WEBVTT

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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

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having a supportive husband i was able

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after several years of you know being a

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nurturing mother and wife

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to redirect my and rechannel my energy

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back to exercise

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great great yeah so and that that is

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where my journey with

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increasing my uh physical exercise

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uh began very good point we're female

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dominated on this panel but elmo i'd

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like to ask you about your journey to to

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weight loss and fitness how did you get

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involved in this

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well first of all i give a lot of credit

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to uh the people at pennington

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because they have educated me over the

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years i've been on

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a number of their studies probably

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the one that's been the most beneficial

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to me has been e-mechanic

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which basically was exercise okay and

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that helped a lot uh

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it helped me to develop a routine for

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working out

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and even today a couple of years after

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i've finished that study i'm still

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working out in the gym three to four

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times a week

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in addition to that i'm a lifetime

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weight watcher so i've been

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very conscious of what i've eaten

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although the struggle is still

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before me so it definitely was a

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lifestyle change for you yes

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lindsay you you had a different path you

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you were a little more

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strategic or surgical might i say how

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about your weight loss journey

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um well being a new mother and gaining

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weight of course i got to my

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uncomfortable weight and i wasn't um

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i guess you say confident anymore um

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i tried several diets and they just

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didn't agree with me

11:40.300 --> 11:43.500 align:start
i don't know if i just didn't stay with

11:42.100 --> 11:46.400 align:start
the plan or you know

11:43.500 --> 11:49.400 align:start
how um my lifestyle was especially with

11:46.400 --> 11:49.400 align:start
my husband's good cooking

11:49.700 --> 11:53.800 align:start
i went to the aspen clinic i knew a few

11:52.900 --> 11:57.000 align:start
people that went there

11:53.800 --> 11:57.800 align:start
and they had very good success with it i

11:57.000 --> 11:59.700 align:start
went

11:57.800 --> 12:01.100 align:start
i had a good success with it the pounds

11:59.700 --> 12:03.000 align:start
started dropping off immediately they

12:01.100 --> 12:05.100 align:start
helped me with my diet plan

12:03.000 --> 12:07.700 align:start
um my grocery list and everything i

12:05.100 --> 12:09.700 align:start
needed to do and um

12:07.700 --> 12:11.400 align:start
here i am great well from the surveys

12:09.700 --> 12:12.300 align:start
and talking to you guys i know structure

12:11.400 --> 12:14.100 align:start
is important

12:12.300 --> 12:15.600 align:start
but i'd like to also know what are some

12:14.100 --> 12:17.000 align:start
barriers david what do you think of some

12:15.600 --> 12:17.900 align:start
barriers to weight loss what do people

12:17.000 --> 12:19.600 align:start
talk about i always

12:17.900 --> 12:21.600 align:start
hear time is the is the biggest barrier

12:19.600 --> 12:24.200 align:start
but what berries might some folks face

12:21.600 --> 12:25.500 align:start
uh i'd have to say food number one

12:24.200 --> 12:30.000 align:start
louisiana cooking

12:25.500 --> 12:33.800 align:start
that's right but uh i i

12:30.000 --> 12:37.500 align:start
had lost about 25 pounds myself

12:33.800 --> 12:38.500 align:start
i i have a hard time i i admire and

12:37.500 --> 12:41.300 align:start
respect

12:38.500 --> 12:43.800 align:start
so many of these folks that you know uh

12:41.300 --> 12:47.900 align:start
count calories and carbs and

12:43.800 --> 12:51.100 align:start
i just uh to be honest with you i'm

12:47.900 --> 12:54.600 align:start
that's kind of a barrier to me i i

12:51.100 --> 12:57.900 align:start
i'm able to um uh to control my

12:54.600 --> 13:00.600 align:start
my diet just by cutting down on uh

12:57.900 --> 13:01.400 align:start
the amount of food that i eat in uh less

13:00.600 --> 13:03.700 align:start
alcohol

13:01.400 --> 13:05.000 align:start
uh you know we're kind of a party state

13:03.700 --> 13:07.700 align:start
i guess those empty calories

13:05.000 --> 13:09.800 align:start
and a wonderful uh way of life here but

13:07.700 --> 13:10.600 align:start
uh i can cut down on calories by doing

13:09.800 --> 13:12.600 align:start
that

13:10.600 --> 13:14.800 align:start
and uh my family's pretty supportive we

13:12.600 --> 13:18.000 align:start
don't eat a lot of processed foods

13:14.800 --> 13:21.100 align:start
but but anyway i i think

13:18.000 --> 13:24.600 align:start
i think those alcohol food uh

13:21.100 --> 13:26.800 align:start
those things are sort of barriers uh

13:24.600 --> 13:28.500 align:start
yeah you hear that more calories you

13:26.800 --> 13:30.000 align:start
know in and less calories out and that's

13:28.500 --> 13:30.500 align:start
how people continue to gain weight nurse

13:30.000 --> 13:32.700 align:start
row

13:30.500 --> 13:34.000 align:start
uh we have some nurses in the building

13:32.700 --> 13:35.400 align:start
and we have a different

13:34.000 --> 13:37.000 align:start
experiences we are battling with these

13:35.400 --> 13:38.900 align:start
patients constantly

13:37.000 --> 13:40.400 align:start
what do you think the motivation for the

13:38.900 --> 13:42.300 align:start
patient would be as a healthcare

13:40.400 --> 13:43.200 align:start
provider what can you do to motivate the

13:42.300 --> 13:45.000 align:start
patient

13:43.200 --> 13:46.300 align:start
well i actually you know started my

13:45.000 --> 13:49.000 align:start
journey you know because

13:46.300 --> 13:50.700 align:start
i was listening to you tell patients say

13:49.000 --> 13:52.600 align:start
hey look you know you could do this

13:50.700 --> 13:55.400 align:start
that you can decrease your carb increase

13:52.600 --> 13:58.200 align:start
your activity increase your water intake

13:55.400 --> 13:59.900 align:start
and i thought okay one day i went home

13:58.200 --> 14:02.100 align:start
and i said well i can listen to what dr

13:59.900 --> 14:04.700 align:start
whitfield said and do the same thing

14:02.100 --> 14:06.600 align:start
and it started to come off and patients

14:04.700 --> 14:08.300 align:start
started to notice i didn't notice

14:06.600 --> 14:09.800 align:start
but patients started notice and then i

14:08.300 --> 14:12.100 align:start
walked into the office one day

14:09.800 --> 14:13.800 align:start
and it was like wow i got on the scale

14:12.100 --> 14:15.900 align:start
and i said just those simple things of

14:13.800 --> 14:17.100 align:start
just saying hey look you can do it i'm

14:15.900 --> 14:19.400 align:start
gonna do it with you right

14:17.100 --> 14:20.600 align:start
so if if i could do it they could do it

14:19.400 --> 14:22.900 align:start
too you know

14:20.600 --> 14:24.700 align:start
so that was my attitude yeah and a lot

14:22.900 --> 14:25.800 align:start
of times patients

14:24.700 --> 14:27.700 align:start
being someone who went through my

14:25.800 --> 14:29.000 align:start
personal journey hired a nutrition coach

14:27.700 --> 14:30.600 align:start
and lost those pounds

14:29.000 --> 14:32.100 align:start
i sometimes expect the same thing for my

14:30.600 --> 14:34.800 align:start
patients didn't always get that

14:32.100 --> 14:36.300 align:start
i want to shift tracks for a minute lisa

14:34.800 --> 14:37.800 align:start
there are some folks and i think in this

14:36.300 --> 14:38.900 align:start
room we're all okay but there are some

14:37.800 --> 14:41.500 align:start
folks who just don't have

14:38.900 --> 14:43.100 align:start
access to healthy foods what are the

14:41.500 --> 14:45.000 align:start
options how can we how can we help those

14:43.100 --> 14:48.200 align:start
individuals well

14:45.000 --> 14:50.000 align:start
i think mainly the fact that you know i

14:48.200 --> 14:51.900 align:start
do i am with the red stick farmers

14:50.000 --> 14:55.400 align:start
market and we provide markets

14:51.900 --> 14:57.300 align:start
in north and south baton rouge areas

14:55.400 --> 14:58.700 align:start
the ones that have been mostly

14:57.300 --> 15:00.100 align:start
challenging are the ones in the food

14:58.700 --> 15:03.300 align:start
desert areas

15:00.100 --> 15:06.700 align:start
so i think education is is key

15:03.300 --> 15:09.400 align:start
to getting the word out about the the

15:06.700 --> 15:10.600 align:start
food travels less miles then it's more

15:09.400 --> 15:12.800 align:start
nutritious than

15:10.600 --> 15:14.300 align:start
if it's coming from you know across seas

15:12.800 --> 15:17.400 align:start
or other countries

15:14.300 --> 15:18.400 align:start
or things like that but access has been

15:17.400 --> 15:21.000 align:start
one of our

15:18.400 --> 15:22.700 align:start
major issues in the north baton rouge

15:21.000 --> 15:24.900 align:start
and the south baton rouge community

15:22.700 --> 15:26.100 align:start
with the mayor's healthy city initiative

15:24.900 --> 15:27.900 align:start
there was a

15:26.100 --> 15:30.100 align:start
quite a few programs that came out with

15:27.900 --> 15:31.700 align:start
that and that was break on the go to

15:30.100 --> 15:33.800 align:start
increase the

15:31.700 --> 15:35.800 align:start
physical fitness in the school systems

15:33.800 --> 15:37.900 align:start
and also we came with the mobile farmers

15:35.800 --> 15:40.200 align:start
market and the mobile food pantry

15:37.900 --> 15:42.600 align:start
just so we could provide food in those

15:40.200 --> 15:43.600 align:start
low income areas or the low food access

15:42.600 --> 15:45.400 align:start
areas

15:43.600 --> 15:47.100 align:start
so there have been different things put

15:45.400 --> 15:48.800 align:start
into place it's just that

15:47.100 --> 15:50.600 align:start
you know the community buy-in is the

15:48.800 --> 15:52.300 align:start
most important thing like once they

15:50.600 --> 15:54.200 align:start
adopt that

15:52.300 --> 15:56.000 align:start
idea that hey we need to change our

15:54.200 --> 15:57.000 align:start
diets and think about their family

15:56.000 --> 15:59.100 align:start
members

15:57.000 --> 16:00.600 align:start
who suffer from diabetes and high blood

15:59.100 --> 16:02.500 align:start
pressure then that's

16:00.600 --> 16:03.900 align:start
how we kind of tackle that situation

16:02.500 --> 16:05.500 align:start
great great so we do have some options

16:03.900 --> 16:05.800 align:start
out there by show of hands does anybody

16:05.500 --> 16:09.400 align:start
use

16:05.800 --> 16:11.000 align:start
anything unique a fitbit calculator a

16:09.400 --> 16:12.700 align:start
higher personal trainer to help them in

16:11.000 --> 16:15.700 align:start
their process other than surgical

16:12.700 --> 16:17.800 align:start
procedures by show of hands

16:15.700 --> 16:19.500 align:start
okay not as many as i thought mona what

16:17.800 --> 16:20.800 align:start
what what approach did you use to lose

16:19.500 --> 16:22.600 align:start
weight

16:20.800 --> 16:23.900 align:start
um that was a good answer i've actually

16:22.600 --> 16:27.000 align:start
had the gastric sleeve

16:23.900 --> 16:28.200 align:start
okay um what prompted me to have the

16:27.000 --> 16:30.800 align:start
surgery is i have

16:28.200 --> 16:32.000 align:start
11 year old and a 17 year old and i've

16:30.800 --> 16:35.400 align:start
watched

16:32.000 --> 16:36.200 align:start
my mother die from diabetes at the age

16:35.400 --> 16:38.700 align:start
of 62

16:36.200 --> 16:40.800 align:start
and it was very difficult and i didn't

16:38.700 --> 16:43.000 align:start
want to do that to my kids

16:40.800 --> 16:44.600 align:start
so i decided after being diagnosed with

16:43.000 --> 16:47.200 align:start
insulin resistance

16:44.600 --> 16:48.100 align:start
and also being diagnosed with some other

16:47.200 --> 16:51.200 align:start
health issues

16:48.100 --> 16:54.200 align:start
and i ended up being 40 bmi

16:51.200 --> 16:54.700 align:start
i said i had to do something and you

16:54.200 --> 16:57.200 align:start
took something

16:54.700 --> 16:58.600 align:start
all my family and friends were like oh

16:57.200 --> 17:00.700 align:start
you you look great

16:58.600 --> 17:02.400 align:start
you look great and i guess the way i

17:00.700 --> 17:05.099 align:start
carried my weight and stuff i

17:02.400 --> 17:06.599 align:start
was evenly distributed over my body

17:05.099 --> 17:09.800 align:start
however

17:06.599 --> 17:09.800 align:start
i was breathing very

17:10.000 --> 17:15.599 align:start
hard i was very wheezy

17:13.300 --> 17:16.500 align:start
i couldn't do physical exercise like i

17:15.599 --> 17:19.599 align:start
used to

17:16.500 --> 17:20.800 align:start
and i always been a gym rat and i mean i

17:19.599 --> 17:23.099 align:start
was

17:20.800 --> 17:24.500 align:start
in dance team for 18 years i was a

17:23.099 --> 17:26.599 align:start
cheerleader

17:24.500 --> 17:29.099 align:start
growing up i mean i was always very

17:26.599 --> 17:32.099 align:start
active but once i started having kids

17:29.099 --> 17:33.400 align:start
back to monica's you know use that child

17:32.099 --> 17:36.800 align:start
bearing and everything

17:33.400 --> 17:38.700 align:start
and you get complacent in life yeah life

17:36.800 --> 17:40.800 align:start
so i decided to do this and it's been

17:38.700 --> 17:43.000 align:start
the best decision i've lost over 60

17:40.800 --> 17:46.200 align:start
pounds in just a few months

17:43.000 --> 17:48.599 align:start
and um i highly recommend

17:46.200 --> 17:50.000 align:start
it if those individuals can do it if the

17:48.599 --> 17:51.700 align:start
other options don't work

17:50.000 --> 17:53.400 align:start
well congratulations weight loss sorry

17:51.700 --> 17:55.400 align:start
about your mother's loss but when we

17:53.400 --> 17:57.400 align:start
when we address obesity we can reduce

17:55.400 --> 17:59.200 align:start
our or increase our life span

17:57.400 --> 18:00.600 align:start
by by reducing our risk of diabetes and

17:59.200 --> 18:01.000 align:start
heart disease so it's very important

18:00.600 --> 18:03.000 align:start
that

18:01.000 --> 18:04.700 align:start
we use natural approaches as well but

18:03.000 --> 18:07.200 align:start
sometimes those salvage procedures

18:04.700 --> 18:08.600 align:start
are necessary that's kind of all the

18:07.200 --> 18:09.800 align:start
time we have for that section and i

18:08.600 --> 18:11.400 align:start
really appreciate you guys we're coming

18:09.800 --> 18:13.500 align:start
back with some more questions

18:11.400 --> 18:15.800 align:start
when we return we'll be joined by our

18:13.500 --> 18:16.600 align:start
panel to further explore how to have a

18:15.800 --> 18:28.800 align:start
healthy

18:16.600 --> 18:31.200 align:start
new year we'll be right back

18:28.800 --> 18:33.000 align:start
welcome back to louisiana public square

18:31.200 --> 18:34.700 align:start
tonight we're discussing how we can live

18:33.000 --> 18:37.700 align:start
healthier in the new year

18:34.700 --> 18:39.600 align:start
joining us now is our panel of experts

18:37.700 --> 18:41.100 align:start
dr drake bellinger is a bariatric

18:39.600 --> 18:42.700 align:start
surgeon with the weight loss surgery

18:41.100 --> 18:45.100 align:start
centers of louisiana

18:42.700 --> 18:47.100 align:start
since 1997 he has performed over two

18:45.100 --> 18:49.500 align:start
thousand weight loss surgical procedures

18:47.100 --> 18:50.700 align:start
including gastric bypass and gastric

18:49.500 --> 18:52.900 align:start
banding

18:50.700 --> 18:53.800 align:start
dr catherine champagne is a registered

18:52.900 --> 18:55.300 align:start
dietitian

18:53.800 --> 18:57.200 align:start
and professor at the pennington

18:55.300 --> 18:59.300 align:start
biomedical research center

18:57.200 --> 19:01.400 align:start
she helped to develop the dash diet

18:59.300 --> 19:03.700 align:start
which has been ranked number one

19:01.400 --> 19:06.100 align:start
by u.s news and world report for seven

19:03.700 --> 19:07.800 align:start
consecutive years wow

19:06.100 --> 19:09.800 align:start
rudy macklin is the director of the

19:07.800 --> 19:10.600 align:start
governor's council on physical fitness

19:09.800 --> 19:14.200 align:start
and sports

19:10.600 --> 19:16.100 align:start
for the past 23 years rudy has served as

19:14.200 --> 19:17.900 align:start
an advisor on health policy issues

19:16.100 --> 19:20.600 align:start
affecting underserved immigrants

19:17.900 --> 19:22.800 align:start
refugees and ethnic populations

19:20.600 --> 19:24.100 align:start
and stephanie m elwood is an extension

19:22.800 --> 19:26.200 align:start
associate with the community

19:24.100 --> 19:27.800 align:start
and school garden programs at southern

19:26.200 --> 19:29.300 align:start
university ag center

19:27.800 --> 19:31.100 align:start
her current work includes building

19:29.300 --> 19:31.800 align:start
nutrition education sites across the

19:31.100 --> 19:34.700 align:start
state

19:31.800 --> 19:36.200 align:start
and working to eradicate food deserts

19:34.700 --> 19:39.000 align:start
before we go to our audience

19:36.200 --> 19:40.700 align:start
i'd like to ask you each briefly if you

19:39.000 --> 19:41.400 align:start
could give louisiana a leather grade on

19:40.700 --> 19:44.600 align:start
its health

19:41.400 --> 19:46.000 align:start
dr bellinger i'd give us uh c-plus c

19:44.600 --> 19:48.700 align:start
plus a little higher than i thought

19:46.000 --> 19:50.300 align:start
dr champagne i'd give us a c-minus

19:48.700 --> 19:53.600 align:start
c-minus okay

19:50.300 --> 19:55.900 align:start
rudy and f and f and

19:53.600 --> 19:57.700 align:start
miss l wood i would give us a c because

19:55.900 --> 19:59.200 align:start
we have lots of potential

19:57.700 --> 20:01.400 align:start
lots of potential lots of potential to

19:59.200 --> 20:02.900 align:start
grow uh if you ask dr whitfield i'd

20:01.400 --> 20:04.600 align:start
probably give us a d

20:02.900 --> 20:06.200 align:start
a d plus and i think that's dealing

20:04.600 --> 20:08.200 align:start
mostly with the obesity

20:06.200 --> 20:09.600 align:start
epidemic that we have in our state i

20:08.200 --> 20:10.600 align:start
want to talk some questions out to the

20:09.600 --> 20:13.000 align:start
audience now so

20:10.600 --> 20:15.200 align:start
you guys help me out a little bit bianca

20:13.000 --> 20:17.800 align:start
you had a question about

20:15.200 --> 20:18.800 align:start
the resources uh could you could you

20:17.800 --> 20:19.300 align:start
could you tell us a little bit about

20:18.800 --> 20:22.600 align:start
what you

20:19.300 --> 20:24.700 align:start
were asking um well i work with

20:22.600 --> 20:25.800 align:start
lsu ag center with the healthy

20:24.700 --> 20:29.100 align:start
communities project

20:25.800 --> 20:31.400 align:start
in rural st helena parish

20:29.100 --> 20:33.300 align:start
and sometimes we find that there may not

20:31.400 --> 20:35.300 align:start
be enough resources

20:33.300 --> 20:37.000 align:start
because it's not necessarily a food

20:35.300 --> 20:41.000 align:start
desert but there's

20:37.000 --> 20:43.200 align:start
lack of access to different fresh foods

20:41.000 --> 20:44.100 align:start
fruits and vegetables for the community

20:43.200 --> 20:46.300 align:start
there okay

20:44.100 --> 20:47.500 align:start
so just wondering what type of resources

20:46.300 --> 20:49.800 align:start
are offered by

20:47.500 --> 20:51.700 align:start
the governor's initiative um

20:49.800 --> 20:52.500 align:start
specifically with nutrition and physical

20:51.700 --> 20:54.300 align:start
activity

20:52.500 --> 20:55.700 align:start
correct anyone in the panel would like

20:54.300 --> 20:58.800 align:start
to take that question oh

20:55.700 --> 20:59.900 align:start
i guess it was directed toward me with

20:58.800 --> 21:01.500 align:start
the governor's council on physical

20:59.900 --> 21:04.300 align:start
fitness and sports you know

21:01.500 --> 21:06.100 align:start
we concentrate on obesity instead of all

21:04.300 --> 21:07.800 align:start
the other health issues because when we

21:06.100 --> 21:10.600 align:start
deal with obesity

21:07.800 --> 21:12.400 align:start
it cross walks with a lot of other

21:10.600 --> 21:15.000 align:start
diseases and death

21:12.400 --> 21:16.500 align:start
hypertension diabetes upper respiratory

21:15.000 --> 21:19.200 align:start
problems even cancer

21:16.500 --> 21:20.100 align:start
so if you can get a handle on obesity

21:19.200 --> 21:22.200 align:start
you know you really

21:20.100 --> 21:23.600 align:start
help reduce all the other diseases and

21:22.200 --> 21:25.800 align:start
sicknesses around this

21:23.600 --> 21:27.000 align:start
around around this state now i travel

21:25.800 --> 21:29.700 align:start
the entire state

21:27.000 --> 21:31.300 align:start
and the thing that really gives me a

21:29.700 --> 21:33.200 align:start
great caution is the children

21:31.300 --> 21:34.500 align:start
when i see children at 10 11 years old

21:33.200 --> 21:35.800 align:start
with high blood pressure

21:34.500 --> 21:38.100 align:start
when i see them with respiratory

21:35.800 --> 21:40.000 align:start
ailments you know that tells me that

21:38.100 --> 21:41.900 align:start
upcoming with our our youth coming up to

21:40.000 --> 21:42.500 align:start
become adults they're really going to be

21:41.900 --> 21:44.500 align:start
sick

21:42.500 --> 21:45.800 align:start
when they become adults and so that

21:44.500 --> 21:47.400 align:start
really

21:45.800 --> 21:49.600 align:start
makes me really concentrated put a

21:47.400 --> 21:51.800 align:start
microscopic microscopic view

21:49.600 --> 21:52.700 align:start
on the rural areas in particular right

21:51.800 --> 21:54.700 align:start
right

21:52.700 --> 21:56.500 align:start
theresa i think you had a question that

21:54.700 --> 21:57.800 align:start
dr bellinger could probably address

21:56.500 --> 22:00.300 align:start
could you could you ask dr bellinger

21:57.800 --> 22:02.400 align:start
that question yes as an hr professional

22:00.300 --> 22:04.800 align:start
i'm always looking for opportunities

22:02.400 --> 22:06.200 align:start
to allow people to have good work-life

22:04.800 --> 22:09.400 align:start
balance

22:06.200 --> 22:10.200 align:start
what if any programs does the state

22:09.400 --> 22:13.300 align:start
offer

22:10.200 --> 22:16.800 align:start
that might give businesses an incentive

22:13.300 --> 22:19.200 align:start
a tax incentive to offer more

22:16.800 --> 22:20.500 align:start
work-life balance programs in their work

22:19.200 --> 22:22.000 align:start
establishments

22:20.500 --> 22:23.800 align:start
well maybe that was for for rudy instead

22:22.000 --> 22:26.400 align:start
of not developing okay

22:23.800 --> 22:27.700 align:start
well we have uh what we call employee

22:26.400 --> 22:29.900 align:start
wellness programs

22:27.700 --> 22:31.500 align:start
uh sometimes uh with your employer if

22:29.900 --> 22:32.200 align:start
you're involved in an employee wellness

22:31.500 --> 22:33.200 align:start
program

22:32.200 --> 22:34.600 align:start
they'll give you a break on your

22:33.200 --> 22:35.400 align:start
premiums on your on your health

22:34.600 --> 22:37.000 align:start
insurance

22:35.400 --> 22:38.600 align:start
and we have a program called own your

22:37.000 --> 22:40.700 align:start
own health where you can track your own

22:38.600 --> 22:43.600 align:start
physical activity and nutrition programs

22:40.700 --> 22:44.200 align:start
online as well as we have a city versus

22:43.600 --> 22:47.100 align:start
city

22:44.200 --> 22:49.500 align:start
uh challenges going on like we have

22:47.100 --> 22:52.000 align:start
monroe versus alexandria

22:49.500 --> 22:54.000 align:start
baxter versus tallulah and we're working

22:52.000 --> 22:56.600 align:start
on new orleans versus shreveport

22:54.000 --> 22:57.100 align:start
and to give people different ideas and

22:56.600 --> 22:59.400 align:start
and

22:57.100 --> 23:00.200 align:start
motivate them to be physically active

22:59.400 --> 23:02.200 align:start
and

23:00.200 --> 23:04.600 align:start
move more but from the employer's

23:02.200 --> 23:05.900 align:start
standpoint studies will show you that

23:04.600 --> 23:08.300 align:start
health employees are the better

23:05.900 --> 23:10.700 align:start
employees it reduces absenteeism

23:08.300 --> 23:11.500 align:start
it boosts morale and so when you have an

23:10.700 --> 23:13.800 align:start
employee

23:11.500 --> 23:15.500 align:start
wellness program in your workplace you

23:13.800 --> 23:16.600 align:start
have better employees and profitable

23:15.500 --> 23:18.800 align:start
employees as well

23:16.600 --> 23:20.200 align:start
and so there are a lot of state

23:18.800 --> 23:21.800 align:start
companies around now that are really

23:20.200 --> 23:22.800 align:start
going to that

23:21.800 --> 23:24.200 align:start
particular thing when it comes to

23:22.800 --> 23:26.200 align:start
employee wellness and we do it at the

23:24.200 --> 23:28.300 align:start
louisiana department of health as well

23:26.200 --> 23:29.800 align:start
and so you can just call my office and

23:28.300 --> 23:31.000 align:start
i'll help you get started

23:29.800 --> 23:33.000 align:start
stephanie i think you now you're

23:31.000 --> 23:34.100 align:start
familiar with resources as well what

23:33.000 --> 23:37.100 align:start
other options are there

23:34.100 --> 23:38.600 align:start
available um well

23:37.100 --> 23:41.800 align:start
i can tell you about the programming

23:38.600 --> 23:44.400 align:start
that we do at southern at the ag center

23:41.800 --> 23:45.000 align:start
we work with different usda grants one

23:44.400 --> 23:47.400 align:start
of them

23:45.000 --> 23:48.500 align:start
was with dr tiffany franklin eradicating

23:47.400 --> 23:51.400 align:start
food deserts through

23:48.500 --> 23:52.200 align:start
the development of school gardens so

23:51.400 --> 23:54.200 align:start
teaching

23:52.200 --> 23:56.200 align:start
health consciousness also having gardens

23:54.200 --> 23:56.700 align:start
on campus teaching the skill of how to

23:56.200 --> 23:58.200 align:start
grow

23:56.700 --> 24:00.400 align:start
you know from the seed to eating the

23:58.200 --> 24:02.600 align:start
broccoli we've also worked

24:00.400 --> 24:04.700 align:start
with incarcerated and adjudicated youth

24:02.600 --> 24:06.800 align:start
teaching gardening skills as well

24:04.700 --> 24:08.700 align:start
not only for eating healthy foods but

24:06.800 --> 24:11.000 align:start
also landscaping and other

24:08.700 --> 24:12.400 align:start
opportunities and we're also involved

24:11.000 --> 24:15.000 align:start
with the healthy communities grant

24:12.400 --> 24:16.800 align:start
in several parishes madison tencent st

24:15.000 --> 24:20.200 align:start
helena

24:16.800 --> 24:23.600 align:start
and um southern university um

24:20.200 --> 24:25.600 align:start
focuses on the food desert neighborhoods

24:23.600 --> 24:27.200 align:start
and um making more fresh produce

24:25.600 --> 24:30.300 align:start
available through

24:27.200 --> 24:31.300 align:start
gardening efforts great great dr

24:30.300 --> 24:33.100 align:start
champaign you

24:31.300 --> 24:34.700 align:start
you've done a lot of research were there

24:33.100 --> 24:36.200 align:start
any programming or things that you may

24:34.700 --> 24:38.200 align:start
have encountered during your research

24:36.200 --> 24:40.000 align:start
that are resources that may be helpful

24:38.200 --> 24:43.800 align:start
as well

24:40.000 --> 24:46.100 align:start
well mostly we've done diet studies um

24:43.800 --> 24:47.400 align:start
looking at different types of diets

24:46.100 --> 24:51.000 align:start
comparing diets

24:47.400 --> 24:53.900 align:start
comparing strategies and along with

24:51.000 --> 24:55.700 align:start
many of our we we do know that people

24:53.900 --> 24:58.000 align:start
can lose weight

24:55.700 --> 24:59.000 align:start
the problem is maintaining the weight

24:58.000 --> 25:02.100 align:start
loss

24:59.000 --> 25:04.400 align:start
so any strategy that you can use

25:02.100 --> 25:05.400 align:start
the one that i think is the most

25:04.400 --> 25:07.400 align:start
effective

25:05.400 --> 25:08.600 align:start
for people who don't want to have

25:07.400 --> 25:11.500 align:start
surgery

25:08.600 --> 25:12.200 align:start
is to record the food that you eat

25:11.500 --> 25:14.500 align:start
because

25:12.200 --> 25:16.500 align:start
and i will tell you based on our

25:14.500 --> 25:18.200 align:start
participants in the past that's the most

25:16.500 --> 25:22.300 align:start
hated strategy but the most

25:18.200 --> 25:25.400 align:start
effective strategy it creates awareness

25:22.300 --> 25:28.500 align:start
of what you're putting in your mouth and

25:25.400 --> 25:32.100 align:start
i think the concept then is

25:28.500 --> 25:33.100 align:start
that you actually can know how many

25:32.100 --> 25:35.900 align:start
calories

25:33.100 --> 25:37.800 align:start
is physically in there we did that with

25:35.900 --> 25:40.500 align:start
a pounds loss study

25:37.800 --> 25:41.800 align:start
where we gave participants menus and the

25:40.500 --> 25:45.000 align:start
concept was

25:41.800 --> 25:46.600 align:start
follow these menus but the the the more

25:45.000 --> 25:49.800 align:start
long-term message

25:46.600 --> 25:52.400 align:start
was that when you see how much of each

25:49.800 --> 25:53.300 align:start
food group is on the plate then you

25:52.400 --> 25:56.700 align:start
could

25:53.300 --> 26:00.400 align:start
take that a step further and substitute

25:56.700 --> 26:01.000 align:start
other foods to make a difference make a

26:00.400 --> 26:02.500 align:start
difference

26:01.000 --> 26:04.300 align:start
i want to shift gears a little bit dr

26:02.500 --> 26:05.800 align:start
bellinger i do my best to keep my

26:04.300 --> 26:07.700 align:start
patients from coming to see you

26:05.800 --> 26:09.600 align:start
but i have been unsuccessful in that

26:07.700 --> 26:11.700 align:start
obesity is truly an epidemic

26:09.600 --> 26:13.300 align:start
could you elaborate on that patient that

26:11.700 --> 26:14.700 align:start
comes in that you have to address in

26:13.300 --> 26:16.100 align:start
many cases i have patients that i don't

26:14.700 --> 26:17.800 align:start
think need to procedure but there are

26:16.100 --> 26:18.900 align:start
many cases now that you're you're having

26:17.800 --> 26:20.600 align:start
to do these surgical procedures they're

26:18.900 --> 26:23.300 align:start
salvaged procedures

26:20.600 --> 26:24.500 align:start
uh yeah i think one of the greatest

26:23.300 --> 26:26.200 align:start
indications in one of the best

26:24.500 --> 26:29.500 align:start
indications for weight loss surgery

26:26.200 --> 26:32.100 align:start
is diabetes so diabetes not only

26:29.500 --> 26:32.600 align:start
are we getting a person to lose weight

26:32.100 --> 26:34.200 align:start
so

26:32.600 --> 26:36.500 align:start
things like high blood pressure and

26:34.200 --> 26:37.800 align:start
sleep apnea tend to go away as well

26:36.500 --> 26:39.900 align:start
makes the overall health of the patient

26:37.800 --> 26:42.200 align:start
better but there's an intrinsic

26:39.900 --> 26:45.100 align:start
process within the operation that starts

26:42.200 --> 26:48.500 align:start
the reversal process of diabetes so

26:45.100 --> 26:50.700 align:start
not only does the weight loss help

26:48.500 --> 26:52.400 align:start
lessen the impact of diabetes but

26:50.700 --> 26:55.000 align:start
something within the surgery

26:52.400 --> 26:56.700 align:start
well uh the operation reverses some of

26:55.000 --> 26:57.500 align:start
those effects by the chemical changes

26:56.700 --> 27:00.700 align:start
that it causes

26:57.500 --> 27:01.900 align:start
wow so reversing diabetes uh reducing

27:00.700 --> 27:03.400 align:start
blood pressure i've had patients that

27:01.900 --> 27:04.700 align:start
have come off all their medications

27:03.400 --> 27:06.600 align:start
after a salvage procedure and

27:04.700 --> 27:07.800 align:start
it's done wonders um we have one of your

27:06.600 --> 27:09.600 align:start
patients here

27:07.800 --> 27:11.100 align:start
and i just tiffany i tell me i'd like

27:09.600 --> 27:13.000 align:start
for you to share maybe a little bit of

27:11.100 --> 27:14.000 align:start
what happened but uh you had a question

27:13.000 --> 27:16.600 align:start
as well so

27:14.000 --> 27:17.800 align:start
you you had surgery by dr bellinger what

27:16.600 --> 27:20.000 align:start
led you to that and

27:17.800 --> 27:21.800 align:start
and um how are you doing i did thank you

27:20.000 --> 27:25.700 align:start
for having me here yes ma'am

27:21.800 --> 27:29.000 align:start
uh um i had the gastric sleeve

27:25.700 --> 27:31.400 align:start
uh three years ago this past august

27:29.000 --> 27:33.000 align:start
and i guess my motivation was i was

27:31.400 --> 27:36.200 align:start
tired of

27:33.000 --> 27:38.900 align:start
comfort eating um

27:36.200 --> 27:40.000 align:start
my child was called home coming up on

27:38.900 --> 27:43.400 align:start
seven years

27:40.000 --> 27:48.400 align:start
and um it just

27:43.400 --> 27:50.300 align:start
it just it was just a a horrible

27:48.400 --> 27:52.500 align:start
eating habit you know i was trying to

27:50.300 --> 27:54.200 align:start
comfort myself with food and

27:52.500 --> 27:55.500 align:start
i just wasn't getting anywhere and i

27:54.200 --> 28:00.100 align:start
needed a major

27:55.500 --> 28:00.100 align:start
jump start and um

28:00.800 --> 28:04.600 align:start
i i was

28:04.700 --> 28:10.600 align:start
back and forth yo-yo you know dieting

28:08.300 --> 28:14.300 align:start
and it just wasn't helping at all

28:10.600 --> 28:16.600 align:start
and i had uh encountered

28:14.300 --> 28:17.600 align:start
several people who uh dr bellinger

28:16.600 --> 28:19.900 align:start
himself uh

28:17.600 --> 28:20.800 align:start
had performed weight loss surgery on

28:19.900 --> 28:23.700 align:start
them and

28:20.800 --> 28:25.500 align:start
um you know i just took a look at myself

28:23.700 --> 28:27.400 align:start
my life you know and i said

28:25.500 --> 28:30.100 align:start
you know god may have called one of my

28:27.400 --> 28:32.600 align:start
uh children home one of my girls home

28:30.100 --> 28:35.000 align:start
but i have two other girls to live for

28:32.600 --> 28:35.900 align:start
and um i'm not i'm not going to live

28:35.000 --> 28:38.500 align:start
very long

28:35.900 --> 28:39.000 align:start
if i continue with this weight you know

28:38.500 --> 28:40.600 align:start
and

28:39.000 --> 28:42.200 align:start
then it was um you know high blood

28:40.600 --> 28:44.000 align:start
pressure and the fear of going to the

28:42.200 --> 28:44.800 align:start
doctor and say well congratulations miss

28:44.000 --> 28:47.600 align:start
larry you

28:44.800 --> 28:49.300 align:start
you're you you're successful on becoming

28:47.600 --> 28:52.100 align:start
a diabetic so

28:49.300 --> 28:54.100 align:start
i said you know i deserve it i need a

28:52.100 --> 28:59.000 align:start
quick jump start

28:54.100 --> 29:02.400 align:start
and um i saw dr uh met with dr ballinger

28:59.000 --> 29:04.000 align:start
and um from there i've just i've just

29:02.400 --> 29:06.200 align:start
taken off

29:04.000 --> 29:08.600 align:start
i've done it i've maintained it i've

29:06.200 --> 29:11.400 align:start
changed my eating habits i've even um

29:08.600 --> 29:12.100 align:start
learned how to cook uh healthier for my

29:11.400 --> 29:15.400 align:start
family

29:12.100 --> 29:17.800 align:start
and um so you so you'd recommend dr

29:15.400 --> 29:17.800 align:start
bellinger

29:19.400 --> 29:25.400 align:start
i kind of got the feeling that you would

29:23.000 --> 29:26.200 align:start
so it's just been a great it was it was

29:25.400 --> 29:29.800 align:start
just a great

29:26.200 --> 29:32.200 align:start
great decision i i am very glad that i

29:29.800 --> 29:33.900 align:start
made that decision to do that because it

29:32.200 --> 29:36.300 align:start
just wasn't working trying to do it on

29:33.900 --> 29:40.300 align:start
my own you know i'd lose weight gain it

29:36.300 --> 29:42.700 align:start
lose weight gain it and um it it just

29:40.300 --> 29:44.200 align:start
you know i just wasn't living a healthy

29:42.700 --> 29:47.500 align:start
life you know i

29:44.200 --> 29:50.600 align:start
exercised 15 20 miles a week

29:47.500 --> 29:52.700 align:start
and i watched my carbs you know

29:50.600 --> 29:54.000 align:start
um so it just and dr bill and she said

29:52.700 --> 29:55.700 align:start
she had a key point

29:54.000 --> 29:57.500 align:start
it's not just a surgery after the

29:55.700 --> 29:59.200 align:start
surgery there's life after surgery what

29:57.500 --> 30:00.500 align:start
recommendations are you giving patients

29:59.200 --> 30:01.700 align:start
what happens after the salvage

30:00.500 --> 30:03.800 align:start
procedures

30:01.700 --> 30:05.100 align:start
uh we like to follow our patients we

30:03.800 --> 30:06.200 align:start
follow them very closely for the first

30:05.100 --> 30:08.400 align:start
year while they're in

30:06.200 --> 30:09.800 align:start
the weight loss phase right after

30:08.400 --> 30:11.400 align:start
surgery and then we want to follow them

30:09.800 --> 30:15.500 align:start
for an additional five years

30:11.400 --> 30:17.800 align:start
wow and part of and most of the programs

30:15.500 --> 30:19.700 align:start
here around the state have been

30:17.800 --> 30:21.400 align:start
accredited as centers of excellence to

30:19.700 --> 30:22.400 align:start
perform bariatric surgery and weight

30:21.400 --> 30:25.600 align:start
loss surges

30:22.400 --> 30:26.100 align:start
bariatric surgery and one of the things

30:25.600 --> 30:28.100 align:start
that you

30:26.100 --> 30:29.800 align:start
must show that you want to do or you

30:28.100 --> 30:30.900 align:start
have to do is follow the patients for

30:29.800 --> 30:32.400 align:start
five years because

30:30.900 --> 30:34.800 align:start
that's when they hit the mark where you

30:32.400 --> 30:37.400 align:start
know that chances are that weight loss

30:34.800 --> 30:38.800 align:start
will be maintained for a very long time

30:37.400 --> 30:40.800 align:start
if they make it through five years

30:38.800 --> 30:43.500 align:start
awesome awesome robert i haven't heard

30:40.800 --> 30:45.900 align:start
from you um you had some questions about

30:43.500 --> 30:47.700 align:start
uh educational programs and eating

30:45.900 --> 30:49.400 align:start
healthy and also we mentioned cooking

30:47.700 --> 30:50.700 align:start
but before i get to robert how many

30:49.400 --> 30:54.600 align:start
people cook

30:50.700 --> 30:56.400 align:start
show pants lindsay

30:54.600 --> 30:57.900 align:start
we gotta give her this fast food thing

30:56.400 --> 30:59.600 align:start
so so mr robert

30:57.900 --> 31:01.500 align:start
what was your question in regards to

30:59.600 --> 31:04.000 align:start
healthy eating well i think it

31:01.500 --> 31:05.400 align:start
like rudy alluded to it has to start at

31:04.000 --> 31:08.700 align:start
a young age

31:05.400 --> 31:12.000 align:start
with education educational programs

31:08.700 --> 31:13.000 align:start
um in the times when i was growing up

31:12.000 --> 31:15.400 align:start
you know we

31:13.000 --> 31:16.300 align:start
just ate pretty much anything we wanted

31:15.400 --> 31:18.500 align:start
to

31:16.300 --> 31:20.100 align:start
my mother would always say you're eating

31:18.500 --> 31:22.200 align:start
too many starches

31:20.100 --> 31:23.200 align:start
to get off the starches and i'd say well

31:22.200 --> 31:25.200 align:start
no

31:23.200 --> 31:27.000 align:start
you know i was hard-headed and now i'm

31:25.200 --> 31:30.500 align:start
paying for it because i'm diabetic

31:27.000 --> 31:32.400 align:start
so we just need more education in this

31:30.500 --> 31:35.800 align:start
state because we all love to eat

31:32.400 --> 31:39.000 align:start
i mean we just it's just a happy

31:35.800 --> 31:39.800 align:start
uh drinking eaten state and so we need

31:39.000 --> 31:43.000 align:start
to

31:39.800 --> 31:45.200 align:start
just with a new mayor

31:43.000 --> 31:46.900 align:start
and the new governor we need to come up

31:45.200 --> 31:49.400 align:start
with more programs pennington's been

31:46.900 --> 31:52.400 align:start
great timmy i'm a project at pennington

31:49.400 --> 31:53.800 align:start
so right right tiffany you you went a

31:52.400 --> 31:55.800 align:start
little different right i think you tried

31:53.800 --> 31:58.200 align:start
some exercise and died first and

31:55.800 --> 32:01.100 align:start
could you could you share your story uh

31:58.200 --> 32:03.500 align:start
yeah um i

32:01.100 --> 32:04.600 align:start
back in 2010 was in an accident where i

32:03.500 --> 32:06.500 align:start
broke my ankle

32:04.600 --> 32:07.800 align:start
bilaterally and i was in a wheelchair

32:06.500 --> 32:08.800 align:start
for a year we didn't know if i was gonna

32:07.800 --> 32:10.900 align:start
walk

32:08.800 --> 32:12.400 align:start
um and i got really depressed and i

32:10.900 --> 32:14.000 align:start
gained a lot of weight my highest weight

32:12.400 --> 32:17.400 align:start
was up to 367

32:14.000 --> 32:18.600 align:start
pounds and after that i tried working

32:17.400 --> 32:22.300 align:start
out i tried using

32:18.600 --> 32:24.200 align:start
local parks local facilities that were

32:22.300 --> 32:26.800 align:start
available to us

32:24.200 --> 32:28.400 align:start
i work for breck so we have many

32:26.800 --> 32:29.400 align:start
wonderful facilities around here that

32:28.400 --> 32:31.500 align:start
you can utilize

32:29.400 --> 32:33.800 align:start
and it just wasn't working because it

32:31.500 --> 32:36.200 align:start
was a mindset that i had gotten into

32:33.800 --> 32:37.400 align:start
and until i was able to correct my

32:36.200 --> 32:39.400 align:start
mindset

32:37.400 --> 32:42.300 align:start
i wasn't able to get to that but the

32:39.400 --> 32:46.200 align:start
catalyst was when my husband got sick

32:42.300 --> 32:49.400 align:start
he has had diabetes since he was two

32:46.200 --> 32:50.700 align:start
and four years ago he was diagnosed with

32:49.400 --> 32:53.800 align:start
kidney failure

32:50.700 --> 32:54.800 align:start
and that kidney failure his doctor told

32:53.800 --> 32:56.400 align:start
me he said ma'am

32:54.800 --> 32:58.000 align:start
you are not going to be around long

32:56.400 --> 32:59.300 align:start
enough to help take care of your husband

32:58.000 --> 33:01.000 align:start
because we don't know if your husband's

32:59.300 --> 33:02.800 align:start
going to make it to get a transplant he

33:01.000 --> 33:03.900 align:start
needed a kidney and pancreas transplant

33:02.800 --> 33:07.800 align:start
and

33:03.900 --> 33:09.400 align:start
apparently that's rare so um

33:07.800 --> 33:11.500 align:start
i did the surgery that was the route

33:09.400 --> 33:15.000 align:start
that we decided to go because

33:11.500 --> 33:16.600 align:start
i needed something that was and it's not

33:15.000 --> 33:18.400 align:start
a quick fix but i needed something that

33:16.600 --> 33:19.000 align:start
was permanent that was going to be more

33:18.400 --> 33:21.500 align:start
lasting

33:19.000 --> 33:23.200 align:start
something that i could wrap my mind

33:21.500 --> 33:25.400 align:start
around instead of things that to me just

33:23.200 --> 33:27.900 align:start
weren't working

33:25.400 --> 33:30.000 align:start
and in the long run since then my

33:27.900 --> 33:31.800 align:start
husband and i both have been successful

33:30.000 --> 33:33.800 align:start
with that and he has since gotten

33:31.800 --> 33:35.800 align:start
his pancreas and kidney transplant

33:33.800 --> 33:36.800 align:start
wonderful due to himself having weight

33:35.800 --> 33:40.100 align:start
loss surgery

33:36.800 --> 33:43.600 align:start
um so together we've lost almost

33:40.100 --> 33:44.300 align:start
400 pounds total together but because of

33:43.600 --> 33:46.400 align:start
that

33:44.300 --> 33:48.000 align:start
that's giving us a new lease on life

33:46.400 --> 33:49.400 align:start
we've been able to be more active

33:48.000 --> 33:51.700 align:start
together now

33:49.400 --> 33:53.500 align:start
this past september for our anniversary

33:51.700 --> 33:54.300 align:start
we hiked to the top of mount conti in

33:53.500 --> 33:57.500 align:start
gatlinburg

33:54.300 --> 34:00.800 align:start
wow and without that without the

33:57.500 --> 34:02.500 align:start
um experience of

34:00.800 --> 34:04.700 align:start
changing our mindset changing our

34:02.500 --> 34:06.100 align:start
lifestyles realizing that we got to

34:04.700 --> 34:06.600 align:start
those places because of things that we

34:06.100 --> 34:09.900 align:start
have done

34:06.600 --> 34:11.000 align:start
or not have done um that's why we're

34:09.900 --> 34:13.699 align:start
here

34:11.000 --> 34:14.600 align:start
that's why we're able to be here right i

34:13.699 --> 34:15.900 align:start
mean motivation

34:14.600 --> 34:17.900 align:start
seems to be key in everyone's

34:15.900 --> 34:19.900 align:start
conversation dr champaign

34:17.900 --> 34:21.900 align:start
any experience with individuals that

34:19.900 --> 34:22.500 align:start
just can't get motivated can't get this

34:21.900 --> 34:27.400 align:start
done

34:22.500 --> 34:30.500 align:start
well we actually when we do a lifestyle

34:27.400 --> 34:33.300 align:start
intervention motivation and

34:30.500 --> 34:35.000 align:start
relapse prevention time management

34:33.300 --> 34:37.600 align:start
stress management

34:35.000 --> 34:38.600 align:start
all of those concepts are embedded into

34:37.600 --> 34:41.699 align:start
the

34:38.600 --> 34:45.000 align:start
the the intervention um

34:41.699 --> 34:47.100 align:start
one thing that's important is that um

34:45.000 --> 34:48.900 align:start
and and i know this is sort of off the

34:47.100 --> 34:49.800 align:start
subject but you know when you talk about

34:48.900 --> 34:52.000 align:start
diets

34:49.800 --> 34:53.600 align:start
almost any diet will work if you follow

34:52.000 --> 34:56.900 align:start
it

34:53.600 --> 34:57.800 align:start
there's you can lose weight on low carb

34:56.900 --> 35:00.600 align:start
diets

34:57.800 --> 35:01.300 align:start
high carb diets low fat diets higher fat

35:00.600 --> 35:04.600 align:start
diets

35:01.300 --> 35:06.800 align:start
but the key is counting calories and

35:04.600 --> 35:07.900 align:start
the unfortunate thing about some of the

35:06.800 --> 35:09.900 align:start
low carb diets

35:07.900 --> 35:11.100 align:start
is that if you restrict carbs you

35:09.900 --> 35:13.699 align:start
restrict fiber

35:11.100 --> 35:14.400 align:start
and so therefore you may be more prone

35:13.699 --> 35:19.000 align:start
to

35:14.400 --> 35:22.300 align:start
colon cancer so the american

35:19.000 --> 35:23.600 align:start
diet unfortunately is too low in fiber

35:22.300 --> 35:25.800 align:start
and it needs to be

35:23.600 --> 35:27.400 align:start
much higher probably double what normal

35:25.800 --> 35:29.199 align:start
people what people normally would

35:27.400 --> 35:32.199 align:start
consume

35:29.199 --> 35:35.500 align:start
but you're right motivation um

35:32.199 --> 35:38.199 align:start
just a case in point we had a study

35:35.500 --> 35:39.199 align:start
going on at pennington right around

35:38.199 --> 35:42.699 align:start
hurricane

35:39.199 --> 35:44.600 align:start
katrina and a year after hurricane

35:42.699 --> 35:47.800 align:start
katrina people were still

35:44.600 --> 35:50.300 align:start
finding excuses not to be able to

35:47.800 --> 35:51.500 align:start
stick to their diet because they had to

35:50.300 --> 35:54.400 align:start
they had

35:51.500 --> 35:56.600 align:start
people in their house and they couldn't

35:54.400 --> 35:56.600 align:start
be

35:56.600 --> 36:00.100 align:start
unkind and not let them cook bad food

35:59.000 --> 36:03.000 align:start
for them

36:00.100 --> 36:04.200 align:start
so it was it was it was an interesting

36:03.000 --> 36:06.500 align:start
um

36:04.200 --> 36:07.200 align:start
time but you know family pressures and a

36:06.500 --> 36:09.900 align:start
lot of those

36:07.200 --> 36:11.300 align:start
really factor in you know we know people

36:09.900 --> 36:13.500 align:start
can make a change

36:11.300 --> 36:15.400 align:start
but like i said sustaining the change

36:13.500 --> 36:16.700 align:start
and carrying it forward are the key

36:15.400 --> 36:19.500 align:start
things

36:16.700 --> 36:20.900 align:start
well you came up doc with a wonderful

36:19.500 --> 36:22.400 align:start
diet the dash diet which

36:20.900 --> 36:24.700 align:start
i would like for you to define it for

36:22.400 --> 36:27.000 align:start
our audience but many of my patients

36:24.700 --> 36:28.000 align:start
battle with busy schedules children and

36:27.000 --> 36:31.200 align:start
eating out

36:28.000 --> 36:32.200 align:start
um every now and then dr whitfield eats

36:31.200 --> 36:34.500 align:start
out but

36:32.200 --> 36:35.700 align:start
we try to cook at home um i'm i'm newly

36:34.500 --> 36:37.200 align:start
married so my

36:35.700 --> 36:39.200 align:start
my wife enjoys cooking so i'm very

36:37.200 --> 36:40.000 align:start
fortunate what are your thoughts on

36:39.200 --> 36:41.400 align:start
eating out

36:40.000 --> 36:42.800 align:start
preparing food we had a discussion about

36:41.400 --> 36:44.500 align:start
that a little earlier we did have a

36:42.800 --> 36:46.100 align:start
discussion about that um

36:44.500 --> 36:47.500 align:start
you know we had a study where we told

36:46.100 --> 36:49.500 align:start
people they could only eat out once or

36:47.500 --> 36:50.600 align:start
twice a week and that was not a very

36:49.500 --> 36:52.800 align:start
good message

36:50.600 --> 36:53.800 align:start
but you know the reality is when you eat

36:52.800 --> 36:55.000 align:start
out

36:53.800 --> 36:56.900 align:start
you really need to know what you're

36:55.000 --> 36:57.700 align:start
eating and there are strategies that you

36:56.900 --> 37:00.600 align:start
can use

36:57.700 --> 37:02.100 align:start
you know you can order food that doesn't

37:00.600 --> 37:04.300 align:start
have added fat

37:02.100 --> 37:05.400 align:start
you could have your salad dressing on

37:04.300 --> 37:06.700 align:start
the side

37:05.400 --> 37:08.900 align:start
you know there are many many other

37:06.700 --> 37:12.200 align:start
strategies that can be used

37:08.900 --> 37:14.700 align:start
but you know in terms of the dash diet

37:12.200 --> 37:17.800 align:start
the dash diet was designed

37:14.700 --> 37:19.000 align:start
to be a healthy diet and for the seventh

37:17.800 --> 37:21.400 align:start
year in a row

37:19.000 --> 37:22.900 align:start
it is still the healthiest diet by us

37:21.400 --> 37:25.800 align:start
news and world reports

37:22.900 --> 37:26.900 align:start
it is not the first diet for weight loss

37:25.800 --> 37:29.300 align:start
although

37:26.900 --> 37:30.200 align:start
if you count calories and you know about

37:29.300 --> 37:33.500 align:start
the food groups

37:30.200 --> 37:36.200 align:start
you can make very positive changes and

37:33.500 --> 37:38.200 align:start
it could be a more nutrient dense as

37:36.200 --> 37:39.800 align:start
opposed to an energy dense diet

37:38.200 --> 37:41.500 align:start
um i'm gonna switch tracks we have

37:39.800 --> 37:42.800 align:start
someone from breeda here i'd like uh i'd

37:41.500 --> 37:44.100 align:start
like lisa to tell me a little bit about

37:42.800 --> 37:47.000 align:start
breta

37:44.100 --> 37:48.900 align:start
and just define what you guys are doing

37:47.000 --> 37:50.600 align:start
to help our community stay healthy well

37:48.900 --> 37:52.300 align:start
um bretta

37:50.600 --> 37:53.800 align:start
is uh i'm sorry bretta right yeah

37:52.300 --> 37:57.700 align:start
bretta's a non-profit

37:53.800 --> 37:59.800 align:start
and we support small local farmers here

37:57.700 --> 38:02.600 align:start
in louis in the state of louisiana

37:59.800 --> 38:04.400 align:start
and they have opportunity to bring their

38:02.600 --> 38:05.900 align:start
products to our markets so they can

38:04.400 --> 38:08.600 align:start
reach the individuals

38:05.900 --> 38:10.400 align:start
here in the baton rouge area and also

38:08.600 --> 38:11.900 align:start
some of our producers go out to markets

38:10.400 --> 38:14.100 align:start
in the crescent city area

38:11.900 --> 38:15.900 align:start
it's not statewide though the is it

38:14.100 --> 38:18.100 align:start
statewide the program

38:15.900 --> 38:19.800 align:start
well bretta's part statewide we're just

38:18.100 --> 38:23.000 align:start
here located here in baton rouge

38:19.800 --> 38:25.600 align:start
north and south baton rouge and um

38:23.000 --> 38:27.000 align:start
one of our main goals with the once we

38:25.600 --> 38:29.200 align:start
receive

38:27.000 --> 38:30.100 align:start
the the funding to do the mobile farmers

38:29.200 --> 38:32.500 align:start
market which

38:30.100 --> 38:34.000 align:start
were to target the food desert areas we

38:32.500 --> 38:35.000 align:start
went out into those areas like

38:34.000 --> 38:38.100 align:start
scotlandville

38:35.000 --> 38:39.000 align:start
and um maybe it's glen oaks area south

38:38.100 --> 38:41.800 align:start
baton rouge

38:39.000 --> 38:42.300 align:start
uh even over near gush young star hill

38:41.800 --> 38:46.200 align:start
church we

38:42.300 --> 38:49.300 align:start
we provided a pop-up market there and uh

38:46.200 --> 38:49.800 align:start
we targeted uh mostly you know seniors

38:49.300 --> 38:52.200 align:start
who

38:49.800 --> 38:54.100 align:start
because our markets come between times

38:52.200 --> 38:56.100 align:start
between eight and two o'clock

38:54.100 --> 38:57.600 align:start
so we would have a lot of seniors a lot

38:56.100 --> 39:00.400 align:start
of retirees

38:57.600 --> 39:02.600 align:start
some folks that were disabled but the

39:00.400 --> 39:04.100 align:start
key to that is that if we had those who

39:02.600 --> 39:06.200 align:start
work during those hours we have the

39:04.100 --> 39:08.300 align:start
saturday market downtown okay

39:06.200 --> 39:10.600 align:start
so it's an opportunity for everybody in

39:08.300 --> 39:12.900 align:start
the state in in baton rouge area

39:10.600 --> 39:13.700 align:start
to have access to local fresh produce

39:12.900 --> 39:15.400 align:start
here and

39:13.700 --> 39:17.400 align:start
that you know that comes from here in

39:15.400 --> 39:18.000 align:start
louisiana so fresh is best and try to

39:17.400 --> 39:20.800 align:start
eat seasonal

39:18.000 --> 39:21.800 align:start
yeah yeah mainly that's my thing i'm a

39:20.800 --> 39:24.200 align:start
seasonal person

39:21.800 --> 39:25.000 align:start
all right uh it's a lot of times when i

39:24.200 --> 39:26.600 align:start
it's if

39:25.000 --> 39:28.200 align:start
things are not in season or either we'll

39:26.600 --> 39:30.100 align:start
have a

39:28.200 --> 39:32.000 align:start
bad weather conditions and our farmers

39:30.100 --> 39:33.700 align:start
aren't growing a lot of vegetables

39:32.000 --> 39:36.500 align:start
and we may have to go out to other

39:33.700 --> 39:38.400 align:start
places to get our fresh vegetables but

39:36.500 --> 39:40.200 align:start
for the most part if it's in season

39:38.400 --> 39:41.700 align:start
that's what my family is going to have

39:40.200 --> 39:43.400 align:start
that's going to eat that yeah what

39:41.700 --> 39:44.700 align:start
you you work around the state can you

39:43.400 --> 39:46.400 align:start
first of all i want to define to our

39:44.700 --> 39:47.700 align:start
audience what food deserts are but what

39:46.400 --> 39:48.100 align:start
are you doing around the state to

39:47.700 --> 39:51.400 align:start
address

39:48.100 --> 39:53.400 align:start
um well i work with our snap-ed and fnet

39:51.400 --> 39:54.900 align:start
programs um teaching nutrition education

39:53.400 --> 39:56.100 align:start
we have nutrition educators throughout

39:54.900 --> 39:58.000 align:start
the state

39:56.100 --> 40:00.200 align:start
southern new york ag center nutrition

39:58.000 --> 40:01.900 align:start
educators and what i do is i go in

40:00.200 --> 40:04.000 align:start
if it's a fitting site i help them build

40:01.900 --> 40:06.800 align:start
a garden to have on their site maybe at

40:04.000 --> 40:08.400 align:start
a council on aging maybe at a head start

40:06.800 --> 40:09.900 align:start
where they can actually learn how to

40:08.400 --> 40:12.300 align:start
grow

40:09.900 --> 40:13.100 align:start
actually harvest and you know continue

40:12.300 --> 40:15.200 align:start
it seasonally

40:13.100 --> 40:16.700 align:start
we have a lot of presence in baton rouge

40:15.200 --> 40:18.800 align:start
and infused food desert

40:16.700 --> 40:20.100 align:start
areas as well are you surprised that we

40:18.800 --> 40:21.500 align:start
don't know about this anymore that we

40:20.100 --> 40:23.000 align:start
just become too urban people aren't

40:21.500 --> 40:26.200 align:start
growing and

40:23.000 --> 40:29.000 align:start
living as they should well um

40:26.200 --> 40:30.700 align:start
i've taught maybe close to 2 000

40:29.000 --> 40:32.900 align:start
students you know

40:30.700 --> 40:34.200 align:start
maybe more and a lot of times i have a

40:32.900 --> 40:35.800 align:start
lot of resistance to i don't want to get

40:34.200 --> 40:36.800 align:start
my nails dirty i want to get my shoes

40:35.800 --> 40:39.500 align:start
ready but

40:36.800 --> 40:40.900 align:start
i am telling you right here right now

40:39.500 --> 40:43.100 align:start
that once a student

40:40.900 --> 40:43.900 align:start
or an adult touches the soil with their

40:43.100 --> 40:45.800 align:start
hands

40:43.900 --> 40:47.400 align:start
there's no going back they enjoy it they

40:45.800 --> 40:48.700 align:start
love it and it's something that we all

40:47.400 --> 40:50.200 align:start
have in common it's something that we

40:48.700 --> 40:51.400 align:start
all have in our ancestry and it's

40:50.200 --> 40:54.100 align:start
something that we all

40:51.400 --> 40:55.700 align:start
should reconnect with if we haven't and

40:54.100 --> 40:57.300 align:start
having that skill of knowing how to grow

40:55.700 --> 40:58.000 align:start
your own food can go a long way you can

40:57.300 --> 41:00.100 align:start
take it with

40:58.000 --> 41:02.600 align:start
with you for the rest of your life but a

41:00.100 --> 41:05.600 align:start
food desert according to the usda

41:02.600 --> 41:07.800 align:start
a food desert in urban areas is

41:05.600 --> 41:08.900 align:start
a neighborhood with low low access to

41:07.800 --> 41:10.600 align:start
fresh produce

41:08.900 --> 41:12.300 align:start
so you don't have a supermarket within

41:10.600 --> 41:13.000 align:start
walking distance in an urban area that's

41:12.300 --> 41:16.100 align:start
within

41:13.000 --> 41:19.000 align:start
one mile okay and in a rural area it's

41:16.100 --> 41:20.000 align:start
within 10 miles often times within food

41:19.000 --> 41:22.100 align:start
deserts you have low

41:20.000 --> 41:23.800 align:start
access to transportation so if you can't

41:22.100 --> 41:25.500 align:start
walk to the supermarket within one mile

41:23.800 --> 41:27.600 align:start
you're taking the bus

41:25.500 --> 41:29.400 align:start
it's very very difficult to retrieve

41:27.600 --> 41:32.500 align:start
fresh produce so

41:29.400 --> 41:36.100 align:start
one one idea one creative way

41:32.500 --> 41:37.500 align:start
to combat that is learning how to grow

41:36.100 --> 41:38.900 align:start
your own food in your backyard

41:37.500 --> 41:40.200 align:start
if you don't have to go to the store to

41:38.900 --> 41:41.400 align:start
get those collard greens if you can have

41:40.200 --> 41:42.300 align:start
them in your backyard and have a

41:41.400 --> 41:44.400 align:start
continuous

41:42.300 --> 41:45.700 align:start
flow throughout the fall then that's a

41:44.400 --> 41:47.800 align:start
blessing my dad

41:45.700 --> 41:49.600 align:start
had a farm a little mini guard in the

41:47.800 --> 41:51.000 align:start
backyard and we'd shoot basketball

41:49.600 --> 41:52.600 align:start
take those tomatoes rinse them off and

41:51.000 --> 41:54.600 align:start
eat them eat them like apples

41:52.600 --> 41:55.700 align:start
so i think we need to get back to that

41:54.600 --> 41:57.900 align:start
monica you you

41:55.700 --> 41:59.100 align:start
you are very resourceful and uh what i

41:57.900 --> 42:00.800 align:start
would just want you to mention some

41:59.100 --> 42:02.800 align:start
things about the wic program and what

42:00.800 --> 42:06.200 align:start
you have going on

42:02.800 --> 42:06.900 align:start
we partner and collaborate with a lot of

42:06.200 --> 42:10.400 align:start
the

42:06.900 --> 42:13.000 align:start
the panelists are here we work with

42:10.400 --> 42:14.700 align:start
the snap ed and the snap educators

42:13.000 --> 42:19.000 align:start
coming to the wic clinics

42:14.700 --> 42:22.200 align:start
and provide services and teach

42:19.000 --> 42:23.900 align:start
our wic participants from time to time

42:22.200 --> 42:25.400 align:start
across the state of louisiana we also

42:23.900 --> 42:27.800 align:start
work with bretta

42:25.400 --> 42:29.200 align:start
with the farmers markets where we and

42:27.800 --> 42:32.500 align:start
highly encourage

42:29.200 --> 42:34.500 align:start
our wic participants to

42:32.500 --> 42:35.800 align:start
come and participate and purchase fresh

42:34.500 --> 42:38.900 align:start
fruits and vegetables

42:35.800 --> 42:39.300 align:start
there's a matching program that we have

42:38.900 --> 42:41.700 align:start
with

42:39.300 --> 42:42.800 align:start
the market umbrella in the greater new

42:41.700 --> 42:46.200 align:start
orleans area

42:42.800 --> 42:47.500 align:start
and we're also expanded into alexandria

42:46.200 --> 42:50.700 align:start
lake charles

42:47.500 --> 42:54.100 align:start
as well as shreveport at this point with

42:50.700 --> 42:56.100 align:start
assisting our wick participants in

42:54.100 --> 42:57.200 align:start
securing and purchasing fresh fruits and

42:56.100 --> 43:01.400 align:start
vegetables

42:57.200 --> 43:05.600 align:start
in 2009 the usda approved

43:01.400 --> 43:07.800 align:start
the wic program to serve or provide

43:05.600 --> 43:09.000 align:start
whole grains so whole grains are added

43:07.800 --> 43:11.200 align:start
to the food package

43:09.000 --> 43:13.100 align:start
as well as the fresh choice of fruits

43:11.200 --> 43:16.600 align:start
and vegetables the state of louisiana

43:13.100 --> 43:19.000 align:start
opted to provide fresh only

43:16.600 --> 43:20.600 align:start
wow fruits and vegetables because we are

43:19.000 --> 43:23.900 align:start
agricultural state

43:20.600 --> 43:27.300 align:start
and we you know from the from infancy

43:23.900 --> 43:30.000 align:start
to adulthood with our childbearing age

43:27.300 --> 43:31.800 align:start
women we want them to have the

43:30.000 --> 43:34.600 align:start
opportunity to be able to

43:31.800 --> 43:36.400 align:start
purchase fresh and prepare fresh for

43:34.600 --> 43:38.800 align:start
their families to introduce

43:36.400 --> 43:40.000 align:start
to the children because like rudy said

43:38.800 --> 43:43.700 align:start
it starts

43:40.000 --> 43:46.600 align:start
very young with regard to introducing

43:43.700 --> 43:47.100 align:start
uh new food ideas and getting our

43:46.600 --> 43:50.200 align:start
children

43:47.100 --> 43:50.600 align:start
acclimated to healthy exercise as well

43:50.200 --> 43:53.300 align:start
as

43:50.600 --> 43:54.800 align:start
healthy eating right right we had a very

43:53.300 --> 43:55.100 align:start
interesting uh dialogue prior to the

43:54.800 --> 43:57.500 align:start
show

43:55.100 --> 43:58.300 align:start
and i just wanted david to to share a

43:57.500 --> 44:01.400 align:start
little bit of his

43:58.300 --> 44:02.900 align:start
his story uh it was pretty amazing and

44:01.400 --> 44:05.500 align:start
we're just glad that you're doing well

44:02.900 --> 44:07.000 align:start
that was a great journey um having my

44:05.500 --> 44:10.200 align:start
wife has stated

44:07.000 --> 44:11.800 align:start
at two years old i was diagnosed with

44:10.200 --> 44:15.100 align:start
type 1 diabetes which is

44:11.800 --> 44:15.600 align:start
juvenile juvenile right learned how to

44:15.100 --> 44:18.700 align:start
take

44:15.600 --> 44:20.200 align:start
my own insulin shots so

44:18.700 --> 44:21.900 align:start
supposed to learn how to eat like i was

44:20.200 --> 44:23.900 align:start
supposed to never did want to do that

44:21.900 --> 44:27.600 align:start
because going through the teenage years

44:23.900 --> 44:30.200 align:start
i rebelled family issues i didn't have

44:27.600 --> 44:32.000 align:start
my mom around my dad worked so i just

44:30.200 --> 44:36.200 align:start
did whatever it took to get by

44:32.000 --> 44:38.200 align:start
okay and 2013

44:36.200 --> 44:39.400 align:start
i got diagnosed with end-stage renal

44:38.200 --> 44:41.300 align:start
disease what so

44:39.400 --> 44:43.300 align:start
i had kidney failure how old were you

44:41.300 --> 44:47.700 align:start
then dude i was

44:43.300 --> 44:51.700 align:start
32 years old and it was in november

44:47.700 --> 44:53.300 align:start
of 2013 and one of the vascular surgeons

44:51.700 --> 44:54.900 align:start
she had performed what's called the av

44:53.300 --> 44:56.900 align:start
fistula so they can

44:54.900 --> 45:00.600 align:start
connect the major artery and a vein

44:56.900 --> 45:00.600 align:start
together to do dialysis in my arm

45:00.900 --> 45:07.600 align:start
when i started that high blood pressure

45:04.200 --> 45:07.600 align:start
um sleep apnea

45:08.200 --> 45:14.200 align:start
um and then i got told by the doctor

45:12.500 --> 45:16.200 align:start
you can you're not allowed you're not

45:14.200 --> 45:18.400 align:start
able to get a transplant unless we do a

45:16.200 --> 45:20.000 align:start
kidney and a pancreas because just a

45:18.400 --> 45:22.200 align:start
kidney my diabetes would tear

45:20.000 --> 45:23.400 align:start
my kidney up automatically but you had

45:22.200 --> 45:26.400 align:start
to lose weight and

45:23.400 --> 45:30.400 align:start
i was at 289 pounds and they said

45:26.400 --> 45:31.900 align:start
i need to be down to at least 170. wow

45:30.400 --> 45:34.200 align:start
i've tried different diets and the

45:31.900 --> 45:36.300 align:start
problem i had was being

45:34.200 --> 45:37.300 align:start
a diabetic on a diabetic diet i didn't

45:36.300 --> 45:39.400 align:start
necessarily need

45:37.300 --> 45:40.600 align:start
being on dialysis due to high phosphorus

45:39.400 --> 45:44.100 align:start
levels

45:40.600 --> 45:45.800 align:start
calcium different foods that i would eat

45:44.100 --> 45:47.800 align:start
would contradict to the other diet and

45:45.800 --> 45:49.400 align:start
that diet would contradict that one and

45:47.800 --> 45:52.200 align:start
i ended up getting sick more than i did

45:49.400 --> 45:55.300 align:start
losing weight and i've

45:52.200 --> 45:56.200 align:start
spoken with a doctor out of hammond

45:55.300 --> 45:59.800 align:start
louisiana

45:56.200 --> 46:02.300 align:start
who agreed to do a gastric sleeve

45:59.800 --> 46:04.200 align:start
he done the gastric sleeve kept extra

46:02.300 --> 46:06.000 align:start
watch on me called

46:04.200 --> 46:07.800 align:start
he personally called every month just to

46:06.000 --> 46:09.200 align:start
check on me see how i was going see how

46:07.800 --> 46:11.800 align:start
the healing was going

46:09.200 --> 46:13.400 align:start
the nutritionist worked with me on the

46:11.800 --> 46:14.700 align:start
shakes to see which would work good with

46:13.400 --> 46:18.300 align:start
me

46:14.700 --> 46:19.700 align:start
i ended up going from 289 pounds down to

46:18.300 --> 46:22.000 align:start
167 pounds

46:19.700 --> 46:22.800 align:start
awesome and i received a kidney pancreas

46:22.000 --> 46:26.100 align:start
transplant

46:22.800 --> 46:29.600 align:start
december of 2015. you look great david

46:26.100 --> 46:32.200 align:start
i feel great since then um

46:29.600 --> 46:32.700 align:start
the road recovery is hard but i find

46:32.200 --> 46:36.200 align:start
that

46:32.700 --> 46:37.800 align:start
eating right having to live for my

46:36.200 --> 46:39.400 align:start
sister to watch her graduate high school

46:37.800 --> 46:42.500 align:start
in college raising her

46:39.400 --> 46:44.600 align:start
motivation my wife yeah um

46:42.500 --> 46:46.100 align:start
i mean i have a service dog she keeps me

46:44.600 --> 46:46.600 align:start
yeah who's who you have with you there

46:46.100 --> 46:50.200 align:start
you go

46:46.600 --> 46:53.100 align:start
exercise this is pc right

46:50.200 --> 46:54.600 align:start
yeah right p-i-s-c-h-o-u-e-t-t dr

46:53.100 --> 46:56.600 align:start
bellinger how common

46:54.600 --> 46:57.900 align:start
is is this story how common is the

46:56.600 --> 46:58.700 align:start
scenario and how safe are these

46:57.900 --> 46:59.900 align:start
procedures

46:58.700 --> 47:01.300 align:start
and maybe even share some of the

46:59.900 --> 47:02.900 align:start
different type of procedures that you

47:01.300 --> 47:05.400 align:start
guys are doing for weight loss

47:02.900 --> 47:07.000 align:start
uh well for weight loss uh the surgical

47:05.400 --> 47:08.400 align:start
procedures we have are the gastric

47:07.000 --> 47:10.200 align:start
banding which is

47:08.400 --> 47:12.200 align:start
fallen out of favor okay so you won't

47:10.200 --> 47:14.100 align:start
see it as much but the main two are

47:12.200 --> 47:14.600 align:start
gastric bypass and the vertical sleeve

47:14.100 --> 47:17.400 align:start
okay

47:14.600 --> 47:18.500 align:start
uh in david's uh particular situation

47:17.400 --> 47:21.800 align:start
the gastric

47:18.500 --> 47:23.400 align:start
sleeve is probably the best because the

47:21.800 --> 47:25.700 align:start
medications that you're going to need

47:23.400 --> 47:27.300 align:start
for a transplant patient right

47:25.700 --> 47:29.800 align:start
have to be monitored very closely and

47:27.300 --> 47:31.500 align:start
have to be absorbed more reliably

47:29.800 --> 47:33.300 align:start
and the vertical sleeve is the the

47:31.500 --> 47:34.500 align:start
procedure of choice for that because it

47:33.300 --> 47:37.000 align:start
doesn't alter

47:34.500 --> 47:38.400 align:start
the absorption of medications wow so

47:37.000 --> 47:40.300 align:start
this is something that's commonplace

47:38.400 --> 47:41.000 align:start
this is not unusual his situation at all

47:40.300 --> 47:43.700 align:start
no it's not

47:41.000 --> 47:43.700 align:start
wow wow

47:44.400 --> 47:48.600 align:start
dr champagne yes from pennington a

47:47.000 --> 47:51.400 align:start
question um

47:48.600 --> 47:52.200 align:start
i said my main problem i tried to die

47:51.400 --> 47:54.000 align:start
renal diet

47:52.200 --> 47:55.500 align:start
diabetic diet doesn't necessarily go

47:54.000 --> 47:57.200 align:start
together

47:55.500 --> 47:59.200 align:start
has i'm not familiar with penton because

47:57.200 --> 48:01.200 align:start
i'm originally from texas

47:59.200 --> 48:03.800 align:start
do y'all have anything i guess

48:01.200 --> 48:04.500 align:start
researched and specific maybe in files i

48:03.800 --> 48:05.900 align:start
can look at

48:04.500 --> 48:08.900 align:start
or anybody going through my same

48:05.900 --> 48:11.100 align:start
situation can try before having to

48:08.900 --> 48:12.200 align:start
ultimately forego a gastric sleeve which

48:11.100 --> 48:15.400 align:start
is

48:12.200 --> 48:17.400 align:start
that would be a bonus well you know in

48:15.400 --> 48:20.400 align:start
terms of your particular

48:17.400 --> 48:21.600 align:start
situation i think that relying on a

48:20.400 --> 48:24.800 align:start
dietitian

48:21.600 --> 48:28.000 align:start
who can compare the two diets

48:24.800 --> 48:31.500 align:start
and that you need to be on

48:28.000 --> 48:32.400 align:start
like the diabetic diet versus a renal

48:31.500 --> 48:35.200 align:start
diet

48:32.400 --> 48:35.900 align:start
could give you a lot of advice in terms

48:35.200 --> 48:38.100 align:start
of

48:35.900 --> 48:39.900 align:start
you know what foods would be best for

48:38.100 --> 48:43.100 align:start
you to consume versus which ones

48:39.900 --> 48:46.000 align:start
perhaps to avoid but

48:43.100 --> 48:47.500 align:start
we um it's too bad that we don't have

48:46.000 --> 48:50.700 align:start
the resources for

48:47.500 --> 48:53.200 align:start
to cure everyone's you know

48:50.700 --> 48:56.500 align:start
needs because you know a lot of people

48:53.200 --> 48:59.500 align:start
who are just a little bit overweight

48:56.500 --> 49:01.700 align:start
are wanting to make changes and come to

48:59.500 --> 49:03.100 align:start
see us but

49:01.700 --> 49:05.400 align:start
sometimes they don't qualify because

49:03.100 --> 49:07.800 align:start
they're not fat enough

49:05.400 --> 49:09.200 align:start
which is you know and i i really think

49:07.800 --> 49:11.400 align:start
that's sort of

49:09.200 --> 49:13.200 align:start
difficult because you know sometimes

49:11.400 --> 49:14.900 align:start
people are a little bit overweight and

49:13.200 --> 49:15.800 align:start
they just want to lose a little bit of

49:14.900 --> 49:18.500 align:start
weight

49:15.800 --> 49:20.100 align:start
to make a difference and get to a point

49:18.500 --> 49:22.600 align:start
where they don't ever have to worry

49:20.100 --> 49:25.300 align:start
about becoming obese

49:22.600 --> 49:26.500 align:start
are there any ongoing studies doctors

49:25.300 --> 49:28.300 align:start
you could reference us to

49:26.500 --> 49:30.500 align:start
well we have done some studies with

49:28.300 --> 49:31.900 align:start
weight on weight watchers and the new

49:30.500 --> 49:35.400 align:start
weight watchers program

49:31.900 --> 49:38.600 align:start
is changing as a result of a

49:35.400 --> 49:41.000 align:start
study that was joined between pennington

49:38.600 --> 49:42.400 align:start
and several other four or five other

49:41.000 --> 49:45.800 align:start
centers throughout the state

49:42.400 --> 49:47.800 align:start
so you know pennington is

49:45.800 --> 49:50.600 align:start
you know trying to be on the forefront

49:47.800 --> 49:52.400 align:start
of helping to decide what might be best

49:50.600 --> 49:56.700 align:start
for people in terms of

49:52.400 --> 50:00.100 align:start
a a diet we actually did a bariatric

49:56.700 --> 50:01.400 align:start
study called heads up dr bellinger here

50:00.100 --> 50:04.800 align:start
was one of our

50:01.400 --> 50:07.900 align:start
weight loss surgeons

50:04.800 --> 50:08.600 align:start
and it was it was really a terrific

50:07.900 --> 50:10.600 align:start
study and

50:08.600 --> 50:12.700 align:start
i wish it could have gone on for more

50:10.600 --> 50:14.300 align:start
years but we are able to follow some of

50:12.700 --> 50:17.400 align:start
the people

50:14.300 --> 50:18.400 align:start
up to five years and are looking for

50:17.400 --> 50:21.600 align:start
funding

50:18.400 --> 50:23.100 align:start
to actually try to continue following

50:21.600 --> 50:25.400 align:start
those people who had

50:23.100 --> 50:26.300 align:start
bariatric surgery yes we're kind of

50:25.400 --> 50:28.000 align:start
we're coming close

50:26.300 --> 50:29.400 align:start
uh we're going to ask you one real quick

50:28.000 --> 50:30.100 align:start
and i want some closing thoughts from

50:29.400 --> 50:32.500 align:start
each of you

50:30.100 --> 50:34.300 align:start
an obese child makes an obese adult how

50:32.500 --> 50:35.500 align:start
true is that statement and how important

50:34.300 --> 50:37.900 align:start
is exercise

50:35.500 --> 50:38.600 align:start
uh in our young people well the thing is

50:37.900 --> 50:41.000 align:start
uh

50:38.600 --> 50:42.200 align:start
parents have to be really cognizant of

50:41.000 --> 50:44.800 align:start
the fact that

50:42.200 --> 50:46.400 align:start
there's a time when you have to say no

50:44.800 --> 50:49.300 align:start
no to certain foods and

50:46.400 --> 50:50.600 align:start
and sugary uh candy and things like that

50:49.300 --> 50:53.700 align:start
uh

50:50.600 --> 50:54.000 align:start
springtime that's true but the biggest

50:53.700 --> 50:56.100 align:start
problem

50:54.000 --> 50:57.200 align:start
with childhood obesity to me not only

50:56.100 --> 50:59.700 align:start
you have to have

50:57.200 --> 51:00.700 align:start
a good physical education in schools but

50:59.700 --> 51:03.000 align:start
after school

51:00.700 --> 51:03.900 align:start
i've always noticed that there are kids

51:03.000 --> 51:06.200 align:start
who

51:03.900 --> 51:08.200 align:start
uh travel basketball teams or football

51:06.200 --> 51:10.600 align:start
teams the kids that don't make it

51:08.200 --> 51:12.000 align:start
the kids don't are not the best athletes

51:10.600 --> 51:15.400 align:start
what happens to them

51:12.000 --> 51:17.300 align:start
okay we have so many specialized sports

51:15.400 --> 51:20.000 align:start
uh sports are very expensive you know

51:17.300 --> 51:22.200 align:start
like soccer costs hundreds of dollars

51:20.000 --> 51:23.400 align:start
baseball costs hundreds of dollars and

51:22.200 --> 51:25.400 align:start
in low-income

51:23.400 --> 51:26.600 align:start
communities those kids can't afford to

51:25.400 --> 51:27.800 align:start
play those sports

51:26.600 --> 51:29.600 align:start
and so what we do with the governor's

51:27.800 --> 51:30.500 align:start
council fitness we go in and create

51:29.600 --> 51:31.900 align:start
sports

51:30.500 --> 51:34.000 align:start
and tournaments in those areas where

51:31.900 --> 51:35.600 align:start
they can't afford it because if not

51:34.000 --> 51:37.200 align:start
then it's going to wander the streets

51:35.600 --> 51:38.200 align:start
and have nothing to do and eat all the

51:37.200 --> 51:40.000 align:start
wrong things

51:38.200 --> 51:41.900 align:start
so we have to make sure that though to

51:40.000 --> 51:43.000 align:start
keep our kids busy and to find those

51:41.900 --> 51:44.400 align:start
programs

51:43.000 --> 51:46.200 align:start
that will allow their kids to have

51:44.400 --> 51:47.000 align:start
something to do after school and in the

51:46.200 --> 51:48.800 align:start
summertime

51:47.000 --> 51:50.500 align:start
which is really when they're vulnerable

51:48.800 --> 51:52.200 align:start
but we have a lot of programs

51:50.500 --> 51:54.200 align:start
with the governor's council on fitness

51:52.200 --> 51:56.200 align:start
with our elementary fitness competition

51:54.200 --> 51:57.800 align:start
and the governor's game where we address

51:56.200 --> 51:58.800 align:start
all those things at the same time

51:57.800 --> 52:00.600 align:start
well i'll tell you guys i worked with

51:58.800 --> 52:02.300 align:start
rudy for over seven years and he's done

52:00.600 --> 52:05.100 align:start
some great work and made some changes

52:02.300 --> 52:05.700 align:start
and he's very old um i would like to

52:05.100 --> 52:08.200 align:start
close

52:05.700 --> 52:09.200 align:start
uh missel with any closing words for our

52:08.200 --> 52:11.300 align:start
panelists and

52:09.200 --> 52:13.000 align:start
and the group today the audience i i

52:11.300 --> 52:16.400 align:start
would like to leave everyone with

52:13.000 --> 52:17.000 align:start
um just a simple sentence and that is if

52:16.400 --> 52:21.000 align:start
a kid

52:17.000 --> 52:24.000 align:start
grows kale a kid will eat kale okay

52:21.000 --> 52:24.700 align:start
mr mackle well i would just like to say

52:24.000 --> 52:27.900 align:start
let's

52:24.700 --> 52:30.400 align:start
try to when you start any type of

52:27.900 --> 52:31.700 align:start
new diet or exercise program do not do

52:30.400 --> 52:33.400 align:start
it by yourself

52:31.700 --> 52:35.300 align:start
always have a partner because our

52:33.400 --> 52:36.200 align:start
partners the more partners you have

52:35.300 --> 52:38.200 align:start
because there's going to be some days

52:36.200 --> 52:39.400 align:start
we're not going to be feel like working

52:38.200 --> 52:40.900 align:start
out or eating right

52:39.400 --> 52:42.600 align:start
sometimes we fall off the wagon but when

52:40.900 --> 52:44.700 align:start
you have partners like these two

52:42.600 --> 52:46.500 align:start
that are working together your diet and

52:44.700 --> 52:47.100 align:start
your exercise are going to last a long

52:46.500 --> 52:50.000 align:start
time

52:47.100 --> 52:51.600 align:start
without champagne to add to that social

52:50.000 --> 52:54.200 align:start
support is very important

52:51.600 --> 52:56.900 align:start
in all of our weight loss studies and we

52:54.200 --> 53:00.200 align:start
are doing some work with child nutrition

52:56.900 --> 53:03.700 align:start
in the state but i want to

53:00.200 --> 53:06.700 align:start
stress that a child is at school

53:03.700 --> 53:10.600 align:start
for a short part of the day so the

53:06.700 --> 53:14.200 align:start
example set by the parents is key to

53:10.600 --> 53:16.100 align:start
good child nutrition habits and we have

53:14.200 --> 53:16.600 align:start
at pennington we have at the farmer's

53:16.100 --> 53:19.300 align:start
market

53:16.600 --> 53:19.700 align:start
on thursday awesome very good eight to

53:19.300 --> 53:21.800 align:start
twelve

53:19.700 --> 53:23.200 align:start
eight to 12. all right all right dr

53:21.800 --> 53:25.000 align:start
bellinger um

53:23.200 --> 53:27.000 align:start
i would say that when you have a big

53:25.000 --> 53:28.800 align:start
goal of losing weight

53:27.000 --> 53:30.300 align:start
it's best to achieve it by setting

53:28.800 --> 53:32.100 align:start
multiple small goals

53:30.300 --> 53:33.400 align:start
so that you can achieve those goals much

53:32.100 --> 53:35.800 align:start
more easily in your

53:33.400 --> 53:37.300 align:start
ultimate goal of losing a lot of weight

53:35.800 --> 53:39.400 align:start
you recommend journaling

53:37.300 --> 53:40.900 align:start
yes definitely definitely keeping track

53:39.400 --> 53:42.200 align:start
and dr whitfield gave you his five

53:40.900 --> 53:42.900 align:start
points to healthy living know your

53:42.200 --> 53:44.600 align:start
doctor

53:42.900 --> 53:47.300 align:start
know your numbers know your family

53:44.600 --> 53:48.700 align:start
history eat healthy and exercise and we

53:47.300 --> 53:49.500 align:start
try to emphasize that to our patients

53:48.700 --> 53:51.000 align:start
but more importantly

53:49.500 --> 53:52.700 align:start
you got to go to the doctor we can't

53:51.000 --> 53:53.900 align:start
make we can't diagnose the problem if

53:52.700 --> 53:55.700 align:start
you don't see the doctor

53:53.900 --> 53:56.700 align:start
many patients come in with diabetes and

53:55.700 --> 53:58.300 align:start
high blood pressure and haven't been

53:56.700 --> 53:59.300 align:start
seen for years after katrina we would

53:58.300 --> 54:00.800 align:start
see folks

53:59.300 --> 54:02.600 align:start
five and six years going without their

54:00.800 --> 54:03.800 align:start
medications and it's very scary when

54:02.600 --> 54:05.400 align:start
someone walks in

54:03.800 --> 54:07.200 align:start
david you've had to deal with that and

54:05.400 --> 54:09.200 align:start
you see what can happen when things go

54:07.200 --> 54:11.100 align:start
untreated for long periods of time

54:09.200 --> 54:12.800 align:start
i just want to thank the panelists and

54:11.100 --> 54:13.900 align:start
the audience you guys were awesome this

54:12.800 --> 54:15.400 align:start
was a great

54:13.900 --> 54:17.500 align:start
session hopefully we can do something

54:15.400 --> 54:19.400 align:start
like this again and keep everyone

54:17.500 --> 54:21.600 align:start
motivated to eat healthy this year

54:19.400 --> 54:22.700 align:start
we run out of time for our questions and

54:21.600 --> 54:23.800 align:start
answer segment

54:22.700 --> 54:26.300 align:start
we'd like to again to thank our

54:23.800 --> 54:27.900 align:start
panelists dr bellinger dr champaign mr

54:26.300 --> 54:29.800 align:start
macklin and miss l wood for their

54:27.900 --> 54:31.400 align:start
insight on this month's topic

54:29.800 --> 54:39.800 align:start
when we come back we'll have a few

54:31.400 --> 54:39.800 align:start
closing moments

54:41.000 --> 54:44.100 align:start
[Music]

54:44.300 --> 54:48.300 align:start
well i'm inspired i'm going to go out

54:45.900 --> 54:49.800 align:start
and try and eat a healthier diet

54:48.300 --> 54:51.100 align:start
okay i can't i don't promise that i'm

54:49.800 --> 54:51.400 align:start
going to cook more oh no you got to do

54:51.100 --> 54:53.100 align:start
it

54:51.400 --> 54:54.700 align:start
you got to cook my husband's a good cook

54:53.100 --> 54:55.200 align:start
okay well we'll take that just low cat

54:54.700 --> 54:57.400 align:start
low low

54:55.200 --> 54:59.400 align:start
low calorie low fat low calorie low fat

54:57.400 --> 55:01.800 align:start
but you know it is hard in louisiana

54:59.400 --> 55:03.400 align:start
because we have such tasty food and as

55:01.800 --> 55:04.200 align:start
you said you know all of our social

55:03.400 --> 55:07.300 align:start
activities

55:04.200 --> 55:09.300 align:start
from tailgating to holidays around that

55:07.300 --> 55:10.600 align:start
parties bar mitzvahs whatever whatever

55:09.300 --> 55:12.200 align:start
we're eating whatever we're eating

55:10.600 --> 55:13.900 align:start
and so consequently we really have to

55:12.200 --> 55:14.700 align:start
just keep that in mind i think portion

55:13.900 --> 55:16.000 align:start
control

55:14.700 --> 55:17.700 align:start
is perhaps one of the biggest things

55:16.000 --> 55:19.400 align:start
we've been talking about as well don't

55:17.700 --> 55:20.900 align:start
want to deprive anyone of healthy or

55:19.400 --> 55:22.800 align:start
good eating but we got to limit those

55:20.900 --> 55:25.400 align:start
things and and make healthier choices

55:22.800 --> 55:26.500 align:start
well fresh is best go to those fresh

55:25.400 --> 55:29.100 align:start
markets on the weekend

55:26.500 --> 55:30.200 align:start
i buy them i don't necessarily cook it

55:29.100 --> 55:31.800 align:start
that's my problem

55:30.200 --> 55:33.400 align:start
although well that's all the time we

55:31.800 --> 55:34.400 align:start
have for this edition of louisiana

55:33.400 --> 55:36.800 align:start
public square

55:34.400 --> 55:38.400 align:start
we encourage you to visit our website at

55:36.800 --> 55:40.900 align:start
lpb.org

55:38.400 --> 55:42.100 align:start
public square while you're there comment

55:40.900 --> 55:44.200 align:start
on tonight's show and

55:42.100 --> 55:45.700 align:start
we would love to hear from all of you

55:44.200 --> 55:47.400 align:start
thank you for joining us this evening

55:45.700 --> 55:48.400 align:start
and thanks for being our guest host it

55:47.400 --> 56:03.800 align:start
was great awesome

55:48.400 --> 56:03.800 align:start
good night everyone good night

56:04.100 --> 56:14.800 align:start
[Music]

56:13.600 --> 56:18.300 align:start
[Applause]

56:14.800 --> 56:18.300 align:start
[Music]

56:21.300 --> 56:25.000 align:start
for a copy of this program call

56:25.700 --> 56:31.800 align:start
1-800-973-7246 or go

56:27.400 --> 56:31.800 align:start
online to www.lp

56:34.600 --> 56:38.000 align:start
support for this program is provided by

56:36.600 --> 56:40.900 align:start
the foundation for excellence in

56:38.000 --> 56:45.800 align:start
louisiana public broadcasting

56:40.900 --> 56:45.800 align:start
and from viewers like you

56:47.100 --> 56:50.200 align:start
[Music]