MEDICAL MONDAYS - Doctor John 👨‍⚕️🏥

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The Morning Rumble 15 min 3 speakers 7 chapters transcribed 4 months ago

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Transcript generated automatically by AI and may contain errors.

What is the main topic discussed in this episode?

Unknown 0:00

This is a podcast from Rover.

Rog 0:04

Medical Mondays with Dr. John.

Unknown 0:05

Here he is, Dr. John.

Rog 0:09

Good job.

Unknown 0:10

How you doing? Welcome back. Hello. Yes, driving in this morning, listening in to all the listeners, the great Rumble listeners, and some of the most excruciating pain they've ever been in. Oh, pain is horrendously painful.

Doctor John 0:22

It's a fascinating thing because there's the physical nature of pain and then there's the brain nature of pain and how someone perceives what pain is. Someone might have pain which is 10 out of 10 and someone else might have the same pain that's 2 out of 10. Yeah, yeah, yeah.

What are the different types of pain and their perceptions?

Doctor John 0:35

So, fascinating stuff.

Unknown 0:37

Yeah. Just looking back in your history of being a doctor, what is there, would you say, in your opinion, that you can get that is the most pain ever? That could affect a human. Is it compound fractures? Is it ruptured organs? Is it childbirth? Is it kidney stones? Kidney stones. I can vouch for those. Someone texted in and said they had 45 in one kidney. Sorry, sorry, Miles. Dr. John was just doing charades with me. Oh. You had seven kidney stones?

Doctor John 1:05

Yeah. Yeah, best one was when I was driving down the motorway in England and I was working in ED in England and suddenly I went whack and so then we changed and my wife drove me back and then she drove me into a traffic jam.

Rog 1:17

Brilliant. Absolutely brilliant. That's helpful.

Doctor John 1:18

Have you ever tried to writhe around the inside of a car trying to climb out the windows and out the doors? Anyway, that's not nice. But anyway, the pain is... Bryce has got a cough.

Unknown 1:30

And that's a 10 out of 10.

Doctor John 1:32

Painful as well.

What are the most painful conditions according to Dr. John?

Unknown 1:33

No, to be fair, it hasn't been. It's more I felt bad because I feel like I was being annoying in the studio by hacking away and coughing. It's sort of been, I reckon, two weeks. It does feel like it's a lot better. But I'm sure there's many people in this position about this time of the year where this annoying cough seems to last for about 12 hours or so. You'll get through most of the day fine and then at about 7 or 8 p.m., It'll just start coming away and it can be mucusy and hacky and it sounds guttural. And then most of the day, as I say, you're fine. Is there anything I can do about it or will it just go away?

Doctor John 2:07

There's very little you can do to absolutely remove a cough, right? A cough is caused by a couple of things. One is the irritability of the tubes taking air down into your lungs. When you get a respiratory tract infection, you clear out all the nice protective lining layer of the big tubes and they become really twitchy. And as we're saying, as the temperature drops, that twitchiness will increase, and overnight your natural body steroids decreases, so coughs will always come out at night. Lying down flat, bang, you're going to cough. So what we look for is cough plus. Cough plus fever, cough plus pain when you breathe, cough plus night sweats, cough plus increased shortness of breath, cough plus sudden weight loss.

Doctor John 2:42

And a cough that's getting worse. So if you've got those, brilliant. If you've got a cough more than four to six weeks, we'll have a look at it. But underneath that, sorry, mate, concrete pills, Vicks on your feet. No cough medicines, none of that, nothing. Basically, they're just opiates. That's the best cough medicine in the world, is opium. Okay. Alien's quite good too. My guy.

Unknown 3:04

My guy. Come see me, I'll give you some of that shit. Heaps of texts coming through, Miles. Text and doc 235. Once again, didn't help me at all. And he's actually my GP. Invoices in the mail. I'm a male tradie. I'm 34, nudging 150 kegs, lacking a lot of energy lately, falling asleep about 8, 8.30, waking up multiple times in the night. Mrs. gets mad because can't be bothered doing anything. Something to worry about. Yeah.

Doctor John 3:31

I'd go OSA, obstructive sleep apnea. 150 kegs, what's called Pickwickian, Mr. Pickwick from Dickens. Big guys, big jowls, go to sleep, obstruct their airway, and they never wake up right. They wait through the night because they're basically losing the oxygen out of their bloodstream overnight because they stop breathing.

Unknown 3:50

Yeah.

Doctor John 3:51

And so first thing is looking at your weight.