GOOD EVENING AND WELCOME TO LIFE AHEAD HERE ON PBS'S FORT WAYNE.

I'M THE HOST OF THE SHOW SANDY THOMPSON.

BUT THE REAL EXCITING PART OF TONIGHT IS OUR TOPIC.

WE HAVE SOME NEW PEOPLE WITH US THIS EVENING AND WE WOULD LIKE TO WELCOME DUPONT HOSPITAL TO LIFE AHEAD HERE.

WE'VE GOT A MEDICAL SHOW COMING UP AND I'D LIKE TO INTRODUCE YOU TO DR ANDREW OFILI AND HE'S AN EMERGENCY MEDICINE PHYSICIAN.

YOU'VE BEEN PRACTICING DOCTOR OVERLAY FOR WELL OVER TWENTY YEARS NOW.

I UNDERSTAND.

YES, THAT'S CORRECT, SANDY AND I'M FROM FORT WAYNE.

OH, ALL RIGHT.

EXCELLENT REALLY I REALLY ENJOYED WATCHING FORT WAYNE GROW AS OUR ERS GROW WELL AND SPEAKING OF FORT WAYNE AND WATCHING WHAT'S GOING ON SINCE YOU'VE BEEN DOING THIS NOW FOR A COUPLE OF DECADES LOCALLY HERE, WHAT DO YOU THINK THE DIFFERENCES BETWEEN EMERGENCY MEDICINE NOW THAN IT WAS 20 YEARS AGO?

WHAT ARE SOME OF THE KEY WAYS THAT IT IS CHANGED?

OH, I THINK THE BIGGEST CHANGE HONESTLY IS TECHNOLOGY.

WHEN I FIRST STARTED WE WOULD WALK IN A ROOM AND WE WERE GIVEN A PAPER CHART SO YOU WOULD HAVE A PAPER CHART AND YOU MAY OR MAY NOT BE ABLE TO READ THE HANDWRITING.

THE NURSE.

YEAH.

WILL THEY DECIPHER WHAT WAS THERE?

YOU HAD VERY LIMITED INFORMATION SO YOU WOULD WALK IN THERE REALLY BLIND NOT MAYBE HAVING A VAGUE IDEA WHAT THE PATIENT WAS THERE FOR AND THEN YOU WOULD RELY ON THE PATIENT TO GIVE YOU A HISTORY AND KIND OF FIGURE OUT WHAT'S GOING ON ASKING THEM THEIR MEDICATIONS OR PAST SURGICAL HISTORY AND THINGS LIKE THAT.

AND SOME PEOPLE QUITE FRANKLY WOULDN'T BE ABLE TO TELL YOU BECAUSE EITHER THEY'RE SICK, TOO SICK TO TELL YOU OR THEY JUST THEY JUST DON'T KNOW THAT INFORMATION.

SO YOU KNOW, OVER THE LAST TWENTY YEARS WE'VE GOTTEN MUCH MORE AUTOMATED WITH THINGS CALLED ELECTRONIC MEDICAL RECORDS THAT BEING THE NUMBER ONE THING.

SO FOR INSTANCE, NOW BEFORE I EVER GO INTO A ROOM AND SEE YOU, I CAN ESSENTIALLY SEE WHAT MEDICATIONS ARE ON WHAT ALLERGIES YOU HAVE MAYBE WHAT SURGERIES YOU'VE HAD ON MAYBE RECENT TESTS THAT YOU'VE HAD DONE SO BEFORE I EVER WALK IN AND ACTUALLY INTRODUCE MYSELF, I REALLY HAVE A VERY GOOD IDEA OF YOUR HISTORY.

THAT'S OF COURSE IF YOU'VE BEEN IN ONE OF THE HEALTH SYSTEMS BEFORE AND HAVE YOU HAVE YOUR RECORDS UPLOADED BUT MOST PEOPLE HAVE HAD THAT DONE SO THEN WHEN I GO IN THERE I CAN ASK THE POINTED QUESTIONS THAT I NEED TO KNOW AND I CAN ALSO HAVE INFORMATION READILY AVAILABLE ON WHAT TESTS YOU'VE MAYBE HAD DONE RECENTLY.

SO I DON'T HAVE TO REPEAT ANYTHING.

SO WHAT IT'S REALLY DONE IS IT'S MADE TO CARE I WOULD SAY SAFER, QUICKER AND MORE EFFICIENT BECAUSE OF THE THE ELECTRONICS AND THE TECHNOLOGY THAT THAT'S INVOLVED WITH THAT.

YEAH, THAT'S PRETTY AMAZING AND I KNOW THAT PEOPLE THEMSELVES WOULD HAVE ACCESS TO THEIR OWN RECORDS IF THEY'RE IN THAT TYPE OF A TECHNOLOGICAL NETWORK.

I DO WANT TO TELL OUR AUDIENCE THAT DR. OVERLAY IS HERE ALSO TO TAKE ANY CALLS FROM YOU THE NUMBER NINE SIX NINE TWENTY SEVEN TWENTY IS AT THE BOTTOM OF THE SCREEN AND WE'LL HAVE THAT UP THERE PERIODICALLY DURING THE SHOW.

WE'RE BASICALLY GOING TO BE TALKING ABOUT EMERGENCY MEDICINE AND ONE OF THE ONE OF THE THINGS DR. OVERLAY THAT I WOULD LIKE FOR YOU TO EXPLAIN WHAT'S THE DIFFERENCE?

AND AGAIN, THIS SOUNDS SIMPLE BUT A LOT OF PEOPLE DON'T REALLY KNOW WHAT'S THE DIFFERENCE BETWEEN EMERGENCY CARE AND URGENT CARE AND PRIMARY CARE.

SO THREE DEFINITIONS THEY'RE OK. YEAH, DEFINITELY.

SO YOUR PRIMARY CARE OR YOUR PRIMARY CARE PHYSICIAN IS TYPICALLY THE PERSON YOU WOULD GO TO TO GET YOUR ONGOING CHRONIC CARE THAT YOU NEED IF YOU HAVE DIABETES, HYPERTENSION OR WHATEVER CHRONIC ILLNESS YOU HAVE OR OR THE PERSON YOU WOULD IDENTIFY AS YOUR DOCTOR, WHERE WOULD YOU GO IF YOU NEED LET'S SAY YOUR BASIC SCREENING EXAMS ,WHAT DOCTOR WOULD YOU GO TO IF YOU NEEDED THE REFERRAL FOR A COLONOSCOPY WHEN 50 OR OR THAT SORT OF THING AND URGENT CARE IS MORE OF A IN A CLINIC SETTING USUALLY WHEN YOU'RE THINKING OF THE THE THE THINGS THAT ARE CUTE BUT YOU YOU THE PATIENT WITH THINK ARE TEND TO BE LESS SERIOUS THAT YOU THINK AN URGENT CARE YOU COULD HANDLE SOME MINOR ILLNESSES AND MAYBE SOME MINOR INJURIES THEN AN E.R.

COURSE IS A IT'S A CALL HIGHER LEVEL OF CARE AND IT'S A HIGHER STANDARD OF CARE BECAUSE THE E.R.

MANY TESTS AVAILABLE WE HAVE RADIOLOGICAL STUDIES, LABORATORY STUDIES USUALLY IT'S CONNECTED AND INSIDE A LARGER HOSPITAL THAT WE CAN ADMIT YOU IF YOU WE FIND YOU NEED SOMETHING DONE AND THERE'S ALSO FEDERAL LAWS THAT GOVERN AN E.R.

FOR INSTANCE, CALL THEM TALLA LIKE IF YOU PRESENT TO AN THEY HAVE TO SCREEN YOU INTO A MEDICAL SCREENING EXAM TO MAKE SURE YOU DON'T HAVE A LIMB OR LIFE THREATENING CONDITION.

SO IN PRIMARY CARE DOCTORS URGENT CARE IS AREN'T HELD TO THAT STANDARD.

SO THAT'S ANOTHER IMPORTANT DIFFERENCE.

OK, ALL RIGHT.

ALL RIGHT.

LET'S TALK ABOUT SOME EXAMPLES IF WE COULD DOCTOR OVERLAY SITUATIONS OR INJURIES OR ILLNESSES THAT MIGHT SEND YOU TO ONE OR THE OTHER EMERGENCY ROOM OR AN URGENT URGENT CARE.

YOU'VE TALKED ABOUT PRIMARY CARE FOR REGULAR ANNUAL WORK AND SCREENING.

OH YEAH.

WELL, FOR INSTANCE, AN E.R.

YOU'RE GOING TO HAVE MORE COMPLICATED INJURIES AND URGENT YOU CAN SEE THE TYPICAL SPRAINS AND STRAINS AND SO FORTH AND AND SOME OF THE MINOR IF YOU IF YOU THINK OF IT SORE THROAT TYPE THINGS THAT SEEM TO BE LESS SERIOUS IS GOING TO HANDLE THE MORE ACUTE ACUTE AND PAINFUL CONDITIONS LIKE FOR INSTANCE, IF YOU HAVE COMPLICATED FRACTURES, IF YOU'RE HAVING, YOU KNOW, DEFINITELY MORE SERIOUS THINGS GOING ON CHEST PAIN OR STROKE SYMPTOMS OR PAIN IN ESSENTIALLY THINGS THAT YOU WORRY MORE ABOUT, YOU'RE GOING TO END UP IN AN E.R.

RATHER THAN THE URGENT CARE.

WHAT ABOUT THE AND AS WE'RE APPROACHING THE SUMMER SEASON HERE, THERE ARE GOING TO BE A LOT OF PEOPLE OUTSIDE WORKING AND THERE WILL PROBABLY BE WEEKEND WARRIORS THAT MAYBE FACE SOME INJURIES WITH OUTDOOR EQUIPMENT.

WHAT ABOUT JUST MAYBE CUTTING YOURSELF AND NEEDING SOME STITCHES?

WHERE WOULD YOU GO THAT KIND OF THING?

YOU KNOW, IT'S A LITTLE BIT DEPENDENT ON ON THE INJURY URGENT CARE.

THERE'S MANY URGENT CARE THAT CAN HANDLE THAT JUST FINE.

SOMETIMES THOUGH THEY THEY CAN INITIALLY WORK AT THE TRIAGE LEVEL OR IF THEY HANDLE THAT THEY'LL THEN OFTEN SEND THEM TO THE E.R.

BECAUSE HEY LOOK, THIS IS JUST TOO COMPLICATED FOR US.

WE THINK THEY MAY NEED EVEN PLASTIC SURGERY OR THEY MAY HAVE MAY HAVE A LIGAMENT INJURY OR THAT MAY BE INVOLVING THE INJURY MAYBE INVOLVING BONE AND THERE'S AN OPEN FRACTURE AND THEY'RE THEN GOING TO SEND YOU TO US AND THEY USUALLY CALL US WHEN THEY DO NEED TO DO THAT.

THAT HAPPENS NOT INFREQUENTLY.

OK, DR. HOPEFULLY WE HAVE A PHONE CALL TONIGHT.

SAM IS ON THE LINE AND WATCHING US HERE ON LIFE AHEAD.

HI SAM.

THANK YOU FOR SO WATCHING SO MUCH.

AND WHAT IS YOUR QUESTION FOR THE DOCTOR?

YEAH.

HOW SERIOUS IS BLOCKAGE?

WHAT ARE THE PROCEDURES USED TO ADDRESS THAT IN THE EMERGENCY ROOM?

OK, YEAH GOOD QUESTION SAM.

YEAH WELL BY BLOCKAGE IS SERIOUS.

YOU KNOW YOU CAN YOU CAN DEFINITELY GET MORE SICK AND EVEN DIE FROM SOMETHING LIKE THAT.

SO IF YOU'RE IF YOU'RE WORRIED ABOUT IF YOU HAVE SOMETHING LIKE THAT YOU SHOULD DEFINITELY GO TO THE E.R.

WE'LL TYPICALLY DO AN EVALUATION ON YOU DO SOME LABORATORY WORK, GIVE YOU IV FLUIDS AND WE'LL DO A CAT SCAN AND IF IT IF IT SHOWS THERE'S A BOWEL BLOCKAGE, YOU MAY END UP WITH AN ENERGY TUBE WHICH IS A NASOGASTRIC TUBE WHICH IS LIKE IN COMMON LAYMAN'S TERMS LIKE A STOMACH PUMP WHERE WE SORT OF RELIEVE THE FLUID ABOVE THE BLOCKAGE AND THEN OFTENTIMES THOSE CAN RESOLVE WITH SOME MEDICATIONS WE CAN GIVE YOU AND THEN LESS FREQUENTLY YOU'LL ACTUALLY NEED SURGERY TO RELIEVE THE OBSTRUCTION OR WHAT'S ACTUALLY CAUSING THE OBSTRUCTION.

I MEAN SOMETIMES THAT'S JUST SCAR TISSUE THAT'S DEVELOPED IN YOUR ABDOMEN FROM PREVIOUS SURGERY.

THAT'S WHY THE MOST COMMON OTHER TIMES IT COULD BE SOMETHING MORE SERIOUS THAT YOU WOULD HAVE TO HAVE ACTUALLY PART VERBAL RESECTED TO RESOLVE.

OK, THANK YOU SO MUCH FOR THAT ANSWER, SAM.

THANK YOU AGAIN FOR CALLING.

I HOPE THAT GAVE YOU SOME GUIDANCE THERE WITH YOUR QUESTION FOR DR. OPHR LIKE ALL RIGHT, I'M GOING TO GO BACK TO TALKING ABOUT THE EMERGENCY DEPARTMENT OR PICKING UP THE PHONE AND CALLING NINE ONE ONE.

WHEN SHOULD YOU DO THAT?

WHAT KIND OF SYMPTOMS WOULD PROMOTE YOU OR PROVOKE YOU TO DO THAT?

OK, YEAH GOOD QUESTION.

YOU KNOW WE OFTEN GET CALLED ACTUALLY FROM PATIENTS IN THE E.R.

AND ONE THING TO TO TO KNOW IF YOU IF YOU DO DO THAT THEY ACTUALLY GIVE YOU MEDICAL ADVICE OVER THE PHONE.

SO THAT'S A DECISION YOU DO HAVE TO MAKE YOURSELF.

IT'S NOT ONE TAKEN LIGHTLY BUT FOR INSTANCE IF YOU'RE HAVING NEW CHEST PAIN, SHORTNESS OF BREATH, NEW DIZZINESS, ANY SYMPTOM THAT IS NEW OR CHANGING A CHANGING CHRONIC SYMPTOM THAT IS DIFFERENT THAN BEFORE THAT'S CAUSING YOU DISTRESS?

IT'S IT'S A GOOD REASON TO VISIT THE E.R.

AND NINE ONE ONE IS A GOOD CALL TO MAKE ESPECIALLY WHEN DISEASE IS IN.

IT'S EVOLVING SO YOU DON'T KNOW WHERE YOU'RE AT IN THE PROCESS OF SOMETHING.

I'M JUST CURIOUS, DOCTOR, IF YOU GO TO THE E.R., DO YOU HAVE TO NOTIFY YOUR PRIMARY CARE PHYSICIAN OR WOULD YOU BE SENDING RESULTS OF WHAT HAPPENED TO YOU TO THEM?

HOW DOES THAT WORK?

YOU DON'T YOU DON'T NEED TO NOTIFY YOUR YOUR PRIMARY CARE DOCTOR.

I WENT TWENTY FOUR SEVEN WE WILL TYPICALLY GET A HOLD OF YOUR PRIMARY CARE DOCTOR IF WE NEED TO.

OFTENTIMES THAT YOUR RECORDS FROM YOUR VISIT WITH THESE ELECTRONIC MEDICAL RECORDS IT GET SENT AUTOMATICALLY TO YOUR PRIMARY CARE DOCTOR SO THEY'LL KNOW THAT YOU'VE BEEN TO THE E.R.

AND THEY'LL SEE KIND OF WHAT TESTS THAT WE'VE DONE ON YOU AND OFTENTIMES WE WILL CALL THEM TO SET UP MAYBE A FOLLOW UP APPOINTMENT IF WE FIND OUT THAT HEY, YOU HAVE THIS PROBLEM AND YOU CAN YOU CAN BE SEEN AS AN OUTPATIENT THIS WEEK WITH YOUR DOCTOR AND SO WE'LL CALL YOUR DOCTOR AND KIND OF HELP DISCUSS YOUR CARE AND WHAT WE THINK YOU NEED NEXT AND THEN OFTENTIMES THAT NOWADAYS IF YOU NEED TO BE ADMITTED TO THE HOSPITAL MOST PRIMARY CARE DOCTORS WILL DEFER TO WHAT'S CALLED HOSPITALISTS TO ADMIT YOU TO THE HOSPITAL OR PEOPLE THAT WORK PHYSICIANS PRIMARILY JUST IN THE HOSPITAL THAT DO THE INPATIENT, ALTHOUGH THERE ARE A FEW PRIMARY CARE DOCTORS IN TOWN THAT STILL TAKE CARE OF THEIR PATIENTS IN THE HOSPITAL.

OK, ALL RIGHT.

THAT'S COMFORTING TO KNOW THAT THERE'S GOING TO BE THAT COMMUNICATION BETWEEN YOU AND YOUR PRIMARY CARE PHYSICIAN.

OK, WE HAVE TO TALK ABOUT COVID THERE'S NO WAY THAT WE CAN NOT TALK ABOUT IT.

WHAT DO EMERGENCY DEPARTMENTS DO NOW BECAUSE OF COVID THAT WILL MAYBE GIVE SOME PEACE OF MIND TO PEOPLE SO THEY'RE NOT SO AFRAID TO GO TO THE EMERGENCY ROOM?

WHAT PROTOCOLS?

OH YEAH.

WELL THERE'S BEEN A LOT OF CHANGES WITH COVID I YOU KNOW, REALLY INFECTION CONTROL PROCESSES I THINK ARE YOU SOME OF THE BIGGEST ONES?

SO FOR INSTANCE I MEAN THERE'S THINGS THAT WE ALWAYS BUT I THINK WE DO THESE BETTER NOW BECAUSE OF KOVEN AND THAT'S INCREASED HAND HYGIENE.

OUR PROVIDERS WEAR MASKS NOW I DON'T KNOW IF THAT WILL EVER CHANGE IN AN E.R.

SETTING AND THESE SORTS OF THINGS WHERE WHERE WE CAN ASK QUESTIONS RIGHT WHEN YOU COME IN JUST PUT YOU IN A CERTAIN AREA OF THE WHERE YOU MAY NOT IF WE THINK YOU'RE INFECTIOUS YOU WON'T INFECT OTHER PEOPLE.

THOSE ARE KIND OF SOME OF THE BIGGEST THINGS THAT THAT WE'VE DONE AND I THINK IT'S WORKED REALLY WELL AT LEAST THIS YEAR IN FORT WAYNE ESPECIALLY WE'VE HAD SOME OF THE LOWEST FLU RATES FOR INSTANCE THAT WE'VE EVER HAD.

I KNOW I'VE HEARD THAT.

YEAH, YEAH.

SO SO I THINK A LOT OF THESE PROCESSES THAT WE HAVE IT IT IS MAKING US BETTER AND IT'S MAKING US DO OUR JOB BETTER AND KEEP PATIENTS SAFER IS AND THAT'S A GOOD THING.

WOULD YOU SAY DOCTOR OPENLY THAT IF PEOPLE THINK THEY MIGHT HAVE COVERED THAT THEY COME TO THE EMERGENCY ROOM OR OR DO THEY GO TO A TESTING SITE?

HOW DOES THAT WORK WITH YOU?

WHAT WE'LL USUALLY RECOMMEND IF THEY JUST WANT THE TEST THAT THERE'S PLENTY OF PLACES TO GO TO TO TO GET THE TEST?

YES.

IF THEY IF THEY FEEL ACUTELY ILL AND THEY FEEL BAD ENOUGH THAT THEY THINK THEY NEED TO COME TO YOU BY ALL MEANS COME TO THE E.R.

IF YOU JUST LOOK IN YOU'RE WORRIED I THINK I MIGHT HAVE COVERED THERE'S PLENTY OF ALL THAT WE ACTUALLY RECOMMEND THAT YOU GO TO SOME OF THE OUTPATIENT RESOURCES THAT BECAUSE ONE YOU DON'T WANT TO INFECT SOMEBODY ELSE UNNECESSARILY AND SOMEBODY ELSE AT RISK AND YOU MAY NOT ACTUALLY NEED THE NEED THAT NEED OUR SERVICES.

YOU MIGHT BE ABLE TO GET THAT SOMEWHERE ELSE.

YEAH, I WOULD IMAGINE IF SOMEBODY IS MAYBE HAVING EXTREME RESPIRATORY ISSUES OR EVEN THINK THEY MIGHT NEED OXYGEN OR SOMETHING, THAT WOULD BE A TIME THEY'D SEEK SOME EMERGENCY CARE.

DOCTOR, WE HAVE TWO PHONE CALLS.

YOU'RE A POPULAR MAN TONIGHT.

RICHARD IS ON THE LINE TONIGHT.

RICHARD, THANK YOU SO MUCH FOR BEING A VIEWER FOR US HERE ON LIFE AHEAD.

AND WHAT IS YOUR QUESTION FOR THE DOCTOR LIKE NOT THE LUCKY SURGEON FROM SO MANY COUNTRIES ALL OVER THE SINK TO STOMACH AND WE WANT TO BELIEVE NOT TO BE REALLY DANGEROUS TO A CERTAIN POINT BUT I WOULD NOT BE OPERATING ON THE LIFETIME.

OK, SO I'M NOT SURE I'M NOT SURE I HEARD HIM CORRECTLY.

I THINK HE WAS ASKING ABOUT IF HE SHOULD IF THE IF YOU HAPPEN TO HAVE SURGERY FOR A BOWEL BLOCKAGE, IF IT HAS TO BE RECONNECTED IN A CERTAIN PERIOD OF TIME I THINK HAVE SOMETHING ABOUT SCAR TISSUE WORK ON AFTER SURGERY.

IS THAT CORRECT, RICHARD?

IS THAT WHAT YOU WANT TO KNOW?

YES, YOU OK?

YES, DOCTOR.

YEAH.

I MEAN YOU CAN YOU YOU DON'T NECESSARILY HAVE TO HAVE THAT SURGERY.

I MEAN ONLY IF YOU'RE REALLY GETTING THE COMPLICATIONS OF OF THAT KIND OF SCAR TISSUE LIKE YOU'RE GETTING RECURRENT BOWEL BLOCKAGES YOU WOULD MAYBE DECIDE TO HAVE WHAT'S CALLED A LYSIS OF THOSE ADHESIONS.

SOME PEOPLE JUST HONESTLY WHAT WILL WE'LL SORT OF JUST GO THROUGH BOWEL BLOCKAGES.

WELL, HAVE A COUPLE YOU KNOW, OVER A PERIOD OF TEN TO 15 YEARS NOT NOT UP FOR SURGERY BECAUSE SURGERY IS NOT YOU KNOW, NOT ALWAYS THE THE THE BEST ANSWER IT OFTEN IS ENDS UP BEING THE ANSWER BUT IT KIND OF JUST DEPENDS ON YOUR INDIVIDUAL CASE AND YOUR AND YOUR AND YOUR COMPLICATIONS.

BUT IT'S IT'S A SURGERY THAT GETS DONE VERY FREQUENTLY AND WE HAVE A LOT OF SPECIALISTS IN THE AREA THAT CAN DO THAT AND THEY'RE VERY COMFORTABLE WITH THAT AND I'VE SEEN PLENTY OF PEOPLE GET THAT AND THEN THEY GET THE PROBLEM FIXED AND THEN THEN THEY GO ON WITH THEIR LIVES.

SO IT'S IT'S NOT A BAD DECISION TO MAKE IF IF YOU'RE IN THAT IF YOU'RE IN THAT POSITION.

OK, GOOD ADVICE.

AND JEREMY IS NEXT WITH US ON THE LINE.

AND WESLEY, YOU'RE COMING UP HERE RIGHT AFTER JEREMY'S QUESTION.

JEREMY, FIRST OF ALL, WHAT QUESTION WOULD YOU LIKE FOR DR. OFFALY?

YEAH, DR. OPOLAIS MY NAME'S JEREMY STRAYER.

THEY DIAGNOSED ME WITH A SUSPECTED SEACLIFF OF MY CIRCLE WILL AND THEY WANT TO DO SOME IMAGING AND I'M JUST A LITTLE NERVOUS ABOUT THE IMAGING BECAUSE OF CLAUSTROPHOBIA.

I JUST WONDERED IF YOU HAD ANY ALTERNATIVES OR ANY THOUGHTS ON THAT.

OK, THAT'S A GOOD QUESTION.

I THINK A LOT OF PEOPLE HAVE THAT CONCERN, DOCTOR.

YEAH, I MEAN IT SOUNDS LIKE HE'S HE'S CURIOUS ABOUT IMAGING AND WHAT WHAT AVAILABILITY THERE WOULD BE.

YOU KNOW, IN THAT PARTICULAR CONDITION YOU WOULD YOU KNOW, ONE OF THE BETTER TESTS TO GET WOULD BE IT WOULD BE AN MRI AND THERE'S THINGS CALLED OPEN DO MRI WHERE THAT'S WHERE HE WOULD IT SOUNDS LIKE IF HE'S CLAUSTROPHOBIC YOU CAN EITHER GO TO AN OVERVIEW MRI OR YOU COULD GET PRE MEDICATED WITH SOME MAYBE ANTIANXIETY MED BEFORE YOU BEFORE YOU ACTUALLY HAD THE TEST DONE.

SO YOU'RE ABLE TO DO IT AND OVERCOME THE CLAUSTROPHOBIA BUT YOU COULD DEFINITELY GET IMAGING FOR THAT AND WE CAN AND WE CAN HELP YOU OUT IN THAT REGARD.

A DOCTOR JUST TO FOLLOW UP ON THAT FOR A MOMENT, YOU SAID YOU KNOW, PERHAPS IF YOU'RE IF YOU'RE NOT GOING TO DO THE OPEN VIEW MRI YOU CAN GET MAYBE SOME MEDICATION TO RELAX YOU OR IS THAT SOMETHING THAT JEREMY WOULD NEED TO GET FROM HIS PRIMARY CARE PHYSICIAN OR THAT YOU WOULD HANDLE IT ANY ARE HE COULD LIKE IF HE WAS IN THE E.R.

WE WOULD WE WOULD GIVE HIM MEDICATION TYPICALLY BE ABLE TO DO IT IN A NORMAL MRI.

YOU NEEDED A CAT?

WE WOULD WE WOULD HAVE AN I.V.

AND WE WOULD GIVE YOU MEDICATION AND YOU'D YOU'D LIKELY SLEEP THROUGH THE WHOLE THING.

YOU KNOW, I ACTUALLY HAD AN MRI ONCE AND I DIDN'T MIND AT ALL DIDN'T BOTHER ME.

I FELL ASLEEP AS I WAS GOING THROUGH THE TUNNEL OR WHATEVER.

WHAT DOES THAT TELL YOU ABOUT MY MY LACK OF SLEEP AND ORDINARY BASELESS WELLSLEY THANK YOU FOR WATCHING US HERE THIS EVENING.

AND WHAT QUESTION DO YOU HAVE FOR THE DOCTOR TONIGHT?

OH, IT'S OFFLINE.

I'M SORRY BUT WE DO HAVE THE QUESTION HERE.

THEY'VE SENT THAT OUT TO THE STUDIO TO ME AND WESLEY WANTS TO KNOW WHERE IS THE BEST PLACE TO GO FOR VERTIGO ON THE WEEKEND?

HMM.

INTERESTING QUESTION.

WHAT WOULD YOU YEAH.

IT'S KNOW WHAT KIND OF VERTIGO IS A REALLY DISTRESSING SYMPTOM.

YOU KNOW, MY DAD SUFFERS FROM THAT OCCASIONALLY AND QUITE FRANKLY HE WENT TO THE E.R.

BECAUSE IT'S JUST IT MAKES YOU FEEL SO BAD THAT IN VERTIGO MOST OF THE TIME IS A BENIGN CONDITION BUT BUT RARELY IT CAN BE IT CAN IT CAN BE SOMETHING ELSE LIKE A STROKE OR SOMETHING ELSE NEUROLOGICALLY THAT'S GOING ON.

BUT IT'S USUALLY SO DISTRESSING PEOPLE IT'S A VERY COMMON SYMPTOM TO GO TO THE E.R.

FOR AND BECAUSE WE HAVE MEDICINES THAT CAN HELP YOU AND WE CAN FULLY EVALUATE YOU TO MAKE SURE IT'S NOT ONE OF THESE ONE OF THESE DANGEROUS CAUSES.

OK, ALL RIGHT.

GOOD RECOMMENDATION THERE.

THANK YOU FOR CALLING US TONIGHT AND ANDREW IS ON THE LINE WITH US.

ANDREW, THEY TELL ME YOU HAVE A QUESTION ABOUT COVID.

YEAH, NO I GOT I JUST GOT TWO QUESTIONS FOR OK. ALL RIGHT.

OR COVID RELATED.

SO MY FIRST QUESTION TO BE ABOUT THE NEW VARIANTS SHOULD PEOPLE BE SAID THE PUBLIC BE REALLY SCARED OF THESE NEW VARIANTS ESPECIALLY A EUROPEAN VIRUS?

YOU KNOW, PEOPLE ARE GETTING VACCINATED BUT THERE'S STILL DOUBLE MASKIN AND YOU KNOW, THEY'RE NOT COMING OUT OF THEIR BASEMENTS.

AND MY SECOND QUESTION WOULD BE COVID-19 PETS.

LAST WEEK I SAW A COUPLE OTTERS CONTRACTED.

HOW DO WE KEEP SAFE FROM OUR PETS?

DO WE HAVE TO START MAKING THEM WEAR MASKS?

HOW DO WE STAY SAFE, DOCTOR?

ROUGHLY WE YOU KNOW A GOOD QUESTION.

YOU KNOW, COVID OBVIOUSLY IT'S DOMINATED THE MEDICAL LANDSCAPE THE LAST YEAR AND A HALF SINCE IT CAME TO US AND OF COURSE IT'S GOT ITS NAME.

IT'S COVID-19.

SO IT WAS BORN IN TWO THOUSAND NINETEEN.

SO IT'S STILL A VERY NOVEL VIRUS MEANING WE'RE LEARNING NEW THINGS ABOUT IT ALL THE TIME.

BUT THE IMPORTANT THING THAT I THINK FOR PEOPLE TO REALIZE IS IT'S WE'VE BEEN DEALING WITH IT FOR OVER A YEAR THAT WE'VE LEARNED A LOT.

WE KNOW WHAT TREATMENTS THAT WE HAVE THAT WORK AND THEN WE ALSO MORE IMPORTANTLY KNOW WHAT NOT TO DO.

I MEAN I THINK IN THE BEGINNING LIKE YOU HEARD A LOT A LOT ABOUT THE VENTILATORS FOR INSTANCE AND WE WOULD PUT PEOPLE ON THE VENTILATOR FAIRLY EARLY IN THE COURSE OF THE DISEASE AND THEN WE LEARNED THAT THAT WASN'T REALLY THE BEST THING TO DO.

AND SO AS WE'VE LEARNED ABOUT COVID AND WE HAVE FURTHER TREATMENTS FOR IT, I KNOW THERE'S A LOT OF THINGS COMING DOWN THE PIPELINE.

I'M LESS WORRIED ABOUT THE VARIANCE BECAUSE USUALLY, YOU KNOW, IN THE BEGINNING OF A PANDEMIC YOU KNOW NOTHING ABOUT NOTHING ABOUT A VIRUS AND WE ALREADY KNOW A LOT ABOUT THIS.

IT'S STILL IT'S IT'S A THREAT TO OUR HEALTH BUT I DON'T SPEND A WHOLE LOT OF TIME WORRYING ABOUT IT BECAUSE WE REALLY HAVE A KNOWLEDGE BASE IS CONTINUE TO GROW WITH IT AS FAR AS THE AS FAR AS HAVE DEALINGS WITH THAT SORRY THERE'S NO ANNOUNCEMENT GOING ON AT THE HOSPITAL.

YEAH.

I CAN HEAR IN THE BACKGROUND WELL WE KNOW YOU'RE REALLY WORKING WELL I MEAN YOU'RE NOT HERE WITH US NOW BUT WE KNOW IT'S AN OPERATING PLACE.

OK, GO AHEAD COVID IN PETS.

YEAH GOVARDHAN PAZZO WELL I HAVE A LITTLE KNOWLEDGE THAT MY BEST FRIEND IS A VETERINARIAN AND AND HE'S SEEN IT A LITTLE BIT IN ANIMALS DO GET AFFECTED BY IT.

I YOU KNOW IT'S ONE OF THESE THINGS THAT YOU DON'T NECESSARILY KNOW FOR SURE AS FAR AS IF YOUR ANIMAL WILL GET IT AND IF THEY'LL GET VICIOUSLY ILL FROM IT.

I HAVEN'T READ OR SEEN MUCH OR HEARD MUCH FROM THE VETERINARY COMMUNITY THAT IT'S THAT IT'S WORSE IN ANIMALS THAN IT IS THAT IT HAS BEEN IN HUMANS.

SO I DON'T THINK IT'S PROBABLY WORTH HAVING YOUR ANIMAL TO TO TO WEAR TO WEAR A MASK THAT I THINK WOULD BE REALLY HARD FOR THEM TO TO GET THEM TO DO IT FOR ONE.

EXACTLY.

THEN I ALSO DON'T THINK THERE'S THERE'S NOT A LOT OF RESEARCH ON THAT BUT I ALSO DON'T THINK PEOPLE ARE SUPER WORRIED ABOUT THAT.

AND THE OTHER THING I WOULD SAY ABOUT THE VARIANCE AND COVID IS IS THAT WE CAN'T CONTROL THESE SORTS OF THINGS IF IT IF IT MUTATES AND SO FORTH.

WE DO KNOW THE THE RISK FACTORS FOR INSTANCE THAT MAKE PEOPLE SICKER IF THEY GET COVID AND THOSE THINGS WE CAN KIND OF CONTROL.

SO WE'RE TALKING ABOUT OBESITY, HYPERTENSION, DIABETES.

SO IF WE AS A COUNTRY CAN JUST GET HEALTHIER, I THINK I THINK THAT'S THAT'S ONE IF THERE'S ANYTHING GOOD THAT COMES OUT OF COVID IT CAN KIND OF TEACH US THAT I THINK WE CAN ALL KIND OF USE SOME OF THAT ADVICE MYSELF INCLUDED.

I PUT ON SOME POUNDS AND I'M SURE THAT'S GOING TO LEAD TO SOME HEALTH PROBLEMS THAT CONTINUE.

SO IF I THINK IF IT ENCOURAGES PEOPLE TO TO TO GET IN SHAPE, EAT HEALTHIER SMOKE OR NOT SMOKE AT ALL, THAT THAT'S A GOOD THING.

OK, OBVIOUSLY GOOD RECOMMENDATIONS AND AND THOSE ARE FACTORS THAT WOULD HELP COVID OR NOT IN TERMS OF POTENTIAL OTHER ILLNESSES.

WE HAVE A PHONE CALL TONIGHT FROM I BELIEVE IT'S RAJIN RéGINE ARE YOU ON THE LINE WITH US TONIGHT?

I AM.

OK, YOU HAVE A QUESTION FOR DR. OVERLAYED DON'T YOU?

I DO.

I DO.

AND IT'S ALSO CONCERNING THAT AND I'M 80 YEARS OLD YOU DON'T SOUND LIKE IT AT ALL.

OH WELL THANK YOU.

I AM FULLY VACCINATED BUT I KNOW THAT YOU'RE ON THE NEWS THAT THEY ARE THINKING THAT THEY WOULD NEED A BOOSTER SHOT WITHIN EITHER SIX MONTHS TO A YEAR.

I WONDER IF THAT IS CORRECT.

WHAT DO YOU THINK DR. YEAH.

THAT'S WHAT CURRENTLY WITH THE FIZER VACCINE THAT'S WHAT THEY'RE IT'S WHAT THE RECOMMENDED THAT WILL LIKELY BE.

AND I THINK WE NEED TO REALIZE THAT IF YOU THINK ABOUT LIKE THE FLU SHOTS OR TETANUS THESE THESE KIND OF SHOTS YOU GET BOOSTER'S EVERY ONCE YOU GET A FLU SHOT EVERY SINGLE YEAR IF YOU DECIDE TO DO IT AND A TETANUS SHOT IS ONCE EVERY SEVEN TO 10 YEARS AND ALSO SOME OF THESE ARE THE ONES THAT WE WOULD HAVE GOTTEN THAT'S IT'S PRETTY STANDARD TO NEED A BOOSTER.

I WOULDN'T I WOULDN'T BE AFRAID OF GETTING IT.

THAT'S AND I'M NOT I WOULD EXPECT THAT THAT'S PROBABLY GOING TO COME DOWN THE PIPELINE.

YEAH, I THINK I'M WITH YOU, DOCTOR.

I'VE BEEN READING A LOT ABOUT THAT LATELY AS WELL THAT THE BOOSTER POSSIBILITIES AND IT MAKES TOTAL SENSE.

I MEAN, YOU KNOW HOW CAN WE ASSUME THAT JUST BECAUSE TWENTY TWENTY ONE IS OVER THE WHOLE THING WILL BE OVER?

IT COULD BE YEARS AHEAD OF US OR SOME VARIANT OF THE COLD BUT SO YEAH IF WE GET A VACCINATION FOR THAT OR BOOSTER I'M ALL FOR IT.

I'LL JUST BE THE FIRST ONE TO PUT MY ARM OUT THERE.

OK DOCTOR LET'S TALK A LITTLE BIT ABOUT THE EMERGENCY ROOM IN TERMS OF YOUR INSURANCE OR PRIMARY CARE PROVIDER.

DO YOU HAVE TO GO TO THE EMERGENCY ROOM THAT YOUR PRIMARY CARE PHYSICIAN ASSOCIATES WITH WITH THAT HOSPITAL OR DOES THAT MATTER?

YOU DON'T HAVE TO.

I MEAN IT'S DEFINITELY RECOMMEND THAT THAT YOU DO AND THAT'S JUST BECAUSE YOUR RECORDS ARE TYPICALLY GOING TO BE THERE.

YEAH.

YOU KNOW, SINCE GETTING BACK TO THAT QUESTION, I ASKED OR ANSWERED EARLIER, I CAN SEE WHAT YOU'VE HAD DONE, WHAT MEDICATIONS ARE ON ALL THESE DIFFERENT THINGS AND IF YOU'VE HAD A SURGERY, PARTICULAR SURGERY, IF IT'S AT THE HOSPITAL THAT THAT YOUR SURGEON IS AT, THAT'S ALWAYS A GOOD A GOOD MOVE TO MAKE.

WE CERTAINLY DON'T HAVE TO YOU HAVE CHOICES BUT IT DEFINITELY HELPS EXPEDITE YOUR CARE BECAUSE USUALLY ALL YOUR INFORMATION IS AT YOUR FINGERTIPS AND WE CAN FIND IT VERY QUICKLY.

WE HAVE EVERYTHING THAT WE NEED TO HAVE AND THEN YOU CAN CARE FOR THE PEOPLE MORE ACCURATELY AND QUICKER.

WE ONLY HAVE ONE MINUTE LEFT DOCTOR OVER THIS HALF HOUR IS GONE SO FAST AND I REALLY APPRECIATE ALL THE VIEWERS THAT HAVE BEEN CALLING IN.

IF YOU HAD TO TELL ME VERY QUICKLY, DOCTOR, WHAT SYMPTOMS THAT MIGHT SEND ME TO AN EMERGENCY ROOM, WHAT WOULD THEY BE IF YOU HAD TO NAME FIVE SYMPTOMS ALL THE TOP ONES CHEST PAIN, SHORTNESS OF BREATH, HEADACHE, ANOTHER TYPE OF ABDOMINAL PAIN, NAUSEA, VOMITING, THAT PROBABLY THAT SOME OF THE TOP FIVE SYMPTOMS THAT THAT THAT WE'LL SEE AND THOSE ALL COULD BE VERY DANGEROUS THINGS THAT NEED TO BE WORKED UP AND LOOKED AT FROM THE EAR STANDPOINT WHICH WE CAN DEFINITELY DO IN A EXPEDITOR HIGH QUALITY FASHION.

I APPRECIATE THAT SO MUCH AND THAT'S GOOD ADVICE.

WE APPRECIATE THE INFORMATION YOU'VE SHARED WITH US HERE THIS WHOLE LAST HALF HOUR AND I KNOW THAT YOU'RE GOING TO BE ON AGAIN HERE SOON.

SO WE'LL WELCOME MORE INVERMAY FROM THE DUPONT HOSPITAL.

WELL, WE APPRECIATE THE REST OF YOU VIEWERS FOR WATCHING US HERE TONIGHT.

AND DON'T FORGET CHECK IN WITH US AGAIN NEXT WEDNESDAY NIGHT AT SEVEN THIRTY.

WE'LL SEE YOU THEN ON.