| 00:00:03 |
Unidentified Speaker, -
USE TOO MANY ANTIBIOTICS? >> UNFORTUNATELY THE ANSWER
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| 00:00:06 |
Slen, Peter - Host
TO THAT IS YES. THERE CERTAINLY IS A LOT OF APPROPRIATE USE OF ANTIBIOTICS BUT VERY OFTEN A PATIENT WILL COME IN TO A DOCTOR'S OFFICE REALLY WITH...
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| 00:00:26 |
Fauci, Anthony S. M.D. - Director
BE PUT ON ANTIBIOTICS. THAT IS WHAT IS REFERRED TO AS INAPPROPRIATE USE OF ANTIBIOTICS. THAT ONE THAT LEADS TO THE BACTERIA ULTIMATELY DEVELOPING...
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| 00:01:17 |
Slen, Peter - Host
INTO A PHARMACY AND ASK FOR AN ANTIBIOTIC AND GET IT WITHOUT THE PRESCRIPTION OF A PHYSICIAN, WHICH JUST NATURALLY LEADS TO INAPPROPRIATE USE BECAUSE...
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| 00:01:29 |
Fauci, Anthony S. M.D. - Director
FEELING BADLY AND IT MAY HAVE NOTHING TO DO WITH AN INFECTION. THAT IS A BIG PROBLEM. HOST: IN THE LAST YEAR OR SO THIS HAS BECOME A VERY POPULAR PRODUCT,...
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| 00:01:57 |
Slen, Peter - Host
POTENTIALLY. SOME OF THE HAND SANITIZERS, THE PURE ALCOHOL ONES IS NOT A PROBLEM BECAUSE THAT IS DIRECTLY TOXIC TO THE BACTERIA. SO, WHEN YOU HEARD...
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| 00:02:17 |
Fauci, Anthony S. M.D. - Director
ABOUT AN ANTI ANTIMICROBIAL SUBSTANCE IN A HAND SANITIZER THAT POTENTIALLY COULD LEAD TO THE DEVELOPMENT OF RESISTANCE OF MICROBES PARTICULARLY THOSE...
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| 00:03:00 |
Slen, Peter - Host
THEM. HOST: YOU CAN ALSO SEND US A TWEET OR E-MAIL. THERE WAS A HEARING THIS WEEK ON CAPITOL HILL ON ANTIBIOTIC USE IN ANIMALS, IN MEAT PRODUCTS. WHAT...
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| 00:03:22 |
Slen, Peter - Host
IF THE LIVESTOCK ARE SICK WITH AN INFECTION IT IS VERY APPROPRIATE TO GIVE THAT HERD OR INDIVIDUAL ANIMAL AN ANTIBIOTIC. AND SOMETIMES WHEN THERE...
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| 00:03:36 |
Fauci, Anthony S. M.D. - Director
LACKS CYST MEANING GOSH PROPHYLAXIS. THOSE ARE WELL-DEFINED. BUT WHAT IS A PRACTICE THAT GOES ON WIDELY IS TO PUT ANTIBIOTICS IN THE FEED OF ANIMALS...
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| 00:05:08 |
Slen, Peter - Host
USING ANTIBIOTICS APPROPRIATELY FOR ANIMALS THAT ARE SICK BUT GRADUALLY PHASING IT OUT OF JUST PUTTING IT INTO THE FEED NORMALLY FOR GROWTH ENHANCING....
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| 00:06:10 |
Slen, Peter - Host
PRACTICE BECAUSE EVEN THOUGH THEY MAY NOT HAVE DEFINITIVE
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| 00:06:14 |
Fauci, Anthony S. M.D. - Director
DATA TO SHOW THE LINK, THE SCENARIO OF GIVING ANTIBIOTICS WHEN THE ANIMAL IS NOT REALLY SICK IS A SET-UP POTENTIALLY FOR THAT. HOST: HOW MANY --...
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| 00:06:45 |
Slen, Peter - Host
THE PROTOTYPE ANTIBIOTIC ASPEN SILLENEN -- AS AS PENICILLIN BUT THERE ARE OTHERS THAT ARE WIDELY USED. THAT STORY IS A VERY INTERESTING STORY.
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| 00:06:57 |
Fauci, Anthony S. M.D. - Director
WHEN PENICILLIN WAS FIRST INTRODUCED WIDELY IN THE 1940'S AND 1950'S VIRTUALLY ALL THE MICROBES THAT WE USED IT FOR, ALL THE COMMON INFECTIONS, WERE...
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| 00:08:08 |
Slen, Peter - Host
THAT USE HIGH POWERED DRUGS. SECONDLY, PRIMARY CARE DOCTORS WHO HAVE YET -- FAMILY
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| 00:08:19 |
CALLER, -
PRACTICE PEOPLE ARE TAUGHT TO USE HIGH-POWERED DRUGS ON SIMPLE DRUGS AND NOW I CAN'T TREAT GONORRHEA WITH CYPRO AND OTHERS ARE GOING AWAY BECAUSE...
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| 00:09:11 |
Slen, Peter - Host
KNOCK VIRTUALLY ANY MICROBE OUT, IF YOU USE YOUR HEAVY WEAPONS AGAINST THINGS THAT
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| 00:09:16 |
Fauci, Anthony S. M.D. - Director
DON'T NEED HAPPY WEAPONS, AT THE END OF A PERIOD OF TIME THOSE HEAVY WEAPONS WILL NOT BE AS EFFECTIVE AGAINST THE MICROBES THAT YOU NEED THEM FOR. ...
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| 00:10:07 |
Slen, Peter - Host
CARRY THESE ORGANISMS BECAUSE THEY
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| 00:10:12 |
CALLER, -
ARE EXPOSED? GUEST: I'M NOT SURE THAT IS THE REASON WHY THEY MAY NOT. IT VARIESES FROM HOSPITAL TO HOSPITAL. SOME ARE TESTED PARTICULARLY WHEN THERE...
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| 00:10:35 |
Fauci, Anthony S. M.D. - Director
THE POST PROBLEMATIC AREAS IN THE SENSE THAT WE HAVE SEEN OUTBREAKS OF RESISTANT MICROBES IN THOSE PARTICULAR FACILITIES. THERE'S BEEN A HISTORY THE...
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| 00:11:50 |
Slen, Peter - Host
GUEST: WHEN YOU SAY ADVANTAGE, THAT MEANS WHEN YOU NEED IT, IT WILL WORK ON YOU. IS THAT WHAT YOU ARE
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| 00:11:56 |
CALLER, -
SAYING? WHAT DO YOU MEAN BY ADVANTAGE? CALLER: IS THERE ANY ADVANTAGE TO DOING EVERYTHING THAT YOU ARE SAYING AS A HEALTH CARE WORKER AND NOT TO...
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| 00:12:11 |
Fauci, Anthony S. M.D. - Director
IS, THERE ANY ADVANTAGE TO THEM AS FAR AS THE DISEASES DISEASES? GUEST: LET ME ANSWER THE QUESTION QUICKLY AND IN TWO
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| 00:12:20 |
CALLER, -
PARTS. IF YOU ARE A PERSON WHO HAS NOT INAPPROPRIATELY USED ANTIBIOTICS, THE CHANCES OF YOUR EVOLVING WITHIN YOURSELF A RESISTANT MICROBE TO COMMON...
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| 00:12:37 |
Fauci, Anthony S. M.D. - Director
YOU CAN DO BY NOT DEMANDING OF YOUR PHYSICIAN TO PUT YOU ON AN ANTIBIOTIC WHEN YOU REALLY DON'T NEED ONE. THAT IS ONE THING. THE OTHER THING IS THAT...
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| 00:13:47 |
CALLER, -
GONE RAOEORRHEA THEY WOULD PUT A WHOLE BIG BOTTLE OF PENICILLIN TABLETS ON THE QUARTER DECK. THE WAY IT WAS POSED TO WORK WAS IF YOU HAD CONTACT ON...
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| 00:14:57 |
Fauci, Anthony S. M.D. - Director
INVOLVED THERE WAS SUCH A HIGH DEGREE OF GONORRHEA THAT IT WAS ALMOST A FACTORY TYPE OF GIVING PENICILLIN TO INDIVIDUALS. IF YOU GET INFECTED YOU...
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| 00:15:44 |
Slen, Peter - Host
HEARING THAT WAS DIRECTED EXACTLY AT YOUR QUESTION, NAMELY WHAT ABOUT THE PIPELINE OF ANTIBIOTICS THAT WE HAVE
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| 00:15:52 |
Fauci, Anthony S. M.D. - Director
TO MEET THIS CHALLENGE OF ANTIMICROBIAL RESISTANCE EVOLUTION. WE STILL HAVE VERY GOD BOOTS BUT -- VERY GOOD ANTIBIOTICS BUT WE ARE RUNNING OUT OF SOME...
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| 00:19:36 |
Fauci, Anthony S. M.D. - Director
TAKING THIS CALL. I HAVE BEEN PRACTICING CHINESE MEDICINE FOR 0 YEARS NOW AND -- 30 YEARS NOW AND ONE OF THE FIRST THINGS WE LEARNED WAS THAT IF THERE...
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| 00:19:49 |
Slen, Peter - Host
A COLD AND THE NEXT DAY TWO OF THE OTHERS HAVE THE COLD, IN WESTERN% MEDICINE
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| 00:19:56 |
CALLER, -
WE WOULD TRY TO FIND OUT WHAT THE GERM WAS TO TRY TO ATTACK THE GERM. IN EASTERN MEDICINE WE WOULD SAY HOW COME THAT OTHER GUY DIDN'T GET THE COLD....
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| 00:20:45 |
Fauci, Anthony S. M.D. - Director
BODY'S IMMUNE SYSTEM. THE ONLY PROBLEM IS THERE ARE CERTAIN SCENARIOS IN WHICH AN INFECTION THAT YOU GET EXPOSED TO YOU ARE STILL GOING TO GET INFECTED....
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| 00:22:03 |
Slen, Peter - Host
IT COULD BE ALLERGY TO A VARIETY OF SUBSTANCES. IT COULD BE DRUG ALLERGY. IF YOU HAVE A FAMILY HISTORY, THE
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| 00:22:10 |
Fauci, Anthony S. M.D. - Director
CHANCES OF YOUR BEING ALLERGIC IS GREATER THAN SOMEONE WHO DOESN'T HAVE A FAMILY HISTORY. BUT IT IS NOT AN ALL OR NONE PHENOMENON. THERE ARE SOME THAT...
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| 00:23:04 |
Slen, Peter - Host
AFTER A PERIOD OF TIME IN A POPULATION THERE WILL BE MORE ALLERGIC RESPONSES TO IT IT. WHETHER THAT IS JUST THE FACT THERE ARE PEOPLE WHO
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| 00:23:15 |
Fauci, Anthony S. M.D. - Director
INHERENTLY WILL BE ALLERGIC AND THE SUPPORT YOU TREAT YOU WILL NOTICE MORE WHO ARE ALLERGIC, BUT THERE IS NO REAL EVIDENCE IF YOU GIVE A LOT OF ANTIBIOTICS...
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| 00:23:56 |
CALLER, -
MILLIONS OF GALLONS OF THEIR WASTE FERTILIZER AND STUFF ALL OVER THE LOCAL FARM FIELDS HERE. AND THIS BACTERIA -- NOT BACTERIA -- THE ANTIBIOTICS THAT...
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| 00:24:56 |
Fauci, Anthony S. M.D. - Director
IT NECESSARILY MEANS A DIRECT THREAT TO THE FISH IN YOUR POND BECAUSE IT IS GOING TO DEPEND ON THE CONCENTRATION. AND EVEN IF THERE IS ANTIBIOTICS...
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| 00:25:46 |
Slen, Peter - Host
THAT ALLOWS THE ANIMAL TO GREATLY ABSORB MORE
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| 00:25:51 |
Fauci, Anthony S. M.D. - Director
EFFICIENTLY NUTRIENTS THAT MAKES IT BIGGER, STRONGER AND BULKIER WITH MORE MUSCLE. THAT IS WHAT THEY MEAN. IT IS NOT JUST GROWTH HORMONE, IT LIKELY...
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| 00:26:28 |
Slen, Peter - Host
ISLAND. CALLER: THERE IS NO
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| 00:26:33 |
Fauci, Anthony S. M.D. - Director
DISRESPECT FROM YOU BUT THE PROBLEM AND THIS SIS SIMILAR TO [INAUDIBLE].
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| 00:26:45 |
Slen, Peter - Host
WHEN YOU ARE IN FRONT OF CONGRESS AND YOU TALK TO THESE PEOPLE, GIVE TELL MEDICAL ANSWERS. THIS IS WRONG, THIS IS
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| 00:26:54 |
CALLER, -
RIGHT. DON'T GIVE POLITICAL ANSWERS BECAUSE IT HAS A TENDENCY TO LET YOU AGREE WITH THEM. SO STAY AWAY FROM THE POLITICS OF MEDICINE AND GAVE TELL ...
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| 00:27:28 |
Slen, Peter - Host
FRONT OF CONGRESS. GUEST: SO, LET ME FOR THE RECORD I HAVE BEEN TESTIFYING BEFORE CONGGESS FOR ABOUT 26
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| 00:27:35 |
CALLER, -
OR 27 YEARS AND I HAVE NEVER, EVER GIVEN A POLITICAL LYLY CORRECTED ANSWER. THEY RELY ON ME AND TRUST ME BECAUSE I GIVE A COMPLETELY SCIENTIFICALLY...
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| 00:27:51 |
Fauci, Anthony S. M.D. - Director
THE AURA OF THE CONGRESS FEEL THEY HAVE TO GIVE A POLITICAL ACORRECT ANSWER. HOST: WHY ARE YOU STILL IN PUBLIC SERVICE? GUEST: BECAUSE I LOVE IT. IT...
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| 00:28:18 |
Slen, Peter - Host
N.I.H.? GUEST: PROBABLY THE MOST VISIBLE I'M IN
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| 00:28:21 |
Fauci, Anthony S. M.D. - Director
CHARGE OF THE AIDS RESEARCH PROGRAM OF N.I.H. AND WE DO ALL OF THE RESEARCH THAT IS INVOLVED WITH DEVELOPING THE DRUGS THAT HAVE BEEN SO SUCCESSFUL...
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| 00:28:33 |
Slen, Peter - Host
H.I.V. I'M RESPONSIBLE FOR THE MALARIA, TUBERCULOSIS,
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| 00:28:39 |
Fauci, Anthony S. M.D. - Director
TPHEPGED TROPICAL-- NEGLECTED TROPICAL DISEASES. AS WELL AS A VARIETY OF OTHER ISSUES. SO THERE IS A VERY ROBUST PORTFOLIO THAT I'M RESPONSIBLE FOR....
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| 00:29:11 |
Slen, Peter - Host
RESURGENCE OF THE MOSQUITO POPULATIONS IN CERTAIN REGIONS OF THE WORLD. I DON'T THINK
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| 00:29:17 |
Fauci, Anthony S. M.D. - Director
YOU SHOULD HAPHAZARDLY USE D. IT D.T. BUT MOST HEALTH OFFICIALS FEEL COMPLETELY DROPPING ITS USE FOR INSECT CONTROL WAS NOT THE RIGHT CHOICE. HOST: WHEN...
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| 00:29:49 |
Slen, Peter - Host
THE H.I.V. ARE RESISTANT TO SOME OF THE DRUGS. FORTUNATELY, WE HAVE SUCH A ROBUST MENU OF ANTIVIRAL DRUGS
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| 00:29:59 |
Fauci, Anthony S. M.D. - Director
FOR H.I.V., MORE THAN 30 INDIVIDUAL DRUGS HAVE BEEN APPROVED BY THE F.D.A. IN THIS COUNTRY, THAT EVEN THOUGH YOU HAVE RESISTANCE, YOU VERY OFTEN, IN...
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| 00:30:50 |
Slen, Peter - Host
IS RESISTANT TO FIRST LINE DRUG TREATMENT AND MANY PEOPLE ARE HAVING SECOND AND THIRD TREATMENTS BECAUSE IT
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| 00:30:59 |
CALLER, -
IS COMING BACK. HOST: WHAT IS H-PYLORI? >> IT IS A BACTERIA THAT AFFECTS THE G.I.TRACT. GUEST: IT IS A FASCINATING MEDICAL STORY IN THAT FOREVER, ...
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| 00:31:28 |
Unidentified Speaker, -
OVERWHELMING MAJORITY OF GASTRIC ULCERS ARE DUE TO A
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| 00:31:35 |
Fauci, Anthony S. M.D. - Director
MICROBE REFERRED TO AS H-PYLORI WHICH INHACKETTS THE -- INHABITS THE UPPER ATTRACT OF PEOPLE. WHEN THAT WAS DISCOVERED WHICH ONE A NOBEL PRIZE...
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| 00:34:23 |
Fauci, Anthony S. M.D. - Director
GUEST: NOT AT ALL. IT IS A VIRUS. YOU DO NOT USED ANTIBIOTICS AGAINST THE VIRUS. IF YOU GET A SHOT OF THE H1N1, THAT IS A VACCINE THAT IS USED TO PREVENT...
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| 00:34:41 |
Slen, Peter - Host
WITH H1N1, THEN YOU FALL INTO A HIGH RISK
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| 00:34:45 |
Fauci, Anthony S. M.D. - Director
CATEGORY OR YOU GET A SIGNIFICANTLY HILL, THERE ARE ANTI-VIRAL DRUGS, TAMIFLU AND OTHERS THAT CAN BE USED FOR H1N1 AND OTHER INFLUENCES, BUT YOU WOULD...
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| 00:35:39 |
CALLER, -
70'S AND 80'S -- IN THE 1970'S AND 1980'S WAS FOR SERIOUS DISEASES, PARTICULARLY KIDNEY DISEASE.
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| 00:35:55 |
Fauci, Anthony S. M.D. - Director
HOST: UNRELATED WITH OUR CONVERSATION IS THIS TWEET. THAT IS COMPLETELY UNRELATED TO DR. FAUCI, BUT I THOUGHT YOU MIGHT BE INTERESTED. WE GO TO
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| 00:36:33 |
Slen, Peter - Host
WISCONSIN. CALLER: THANK YOU FOR TAKING MY CALL. I HAVE BEEN WATCHING A PROGRAM FOR OVER FOUR MONTHS AND TAKING NOTES, AND I HAVE BEEN INTERESTED IN...
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| 00:36:57 |
CALLER, -
YEARS OLD. WHAT I READING RIGHT NOW IS BY A DOCTOR WHO TALKS ABOUT TAKING PRODUCTS -- PROBIOTICS. YOU HAVE THE EVIDENCE TO SUPPORT THAT, BUT MOST DOCTORS...
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| 00:37:45 |
GUEST, -
EFFECT THAT YOU ARE TAKING IT FOR, BUT IT WILL KILL ALL OF THE BACTERIA THAT CAUSE YOU NO HARM. WITH A PROBITIC YOU REPOPULATE THE HARMLESS, OR GOOD,...
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| 00:38:48 |
GUEST, -
YOUR LONG PUBLIC SERVICE TO ALL OF US. IS THERE AN ANTIBIOTIC BETTER THAN MOST TO TREAT PEDIATRIC YOUR INFECTIONS? -- YOUR INFECTIONSEAR INFECTIONS?...
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| 00:39:08 |
CALLER, -
AM HEARING A AMOXICILLIN, AND IT REPEATS ITSELF. GUEST: LET'S BREAK IT UP INTO TWO COMPONENTS. THERE ARE GOOD ANTIBIOTICS. A AMOXICILLIN THAT YOU JUST...
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| 00:39:35 |
GUEST, -
CHILDREN AND ADULTS, PARTICULARLY ELDERLY ADULTS. WE HAVE A VERY GOOD VACCINE AGAINST PNEUMOCOCCUS THAT WE GIVE TO CHILDREN AND THE ELDERLY. WHAT WE...
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| 00:40:31 |
Slen, Peter - Host
DO THAT WITH CHILDREN UNDER 13 YEARS OLD. HOST: WITH THE RECENT SCARCE THAT WE'VE HAD, ACIPRO BECAME A FAMILIAR WORD TO ALL OF US. HAS IT BEEN OVERUSED?
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| 00:40:46 |
GUEST, -
GUEST: PROBABLY, IT HAS. WHENEVER YOU GET AN ANTIBIOTIC THAT IS COMMONLY THOUGHT OF AS A REALLY GOOD
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| 00:40:57 |
Slen, Peter - Host
ANTIBIOTIC, YOU WOULD ALMOST CERTAINLY SEE SOME INAPPROPRIATE USE OF THAT. I CANNOT GIVE YOU THE NUMBERS OF HOW BADLY IT IS OVERUSED, BUT I CANNOT IMAGINE...
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| 00:41:09 |
GUEST, -
CIRCUMSTANCES WHERE IT PROBABLY SHOULD NOT BE USED. IT IS A VERY GOOD ANTIBIOTIC. HOST: MICHIGAN. CALLER: DOCTOR, I'VE LIKED TO HAVE MORE APPROPRIATE...
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| 00:41:46 |
CALLER, -
HOST: ANY REACTION TO THAT CALL? GUEST: THERE IS NO SCIENTIFIC BASIS TO DO THAT AT ALL. HOST: TERESA, GO AHEAD. CALLER: IF I HAVE AN AUTOIMMUNE SYSTEM,...
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| 00:42:12 |
GUEST, -
YOU HAD
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| 00:42:21 |
CALLER, -
MENTIONED THE INTESTINES ALLOW FOR MORE ABSORPTION OF NUTRIENTS, BUT DOESN'T IT ALSO ALLOWS FOR MORE ABSORPTIONS OF TOXINS? GUEST: TWO ENTIRELY SEPARATE...
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| 00:42:56 |
GUEST, -
OBSERVATION SINCE WE HAVE RECOGNIZED DIABETES AS A DISEASE. GETTING DR. THE QUESTION REGARDING -- GETTING BACK TO THE QUESTION REGARDING THE CHANGING...
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| 00:44:11 |
Slen, Peter - Host
WITH OTHER CHEMOTHERAPY AGENTS. THE VERY SOON AFTER, MY THYROID DECREASED SIGNIFICANTLY AND
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| 00:44:19 |
CALLER, -
MY LEVELS -- MIGHT T H C LEVELS WENT UP. IS THERE ANY LINK HERE? GUEST: YOU HAVE FOUR POWERFUL SIDE OF TOXIC AND IMMUNOSUPPRESSIVE AGENTS. THERE IS NO...
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| 00:44:59 |
GUEST, -
LIKE HODGKIN'S DISEASE, THERE WOULD BE SOME OF NEW MELIK -- ABNORMALITIES. IT GROWS TO BE SOMETHING UNRELATED, BUT SINCE YOU HAD SUCH A REACTION, I...
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| 00:45:42 |
Slen, Peter - Host
IS SPECIFICALLY TO STUDY ANTIBIOTIC RESISTANCE. -- ABOUT $200 MILLION IN
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| 00:45:48 |
GUEST, -
SPECIFICALLY TO STUDY ANTIBIOTIC RESISTANCE. HOST: IF YOU, WANTED TO SAY ANYTHING TO THE PEOPLE OF THE COUNTRY THAT ARE LISTENING ABOUT THE USE OF ANTIBIOTICS,...
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| 00:46:14 |
Slen, Peter - Host
BACTERIAL INFECTION THAT IS PROVEN OR BEAR VERY -- OR VERY, VERY HIGHLY SUSPECTED OF BEING IN YOU. AND YOU WILL NOT DO YOUR BODY ANY
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| 00:46:24 |
GUEST, -
GOOD BY CREATING A RESISTANCE. HOST: IS IT A CRISIS? GUEST: I THINK WE HAVE TO PAY SET-SERIES ATTENTION TO IT. THAT IS WHAT PROGRESS HELD THE HEARING....
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| 00:46:52 |
GUEST, -
DEMOCRATIC GOVERNORS' ASSOCIATION'S. >>
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| 00:47:08 |
Slen, Peter - Host
THIS WEEKEND, RETIRING SUPREME COURT JUSTICE JOHN PAUL STEVENS AND U.S. SOLICITOR GENERAL INDICATED -- ILEANA CARRIGAN. SHE HAD BEEN IDENTIFIED AS A...
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.