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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 is.
• 0:05
  Speaker 2: Good morning doctor, hello fever.
• 0:08
  Speaker 3: Oh my goodness sakes.
• 0:10
  Speaker 1: You know that you've got songs about fever, and they
• 0:12
  Speaker 1: got all this stuff about fever. They've got teens named
• 0:15
  Speaker 1: the fever. But fever, when we say the word, people think, well,
• 0:20
  Speaker 1: I'm hot, No, you're not. What do we mean by fever?
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  Speaker 4: Well, we mean an usual body temperature greater than one
• 0:27
  Speaker 4: hundred point four.
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  Speaker 1: Well wait, it's one hundred point four, so it's not
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  Speaker 1: like ninety nine, And it's not like you know, your
• 0:35
  Speaker 1: kids heating and you're ninety nine almost one hundred.
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  Speaker 3: That's not a fever.
• 0:39
  Speaker 1: No, okay, that's okay, that's just elevated temperature. Yes, okay,
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  Speaker 1: Well now we know the difference 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
• 0:56
  Speaker 4: subjective I'm just hot. That doesn't say much as kind
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  Speaker 4: of my tires are bald.
• 1:01
  Speaker 1: Yeah, okay, So the normal oral temperature for arresting healthy
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  Speaker 1: human being.
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  Speaker 2: Is ninety eight point six.
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  Speaker 3: If you get a.
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  Speaker 1: Little older, sometimes you get a little cool, you run
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  Speaker 1: a little hotter.
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  Speaker 4: What happens here, well, you lose your body temperature about
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  Speaker 4: 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
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  Speaker 4: medical providers are looking for a basic range, they're not
• 1:27
  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.
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  Speaker 2: Will 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.
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  Speaker 2: Territory, right, 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 textbook, 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
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  Speaker 4: needs to be seen.
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  Speaker 1: It's good that we get these numbers out there because
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  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,
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  Speaker 1: your brain is gonna cook.
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  Speaker 2: No.
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  Speaker 4: No, And a lot of people worry about febras seizures.
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  Speaker 4: Those usually occur when your temperature goes up real quickly
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  Speaker 4: or goes down real quickly.
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  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.
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  Speaker 3: They just have an elevated temperature.
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  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.
• 2:37
  Speaker 1: Oh OKAYO know, okay. Flu is a bid word that
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  Speaker 1: we're getting into the season. You're right, and uh boy,
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  Speaker 1: it'll be just like flicking on a light switch. We're
• 2:49
  Speaker 1: gonna have the cold, We're gonna have the flu. We're
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  Speaker 1: gonna have a little bit of everything. Let's kind of
• 2:54
  Speaker 1: go through this here a little bit.
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  Speaker 2: Uh.
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  Speaker 1: The flu is kind of a general term when somebody's
• 3:00
  Speaker 1: just 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 generic term of flu.
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  Speaker 4: Then there's influenza.
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  Speaker 2: That, yeah, that's a.
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  Speaker 4: Completely different germ. But most of what people call the
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  Speaker 4: flu 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.
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  Speaker 2: The thing with a cold.
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  Speaker 4: Symptom is that you're going to start with coffee, a
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  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 one hundred.
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  Speaker 2: And you usually get a cold type.
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  Speaker 4: Symptom of a respiratory symptom about within two days after
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  Speaker 4: being exposed to that virus. And most of these are
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  Speaker 4: self limiting, and unless you have some type of terrible
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  Speaker 4: illness that could cause you problems, that makes that worse
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  Speaker 4: and usually is over.
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  Speaker 2: 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. Oh my goodness, they didn't realize that and
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  Speaker 4: that rhinovirus, which is eighty percent of most cold symptoms,
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  Speaker 4: can stay alive up to eighteen hollurs. There's a difference
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  Speaker 4: between drawlets and aer airsolation, which meeans tiny droplets, and
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  Speaker 4: that's how you get infected. And they can survive those
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  Speaker 4: droplets and can survive on a surface. And so when
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  Speaker 4: they're talking about proper hand washing techniques, they're talking about
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  Speaker 4: you touching a surface and then touching your face like
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  Speaker 4: your nose, your mouth, your eyes, and so rarely do
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  Speaker 4: we give prescription medicines for something unless if that's a
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  Speaker 4: common cold, and we we would prefer that you isolate
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  Speaker 4: and not get out and infect everyone else. Cover your
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  Speaker 4: mouth when you're coughing, sneezing, use a clean neck, and
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  Speaker 4: then the proper hand washing techniques. Okay, but this is
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  Speaker 4: an upper respiratory. But the main takeaway is you don't
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  Speaker 4: generally have.
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  Speaker 2: A fever with a With a cold, you'll.
• 5:48
  Speaker 4: Get a cough, and some people will get a cough
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  Speaker 4: that will last beyond the illness, and they people worry
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  Speaker 4: about that and that's not uncommon and can go to
• 6:00
  Speaker 4: two to three weeks.
• 6:02
  Speaker 1: Wow, my goodness, thinks, now we've got that what a
• 6:06
  Speaker 1: cold is and what a cold isn't. But when we
• 6:09
  Speaker 1: get into influencea the big guy, 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 2: You bet they do. I mean all of a sudden.
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  Speaker 2: It happens all of a sudden, and you feel.
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  Speaker 4: Bad, 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, fo throat, usually a
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  Speaker 4: hoarse voice possibly okay, stuff your running notes and with
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  Speaker 4: children sometimes with influenza you'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 scripts and medications, but
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  Speaker 4: as a general rule, you only have forty eight hours
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  Speaker 4: to 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 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, yeah, what can they take?
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  Speaker 2: 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 headstart on them.
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  Speaker 3: Correct, Oh good.
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  Speaker 4: And influenza. He'll hear about influenza. Basically, influenza A or
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  Speaker 4: influenza B A can be found in humans. Can you
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  Speaker 4: hear the Birdsley, you hear it in poultry? Hear it
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  Speaker 4: and pigs. Yeah, that's a reservoir basically for that virus
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  Speaker 4: to live. And influenza A gets about seventy five percent
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  Speaker 4: 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. And there's other
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  Speaker 4: initials said a few other things, so that, but the
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  Speaker 4: main takeaway on influenza, it hits you suddenly, and as
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  Speaker 4: a general rule, you do not start with the fever.
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  Speaker 4: You start with the body eggs and not feeling well.
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  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
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  Speaker 1: swine flu about about twenty years ago, and then we
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  Speaker 1: had that bird flu. It's very rare, but it's been
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  Speaker 1: kind of happening to dairy farmers. Yes, very rare, but
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  Speaker 1: you can actually get what an influenza strained from your pet.
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  Speaker 3: Your pet can give one back to you.
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  Speaker 4: Your dog, says. The general rule will so times for
• 9:00
  Speaker 4: your reservoir for it. Yeah, it's more likely that you
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  Speaker 4: will give it to your dog than the dog, is it.
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  Speaker 1: Yeah, I kind of figured that's the way it worked.
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  Speaker 1: I figured that, but yeah, it's just one of those
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  Speaker 1: things that comes 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 2: 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, stay 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, Yeah, the
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  Speaker 1: one that goes out. They can't maybe 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: they coff and they all over and next thing you know,
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  Speaker 1: the whole building is just.
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  Speaker 3: Out and on their back. You are correct, So you know,
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  Speaker 3: come on, folks, you know if you want to take
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  Speaker 3: one for the team, take a day off.
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  Speaker 4: And once again, know your temperature, yea, know what's going
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  Speaker 4: on in your body. Pay attention to your history of
• 10:20
  Speaker 4: what comes first, second, third, because that's important to a
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  Speaker 4: medical provider.
• 10:24
  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 there 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, but you
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  Speaker 1: need to kind of get to know the doctor a
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  Speaker 1: little bit. So invite you to go on the website,
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  Speaker 1: learn a little bit and introduce yourself.
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  Speaker 4: You can go to metclub dot clinic and it will
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  Speaker 4: answer most questions you will have.
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  Speaker 2: If not give us a call.
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  Speaker 4: This is a membership type practice, sure, with a flat
• 11:01
  Speaker 4: monthly fee, no deductible.
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  Speaker 3: There you go. It's just like a being a in
• 11:07
  Speaker 3: Netflix and things like that.
• 11:08
  Speaker 1: It's a subscription based You're exactly correct, and it works
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  Speaker 1: out pretty well.
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  Speaker 2: 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 2: 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? Where's this whole take?
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  Speaker 3: 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, okay.
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  Speaker 4: 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.
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  Speaker 2: And you know fever.
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  Speaker 4: As a general rule, and it can be remember a
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  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
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  Speaker 4: different ages, different disease processes, comorbidities, influences the diseases like
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  Speaker 4: 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 it will make a difference.
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  Speaker 3: What there you go. You got to keep track of
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  Speaker 3: what's going on.
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  Speaker 2: With you, and please take your temperature.
• 12:47
  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
• 12:53
  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 days something else happens. Or you
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  Speaker 1: start off with a fever and then the coffer and
• 13:11
  Speaker 1: then the sore throat, and the sequences make the difference when.
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  Speaker 2: 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 Darnis thing where you get a box
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  Speaker 1: where you can test is it flu or is it covid?
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  Speaker 3: Is COVID is a flu?
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  Speaker 1: And I'm taking the Okay.
• 13:34
  Speaker 2: This is legit, right, this is legit in their home test.
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  Speaker 4: So you can order them off of common retail site
• 13:41
  Speaker 4: sure or if I don't know if they have them
• 13:44
  Speaker 4: currently available in town, but at some of the bigger
• 13:47
  Speaker 4: 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
• 13:53
  Speaker 1: COVID was raging people or it's just the flu, and
• 13:57
  Speaker 1: then people were coming to work with COVID, correct, because
• 14:00
  Speaker 1: they didn't want to go to a doctor, They didn't
• 14:02
  Speaker 1: want to stick anything up their nose or anything else
• 14:04
  Speaker 1: 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.
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  Speaker 4: The question is do you want to take two different
• 14:10
  Speaker 4: tests up your nose or one one?
• 14:12
  Speaker 3: Yeah? So this is what this does.
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  Speaker 2: Right, correct?
• 14:16
  Speaker 3: So Okay, so.
• 14:19
  Speaker 2: People are going to ask me about immunizations.
• 14:22
  Speaker 4: Yeah, I think those are personal choices for influenza and
• 14:27
  Speaker 4: COVID and that's something to be discussed with your personal
• 14:30
  Speaker 4: medical provider.
• 14:31
  Speaker 3: Yeah, we're not going to say anything on this show.
• 14:33
  Speaker 1: Yeah your name again, that's a private matter, Yes it is,
• 14:36
  Speaker 1: and I think people respect that.
• 14:38
  Speaker 2: I hope they do.
• 14:39
  Speaker 3: I know they do. So there you go, folks.
• 14:42
  Speaker 1: We've been talking with doctor Kerry Williams with met Club
• 14:45
  Speaker 1: Bartlespelt Again.
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  Speaker 3: Where do we find you?
• 14:47
  Speaker 4: I'm located on Highway seventy five, across the street from
• 14:52
  Speaker 4: Jimmy's Egg and your website.
• 14:54
  Speaker 2: My website is medclub dot Clinic.