Latest / Morning Medical with Dr. Chow / Wearable Tech in Health, Heat Risk Medications, and Rising Opioid Overdoses

Transcript

Wearable Tech in Health, Heat Risk Medications, and Rising Opioid Overdoses · Morning Medical with Dr. Chow

0:00
Welcome to another episode of Morning Medical with Dr.
0:02
Chow.
0:03
I'm your host, Dr.
0:04
Chi-Ming Chow.
0:06
Today, we'll be diving into the fascinating world of wearable technology and how it might
0:11
help detect early signs of illness, with insights from a recent Engadget article by Will
0:16
Shanklin.
0:20
Wearables, like smartwatches, have come a long way from simply counting steps and tracking
0:26
heart rates.
0:27
Nowadays, many of these devices can monitor a variety of health indicators, such as sleep
0:33
quality, skin temperature, respiratory rate, blood oxygen levels, and heart rate
0:38
variability.
0:40
Some even alert users to possible signs of sleep apnea.
0:43
However, while these features sound impressive, the real question is: how reliable are they in
0:50
spotting early signs of illness or medical conditions?
0:54
The marketing hype from big tech companies might make it seem like your smartwatch is on
0:59
the verge of becoming a real-life Star Trek Tricorder.
1:02
But, in reality, while some features can flag potential signs of developing illnesses,
1:08
smartwatches aren't quite adept at diagnosing underlying conditions.
1:12
For example, Apple Watch's irregular pulse alerts have been confirmed to detect atrial
1:16
fibrillation 84 percent of the time.
1:18
This makes it one of the few features that doctors find clinically useful because atrial
1:23
fibrillation has a clear physiological signature that's relatively straightforward for
1:28
consumer wearables to detect.
1:31
However, the list of high-confidence metrics is quite short.
1:35
Basic sleep patterns and step counts are also considered reliable from a medical standpoint,
1:40
but other metrics, like blood pressure alerts, calorie estimates, and detailed sleep-stage
1:45
tracking, aren't accurate enough for medical decisions.
1:49
Factors like VO2 max and heart rate variability provide only rough estimates of fitness and
1:54
recovery.
1:55
Even reliable metrics can sometimes trigger false positives, such as a spike in resting
2:00
heart rate due to poor sleep or excessive alcohol intake.
2:04
What wearables excel at is noticing deviations from your body's usual patterns.
2:09
These outliers can suggest that something might warrant further investigation with your doctor.
2:14
Long before the symptoms of illnesses like the flu or COVID-19 become apparent, your body
2:20
undergoes subtle changes.
2:22
Wearables can detect physiological changes from respiratory infections before symptoms appear,
2:28
as shown in studies from Texas A&M and Stanford.
2:32
These studies suggest that early detection could significantly reduce transmission during
2:37
pandemics.
2:39
Recent advancements in artificial intelligence and sensor technology are propelling the
2:44
capabilities of wearables forward.
2:46
Companies like Google, Oura, and Whoop are integrating AI features in their apps to help
2:51
users interpret their data.
2:54
However, much of this analysis happens behind the scenes and may not provide actionable
2:59
insights for doctors.
3:00
While AI analyses might prompt individuals to seek treatment sooner, there's a risk that
3:06
people might rely too heavily on these computer-generated insights instead of
3:10
consulting with healthcare professionals.
3:13
Ultimately, the future of wearable health technology likely won't be a device that can
3:18
diagnose diseases from your wrist.
3:20
Instead, it'll be a tool that quietly monitors for patterns, prompts you when something seems
3:26
amiss, and provides additional information to discuss with your healthcare provider.
3:32
It's essential to remember that nothing can replace regular checkups with doctors and
3:38
medical professionals.
3:41
Today, we're going to explore an important topic: how certain medications may increase
3:47
your risk of heat-related illnesses.
3:50
This is particularly relevant as we enter the hottest months of the year, where temperatures
3:55
can soar and heatwaves become more frequent.
3:59
According to a recent Healthline article by Mandy French and Nancy Schimelpfening, certain
4:04
types of medications can make individuals more susceptible to heat-related illnesses.
4:09
These include antidepressants, GLP-1 medications, beta-blockers, antipsychotics, ACE
4:16
inhibitors, diuretics, insulin, metformin, stimulants, and anticonvulsants.
4:23
Let's start with antidepressants.
4:25
These medications, which include selective serotonin reuptake inhibitors and tricyclic
4:30
antidepressants, can increase heat sensitivity by disrupting typical sweating patterns.
4:36
This can lead to either excessive sweating or reduced sweating, making it difficult for the
4:41
body to cool itself effectively.
4:43
Such interference can increase the risk of heat exhaustion and heatstroke, especially as
4:48
research has shown that these medications can raise core body temperature significantly.
4:54
Antipsychotics are another class of medications that can affect how your body reacts to heat.
4:59
They can interfere with thermoregulation and alter perception, which compromises your
5:04
ability to sense and respond to heat.
5:06
For example, lithium, a common antipsychotic, can lead to dehydration-induced drug toxicity
5:12
if not managed carefully.
5:14
Symptoms of lithium toxicity include dizziness, tremors, and confusion, and staying hydrated is
5:21
crucial to mitigating these risks.
5:23
Beta-blockers, often prescribed for high blood pressure and anxiety disorders, can impair the
5:29
body’s ability to regulate temperature, elevating core body temperature and
5:34
exaggerating reactions to heat.
5:36
It's essential to continue your medication as prescribed and consult with your healthcare
5:40
provider about potential side effects during hotter months.
5:45
ACE inhibitors, primarily used to treat high blood pressure, can suppress natural thirst
5:51
responses, increasing the risk of dehydration.
5:55
Ensuring adequate fluid intake and taking steps to stay cool are necessary precautions.
6:02
Diuretics, which help control high blood pressure and heart failure by increasing fluid
6:06
expulsion through urine, can cause dehydration during hot weather.
6:12
This makes it particularly important to drink more fluids and practice sun protection during
6:16
the summer months.
6:18
For those managing diabetes, insulin and metformin are critical.
6:23
Heat can affect insulin absorption rates, increasing the risk of hypoglycemia, or low
6:29
blood sugar.
6:31
The Centers for Disease Control and Prevention advises more frequent blood sugar testing and
6:36
possible adjustments to insulin dosage and diet during hot weather.
6:41
GLP-1 medications like Ozempic and Wegovy may suppress thirst cues, leading to dehydration.
6:49
These medications can also delay stomach emptying and cause nausea, further contributing
6:54
to reduced fluid intake.
6:57
It's important to monitor for signs of dehydration, such as fatigue and dizziness,
7:02
especially in warmer conditions.
7:05
Stimulants, often prescribed for attention deficit hyperactivity disorder, can disrupt
7:10
thermoregulation and decrease appetite, leading to less fluid intake and a higher risk of
7:15
dehydration.
7:17
Staying hydrated is crucial, and you should discuss any concerns with your healthcare
7:21
provider.
7:23
Lastly, anticonvulsants may reduce sweating, making it harder to stay cool.
7:29
This effect is more pronounced in children, so avoiding heat and humidity when possible is
7:34
advisable.
7:36
Today, we're looking at a concerning trend in Ontario, Canada, where overdose calls to
7:42
paramedics have been rising sharply in several cities.
7:46
According to a recent analysis by CBC, non-fatal opioid overdose calls have nearly
7:52
tripled in cities like Hamilton during the first five months of 2026 compared to the same
7:57
period last year.
7:59
The CBC data analysis highlights a significant increase in calls for suspected opioid
8:05
poisonings across four major Ontario cities.
8:08
In Thunder Bay, calls rose by 20 percent, while Hamilton saw a staggering 199 percent increase
8:14
from January to May.
8:16
Toronto experienced a nearly 115 percent rise, and Ottawa's paramedic services recorded a 52
8:23
percent increase in overdose calls, including incidents not related to opioids.
8:29
While the data doesn't pinpoint exact causes for these increases, experts suggest several
8:35
contributing factors.
8:37
Researchers, healthcare workers, and advocates point to a toxic drug supply and the closure of
8:43
supervised consumption sites over the past two years as potential drivers.
8:48
Gillian Kolla, a harm reduction researcher, notes the introduction of newer, more poisonous
8:54
substances like medetomidine into the drug supply, exacerbating the crisis.
9:00
The Ontario government's decision to close provincially funded supervised consumption
9:05
sites has been controversial.
9:07
The province has shifted its focus to abstinence-based treatment hubs, which it
9:12
claims will better support individuals with drug addiction.
9:16
However, this move has faced criticism from harm reduction advocates who argue that
9:20
supervised sites save lives by providing a safer environment for drug use and helping
9:25
connect individuals to healthcare services.
9:28
The closures of these sites have had significant impacts.
9:32
For instance, Matt Johnson from Street Health in Toronto observed that whenever a site shuts
9:38
down, calls for emergency services increase dramatically.
9:42
Street Health, one of the few remaining privately funded overdose prevention sites, has
9:47
seen a rise in clients since public consumption sites closed.
9:52
Decades of research support the effectiveness of supervised consumption sites.
9:56
An evidence brief by researchers Gillian Kolla and Tara Gomes highlights that these sites not
10:02
only save lives but also lead more people to seek treatment and reduce the transmission of
10:06
diseases like HIV.
10:08
They ease the burden on emergency departments and ultimately save on healthcare costs.
10:14
The increase in public drug use is also linked to the closure of these sites.
10:18
Bill Sinclair, CEO of the Neighbourhood Group Community Services, mentions that people are
10:23
using substances more publicly to ensure that, in the event of an overdose, someone will be
10:28
nearby to call for help.
10:31
The Ontario Drug Policy Coalition's open letter to provincial leaders highlights the
10:36
repercussions of these closures, citing a considerable rise in emergency medical service
10:40
calls and emergency department visits for opioid-related overdoses.
10:46
Additionally, there has been an increase in deaths occurring in private residences and
10:50
outdoor settings.
10:52
In Thunder Bay, the only supervised consumption site, Path 525, transitioned into a
11:00
Homelessness and Addiction Recovery Treatment Hub in 2025.
11:05
Social worker Vanessa Tookenay shares that the former site was crucial for providing not just
11:11
harm reduction but also support and monitoring, which she credits with saving her life.
11:17
The Ontario government defends its new approach, stating that the newly established
11:22
HART Hubs are part of a $560 million investment aimed at breaking the cycle of drug addiction.
11:30
They report a 41 percent decrease in opioid-related deaths since the hubs opened.
11:35
However, critics argue that treatment and harm reduction need to coexist to effectively
11:41
address substance use issues.
11:45
Wearable technology has become a cornerstone in modern sports science, offering athletes
11:50
insights that were once the realm of sophisticated lab equipment.
11:55
At the World Cup, players are leveraging these devices to track biometric data, fine-tune
12:00
recovery, manage fatigue, and enhance performance.
12:05
The use of such technology isn't confined to elite athletes; it's influencing how athletes
12:10
at every level train and understand their own bodies.
12:15
Dr.
12:15
Justin Mullner, a sports medicine physician, highlights how athletes use wearables to
12:20
monitor sleep and recovery.
12:22
By analyzing trends, athletes can adjust their behaviors to optimize performance.
12:27
While the data from wearables is extensive, it's just one piece of the puzzle.
12:31
Elite athletes combine these insights with clinical evaluations and tests to get a
12:37
comprehensive view of their health.
12:39
One innovative tool used by players is the Gx Sweat Patch.
12:44
Developed in partnership with Gatorade, this high-tech sticker measures sweat rate, fluid
12:49
loss, and sodium levels.
12:51
It offers personalized hydration insights, crucial for maintaining performance during
12:55
high-intensity workouts.
12:57
By analyzing sweat composition, athletes can tailor hydration strategies to their specific
13:02
needs.
13:04
Another popular device is the WHOOP fitness band, worn by athletes to track metrics like
13:09
sleep, strain, stress, and heart rate.
13:13
This data helps manage the effects of travel and jet lag, which can significantly impact
13:19
performance.
13:20
For instance, WHOOP research indicates that travel can reduce heart rate variability and
13:26
sleep performance, emphasizing the need for careful management during tournaments.
13:32
Smart rings, such as the Oura Ring, are also gaining popularity.
13:37
These devices offer insights into sleep patterns, skin temperature, blood oxygen
13:42
levels, and overall readiness.
13:44
By monitoring these metrics, athletes can optimize recovery and training intensity.
13:50
However, it's crucial for athletes to interpret these metrics wisely and not let them undermine
13:56
their confidence or performance.
13:58
Performance vests equipped with GPS tracking, like those from STATSports, provide real-time
14:04
data on speed, heart rate, and exertion.
14:08
This technology allows coaches to monitor player workloads and make informed decisions
14:13
about substitutions to prevent injury and manage fatigue.
14:18
Such insights are invaluable in high-stakes tournaments like the World Cup.
14:23
For everyday athletes, wearables offer accessible data points to improve health and
14:27
performance.
14:29
Sleep monitoring is particularly beneficial, as poor sleep can hinder muscle recovery,
14:34
cognitive function, and increase injury risk.
14:37
Simple changes in sleep habits, such as maintaining a consistent schedule, can have a
14:42
significant impact.
14:44
Hydration is another critical metric.
14:46
Wearables can remind athletes to rehydrate, especially during intense exercise in hot
14:51
conditions.
14:53
Monitoring body temperature and sweat can help prevent heat-related illnesses and optimize
14:58
recovery strategies.
15:00
Heart rate variability is a key indicator of how well the body's nervous system is coping
15:05
with stress.
15:07
A higher heart rate variability generally suggests better cardiovascular health.
15:13
Wearables help track these changes, allowing athletes to adjust their training intensity
15:17
accordingly.
15:19
While wearables provide valuable insights, it's important to remember that they are tools to
15:25
aid in health management, not replacements for professional medical advice.
15:30
Users should be aware of their body's signals and consult healthcare providers if they notice
15:35
unusual changes in their data.
15:39
The National Health Service in England is set to introduce a significant technological update
15:44
to its app, utilizing artificial intelligence to streamline patient care.
15:49
This development aims to enhance the efficiency of directing patients to the most appropriate
15:54
healthcare service.
15:56
According to a recent announcement, the app will feature a new triage tool that asks
16:01
patients a series of questions to determine whether they should be directed to a general
16:06
practitioner appointment, a pharmacy, accident and emergency, community service, or provided
16:12
with self-care advice.
16:14
The rollout of this AI-powered tool is expected to reach over two hundred thousand patients
16:19
within the next year, with full availability for all users by April twenty twenty-eight.
16:26
This initiative is part of a broader effort to modernize the National Health Service's
16:30
technology infrastructure, backed by a ten billion pound investment from the government.
16:36
The goal is to reduce the long waits often experienced when trying to book appointments,
16:41
especially during peak times when phone lines open at eight in the morning.
16:46
Early trials at the Wealden Ridge Medical Partnership in Sussex have shown promising
16:51
results, with a twenty-nine percent reduction in the number of people queuing on the phone
16:56
for appointments.
16:56
Dr.
16:57
Ragu Rajan from the practice mentioned that the tool allows patients to convey their needs more
17:03
effectively, ensuring they get directed to the appropriate care the first time around.
17:09
Importantly, the tool is designed to support medical professionals, not replace their
17:14
judgment, by freeing up time for more nuanced decision-making.
17:19
Health Secretary James Murray emphasized that while artificial intelligence will assist in
17:24
the process, it won't replace the essential human element in healthcare decisions.
17:30
The AI system is meant to modernize the National Health Service and ensure that
17:35
improvements are distributed evenly across the country.
17:38
This approach is part of a strategic investment aimed at overhauling the National Health
17:43
Service's digital and data systems.
17:47
In addition to the triage tool, the National Health Service is set to introduce AI-powered
17:52
transcription services to generate real-time clinical summaries.
17:56
This will initially be rolled out in hospital appointments at several NHS trusts in and
18:01
around London, such as St George's, Epsom and St Helier, Croydon, and Kingston and Richmond.
18:08
The Alder Hey Children's NHS Foundation Trust in Liverpool and the Manchester University NHS
18:15
Foundation Trust are also expanding their AI notetaking programs.
18:21
A trial at Great Ormond Street Hospital for Children found that staff could spend almost
18:26
twenty-five percent more time interacting with patients when using this technology.
18:31
This innovation is seen as a vital step in alleviating administrative burdens on
18:36
healthcare professionals, allowing them to focus more on patient care.
18:40
The Royal College of Nursing has welcomed the rollout but stresses the importance of
18:45
maintaining patient safety and confidentiality at the core of these systems.
18:50
Pritesh Mistry from the King's Fund think-tank pointed out that this move could significantly
18:55
enhance how the National Health Service utilizes modern technology to deliver better
19:00
patient care.
19:01
It's crucial, however, that as clinical services become more technologically reliant,
19:06
the National Health Service ensures no one is digitally excluded from accessing care.
19:12
The integration of such advanced tools should make it easier for patients to receive timely
19:17
support in a manner that suits their preferences, whether digitally or in person.
19:23
While the Conservative shadow health secretary, Stuart Andrew, acknowledges the potential
19:28
benefits of these innovations, he also cautions that new technologies should come with a
19:32
fully-funded plan to ensure they provide value for taxpayers.
19:36
This perspective underscores the importance of balancing technological advancements with
19:42
fiscal responsibility to enhance the overall effectiveness of the healthcare system.
19:50
Cold water shock is a serious and potentially life-threatening condition that can occur when
19:56
a person suddenly immerses themselves in water colder than fifteen degrees Celsius.
20:02
This warning comes from Brian Twaites, a paramedic with British Columbia Emergency
20:07
Health Services, who is raising awareness about this risk, particularly in a province dotted
20:13
with cold lakes, rivers, and ocean waters.
20:17
According to Twaites, many people mistakenly believe that the danger only arises when one
20:23
walks into cold water.
20:25
However, the real risk is when someone unexpectedly plunges into such waters, for
20:30
example, by falling off a boat or dock.
20:34
This sudden immersion triggers a fight or flight response in the body, which can be
20:38
dangerous.
20:39
The initial reaction to cold water shock is often a gasp reflex, where a person inhales
20:44
suddenly.
20:45
If this occurs underwater, there's a risk of inhaling water, which can be life-threatening.
20:50
Following this, the body may begin to hyperventilate, making breathing fast and
20:55
uncontrollable.
20:57
This reaction, combined with an increased heart rate and blood pressure, places additional
21:02
strain on the cardiovascular system.
21:05
One of the critical dangers of cold water shock is what's known as cold incapacitation.
21:11
Within minutes of being submerged, an individual may lose strength and coordination
21:16
in their arms and legs.
21:18
This can lead to panic, further impairing decision-making and increasing the risk of
21:23
drowning.
21:25
It's important to note that cold water shock can be deadly even before hypothermia sets in,
21:31
which typically requires longer exposure to cold temperatures.
21:36
To stay safe, Twaites recommends wearing a life-jacket, which can help keep your head
21:41
above water and prevent drowning.
21:44
It's also crucial to focus on controlling your breathing.
21:47
Instead of trying to swim immediately, it's better to first calm your breathing and
21:51
conserve energy until you're better able to assess the situation and plan your next steps.
21:57
So far this year, at least twenty people have drowned in British Columbia waters, with cold
22:03
water shock likely being a contributing factor in many cases.
22:07
Tragically, on June 28, a boat capsized near Richmond, leading to the presumed drowning of
22:14
six individuals.
22:16
These incidents underscore the importance of understanding and mitigating the risks
22:20
associated with cold water shock.
22:24
The latest social media trend, known as "tanmaxxing," is raising alarms among
22:29
dermatologists.
22:30
This trend, popular especially among Generation Z, involves maximizing sun exposure to achieve
22:37
a deeper tan, often by combining direct sunlight with tanning products like oils,
22:43
bronzers, and gels.
22:44
While the pursuit of a glowing tan might seem appealing, experts are warning of its
22:49
potentially dangerous consequences.
22:53
Dr.
22:53
Michael Tassavor, a board-certified dermatologist from New York, has emphasized
22:58
that there's no such thing as a "safe, natural tan." In an interview, he stated, "Tanning is
23:05
damage.
23:06
A tan isn't a glow-up — it's your skin's visible distress signal that DNA damage has
23:11
already happened." He further pointed out that "tanfluencers" may promote a deep tan as a
23:17
"wellness upgrade," but this perception is misleading and harmful.
23:22
The World Health Organization classifies ultraviolet radiation and tanning beds as Group
23:28
1 carcinogens, placing them in the same category as tobacco and asbestos.
23:34
Alarmingly, using a tanning bed before the age of thirty-five can increase the risk of
23:40
melanoma by about seventy-five percent.
23:44
Dr.
23:45
Tassavor warned that the damage from tanning compounds silently and may only become apparent
23:51
years later, when the opportunity for easy intervention has passed.
23:56
A couple of myths perpetuated by the "tanmaxxing" trend deserve debunking.
24:01
First, skipping sunscreen doesn't result in a "better" tan, and second, having a base tan
24:08
doesn't protect the skin from future sunburns.
24:11
Dr.
24:12
Tassavor reassures that most vitamin D can be obtained from diet and supplements, and the
24:18
skin is efficient enough to get what it needs from ordinary incidental exposure to sunlight.
24:24
While sunlight can indeed boost mood and support vitamin D production, it's crucial to
24:29
approach sun exposure safely.
24:33
Dr.
24:34
Tassavor recommends using sunscreen with a sun protection factor of at least thirty and
24:39
reapplying it every two hours.
24:42
He also advises avoiding tanning beds entirely, as there's no safe dose of ultraviolet
24:48
exposure, and using them accelerates skin aging.
24:54
Today, we're going to delve into a pressing issue that's becoming increasingly relevant in
24:59
the field of medicine: the impact of climate change on healthcare.
25:04
A recent article by Melissa Wang, Forest Streeter, Sydney Warner, and Michael Xie in
25:10
MedPage Today highlights the urgent need to integrate climate science into medical
25:15
education, particularly in residency training.
25:18
The World Health Organization has identified climate change as the single greatest threat to
25:24
global health in the twenty-first century.
25:27
This crisis transcends borders and political sentiments, and it's becoming clear that
25:33
physicians need to be equipped with the knowledge and tools to provide climate-informed
25:38
care.
25:39
Surveys show that while many medical trainees are aware of this need, they often lack the
25:43
frameworks to apply climate science effectively in clinical settings.
25:49
The call to action is clear: we must urgently scale planetary health education within
25:54
graduate medical education.
25:57
This means not treating it as an optional topic or a side project for interested individuals,
26:02
but instead embedding it into the core curriculum of residency training.
26:07
It should align with competency frameworks and quality improvement curricula to ensure every
26:12
resident learns to recognize climate-sensitive conditions and practices sustainable
26:17
healthcare.
26:19
Despite calls from major medical societies, the integration of climate and health content into
26:25
graduate medical education has been slow.
26:28
A needs assessment found that internal medicine residents had low confidence in environmental
26:33
health topics, highlighting a significant knowledge gap.
26:38
To address this, the Accreditation Council for Graduate Medical Education should embed
26:43
planetary health into its program requirements, using frameworks like the Planetary Health
26:48
Report Card to facilitate active, case-based learning.
26:53
A promising step has been taken with the revision of Emergency Medicine program
26:57
requirements to include competence in recognizing and managing climate-related health
27:02
impacts.
27:04
This serves as a blueprint for other specialties to follow.
27:08
Experiential learning, such as bedside teaching on climate-sensitive conditions and quality
27:13
improvement projects, can bridge the gap between theoretical knowledge and practical
27:18
application in clinical practice.
27:21
Some residency programs have begun to introduce interactive, team-based activities alongside
27:28
didactics to foster a deeper understanding of planetary health.
27:33
These workshops encourage residents to assess healthcare systems through a sustainability
27:40
lens, with positive feedback from participants.
27:45
The Planetary Health Report Card can serve as a self-assessment tool to guide this process,
27:51
offering benchmarks that can be adapted to residency criteria.
27:57
There are challenges to implementing planetary health education, such as limited resources and
28:03
the already demanding schedules of residency programs.
28:06
However, integrating this material doesn't require a complete overhaul of existing
28:11
structures.
28:12
It can be woven into current curricula through resident-led projects and case studies.
28:17
Climate competence is also a matter of health equity, as climate change disproportionately
28:22
affects marginalized communities.
28:25
Ultimately, incorporating planetary health into residency training is crucial for preparing
28:31
future physicians to address the health challenges posed by climate change.
28:37
Residents can play a vital role in this transformation by advocating for the inclusion
28:41
of climate education in their programs and participating in grassroots efforts to promote
28:47
sustainability in healthcare.
28:49
As we wrap up today's episode, it's clear that the intersection of climate change and
28:55
healthcare is an evolving field that requires attention and action.
29:01
By integrating climate science into medical education, we can ensure that the next
29:06
generation of physicians is ready to tackle the health impacts of a changing planet.
29:11
Thank you for joining me today on Morning Medical with Dr.
29:14
Chow.
29:15
Stay informed, stay healthy, and until next time, take care.