June 30, 2025 • 40 mins
Send us a message with this link, we would love to hear from you. Standard message rates may apply.
We explore heat-related illnesses, from mild conditions to life-threatening emergencies, providing crucial information for staying safe during hot weather. We break down the six types of heat-related conditions and explain who's most vulnerable during extreme temperatures.
• Young children, older adults, and those with chronic conditions face higher risks of heat illness
• People taking beta blockers or diuretics may have compromised temperature regulation
• Heat rash, cramps, and edema are milder conditions typically resolved with cooling and hydration
• Heat syncope (fainting from heat) often occurs when standing in hot environments for extended periods
• Heat exhaustion presents with heavy sweating, weakness, and headaches but normal or slightly elevated body temperature
• Heat stroke is a medical emergency characterized by confusion, possible seizures, and core temperatures above 104°F
• Prevention includes staying in shade or air conditioning, wearing loose clothing, and hydrating before feeling thirsty
• Avoid outdoor exertion between 11 AM and 4 PM during hot days
• Check on vulnerable loved ones during extreme heat events
• Children and pets may not effectively communicate when overheating
Stay healthy, friends! Connect with us on Instagram or Threads with your questions and episode ideas - we're trying to build a community and would love to hear from you.
Production and Content: Edward Delesky, MD & Nicole Aruffo, RN
Artwork: Olivia Pawlowski
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Ed Delesky, MD (00:02):
Hi, welcome to your checkup.
We are the patient educationpodcast, where we bring
conversations from the doctor'soffice to your ears.
On this podcast, we try tobring medicine closer to its
patients.
I'm Ed Delesky, a familymedicine doctor in the
Philadelphia area, and I'mNicole.
Nicole Aruffo, RN (00:18):
Aruffo, I'm a nurse.
Ed Delesky, MD (00:19):
And we are so excited you were able to join us
here again today.
Okay, so we're going to getstarted today, and our banter
section is very big today.
If you have zero interest inour life, feel free to skip
ahead to the next chapter wherewe're not doing this, but if you
are interested in the otherthings that we have to say, stay
(00:41):
tuned, because we've got a longlist of things to talk about.
We do Well.
First and foremost,congratulations to dan and
monisha on getting engaged.
That was a beautiful thing yeah, that was last night.
Nicole Aruffo, RN (00:52):
Well, yeah, it was really nice.
It was at um, well, they likegot engaged and there was like a
party after at philadelphia.
Is it distilling or distillery?
I think it's distilling, but itwas so good.
The drinks were yummy.
Ed Delesky, MD (01:07):
So great.
Nicole Aruffo, RN (01:08):
Best cheesesteak egg rolls we've ever
had.
We had like 17,000 of them.
Ed Delesky, MD (01:13):
Yeah, the superlative cheesesteak egg roll
.
It's not something I expectedwalking in there, but it
happened.
So then I go up there and, likethey have plates of you know,
go up there and, like they haveplates of you know, snacks to go
up.
And um, justin felt this too.
You know they're little platesand you go up there and you take
two, one for you, one for me,two of each some arancini, some
(01:34):
of the vegetable samoa and thesuperlative cheesesteak egg roll
.
But going up the fifth time, Istarted to feel some judgment
from the people who were servingthis.
Bartenders don't care whatyou're doing, I, I don't know.
It also felt like food foreveryone the fifth time.
Nicole Aruffo, RN (01:44):
I started to feel some judgment from the
people who were serving us, thebartenders, don't care what
you're doing, I don't know.
Ed Delesky, MD (01:47):
It also felt like food for everyone, and then
when they brought out thesecond one, I felt way better
about it, but it was like everytwo-minute clip that I was going
up there.
They were good Well, they werejust so good, but I think you
could have gone up a coupletimes.
I did go up once.
One out of every six was notthe interval that I was maybe
(02:08):
hoping for.
Maybe like space it out alittle bit.
Every other I know you're inthe boot it was five feet away.
Nicole Aruffo, RN (02:15):
I'm injured, okay.
Yeah, all right, I need you togo hunt and gather my
cheesesteak egg rolls for me.
Ed Delesky, MD (02:22):
Yeah, no, you're right, that's something I yeah,
that's what it is.
Congratulations to them.
Beautiful event, so much love.
Nicole Aruffo, RN (02:35):
Can't wait to see what's next, and if you had
like a really cool destinationwedding, we wouldn't be mad.
Just something to think about.
Ollie agrees.
Ed Delesky, MD (02:42):
Ollie agrees too .
Just you know we we would.
We are hunting for adestination wedding that isn't
ours.
Nicole Aruffo, RN (02:49):
I know.
Well, now we have.
Well, we know, sam and Meg aregetting married here.
Who else do we know that'sgetting married, that it isn't
already planned?
I think it's just them.
Lots of weddings in the nextyear, lots of them, and not one
of you could have done this.
I think it's just them.
Lots of weddings in the nextyear, lots of them, and not one
of you could have done this onan island or something Rude.
Ed Delesky, MD (03:13):
Ali also is.
Nicole Aruffo, RN (03:14):
Certainly wasn't going to be us.
I can't be bothered to do that.
Ed Delesky, MD (03:17):
No, it's far too much planning.
Nicole Aruffo, RN (03:19):
I know.
That's why I just want to beinvited to a destination wedding
.
I don't want to plan one.
Ed Delesky, MD (03:24):
Totally.
There's another story that Iwant to tell.
Nicole Aruffo, RN (03:29):
What story.
Ed Delesky, MD (03:29):
Well, so we're cuddling up, we're getting ready
to go to bed, we're resting, ohmy God.
Okay, go ahead.
Nicole Aruffo, RN (03:38):
Well, the night before we were like
watching TV in bed or something,so naturally we both didn't
sleep.
Yep watching tv in bed orsomething so naturally we both
didn't sleep.
Ed Delesky, MD (03:48):
Yep, and then.
Okay.
So then we're getting ready forbed.
Yep, we're getting ready, and,like you know, I roll over.
Nicole Aruffo, RN (03:51):
I kiss nikki on the forehead because we're
getting ready for bed and you'relike, oh, I hope we have a
peaceful sleep tonight.
I'm like, yeah, me too.
I thought that was the end ofit.
Ed Delesky, MD (03:59):
And then kiss you on the forehead and I say
rest in peace tonight,sweetheart no, he whispers, he
goes.
Nicole Aruffo, RN (04:07):
Rest in peace , sweetheart.
I said, sir, do you knowsomething that I don't?
Ed Delesky, MD (04:13):
I had no idea what I was saying.
Everywhere rip, rip and it,just like you know, you say
something in a turn of phraseand I had no idea that that's
what I was actually saying whenI said, because I hope it's a
peaceful sleep, rest in peacetonight we're here.
Obviously no one passed awaythat night, but like that I that
(04:36):
was a.
That was a piss I like okayfrank yeah, I, that was so funny
.
I don't know if anyone thinking,listening to this, like oh yeah
, he, he, haha, he spoke it thewrong way, but he did and I did,
all right, so um did we talkabout your party?
oh my gosh.
(04:57):
No, because we that was so fun.
I mean, like you did.
So nikki threw me thistremendous graduation party at a
brewery in South Jersey that welove and we'll give them credit
.
It was Tonewood.
It was beautiful.
They have a new location we'rerelatively new of the last
couple of years compared totheir older one in Oakland, this
one in Barrington, and it wasabsolutely delicious.
(05:19):
It was so thoughtful.
You had like decorations,people wrote notes, they brought
gifts.
I felt so much love becauseresidency is over.
Nicole Aruffo, RN (05:32):
Thank God.
Ed Delesky, MD (05:39):
Which and by the time this comes out, it's the
last day and it's over Boardcertified now.
I guess I had to wait until thevery last day to get the
certification, but this partywas so fun.
I feel so grateful and soblessed that you put that
together and thank you you'rewelcome yeah, I felt really
special that day.
I always do, um, because youmake me feel so, but gathering
(06:02):
all those people together madeit extra.
So to celebrate what was a longthree years for the both of us,
I would say it's been ourentire existence with each other
has residency been, so I thinkwe're both excited to see what
life looks like after this.
Nicole Aruffo, RN (06:21):
Yes, very excited.
Ed Delesky, MD (06:23):
Yeah.
Nicole Aruffo, RN (06:24):
You get a couple weeks of fun employment,
which I'm really jealous aboutbasically to be your chauffeur
yeah, the timing is actuallyperfect because you like have
morals and stuff, so you refuseto sign fmla paperwork for me
for my toe, to try to get me offall summer so you can just hang
out at the beach you werereally vying for, like,
(06:47):
something to happen for time offand like come on, just give me
like a week or something like no, I'm driving you to work get to
work, get in the car, come on.
Ed Delesky, MD (06:56):
Yeah, get in the car.
One of us has to make moneythis summer.
Oh I, yeah.
Did you have any other thoughtsabout the graduation party?
Nicole Aruffo, RN (07:07):
No, that was good turnout.
Ed Delesky, MD (07:10):
It was a great turnout, it was awesome.
Yeah, thank you so much.
All right, let's move on toLove Island.
Nicole Aruffo, RN (07:18):
Oh yeah.
Ed Delesky, MD (07:20):
I have a question for you.
Nicole Aruffo, RN (07:21):
What's your question?
Ed Delesky, MD (07:21):
I have not proposed this before, but here's
my question Does the nursingcommunity accept Nick or Amaya
as a nurse, more as a nurse?
Nicole Aruffo, RN (07:31):
That's a hard question, because Nick is
definitely like cool nurse thateveryone loves and like you can
do no wrong and like you'regreat, but you're also annoying,
you know okay.
And then and oh what, what doyou think?
(07:54):
And then it's like he also likemay or may not be, like great
or really bad at his job itcould go either way, with that
type, you know.
Ed Delesky, MD (08:07):
Yep.
Nicole Aruffo, RN (08:08):
I think often they're pretty good at their
job.
But you know, just a stereotype, that, and Amaya, that little
lunatic who we love.
Ed Delesky, MD (08:20):
It wasn't always that way.
Nicole Aruffo, RN (08:24):
I feel like she's probably like low-key,
good at her job and I feel likeI could see her being a good
advocate for her patients.
Ed Delesky, MD (08:31):
Totally, you know yeah.
Nicole Aruffo, RN (08:34):
When she the first.
What is it called?
Ed Delesky, MD (08:40):
Recoupling.
Nicole Aruffo, RN (08:41):
Yeah, the first recoupling when they had
to vote someone off.
Yeah, she's like we don't theydevote someone off?
Yeah, she's like we don't wantto do that.
You know she's very passionate.
Ed Delesky, MD (08:48):
She does have a lot of passion.
Yeah, yeah, totally.
Nicole Aruffo, RN (08:52):
Like I feel, like I might feel safe with her
taking care of me.
Ed Delesky, MD (08:55):
It sounds like your answer is a Maya.
It might be.
Thank you.
Nicole Aruffo, RN (09:08):
That's all I needed to hear.
Do you have any other feelingsor thoughts about Love Island?
I want to start watching LoveIsland UK.
Chloe was talking about ityesterday and it seems good, so
maybe we can dip into that.
But this one I mean like whydid Taylor pick that girl?
Ed Delesky, MD (09:25):
girl.
I don't know.
Well, I feel like maybe there'sobviously stuff like edited
that we don't see shake thingsup um, maybe.
Maybe he thought that alandriawould be there regardless yeah
maybe, um, maybe he saw thetrajectory like he saw that
(09:49):
things were headed in a faster,positive way.
Nicole Aruffo, RN (09:52):
You know what I saw online tell me like on
tiktok that people think so.
In the last recoupling you youhad to like write down who you
wanted to be coupled up with andif you both wrote the same name
, or like if you both wrote eachother and then like you were
coupled up and if the otherperson didn't, then you're
single and vulnerable.
Ed Delesky, MD (10:11):
Single and vulnerable to the island.
Nicole Aruffo, RN (10:12):
So Ace wrote Shelly's name.
It was like in one of thecorners, and because he was
between two girls too, yeah, Iforgot who the other girl was.
So Ace was between two girls, Iguess.
Like the two girls came up.
So people think that becauseyou had to like pull your
whiteboard out of the thing, sopeople think that he had
(10:33):
Shelly's name and then the othergirl's name written in the two
corners.
And then when they saw like Iguess, when he saw like Shelly
wrote his name, then he likepulled it out and then like
erased the other name.
Ed Delesky, MD (10:46):
Like with his thumb, in a subtle way.
Nicole Aruffo, RN (10:48):
Like he was going to erase whoever, like if
only one of them wrote his name,he was just going to erase the
other girl.
But then if they both did, thenlike he would pick Shelly.
But he didn't know if Shellywas going to pick him because
(11:11):
he's a short king and Shelly wascoupled up with that basketball
player who was like six, eight,which can be intimidating, I
imagine, to a, to a short king,wow.
So he's like, oh, like, if shedoesn't come up and say that she
wrote my name, I'll erase herand then I'll have the other
girls.
So that's the theory online.
Ed Delesky, MD (11:17):
Wow, this, I mean, this guy's an operator.
Yeah, really I.
This is that's something.
Huh, wow, I.
Um, that's clever, is what thatis especially like gaming.
That system like write downsomeone's name, write it teeny
tiny in the corner.
You take it out and you're like, oops, yeah, wipe my thumb over
(11:38):
the corner, got rid ofsomething.
But what if you like,accidentally got rid of the
wrong person's name?
Nicole Aruffo, RN (11:43):
Well then, you're stuck with the wrong girl
.
Ed Delesky, MD (11:45):
That would have been dramatic.
And then that's what you getfor trying to game the system.
Yeah, yeah, it's so.
Yeah, it's um.
So it's coming on again.
It was on last night by thetime this episode comes out and
we probably won't have made itthe whole time, but you know,
that's good it's.
I'm excited to see where itgoes.
Um, obviously the producershave an agenda, because they
(12:05):
kept some people around oh mygod, I know that nick and
alandria thing which they weregood sports.
They were like oh, let'sexplore this.
Nicole Aruffo, RN (12:13):
And they like but then they had to make it
okay.
So they already told useveryone was coming back to the
villa so they could have, justlike they get in the car and
then it's like, oh surprise,we're back.
But then they made it thiswhole like you guys have to be a
couple and like blah, blah,like you already told us they
were all coming back.
It did they?
Yeah, in the beginning.
(12:34):
Remember.
Ed Delesky, MD (12:35):
Well, they said like everyone's coming back.
I mean, didn't they sendsomeone home in the beginning of
Casa?
Nicole Aruffo, RN (12:46):
Did they?
Ed Delesky, MD (12:47):
I don't know, they weren't memorable enough.
We had a theory that they weregoing to bring like literally
everyone back.
Nicole Aruffo, RN (12:52):
Oh yeah, because they were still in Fiji.
Ed Delesky, MD (12:55):
Like Jeremiah Hannah, all of them King Jalen,
King Jalen, but no, no, they uh,that hasn't happened yet.
Um, we'll see what happens.
Did they leave us in acliffhanger?
Nicole Aruffo, RN (13:08):
No, everyone was just coupled up.
Ed Delesky, MD (13:11):
Oh, we're just entering a new week.
How many more weeks of this dowe have?
Nicole Aruffo, RN (13:13):
I don't know, I feel like Casa Amor is like a
little over halfway.
Ed Delesky, MD (13:22):
No.
Casa Amor is like halfwaythrough the season.
Well, I don't know what wewould do if, well, there's the
Waterfront is something that I'minterested in watching.
Nicole Aruffo, RN (13:33):
Yeah, there's also Wait, I forget what it's
called, but there's another showthat I want to watch I feel
like it's on Prime and then I'malso kind of interested in
watching the Poop Cruisedocumentary.
Ed Delesky, MD (13:44):
What is this?
Nicole Aruffo, RN (13:45):
It's about that cruise a couple years ago
that like I don't know what wentwrong, but something went wrong
and then there was just likepoop everywhere wow, some might
say like I think it was for likea week that there was poop
(14:05):
everywhere yeah, because likenothing on the ship was working
wow, that would be a bummer on acruise.
Ed Delesky, MD (14:12):
There's like no escape and there's just feces
everywhere.
I don't know, I don't thinkI've nevermer on a cruise.
There's like no escape andthere's just feces everywhere.
Nicole Aruffo, RN (14:14):
I don't know.
I don't think I've never beenon a cruise, but I don't think
I'm a cruise girly.
Ed Delesky, MD (14:19):
I feel like I would feel like claustrophobic
well, who's gonna listen to thisand say like after hearing our
interpretation of a poop cruise,and say like, yeah, with a
resounding yes, I am a cruisegirly I mean, there are people
who are cruise people.
Right, but I mean.
Nicole Aruffo, RN (14:37):
We'll have to watch it and then report back.
Sure Because that was, you know, basic level.
Something went wrong and therewas poop everywhere, Like we'll
report back.
Ed Delesky, MD (14:47):
Right, like maybe there was like a titanic
level of poop.
Nicole Aruffo, RN (14:50):
Yeah.
Ed Delesky, MD (14:51):
That made it the wrong way, and then like there
was that, yeah.
What I do have to make surethat we get to, though, is
because I said we were overthere.
Nicole Aruffo, RN (15:01):
What's that?
You have a whole list.
Ed Delesky, MD (15:02):
It's a it's a long list.
This week, um, we went todinner and we have a new
restaurant, that we restaurantthat we need to review.
What was the name of therestaurant?
Picnic, yeah, so cute it's thebiggest venue that I've seen in
philadelphia for a restaurantyeah, it's pretty big.
Nicole Aruffo, RN (15:21):
I mean like sarai is pretty big.
Ed Delesky, MD (15:24):
I feel like yep, and it's the same group of
people who run this restaurant.
It was absolutely delicious.
I had went for a work dinner afew weeks ago, got to pick on
certain things, but I felt theneed to take you a part of a way
of saying thank you for thegraduation party to be continued
this week on a restaurant thatwe'll review next week Still
(15:45):
remains a mystery to you, but Iwanted to take us through some
of these dishes because theywere amazing.
I want to get your thoughts oneach of them, okay, um, I knew
that the oysters the birthdaygirl oysters they were were
going to be delicious.
I love oysters, but you walkedin with some apprehension.
Nicole Aruffo, RN (16:05):
Take us through what you felt well, I'm
not a huge oyster girly, or so Ithought, because so she thought
it's like higher, it's like aloogie in your mouth but, but
these ones were good and itturns out I like a lot of hot
sauce on them, yeah, and it wasdelicious salty hot.
(16:27):
I only like four of thembecause then they started to
kind of like skeeve me out alittle with the loogie, like
nature sure, and that's justlike any oyster.
Ed Delesky, MD (16:36):
That isn't an oyster rockefeller, yeah, but uh
, a buck 50 during happy hourand all day we're gonna have to
go there on a sunday.
Nicole Aruffo, RN (16:44):
On sunday because, like they were good,
the cocktail was good, uh,whatever, what else did we get?
Ed Delesky, MD (16:52):
that was good on the menu well, here let me say
the sausage raclette.
How'd you feel about that?
Nicole Aruffo, RN (17:00):
I would rate that like probably an eight out
of 10.
Ed Delesky, MD (17:05):
Yeah, that was excellent, and there was some
cheese on the inside.
Nicole Aruffo, RN (17:11):
Yeah, it was like sausage cheese bread.
Ed Delesky, MD (17:13):
Yeah, and then like a little lemon to put in
there.
I'll say it again, I said itthen.
It really opens it up and justlike add so many dimensions of
flavor to add a little bit oflemon in there.
That was delicious so I lovedthat.
That was a small plate Surpriseof the night for me.
We kind of knew you'd like this.
Maybe you can take us through alittle detail.
(17:34):
Is the watermelon salad?
Nicole Aruffo, RN (17:36):
Oh, that was so good.
I think we should make that atthe beach when we're there for
Fourth of July, because you havethe basil and the mint.
That was a 10 out of 10.
For me it was watermelon, likevery ripe watermelon, very ripe
Goat cheese.
I've seen this sort of thingmade with feta before Never goat
cheese, but I love goat cheese.
(17:57):
Like you could put goat cheeseon my shoe and I'll eat it.
Ed Delesky, MD (18:10):
So the watermelon goat cheese, mint and
basil like chopped up and thenmaybe some olive oil.
Nicole Aruffo, RN (18:11):
Yeah, I mean, it was maybe a little like
sprinkle of salt.
It was so delicious.
Ed Delesky, MD (18:15):
You picked it and I was like, really, this is
what we're going to do here, sogood.
I ate my words.
That was delicious.
I loved it.
Something else that came in theearly parts was one of the most
delicious chicken sandwichbites.
Nicole Aruffo, RN (18:31):
Oh yeah, I want to go back there for that
sandwich, for the whole sandwich.
Ed Delesky, MD (18:34):
So there was a little bite version during happy
hour.
You know, I didn't realize that, like when you buy the one of
them.
Nicole Aruffo, RN (18:41):
I know I thought it was two, because the
couple next to us, like it, cameon one plate and there were two
.
So we were like, oh great, itcomes with two sliders right?
Ed Delesky, MD (18:48):
no, we were wrong.
So yeah, that's okay, we'llhave to go back.
We cut it in half and enjoyedpieces, each delicious.
I mean it was like so manytimes better than like a
chick-fil-a sandwich, but itreminded me of that it was so
tender fell apart in your mouth.
It was delicious.
Um the french fries.
Oh, we gotta get french friesfor the table we love fries for
the table.
Nicole Aruffo, RN (19:08):
We'll be at like the nicest restaurant and
we're like can we have somefries?
Ed Delesky, MD (19:13):
please, please, sir.
We need them for the table.
Does the kitchen have the fries?
Yeah, so that was amazing.
Um, and then the last two itemsare the ones that are most
unique and shocking.
Uh, were the rotisserie chicken.
I had the rotisserie chicken atthis work work dinner and it
was the reason I brought youback here.
Nicole Aruffo, RN (19:33):
Yeah, well this restaurant is.
I guess they're kind of likebeing known for the rotisserie
chicken, which I don't rememberthe last time I ordered like a
piece of chicken breast while wewere out Probably never.
Yep, it's like we have that athome.
It was the best chicken I'veever had.
This is the superlative chickenI would go back there for that
(19:54):
chicken sandwich and thisrotisserie chicken.
Ed Delesky, MD (19:59):
And I do not kid you guys that this was and
Eddie is vehemently againstrotisserie chicken.
Nicole Aruffo, RN (20:05):
He just is like anti.
He's in this weird phase wherehe's anti rotisserie chicken.
I am and I'll be like, oh, like, let's get a rotisserie chicken
, it's like a treat, and he justlike doesn't like it.
He loves this it was incredible.
It's so good yeah and then youcan get.
There's like a bunch ofdifferent like sauces you can
pick for it that really youdon't even need, but no we're
good.
Ed Delesky, MD (20:25):
That was amazing , and I mean by this point we
were very full as well.
Yeah, it was lots of food thatcame out, but this rotisserie
chicken they were so nice I likegave them a five on resi or
whatever, because like they werenice and I liked their food and
they emailed me and they werelike thank you, and I know this
is like totally a marketing ploylike they do this on purpose
(20:47):
but I loved that.
Nicole Aruffo, RN (20:48):
Maybe they can give us like a coupon maybe
a coupon.
Ed Delesky, MD (20:52):
I told them we were gonna do this.
Whether they see this or not,I'm not sure this like rave
review of their restaurant.
Um, but that was amazing.
And then we ended the meal withoh, a simple vanilla ice cream,
but with olive oil yeah, it'slike olive oil.
Nicole Aruffo, RN (21:08):
Was it like honeycomb flaky sea salt or
something?
I also okay, I keep saying I'llgo back just for that.
So basically I'll go back toget everything that we got.
Ed Delesky, MD (21:19):
That was so good yeah, it's so unique too.
Have never it was likerefreshing and sweet it was
awesome.
I loved it.
It was just great.
It was a terrific experience.
I thought it was so amazing allaround one of my new favorite
restaurants.
The place is huge, so they havea ton of availability and I
(21:41):
mean, like I like went on theday of and I was like, oh, maybe
I can try to get us a spot andlike I had no issue whatsoever
would go back totally would goback.
We'll go back on a sunday to getmore oysters like we had
oysters at a place that's likean oyster place in center city
and like it wasn't anything likewhat you got up there.
It was just great from head totoe.
(22:05):
I do you have any other lastingfeelings you want to like say
about this place?
Nicole Aruffo, RN (22:11):
no, it was delicious, I loved.
Ed Delesky, MD (22:13):
Everything would go back yeah, so picnic, I
think.
What is this?
Is that?
What's the name of it?
Let's give them credit.
What's the name of the?
Nicole Aruffo, RN (22:23):
yeah, they're the same people that have
soraya.
We say soraya because we likehow that sounds better.
I think we've talked about likemore than once.
Ed Delesky, MD (22:33):
Yeah Well, their space is originally built in
1899 as the boiler house for theWeissbrod and Hess Brewery.
It's right across fromPhiladelphia Brewing.
This place once powered one ofPhiladelphia's great beer making
operations.
Over a century later, thestructure endures, with its
arched windows, originalbrickwork and 35 35 foot
(22:56):
ceilings intact.
I'm still trying to figure outwho the it's not exactly on
their website.
Obviously a rewards program.
Nicole Aruffo, RN (23:06):
It might as well defined hospitality yeah
they have calaya sirea, oh, elteco too, oh and condessa, yeah,
yeah r&d cocktail bar, whichwe've never been.
Oh, I want to try pizzeriabadia.
People say really good thingsabout that really.
Ed Delesky, MD (23:26):
I'm adding it to the list.
That's part of them too.
It's the grocery list.
See, oh, there we go.
That's the right list.
All right, and that's what wegot for you here today.
It was a very long list, verylong banter section hopefully
you stuck around.
Nicole Aruffo, RN (23:42):
What's that?
Is this all going to be for oneepisode?
Yeah, no okay.
Ed Delesky, MD (23:47):
Well, what are we going to talk about today,
nick?
Nicole Aruffo, RN (23:50):
today we're talking about heat-related
illness.
Why?
Ed Delesky, MD (23:55):
Because it's hot out.
Yeah, I mean like last a coupleweeks ago, it was like the
hottest day of the year and it'sstayed that way.
Nicole Aruffo, RN (24:06):
Yeah, my broken toe came in clutch last
week because I couldn't walk towork and you had to drive me.
Ed Delesky, MD (24:11):
I did.
That was a piece Darn.
Nicole Aruffo, RN (24:13):
Can't walk in 100-degree.
Had to drive me I did.
That was a piece.
You can't walk in 100 degreeweather.
Ed Delesky, MD (24:16):
Yep, you definitely saved yourself there.
And then we came home becausethe air conditioner was broken.
Really grateful to that guy whocame in and fixed it.
But we came back and I was hereall day, but then Ollie was
panting it was far too hot inthere.
Nicole Aruffo, RN (24:31):
I almost had to ship him out to his
grandparents.
Ed Delesky, MD (24:34):
Yeah, so you know we're mostly going to focus
on humans here, but all of thisand some experiences we've had
in the past with loved ones makeus think we need to talk about
heat-related illness, because itaffects a lot of people.
It's summertime, and why notspend a little bit of time
keeping some people safe, solet's dive in a little bit
(24:56):
further.
Can you tell us what heatrelated illness is?
Nicole Aruffo, RN (25:02):
Yes, I can.
It's when our body overheatsand can't cool itself properly.
Ed Delesky, MD (25:11):
Are there like things that make people more
susceptible to that?
Nicole Aruffo, RN (25:16):
yes, so young children and older adults, um
anyone with any sort of chronicillness, like heart, kidney
disease, diabetes, um.
If people are on certainmedications like beta blockers
or diuretics, um.
(25:36):
And then people who just aresimply not acclimated to the
heat yes, one who is not meantto live in the heat.
That not meant to live in anuncomfortable life that was
right from the from white lotuslove conditioned air you do.
Ed Delesky, MD (25:55):
A quick aside.
Here was our um a trip tojamaica in january.
And it was very hot in jamaicain january and the conditioned
air was not prepared in the roomwhen we got there and it was
like the final test before wedecided to get engaged and it
was like do you like you're?
Nicole Aruffo, RN (26:11):
you got upset , rightfully so yeah, I got
upset because the thermostatthing was in like 17 different
languages.
So I'm sure, like me messingwith it didn't help because I
didn't know what I was pressing,sure.
So we told them that it wasn'tworking.
When we got there and they'relike, yeah, we'll send someone
up and we're like, cool, we goabout our day, come back, it's
(26:31):
still not working.
No one came up and then it'sthe next day we're sleeping in
this hot, humid room and it'slike 100 degrees out and 100
humidity.
So, yeah, I was annoyed and Iwent down to the front to ask
them to change our room becausewe're not paying thousands of
dollars in this brand new resortfor the air conditioning not to
(26:54):
work.
But Eddie was really trying tododge that because he had the
guy we were getting engaged thatnight.
I didn't know that.
Ed Delesky, MD (27:01):
Nope.
Nicole Aruffo, RN (27:02):
And he was like talking to the guy to like
decorate the room and stuff, andhe's like, no, we really can't
leave this room.
You don't understand.
Please don't do this.
We have to stay here.
Ed Delesky, MD (27:10):
I'm going to have to go back on WhatsApp and
find this concierge man to likerearrange everything.
Please don't do this.
Nicole Aruffo, RN (27:16):
Anyway, that's just a little.
Something about me is that Ilove conditioned air.
Ed Delesky, MD (27:24):
And if you do love conditioned air and you
aren't acclimated to the heat,that turns out to be a huge risk
factor For older adults.
It seems like they have a toughtime regulating their
temperature.
They're often on thesemedications more, and they also
are more socially isolated, itturns out, and so they may be in
an environment that's hot andnot have anyone around to check
in on them.
So, as you know, if you'relistening to this and you think
(27:45):
that, like you're of a youngerpopulation or you're not in this
situation, think of the lovedones or the neighbors in your
life who are a little older thanyou and check in on them in
these hot times just to makesure that they're okay and that
they have conditioned air, sothat you might be able to.
Nicole Aruffo, RN (27:59):
Why do they call it air conditioning?
Ed Delesky, MD (28:02):
I don't know, maybe we can get an HVAC guy on
here.
Nicole Aruffo, RN (28:04):
What's conditioned?
Ed Delesky, MD (28:06):
Explain it.
Nicole Aruffo, RN (28:07):
About it.
Ed Delesky, MD (28:09):
So I'm not sure, but what I do know is that
there are six types of heatillness, and I see an
opportunity for us to go backand forth, do you, and just kind
of highlight and define whateach of these are.
So why don't you lead us off?
Nicole Aruffo, RN (28:25):
What do we have here first?
Oh, we have a good old heatrash up first, and that's when
our sweat glands are blocked.
So everything's staying underyour skin and it's red and itchy
.
Not comfortable, not acomfortable condition.
Ed Delesky, MD (28:42):
I've never personally had one, but me
neither.
Yeah, what can you do to?
Nicole Aruffo, RN (28:47):
well, there's a quick fix to keeping the skin
cool and dry, which might behard if it's 100 degrees outside
reasonable but great solutionconditioned air.
Ed Delesky, MD (28:57):
So the second one is heat cramps.
Turns out that you can getactual painful muscle spasms
that are mainly localized in theleg and abdomen and most often
happen after exertion or sweatloss, and the quick fix here is
rest fluids with salt.
So some sports drinks and maybeeven some gentle stretching
(29:18):
will be able to help.
But really an ounce ofprevention is worth the pound of
cure here.
And if you just kind of avoidsome of these activities like
going outside too much andworking in the heat of the day,
that's something to to thinkabout.
What's next on our list here,nick?
Nicole Aruffo, RN (29:37):
next we have some edema which is swelling,
typically in the hands or thefeet.
Um, especially if you're new toa hotter climate, like us in
Jamaica like us in Jamaica.
Um, so to fix this, if you'relike feet or legs are swollen,
(29:59):
you can lay down with your feetup and avoid diuretics.
Ed Delesky, MD (30:06):
Yeah, I think the thing there is that, like
when a lot of times a gutreaction is when people see
swelling, they think extra fluidand move it off.
But this is all usually from awhat's called a vasodilation,
where the blood vessels getbigger and wider and then more
fluid is able to.
The same amount of fluid thatyou had is able to go more
places and then creates theswelling.
(30:27):
But diuretics might actuallylead to dehydration in this
specific situation, which kindof informs the like.
Maybe you don't do that if youhave heat edema.
I'll take the next one, whichis heat syncope or otherwise
stated heat fainting, heatpassing out this is dizziness or
fainting from standing in theheat.
(30:49):
I'm thinking of all of thepeople when I grew up going to
Great Adventure in Six Flags,central New Jersey, the only
claim to fame.
And the outlets Rest in peace.
King Dakai was the world'stallest, fastest roller coaster
until it wasn't such is life.
They took it down, but thoselines were always so long and I
(31:11):
could always see, every once ina while, someone suffering from
heat syncope just falling downbecause it was so hot and they
fainted Really.
Yeah, it happens, it does.
You're standing out there inthe summertime Jackson, New
Jersey, it's July waiting to goon.
Kingda Ka Bang 95 degrees, 80%humidity Feels like 105.
(31:31):
You pass out.
It happens.
Nicole Aruffo, RN (31:33):
That's why you should just go to the beach
instead of to Jackson, NewJersey Easy.
Ed Delesky, MD (31:39):
So the quick fix isn't rocket science, it's lie
down in the shade and hydrate,and that's that.
There are two really importantones to talk about in the
episode here, and so we're goingto take, we're going to break
out here and talk about the lasttwo, which are very important.
Can you take the first one?
Nicole Aruffo, RN (31:58):
Yes.
Ed Delesky, MD (31:59):
Number five.
Nicole Aruffo, RN (32:00):
Number five is heat exhaustion, so symptoms
of this are heavy sweat.
Ed Delesky, MD (32:05):
Pay attention here folks.
Nicole Aruffo, RN (32:06):
What.
Ed Delesky, MD (32:07):
No, like the symptoms are the things that
divide these two.
Nicole Aruffo, RN (32:10):
So I'm saying pay attention folks.
Symptoms are heavy sweating,weakness, headache, nausea or
fainting.
Your body temperature willprobably be normal or a little
bit elevated, and then the fix,which is the same as all of them
pretty much, is to cool down,maybe get in the shade, drink
(32:33):
some fluids and rest.
And then the key point here isthat heat exhaustion, if it's
not managed, can move into aheat stroke.
Ed Delesky, MD (32:42):
Right, which you'll tell us about.
So this is the medicalemergency.
Heat stroke is very differentand it's something that needs
immediate attention and, like wesaid, the symptoms are the
thing to think about.
One key symptom confusion,confusion is a key thing to look
out for.
If you're thinking aboutsomeone suffering from
(33:04):
heat-related illness and youcould be walking down the street
look like we live in philly, wewalk a lot of places some of us
not currently, but like we walka lot of places.
You're looking outside, it'shot.
If you see someone who'sconfused, it's on the list of
things that they could be goingthrough.
Nicole Aruffo, RN (33:21):
Well, well, here there's a laundry list of
things that could be going on,sure but when it's hot, it adds
to the list and it's anadditional thing to think about.
Ed Delesky, MD (33:30):
On the more severe end, someone could be
having seizures, can loseconsciousness, and a key thing
is that they're so dramatic fromthe heat, I know, but their
core body temperature can goabove 104 degrees.
For our overseas listeners, 40degrees Celsius, very hot, and
this is the body's completefailure at temperature
(33:53):
regulation.
And so, to say it out loud here, the central nervous system
involvement, the confusion, theseizures, loss of consciousness,
these are the key features, themanagement here.
If you're a bystander andyou're looking by and you're
seeing things happen, it'sdifferent.
It's not just go cool downeventually.
Sure, the answer is call 911.
(34:15):
Yes, move that person to theshade.
Honestly, remove clothes.
I you know, take that.
Read the situation as it is.
Don't remove clothes.
I you know, take that.
Read the situation as it is.
Don't walk up to someone, taketheir clothes off and say hey,
ed and nicole from your checkuppodcast told me to take off your
clothes because you're hot.
There's a lot of definitions ofthe word hot, both like literal
(34:35):
and metaphorical, metaphorical.
Metaphorical is not a word.
Nicole Aruffo, RN (34:43):
What are you saying?
Ed Delesky, MD (34:45):
If someone were paying attention on my diatribe,
you would know.
Basically, don't take offsomeone's clothes without their
consent.
Nicole Aruffo, RN (34:54):
Oh yeah, Certainly don't want to do that.
We did not tell you to do that.
Ed Delesky, MD (34:58):
We did not tell you to do that, but cold water,
ice packs while waiting for theemergency services.
Because if I didn't say itbefore I did, but I'll say it
again A heat stroke is a medicalemergency which needs to go.
I'm thinking of this.
Looks like this.
Someone's working out in theyard.
They're working at noon,they're working on building
(35:20):
stairs, they're working onbuilding a swing set, and
they're a grizzled man andthey're like I can work in
anything.
I'm going to be out here, andthen, all of a sudden, things
start to get a little fuzzy.
Someone's watching them andthey're not moving the right way
, or eventually they come insideand they're not themselves.
This is something to thinkabout.
And then don't pass, go, don'tcollect $200, thanks, monopoly,
(35:44):
call 911.
That's what I'm thinking abouthere.
Have you seen anyone with heatstroke?
Mm-mm, well, I haven't Allright.
And can we?
I know we've talked about thembefore, but before we wrap up
let's just say them out loud Canyou give us the prevention tips
to stay cool and stay safe inthis squelching summer heat?
(36:09):
squelching what a word yeah,thank you, I'm a wordsmith oh
god, yeah, wait, what did yousay yesterday?
Nicole Aruffo, RN (36:20):
justin and chloe's?
Ed Delesky, MD (36:24):
I was just like.
I'm a wordsmith.
This is what I do, no, but yousaid something.
Nicole Aruffo, RN (36:27):
No, I forget, I don't know whatever.
Prevention tips, again, notrocket science.
We're staying cool.
You are taking breaks in theshade or some conditioned air.
You're wearing loose,breathable clothing.
We're hydrating before we feelthirsty.
Oh, and we're not hydrating withcaffeine or alcohol, because
(36:50):
that will not hydrate you therewe go um, avoid outdoor exertion
between or during the peak heatfrom 11 to 4, which is also,
you know, the peak tanning hoursare also in there.
So be mindful of that,acclimating gradually to the hot
(37:11):
weather, and check on ourvulnerable loved ones.
It's too hot for little boysout there.
Ed Delesky, MD (37:18):
It is too hot for little boys, and I just want
to highlight some commonmissteps.
Heat stroke does not alwayslook like profuse sweating.
It can very much not.
Someone having a heat strokecan very much not be sweating,
so don't be fooled by that.
A common misstep is thinkingonly athletes or outdoor workers
(37:40):
are at risk.
But if someone's inside wetalked about this vulnerable
elderly person who's on a lot ofmedications, who's alone that
person is also at risk andthey're at risk for this to
happen inside, relying on thirstto tell you when to hydrate,
like you said earlier.
A common misstep being that youdon't want to hydrate too late.
(38:02):
You want to be proactivelyhydrating and, in children,
assuming that they'll speak upif they feel hot.
Children don't alwayscommunicate in the most linear
way that makes sense to adults,neither will your puppies.
Ollie talks to us, he does, andhe tells us he's panting.
He tells us he's hot, butchildren may not jump to the
(38:25):
fact and say I'm hot, and ifthey do, it might be a little
too far along, and so on today'sepisode, our quick recap is we
just want you to know thesymptoms and the different types
of heat-related illness, allsix of them.
Find your shade and do all thisstuff early, especially in
these high risk populations, andknow when to get help, which is
(38:47):
confusion or other centralnervous system things.
So thank you for coming back toanother episode of your checkup
.
Hopefully you were able tolearn something for yourself, a
loved one or a hot neighbor.
Check us out on our website,check out our Instagram, find us
on thread since we're mostactive and most sincerely follow
(39:08):
the show so that you getupdates about when our new
episodes come out, andcommunicate with us If you have
ideas, you have questions youwant us to answer.
We would love to hear from you.
We're trying to build a littlecommunity here.
Most importantly, stay healthy,my friends.
Until next time.
I'm Ed Dolesky.
Nicole Aruffo, RN (39:23):
I'm Nicole Rufo.
Ed Delesky, MD (39:24):
Thank you and goodbye Bye.
It doesn't cover all detailsabout conditions, treatments or
medications for a specificperson.
(39:44):
This is not medical advice oran attempt to substitute medical
advice.
You should contact a healthcareprovider for personalized
guidance based on your uniquecircumstances.
We explicitly disclaim anyliability relating to the
information given or its use.
This content doesn't endorseany treatments or medications
for a specific patient.
Always talk to your healthcareprovider for complete
(40:04):
information tailored to you.
In short, I'm not your doctor,I am not your nurse, and make
sure you go get your own checkupwith your own personal doctor.
Hi, welcome to your checkup.
We are the patient educationpodcast, where we bring
conversations from the doctor'soffice to your ears.
On this podcast, we try tobring medicine closer to its
patients.
I'm Ed Delesky, a familymedicine doctor in the
Philadelphia area, and I'mNicole.
Nicole Aruffo, RN (00:18):
Aruffo, I'm a nurse.
Ed Delesky, MD (00:19):
And we are so excited you were able to join us
here again today.
Okay, so we're going to getstarted today, and our banter
section is very big today.
If you have zero interest inour life, feel free to skip
ahead to the next chapter wherewe're not doing this, but if you
are interested in the otherthings that we have to say, stay
(00:41):
tuned, because we've got a longlist of things to talk about.
We do Well.
First and foremost,congratulations to dan and
monisha on getting engaged.
That was a beautiful thing yeah, that was last night.
Nicole Aruffo, RN (00:52):
Well, yeah, it was really nice.
It was at um, well, they likegot engaged and there was like a
party after at philadelphia.
Is it distilling or distillery?
I think it's distilling, but itwas so good.
The drinks were yummy.
Ed Delesky, MD (01:07):
So great.
Nicole Aruffo, RN (01:08):
Best cheesesteak egg rolls we've ever
had.
We had like 17,000 of them.
Ed Delesky, MD (01:13):
Yeah, the superlative cheesesteak egg roll
.
It's not something I expectedwalking in there, but it
happened.
So then I go up there and, likethey have plates of you know,
go up there and, like they haveplates of you know, snacks to go
up.
And um, justin felt this too.
You know they're little platesand you go up there and you take
two, one for you, one for me,two of each some arancini, some
(01:34):
of the vegetable samoa and thesuperlative cheesesteak egg roll
.
But going up the fifth time, Istarted to feel some judgment
from the people who were servingthis.
Bartenders don't care whatyou're doing, I, I don't know.
It also felt like food foreveryone the fifth time.
Nicole Aruffo, RN (01:44):
I started to feel some judgment from the
people who were serving us, thebartenders, don't care what
you're doing, I don't know.
Ed Delesky, MD (01:47):
It also felt like food for everyone, and then
when they brought out thesecond one, I felt way better
about it, but it was like everytwo-minute clip that I was going
up there.
They were good Well, they werejust so good, but I think you
could have gone up a coupletimes.
I did go up once.
One out of every six was notthe interval that I was maybe
(02:08):
hoping for.
Maybe like space it out alittle bit.
Every other I know you're inthe boot it was five feet away.
Nicole Aruffo, RN (02:15):
I'm injured, okay.
Yeah, all right, I need you togo hunt and gather my
cheesesteak egg rolls for me.
Ed Delesky, MD (02:22):
Yeah, no, you're right, that's something I yeah,
that's what it is.
Congratulations to them.
Beautiful event, so much love.
Nicole Aruffo, RN (02:35):
Can't wait to see what's next, and if you had
like a really cool destinationwedding, we wouldn't be mad.
Just something to think about.
Ollie agrees.
Ed Delesky, MD (02:42):
Ollie agrees too .
Just you know we we would.
We are hunting for adestination wedding that isn't
ours.
Nicole Aruffo, RN (02:49):
I know.
Well, now we have.
Well, we know, sam and Meg aregetting married here.
Who else do we know that'sgetting married, that it isn't
already planned?
I think it's just them.
Lots of weddings in the nextyear, lots of them, and not one
of you could have done this.
I think it's just them.
Lots of weddings in the nextyear, lots of them, and not one
of you could have done this onan island or something Rude.
Ed Delesky, MD (03:13):
Ali also is.
Nicole Aruffo, RN (03:14):
Certainly wasn't going to be us.
I can't be bothered to do that.
Ed Delesky, MD (03:17):
No, it's far too much planning.
Nicole Aruffo, RN (03:19):
I know.
That's why I just want to beinvited to a destination wedding
.
I don't want to plan one.
Ed Delesky, MD (03:24):
Totally.
There's another story that Iwant to tell.
Nicole Aruffo, RN (03:29):
What story.
Ed Delesky, MD (03:29):
Well, so we're cuddling up, we're getting ready
to go to bed, we're resting, ohmy God.
Okay, go ahead.
Nicole Aruffo, RN (03:38):
Well, the night before we were like
watching TV in bed or something,so naturally we both didn't
sleep.
Yep watching tv in bed orsomething so naturally we both
didn't sleep.
Ed Delesky, MD (03:48):
Yep, and then.
Okay.
So then we're getting ready forbed.
Yep, we're getting ready, and,like you know, I roll over.
Nicole Aruffo, RN (03:51):
I kiss nikki on the forehead because we're
getting ready for bed and you'relike, oh, I hope we have a
peaceful sleep tonight.
I'm like, yeah, me too.
I thought that was the end ofit.
Ed Delesky, MD (03:59):
And then kiss you on the forehead and I say
rest in peace tonight,sweetheart no, he whispers, he
goes.
Nicole Aruffo, RN (04:07):
Rest in peace , sweetheart.
I said, sir, do you knowsomething that I don't?
Ed Delesky, MD (04:13):
I had no idea what I was saying.
Everywhere rip, rip and it,just like you know, you say
something in a turn of phraseand I had no idea that that's
what I was actually saying whenI said, because I hope it's a
peaceful sleep, rest in peacetonight we're here.
Obviously no one passed awaythat night, but like that I that
(04:36):
was a.
That was a piss I like okayfrank yeah, I, that was so funny
.
I don't know if anyone thinking,listening to this, like oh yeah
, he, he, haha, he spoke it thewrong way, but he did and I did,
all right, so um did we talkabout your party?
oh my gosh.
(04:57):
No, because we that was so fun.
I mean, like you did.
So nikki threw me thistremendous graduation party at a
brewery in South Jersey that welove and we'll give them credit
.
It was Tonewood.
It was beautiful.
They have a new location we'rerelatively new of the last
couple of years compared totheir older one in Oakland, this
one in Barrington, and it wasabsolutely delicious.
(05:19):
It was so thoughtful.
You had like decorations,people wrote notes, they brought
gifts.
I felt so much love becauseresidency is over.
Nicole Aruffo, RN (05:32):
Thank God.
Ed Delesky, MD (05:39):
Which and by the time this comes out, it's the
last day and it's over Boardcertified now.
I guess I had to wait until thevery last day to get the
certification, but this partywas so fun.
I feel so grateful and soblessed that you put that
together and thank you you'rewelcome yeah, I felt really
special that day.
I always do, um, because youmake me feel so, but gathering
(06:02):
all those people together madeit extra.
So to celebrate what was a longthree years for the both of us,
I would say it's been ourentire existence with each other
has residency been, so I thinkwe're both excited to see what
life looks like after this.
Nicole Aruffo, RN (06:21):
Yes, very excited.
Ed Delesky, MD (06:23):
Yeah.
Nicole Aruffo, RN (06:24):
You get a couple weeks of fun employment,
which I'm really jealous aboutbasically to be your chauffeur
yeah, the timing is actuallyperfect because you like have
morals and stuff, so you refuseto sign fmla paperwork for me
for my toe, to try to get me offall summer so you can just hang
out at the beach you werereally vying for, like,
(06:47):
something to happen for time offand like come on, just give me
like a week or something like no, I'm driving you to work get to
work, get in the car, come on.
Ed Delesky, MD (06:56):
Yeah, get in the car.
One of us has to make moneythis summer.
Oh I, yeah.
Did you have any other thoughtsabout the graduation party?
Nicole Aruffo, RN (07:07):
No, that was good turnout.
Ed Delesky, MD (07:10):
It was a great turnout, it was awesome.
Yeah, thank you so much.
All right, let's move on toLove Island.
Nicole Aruffo, RN (07:18):
Oh yeah.
Ed Delesky, MD (07:20):
I have a question for you.
Nicole Aruffo, RN (07:21):
What's your question?
Ed Delesky, MD (07:21):
I have not proposed this before, but here's
my question Does the nursingcommunity accept Nick or Amaya
as a nurse, more as a nurse?
Nicole Aruffo, RN (07:31):
That's a hard question, because Nick is
definitely like cool nurse thateveryone loves and like you can
do no wrong and like you'regreat, but you're also annoying,
you know okay.
And then and oh what, what doyou think?
(07:54):
And then it's like he also likemay or may not be, like great
or really bad at his job itcould go either way, with that
type, you know.
Ed Delesky, MD (08:07):
Yep.
Nicole Aruffo, RN (08:08):
I think often they're pretty good at their
job.
But you know, just a stereotype, that, and Amaya, that little
lunatic who we love.
Ed Delesky, MD (08:20):
It wasn't always that way.
Nicole Aruffo, RN (08:24):
I feel like she's probably like low-key,
good at her job and I feel likeI could see her being a good
advocate for her patients.
Ed Delesky, MD (08:31):
Totally, you know yeah.
Nicole Aruffo, RN (08:34):
When she the first.
What is it called?
Ed Delesky, MD (08:40):
Recoupling.
Nicole Aruffo, RN (08:41):
Yeah, the first recoupling when they had
to vote someone off.
Yeah, she's like we don't theydevote someone off?
Yeah, she's like we don't wantto do that.
You know she's very passionate.
Ed Delesky, MD (08:48):
She does have a lot of passion.
Yeah, yeah, totally.
Nicole Aruffo, RN (08:52):
Like I feel, like I might feel safe with her
taking care of me.
Ed Delesky, MD (08:55):
It sounds like your answer is a Maya.
It might be.
Thank you.
Nicole Aruffo, RN (09:08):
That's all I needed to hear.
Do you have any other feelingsor thoughts about Love Island?
I want to start watching LoveIsland UK.
Chloe was talking about ityesterday and it seems good, so
maybe we can dip into that.
But this one I mean like whydid Taylor pick that girl?
Ed Delesky, MD (09:25):
girl.
I don't know.
Well, I feel like maybe there'sobviously stuff like edited
that we don't see shake thingsup um, maybe.
Maybe he thought that alandriawould be there regardless yeah
maybe, um, maybe he saw thetrajectory like he saw that
(09:49):
things were headed in a faster,positive way.
Nicole Aruffo, RN (09:52):
You know what I saw online tell me like on
tiktok that people think so.
In the last recoupling you youhad to like write down who you
wanted to be coupled up with andif you both wrote the same name
, or like if you both wrote eachother and then like you were
coupled up and if the otherperson didn't, then you're
single and vulnerable.
Ed Delesky, MD (10:11):
Single and vulnerable to the island.
Nicole Aruffo, RN (10:12):
So Ace wrote Shelly's name.
It was like in one of thecorners, and because he was
between two girls too, yeah, Iforgot who the other girl was.
So Ace was between two girls, Iguess.
Like the two girls came up.
So people think that becauseyou had to like pull your
whiteboard out of the thing, sopeople think that he had
(10:33):
Shelly's name and then the othergirl's name written in the two
corners.
And then when they saw like Iguess, when he saw like Shelly
wrote his name, then he likepulled it out and then like
erased the other name.
Ed Delesky, MD (10:46):
Like with his thumb, in a subtle way.
Nicole Aruffo, RN (10:48):
Like he was going to erase whoever, like if
only one of them wrote his name,he was just going to erase the
other girl.
But then if they both did, thenlike he would pick Shelly.
But he didn't know if Shellywas going to pick him because
(11:11):
he's a short king and Shelly wascoupled up with that basketball
player who was like six, eight,which can be intimidating, I
imagine, to a, to a short king,wow.
So he's like, oh, like, if shedoesn't come up and say that she
wrote my name, I'll erase herand then I'll have the other
girls.
So that's the theory online.
Ed Delesky, MD (11:17):
Wow, this, I mean, this guy's an operator.
Yeah, really I.
This is that's something.
Huh, wow, I.
Um, that's clever, is what thatis especially like gaming.
That system like write downsomeone's name, write it teeny
tiny in the corner.
You take it out and you're like, oops, yeah, wipe my thumb over
(11:38):
the corner, got rid ofsomething.
But what if you like,accidentally got rid of the
wrong person's name?
Nicole Aruffo, RN (11:43):
Well then, you're stuck with the wrong girl
.
Ed Delesky, MD (11:45):
That would have been dramatic.
And then that's what you getfor trying to game the system.
Yeah, yeah, it's so.
Yeah, it's um.
So it's coming on again.
It was on last night by thetime this episode comes out and
we probably won't have made itthe whole time, but you know,
that's good it's.
I'm excited to see where itgoes.
Um, obviously the producershave an agenda, because they
(12:05):
kept some people around oh mygod, I know that nick and
alandria thing which they weregood sports.
They were like oh, let'sexplore this.
Nicole Aruffo, RN (12:13):
And they like but then they had to make it
okay.
So they already told useveryone was coming back to the
villa so they could have, justlike they get in the car and
then it's like, oh surprise,we're back.
But then they made it thiswhole like you guys have to be a
couple and like blah, blah,like you already told us they
were all coming back.
It did they?
Yeah, in the beginning.
(12:34):
Remember.
Ed Delesky, MD (12:35):
Well, they said like everyone's coming back.
I mean, didn't they sendsomeone home in the beginning of
Casa?
Nicole Aruffo, RN (12:46):
Did they?
Ed Delesky, MD (12:47):
I don't know, they weren't memorable enough.
We had a theory that they weregoing to bring like literally
everyone back.
Nicole Aruffo, RN (12:52):
Oh yeah, because they were still in Fiji.
Ed Delesky, MD (12:55):
Like Jeremiah Hannah, all of them King Jalen,
King Jalen, but no, no, they uh,that hasn't happened yet.
Um, we'll see what happens.
Did they leave us in acliffhanger?
Nicole Aruffo, RN (13:08):
No, everyone was just coupled up.
Ed Delesky, MD (13:11):
Oh, we're just entering a new week.
How many more weeks of this dowe have?
Nicole Aruffo, RN (13:13):
I don't know, I feel like Casa Amor is like a
little over halfway.
Ed Delesky, MD (13:22):
No.
Casa Amor is like halfwaythrough the season.
Well, I don't know what wewould do if, well, there's the
Waterfront is something that I'minterested in watching.
Nicole Aruffo, RN (13:33):
Yeah, there's also Wait, I forget what it's
called, but there's another showthat I want to watch I feel
like it's on Prime and then I'malso kind of interested in
watching the Poop Cruisedocumentary.
Ed Delesky, MD (13:44):
What is this?
Nicole Aruffo, RN (13:45):
It's about that cruise a couple years ago
that like I don't know what wentwrong, but something went wrong
and then there was just likepoop everywhere wow, some might
say like I think it was for likea week that there was poop
(14:05):
everywhere yeah, because likenothing on the ship was working
wow, that would be a bummer on acruise.
Ed Delesky, MD (14:12):
There's like no escape and there's just feces
everywhere.
I don't know, I don't thinkI've nevermer on a cruise.
There's like no escape andthere's just feces everywhere.
Nicole Aruffo, RN (14:14):
I don't know.
I don't think I've never beenon a cruise, but I don't think
I'm a cruise girly.
Ed Delesky, MD (14:19):
I feel like I would feel like claustrophobic
well, who's gonna listen to thisand say like after hearing our
interpretation of a poop cruise,and say like, yeah, with a
resounding yes, I am a cruisegirly I mean, there are people
who are cruise people.
Right, but I mean.
Nicole Aruffo, RN (14:37):
We'll have to watch it and then report back.
Sure Because that was, you know, basic level.
Something went wrong and therewas poop everywhere, Like we'll
report back.
Ed Delesky, MD (14:47):
Right, like maybe there was like a titanic
level of poop.
Nicole Aruffo, RN (14:50):
Yeah.
Ed Delesky, MD (14:51):
That made it the wrong way, and then like there
was that, yeah.
What I do have to make surethat we get to, though, is
because I said we were overthere.
Nicole Aruffo, RN (15:01):
What's that?
You have a whole list.
Ed Delesky, MD (15:02):
It's a it's a long list.
This week, um, we went todinner and we have a new
restaurant, that we restaurantthat we need to review.
What was the name of therestaurant?
Picnic, yeah, so cute it's thebiggest venue that I've seen in
philadelphia for a restaurantyeah, it's pretty big.
Nicole Aruffo, RN (15:21):
I mean like sarai is pretty big.
Ed Delesky, MD (15:24):
I feel like yep, and it's the same group of
people who run this restaurant.
It was absolutely delicious.
I had went for a work dinner afew weeks ago, got to pick on
certain things, but I felt theneed to take you a part of a way
of saying thank you for thegraduation party to be continued
this week on a restaurant thatwe'll review next week Still
(15:45):
remains a mystery to you, but Iwanted to take us through some
of these dishes because theywere amazing.
I want to get your thoughts oneach of them, okay, um, I knew
that the oysters the birthdaygirl oysters they were were
going to be delicious.
I love oysters, but you walkedin with some apprehension.
Nicole Aruffo, RN (16:05):
Take us through what you felt well, I'm
not a huge oyster girly, or so Ithought, because so she thought
it's like higher, it's like aloogie in your mouth but, but
these ones were good and itturns out I like a lot of hot
sauce on them, yeah, and it wasdelicious salty hot.
(16:27):
I only like four of thembecause then they started to
kind of like skeeve me out alittle with the loogie, like
nature sure, and that's justlike any oyster.
Ed Delesky, MD (16:36):
That isn't an oyster rockefeller, yeah, but uh
, a buck 50 during happy hourand all day we're gonna have to
go there on a sunday.
Nicole Aruffo, RN (16:44):
On sunday because, like they were good,
the cocktail was good, uh,whatever, what else did we get?
Ed Delesky, MD (16:52):
that was good on the menu well, here let me say
the sausage raclette.
How'd you feel about that?
Nicole Aruffo, RN (17:00):
I would rate that like probably an eight out
of 10.
Ed Delesky, MD (17:05):
Yeah, that was excellent, and there was some
cheese on the inside.
Nicole Aruffo, RN (17:11):
Yeah, it was like sausage cheese bread.
Ed Delesky, MD (17:13):
Yeah, and then like a little lemon to put in
there.
I'll say it again, I said itthen.
It really opens it up and justlike add so many dimensions of
flavor to add a little bit oflemon in there.
That was delicious so I lovedthat.
That was a small plate Surpriseof the night for me.
We kind of knew you'd like this.
Maybe you can take us through alittle detail.
(17:34):
Is the watermelon salad?
Nicole Aruffo, RN (17:36):
Oh, that was so good.
I think we should make that atthe beach when we're there for
Fourth of July, because you havethe basil and the mint.
That was a 10 out of 10.
For me it was watermelon, likevery ripe watermelon, very ripe
Goat cheese.
I've seen this sort of thingmade with feta before Never goat
cheese, but I love goat cheese.
(17:57):
Like you could put goat cheeseon my shoe and I'll eat it.
Ed Delesky, MD (18:10):
So the watermelon goat cheese, mint and
basil like chopped up and thenmaybe some olive oil.
Nicole Aruffo, RN (18:11):
Yeah, I mean, it was maybe a little like
sprinkle of salt.
It was so delicious.
Ed Delesky, MD (18:15):
You picked it and I was like, really, this is
what we're going to do here, sogood.
I ate my words.
That was delicious.
I loved it.
Something else that came in theearly parts was one of the most
delicious chicken sandwichbites.
Nicole Aruffo, RN (18:31):
Oh yeah, I want to go back there for that
sandwich, for the whole sandwich.
Ed Delesky, MD (18:34):
So there was a little bite version during happy
hour.
You know, I didn't realize that, like when you buy the one of
them.
Nicole Aruffo, RN (18:41):
I know I thought it was two, because the
couple next to us, like it, cameon one plate and there were two
.
So we were like, oh great, itcomes with two sliders right?
Ed Delesky, MD (18:48):
no, we were wrong.
So yeah, that's okay, we'llhave to go back.
We cut it in half and enjoyedpieces, each delicious.
I mean it was like so manytimes better than like a
chick-fil-a sandwich, but itreminded me of that it was so
tender fell apart in your mouth.
It was delicious.
Um the french fries.
Oh, we gotta get french friesfor the table we love fries for
the table.
Nicole Aruffo, RN (19:08):
We'll be at like the nicest restaurant and
we're like can we have somefries?
Ed Delesky, MD (19:13):
please, please, sir.
We need them for the table.
Does the kitchen have the fries?
Yeah, so that was amazing.
Um, and then the last two itemsare the ones that are most
unique and shocking.
Uh, were the rotisserie chicken.
I had the rotisserie chicken atthis work work dinner and it
was the reason I brought youback here.
Nicole Aruffo, RN (19:33):
Yeah, well this restaurant is.
I guess they're kind of likebeing known for the rotisserie
chicken, which I don't rememberthe last time I ordered like a
piece of chicken breast while wewere out Probably never.
Yep, it's like we have that athome.
It was the best chicken I'veever had.
This is the superlative chickenI would go back there for that
(19:54):
chicken sandwich and thisrotisserie chicken.
Ed Delesky, MD (19:59):
And I do not kid you guys that this was and
Eddie is vehemently againstrotisserie chicken.
Nicole Aruffo, RN (20:05):
He just is like anti.
He's in this weird phase wherehe's anti rotisserie chicken.
I am and I'll be like, oh, like, let's get a rotisserie chicken
, it's like a treat, and he justlike doesn't like it.
He loves this it was incredible.
It's so good yeah and then youcan get.
There's like a bunch ofdifferent like sauces you can
pick for it that really youdon't even need, but no we're
good.
Ed Delesky, MD (20:25):
That was amazing , and I mean by this point we
were very full as well.
Yeah, it was lots of food thatcame out, but this rotisserie
chicken they were so nice I likegave them a five on resi or
whatever, because like they werenice and I liked their food and
they emailed me and they werelike thank you, and I know this
is like totally a marketing ploylike they do this on purpose
(20:47):
but I loved that.
Nicole Aruffo, RN (20:48):
Maybe they can give us like a coupon maybe
a coupon.
Ed Delesky, MD (20:52):
I told them we were gonna do this.
Whether they see this or not,I'm not sure this like rave
review of their restaurant.
Um, but that was amazing.
And then we ended the meal withoh, a simple vanilla ice cream,
but with olive oil yeah, it'slike olive oil.
Nicole Aruffo, RN (21:08):
Was it like honeycomb flaky sea salt or
something?
I also okay, I keep saying I'llgo back just for that.
So basically I'll go back toget everything that we got.
Ed Delesky, MD (21:19):
That was so good yeah, it's so unique too.
Have never it was likerefreshing and sweet it was
awesome.
I loved it.
It was just great.
It was a terrific experience.
I thought it was so amazing allaround one of my new favorite
restaurants.
The place is huge, so they havea ton of availability and I
(21:41):
mean, like I like went on theday of and I was like, oh, maybe
I can try to get us a spot andlike I had no issue whatsoever
would go back totally would goback.
We'll go back on a sunday to getmore oysters like we had
oysters at a place that's likean oyster place in center city
and like it wasn't anything likewhat you got up there.
It was just great from head totoe.
(22:05):
I do you have any other lastingfeelings you want to like say
about this place?
Nicole Aruffo, RN (22:11):
no, it was delicious, I loved.
Ed Delesky, MD (22:13):
Everything would go back yeah, so picnic, I
think.
What is this?
Is that?
What's the name of it?
Let's give them credit.
What's the name of the?
Nicole Aruffo, RN (22:23):
yeah, they're the same people that have
soraya.
We say soraya because we likehow that sounds better.
I think we've talked about likemore than once.
Ed Delesky, MD (22:33):
Yeah Well, their space is originally built in
1899 as the boiler house for theWeissbrod and Hess Brewery.
It's right across fromPhiladelphia Brewing.
This place once powered one ofPhiladelphia's great beer making
operations.
Over a century later, thestructure endures, with its
arched windows, originalbrickwork and 35 35 foot
(22:56):
ceilings intact.
I'm still trying to figure outwho the it's not exactly on
their website.
Obviously a rewards program.
Nicole Aruffo, RN (23:06):
It might as well defined hospitality yeah
they have calaya sirea, oh, elteco too, oh and condessa, yeah,
yeah r&d cocktail bar, whichwe've never been.
Oh, I want to try pizzeriabadia.
People say really good thingsabout that really.
Ed Delesky, MD (23:26):
I'm adding it to the list.
That's part of them too.
It's the grocery list.
See, oh, there we go.
That's the right list.
All right, and that's what wegot for you here today.
It was a very long list, verylong banter section hopefully
you stuck around.
Nicole Aruffo, RN (23:42):
What's that?
Is this all going to be for oneepisode?
Yeah, no okay.
Ed Delesky, MD (23:47):
Well, what are we going to talk about today,
nick?
Nicole Aruffo, RN (23:50):
today we're talking about heat-related
illness.
Why?
Ed Delesky, MD (23:55):
Because it's hot out.
Yeah, I mean like last a coupleweeks ago, it was like the
hottest day of the year and it'sstayed that way.
Nicole Aruffo, RN (24:06):
Yeah, my broken toe came in clutch last
week because I couldn't walk towork and you had to drive me.
Ed Delesky, MD (24:11):
I did.
That was a piece Darn.
Nicole Aruffo, RN (24:13):
Can't walk in 100-degree.
Had to drive me I did.
That was a piece.
You can't walk in 100 degreeweather.
Ed Delesky, MD (24:16):
Yep, you definitely saved yourself there.
And then we came home becausethe air conditioner was broken.
Really grateful to that guy whocame in and fixed it.
But we came back and I was hereall day, but then Ollie was
panting it was far too hot inthere.
Nicole Aruffo, RN (24:31):
I almost had to ship him out to his
grandparents.
Ed Delesky, MD (24:34):
Yeah, so you know we're mostly going to focus
on humans here, but all of thisand some experiences we've had
in the past with loved ones makeus think we need to talk about
heat-related illness, because itaffects a lot of people.
It's summertime, and why notspend a little bit of time
keeping some people safe, solet's dive in a little bit
(24:56):
further.
Can you tell us what heatrelated illness is?
Nicole Aruffo, RN (25:02):
Yes, I can.
It's when our body overheatsand can't cool itself properly.
Ed Delesky, MD (25:11):
Are there like things that make people more
susceptible to that?
Nicole Aruffo, RN (25:16):
yes, so young children and older adults, um
anyone with any sort of chronicillness, like heart, kidney
disease, diabetes, um.
If people are on certainmedications like beta blockers
or diuretics, um.
(25:36):
And then people who just aresimply not acclimated to the
heat yes, one who is not meantto live in the heat.
That not meant to live in anuncomfortable life that was
right from the from white lotuslove conditioned air you do.
Ed Delesky, MD (25:55):
A quick aside.
Here was our um a trip tojamaica in january.
And it was very hot in jamaicain january and the conditioned
air was not prepared in the roomwhen we got there and it was
like the final test before wedecided to get engaged and it
was like do you like you're?
Nicole Aruffo, RN (26:11):
you got upset , rightfully so yeah, I got
upset because the thermostatthing was in like 17 different
languages.
So I'm sure, like me messingwith it didn't help because I
didn't know what I was pressing,sure.
So we told them that it wasn'tworking.
When we got there and they'relike, yeah, we'll send someone
up and we're like, cool, we goabout our day, come back, it's
(26:31):
still not working.
No one came up and then it'sthe next day we're sleeping in
this hot, humid room and it'slike 100 degrees out and 100
humidity.
So, yeah, I was annoyed and Iwent down to the front to ask
them to change our room becausewe're not paying thousands of
dollars in this brand new resortfor the air conditioning not to
(26:54):
work.
But Eddie was really trying tododge that because he had the
guy we were getting engaged thatnight.
I didn't know that.
Ed Delesky, MD (27:01):
Nope.
Nicole Aruffo, RN (27:02):
And he was like talking to the guy to like
decorate the room and stuff, andhe's like, no, we really can't
leave this room.
You don't understand.
Please don't do this.
We have to stay here.
Ed Delesky, MD (27:10):
I'm going to have to go back on WhatsApp and
find this concierge man to likerearrange everything.
Please don't do this.
Nicole Aruffo, RN (27:16):
Anyway, that's just a little.
Something about me is that Ilove conditioned air.
Ed Delesky, MD (27:24):
And if you do love conditioned air and you
aren't acclimated to the heat,that turns out to be a huge risk
factor For older adults.
It seems like they have a toughtime regulating their
temperature.
They're often on thesemedications more, and they also
are more socially isolated, itturns out, and so they may be in
an environment that's hot andnot have anyone around to check
in on them.
So, as you know, if you'relistening to this and you think
(27:45):
that, like you're of a youngerpopulation or you're not in this
situation, think of the lovedones or the neighbors in your
life who are a little older thanyou and check in on them in
these hot times just to makesure that they're okay and that
they have conditioned air, sothat you might be able to.
Nicole Aruffo, RN (27:59):
Why do they call it air conditioning?
Ed Delesky, MD (28:02):
I don't know, maybe we can get an HVAC guy on
here.
Nicole Aruffo, RN (28:04):
What's conditioned?
Ed Delesky, MD (28:06):
Explain it.
Nicole Aruffo, RN (28:07):
About it.
Ed Delesky, MD (28:09):
So I'm not sure, but what I do know is that
there are six types of heatillness, and I see an
opportunity for us to go backand forth, do you, and just kind
of highlight and define whateach of these are.
So why don't you lead us off?
Nicole Aruffo, RN (28:25):
What do we have here first?
Oh, we have a good old heatrash up first, and that's when
our sweat glands are blocked.
So everything's staying underyour skin and it's red and itchy
.
Not comfortable, not acomfortable condition.
Ed Delesky, MD (28:42):
I've never personally had one, but me
neither.
Yeah, what can you do to?
Nicole Aruffo, RN (28:47):
well, there's a quick fix to keeping the skin
cool and dry, which might behard if it's 100 degrees outside
reasonable but great solutionconditioned air.
Ed Delesky, MD (28:57):
So the second one is heat cramps.
Turns out that you can getactual painful muscle spasms
that are mainly localized in theleg and abdomen and most often
happen after exertion or sweatloss, and the quick fix here is
rest fluids with salt.
So some sports drinks and maybeeven some gentle stretching
(29:18):
will be able to help.
But really an ounce ofprevention is worth the pound of
cure here.
And if you just kind of avoidsome of these activities like
going outside too much andworking in the heat of the day,
that's something to to thinkabout.
What's next on our list here,nick?
Nicole Aruffo, RN (29:37):
next we have some edema which is swelling,
typically in the hands or thefeet.
Um, especially if you're new toa hotter climate, like us in
Jamaica like us in Jamaica.
Um, so to fix this, if you'relike feet or legs are swollen,
(29:59):
you can lay down with your feetup and avoid diuretics.
Ed Delesky, MD (30:06):
Yeah, I think the thing there is that, like
when a lot of times a gutreaction is when people see
swelling, they think extra fluidand move it off.
But this is all usually from awhat's called a vasodilation,
where the blood vessels getbigger and wider and then more
fluid is able to.
The same amount of fluid thatyou had is able to go more
places and then creates theswelling.
(30:27):
But diuretics might actuallylead to dehydration in this
specific situation, which kindof informs the like.
Maybe you don't do that if youhave heat edema.
I'll take the next one, whichis heat syncope or otherwise
stated heat fainting, heatpassing out this is dizziness or
fainting from standing in theheat.
(30:49):
I'm thinking of all of thepeople when I grew up going to
Great Adventure in Six Flags,central New Jersey, the only
claim to fame.
And the outlets Rest in peace.
King Dakai was the world'stallest, fastest roller coaster
until it wasn't such is life.
They took it down, but thoselines were always so long and I
(31:11):
could always see, every once ina while, someone suffering from
heat syncope just falling downbecause it was so hot and they
fainted Really.
Yeah, it happens, it does.
You're standing out there inthe summertime Jackson, New
Jersey, it's July waiting to goon.
Kingda Ka Bang 95 degrees, 80%humidity Feels like 105.
(31:31):
You pass out.
It happens.
Nicole Aruffo, RN (31:33):
That's why you should just go to the beach
instead of to Jackson, NewJersey Easy.
Ed Delesky, MD (31:39):
So the quick fix isn't rocket science, it's lie
down in the shade and hydrate,and that's that.
There are two really importantones to talk about in the
episode here, and so we're goingto take, we're going to break
out here and talk about the lasttwo, which are very important.
Can you take the first one?
Nicole Aruffo, RN (31:58):
Yes.
Ed Delesky, MD (31:59):
Number five.
Nicole Aruffo, RN (32:00):
Number five is heat exhaustion, so symptoms
of this are heavy sweat.
Ed Delesky, MD (32:05):
Pay attention here folks.
Nicole Aruffo, RN (32:06):
What.
Ed Delesky, MD (32:07):
No, like the symptoms are the things that
divide these two.
Nicole Aruffo, RN (32:10):
So I'm saying pay attention folks.
Symptoms are heavy sweating,weakness, headache, nausea or
fainting.
Your body temperature willprobably be normal or a little
bit elevated, and then the fix,which is the same as all of them
pretty much, is to cool down,maybe get in the shade, drink
(32:33):
some fluids and rest.
And then the key point here isthat heat exhaustion, if it's
not managed, can move into aheat stroke.
Ed Delesky, MD (32:42):
Right, which you'll tell us about.
So this is the medicalemergency.
Heat stroke is very differentand it's something that needs
immediate attention and, like wesaid, the symptoms are the
thing to think about.
One key symptom confusion,confusion is a key thing to look
out for.
If you're thinking aboutsomeone suffering from
(33:04):
heat-related illness and youcould be walking down the street
look like we live in philly, wewalk a lot of places some of us
not currently, but like we walka lot of places.
You're looking outside, it'shot.
If you see someone who'sconfused, it's on the list of
things that they could be goingthrough.
Nicole Aruffo, RN (33:21):
Well, well, here there's a laundry list of
things that could be going on,sure but when it's hot, it adds
to the list and it's anadditional thing to think about.
Ed Delesky, MD (33:30):
On the more severe end, someone could be
having seizures, can loseconsciousness, and a key thing
is that they're so dramatic fromthe heat, I know, but their
core body temperature can goabove 104 degrees.
For our overseas listeners, 40degrees Celsius, very hot, and
this is the body's completefailure at temperature
(33:53):
regulation.
And so, to say it out loud here, the central nervous system
involvement, the confusion, theseizures, loss of consciousness,
these are the key features, themanagement here.
If you're a bystander andyou're looking by and you're
seeing things happen, it'sdifferent.
It's not just go cool downeventually.
Sure, the answer is call 911.
(34:15):
Yes, move that person to theshade.
Honestly, remove clothes.
I you know, take that.
Read the situation as it is.
Don't remove clothes.
I you know, take that.
Read the situation as it is.
Don't walk up to someone, taketheir clothes off and say hey,
ed and nicole from your checkuppodcast told me to take off your
clothes because you're hot.
There's a lot of definitions ofthe word hot, both like literal
(34:35):
and metaphorical, metaphorical.
Metaphorical is not a word.
Nicole Aruffo, RN (34:43):
What are you saying?
Ed Delesky, MD (34:45):
If someone were paying attention on my diatribe,
you would know.
Basically, don't take offsomeone's clothes without their
consent.
Nicole Aruffo, RN (34:54):
Oh yeah, Certainly don't want to do that.
We did not tell you to do that.
Ed Delesky, MD (34:58):
We did not tell you to do that, but cold water,
ice packs while waiting for theemergency services.
Because if I didn't say itbefore I did, but I'll say it
again A heat stroke is a medicalemergency which needs to go.
I'm thinking of this.
Looks like this.
Someone's working out in theyard.
They're working at noon,they're working on building
(35:20):
stairs, they're working onbuilding a swing set, and
they're a grizzled man andthey're like I can work in
anything.
I'm going to be out here, andthen, all of a sudden, things
start to get a little fuzzy.
Someone's watching them andthey're not moving the right way
, or eventually they come insideand they're not themselves.
This is something to thinkabout.
And then don't pass, go, don'tcollect $200, thanks, monopoly,
(35:44):
call 911.
That's what I'm thinking abouthere.
Have you seen anyone with heatstroke?
Mm-mm, well, I haven't Allright.
And can we?
I know we've talked about thembefore, but before we wrap up
let's just say them out loud Canyou give us the prevention tips
to stay cool and stay safe inthis squelching summer heat?
(36:09):
squelching what a word yeah,thank you, I'm a wordsmith oh
god, yeah, wait, what did yousay yesterday?
Nicole Aruffo, RN (36:20):
justin and chloe's?
Ed Delesky, MD (36:24):
I was just like.
I'm a wordsmith.
This is what I do, no, but yousaid something.
Nicole Aruffo, RN (36:27):
No, I forget, I don't know whatever.
Prevention tips, again, notrocket science.
We're staying cool.
You are taking breaks in theshade or some conditioned air.
You're wearing loose,breathable clothing.
We're hydrating before we feelthirsty.
Oh, and we're not hydrating withcaffeine or alcohol, because
(36:50):
that will not hydrate you therewe go um, avoid outdoor exertion
between or during the peak heatfrom 11 to 4, which is also,
you know, the peak tanning hoursare also in there.
So be mindful of that,acclimating gradually to the hot
(37:11):
weather, and check on ourvulnerable loved ones.
It's too hot for little boysout there.
Ed Delesky, MD (37:18):
It is too hot for little boys, and I just want
to highlight some commonmissteps.
Heat stroke does not alwayslook like profuse sweating.
It can very much not.
Someone having a heat strokecan very much not be sweating,
so don't be fooled by that.
A common misstep is thinkingonly athletes or outdoor workers
(37:40):
are at risk.
But if someone's inside wetalked about this vulnerable
elderly person who's on a lot ofmedications, who's alone that
person is also at risk andthey're at risk for this to
happen inside, relying on thirstto tell you when to hydrate,
like you said earlier.
A common misstep being that youdon't want to hydrate too late.
(38:02):
You want to be proactivelyhydrating and, in children,
assuming that they'll speak upif they feel hot.
Children don't alwayscommunicate in the most linear
way that makes sense to adults,neither will your puppies.
Ollie talks to us, he does, andhe tells us he's panting.
He tells us he's hot, butchildren may not jump to the
(38:25):
fact and say I'm hot, and ifthey do, it might be a little
too far along, and so on today'sepisode, our quick recap is we
just want you to know thesymptoms and the different types
of heat-related illness, allsix of them.
Find your shade and do all thisstuff early, especially in
these high risk populations, andknow when to get help, which is
(38:47):
confusion or other centralnervous system things.
So thank you for coming back toanother episode of your checkup
.
Hopefully you were able tolearn something for yourself, a
loved one or a hot neighbor.
Check us out on our website,check out our Instagram, find us
on thread since we're mostactive and most sincerely follow
(39:08):
the show so that you getupdates about when our new
episodes come out, andcommunicate with us If you have
ideas, you have questions youwant us to answer.
We would love to hear from you.
We're trying to build a littlecommunity here.
Most importantly, stay healthy,my friends.
Until next time.
I'm Ed Dolesky.
Nicole Aruffo, RN (39:23):
I'm Nicole Rufo.
Ed Delesky, MD (39:24):
Thank you and goodbye Bye.
It doesn't cover all detailsabout conditions, treatments or
medications for a specificperson.
(39:44):
This is not medical advice oran attempt to substitute medical
advice.
You should contact a healthcareprovider for personalized
guidance based on your uniquecircumstances.
We explicitly disclaim anyliability relating to the
information given or its use.
This content doesn't endorseany treatments or medications
for a specific patient.
Always talk to your healthcareprovider for complete
(40:04):
information tailored to you.
In short, I'm not your doctor,I am not your nurse, and make
sure you go get your own checkupwith your own personal doctor.
Popular Podcasts
Bookmarked by Reese's Book Club
Welcome to Bookmarked by Reese’s Book Club — the podcast where great stories, bold women, and irresistible conversations collide! Hosted by award-winning journalist Danielle Robay, each week new episodes balance thoughtful literary insight with the fervor of buzzy book trends, pop culture and more. Bookmarked brings together celebrities, tastemakers, influencers and authors from Reese's Book Club and beyond to share stories that transcend the page. Pull up a chair. You’re not just listening — you’re part of the conversation.
Dateline NBC
Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Follow now to get the latest episodes of Dateline NBC completely free, or subscribe to Dateline Premium for ad-free listening and exclusive bonus content: DatelinePremium.com
Stuff You Should Know
If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.