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MEDCLUB BARTLESVILLE · One on One With a Professional

• 0:00
  Speaker 1: First of all, good morning to you.
• 0:01
  Speaker 2: Hello.
• 0:02
  Speaker 1: We're going to learn a lot about a lot of
• 0:04
  Speaker 1: things today, I hope. So this is going to be
• 0:06
  Speaker 1: a crammed pack episode. We're gonna know the difference between
• 0:10
  Speaker 1: a cold, the flu, influenza, and COVID, I hope. So
• 0:15
  Speaker 1: now everybody seems to think, oh, well, it's all the
• 0:18
  Speaker 1: same thing. How do you tell that difference at all?
• 0:20
  Speaker 1: Kinds of it's all. No, it's not all the same thing.
• 0:23
  Speaker 1: And today you're going to break it down for us
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  Speaker 1: so that the folks can you really have a little
• 0:28
  Speaker 1: bit of an inside track and actually know what's going
• 0:30
  Speaker 1: on with their bodies as you know, things may or
• 0:33
  Speaker 1: may not be taking place. First of all, the term fever, boy,
• 0:37
  Speaker 1: that's a broad rush thing right there for a lot
• 0:41
  Speaker 1: of people. I got a fever. Well do you or
• 0:44
  Speaker 1: don't you? And how do you know?
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  Speaker 3: The textbook say a temperature of greater than a one
• 0:49
  Speaker 3: hundred point four A normal temperature is ninety eight point six,
• 0:55
  Speaker 3: but not everyone's normal.
• 0:57
  Speaker 2: And your temperature changes throughout the day, throughout your life,
• 1:00
  Speaker 2: can throughout.
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  Speaker 3: Your life, and so depending on your environment, your hydration,
• 1:06
  Speaker 3: your h.
• 1:07
  Speaker 2: You know, you lose some.
• 1:10
  Speaker 3: Temperature about a degree of temperature with when you're over seventy,
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  Speaker 3: it all counts. But doctors aren't looking for specific numbers.
• 1:19
  Speaker 3: They're looking more for trends. They're looking more for ranges.
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  Speaker 1: Oh, very good. Now, you know you might be in
• 1:25
  Speaker 1: trouble if you are over one hundred point four, because
• 1:29
  Speaker 1: that is a fever, and that draws some attention. What
• 1:32
  Speaker 1: happens if you get up above about one hundred and
• 1:34
  Speaker 1: five to maybe one hundred and six degrees.
• 1:36
  Speaker 2: That's bad business.
• 1:37
  Speaker 1: Well, that's bad business, really bad.
• 1:39
  Speaker 3: But you know, people call a fever a low fever,
• 1:43
  Speaker 3: like ninety nine to one hundred point four, and they're
• 1:47
  Speaker 3: calling that a fever, and a medical provider is not
• 1:50
  Speaker 3: going to consider it a fever.
• 1:52
  Speaker 1: No, no, They're going to elevate a body.
• 1:53
  Speaker 3: Temperature and so, okay, we're not going to address it.
• 2:00
  Speaker 3: And people are wondering why.
• 2:03
  Speaker 1: There's a reason, yes and not in the range?
• 2:06
  Speaker 3: Correct, And it's usually your body will take care of it.
• 2:10
  Speaker 3: And then you're usually not going to see a teething
• 2:12
  Speaker 3: child have a problem unless it's over one hundred and one.
• 2:15
  Speaker 2: But they will get a temperature and that's common.
• 2:18
  Speaker 1: Now the flu I've heard so many different variations of
• 2:22
  Speaker 1: the flu. Another one that's thrown around is a general
• 2:24
  Speaker 1: term for basically not feeling well. Correct, And this is
• 2:28
  Speaker 1: not one thing where you say, why I don't feel well,
• 2:31
  Speaker 1: it must be the flu. There are different things going
• 2:34
  Speaker 1: on here. Tell us how this breaks down.
• 2:36
  Speaker 3: The flu is a generalized term, like the term money. Yeah,
• 2:41
  Speaker 3: you know, money means a lot of different things. Is
• 2:43
  Speaker 3: it a yen, isn't you know? Or is it a dollar?
• 2:48
  Speaker 3: That'll mean something different. The flu could be a head cold,
• 2:52
  Speaker 3: or it could be the stomach, a virus in the
• 2:54
  Speaker 3: stomach causing diarrhea, and so people generalize that. And so
• 2:59
  Speaker 3: when you say the fluid to a medical provider, it's
• 3:02
  Speaker 3: just a generic term.
• 3:04
  Speaker 1: Be specific and they can help you have.
• 3:05
  Speaker 2: To that, and so that's what the flu. So when
• 3:09
  Speaker 2: someone's telling you that, it's like, okay, you've.
• 3:13
  Speaker 1: Got you've got a buck, you've got a bug, common cold,
• 3:15
  Speaker 1: which is not so common, And tell them's why it's
• 3:18
  Speaker 1: not so common. We get many of the same symptoms,
• 3:20
  Speaker 1: but there's a lot of different things fighting each other.
• 3:23
  Speaker 3: There are, and there's up to two hundred different viruses
• 3:27
  Speaker 3: who can cause an upper respiratory type of common cold,
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  Speaker 3: But eighty percent of what causes an upper respiratory cold
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  Speaker 3: is rhinovirus or Symptoms will usually appear within two days
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  Speaker 3: after being exposed to the virus, and exposure is from
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  Speaker 3: droplets or very tiny droplets in the aerosol in the air,
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  Speaker 3: or if you have touched a surface of somebody the
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  Speaker 3: droplets or something, and then you touch your eyes, your nose,
• 3:59
  Speaker 3: or your mouth.
• 4:00
  Speaker 1: All right, you know, so you got all that stuff
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  Speaker 1: going on. I mean, it's just just icky and it
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  Speaker 1: doesn't feel good. How long does a common cold run.
• 4:10
  Speaker 3: About seventy to ten days, And something called a post
• 4:14
  Speaker 3: viral cough is very common when after this, after you
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  Speaker 3: are over the illness, and that's just a dry, hacky
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  Speaker 3: cough that hangs you around because it didn't like what
• 4:27
  Speaker 3: happened to your throat, didn't like what happened to your
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  Speaker 3: nasal area, and.
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  Speaker 2: You get this cough and it can last up to
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  Speaker 2: three weeks.
• 4:34
  Speaker 1: Well that explains a lot because of folks would say, well,
• 4:38
  Speaker 1: it's cold, just keeps hanging on. Well, the cold left, Yeah,
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  Speaker 1: it's the cough that keeps hanging on, that is correct.
• 4:43
  Speaker 1: That's the that's the aftermath of it all. Now you
• 4:46
  Speaker 1: need to isolate when you have a cold. It seems
• 4:50
  Speaker 1: like there's always that one it'll come to work, or
• 4:54
  Speaker 1: that student who will come to school. Here, it's like, well,
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  Speaker 1: you know, it's not how badge you're going to get
• 5:01
  Speaker 1: for coming in sick.
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  Speaker 2: No, but you're going to make everyone else sick too.
• 5:05
  Speaker 1: You're not helping folks when you do that, you're not helping.
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  Speaker 3: And I also have to be careful about airplanes because
• 5:12
  Speaker 3: the air is recirculated there.
• 5:14
  Speaker 1: And there's really not a whole lot of space between people.
• 5:17
  Speaker 2: No, it's very close area.
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  Speaker 1: Yeah, you get to be you get to be into it,
• 5:22
  Speaker 1: whether you like it or not. So yeah, once again,
• 5:25
  Speaker 1: you know, just watch that out.
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  Speaker 2: And people are not always courteous.
• 5:29
  Speaker 3: No, they don't cover their mouth when they call for sneeze,
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  Speaker 3: or if there's a Kleenex available, they won't use that.
• 5:37
  Speaker 2: And it's just be courteous. Please wash your hands.
• 5:42
  Speaker 1: Oh that that's a given, but I guess not in
• 5:45
  Speaker 1: every No influenza, Now there's flu We covered that. Now
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  Speaker 1: we have influenza or people some call it the hard Yes,
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  Speaker 1: what are we talking about here?
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  Speaker 3: You're talking about a illness that is caused by the
• 5:59
  Speaker 3: influence in the virus, and it generally starts all of
• 6:05
  Speaker 3: a sudden.
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  Speaker 2: It will hit you like a mac truck. It starts
• 6:09
  Speaker 2: with body aches.
• 6:10
  Speaker 3: Not feeling well, and it can wait between one and
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  Speaker 3: four days. It can incubate in your body before you'll
• 6:17
  Speaker 3: see symptoms.
• 6:18
  Speaker 1: So you start feeling a little puny, a little achy
• 6:20
  Speaker 1: and everything before you even get a fever.
• 6:23
  Speaker 3: And it accelerates, but it hits you all of a sudden. Yeah,
• 6:29
  Speaker 3: and it like fevers. Just generally don't start this illness.
• 6:35
  Speaker 3: Everybody's different, but the muscle page and just not feeling well.
• 6:41
  Speaker 3: So and as a general rule, you get a dry
• 6:44
  Speaker 3: cough with this not one knows what. Ichy cough and
• 6:49
  Speaker 3: a hoarse voice is sometimes indicative of influenza or most
• 6:55
  Speaker 3: viral infections upper respiratory viral infections.
• 6:58
  Speaker 2: Children well sometimes get.
• 7:00
  Speaker 3: Nazia, vomiting and diarrhea with influenza. So and a symptoms
• 7:06
  Speaker 3: usually at last for two day days.
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  Speaker 1: And again you got to watch transmission.
• 7:12
  Speaker 3: Be courteous, be respectful, cover your mouth, you stay home,
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  Speaker 3: wash your hands. But with influenza, yes, we do supportive
• 7:23
  Speaker 3: care on that. However, there are treatments available for shripting treatments.
• 7:28
  Speaker 2: But you have a very limited amount of time to
• 7:30
  Speaker 2: start real short window, don't you forty eight hours?
• 7:34
  Speaker 1: So if you start feeling a little bit, check into it, right, yes, okay,
• 7:38
  Speaker 1: Now what about the people around you? And can they
• 7:41
  Speaker 1: they you got something? So I don't get what you
• 7:44
  Speaker 1: know he's got.
• 7:46
  Speaker 2: Well, first of all, isolate do those things.
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  Speaker 3: But for family members, yeah, a lot of doctors will
• 7:52
  Speaker 3: write a profile axis to keep those family members, hopefully
• 7:56
  Speaker 3: from getting the same influenza.
• 7:59
  Speaker 1: We have an influenza A influenza B. What's the difference.
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  Speaker 3: Well, generally, influenza A can use a reservoir of animals.
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  Speaker 3: Oh okay, so it can affect some animals like birds
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  Speaker 3: and swine, pigs and humans.
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  Speaker 2: Horses can get it, marine mammals can get it.
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  Speaker 1: I did not know that.
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  Speaker 3: But influenza A usually is responsible for about seventy five
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  Speaker 3: percent of the influenza infections during a food season, and
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  Speaker 3: it generally affects people pretty fast. Viruses to keep their
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  Speaker 3: species alive must mutate, and so that's the reason for
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  Speaker 3: the change when they start changing the numbers and things.
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  Speaker 3: And then there's influenza B that's only found in humans.
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  Speaker 3: And then they're C that n D and some other initials,
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  Speaker 3: and they can infect other animals and do other things.
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  Speaker 1: Keeping well, always practice healthy.
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  Speaker 3: Habits, healthy habits, respectful habit, and be responsible for yourself.
• 9:00
  Speaker 3: Cover your mouth when you're coffee or sneezing, wash your hands,
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  Speaker 3: stay away from people other people that are well when
• 9:07
  Speaker 3: you're ill.
• 9:08
  Speaker 1: One thing that comes up from time to time is
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  Speaker 1: people will say, well, you know, I'm kind of up
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  Speaker 1: there in age. I really don't want to get the flu,
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  Speaker 1: but I don't I'm not so sure about getting a
• 9:17
  Speaker 1: flu shot. Now. We're not going to dispense any kind
• 9:20
  Speaker 1: of medical advice like that because we don't know you,
• 9:25
  Speaker 1: and that's.
• 9:26
  Speaker 3: A private dis discussion between patients and their providers. But
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  Speaker 3: I will say, when a patient gets in immuisation a
• 9:33
  Speaker 3: flu shot, they don't get the flu.
• 9:35
  Speaker 1: What does that kind of uneasy feeling to get for
• 9:37
  Speaker 1: the first.
• 9:38
  Speaker 2: They get it?
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  Speaker 3: It is yes, because that means your immune system is
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  Speaker 3: really fighting it. It is reving up, so it has
• 9:46
  Speaker 3: to kind of back up to rev up. There's different
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  Speaker 3: kinds of sub autoimmune self and this is this is
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  Speaker 3: an IgA mediated type of reaction.
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  Speaker 2: Which is a good thing.
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  Speaker 1: You get energized the troops.
• 10:00
  Speaker 2: Yes it does.
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  Speaker 3: So, Yeah, people don't like feeling unwell, but this is unnecessary.
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  Speaker 3: So some people, if they get their flu shot, they
• 10:11
  Speaker 3: usually get it on a Friday, so they have the weekend,
• 10:13
  Speaker 3: and they will get side effects like the site may
• 10:15
  Speaker 3: be a little sore, or they may get that, you know,
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  Speaker 3: a little elevated temperature because that immune system is really revvant.
• 10:23
  Speaker 1: That's all it is. Yes, Okay, once again that's between
• 10:26
  Speaker 1: you and your medical provider. Okay, now we covered flu, influenza,
• 10:31
  Speaker 1: the common cold, and now this COVID thing keeps to
• 10:35
  Speaker 1: just kind of hang in there a little bit. How
• 10:37
  Speaker 1: do you tell the difference between the flu, the cold,
• 10:40
  Speaker 1: and covid?
• 10:41
  Speaker 2: Covid?
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  Speaker 3: Each one of these diseases have a difference, different, different
• 10:45
  Speaker 3: sequence that people must pay attention to because it's important information.
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  Speaker 2: And COVID starts with the fever.
• 10:52
  Speaker 1: Oh okay, the other ones, the fever comes along. This
• 10:55
  Speaker 1: one starts with the fever.
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  Speaker 3: And that common cold generally does not have have a fever.
• 11:00
  Speaker 3: And then they'll get your cough and your sore throat
• 11:03
  Speaker 3: and your body eggs and they'll come in different sequences also,
• 11:08
  Speaker 3: but generally that fever comes first, and the amount of
• 11:11
  Speaker 3: fever will depend on the individual. Keeping a lug. That
• 11:15
  Speaker 3: is golden information to medical providers. Taking your temperature with
• 11:19
  Speaker 3: a thermometer is golden information. Just telling us, oh I
• 11:23
  Speaker 3: felt a little hot, didn't mean much warm room, that's
• 11:28
  Speaker 3: exactly right. Or who I had chillsen fever, well how much?
• 11:32
  Speaker 2: I don't know.
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  Speaker 3: That's not helping anyone. But we would prefer an oral
• 11:37
  Speaker 3: on adults, an oral temperature, you know, putting it under
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  Speaker 3: your arms.
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  Speaker 2: I'm going to get it. Imfant.
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  Speaker 3: Under three months, we want a rectal temperature, but with
• 11:45
  Speaker 3: most adults we want an oral temperature if possible. If not,
• 11:49
  Speaker 3: you know, they've progressed in skins that are very reliable now.
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  Speaker 1: And also when it comes to to COVID and you
• 11:58
  Speaker 1: got it again, respectful, we clean isolate, do all that
• 12:03
  Speaker 1: stuff too.
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  Speaker 3: Yes, and remember COVID kind of comes in clusters. It
• 12:07
  Speaker 3: is two to three more times transmissible then influenza, so
• 12:13
  Speaker 3: it's going to infect clusters.
• 12:16
  Speaker 1: Doctor Kerry Williams with med Club bartles Felt. It is
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  Speaker 1: a club. It's a subscription based primary health.
• 12:23
  Speaker 2: Care, yes, called a direct primary care.
• 12:26
  Speaker 3: It's a monthly fee and that monthly fee pays from
• 12:30
  Speaker 3: my time.
• 12:31
  Speaker 1: And you do labs in there yourself and here get discount.
• 12:34
  Speaker 3: Labs, discounted lab some discounted prescriptions. The labs we have
• 12:40
  Speaker 3: access to the major labs and prescriptions. I try to
• 12:45
  Speaker 3: keep them as low as possible, which is generally lower
• 12:48
  Speaker 3: than you can buy it any large store, large pharmacy.
• 12:52
  Speaker 1: And instead of having three thousand patients, you limit your numbers.
• 12:55
  Speaker 2: I do, and I'm selective.
• 12:59
  Speaker 3: Our society he thinks that medical providers just write prescriptions,
• 13:04
  Speaker 3: and that's incorrect. Basically, our job is to diagnose intrigue.
• 13:10
  Speaker 3: That diagnosis and as easy, and you want that provider
• 13:15
  Speaker 3: to spend time thinking about your disease process, thinking about
• 13:19
  Speaker 3: you specifically, and putting the information that you provide together.
• 13:24
  Speaker 3: And so when you talk to a provider, hopefully that
• 13:29
  Speaker 3: provider has not seeing so many patients that they cannot
• 13:32
  Speaker 3: give you time beyond that appointment. They brain time, because
• 13:37
  Speaker 3: you want to take advantage of that education that they have,
• 13:41
  Speaker 3: those years of education and experience.
• 13:45
  Speaker 1: Doctor Williams will give you a lot of time and
• 13:48
  Speaker 1: a lot of access to the doctor. With this, since
• 13:51
  Speaker 1: we have a finite number of patients that you'll see
• 13:54
  Speaker 1: your doctor. Visit may take you a half hour to
• 13:58
  Speaker 1: forty five minutes someplace, but you might only see the
• 14:00
  Speaker 1: doctor for five minutes. When you come in, you'll be
• 14:03
  Speaker 1: the only patient there. That's what I try to do,
• 14:06
  Speaker 1: and it's very one on one and you're gonna get
• 14:09
  Speaker 1: When she says direct, she means direct, because you're gonna
• 14:13
  Speaker 1: get the information you need. She's gonna get the information
• 14:16
  Speaker 1: she needs, and together you're gonna work on a plan
• 14:18
  Speaker 1: to make the best possible you.
• 14:20
  Speaker 2: That's the goal.
• 14:21
  Speaker 1: That is the goal, and that's the way it works,
• 14:22
  Speaker 1: and it works out pretty Tell them where we can
• 14:25
  Speaker 1: find your website.
• 14:27
  Speaker 3: We're at Midclub dot Clinic. We're also located on Washington
• 14:31
  Speaker 3: Boulevard twenty three oh one Stuffeast Washington Boulevard, which is
• 14:35
  Speaker 3: Highway seventy five, and we're located across the street from
• 14:38
  Speaker 3: Jimmy J.