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Oct. 30, 2023

Aging Honestly: An Engaging Dialogue with Dr. William Choctaw

Aging Honestly: An Engaging Dialogue with Dr. William Choctaw

Are you prepared to age gracefully and stay vibrant in the second half of your life? Let's embark on a journey to understand the essence of aging. We'll uncover the eight types of aging and the minor and significant adjustments that could vastly impr...

Are you prepared to age gracefully and stay vibrant in the second half of your life? Let's embark on a journey to understand the essence of aging. We'll uncover the eight types of aging and the minor and significant adjustments that could vastly improve this process. Dr. Rosanne Leipzig, a specialist in geriatrics from the esteemed Mount Sinai School of Medicine, guides us through this intricate path. As the baby boomer generation transitions into the category of individuals aged 60 and over, this conversation becomes crucial.

How do we adapt to the physical and cognitive changes that accompany aging and provide the best support for our elders? By acknowledging the eight key distinctions between younger and older individuals. From the effects of illness and medication, energy reserves, cognitive speed, musculoskeletal flexibility, changes in vision and hearing, to fragmented sleep, we'll discuss ways to mitigate these shifts. As we conclude, we stress 'happy aging' and share fundamental principles that can lead us to age positively. Whether you are at the onset of aging or looking to assist those who are aging faster, this episode is a treasure trove of practical insights.

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The Host, Dr. William Choctaw; MD, JD, is a healthcare leadership expert, possessing a Medical Doctorate from the Yale University School of Medicine, and a Jurist Doctorate from Western University. Over a span of 50 years practicing medicine, he has served as Chief of Staff, Chief of Surgery, and as a member of the medical executive committee at Citrus Valley Medical Center over a 10 year period. Also, while practicing at Citrus Valley Medical Center, he served as Chief Transformation Officer, (developed a Robust Process Improvement/Lean Six Sigma program). Dr. Choctaw lectures nationally and internationally on medical leadership issues for hospital staffs, executives, and managers. He served as a Physician Surveyor on the Joint Commission. He's the author of 2 books, "Medical Malpractice: A Physician's Guide to the Law" and "Transforming the Patient Experience: A New Paradigm for Hospital and Physician Leadership, published by the Springer Publishing Co. He’s the President of Choctaw Medical Group, Inc., a clinical practice and medical legal consulting firm for medical staff executives, physician leaders, and hospitals.

Transcript
1 00:00:00,521 --> 00:00:02,444 Speaker 1: Welcome to the Healthy, wealthy and Wise 2 00:00:02,544 --> 00:00:08,102 podcast with Dr William Choctaw, mdjd. Our mission is to empower 3 00:00:08,102 --> 00:00:11,930 you with the knowledge and the tools you need to thrive in all 4 00:00:12,131 --> 00:00:16,225 aspects of your life. Join us now as we discuss everything 5 00:00:16,306 --> 00:00:19,862 from nutrition and exercise to money management and personal 6 00:00:19,882 --> 00:00:24,772 growth. Dr Choctaw will provide insightful advice on how to 7 00:00:24,814 --> 00:00:28,103 improve your physical and financial health, as well as 8 00:00:28,143 --> 00:00:31,501 your emotional and mental well-being. Whether you're 9 00:00:31,521 --> 00:00:35,976 looking to boost your energy levels, unlike financial freedom 10 00:00:35,976 --> 00:00:40,268 or cultivate a more positive mindset, we've got you covered. 11 00:00:41,899 --> 00:00:45,941 Get ready to become the best version of yourself, so let's 12 00:00:45,981 --> 00:00:50,368 get started. Here's Dr William Chokta, mdjd. 13 00:00:51,140 --> 00:00:55,149 Speaker 2: I'm Dr William Choctaw and I will be your host 14 00:00:55,289 --> 00:01:00,088 today. These podcasts are part of our Leadership Master Class 15 00:01:00,149 --> 00:01:04,989 series and each month, what we hope to do is we strive to 16 00:01:05,049 --> 00:01:09,061 provide you, with our listeners, with mental, physical and 17 00:01:09,100 --> 00:01:13,930 spiritual strength by giving action, advice, tips, guidance 18 00:01:14,090 --> 00:01:18,346 and information to help you achieve your own personal, 19 00:01:18,486 --> 00:01:24,424 professional and spiritual goals . We consider the health and the 20 00:01:24,424 --> 00:01:31,757 mind, body and spirit paramount as a single unit that provides 21 00:01:31,859 --> 00:01:36,368 a cumulative strength greater than the individual parts to 22 00:01:36,489 --> 00:01:42,125 strengthen the whole person. So sit back and go with us on 23 00:01:42,186 --> 00:01:48,725 another exciting journey. The title of our discussion today 24 00:01:48,926 --> 00:01:54,501 about podcasts today is Most people can wait to get the COVID 25 00:01:54,501 --> 00:02:00,769 booster. What to know about Eris, the latest coronavirus 26 00:02:00,829 --> 00:02:05,423 strain? Let me say that again. Most people who are vaccinated 27 00:02:05,983 --> 00:02:11,439 can wait to get their COVID booster shot this year. What you 28 00:02:11,439 --> 00:02:16,128 should know about the latest virus and the latest variant, 29 00:02:16,409 --> 00:02:23,860 eris E-R-I-S, and how it relates to the coronavirus today. I 30 00:02:23,920 --> 00:02:28,106 believe knowledge is power. I believe life is about service to 31 00:02:28,106 --> 00:02:33,281 others. I believe leaders can change the world. As an outline 32 00:02:33,421 --> 00:02:37,530 we always like to have for you, we're going to talk about the 33 00:02:37,689 --> 00:02:42,667 coronavirus COVID-19. When I say COVID-19 and coronavirus, I'm 34 00:02:42,807 --> 00:02:45,201 using those terms interchangeably. I don't want 35 00:02:45,222 --> 00:02:50,061 that to be confusing, or I may just call it the virus, each one 36 00:02:50,061 --> 00:02:53,352 of those titles. I'm talking about the coronavirus or 37 00:02:53,372 --> 00:02:58,520 COVID-19, or the virus that caused the pandemic. But as part 38 00:02:58,520 --> 00:03:01,592 of our, I remember going to talk about Dr Fauci and just 39 00:03:01,652 --> 00:03:06,328 give him his due for his outstanding work in this field 40 00:03:06,448 --> 00:03:09,705 for the last four years. We're going to give an overview of our 41 00:03:09,705 --> 00:03:13,715 COVID-19 pandemic and the Omicron variant specifically 42 00:03:13,879 --> 00:03:16,669 leading to the most recent variant that we're dealing with. 43 00:03:16,669 --> 00:03:24,413 We're going to define what Eris , e-r-i-s or E-G.5, the latest 44 00:03:24,594 --> 00:03:29,846 variant is and how it's similar and different from the original 45 00:03:29,966 --> 00:03:33,682 Omicron a couple of years ago. And we're going to talk about 46 00:03:33,703 --> 00:03:38,600 prevention and how we still need to do some basic things to make 47 00:03:38,600 --> 00:03:44,671 sure that we are healthy and able to continue on with our 48 00:03:44,812 --> 00:03:48,685 activity and that those that we come in contact with our family, 49 00:03:48,685 --> 00:03:53,143 friends and coworkers also remain healthy. This particular 50 00:03:53,163 --> 00:03:57,342 masterclass, as we deal with the COVID pandemic and this is the 51 00:03:57,383 --> 00:04:00,491 first time that we've dealt with the pandemic as a masterclass 52 00:04:01,020 --> 00:04:04,205 we have given many discussions and many lectures over the last 53 00:04:04,286 --> 00:04:09,905 four years, both in person and on Zoom, but we're primarily 54 00:04:09,944 --> 00:04:14,237 talking about the pandemic and bringing you up to date with a 55 00:04:14,618 --> 00:04:18,142 status report, if you will, and the good news to start off with 56 00:04:18,223 --> 00:04:22,560 is that most people in this country are vaccinated. Most 57 00:04:22,579 --> 00:04:26,242 people in this country are vaccinated. Yes, we still do 58 00:04:26,343 --> 00:04:31,012 have some anti-vaxxers who are not vaccinated, but fortunately 59 00:04:31,653 --> 00:04:35,901 they're in a smaller minority than they used to be, and that 60 00:04:35,980 --> 00:04:42,266 is good news both for us and for them. Let me just make a quick 61 00:04:42,367 --> 00:04:46,163 note about Dr Anthony Fauci. I think he is one of the most 62 00:04:46,264 --> 00:04:50,242 outstanding medical leaders in the world and I think he has 63 00:04:50,341 --> 00:04:55,572 exemplary proved himself in that respect about his work with the 64 00:04:55,572 --> 00:05:01,689 pandemic, with COVID-19, dating back from 2020 all the way to 65 00:05:02,071 --> 00:05:06,961 present day. I consider him the father of epidemiology and I 66 00:05:07,000 --> 00:05:10,382 think he's an extraordinary leader. And because much of 67 00:05:10,442 --> 00:05:13,930 these podcasts are about leadership, I think Dr Anthony 68 00:05:13,990 --> 00:05:17,904 Fauci exemplifies that extraordinary leadership that we 69 00:05:17,904 --> 00:05:22,221 all should strive to be. He is a tireless worker, he is 70 00:05:22,321 --> 00:05:26,545 committed to helping others and I think he's done an 71 00:05:26,605 --> 00:05:30,358 extraordinary service not only to this country but to the 72 00:05:30,379 --> 00:05:36,302 entire world. So kudos to you, dr Fauci. When we think about a 73 00:05:36,343 --> 00:05:40,232 virus and I don't want to get into too much detail basically 74 00:05:40,519 --> 00:05:45,661 we humans are made up of cells C-E-L-L. Think of a cell as a 75 00:05:45,762 --> 00:05:50,391 round organism that carries out certain functions on the inside, 76 00:05:50,391 --> 00:05:54,704 and we actually are composed of billions of cells throughout 77 00:05:54,841 --> 00:05:59,367 our body that operate in an extraordinary accuracy and an 78 00:05:59,468 --> 00:06:03,487 extraordinary manner, and it keeps all of the functions 79 00:06:04,130 --> 00:06:07,622 moving as they should so that we can do the things we need to do 80 00:06:07,622 --> 00:06:14,273 . What happens, though, is that if that cell is attacked by, say 81 00:06:14,273 --> 00:06:19,865 , a virus, and a cell is one particular size, a virus is much 82 00:06:19,865 --> 00:06:24,783 smaller than the cell itself, and one of the ways that the 83 00:06:25,125 --> 00:06:31,139 COVID-19 virus again the coronavirus attacks our cells is 84 00:06:31,139 --> 00:06:35,302 through a spike that's on the cell. A spike is just something 85 00:06:35,324 --> 00:06:38,641 that sticks out from the cell wall, and the virus is able to 86 00:06:38,701 --> 00:06:44,692 attach that spike, insert its genetic material into the cell 87 00:06:45,279 --> 00:06:50,543 and then change the character of that cell itself. So a lot of 88 00:06:50,642 --> 00:06:56,273 the treatment, ie the vaccines that have been developed to kill 89 00:06:56,273 --> 00:07:00,607 the virus or at least to neutralize the virus, deal with 90 00:07:01,468 --> 00:07:06,283 issues to prevent the virus from being able to either attach to 91 00:07:06,322 --> 00:07:11,151 the cell the normal cell, or to insert its genetic material into 92 00:07:11,151 --> 00:07:14,887 that normal cell. If the virus cannot do that, it will 93 00:07:15,069 --> 00:07:18,701 ultimately die. And again, keep in mind and I just want you to 94 00:07:18,721 --> 00:07:21,793 remember something real basic the whole purpose of the virus 95 00:07:21,973 --> 00:07:25,786 is to feed. The virus wants to eat, it wants to live, it wants 96 00:07:25,805 --> 00:07:30,519 to survive. It does that by feeding on human cells, and so 97 00:07:30,560 --> 00:07:34,848 what we want to do is not be the source of food for the virus, 98 00:07:35,408 --> 00:07:39,783 because during that process of feeding on humans, it also ends 99 00:07:39,944 --> 00:07:45,052 up killing us, and so, for us to survive, the virus must be 100 00:07:45,093 --> 00:07:48,485 destroyed. To show the damage that has occurred with the 101 00:07:48,565 --> 00:07:53,442 coronavirus pandemic, over the last four years, mortality or 102 00:07:53,521 --> 00:07:59,052 deaths from the virus has significantly moved up as number 103 00:07:59,052 --> 00:08:03,769 two on the list of the most common causes of deaths for 104 00:08:03,869 --> 00:08:08,040 humans. Presently in this country, the first cause is 105 00:08:08,180 --> 00:08:11,853 heart disease. Then it used to be cancer going all the way down 106 00:08:11,853 --> 00:08:15,805 to kidney disease. Now it's heart disease, covid-19 107 00:08:16,225 --> 00:08:20,192 coronavirus cancer, going all the way down to kidney disease. 108 00:08:20,680 --> 00:08:23,487 It just gives you an idea and puts in perspective the number 109 00:08:23,528 --> 00:08:27,064 of people who are no longer with us as a result of this virus, 110 00:08:27,124 --> 00:08:31,601 and it just makes us even more determined and more committed to 111 00:08:31,601 --> 00:08:37,563 take care of ourselves and also take care of others. One of the 112 00:08:37,563 --> 00:08:42,312 things that's unique about a virus, or that's challenging 113 00:08:42,351 --> 00:08:46,003 about a virus, is that viruses change. They can change their 114 00:08:46,083 --> 00:08:50,173 structure, they can change the way they operate, and that 115 00:08:50,253 --> 00:08:55,048 really helps them to survive. To put it another way, that makes 116 00:08:55,128 --> 00:09:00,001 it difficult for us to create vaccines or other types of 117 00:09:00,042 --> 00:09:03,993 medications to either destroy the virus or neutralize the 118 00:09:04,033 --> 00:09:08,586 virus, and one of the ways that it can do that is that it has 119 00:09:08,625 --> 00:09:14,019 the ability to change to what we call mutate, to actually change 120 00:09:14,019 --> 00:09:18,248 its form and function. And so I will use a number of other 121 00:09:18,307 --> 00:09:23,663 terms like variant. Variant is the same thing that I will say 122 00:09:23,744 --> 00:09:28,033 when I'm talking about a change. When a virus changes, it then 123 00:09:28,092 --> 00:09:32,587 becomes a variant of its original cell. Another term that 124 00:09:32,587 --> 00:09:36,381 means the same thing is change is mutation. When a virus 125 00:09:36,522 --> 00:09:41,530 mutates, that means the virus changes Again, make it easier 126 00:09:41,611 --> 00:09:46,086 for it to survive and make it more difficult for it to be 127 00:09:46,125 --> 00:09:50,520 destroyed by medication or other types of methods. So keep that 128 00:09:50,581 --> 00:09:54,688 in mind. So remember that the coronavirus, or the pandemic, 129 00:09:54,828 --> 00:10:01,506 began roughly early 2020. Okay, we're now in 2023. So we're in 130 00:10:01,527 --> 00:10:05,960 the fourth year. Back when the virus first started, it was a 131 00:10:06,080 --> 00:10:12,590 certain way structurally and physiologically, but that virus 132 00:10:12,811 --> 00:10:18,283 of 2020 has significantly changed by the time we get to 133 00:10:18,423 --> 00:10:24,418 now in 2023. And it's changed in function and it's changed in 134 00:10:24,479 --> 00:10:28,288 structure. One of those changes, so one of those variants. So 135 00:10:28,368 --> 00:10:32,322 one of those mutations, if you will, is a mutation called 136 00:10:32,543 --> 00:10:38,575 Omicron. Now, these mutations are all part of the Greek 137 00:10:38,715 --> 00:10:43,384 alphabet. Omicron is one of the big changes, the big variations, 138 00:10:43,384 --> 00:10:50,301 the big mutations of the COVID-19 virus of 2020, the 139 00:10:50,360 --> 00:10:54,475 pandemic virus and Omicron virus had a number of different 140 00:10:54,517 --> 00:10:57,283 changes and a number of different mutations that made it 141 00:10:57,283 --> 00:11:00,130 particularly stand out throughout the world. Remember, 142 00:11:00,171 --> 00:11:04,827 pandemic is an infection of the entire world and the Omicron was 143 00:11:04,827 --> 00:11:09,864 particularly frustrating and it indeed spurned a lot of 144 00:11:09,945 --> 00:11:14,797 different changes and mutations and variants, if you will. So 145 00:11:14,876 --> 00:11:21,133 we're still dealing with some of the variants of Omicron. So one 146 00:11:21,133 --> 00:11:24,280 of the various variants that we're dealing with the most 147 00:11:24,380 --> 00:11:30,330 recent one that we're dealing with in 2023, is a variant 148 00:11:30,629 --> 00:11:37,292 called Eris, e-r-i-s. Again, eris is a name for and I'm not 149 00:11:37,331 --> 00:11:40,061 sure where all these names come from, but it's the name of a 150 00:11:40,140 --> 00:11:44,490 Greek goddess, and this was the goddess of discord, like it's an 151 00:11:44,490 --> 00:11:47,784 appropriate name, and so that's the name of the most recent 152 00:11:48,405 --> 00:11:54,282 variant, or strain, if you will, or mutation, if you will, of 153 00:11:54,302 --> 00:11:58,109 the COVID-19 virus. So we're going to talk about the most 154 00:11:58,229 --> 00:12:03,024 recent mutation change, a variant of the COVID-19 virus, 155 00:12:03,625 --> 00:12:08,058 and this recent mutation is called Eris, and one of the ways 156 00:12:08,058 --> 00:12:11,730 we're going to do this to make it simpler and easier to 157 00:12:11,809 --> 00:12:15,321 understand, is I'm going to do it in terms of first asking a 158 00:12:15,360 --> 00:12:19,416 question and then answering the question to try to add even more 159 00:12:19,416 --> 00:12:22,144 clarity. I realize that everybody may not be into the 160 00:12:22,184 --> 00:12:26,980 science and the biochemistry et cetera, but it is important and 161 00:12:27,000 --> 00:12:29,892 knowledge is power, and the more you understand about this, the 162 00:12:29,932 --> 00:12:33,265 more you could appreciate the importance of having to do the 163 00:12:33,306 --> 00:12:37,861 things you need to do. So let's look at the first question how 164 00:12:37,923 --> 00:12:43,157 prevalent is Eris? Another word for it, name for Eris is EG.5, 165 00:12:43,236 --> 00:12:47,225 but we'll call it Eris. That's easy to remember. How prevalent 166 00:12:47,566 --> 00:12:53,302 is Eris, the latest coronavirus sub variant? How common is it? 167 00:12:53,363 --> 00:12:57,977 How big is it? How much impact does it have? Actually, about 168 00:12:58,038 --> 00:13:04,465 20% of the new cases in August of this year 2023, are felt to 169 00:13:04,636 --> 00:13:09,506 be caused by Eris, and this is the last two weeks of August, 170 00:13:09,527 --> 00:13:12,759 the last two to three weeks of August. And why that's important 171 00:13:12,759 --> 00:13:15,104 is that we've noticed that during the month of August of 172 00:13:15,124 --> 00:13:22,363 2023, the number of cases of coronavirus are beginning to 173 00:13:22,503 --> 00:13:26,518 increase, are beginning to increase, and of those cases 174 00:13:26,538 --> 00:13:30,422 that are beginning to increase, eris, the most recent variant, 175 00:13:31,101 --> 00:13:37,850 is dominant, but it's about 20% of cases. Another question how 176 00:13:37,970 --> 00:13:41,738 is eras different from other recent coronavirus strains? 177 00:13:43,346 --> 00:13:48,062 Actually, eras is quite similar to the other coronavirus strains 178 00:13:48,062 --> 00:13:50,469 and there have been a lot of them over the last four years, 179 00:13:50,970 --> 00:13:53,998 and that's a good thing. And the reason why that's a good thing 180 00:13:54,325 --> 00:14:00,215 is it makes the ability of the scientists to develop a vaccine 181 00:14:00,716 --> 00:14:07,092 that will kill or paralyze eras more likely, because it is not 182 00:14:07,192 --> 00:14:09,977 too different. It does not appear to be at present too 183 00:14:10,057 --> 00:14:14,251 different than the other variants of mutations that we've 184 00:14:14,251 --> 00:14:20,245 had of the coronavirus. We're more likely than not that we're 185 00:14:20,285 --> 00:14:24,855 more optimistic about being able to come up with a vaccine that 186 00:14:24,914 --> 00:14:28,894 can protect us against the horrible parts of this 187 00:14:28,953 --> 00:14:32,004 particular mutation of the coronavirus, and we'll talk 188 00:14:32,184 --> 00:14:36,875 about this a little later. Now there are other variants that 189 00:14:36,914 --> 00:14:39,927 have come along other than Omicron, but most of them have 190 00:14:39,989 --> 00:14:44,322 not been as large nor have they been as impactful as Omicron. 191 00:14:44,563 --> 00:14:47,070 And some of these other variants have been alpha, they've been 192 00:14:47,110 --> 00:14:51,366 delta, and again, the greek alphabets are used to designate 193 00:14:51,388 --> 00:14:55,240 the various variants and most of them have no longer around now, 194 00:14:55,240 --> 00:14:59,352 again, over the last four years , and the original form of the 195 00:14:59,393 --> 00:15:03,684 coronavirus is no longer around now. So we're living with the 196 00:15:03,845 --> 00:15:08,953 mutations, if you will, the variants of the original virus 197 00:15:08,974 --> 00:15:15,169 in 2020 or December of 2019. Okay, so that's why this whole 198 00:15:15,269 --> 00:15:19,322 issue is so important. The Center for Disease Control, the 199 00:15:19,361 --> 00:15:23,951 CDC, which is out of Atlanta, georgia, is responsible for 200 00:15:24,451 --> 00:15:30,225 policy and guidelines and rules and regulations about how to 201 00:15:30,306 --> 00:15:33,977 protect ourselves, both individually and collectively, 202 00:15:34,499 --> 00:15:37,610 and the CDC does a number of things. Many times, in my 203 00:15:37,669 --> 00:15:40,299 judgment, it does not get credit for all the work that it does, 204 00:15:40,760 --> 00:15:44,011 but it has thousands of individuals who work endlessly 205 00:15:44,072 --> 00:15:48,485 and tirelessly to keep us safe and we owe them a huge debt of 206 00:15:48,644 --> 00:15:52,052 gratitude. And therefore, specific things that the CDC 207 00:15:52,092 --> 00:15:56,688 does. One, it does the very detailed detection or detection 208 00:15:56,769 --> 00:16:00,576 processes of variants. And again , as we said, this is what 209 00:16:00,616 --> 00:16:05,311 viruses do they mutate, they change, they grow, if you will, 210 00:16:05,672 --> 00:16:10,426 to a different form to try to avoid destruction. And one of 211 00:16:10,466 --> 00:16:14,715 the things that the CDC does is it's on top, and has been for a 212 00:16:14,735 --> 00:16:19,552 long time on top, of the growth of these new barriers to make 213 00:16:19,633 --> 00:16:23,245 sure that we can destroy them as soon as possible. The other 214 00:16:23,285 --> 00:16:26,993 thing the CDC does is it provides guidelines to slow the 215 00:16:27,013 --> 00:16:32,192 spread of international travel. I'm sure you're aware that one 216 00:16:32,232 --> 00:16:36,144 of the main sources of contamination, if you will and 217 00:16:36,164 --> 00:16:41,418 I'm someone whose fly has flown quite frequently is flying from 218 00:16:41,900 --> 00:16:45,549 one country to another, flying from one city to another Both 219 00:16:45,590 --> 00:16:48,957 just the process of being on an airplane with a lot of people in 220 00:16:48,957 --> 00:16:53,333 small space, which itself is problematic, and also going from 221 00:16:53,333 --> 00:16:57,087 one environment to another environment. Many times, if one 222 00:16:57,469 --> 00:17:00,515 becomes contaminated and then you go back to another place, 223 00:17:00,897 --> 00:17:04,576 then you theoretically can become a carrier, and so it's 224 00:17:04,615 --> 00:17:07,768 one of the things we need to be aware of, and the CDC is very 225 00:17:07,828 --> 00:17:11,599 good at helping us with that. It's also very good at 226 00:17:11,640 --> 00:17:14,949 partnering with various state and local government agencies to 227 00:17:14,949 --> 00:17:18,997 slow the spread of viruses and, finally, it's very good in 228 00:17:19,037 --> 00:17:23,213 terms of support and providing smart, intelligent, 229 00:17:23,695 --> 00:17:27,967 scientifically based information about ways that we can protect 230 00:17:28,086 --> 00:17:31,635 ourselves individually. I think we're very fortunate and very 231 00:17:31,675 --> 00:17:35,512 blessed to have an organization like the CDC working with us. 232 00:17:36,875 --> 00:17:40,967 Another question is ARIS, again the most recent variant for the 233 00:17:40,987 --> 00:17:45,880 coronavirus, contributing to an uptick in COVID-19 234 00:17:45,941 --> 00:17:50,018 hospitalizations? And the answer to that question is yes. What 235 00:17:50,103 --> 00:17:53,819 are the ways we know that the coronavirus is still active and 236 00:17:53,984 --> 00:17:58,173 whatever form it may be? Is that we start seeing an increase in 237 00:17:58,214 --> 00:18:01,791 the number of hospitalizations, people who get sick, and they 238 00:18:01,832 --> 00:18:04,805 get so sick that they cannot stay at home. They have to go to 239 00:18:04,805 --> 00:18:07,770 the hospital and obviously these are the individuals who 240 00:18:07,810 --> 00:18:13,708 are at the greatest risk for serious damage and or death. But 241 00:18:13,708 --> 00:18:16,273 one of the things that's important is that, even though 242 00:18:17,035 --> 00:18:23,573 the most recent mutation, aris, has caused an increase, it's 243 00:18:23,633 --> 00:18:27,266 only been a 14% increase in the hospitalization and again, 244 00:18:27,346 --> 00:18:30,753 everything is relative. But a year or two or three years ago 245 00:18:30,795 --> 00:18:34,430 we were looking at huge increases in hospitalization on 246 00:18:34,490 --> 00:18:38,558 a monthly basis. So even though it's beginning to tick up a bit, 247 00:18:38,558 --> 00:18:43,974 it's not increasing as much as we normally would see or have 248 00:18:44,035 --> 00:18:48,971 seen in the past with this particular virus. So one of my 249 00:18:49,010 --> 00:18:53,198 sense specific what I'm saying is the coronavirus is still with 250 00:18:53,198 --> 00:18:57,333 us, the variant is still operational. The variant is 251 00:18:57,413 --> 00:19:00,767 causing an increase in hospitalization, but it does not 252 00:19:00,767 --> 00:19:06,901 appear to be as serious or as dramatic an increase in 253 00:19:06,941 --> 00:19:10,749 hospitalization, as large an increase in hospitalization as 254 00:19:11,230 --> 00:19:14,896 three or four years ago, and that's a good thing. We know 255 00:19:15,337 --> 00:19:19,776 that frequently, trend-wise, that there tends to be an uptick 256 00:19:19,776 --> 00:19:25,111 in coronavirus infections in the summertime. Some have 257 00:19:25,131 --> 00:19:28,561 theorized that that's because many individuals most of us 258 00:19:28,622 --> 00:19:31,930 travel more in the summertime to kids out of school or we take 259 00:19:32,009 --> 00:19:36,145 vacation more in the summertime to foreign countries, different 260 00:19:36,185 --> 00:19:40,920 states, et cetera, and that sort of causes there to be an 261 00:19:41,039 --> 00:19:44,409 increase. Nevertheless, we do know that this happens and it 262 00:19:44,429 --> 00:19:47,925 tends to happen every summer. The good news is so far and 263 00:19:47,965 --> 00:19:51,478 we're in summer right now is that the increase has not been 264 00:19:51,557 --> 00:19:56,576 as large as it has been due in other summers so far. Does 265 00:19:56,718 --> 00:20:01,199 heiress, this most recent variant, cause symptoms that are 266 00:20:01,199 --> 00:20:05,616 different from other coronavirus subvariants? The 267 00:20:05,656 --> 00:20:09,499 good news is no, it does not, that the symptoms are very 268 00:20:09,598 --> 00:20:14,441 similar to what the coronavirus has created before. Why that's 269 00:20:14,500 --> 00:20:19,285 good is that it helps us to identify and make a diagnosis 270 00:20:19,365 --> 00:20:22,496 much faster. I'm sure you remember the symptoms, whether 271 00:20:22,516 --> 00:20:25,395 you've had it or seen individuals who've had it, but 272 00:20:25,435 --> 00:20:28,565 the very severe symptoms or the most common symptoms tend to be 273 00:20:28,664 --> 00:20:35,481 fever, fatigue and a dry cough. In general, most individuals who 274 00:20:35,481 --> 00:20:40,941 become infected with COVID-19, regardless of the variant or the 275 00:20:40,941 --> 00:20:45,624 mutation at the time tend to have mild symptoms in general. 276 00:20:46,355 --> 00:20:49,825 Again, that's probably because the majority of individuals in 277 00:20:49,904 --> 00:20:54,596 our country have received the vaccination and that makes it 278 00:20:54,757 --> 00:20:58,184 easier for them not to get as ill or to have a little more 279 00:20:58,244 --> 00:21:02,397 protection on board if they're exposed to the virus. About 80 280 00:21:02,417 --> 00:21:06,557 percent tend to have mild symptoms in general, 13 percent 281 00:21:06,598 --> 00:21:11,864 tend to have severe symptoms and 6 percent tend to have critical 282 00:21:11,864 --> 00:21:15,303 symptoms. Now, another reason for those variations in symptoms 283 00:21:15,303 --> 00:21:19,825 tends to be the status, the medical status of the individual 284 00:21:19,825 --> 00:21:23,683 . If you have preexisting medical conditions like diabetes 285 00:21:23,683 --> 00:21:28,499 , heart disease, obesity, etc. Etc. Then that increases your 286 00:21:28,578 --> 00:21:32,900 risk of having more critical symptoms. Likewise, if you're in 287 00:21:32,900 --> 00:21:37,416 the extremes of age if you're a baby or a young child, ask, and 288 00:21:37,416 --> 00:21:42,378 someone who's over 60 years of age you too are more susceptible 289 00:21:42,378 --> 00:21:47,419 to having the more serious symptoms. As we think about 290 00:21:47,680 --> 00:21:51,657 COVID-19 and the more common symptoms of fever, fatigue and 291 00:21:51,698 --> 00:21:55,301 dry cough, let's not forget that it also causes some 292 00:21:55,342 --> 00:21:58,580 gastrointestinal symptoms. There's not a lot of discussion 293 00:21:58,621 --> 00:22:02,364 about that, but a lot of patients have problems with 294 00:22:02,443 --> 00:22:08,478 stomach pains, diarrhea, cramps, etc. Etc. Let's keep that in 295 00:22:08,518 --> 00:22:12,518 mind as we look at the symptomatology. As we prepare 296 00:22:13,298 --> 00:22:19,237 for our scheduled vaccines and vaccinations for this year, most 297 00:22:19,237 --> 00:22:21,984 of us who've been vaccinated are now just getting booster 298 00:22:22,025 --> 00:22:25,218 shots, because we've already been vaccinated. Now we're 299 00:22:25,258 --> 00:22:27,657 getting the booster shot, and the purpose of the booster shot 300 00:22:27,979 --> 00:22:32,617 is to keep our immunization level high. The higher our 301 00:22:32,718 --> 00:22:37,082 immunization level is, the more protected we are from the things 302 00:22:37,082 --> 00:22:39,978 that the virus is trying to do to us, particularly the most 303 00:22:40,138 --> 00:22:45,817 recent variant of the virus, aris E-R-I-S. What we're 304 00:22:45,876 --> 00:22:51,397 learning is that there are three basic viruses that usually we 305 00:22:51,438 --> 00:22:55,078 have to deal with now in the wintertime. Viruses usually 306 00:22:55,118 --> 00:22:59,799 become more infectious in the wintertime. Winter is January, 307 00:22:59,839 --> 00:23:03,682 february, march and sometimes in the fall, october, november, 308 00:23:03,743 --> 00:23:08,759 december. Right now we're in August. One of the points that 309 00:23:08,798 --> 00:23:12,215 we want to make with this particular presentation is that 310 00:23:12,395 --> 00:23:16,778 if you already have your, you've already been vaccinated and 311 00:23:16,798 --> 00:23:20,200 you've already had your current booster. Now you're thinking 312 00:23:20,240 --> 00:23:25,476 about what about my booster for to get me prepared for 2024? One 313 00:23:25,476 --> 00:23:28,143 of the points we want to make is that a number of very 314 00:23:28,182 --> 00:23:32,945 scholarly professors who are experts on COVID-19 are saying 315 00:23:33,194 --> 00:23:37,805 or have said that you don't have to get the booster this week or 316 00:23:37,805 --> 00:23:43,082 next week. Okay, that you can wait and get the booster in mid 317 00:23:43,643 --> 00:23:48,259 to late September or in October Because, remember, the booster 318 00:23:48,298 --> 00:23:54,521 shots are most protective of us two to three months after we get 319 00:23:54,521 --> 00:23:59,125 the shot. So what we want is we want maximum protection at the 320 00:23:59,165 --> 00:24:02,676 beginning or doing particularly those one a month. That's why 321 00:24:03,097 --> 00:24:06,797 that most vaccinations are given in the fall, because we're 322 00:24:06,817 --> 00:24:10,546 preparing for winter, when the virus is going to be most active 323 00:24:10,546 --> 00:24:14,376 and we're going to be most susceptible. So one of the 324 00:24:14,417 --> 00:24:17,961 points we want to make is and most people don't like shots 325 00:24:18,434 --> 00:24:21,695 that you don't have to get it this week or next week, but you 326 00:24:21,756 --> 00:24:25,675 do want to get your booster shot September, october to get the 327 00:24:25,777 --> 00:24:30,240 maximum protection for the winter months December, january, 328 00:24:30,240 --> 00:24:34,141 february, march. There is no question that of the last four 329 00:24:34,201 --> 00:24:37,277 years, that we've all been traumatized both mentally, 330 00:24:37,377 --> 00:24:42,138 physically and spiritually by this pandemic and I take no 331 00:24:42,179 --> 00:24:45,895 pleasure in saying this but that the virus is still with us. It 332 00:24:45,976 --> 00:24:51,064 is not gone. It is less, it is more controlled, but it is not 333 00:24:51,163 --> 00:24:56,365 gone completely. And again we're entering into those the time of 334 00:24:56,365 --> 00:25:00,063 the year where it is most rampant and it is most 335 00:25:00,262 --> 00:25:04,299 destructive. So just keep that in mind, and my purpose for 336 00:25:04,319 --> 00:25:07,702 saying that is do those basic things that we all know that we 337 00:25:07,742 --> 00:25:11,902 should do Wash our hands, be careful in closed spaces with a 338 00:25:11,942 --> 00:25:16,175 lot of people and wear your mask . I'm one of those folks. I 339 00:25:16,215 --> 00:25:21,502 carry my mask with me and I tell my patients and others wear 340 00:25:21,542 --> 00:25:25,340 your mask probably, put your shoulders back in your head up 341 00:25:25,401 --> 00:25:28,280 and wear it probably, because not only are you protecting 342 00:25:28,320 --> 00:25:31,195 yourself, you're protecting those around you, whether 343 00:25:31,236 --> 00:25:34,799 they're able to appreciate that or not. One of the things that's 344 00:25:34,799 --> 00:25:38,080 occurred, starting in the last two or three years with the 345 00:25:38,482 --> 00:25:41,858 President administration in Washington, is that we now have 346 00:25:41,979 --> 00:25:45,598 testing kits that are home kits, and so you can test yourself if 347 00:25:45,598 --> 00:25:49,135 you have a question about it and send in the results, and you 348 00:25:49,135 --> 00:25:53,125 can get those results validated by retest or take an additional 349 00:25:53,125 --> 00:25:57,810 test at the hospital or at your physician's office. It's 350 00:25:57,871 --> 00:26:02,118 important to keep in mind that this virus that we have, the 351 00:26:02,660 --> 00:26:07,839 COVID-19 virus, will mutate every single year. All viruses 352 00:26:07,920 --> 00:26:10,671 mutate every single year. Think about the flu virus, and that's 353 00:26:10,711 --> 00:26:13,577 probably the one that we're most familiar with. Every single 354 00:26:13,617 --> 00:26:16,953 year, we take a flu shot and the reason we take that flu shot. 355 00:26:16,993 --> 00:26:20,321 We usually take it in the fall September, october, november, 356 00:26:20,609 --> 00:26:24,539 december, whatever is that. We want to get our immune level up. 357 00:26:24,539 --> 00:26:28,134 Remember it takes two to three months to get maximum protection 358 00:26:28,134 --> 00:26:31,102 , so that we have maximum protection going until the 359 00:26:31,162 --> 00:26:35,116 winter months. That's why we do it that way. It would be no 360 00:26:35,198 --> 00:26:39,750 different with the COVID-19 virus in terms of getting the 361 00:26:39,791 --> 00:26:44,605 booster shot. Okay, and it's important to understand. Why is 362 00:26:44,786 --> 00:26:48,837 it that we have to do it that way? The reality is that the 363 00:26:48,897 --> 00:26:52,708 scientists and the physicians and the clinicians and the 364 00:26:52,848 --> 00:26:58,218 experts who create these booster vaccines. They don't know what 365 00:26:58,278 --> 00:27:05,454 the virus is going to be for 2024. So they're creating the 366 00:27:05,895 --> 00:27:13,009 booster in late 2023, but it's a guess. It is an educated guess, 367 00:27:13,009 --> 00:27:16,477 but it is not 100% accurate because they actually don't know 368 00:27:16,477 --> 00:27:20,634 what the variant is going to be in 2024, of what it's going to 369 00:27:20,693 --> 00:27:23,527 act like Because, remember, the variant's changed, thus the word 370 00:27:23,527 --> 00:27:28,798 variant, it varies, it changes frequently to survive. So to 371 00:27:28,859 --> 00:27:32,534 some extent we're chasing the virus. Now. That's why we're 372 00:27:32,574 --> 00:27:38,750 encouraged by the fact that the variant appears to be very close 373 00:27:38,750 --> 00:27:42,539 , symptomatically, with other variants, because we have 374 00:27:43,060 --> 00:27:46,972 vaccines and booster shots that can take care of that. And if 375 00:27:47,053 --> 00:27:50,105 it's similar, then we should be in good shape. But anything is 376 00:27:50,186 --> 00:27:54,402 possible is my point. Anything is possible. So what you want to 377 00:27:54,402 --> 00:27:57,332 do is be maximally protected. You want to protect those that 378 00:27:57,372 --> 00:28:01,005 you care about love, one and love and you want to protect 379 00:28:01,065 --> 00:28:04,656 everybody. I am my brother's keeper, I am my sister's keeper. 380 00:28:04,656 --> 00:28:08,569 That's important to me and that's a fundamental right that 381 00:28:08,609 --> 00:28:13,503 we all should have. Just again, before we finish, just review 382 00:28:13,684 --> 00:28:17,213 the way this virus is spread is with droplets, sneezing, 383 00:28:17,694 --> 00:28:23,028 coughing, speaking, laughing, singing, talking. So if you're 384 00:28:23,048 --> 00:28:25,554 in an airplane and someone is sitting in the back of the plane 385 00:28:25,554 --> 00:28:30,231 and see 40 and they're sneezing and coughing and those droplets 386 00:28:30,231 --> 00:28:33,182 are going straight up toward the front of the plane or 387 00:28:33,262 --> 00:28:36,654 somewhere around you and that's why you want to wear your mask 388 00:28:36,695 --> 00:28:39,386 and that's why you want to be constantly vigilant, 389 00:28:39,728 --> 00:28:42,535 particularly when you're in large crowds. The good news 390 00:28:43,036 --> 00:28:46,942 about the coronavirus or the coronavirus, is that we're 391 00:28:46,982 --> 00:28:49,578 getting fewer cases again because people are more 392 00:28:49,618 --> 00:28:52,611 vaccinated and we still want to get the ones who aren't 393 00:28:52,631 --> 00:28:55,738 vaccinated to become vaccinated. The different variants that 394 00:28:55,778 --> 00:28:59,875 occur many times can occur in different countries. Remember 395 00:28:59,896 --> 00:29:03,510 this the pandemic is worldwide. So even though we're dealing 396 00:29:03,550 --> 00:29:08,098 with the particular variant in the United States, others in say 397 00:29:08,098 --> 00:29:14,055 , in India or in South America or Africa or Europe, the United 398 00:29:14,095 --> 00:29:18,022 Kingdom. They may have different variants but because travel, 399 00:29:18,450 --> 00:29:21,636 among other things, allows us to go from country to country, 400 00:29:21,938 --> 00:29:27,156 those variants quickly spread around throughout the world. In 401 00:29:27,237 --> 00:29:30,407 summary, we have been very fortunate to have had the 402 00:29:30,468 --> 00:29:33,915 leadership in healthcare, particularly in epidemiological, 403 00:29:33,915 --> 00:29:37,423 pandemic type related healthcare. Like Dr Anthony 404 00:29:37,462 --> 00:29:41,855 Fauci, he is an icon, in my judgment, in the field of 405 00:29:41,894 --> 00:29:50,313 medicine and we owe him a huge debt of gratitude to thank him 406 00:29:50,393 --> 00:29:53,565 for all the work that he has done. We're dealing now with yet 407 00:29:53,565 --> 00:29:56,933 another variant. This is the variant of the Omicron, which 408 00:29:56,973 --> 00:30:01,923 was the variant of the original COVID-19 virus from late 2019. 409 00:30:02,589 --> 00:30:06,060 The good news is that this particular variant appears to be 410 00:30:06,060 --> 00:30:11,034 less powerful so far than the original Omicron variant. The 411 00:30:11,094 --> 00:30:18,770 name of this variant is ERIS. The technical name is EG.5. So 412 00:30:18,931 --> 00:30:23,507 ERIS appears to be less powerful so far than the other variants 413 00:30:23,527 --> 00:30:25,952 that we've dealt with in the past, and that's good news. 414 00:30:26,413 --> 00:30:29,902 We're optimistic that, as we get our booster shots in late 415 00:30:30,001 --> 00:30:35,498 September, in October, that we should be able to do well with 416 00:30:35,538 --> 00:30:40,672 this new variant. If you have certain special circumstances, 417 00:30:41,353 --> 00:30:45,160 you may want to take your booster shot earlier. What do I 418 00:30:45,221 --> 00:30:50,076 mean by special circumstances? If our elderly and my definition 419 00:30:50,076 --> 00:30:53,804 of elderly is over 60, if you have pre-existing medical 420 00:30:53,910 --> 00:31:01,221 conditions and also have travel plans for the fall for August, 421 00:31:01,340 --> 00:31:07,097 september, october you then may want to move up your booster 422 00:31:07,138 --> 00:31:10,949 schedule. My discussion today was about those individuals who 423 00:31:11,028 --> 00:31:14,076 are just the routine and don't fall into those special 424 00:31:14,135 --> 00:31:18,132 circumstances, and what you always want to do is just check 425 00:31:18,172 --> 00:31:21,720 with your healthcare provider, just ask her, tell them what 426 00:31:21,759 --> 00:31:25,414 your circumstances are and ask her or him what you should do. 427 00:31:26,096 --> 00:31:30,391 It's always important to stay up to date with the latest and 428 00:31:30,431 --> 00:31:33,737 what we try to do with these podcasts is provide some of that 429 00:31:33,737 --> 00:31:38,694 with you, but always be informed. Knowledge is power and 430 00:31:38,694 --> 00:31:42,527 that's why we do these podcasts , but if you have certain 431 00:31:42,547 --> 00:31:45,934 circumstances, you can. Again, circumstances meaning 432 00:31:45,994 --> 00:31:51,250 pre-existing conditions, elderly , very young and anything else 433 00:31:51,351 --> 00:31:55,983 that may make you more susceptible to COVID-19, then 434 00:31:56,044 --> 00:32:00,195 certainly follow the advice of your healthcare professional and 435 00:32:00,195 --> 00:32:04,589 do accordingly. In general, we recommend, if you do not fall 436 00:32:04,609 --> 00:32:09,403 into those special categories, that most of you will probably 437 00:32:09,442 --> 00:32:13,795 be able to have those shots, probably again late September 438 00:32:13,954 --> 00:32:16,962 and early October. I realize that we're only talking about 439 00:32:17,002 --> 00:32:19,917 maybe two or three weeks difference, but again, I think 440 00:32:20,358 --> 00:32:23,289 the more you know how, the more important it is, the more 441 00:32:23,431 --> 00:32:27,468 helpful it is for you to take care of yourself. Okay, my basic 442 00:32:27,468 --> 00:32:31,369 principles God is in charge. Principle number one I am a 443 00:32:31,410 --> 00:32:35,373 position of faith and I am grateful and have been blessed 444 00:32:35,393 --> 00:32:40,593 to have God in my life. That is why I have been able to stay 445 00:32:40,653 --> 00:32:43,968 healthy and do the things that I've been able to do. Second 446 00:32:43,988 --> 00:32:47,445 principle no bad days. I don't have any bad days. I decided 447 00:32:47,486 --> 00:32:51,093 about 30 years ago that I'd had enough bad days and I figured 448 00:32:51,192 --> 00:32:55,326 out that my day was good or bad when I said it was. So then I 449 00:32:55,386 --> 00:32:58,934 limited all my bad days and I now have good days and I have 450 00:32:58,994 --> 00:33:02,290 great days. Principle number three don't sweat the small 451 00:33:02,332 --> 00:33:06,429 stuff, and most stuff is small. I have learned that when I have 452 00:33:06,568 --> 00:33:11,518 experienced something that I perceive to be negative or a 453 00:33:11,597 --> 00:33:14,771 problem, that most of the time it's not nearly as important as 454 00:33:14,853 --> 00:33:19,354 I think it is and with a little time I figure out and I'm able 455 00:33:19,394 --> 00:33:23,253 to let it go. Principle number four forgiveness is therapy. 456 00:33:23,765 --> 00:33:28,474 That whenever, again, I perceive that someone has done or said 457 00:33:28,535 --> 00:33:32,069 something negative to me, I immediately have learned, and or 458 00:33:32,069 --> 00:33:36,468 am learning, to forgive them, and that not only is therapeutic 459 00:33:36,468 --> 00:33:41,114 for me, but I have many times prevented the circumstances from 460 00:33:41,114 --> 00:33:45,220 developing unnecessary, regardless of what the issue is. 461 00:33:45,220 --> 00:33:49,090 And finally, everything is a relationships. Relationships are 462 00:33:49,090 --> 00:33:52,617 based on three things mutual respect, mutual trust, good 463 00:33:52,657 --> 00:33:56,112 communication. If you have those three things, you have a good 464 00:33:56,173 --> 00:34:00,885 relationship. If you do not, you have work to do. If you like 465 00:34:00,905 --> 00:34:03,150 these podcasts, I would encourage you to feel 466 00:34:03,550 --> 00:34:08,786 comfortable and enthusiastic about subscribing. You can go to 467 00:34:08,786 --> 00:34:16,719 wwwbuzzproutcom. Forward slash two, one zero one, zero, zero, 468 00:34:16,818 --> 00:34:24,534 three. That's wwwbuzz b-u-z-z-p-r-o-u-t dot com. 469 00:34:24,994 --> 00:34:30,365 Forward. Slash two, one zero. One, zero, zero, three. And 470 00:34:30,405 --> 00:34:36,306 finally, be the change that you want to see in the world. Thank 471 00:34:36,385 --> 00:34:38,371 you and have a wonderful day. 472 00:34:39,704 --> 00:34:41,690 Speaker 1: Thanks for listening to the healthy, wealthy and wise 473 00:34:41,690 --> 00:34:46,510 podcast with Dr William Choctaw , MD. We hope you enjoy this 474 00:34:46,610 --> 00:34:50,489 episode. In fact, if you found this episode helpful, you can 475 00:34:50,528 --> 00:34:54,795 support and subscribe to the podcast on your favorite podcast 476 00:34:54,795 --> 00:34:59,286 platform with the key words Dr William Choctaw, and you'll find 477 00:34:59,286 --> 00:35:04,231 it very quickly. Also, subscribing helps ensure that 478 00:35:04,291 --> 00:35:08,266 you don't miss any future episodes. And then takes the 479 00:35:08,367 --> 00:35:12,135 next step of action and share it with your family, friends and 480 00:35:12,215 --> 00:35:16,547 or your coworkers. They'll be glad you did so. Until the next 481 00:35:16,586 --> 00:35:21,097 time, live your best possible life the best possible way. 482 00:35:21,485 --> 00:35:23,809 You've been listening to the healthy, wealthy and wise 483 00:35:23,909 --> 00:35:26,693 podcast with Dr William Choctaw, MD.

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