I want to thank again our previous guests to spoke so openly about their personal situations with alzheimer's. We have a lot to learn about this and it affects so many people. But two to be that candid and and honest is. It is very meaningful today and I just thank you if you're listening it means a lot. We're not gonna shift gears a little -- it is back to school and that means getting uniforms. Supplies its meeting new teachers. And starting homework routines. But with classes beginning and your children in schools -- packed with kids. It's also the time to take a good look at their health. The good doctor isn't answering your questions. Doctor Patrick Dennis is day emergency medicine doctor at the urgent care facility on Harrison avenue. And he says there are already a few issues we need to be paying attention to it. Again give us a call with any of your medical questions that's 2601872601878. Doctor Dennis is going to be with this whole hour. We're gonna start with because the information I got was. That you're already seeing issues with -- Throat. That's correct Angela and thank you for having me come. We don't ever really at least over the last year. Have going without seeing strep throat but it has gotten over the last three or four weeks we've noticed an uptick of it from. Lot of people coming in probably. Have for the people we have coming in complaining of sore throat. Below grade fever. Little bit of post nasal drip and it can be either viral -- in jackets or strep throat. Or justice -- -- -- is causing the parenting ideas but but we do test for in the clinic. Of the people that -- testing probably about 60% of the people that were actually testing. We're coming back positive for four strip for -- It's been a big uptick legacy and over the last couple weeks. On the treatment is is pretty standard pretty easy. We prescribe antibiotics. And is usually a 710 -- course some people take a little bit longer. An intriguing to body aches and fever with Tylenol aspirin Ibuprofen that's sort it's very contagious. Are contagious it you know is certainly close contact. Mom good hand washing is always applause. Not sharing towels that sort of thing but it it is contagious we do see. A number of families a number of siblings and poppy into a three days one after the other and their passengers around. I'm just thinking about all those to those in the classroom. Probably happy to see each other and just fool around and and context we have the schools the the daycare is obviously. Is a big thing but he had this to strip has been out there. The other thing this sort of mimics trip quite a bit is -- nucleus is sort Epstein Barr are like gosh. And that can percent with a lot of the same types of symptoms. -- grade fevers sore throat. Swollen glands and a knack. It is a virus. And is just strictly supportive care but again his test that we do in the office. Takes five minutes to do and but it is important especially now. When we have our kids returning to school and playing athletics because it is a longer. Course to recovery. And it's no contact. Type of thing with -- grow to athletics and that type of thing. You know in my day if somebody -- -- of of course it was called the kissing disease and but you are out for a month. And that's not the case anymore well you can be ME assault symptomatic treatment Micah says some people get worse cases of -- and others. Some people -- -- the biggest thing with the use of fatigue. That comes along with that some people are extremely fatigued. And it does take a little bit of time for them to get back where they can actually function but against his supportive tree in the fever. The -- well hydrated. And then avoiding contact sports for six months or so rule. That that's a heartbreak to. Yeah it's it's it's there's been some pretty long faces when we told them especially some volleyball players basketball players football players. On that we've seen over the last year. That have come in winning. Big -- coming Eric is it because you don't want to have the contact with others or no strain on your system now it's a strain on the system but one of the things -- -- The Epstein -- Virus causes. Is it can cause a little bit inflammation of the liver in the spleen. In a little bit of enlargement and you worry about contact. And the possibility for. Damaging one of those two organs so it is. It is sort of we've -- and tell people at least for the first couple months avoid contact. In and again the fatigue. Does not -- because he really takes up to about six months to get over. But it's interesting when you bring up Epstein Barr and I'm going back now twenty years only had the television talk show we did a program. There's another not mono but there was another. Epstein Barr was the source of they're talking about it from. The fibromyalgia. -- was runner fatigue syndrome chronic fatigue. And there was almost you know a split within the medical community -- those who didn't believe it really existed that it was more of -- this is what you just thinking about. Yeah but now it's acknowledged as a condition. You know what it takes a long time -- medicine. -- medicine's always evolving and -- remember when they told when we graduated from medical school. They told us you know half of what we torture here and we talked to a lot but -- we taught you is wrong. The problem is we don't know which -- that is. So it is a constantly evolving field. You know a lot of studies -- research. That's being done so. But now they connect Epstein -- to -- Mean it was that always the case that's been the case. As long as I've been involved with the medicine. You know that is sort of the sort of funny twist to it is before they had a real good test for modern nuclear doses. And again like a senate mimics strep throat is a lot of times it would give people. One of the penicillin derivatives are mocks assailant to treat to strep throat and if you broke out in a rash. He had -- and that's how they knew that you had mono as opposed to strip. That's very interesting. That is very interesting stay with this everyone again the doctors and house 260187. Day we can talk about anything you wanna talk about two. But we're going to be talking about what your kids may be facing right off the bat so stay with this I'm Angela on WW well. We're back talking with. The good doctor were calling him doctor Patrick Dennis he is sitting up position -- other urgent care MD on Harrison avenue. And we're really talking about things that parents need to be alert to. Especially if school started then and you've just heard the whole thing about strep throat and and mono. And that is bearing interest in what has happened in. Previous days I -- years ago mono vs what it is today it's still can be devastating. And I think that the thing that take away from that is if it really is mono. Of the limitations that kids will have in contact sports correct correct. Let's talk about all American flu. Is that. Is -- flu season now. We haven't started to see any I haven't seen any body that. I thought really had any of the symptoms that would warrant protesting. Different you know different year this year. We are giving the vaccine in now on where. You know encouraging people to get vaccinated early mom -- detail when and actually spike. But I'm sure it's coming the last couple of years we've seen so actually a couple of spikes. Will be -- and you know everybody walking in the door and 90% of them had flu. And down and what do you do for the -- Well on the the treatment -- out -- now Tamiflu which is an anti viral and if you do -- -- within the first 48 hours. You know the the jury's out as far as I'm concerned citizen can shorten the length of visit disease by at a day or two where the symptoms. So. Are usually leave it up to the individual. If they wanna go ahead and get on the Tamiflu. Most insurance discomfort but it is still expensive so I give patients the option. And it -- probably cuts down the symptoms may be -- day in half. So is it worth while good for you that your -- that upfront about it. The flu vaccine I'm glad you brought that up the flu vaccine. Is created to. From the previous year's flu from the previous years the way they take the strains and mix and together they come up with a vaccine and they hope that it hasn't mutated too much. Is basically the way it happens and then two years ago. And -- me get this slightly wrong but if you flew a flu be. Other ones that we test for and they totally miss the mark I believe it was on the flu being so the flu be. Portion of the vaccine was really really not good -- that was probably eighty to 90% of the cases that -- seen. So that the bottom line is get the flu shot doesn't take well -- the doctor. Once you get the flu shot it's you still have to if you're gonna take about two weeks before effective. Truly so that's why we sort of encourage people to go ahead and get vaccinated early. Certainly by the first week in September. To start thinking about it because once it hits and you're exposed to people with that even if you get the vaccine. It's something -- it you know you may or may not be covered for. When you need. You know it's incredible to me we were talking about the changes in medical care. The changes also in availability of going to an urgent care or to a drugstore. -- other places for these shots. Which before you know was always make an appointment now there's the ease of it which is a positive. For people who aren't running all the time with parents there's almost no excuse anymore nicer and. Air and it's you know that's one of the things that we do -- we sort of bridge the gap between people's primary care physicians. And that emergency room you know a lot of times it's hard to get in his senior physician when you need it. We don't want to infringe on those positions and a relationship with the patient. But again we can. Usually see about 85% of what would need to go to an emergency room. In you don't have to there's not the weight and is obviously a it's more cost effective for the for the patient -- for the insurance companies. Absolutely I mean we keep hearing about ten how much money is spent in an emergency room that doesn't need to be in an emergency. We're not talking life threatening things but. To -- certainly if somebody has a life threatening emergency you know certainly. Chest pain anybody consider -- an instrument has sort of thing called 911 get the emergency room. But having worked in a number of emergency rooms over the years. What I'm seeing now. I can handle 85% of what it was seen previously in the emergency room. Talk a little bit about working in an emergency room. They have to triage -- mean people that he hears the stories of people sitting there for five hours because in fact. There are serious issues that people -- The doctors need to address and certainly certainly you can't say to the to the people you know what your lunch go to Wendy's and smaller clinics. Yeah it's -- Wait times in the emergency room in with the changes in health care -- -- I think you can see the emergency rooms actually. See their business increase. Increase increase in the number of visits at their scene. It's not uncommon. To have a 23 hour wait time some areas of the country is much higher than that. So again we provide a service that is sort of a bridge. When people need to be seen. In its may -- after hours that sort of thing when they can bees is seen. By. In our case emergency trained physicians that are used to seen. Pretty much everything from AZ. And it's seen in a timely manner with a lot of less with less out of pocket expense. And to be done so in in their own neighborhood -- Absolutely. I wanna go back not to belabor this but. With more insurance with people having more insurance through Affordable Care Act you're saying there will be more use of the emergency room. That's been the trend so far because. People have access. At this point are getting access. But there's still a shortage of physicians and there so. For people who would not have insurance and now habit who were using the emergency room as their primary care. In theory they should be going to find a primary care doctor in -- saying there's a shortage of those. -- shortage of primary care doctors there is a you know you also have a little bit of problem with who's actually accepting the plans and her. That are out there and again a lot of it is when you call to make an appointment especially is a new patient. Even if they accept a plan it may be three weeks a month six weeks down the line before you can be seen. Very interesting times reliving and we have a lot to talk about we again we are talking with doctor Patrick Dennis. And we're going to -- that -- let's quit and take -- call I really appreciate Marie. I. Luke are. One or seek it out whether or not acted we are very. My understanding that it has an addict and and and is keeping catch the split but she. You don't. You shouldn't catch the flu from the vaccine you can certainly have the a little bit of flu like symptoms after the vaccine. But you shouldn't be getting the flu from the vaccine. And I think that she really voices what a lot of people fear that if I get the flu shot and get the flu. That's sort of the bottom line -- -- saying is it just a few symptoms that you wouldn't you shouldn't -- now there -- some concerns with. Some of the nasal preparations. In their -- some limitations on those. Because it's alive virus. But the flu vaccine is not alive virus. And people should not be getting the flu and she was also asking about is synthetic she sharing of the synthetic. Thing. As a flu shot that I have not seen from the manufacturers and yet I'm not aware of that. At this point but like -- said -- -- the flu vaccine. Last year was much more. Predictable in what covered and and we're just encouraging people to get an early don't be afraid of it. Maria thank you very very much for calling and please call in 260187. Day we got a doctor -- can enter all your questions. Stay with this we're gonna take a quick break for the news that we'll be back financial under the W well. Well we are joined once again by doctor Patrick Dennis seized with. The urgent care MD on Harrison avenue talking about the various things we need to have a heads up on his kids. Start going back to school we have a collar -- Louis and venturing. -- -- -- look back Patrick. By. I have a question I'm up by a thirty year listening -- -- call audience. But well but I do you all have a good night show. I. It's not made a comment a couple of times about. Urged it get rid of all all really are out there very good about you do it like giving ranges but it. Talk about a charge of dot. Any night statement talking about sort of the doctor for years -- just collapse and -- I had it -- a little rule it out about all three kids in the last year. That graduated -- you whitbeck in 3.2 averages. 88. They got refused to go to medical school. So I'll just it will I was -- to doctor Soledad just in what he would -- the opinion. About. Why kids that they prove they can make it greatness stop don't get to go to medical. Well it's a it's it's often discussed topic. They're or. A certain number of medical schools across the country. And I don't know what that number is now off the top my head. But they have to be accredited by certain agencies. And their allotted so many slots. For students. So it is. They're -- and it it's it's very competitive. You know for instance here -- and LSU and I started. Believe we started with a -- 172. Students in the class. So we lost a few people after that but you're talking about it students that for the most part. Have three point 83 point 94 point oh grade point averages across the boards. So it is extremely competitive. You have to really wanna do it especially in this day NH because it is a you know four years of college for years in medical school at a minimum four years of residency. It's a huge financial commitment. I mean I've. Because I I I live and our medical family and I have nothing but respect for what you have to go through to get through medical school. And and it is -- you're not doing it today for the big bucks you're doing it for another kind of calling. No you have to you have to really wanted to do it now and I think that is to some degree this waiting some people against careers in medicine now because. Looking out into the future I don't think a lot of the 212223. Year old people graduated from college it would be thinking about it and have the grades they don't know if they wanna put that. Commitment in as far as time and finances because most. Most. People coming out of medical school now mom are going to be several 100000 dollars in debt. And there are going to be thirty years old starting a career so all their buddies who either went to law school or just have a good. On the track absolutely. But but I understand what he's saying to you get very bright kids maybe even. If they went back to school another semester tried to raise the grade point average. Yeah it it and that's one of things if someone is committed to going to medical school. You can get a yen but it may take you. 23. Chances -- To get in and it you know it's another year and it's another financial commitment and it's another. One series of deferring gratification. I gotta say that's the kind of doctor I'd like somebody who really wants that badly. That they would go well I I can very much appreciate -- -- you know like I mentioned he. Personally is is I went back as a second career. I wanna thank -- very much I'm truly honored that you if you've been listening all these years he made that call it means a lot thank you so much. Yes it was a second career if you were in the military for how long. About twelve years. Twelve years and really enjoyed it and it got to the point where it was a hobby that was turned into a career. In I was in my -- early thirties. And -- a green beret. 8 PM on veteran of army special operations forces and great people greatest people in the world. -- lot of fun. Lot of good times. But again it got to the point where it was something -- very much enjoyed but I was gonna have a limited lifespan. In that community. And I decided in my early thirties to get out of school or to get out go back to school and sort of as an aside going back to a previous caller. Calm when I went to college initially in my late teens. I -- really didn't know what I wanted to do and I had a solid 2.0 grade point average. So when I went back to school in my early thirties com. I had a 3839. But it took me three. Tries to get into medical school. So it was three years back -- back to back to back but I constantly went back to L issue down here and asked him what it was and I had to do to get in. And they told me to do this and so I did this and make sure that they knew about it and showed that the next year. And determining get in and on the third try again and. While that's a great story and that's a very interesting that Lewis would Colin. You are one of those ones so I have wanted to do was to nontraditional student. And had to go back and sort of claw my way into. In two but. It was a lot of fun and greatly enjoy real issue great place to go to medical school. And now you're a doctor. The doctor and the doctor is in the house so again give us a call 260187. -- will be right back. -- we're talking with doctor Patrick Dennis who was a position at the urgent care MD on Harrison were talking about. It is school time it is watch you gotta watch so much -- is. Going around and and learned a lot really about strep throat talk about the flu get that shot it's out there available. But let's also talk about HPV vaccine because -- a little controversy to that. But it is an important vaccine as a prevention. It is and it's been out for a few years now it's it's a vaccine takes a series of three. Three doses that you get -- intervals. Calm at first it was a big. Recommended for a girls and young women. It is to prevent human -- virus. Which can be sexually transmitted in leads to cervical cancer so that particular type of cancer is actually sexually transmitted disease. So as to protect against against that. It's also being recommended for young males. As well now teenagers. People are entering into becoming sexually active. So gorgeous hill is an easy injection again mostly insurance companies pay for. And like -- has a series of three doses. And it isn't I'm sure some parents would look at it does and sort of the permission slip. For sexual activity and it's not that at all it is truly wants the link is made that the human -- a virus. Can cause this cancer. It's it's -- and you know it may not be a permission slip when there. You know in their teams. But the vaccine last. Lord we know right now is a lifetime so at some point in time people are going to be active. And it's just it's a good time to be proactive. And it's something that you can do to to prevent which is is a very dread disease. Absolutely it is. Moving on -- of all places New Orleans in the dead of summer holidays you know watch dehydration. Dehydration is a big concern right now and a lot of the the high schools are going back to August football practice and it's started that we've seen a number of -- young athletes. Did -- become -- end in dehydrated. It is very important. And sort of when I was coming up I don't think that the we realize the importance of -- dream playing sports over the summer. And encouraged the key is to go hidden in drink as much water is possible on when you have the opportunity. Because when you get thirsty -- dehydrated. But we have been seen a number of athletes coming into the clinic that it started practice and we're going hadn't given in my V fluids. And on trying to -- to their parents enough to be sure that is. The football coaches or you know athletic coaches and trainers -- no. To please be keeping people hydrated and I'm sure these kids are saying I'm I'm drinking water they're just not drinking enough. They usually don't drink enough and and like I said did you usually by the time you start to get thirsty your fuel thirsty purity down. A quart so so we encourage -- frequent water breaks. To drink you know maybe of a bottle water couple cups water couple times an hour. And to do it. Progressively. Through. Throughout and not waiting a half hour an hour and trying to catch back up because you want. That's very interesting. Mandatory test I have to have. Physical style. Is that all public and private schools as far as I know most of the -- C institutions are required some sort of physical. You know we can certainly cover that for them and -- most most of the schools are requiring shot records as well. But it is a very easy -- offering a and our clinic we offer did you know. Cash pay easy rate for that. To just come in and takes about ten or fifteen minutes and what are the shots -- concessions. Well they're supposed to happen is just a basic pediatric. Shots that every child gets when they're young they get the MM Mars standing -- -- tetanus. -- -- -- -- Tetanus how often do you have to -- to their needs to be a booster every ten years. The shots good for ten years they're actually. Encouraging for all on the lines some we're in the -- To give you -- -- gap which gives you some protection against diphtheria. -- to augment one of the boosters with the -- up. So that's come out recently in the last few years but a tetanus shot is normally good for ten years there are some exceptions if you know you -- your foot in on something really dirty rusty. In dirty water you know will usually go ahead and updated if it's -- longer than five years now can. It's good at keeping the records. Yeah it's it's important for parents to keep calm. Visual with the pediatrician. And to also keep a copy of their own. On the -- of their children shot records. No absolutely. It is with the madness of everybody going back to school in and I've talked to some parents and their meaning themselves coming and going. But this is very important. Do you got to take care of it now. It's going to be along school year and you just want to be prepared. No absolutely absolutely and from there are going to be there. You know runny noses a cough cold congestion the flu in the strep throat the mono. Thumb broken bones sprains strains. That sort of thing so it's it's out there and you know certainly if anybody has any questions about anything they can always feel free to comment clinic. We can't thank you enough that's doctor Patrick Dennis we'll be right back.