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MEDCLUB BARTLESVILLE · One on One With a Professional

• 0:00
  Speaker 1: And doctor. First of all, good morning to you.
• 0:02
  Speaker 2: Hello.
• 0:03
  Speaker 3: We're going to learn a lot about a lot of
• 0:05
  Speaker 3: things today, I hope. So this is going to be
• 0:07
  Speaker 3: a crammed pack episode. We're going to know the difference
• 0:10
  Speaker 3: between a cold, the flu, influenza, and COVID, I hope.
• 0:16
  Speaker 3: So now everybody seems to think, oh, well, it's all
• 0:18
  Speaker 3: the same thing. How do you tell the difference at
• 0:20
  Speaker 3: all kinds?
• 0:21
  Speaker 1: That's all. No, it's not all the same thing.
• 0:24
  Speaker 3: And today you're going to break it down for us
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  Speaker 3: so that the folks can, you know, really have a
• 0:29
  Speaker 3: little bit of an inside track and actually know what's
• 0:31
  Speaker 3: going on with their bodies as you know, things may
• 0:34
  Speaker 3: or may not be taking place.
• 0:35
  Speaker 1: First of all, the term fever, boy, that's a broad brush.
• 0:41
  Speaker 3: Thing right there for a lot of people. I got
• 0:43
  Speaker 3: a fever. Well do you or don't you?
• 0:45
  Speaker 1: How do you know?
• 0:46
  Speaker 4: The textbook say a temperature of greater than a one
• 0:50
  Speaker 4: hundred point four A normal temperature is ninety eight point six.
• 0:56
  Speaker 2: But not everyone's normal.
• 0:58
  Speaker 4: And your temperature changes throughout the day, throughout your life,
• 1:01
  Speaker 4: can throughout your life, and so depending on your environment,
• 1:06
  Speaker 4: your hydration, your.
• 1:07
  Speaker 2: H you know, you lose some.
• 1:10
  Speaker 4: Temperature, about a degree of temperature with when you're over seven,
• 1:15
  Speaker 4: it all counts. But doctors aren't looking for specific numbers.
• 1:20
  Speaker 4: They're looking more for trends. They're looking more for ranges.
• 1:23
  Speaker 1: Oh, very good.
• 1:24
  Speaker 3: Now, you know you might be in trouble if you
• 1:28
  Speaker 3: are over one hundred point four, because that is a fever,
• 1:31
  Speaker 3: and that draws some attention. What happens if you get
• 1:34
  Speaker 3: up above about one hundred and five to maybe one
• 1:36
  Speaker 3: hundred and six.
• 1:36
  Speaker 2: Degrees, that's bad business.
• 1:38
  Speaker 1: Well, that's bad business, really bad.
• 1:40
  Speaker 4: But you know, people call a fever a low fever,
• 1:44
  Speaker 4: like ninety nine to one hundred point four, and they're
• 1:48
  Speaker 4: calling that a fever, and a medical provider is not
• 1:51
  Speaker 4: going to consider it a fever.
• 1:53
  Speaker 1: No, no, They're going to elevate a body.
• 1:54
  Speaker 4: Temperature and so, okay, we're not going to dress it.
• 2:00
  Speaker 4: And people are wondering why.
• 2:03
  Speaker 1: There's a reason, yes and not in the range?
• 2:06
  Speaker 4: Correct, And it's usually your body will take care of it.
• 2:10
  Speaker 4: And then you're usually not going to see a teething
• 2:13
  Speaker 4: child have a problem unless it's over one hundred and one.
• 2:16
  Speaker 4: But they will get a temperature and that's common.
• 2:19
  Speaker 3: Now the flu I've heard so many different variations of
• 2:23
  Speaker 3: the flu. Another one that's thrown around is a general
• 2:25
  Speaker 3: term for basically not feeling well. Correct, and this is
• 2:29
  Speaker 3: not one thing where you say, why I don't feel well,
• 2:31
  Speaker 3: it must be the flu. There are different things going
• 2:35
  Speaker 3: on here. Tell us how this breaks down.
• 2:37
  Speaker 4: The flu is a generalized term, like the term money. Yeah,
• 2:42
  Speaker 4: you know, money means a lot of different things. Is
• 2:44
  Speaker 4: it a yen, isn't you know?
• 2:47
  Speaker 2: Or is it a dollar?
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  Speaker 4: That'll mean something different. The flu could be a head cold,
• 2:53
  Speaker 4: or it could be the stomach, a virus in the
• 2:55
  Speaker 4: stomach causing diarrhea, and so people generalize that. And so
• 3:00
  Speaker 4: when you say the fluid to a medical provider, it's
• 3:03
  Speaker 4: just a generic term.
• 3:05
  Speaker 1: Be specific and they can help you hock to that.
• 3:07
  Speaker 4: And so that's what the flu. So when someone's telling
• 3:11
  Speaker 4: you that, it's like, okay, good.
• 3:13
  Speaker 1: You've got you've got a buck.
• 3:14
  Speaker 3: You've got a buck common cold, which is not so common,
• 3:18
  Speaker 3: And tell thems why it's not so common. We get
• 3:20
  Speaker 3: many of the same symptoms, but there's a lot of
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  Speaker 3: different things fighting each other.
• 3:24
  Speaker 4: There are, and there's up to two hundred different viruses
• 3:28
  Speaker 4: who can cause an upper respiratory type of common cold,
• 3:33
  Speaker 4: but eighty percent of what causes an upper respiratory cold
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  Speaker 4: is rhinovirus or Symptoms will usually appear within two days
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  Speaker 4: after being exposed to the virus, and exposure is from
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  Speaker 4: droplets or very tiny droplets in the aerosol in the air,
• 3:51
  Speaker 4: or if you have touched a surface of somebody the
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  Speaker 4: droplets or something, and then you touch your eyes, your
• 3:59
  Speaker 4: nose or your mouth.
• 4:01
  Speaker 1: All right, you know, so you got all that stuff
• 4:04
  Speaker 1: going on.
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  Speaker 3: I mean, it's just just ickying and it doesn't feel good.
• 4:07
  Speaker 3: How long does a COmON cold run?
• 4:10
  Speaker 4: About seven to ten days, right, And something called a
• 4:15
  Speaker 4: post viral cough is very common when after this, after
• 4:19
  Speaker 4: you are over the illness, and that's just a dry,
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  Speaker 4: hacky cough that hangs you around because it didn't like
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  Speaker 4: what happened to your throat, didn't like what happened to
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  Speaker 4: your nasal area, and you get this cough and it
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  Speaker 4: can last up to three weeks.
• 4:35
  Speaker 3: Well, that explains a lot because of folks would say, well,
• 4:39
  Speaker 3: it's cold, just keeps hanging on. Well, the cold left you.
• 4:42
  Speaker 3: It's the cough that keeps hanging on, that is correct.
• 4:44
  Speaker 3: That's the that's the aftermath of it all. Now you
• 4:47
  Speaker 3: need to isolate when you have a cold. It seems
• 4:51
  Speaker 3: like there's always that one that'll come to work or
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  Speaker 3: cut that student who will come to school.
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  Speaker 2: I'm here.
• 4:57
  Speaker 3: It's like, well, you know, get it's not a badge
• 5:01
  Speaker 3: you're going to get for coming in sick.
• 5:03
  Speaker 2: No, but you're going to make everyone else sick too.
• 5:06
  Speaker 1: You're not helping folks when you do that, you're not helping.
• 5:09
  Speaker 4: And I also have to be careful about airplanes because
• 5:13
  Speaker 4: the air is recirculated there.
• 5:15
  Speaker 1: And there's really not a whole lot of space.
• 5:17
  Speaker 2: Between people, no very close area.
• 5:21
  Speaker 3: Yeah, you get to be you get to be intimate,
• 5:23
  Speaker 3: whether you like it or not. So yeah, once again,
• 5:26
  Speaker 3: you know, just watch that out.
• 5:27
  Speaker 2: And people are not always courteous.
• 5:30
  Speaker 4: No, they don't cover their mouth when they call for sneeze,
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  Speaker 4: or if there's a kleenex available, they won't use that.
• 5:38
  Speaker 2: And it's just be courteous. Please wash your hands.
• 5:43
  Speaker 3: Oh that that's a given, but I guess not in
• 5:45
  Speaker 3: every No influenza.
• 5:49
  Speaker 1: Now there's flu We covered that.
• 5:51
  Speaker 3: Now we have influenza or people some call it the
• 5:54
  Speaker 3: hardlu Yes, what are we talking about here?
• 5:56
  Speaker 4: We're talking about a illness that is caused by the
• 6:00
  Speaker 4: influence the virus, and it generally starts all of a sudden.
• 6:06
  Speaker 4: It will hit you like a mac truck. It starts
• 6:10
  Speaker 4: with body aches, not feeling well, and it can wait
• 6:14
  Speaker 4: between one and four days.
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  Speaker 2: It can incubate in your body before you'll see symptoms.
• 6:19
  Speaker 3: So you start feeling a little puny, a little achy and
• 6:21
  Speaker 3: everything before you even get a fever.
• 6:23
  Speaker 4: And it accelerates, but it hits you all of a sudden. Yeah,
• 6:29
  Speaker 4: and it like fevers. Just generally don't start this illness.
• 6:36
  Speaker 4: Everybody's different, but the muscle page and just not feeling well.
• 6:42
  Speaker 4: So and as a general rule, you get a dry
• 6:45
  Speaker 4: cough with this not one knows what. Ichy cough and
• 6:49
  Speaker 4: a hoarse voice is sometimes indicative of influenza or most
• 6:55
  Speaker 4: viral infects upper respiratory viral infections.
• 6:59
  Speaker 2: Children will sometimes get.
• 7:01
  Speaker 4: NAZI a vomiting and diarrhea with influenza, so and a
• 7:06
  Speaker 4: symptomce usually at last for two da eight days.
• 7:10
  Speaker 3: And again you got to watch transmission.
• 7:13
  Speaker 4: Be courteous, be respectful, cover your mouth, stay home, wash
• 7:20
  Speaker 4: your hands. But with influenza, yes, we do supportive care
• 7:24
  Speaker 4: on that. However, there are treatments available for shripting treatments.
• 7:29
  Speaker 4: But you have a very limited amount of time to.
• 7:31
  Speaker 2: Start real short window, don't you forty eight hours?
• 7:34
  Speaker 3: So if you start feeling a little bit, check into it, right, yes, okay,
• 7:39
  Speaker 3: Now what about the people around you? And can they
• 7:42
  Speaker 3: they you got something? So I don't get what you
• 7:45
  Speaker 3: know he's got.
• 7:46
  Speaker 4: Well, first of all, I say, do those things. But
• 7:50
  Speaker 4: for family members, yeah, a lot of doctors will write
• 7:53
  Speaker 4: a profile axis to keep those family members, hopefully from
• 7:58
  Speaker 4: getting the same influenza.
• 8:00
  Speaker 3: We have an influenza A influenza B. What's the difference.
• 8:04
  Speaker 4: Well, generally, influenza A can use a reservoir of animals.
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  Speaker 4: Oh okay, so it can affect some animals like birds
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  Speaker 4: and swine, pigs and humans.
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  Speaker 2: Horses can get it. Marine animals can get it.
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  Speaker 1: I did not know that.
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  Speaker 4: But influenza A usually is responsible for about seventy five
• 8:26
  Speaker 4: percent of the influenza infections during a food season, and
• 8:31
  Speaker 4: it generally affects people pretty fast. Viruses to keep their
• 8:36
  Speaker 4: species alive must mutate, and so that's the reason for
• 8:39
  Speaker 4: the change when they start changing the numbers and things.
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  Speaker 4: And then there's influenza B. That's only found in humans
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  Speaker 4: and then they're C that n D and some other initials,
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  Speaker 4: and they can infect other animals and do other things.
• 8:54
  Speaker 1: Keeping well, always practice healthy.
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  Speaker 4: Habits, healthy habits, respectful habit, and be responsible for yourself.
• 9:01
  Speaker 4: Cover your mouth when your coffee or sneezing, wash your hands,
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  Speaker 4: stay away from people other people that are well when
• 9:08
  Speaker 4: you're ill.
• 9:09
  Speaker 3: One thing that comes up from time to time is
• 9:11
  Speaker 3: people will say, well, you know, I'm kind of up
• 9:13
  Speaker 3: there in age. I really don't want to get the flu,
• 9:15
  Speaker 3: but I don't I'm not so sure about getting a
• 9:17
  Speaker 3: flu shot.
• 9:19
  Speaker 1: Now.
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  Speaker 3: We're not going to dispense any kind of medical advice
• 9:23
  Speaker 3: like that because we don't.
• 9:25
  Speaker 4: Know you, and that's a private discussion between patients.
• 9:29
  Speaker 2: And their providers.
• 9:30
  Speaker 4: But I will say, when a patient gets in immunisation
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  Speaker 4: a flu shot, they.
• 9:34
  Speaker 3: Don't get the flu, what does that kind of uneasy
• 9:38
  Speaker 3: feeling you get for the first.
• 9:39
  Speaker 2: They get thing?
• 9:40
  Speaker 4: Oh, it is yes, because that means your immune system
• 9:44
  Speaker 4: is really fighting it. It is revving up, so it has
• 9:47
  Speaker 4: to kind of back up to rev up. There's different
• 9:50
  Speaker 4: kinds of sub autoimmune self and this is this is
• 9:55
  Speaker 4: an IgA mediated type of reaction, which.
• 9:59
  Speaker 2: Is a good thing.
• 10:00
  Speaker 1: It energizes the troops, yes it does.
• 10:03
  Speaker 4: So, yeah, people don't like feeling unwell, but this is unnecessary.
• 10:08
  Speaker 4: So some people, if they get their flu shot, they
• 10:11
  Speaker 4: usually get it on a Friday, so they have the weekend,
• 10:14
  Speaker 4: and they will get side effects like the site may
• 10:16
  Speaker 4: be a little sore, or they may get that, you know,
• 10:19
  Speaker 4: a little elevated temperature, because that immune system is really revenant.
• 10:24
  Speaker 1: That's all it is.
• 10:25
  Speaker 3: Yes, Okay, once again that's between you and your medical provider. Okay,
• 10:29
  Speaker 3: now we covered flu, influenza, the common cold, and now
• 10:34
  Speaker 3: this COVID.
• 10:35
  Speaker 1: Thing keeps to just kind of hang in there a
• 10:37
  Speaker 1: little bit.
• 10:38
  Speaker 3: How do you tell the difference between the flu, the cold,
• 10:41
  Speaker 3: and covid covid.
• 10:43
  Speaker 4: Each one of these diseases having a difference, different, different
• 10:46
  Speaker 4: sequence that people must pay attention to because it's important information.
• 10:51
  Speaker 2: And COVID starts with the fever.
• 10:52
  Speaker 1: Oh okay, the other ones the fever comes along.
• 10:55
  Speaker 4: This one starts with the fever, and that common cold
• 10:59
  Speaker 4: generally does I have a fever, And then they'll get
• 11:02
  Speaker 4: your cough and your sore throat and your body eggs
• 11:05
  Speaker 4: and they'll come in different sequences also, but generally that
• 11:10
  Speaker 4: fever comes first, and the amount of fever will depend
• 11:13
  Speaker 4: on the individual. Keeping a lug. That is golden information
• 11:17
  Speaker 4: to medical providers. Taking your temperature with a thermometer is
• 11:22
  Speaker 4: golden information. Just telling us, oh I felt a little hot,
• 11:25
  Speaker 4: didn't mean much room, that's exactly right. Or who I
• 11:30
  Speaker 4: had chillsen fever, well how much?
• 11:32
  Speaker 2: I don't know. That's not helping anyone.
• 11:36
  Speaker 4: But we would prefer an oral on adults, an oral temperature,
• 11:40
  Speaker 4: you know, putting it under your arms. I'm going to
• 11:42
  Speaker 4: get it infant under three months, we want a rectal temperature,
• 11:45
  Speaker 4: but with most adults we want an oral temperature if possible.
• 11:49
  Speaker 4: If not, you know, they've progressed and had skins that
• 11:53
  Speaker 4: are very reliable now.
• 11:55
  Speaker 3: And also when it comes to to COVID and get
• 11:59
  Speaker 3: again respectful, be clean to isolate, do all that stuff too.
• 12:05
  Speaker 4: Yes, and remember COVID kind of comes in clusters. It
• 12:08
  Speaker 4: is two to three more times transmissible then influenza, so
• 12:14
  Speaker 4: it's going to infect clusters.
• 12:17
  Speaker 3: Doctor Kerry Williams with med Club bartbles felt it is
• 12:21
  Speaker 3: a club.
• 12:21
  Speaker 1: It's a subscription based primary.
• 12:24
  Speaker 2: Health care, yes, called the direct primary care.
• 12:26
  Speaker 4: Yeah, it's a monthly fee and that monthly fee pays
• 12:30
  Speaker 4: for my time, and.
• 12:32
  Speaker 1: You do labs in there yourself and here get discount.
• 12:35
  Speaker 4: Labs, discounted lab some discounted prescriptions. The labs we have
• 12:41
  Speaker 4: access to the major labs and prescriptions. I try to
• 12:46
  Speaker 4: keep them as low as possible, which is generally lower
• 12:49
  Speaker 4: than you can buy it any large store, large pharmacy.
• 12:53
  Speaker 3: And instead of having three thousand patients, you limit your numbers.
• 12:56
  Speaker 2: I do, and I'm selective.
• 13:00
  Speaker 4: Our society thinks that medical providers just write prescriptions, and
• 13:05
  Speaker 4: that's incorrect. Basically, our job is to diagnose intrigut That
• 13:11
  Speaker 4: diagnosis and as easy, and you want that provider to
• 13:16
  Speaker 4: spend time thinking about your disease process, thinking about you specifically,
• 13:21
  Speaker 4: and putting the information that you provide together.
• 13:25
  Speaker 2: And so when you talk.
• 13:27
  Speaker 4: To a provider, hopefully that provider has not seeing so
• 13:31
  Speaker 4: many patients that they cannot give you time beyond that appointment.
• 13:37
  Speaker 4: They brain time, because you want to take advantage of
• 13:40
  Speaker 4: that education that they have, those years of education and experience.
• 13:46
  Speaker 3: Doctor Williams will give you a lot of time and
• 13:49
  Speaker 3: a lot of access to the doctor. With this, since
• 13:52
  Speaker 3: we have a finite number of patients that you'll.
• 13:54
  Speaker 1: See your doctor.
• 13:56
  Speaker 3: Visit may take you a half hour to forty five minutes,
• 14:00
  Speaker 3: but you might only see the doctor for five minutes.
• 14:03
  Speaker 1: When you come in, you'll be the only patient there.
• 14:05
  Speaker 2: That's what I try to do, and it's very.
• 14:07
  Speaker 3: One on one and you're gonna get When she says direct,
• 14:11
  Speaker 3: she means direct, because you're gonna get the information you need.
• 14:15
  Speaker 3: She's gonna get the information she needs, and together you're
• 14:18
  Speaker 3: going to work on a plan to make the best
• 14:20
  Speaker 3: possible you.
• 14:21
  Speaker 2: That's the goal.
• 14:22
  Speaker 3: That is the goal, and that's the way it works,
• 14:23
  Speaker 3: and it works out pretty here. Tell them where we
• 14:26
  Speaker 3: can find your website.
• 14:27
  Speaker 4: We're at Midclub dot Clinic. We're also located on Washington
• 14:32
  Speaker 4: Boulevard twenty three to oh one. Stuffe's Washington Boulevard, but
• 14:35
  Speaker 4: which is Highway seventy five, and we're located across the
• 14:38
  Speaker 4: street from Jimmy J.