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MEDCLUB BARTLESVILLE · One on One With a Professional

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