Episode Transcript
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Speaker 1 (00:05):
You're listening to the Weekend Collective podcast from News Talks B. Yeah,
(00:28):
so welcome back to the Weekend Collective. I thought that
song I get knocked Down, but I Get up Again,
I thought that was my producer Tyro was playing it
to me because it's a great thing for the Health Hub,
because you know, you get knocked down, but then you
get the right advice hopefully and the right sort of
doctors and medical assistance and you get up again. But
she said that's really just an anthem for Winston. But well, anyway, welcome.
(00:50):
This is the Health By the way, if you miss
Politics Centri, we want to catch up with the Weekend
Collective podcast. But now it's time for the HealthHub. And
my guest is Ah. Look, he needs no introduction apart
from his name, and you'll probably recognize his voice even
without the name. It's doctor John Cameron. Good after yeah.
Speaker 2 (01:05):
Happy into spring, nearly into summer.
Speaker 1 (01:07):
Here you are, you're looking well always yes, good.
Speaker 2 (01:10):
You need to see an optician as well, but well
you know, we'll get the old what is it, get
the cataractent or something.
Speaker 1 (01:16):
Not quite I'm not quite there yet. Hey, look, we
wanted to start the show off, Moyther won't take your
calls on one ten eighty because you're we'd love to
hear from you any questions or you can possibly express
an opinion or two as well, just to give John
something to shoot down. Just kidding, I'm so yeah. If
you've got any questions for John Cameron, give us a call.
(01:38):
Any get concerns or just lingering doubts about something that's
been bugging you. But we're going to start off with
a couple of things John, the question around advocating for yourself,
but also the moments when you should get a second
opinion because for most people saying to your doctor, because
as Kiwi's I think generally we still don't like to
(02:00):
sort of rock the boat. And it's if you say
I want a second opinion on something, it feels like
you're saying I would worry that the doctor would think that.
I think that they are full of it. But you're
not really saying that, are you. So explain to us
the convention around second opinions and how how to approach
(02:20):
that with your doctor and all that sort of stuff, and.
Speaker 2 (02:22):
We welcome it. Within my own medical experience, we will
be talking about cases all the time. So we've got
something that's bugging us, we're not sure what's going on.
We'll pass it by other people within the practice to
get their opinion on what's going on. What we try
and do with diagnoses is actually we're trying to make
fortune tellers. So we try and get all the information
(02:46):
we can, assess what we think is happening, and then
draw up a plan about what we expect to see
if we do a nothing or be this intervention or
see this intervention, and then we readdress our plan if
it's not working on that way. And part of that
could be I'm not sure what's going on. Let's see
if we can find someone else who can help us
with this. And the client has to be integral and
(03:09):
involved in that decision making because it comes from them.
That's cool. I do not purport to know everything about medicine.
Oh god, No, we're swimming through this morass of God
knows what, trying to find our way. And look, if
we are getting stuck or the client doesn't adopt what
we are thinking, yeah, we will support them and finding
(03:30):
a second opinion to give them that advice, whether it
be another GP, whether it be a clinic, some other
specialty will go down that line.
Speaker 1 (03:37):
And the thing I think for most people is that
you shouldn't be asking. I mean, I do it. I
have this approach with when I'm on talkback or interviewing
experts on things, is I try not to be afraid
of asking what I think could be a dumb question.
No dumb questions. That's sort of my theory on things.
Speaker 2 (03:51):
It's like, you know what, So firstly, abandon all your
diagnoses before you walk in the door. That's number one,
because as soon as you do that, you color how
you perceive your symptoms.
Speaker 1 (04:03):
You try and work even if you try and to
present your diagnosis and how you describe your pain to
your not actually.
Speaker 2 (04:09):
Don't present the diagnosis and then see how your symptoms
fit into that, because that's really a dangerous thing to
do because you can miss things. You may have that
idea of what it might be, and it's okay to
put that on the table and say, look, I've been
thinking about that, I've done some research, I've googled what
I've got.
Speaker 1 (04:24):
Oka.
Speaker 2 (04:24):
Cool, We'll put it there and say okay, we'll leave
that there. Let's go back and go over the story.
Let's get the story absolutely right for a start, and
then we'll do as we'll poke and prod and pry
and do some other things and then see if we
can fit it together. And sometimes it doesn't fit together.
And that's a hard one in primary care at the moment,
is that sometimes you don't know where to get your
(04:47):
second opinion from all your assistance with this case because
everything's becoming so subspecialized now. The generalist doesn't exist anymore
except in the general practice primary care.
Speaker 1 (04:55):
Well, even general practice is a specialty. It is it is,
isn't it. We're specialist generalists. Actually, the whole thing about
we touched on doing your own research as well, because
I asked you a question about something somebody asked me
about on talk back and I'm not because I'm not
a doctor, but somebody said, I've heard about this thing
called grounding mats. It's about the frequency of the body
(05:15):
and connecting to the earth and it helps you heal
and stuff like that. And I initially was like, of course,
you do. You shoot from the city your pants sort
of thing, and I'm not the right way to put it.
You gave it the sniff tests, yeah, and I was like,
oh this, I said, look I haven't done any research
on this, I haven't read about it, but it sounds
like bollocks. And then I went and I actually did.
There's a thing you can do on Google to get
(05:38):
scientifically based articles, and I did find one thing. But
then I read and I thought, I don't know much,
and it raises the question as to doing your own research.
You could end up having a bit of a sniffle
and then thinking, oh, my goodness, there's a possibility that
I'm going to be dead tomorrow. Yep, So is there
an art to doing your own research?
Speaker 2 (05:56):
There are university papers on how to read articles medical
articles because it's not straightforward. There is a whole range
of free access to medical data on the internet. I
use it in my own research. I used to think
called pub med, which is an American based one which
looks for citations from hopefully peer reviewed articles that are
(06:20):
published in reputable journals. So some handy hints from it. Okay,
look at your source. If you're going to have a
look at a research paper or something, see where it
was published for a start, And if it's the Who's
Beckistan a dire tribe on nomadic cows, okay, might be.
Speaker 1 (06:39):
We've got one rule of thumb. If it's got truth
in the title, avoid it like the plague exactly.
Speaker 2 (06:44):
Look at when it was published, look at where it
was published. Look if it's being cited. In other words,
a lot of other people have talked about this and
are backing it up. Then when you get into the
body of it, look at the numbers concerned. If it's
a study of fifteen people, okay, big dose of salt.
If it's four hundreds thous and people, okay, you're getting
(07:07):
somewhere on that.
Speaker 1 (07:08):
So you're looking at all of these little clue.
Speaker 2 (07:11):
Clues that might help you work out what's actually going
on with this thing. And then medical information changes, because
when I learned my medical degrees now being completely superseded
by ninety percent of what I do.
Speaker 1 (07:22):
Yeah, because actually when we had a look at it
for the article that I found myself, and there was
only one article, it was almost ten years ago, and
it did have its opening sentence to talk about intriguing
effects on physiology and health, and it was a bit bland,
and so we decided, you know what, this is not
sweeping the world.
Speaker 2 (07:39):
There's no numbers, there's no placebo base to it. And
it's not peer reviewed, so you go, okay, if you're
looking at degrees of evidence things like we sort of about differently,
it's abcde A means this is sure fired, it's peer reviewed,
it's good quality research. B is yeah, it seems to
(07:59):
be something here looks pretty good see as plus or
minus D. Forget it, it's rubbish. And you can rate
all these papers on those different levels. So if it's
a grade research, a grade information, you're on the winner.
Speaker 1 (08:12):
Right well, by the way, me and Hannah had the
chance to look at this thing for ten seconds, so
don't don't. Let's not engage on that particular topic because
who knows what else is out there. But anyway, he look,
let's take some calls. Bruce, good afternoon. Hello, hang on, Bruce,
tell you what, I'll just let you. I'll just get
(08:34):
my producer to talk to you and just get your
settled there, because it sounds like you you might have
caught you in the middle of making a cup of
tea or tidying a garage. Jay.
Speaker 3 (08:41):
Hello Green Hans, guys, how are you today?
Speaker 1 (08:45):
We got.
Speaker 3 (08:47):
I've just got a general christ that dot from ut
there have to help. I'm just on seventh. Hey, you've
still got some here. But at the bottom line, I
think having problems this year was going for extra fast
and almost having a few bad accidents, and I'm just
run drink. I have week books milk and sugar, but
(09:09):
at a couple of hours later, if it just goes
throgar like a dose of salts, and I think all
these people generally, well, it must be milk. It must
be milk. Can a little bit of milk. It's only
a forward and milk put on the week with connect
cause a major clean out of your whole our system,
because it does make you feel quite soun fragile. Now
you're going to go out later in the day.
Speaker 2 (09:30):
Possible, but it would be unlikely if it's something certainly
just started happening. If it's something that's been there for
the last fifty years. In a year, you may well
be lectose intolerant or having the allergy to cows more protein.
If it's something which has just happened and you've had
a sudden change of bell habit, you might need to
get that looked into a little bit more, okay, especially
if it's recent.
Speaker 1 (09:49):
Was it had you just started drinking milk again?
Speaker 3 (09:52):
Or something or was it just now I've always kind
of been okay with milk. It's s many this year
and it's like if you have a clean out in
the morning in any other episode, ten o'clock and then
a cover just go throughout three and I think I
scared to go out the door and the car. Yeah,
(10:14):
and I think sounds lust be but I'm not sure. Yeah, back,
can I give you help? Can I give you help
for problem?
Speaker 2 (10:27):
Well, actually you've raised a really important thing that we
talk about a lot in medicine, which is the difference
between causation and correlation. So you've looked at and said,
this is what seems to be happening, and this must
be what's causing my problem. And we would go back
and say, well, actually, this thing is just happening. At
the same time, the linkage the causation is not necessarily there,
(10:48):
so we're really careful to separate out causation from time correlation.
So I would say, you've had a sudden change in
bell habit. We're not sure what's going on, and in
the seventy to seventy year old chap, you'd want to
be a little bit more careful about what else might
be going in on that, so i'd have certainly ever
talked to your doctor. I would put on the table. Well,
this seemed to happen just after I had milk, but
(11:08):
I'm not sure. So you lodge it in there as
a possibility, but you still a whole range of other
possibilities as well.
Speaker 3 (11:16):
So you camel cause a really bad problem and people.
Because I have never really heard much about it, and
I don't google it, I haven't going to put it
would be my doctor.
Speaker 2 (11:28):
Yes, I mentioned the change in bell habit, but I
wouldn't necessarily believe it's due to the milk.
Speaker 1 (11:32):
Okay, yeah, but definitely talk about it. See some further
exploration on that one. Jay. Thanks for your call. Bruce. Hello,
got your back.
Speaker 2 (11:46):
I hope you didn't fall down the stairs, Brice, it
sounded like it.
Speaker 4 (11:50):
No, I'm hoping you'd be able to talk to you
because just this week in my annual visit and you'll
check up and that's my wife and myself a monthly
COVID yep. And he was absolutely elemant, don't have that
(12:11):
COVID jab he said, that's what you can do. You
more harm been good and there's a lot of evidence
out that evidence out there that's being suppressed, and he said, don't.
He's strongly advised not to have the COVID JEBA, And
I'm sort of totally one class because we've diligently had
(12:35):
our injection over the last however longer three years. So
I just wanted to get an opinion for himself.
Speaker 2 (12:45):
I'll try and give you an unbiased opinion as well,
And I think perhaps your doctor's coming from a slightly
biased process. I'd like to see the information that he's
basing his thinking on, because that's certainly not the information
that I am seeing. What we are seeing worldwide is that.
And we could get into a big about this, But
(13:05):
the one thing that has actually turned around sarskov two
infection COVID is vaccination. It is It won't stop you
from catching the disease, it won't prevent you from passing
it on, but certainly it in age groups, which are important.
Speaker 1 (13:24):
Old age groups.
Speaker 2 (13:24):
I only one know of the age sixty five, anyone
with major health problems, it dramatically reduces yours, your risk
of death and ending up in hospital.
Speaker 4 (13:33):
Okay, yes, now he explains, there are that's from the
vaccine more than what's being publicized.
Speaker 2 (13:41):
I would take great offense to that, because in medicine
we are incredibly careful about watching what happens and publicizing it.
We don't go out there every day to create harm.
If something that we're doing is creating harm, it raises
its head very very quickly, and medsine is actually reasonably
effective at shutting those things down fast, and blame being
(14:02):
very very careful.
Speaker 1 (14:02):
So have you sought a second opinion from another medical practice.
Speaker 4 (14:07):
No, I haven't. Well, it was just yeah, yeah, okay.
I had the visit and I asked him about other
other than infectors what they thought, and he sort of, well,
he didn't, just sort of I think they were on
side the thing.
Speaker 2 (14:25):
But yeah, okay, Well, I can only say what I
know from my reading of it and my understanding of
what happens. I would be strongly advocating having at least
a repeat six monthly COVID vaccine while it's still floating around.
Speaker 1 (14:40):
There. You go, Thanks for col Bruce. A right, let's
go to Brent. Hello, Hello, Hello, Brent. I'm just going
to get you to find that part of your house
or room or ear that gives you better reception because
you're just dropping out there and we couldn't quite hear you. Allison, Hello,
so he's fallen down the stairs as well.
Speaker 5 (15:02):
I'm just going to say when I wake up in
the more I morning. Now I get this very neckly
pain right hip. I have been to the doctor prior
to that, I had a pain to the left of that,
and have all the scans and put me on this
boost busket pan for stass. But I don't think this
pain in my right has any to do it. Because
I take this busket pan, it makes no difference.
Speaker 1 (15:24):
Good. That's a good trial.
Speaker 2 (15:25):
What our original plan was isn't working. So we need
to readdress our decision making exactly what we're talking about.
So if the plan that we've put in place isn't
doing what we would want it to do, we readdress
that plan.
Speaker 5 (15:38):
So yep, I thought, I sort of think of the
my weight has gone up. It can varying about half
of stone sometimes I just wanted to too much food
be putting pressure sitting in my stomach, putting being pressure
on the hip. That's all I can think. Maybe it's
something to do with the food sitting in there.
Speaker 2 (15:56):
Possible, it depends what calling your hip unfortunately the hip
is external to the abdominal cavity. Actually, your hip feels
really quite far down.
Speaker 1 (16:04):
I was actually to ask how you diagnose whether it
is in fact hip pain, because people think I've got
pain in my hip when it could be a muscle,
or if some part of your glute, or yet probably
a bit below that.
Speaker 5 (16:14):
It's probably in the line with but below the hap.
I don't up. I suppose you call that on that
area there. I just wondering what being to do cause
the thing that I would put half a stone and
weight it could be food sort of rotting in my
stomach and connect cause for the stomach can So that's
what I worry about. Too much food sitting and they're
not processing correctly.
Speaker 2 (16:34):
I think that would be unlikely. As long as it's
coming out the other end and you're not vomiting, I
think you're going, yeah.
Speaker 5 (16:39):
Okay, you think it gonna be okay? Should I go
back to the doctor about this pain?
Speaker 1 (16:44):
Yeah, you don't have any digestion or anything.
Speaker 2 (16:48):
Stop it. Unto it a little bit of information across
the desk from and he thinks.
Speaker 1 (16:56):
He's no, no, no, don't thinking if it's coming in
one end and going out the other. Unless there's any
other sort of abdominal pain, then you're probably okay, that
would be a reasonable guess, wouldn't it? Okay? I can
get that too.
Speaker 2 (17:07):
But it goes back to how we started, how we
started off this this afternoon saying if our if our
thinking isn't working, we go back and readdress it.
Speaker 1 (17:14):
There you go. Thank you very much for you call Alison. Look,
we'll take a quick moment while John admonishes me for
my what if anyway, it's twenty four plus four news
talk said by.
Speaker 2 (17:25):
You the world men.
Speaker 1 (17:27):
All right, I don't want you to tell me it's time.
Speaker 6 (17:34):
You come all.
Speaker 1 (17:39):
I don't care what you saying anymore. This is my life.
Go ahead, well, all like leave me and welcome back
to the weekend collective love a little bit of bitty Joel.
Don't we to ease into it? My guest is doctor
John Cameron taking your calls. We initially started about talking
about just be self advocacy, seeking a second opinion as
(18:02):
a as a sort of conversation kickstarter, and it actually
also touched on is there a way of doing your
own research? Which is something I get told a lot
as a talkback host, which is something of a trigger
to me. But as a doctor, I guess you have
to avoid being triggered by people saying ah to your
own research. But anyway, how do you do it? We've
been talking about that a bit and taking your calls.
Speaker 2 (18:22):
I've got one of my clients who when he goes
he's got a bowl cancer and when he goes to
his oncologists, the oncologist recognizes that he knows more about
the disease than the cologist does.
Speaker 1 (18:33):
And is that just because he's researched it. Very smart man, Yeah, very.
Speaker 2 (18:36):
Smart man, very intellectual, very intelligent and does his own work.
Speaker 1 (18:40):
Yeah. So they have a really good conversation. There you go,
So can be done? That patient sounds to me like
they could be a sort of a nightmare, but maybe not. Yeah, anyway, right,
let's carry on. Brent, Hello, Hello, Hi, Hi.
Speaker 7 (18:55):
My issue is cheese pain. So I've been getting a
cheese pain on the leaft side of my cheese right
in the center. A while ago, I did have to
go on blood thinners because I had surgery and I
ended up getting a blood clot and it's like that
pain in my chest that I used to have when
(19:18):
I had the the blood clot in my chest.
Speaker 2 (19:21):
Okay, how long have you been getting the pains for?
Speaker 1 (19:24):
Though?
Speaker 7 (19:25):
Oh, for quite a while. I actually got the chest
pains one time when I was out because I'm a
delivery driver for Deliver Easy, and I pulled over and
there was an Almans across the road, and I went
across because I broke out in the cold sweat okay
before it happened, And they just basically said, they, have
you got any other symptoms? I said, well, I've just
broken down a cold sweat and I've just got the
(19:47):
chest pain, but I don't have any other symptoms. I said,
that's all I've got, you know. And they said, well,
if you experienced short of breath or feeling sick, then
we sugce you give us a call back. Yeah.
Speaker 2 (20:03):
I'm surprised they didn't just open the back doors of
their white bus and throw you in there talking somewhere,
because if you've got chest pain and you've gone cold
and sweaty, that's making me feel really worried.
Speaker 7 (20:13):
And okay, well that's that's like, isn't it a sort
of a start of a heart attack or something like that?
Speaker 2 (20:18):
Could well be absolutely or it could be another pulminary
embalass So if you're beginning chest paints, okay, so chest paint.
The ones we really don't want are ones that come
on with exercise. Okay, come with exercise, Stop with exercise.
That's a concern to us. Severe central chest paint. I
talk about an elephant sitting on your chest. So if
you've got any form of mammal sitting on your chest
(20:40):
and it's feeling tight and horrible, you get help straight away.
Speaker 7 (20:44):
It's not like that. It's not like that at all.
It's just like a real sharp pain. It comes and goes,
Like to doubt, I've had it probably about I don't
know seven times.
Speaker 1 (20:55):
Have you talked about this with your doc?
Speaker 4 (20:59):
I have?
Speaker 2 (21:00):
How long you go?
Speaker 7 (21:01):
So I also get a pain under my How.
Speaker 1 (21:05):
Long ago did you talk to your doctor about it? Brent?
Speaker 7 (21:08):
Well, probably two a month ago, month and a half,
two months?
Speaker 2 (21:14):
And are they working anything to try and find out
more about it for you?
Speaker 7 (21:20):
Nothing?
Speaker 1 (21:21):
Really?
Speaker 7 (21:21):
No, That's why I'm a bit concerned. Why why am
I getting this? You know? Because yeah, it was like
when I had a blood clot. It was that sort
of similar pain.
Speaker 2 (21:29):
So there's another good rule of medicine, as if if
you had something and it turned out to be X
and then you develop symptoms exactly to save as when
you've got X, you've got to assume that it could
well be X. So therefore that needs to be followed
up a little bit more for you, mate.
Speaker 1 (21:42):
Okay, So if you've.
Speaker 7 (21:43):
Got pain, yeah, I agree, totally.
Speaker 1 (21:45):
Yep.
Speaker 2 (21:46):
So there you go, go back knocking on the door
and saying, I'm still getting these pains and just say,
these are very similar to the pains I had when
I had a pulinary embass which is that clot in
the line.
Speaker 7 (21:53):
I mean I've had I've had you know what is
a SG you heart monitors put on ye and yeah
it's been fine time.
Speaker 2 (22:03):
That might not tell you what's going on. And you
can still get cloths even if you're on blood futting agents,
so I don't get it checked.
Speaker 7 (22:09):
No, I'm not on blood. I'm not on blood sutting agents.
Now I'm I'm on blood pressure pills.
Speaker 1 (22:14):
But okay, yeah, I'm not on the blood.
Speaker 7 (22:16):
Find this.
Speaker 2 (22:17):
I go and talk to you doctor that I've got
something similar to when I hit my palm here.
Speaker 1 (22:20):
But I think that's a good move. Okay, okay, and
get a sort of chairs brand. Actually, I mean the
common sense thing as well as that. Even if you
have if your doctor said something, man, the symptoms are
persisting and you're still not happy, you need to talk
to someone again. Yeah, either back to their doc or
get some opinion, absolutely, because otherwise, I mean then you're
adding the street straight. Actually, I've got a quick question
just on physical reactions to mental to you know, what,
(22:43):
what is what? Why do people break out to a
cold sweat? So and it's simply they can receive information
and all of a sudden you have these physiological symptoms.
What is what is the what is a cold sweat reaction?
What's that? All? Fear and flight? How does that help you? However,
it's a cold sweat help.
Speaker 2 (23:00):
Well, basically that's designed to get your way from saber
toothed tiger. But what why the whole range of different
things You go, sweetie, your heart beats faster, you breathe faster. Yeah,
all of these things happened as a fear and flight response.
Speaker 1 (23:13):
Okay, right, okay. Is fascinating. How simply your brain can
send a signal that makes your body go called adrenaline.
That's a really good one. That's okay, let's get on Jill.
Speaker 6 (23:26):
Hello, Oh, hi, this John, and I'll just try out Jill.
Speaker 1 (23:35):
Jill, turned your radio off in the background there, and
we'll come back to you and just to take okay, Neil, Hello.
Speaker 8 (23:42):
Hello, sir, Hello, my friend. I'll just talk briefly. I've
got two questions. Really, I'm eight, and do you have
like stages in aging like the last few weeks, I
(24:03):
feel I've gotten down up with tiredness and wanting to
sleep more and all that sort of thing. Is that
a natural thing down a stack?
Speaker 2 (24:16):
Yeah, we will have veering degrees of how we're feeling
given any time. It doesn't necessarily relate to age. It
can just be the way we are at any any
given point of time in our lives. It's when it persists.
If it's got more hard symptoms to it, pain, fever, switch, shake, Sure,
there's other things which make it more relevant. But we're
(24:36):
allowed to feel a little bit off for a while.
That's perfectly I can. It doesn't matter whether you're eighty
or sixty, it's fifty same sort.
Speaker 8 (24:43):
Of thing, thank you, sir. The next question, if I
may be allowed, is I have a bit of Alzheimer
sort of thing. And it shows itself. I mean, I'm
forgetful toward the point of a joke, but that it's
(25:05):
all right. I have a beautiful wife and we're happy.
But it shows itself in the physical. For example, I've
completely lost my balance, yep, And I wonder if there
excuse me, I wonder if there is anything I can
do about the following. I'm a great reader. I'm from
(25:31):
the age when they went televisions. I've always read, and
I love reading, and of late as I've seem to
have deteriorated a little bit. When I read a line
across the page in the book, I can't blow and
(25:51):
find the next line. It doesn't flow. I've been trying
with a little three inch ruler, which it can keep slipping,
and it's a damn nuisance. Should I see the doctor,
that's just how things are.
Speaker 2 (26:09):
I'd be interested to make sure your vision isn't going
with it's certainly striking me that you don't have a huge,
big problem with your memory in Alzheimer's type. There may
be some little bits falling off the edges, but you
are articulate, you're remembering things, You're able to discuss things.
So you're hanging in there and doing the best thing
that you can, and I think that's the most important
(26:29):
thing for people who have memory problems. You can't retrain
the memory up further than what you're doing. But I
think you're on the right track. I'm not super worried
about what's going on with you.
Speaker 1 (26:39):
Thanks for Cornell, really appreciate it. We're going to take
a quick moment. We'll be back in a ticket. It's
twenty three minutes to five news Talk, said b one,
and welcome back to the Weekend Collective. We're just interrupting
(27:01):
I talk behind the scenes on with John Cameron about
F one and just how much we've I'm enjoying Drive
to Survive and of course Liam Lawson and tonight in
Las Vegas. Yeah, actually, just quickly, do you know much
about the g forces?
Speaker 2 (27:13):
Those guys it's all on their heads.
Speaker 1 (27:16):
Yeah, that's the problem. Yeah, that's amazing, I mean amazing
how they've improved the safety of those vehicles. But still
you wouldn't want to run into a wallet tow hundred klometers, now,
would you. Thanks, No, it's generally frowned upon. Jill.
Speaker 6 (27:30):
Hello, Hello there, I've turned made up now, yes, And
I just wanted to answer John about my recent echo,
which says that my twenty four year old replaced a
ordic valve has now developed a couple of weeks. And
(27:50):
how significant is this? What questions do ask the doctors?
So I get answers because they seem to not answer
questions in the past. Anyway'm a cardiologist, So can you
help me to find out what questions to ask the doctor?
(28:10):
So I get answers.
Speaker 1 (28:11):
Yep.
Speaker 2 (28:12):
The main thing that doctor will be interested in is
how does your leaky valve affect you? Do you get
short of breath? Do you get chest pain on exercise?
Are you waking up at night short of breath? Are
you limited in any way by a leaky aortic valve? Secondly,
you're really interested. One of the most interesting things is
what we call the gradient over the valve, how leaky
(28:35):
it is, and also what's happening to your left ventricle,
which is the main pump.
Speaker 1 (28:41):
What is your ejection fraction?
Speaker 6 (28:43):
So well, that's good, that is actually good, excellent, So
that I got mild to moderate leaka does and so
I'm just wondering because it's a difficult Egho to read
it says they're almost difficult to read. Could they be
under or over? You know?
Speaker 2 (29:04):
Assessing this yep, Ye, it's still variable in the in the.
Speaker 6 (29:08):
Reporting and helps to heart failure. Can it be I've
been told it can be quite quick.
Speaker 2 (29:15):
Oh, not necessarily. And this is where we're looking into
our crystal ball. And that's what we're trying to do
is predict the future. And what's the future if we
do nothing, if we do some interventions, how would that
change that future for you? And as you are integral
in that decision making, because it is your heart, it
is your life, and as long as you're given the
(29:37):
risks and benefits from that, that's the conversation that you
need to have. And your cardiologist will have to talk
to you because.
Speaker 1 (29:44):
He's not God.
Speaker 6 (29:46):
I don't see him, so I don't see I've only
just seen him not long ago, so I won't see
him for a long while now. I don't think I
seeing my doctor to ask him, well, what's you know?
What does this mean?
Speaker 1 (29:57):
Good?
Speaker 6 (29:57):
They don't usually answer the questions.
Speaker 2 (29:59):
Keep putting the question, sticking to that right, Okay, remember thanks,
you were employing these people to give you advice. If
you go to your plumber and you say, what's my
pipes like and he goes, oh, yeah, it's nice day
to day. Yeah, get a new plumber. So if you're
going to your dock and he's not at least addressing
and listening to your questions saying I don't know, or
(30:20):
this is what I can see or let me find
out for you, those are the answers that you need.
Speaker 7 (30:24):
There you go, okay, thank you.
Speaker 1 (30:26):
Thanks Jill, Thanks, take care of yourself. Sounds like she's
taken good care of us. She's onto it. Yep, yep, exactly.
Let me just check the time at sixteen minutes to five, David, Hi,
oh good.
Speaker 9 (30:39):
A look over the years, the last eight, ten, twelve years,
or however long, I don't really know. I've had excruciating
neck pain that's coming gone now. It's not constant. When
I have it, it comes, it goes, It comes and goes,
and it can be there for ten to fifteen minutes.
It can happen in the middle of the night, can
happen half a dozen times during that day during those times. Thankfully,
(31:00):
it's relented. About a week ago, it seems to have
disappeared completely. Again over the year is I'm a bit paranoid.
And sometimes I have had a second opinion with my
previous doctor about other things. And that was seediic disease,
and that was some osteoporosis, and I had them both
and they didn't seem to think I probably did. And
so I've always thought, you know best to get a
(31:20):
second opinion. So I haven't had a second opinion from
the doctors. But I said, look, please check if I've
got some cancer, because it feels like there must be
something wrong with those bones and all I can think
of cancer. The tests have come back a week or
two ago. They didn't get in touch because they were okay, okay,
although my cholesterol was high, but my cholesterol is normally
low and there's nothing really that would contribute. Occasionally have
(31:42):
some eggs, but so they're not that worried just about
the cholesterol. And I'm just old. Kaba said, you know,
go to an Osteopants can help with the net and stuff.
But if it's not cancer, I'm very happy about that.
Speaker 2 (31:57):
So it's quite unusual to get cancer and vertebrate and
the neck it can do. But and you'd be looking
for a tumor that would spread the bone, and only
some chimns do that. And on a plain X ray
of your civical spine, if you've had that, that would
be a reasonable screening to ensure there's nothing super nasty
going on.
Speaker 9 (32:14):
I haven't had an next rack, have you.
Speaker 2 (32:15):
Okay, well, maybe that's your next step.
Speaker 9 (32:16):
No, no, no, no, the doctor said they don't do that.
I'd get I've had Dixis scans over the last ten
twelve years since I developed celiac disease because I I
haven't abscorbed as much. But he told me about this
the scan. He said, it doesn't do the neck. It
just does the rest of your body.
Speaker 2 (32:31):
No, No, Dixis scans does hip and spine, and it's
still looking for something completely different. So won't tell you
a cause of bone.
Speaker 9 (32:39):
Pain, okay, rather than the neck.
Speaker 2 (32:42):
Yeah, Well, Dixis scans looking for bone density, not for
what's going on in your bones as far as fractures
a concern.
Speaker 9 (32:48):
So I could still ask for another another that specifically
does the neck.
Speaker 2 (32:54):
What way I phrase it is and when you're talking
to your doctor saying, what does cervical spy next ray,
give me more information? It might be useful. That would
be the way I'd put it on the tape.
Speaker 9 (33:05):
I'm not worrying about it now, and when I don't
have it for a year or two at a time,
I don't even think about it. A little pain in
the neck. Good thanks, thanks David, Thank you, thank you
very much.
Speaker 1 (33:15):
By bye. Just before we go to the next call,
Lee has written just saying, why do I wake up
with a very dry mouth? No matter how much I
drink or how dry my or moist my rumors, my
guests as a layperson would be a sleeping when you
were breathing with your mouth open? I think you're ninety
nine percent right. Yeah, only because it happened to me
recently and I and I'd literally I wake up and
I could barely speak because I realized I've been breathing
(33:36):
with my mouth open, which is about the first time
it's ever happened.
Speaker 2 (33:39):
But I was like, ah, if you breathe through your
mouth through the night, you will dry it out really quickly.
Speaker 1 (33:44):
Now, yep, good stuff. There we go.
Speaker 2 (33:47):
Well, there we go.
Speaker 1 (33:50):
I'll give you your certificate. Let's let's take another call.
Speaker 10 (33:55):
Bell Hello, Hello, well sir, do five or forty years ago,
I had a mess of heart to tack of course
by stress. Now a while ago, dear, I had a bad,
very bad cult, and the doctors weren't juel. So they
(34:16):
put me in an hospital, looked up at records, found
out that I had that hard to take all those
years ago, and then they put me an espirn And
then ever since I've been an on esprun O get
very cold hands, and I haven't got the energy. Look
at yourself, right, yeah, min chair, I'm a fair age.
(34:39):
I'm ninety six, so well done.
Speaker 1 (34:43):
You're ninety what ninety six? Ninety six?
Speaker 10 (34:46):
Thirty six?
Speaker 1 (34:46):
Yeah, I'll tell you what.
Speaker 2 (34:48):
I wouldn't be too worried about whether you're taking esperin
or not. Okay, Now that's sacrilege, isn't I never tell
people what they should have. Shouldn't do that when when
we're dealing with it. I don't think the symptoms are
necessarily related to.
Speaker 1 (35:01):
Your espern use. Okay.
Speaker 2 (35:04):
The and sort of ring true for me unless you
are bleeding somewhere, and that's what's going on. And espirin
is well known for causing bleeding. It does that's the
way it does its job. So I could see why
the doctors would want to put you on espron if
you had a heart attack that long ago. In that
it's the standard thing that will do from people who've
had a heart attack to try and stop more ones.
But I think in your age, I'm not sure where
(35:28):
the risk benefit equation would lie as to whether it's
doing your power good, whether it's going to dramatically reduce
your risk of having further heart attacks. Because you haven't
had one in over forty years, what's your chances of
having another one? So I would actually leave that to
you to decide what you want to do, and I'd
be happy for you to either take or not take aspirin.
Speaker 1 (35:47):
It could be a very perfalt.
Speaker 10 (35:48):
Well, I used to know AFCI don't make a heart attack.
I did a hell of a lot of walk and
I walked about five global and every morning for thirty years.
But see, because I lost some energy to do that,
and people shake hands from me and shaky yeah and
(36:08):
called I said, yeah, I'm on, you know, on the list.
That's the circulation. I'm not and I'm not keen on
taking them. Well, what's a different between panadol and asprins?
Speaker 2 (36:23):
They're very different dracks completely different. Espirin works against platelets
as an anti inflammatory medicine. Paraceedamal is simply centrally acting
pain relief that works in your brain.
Speaker 4 (36:33):
There you go.
Speaker 1 (36:34):
Okay, Hey, thanks for your call. Bill, you brilliantly yep,
very good, and there's ten minutes to five news talks.
He'd be yes, welcome back. This is the health Hab.
My guest is Dtor John Camrack, and I squeeze another
call before we wrap it up. Margaret.
Speaker 11 (36:47):
Hello, Oh good evening to thank you doctor for taking
my call. I'm seventy four. I was on your program
some time ago doctor about buschizophrenia. Listen, could you please
help me please? About four years ago I accidentally swanted
some self down my throat and the psychiatrist has told
(37:08):
me that it is by degradeable. Watch will breakdown to
pieces eventually.
Speaker 9 (37:12):
You know.
Speaker 11 (37:14):
But but but at the same time, my nurse has
tormented it could set up some infections of US three.
It doesn't taste to regnize lately and consume what My
psychiatrist wasn't me to come to see him, but I said, well,
well I actually haven't been.
Speaker 5 (37:32):
But.
Speaker 6 (37:33):
Could you you there?
Speaker 2 (37:36):
That's okay? Look, I believe you're a psychiatrist. I think
if it's happened that long ago, it would be very
very very unlikely it will cause you any problems whatsoever.
Speaker 1 (37:45):
I think you're going to be for Yeah, thank you
about that one. Okay, go on your margaret. You take
care of yourself now. Actually we were talking when we
were talking about h and the guy who's ninety six
years old, and we shared a discussion about Mighty Python.
But the other thing that might reminded me of was
just Arch Jelly, John Walker's former coach. How old was
(38:08):
he just being admitted to the life two hundred and
three something like that, sort of given a membership into
the room. He looked one hundred it was. I think
he was one hundred and two. Superageous. It's pretty brilliant.
What is It's genetics, isn't it? And what medical training
and diet? Yep, Oh, I'm just looking after yourself. You'd
have to talk to Arch about what he's done. I've
(38:29):
got one question. We've got about a minute forty left. Yep,
only because it's popped up a few times. Bruce Springsteen
talking about intermittent fasting. Intermittent fasting seems to be okay, Yeah, yep,
but you've got to do really properly you can.
Speaker 2 (38:44):
You have to have it sustainable. If you're going to
do intimated and fasting, you keep doing it.
Speaker 1 (38:47):
What does it mean intermittent? Because it sounds like some
people do it seven days a week, which sounds like
regular faster.
Speaker 2 (38:52):
There are various regimes of either not eating for a
certain time or having X number of days a week.
It's mostly calorie restriction and trying to reset our own
body metabolism and it seems to work.
Speaker 1 (39:03):
And final words on if some people have got lingering
health concerns and they don't feel that they've been addressed
by the doctor, any final sort of observations or comments
to words of advice on that.
Speaker 2 (39:13):
Yeah, raised me, And don't be frightened about saying things.
It's your health, that's your life. It's you're seeking an opinion,
and you're in total to an opinion from anybody, and
if it's not meeting what you need seeking another.
Speaker 1 (39:24):
Opinion, excellent, Thanks John. You're gonna be watching the f
one tonight or keep your tails on it? Yeah, wonder
how he's going to go. I don't mind, I won't
see where he's going to be next year in the
real car. Yes, I boy, it would be amazing, wouldn't it. Anyway,
Thanks that that wraps the health up. If you if
you want to go back and listen to some of
the wonderful words of advice from John Cameron, then go
and check out our podcast. Look for The Weekend Collective
(39:45):
on iHeartRadio or the News Talk Said B website. But
next up we're with Lisa Dudson for Smart Money, talking
about the lessons on finance that you absolutely or perhaps
should teach your kids. We'll be back shortly News Talk
Said B.
Speaker 6 (40:16):
For more from the Weekend Collective.
Speaker 1 (40:18):
Listen live to News Talks it be weekends from three pm,
or follow the podcast on iHeartRadio