Latest / Morning Medical with Dr. Chow / Staying cool in extreme heat, social media's mental health impact, and relationship connection tips
Transcript
- 0:00Good morning, and welcome to another episode of Morning Medical with Doctor Chiao.
- 0:05I am your host, Doctor Chaming Chiao.
- 0:08Today, we have an interesting lineup of topics ranging from the effects of hot weather on our
- 0:13bodies to the science behind social media's impact on mental health.
- 0:17We will also discuss how to better your relationships by paying attention to someone's
- 0:22bids for connection and answer a question that many people have wondered about.
- 0:27Is it ever okay to take someone else's prescription medication?
- 0:31Let's dive right in.
- 0:35Summer is here and people are spending more time outside.
- 0:40While enjoying the warmth and sunshine can be delightful, It is important to understand how
- 0:45extreme heat can affect our bodies.
- 0:48Heat can impact anyone, but some people are at a greater risk of serious harm, such as older
- 0:53individuals and babies.
- 0:55In this segment, we will discuss what you need to know about the effects of heat on the body
- 1:00and how to stay cool.
- 1:02As the body gets hotter, the blood vessels open up, leading to lower blood pressure and making
- 1:08the heart work harder to push blood around the body.
- 1:12This can cause mild symptoms such as an itchy heat rash or swollen feet as blood vessels
- 1:18become leaky.
- 1:19At the same time, sweating leads to the loss of fluids and salt, and the balance between them
- 1:26in the body changes.
- 1:28This, combined with the lowered blood pressure, can lead to heat exhaustion.
- 1:34Symptoms of heat exhaustion include dizziness, nausea, fainting, confusion, muscle cramps,
- 1:40headaches, heavy sweating, and tiredness.
- 1:43If blood pressure drops too far, the risk of heart attacks rises.
- 1:47Our bodies strive to maintain a core temperature of about 37 degrees Celsius,
- 1:51regardless of whether we are in a snowstorm or a heat wave.
- 1:55This is the temperature at which our bodies have evolved to function optimally.
- 1:59However, as the weather gets hotter, the body has to work harder to keep its core temperature
- 2:04down.
- 2:05To lose heat to our surroundings, the body opens more blood vessels near the skin and
- 2:11start sweating.
- 2:12As the sweat evaporates, It dramatically increases the heat lost from the skin.
- 2:18The UK health security agency has some tips for staying safe in the heat.
- 2:23Look out for those who may struggle to keep cool, such as older people, those with
- 2:28underlying conditions, and those who live alone.
- 2:31Stay cool indoors by closing curtains on rooms that face the sun.
- 2:35Drink plenty of fluids and avoid drinking too much alcohol.
- 2:40Do not leave anyone, especially babies, young children, and animals in a locked vehicle.
- 2:47Keep out of the sun between 11 AM 3 PM when the sun's rays are strongest.
- 2:53Stay in the shade, use sunscreen with a high SPF and UVA rating, and wear a wide brimmed
- 2:59hat.
- 3:00Avoid physical exercise during the hottest part of the day.
- 3:02And take water with you if you are traveling.
- 3:05Be aware of hidden dangers in rivers and open water if tempted to cool off.
- 3:10Getting a good night's sleep in hot weather can be challenging.
- 3:15Experts suggest using thin sheets, cooling your socks in the fridge before putting them on and
- 3:20sticking to your usual bedtime routine.
- 3:23If you see someone with heat exhaustion, It is important to act quickly.
- 3:28Move them to a cool place.
- 3:30Get them to lie down and raise their feet slightly.
- 3:33And have them drink plenty of water.
- 3:35Sports or rehydration drinks are also okay.
- 3:38Cool their skin by spraying or sponging them with cool water and fanning them.
- 3:44Cold packs around the armpits or neck are also effective.
- 3:47However, if they do not recover within 30 minutes, it could escalate to heat stroke,
- 3:53which is a medical emergency.
- 3:55In such cases, you should call emergency services immediately.
- 3:59People with heat stroke may stop sweating even though they are too hot.
- 4:03Their temperature could rise above 40 degrees Celsius, and they might experience seizures or
- 4:08lose consciousness.
- 4:10Certain groups are more at risk, including older adults, people with long term conditions
- 4:15like heart disease and those with diabetes.
- 4:18Children and individuals who are less mobile may also be more vulnerable.
- 4:24Brain diseases such as dementia, can leave people unaware of the heat or unable to take
- 4:29action.
- 4:30Homeless individuals and those living in top floor flats are also at higher risk due to
- 4:35increased exposure to the sun.
- 4:38Yes.
- 4:39Some medications can increase the risk of heat related illnesses.
- 4:43But it is crucial to continue taking your medication as prescribed.
- 4:48Diuretics, sometimes called water pills increase the amount of water expelled from the
- 4:53body and can heighten the dangers of dehydration and imbalances in essential
- 4:58minerals.
- 4:59Anti hypotensives, which lower blood pressure, can combine with the blood vessels that are
- 5:04dilating to cope with the heat causing dangerous drops in blood pressure.
- 5:09Some drugs for epilepsy and Parkinson's disease can block sweating, making it harder for the
- 5:14body to cool itself.
- 5:16Other medications such as lithium or statins can become more concentrated and problematic in
- 5:21the blood if there is excessive fluid loss.
- 5:25High temperatures can be deadly.
- 5:27There are about 2000 deaths caused by high temperatures in England every year.
- 5:32Most of which are heart attacks and strokes triggered by the strain of trying to keep body
- 5:36temperatures stable.
- 5:38The higher death rate tends to start once the thermometer passes 25 to 26 Degrees Celsius.
- 5:44Interestingly, evidence suggests that these deaths are more likely to occur during higher
- 5:48temperatures in spring or early summer rather than in peak summer.
- 5:53This could be because people start to adapt their daily routines as summer progresses and
- 5:58become more accustomed to dealing with the heat.
- 6:02Historical data from previous heat waves indicates that the increase in deaths happens
- 6:08very quickly, often within the first twenty 4 hours of a heat wave.
- 6:12The topic of social media's impact on mental health has been gaining increasing attention,
- 6:17especially with recent statements from US, surgeon general doctor Vivek Murthy.
- 6:24Last week, Doctor Murthy called for a tobacco style warning label on social media.
- 6:30Describing the mental health crisis and young people as an emergency that requires immediate
- 6:34action, even if we do not have perfect information yet.
- 6:39A new comprehensive review published in JAMA Pediatrics examined nearly a 150 studies on the
- 6:44relationship between social media and adolescent mental health.
- 6:50The researchers found a general link between increased social media use and higher levels of
- 6:54anxiety and depression among adolescents.
- 6:58However, the impact varied significantly suggesting that the findings should not be
- 7:03generalized to all young people.
- 7:06One key issue identified by the researchers is that very few studies specifically looked at
- 7:12adolescents who were already experiencing mental health symptoms at clinical levels.
- 7:18This means we might be generalizing results from the general population to those who are
- 7:22most vulnerable without adequate evidence.
- 7:26Doctor Sandro Galea, chair of an ad hoc National Academies Committee, and Dean of the
- 7:32Boston University School of Public Health, emphasize that while there is a link between
- 7:37social media and mental health, there is often a lack of clarity on causality.
- 7:43It is not always clear whether social media is negatively impacting mental health or if
- 7:48individuals with mental health issues are more likely to use social media extensively.
- 7:54Future research needs to focus on longitudinal studies that track the mental health of
- 8:00children before and after their exposure to social media.
- 8:05Additionally, more specific measures that capture how social media is used, such as the
- 8:10type of content interacted with, are essential for understanding the nuances of this
- 8:15relationship.
- 8:17Despite the need for more detailed research, doctor Murphy argues that the urgency of the
- 8:22youth mental health crisis warrants immediate action.
- 8:25In a New York Times op ed, he advocated for a warning label to remind parents and adolescents
- 8:31that social media has not been proven to be safe.
- 8:35He cited studies that have shown increased risks of anxiety, depression, and body
- 8:41dissatisfaction linked to social media use.
- 8:45Public health often has to act without perfect data.
- 8:48The National Academies Committee recommended against a social media ban, acknowledging both
- 8:54the potential harms and benefits of social media.
- 8:57Social media can foster connections with friends and family and provide support
- 9:01communities, but it can also contribute to unhealthy social comparisons and distract from
- 9:07other important activities like sleep and exercise.
- 9:12Doctor Murphy has compared the proposed warning label to those found on bicycles and motor
- 9:18vehicles, which focus on proper use rather than simply highlighting risks.
- 9:24The goal is to empower youth with the information needed to maximize the benefits of
- 9:29social media while minimizing its risks.
- 9:33There is an expectation that products children use are tested for safety.
- 9:38Doctor Jenny Rudeske from the American Academy of Pediatrics pointed out that unlike infant
- 9:44formula or toys, there are no safety guardrails for digital products in the United States.
- 9:50A warning label on social media could help highlight these safety gaps.
- 9:55However, warning labels alone are not a complete solution.
- 9:59They need to be part of a broader strategy, including systematic design changes by social
- 10:04media platforms and supportive legislation.
- 10:07These measures aim to ensure that the powerful technology of social media is used safely and
- 10:13responsibly by young people.
- 10:16A strong relationship needs both partners to respond to each other's bids for connection.
- 10:22Here is what that means.
- 10:24Bids for connection are simple gestures that seek out attention from another person.
- 10:30The response to one can be telling of how strong a relationship is according to experts.
- 10:37Alyssa Karabadi watched as her friend whipped her head around to look out the window and seek
- 10:41out the bird she had pointed out.
- 10:44With that simple gesture, Karabadi knew their friendship would last.
- 10:49This interaction might not look important to outsiders, but it was an indicator for their
- 10:54relationship.
- 10:55Her friend had responded to Karabardi's bid for connection, a term coined by relationship
- 11:01experts at the Gottman Institute in Seattle.
- 11:04Bids for connection are when one partner reaches out to the other person for either
- 11:09interest or a conversation or expressing a need, said doctor Julie Schwartz Gutman, a
- 11:15clinical psychologist who has researched couples and long lasting marriages alongside
- 11:20her husband, Doctor John Gottman, for more than 40 years.
- 11:24Depending on how the partner responds, the relationship either succeeds or does not do so
- 11:29well.
- 11:31These bids can be verbal or physical, such as pointing out a bird in a tree, repeating
- 11:36something heard on television, asking for advice or even simply directing a smile at the
- 11:41other person.
- 11:43Whether the bid is big or small does not matter, What is important is the other person's
- 11:47response.
- 11:48Schwartz Gutman said.
- 11:50And it is not just important for couples to know about these opportunities to connect?
- 11:55It also affects parent child relationships, friendships, and even business ties she noted.
- 12:02The basis of bids for connection stems from the Gottman's love lab research, which started in
- 12:071986 and tracked couples for 6 years.
- 12:11At the end of that time, the couples still together were found to have responded to each
- 12:16other's bids 86% of the time.
- 12:19While those who split up only responded 33% of the time, Karabardi knows that feeling.
- 12:27The Leander, Texas native said she thought the Woodpecker was neat, partially because she had
- 12:32never seen one before.
- 12:34But the fun part was her friend's reciprocated interest that spiraled into a deep dive Google
- 12:40session on the bird.
- 12:42We can talk about literally anything and everything.
- 12:45A brick wall could talk to us.
- 12:47And the Woodpecker showed me that, Karabadi said, but even if she just said, like, Oh,
- 12:53yeah.
- 12:54That is really cool.
- 12:55That is literally the only thing that you need.
- 12:58Just someone to acknowledge what you are saying.
- 13:01Karaabadi posted her experience with the woodpecker on TikTok in October, referring to
- 13:07it as the bird test.
- 13:09Alongside others who took to the app to recount their experience with giving out small bids,
- 13:14such as pointing out cool birds to their friends and partners.
- 13:18Schwartz Gutman said this test is a good example of the importance of turning toward a
- 13:23partner, one of the three responses someone can have to a bid.
- 13:28If a partner responds to a bid, even with a simple acknowledgement that the other person
- 13:33was heard, it is the best and most beneficial response to have.
- 13:38If the partner were to ignore the other person and have no verbal response to the bid being
- 13:43made, she calls that turning away.
- 13:46But the worst response is what Schwartz Gotman calls turning against, which happens when there
- 13:51is hostility toward the bid.
- 13:53Partners may respond with a comment such as stop interrupting what I am doing or another
- 13:59variation that tells the other person they do not care about the bid.
- 14:04Most of us at the end of the day want to be seen and understood and feel important.
- 14:08And so when there are too many bids that are missed or rejected, It leaves you feeling the
- 14:13opposite, unseen, unimportant, misunderstood, said doctor Lauren Fogle mercy, a licensed
- 14:20psychologist and sex therapist based in Minnesota.
- 14:23If that happens more often than not, it starts to erode connection and safety and trust in a
- 14:28relationship.
- 14:30While bids look to be crucial in a relationship, no one is perfect and should not
- 14:35be expected to answer a bid all the time.
- 14:37Fogle mercy said, You just want a ratio of more positive to negative responses to bids.
- 14:43If someone notices a partner has missed or continuously misses a bid, She recommends
- 14:49communicating the intent for attention by saying, well, hey.
- 14:53That was my way of trying to connect with you.
- 14:55Or I'm looking to converse with you or get some attention from you is now a good time.
- 15:02Focal mercy also recommends people become more aware of their own responses when partners make
- 15:07a bid and even ask their partners directly if they feel they are getting responses to their
- 15:12calls for attention.
- 15:15The more direct a person is with a bid and its intent, the more likely the bid is to be
- 15:20reciprocated she added.
- 15:22It is okay if a person notices that a partner is sending out a bid to connect, but is not
- 15:27feeling up to connecting at the moment.
- 15:29Maybe because they are too tired or have a lot on their mind.
- 15:33Schwartz Scottman recommends communicating those feelings directly and honestly to the
- 15:38partner instead of lashing out with a turning against response.
- 15:43Most of the time, if the response is positive, it is not really going to matter how small or
- 15:47big the bid is but with negative turning away or turning against, those can cause some real
- 15:53emotional damage in the relationship.
- 15:55Schwartz Godman said.
- 15:57The takeaway is that turning toward one another is really the foundation of a good strong
- 16:02friendship and also passion and romance.
- 16:06Now let us move on to a topic that many people have questions about.
- 16:11Is it ever okay to take someone else's prescription medication?
- 16:16This is a common scenario we might encounter, especially when dealing with minor ailments.
- 16:22However, The answer from medical professionals is a resounding no.
- 16:27While it might seem harmless to take a friend or family member's medication for a similar
- 16:31symptom, It is important to understand that prescription medications are tailored to each
- 16:37individual's specific health needs.
- 16:40According to doctor Latasha Perkins, a family physician at Medstar Georgetown University
- 16:46Hospital, taking someone else's prescribed medication, can be very harmful.
- 16:52When doctors prescribe medication, they take into account numerous factors such as the
- 16:56patient's health status, medical history, and blood work.
- 17:00These factors can vary greatly from one person to another, making it crucial that medications
- 17:05are personalized.
- 17:08Even if you are taking the same medication as someone else, the dosage might be different,
- 17:12which can lead to unintended consequences.
- 17:16Another critical aspect to consider is drug interactions.
- 17:19Doctor Perkins highlights that medicine that should be taken into account when tailoring
- 17:28your prescription.
- 17:30This means that even seemingly harmless over the counter supplements can affect how
- 17:34prescription medications work in your body.
- 17:37Allergies are yet another reason to avoid taking someone else's medication.
- 17:42Some people are allergic to the additives and medications, which can lead to severe allergic
- 17:46reactions.
- 17:48There's a reason the medication is prescribed because it's personalized to each individual
- 17:53based on a variety of health factors.
- 17:55Doctor Perkins explains.
- 17:57Doctor Chad Weston, a physician with Novant Health, Oceanside Family Medicine And
- 18:02Convenient Care in Brunswick, North Carolina, also agrees that taking medication prescribed
- 18:07to someone else can be harmful.
- 18:10These consequences range from severe allergic to medication interactions and overdosing,
- 18:15causing damage to organs, such as the liver and kidneys, he said in an interview with Fox News
- 18:20Digital.
- 18:22Instead of seeking symptom relief by taking someone else's medication, it is always best to
- 18:28consult your own doctor for an accurate medical diagnosis and appropriate prescription.
- 18:34Doctor Weston advises that if you find yourself without your medication while traveling, The
- 18:40best course of action is to call your doctor.
- 18:43If you do not have your medicine, we can call it into a pharmacy wherever you are.
- 18:48Doctor Perkins adds.
- 18:51This underscores the importance of having a family physician and maintaining a good
- 18:55relationship with them.
- 18:56Having a relationship with your doctor can help you navigate situations like this.
- 19:01Doctor Perkins emphasizes.
- 19:03Your doctor is there to ensure that you receive the best care tailored to your specific health
- 19:08needs.
- 19:10That brings us to the end of today's episode.
- 19:12We have covered a lot of ground from the effects of hot weather on our bodies to the
- 19:17nuanced impact of social media on mental health the importance of recognizing bids for
- 19:22connection in relationships and the dangers of taking someone else's prescription medication.
- 19:28I hope you found this information helpful and informative.
- 19:32Stay safe.
- 19:33Stay healthy and join us next time on morning medical with doctor Thank you for listening.