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Welcome back to

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the next installment of

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Live Well with UCI Health.

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I'm Ryan Manno

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with iHeartRadio KOST 103.5 

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I am sitting with Doctor Susan Huang.

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Doctor, welcome.

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I want to get your title right.

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So you are the medical director

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of UCI

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Health Epidemiology

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and Infection Prevention. That's right.

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And I'm an infectious diseases physician,

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if that helps. It does help.

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It helps a lot.

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It helps all of us a lot,

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especially right now.

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Boy, are you important.

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Okay.

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So we're going to talk about

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how to not get sick. Yes.

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Is that what.

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That's kind of what you wake up and do

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every day. That's the goal.

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People want to party

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and have their vacation,

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and we want them not to get sick.

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And listen, this is the time, right?

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It's spring.

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Weather's getting nicer.

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It's getting warmer.

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These are the gathering moments. Yes. Absolutely.

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And so this is crucial.

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This is like.

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This is crunch time for you.

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Yeah.

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This is crunch

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time for everyone who wants to have fun.

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Yes. So all right, let's start with it.

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Like our colds.

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Something we need to worry about

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in the summer.

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Yes, they are.

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You know,

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unfortunately, colds are year round.

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There are a number of colds

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that particularly rhinovirus,

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that are

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happy to be everywhere all the time.

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And even though we have more viruses

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in the winter, like flu and RSV,

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there are plenty of things

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that keep us checked

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in the spring, summer and fall.

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Why don't we hear about them as often?

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You know, like why?

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Why do we always look at winter

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and call it cold and flu season?

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I think that's because people die.

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You know,

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I think people pay attention

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when people get hospitalized

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because the severity is particularly high

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when someone has some irritating cold,

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but they can still

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go to school and go to work,

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and they just have to blow their nose

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a couple of times.

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No one really pays

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that much attention at something

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everybody has experienced,

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but it can really affect a vacation.

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It can affect everything.

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Listen, just on my drive here,

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I was talking to my my girlfriend.

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She has two kids. They’re

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with their dad right now,

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but he was taking them to urgent care

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because she just got over the flu.

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Both of them were starting to feel sick.

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They had plans over

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spring break,

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and now they can't go to the plans

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because the kids don't

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want the other kids.

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Because the parents can't

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wait for the kids to go back to school,

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get them out of the house next week.

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They don't know if they're stuck at home.

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Everyone. It's a whole chain reaction.

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Yes, especially with kids.

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Yeah, kids.

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Kids can.

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Little germ factories, these little things.

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Every parent knows every child.

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Once they enter a school or daycare.

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You're 18 months of colds. Yes.

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Back and forth and back and forth. Yes.

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It's quite remarkable.

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So. So how do we get ahead of it?

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Let's start there.

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Like, how do we

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how can we prevent ourselves

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from even being in a spot

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where we're kind of passing this thing

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back and forth? Yeah.

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So maybe the best way to

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put it in perspective,

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because there's that every day

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that can matter.

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But let's put something around it,

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like a vacation or a wedding or a

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a birth of a new baby.

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There are certain moments in our life

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where we really, really care

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that we don't get sick.

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And so the first thing

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to remember

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is that viruses are human shed.

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And so the most important thing

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is not to be around other humans

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who are actively sick.

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And that's pretty important for the week

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before you have

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your really important event,

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whatever that is.

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You're going on vacation.

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You're having a wedding that week

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right before it's important

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to put up your feelers

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and make sure that you listen.

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If people around

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you are sick,

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or if you are going to

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have a meal with someone.

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We need to understand that

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the most likely people to get us

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sick are our friends and family,

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and we don't like to hear that,

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and we don't like to tell them,

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you know what?

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Do you mind

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if we don't have lunch this day?

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Because it sounds like you're sick?

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We don't like to say that

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because they’re our friends

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and they’re our family,

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but we need to actually be attentive to

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those things

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a week before a really,

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really important event.

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That is interesting because I would feel

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like I'd

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be more inclined to be like, hey,

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I'm leaving town for two weeks.

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You want to get lunch before I go? Sure.

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You know what I mean? Right. Right.

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And it's not like you,

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so sometimes you don't have a choice.

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You need to take care of a parent

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before you leave.

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You need to do something.

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And if that person is sick,

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there are ways to protect yourself

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and that person

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if they are willing to wear a mask,

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if you're willing.

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I mean, we know these things now

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and we know how to wear a mask.

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We know how to clean our hands.

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There are ways, absolute ways.

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Doctors do it all the time.

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We take care of patients

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who are actively sick,

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and we don't walk away sick.

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So we know when to put a mask on

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and when to clean our hands

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and do all those things. So.

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So why don't we then?

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Because you say,

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and that's a great point

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you made about,

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you know,

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leading up to a vacation

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or leading up to a wedding

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or a life event or whatever

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it is,

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and you're like, okay,

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so that week before

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is the time to really get serious.

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Why don't we just adapt and adopt

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that mindset all year?

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Why don't we just always do.

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That could. Yes.

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So you know, we don’t. Why don't we learn?

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I think people get inured, you know.

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Yeah. They just get tired.

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And so it's easier for them to focus.

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And I think it depends on

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two major things. Okay.

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How much does it really matter to you?

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So a lot of people, weather colds fine

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little kids

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all the time

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doesn't stop them from playing

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and running around

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and being rambunctious.

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But grandparents... Yeah. It's a big deal.

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It will wipe them out.

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It'll ruin your vacation.

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It will make

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you have to take them to the hospital

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some of the times.

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And so I think that it it really depends

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on having an event

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that's really important to you

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and thinking about the person

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and how much it irritates them,

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or could be hazardous to them

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to actually have a cold.

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And you mentioned something else

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I want to go back to.

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You said as doctors,

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you're just you're constantly around

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sick people, but you have figured out

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you know what to do and you do it

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well to come away never getting sick.

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What how what how, why.

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So viruses. It's pretty easy.

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We know that these things pass

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around in two major ways.

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One, I sneeze or cough in your face. 

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Yes. Don’t do that.

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And I touch something where a cold virus

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has landed on some surface. Right.

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And then I have it on my hands.

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And then I rub my eyes,

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I touch my nose and I eat.

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I grab a bunch of chips

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and in it goes into my mouth

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with everything else.

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So I think that what we learn is

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where have our hands been?

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Have I sanitized my hands

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before I touch my face?

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And if I know you are sick,

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then I'm going to step away

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or I'm going to mask.

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And I'm certainly not going to

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share a potluck with you. Yes. No.

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So, you know.

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But again, it's our friends and family.

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It's very emotionally hard

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to separate from them and to say,

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you know what, I'm

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really trying to stay healthy

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before I go on this trip

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or I have a wedding, can I

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do you

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mind, you know, putting on a mask

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because it sounds like you're sick. Yeah. Or...

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it's hard.

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Listen, I years and years ago,

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I would get sick

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probably 2 or 3 times

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a year,

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and I went to an EMT and he told me

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that the two most

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the two worst things you can do

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are to not wash your hands frequently

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and to touch your face.

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And ever since I left that office,

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I swear to you, I never got Covid.

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I've never had the flu.

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I lived, you know,

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I again, I live with my girlfriend.

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She has the flu. I didn't get it.

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I don't get sick because I'm constantly

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doing those those two things.

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Being thoughtful about it. Yes. Yeah.

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It's a mindfulness.

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It's a mindfulness.

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And I feel like it's our superpower now.

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You know, after Covid,

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most of us

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all of a sudden can hear someone

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coughing and sneezing around us.

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We didn't always

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we weren't always that

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attentive in the past. Yeah.

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So now we know.

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So now, in those moments,

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you should act differently

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when someone around you

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is actively sick. Yeah. Congested.

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Why don't we build immunity to the cold?

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So we do.

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We do.

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What's remarkable

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is that there are about 200 cold viruses.

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So at any given moment,

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if I just had a cold,

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then I do have some immunity

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to that particular virus.

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So that might be for a handful of months,

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up to a year,

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but there are 199

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other viruses that can get me.

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And that's why

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we all have experienced back to back

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colds. Yeah.

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So unfortunately we have some immunity,

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but there's too many of them. Okay.

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So let's let's parlay that into travel

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because that's you know,

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this is again travel season.

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We're on an airplane.

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You know

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you just said there's so many colds I'm

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guessing that people on planes are sick.

00:07:51:23 - 00:07:52:21
They may not even know it,

00:07:52:21 - 00:07:53:20
but that's a bunch of different

00:07:53:20 - 00:07:54:15
cold things happen.

00:07:54:15 - 00:07:55:10
How do we

00:07:55:10 - 00:07:57:03
how do you handle being on an airplane?

00:07:57:03 - 00:07:57:09
Right.

00:07:57:09 - 00:07:59:09
Or an airport. Right, or an airport.

00:07:59:09 - 00:08:01:10
So you've managed to be

00:08:01:10 - 00:08:02:08
be healthy for the week

00:08:02:08 - 00:08:03:16
before you go on vacation.

00:08:03:16 - 00:08:04:21
And now here you go

00:08:04:21 - 00:08:06:22
into a train station, bus station,

00:08:06:22 - 00:08:08:06
you know, airport terminal.

00:08:08:06 - 00:08:09:11
And and there are

00:08:09:11 - 00:08:10:19
tons of people around you.

00:08:10:19 - 00:08:12:03
So there's two different things

00:08:12:03 - 00:08:13:10
to think about.

00:08:13:10 - 00:08:14:12
Again, you want to protect yourself

00:08:14:12 - 00:08:15:16
because you're about to go

00:08:15:16 - 00:08:17:12
on this best vacation of your life,

00:08:17:12 - 00:08:19:03
but there are tons of people around you.

00:08:19:03 - 00:08:19:23
So again,

00:08:19:23 - 00:08:20:16
you're thinking,

00:08:20:16 - 00:08:21:10
if you're in a line

00:08:21:10 - 00:08:22:08
and you can't move

00:08:22:08 - 00:08:23:09
and the person behind you

00:08:23:09 - 00:08:25:21
is coughing all over you sneezing,

00:08:25:21 - 00:08:28:21
that's when you should have a mask handy.

00:08:29:04 - 00:08:29:16
So, you know,

00:08:29:16 - 00:08:31:14
it's not something we used to do,

00:08:31:14 - 00:08:33:00
but it's easy to carry.

00:08:33:00 - 00:08:34:02
It doesn't mean you have to wear it

00:08:34:02 - 00:08:36:01
all the time. You are listening,

00:08:36:01 - 00:08:37:11
and if someone around you is sick,

00:08:37:11 - 00:08:38:07
you put on a mask

00:08:38:07 - 00:08:39:01
because you can't really

00:08:39:01 - 00:08:41:21
tell them or force them to put on a mask.

00:08:41:21 - 00:08:43:01
It means you can take it off

00:08:43:01 - 00:08:45:07
as soon as that moment has passed.

00:08:45:07 - 00:08:46:08
But carrying one with you

00:08:46:08 - 00:08:47:21
is particularly smart or backing away.

00:08:47:21 - 00:08:49:02
But if you're in a line

00:08:49:02 - 00:08:50:05
going through TSA,

00:08:50:05 - 00:08:52:09
you can't really back away.

00:08:52:09 - 00:08:53:01
Cleaning your hands,

00:08:53:01 - 00:08:53:23
having a little bit of hand

00:08:53:23 - 00:08:55:05
sanitizer with you.

00:08:55:05 - 00:08:56:08
You're in an airport

00:08:56:08 - 00:08:57:14
where you're touching surfaces

00:08:57:14 - 00:09:00:04
that probably 100 people have touched in.

00:09:00:04 - 00:09:01:15
The past. In the past hour,

00:09:01:15 - 00:09:03:17
you know what I mean? Doorknobs.

00:09:03:17 - 00:09:05:17
Door handles. Yes. Surfaces.

00:09:05:17 - 00:09:06:08
So again,

00:09:06:08 - 00:09:07:09
being aware of your hands

00:09:07:09 - 00:09:08:14
and just periodically

00:09:08:14 - 00:09:09:10
cleaning your hands

00:09:09:10 - 00:09:11:14
with some hand sanitizer is really,

00:09:11:14 - 00:09:12:17
really a good idea.

00:09:12:17 - 00:09:15:10
Do you wipe down the tray, the seat back tray?

00:09:15:10 - 00:09:16:13
It's a really good point.

00:09:16:13 - 00:09:17:01
You know,

00:09:17:01 - 00:09:17:19
there was a time

00:09:17:19 - 00:09:19:23
when I was traveling at my peak.

00:09:19:23 - 00:09:20:20
I was traveling twice

00:09:20:20 - 00:09:23:01
a month and I would periodically pick

00:09:23:01 - 00:09:23:18
up colds.

00:09:23:18 - 00:09:24:14
And so, you know,

00:09:24:14 - 00:09:25:15
you think about the places

00:09:25:15 - 00:09:27:05
where you're going into hotel rooms

00:09:27:05 - 00:09:28:00
that are turning over

00:09:28:00 - 00:09:28:12
really high,

00:09:28:12 - 00:09:29:21
your your airplane seat

00:09:29:21 - 00:09:31:08
that is turning over all the time.

00:09:31:08 - 00:09:32:00
And so,

00:09:32:00 - 00:09:33:20
yeah, I will take either

00:09:33:20 - 00:09:34:20
take the wipe

00:09:34:20 - 00:09:37:14
they give you or have some in my pocket

00:09:37:14 - 00:09:38:19
and I will wipe down

00:09:38:19 - 00:09:40:16
what we call high touch surfaces.

00:09:40:16 - 00:09:41:10
So I'm not worried

00:09:41:10 - 00:09:42:21
about the back of the chair,

00:09:42:21 - 00:09:44:14
the the seat of the chair.

00:09:44:14 - 00:09:46:09
I'm worried about where my hands

00:09:46:09 - 00:09:48:01
go and someone else's hands

00:09:48:01 - 00:09:49:21
have been who's been sick.

00:09:49:21 - 00:09:51:04
And so I will just take

00:09:51:04 - 00:09:52:06
whatever 30 seconds

00:09:52:06 - 00:09:52:19
that it takes

00:09:52:19 - 00:09:53:23
to wipe down the touch

00:09:53:23 - 00:09:56:07
screen, the tray and the armrest.

00:09:56:07 - 00:09:57:19
Yeah, yeah. And the buckle.

00:09:57:19 - 00:09:58:16
Yeah, that's about it.

00:09:58:16 - 00:10:01:16
And it literally takes about 30 seconds.

00:10:01:16 - 00:10:03:02
And then I'm not worried.

00:10:03:02 - 00:10:04:22
And I think knowledge is power.

00:10:04:22 - 00:10:06:02
If we think that

00:10:06:02 - 00:10:07:09
that makes me more worried.

00:10:07:09 - 00:10:09:01
It actually doesn't. I wipe it down.

00:10:09:01 - 00:10:10:22
And I am not worried about anything.

00:10:10:22 - 00:10:12:05
I'm just moving on

00:10:12:05 - 00:10:14:10
because I know this little space

00:10:14:10 - 00:10:16:22
now is germ free. Yeah.

00:10:16:22 - 00:10:18:01
Do you do the same thing?

00:10:18:01 - 00:10:19:05
Let's say we go,

00:10:19:05 - 00:10:19:20
you know, we're traveling.

00:10:19:20 - 00:10:20:15
We're in a hotel.

00:10:20:15 - 00:10:21:01
Do you do,

00:10:21:01 - 00:10:22:22
like the phone and the TV remote?

00:10:22:22 - 00:10:24:11
And so like I said,

00:10:24:11 - 00:10:25:13
when I was traveling heavily

00:10:25:13 - 00:10:27:09
and I was getting these colds. Yeah. After that,

00:10:27:09 - 00:10:28:09
I thought, okay,

00:10:28:09 - 00:10:28:19
you know,

00:10:28:19 - 00:10:30:23
I'm going to grab my two wipes

00:10:30:23 - 00:10:32:17
and I spend about two minutes,

00:10:32:17 - 00:10:33:17
maybe three.

00:10:33:17 - 00:10:34:16
And all I do

00:10:34:16 - 00:10:36:04
are the things that are high touched

00:10:36:04 - 00:10:36:13
doorknobs

00:10:36:13 - 00:10:36:21
The light

00:10:36:21 - 00:10:38:19
switches, the remote control,

00:10:38:19 - 00:10:40:17
maybe the the

00:10:40:17 - 00:10:42:05
the table right next to the bed.

00:10:42:05 - 00:10:42:18
Because I know I'm

00:10:42:18 - 00:10:44:02
going to be touching a lot of stuff. Yup.

00:10:44:02 - 00:10:45:10
Right there, but I don't go

00:10:45:10 - 00:10:46:03
clean everything.

00:10:46:03 - 00:10:47:00
Like there's lots of things

00:10:47:00 - 00:10:48:17
I know I'm not going to touch, that

00:10:48:17 - 00:10:50:04
I know I won't touch.

00:10:50:04 - 00:10:52:21
I don't worry about where I sit,

00:10:52:21 - 00:10:54:15
just the high touch things

00:10:54:15 - 00:10:55:06
that someone

00:10:55:06 - 00:10:57:05
who is just in the room before me,

00:10:57:05 - 00:10:58:00
who could have been sick

00:10:58:00 - 00:10:59:23
or a sick housekeeper.

00:10:59:23 - 00:11:02:02
Yeah, could have left behind.

00:11:02:02 - 00:11:04:01
And I'm really attentive.

00:11:04:01 - 00:11:05:06
On vacation, for example,

00:11:05:06 - 00:11:06:12
if I have my parents with me.

00:11:06:12 - 00:11:08:15
So my parents in in the 80s

00:11:08:15 - 00:11:10:00
when they get sick,

00:11:10:00 - 00:11:12:09
it ruins the entire vacation.

00:11:12:09 - 00:11:13:05
When I'm with them.

00:11:13:05 - 00:11:14:07
I won't let them in the room

00:11:14:07 - 00:11:16:13
until I go in for the 2 or 3 minutes.

00:11:16:13 - 00:11:17:16
And I'm like,

00:11:17:16 - 00:11:19:16
your room is good, and in you go.

00:11:19:16 - 00:11:21:11
And I know that they're protected.

00:11:21:11 - 00:11:22:03
So people

00:11:22:03 - 00:11:23:11
who are immunocompromised, people

00:11:23:11 - 00:11:25:05
who are much more susceptible

00:11:25:05 - 00:11:26:01
to a very,

00:11:26:01 - 00:11:28:05
very bad experience with a cold. Yeah.

00:11:28:05 - 00:11:29:13
You have to be extra careful with them.

00:11:29:13 - 00:11:30:12
But I do the same thing with me.

00:11:30:12 - 00:11:32:05
I just super fast. Yep.

00:11:32:05 - 00:11:33:09
and then I don't worry about it.

00:11:33:09 - 00:11:33:20
And really,

00:11:33:20 - 00:11:36:13
I mean, it's never a good time for,

00:11:36:13 - 00:11:38:01
let's say, your parents to to get sick,

00:11:38:01 - 00:11:39:12
but being away right.

00:11:39:12 - 00:11:40:00
Being out

00:11:40:00 - 00:11:41:06
because all you want when you're,

00:11:41:06 - 00:11:42:14
when you're not feeling well,

00:11:42:14 - 00:11:44:06
the comforts of your home. Right.

00:11:44:06 - 00:11:44:15
You know,

00:11:44:15 - 00:11:46:17
and that's brutal, man to get sick and.

00:11:46:17 - 00:11:47:11
Then you're in a hotel room,

00:11:47:11 - 00:11:48:18
you're going to get the next person sick.

00:11:48:18 - 00:11:51:04
There's no way to avoid that, right?

00:11:51:04 - 00:11:53:00
It's very close quarters.

00:11:53:00 - 00:11:55:03
Yeah, yeah. Why?

00:11:55:03 - 00:11:55:17
And maybe you do

00:11:55:17 - 00:11:56:15
or don't have an answer for this.

00:11:56:15 - 00:11:58:16
Why do we hear it

00:11:58:16 - 00:12:00:12
almost seems like more and more

00:12:00:12 - 00:12:03:12
cruise ships seem to just be a

00:12:03:18 - 00:12:05:19
just a hotbed for activity.

00:12:05:19 - 00:12:06:02
Yeah.

00:12:06:02 - 00:12:07:16
So there's a couple of reasons for that.

00:12:07:16 - 00:12:10:11
One, the cold virus is the least concern

00:12:10:11 - 00:12:11:05
on a cruise ship.

00:12:11:05 - 00:12:12:12
What you're actually worried about

00:12:12:12 - 00:12:14:18
is this gastrointestinal illness

00:12:14:18 - 00:12:16:08
with norovirus.

00:12:16:08 - 00:12:19:22
Norovirus is a incredibly potent virus.

00:12:19:22 - 00:12:22:03
It doesn't take much to get you sick.

00:12:22:03 - 00:12:23:16
And then you put a whole bunch of several

00:12:23:16 - 00:12:25:04
hundred people in close quarters,

00:12:25:04 - 00:12:26:09
and one person gets sick.

00:12:26:09 - 00:12:28:03
And the likelihood with the rooms

00:12:28:03 - 00:12:30:03
being so close and shared meals

00:12:30:03 - 00:12:31:11
that a lot of people are going to get

00:12:31:11 - 00:12:32:15
sick is incredibly high.

00:12:32:15 - 00:12:34:07
So that's why you always hear

00:12:34:07 - 00:12:35:19
about these horrible

00:12:35:19 - 00:12:38:03
gastrointestinal outbreaks. Yeah.

00:12:38:03 - 00:12:38:20
On cruise ships.

00:12:38:20 - 00:12:39:22
It's also difficult

00:12:39:22 - 00:12:40:21
because norovirus

00:12:40:21 - 00:12:44:01
is not killed by your typical sanitizing

00:12:44:01 - 00:12:45:04
your hand sanitizer

00:12:45:04 - 00:12:46:19
or the typical wipes

00:12:46:19 - 00:12:48:04
that you buy in the store.

00:12:48:04 - 00:12:49:13
You really have to have either

00:12:49:13 - 00:12:50:06
a bleach wipe

00:12:50:06 - 00:12:51:18
or a hydrogen peroxide wipe.

00:12:51:18 - 00:12:53:08
And so if I go on a cruise ship,

00:12:53:08 - 00:12:54:16
I will bring those.

00:12:54:16 - 00:12:57:01
Okay. Got it.

00:12:57:01 - 00:13:00:02
Is there any truth to like?

00:13:00:04 - 00:13:02:18
We hear myths about things to not do,

00:13:02:18 - 00:13:03:11
you know, to

00:13:03:11 - 00:13:04:22
to keep from catching a cold.

00:13:04:22 - 00:13:07:16
Like, I don't know, bundling up or not.

00:13:07:16 - 00:13:08:15
Like going outside

00:13:08:15 - 00:13:10:11
if you have wet hair or.

00:13:10:11 - 00:13:11:00
You know what I mean?

00:13:11:00 - 00:13:12:03
Like, are those things true

00:13:12:03 - 00:13:12:23
or are we just.

00:13:12:23 - 00:13:14:04
What is that? Yeah.

00:13:14:04 - 00:13:16:00
Yes. That's pretty remarkable, right?

00:13:16:00 - 00:13:17:23
The kind of old adage you are,

00:13:17:23 - 00:13:18:18
if you are,

00:13:18:18 - 00:13:19:19
you're going to catch a cold

00:13:19:19 - 00:13:22:03
if you don't bundle. Up, catch cold.

00:13:22:03 - 00:13:24:19
So there actually is real data

00:13:24:19 - 00:13:26:13
that our immune cells

00:13:26:13 - 00:13:29:04
don't work as well when we are cold.

00:13:29:04 - 00:13:31:20
So so it's not that there's more cold

00:13:31:20 - 00:13:32:23
virus in the air

00:13:32:23 - 00:13:34:13
or something like that, it's

00:13:34:13 - 00:13:34:22
just that

00:13:34:22 - 00:13:36:12
you are actually more susceptible

00:13:36:12 - 00:13:38:04
because the fighter cells

00:13:38:04 - 00:13:39:23
aren't working quite as well.

00:13:39:23 - 00:13:42:20
And if you're in a cold... Why is that?

00:13:42:20 - 00:13:44:22
Just been proven.

00:13:44:22 - 00:13:45:21
I think they're just not

00:13:45:21 - 00:13:47:08
operating at their normal

00:13:47:08 - 00:13:49:02
human temperature, that's why.

00:13:49:02 - 00:13:51:01
And when you are,

00:13:51:01 - 00:13:52:05
you're in a cold environment

00:13:52:05 - 00:13:53:12
and you're breathing in cold air

00:13:53:12 - 00:13:55:10
and the nose gets drier.

00:13:55:10 - 00:13:55:22
Yeah,

00:13:55:22 - 00:13:57:03
actually it's that moisture

00:13:57:03 - 00:13:59:03
that helps the virus

00:13:59:03 - 00:14:01:05
not attached to your mucous membranes.

00:14:01:05 - 00:14:02:17
And so when they're dry,

00:14:02:17 - 00:14:03:23
actually it makes it easier

00:14:03:23 - 00:14:05:17
for viruses to come and attach

00:14:05:17 - 00:14:06:18
and then

00:14:06:18 - 00:14:08:03
more likely for you to be infected.

00:14:08:03 - 00:14:09:22
So there's actually some truth.

00:14:09:22 - 00:14:11:03
It doesn't mean being cold

00:14:11:03 - 00:14:12:17
all of a sudden materializes

00:14:12:17 - 00:14:14:15
viruses out of nothing.

00:14:14:15 - 00:14:17:06
But if there's a virus around and you are

00:14:17:06 - 00:14:19:08
cold, you're going to be more susceptible

00:14:19:08 - 00:14:20:09
to actually getting sick.

00:14:20:09 - 00:14:21:02
Okay, good.

00:14:21:02 - 00:14:24:02
So all right, we have vacation planned.

00:14:24:19 - 00:14:27:02
We're flying to Europe in three days.

00:14:27:02 - 00:14:28:13
I am sick.

00:14:28:13 - 00:14:29:18
I thought I wasn't,

00:14:29:18 - 00:14:31:06
I thought I could fight it off,

00:14:31:06 - 00:14:32:13
but it's here.

00:14:32:13 - 00:14:35:04
There is no denying it. Full blown.

00:14:35:04 - 00:14:39:00
Is there anything we can do. Yes. To speed up

00:14:39:00 - 00:14:40:04
getting through this thing?

00:14:40:04 - 00:14:41:16
So there's there's two questions

00:14:41:16 - 00:14:42:11
that you're asking there.

00:14:42:11 - 00:14:44:01
Is there something that can speed it up.

00:14:44:01 - 00:14:44:23
And this thing,

00:14:44:23 - 00:14:45:13
the other thing is

00:14:45:13 - 00:14:46:12
is there something that can make us

00:14:46:12 - 00:14:48:17
feel better. Like. Yes. Both. Either one.

00:14:48:17 - 00:14:50:01
There's two either. 1 or 2 questions.

00:14:50:01 - 00:14:51:15
So I think the normal way

00:14:51:15 - 00:14:53:05
that we would get over a cold one is

00:14:53:05 - 00:14:54:07
there's not much you can do

00:14:54:07 - 00:14:55:03
but wait it out,

00:14:55:03 - 00:14:56:19
but the things that you can do to

00:14:56:19 - 00:14:59:13
help it get over faster would be,

00:14:59:13 - 00:15:01:19
of course, to rest and hydrate.

00:15:01:19 - 00:15:03:02
Nobody likes to hear that

00:15:03:02 - 00:15:04:23
because they want the magic pill

00:15:04:23 - 00:15:05:22
that makes them better.

00:15:05:22 - 00:15:09:00
All of a sudden, over-the-counter nasal

00:15:09:00 - 00:15:11:10
decongestants can be one of the life

00:15:11:10 - 00:15:12:04
saving things.

00:15:12:04 - 00:15:13:21
When you're on a trip,

00:15:13:21 - 00:15:15:05
and you need to get out there

00:15:15:05 - 00:15:17:02
and go on some tours and,

00:15:17:02 - 00:15:18:19
you know, be active. Yeah.

00:15:18:19 - 00:15:19:23
So sneezing all the time

00:15:19:23 - 00:15:20:21
and having to carry around

00:15:20:21 - 00:15:21:16
a whole bunch of tissues

00:15:21:16 - 00:15:24:08
and having a raw nose is no fun.

00:15:24:08 - 00:15:25:11
So the, you know,

00:15:25:11 - 00:15:27:07
there are these over-the-counter

00:15:27:07 - 00:15:28:21
nasal decongestants

00:15:28:21 - 00:15:30:22
that work really, really well.

00:15:30:22 - 00:15:31:19
You just need to know

00:15:31:19 - 00:15:32:18
the ones that don't work.

00:15:32:18 - 00:15:33:22
So most of the things that you can

00:15:33:22 - 00:15:35:12
just grab off the shelf don't

00:15:35:12 - 00:15:36:07
work. Really?

00:15:36:07 - 00:15:38:18
So you want to go behind the

00:15:38:18 - 00:15:39:21
You have to talk to the pharmacist.

00:15:39:21 - 00:15:41:17
You do not need a prescription.

00:15:41:17 - 00:15:42:22
But they're the ones like, really,

00:15:42:22 - 00:15:44:08
can I take the one with the card?

00:15:44:08 - 00:15:45:09
And they will make you

00:15:45:09 - 00:15:46:10
show your driver's license

00:15:46:10 - 00:15:47:17
and they'll make sure you don't buy

00:15:47:17 - 00:15:48:14
too much of it.

00:15:48:14 - 00:15:49:01
I got it.

00:15:49:01 - 00:15:50:15
So the pseudoephedrine

00:15:50:15 - 00:15:52:18
or the trade name would be Sudafed

00:15:52:18 - 00:15:54:18
is the one that actually will work quite

00:15:54:18 - 00:15:56:11
well in actually getting the secretions

00:15:56:11 - 00:15:57:11
to dry up and helping

00:15:57:11 - 00:15:58:01
you breathe

00:15:58:01 - 00:15:59:13
so you can actually behave

00:15:59:13 - 00:16:01:18
like a normal human being.

00:16:01:18 - 00:16:03:09
It will prevent you from sleeping,

00:16:03:09 - 00:16:05:08
so you want to take it in the morning. Okay.

00:16:05:08 - 00:16:06:19
But those things can be life

00:16:06:19 - 00:16:07:21
saving and being able

00:16:07:21 - 00:16:09:23
to behave and perform. Yeah.

00:16:09:23 - 00:16:11:20
In the way that you would like to be.

00:16:11:20 - 00:16:13:08
That is good knowledge from you.

00:16:13:08 - 00:16:14:21
The other thing is zinc.

00:16:14:21 - 00:16:15:04
You know,

00:16:15:04 - 00:16:16:11
people worry about, you know,

00:16:16:11 - 00:16:19:07
vitamin C and vitamins and echinacea

00:16:19:07 - 00:16:20:01
and all that stuff,

00:16:20:01 - 00:16:22:05
and those really do not work.

00:16:22:05 - 00:16:23:10
They've been studied.

00:16:23:10 - 00:16:25:17
The best thing that has been reliably

00:16:25:17 - 00:16:27:05
shown is zinc.

00:16:27:05 - 00:16:29:08
So we're talking about lozenges

00:16:29:08 - 00:16:30:23
that a things that you suck that

00:16:30:23 - 00:16:33:10
that actually coat your throat

00:16:33:10 - 00:16:35:01
and you have to take a fair amount of it.

00:16:35:01 - 00:16:38:03
So about 50mg of elemental zinc

00:16:38:09 - 00:16:40:20
in order to reduce a cold by 1 or 2 days,

00:16:40:20 - 00:16:43:20
which can be huge on vacation. Of course.

00:16:43:21 - 00:16:45:23
And it actually has been proven to reduce

00:16:45:23 - 00:16:46:18
not only colds,

00:16:46:18 - 00:16:48:06
but there has been randomized trials

00:16:48:06 - 00:16:48:18
for Covid

00:16:48:18 - 00:16:50:06
that it will reduce Covid as well

00:16:50:06 - 00:16:52:17
the severity and the duration.

00:16:52:17 - 00:16:55:01
So zinc is is a friend okay.

00:16:55:01 - 00:16:55:20
Good to know.

00:16:55:20 - 00:16:57:10
So you mentioned some of the other.

00:16:57:10 - 00:16:58:16
You mentioned some of the other things.

00:16:58:16 - 00:16:59:10
And I don't want to say

00:16:59:10 - 00:17:00:01
the brand name, but

00:17:00:01 - 00:17:01:22
like there's an orange fizzy powder

00:17:01:22 - 00:17:03:22
that you can pour in a, in a drink

00:17:03:22 - 00:17:08:05
and shake it up and it's vitamin C, no.

00:17:08:14 - 00:17:11:04
So no good data that it actually helps

00:17:11:04 - 00:17:12:00
most of the time

00:17:12:00 - 00:17:14:04
if you're in in the United States,

00:17:14:04 - 00:17:15:21
where nutrition is quite

00:17:15:21 - 00:17:17:14
good, the addition of vitamins

00:17:17:14 - 00:17:19:15
is not really going to do a whole lot

00:17:19:15 - 00:17:19:23
for you

00:17:19:23 - 00:17:21:13
because your intake of regular food

00:17:21:13 - 00:17:23:03
will give you enough vitamins.

00:17:23:03 - 00:17:24:22
Why do we think that it does?

00:17:24:22 - 00:17:29:04
I think people hate colds, right?

00:17:29:04 - 00:17:30:03
Yes. I mean, we do.

00:17:30:03 - 00:17:31:05
So are we are we

00:17:31:05 - 00:17:33:05
are we willing to believe anything

00:17:33:05 - 00:17:34:00
that that will help?

00:17:34:00 - 00:17:34:05
Yeah.

00:17:34:05 - 00:17:37:05
We're looking for anything that seems

00:17:37:05 - 00:17:37:17
kind of

00:17:37:17 - 00:17:38:19
like a remedy. Yes.

00:17:38:19 - 00:17:41:19
That seems safe and natural.

00:17:41:19 - 00:17:43:19
And we would love to believe

00:17:43:19 - 00:17:45:14
that it makes us better.

00:17:45:14 - 00:17:48:23
So I think that that's the reason why

00:17:49:00 - 00:17:50:12
people want to reach for things,

00:17:50:12 - 00:17:52:13
but they've been studied garlic.

00:17:52:13 - 00:17:54:04
I mean, there's all sorts of things

00:17:54:04 - 00:17:55:02
that have been studied

00:17:55:02 - 00:17:56:06
because people believed

00:17:56:06 - 00:17:57:07
that they might actually

00:17:57:07 - 00:18:01:15
help. In terms of vitamin C, not helping.

00:18:01:15 - 00:18:04:18
Once you're sick, is there any merit

00:18:04:18 - 00:18:05:20
to taking vitamin C

00:18:05:20 - 00:18:08:10
to prevent from becoming sick?

00:18:08:10 - 00:18:08:19
You know,

00:18:08:19 - 00:18:09:21
these cold viruses

00:18:09:21 - 00:18:11:04
are very human adapted.

00:18:11:04 - 00:18:13:13
If it was so easy for us to eat

00:18:13:13 - 00:18:15:07
a little bit better and not have colds,

00:18:15:07 - 00:18:16:01
we would not have

00:18:16:01 - 00:18:17:11
colds in countries

00:18:17:11 - 00:18:20:03
that are fairly well endowed.

00:18:20:03 - 00:18:21:07
So the bottom line

00:18:21:07 - 00:18:23:10
is, the best way to prevent a cold

00:18:23:10 - 00:18:25:00
is the things that I mentioned

00:18:25:00 - 00:18:26:10
don't stand in the face of someone

00:18:26:10 - 00:18:27:07
coughing or sneezing.

00:18:27:07 - 00:18:29:03
Wear a mask if you have to be nearby.

00:18:29:03 - 00:18:30:03
Someone clean your hands

00:18:30:03 - 00:18:31:00
with alcohol, hand

00:18:31:00 - 00:18:31:23
gel and every now and then

00:18:31:23 - 00:18:34:11
have some disinfectant wipes to wipe down

00:18:34:11 - 00:18:36:13
high-touch surfaces that a bunch of people

00:18:36:13 - 00:18:37:02
before you

00:18:37:02 - 00:18:38:16
have been touching in the past day.

00:18:38:16 - 00:18:40:11
So so preloading on

00:18:40:11 - 00:18:41:05
something like vitamin C...

00:18:41:05 - 00:18:43:11
Is not going to help you. Wow, okay.

00:18:43:11 - 00:18:44:12
Being healthy

00:18:44:12 - 00:18:45:13
of course, is going to help you

00:18:45:13 - 00:18:46:15
if you're already worn out

00:18:46:15 - 00:18:48:04
and run down right. Yeah.

00:18:48:04 - 00:18:49:22
And more susceptible to anything.

00:18:49:22 - 00:18:51:09
That's not going to help you either.

00:18:51:09 - 00:18:53:11
But there is really no

00:18:53:11 - 00:18:54:22
kind of homeopathic thing

00:18:54:22 - 00:18:56:01
that you can swallow

00:18:56:01 - 00:18:57:14
that's going to make you into

00:18:57:14 - 00:18:59:14
an invincible person from a cold.

00:18:59:14 - 00:19:01:20
I work with someone who,

00:19:01:20 - 00:19:02:13
no matter what

00:19:02:13 - 00:19:05:01
the diagnosis is or whatever

00:19:05:01 - 00:19:06:02
the perceived illness

00:19:06:02 - 00:19:07:10
is, they always say,

00:19:07:10 - 00:19:09:00
you should go get a Z pack.

00:19:09:00 - 00:19:11:01
That's like the the default.

00:19:11:01 - 00:19:12:08
Like I'm going to fall back on

00:19:12:08 - 00:19:13:23
get as you should get a Z pack I have.

00:19:13:23 - 00:19:15:18
I'll call in a Z pack for you.

00:19:15:18 - 00:19:16:22
Where are we at on Z packs? Yeah.

00:19:16:22 - 00:19:17:18
So the first question is

00:19:17:18 - 00:19:18:18
what is a Z pack.

00:19:18:18 - 00:19:21:18
So a Z pack is an antibiotic.

00:19:21:19 - 00:19:23:13
It is called azithromycin.

00:19:23:13 - 00:19:24:18
And so like

00:19:24:18 - 00:19:27:05
like I mentioned the antibiotics

00:19:27:05 - 00:19:28:21
only work against bacteria.

00:19:28:21 - 00:19:31:12
They don't work against viruses.

00:19:31:12 - 00:19:33:19
Z pack is just a really nice catchy term

00:19:33:19 - 00:19:34:17
that people liked.

00:19:34:17 - 00:19:36:08
They can remember it.

00:19:36:08 - 00:19:37:05
Sounds fun,

00:19:37:05 - 00:19:39:11
seems easy, easy enough to get.

00:19:39:11 - 00:19:40:19
But again, it

00:19:40:19 - 00:19:42:10
there's a fair amount of resistance

00:19:42:10 - 00:19:43:22
to it out there because it's

00:19:43:22 - 00:19:46:02
been so widely used for bacteria.

00:19:46:02 - 00:19:47:05
And again,

00:19:47:05 - 00:19:49:00
you do not want to remove the chance

00:19:49:00 - 00:19:50:16
that you have a antibiotic

00:19:50:16 - 00:19:51:13
when you actually have

00:19:51:13 - 00:19:53:00
a bacterial infection.

00:19:53:00 - 00:19:54:17
So taking antibiotics

00:19:54:17 - 00:19:56:03
only when you need them

00:19:56:03 - 00:19:56:19
for the right

00:19:56:19 - 00:19:58:17
indication is the best way

00:19:58:17 - 00:19:59:22
to preserve your ability

00:19:59:22 - 00:20:00:23
to have antibiotics

00:20:00:23 - 00:20:02:00
for the rest of your life

00:20:02:00 - 00:20:03:22
that will protect you when they need to.

00:20:03:22 - 00:20:04:13
Stacey was saying

00:20:04:13 - 00:20:06:17
that her husband swears by a product

00:20:06:17 - 00:20:07:21
which you just saw,

00:20:07:21 - 00:20:11:18
and it seems like it's probably not not.

00:20:11:20 - 00:20:12:13
It's not the thing.

00:20:12:13 - 00:20:13:18
Not many things that are sold over

00:20:13:18 - 00:20:15:00
the counter are safe.

00:20:15:00 - 00:20:15:11
They're safe.

00:20:15:11 - 00:20:16:12
They're not harmful,

00:20:16:12 - 00:20:17:16
but they're not helpful.

00:20:17:16 - 00:20:19:09
And so it's important

00:20:19:09 - 00:20:19:21
just to know

00:20:19:21 - 00:20:21:23
before you shell out a lot of money

00:20:21:23 - 00:20:23:15
where the data really lie

00:20:23:15 - 00:20:26:22
and what is the what you know to be true

00:20:27:11 - 00:20:29:12
that people that doctors tell you.

00:20:29:12 - 00:20:30:13
Those are the things that will

00:20:30:13 - 00:20:31:10
actually prevent

00:20:31:10 - 00:20:33:00
a cold, help you get over

00:20:33:00 - 00:20:34:01
cold and keep

00:20:34:01 - 00:20:35:04
you safe for your vacation

00:20:35:04 - 00:20:35:18
and your party.

00:20:35:18 - 00:20:36:21
And see, the reason I wanted

00:20:36:21 - 00:20:37:20
this to be on camera

00:20:37:20 - 00:20:38:21
is because I guarantee

00:20:38:21 - 00:20:39:11
someone watching

00:20:39:11 - 00:20:40:23
this has someone like Stacey's

00:20:40:23 - 00:20:41:15
husband in their life

00:20:41:15 - 00:20:43:07
who swears by this one thing.

00:20:43:07 - 00:20:44:11
Oh, I just know this one thing.

00:20:44:11 - 00:20:46:12
I have a I have a hack, I have a trick.

00:20:46:12 - 00:20:48:04
But what you said,

00:20:49:04 - 00:20:50:05
it matters.

00:20:50:05 - 00:20:51:13
What you said is important.

00:20:51:13 - 00:20:52:18
Yeah, it's good to know the evidence.

00:20:52:18 - 00:20:54:13
Like I said, knowledge is power.

00:20:54:13 - 00:20:57:01
And we should be able to rely on it

00:20:57:01 - 00:20:58:01
to keep us safe.

00:20:58:01 - 00:20:59:04
And that's why you're a doctor

00:20:59:04 - 00:20:59:19
and we're not.

00:20:59:19 - 00:21:00:18
You mentioned echinacea.

00:21:00:18 - 00:21:01:03
That's.

00:21:01:03 - 00:21:02:17
That's nothing either.

00:21:02:17 - 00:21:03:12
It's nothing.

00:21:03:12 - 00:21:04:05
Study is saying

00:21:04:05 - 00:21:06:03
that it does not on balance.

00:21:06:03 - 00:21:07:09
It really doesn't do much.

00:21:07:09 - 00:21:10:09
But is it is there harm in taking it?

00:21:10:10 - 00:21:11:18
No, I don't think so.

00:21:11:18 - 00:21:14:04
Unless you took a huge dose of,

00:21:14:04 - 00:21:15:22
you know, tons of. Yes.

00:21:15:22 - 00:21:16:10
But just like

00:21:16:10 - 00:21:18:07
if that's a regular supplement.

00:21:18:07 - 00:21:20:02
The supplements aren't going to harm you.

00:21:20:02 - 00:21:21:00
They're just not going to

00:21:21:00 - 00:21:21:18
make you better.

00:21:21:18 - 00:21:23:11
And in general,

00:21:23:11 - 00:21:25:06
when you're feeling crummy with a cold,

00:21:25:06 - 00:21:25:23
what you really want,

00:21:25:23 - 00:21:27:05
you're not even hungry.

00:21:27:05 - 00:21:28:19
So taking a whole bunch of supplements

00:21:28:19 - 00:21:30:06
rather than hydrating

00:21:30:06 - 00:21:31:17
is not a great idea.

00:21:31:17 - 00:21:32:10
You probably want

00:21:32:10 - 00:21:33:23
to take what actually works

00:21:33:23 - 00:21:36:06
and be on your way.

00:21:36:06 - 00:21:38:09
You're probably gonna laugh at me. Does.

00:21:38:09 - 00:21:39:16
Is there any truth to like?

00:21:39:16 - 00:21:41:02
Chicken noodle soup?

00:21:41:02 - 00:21:43:15
Hydration? Absolutely. Really? Warmth?

00:21:43:15 - 00:21:44:02
Of course.

00:21:44:02 - 00:21:44:16
Like I said,

00:21:44:16 - 00:21:45:07
being cold

00:21:45:07 - 00:21:46:16
and shivering is not a good thing,

00:21:46:16 - 00:21:48:15
but hydration helps a lot.

00:21:48:15 - 00:21:49:23
So a lot of times

00:21:49:23 - 00:21:51:04
the cold virus is smart.

00:21:51:04 - 00:21:53:00
It makes us not want to eat or drink.

00:21:53:00 - 00:21:55:13
So then we actually end up being

00:21:55:13 - 00:21:56:15
nutrition down.

00:21:56:15 - 00:21:58:19
And so the best thing that we can do

00:21:58:19 - 00:22:01:02
is find something we want to take.

00:22:01:02 - 00:22:02:12
Something that's generally warm

00:22:02:12 - 00:22:03:19
and yummy will work.

00:22:03:19 - 00:22:05:15
So hydration is great.

00:22:05:15 - 00:22:07:08
Can you touch back on what you just said?

00:22:07:08 - 00:22:08:10
Because I think that kind of blew

00:22:08:10 - 00:22:08:17
my mind.

00:22:08:17 - 00:22:10:22
You said the cold virus is smart.

00:22:10:22 - 00:22:11:18
Yeah, well, it's

00:22:11:18 - 00:22:13:01
evolutionarily,

00:22:13:01 - 00:22:13:18
you know,

00:22:13:18 - 00:22:15:23
manufactured to make us miserable.

00:22:15:23 - 00:22:19:01
So it what its goal is, is once

00:22:19:01 - 00:22:20:09
it gets into our body,

00:22:20:09 - 00:22:23:06
it's to go, I'm going to do what I can.

00:22:23:06 - 00:22:24:03
To spread.

00:22:24:03 - 00:22:24:22
To and,

00:22:24:22 - 00:22:26:06
but to also

00:22:26:06 - 00:22:27:10
make you not do

00:22:27:10 - 00:22:29:01
the things that will kill me.

00:22:29:01 - 00:22:30:06
Well, we don't want

00:22:30:06 - 00:22:31:20
the virus, doesn't want you to die,

00:22:31:20 - 00:22:33:06
because then it can't spread.

00:22:33:06 - 00:22:34:09
So ideally,

00:22:34:09 - 00:22:35:09
if you're thinking about

00:22:35:09 - 00:22:36:21
if I'm a cold virus, the best way

00:22:36:21 - 00:22:38:20
that I'm going to make my mark in

00:22:38:20 - 00:22:39:08
the world

00:22:39:08 - 00:22:40:01
is I'm going

00:22:40:01 - 00:22:41:17
to make sure that you sneeze

00:22:41:17 - 00:22:43:02
as much as possible, cough.

00:22:43:02 - 00:22:44:13
As much as possible, and that.

00:22:44:13 - 00:22:45:02
Go right,

00:22:45:02 - 00:22:46:10
give as much secretions,

00:22:46:10 - 00:22:48:21
and do it for as long as possible.

00:22:48:21 - 00:22:50:10
And yeah,

00:22:50:10 - 00:22:51:11
and then put your stuff

00:22:51:11 - 00:22:53:12
everywhere on every chair, table

00:22:53:12 - 00:22:54:12
and everything

00:22:54:12 - 00:22:55:21
and I will be happy

00:22:55:21 - 00:22:57:22
because then I can spread to others

00:22:57:22 - 00:23:00:00
and my, my race lives on.

00:23:00:00 - 00:23:00:20
So okay,

00:23:00:20 - 00:23:02:06
now now we're getting into the weeds

00:23:02:06 - 00:23:03:10
and you can tell me

00:23:03:10 - 00:23:05:02
that you're done on this. But

00:23:06:06 - 00:23:07:10
once it goes to,

00:23:07:10 - 00:23:07:21
let's say I

00:23:07:21 - 00:23:08:13
pass it over here.

00:23:08:13 - 00:23:09:06
How does it

00:23:09:06 - 00:23:12:06
then mutate into another thing?

00:23:12:06 - 00:23:12:17
Does it

00:23:12:17 - 00:23:14:09
does it stay the same cold virus

00:23:14:09 - 00:23:15:08
if they're passing it on,

00:23:15:08 - 00:23:16:06
or does it go into them

00:23:16:06 - 00:23:17:11
and then become another kind of

00:23:17:11 - 00:23:18:13
cold virus? Yeah.

00:23:18:13 - 00:23:19:16
So it's a really good question.

00:23:19:16 - 00:23:20:12
We know a lot more

00:23:20:12 - 00:23:21:21
now that we have genomics.

00:23:21:21 - 00:23:23:22
So a lot of times we just didn't know.

00:23:23:22 - 00:23:24:09
We just knew

00:23:24:09 - 00:23:25:20
that you can develop immunity.

00:23:25:20 - 00:23:27:08
And then for a period of time

00:23:27:08 - 00:23:27:22
and whether or not

00:23:27:22 - 00:23:29:02
it mutated a little bit,

00:23:29:02 - 00:23:30:23
you still wouldn't get sick again.

00:23:30:23 - 00:23:32:02
We know now

00:23:32:02 - 00:23:33:19
because of the huge amount

00:23:33:19 - 00:23:35:22
of scientific advancement

00:23:35:22 - 00:23:37:00
that as you track

00:23:37:00 - 00:23:38:13
something like flu

00:23:38:13 - 00:23:40:20
or Covid, that it does mutate over time.

00:23:40:20 - 00:23:42:07
And that's how it kind of comes back

00:23:42:07 - 00:23:43:22
and gets you again.

00:23:43:22 - 00:23:46:00
So generally that's not going to happen

00:23:46:00 - 00:23:47:11
in the time scale. Okay.

00:23:47:11 - 00:23:49:01
That I'm giving it back to you. That makes sense.

00:23:49:01 - 00:23:49:16
and back to you.

00:23:49:16 - 00:23:50:16
If I'm going to go back to back

00:23:50:16 - 00:23:52:14
colds, it's a different cold.

00:23:52:14 - 00:23:52:20
You know,

00:23:52:20 - 00:23:54:03
when when you have a child

00:23:54:03 - 00:23:54:21
and you have a cold

00:23:54:21 - 00:23:55:14
and then all of a sudden

00:23:55:14 - 00:23:56:21
when we clear, you've got another one

00:23:56:21 - 00:23:58:16
that is not the same cold.

00:23:58:16 - 00:24:00:03
Okay, I get that.

00:24:00:03 - 00:24:01:05
Wow. That makes sense to me.

00:24:01:05 - 00:24:01:22
That's really good.

00:24:01:22 - 00:24:02:21
So why?

00:24:02:21 - 00:24:04:02
This might be another dumb question.

00:24:04:02 - 00:24:05:16
I'm so sorry, everyone.

00:24:05:16 - 00:24:07:13
Why can't we

00:24:07:13 - 00:24:08:09
get an antibiotic

00:24:08:09 - 00:24:09:11
or something to just, like,

00:24:09:11 - 00:24:10:13
cure the cold?

00:24:10:13 - 00:24:11:23
So antibiotics are meant to

00:24:11:23 - 00:24:13:17
kill bacteria. They do nothing.

00:24:13:17 - 00:24:15:01
Of course they are. I knew that.

00:24:15:01 - 00:24:17:00
Nothing for a cold virus.

00:24:17:00 - 00:24:17:19
And the way that,

00:24:17:19 - 00:24:18:19
you know, you have a cold virus

00:24:18:19 - 00:24:19:21
is that it's contagious.

00:24:19:21 - 00:24:21:13
You have a lot of people in your family,

00:24:21:13 - 00:24:22:18
a lot of people in the office,

00:24:22:18 - 00:24:23:14
people around you

00:24:23:14 - 00:24:24:16
that you interact with that are sick,

00:24:24:16 - 00:24:26:23
and then you got it. That is a virus.

00:24:26:23 - 00:24:29:11
Antibiotics are not going to help you.

00:24:29:11 - 00:24:30:12
But then why don't we?

00:24:30:12 - 00:24:32:21
Why can't we have something that kills

00:24:32:21 - 00:24:34:01
the cold? The cold?

00:24:34:01 - 00:24:35:11
Like why can we have a version of that

00:24:35:11 - 00:24:36:08
for this other thing?

00:24:36:08 - 00:24:36:14
Yeah.

00:24:36:14 - 00:24:39:14
So people have worked for their lifetime

00:24:39:14 - 00:24:41:05
trying to find antivirals.

00:24:41:05 - 00:24:42:14
We have antivirals

00:24:42:14 - 00:24:44:07
for some things like flu now.

00:24:44:07 - 00:24:44:19
Yeah, right.

00:24:44:19 - 00:24:45:23
Like Covid now

00:24:45:23 - 00:24:47:13
because people put investments

00:24:47:13 - 00:24:49:18
in research to actually find them.

00:24:49:18 - 00:24:51:08
There have been a long

00:24:51:08 - 00:24:53:20
standing experience of scientists

00:24:53:20 - 00:24:56:09
trying to find the answer to colds.

00:24:56:09 - 00:24:57:03
Remember, there's more

00:24:57:03 - 00:24:58:22
than a couple hundred of them.

00:24:58:22 - 00:25:01:05
So how do you find a universal cure

00:25:01:05 - 00:25:02:12
for the cold? Makes sense.

00:25:02:12 - 00:25:04:15
We really have not found that

00:25:04:15 - 00:25:05:15
magic bullet

00:25:05:15 - 00:25:07:18
that's going to take care of a good chunk

00:25:07:18 - 00:25:10:12
of the cold viruses to make us better.

00:25:10:12 - 00:25:12:21
So it's a pretty diverse

00:25:12:21 - 00:25:15:10
suite of viruses.

00:25:15:10 - 00:25:16:17
But the antibiotics,

00:25:16:17 - 00:25:18:04
which again, people reach for

00:25:18:04 - 00:25:19:19
because they want a magic bullet

00:25:19:19 - 00:25:21:10
to make them better,

00:25:21:10 - 00:25:24:15
and a lot of times they have a, a memory

00:25:24:16 - 00:25:24:23
like,

00:25:24:23 - 00:25:25:10
let's say that

00:25:25:10 - 00:25:27:16
I've been sick for 3 to 4 days.

00:25:27:16 - 00:25:28:05
The truth is,

00:25:28:05 - 00:25:30:20
a cold is going to abate by the next day.

00:25:30:20 - 00:25:31:18
Day five, day six.

00:25:31:18 - 00:25:33:15
Just think about how long a cold lasts.

00:25:33:15 - 00:25:34:20
I get so fed up

00:25:34:20 - 00:25:36:04
I go to the doctor on day four.

00:25:36:04 - 00:25:37:10
I get an antibiotic,

00:25:37:10 - 00:25:40:00
I swallow it on day five and wow,

00:25:40:00 - 00:25:41:13
I feel better.

00:25:41:13 - 00:25:43:22
And so there is this kind of false sense

00:25:43:22 - 00:25:45:08
that that was the reason

00:25:45:08 - 00:25:46:12
why things got better.

00:25:46:12 - 00:25:47:14
But scientifically,

00:25:47:14 - 00:25:49:05
there's no benefit

00:25:49:05 - 00:25:50:20
other than killing your good bacteria

00:25:50:20 - 00:25:51:10
in the gut,

00:25:51:10 - 00:25:52:20
selecting for resistant things.

00:25:52:20 - 00:25:53:10
And the next time

00:25:53:10 - 00:25:55:05
you get sick with a bacteria,

00:25:55:05 - 00:25:57:12
it might be a resistant form.

00:25:57:12 - 00:25:58:19
That is fascinating because.

00:25:58:19 - 00:26:00:00
Yeah, but but you're right.

00:26:00:00 - 00:26:01:00
By like day five, it's

00:26:01:00 - 00:26:02:00
that's just the cold running

00:26:02:00 - 00:26:02:17
its course. Yeah.

00:26:02:17 - 00:26:03:01
That's right.

00:26:03:01 - 00:26:04:05
It's not the thing you took.

00:26:04:05 - 00:26:05:09
And but by the time you went to

00:26:05:09 - 00:26:05:22
the doctor's,

00:26:05:22 - 00:26:07:19
got the antibiotics, convinced yourself

00:26:07:19 - 00:26:08:17
this is what you needed.

00:26:08:17 - 00:26:10:23
And now wow, you're feeling better. Yeah.

00:26:10:23 - 00:26:14:16
What is the worst thing we can do

00:26:14:17 - 00:26:16:05
for a cold? Or maybe.

00:26:16:05 - 00:26:17:12
And let me try to see if this is

00:26:17:12 - 00:26:18:16
the answer is based on

00:26:18:16 - 00:26:20:12
what you said it is to not rest.

00:26:20:12 - 00:26:21:17
Yeah, it's to run yourself ragged.

00:26:21:17 - 00:26:22:16
That's it. Right? Yeah.

00:26:22:16 - 00:26:23:10
That would be a

00:26:23:10 - 00:26:24:09
that will

00:26:24:09 - 00:26:26:17
prolong the cold and really prevent

00:26:26:17 - 00:26:28:07
you from getting better.

00:26:28:07 - 00:26:29:02
Going to work

00:26:29:02 - 00:26:30:17
is probably another horrible idea.

00:26:30:17 - 00:26:32:05
Well, actually,

00:26:32:05 - 00:26:33:22
you know, it's a pretty big deal

00:26:33:22 - 00:26:35:20
to tell people that they can't.

00:26:35:20 - 00:26:36:09
They have to

00:26:36:09 - 00:26:39:13
use their precious amount of sick days,

00:26:39:15 - 00:26:39:21
you know,

00:26:39:21 - 00:26:40:11
every single time

00:26:40:11 - 00:26:41:18
they have a little bit of a cold.

00:26:41:18 - 00:26:43:12
And so it's really important to

00:26:43:12 - 00:26:44:15
be practical.

00:26:44:15 - 00:26:45:11
The answer is that

00:26:45:11 - 00:26:48:01
if you're going to go to work mildly ill,

00:26:48:01 - 00:26:49:05
you really don't want to spread it

00:26:49:05 - 00:26:50:00
to the people around.

00:26:50:00 - 00:26:52:01
You want to be a good citizen. Yes.

00:26:52:01 - 00:26:53:21
You know, a good steward and a good person.

00:26:53:21 - 00:26:55:05
And so if you're going to do that,

00:26:55:05 - 00:26:57:02
you should know how to mask yourself.

00:26:57:02 - 00:26:58:09
You don't want to go to work.

00:26:58:09 - 00:26:59:19
If you have to take off your mask

00:26:59:19 - 00:27:00:11
and blow your nose

00:27:00:11 - 00:27:02:13
every 30 seconds, then you should stay home.

00:27:02:13 - 00:27:04:05
But if you are mildly coughing,

00:27:04:05 - 00:27:06:05
you're feeling well enough to work.

00:27:06:05 - 00:27:06:19
Then again,

00:27:06:19 - 00:27:07:22
you don't want to have lunch

00:27:07:22 - 00:27:09:01
with your friends.

00:27:09:01 - 00:27:09:23
You want to kind of

00:27:09:23 - 00:27:11:10
keep your stuff clean.

00:27:11:10 - 00:27:13:04
You want to make sure that you’re,

00:27:13:04 - 00:27:13:11
you know,

00:27:13:11 - 00:27:14:12
if you're touching something,

00:27:14:12 - 00:27:16:05
you're cleaning it for somebody else

00:27:16:05 - 00:27:16:21
and you're

00:27:16:21 - 00:27:18:09
keeping to yourself as much as you can,

00:27:18:09 - 00:27:19:16
but you can go to work.

00:27:19:16 - 00:27:20:09
Otherwise,

00:27:20:09 - 00:27:21:14
you would be burning through

00:27:21:14 - 00:27:23:02
a lot of sick days

00:27:23:02 - 00:27:24:13
for someone who has a young child

00:27:24:13 - 00:27:26:17
and getting sick all the time

00:27:26:17 - 00:27:28:00
because of a toddler.

00:27:28:00 - 00:27:30:10
I mean, if you think back, doctor,

00:27:30:10 - 00:27:31:08
like six years,

00:27:31:08 - 00:27:32:09
it was six years ago, probably

00:27:32:09 - 00:27:33:12
almost to the day where

00:27:33:12 - 00:27:34:22
where everything was shutting down.

00:27:34:22 - 00:27:35:04
Right?

00:27:35:04 - 00:27:37:07
It started, what, mid-March, late March. Yep.

00:27:37:07 - 00:27:38:12
Six years ago.

00:27:38:12 - 00:27:40:06
I think if you glass half full

00:27:40:06 - 00:27:41:14
what we went through at that pandemic,

00:27:41:14 - 00:27:43:07
it made us look at things

00:27:43:07 - 00:27:45:11
almost with a little more scrutiny,

00:27:45:11 - 00:27:45:15
right.

00:27:45:15 - 00:27:45:21
Where it's

00:27:45:21 - 00:27:46:09
almost like

00:27:46:09 - 00:27:49:21
if you saw someone with a mask in 2018,

00:27:49:21 - 00:27:51:16
2019 on a plane, you'd be like, whoa,

00:27:51:16 - 00:27:53:04
I am not sitting by that guy now.

00:27:53:04 - 00:27:54:12
It's looked at as almost kind of like,

00:27:54:12 - 00:27:57:05
oh, you're doing society a solid, right?

00:27:57:05 - 00:27:58:14
You're doing everyone a favor.

00:27:58:14 - 00:27:59:20
And I think that's a good thing

00:27:59:20 - 00:28:00:12
to come from that.

00:28:00:12 - 00:28:01:15
I think it's a great thing.

00:28:01:15 - 00:28:03:08
I think people need to.

00:28:03:08 - 00:28:05:04
We know how to wear a mask.

00:28:05:04 - 00:28:06:18
We should use it to our advantage

00:28:06:18 - 00:28:08:08
at the times that it's beneficial.

00:28:08:08 - 00:28:09:18
And if we're coming to work sick,

00:28:09:18 - 00:28:10:13
we should mask.

00:28:10:13 - 00:28:11:11
I mean, that's our

00:28:11:11 - 00:28:13:16
that is certainly our expectation

00:28:13:16 - 00:28:16:00
for what we call the working well policy

00:28:16:00 - 00:28:17:03
at UCI Health.

00:28:17:03 - 00:28:18:12
We expect if you're going to work

00:28:18:12 - 00:28:20:03
mildly ill, that you are masked.

00:28:20:03 - 00:28:21:10
Well in travel to.

00:28:21:10 - 00:28:21:19
And that's what

00:28:21:19 - 00:28:22:12
we're talking about right.

00:28:22:12 - 00:28:23:11
You don't want your someone

00:28:23:11 - 00:28:24:07
summer travel to be ruined.

00:28:24:07 - 00:28:25:19
Don't want to ruin it for someone else.

00:28:25:19 - 00:28:26:16
So it's that same

00:28:26:16 - 00:28:27:22
you apply that same working

00:28:27:22 - 00:28:29:18
well policy to to traveling.

00:28:29:18 - 00:28:30:19
Well yes. Yeah.

00:28:30:19 - 00:28:31:17
And being around your friends,

00:28:31:17 - 00:28:32:17
you don't want your friends

00:28:32:17 - 00:28:33:09
to all of a sudden

00:28:33:09 - 00:28:34:12
and not be able to go on their thing

00:28:34:12 - 00:28:36:07
because you chose not to, to clean

00:28:36:07 - 00:28:37:04
your hands.

00:28:37:04 - 00:28:41:20
Does the flu exist during the summer?

00:28:42:01 - 00:28:43:23
So unfortunately it does.

00:28:43:23 - 00:28:45:02
It does.

00:28:45:02 - 00:28:47:03
Flu is also year round.

00:28:47:03 - 00:28:48:21
It is just much more heavily

00:28:48:21 - 00:28:50:16
present in the winter.

00:28:50:16 - 00:28:52:13
But there have been very clear

00:28:52:13 - 00:28:56:02
reports of people in nursing homes and

00:28:56:10 - 00:28:57:10
and out in the community

00:28:57:10 - 00:28:58:23
who can pick up the flu

00:28:58:23 - 00:28:59:22
if someone has it,

00:28:59:22 - 00:29:00:20
especially the fact

00:29:00:20 - 00:29:02:23
that we are a one small world.

00:29:02:23 - 00:29:04:05
People are traveling

00:29:04:05 - 00:29:05:13
all around the world.

00:29:05:13 - 00:29:07:20
Our kind of quiet season

00:29:07:20 - 00:29:09:10
is a pretty big season

00:29:09:10 - 00:29:11:05
for the other hemisphere,

00:29:11:05 - 00:29:12:21
and so it just depends on

00:29:12:21 - 00:29:14:07
if it's their winter season

00:29:14:07 - 00:29:15:23
and they're coming to visit you then

00:29:15:23 - 00:29:17:12
and they're bringing you the cold virus.

00:29:17:12 - 00:29:18:07
Absolutely.

00:29:18:07 - 00:29:19:08
But even locally,

00:29:19:08 - 00:29:21:22
there is sporadic forms of flu.

00:29:21:22 - 00:29:23:08
It just kind of passes

00:29:23:08 - 00:29:25:12
a little slowly to fewer people,

00:29:25:12 - 00:29:27:11
but there's still a little bit of a

00:29:27:11 - 00:29:28:10
stream of it

00:29:28:10 - 00:29:30:06
that is happening year round.

00:29:30:06 - 00:29:31:05
And the good news is,

00:29:31:05 - 00:29:32:03
if you test for that,

00:29:32:03 - 00:29:32:17
there's something

00:29:32:17 - 00:29:35:04
that there is an antiviral for flu. See.

00:29:35:04 - 00:29:36:09
That can make you much

00:29:36:09 - 00:29:38:07
better, much faster.

00:29:38:07 - 00:29:38:15
Okay.

00:29:38:15 - 00:29:40:20
Let's talk about symptoms in particular.

00:29:40:20 - 00:29:43:08
Like let's say you have a fever

00:29:43:08 - 00:29:44:15
when you have it,

00:29:44:15 - 00:29:45:15
does that mean you're contagious?

00:29:45:15 - 00:29:47:03
And then when it's gone you're not.

00:29:47:03 - 00:29:50:02
So fever is a very natural response

00:29:50:02 - 00:29:51:18
to fight the infection. Right.

00:29:51:18 - 00:29:53:02
So by the time you have a fever,

00:29:53:02 - 00:29:54:19
yes, you're going to be pretty much

00:29:54:19 - 00:29:56:13
at the peak of your illness.

00:29:56:13 - 00:29:57:14
And you want to make sure

00:29:57:14 - 00:29:58:13
that you are not around

00:29:58:13 - 00:29:59:20
other people that you can give it to.

00:29:59:20 - 00:30:02:04
However, you are also very heavily

00:30:02:04 - 00:30:03:23
contagious before that fever occurs.

00:30:03:23 - 00:30:05:13
So one of the things that we know

00:30:05:13 - 00:30:07:08
is these viruses in our nose

00:30:07:08 - 00:30:08:00
and our mouth,

00:30:08:00 - 00:30:09:18
they are replicating at a very,

00:30:09:18 - 00:30:11:01
very fast pace.

00:30:11:01 - 00:30:12:17
And so when you first start to

00:30:12:17 - 00:30:14:06
have the sniffles,

00:30:14:06 - 00:30:15:13
you first start to have that,

00:30:15:13 - 00:30:17:23
that runny nose, the sneezing.

00:30:17:23 - 00:30:19:00
That is when you are

00:30:19:00 - 00:30:20:14
highly, highly contagious

00:30:20:14 - 00:30:22:04
at the very outset.

00:30:22:04 - 00:30:24:12
That beginning phase is a very,

00:30:24:12 - 00:30:26:04
very easy way to spread it

00:30:26:04 - 00:30:27:19
to, to other people.

00:30:27:19 - 00:30:29:14
So after the fever has passed,

00:30:29:14 - 00:30:32:07
generally, they say a day after, 24 hours

00:30:32:07 - 00:30:33:14
after the fever is gone.

00:30:33:14 - 00:30:36:12
You're pretty much in good containment,

00:30:36:12 - 00:30:37:21
and it doesn't mean that you're at zero.

00:30:37:21 - 00:30:39:17
So if you had a highly immunocompromised

00:30:39:17 - 00:30:41:01
individual around you,

00:30:41:01 - 00:30:42:12
you could still spread it to them.

00:30:42:12 - 00:30:44:15
But for the vast majority of humans,

00:30:44:15 - 00:30:46:22
you are well contained.

00:30:46:22 - 00:30:47:12
And that's why

00:30:47:12 - 00:30:48:18
they let you back into school

00:30:48:18 - 00:30:49:12
and they tell you it's

00:30:49:12 - 00:30:50:12
now you're usually feeling

00:30:50:12 - 00:30:52:03
well enough to come back to work.

00:30:52:03 - 00:30:54:23
But early colds, early flu,

00:30:54:23 - 00:30:56:08
all of those things.

00:30:56:08 - 00:30:58:01
You're pretty contagious. Okay.

00:30:58:01 - 00:30:59:12
We had speaking of fever,

00:30:59:12 - 00:31:00:22
had this debate in the studio

00:31:00:22 - 00:31:01:21
the other morning.

00:31:01:21 - 00:31:04:16
We were a studio divided two of us.

00:31:04:16 - 00:31:08:08
Like the the infrared gun thing.

00:31:08:09 - 00:31:09:12
What's a thermometer?

00:31:09:12 - 00:31:10:22
And then two of us are old school,

00:31:10:22 - 00:31:12:01
like the under the tongue.

00:31:12:01 - 00:31:13:01
What do you prefer?

00:31:13:01 - 00:31:14:06
You know, they there.

00:31:14:06 - 00:31:16:08
Used to be a difference between them.

00:31:16:08 - 00:31:17:17
The technology has gotten

00:31:17:17 - 00:31:20:04
so much better that they're quite good.

00:31:20:04 - 00:31:22:02
The infrared technology

00:31:22:02 - 00:31:23:07
now is really good

00:31:23:07 - 00:31:24:16
at being able to detect fever.

00:31:24:16 - 00:31:26:17
So if either shows fever,

00:31:26:17 - 00:31:28:15
you've got a fever. Okay.

00:31:28:15 - 00:31:29:18
All right.

00:31:29:18 - 00:31:30:23
Are you going on any trips

00:31:30:23 - 00:31:32:22
this summer? I am. Where?

00:31:32:22 - 00:31:34:21
I'm about to go on a cruise ship

00:31:34:21 - 00:31:38:03
to Norway, taking the parents. Okay. To Norway.

00:31:38:03 - 00:31:39:00
And yes,

00:31:39:00 - 00:31:40:19
I am bringing my special wipes

00:31:40:19 - 00:31:42:01
that will kill norovirus.

00:31:42:01 - 00:31:43:19
And I am absolutely going

00:31:43:19 - 00:31:45:11
to protect these 80 year

00:31:45:11 - 00:31:46:14
olds to the hilt

00:31:46:14 - 00:31:47:22
and make sure they have a good time.

00:31:47:22 - 00:31:49:10
Fantastic. Good.

00:31:49:10 - 00:31:51:09
Safe travels. Thank you. Healthy travels.

00:31:51:09 - 00:31:52:08
Yes, absolutely.

00:31:52:08 - 00:31:53:21
And if you missed any of it, rewind it.

00:31:53:21 - 00:31:54:03
Watch it.

00:31:54:03 - 00:31:54:23
This is all very important.

00:31:54:23 - 00:31:56:07
Doctor Huang, thank you so much.

00:31:56:07 - 00:31:57:06
Pleasure. Thank you, Ryan.