Life-Threatening Emergencies: When to Call 911 & When to Call Your Doctor

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Coming up on this episode of the
Healthy, Wealthy, and Wise podcast.

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We talked about the use of the, the,
um, the, the defibrillator, uh, and how

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it's important to be, uh, available.

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And we talked about how it's in large
areas like airports and stores and

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Other types of buildings and it's
logically you would think you would

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want it in a place that has A large
group of people on particular some of

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those people may be able to be elderly
And at that time the issue came up.

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I was asked well, would you recommend
that we have it in a church?

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Welcome to the Healthy, Wealthy,
and Wise podcast with Dr.

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William T.

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Choctaw, MD, JD.

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This podcast will provide you with
tools and actionable information

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you can use to help live a more
healthy, wealthy, and wise life.

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It's powered by the over 50 years
of medical experience of this Yale

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University Medical School trained
surgeon, who is also a Western

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State Law School trained attorney.

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Be healthy.

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Be wise.

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Executive experience being a former
mayor of Walnut, California, as well

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as the current chairman of the non
profit Servants Arms, and as president

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of Choctaw Medical Group, Incorporated.

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This is the Leadership Masterclass
Edition, already in progress.

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This is an example of what it looks
like when patients are taken to a

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hospital with the Stroke Center.

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And all of you may not be able to
see this, but basically there's

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a patient who's in something
like a CAT scan type device.

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Physicians are looking at a
computer screen, an angiogram, or an

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angiogram type picture of the brain.

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Um, and so what they can do is inject
certain material into that patient.

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If it's a clot, they can dissolve
the clot, um, getting blood

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flowing back to that patient.

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If it's a bleed, they can plug the
bleed, uh, stop the bleeding, uh,

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again, uh, and improve the patient care.

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They can also do the same thing,
uh, in terms of, of, of heart,

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heart, uh, cardiac arrest too.

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Um, that, that a lot of that
treatment is now noninvasive.

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Um, in terms of not requiring surgery
but basically you go and you have a

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certain period of time, thank you, you
have a certain period of time and you

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can stop the bleeding in the heart or
decrease the clot that's in the heart

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if that's causing the heart problem too.

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Um, but so you, you want to be in
close proximity to, um, uh, healthcare

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in, uh, organizations, the healthcare
organizations that have the very latest

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in care, the very latest in care.

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So we talked about a situation where
there's an absolute emergency and so

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you want to, uh, call 911 or get the
patient immediately to the hospital.

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This is, and this is when I say emergency,
I'm talking about life threatening

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emergency, life threatening emergency.

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Now sometimes, uh, you may have
a certain health care condition.

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You have your own doctor, or maybe you've
had surgery, and it's immediately post op.

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Your doctor will say to you, If
anything happens, blah, blah,

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blah, blah, blah, blah, call me.

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You call me.

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Here's my number, call me
directly, blah, blah, blah.

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Most doctors, um, have
24 7 answering services.

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Um, and if he or she tells you
to call them, then you call them.

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What's my point?

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My point is that if you've been given
specific instructions by your healthcare

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professional, that's always number one.

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Follow those instructions.

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If you're confused or whatever,
on the other hand, and you're

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in a life threatening situation,
there's not a major downsize.

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downside to calling 9 1 1.

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You know, my point is always err on
doing too much and too little, right?

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If you're confused, if you
aren't sure, call 9 1 1.

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But if your doctor says, and I
would do that after I've done an

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operation on a patient, I'd say, if
this, this, this happens, call me.

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Um, and many times by talking to me, I
can say, oh yeah, that's normal, blah,

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blah, blah, and then don't worry about it.

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Or I can say, Go to the emergency
room, I'm on my way, type thing.

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So, always sort of keep that in mind.

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But in addition to that, if your doctor,
um, gives you instructions in general,

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follow those doctor instructions.

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So, when should you go to something
like an urgent care center?

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Urgent care centers are good.

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Many times patients hate going to, many
people hate going to the emergency room.

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They're so crowded, we wait so
long, blah, blah, blah, blah,

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blah, depending on where you go.

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And everything may not rise to the level
of, of, of going to the emergency room.

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Let's say you are out walking and
you sprain your ankle and it's sore,

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um, that may be something you can
go to an urgent care center about,

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um, or let's say you have a ear
infection And you get ear infections

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all the time, so you know what it is.

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But you need medication and you're not a
doctor, you can't write a prescription,

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then that's something that you may want to
think about going to the emergency room.

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Maybe you cut yourself, small
laceration, it's bleeding, you put

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something on it but it's a big cut,
you may want to go to an urgent

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care center for something like that.

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Because something like that can suit
to the laceration, um, in general.

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Um, these are some of the things
that you may not necessarily go

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directly to the emergency room.

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Um, um, what, one of the things that
you can do is you call the emergency

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room and say blah, blah, blah, blah,
blah happened, um, should I come in

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and have you take a look at this?

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Um, and many times they'll, they'll,
they'll give you advice, uh, that

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particularly works for poisons.

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You, you've taken some
of it, you've got kids.

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And the kid has swallowed something.

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You get the bottle and you read it
and you say, what, what should I do?

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Maybe you don't know about poison
centers and whistle, whatever.

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You can call the emergency room and they,
they, they will give you instructions

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about what to do, what not to do.

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Um, or just take the kid
to the emergency room.

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Uh, there are walk in clinics and
even some of the places like some

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pharmacists, uh, have like little
clinics for small things, things that

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need care, but don't require, that
are not life threatening, and don't

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require you going to the emergency room.

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Again, just a couple of other
things, and may it bear well.

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Um, uh, required going to the
emergency room, choking, uh, someone

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who, uh, swallows something, um,
fish bones, something like that.

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You can't get it out, let's say
you know the Heimlich Maneuver,

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you try it, it doesn't work, uh,
you want to call 9 1 1 with that.

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Um, to get that patient
to the emergency room.

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Um, let me say a quick word about
automatic electronic devices in, in,

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in various types of organizations.

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About a year ago, um, when I gave, uh,
some discussion and we were talking about

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heart disease, actually heart disease,
both cardiac arrest and, and, and,

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uh, um, cardiac conditions like that.

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We talked about the use of the, the, um.

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the, the defibrillator, uh, and how
it's important to be, uh, available.

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And we talked about how it's in
large areas like airports and

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stores and other types of buildings.

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And it's, logically, you would think you
would want it in a place that has Um, a

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large group of people, particularly if
some of those people may well be elderly.

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Uh, and at that time, uh, the issue came
up, I was asked, uh, well, would you

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recommend that we have it in a church?

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And I said, yeah, that,
that would be reasonable.

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Um, I still think that's reasonable,
but I'm reminded of something I

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think is always important to say.

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It always depends on the circumstances.

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It always depends.

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It always depends.

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Um, and I, I would tell you that
almost any time somebody asks, they'll,

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they'll come up to me and they'll give
me a series of symptoms and they'll

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say, should I do ABC or is it EFG?

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My, my, one of my answers is it depends.

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Give me more information.

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Tell me more of this.

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Tell me more of that.

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Um, ironically, anytime you ask
an attorney any question about

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anything, she will say to you, or
he will say to you, it depends.

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And what they're saying is
give me more information.

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My point very simply is you always want
to give advice in context, in context.

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What do I mean by that?

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What I mean is patient A is different from
patient B is different from patient C.

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Each has his or her own context.

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So going back to the AED, the
defibrillator, yes, it's reasonable to

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have a defibrillator in a church where
you may have two or three hundred people.

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If that is the best way to
provide quality healthcare to the

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people in that environment, okay?

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Notice that I'm putting in
some qualifications there.

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Qualification number one, what if you have
this very, very pretty green defibrillator

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but nobody knows how to use it?

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Nobody knows how to use it.

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Nobody's been trained, it's not
organized, you've got it on the wall,

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but no one's ever used it before.

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Actually, it has instructions on the
inside, but can you imagine people

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trying to read instructions on the
inside and you've got some patient,

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or let's say somebody in church who
stopped breathing, right, uh, so my,

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and so that, that, that's one issue.

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Second issue, uh, let's say,
um, uh, someone, um, has a, a,

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a cardiac arrest, um, and, um,
The defibrillator is not working.

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Uh, yeah, it's on the wall,
but no one ever checks it.

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You'd be amazed how often that happens.

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I can tell you, as a Joint
Commission Surveyor, I would

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go into a hospital, right?

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And they would always assign me the
operating room because I'm a surgeon,

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and I'd have an entourage of doctors and
nurses with heads following me, whatever.

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And I'd go and I'd look, I'd look at,
one of my favorite things would be, were

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refrigerators, because they all have
refrigerators, or coolers, or heaters.

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And I would walk in and I'd put
my hand on the, on the, on the

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refrigerator, and I said, you
know, this doesn't feel cool to me.

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I'd say, well, what's the
temperature of your refrigerator?

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And they say, uh, 73 degrees.

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I say, What does your policy say?

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And they say, uh, well, we aren't sure.

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And I'd say, would you
give me your policy?

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I'd like to read it.

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I would have, they would get the policy.

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They'd set a runner and take off
and, you know, they run back policy

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and the policy would say 69 degrees.

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I'd say, but you told me this is 73.

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I said, so you're out of compliance.

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with your policy.

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So this is no good.

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And I, I, I would give them a quote
unquote, something called like a demerit.

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What's my point?

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My point is you can have all
the best equipment in the world.

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If you don't have a process in
place where it's checked and kept

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up to date, it won't help you.

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Does that make sense?

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So with all that being said,
my belief is And I'm going to

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say at this church, call 9 1 1.

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Don't worry about getting defibrillated
and putting it on the wall.

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Um, um, and the reason is, and my other
thing, going back to my other scenario,

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if there is an alternative way that can
give you equal or better care in that

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situation, go to that alternative way.

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For us, say at this particular
church, we've got a paramedic unit

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that's minutes from this church.

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Minutes.

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And I've seen them come, uh, you
know, uh, the time when they're

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called and the time they get here.

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Minutes.

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You can't beat that.

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You can't beat that.

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So my recommendation, and I
communicate this to the nursing

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ministry, continue to call 9 1 1.

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Continue to call 9 1 1.

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Because in this situation, under
these circumstances, that is

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your best method for making sure
that everybody is cared about.

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So what's my point?

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Many times there's a shiny white object
out there with colors and lights.

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Don't always go to the shiny object.

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Stop and ask questions.

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Does this work?

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How long does it work?

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Who's responsible for it?

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Does it meet my needs?

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Um, I don't want to spend a lot of
money if it doesn't meet my needs,

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blah, blah, blah, blah, blah, blah.

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And you want to ask those types
of, those types of questions.

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In summary, um, life threatening
emergencies, uh, we should call 9 1 1.

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Should call 9 1 1.

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Um, certainly do CPR, um, at
home while the patient is, while

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the individuals are coming.

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Um, get the, and or get the patient
to the emergency room if you can.

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But ideally, you want
to call 9 1 1, 9 1 1.

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Go to the emergency room,
um, uh, whenever possible.

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Um, um, if your physician tells
you to call her, um, for X, Y, Z,

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because you have a certain particular
problem, feel free to do that.

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Um, but if you aren't sure, if you can't
remember what your physician said, go

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to the emergency room or call 9 1 1.

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You can consider things like urgent
care centers and pharmacies for minor

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injuries, when things happen on a
weekend or a holiday and things are,

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other things aren't available, uh,
but again, the most severe types of

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life threatening injuries or illnesses
are heart and head, basically.

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And you always want to get those
patients into the emergency room.

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My basic principles, I always
go over, um, God is in charge.

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Um, if there's anything I have learned
in my seven or six years, the things

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that I thought I knew, I did not know.

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That's the truth.

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Uh, and so I continue to learn.

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I continue to evolve.

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And I say that to you because I
think we all continue to learn.

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And we continue to evolve.

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Um, no bad days.

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I don't have bad days.

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Um, I will admit, um, um, about
three weeks ago or so, I was

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going through a, a similar concern
about the state of the country.

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You know, I won't go into details,

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but all of a sudden.

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The clouds opened up and the
sun shone through, you know,

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and oh my god, Kamala Harris.

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God is in charge.

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I'm just gonna leave it there.

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I'm gonna leave it there.

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Don't fight the small stuff
and most stuff is small.

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Forgiveness is therapy.

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We say this all the time.

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Uh, when stuff will happen to
you, I guarantee you stuff will

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happen around you that you won't
have a clue why it's happening.

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You may perceive it as negative
and it may be negative.

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It doesn't matter.

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Forgive them.

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Forgive them.

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Why?

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Because it's more about
you than it is about them.

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Um, and, and by forgiving them, you retain
your power, your personal power, um, as

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compared to giving it up to someone else.

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Uh, and finally, everything
is a relationship.

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Everything is a relationship.

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Relationships are based on three things.

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Mutual respect, mutual
trust, good communication.

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If you have those three things,
you have an excellent relationship.

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If you do not, you have work to do.

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So please keep that in mind.

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Also, uh, if you, uh, uh, have enjoyed,
uh, these masterclasses, Uh, each one of

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these masterclasses is converted into a
podcast, actually into multiple podcasts.

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Um, our podcast professor, the chief,
um, uh, production officer, uh, is

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always on the job, uh, and he does that
very, very quickly and expeditiously.

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And my point is, you can, you can
repeat, you can go over this information.

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Um, if you are familiar
with the church website, St.

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Stephens, www.

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stsbc.

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00:16:59,885 --> 00:17:06,385
org, um, click on ministries, uh,
scroll all the way down to the bottom

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of the page and click on podcasts.

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All of the podcasts will be listed
in order, every single one of them.

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We've done a hundred and six podcasts.

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106.

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And so you can always, you know,
you can always find them there.

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If on the other hand, if you don't want
to do that, you can go to our website,

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uh, the health and wellness website, www.

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thwwpwithdrchildpower.

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com.

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Uh, click on that, uh, and you
can again see all the podcasts

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and other information, blogs
and other types of things.

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In conclusion, uh, I always
like to say, be the change that

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you want to see in the world.

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Are there any questions?

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Any questions?

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Okay.

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All right.

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Thank you all very much.

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Have a wonderful day

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Thank you for listening to this
episode of the healthy wealthy

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00:17:58,550 --> 00:17:59,980
and wise podcast with dr.

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00:17:59,980 --> 00:18:05,930
William t chakta Md jd We hope you
now feel more equipped with tools and

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00:18:05,990 --> 00:18:10,340
actionable information that will help
you live a more healthy Which includes

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00:18:10,379 --> 00:18:12,190
the mental physical and spiritual?

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00:18:12,690 --> 00:18:17,389
wealthy which includes the financial
health and spiritual And wise

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Which includes the practical,
theoretical, and emotional life.

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For this one and past podcast
episodes, blog, books, and news,

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00:18:27,900 --> 00:18:33,525
you can use go to www.twp.com.

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00:18:33,905 --> 00:18:40,285
That's www.hwwp.com, and you've got it.

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00:18:41,100 --> 00:18:46,149
In the meantime, remember you too can
be the change you want to see in the

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00:18:46,149 --> 00:18:51,030
world You've been listening to the
healthy wealthy and wise podcast with dr.

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00:18:51,030 --> 00:18:51,479
William t.

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Choctaw md jd