Latest / In My Hometown / The College Health Risks Parents Aren’t Talking About | Dr. Jill, The College Doc

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The College Health Risks Parents Aren’t Talking About | Dr. Jill, The College Doc · In My Hometown

• 0:00
  SPEAKER_00: Sending your kid off to college, you're probably thinking about the dorm room, the meal plan, move-in day.
• 0:05
  SPEAKER_00: But have you talked about what happens when they get sick, drink too much, have a mental health crisis, or need to make a decision about sex at 2 a.m.?
• 0:14
  SPEAKER_00: Well, today we're talking with Dr.
• 0:17
  SPEAKER_00: Jill, aka the college doc and author of the Ultimate College Student Health Handbook.
• 0:24
  SPEAKER_00: And she's here with us today.
• 0:26
  SPEAKER_00: Welcome.
• 0:27
  SPEAKER_03: Welcome.
• 0:27
  SPEAKER_00: Yeah.
• 0:28
  SPEAKER_00: So excited to be here with you.
• 0:29
  SPEAKER_00: So excited that you are here.
• 0:31
  SPEAKER_00: Let's let's get started.
• 0:32
  SPEAKER_00: Let's start here with what are parents most concerned about and what but what should they be most concerned about in terms of their kid leaving for school?
• 0:43
  SPEAKER_01: I think most parents, it's a little bit gender divided, to be honest.
• 0:48
  SPEAKER_01: Okay.
• 0:49
  SPEAKER_01: But a lot of parents are concerned about the safety of their kids.
• 0:54
  SPEAKER_01: And that is, you know, what what kind of situations is their kid going to put themselves in?
• 1:02
  SPEAKER_01: And what things will they find themselves in.
• 1:05
  SPEAKER_01: And so safety is the biggest thing.
• 1:10
  SPEAKER_01: It's funny because grades is is the least thing that on the front end that parents are concerned about.
• 1:16
  SPEAKER_01: And honestly, that probably should be moved up a notch or two.
• 1:19
  SPEAKER_01: Right.
• 1:20
  SPEAKER_01: I'm all about the college experience.
• 1:21
  SPEAKER_01: Sorry.
• 1:22
  SPEAKER_01: Um, all about the college experience and and life outside the classroom.
• 1:28
  SPEAKER_01: But again, the biggest worries are about safety and about will my kid fit in?
• 1:33
  SPEAKER_01: Are they gonna find friends?
• 1:35
  SPEAKER_01: Are they gonna find their place?
• 1:36
  SPEAKER_01: Did they pick the right school?
• 1:38
  SPEAKER_01: And these are all the things they're thinking about because their child, who's no longer a child, who is a young adult, their teen or young adult is heading off or about to head off, and they're asking the same questions.
• 1:50
  SPEAKER_00: Right, right.
• 1:51
  SPEAKER_00: So, but when I started, it was sort of like where parents are, we're very much in the logistics mode.
• 1:56
  SPEAKER_00: Like I'm so I have a daughter who's heading off.
• 1:58
  SPEAKER_00: I had one who already already graduated, and you know, I'm the sheets, and um, I mean, and for a girl uh versus a boy, it's also so different.
• 2:06
  SPEAKER_00: My friends that have boys, it's like they just take a bag and they head over to school.
• 2:11
  SPEAKER_00: We are, you know, matching sheets and the the bedding and um and the decor and all of these things.
• 2:16
  SPEAKER_00: But really, what I loved about your book and our conversations and what you have on your social is just all of this other stuff of what we really should be thinking about and that and the conversations that we should be having.
• 2:30
  SPEAKER_00: So if you uh um what's the one conversation that you think from a safety standpoint should be at the top of that list before they leave for school?
• 2:41
  SPEAKER_01: Okay, so from a safety standpoint, the biggest mistake that we see is when uh kids, and I use the word kids loosely to mean teens, young adults, yeah, college students, uh when they don't have a plan ahead of time.
• 2:58
  SPEAKER_01: People get into trouble when they get separated into single and their group leaves without them.
• 3:06
  SPEAKER_01: So one safety conversation is about making an agreement ahead of time.
• 3:11
  SPEAKER_01: We leave together.
• 3:13
  SPEAKER_01: What time are we going to leave?
• 3:15
  SPEAKER_01: And if we're not settled on a time, what is our code word?
• 3:19
  SPEAKER_01: What's the thing?
• 3:20
  SPEAKER_01: If I say everybody knows, oop, Jill's uncomfortable, we're out of here, no questions asked, doesn't matter if one person in the group just met that special somebody they had a spark with.
• 3:30
  SPEAKER_01: Quick exchange contact information, but out.
• 3:33
  SPEAKER_03: That is such a But that's what that's what I said to my daughter who's in the junior in college.
• 3:39
  SPEAKER_03: And uh the first year I said to her, I said, when you go out with a friend, you leave with a friend, you come back with a friend.
• 3:45
  SPEAKER_03: I said, you have to have a clear understanding about if we go into a bar, if someone is uncomfortable, you come together, you live together.
• 3:53
  SPEAKER_03: You never leave by yourself.
• 3:55
  SPEAKER_03: The worst that happens is you give me a call and I come up and get you.
• 3:58
  SPEAKER_03: That's for my daughter.
• 4:00
  SPEAKER_03: Right.
• 4:00
  SPEAKER_03: For my son, it's a different game.
• 4:02
  SPEAKER_03: You know, boys are a little bit more, uh, you know, a little bit more challenging, a little bit more daring.
• 4:07
  SPEAKER_03: Uh they don't follow the rules as much as as the girls.
• 4:11
  SPEAKER_03: Do you agree with me on that?
• 4:13
  SPEAKER_01: I do, although my gender bias is getting less and less because uh being in college health, I was actually surprised.
• 4:24
  SPEAKER_01: I went from private practice for 20 years into college health.
• 4:28
  SPEAKER_01: And same town, honestly, roughly same clientele.
• 4:32
  SPEAKER_01: And it it was interesting to see how many young men also came in complaining of um whether it was sexual assault or having their drink spiked and not remembering what happened.
• 4:50
  SPEAKER_01: And this gets into something that a lot of boy parents, again, just stereotypically here, don't think about, has to do with the whole blackout culture.
• 5:01
  SPEAKER_01: And so I talk with my hands, I'm really we we like to be animated, don't worry about it.
• 5:07
  SPEAKER_01: It's all good.
• 5:08
  SPEAKER_01: It's all good.
• 5:08
  SPEAKER_02: Yay, yeah, you know.
• 5:10
  SPEAKER_01: So there's there's this, you know, social media rallying cry of back out, blackout or back out.
• 5:16
  SPEAKER_01: So get so drunk that there's a blackout.
• 5:19
  SPEAKER_01: And that doesn't mean passed out.
• 5:21
  SPEAKER_01: That's that's alcohol toxicity and super dangerous, and we'll maybe talk about that later.
• 5:25
  SPEAKER_01: Yeah.
• 5:25
  SPEAKER_01: But a blackout means the next day you have a memory gap.
• 5:28
  SPEAKER_01: And that happens usually when you're doing shots, because it's when your blood alcohol levels shoot up too high too quickly, and it flips off a switch in your brain that ordinarily takes short-term memories and makes them long-term.
• 5:42
  SPEAKER_01: So the next day, it doesn't matter.
• 5:43
  SPEAKER_01: I mean, people could show you a video of what you did, but you are not gonna have a real memory of what you did because you never made the long-term memory.
• 5:51
  SPEAKER_01: And the problem with that, one of the many problems with that, is if during that time you were physically intimate with somebody, you might have been getting enthusiastic, ongoing, verbalized consent, which is how we say yes now, not just not no, um, you might be getting that positive feedback.
• 6:10
  SPEAKER_01: But if that person the next day has a memory gap, then they have a memory gap.
• 6:17
  SPEAKER_01: And they may be aware that they were intimate with somebody, but they not may not have any memory of what led up to that.
• 6:24
  SPEAKER_01: So that's one of the conversations that I think it's really important to have.
• 6:28
  SPEAKER_01: And that's a bit of you know, a bit about legality.
• 6:32
  SPEAKER_01: There's, I mean, obviously, there's so many aspects of this with morality and what you want to do with your body and all of that.
• 6:38
  SPEAKER_01: But also there's some legal aspects of this where you can be responsible, you know, held responsible.
• 6:43
  SPEAKER_00: Yeah, I mean, it's a scary, it's a scary time, um, no matter how you look at it.
• 6:48
  SPEAKER_00: And I think that drinking is so um when it it when it enters the the mix, um, it the uh uh uh pun intended.
• 6:58
  SPEAKER_00: Pun intended, for sure.
• 6:59
  SPEAKER_00: It it it makes things just so much harder.
• 7:01
  SPEAKER_00: And I think so, it's from a safety perspective and but um but also uh so let's let's talk about it from a sex standpoint, that's what I meant.
• 7:10
  SPEAKER_00: Um but also the drinking standpoint.
• 7:11
  SPEAKER_00: Okay.
• 7:12
  SPEAKER_00: So from a sex standpoint, what would you then say to your son or your daughter about that?
• 7:17
  SPEAKER_00: I mean, it's really I think the answer is just don't have sex when you are drunk, right?
• 7:24
  SPEAKER_03: Easiest to easiest to be done, though, Jimmy.
• 7:27
  SPEAKER_03: Easiest to then done.
• 7:28
  SPEAKER_01: I've solved the problem.
• 7:29
  SPEAKER_01: Easiest to be done.
• 7:31
  SPEAKER_01: Bravo.
• 7:31
  SPEAKER_01: Um and yes, legally that's the answer.
• 7:33
  SPEAKER_01: And you don't know how much I've been drinking if we meet and we're talking.
• 7:38
  SPEAKER_01: Yes, and vice versa.
• 7:40
  SPEAKER_01: And somebody does not have to appear sloppy drunk, slurring their words, whatever, to the next day, end up having this memory gap.
• 7:49
  SPEAKER_01: And so it's tricky.
• 7:50
  SPEAKER_01: But really, the message is you know, young people, many people of all ages would love to hear that there's no consequences of hookups, but there are.
• 8:00
  SPEAKER_01: And so you, you know, you're you're it's risk-benefit, you're you've got to make these choices, but you shouldn't go into it just assuming that everything is a free-for-all.
• 8:08
  SPEAKER_01: But I do think the best thing you said was that that you they should be together.
• 8:11
  SPEAKER_03: Like, I agree, but but don't you think then before they go to college, you know, we live in a completely different generation now.
• 8:18
  SPEAKER_03: Don't you think then before they go to college they had sexual experience, sexual partner in high school?
• 8:24
  SPEAKER_03: I mean, I know then, you know, my daughter in high school had a boyfriend and it's been still with the same boyfriend.
• 8:30
  SPEAKER_03: So I think to me, they already get a certain education before they go to college.
• 8:34
  SPEAKER_01: Some do.
• 8:35
  SPEAKER_03: Some do.
• 8:36
  SPEAKER_03: Most of them do, from what I've seen around me.
• 8:39
  SPEAKER_01: It's actually not most anymore.
• 8:40
  SPEAKER_03: No.
• 8:41
  SPEAKER_01: No, it's about 30% are not sexually active prior to college.
• 8:47
  SPEAKER_01: And and many college students, it's like many college students are choosing not to drink.
• 8:51
  SPEAKER_01: Um, some of the same students that choose not to drink have no problem having THC products.
• 8:56
  SPEAKER_01: So that's a whole lot of people.
• 8:57
  SPEAKER_03: Yeah, I mean, I think it's a completely different word today, yeah.
• 9:00
  SPEAKER_01: But it is, and and so not definitely not everybody is on the same page.
• 9:06
  SPEAKER_01: And that's you know, that's part of the struggle, is that especially if you go to a big uh university that attracts people from not only the whole country but all over the world, you need to realize that what your social norm is may not be their social norm.
• 9:22
  SPEAKER_00: Yeah, that is interesting.
• 9:24
  SPEAKER_00: And what where where were you going though?
• 9:27
  SPEAKER_00: You're going that you think it's better to have a sexual um experience before you go because it um you won't go as wild.
• 9:36
  SPEAKER_03: I mean, I think I think to me from from my my son, and I'm not talking about my daughter because my daughter is a different beast, but uh my son, my son, I know that before college, uh, most of his friends had a girlfriend and they had sex, and and that was the norm.
• 9:51
  SPEAKER_03: You know, the matter of fact, when my my son went to college and he had to say goodbye to his girlfriend, he had a very difficult time to adapt to college because he messed her.
• 10:02
  SPEAKER_03: And then when he found that then, you know, she would move along and start having other friends.
• 10:07
  SPEAKER_03: My son was depressed, and I didn't think he would make it after the first semester.
• 10:11
  SPEAKER_03: So we had a long conversation about what the goal is here.
• 10:14
  SPEAKER_03: So I believe from again from my experience with my son and my friend, the friend of my son, most of them had a girlfriend and had sex.
• 10:24
  SPEAKER_03: So to me, you know, and on top of that, with social media today it's yeah.
• 10:30
  SPEAKER_00: So let's let's talk about sex and STDs.
• 10:34
  SPEAKER_00: I um I think we talked about this um offline, but uh I have a friend who is a gynecologist, and she last year had told me, and this was shocking to me, that most of the girl young women that she sees um around Thanksgiving time have come home from college and they have STTs.
• 10:56
  SPEAKER_00: What STIs?
• 10:57
  SPEAKER_00: Are they STIs now?
• 10:59
  SPEAKER_00: It doesn't matter.
• 11:00
  SPEAKER_00: When I went to school, they were STIs.
• 11:02
  SPEAKER_00: Okay, we think of Okay, yeah.
• 11:03
  SPEAKER_00: So what what yes, you're giving me a face.
• 11:06
  SPEAKER_00: Does that mean they are have a true or not true?
• 11:09
  SPEAKER_01: Oh, if they're having sex, they're I again, this is the you know, if you never get in a car, um, you're not gonna have a car accident.
• 11:16
  SPEAKER_01: If you're in a car frequently, whether you wear a seatbelt or not, you're more likely to have been in a wreck.
• 11:22
  SPEAKER_01: If you are having sex, if you're hooking up with multiple people, I mean half of the STDs in the United States occur in the 15 to 24-year-old age group.
• 11:31
  SPEAKER_01: Wow.
• 11:32
  SPEAKER_00: And there's you know, these are millions of And you don't just be having to have intercourse for it for something to happen as well.
• 11:40
  SPEAKER_00: She's got to be intercourse, yeah.
• 11:41
  SPEAKER_00: No, not just intercourse.
• 11:42
  SPEAKER_00: Not just intercourse, like other sexual activity can also cause STDs.
• 11:46
  SPEAKER_00: Oral genital contact.
• 11:48
  SPEAKER_00: Right.
• 11:48
  SPEAKER_01: It's just a lot of it happens, pass it on.
• 11:51
  SPEAKER_01: Yeah.
• 11:51
  SPEAKER_01: Okay.
• 11:51
  SPEAKER_01: And so if, you know, so so do we see a lot of that?
• 11:54
  SPEAKER_01: And and I would like to clarify it is not just the young women who are coming home with that.
• 11:58
  SPEAKER_01: Obviously, it's the young men.
• 12:01
  SPEAKER_01: And and this goes girl, boy, boy, girl, boy, boy, girl, girl, whatever.
• 12:06
  SPEAKER_01: They can all transmit um sexually transmittable infections.
• 12:10
  SPEAKER_01: And so, yes, it's very common.
• 12:12
  SPEAKER_01: Okay.
• 12:12
  SPEAKER_01: Now, a lot of these are completely treatable, and a lot are silent, and people do not know they have them until they go into the doctor and then they get checked.
• 12:21
  SPEAKER_01: Okay.
• 12:21
  SPEAKER_01: And it's just part of a routine checkup, particularly for women.
• 12:25
  SPEAKER_01: And it's like, oh, by the way, you have chlamydia.
• 12:28
  SPEAKER_01: Like, oh my gosh, what?
• 12:29
  SPEAKER_01: I you know, I don't have any symptoms.
• 12:31
  SPEAKER_01: Or then a lot of times also what we see is many diseases that are silent possibly had some symptoms for a day or two.
• 12:39
  SPEAKER_01: There might have been burning, discomfort, discharge, but it went away.
• 12:42
  SPEAKER_01: And so they're like, oh, I'm I'm fine.
• 12:44
  SPEAKER_01: So that's that's not the message.
• 12:46
  SPEAKER_01: The message is, and there's not a judgment here.
• 12:49
  SPEAKER_01: If you're going to be sexually active, one, do what you can to prevent the transmission of infection.
• 12:54
  SPEAKER_01: So use barriers, largely condoms.
• 12:56
  SPEAKER_03: Is condom still the thing?
• 12:58
  SPEAKER_01: That's the best barrier.
• 13:00
  SPEAKER_01: Unless you're gonna use a sheet.
• 13:02
  SPEAKER_01: I don't know.
• 13:02
  SPEAKER_03: It's like making a show with a ring coat.
• 13:06
  SPEAKER_00: Don't say that for young people.
• 13:08
  SPEAKER_00: Young people need that.
• 13:09
  SPEAKER_00: No, it's not a good joke.
• 13:10
  SPEAKER_00: It's not a good joke.
• 13:12
  SPEAKER_01: So yes.
• 13:15
  SPEAKER_01: Okay.
• 13:16
  SPEAKER_01: The answer was yes.
• 13:17
  SPEAKER_01: Condoms are the barrier.
• 13:19
  SPEAKER_01: What else could they do?
• 13:20
  SPEAKER_01: And um they just you just need to know if you are going to be intimate, whether it's with your mouth or your genitals, and wherever you're putting those two things with somebody else's two things, you need a a barrier there.
• 13:35
  SPEAKER_01: Now, if you're kissing somebody, you're you're kissing, you're not gonna have a barrier between kissing somebody on the lips.
• 13:41
  SPEAKER_01: I mean, that's just isn't right gonna happen.
• 13:44
  SPEAKER_01: But you need to know that that that, like for example, um, fever blisters, cold sores, uh is also called herpes.
• 13:52
  SPEAKER_01: And, you know, if you get those, if someone gets those and they don't have to have a blister today, but if you're kissing them or even sharing a drink with them, you you that can be passed on.
• 14:03
  SPEAKER_01: And it's not the end of the world, it's really common, but it feels like the end of the world, especially when you're a freshman and you're trying to impress people, and now it's not just a pimple you're hiding, now you're you know, worrying about this giant cold storm.
• 14:17
  SPEAKER_01: And the initial ones are are a lot, you know, more pronounced than follow-up breakouts.
• 14:23
  SPEAKER_01: But anyway, and if you have that, whether you have a blister or not today, and then you put your mouth on someone else's genitals, you can pass that to their genitals if they don't, if they aren't already infected with herpes.
• 14:35
  SPEAKER_01: So it's just you know, it's a matter of education, it's a matter of understanding, it's not judgment, it's math.
• 14:42
  SPEAKER_01: The more partners you have, the higher your risk is, and and that's okay if if you're okay with that risk.
• 14:49
  SPEAKER_01: The main thing you can do is you can get tested so that the diseases that can cause harm to other people or to yourself, even if they're silent, particularly for women who want to protect their fertility.
• 15:00
  SPEAKER_01: If if they get chlamydia or gonorrhea and it goes undetected because they don't have symptoms or they don't have a lot of symptoms, many have no symptoms.
• 15:09
  SPEAKER_01: Um, but if that is smoldering along in there for a year or two before it's detected, that can be harming their future fertility.
• 15:16
  SPEAKER_01: So you get tested.
• 15:18
  SPEAKER_01: Yeah, that's and universities have low cost or free STD testing almost every university.
• 15:24
  SPEAKER_01: Okay.
• 15:24
  SPEAKER_01: We need to take some of the stigma out of that.
• 15:26
  SPEAKER_03: But the kids are are they they worry about the pregnancy, being pregnant?
• 15:30
  SPEAKER_01: I mean, uh are they it it's it's it's common or it's uh something where uh well that's a politically charged comment in some states because the um choices are different.
• 15:44
  SPEAKER_01: But yes, they are concerned about getting pregnant.
• 15:47
  SPEAKER_01: More and more young women are using long-term contraception like an IUD, and you do not have to be sexually active to have an IUD.
• 15:57
  SPEAKER_01: Um, we used to that used to be the case.
• 15:59
  SPEAKER_01: We only put that in people that already had babies, but you know, you you do not have to be sexually active to get one.
• 16:04
  SPEAKER_01: But the here's here's my tidbit about birth control pills.
• 16:09
  SPEAKER_01: Okay.
• 16:10
  SPEAKER_01: Birth control pills are very effective when they're taken at the exact same time every single day, like 99% effective.
• 16:19
  SPEAKER_01: How many college students take medicine at the same time every single day?
• 16:24
  SPEAKER_01: Very few.
• 16:24
  SPEAKER_01: So when I see a young woman and I see on her medication list that she's taking a birth control pill, I say, Jamie, what time do you take your pill?
• 16:33
  SPEAKER_01: Because I want to hear I take it at 7.02.
• 16:35
  SPEAKER_00: Sometimes at nine, sometimes at 11.
• 16:38
  SPEAKER_00: But and it really does matter?
• 16:39
  SPEAKER_03: It does matter the I know.
• 16:40
  SPEAKER_03: I wouldn't think it would.
• 16:41
  SPEAKER_03: I wouldn't think it does matter.
• 16:43
  SPEAKER_03: I mean, as long as you take it in the net the following 24 hours.
• 16:47
  SPEAKER_01: No.
• 16:47
  SPEAKER_01: No, no, it's see what matters.
• 16:50
  SPEAKER_01: See how much you learn.
• 16:50
  SPEAKER_03: Oh my gosh.
• 16:51
  SPEAKER_03: And I it's like, uh, past that stage.
• 16:55
  SPEAKER_01: Right.
• 16:55
  SPEAKER_01: So hopefully.
• 16:57
  SPEAKER_01: Um so yes.
• 17:00
  SPEAKER_01: Um the thing is part of it, I mean, if you look at the numbers, that that, you know, you want to take it the same time every day.
• 17:07
  SPEAKER_01: We've been doing lower and lower doses of estrogen to minimize side effects, and the less estrogen you have, you know, the the in increase that you can sneak out an egg and potentially be pregnant.
• 17:19
  SPEAKER_01: But the bigger thing is if you take if you're a college student and you take the pill when you get up each day, but you get up on Saturdays, you know, you've partied all night, Friday night, and now you're getting up at you know two in the afternoon, and you have Monday, Wednesday, Friday, you have an 8 a.m.
• 17:35
  SPEAKER_01: So you're getting up at 7, you know, you're telling you it's like a seven difference.
• 17:38
  SPEAKER_01: It's like a half a day.
• 17:39
  SPEAKER_00: Do you think that an IUD is a better option if um it is for a lot.
• 17:43
  SPEAKER_01: If if you're not gonna take it at the same time every day, there's different forms of long-term um uh contracession.
• 17:49
  SPEAKER_01: But yeah, long-term is better.
• 17:51
  SPEAKER_01: But also, a lot of girls, young women, will just say, Okay, I take it.
• 17:57
  SPEAKER_01: A lot of them take it at noon because they're usually up at noon.
• 18:00
  SPEAKER_01: They want to pick a time that they're at, but then you know, they just take their pill with them in their backpack and it's not a big deal.
• 18:04
  SPEAKER_01: They're in class, whatever.
• 18:05
  SPEAKER_01: They're just take their pillow and be able to get the phone.
• 18:07
  SPEAKER_01: How about boys?
• 18:08
  SPEAKER_03: How about boys?
• 18:08
  SPEAKER_03: There is a complicity for boys now, am I right?
• 18:12
  SPEAKER_01: Um not uh let's just we'll we'll just go with no.
• 18:19
  SPEAKER_01: Not not common.
• 18:22
  SPEAKER_01: Really, the main thing is using condoms consistently, and again, those have to be used every single time, they have to be put on early, you don't double glove.
• 18:32
  SPEAKER_01: Um you don't double glove, do you know?
• 18:34
  SPEAKER_01: Putting on two is bad.
• 18:35
  SPEAKER_01: It's a point of diminishing returns.
• 18:37
  SPEAKER_01: Yes.
• 18:38
  SPEAKER_01: It it it is.
• 18:39
  SPEAKER_01: Okay.
• 18:39
  SPEAKER_01: Anyway, I didn't know that either.
• 18:40
  SPEAKER_01: Okay.
• 18:41
  SPEAKER_01: Back to the pill for a second.
• 18:42
  SPEAKER_01: Yeah.
• 18:43
  SPEAKER_01: Part of the issue with taking it the same time every day is that you miss fewer pills.
• 18:49
  SPEAKER_01: And and if you go out of town and you know, spring break, people travel to different time zones, they're off by four hours, they forget, and then or they miss a whole day because they're going to year, whatever, they get really screwed up, and it just takes missing one pill to potentially be able to get pregnant.
• 19:08
  SPEAKER_01: And young girls are fertile.
• 19:10
  SPEAKER_01: If you're dealing with a 45-year-old woman, she's going to be statistically much less fertile.
• 19:15
  SPEAKER_01: If you've got an 18-year-old or 20-year-old or 22-year-old, they're not.
• 19:19
  SPEAKER_00: I often wonder that because you see some of these movies, these young teen movies or these books, and the girl has sex one time and she gets pregnant.
• 19:27
  SPEAKER_00: See that a lot.
• 19:27
  SPEAKER_03: It's a movie.
• 19:28
  SPEAKER_03: Yeah.
• 19:28
  SPEAKER_00: See that.
• 19:29
  SPEAKER_00: That's what I'm saying.
• 19:29
  SPEAKER_01: No, no.
• 19:30
  SPEAKER_01: But that's Dr.
• 19:31
  SPEAKER_01: Jill saying that you would, and not just that, pregnant and an STD.
• 19:35
  SPEAKER_01: I cannot tell you the number of times that we see that.
• 19:38
  SPEAKER_01: And it's heartbreaking because you know, there's a feeling of invincibility, especially right when you start college.
• 19:47
  SPEAKER_01: It's so exciting.
• 19:47
  SPEAKER_01: You're off on your own, you're making your own choices.
• 19:51
  SPEAKER_01: And let me tell you, um, pregnancy and getting an STD is a huge double whammy.
• 19:57
  SPEAKER_01: But just getting an STD, even if it's chlamydia, that's so easily treatable, it makes them feel dirty and stiff, and they don't like themselves.
• 20:06
  SPEAKER_01: And if you don't like them, you know, think you're not going to be choosing good partners.
• 20:09
  SPEAKER_01: Right.
• 20:10
  SPEAKER_01: It it's it is it's a whole thing.
• 20:13
  SPEAKER_01: And a lot of times people go off and they've had their hometown honey, they've had their boyfriend or girlfriend for maybe all of high school, and they break up and they're devastated.
• 20:24
  SPEAKER_01: And a lot of times they go through a period of, well, I'm not a virgin anymore, and this tends to be girls more than guys, overgeneralizing, but yeah, the gates are open.
• 20:34
  SPEAKER_01: Right.
• 20:35
  SPEAKER_01: It's like, okay, well, what difference?
• 20:36
  SPEAKER_01: And then so then they kind of sleep with a lot of people right away.
• 20:40
  SPEAKER_01: And man, if they don't get something every single time.
• 20:43
  SPEAKER_01: Wow.
• 20:43
  SPEAKER_01: And it's just, it's you know, again, I see the bad outcomes.
• 20:46
  SPEAKER_01: Okay, yeah, yeah, yeah.
• 20:47
  SPEAKER_01: Everything self-selects in college health.
• 20:49
  SPEAKER_01: I I have strong biases against certain things because I see the very bad outcomes.
• 20:54
  SPEAKER_03: So let me ask you a question about birth control.
• 20:56
  SPEAKER_03: I mean, I've heard a lot of uh controversy about the long-term use of birth control, uh changing the moods and uh stuff like that.
• 21:05
  SPEAKER_01: Is that true or do you just uh most of what you hear honestly is not true?
• 21:10
  SPEAKER_01: Okay.
• 21:11
  SPEAKER_01: Um being on birth control long term preserves your fertility, decreases the risks of multiple cancers.
• 21:17
  SPEAKER_01: Now, that being said, does every girl, woman, tolerate birth control hormones the same as others?
• 21:25
  SPEAKER_01: No.
• 21:25
  SPEAKER_01: I can I can tell you that there is a certain um pill that that makes me have crazy thoughts.
• 21:34
  SPEAKER_01: I start like I every person I see, I think, oh my gosh, they're gonna walk in front of a car and be hit.
• 21:38
  SPEAKER_01: Like it's not like not like I'm going to hurt anybody, but but it and it and I tried stopping and starting this particular pill many times when I was during in medical school and stuff.
• 21:48
  SPEAKER_01: Consistent.
• 21:49
  SPEAKER_01: That's just an idiosyncrasy of my body.
• 21:51
  SPEAKER_01: Do people gain weight?
• 21:53
  SPEAKER_01: Honestly, the average weight gain is about three pounds for a third of the people.
• 21:57
  SPEAKER_01: A third don't gain any and a third lose weight, but nobody.
• 22:00
  SPEAKER_01: Complains is about losing three pounds.
• 22:02
  SPEAKER_01: Meanwhile, you've gone off to college and you're eating pizza and burgers and fast food and not exercising.
• 22:08
  SPEAKER_01: And so a lot of people are gaining it.
• 22:10
  SPEAKER_01: Right, right.
• 22:10
  SPEAKER_01: But that's the same time a lot of people start birth control.
• 22:12
  SPEAKER_01: So you know, overall, do I am I concerned?
• 22:16
  SPEAKER_01: Am I super worried when I start a young person on a birth control pill?
• 22:19
  SPEAKER_01: No, I am not.
• 22:20
  SPEAKER_02: Okay.
• 22:20
  SPEAKER_00: Okay.
• 22:20
  SPEAKER_00: So what I I want to, we have so much to get to in this conversation.
• 22:23
  SPEAKER_00: I was some one of the things that I really wanted to talk about, because I think that our audience um would would really appreciate this, is this med kit, this medical kit for the dorm.
• 22:32
  SPEAKER_00: And I, you and I talked about, I already put mine together for my daughter, Sydney, and um, and you have a couple of examples, but I just um and you talk about it in your book as well, which I think is so great.
• 22:44
  SPEAKER_00: But what so what are the most important things to have in the kit?
• 22:49
  SPEAKER_01: Okay, so I have an advisory board of current college students from across the country.
• 22:55
  SPEAKER_01: And last week, you know, we're gearing up for the next year.
• 22:58
  SPEAKER_01: I'm like, I want everybody to tell me what did you run out of in your first aid kit, what got borrowed the most, what were people asking for?
• 23:07
  SPEAKER_01: And the answers were pretty much what I expected.
• 23:09
  SPEAKER_01: Good, I love that.
• 23:10
  SPEAKER_01: So in the top of yours, I I will tell you ibuprofen, which is advil or motrin.
• 23:15
  SPEAKER_01: Yes, number one thing.
• 23:17
  SPEAKER_01: So that one, you know, I do the big bottle.
• 23:20
  SPEAKER_01: Go ahead.
• 23:20
  SPEAKER_01: You can do you can do samples, sample sizes of other things, like, for example, Tylenol, which is acetamenophil.
• 23:30
  SPEAKER_01: Yes.
• 23:30
  SPEAKER_01: Um, generics are perfectly fine.
• 23:32
  SPEAKER_01: I tend to talk in brand names because people recognize them.
• 23:36
  SPEAKER_01: Right.
• 23:36
  SPEAKER_01: But generics are fine.
• 23:37
  SPEAKER_01: Yeah.
• 23:38
  SPEAKER_01: Um, so smaller thing of Tylenol, we use Tylenol with ibuprofen to give it a one-two punch when you have a really bad headache or different things.
• 23:48
  SPEAKER_01: Um, or there's a reason that you can't take advil because your stomach is too upset, then you would use Tylenol.
• 23:53
  SPEAKER_01: But anyway, so Advil was the number one thing.
• 23:56
  SPEAKER_01: Tums was number two.
• 23:58
  SPEAKER_01: I got my Tums heartburns in there.
• 24:00
  SPEAKER_01: Yes, exactly.
• 24:01
  SPEAKER_00: And Peptobismol, although this Gen Z group does not like Peptobismol, I've decided.
• 24:06
  SPEAKER_00: They like do not like it.
• 24:08
  SPEAKER_00: Well, what they do like No offense, Peptobism.
• 24:11
  SPEAKER_03: Tum is I like Tum.
• 24:12
  SPEAKER_00: Yes.
• 24:15
  SPEAKER_01: Okay.
• 24:15
  SPEAKER_01: Oh well, I have in there um so now Pepto comes in the chews.
• 24:20
  SPEAKER_01: Yes.
• 24:20
  SPEAKER_01: Oh, yeah.
• 24:21
  SPEAKER_01: So the chews, they're the choose.
• 24:22
  SPEAKER_01: The chews they're good with.
• 24:23
  SPEAKER_01: And honestly, I'm a much bigger fan of TEMS.
• 24:25
  SPEAKER_01: Okay.
• 24:26
  SPEAKER_01: And for the record, so you know, we want to pop a pill for everything.
• 24:30
  SPEAKER_01: The nice thing about TEMS is that it works, you know, almost instantly.
• 24:35
  SPEAKER_01: Yes.
• 24:35
  SPEAKER_01: Rather than if you take a pill like Pepsid or Priloshec, and again, I'm using rain.
• 24:41
  SPEAKER_00: So two of the other.
• 24:45
  SPEAKER_00: Yes.
• 24:45
  SPEAKER_00: Yes.
• 24:45
  SPEAKER_00: A couple of the things that um are sort of maybe you wouldn't necessarily think of.
• 24:50
  SPEAKER_00: So the Narcan.
• 24:52
  SPEAKER_00: Yes, let's talk for a minute about Narcan.
• 24:54
  SPEAKER_01: Okay.
• 24:55
  SPEAKER_03: What is Narcan?
• 24:57
  SPEAKER_01: So Narcan will reverse a fentanyl overdose.
• 25:01
  SPEAKER_01: So it's an anti-opioid.
• 25:03
  SPEAKER_01: And the problem is now something like 80% of street drugs, which people think about, you know, like street drugs.
• 25:12
  SPEAKER_01: We're in Chicago, right?
• 25:13
  SPEAKER_01: You're thinking like downtown on the corner, the drug deal that you see going on.
• 25:16
  SPEAKER_01: Me in college health, I think about the roommate who says, Oh my God, you haven't slept in three nights.
• 25:22
  SPEAKER_01: Have a Xanax.
• 25:24
  SPEAKER_01: I have a Xanax.
• 25:25
  SPEAKER_01: And they hand it to you.
• 25:26
  SPEAKER_01: But their Xanax didn't come from their doctor and their pharmacy.
• 25:29
  SPEAKER_01: They bought their Xanax from somebody else who looks just like them.
• 25:33
  SPEAKER_01: It's a college student, clean cut, beautiful, whatever, you know, but that has fentanyl in it.
• 25:38
  SPEAKER_01: So I worry about the unintentional overdoses.
• 25:42
  SPEAKER_01: So, parents, do I think this encourages people to use fentanyl?
• 25:45
  SPEAKER_01: Absolutely not.
• 25:47
  SPEAKER_01: And frankly, you're not putting it in for your kid.
• 25:49
  SPEAKER_01: You're putting it in so your kid can help someone else.
• 25:51
  SPEAKER_01: And you hope that someone else would help your kid in that situation.
• 25:54
  SPEAKER_01: But all you do is you it's really very simple.
• 26:00
  SPEAKER_01: If the person is, if somebody is unconscious, so they're not breathing, you cannot arouse them, you're gonna call 911, but then if you have narcan, you're gonna administer it.
• 26:10
  SPEAKER_01: And you take it out, and oppose to as opposed to a nasal steroid, like nasal cord, flow nas, all the things that we use for allergies, this has no cap.
• 26:20
  SPEAKER_01: So I tell students, say it with me, narcan, no cap.
• 26:24
  SPEAKER_01: Because when you're panicked, if if you see somebody who's unconscious in front of you, you're gonna panic.
• 26:30
  SPEAKER_01: Oh my god.
• 26:30
  SPEAKER_01: I'm just saying, unless unless you're so how'd you apply that?
• 26:34
  SPEAKER_01: You just stick it in your nose and you're all you do is you just, yeah, and there's only one dose in here.
• 26:38
  SPEAKER_01: Okay.
• 26:39
  SPEAKER_01: So you don't squirt it into the air to practice it.
• 26:41
  SPEAKER_01: Right.
• 26:42
  SPEAKER_01: And you just put it right beside the nose and then squeeze that, and that's it.
• 26:46
  SPEAKER_01: And again, you're on the phone with 911, you're telling them, but and a lot of people are like, oh, well, look at their pupils.
• 26:52
  SPEAKER_01: Are you sure it's a you know fentanyl overdose?
• 26:55
  SPEAKER_01: Right, because what could happen if you could do what if you do this?
• 26:58
  SPEAKER_01: Or they're and they don't have fentanyl?
• 26:59
  SPEAKER_01: Nothing.
• 27:00
  SPEAKER_01: Okay.
• 27:00
  SPEAKER_01: That's the point.
• 27:01
  SPEAKER_01: And if you're relying on tiny pupils, which is what an opioid overdose looks like, you're assuming that they didn't have also alcohol or weed or something, you know, a lot of times people have multiple things.
• 27:12
  SPEAKER_01: So anyway, I think every kit should have.
• 27:14
  SPEAKER_01: I just bought this.
• 27:15
  SPEAKER_00: It's over the counter now since a couple years ago, is that right?
• 27:18
  SPEAKER_00: Yeah.
• 27:18
  SPEAKER_00: It's behind it.
• 27:19
  SPEAKER_00: Every time.
• 27:20
  SPEAKER_01: So it's behind the counter, but you don't need a prescription.
• 27:22
  SPEAKER_00: Not in my not in my wood sitting out?
• 27:24
  SPEAKER_01: Yes.
• 27:25
  SPEAKER_01: Great.
• 27:25
  SPEAKER_01: Okay.
• 27:26
  SPEAKER_01: Most pharmacies only it's the lack of$20.
• 27:30
  SPEAKER_01: It's$40 for a pack of two.
• 27:31
  SPEAKER_01: Yeah.
• 27:32
  SPEAKER_01: Um, and because of that, they get choplifted a lot.
• 27:34
  SPEAKER_01: Okay.
• 27:35
  SPEAKER_01: So usually you just have to ask for it.
• 27:37
  SPEAKER_03: Somebody who overdose on cocaine or uh or uh just like Dr.
• 27:41
  SPEAKER_03: Jill said, it can be any type of drugs.
• 27:43
  SPEAKER_03: Any opioids.
• 27:44
  SPEAKER_03: What do you explain to me a little bit what opioids?
• 27:46
  SPEAKER_00: Pain pills.
• 27:47
  SPEAKER_03: Oh, pain pills.
• 27:48
  SPEAKER_03: Okay.
• 27:48
  SPEAKER_03: So not uh uh heroin.
• 27:51
  SPEAKER_00: Just like Dr.
• 27:51
  SPEAKER_00: Jill said, someone gives you a drug like a like a Xanax.
• 27:56
  SPEAKER_00: Yes, it could have it in there.
• 27:57
  SPEAKER_03: Okay, or it could be lace.
• 27:59
  SPEAKER_01: But also study drugs, which is like Adderall.
• 28:02
  SPEAKER_03: Yes.
• 28:02
  SPEAKER_01: And again, when people are buying those on campus and not from the pharmacy.
• 28:07
  SPEAKER_03: I know that a lot of them are cellinette, yes.
• 28:09
  SPEAKER_03: And yes, they are.
• 28:10
  SPEAKER_01: Yes.
• 28:10
  SPEAKER_01: Five to ten dollars a pill.
• 28:12
  SPEAKER_03: Yeah.
• 28:12
  SPEAKER_01: But the problem with that is again, a lot of those are tainted with fanil.
• 28:17
  SPEAKER_01: And so it's the accidental ones.
• 28:18
  SPEAKER_01: And you know, and there are people who are doing party pills at parties.
• 28:22
  SPEAKER_01: They're drunk, they're partying, they pop a pill just like they would have weed or gummies.
• 28:28
  SPEAKER_01: And that's to them, that's part of the party experience.
• 28:30
  SPEAKER_01: That is high risk.
• 28:31
  SPEAKER_01: They know it's high risk.
• 28:33
  SPEAKER_01: Um again, they also need to have this handy, and you know, it's it's not a guarantee it's gonna save your life, but it might save it.
• 28:39
  SPEAKER_00: What I love too about us discussing this is I just had put the box inside the kit, but now I'm gonna talk, I'm gonna show my daughter what it looks like and how it should be used because they shouldn't see it for the first time when they need it.
• 28:52
  SPEAKER_01: Right.
• 28:52
  SPEAKER_01: That's why I always take it out.
• 28:54
  SPEAKER_01: Narcan, no cap, so you're not there's no cap to take off.
• 28:57
  SPEAKER_01: You put it inside the nose and press.
• 28:59
  SPEAKER_01: And never don't do a test spray because there's only one dose in there.
• 29:02
  SPEAKER_01: All right, good to know.
• 29:03
  SPEAKER_02: Okay.
• 29:03
  SPEAKER_01: Um, other things are liquid IV.
• 29:06
  SPEAKER_01: You had said there was a different well, my favorite brand, disclaimer, I am on their medical advisory board, not because I get paid, but because I actually just love this stuff.
• 29:16
  SPEAKER_01: It's called Cure.
• 29:17
  SPEAKER_03: Yes.
• 29:17
  SPEAKER_01: And it um I just think it has a better taste and it follows, it's like PD pedialite, which again named Hangover.
• 29:24
  SPEAKER_03: It's hangover, so what do you do?
• 29:25
  SPEAKER_03: Mix up with water?
• 29:26
  SPEAKER_03: Yeah.
• 29:27
  SPEAKER_01: Yeah, you just mix it with water.
• 29:28
  SPEAKER_01: Yeah.
• 29:28
  SPEAKER_03: Okay.
• 29:29
  SPEAKER_01: And um, I use it for workouts too.
• 29:31
  SPEAKER_01: Oh, really?
• 29:32
  SPEAKER_01: Okay.
• 29:32
  SPEAKER_01: But um it is an oral rehydration solution, meaning it ha it follows the World Health Organization's, you know, here's the recipe for what actually rehydrates you the best.
• 29:43
  SPEAKER_01: So, yes, it works for hangovers.
• 29:44
  SPEAKER_01: It also works for when you get a stomach bug, which happens a lot in college.
• 29:48
  SPEAKER_01: There's a lot of throwing up in college.
• 29:50
  SPEAKER_01: Yeah, a lot of throwing up.
• 29:50
  SPEAKER_01: Um, the other thing you might not expect throwing up is this.
• 29:58
  SPEAKER_03: You know what that is?
• 29:59
  SPEAKER_03: Oh, b- b-bag.
• 30:00
  SPEAKER_01: Dog doggy poopgy poop bag, yes.
• 30:03
  SPEAKER_01: Um, when you're in a dorm, the fastest way to make your roommates hate you is to throw up in a sink because it will clock and then try and just flush it down.
• 30:13
  unknown: Yeah.
• 30:13
  SPEAKER_01: It will clog the sink.
• 30:15
  SPEAKER_01: Yeah.
• 30:15
  SPEAKER_01: The beginning of every semester, the maintenance crews are overwhelmed, and then you've got a clogged sink and it's gross.
• 30:22
  SPEAKER_01: All right, so bags.
• 30:23
  SPEAKER_01: Have that idea.
• 30:23
  SPEAKER_01: Yeah.
• 30:24
  SPEAKER_01: Dougie bag guys, buggy bags.
• 30:26
  SPEAKER_01: And even if you don't throw up in the bag, which would be convenient, but if you throw up in the sink, at least use that to clean it up.
• 30:31
  SPEAKER_01: Gross, but really important.
• 30:33
  SPEAKER_01: Yeah.
• 30:34
  SPEAKER_01: So there is that and um ace wrap.
• 30:39
  SPEAKER_01: No one takes ace wraps.
• 30:41
  SPEAKER_01: These things walk away.
• 30:42
  SPEAKER_01: I always say put two ace wraps in your um first aid kit because nobody remembers to bring them.
• 30:49
  SPEAKER_01: Okay.
• 30:49
  SPEAKER_01: The other thing for girls more than guys is a heating pad.
• 30:53
  SPEAKER_01: Okay.
• 30:54
  SPEAKER_01: It doesn't fit neatly in here, but you know, for cramps and there's certain things that you have at home that you don't think about not just having at your fingertips.
• 31:04
  SPEAKER_01: Yeah, I agree.
• 31:04
  SPEAKER_01: I have one of them.
• 31:05
  SPEAKER_03: What is uh Vaseline for?
• 31:07
  SPEAKER_01: Vaseline is not for what you think.
• 31:09
  SPEAKER_01: Okay, it is actually to replace topical antibiotic ointment.
• 31:15
  SPEAKER_01: So we use so you definitely need a steroid cream for all, yeah.
• 31:19
  SPEAKER_01: So you don't really need the neosporin anymore.
• 31:21
  SPEAKER_03: You need neosporin that would replace the neosporin.
• 31:25
  SPEAKER_01: Yes.
• 31:25
  SPEAKER_03: Yes.
• 31:26
  SPEAKER_01: Okay.
• 31:26
  SPEAKER_01: Um or any other, or the triple antibiotic ointments also have neosporin in them.
• 31:31
  SPEAKER_01: But about 9% of the population gets a chemical um reaction to it, like an allergy.
• 31:36
  SPEAKER_01: And so we found that turns out this actually covers road rash and cuts and stuff just as well.
• 31:43
  SPEAKER_01: Okay.
• 31:43
  SPEAKER_01: And then and have good band-aids.
• 31:45
  SPEAKER_01: Don't get cheap band-aids, get get good band-aids.
• 31:48
  SPEAKER_01: Um, the ones that that have the knuckle and the heel.
• 31:52
  SPEAKER_01: Okay.
• 31:53
  SPEAKER_01: And you're holding the other.
• 31:54
  SPEAKER_01: And then I've got like thermometer is important, right?
• 31:57
  SPEAKER_01: Okay.
• 31:57
  SPEAKER_01: Yes.
• 31:58
  SPEAKER_01: Okay.
• 31:58
  SPEAKER_01: The thermometer that so here's the key on thermometers.
• 32:02
  SPEAKER_01: When you're in college and you get sick and you have a really sore throat and you have a fever, it's really helpful when you call the health center or urgent care or wherever you're gonna call.
• 32:15
  SPEAKER_01: If you call and say, I had 102.7 fever last night along with my sore throat, let me tell you, you're gonna move to the front of the line.
• 32:24
  SPEAKER_01: If you say, you know, did you have a fever?
• 32:26
  SPEAKER_01: Oh, I yeah, I think I felt feverish.
• 32:28
  SPEAKER_01: Okay.
• 32:28
  SPEAKER_01: Okay.
• 32:28
  SPEAKER_01: So that's important.
• 32:29
  SPEAKER_01: That's important.
• 32:30
  SPEAKER_00: That's that's a I also have um like make sure it works too.
• 32:33
  SPEAKER_00: This one doesn't work.
• 32:34
  SPEAKER_00: This azo for yeast infections, like unfortunately.
• 32:37
  SPEAKER_00: No, no, for not for yeast.
• 32:38
  SPEAKER_00: That's for bladder infections.
• 32:40
  SPEAKER_01: So Okay.
• 32:41
  SPEAKER_01: AZO is a great drug.
• 32:43
  SPEAKER_01: Okay.
• 32:44
  SPEAKER_01: Two things about AZO.
• 32:46
  SPEAKER_01: All it does is just math symptoms.
• 32:48
  SPEAKER_01: But if it's two in the morning and you are peeing and it's burning so bad that you cannot sleep, um, you can take AZO to get you through to the morning, yeah.
• 32:56
  SPEAKER_01: And then you need to go get seen.
• 32:57
  SPEAKER_01: Got it.
• 32:57
  SPEAKER_01: But the other thing you need to know about AZO is that it will turn your urine bright, bright, bright reddish orange, and it looks like you've got blood in your urine.
• 33:04
  SPEAKER_01: It freaks people out, especially when they're drunk, which is frequently meant to be.
• 33:07
  SPEAKER_01: Okay.
• 33:07
  SPEAKER_00: Okay.
• 33:08
  SPEAKER_00: All right, well, good.
• 33:09
  SPEAKER_03: And then you get you get de-sword.
• 33:10
  SPEAKER_01: Yeah, we're not going to go through every single item.
• 33:13
  SPEAKER_01: That's just a pulse oxymeter.
• 33:14
  SPEAKER_01: That is a pulse oximeter.
• 33:15
  SPEAKER_01: So honestly, less if if you're coughing, this was really, you know, this kind of these used to be expensive.
• 33:22
  SPEAKER_01: And during COVID, one of the great things to come out of COVID is that these are inexpensive and accurate.
• 33:27
  SPEAKER_01: So if you are coughing very short of breath and actually your oxygen saturation drops down low, again, it's a it's a you'll go to the front of the line if you know that.
• 33:37
  SPEAKER_01: Also, when you're dehydrated, your pulse goes way up, obviously.
• 33:41
  SPEAKER_01: And it's really helpful to say, you know, they're like, like, you know, how dehydrated are well, my pulse is 126.
• 33:46
  SPEAKER_01: Oh my gosh, yeah, we need to get you in and get you IV fluids.
• 33:49
  SPEAKER_00: Yeah.
• 33:50
  SPEAKER_00: I just the point of this that I love that you talk a lot about is just to have these things at your ready to when they come home for Thanksgiving or something, maybe resupply it or, you know, re-fulfill it.
• 34:01
  SPEAKER_00: Yeah.
• 34:02
  SPEAKER_01: And friends, if you've got a senior in college and you haven't checked that first aid kit, I promise you half the stuff is expired.
• 34:09
  SPEAKER_01: Most of it won't hurt you if it's expired.
• 34:11
  SPEAKER_01: If it's a liquid, absolutely throw it out.
• 34:14
  SPEAKER_01: But the problem uh, because those actually can get contaminated and stuff, but if it's a pill, a solid thing and it's expired, still swap it out because it just loses effectiveness.
• 34:25
  SPEAKER_00: Yeah.
• 34:25
  SPEAKER_00: And I guess the last ones that we're not talking about is just what my daughter used every single minute are all the cold remedies.
• 34:31
  SPEAKER_00: Yes.
• 34:31
  SPEAKER_00: The mucinacs and the sore throat stuff, just because so they don't have to go to the store to get anything, it's all it's all there.
• 34:38
  SPEAKER_01: Right.
• 34:38
  SPEAKER_01: Because when you need it, and especially you have some kind of cough syrup or cough suppressant in there because when you need it, it's at two in the morning and you're miserable.
• 34:47
  SPEAKER_01: And the pseudofed, I want to put in a quick word.
• 34:49
  SPEAKER_01: So, pseudoephedrine is the effective decongestant.
• 34:54
  SPEAKER_01: And for a long time, we had to switch to a different one over the counter that is not, it's phenylephrin, it's not effective.
• 35:02
  SPEAKER_01: So if you're going to buy a decongestant and you're going to buy Pseudofed, you need to ask for that behind the counter.
• 35:07
  SPEAKER_01: You don't need a prescription, but you do have to show ID.
• 35:09
  SPEAKER_00: Okay.
• 35:10
  SPEAKER_00: One other thing on that drug subject is something that I had heard about last year, which is that they've added acetamidophine to a lot of these uh cold, and all the people don't know it.
• 35:22
  SPEAKER_00: And then they end up because you could take an overdose of Tylenol, right?
• 35:25
  SPEAKER_00: Like acetaminophin is part of Tylenol, right?
• 35:27
  SPEAKER_00: Is that right?
• 35:28
  SPEAKER_00: That is Tylenol.
• 35:29
  SPEAKER_00: And that's scary, right?
• 35:30
  SPEAKER_00: So they need to make sure that they don't.
• 35:31
  SPEAKER_01: So which is why I tend to recommend not doing the coffin-cold combos.
• 35:36
  SPEAKER_01: I mean, everybody wants to grab their NyQuil or Dayquill.
• 35:38
  SPEAKER_01: And if that's the only thing you're taking, that's fine.
• 35:41
  SPEAKER_01: But it also kind of depends.
• 35:43
  SPEAKER_01: People grow up in an aspirin house or an Advil house or a Tylenol house.
• 35:48
  SPEAKER_01: And it's it's really it's very interesting.
• 35:50
  SPEAKER_03: What are you, Jimmy?
• 35:51
  SPEAKER_00: We were accedrin, which is a senaminophen, right?
• 35:54
  SPEAKER_00: No.
• 35:54
  SPEAKER_00: Oh, what is this?
• 35:55
  SPEAKER_00: Aspirin.
• 35:56
  SPEAKER_00: Oh, aspirin.
• 35:56
  SPEAKER_00: Okay.
• 35:56
  SPEAKER_00: We were excedrin.
• 35:57
  SPEAKER_03: Telenol.
• 35:58
  SPEAKER_03: Tylenol, okay.
• 35:59
  SPEAKER_00: And I'm Advil.
• 36:00
  SPEAKER_00: So there you go.
• 36:00
  SPEAKER_00: I'm actually all I'm actually.
• 36:02
  SPEAKER_00: Well, there you go.
• 36:03
  SPEAKER_00: Because I take a lot of.
• 36:04
  SPEAKER_03: I think I think if I take an advil versus a tyanol, I see the difference.
• 36:08
  SPEAKER_03: The Tylenol walk much faster on my headache or my Tylenol does?
• 36:12
  SPEAKER_03: Yes.
• 36:13
  SPEAKER_00: Tylenol call us.
• 36:14
  SPEAKER_00: Call us.
• 36:15
  SPEAKER_00: There you go.
• 36:15
  SPEAKER_00: For Tylenol to call us to sponsor us.
• 36:17
  SPEAKER_00: Typically, so okay, so you suggest to try not to have the medication that has it in it so that you could take it separately.
• 36:24
  SPEAKER_00: Right.
• 36:24
  SPEAKER_01: Okay.
• 36:24
  SPEAKER_01: Just so that way you know.
• 36:25
  SPEAKER_01: Okay.
• 36:26
  SPEAKER_01: And also, if you are on an antidepressant, anti-anxiety medication andor ADHD medications, you need to be aware of these things, particularly how they mix with the cough suppressants, which uh dextromethorphan is the DM that's in every cough over-the-counter, you know, cough medicine.
• 36:46
  SPEAKER_01: And so you need to be careful, you need to talk with your doctor about what they recommend for you to take so that you don't end up.
• 36:51
  SPEAKER_00: Which is a great segue, the mentioning of some of those other the medications to a subject about the homesickness and mental health.
• 36:59
  SPEAKER_00: And just that I want to spend a little bit of time on because it's so important.
• 37:02
  SPEAKER_00: How do you help parents know what it what they should be when they should be worried?
• 37:08
  SPEAKER_00: How do you know when homesickness is really turned into something else?
• 37:12
  SPEAKER_01: So it's a it's a really difficult issue because of um so college students will very frequently call home or text home when they're at their lowest point, especially girls and their moms.
• 37:26
  SPEAKER_01: Yep.
• 37:27
  SPEAKER_01: This is what and they let it all out.
• 37:32
  SPEAKER_01: Everything is miserable.
• 37:33
  SPEAKER_01: I've chosen the wrong school.
• 37:34
  SPEAKER_01: I have no friends, the food is awful, I can't sleep, my roommate snores.
• 37:38
  SPEAKER_01: I mean, like, you know, all the things, right?
• 37:40
  SPEAKER_01: Um and then they're done and they hang up the phone, and mom cries all night and doesn't sleep because she's so worried about her baby.
• 37:48
  SPEAKER_01: May or may not have been there, I'm just saying.
• 37:50
  SPEAKER_01: And um, meanwhile, someone came and knocked on the door, and they, you know, all went and played trivia or got pizza, and the kid's fine, but the mom is upset.
• 38:01
  SPEAKER_01: So there's that.
• 38:03
  SPEAKER_01: Um, and on the flip side, there are kids who really, really struggle.
• 38:09
  SPEAKER_01: And obviously, we see a lot of depression, and unfortunately, we see a lot of suicidal ideation, so thoughts of ending their life or actual um attempts.
• 38:20
  SPEAKER_01: And one thing I suggest is if you're concerned about your kid, put eyes on them.
• 38:26
  SPEAKER_01: That doesn't mean show up at the campus.
• 38:28
  SPEAKER_01: I'm not let me be clear, not saying that.
• 38:30
  SPEAKER_01: I'm saying we've got FaceTime now.
• 38:33
  SPEAKER_01: You know, if your kid hasn't showered in three days, you know, they've got the greasy hair, they've got sheets, you know, marks on their face and they're not getting out, if they're not going to class, when they start withdrawing and hygiene disappears, that is a huge red flag and you need to get in there.
• 38:51
  SPEAKER_01: Okay.
• 38:51
  SPEAKER_01: And if they tell you, I mean, this seems like a basic thing, but if they say, I am so miserable, I don't even want to function, I can't get out of bed, um, or I don't want to be here anymore, here, here, globally, here.
• 39:06
  SPEAKER_01: Yeah, these are big red flags.
• 39:08
  SPEAKER_01: And the good news is that again, most universities are so much more in tune with this after COVID.
• 39:13
  SPEAKER_01: They're increasing their psych services.
• 39:15
  SPEAKER_01: They're really easy to get into at the beginning of the year.
• 39:18
  SPEAKER_01: They tend to get flooded around midterms and finals, but that's one of the things you want to know that you've got access to.
• 39:26
  SPEAKER_01: And I always tell students listen, these services are prepaid.
• 39:30
  SPEAKER_01: You know, they're included in your tuition.
• 39:31
  SPEAKER_01: You are your parents or somebody is pay paying money for you to have these services and take advantage of them.
• 39:38
  SPEAKER_00: Should they go and seek that out like when they get to campus and sort of know where it is, even too?
• 39:43
  SPEAKER_00: Yes.
• 39:44
  SPEAKER_03: I think it's a tour of the campus when they go there.
• 39:46
  SPEAKER_03: When I took my son, who went to old tour the dog, right?
• 39:49
  SPEAKER_03: Pharmacies, the library, and everything.
• 39:51
  SPEAKER_03: So they're pretty much aware of where it ends up.
• 39:54
  SPEAKER_03: Yeah.
• 39:55
  SPEAKER_01: Yes, but many have no idea where psych services are.
• 39:58
  SPEAKER_01: Right.
• 39:58
  SPEAKER_01: They might know where the health services are, and in some campuses, it's, you know, the top floor is psych services, and other places it's integrated with that.
• 40:07
  SPEAKER_01: And other places it's totally a different building.
• 40:10
  SPEAKER_01: So one of the things I like to encourage, especially when you're dropping off freshmen or a transfer student if they are new to the campus, is create a scavenger hunt for them.
• 40:19
  SPEAKER_01: One, it gives them something to do.
• 40:21
  SPEAKER_01: Two, it gives you pictures because you say, Hey, I want you to send me pictures from all these places.
• 40:26
  SPEAKER_01: And, you know, get a picture with the statue of the mascot.
• 40:29
  SPEAKER_01: Get up and picturing Bucky Badger there since we were talking about Wisconsin earlier.
• 40:33
  SPEAKER_01: You know, get a picture of the football stadium, get a picture.
• 40:37
  SPEAKER_01: So it's, you know, not like you're going, go to financial services, go to the health center and go to psych services.
• 40:43
  SPEAKER_01: Just, you know, mix them all in there.
• 40:45
  SPEAKER_01: But let them figure out where these things are.
• 40:47
  SPEAKER_03: This is for a freshman here when they start college.
• 40:50
  SPEAKER_03: We're talking about it.
• 40:51
  SPEAKER_03: Or rather, this whole conversation.
• 40:53
  SPEAKER_03: Yeah, after two, three years, they get used to the whole time, they know what it is.
• 40:57
  SPEAKER_01: Then they know.
• 40:58
  SPEAKER_01: But knowing something is there, it's a small thing, but especially academic serve academic success centers, which they now have in every campus, where they have writing tutors, which trust me, most students could benefit from going and meeting with a writing tutor.
• 41:16
  SPEAKER_01: I grade papers uh for medical students, actually, not for undergrad.
• 41:20
  SPEAKER_01: But nonetheless, I can assure you that everybody could use that.
• 41:23
  SPEAKER_01: And they're very underutilized at the beginning of the semester.
• 41:27
  SPEAKER_01: It's great to go in.
• 41:28
  SPEAKER_01: They have they have schedules, planners, all these things.
• 41:32
  SPEAKER_01: But anyway, but it a lot of kids will say, Oh, well, I knew that we had one, but I didn't even know where it was.
• 41:37
  SPEAKER_01: Right.
• 41:37
  SPEAKER_01: That's really common.
• 41:38
  SPEAKER_01: Find that out.
• 41:39
  SPEAKER_01: And so it's nice to send them there or to walk with them there.
• 41:42
  SPEAKER_00: Yeah.
• 41:43
  SPEAKER_01: You know?
• 41:43
  SPEAKER_00: What else?
• 41:45
  SPEAKER_00: I know you have a chapter in the book, or actually the beginning part is like what you should know before you go.
• 41:49
  SPEAKER_00: And so, what else do you think falls into that?
• 41:52
  SPEAKER_00: And just maybe just some of that, it's just top line some of that right here.
• 41:56
  SPEAKER_01: Okay, so that, and in particular, that topic, I added that for the third edition at the request of a bazillion women mom physicians.
• 42:07
  SPEAKER_01: Um, and they were absolutely right.
• 42:09
  SPEAKER_01: Some stuff that I take for granted, but they're right.
• 42:11
  SPEAKER_01: So, one thing is that every student, and honestly, parents, this is just equally good for all of us.
• 42:17
  SPEAKER_01: You should have a picture of your if you have health insurance, you should have a picture of it front and back, favorite on your phone.
• 42:24
  SPEAKER_01: Okay.
• 42:25
  SPEAKER_01: Because the very first thing you're gonna get asked, whether you go to an urgent care or a campus clinic, is for you know, you gotta have your insurance card if you have health insurance.
• 42:33
  SPEAKER_01: So that's number one.
• 42:34
  SPEAKER_01: So that should be on our kids' phones.
• 42:36
  SPEAKER_01: That should be on our kids' phones.
• 42:37
  SPEAKER_01: Okay.
• 42:37
  SPEAKER_01: Should be on your phone.
• 42:38
  SPEAKER_01: Yeah.
• 42:39
  SPEAKER_01: Do you have it on yours?
• 42:40
  SPEAKER_00: Uh no.
• 42:40
  SPEAKER_00: Okay.
• 42:42
  SPEAKER_00: Actually, I may have it in a text because I get asked for it by my kids all the time.
• 42:45
  SPEAKER_00: So that's they don't carry wallets.
• 42:47
  SPEAKER_03: But let me ask you a question.
• 42:48
  SPEAKER_03: When you said the tuition, usually the elf insurance is included in the intuition.
• 42:52
  SPEAKER_00: But they make you give it to them again when you go.
• 42:56
  SPEAKER_01: You still need proof of it.
• 42:57
  SPEAKER_00: Okay.
• 42:58
  SPEAKER_01: Okay.
• 42:59
  SPEAKER_01: So that's one.
• 42:59
  SPEAKER_01: Yes.
• 43:00
  SPEAKER_01: I mean, it's just, and that's a that's a United States.
• 43:02
  SPEAKER_01: Or if they go to the emergency room.
• 43:04
  SPEAKER_01: Yeah.
• 43:04
  SPEAKER_01: Yeah.
• 43:04
  SPEAKER_01: And especially if they go to the emergency room or urgent care.
• 43:06
  SPEAKER_01: So that's number one.
• 43:07
  SPEAKER_01: Number two, this is really hard for particularly young people, but say the real reason that you're seeing the doctor.
• 43:16
  SPEAKER_01: Because a lot of people are embarrassed to say that they haven't pooped in two weeks since arriving at college because they have a fear of public pooping in public bathrooms or sharing.
• 43:27
  SPEAKER_01: Gotta find your secret bathroom.
• 43:28
  SPEAKER_01: Um, exactly.
• 43:30
  SPEAKER_01: That's that's you know, that's one of my tips in there for sure.
• 43:32
  SPEAKER_01: Oh, yeah, yeah.
• 43:34
  SPEAKER_00: I give that to my girls.
• 43:35
  SPEAKER_00: Okay Absolutely.
• 43:36
  SPEAKER_01: Um, but you know, they get constipation, they don't want to say they're there for that.
• 43:40
  SPEAKER_01: Um, at least say abdominal pain, that gives us a hint, or they don't want to say that they're there because they're worried they might have an STD.
• 43:46
  SPEAKER_03: So they'll say, Oh, I have, you know, um, right, right, right.
• 43:52
  SPEAKER_01: But so say while you're there, and if nothing else, you know, know that you're gonna get asked the same.
• 44:00
  SPEAKER_01: Same question, you're gonna get asked it by the receptionist.
• 44:02
  SPEAKER_01: Why are you here?
• 44:03
  SPEAKER_01: You're gonna get the person, the medical assistant that puts you in the room is gonna ask you again, and then the doctor is gonna ask you again.
• 44:08
  SPEAKER_01: And it's not because we think you're lying, although sometimes answers change.
• 44:12
  SPEAKER_01: Um, it but it's because you know, we we really want to know what's the main thing that you're here for that we can help you with today, because in today's United States healthcare, we get 10 minutes, right?
• 44:22
  SPEAKER_01: So let's let's jump to it.
• 44:23
  SPEAKER_01: And if you ask me when I've got my hand on the doorknob and I'm walking out, you're like, by the way, I I haven't slept in three nights.
• 44:29
  SPEAKER_01: I've really tried, can you give me something to sleep?
• 44:31
  SPEAKER_01: That is not a 30-second conversation.
• 44:33
  SPEAKER_01: So lead with what you're there for.
• 44:36
  SPEAKER_01: And the last tip is you don't leave the office, you don't stop talking to the doctor until you've said, what's next?
• 44:44
  SPEAKER_01: And that means if I don't get better, what's next?
• 44:47
  SPEAKER_01: If I have a problem with the antibiotic, if I can't afford it, if I am going to get an x-ray and where am I going to find the results?
• 44:55
  SPEAKER_01: What's next?
• 44:55
  SPEAKER_01: If it's broken, I do this.
• 44:57
  SPEAKER_01: If it's not, do I get physical therapy?
• 44:59
  SPEAKER_01: What's next?
• 45:00
  SPEAKER_01: Have literally asked that so that you know what happens.
• 45:04
  SPEAKER_01: Because what we see with not just college students, but everybody is they'll say, Oh, I went to the doctor and they didn't help me at all.
• 45:11
  SPEAKER_01: Like, well, what did they give you?
• 45:12
  SPEAKER_01: Well, they gave me plan A.
• 45:14
  SPEAKER_01: Well, and then what?
• 45:15
  SPEAKER_01: Did you call back and say it didn't work?
• 45:17
  SPEAKER_01: You know, we don't always get it right.
• 45:20
  SPEAKER_01: Not all diseases read medical.
• 45:22
  SPEAKER_00: I love that.
• 45:22
  SPEAKER_00: I love that.
• 45:23
  SPEAKER_00: I was also gonna say, because I'll talk to my one of my daughters and she'll just be like, Well, they said this, but then a couple days later, something else happens and I don't know what's supposed to happen.
• 45:31
  SPEAKER_01: Right.
• 45:32
  SPEAKER_00: So that's great.
• 45:32
  SPEAKER_01: And they don't want to bother the doctor.
• 45:34
  SPEAKER_01: I mean, they're you know, young people especially, they're like, Well, I don't want to bother him.
• 45:37
  SPEAKER_01: Like, you're not bothering them.
• 45:40
  SPEAKER_01: They can't know that it's not working if you don't, and we assume if we don't hear from you that, oh, great, I gave him such and such and ordered that.
• 45:49
  SPEAKER_01: It's he must be doing well.
• 45:50
  SPEAKER_01: I haven't heard back.
• 45:51
  SPEAKER_01: Right.
• 45:51
  SPEAKER_01: So, and most of the time nowadays, also, young people don't want to call, so that's that's always a deterrent.
• 45:57
  SPEAKER_01: But it's usually through the patient portal now, and you're just gonna, you know, type it in there.
• 46:01
  SPEAKER_01: So ask what's next, and how do I reach you for the what's next?
• 46:06
  SPEAKER_00: Great.
• 46:07
  SPEAKER_00: All right.
• 46:07
  SPEAKER_00: Well, um, I just have a couple of quick hitting ones at the last.
• 46:12
  SPEAKER_00: This has been so amazing.
• 46:14
  SPEAKER_00: Um, the biggest mistake parents make before sending a kid to college.
• 46:18
  SPEAKER_00: What do you think?
• 46:19
  SPEAKER_00: The biggest mistake.
• 46:22
  SPEAKER_01: Um well, I actually asked my college student board this, and they said two things.
• 46:29
  SPEAKER_01: One is not teaching them adulting, like not knowing how to do laundry and um just like the the basic adulting skills.
• 46:42
  SPEAKER_01: They wish that they would have gone to the doctor by themselves, filled out the paperwork by themselves, picked up a prescription by themselves.
• 46:48
  SPEAKER_01: A lot of parents think, well, I'm only two hours away, I'll mail them the prescription.
• 46:52
  SPEAKER_01: There's there's all kinds of things, and boy, double, double, triple, true with ADHD medications.
• 46:57
  SPEAKER_01: I'm just gonna say, don't be mailing those.
• 46:59
  SPEAKER_01: That should be your kids' responsibility.
• 47:01
  SPEAKER_01: And no, they don't do it well, and yes, they forget, and it's it's it's a hard thing working through that.
• 47:07
  SPEAKER_01: But they need to learn that.
• 47:08
  SPEAKER_01: And so that that's what my college student boards said.
• 47:12
  SPEAKER_01: They wish that their parents would have made them do some of these adulting things earlier.
• 47:16
  SPEAKER_01: But laundry came up a lot.
• 47:18
  SPEAKER_01: And the other thing was that they felt that their parents put way too much pressure on them.
• 47:24
  SPEAKER_01: Um, that they were expected, you know, it was an absolute expectation that they were gonna have a 4.0, all A's, and that even because they always have in high school, they might be the valedictorian.
• 47:36
  SPEAKER_01: But the reality is things are different in college, and you a lot of times need different study skills, or you may develop test anxiety.
• 47:44
  SPEAKER_01: There's you know, all kinds of things.
• 47:46
  SPEAKER_01: And so they felt they didn't feel they could tell their parents I'm having a bad day or I made a bad grade without just horribly disappointing their parents.
• 47:54
  SPEAKER_00: So that's that's the other big communication, communication and expectations.
• 47:59
  SPEAKER_00: Wonderful.
• 47:59
  SPEAKER_00: Well, thank you so much.
• 48:00
  SPEAKER_00: This has been so eye-opening.
• 48:01
  SPEAKER_00: There's so much more to discuss.
• 48:03
  SPEAKER_00: I hope you'd come back with us.
• 48:05
  SPEAKER_00: Um, and uh, your book is the ultimate college student health handbook, your guide to everything from hangovers to homesickness.
• 48:12
  SPEAKER_00: Yes.
• 48:12
  SPEAKER_00: So get it.
• 48:13
  SPEAKER_00: Anything else?
• 48:14
  SPEAKER_01: And my daughter, our younger daughter, who has a degree in animation, is the illustrator.
• 48:17
  SPEAKER_01: So there's a few things.
• 48:19
  SPEAKER_01: That is cool.
• 48:20
  SPEAKER_01: Nicole Grimes on there.
• 48:21
  SPEAKER_01: Good.
• 48:22
  SPEAKER_00: Great.
• 48:22
  SPEAKER_00: Anything else, Pascal?
• 48:24
  SPEAKER_03: That's it.
• 48:24
  SPEAKER_03: Actually, then you're gonna be able to do that.
• 48:25
  SPEAKER_00: I'm heading off in two weeks to take my daughter, and I'm gonna um I'm gonna fill this up with some some condoms, I think.
• 48:31
  SPEAKER_00: Not necessarily for her, but for for her friends.
• 48:34
  SPEAKER_00: You know what?
• 48:35
  SPEAKER_03: My daughter, my daughter is on her own.
• 48:36
  SPEAKER_03: I mean, I tried to help her and she said, Dad, I got it covered.
• 48:40
  SPEAKER_00: Okay, all right.
• 48:41
  SPEAKER_03: I said, Wow, I'm surprised you got it.
• 48:43
  SPEAKER_03: My son, on the other hand, was a lot more work.
• 48:45
  SPEAKER_03: I needed to make sure I I got him covered.
• 48:47
  SPEAKER_00: Yes, there you go.
• 48:48
  SPEAKER_03: I think I think I think it seemed like a woman overall a little bit more mature than men when they go to college.
• 48:54
  SPEAKER_03: I'm I wrong.
• 48:55
  SPEAKER_00: Just in general.
• 48:56
  SPEAKER_03: I think that's a good idea.
• 48:57
  SPEAKER_03: No, no, not really in general, but at that age.
• 49:00
  SPEAKER_03: At that age, I think women are much more mature, much more responsible than boys.
• 49:04
  SPEAKER_01: Not every single one, but across the board, if I had to generalize, that's how I would go.
• 49:08
  SPEAKER_03: All right.
• 49:09
  SPEAKER_01: All right, thank you.
• 49:10
  SPEAKER_01: Thank you.
• 49:10
  SPEAKER_01: All right, thank you.
• 49:11
  SPEAKER_01: Bye bye.
• 49:11
  SPEAKER_01: Thanks so much for having me.