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joining us is doctor andrew gonzales he's a health services research fellow
at the university of michigan and also a resident physician in general surgery at
the university of illinois hospital and health sciences system
all of his answers today or his personal opinions and remember
these are not meant to be individual
medical advice certainly talk to a professional in your area these are just
his general ideas
so that that is dollars we sourced a bunch of questions from the audience we
picked three that will look at today
the first one is from leonard and he says i'm curious if uh... doctor
gonzales can share
long-term adverse reactions resulting from the use of the drug chantix which
of course is a drug that uh... is is uh... uh men to help people
quick smoking i'm more familiar with kind of the short term while you're
taking it
uh... types types of side effects so so maybe talk about those first and then if
you give any or known the long-term effects
absolutely so i'll as you mentioned the short-term side effects i think that
there were more important
the alamo significant of which
is that i can cause a new changes that are suicidal ideation
uh... additionally most common side effects are by far because you know what
sean was reported to be and thirty percent of
patients
overwrite his questions farce long-term side effects the important thing to
consider here is that our chantix is not a medication that's meant to be taken in
the long term the goal is to get you to stop smoking so it's not when a case
you're going to be on for years you it's so measured on the order weeks and
months
and it does seem like it is very effective right i mean even though there
are a lot of like he said important short-term side effects that if people
can make it through the course
it does seem to be very effective in getting people to stop smoking
absolutely and i cannot stress the
uh... smoking cessation issue
uh... i've looked at a couple of
when i suppose browser publishing g_m_ off about by ten years ago and it's
never really more
uh... efficacious dental siegel as well as they're not the best medication
before which is to appropriate
so the adverse side effects that you're less than eight d concerned about are
the potential for cardiovascular side-effects
in some groups of patients state
noted an increase in our major adverse cardiovascular on side effects
over the issue with this is that one week while increased our relative risk
meaning that people who were on rolls placebo had double b
all-race the absolute restless fell less than one percent who'd and as far as
decreasing potential for adverse cardiac events
its own
the best thing to do is stop smoking because smoking exponentially increases
all actors from that at yes so so most of these issues that derek carr who
seemed to be symptomatic and and but uh... in other words they're not it
doesn't appear at least from what you're saying
that they're known long-term negative health effects of of taking a course of
chantix
absolutely and
by the national board of this is probably because chances are meant to be
a long term meditation rights soap most operable newborn mike recycled occasions
off
and then arm
opposes friday twenty cents on antibiotics
are ready to stop smoking so chantix is mainly for people who are ready to make
that life decision
all right let's take a listen to a voicemail question that we got regarding
obama had obama care and veterans benefits take a listen to this
high-handed uh... airing from seattle act
in character in christ
actually a veteran and he actually covers all of my health care costs
what did that mean
pretty up on the care
uh... am i going to have to actually like
on up
i'm not actually receiving health care actually have picked up get health care
that i'd don't
financially
we're ready to do
so this is a really interesting question because
veterans benefits are a big thing i've talked about on the show how i don't
believe that iran's are getting the best care that we can provide and that they
deserve along with every other american
so what is going to be the repercussion here
so uh... first i'd like to thank the caller for their service to our nation i
really appreciate it
a lot of people who are in a similar age cohorts gennady things like go to
medical school instead
of secondly so that's the issue specifically
as far as the veterans benefits under the formal chairat
if we're ok doesn't change a veterans' benefits at all
so
so whatever you have a or you're not required to go out and get additional
for insurance
equal care act rule
largely twenty people who did not have insurance into the polls as well as
mandates what's minimal quirements assurance companies musasa plots if you
were already covered under the a benefits that's not going to change your
benefits at all it seems like a broadly speaking
no matter what type of insurance you already have if you already have some
kind of insurance whether it is through the v_a_ or birth in massachusetts
massachusetts already has certain plans
or private insurer whatever the case may be
you are necessarily going to change much of your coverage based on obon a care of
uh... uh... uh... provisions
becoming an active
absolutely so there are some programs under about your which date
change the delivery of health care for instance as we talk about or others gave
her performance programs are the combo care organization initiatives so that is
more based on
your insurance company
and your hospitals want to align themselves qualities
but as far as forcing you see a doctor or getting a new procedures
bom bom bom again is not really done any in that respect
and the third question is from sonya she says my sister gets fake nails done
about once a week at a salon
he's been doing it for twenty or more years she's had several medical
conditions and i told her to stop the manicure see if some of them get better
some of her ailments have been harrell lost dizziness heart palpitations
and uterine cancer she's been cancer-free for about seven years
i know there are many medicines that are given through the skin in patches and
uh... the concern here is the products used in manicures and really be gets a
lot of the beauty products what do we know about their effect on long-term
health i mean a manicure a month for twenty years or manicure a week for
twenty years it's certainly a lot if there is something in those camp in the
product
yes uh...
i hate to have to have confessed that as a uh... general surgeon this is not a
issue arguable i thank you
old the dermatologist media what this more but i dont
in terms of addressing the idea uh... duty here and that interacts with health
care right out of state unfortunately uh...
welfare falcon is not
done a lot of it
instigation these products under the uh... dermatology organization has issue
date
uh... time cautionary warning about this
but as far as i evidence based medicine can u pulp better find an article
journal looking at the impact of managers on top long-term health
outcomes i would say no
uh... regarding your sisters out conditions that out there is still in
such as
hired would say that all of your in cancer has not been linked to anyhow
charity care products i know uncertain about managers
i appreciate your concern for your loved one but i would say that getting
managers problem we are not impact
every sentence that you described
were concerned for the medicare sizable what good ones aside apparently too hard
and that me analytically on
they uh... using u_v_ light
and u_v_ radiation is the same it's intending bhasin
carries the rest of our politician is in stress busting cancer
however uh... that is substantially less well regulated so really i don't know
why how much like he's being a fireworks radiation doses how long
the best thing to do with these two just not do it because i'm not sure what
jogger such as in but i would imagine that managers are not meant to it
all right so there is sonya actually questions three broad-ranging questions
here
we've been speaking with doctor andrew gonzales he the health services research
fellow at the university of michigan
anna resident physician in general surgery at the university of illinois
hospital and health sciences system
a great to talk to you thanks for answering these questions and i'm sure
contributing at play more that's for sure
brigitte burdine questions