,300
health employees are the better

681
00:23:05,900 --> 00:23:10,700
employees it reduces absenteeism

682
00:23:08,300 --> 00:23:11,500
it boosts morale and so when you have an

683
00:23:10,700 --> 00:23:13,800
employee

684
00:23:11,500 --> 00:23:15,500
wellness program in your workplace you

685
00:23:13,800 --> 00:23:16,600
have better employees and profitable

686
00:23:15,500 --> 00:23:18,800
employees as well

687
00:23:16,600 --> 00:23:20,200
and so there are a lot of state

688
00:23:18,800 --> 00:23:21,800
companies around now that are really

689
00:23:20,200 --> 00:23:22,800
going to that

690
00:23:21,800 --> 00:23:24,200
particular thing when it comes to

691
00:23:22,800 --> 00:23:26,200
employee wellness and we do it at the

692
00:23:24,200 --> 00:23:28,300
louisiana department of health as well

693
00:23:26,200 --> 00:23:29,800
and so you can just call my office and

694
00:23:28,300 --> 00:23:31,000
i'll help you get started

695
00:23:29,800 --> 00:23:33,000
stephanie i think you now you're

696
00:23:31,000 --> 00:23:34,100
familiar with resources as well what

697
00:23:33,000 --> 00:23:37,100
other options are there

698
00:23:34,100 --> 00:23:38,600
available um well

699
00:23:37,100 --> 00:23:41,800
i can tell you about the programming

700
00:23:38,600 --> 00:23:44,400
that we do at southern at the ag center

701
00:23:41,800 --> 00:23:45,000
we work with different usda grants one

702
00:23:44,400 --> 00:23:47,400
of them

703
00:23:45,000 --> 00:23:48,500
was with dr tiffany franklin eradicating

704
00:23:47,400 --> 00:23:51,400
food deserts through

705
00:23:48,500 --> 00:23:52,200
the development of school gardens so

706
00:23:51,400 --> 00:23:54,200
teaching

707
00:23:52,200 --> 00:23:56,200
health consciousness also having gardens

708
00:23:54,200 --> 00:23:56,700
on campus teaching the skill of how to

709
00:23:56,200 --> 00:23:58,200
grow

710
00:23:56,700 --> 00:24:00,400
you know from the seed to eating the

711
00:23:58,200 --> 00:24:02,600
broccoli we've also worked

712
00:24:00,400 --> 00:24:04,700
with incarcerated and adjudicated youth

713
00:24:02,600 --> 00:24:06,800
teaching gardening skills as well

714
00:24:04,700 --> 00:24:08,700
not only for eating healthy foods but

715
00:24:06,800 --> 00:24:11,000
also landscaping and other

716
00:24:08,700 --> 00:24:12,400
opportunities and we're also involved

717
00:24:11,000 --> 00:24:15,000
with the healthy communities grant

718
00:24:12,400 --> 00:24:16,800
in several parishes madison tencent st

719
00:24:15,000 --> 00:24:20,200
helena

720
00:24:16,800 --> 00:24:23,600
and um southern university um

721
00:24:20,200 --> 00:24:25,600
focuses on the food desert neighborhoods

722
00:24:23,600 --> 00:24:27,200
and um making more fresh produce

723
00:24:25,600 --> 00:24:30,300
available through

724
00:24:27,200 --> 00:24:31,300
gardening efforts great great dr

725
00:24:30,300 --> 00:24:33,100
champaign you

726
00:24:31,300 --> 00:24:34,700
you've done a lot of research were there

727
00:24:33,100 --> 00:24:36,200
any programming or things that you may

728
00:24:34,700 --> 00:24:38,200
have encountered during your research

729
00:24:36,200 --> 00:24:40,000
that are resources that may be helpful

730
00:24:38,200 --> 00:24:43,800
as well

731
00:24:40,000 --> 00:24:46,100
well mostly we've done diet studies um

732
00:24:43,800 --> 00:24:47,400
looking at different types of diets

733
00:24:46,100 --> 00:24:51,000
comparing diets

734
00:24:47,400 --> 00:24:53,900
comparing strategies and along with

735
00:24:51,000 --> 00:24:55,700
many of our we we do know that people

736
00:24:53,900 --> 00:24:58,000
can lose weight

737
00:24:55,700 --> 00:24:59,000
the problem is maintaining the weight

738
00:24:58,000 --> 00:25:02,100
loss

739
00:24:59,000 --> 00:25:04,400
so any strategy that you can use

740
00:25:02,100 --> 00:25:05,400
the one that i think is the most

741
00:25:04,400 --> 00:25:07,400
effective

742
00:25:05,400 --> 00:25:08,600
for people who don't want to have

743
00:25:07,400 --> 00:25:11,500
surgery

744
00:25:08,600 --> 00:25:12,200
is to record the food that you eat

745
00:25:11,500 --> 00:25:14,500
because

746
00:25:12,200 --> 00:25:16,500
and i will tell you based on our

747
00:25:14,500 --> 00:25:18,200
participants in the past that's the most

748
00:25:16,500 --> 00:25:22,300
hated strategy but the most

749
00:25:18,200 --> 00:25:25,400
effective strategy it creates awareness

750
00:25:22,300 --> 00:25:28,500
of what you're putting in your mouth and

751
00:25:25,400 --> 00:25:32,100
i think the concept then is

752
00:25:28,500 --> 00:25:33,100
that you actually can know how many

753
00:25:32,100 --> 00:25:35,900
calories

754
00:25:33,100 --> 00:25:37,800
is physically in there we did that with

755
00:25:35,900 --> 00:25:40,500
a pounds loss study

756
00:25:37,800 --> 00:25:41,800
where we gave participants menus and the

757
00:25:40,500 --> 00:25:45,000
concept was

758
00:25:41,800 --> 00:25:46,600
follow these menus but the the the more

759
00:25:45,000 --> 00:25:49,800
long-term message

760
00:25:46,600 --> 00:25:52,400
was that when you see how much of each

761
00:25:49,800 --> 00:25:53,300
food group is on the plate then you

762
00:25:52,400 --> 00:25:56,700
could

763
00:25:53,300 --> 00:26:00,400
take that a step further and substitute

764
00:25:56,700 --> 00:26:01,000
other foods to make a difference make a

765
00:26:00,400 --> 00:26:02,500
difference

766
00:26:01,000 --> 00:26:04,300
i want to shift gears a little bit dr

767
00:26:02,500 --> 00:26:05,800
bellinger i do my best to keep my

768
00:26:04,300 --> 00:26:07,700
patients from coming to see you

769
00:26:05,800 --> 00:26:09,600
but i have been unsuccessful in that

770
00:26:07,700 --> 00:26:11,700
obesity is truly an epidemic

771
00:26:09,600 --> 00:26:13,300
could you elaborate on that patient that

772
00:26:11,700 --> 00:26:14,700
comes in that you have to address in

773
00:26:13,300 --> 00:26:16,100
many cases i have patients that i don't

774
00:26:14,700 --> 00:26:17,800
think need to procedure but there are

775
00:26:16,100 --> 00:26:18,900
many cases now that you're you're having

776
00:26:17,800 --> 00:26:20,600
to do these surgical procedures they're

777
00:26:18,900 --> 00:26:23,300
salvaged procedures

778
00:26:20,600 --> 00:26:24,500
uh yeah i think one of the greatest

779
00:26:23,300 --> 00:26:26,200
indications in one of the best

780
00:26:24,500 --> 00:26:29,500
indications for weight loss surgery

781
00:26:26,200 --> 00:26:32,100
is diabetes so diabetes not only

782
00:26:29,500 --> 00:26:32,600
are we getting a person to lose weight

783
00:26:32,100 --> 00:26:34,200
so

784
00:26:32,600 --> 00:26:36,500
things like high blood pressure and

785
00:26:34,200 --> 00:26:37,800
sleep apnea tend to go away as well

786
00:26:36,500 --> 00:26:39,900
makes the overall health of the patient

787
00:26:37,800 --> 00:26:42,200
better but there's an intrinsic

788
00:26:39,900 --> 00:26:45,100
process within the operation that starts

789
00:26:42,200 --> 00:26:48,500
the reversal process of diabetes so

790
00:26:45,100 --> 00:26:50,700
not only does the weight loss help

791
00:26:48,500 --> 00:26:52,400
lessen the impact of diabetes but

792
00:26:50,700 --> 00:26:55,000
something within the surgery

793
00:26:52,400 --> 00:26:56,700
well uh the operation reverses some of

794
00:26:55,000 --> 00:26:57,500
those effects by the chemical changes

795
00:26:56,700 --> 00:27:00,700
that it causes

796
00:26:57,500 --> 00:27:01,900
wow so reversing diabetes uh reducing

797
00:27:00,700 --> 00:27:03,400
blood pressure i've had patients that

798
00:27:01,900 --> 00:27:04,700
have come off all their medications

799
00:27:03,400 --> 00:27:06,600
after a salvage procedure and

800
00:27:04,700 --> 00:27:07,800
it's done wonders um we have one of your

801
00:27:06,600 --> 00:27:09,600
patients here

802
00:27:07,800 --> 00:27:11,100
and i just tiffany i tell me i'd like

803
00:27:09,600 --> 00:27:13,000
for you to share maybe a little bit of

804
00:27:11,100 --> 00:27:14,000
what happened but uh you had a question

805
00:27:13,000 --> 00:27:16,600
as well so

806
00:27:14,000 --> 00:27:17,800
you you had surgery by dr bellinger what

807
00:27:16,600 --> 00:27:20,000
led you to that and

808
00:27:17,800 --> 00:27:21,800
and um how are you doing i did thank you

809
00:27:20,000 --> 00:27:25,700
for having me here yes ma'am

810
00:27:21,800 --> 00:27:29,000
uh um i had the gastric sleeve

811
00:27:25,700 --> 00:27:31,400
uh three years ago this past august

812
00:27:29,000 --> 00:27:33,000
and i guess my motivation was i was

813
00:27:31,400 --> 00:27:36,200
tired of

814
00:27:33,000 --> 00:27:38,900
comfort eating um

815
00:27:36,200 --> 00:27:40,000
my child was called home coming up on

816
00:27:38,900 --> 00:27:43,400
seven years

817
00:27:40,000 --> 00:27:48,400
and um it just

818
00:27:43,400 --> 00:27:50,300
it just it was just a a horrible

819
00:27:48,400 --> 00:27:52,500
eating habit you know i was trying to

820
00:27:50,300 --> 00:27:54,200
comfort myself with food and

821
00:27:52,500 --> 00:27:55,500
i just wasn't getting anywhere and i

822
00:27:54,200 --> 00:28:00,100
needed a major

823
00:27:55,500 --> 00:28:00,100
jump start and um

824
00:28:00,800 --> 00:28:04,600
i i was

825
00:28:04,700 --> 00:28:10,600
back and forth yo-yo you know dieting

826
00:28:08,300 --> 00:28:14,300
and it just wasn't helping at all

827
00:28:10,600 --> 00:28:16,600
and i had uh encountered

828
00:28:14,300 --> 00:28:17,600
several people who uh dr bellinger

829
00:28:16,600 --> 00:28:19,900
himself uh

830
00:28:17,600 --> 00:28:20,800
had performed weight loss surgery on

831
00:28:19,900 --> 00:28:23,700
them and

832
00:28:20,800 --> 00:28:25,500
um you know i just took a look at myself

833
00:28:23,700 --> 00:28:27,400
my life you know and i said

834
00:28:25,500 --> 00:28:30,100
you know god may have called one of my

835
00:28:27,400 --> 00:28:32,600
uh children home one of my girls home

836
00:28:30,100 --> 00:28:35,000
but i have two other girls to live for

837
00:28:32,600 --> 00:28:35,900
and um i'm not i'm not going to live

838
00:28:35,000 --> 00:28:38,500
very long

839
00:28:35,900 --> 00:28:39,000
if i continue with this weight you know

840
00:28:38,500 --> 00:28:40,600
and

841
00:28:39,000 --> 00:28:42,200
then it was um you know high blood

842
00:28:40,600 --> 00:28:44,000
pressure and the fear of going to the

843
00:28:42,200 --> 00:28:44,800
doctor and say well congratulations miss

844
00:28:44,000 --> 00:28:47,600
larry you

845
00:28:44,800 --> 00:28:49,300
you're you you're successful on becoming

846
00:28:47,600 --> 00:28:52,100
a diabetic so

847
00:28:49,300 --> 00:28:54,100
i said you know i deserve it i need a

848
00:28:52,100 --> 00:28:59,000
quick jump start

849
00:28:54,100 --> 00:29:02,400
and um i saw dr uh met with dr ballinger

850
00:28:59,000 --> 00:29:04,000
and um from there i've just i've just

851
00:29:02,400 --> 00:29:06,200
taken off

852
00:29:04,000 --> 00:29:08,600
i've done it i've maintained it i've

853
00:29:06,200 --> 00:29:11,400
changed my eating habits i've even um

854
00:29:08,600 --> 00:29:12,100
learned how to cook uh healthier for my

855
00:29:11,400 --> 00:29:15,400
family

856
00:29:12,100 --> 00:29:17,800
and um so you so you'd recommend dr

857
00:29:15,400 --> 00:29:17,800
bellinger

858
00:29:19,400 --> 00:29:25,400
i kind of got the feeling that you would

859
00:29:23,000 --> 00:29:26,200
so it's just been a great it was it was

860
00:29:25,400 --> 00:29:29,800
just a great

861
00:29:26,200 --> 00:29:32,200
great decision i i am very glad that i

862
00:29:29,800 --> 00:29:33,900
made that decision to do that because it

863
00:29:32,200 --> 00:29:36,300
just wasn't working trying to do it on

864
00:29:33,900 --> 00:29:40,300
my own you know i'd lose weight gain it

865
00:29:36,300 --> 00:29:42,700
lose weight gain it and um it it just

866
00:29:40,300 --> 00:29:44,200
you know i just wasn't living a healthy

867
00:29:42,700 --> 00:29:47,500
life you know i

868
00:29:44,200 --> 00:29:50,600
exercised 15 20 miles a week

869
00:29:47,500 --> 00:29:52,700
and i watched my carbs you know

870
00:29:50,600 --> 00:29:54,000
um so it just and dr bill and she said

871
00:29:52,700 --> 00:29:55,700
she had a key point

872
00:29:54,000 --> 00:29:57,500
it's not just a surgery after the

873
00:29:55,700 --> 00:29:59,200
surgery there's life after surgery what

874
00:29:57,500 --> 00:30:00,500
recommendations are you giving patients

875
00:29:59,200 --> 00:30:01,700
what happens after the salvage

876
00:30:00,500 --> 00:30:03,800
procedures

877
00:30:01,700 --> 00:30:05,100
uh we like to follow our patients we

878
00:30:03,800 --> 00:30:06,200
follow them very closely for the first

879
00:30:05,100 --> 00:30:08,400
year while they're in

880
00:30:06,200 --> 00:30:09,800
the weight loss phase right after

881
00:30:08,400 --> 00:30:11,400
surgery and then we want to follow them

882
00:30:09,800 --> 00:30:15,500
for an additional five years

883
00:30:11,400 --> 00:30:17,800
wow and part of and most of the programs

884
00:30:15,500 --> 00:30:19,700
here around the state have been

885
00:30:17,800 --> 00:30:21,400
accredited as centers of excellence to

886
00:30:19,700 --> 00:30:22,400
perform bariatric surgery and weight

887
00:30:21,400 --> 00:30:25,600
loss surges

888
00:30:22,400 --> 00:30:26,100
bariatric surgery and one of the things

889
00:30:25,600 --> 00:30:28,100
that you

890
00:30:26,100 --> 00:30:29,800
must show that you want to do or you

891
00:30:28,100 --> 00:30:30,900
have to do is follow the patients for

892
00:30:29,800 --> 00:30:32,400
five years because

893
00:30:30,900 --> 00:30:34,800
that's when they hit the mark where you

894
00:30:32,400 --> 00:30:37,400
know that chances are that weight loss

895
00:30:34,800 --> 00:30:38,800
will be maintained for a very long time

896
00:30:37,400 --> 00:30:40,800
if they make it through five years

897
00:30:38,800 --> 00:30:43,500
awesome awesome robert i haven't heard

898
00:30:40,800 --> 00:30:45,900
from you um you had some questions about

899
00:30:43,500 --> 00:30:47,700
uh educational programs and eating

900
00:30:45,900 --> 00:30:49,400
healthy and also we mentioned cooking

901
00:30:47,700 --> 00:30:50,700
but before i get to robert how many

902
00:30:49,400 --> 00:30:54,600
people cook

903
00:30:50,700 --> 00:30:56,400
show pants lindsay

904
00:30:54,600 --> 00:30:57,900
we gotta give her this fast food thing

905
00:30:56,400 --> 00:30:59,600
so so mr robert

906
00:30:57,900 --> 00:31:01,500
what was your question in regards to

907
00:30:59,600 --> 00:31:04,000
healthy eating well i think it

908
00:31:01,500 --> 00:31:05,400
like rudy alluded to it has to start at

909
00:31:04,000 --> 00:31:08,700
a young age

910
00:31:05,400 --> 00:31:12,000
with education educational programs

911
00:31:08,700 --> 00:31:13,000
um in the times when i was growing up

912
00:31:12,000 --> 00:31:15,400
you know we

913
00:31:13,000 --> 00:31:16,300
just ate pretty much anything we wanted

914
00:31:15,400 --> 00:31:18,500
to

915
00:31:16,300 --> 00:31:20,100
my mother would always say you're eating

916
00:31:18,500 --> 00:31:22,200
too many starches

917
00:31:20,100 --> 00:31:23,200
to get off the starches and i'd say well

918
00:31:22,200 --> 00:31:25,200
no

919
00:31:23,200 --> 00:31:27,000
you know i was hard-headed and now i'm

920
00:31:25,200 --> 00:31:30,500
paying for it because i'm diabetic

921
00:31:27,000 --> 00:31:32,400
so we just need more education in this

922
00:31:30,500 --> 00:31:35,800
state because we all love to eat

923
00:31:32,400 --> 00:31:39,000
i mean we just it's just a happy

924
00:31:35,800 --> 00:31:39,800
uh drinking eaten state and so we need

925
00:31:39,000 --> 00:31:43,000
to

926
00:31:39,800 --> 00:31:45,200
just with a new mayor

927
00:31:43,000 --> 00:31:46,900
and the new governor we need to come up

928
00:31:45,200 --> 00:31:49,400
with more programs pennington's been

929
00:31:46,900 --> 00:31:52,400
great timmy i'm a project at pennington

930
00:31:49,400 --> 00:31:53,800
so right right tiffany you you went a

931
00:31:52,400 --> 00:31:55,800
little different right i think you tried

932
00:31:53,800 --> 00:31:58,200
some exercise and died first and

933
00:31:55,800 --> 00:32:01,100
could you could you share your story uh

934
00:31:58,200 --> 00:32:03,500
yeah um i

935
00:32:01,100 --> 00:32:04,600
back in 2010 was in an accident where i

936
00:32:03,500 --> 00:32:06,500
broke my ankle

937
00:32:04,600 --> 00:32:07,800
bilaterally and i was in a wheelchair

938
00:32:06,500 --> 00:32:08,800
for a year we didn't know if i was gonna

939
00:32:07,800 --> 00:32:10,900
walk

940
00:32:08,800 --> 00:32:12,400
um and i got really depressed and i

941
00:32:10,900 --> 00:32:14,000
gained a lot of weight my highest weight

942
00:32:12,400 --> 00:32:17,400
was up to 367

943
00:32:14,000 --> 00:32:18,600
pounds and after that i tried working

944
00:32:17,400 --> 00:32:22,300
out i tried using

945
00:32:18,600 --> 00:32:24,200
local parks local facilities that were

946
00:32:22,300 --> 00:32:26,800
available to us

947
00:32:24,200 --> 00:32:28,400
i work for breck so we have many

948
00:32:26,800 --> 00:32:29,400
wonderful facilities around here that

949
00:32:28,400 --> 00:32:31,500
you can utilize

950
00:32:29,400 --> 00:32:33,800
and it just wasn't working because it

951
00:32:31,500 --> 00:32:36,200
was a mindset that i had gotten into

952
00:32:33,800 --> 00:32:37,400
and until i was able to correct my

953
00:32:36,200 --> 00:32:39,400
mindset

954
00:32:37,400 --> 00:32:42,300
i wasn't able to get to that but the

955
00:32:39,400 --> 00:32:46,200
catalyst was when my husband got sick

956
00:32:42,300 --> 00:32:49,400
he has had diabetes since he was two

957
00:32:46,200 --> 00:32:50,700
and four years ago he was diagnosed with

958
00:32:49,400 --> 00:32:53,800
kidney failure

959
00:32:50,700 --> 00:32:54,800
and that kidney failure his doctor told

960
00:32:53,800 --> 00:32:56,400
me he said ma'am

961
00:32:54,800 --> 00:32:58,000
you are not going to be around long

962
00:32:56,400 --> 00:32:59,300
enough to help take care of your husband

963
00:32:58,000 --> 00:33:01,000
because we don't know if your husband's

964
00:32:59,300 --> 00:33:02,800
going to make it to get a transplant he

965
00:33:01,000 --> 00:33:03,900
needed a kidney and pancreas transplant

966
00:33:02,800 --> 00:33:07,800
and

967
00:33:03,900 --> 00:33:09,400
apparently that's rare so um

968
00:33:07,800 --> 00:33:11,500
i did the surgery that was the route

969
00:33:09,400 --> 00:33:15,000
that we decided to go because

970
00:33:11,500 --> 00:33:16,600
i needed something that was and it's not

971
00:33:15,000 --> 00:33:18,400
a quick fix but i needed something that

972
00:33:16,600 --> 00:33:19,000
was permanent that was going to be more

973
00:33:18,400 --> 00:33:21,500
lasting

974
00:33:19,000 --> 00:33:23,200
something that i could wrap my mind

975
00:33:21,500 --> 00:33:25,400
around instead of things that to me just

976
00:33:23,200 --> 00:33:27,900
weren't working

977
00:33:25,400 --> 00:33:30,000
and in the long run since then my

978
00:33:27,900 --> 00:33:31,800
husband and i both have been successful

979
00:33:30,000 --> 00:33:33,800
with that and he has since gotten

980
00:33:31,800 --> 00:33:35,800
his pancreas and kidney transplant

981
00:33:33,800 --> 00:33:36,800
wonderful due to himself having weight

982
00:33:35,800 --> 00:33:40,100
loss surgery

983
00:33:36,800 --> 00:33:43,600
um so together we've lost almost

984
00:33:40,100 --> 00:33:44,300
400 pounds total together but because of

985
00:33:43,600 --> 00:33:46,400
that

986
00:33:44,300 --> 00:33:48,000
that's giving us a new lease on life

987
00:33:46,400 --> 00:33:49,400
we've been able to be more active

988
00:33:48,000 --> 00:33:51,700
together now

989
00:33:49,400 --> 00:33:53,500
this past september for our anniversary

990
00:33:51,700 --> 00:33:54,300
we hiked to the top of mount conti in

991
00:33:53,500 --> 00:33:57,500
gatlinburg

992
00:33:54,300 --> 00:34:00,800
wow and without that without the

993
00:33:57,500 --> 00:34:02,500
um experience of

994
00:34:00,800 --> 00:34:04,700
changing our mindset changing our

995
00:34:02,500 --> 00:34:06,100
lifestyles realizing that we got to

996
00:34:04,700 --> 00:34:06,600
those places because of things that we

997
00:34:06,100 --> 00:34:09,900
have done

998
00:34:06,600 --> 00:34:11,000
or not have done um that's why we're

999
00:34:09,900 --> 00:34:13,699
here

1000
00:34:11,000 --> 00:34:14,600
that's why we're able to be here right i

1001
00:34:13,699 --> 00:34:15,900
mean motivation

1002
00:34:14,600 --> 00:34:17,900
seems to be key in everyone's

1003
00:34:15,900 --> 00:34:19,900
conversation dr champaign

1004
00:34:17,900 --> 00:34:21,900
any experience with individuals that

1005
00:34:19,900 --> 00:34:22,500
just can't get motivated can't get this

1006
00:34:21,900 --> 00:34:27,400
done

1007
00:34:22,500 --> 00:34:30,500
well we actually when we do a lifestyle

1008
00:34:27,400 --> 00:34:33,300
intervention motivation and

1009
00:34:30,500 --> 00:34:35,000
relapse prevention time management

1010
00:34:33,300 --> 00:34:37,600
stress management

1011
00:34:35,000 --> 00:34:38,600
all of those concepts are embedded into

1012
00:34:37,600 --> 00:34:41,699
the

1013
00:34:38,600 --> 00:34:45,000
the the intervention um

1014
00:34:41,699 --> 00:34:47,100
one thing that's important is that um

1015
00:34:45,000 --> 00:34:48,900
and and i know this is sort of off the

1016
00:34:47,100 --> 00:34:49,800
subject but you know when you talk about

1017
00:34:48,900 --> 00:34:52,000
diets

1018
00:34:49,800 --> 00:34:53,600
almost any diet will work if you follow

1019
00:34:52,000 --> 00:34:56,900
it

1020
00:34:53,600 --> 00:34:57,800
there's you can lose weight on low carb

1021
00:34:56,900 --> 00:35:00,600
diets

1022
00:34:57,800 --> 00:35:01,300
high carb diets low fat diets higher fat

1023
00:35:00,600 --> 00:35:04,600
diets

1024
00:35:01,300 --> 00:35:06,800
but the key is counting calories and

1025
00:35:04,600 --> 00:35:07,900
the unfortunate thing about some of the

1026
00:35:06,800 --> 00:35:09,900
low carb diets

1027
00:35:07,900 --> 00:35:11,100
is that if you restrict carbs you

1028
00:35:09,900 --> 00:35:13,699
restrict fiber

1029
00:35:11,100 --> 00:35:14,400
and so therefore you may be more prone

1030
00:35:13,699 --> 00:35:19,000
to

1031
00:35:14,400 --> 00:35:22,300
colon cancer so the american

1032
00:35:19,000 --> 00:35:23,600
diet unfortunately is too low in fiber

1033
00:35:22,300 --> 00:35:25,800
and it needs to be

1034
00:35:23,600 --> 00:35:27,400
much higher probably double what normal

1035
00:35:25,800 --> 00:35:29,199
people what people normally would

1036
00:35:27,400 --> 00:35:32,199
consume

1037
00:35:29,199 --> 00:35:35,500
but you're right motivation um

1038
00:35:32,199 --> 00:35:38,199
just a case in point we had a study

1039
00:35:35,500 --> 00:35:39,199
going on at pennington right around

1040
00:35:38,199 --> 00:35:42,699
hurricane

1041
00:35:39,199 --> 00:35:44,600
katrina and a year after hurricane

1042
00:35:42,699 --> 00:35:47,800
katrina people were still

1043
00:35:44,600 --> 00:35:50,300
finding excuses not to be able to

1044
00:35:47,800 --> 00:35:51,500
stick to their diet because they had to

1045
00:35:50,300 --> 00:35:54,400
they had

1046
00:35:51,500 --> 00:35:56,600
people in their house and they couldn't

1047
00:35:54,400 --> 00:35:56,600
be

1048
00:35:56,600 --> 00:36:00,100
unkind and not let them cook bad food

1049
00:35:59,000 --> 00:36:03,000
for them

1050
00:36:00,100 --> 00:36:04,200
so it was it was it was an interesting

1051
00:36:03,000 --> 00:36:06,500
um

1052
00:36:04,200 --> 00:36:07,200
time but you know family pressures and a

1053
00:36:06,500 --> 00:36:09,900
lot of those

1054
00:36:07,200 --> 00:36:11,300
really factor in you know we know people

1055
00:36:09,900 --> 00:36:13,500
can make a change

1056
00:36:11,300 --> 00:36:15,400
but like i said sustaining the change

1057
00:36:13,500 --> 00:36:16,700
and carrying it forward are the key

1058
00:36:15,400 --> 00:36:19,500
things

1059
00:36:16,700 --> 00:36:20,900
well you came up doc with a wonderful

1060
00:36:19,500 --> 00:36:22,400
diet the dash diet which

1061
00:36:20,900 --> 00:36:24,700
i would like for you to define it for

1062
00:36:22,400 --> 00:36:27,000
our audience but many of my patients

1063
00:36:24,700 --> 00:36:28,000
battle with busy schedules children and

1064
00:36:27,000 --> 00:36:31,200
eating out

1065
00:36:28,000 --> 00:36:32,200
um every now and then dr whitfield eats

1066
00:36:31,200 --> 00:36:34,500
out but

1067
00:36:32,200 --> 00:36:35,700
we try to cook at home um i'm i'm newly

1068
00:36:34,500 --> 00:36:37,200
married so my

1069
00:36:35,700 --> 00:36:39,200
my wife enjoys cooking so i'm very

1070
00:36:37,200 --> 00:36:40,000
fortunate what are your thoughts on

1071
00:36:39,200 --> 00:36:41,400
eating out

1072
00:36:40,000 --> 00:36:42,800
preparing food we had a discussion about

1073
00:36:41,400 --> 00:36:44,500
that a little earlier we did have a

1074
00:36:42,800 --> 00:36:46,100
discussion about that um

1075
00:36:44,500 --> 00:36:47,500
you know we had a study where we told

1076
00:36:46,100 --> 00:36:49,500
people they could only eat out once or

1077
00:36:47,500 --> 00:36:50,600
twice a week and that was not a very

1078
00:36:49,500 --> 00:36:52,800
good message

1079
00:36:50,600 --> 00:36:53,800
but you know the reality is when you eat

1080
00:36:52,800 --> 00:36:55,000
out

1081
00:36:53,800 --> 00:36:56,900
you really need to know what you're

1082
00:36:55,000 --> 00:36:57,700
eating and there are strategies that you

1083
00:36:56,900 --> 00:37:00,600
can use

1084
00:36:57,700 --> 00:37:02,100
you know you can order food that doesn't

1085
00:37:00,600 --> 00:37:04,300
have added fat

1086
00:37:02,100 --> 00:37:05,400
you could have your salad dressing on

1087
00:37:04,300 --> 00:37:06,700
the side

1088
00:37:05,400 --> 00:37:08,900
you know there are many many other

1089
00:37:06,700 --> 00:37:12,200
strategies that can be used

1090
00:37:08,900 --> 00:37:14,700
but you know in terms of the dash diet

1091
00:37:12,200 --> 00:37:17,800
the dash diet was designed

1092
00:37:14,700 --> 00:37:19,000
to be a healthy diet and for the seventh

1093
00:37:17,800 --> 00:37:21,400
year in a row

1094
00:37:19,000 --> 00:37:22,900
it is still the healthiest diet by us

1095
00:37:21,400 --> 00:37:25,800
news and world reports

1096
00:37:22,900 --> 00:37:26,900
it is not the first diet for weight loss

1097
00:37:25,800 --> 00:37:29,300
although

1098
00:37:26,900 --> 00:37:30,200
if you count calories and you know about

1099
00:37:29,300 --> 00:37:33,500
the food groups

1100
00:37:30,200 --> 00:37:36,200
you can make very positive changes and

1101
00:37:33,500 --> 00:37:38,200
it could be a more nutrient dense as

1102
00:37:36,200 --> 00:37:39,800
opposed to an energy dense diet

1103
00:37:38,200 --> 00:37:41,500
um i'm gonna switch tracks we have

1104
00:37:39,800 --> 00:37:42,800
someone from breeda here i'd like uh i'd

1105
00:37:41,500 --> 00:37:44,100
like lisa to tell me a little bit about

1106
00:37:42,800 --> 00:37:47,000
breta

1107
00:37:44,100 --> 00:37:48,900
and just define what you guys are doing

1108
00:37:47,000 --> 00:37:50,600
to help our community stay healthy well

1109
00:37:48,900 --> 00:37:52,300
um bretta

1110
00:37:50,600 --> 00:37:53,800
is uh i'm sorry bretta right yeah

1111
00:37:52,300 --> 00:37:57,700
bretta's a non-profit

1112
00:37:53,800 --> 00:37:59,800
and we support small local farmers here

1113
00:37:57,700 --> 00:38:02,600
in louis in the state of louisiana

1114
00:37:59,800 --> 00:38:04,400
and they have opportunity to bring their

1115
00:38:02,600 --> 00:38:05,900
products to our markets so they can

1116
00:38:04,400 --> 00:38:08,600
reach the individuals

1117
00:38:05,900 --> 00:38:10,400
here in the baton rouge area and also

1118
00:38:08,600 --> 00:38:11,900
some of our producers go out to markets

1119
00:38:10,400 --> 00:38:14,100
in the crescent city area

1120
00:38:11,900 --> 00:38:15,900
it's not statewide though the is it

1121
00:38:14,100 --> 00:38:18,100
statewide the program

1122
00:38:15,900 --> 00:38:19,800
well bretta's part statewide we're just

1123
00:38:18,100 --> 00:38:23,000
here located here in baton rouge

1124
00:38:19,800 --> 00:38:25,600
north and south baton rouge and um

1125
00:38:23,000 --> 00:38:27,000
one of our main goals with the once we

1126
00:38:25,600 --> 00:38:29,200
receive

1127
00:38:27,000 --> 00:38:30,100
the the funding to do the mobile farmers

1128
00:38:29,200 --> 00:38:32,500
market which

1129
00:38:30,100 --> 00:38:34,000
were to target the food desert areas we

1130
00:38:32,500 --> 00:38:35,000
went out into those areas like

1131
00:38:34,000 --> 00:38:38,100
scotlandville

1132
00:38:35,000 --> 00:38:39,000
and um maybe it's glen oaks area south

1133
00:38:38,100 --> 00:38:41,800
baton rouge

1134
00:38:39,000 --> 00:38:42,300
uh even over near gush young star hill

1135
00:38:41,800 --> 00:38:46,200
church we

1136
00:38:42,300 --> 00:38:49,300
we provided a pop-up market there and uh

1137
00:38:46,200 --> 00:38:49,800
we targeted uh mostly you know seniors

1138
00:38:49,300 --> 00:38:52,200
who

1139
00:38:49,800 --> 00:38:54,100
because our markets come between times

1140
00:38:52,200 --> 00:38:56,100
between eight and two o'clock

1141
00:38:54,100 --> 00:38:57,600
so we would have a lot of seniors a lot

1142
00:38:56,100 --> 00:39:00,400
of retirees

1143
00:38:57,600 --> 00:39:02,600
some folks that were disabled but the

1144
00:39:00,400 --> 00:39:04,100
key to that is that if we had those who

1145
00:39:02,600 --> 00:39:06,200
work during those hours we have the

1146
00:39:04,100 --> 00:39:08,300
saturday market downtown okay

1147
00:39:06,200 --> 00:39:10,600
so it's an opportunity for everybody in

1148
00:39:08,300 --> 00:39:12,900
the state in in baton rouge area

1149
00:39:10,600 --> 00:39:13,700
to have access to local fresh produce

1150
00:39:12,900 --> 00:39:15,400
here and

1151
00:39:13,700 --> 00:39:17,400
that you know that comes from here in

1152
00:39:15,400 --> 00:39:18,000
louisiana so fresh is best and try to

1153
00:39:17,400 --> 00:39:20,800
eat seasonal

1154
00:39:18,000 --> 00:39:21,800
yeah yeah mainly that's my thing i'm a

1155
00:39:20,800 --> 00:39:24,200
seasonal person

1156
00:39:21,800 --> 00:39:25,000
all right uh it's a lot of times when i

1157
00:39:24,200 --> 00:39:26,600
it's if

1158
00:39:25,000 --> 00:39:28,200
things are not in season or either we'll

1159
00:39:26,600 --> 00:39:30,100
have a

1160
00:39:28,200 --> 00:39:32,000
bad weather conditions and our farmers

1161
00:39:30,100 --> 00:39:33,700
aren't growing a lot of vegetables

1162
00:39:32,000 --> 00:39:36,500
and we may have to go out to other

1163
00:39:33,700 --> 00:39:38,400
places to get our fresh vegetables but

1164
00:39:36,500 --> 00:39:40,200
for the most part if it's in season

1165
00:39:38,400 --> 00:39:41,700
that's what my family is going to have

1166
00:39:40,200 --> 00:39:43,400
that's going to eat that yeah what

1167
00:39:41,700 --> 00:39:44,700
you you work around the state can you

1168
00:39:43,400 --> 00:39:46,400
first of all i want to define to our

1169
00:39:44,700 --> 00:39:47,700
audience what food deserts are but what

1170
00:39:46,400 --> 00:39:48,100
are you doing around the state to

1171
00:39:47,700 --> 00:39:51,400
address

1172
00:39:48,100 --> 00:39:53,400
um well i work with our snap-ed and fnet

1173
00:39:51,400 --> 00:39:54,900
programs um teaching nutrition education

1174
00:39:53,400 --> 00:39:56,100
we have nutrition educators throughout

1175
00:39:54,900 --> 00:39:58,000
the state

1176
00:39:56,100 --> 00:40:00,200
southern new york ag center nutrition

1177
00:39:58,000 --> 00:40:01,900
educators and what i do is i go in

1178
00:40:00,200 --> 00:40:04,000
if it's a fitting site i help them build

1179
00:40:01,900 --> 00:40:06,800
a garden to have on their site maybe at

1180
00:40:04,000 --> 00:40:08,400
a council on aging maybe at a head start

1181
00:40:06,800 --> 00:40:09,900
where they can actually learn how to

1182
00:40:08,400 --> 00:40:12,300
grow

1183
00:40:09,900 --> 00:40:13,100
actually harvest and you know continue

1184
00:40:12,300 --> 00:40:15,200
it seasonally

1185
00:40:13,100 --> 00:40:16,700
we have a lot of presence in baton rouge

1186
00:40:15,200 --> 00:40:18,800
and infused food desert

1187
00:40:16,700 --> 00:40:20,100
areas as well are you surprised that we

1188
00:40:18,800 --> 00:40:21,500
don't know about this anymore that we

1189
00:40:20,100 --> 00:40:23,000
just become too urban people aren't

1190
00:40:21,500 --> 00:40:26,200
growing and

1191
00:40:23,000 --> 00:40:29,000
living as they should well um

1192
00:40:26,200 --> 00:40:30,700
i've taught maybe close to 2 000

1193
00:40:29,000 --> 00:40:32,900
students you know

1194
00:40:30,700 --> 00:40:34,200
maybe more and a lot of times i have a

1195
00:40:32,900 --> 00:40:35,800
lot of resistance to i don't want to get

1196
00:40:34,200 --> 00:40:36,800
my nails dirty i want to get my shoes

1197
00:40:35,800 --> 00:40:39,500
ready but

1198
00:40:36,800 --> 00:40:40,900
i am telling you right here right now

1199
00:40:39,500 --> 00:40:43,100
that once a student

1200
00:40:40,900 --> 00:40:43,900
or an adult touches the soil with their

1201
00:40:43,100 --> 00:40:45,800
hands

1202
00:40:43,900 --> 00:40:47,400
there's no going back they enjoy it they

1203
00:40:45,800 --> 00:40:48,700
love it and it's something that we all

1204
00:40:47,400 --> 00:40:50,200
have in common it's something that we

1205
00:40:48,700 --> 00:40:51,400
all have in our ancestry and it's

1206
00:40:50,200 --> 00:40:54,100
something that we all

1207
00:40:51,400 --> 00:40:55,700
should reconnect with if we haven't and

1208
00:40:54,100 --> 00:40:57,300
having that skill of knowing how to grow

1209
00:40:55,700 --> 00:40:58,000
your own food can go a long way you can

1210
00:40:57,300 --> 00:41:00,100
take it with

1211
00:40:58,000 --> 00:41:02,600
with you for the rest of your life but a

1212
00:41:00,100 --> 00:41:05,600
food desert according to the usda

1213
00:41:02,600 --> 00:41:07,800
a food desert in urban areas is

1214
00:41:05,600 --> 00:41:08,900
a neighborhood with low low access to

1215
00:41:07,800 --> 00:41:10,600
fresh produce

1216
00:41:08,900 --> 00:41:12,300
so you don't have a supermarket within

1217
00:41:10,600 --> 00:41:13,000
walking distance in an urban area that's

1218
00:41:12,300 --> 00:41:16,100
within

1219
00:41:13,000 --> 00:41:19,000
one mile okay and in a rural area it's

1220
00:41:16,100 --> 00:41:20,000
within 10 miles often times within food

1221
00:41:19,000 --> 00:41:22,100
deserts you have low

1222
00:41:20,000 --> 00:41:23,800
access to transportation so if you can't

1223
00:41:22,100 --> 00:41:25,500
walk to the supermarket within one mile

1224
00:41:23,800 --> 00:41:27,600
you're taking the bus

1225
00:41:25,500 --> 00:41:29,400
it's very very difficult to retrieve

1226
00:41:27,600 --> 00:41:32,500
fresh produce so

1227
00:41:29,400 --> 00:41:36,100
one one idea one creative way

1228
00:41:32,500 --> 00:41:37,500
to combat that is learning how to grow

1229
00:41:36,100 --> 00:41:38,900
your own food in your backyard

1230
00:41:37,500 --> 00:41:40,200
if you don't have to go to the store to

1231
00:41:38,900 --> 00:41:41,400
get those collard greens if you can have

1232
00:41:40,200 --> 00:41:42,300
them in your backyard and have a

1233
00:41:41,400 --> 00:41:44,400
continuous

1234
00:41:42,300 --> 00:41:45,700
flow throughout the fall then that's a

1235
00:41:44,400 --> 00:41:47,800
blessing my dad

1236
00:41:45,700 --> 00:41:49,600
had a farm a little mini guard in the

1237
00:41:47,800 --> 00:41:51,000
backyard and we'd shoot basketball

1238
00:41:49,600 --> 00:41:52,600
take those tomatoes rinse them off and

1239
00:41:51,000 --> 00:41:54,600
eat them eat them like apples

1240
00:41:52,600 --> 00:41:55,700
so i think we need to get back to that

1241
00:41:54,600 --> 00:41:57,900
monica you you

1242
00:41:55,700 --> 00:41:59,100
you are very resourceful and uh what i

1243
00:41:57,900 --> 00:42:00,800
would just want you to mention some

1244
00:41:59,100 --> 00:42:02,800
things about the wic program and what

1245
00:42:00,800 --> 00:42:06,200
you have going on

1246
00:42:02,800 --> 00:42:06,900
we partner and collaborate with a lot of

1247
00:42:06,200 --> 00:42:10,400
the

1248
00:42:06,900 --> 00:42:13,000
the panelists are here we work with

1249
00:42:10,400 --> 00:42:14,700
the snap ed and the snap educators

1250
00:42:13,000 --> 00:42:19,000
coming to the wic clinics

1251
00:42:14,700 --> 00:42:22,200
and provide services and teach

1252
00:42:19,000 --> 00:42:23,900
our wic participants from time to time

1253
00:42:22,200 --> 00:42:25,400
across the state of louisiana we also

1254
00:42:23,900 --> 00:42:27,800
work with bretta

1255
00:42:25,400 --> 00:42:29,200
with the farmers markets where we and

1256
00:42:27,800 --> 00:42:32,500
highly encourage

1257
00:42:29,200 --> 00:42:34,500
our wic participants to

1258
00:42:32,500 --> 00:42:35,800
come and participate and purchase fresh

1259
00:42:34,500 --> 00:42:38,900
fruits and vegetables

1260
00:42:35,800 --> 00:42:39,300
there's a matching program that we have

1261
00:42:38,900 --> 00:42:41,700
with

1262
00:42:39,300 --> 00:42:42,800
the market umbrella in the greater new

1263
00:42:41,700 --> 00:42:46,200
orleans area

1264
00:42:42,800 --> 00:42:47,500
and we're also expanded into alexandria

1265
00:42:46,200 --> 00:42:50,700
lake charles

1266
00:42:47,500 --> 00:42:54,100
as well as shreveport at this point with

1267
00:42:50,700 --> 00:42:56,100
assisting our wick participants in

1268
00:42:54,100 --> 00:42:57,200
securing and purchasing fresh fruits and

1269
00:42:56,100 --> 00:43:01,400
vegetables

1270
00:42:57,200 --> 00:43:05,600
in 2009 the usda approved

1271
00:43:01,400 --> 00:43:07,800
the wic program to serve or provide

1272
00:43:05,600 --> 00:43:09,000
whole grains so whole grains are added

1273
00:43:07,800 --> 00:43:11,200
to the food package

1274
00:43:09,000 --> 00:43:13,100
as well as the fresh choice of fruits

1275
00:43:11,200 --> 00:43:16,600
and vegetables the state of louisiana

1276
00:43:13,100 --> 00:43:19,000
opted to provide fresh only

1277
00:43:16,600 --> 00:43:20,600
wow fruits and vegetables because we are

1278
00:43:19,000 --> 00:43:23,900
agricultural state

1279
00:43:20,600 --> 00:43:27,300
and we you know from the from infancy

1280
00:43:23,900 --> 00:43:30,000
to adulthood with our childbearing age

1281
00:43:27,300 --> 00:43:31,800
women we want them to have the

1282
00:43:30,000 --> 00:43:34,600
opportunity to be able to

1283
00:43:31,800 --> 00:43:36,400
purchase fresh and prepare fresh for

1284
00:43:34,600 --> 00:43:38,800
their families to introduce

1285
00:43:36,400 --> 00:43:40,000
to the children because like rudy said

1286
00:43:38,800 --> 00:43:43,700
it starts

1287
00:43:40,000 --> 00:43:46,600
very young with regard to introducing

1288
00:43:43,700 --> 00:43:47,100
uh new food ideas and getting our

1289
00:43:46,600 --> 00:43:50,200
children

1290
00:43:47,100 --> 00:43:50,600
acclimated to healthy exercise as well

1291
00:43:50,200 --> 00:43:53,300
as

1292
00:43:50,600 --> 00:43:54,800
healthy eating right right we had a very

1293
00:43:53,300 --> 00:43:55,100
interesting uh dialogue prior to the

1294
00:43:54,800 --> 00:43:57,500
show

1295
00:43:55,100 --> 00:43:58,300
and i just wanted david to to share a

1296
00:43:57,500 --> 00:44:01,400
little bit of his

1297
00:43:58,300 --> 00:44:02,900
his story uh it was pretty amazing and

1298
00:44:01,400 --> 00:44:05,500
we're just glad that you're doing well

1299
00:44:02,900 --> 00:44:07,000
that was a great journey um having my

1300
00:44:05,500 --> 00:44:10,200
wife has stated

1301
00:44:07,000 --> 00:44:11,800
at two years old i was diagnosed with

1302
00:44:10,200 --> 00:44:15,100
type 1 diabetes which is

1303
00:44:11,800 --> 00:44:15,600
juvenile juvenile right learned how to

1304
00:44:15,100 --> 00:44:18,700
take

1305
00:44:15,600 --> 00:44:20,200
my own insulin shots so

1306
00:44:18,700 --> 00:44:21,900
supposed to learn how to eat like i was

1307
00:44:20,200 --> 00:44:23,900
supposed to never did want to do that

1308
00:44:21,900 --> 00:44:27,600
because going through the teenage years

1309
00:44:23,900 --> 00:44:30,200
i rebelled family issues i didn't have

1310
00:44:27,600 --> 00:44:32,000
my mom around my dad worked so i just

1311
00:44:30,200 --> 00:44:36,200
did whatever it took to get by

1312
00:44:32,000 --> 00:44:38,200
okay and 2013

1313
00:44:36,200 --> 00:44:39,400
i got diagnosed with end-stage renal

1314
00:44:38,200 --> 00:44:41,300
disease what so

1315
00:44:39,400 --> 00:44:43,300
i had kidney failure how old were you

1316
00:44:41,300 --> 00:44:47,700
then dude i was

1317
00:44:43,300 --> 00:44:51,700
32 years old and it was in november

1318
00:44:47,700 --> 00:44:53,300
of 2013 and one of the vascular surgeons

1319
00:44:51,700 --> 00:44:54,900
she had performed what's called the av

1320
00:44:53,300 --> 00:44:56,900
fistula so they can

1321
00:44:54,900 --> 00:45:00,600
connect the major artery and a vein

1322
00:44:56,900 --> 00:45:00,600
together to do dialysis in my arm

1323
00:45:00,900 --> 00:45:07,600
when i started that high blood pressure

1324
00:45:04,200 --> 00:45:07,600
um sleep apnea

1325
00:45:08,200 --> 00:45:14,200
um and then i got told by the doctor

1326
00:45:12,500 --> 00:45:16,200
you can you're not allowed you're not

1327
00:45:14,200 --> 00:45:18,400
able to get a transplant unless we do a

1328
00:45:16,200 --> 00:45:20,000
kidney and a pancreas because just a

1329
00:45:18,400 --> 00:45:22,200
kidney my diabetes would tear

1330
00:45:20,000 --> 00:45:23,400
my kidney up automatically but you had

1331
00:45:22,200 --> 00:45:26,400
to lose weight and

1332
00:45:23,400 --> 00:45:30,400
i was at 289 pounds and they said

1333
00:45:26,400 --> 00:45:31,900
i need to be down to at least 170. wow

1334
00:45:30,400 --> 00:45:34,200
i've tried different diets and the

1335
00:45:31,900 --> 00:45:36,300
problem i had was being

1336
00:45:34,200 --> 00:45:37,300
a diabetic on a diabetic diet i didn't

1337
00:45:36,300 --> 00:45:39,400
necessarily need

1338
00:45:37,300 --> 00:45:40,600
being on dialysis due to high phosphorus

1339
00:45:39,400 --> 00:45:44,100
levels

1340
00:45:40,600 --> 00:45:45,800
calcium different foods that i would eat

1341
00:45:44,100 --> 00:45:47,800
would contradict to the other diet and

1342
00:45:45,800 --> 00:45:49,400
that diet would contradict that one and

1343
00:45:47,800 --> 00:45:52,200
i ended up getting sick more than i did

1344
00:45:49,400 --> 00:45:55,300
losing weight and i've

1345
00:45:52,200 --> 00:45:56,200
spoken with a doctor out of hammond

1346
00:45:55,300 --> 00:45:59,800
louisiana

1347
00:45:56,200 --> 00:46:02,300
who agreed to do a gastric sleeve

1348
00:45:59,800 --> 00:46:04,200
he done the gastric sleeve kept extra

1349
00:46:02,300 --> 00:46:06,000
watch on me called

1350
00:46:04,200 --> 00:46:07,800
he personally called every month just to

1351
00:46:06,000 --> 00:46:09,200
check on me see how i was going see how

1352
00:46:07,800 --> 00:46:11,800
the healing was going

1353
00:46:09,200 --> 00:46:13,400
the nutritionist worked with me on the

1354
00:46:11,800 --> 00:46:14,700
shakes to see which would work good with

1355
00:46:13,400 --> 00:46:18,300
me

1356
00:46:14,700 --> 00:46:19,700
i ended up going from 289 pounds down to

1357
00:46:18,300 --> 00:46:22,000
167 pounds

1358
00:46:19,700 --> 00:46:22,800
awesome and i received a kidney pancreas

1359
00:46:22,000 --> 00:46:26,100
transplant

1360
00:46:22,800 --> 00:46:29,600
december of 2015. you look great david

1361
00:46:26,100 --> 00:46:32,200
i feel great since then um

1362
00:46:29,600 --> 00:46:32,700
the road recovery is hard but i find

1363
00:46:32,200 --> 00:46:36,200
that

1364
00:46:32,700 --> 00:46:37,800
eating right having to live for my

1365
00:46:36,200 --> 00:46:39,400
sister to watch her graduate high school

1366
00:46:37,800 --> 00:46:42,500
in college raising her

1367
00:46:39,400 --> 00:46:44,600
motivation my wife yeah um

1368
00:46:42,500 --> 00:46:46,100
i mean i have a service dog she keeps me

1369
00:46:44,600 --> 00:46:46,600
yeah who's who you have with you there

1370
00:46:46,100 --> 00:46:50,200
you go

1371
00:46:46,600 --> 00:46:53,100
exercise this is pc right

1372
00:46:50,200 --> 00:46:54,600
yeah right p-i-s-c-h-o-u-e-t-t dr

1373
00:46:53,100 --> 00:46:56,600
bellinger how common

1374
00:46:54,600 --> 00:46:57,900
is is this story how common is the

1375
00:46:56,600 --> 00:46:58,700
scenario and how safe are these

1376
00:46:57,900 --> 00:46:59,900
procedures

1377
00:46:58,700 --> 00:47:01,300
and maybe even share some of the

1378
00:46:59,900 --> 00:47:02,900
different type of procedures that you

1379
00:47:01,300 --> 00:47:05,400
guys are doing for weight loss

1380
00:47:02,900 --> 00:47:07,000
uh well for weight loss uh the surgical

1381
00:47:05,400 --> 00:47:08,400
procedures we have are the gastric

1382
00:47:07,000 --> 00:47:10,200
banding which is

1383
00:47:08,400 --> 00:47:12,200
fallen out of favor okay so you won't

1384
00:47:10,200 --> 00:47:14,100
see it as much but the main two are

1385
00:47:12,200 --> 00:47:14,600
gastric bypass and the vertical sleeve

1386
00:47:14,100 --> 00:47:17,400
okay

1387
00:47:14,600 --> 00:47:18,500
uh in david's uh particular situation

1388
00:47:17,400 --> 00:47:21,800
the gastric

1389
00:47:18,500 --> 00:47:23,400
sleeve is probably the best because the

1390
00:47:21,800 --> 00:47:25,700
medications that you're going to need

1391
00:47:23,400 --> 00:47:27,300
for a transplant patient right

1392
00:47:25,700 --> 00:47:29,800
have to be monitored very closely and

1393
00:47:27,300 --> 00:47:31,500
have to be absorbed more reliably

1394
00:47:29,800 --> 00:47:33,300
and the vertical sleeve is the the

1395
00:47:31,500 --> 00:47:34,500
procedure of choice for that because it

1396
00:47:33,300 --> 00:47:37,000
doesn't alter

1397
00:47:34,500 --> 00:47:38,400
the absorption of medications wow so

1398
00:47:37,000 --> 00:47:40,300
this is something that's commonplace

1399
00:47:38,400 --> 00:47:41,000
this is not unusual his situation at all

1400
00:47:40,300 --> 00:47:43,700
no it's not

1401
00:47:41,000 --> 00:47:43,700
wow wow

1402
00:47:44,400 --> 00:47:48,600
dr champagne yes from pennington a

1403
00:47:47,000 --> 00:47:51,400
question um

1404
00:47:48,600 --> 00:47:52,200
i said my main problem i tried to die

1405
00:47:51,400 --> 00:47:54,000
renal diet

1406
00:47:52,200 --> 00:47:55,500
diabetic diet doesn't necessarily go

1407
00:47:54,000 --> 00:47:57,200
together

1408
00:47:55,500 --> 00:47:59,200
has i'm not familiar with penton because

1409
00:47:57,200 --> 00:48:01,200
i'm originally from texas

1410
00:47:59,200 --> 00:48:03,800
do y'all have anything i guess

1411
00:48:01,200 --> 00:48:04,500
researched and specific maybe in files i

1412
00:48:03,800 --> 00:48:05,900
can look at

1413
00:48:04,500 --> 00:48:08,900
or anybody going through my same

1414
00:48:05,900 --> 00:48:11,100
situation can try before having to

1415
00:48:08,900 --> 00:48:12,200
ultimately forego a gastric sleeve which

1416
00:48:11,100 --> 00:48:15,400
is

1417
00:48:12,200 --> 00:48:17,400
that would be a bonus well you know in

1418
00:48:15,400 --> 00:48:20,400
terms of your particular

1419
00:48:17,400 --> 00:48:21,600
situation i think that relying on a

1420
00:48:20,400 --> 00:48:24,800
dietitian

1421
00:48:21,600 --> 00:48:28,000
who can compare the two diets

1422
00:48:24,800 --> 00:48:31,500
and that you need to be on

1423
00:48:28,000 --> 00:48:32,400
like the diabetic diet versus a renal

1424
00:48:31,500 --> 00:48:35,200
diet

1425
00:48:32,400 --> 00:48:35,900
could give you a lot of advice in terms

1426
00:48:35,200 --> 00:48:38,100
of

1427
00:48:35,900 --> 00:48:39,900
you know what foods would be best for

1428
00:48:38,100 --> 00:48:43,100
you to consume versus which ones

1429
00:48:39,900 --> 00:48:46,000
perhaps to avoid but

1430
00:48:43,100 --> 00:48:47,500
we um it's too bad that we don't have

1431
00:48:46,000 --> 00:48:50,700
the resources for

1432
00:48:47,500 --> 00:48:53,200
to cure everyone's you know

1433
00:48:50,700 --> 00:48:56,500
needs because you know a lot of people

1434
00:48:53,200 --> 00:48:59,500
who are just a little bit overweight

1435
00:48:56,500 --> 00:49:01,700
are wanting to make changes and come to

1436
00:48:59,500 --> 00:49:03,100
see us but

1437
00:49:01,700 --> 00:49:05,400
sometimes they don't qualify because

1438
00:49:03,100 --> 00:49:07,800
they're not fat enough

1439
00:49:05,400 --> 00:49:09,200
which is you know and i i really think

1440
00:49:07,800 --> 00:49:11,400
that's sort of

1441
00:49:09,200 --> 00:49:13,200
difficult because you know sometimes

1442
00:49:11,400 --> 00:49:14,900
people are a little bit overweight and

1443
00:49:13,200 --> 00:49:15,800
they just want to lose a little bit of

1444
00:49:14,900 --> 00:49:18,500
weight

1445
00:49:15,800 --> 00:49:20,100
to make a difference and get to a point

1446
00:49:18,500 --> 00:49:22,600
where they don't ever have to worry

1447
00:49:20,100 --> 00:49:25,300
about becoming obese

1448
00:49:22,600 --> 00:49:26,500
are there any ongoing studies doctors

1449
00:49:25,300 --> 00:49:28,300
you could reference us to

1450
00:49:26,500 --> 00:49:30,500
well we have done some studies with

1451
00:49:28,300 --> 00:49:31,900
weight on weight watchers and the new

1452
00:49:30,500 --> 00:49:35,400
weight watchers program

1453
00:49:31,900 --> 00:49:38,600
is changing as a result of a

1454
00:49:35,400 --> 00:49:41,000
study that was joined between pennington

1455
00:49:38,600 --> 00:49:42,400
and several other four or five other

1456
00:49:41,000 --> 00:49:45,800
centers throughout the state

1457
00:49:42,400 --> 00:49:47,800
so you know pennington is

1458
00:49:45,800 --> 00:49:50,600
you know trying to be on the forefront

1459
00:49:47,800 --> 00:49:52,400
of helping to decide what might be best

1460
00:49:50,600 --> 00:49:56,700
for people in terms of

1461
00:49:52,400 --> 00:50:00,100
a a diet we actually did a bariatric

1462
00:49:56,700 --> 00:50:01,400
study called heads up dr bellinger here

1463
00:50:00,100 --> 00:50:04,800
was one of our

1464
00:50:01,400 --> 00:50:07,900
weight loss surgeons

1465
00:50:04,800 --> 00:50:08,600
and it was it was really a terrific

1466
00:50:07,900 --> 00:50:10,600
study and

1467
00:50:08,600 --> 00:50:12,700
i wish it could have gone on for more

1468
00:50:10,600 --> 00:50:14,300
years but we are able to follow some of

1469
00:50:12,700 --> 00:50:17,400
the people

1470
00:50:14,300 --> 00:50:18,400
up to five years and are looking for

1471
00:50:17,400 --> 00:50:21,600
funding

1472
00:50:18,400 --> 00:50:23,100
to actually try to continue following

1473
00:50:21,600 --> 00:50:25,400
those people who had

1474
00:50:23,100 --> 00:50:26,300
bariatric surgery yes we're kind of

1475
00:50:25,400 --> 00:50:28,000
we're coming close

1476
00:50:26,300 --> 00:50:29,400
uh we're going to ask you one real quick

1477
00:50:28,000 --> 00:50:30,100
and i want some closing thoughts from

1478
00:50:29,400 --> 00:50:32,500
each of you

1479
00:50:30,100 --> 00:50:34,300
an obese child makes an obese adult how

1480
00:50:32,500 --> 00:50:35,500
true is that statement and how important

1481
00:50:34,300 --> 00:50:37,900
is exercise

1482
00:50:35,500 --> 00:50:38,600
uh in our young people well the thing is

1483
00:50:37,900 --> 00:50:41,000
uh

1484
00:50:38,600 --> 00:50:42,200
parents have to be really cognizant of

1485
00:50:41,000 --> 00:50:44,800
the fact that

1486
00:50:42,200 --> 00:50:46,400
there's a time when you have to say no

1487
00:50:44,800 --> 00:50:49,300
no to certain foods and

1488
00:50:46,400 --> 00:50:50,600
and sugary uh candy and things like that

1489
00:50:49,300 --> 00:50:53,700
uh

1490
00:50:50,600 --> 00:50:54,000
springtime that's true but the biggest

1491
00:50:53,700 --> 00:50:56,100
problem

1492
00:50:54,000 --> 00:50:57,200
with childhood obesity to me not only

1493
00:50:56,100 --> 00:50:59,700
you have to have

1494
00:50:57,200 --> 00:51:00,700
a good physical education in schools but

1495
00:50:59,700 --> 00:51:03,000
after school

1496
00:51:00,700 --> 00:51:03,900
i've always noticed that there are kids

1497
00:51:03,000 --> 00:51:06,200
who

1498
00:51:03,900 --> 00:51:08,200
uh travel basketball teams or football

1499
00:51:06,200 --> 00:51:10,600
teams the kids that don't make it

1500
00:51:08,200 --> 00:51:12,000
the kids don't are not the best athletes

1501
00:51:10,600 --> 00:51:15,400
what happens to them

1502
00:51:12,000 --> 00:51:17,300
okay we have so many specialized sports

1503
00:51:15,400 --> 00:51:20,000
uh sports are very expensive you know

1504
00:51:17,300 --> 00:51:22,200
like soccer costs hundreds of dollars

1505
00:51:20,000 --> 00:51:23,400
baseball costs hundreds of dollars and

1506
00:51:22,200 --> 00:51:25,400
in low-income

1507
00:51:23,400 --> 00:51:26,600
communities those kids can't afford to

1508
00:51:25,400 --> 00:51:27,800
play those sports

1509
00:51:26,600 --> 00:51:29,600
and so what we do with the governor's

1510
00:51:27,800 --> 00:51:30,500
council fitness we go in and create

1511
00:51:29,600 --> 00:51:31,900
sports

1512
00:51:30,500 --> 00:51:34,000
and tournaments in those areas where

1513
00:51:31,900 --> 00:51:35,600
they can't afford it because if not

1514
00:51:34,000 --> 00:51:37,200
then it's going to wander the streets

1515
00:51:35,600 --> 00:51:38,200
and have nothing to do and eat all the

1516
00:51:37,200 --> 00:51:40,000
wrong things

1517
00:51:38,200 --> 00:51:41,900
so we have to make sure that though to

1518
00:51:40,000 --> 00:51:43,000
keep our kids busy and to find those

1519
00:51:41,900 --> 00:51:44,400
programs

1520
00:51:43,000 --> 00:51:46,200
that will allow their kids to have

1521
00:51:44,400 --> 00:51:47,000
something to do after school and in the

1522
00:51:46,200 --> 00:51:48,800
summertime

1523
00:51:47,000 --> 00:51:50,500
which is really when they're vulnerable

1524
00:51:48,800 --> 00:51:52,200
but we have a lot of programs

1525
00:51:50,500 --> 00:51:54,200
with the governor's council on fitness

1526
00:51:52,200 --> 00:51:56,200
with our elementary fitness competition

1527
00:51:54,200 --> 00:51:57,800
and the governor's game where we address

1528
00:51:56,200 --> 00:51:58,800
all those things at the same time

1529
00:51:57,800 --> 00:52:00,600
well i'll tell you guys i worked with

1530
00:51:58,800 --> 00:52:02,300
rudy for over seven years and he's done

1531
00:52:00,600 --> 00:52:05,100
some great work and made some changes

1532
00:52:02,300 --> 00:52:05,700
and he's very old um i would like to

1533
00:52:05,100 --> 00:52:08,200
close

1534
00:52:05,700 --> 00:52:09,200
uh missel with any closing words for our

1535
00:52:08,200 --> 00:52:11,300
panelists and

1536
00:52:09,200 --> 00:52:13,000
and the group today the audience i i

1537
00:52:11,300 --> 00:52:16,400
would like to leave everyone with

1538
00:52:13,000 --> 00:52:17,000
um just a simple sentence and that is if

1539
00:52:16,400 --> 00:52:21,000
a kid

1540
00:52:17,000 --> 00:52:24,000
grows kale a kid will eat kale okay

1541
00:52:21,000 --> 00:52:24,700
mr mackle well i would just like to say

1542
00:52:24,000 --> 00:52:27,900
let's

1543
00:52:24,700 --> 00:52:30,400
try to when you start any type of

1544
00:52:27,900 --> 00:52:31,700
new diet or exercise program do not do

1545
00:52:30,400 --> 00:52:33,400
it by yourself

1546
00:52:31,700 --> 00:52:35,300
always have a partner because our

1547
00:52:33,400 --> 00:52:36,200
partners the more partners you have

1548
00:52:35,300 --> 00:52:38,200
because there's going to be some days

1549
00:52:36,200 --> 00:52:39,400
we're not going to be feel like working

1550
00:52:38,200 --> 00:52:40,900
out or eating right

1551
00:52:39,400 --> 00:52:42,600
sometimes we fall off the wagon but when

1552
00:52:40,900 --> 00:52:44,700
you have partners like these two

1553
00:52:42,600 --> 00:52:46,500
that are working together your diet and

1554
00:52:44,700 --> 00:52:47,100
your exercise are going to last a long

1555
00:52:46,500 --> 00:52:50,000
time

1556
00:52:47,100 --> 00:52:51,600
without champagne to add to that social

1557
00:52:50,000 --> 00:52:54,200
support is very important

1558
00:52:51,600 --> 00:52:56,900
in all of our weight loss studies and we

1559
00:52:54,200 --> 00:53:00,200
are doing some work with child nutrition

1560
00:52:56,900 --> 00:53:03,700
in the state but i want to

1561
00:53:00,200 --> 00:53:06,700
stress that a child is at school

1562
00:53:03,700 --> 00:53:10,600
for a short part of the day so the

1563
00:53:06,700 --> 00:53:14,200
example set by the parents is key to

1564
00:53:10,600 --> 00:53:16,100
good child nutrition habits and we have

1565
00:53:14,200 --> 00:53:16,600
at pennington we have at the farmer's

1566
00:53:16,100 --> 00:53:19,300
market

1567
00:53:16,600 --> 00:53:19,700
on thursday awesome very good eight to

1568
00:53:19,300 --> 00:53:21,800
twelve

1569
00:53:19,700 --> 00:53:23,200
eight to 12. all right all right dr

1570
00:53:21,800 --> 00:53:25,000
bellinger um

1571
00:53:23,200 --> 00:53:27,000
i would say that when you have a big

1572
00:53:25,000 --> 00:53:28,800
goal of losing weight

1573
00:53:27,000 --> 00:53:30,300
it's best to achieve it by setting

1574
00:53:28,800 --> 00:53:32,100
multiple small goals

1575
00:53:30,300 --> 00:53:33,400
so that you can achieve those goals much

1576
00:53:32,100 --> 00:53:35,800
more easily in your

1577
00:53:33,400 --> 00:53:37,300
ultimate goal of losing a lot of weight

1578
00:53:35,800 --> 00:53:39,400
you recommend journaling

1579
00:53:37,300 --> 00:53:40,900
yes definitely definitely keeping track

1580
00:53:39,400 --> 00:53:42,200
and dr whitfield gave you his five

1581
00:53:40,900 --> 00:53:42,900
points to healthy living know your

1582
00:53:42,200 --> 00:53:44,600
doctor

1583
00:53:42,900 --> 00:53:47,300
know your numbers know your family

1584
00:53:44,600 --> 00:53:48,700
history eat healthy and exercise and we

1585
00:53:47,300 --> 00:53:49,500
try to emphasize that to our patients

1586
00:53:48,700 --> 00:53:51,000
but more importantly

1587
00:53:49,500 --> 00:53:52,700
you got to go to the doctor we can't

1588
00:53:51,000 --> 00:53:53,900
make we can't diagnose the problem if

1589
00:53:52,700 --> 00:53:55,700
you don't see the doctor

1590
00:53:53,900 --> 00:53:56,700
many patients come in with diabetes and

1591
00:53:55,700 --> 00:53:58,300
high blood pressure and haven't been

1592
00:53:56,700 --> 00:53:59,300
seen for years after katrina we would

1593
00:53:58,300 --> 00:54:00,800
see folks

1594
00:53:59,300 --> 00:54:02,600
five and six years going without their

1595
00:54:00,800 --> 00:54:03,800
medications and it's very scary when

1596
00:54:02,600 --> 00:54:05,400
someone walks in

1597
00:54:03,800 --> 00:54:07,200
david you've had to deal with that and

1598
00:54:05,400 --> 00:54:09,200
you see what can happen when things go

1599
00:54:07,200 --> 00:54:11,100
untreated for long periods of time

1600
00:54:09,200 --> 00:54:12,800
i just want to thank the panelists and

1601
00:54:11,100 --> 00:54:13,900
the audience you guys were awesome this

1602
00:54:12,800 --> 00:54:15,400
was a great

1603
00:54:13,900 --> 00:54:17,500
session hopefully we can do something

1604
00:54:15,400 --> 00:54:19,400
like this again and keep everyone

1605
00:54:17,500 --> 00:54:21,600
motivated to eat healthy this year

1606
00:54:19,400 --> 00:54:22,700
we run out of time for our questions and

1607
00:54:21,600 --> 00:54:23,800
answer segment

1608
00:54:22,700 --> 00:54:26,300
we'd like to again to thank our

1609
00:54:23,800 --> 00:54:27,900
panelists dr bellinger dr champaign mr

1610
00:54:26,300 --> 00:54:29,800
macklin and miss l wood for their

1611
00:54:27,900 --> 00:54:31,400
insight on this month's topic

1612
00:54:29,800 --> 00:54:39,800
when we come back we'll have a few

1613
00:54:31,400 --> 00:54:39,800
closing moments

1614
00:54:41,000 --> 00:54:44,100
[Music]

1615
00:54:44,300 --> 00:54:48,300
well i'm inspired i'm going to go out

1616
00:54:45,900 --> 00:54:49,800
and try and eat a healthier diet

1617
00:54:48,300 --> 00:54:51,100
okay i can't i don't promise that i'm

1618
00:54:49,800 --> 00:54:51,400
going to cook more oh no you got to do

1619
00:54:51,100 --> 00:54:53,100
it

1620
00:54:51,400 --> 00:54:54,700
you got to cook my husband's a good cook

1621
00:54:53,100 --> 00:54:55,200
okay well we'll take that just low cat

1622
00:54:54,700 --> 00:54:57,400
low low

1623
00:54:55,200 --> 00:54:59,400
low calorie low fat low calorie low fat

1624
00:54:57,400 --> 00:55:01,800
but you know it is hard in louisiana

1625
00:54:59,400 --> 00:55:03,400
because we have such tasty food and as

1626
00:55:01,800 --> 00:55:04,200
you said you know all of our social

1627
00:55:03,400 --> 00:55:07,300
activities

1628
00:55:04,200 --> 00:55:09,300
from tailgating to holidays around that

1629
00:55:07,300 --> 00:55:10,600
parties bar mitzvahs whatever whatever

1630
00:55:09,300 --> 00:55:12,200
we're eating whatever we're eating

1631
00:55:10,600 --> 00:55:13,900
and so consequently we really have to

1632
00:55:12,200 --> 00:55:14,700
just keep that in mind i think portion

1633
00:55:13,900 --> 00:55:16,000
control

1634
00:55:14,700 --> 00:55:17,700
is perhaps one of the biggest things

1635
00:55:16,000 --> 00:55:19,400
we've been talking about as well don't

1636
00:55:17,700 --> 00:55:20,900
want to deprive anyone of healthy or

1637
00:55:19,400 --> 00:55:22,800
good eating but we got to limit those

1638
00:55:20,900 --> 00:55:25,400
things and and make healthier choices

1639
00:55:22,800 --> 00:55:26,500
well fresh is best go to those fresh

1640
00:55:25,400 --> 00:55:29,100
markets on the weekend

1641
00:55:26,500 --> 00:55:30,200
i buy them i don't necessarily cook it

1642
00:55:29,100 --> 00:55:31,800
that's my problem

1643
00:55:30,200 --> 00:55:33,400
although well that's all the time we

1644
00:55:31,800 --> 00:55:34,400
have for this edition of louisiana

1645
00:55:33,400 --> 00:55:36,800
public square

1646
00:55:34,400 --> 00:55:38,400
we encourage you to visit our website at

1647
00:55:36,800 --> 00:55:40,900
lpb.org

1648
00:55:38,400 --> 00:55:42,100
public square while you're there comment

1649
00:55:40,900 --> 00:55:44,200
on tonight's show and

1650
00:55:42,100 --> 00:55:45,700
we would love to hear from all of you

1651
00:55:44,200 --> 00:55:47,400
thank you for joining us this evening

1652
00:55:45,700 --> 00:55:48,400
and thanks for being our guest host it

1653
00:55:47,400 --> 00:56:03,800
was great awesome

1654
00:55:48,400 --> 00:56:03,800
good night everyone good night

1655
00:56:04,100 --> 00:56:14,800
[Music]

1656
00:56:13,600 --> 00:56:18,300
[Applause]

1657
00:56:14,800 --> 00:56:18,300
[Music]

1658
00:56:21,300 --> 00:56:25,000
for a copy of this program call

1659
00:56:25,700 --> 00:56:31,800
1-800-973-7246 or go

1660
00:56:27,400 --> 00:56:31,800
online to www.lp

1661
00:56:34,600 --> 00:56:38,000
support for this program is provided by

1662
00:56:36,600 --> 00:56:40,900
the foundation for excellence in

1663
00:56:38,000 --> 00:56:45,800
louisiana public broadcasting

1664
00:56:40,900 --> 00:56:45,800
and from viewers like you

1665
00:56:47,100 --> 00:56:50,200
[Music]