Reasonable Precautions Make Safe Patients

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Dr. Michael Koren joins Kevin Geddings to discuss the importance of taking reasonable precautions for health and safety. He recounts his experience at a recent Jacksonville Jaguars football game, which was delayed out of an abundance of caution due to a lightning storm. Dr. Koren explains that although the delay was annoying and disruptive, safety must come first. The two relate this to health-related precautions, such as managing cholesterol and obesity, as well as the rigorous safety measures in clinical trials. 
 
 

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Episode Transcript

Announcer (00:00):
Welcome to the MedEvidence Monday Minute Radio
Show hosted by Kevin Gettings ofWSOS St Augustine Radio and
powered by Encore Research Group.
Each Monday morning, dr MichaelKoren calls in to bring you the
latest medical updates withinsightful discussions.
Medevidence is where we helpyou navigate the real truth
behind medical research, withboth a clinical and research

(00:20):
perspective.
So sit back, relax and getready to learn about the truth
behind the data in medicine andhealthcare.
This is MedEvidence.

Kevin Geddings (00:30):
And joining us live on the studio line, as he
does on most Monday mornings, isDr.
Michael Koren.
He's a medical doctor,cardiologist, research scientist
and we appreciate him takingtime out of his schedule to be
with us today.
We thought we'd talk a littlebit about precautions and all
the precautions that are takenwhen you're involved with
clinical trials.
There were some precautions, Iguess, taken yesterday when you
were watching the Jaguars beatup on the Panthers right that

(00:52):
long weather delay.

Dr. Michael Koren (00:55):
Yeah, Good morning, Kevin, and I'm back
from Europe and thank you fortaking my call in Europe.
That was fun for me.

Kevin Geddings (01:01):
That was fun for us too.

Dr. Michael Koren (01:04):
Well, to get back in part to watch opening
day.
I'm a Jaguar fan and veryhopeful that the change in the
coaching staff will lead tobetter results in the field this
year.
So far, so good.
I was at the game and it wasinteresting because from the
very beginning of the game therewas a little bit of a dark
cloud north of the stadium andit wasn't bad because it was

(01:25):
probably keeping the temperaturedown a little bit.
And then in the middle of thesecond quarter, literally out of
the blue, they announced okay,well, there's lightning in the
area, everybody has to get upand take cover.
And it was a bit of a strangething because we hadn't heard
any lightning or seen anylightning and the dark cloud
looked to be not that close tothe stadium.

(01:46):
But okay, so we took theprecaution and everybody you
know went undercover and it wasabout I think it turned out to
be about 80 minute delay.
Obviously that I think itaffected some of the play in the
field.
But uh, the funny part was thatthe cloud eventually came over
the stadium.
There was hardly any rain fromthis cloud and we didn't see any

(02:08):
lightning and they actuallystarted playing again while the
cloud was still over the stadiumand sort of moving off.
I guess they determined thatthere wasn't really a danger
from this particular cloud.
So it gets into this wholeconcept of precautions and what
you do to take reasonableprecautionary measures, which is

(02:30):
certainly extremely importantin medicine.
And you're treating yourcholesterol, treating obesity.
These are two really importantexamples of taking precautions
and sometimes it's inconvenientand sometimes it changes your
routine, but at the end of theday you're thankful that you did
it and hopefully, like theJaguar game yesterday, it'll

(02:51):
lead to good results.
So one of the things to bemindful of is that, yeah, we're
lucky that there wasn't anymajor lightning strikes, and
actually it wasn't any majorrain, but it could have been
different and there's a certaindegree of unpredictability in
medicine and football and inmany other things in life, and
it's smart to take precautionsthat are time-tested.
So, as you know, there's beenplenty of people who have been

(03:14):
injured and killed fromlightning, particularly in the
state of Florida.
It's actually the state thathas had the most morbidity and
mortality related to lightningstrikes.
That has had the most morbidityand mortality related to
lightning strikes.
In fact, a good friend of minefrom college, who did a
MedEvidence broadcast with me,has developed this lightning
shirt to protect people who haveto be outdoors during lightning
storms.
So I'm very aware of this issue, of the fact that lightning is

(03:39):
a big, big problem in the stateof Florida, and while these
precautions were maybe a littlebit awkward, they were certainly
wise.
And while these precautionswere maybe a little bit awkward,
they were certainly wise and atthe end of the day, I think
we're glad that we took them.

Kevin Geddings (03:48):
Yeah, absolutely .
If you're just joining us,that's the voice of Dr.
Michael Koren and of course,you can connect with him and
also get involved in someleading edge clinical trials
that could benefit your healthand also let you participate in
the next generation of medicalscience.
Go to EncoreDocs.
com.
They have offices right here inSt.
John's County, so it's supereasy to participate in these

(04:09):
trials and you probably will becompensated for your time.
Encoredocs.
com that's EncoreDocs.
com.
And that reminds me too interms of taking precautions,
because I've been involved insome of the studies at ENCORE
Research Group and there's lotsof precautions involved in that
process in terms of theextensive review of you know, my
own or anybody else's personalmedical history.

(04:30):
You know a whole series ofthings that are done to make
sure that you know you can be assafe as possible when you're
involved in these studies, right?

Dr. Michael Koren (04:37):
Absolutely.
We follow what's called aprotocol which lays out all
these precautions, so we're very, very careful about one who we
involve.
So, while we like toaccommodate as many people as
possible, the truth is that somepeople come, go through the
screening process and we say youknow, you're not really a good
candidate for this particularresearch, for this or the other

(04:59):
reason, research for this or theother reason.
But that's valuable in and ofitself and I wouldn't
underestimate the fact thatyou're getting these very
important and very knowledgeablemedical opinions and you learn
from that process.
But if you go through thescreening process and we feel
that you're a good candidate,then absolutely every step along
the way we're looking at safetyand every step along the way
we're looking at your individualexperience and making sure it's

(05:21):
optimized as much as possible,while collecting information
that serves the general publicand hopefully to help get
products approved or hopefullyget smarter about treating a
particular condition.

Kevin Geddings (05:32):
Yeah, it's amazing because when you are
involved in one of theseclinical studies, of course
they're constantly involved.
You're connected with them bothby email and text, but also
regular visits that can beeither weekly or monthly, so
it's pretty extensive.
So those of you who havethought about participating in
some of these clinical trialsand maybe have hesitated because
you're not sure exactly whatthe safety precautions are, I

(05:52):
assure you you're going to bevery, very impressed.
Let me just tell you that,Before we let you go, one other
place too that might help youtake the right precautions,
depending on whatever chronicillness or ailment you may be
dealing with, is to go toMedEvidence and learn the very
latest research on yourparticular issue, right?

Dr. Michael Koren (06:10):
Absolutely, yeah.
One of the things that wasreally exciting for me at the
European Society of Cardiologymeeting in Madrid was the fact
that there was so much interestin MedEvidence.
In fact, there were a fewcompanies that asked me to
create podcasts specifically fortheir needs, so that was super
exciting for us, and people areloving this format of having
knowledgeable physicians discussan issue in an unbiased way,

(06:34):
and people have differences ofopinion, but when two
knowledgeable people areinteracting with each other,
you're going to get to the truthmore likely than not.
And the truth is, kevin, it'shard to get to the truth.
So if you just look at thingson the internet that are being
sponsored or funded by peoplewith a vested interest in some
particular product or service,you're not going to necessarily

(06:55):
get the truth, whereas inmid-evidence, we're very, very
careful about making sure thatpeople hear all sides of the
story and, most importantly, youhear people discussing it that
may not always agree on everypoint, but will eventually find
points of agreement that you cantake home and become very
confident.

Kevin Geddings (07:11):
Yeah, absolutely Well, once again, that website
that we'd like you to check out.
If you have any interest inanything health related and you
want to trust what you'rereading and what you are reading
online, go to medevidence.
com the truth behind the data,medevidence.
com.
With any questions about any ofthe items that we've been
talking about this morning withDr.
Michael Koren.
We encourage you just to talkto a real life human being right

(07:33):
here, locally in St.
Augustine and St.
Johns County, 904-730-0166,904-730-0166.
904-730-0166.
We'll get to talk to.
Dr Korn, again next Monday aftera big Jaguar win in Cincinnati.
Right,

Dr. Michael Koren (07:52):
that's the plan, Kevin.
That's the plan.

Kevin Geddings (07:53):
Thank you, Dr.
Koren.
We appreciate you All right.

Dr. Michael Koren (07:57):
Have a great week.

Announcer (07:58):
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