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MEDCLUB BARTLESVILLE · One on One With a Professional

• 0:01
  Speaker 1: Morning, good morning, good morning, and it's time to ask
• 0:03
  Speaker 1: the doctor. Carrie Williams from Med Club Bartlesville is with it.
• 0:07
  Speaker 1: Good morning doctor, Hello fever.
• 0:10
  Speaker 2: Oh my goodness sakes.
• 0:11
  Speaker 1: You know that you've got songs about fever, and they
• 0:13
  Speaker 1: got all this stuff about fever.
• 0:15
  Speaker 2: They've got teens named the fever. But fever.
• 0:18
  Speaker 1: Wouldn't we say the word? People think, well, I'm hot.
• 0:23
  Speaker 1: What do we mean by fever?
• 0:26
  Speaker 3: Well, we mean an usual body temperature greater than one
• 0:29
  Speaker 3: hundred point four.
• 0:30
  Speaker 1: Well wait, it's like one hundred point four, so it's
• 0:32
  Speaker 1: not like ninety nine, And it's not like you know
• 0:36
  Speaker 1: your kid's teating and you're ninety nine almost one hundred.
• 0:39
  Speaker 2: That's not a fever.
• 0:40
  Speaker 1: No, okay, that's okay, it's just elevated temperature. Yes, okay,
• 0:44
  Speaker 1: Well now we know the difference what a fever is.
• 0:46
  Speaker 3: Good and people do not routinely take their temperature when
• 0:51
  Speaker 3: they think they have a fever. They just go, I
• 0:53
  Speaker 3: feel hot, and it's subject They give the doctor a
• 0:58
  Speaker 3: subjective I'm just hot. That does since say much as
• 1:01
  Speaker 3: kind of like my tires are bald.
• 1:02
  Speaker 1: Yeah, okay, So the normal oral temperature for arresting healthy
• 1:08
  Speaker 1: human being.
• 1:08
  Speaker 4: Is ninety eight points six.
• 1:10
  Speaker 1: If you get a little older, sometimes you get a
• 1:11
  Speaker 1: little cool, you run a little hotter.
• 1:13
  Speaker 3: What happens here, well, you lose your body temperature about
• 1:15
  Speaker 3: a degree.
• 1:16
  Speaker 2: Uh huh.
• 1:17
  Speaker 4: And people's temperature vary throughout the day.
• 1:20
  Speaker 3: They vary with your hydration, they vary with your environment,
• 1:24
  Speaker 3: and so your medical providers are looking for a basic range,
• 1:28
  Speaker 3: they're not looking for a specific number.
• 1:30
  Speaker 1: Okay, So a normal temperature would range between.
• 1:35
  Speaker 4: Ninety seven point seven to about ninety nine.
• 1:37
  Speaker 2: Low grade fever, low grade.
• 1:39
  Speaker 4: Fever will be ninety nine to about one hundred and.
• 1:41
  Speaker 2: Four, Okay, the real deal, the real fever over.
• 1:44
  Speaker 4: One hundred and four, right up to one hundred and five.
• 1:47
  Speaker 2: But what happens when you get up to one hundred five?
• 1:48
  Speaker 2: You're in danger territory, aren't.
• 1:50
  Speaker 3: Well, that's that's warm. It's called hyper pyrexia.
• 1:54
  Speaker 2: Uh huh.
• 1:54
  Speaker 3: And over one hundred and five, really one hundred and
• 1:56
  Speaker 3: five point eight per the textbook, up to one hundred nine.
• 2:00
  Speaker 3: And some drugs can cause that, some illnesses can cause that.
• 2:05
  Speaker 3: It's not conducing with light, and that needs to be seen.
• 2:10
  Speaker 1: It's good that we get these numbers out there because
• 2:13
  Speaker 1: for a long time. People have been told if you've
• 2:15
  Speaker 1: got to tea a temperature of over one hundred before,
• 2:16
  Speaker 1: your brain is gonna cook.
• 2:18
  Speaker 4: No.
• 2:18
  Speaker 3: No, And a lot of people worry about feebraw seizures.
• 2:22
  Speaker 3: Those usually occur when your temperature goes up real quickly
• 2:26
  Speaker 3: or goes down real quickly.
• 2:28
  Speaker 1: So if a child is teething, they say that a
• 2:30
  Speaker 1: kid's got a fever, but they really don't.
• 2:32
  Speaker 2: They just have an elevated temperature.
• 2:34
  Speaker 3: Yes, And rarely will you see a child that is
• 2:37
  Speaker 3: teething with a temperature over one hundred and one.
• 2:39
  Speaker 2: Oh, okay, good to know.
• 2:40
  Speaker 4: Okay.
• 2:41
  Speaker 2: Flu is a big word that we're getting into the season.
• 2:45
  Speaker 1: You're right, and uh boy, it'll be just like flicking
• 2:48
  Speaker 1: on a light switch. We're gonna have the cold, We're
• 2:51
  Speaker 1: gonna have the flu. We're gonna have a little bit
• 2:54
  Speaker 1: of everything.
• 2:55
  Speaker 2: Let's kind of go through this here a little bit.
• 2:58
  Speaker 1: Uh the flu, it's kind of a general term when
• 3:01
  Speaker 1: somebody's just kind of feeling yucky.
• 3:03
  Speaker 3: Correct, And people use it like it covers everything. There's
• 3:06
  Speaker 3: some differentiations of diseases. But you can have the stomach flu,
• 3:11
  Speaker 3: you can have a head cold flu, you can have
• 3:13
  Speaker 3: a lot of different kinds of flu is what our
• 3:16
  Speaker 3: society calls them, but just a generic term of flu.
• 3:20
  Speaker 3: Then there's influenza, that's the big word. Yeah, that's a
• 3:24
  Speaker 3: completely different germ. But most of what people call the
• 3:28
  Speaker 3: flu is the common cold.
• 3:30
  Speaker 2: Well, I'll be and there can.
• 3:33
  Speaker 3: Be as many as two hundred different viruses with the
• 3:36
  Speaker 3: common cold.
• 3:37
  Speaker 2: But a lot then it wouldn't be so common, then
• 3:39
  Speaker 2: would it.
• 3:40
  Speaker 3: No, But eighty percent of those are caused by rhinovirus
• 3:43
  Speaker 3: that cause upper respiratory symptoms. O.
• 3:46
  Speaker 4: The thing with a cold.
• 3:48
  Speaker 3: Symptoms that you're going to start with coffee, a sore throat,
• 3:54
  Speaker 3: writing now, not feeling well, and rarely will you get
• 3:58
  Speaker 3: a temperature much more than one hundred point four.
• 4:01
  Speaker 4: And you usually get a cold type.
• 4:04
  Speaker 3: Symptom upper respiratory symptom about within two days after being
• 4:09
  Speaker 3: exposed to that virus. And most of these are self limiting,
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  Speaker 3: and unless you have some type of terrible illness that
• 4:17
  Speaker 3: could cause your problems, that makes that worse.
• 4:21
  Speaker 4: And usually it is over in seven to ten days.
• 4:25
  Speaker 2: Okay.
• 4:25
  Speaker 3: And in our society, most adults get two to three
• 4:29
  Speaker 3: colds per year and most children get six.
• 4:33
  Speaker 4: To eight per year.
• 4:34
  Speaker 2: My goodness, they didn't realize that.
• 4:37
  Speaker 3: And that rhinovirus, which is eighty percent of most cold symptoms,
• 4:43
  Speaker 3: can stay alive up to eighteen hours. There's a difference
• 4:48
  Speaker 3: between droperts and aer airsolation, which means tiny droplets, and
• 4:56
  Speaker 3: that's how you get infected. And they can survive those
• 5:00
  Speaker 3: drawplets and can survive on a surface. And so when
• 5:06
  Speaker 3: they're talking about proper hand washing techniques, they're talking about
• 5:10
  Speaker 3: you touching a surface and then touching your face like
• 5:13
  Speaker 3: your nose, your mouth, your eyes, and so rarely do
• 5:19
  Speaker 3: we give prescription medicines for something unless if that's a
• 5:23
  Speaker 3: common cold, and we we would prefer that you isolate
• 5:27
  Speaker 3: and not get out and infect everyone else.
• 5:31
  Speaker 4: Cover your mouth when you're.
• 5:32
  Speaker 3: Coughing, sneezing, use a clean neck, and then the proper
• 5:39
  Speaker 3: hand washing techniques. Okay, but this is an upper respiratory.
• 5:43
  Speaker 3: But the main takeaway is you don't generally have a.
• 5:47
  Speaker 2: Fever with a cold.
• 5:49
  Speaker 5: You'll get a cough, and some people will get a
• 5:52
  Speaker 5: cough that will last beyond the illness, and they people
• 5:56
  Speaker 5: worry about that and that's not uncommon and it can go.
• 6:01
  Speaker 4: To two to three weeks.
• 6:04
  Speaker 1: Wow, my goodness, things now we've got that what a
• 6:08
  Speaker 1: cold is and what a cold isn't.
• 6:10
  Speaker 2: But when we get into.
• 6:11
  Speaker 4: Influencea the big guy.
• 6:14
  Speaker 1: That's when it makes people feel like they got hit
• 6:17
  Speaker 1: by a truck.
• 6:18
  Speaker 4: You bet they do. I mean all of a sudden.
• 6:20
  Speaker 4: It happens all of a sudden, and you feel bad.
• 6:24
  Speaker 3: Body aches, tired, and usually lose your appetite.
• 6:29
  Speaker 4: But you don't get a fever right off the bat.
• 6:32
  Speaker 2: You don't know, okay.
• 6:34
  Speaker 3: And then it will progress onto other symptoms like a
• 6:40
  Speaker 3: dry cough for throat, usually a hoarse voice possibly okay,
• 6:44
  Speaker 3: stuff your running notes. And with children sometimes with influenza,
• 6:50
  Speaker 3: they'll see some nausea, vomiting, and diarrhea symptoms usually as
• 6:56
  Speaker 3: last for two to eight days. There is treatment for this.
• 7:00
  Speaker 4: There is prescription.
• 7:01
  Speaker 3: Medications, but as a general rule, you only have forty
• 7:05
  Speaker 3: eight hours to start for that medication to work.
• 7:09
  Speaker 1: Oh yeah, if you get into the game a little late,
• 7:11
  Speaker 1: you're just throwing money away and wow.
• 7:14
  Speaker 3: And there's also for family members in the same household
• 7:19
  Speaker 3: as someone with influenza, there's prophylaxis, but it needs to
• 7:22
  Speaker 3: be started early.
• 7:23
  Speaker 2: Also, oh really, what can they take?
• 7:26
  Speaker 4: They can take a similar medication, but a different dose.
• 7:29
  Speaker 1: Oh icy, Okay, they can get ahead, and yes, it
• 7:34
  Speaker 1: gets a headstart on them.
• 7:35
  Speaker 2: Correct, Oh good.
• 7:39
  Speaker 3: And influenza. He'll hear about influenza. Basically, influenza A or
• 7:45
  Speaker 3: influenza B A can be found in humans.
• 7:50
  Speaker 4: You hear the birdsley, you hear it in poultry, hear
• 7:53
  Speaker 4: it in pigs.
• 7:54
  Speaker 3: Yeah, that's a reservoir basically for that virus to live.
• 8:01
  Speaker 3: And influenza A gets about seventy five percent of all
• 8:06
  Speaker 3: the influenzas during the flu season.
• 8:09
  Speaker 4: And influenza B.
• 8:13
  Speaker 3: Is just found in humans only only. Okay, and there's
• 8:17
  Speaker 3: other initials said a few other things so that, but
• 8:23
  Speaker 3: the main takeaway on influenza it hits you suddenly, and
• 8:28
  Speaker 3: as a general rule, you do not start with the
• 8:31
  Speaker 3: fever and start with the body ages and not feeling well.
• 8:36
  Speaker 1: You know, you're talking a little bit about the animals
• 8:38
  Speaker 1: and stuff like that, because I guess we had that
• 8:40
  Speaker 1: swine flu about about twenty years ago and then we
• 8:44
  Speaker 1: had the bird flu. It's very rare, but it's been
• 8:48
  Speaker 1: kind of happening to dairy farmers.
• 8:50
  Speaker 4: Yes, very rare.
• 8:51
  Speaker 1: But you can actually get what an influenza strained from
• 8:57
  Speaker 1: your your pet and your pet can get one back.
• 8:59
  Speaker 3: To you, dog says. The general rule will sometimes be
• 9:01
  Speaker 3: a reservoir for it. Yeah, it's more likely that you
• 9:04
  Speaker 3: will give it to your dog than the.
• 9:06
  Speaker 4: Dog, is it.
• 9:10
  Speaker 2: I kind of figured that's the way it worked. I
• 9:12
  Speaker 2: figured that.
• 9:13
  Speaker 1: But yeah, it's just one of those things that comes
• 9:15
  Speaker 1: up in conversation every now and then.
• 9:17
  Speaker 2: I caught it from my dog. No, you did, and
• 9:18
  Speaker 2: you gave it to your dog. That's all.
• 9:21
  Speaker 4: It can go both ways, but as a general rule.
• 9:24
  Speaker 1: As a general rule, now, when it comes to the
• 9:28
  Speaker 1: blue and preventing it, that you can just stay clean
• 9:32
  Speaker 1: as much as you possibly can and stay around well people.
• 9:35
  Speaker 3: That's correct, and same precautions as a common cold. Yeah,
• 9:43
  Speaker 3: cover your mouth when you sneeze, your cough, stay isolated,
• 9:46
  Speaker 3: stay away from people so you don't give it to them,
• 9:49
  Speaker 3: and proper hand washing technique.
• 9:52
  Speaker 1: It's always the hero that comes to work, Yes, the
• 9:55
  Speaker 1: one that goes out. They can't make it without me,
• 9:57
  Speaker 1: so they come in and they sweating me coffin, They
• 10:02
  Speaker 1: all over and next thing you know, the whole building is.
• 10:05
  Speaker 2: Just out and on their back.
• 10:07
  Speaker 4: You are correct, So you know, come on, folks, you.
• 10:11
  Speaker 2: Know if you want to take one for the team.
• 10:12
  Speaker 3: Take a day off and once again know your temperature.
• 10:16
  Speaker 4: Yeah, know what's going on in your body.
• 10:18
  Speaker 3: Pay attention to your history of what comes first, second, third,
• 10:23
  Speaker 3: because that's important to a medical provider.
• 10:26
  Speaker 1: Speaking of medical providers, we're talking with doctor Carry Williams
• 10:29
  Speaker 1: of med Club Bartleville right here in Bartleville, right there
• 10:32
  Speaker 1: on Washington and right off seventy five, kind of across
• 10:37
  Speaker 1: the street there from Jimmy's Egg. And you can always
• 10:40
  Speaker 1: find that, you know, Monday through Thursday, but you need
• 10:43
  Speaker 1: to kind of get to know the doctor a little bit.
• 10:45
  Speaker 1: So invite you to go on the website, learn a
• 10:48
  Speaker 1: little bit and introduce yourself.
• 10:50
  Speaker 3: You can go to Medclub dot clinic and it will
• 10:54
  Speaker 3: answer most questions you will have if not give us
• 10:58
  Speaker 3: a call. This is a membership type practice, sure, with
• 11:02
  Speaker 3: a flat monthly fee, no deductible.
• 11:06
  Speaker 2: There you go. It's just like a being a in
• 11:09
  Speaker 2: Netflix and things like that.
• 11:10
  Speaker 1: It's a subscription based you're exactly correct, and it works
• 11:13
  Speaker 1: out pretty well.
• 11:14
  Speaker 4: It does overall, it will save most patients big.
• 11:18
  Speaker 2: Money, big money.
• 11:19
  Speaker 1: Okay, we covered cold, we covered flu, we've covered influenza.
• 11:24
  Speaker 1: Now we're going to visit a word that nobody really
• 11:26
  Speaker 1: wants to hear, but it's it's kind of still hanging
• 11:29
  Speaker 1: around a little bit.
• 11:30
  Speaker 2: COVID.
• 11:31
  Speaker 1: There have been studies on this and we know that
• 11:34
  Speaker 1: with a cold, you don't get a fever.
• 11:36
  Speaker 4: Correct.
• 11:36
  Speaker 1: With the flu, you get the body before you get
• 11:38
  Speaker 1: a fever. What happens with covid? Where's the salt tap?
• 11:40
  Speaker 2: What are this?
• 11:42
  Speaker 4: Get the fever first?
• 11:43
  Speaker 2: Okay? So this when you get the fever first, okay?
• 11:46
  Speaker 3: Good, and then generally get a cough, sore throat, body aches,
• 11:51
  Speaker 3: and so it's in its symptoms progressed differently than the
• 11:55
  Speaker 3: first two got it? And you know fever as a
• 11:59
  Speaker 3: general rule, and it can be remember a fever is
• 12:02
  Speaker 3: over one hundred point four. Everyone's a little different, and
• 12:07
  Speaker 3: every strain of COVID is a little different, being different ages,
• 12:13
  Speaker 3: different disease processes, comorbidities, influences the diseases like COVID or
• 12:20
  Speaker 3: influenza or cold, and the variants are changing. But knowing
• 12:27
  Speaker 3: the progression, knowing what came first what came second, is
• 12:31
  Speaker 3: very important to medical provider, and so that patient has
• 12:36
  Speaker 3: a responsibility to pay attention to themselves and be able
• 12:40
  Speaker 3: to tell that provider it will make a difference.
• 12:43
  Speaker 2: What there you go. You got to keep track of
• 12:46
  Speaker 2: what's going on with.
• 12:46
  Speaker 4: You, and please take your temperature.
• 12:48
  Speaker 1: Yeah, you know, if you're starting to feel a little
• 12:52
  Speaker 1: ought might want to mark that down on a piece
• 12:54
  Speaker 1: of paper someplace because you might think, well, it's nothing well,
• 12:59
  Speaker 1: and I'm not trying to say, oh the you know,
• 13:00
  Speaker 1: the sky is falling, but it'd be well worth your
• 13:03
  Speaker 1: time to say.
• 13:04
  Speaker 2: I got some muscle ache today. Okay, the next couple
• 13:08
  Speaker 2: of eights something else happens.
• 13:09
  Speaker 1: Or you start off with a fever and then the
• 13:12
  Speaker 1: coffer and then the sore throat. The sequences make the
• 13:15
  Speaker 1: difference when diagnosing.
• 13:17
  Speaker 4: This absolutely correct, my heaven sakes.
• 13:21
  Speaker 1: And there is testing for COVID. And I saw the
• 13:25
  Speaker 1: Darnis thing where you get a box where you can
• 13:28
  Speaker 1: test is it flu or is it covid? Is COVID
• 13:31
  Speaker 1: is a flu? And I'm thinking, okay, this is legit, right.
• 13:37
  Speaker 3: This is legit in their home test and you can
• 13:40
  Speaker 3: order them off of common retail site sure or if
• 13:44
  Speaker 3: I don't know if they have them currently available in town,
• 13:47
  Speaker 3: but at some.
• 13:48
  Speaker 4: Of the bigger retail stores we'll have them. Also.
• 13:52
  Speaker 1: I've been looking into those because it seemed like when
• 13:55
  Speaker 1: COVID was raging, people are saying, that's just the flu.
• 13:58
  Speaker 1: And then people were coming to work with COVID, correct,
• 14:01
  Speaker 1: because they didn't want to go to a doctor, They
• 14:03
  Speaker 1: didn't want to stick anything up their nose or anything
• 14:05
  Speaker 1: else like that.
• 14:06
  Speaker 4: You know, they just came for you were still going
• 14:07
  Speaker 4: to stick something up your nose.
• 14:09
  Speaker 3: The question is do you want to take two different
• 14:11
  Speaker 3: tests up your nose or one one?
• 14:13
  Speaker 2: Yeah? So this is what this does, right, correct? So okay, so.
• 14:20
  Speaker 4: People are going to ask me about immunizations.
• 14:23
  Speaker 3: Yeah, I think those are personal choices for influenza and
• 14:28
  Speaker 3: COVID and that's something to be discussed with your personal
• 14:31
  Speaker 3: medical provider.
• 14:32
  Speaker 1: Yeah, we're not here to say anything on this show.
• 14:34
  Speaker 1: Yeah your name again, that's a private matter, Yes it is.
• 14:38
  Speaker 1: And I think people respect that.
• 14:39
  Speaker 4: I hope they do.
• 14:40
  Speaker 2: Yeah, I know they do. So there you go, folks.
• 14:44
  Speaker 1: We've been talking with doctor Kerry Williams with met Club
• 14:46
  Speaker 1: Bartlesvielt again.
• 14:47
  Speaker 2: Where do we find you?
• 14:49
  Speaker 3: I'm located on Highway seventy five, across the Stree from
• 14:54
  Speaker 3: Jimmy's Egg and your website.
• 14:56
  Speaker 4: My website is Medclub dot Clinic