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MEDCLUB BARTLESVILLE · One on One With a Professional

• 0:00
  Speaker 1: It's time now for Ask the Doctor with Doctor Kerrie Williams,
• 0:03
  Speaker 1: Med Club Bartlesville and Doctor. First of all, good morning
• 0:07
  Speaker 1: to you.
• 0:07
  Speaker 2: Hello.
• 0:08
  Speaker 1: We're going to learn a lot about a lot of
• 0:10
  Speaker 1: things today, I hope. So this is going to be
• 0:12
  Speaker 1: a crammed pack episode. We're going to know the difference
• 0:15
  Speaker 1: between a cold, the flu, influenza, and COVID I hope.
• 0:21
  Speaker 1: So now everybody seems to think, oh, well, it's all
• 0:24
  Speaker 1: the same thing. How do you tell that difference at
• 0:26
  Speaker 1: all kinds? That's all. No, it's not all the same thing.
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  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 know, really have a
• 0:34
  Speaker 1: little bit of an inside track and actually know what's
• 0:36
  Speaker 1: going on with their bodies as you know things may
• 0:39
  Speaker 1: or may not be taking place. First of all, the
• 0:42
  Speaker 1: term fever, boy, that's a broad brush thing right there
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  Speaker 1: for a lot of people. I got a fever. Well
• 0:50
  Speaker 1: do you or don't you? And how do you know?
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  Speaker 2: The textbook say a temperature of greater than a one
• 0:55
  Speaker 2: hundred point four and normal temperature is ninety eight point six,
• 1:01
  Speaker 2: but not everyone's normal, and your temperature changes throughout.
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  Speaker 1: The day, throughout your life.
• 1:06
  Speaker 2: Can throughout your life, and so depending on your environment,
• 1:11
  Speaker 2: your hydration, your h you know, you lose some temperature,
• 1:17
  Speaker 2: about a degree of temperature with when you're over seven.
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  Speaker 2: It all counts. But doctors aren't looking for specific numbers.
• 1:25
  Speaker 2: 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
• 1:31
  Speaker 1: trouble if you are over one hundred point four, because
• 1:36
  Speaker 1: that is a fever, and that draws some attention. What
• 1:38
  Speaker 1: happens if you get up above about one hundred and
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  Speaker 1: five to maybe one hundred and.
• 1:41
  Speaker 2: Six degrees, that's bad business.
• 1:43
  Speaker 1: Well, that's bad business, really bad.
• 1:45
  Speaker 2: But you know people call a fever a low fever,
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  Speaker 2: like ninety nine to one hundred point four, and they're
• 1:53
  Speaker 2: calling that a fever, and a medical provider is not
• 1:56
  Speaker 2: going to consider it a fever.
• 1:58
  Speaker 1: No, No, they're going to elevate a body.
• 2:00
  Speaker 2: And so, okay, we're not going to address it. And
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  Speaker 2: people are wondering why there's a reason, yes and not
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  Speaker 2: in the range? Correct, And it's usually your body will
• 2:14
  Speaker 2: take care of it, and then you're usually not going
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  Speaker 2: to see a teething child have a problem unless it's
• 2:20
  Speaker 2: over one hundred and one, but they will get a
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  Speaker 2: temperature and that's calm.
• 2:24
  Speaker 1: Now the flu. I've heard so many different variations of
• 2:28
  Speaker 1: the flu. Another one that's thrown around is a general
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  Speaker 1: term for basically not feeling well. Correct, And this is
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  Speaker 1: not one thing where you say, why I don't feel well,
• 2:37
  Speaker 1: it must be the flu. There are different things going
• 2:40
  Speaker 1: on here. Tell us how this breaks down.
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  Speaker 2: The flu is a generalized term, like the term money. Yeah,
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  Speaker 2: you know, money means a lot of different things. Is
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  Speaker 2: it a yen, isn't you know? Or is it a dollar?
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  Speaker 2: That'll mean something different. The flu could be a head cold,
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  Speaker 2: or it could be the stomach virus in the stomach
• 3:01
  Speaker 2: causing diarrhea, and so people generalize that. And so when
• 3:05
  Speaker 2: you say the fluid to a medical provider, it's just
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  Speaker 2: a generic term.
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  Speaker 1: Be specific and they can help you have to that.
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  Speaker 2: And so that's what the flu. So when someone's telling
• 3:16
  Speaker 2: you that, it's like, okay.
• 3:18
  Speaker 1: You've got you've got a bug. You've got a bug,
• 3:21
  Speaker 1: common cold, which is not so common, And tell thems
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  Speaker 1: why it's not so common. We get many of the
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  Speaker 1: same symptoms, but there's a lot of different things fighting
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  Speaker 1: each other.
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  Speaker 2: There are and there's up to two hundred different viruses
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  Speaker 2: who can cause an upper respiratory type of common cold,
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  Speaker 2: but eighty percent of what causes an upper respiratory cold
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  Speaker 2: is rhinovirus or Symptoms will usually appear within two days
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  Speaker 2: after being exposed to the virus. An exposure is from
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  Speaker 2: droplets or very tiny droplets in the aerosol in the air,
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  Speaker 2: or if you have touched a surface as somebody the
• 4:00
  Speaker 2: droplets or something, and then you touch your eyes, your
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  Speaker 2: nose or your mouth.
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  Speaker 1: All right, you know, so you got all that stuff
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  Speaker 1: was going on. I mean, it's just just icky and
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  Speaker 1: it doesn't feel good. How long does a common cold run?
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  Speaker 2: About seven to ten days, right, And something called a
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  Speaker 2: post viral cough is very common when after this, after
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  Speaker 2: you are over the illness, and that's just a dry,
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  Speaker 2: hacky cough that hangs you around because it didn't like
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  Speaker 2: what happened to your throat, didn't like what happened to
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  Speaker 2: your nasal area, and you get this cough and it
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  Speaker 2: can last up to three weeks.
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  Speaker 1: Well, that explains a lot because of folks would say,
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  Speaker 1: well the cold just keeps hanging on. Well, the cold
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  Speaker 1: left you. It's the cough that keeps hanging on. That
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  Speaker 1: is correct, that's the that's the aftermath of it all.
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  Speaker 1: Now you need to isolate when you have a cold.
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  Speaker 1: It seems like there's always that one it'll come to work,
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  Speaker 1: or that student who will come to school. Here, it's like, well,
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  Speaker 1: you know, it's not a badge you're going to get
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  Speaker 1: for coming in sick.
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  Speaker 2: No, but you're going to make everyone else sick too.
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  Speaker 1: You're not helping folks when you do that, you're not helping.
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  Speaker 2: And I also have to be careful about airplanes because
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  Speaker 2: the air is recirculated there.
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  Speaker 1: And there's really not a whole lot of space between.
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  Speaker 2: People, no very close area.
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  Speaker 1: Yeah, you get to be you get to be intimate,
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  Speaker 1: whether you like it or not. So yeah, once again,
• 5:31
  Speaker 1: you know, just watch that out.
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  Speaker 2: And people are not always courteous. No, they don't cover
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  Speaker 2: their mouth when they call for sneeze, or if there's
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  Speaker 2: a Kleenex available, they won't use that. And it's just
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  Speaker 2: be courteous. Please wash your hands.
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  Speaker 1: Oh that that's a given, but I guess not in
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  Speaker 1: every No influenza. Now there's fluek we covered that. Now
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  Speaker 1: we have influenza or people some call it the hard
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  Speaker 1: blue yes, what are we talking about here.
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  Speaker 2: We're talking about an illness as caused by the influence
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  Speaker 2: the virus. And it generally starts all of a sudden.
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  Speaker 2: It will hit you like a mac truck. It starts
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  Speaker 2: with body aches, not feeling well, and it can wait
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  Speaker 2: between one and four days. You can incubate in your
• 6:22
  Speaker 2: body before you'll see symptoms.
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  Speaker 1: So you start feeling a little puny, a little achy
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  Speaker 1: and everything before you even get a fever.
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  Speaker 2: And it accelerates, but it hits you all of a sudden. Yeah,
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  Speaker 2: and it like fevers. Just generally don't start this illness.
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  Speaker 2: Everybody's different, but the muscle page and just not feeling well.
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  Speaker 2: So and as a general rule, you get a dry
• 6:50
  Speaker 2: cough with this not one knows what. Ichy cough and
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  Speaker 2: a hoarse voice is sometimes indicative of influenza or most
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  Speaker 2: viral infections upper respiratory viral infections. Children will sometimes get
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  Speaker 2: nazi a, vomiting and diarrhea with influenza, so and A
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  Speaker 2: symptoms usually at last for two to da eight days.
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  Speaker 1: And again you got to watch transmission.
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  Speaker 2: Be courteous, be respectful, cover your mouth, you stay home,
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  Speaker 2: wash your hands. But with influenza yes, we do supportive
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  Speaker 2: care on that. However, there are treatments available for shrifting treatments.
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  Speaker 2: But you have a very limited amount of time to start,
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  Speaker 2: real short window, don't you forty eight hours?
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  Speaker 1: So if you start feeling a little bit, check into it, right, yes, okay,
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  Speaker 1: Now what about the people around you? And can they
• 7:47
  Speaker 1: they you got something? So I don't get what you
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  Speaker 1: know he's got.
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  Speaker 2: Well, first of all, isolate do those things. But for
• 7:56
  Speaker 2: family members, yeah, a lot of doctors will write a
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  Speaker 2: profile acts to keep those family members, hopefully from getting
• 8:03
  Speaker 2: the same influenza.
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  Speaker 1: We have an influenza A influenza B. What's the difference.
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  Speaker 2: Well, generally, influenza A can use a reservoir of animals.
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  Speaker 2: Oh okay, so it can affect some animals like birds
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  Speaker 2: and swine, pigs and humans. Horses can get it. Marine
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  Speaker 2: animals can get it.
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  Speaker 1: I did not know that.
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  Speaker 2: But influenza A usually is responsible for about seventy five
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  Speaker 2: percent of the influenza infections during a flood season, and
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  Speaker 2: it generally affects people pretty fast. Viruses to keep their
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  Speaker 2: species alive must mutate, and so that's the reason for
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  Speaker 2: the change. When they start changing the numbers and things,
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  Speaker 2: and then there's influenza B that's only found in humans,
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  Speaker 2: and then they're C that N D and some other
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  Speaker 2: initials 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 2: Habits, healthy habits, respectful habit, and be responsible for yourself.
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  Speaker 2: Cover your mouth when your coffee or sneezing, wash your hands,
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  Speaker 2: stay away from people other people that are well when
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  Speaker 2: you're ill.
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  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
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  Speaker 1: flu shot. Now. We're not going to dispense any kind
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  Speaker 1: of medical advice like that because we don't know you.
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  Speaker 2: And that's a private discussion between patients and their providers.
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  Speaker 2: But I will say, when a patient gets an immunisation
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  Speaker 2: a flu shot, they don't get the flu, what.
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  Speaker 1: Does that kind of uneasy feeling to get for the first.
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  Speaker 2: They get it?
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  Speaker 1: Thing?
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  Speaker 2: Oh, it is, yes, because that means your immune system
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  Speaker 2: is really fighting it. It is reving up, so it
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  Speaker 2: has to kind of back up to rev up. There's
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  Speaker 2: different kinds of sub autoimmune self and this is this
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  Speaker 2: is an I GA mediated type of reaction, which is
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  Speaker 2: a good thing.
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  Speaker 1: It energizes the troops, Yes it does.
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  Speaker 2: So, yeah, people don't like feeling unwell, but this is unnecessary.
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  Speaker 2: So some people, if they get their flu shot, they
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  Speaker 2: usually get it on a Friday, so they have the weekend,
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  Speaker 2: and they will get side effects like the site may
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  Speaker 2: be a little sore, or they may get that, you know,
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  Speaker 2: a little elevated temperature, because that immune system is really revenant.
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  Speaker 1: That's all it is. Yes, Okay, once again that's between
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  Speaker 1: you and your medical provider. Okay, now we covered flu, influenza,
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  Speaker 1: the common cold, and now this this COVID thing keeps
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  Speaker 1: to just kind of hang in there a little bit.
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  Speaker 1: How do you tell the difference between the flu, the cold,
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  Speaker 1: and covid?
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  Speaker 2: Covid Each one of these diseases have a difference, different
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  Speaker 2: different sequence that people are must pay attention to because
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  Speaker 2: it's important information. And COVID starts with the fever.
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  Speaker 1: Oh okay, the other ones the fevers a lung. This
• 11:01
  Speaker 1: one starts with the fever.
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  Speaker 2: And that comic cold generally does not have have a fever.
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  Speaker 2: And then they'll get your cough and your sore throat
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  Speaker 2: and your body eggs, and they'll come in different sequences also,
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  Speaker 2: but generally that fever comes first, and the amount of
• 11:17
  Speaker 2: fever will depend on the individual. Keeping a lug that
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  Speaker 2: is golden information to medical providers. Taking your temperature with
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  Speaker 2: a thermometer is golden information. Just telling us, oh I
• 11:29
  Speaker 2: felt a little hot, didn't mean much, a warm room,
• 11:33
  Speaker 2: that's exactly right. Or who I had chillsen fever, well
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  Speaker 2: how much? I don't know. That's not helping anyone. But
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  Speaker 2: we would prefer an oral on adults, an oral temperature,
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  Speaker 2: you know, putting it under your arms, not going to
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  Speaker 2: get it infant under three months, we want a rectal temperature.
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  Speaker 2: But with most adults we want an oral temperature if possible.
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  Speaker 2: If not, you know they've progressed and had skins that
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  Speaker 2: are very reliable now.
• 12:00
  Speaker 1: And also when it comes to COVID and you get again, respectful,
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  Speaker 1: be clean to isolate, do all that stuff.
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  Speaker 2: Too, Yes, and remember COVID kind of comes in clusters.
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  Speaker 2: It is two to three more times transmissible then influenza,
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  Speaker 2: so it's going to infect clusters.
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  Speaker 1: Doctor Kerry Williams with med Club bartlesfelt, it is a club.
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  Speaker 1: It's a subscription based primary health care.
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  Speaker 2: Yes, called a direct primary care. It's a monthly fee
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  Speaker 2: and that monthly fee pays from my time, and.
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  Speaker 1: You do labs in there yourself, and you get discount.
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  Speaker 2: Labs, discounted lab some discounted prescriptions. The labs we have
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  Speaker 2: access to the major labs and prescriptions. I try to
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  Speaker 2: keep them as low as possible, which is generally lower
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  Speaker 2: than you can buy any large store, large pharmacy.
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  Speaker 1: And instead of having three thousand pat you limit your numbers.
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  Speaker 2: I do, and I'm selective. Our society thinks that medical
• 13:08
  Speaker 2: providers just write prescriptions, and that's incorrect. Basically, our job
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  Speaker 2: is to diagnose intrigue. That diagnosis in as easy, and
• 13:19
  Speaker 2: you want that provider to spend time thinking about your
• 13:23
  Speaker 2: disease process, thinking about you specifically, and putting the information
• 13:28
  Speaker 2: that you provide together. And so when you talk to
• 13:33
  Speaker 2: a provider, hopefully that provider has not seeing so many
• 13:37
  Speaker 2: patients that they cannot give you time beyond that appointment.
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  Speaker 2: They brain time because you want to take advantage of
• 13:45
  Speaker 2: that education that they have. Those years of education and experience.
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  Speaker 1: Doctor Williams will give you a lot of time and
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  Speaker 1: a lot of access to the doctor with this, since
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  Speaker 1: we have a finite number of patients that you's see
• 14:00
  Speaker 1: your doctor. Visit may take you a half hour to
• 14:04
  Speaker 1: forty five minutes someplace, but you might only see the
• 14:06
  Speaker 1: doctor for five minutes. When you come in, you'll be
• 14:09
  Speaker 1: the only patient there.
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  Speaker 2: That's what I try to do, and it's.
• 14:12
  Speaker 1: Very one on one and you're going to get When
• 14:15
  Speaker 1: she says direct, she means direct, because you're gonna get
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  Speaker 1: the information you need, She's gonna get the information she needs,
• 14:22
  Speaker 1: and together you're going to work on a plan to
• 14:24
  Speaker 1: make the best possible you.
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  Speaker 2: That's the goal.
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  Speaker 1: That is the goal, and that's the way it works,
• 14:28
  Speaker 1: and it works out pretty here. Tell them where we
• 14:31
  Speaker 1: can find your website.
• 14:33
  Speaker 2: We're at Midclub dot Clinic. We're also located on Washington
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  Speaker 2: Boulevard twenty three oh one stuff East Washington Boulevard, which
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  Speaker 2: is Highway seventy five, and we're located across the street
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  Speaker 2: from Jimmy Z. Thanks for listening to one on one
• 14:51
  Speaker 2: with a professional, A paid presentation at fourteen hundred K
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  Speaker 2: one