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MEDCLUB BARTLESVILLE · One on One With a Professional

• 0:01
  Speaker 1: Morning, good morning, good morning, and it's time to ask
• 0:03
  Speaker 1: the doctor. Carrie Williams from Med Club Bartlesville is with is.
• 0:07
  Speaker 2: Good morning doctor, Hello fever. Oh my goodness sakes.
• 0:11
  Speaker 1: You know, they've got songs about fever, and they got
• 0:14
  Speaker 1: all this stuff about fever. They got teens named the fever.
• 0:17
  Speaker 1: But fever, when we say the word, people think, well,
• 0:21
  Speaker 1: I'm hot. Not what do we mean by fever?
• 0:25
  Speaker 3: Well, we mean an usual body temperature greater than one
• 0:28
  Speaker 3: hundred point four.
• 0:29
  Speaker 1: Well wait a second, one hundred point four. So it's
• 0:32
  Speaker 1: not like ninety nine, and it's not like you know,
• 0:36
  Speaker 1: your kid's teating and you're ninety nine almost one hundred.
• 0:39
  Speaker 1: That's not a fever.
• 0:40
  Speaker 2: No, okay, that's okay, it's just elevated temperature. Yes, okay,
• 0:44
  Speaker 2: Well now we know the difference. What a fever is.
• 0:46
  Speaker 3: Good and people do not routinely take their temperature when
• 0:51
  Speaker 3: they think they have a fever. They just go, I
• 0:53
  Speaker 3: feel hot, and it's subject They give the doctor a
• 0:57
  Speaker 3: subjective I'm just hot. That doesn't say much as kind
• 1:00
  Speaker 3: of like my tires are bald.
• 1:02
  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 4: Is ninety eight point six.
• 1:10
  Speaker 2: If you get a.
• 1:10
  Speaker 1: Little older, sometimes you get a little cool, you run
• 1:12
  Speaker 1: a little hotter with what.
• 1:13
  Speaker 3: Happens here, well, you lose your body temperature about a degree.
• 1:16
  Speaker 2: Uh huh.
• 1:16
  Speaker 3: And people's temperature vary throughout the day. They vary with
• 1:20
  Speaker 3: your hydration, they vary with your environment, and so your
• 1:24
  Speaker 3: medical providers are looking for a basic range, they're not
• 1:28
  Speaker 3: looking for a specific number.
• 1:30
  Speaker 2: Okay, So normal temperature would range.
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  Speaker 3: Between ninety seven point seven to about ninety nine.
• 1:37
  Speaker 2: Low grade fever, low grade fever.
• 1:39
  Speaker 4: Will be ninety nine to about one hundred.
• 1:41
  Speaker 2: And four, Okay, the real deal, the real fever.
• 1:43
  Speaker 4: Over one hundred and four a right up to one
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  Speaker 4: hundred and five.
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  Speaker 2: But what happens when you get up to one hundred
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  Speaker 2: and five you're in danger territory.
• 1:49
  Speaker 4: Right, Well, that's that's warm. It's called hyper pyrexia.
• 1:53
  Speaker 2: Uh huh.
• 1:54
  Speaker 3: And over one hundred and five, really one hundred and
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  Speaker 3: five point eight per the textbook, up to one hundred
• 1:59
  Speaker 3: and nine. And some drugs can cause that, some illnesses
• 2:04
  Speaker 3: can cause that. It's not conducive with light, and that
• 2:08
  Speaker 3: needs to be seen.
• 2:10
  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
• 2:14
  Speaker 1: got to tea a temperature of over one hundred before,
• 2:16
  Speaker 1: your brain is gonna cook.
• 2:17
  Speaker 2: No.
• 2:18
  Speaker 3: No, And a lot of people worry about feebras seizures.
• 2:22
  Speaker 3: Those usually occur when your temperature goes up real quickly
• 2:26
  Speaker 3: or goes down real quickly.
• 2:28
  Speaker 1: So if a child is teething, they say that a
• 2:30
  Speaker 1: kid's got a fever, but they really don't. They just
• 2:32
  Speaker 1: have elevated temperature.
• 2:34
  Speaker 3: Yes, And rarely will you see a child that is
• 2:36
  Speaker 3: teething with a temperature over one hundred and one.
• 2:39
  Speaker 2: Oh, okay, good, you know. Okay. Flu is a big
• 2:41
  Speaker 2: word that we're getting into the season.
• 2:44
  Speaker 1: You're right, and boy, it'll be just like flicking on
• 2:48
  Speaker 1: a light switch. We're gonna have the cold, We're gonna
• 2:51
  Speaker 1: have the flu, We're gonna have a little bit of everything.
• 2:55
  Speaker 2: Let's kind of go through this here a little bit. Uh.
• 2:58
  Speaker 1: The flu is kind of a general term when somebody's
• 3:01
  Speaker 1: just kind of feeling yucky.
• 3:03
  Speaker 3: Correct, and people use it like it covers everything. There's
• 3:06
  Speaker 3: some differentiations of diseases, but you can have the stomach flu,
• 3:11
  Speaker 3: you can have a head cold flu, you can have
• 3:13
  Speaker 3: a lot of different kinds of flu is what our
• 3:16
  Speaker 3: society calls them, but just a generic term of flu.
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  Speaker 3: Then there's influenza. That's yeah, that's a completely different germ.
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  Speaker 3: But most of what people call the flu is the
• 3:29
  Speaker 3: common cold.
• 3:30
  Speaker 2: Well, I'll be and there can.
• 3:33
  Speaker 3: Be as many as two hundred different viruses with the
• 3:36
  Speaker 3: common cold, but a lot.
• 3:38
  Speaker 2: Then it wouldn't be so common, then would it.
• 3:40
  Speaker 3: No, But eighty percent of those are caused by rhinovirus
• 3:43
  Speaker 3: that cause upper respiratory symptoms.
• 3:46
  Speaker 4: The thing with a cold.
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  Speaker 3: Symptom is that you're going to start with coffee, a
• 3:53
  Speaker 3: sore throat, writing now, not feeling well, and rarely will
• 3:58
  Speaker 3: you get a temperature much more more than one hundred
• 4:01
  Speaker 3: point four. And you usually get a cold type symptom
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  Speaker 3: upper respiratory symptom about within two days after being exposed.
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  Speaker 4: To that virus.
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  Speaker 3: And most of these are self limiting, and unless you
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  Speaker 3: have some type of terrible illness that could cause you problems,
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  Speaker 3: that makes that worse and usually is over in seven
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  Speaker 3: to ten days.
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  Speaker 2: Okay.
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  Speaker 3: And in our society, most adults get two to three
• 4:29
  Speaker 3: colds per year.
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  Speaker 4: And most children get six to eight per year.
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  Speaker 2: Oh my goodness, they didn't realize that.
• 4:36
  Speaker 3: Wow, And that rhinovirus, which is eighty percent of most
• 4:41
  Speaker 3: cold symptoms, can stay alive up to eighteen hours. There's
• 4:48
  Speaker 3: a difference between droplets and a airsolation, which meeans tiny droplets,
• 4:55
  Speaker 3: and that's how you get infected. And they can survive
• 5:00
  Speaker 3: those drawplets and can survive on a surface. And so
• 5:05
  Speaker 3: when they're talking about proper hand washing techniques, they're talking
• 5:09
  Speaker 3: about you touching a surface and then touching your face
• 5:12
  Speaker 3: like your nose, your mouth, your eyes, and so rarely
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  Speaker 3: do we give prescription medicines for something unless if that's
• 5:22
  Speaker 3: a common cold, and we we would prefer that you
• 5:27
  Speaker 3: isolate and not get out and infect everyone else. Cover
• 5:31
  Speaker 3: your mouth when you're coughing, sneezy, use a clean neck,
• 5:38
  Speaker 3: and then the proper hand washing techniques. Okay, but this
• 5:42
  Speaker 3: is an upper respiratory. But the main takeaway is you
• 5:45
  Speaker 3: don't generally have a fever with a cold. You'll get
• 5:50
  Speaker 3: a cough, and some people will get a cough that
• 5:52
  Speaker 3: will last beyond the illness, and they people worry about
• 5:57
  Speaker 3: that and that's not uncommon and it can go to
• 6:01
  Speaker 3: two to three weeks.
• 6:03
  Speaker 1: Wow, my goodness, thinks, now we've got that what a
• 6:07
  Speaker 1: cold is and what a cold isn't.
• 6:10
  Speaker 2: But when we get into influena.
• 6:13
  Speaker 4: The big guy, that's that's when.
• 6:15
  Speaker 2: It makes people feel like they got hit by a truck.
• 6:17
  Speaker 3: You bet they do. I mean all of a sudden.
• 6:20
  Speaker 3: It happens all of a sudden, and you feel bad,
• 6:24
  Speaker 3: body aches, tired, usually lose your appetite.
• 6:29
  Speaker 4: But you don't get a fever right off the bat.
• 6:32
  Speaker 3: You don't know, okay, and then it will progress onto
• 6:37
  Speaker 3: other symptoms like a dry cough for throat, usually a
• 6:42
  Speaker 3: hoarse voice possibly okay, stuff your running notes and with
• 6:47
  Speaker 3: children sometimes with influenza you'll see some nausea, vomiting, and diarrhea.
• 6:54
  Speaker 3: Symptoms usually ask last for two to eight days. There
• 6:58
  Speaker 3: is treatment for this. There is prescription medications, but as
• 7:03
  Speaker 3: a general rule, you only have forty eight hours to
• 7:06
  Speaker 3: start that for that medication to work.
• 7:09
  Speaker 1: Oh yeah, if you get into the game a little late,
• 7:11
  Speaker 1: you're just throwing money away and wow.
• 7:14
  Speaker 3: And there's also for family members in the same household
• 7:19
  Speaker 3: as someone with influenza, there's prophylaxis, but it needs to
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  Speaker 3: be started early.
• 7:23
  Speaker 2: Also, Oh really, what can they take?
• 7:26
  Speaker 4: They can take a similar medication but a different dose.
• 7:29
  Speaker 2: Oh, icy.
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  Speaker 1: Okay, they can get ahead.
• 7:33
  Speaker 2: It gets a head start on them, correct, Oh good.
• 7:38
  Speaker 3: And influenza. He'll hear about influenza. Basically, influenza A or
• 7:44
  Speaker 3: influenza B A can be found in humans.
• 7:50
  Speaker 4: You hear the birdsley, you hear it in poultry, hear
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  Speaker 4: it and pigs.
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  Speaker 3: Yeah, that's a reservoir basically for that virus to live.
• 8:00
  Speaker 3: And Influenza A gets about seventy five percent of all
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  Speaker 3: the influenzas during the flu season.
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  Speaker 4: And influenza B.
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  Speaker 3: Is just found in humans only only. And there's other
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  Speaker 3: initials said a few other things, so that, but the
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  Speaker 3: main takeaway on influenza, it hits you suddenly, and as
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  Speaker 3: a general rule.
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  Speaker 4: You do not start with the fever. You start with
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  Speaker 4: the body eggs and not feeling well.
• 8:36
  Speaker 1: You know, you're talking a little bit about the animals
• 8:38
  Speaker 1: and stuff like that, because I guess we had that
• 8:40
  Speaker 1: swine flu about about twenty years ago, and then.
• 8:44
  Speaker 2: We had that bird flu. It's very rare, but it's
• 8:47
  Speaker 2: been kind of happening to dairy farmers.
• 8:49
  Speaker 4: Yes, very rare.
• 8:51
  Speaker 1: But you can actually get what an influenza strained from
• 8:57
  Speaker 1: your pet. Your pet can get one back to you.
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  Speaker 3: Your dogs as a general will sometimes be a reservoir
• 9:02
  Speaker 3: for it. Yeah, it's more likely that you will give
• 9:04
  Speaker 3: it to your dog than the.
• 9:05
  Speaker 4: Dog, is it.
• 9:09
  Speaker 2: I kind of figured that's the way it worked. I
• 9:12
  Speaker 2: 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.
• 9:16
  Speaker 2: I caught it from my dog. No you didn't. You
• 9:18
  Speaker 2: 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
• 9:32
  Speaker 1: as much as you possibly can and stay around well people.
• 9:35
  Speaker 3: That's correct, and same precautions as a common cold. Yeah,
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  Speaker 3: cover your mouth when you sneeze, your cough, stay stay isolated,
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  Speaker 3: stay away from people so you don't give it to them,
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  Speaker 3: and proper hand washing technique.
• 9:52
  Speaker 1: It's always the hero that comes to work, Yeah, the
• 9:55
  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 the sneak
• 10:00
  Speaker 1: copy all over and next thing you know, the whole
• 10:04
  Speaker 1: building is.
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  Speaker 2: Just out and on their back. You are correct, So
• 10:08
  Speaker 2: you know, come on, folks, you know, if you want
• 10:11
  Speaker 2: to take one for the team, take a day off.
• 10:13
  Speaker 3: And once again, know your temperature. Yeah, know what's going
• 10:17
  Speaker 3: on in your body. Pay attention to your history of
• 10:21
  Speaker 3: what comes first, second, third, because that's important to a
• 10:24
  Speaker 3: medical provider.
• 10:25
  Speaker 1: Speaking of medical providers, we're talking with doctor Kerry Williams
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  Speaker 1: of med Club Bartleville right here in Bartleville, right there
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  Speaker 1: on the Washington, and they're right off seventy five, kind
• 10:36
  Speaker 1: of across the street there from Jimmy's Egg. And you
• 10:39
  Speaker 1: can always find that, you know, Monday through Thursday, but
• 10:42
  Speaker 1: you need to kind of get to know the.
• 10:44
  Speaker 2: Doctor a little bit.
• 10:45
  Speaker 1: So invite you to go on the website, learn a
• 10:48
  Speaker 1: little bit and introduce yourself.
• 10:50
  Speaker 3: You can go to medclub dot clinic and it will
• 10:54
  Speaker 3: answer most questions you will have if not give us
• 10:57
  Speaker 3: a call. This is a membership type practice sure, with
• 11:01
  Speaker 3: a flat monthly fee, no deductible.
• 11:06
  Speaker 2: There you go.
• 11:06
  Speaker 1: It's just like a being a in Netflix and things
• 11:09
  Speaker 1: like that. It's a subscription.
• 11:11
  Speaker 3: Based you're exactly correct, and it works out pretty well.
• 11:14
  Speaker 4: It does overall, it will save most patients big money.
• 11:18
  Speaker 2: Big money.
• 11:19
  Speaker 1: Okay, we covered cold, we covered flu, we've covered influenza.
• 11:23
  Speaker 1: Now we're going to visit a word that nobody really
• 11:26
  Speaker 1: wants to hear, but it's it's kind of still hanging
• 11:29
  Speaker 1: around a little bit.
• 11:30
  Speaker 2: COVID.
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  Speaker 1: There have been studies on this, and we know that
• 11:33
  Speaker 1: with a cold, you don't get a fever.
• 11:36
  Speaker 4: Correct.
• 11:36
  Speaker 1: With the flu, you get the body before you get
• 11:38
  Speaker 1: a fever. What happens with COVID? Where's this hall tap?
• 11:40
  Speaker 2: What are this? You get the fever first, okay? So
• 11:44
  Speaker 2: this when you get the fever first, okay?
• 11:46
  Speaker 3: Good, and then you generally get a cough, sore throat,
• 11:50
  Speaker 3: body aches, and so it's in its symptoms progressed differently
• 11:54
  Speaker 3: than the first two got it.
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  Speaker 4: And you know fever.
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  Speaker 3: As a general rule, and it can be remember a
• 12:01
  Speaker 3: fever is over one hundred point four. Everyone's a little different,
• 12:06
  Speaker 3: and every strain of COVID is a little different, being
• 12:11
  Speaker 3: different ages, different disease processes, comorbidities, influences the diseases like
• 12:19
  Speaker 3: COVID or influenza or cold, and.
• 12:22
  Speaker 4: The variants are changing.
• 12:26
  Speaker 3: But knowing the progression, knowing what came first what came second,
• 12:31
  Speaker 3: is very important to medical provider, and so that patient
• 12:35
  Speaker 3: has a responsibility to pay attention to themselves and be
• 12:40
  Speaker 3: able to tell that provider it will make a difference.
• 12:43
  Speaker 2: What there you go. You got to keep track of
• 12:45
  Speaker 2: what's going on.
• 12:46
  Speaker 4: With you, and please take a temperature.
• 12:48
  Speaker 1: Yeah, you know, if you're starting to feel a little
• 12:51
  Speaker 1: ought might want to mark that down on a piece
• 12:54
  Speaker 1: of paper someplace because you might think, well, it's nothing
• 12:57
  Speaker 1: well and I'm not trying to say, oh the you know,
• 13:00
  Speaker 1: the sky is falling, but it'd be well worth your
• 13:03
  Speaker 1: time to say, I got some muscle ak today. Okay,
• 13:07
  Speaker 1: the next couple of days something else happens, or you
• 13:10
  Speaker 1: start off with a fever and then the coffer, then
• 13:13
  Speaker 1: the sore throat.
• 13:14
  Speaker 2: The sequences make the difference when.
• 13:16
  Speaker 4: Diagnosing this absolutely correct.
• 13:19
  Speaker 1: My heaven sakes. And there is testing for COVID. And
• 13:23
  Speaker 1: I saw the Darkness thing where you get a box
• 13:27
  Speaker 1: where you can test is it flu or is it covid?
• 13:31
  Speaker 1: Is COVID is a flu? And I'm thinking, okay, this
• 13:36
  Speaker 1: is legit, right.
• 13:37
  Speaker 3: This is legit in their home test and you can
• 13:40
  Speaker 3: order them off of common retail site sure or if
• 13:44
  Speaker 3: I don't know if they have them currently available in town,
• 13:47
  Speaker 3: but at some of the bigger retail stores we'll have
• 13:50
  Speaker 3: them also.
• 13:51
  Speaker 1: I've been looking into those because it seemed like when
• 13:55
  Speaker 1: COVID was raging people or that's just a flu, and
• 13:58
  Speaker 1: then people were coming to work with GOVID, correct, because
• 14:01
  Speaker 1: they didn't want to go to a doctor, they didn't
• 14:03
  Speaker 1: want to stick anything up their nose or anything else
• 14:05
  Speaker 1: like that.
• 14:06
  Speaker 2: You know, they just came.
• 14:07
  Speaker 4: You're still going to stick something up your nose.
• 14:09
  Speaker 3: The question is do you want to take two different
• 14:11
  Speaker 3: tests up your nose or one one?
• 14:13
  Speaker 2: Yeah? So this is what this does, right, correct? So okay, so.
• 14:20
  Speaker 4: People are going to ask me about immunizations.
• 14:23
  Speaker 3: Yeah, I think those are personal choices for flu, influenza
• 14:28
  Speaker 3: and COVID, and that's something to be discussed with your
• 14:30
  Speaker 3: personal medical provider.
• 14:32
  Speaker 1: Yeah, we're not here to say anything on this show.
• 14:34
  Speaker 1: Yeah your name again, that's a private matter. Yes it is,
• 14:38
  Speaker 1: and I think people respect that.
• 14:39
  Speaker 4: I hope they do.
• 14:41
  Speaker 2: I know they do. So there you go, folks.
• 14:44
  Speaker 1: We've been talking with doctor Kerry Williams with met Club
• 14:46
  Speaker 1: Bartlespelt again.
• 14:47
  Speaker 2: Where do we find you?
• 14:49
  Speaker 3: I'm located on Highway seventy five, across the street from.
• 14:53
  Speaker 4: Jimmy's Egg and your website. My website is Medclub dot Clinic.