1 00:00:02,040 --> 00:00:06,399 Speaker 1: Seven o two weekend Breakfast Healthy Living. 2 00:00:07,080 --> 00:00:10,720 Speaker 2: It is thirteen minutes after six o'clock temper to talk 3 00:00:10,800 --> 00:00:13,920 Speaker 2: healthy living, and this morning we're talking about dizziness and 4 00:00:13,920 --> 00:00:17,040 Speaker 2: how sometimes not always, people can be dizzy for a 5 00:00:17,120 --> 00:00:20,680 Speaker 2: number of reasons. I'm anemic, for instance, and if I 6 00:00:20,840 --> 00:00:25,239 Speaker 2: get up too quickly, I can sometimes experience some dizziness. 7 00:00:25,440 --> 00:00:29,480 Speaker 2: If you're someone who's diabetic, or you you undiagnosed, some 8 00:00:29,560 --> 00:00:32,280 Speaker 2: of the symptoms of diabetes can be a bit of 9 00:00:32,800 --> 00:00:35,839 Speaker 2: dizziness as your body struggles to make use of the 10 00:00:35,880 --> 00:00:38,400 Speaker 2: sugar and your blood. So you can be dizzy for 11 00:00:38,440 --> 00:00:41,320 Speaker 2: a number of reasons. This morning, though, we are looking 12 00:00:41,360 --> 00:00:45,760 Speaker 2: at the link between feeling dizzy and potentially having something 13 00:00:45,800 --> 00:00:48,240 Speaker 2: happen with your blood pressure. And if you have a 14 00:00:48,320 --> 00:00:50,839 Speaker 2: question for us, we are joined by a specialist physician 15 00:00:51,200 --> 00:00:55,200 Speaker 2: and a promonologist, doctor Baker Holle. So call us on 16 00:00:55,200 --> 00:00:56,520 Speaker 2: one one eighty three or save No. 17 00:00:56,600 --> 00:00:58,920 Speaker 1: Two. Send us a listeness on three on save No. 18 00:00:59,040 --> 00:01:03,840 Speaker 2: Two and you are seventeen seven one seven two Doctor Hollette. 19 00:01:03,880 --> 00:01:06,320 Speaker 1: A very good morning to you. Welcome to you can breakfast. 20 00:01:07,319 --> 00:01:09,480 Speaker 3: Thank you very much for having me. Good morning, thank you. 21 00:01:10,120 --> 00:01:15,319 Speaker 2: So talk to us doctor what happens when we feel dizzy? 22 00:01:15,480 --> 00:01:18,640 Speaker 2: What would be happening in our bodies to make it 23 00:01:18,720 --> 00:01:21,600 Speaker 2: so that we are feeling a little bit dizzy. 24 00:01:23,240 --> 00:01:26,039 Speaker 3: So reasonness can be caused by a number of things. 25 00:01:27,200 --> 00:01:30,280 Speaker 3: And interestingly, most of the reasons why you get dizzy 26 00:01:31,360 --> 00:01:36,679 Speaker 3: in your ear, So it's a lack of balance. There's 27 00:01:36,760 --> 00:01:39,319 Speaker 3: bones in in you, in your in your in your 28 00:01:39,360 --> 00:01:45,000 Speaker 3: ears that helps you with balanced So when the inner 29 00:01:45,040 --> 00:01:47,640 Speaker 3: ear has problems, you get things like vertigo and you 30 00:01:47,680 --> 00:01:50,440 Speaker 3: get you get dizzy, right. But one of the other 31 00:01:50,480 --> 00:01:54,240 Speaker 3: reasons why you get dizzy is low blood pressure due 32 00:01:54,280 --> 00:01:57,400 Speaker 3: to dehydration, or low black pressure on its own, or 33 00:01:57,440 --> 00:02:02,240 Speaker 3: low black pressure due to dehydration. To decide defects of medication, anxiety, 34 00:02:02,320 --> 00:02:04,200 Speaker 3: believe it or not, can quote it to just feel 35 00:02:04,280 --> 00:02:07,080 Speaker 3: disease in some of the medication side effects can make 36 00:02:07,120 --> 00:02:08,160 Speaker 3: you feel disease. 37 00:02:08,040 --> 00:02:11,200 Speaker 2: Right, So there could be a number of things that 38 00:02:11,480 --> 00:02:17,520 Speaker 2: could potentially be contributing to just like a feeling of dizziness. 39 00:02:17,960 --> 00:02:21,920 Speaker 2: So today we want to look at how common is 40 00:02:21,960 --> 00:02:26,359 Speaker 2: it that someone might experience dizziness from high blood pressure? 41 00:02:26,480 --> 00:02:30,000 Speaker 2: And so maybe let's start here, what happens when someone 42 00:02:30,160 --> 00:02:32,680 Speaker 2: has high blood pressure? What would have been happening in 43 00:02:32,720 --> 00:02:34,680 Speaker 2: your body. What happens in your body when you have 44 00:02:34,760 --> 00:02:37,240 Speaker 2: that when you have that condition. 45 00:02:38,280 --> 00:02:43,720 Speaker 3: So high blood pressure is a they classified anlate diseases 46 00:02:43,760 --> 00:02:48,680 Speaker 3: of lifestyle, which is means that there are things you 47 00:02:48,680 --> 00:02:52,000 Speaker 3: can do to change your lifestyle to make it data 48 00:02:52,200 --> 00:02:55,800 Speaker 3: not necessarily go away. But it's when the source that 49 00:02:56,240 --> 00:03:00,960 Speaker 3: is in your blood, that your blood exists on your 50 00:03:01,040 --> 00:03:06,639 Speaker 3: blood on your blood vessels is too high. It's persistently high. 51 00:03:06,919 --> 00:03:09,360 Speaker 3: So typically your blood pressure is supposed to be around 52 00:03:09,440 --> 00:03:14,000 Speaker 3: one one eighty is acceptable. To get blood pressure to 53 00:03:14,320 --> 00:03:18,000 Speaker 3: almost about one thirty nine. The moment to cross one 54 00:03:18,040 --> 00:03:22,560 Speaker 3: forty your classified as hypertensive, particularly if it's that if 55 00:03:22,600 --> 00:03:26,080 Speaker 3: it happens for more than one reading, or when the 56 00:03:26,200 --> 00:03:30,160 Speaker 3: doctor repeats or whoever practitioner that's doing it, repeat it 57 00:03:30,160 --> 00:03:33,959 Speaker 3: again and it's still elevated when you're your diagnosed with 58 00:03:34,040 --> 00:03:38,160 Speaker 3: high blood pressure. And so that's what happens when you 59 00:03:38,200 --> 00:03:39,120 Speaker 3: get high blood pressure. 60 00:03:40,320 --> 00:03:43,600 Speaker 2: And so then when you say so, you say, ideally 61 00:03:43,680 --> 00:03:46,000 Speaker 2: it's that sort of one hundred and twenty over eighty. 62 00:03:46,400 --> 00:03:48,280 Speaker 2: If you start kind of being in one hundred and 63 00:03:48,280 --> 00:03:52,800 Speaker 2: forty region your hypotensial and so does that then mean 64 00:03:53,040 --> 00:03:56,720 Speaker 2: the pressure you were just speaking about that's happening to 65 00:03:57,000 --> 00:04:02,760 Speaker 2: your vessels, is that then not, but it's happening more 66 00:04:02,800 --> 00:04:05,240 Speaker 2: often or it is almost a permanent state. 67 00:04:06,160 --> 00:04:10,120 Speaker 3: It's constantly high. So then it becomes a chronic condition. 68 00:04:10,440 --> 00:04:16,880 Speaker 2: Right, And so then in the more advanced stages of 69 00:04:17,000 --> 00:04:22,960 Speaker 2: high blood pressure, we hear about something called pulmonary hypertension. 70 00:04:23,400 --> 00:04:24,880 Speaker 1: Tell us about that, dot to holler. 71 00:04:25,960 --> 00:04:30,240 Speaker 3: So power hypertension is when the same condition happens in 72 00:04:30,279 --> 00:04:34,560 Speaker 3: the vessels in your lungs on the right side of 73 00:04:34,600 --> 00:04:39,040 Speaker 3: your heart. Okay, right, So power repetension would be caused 74 00:04:39,040 --> 00:04:42,760 Speaker 3: by other things that are not necessarily related to high 75 00:04:42,800 --> 00:04:47,640 Speaker 3: blood pressure. So it's caused by a chronic lung disease. 76 00:04:48,240 --> 00:04:52,719 Speaker 3: So if you don't take care of your for instance, asthma, 77 00:04:52,839 --> 00:04:56,360 Speaker 3: for too long, you might have a elevated pressure in 78 00:04:56,400 --> 00:04:59,920 Speaker 3: your lungs because your lungs become more stiff than normal 79 00:05:01,120 --> 00:05:03,920 Speaker 3: and the blood press the blood that the pressure in 80 00:05:03,960 --> 00:05:08,200 Speaker 3: your blood vessels then increases. If you've got destroyed lines 81 00:05:08,240 --> 00:05:12,760 Speaker 3: from maybe old COVID, old TV, you can get high 82 00:05:12,800 --> 00:05:19,800 Speaker 3: blood primary hypertension. HIV patients with uncontrolled disease can get 83 00:05:19,839 --> 00:05:24,360 Speaker 3: palmonary hypertension. And power hypertension presents in a different way 84 00:05:24,440 --> 00:05:28,760 Speaker 3: from systemic hypertension. So the normal hypertension that we talk about, 85 00:05:29,000 --> 00:05:32,520 Speaker 3: it's called systemic hype oftension. Palmary hypertension usually presents the 86 00:05:32,520 --> 00:05:35,960 Speaker 3: shortness of breath and inability to do work that you 87 00:05:36,080 --> 00:05:39,080 Speaker 3: usually could do before or that your peers can do. 88 00:05:39,600 --> 00:05:41,880 Speaker 3: And when the doctor looks for reasons for the shortness 89 00:05:41,880 --> 00:05:44,680 Speaker 3: of breath, you find absolutely nothing. Then the massive looks 90 00:05:44,720 --> 00:05:47,919 Speaker 3: at your promeary pressure. I think if that's not the reason. 91 00:05:47,920 --> 00:05:55,480 Speaker 2: And doctor, just how common is pulmonary hypertension versus systemic hypertension. 92 00:05:56,839 --> 00:06:01,480 Speaker 3: So pomary hypertension is less common because it's usually related 93 00:06:01,520 --> 00:06:07,760 Speaker 3: to a lung disease or other systemic illnesses that present 94 00:06:07,960 --> 00:06:11,520 Speaker 3: with primon hypertension as a complication, So it's a bit 95 00:06:11,640 --> 00:06:15,560 Speaker 3: less common than systemic hype atension. Systemic hype atension is 96 00:06:15,600 --> 00:06:18,279 Speaker 3: more common because of the lifestyles that we live, the 97 00:06:18,279 --> 00:06:24,680 Speaker 3: food that we eat, the lack of exercise, obesity that 98 00:06:24,800 --> 00:06:27,000 Speaker 3: is a pandemic in the country or in the world really, 99 00:06:28,040 --> 00:06:31,560 Speaker 3: so systemic type atension is more common. 100 00:06:32,880 --> 00:06:37,120 Speaker 2: You mentioned a doctor that, as you just said, a 101 00:06:37,160 --> 00:06:40,479 Speaker 2: systemic hype atension is more common and there was a time, certainly, 102 00:06:40,520 --> 00:06:42,039 Speaker 2: I think when many of us were growing up with 103 00:06:42,400 --> 00:06:46,599 Speaker 2: there was this idea that hypertension and including other noncommunicable 104 00:06:46,640 --> 00:06:49,760 Speaker 2: diseases like diabetes for instance, that those are kind of 105 00:06:50,080 --> 00:06:55,520 Speaker 2: conditions that people got in the older years, so forties, fifties, sixties, seventies. 106 00:06:55,880 --> 00:06:59,920 Speaker 2: But are we seeing a shift, even with systemic type atension, 107 00:07:00,400 --> 00:07:05,599 Speaker 2: in the age profile of people getting systemic hype atension, 108 00:07:06,000 --> 00:07:09,640 Speaker 2: especially because we're also seeing the profile change with seeing 109 00:07:09,680 --> 00:07:13,360 Speaker 2: obesity in children. Are we seeing people getting younger and 110 00:07:13,400 --> 00:07:18,320 Speaker 2: younger or getting hypertension at younger and younger ages most definitely. 111 00:07:18,440 --> 00:07:22,640 Speaker 3: So initially, hypertension, as you're mentioned, was a disease that 112 00:07:22,680 --> 00:07:24,880 Speaker 3: we knew to be a disease that you got after 113 00:07:24,880 --> 00:07:28,760 Speaker 3: the age of forty if you were obese and some 114 00:07:29,000 --> 00:07:32,200 Speaker 3: family with the family history of hypertension, and some people 115 00:07:32,280 --> 00:07:34,920 Speaker 3: just never got it. As they grew older. You would 116 00:07:34,920 --> 00:07:37,240 Speaker 3: meet an eighty year old has never been hypertensils. But 117 00:07:37,720 --> 00:07:42,160 Speaker 3: it's rarer as you get older to not have hypertension. 118 00:07:42,640 --> 00:07:46,880 Speaker 3: But the obesity pandemic, particularly in our country, we're seeing 119 00:07:46,960 --> 00:07:50,720 Speaker 3: hypertension and patients who are as young as fifteen within 120 00:07:50,840 --> 00:07:54,200 Speaker 3: diabetes and patients who as young as fifteen because of 121 00:07:54,280 --> 00:07:57,640 Speaker 3: the obesity pandemic and the kind of lifestyle that would live, 122 00:07:58,120 --> 00:08:04,040 Speaker 3: take away foods and increase in the fault intake, and all 123 00:08:04,120 --> 00:08:08,200 Speaker 3: this lifestyle choices that we make that are not necessarily 124 00:08:08,320 --> 00:08:08,760 Speaker 3: very good for. 125 00:08:09,400 --> 00:08:12,640 Speaker 2: And so is the treatment the same whether you are 126 00:08:12,680 --> 00:08:17,320 Speaker 2: being diagnosed at fifteen or at fifty five, or is 127 00:08:17,320 --> 00:08:22,760 Speaker 2: there a different regiment, a different regime for younger patients, 128 00:08:23,200 --> 00:08:24,160 Speaker 2: That treatment. 129 00:08:23,840 --> 00:08:28,800 Speaker 3: Is exactly the same, the weight loss, diet and medication. 130 00:08:28,920 --> 00:08:32,360 Speaker 3: The treatment is exactly the same. If your hypotension in. 131 00:08:32,320 --> 00:08:35,640 Speaker 2: The instance, doctor, that you are diagnosed with pulmonary hypertension, 132 00:08:35,679 --> 00:08:38,280 Speaker 2: which is what you've already said, is a lot less 133 00:08:38,360 --> 00:08:42,080 Speaker 2: common than the systemic type of hypertension, what is the 134 00:08:42,080 --> 00:08:43,760 Speaker 2: course of treatment there? 135 00:08:45,600 --> 00:08:50,720 Speaker 3: Common hypertension is more difficult to treat, particularly in our country, 136 00:08:50,760 --> 00:08:53,520 Speaker 3: because we don't have all the drugs accessible in the 137 00:08:53,559 --> 00:08:57,240 Speaker 3: state sector and most of the drugs are accessible in 138 00:08:57,240 --> 00:09:05,000 Speaker 3: the private sector more expensive. But the general treatment is 139 00:09:05,040 --> 00:09:08,439 Speaker 3: that you control the underlying disease. That usually helps a 140 00:09:08,480 --> 00:09:14,400 Speaker 3: little bit, and then exercising as well makes the shortness 141 00:09:14,400 --> 00:09:18,320 Speaker 3: of breast better that the actual drives that we use. 142 00:09:18,360 --> 00:09:23,080 Speaker 3: Things like firstpholgize. There is five inhibitors such as sold NFL. 143 00:09:23,559 --> 00:09:27,320 Speaker 3: We use endocident receptors, so there's like specific treatment that 144 00:09:27,400 --> 00:09:31,640 Speaker 3: you'll get. Unfortunately, most of them are not available in 145 00:09:31,679 --> 00:09:35,160 Speaker 3: the country and most of them are too expensive to 146 00:09:35,240 --> 00:09:39,360 Speaker 3: reach the bulk of the population because only eighty five 147 00:09:39,400 --> 00:09:46,800 Speaker 3: percent of the population in South Africa uses government health services, 148 00:09:47,160 --> 00:09:50,640 Speaker 3: in fifteen percent use private health services. So most of 149 00:09:50,679 --> 00:09:54,000 Speaker 3: the treatment, unfortunately is available to people who are on 150 00:09:54,120 --> 00:09:57,920 Speaker 3: medical aid, and even then not all of them. 151 00:09:57,960 --> 00:10:00,319 Speaker 2: And so doctor you mentioned that one of the other 152 00:10:00,360 --> 00:10:04,400 Speaker 2: reasons someone might be experiencing dizziness is because of stress 153 00:10:04,440 --> 00:10:07,240 Speaker 2: and anxiety. But it also seems that there is kind 154 00:10:07,280 --> 00:10:10,800 Speaker 2: of this interplay, this relationship between stress and anxiety and 155 00:10:10,840 --> 00:10:12,080 Speaker 2: systemic hype atension. 156 00:10:12,840 --> 00:10:13,800 Speaker 1: Took to us about that. 157 00:10:16,840 --> 00:10:23,760 Speaker 3: So when your body is constantly in a stressful situation, 158 00:10:25,440 --> 00:10:29,240 Speaker 3: you are more likely to develop high pertension because of 159 00:10:29,280 --> 00:10:32,480 Speaker 3: the hormones that are secreted when you are stressed. If 160 00:10:32,480 --> 00:10:37,200 Speaker 3: you are also constantly in a stressful situation or in 161 00:10:37,280 --> 00:10:41,199 Speaker 3: a stressful I call it a mode because it's not 162 00:10:41,320 --> 00:10:48,200 Speaker 3: necessarily related to a condition of anxiety, but it's more 163 00:10:48,240 --> 00:10:51,960 Speaker 3: related to how you handle stress and people kind of 164 00:10:52,160 --> 00:10:55,400 Speaker 3: handle stress in a different way. Some people are stressed 165 00:10:55,400 --> 00:10:57,440 Speaker 3: and they're walking around and happy, and some people are 166 00:10:57,480 --> 00:11:00,240 Speaker 3: stressed and they're locked up in their rooms because they 167 00:11:00,280 --> 00:11:06,520 Speaker 3: can handle life situations and increased level of stress. So 168 00:11:07,280 --> 00:11:10,880 Speaker 3: hypertension can be related to stress mainly because of the 169 00:11:10,880 --> 00:11:15,800 Speaker 3: hormones that are secreated when you're stressed, and in addition 170 00:11:15,880 --> 00:11:18,880 Speaker 3: to lifestyle and diet and anything else the cause of hypertension. 171 00:11:19,800 --> 00:11:22,680 Speaker 2: And so what is it then recommended if you are 172 00:11:22,960 --> 00:11:27,320 Speaker 2: being treated for systemic hypertension that you also find ways 173 00:11:28,320 --> 00:11:29,760 Speaker 2: to manage your stress. 174 00:11:31,559 --> 00:11:35,319 Speaker 3: You should always find ways to manage your stress, because 175 00:11:37,080 --> 00:11:40,000 Speaker 3: you can imagine a stress response makes you makes you 176 00:11:40,120 --> 00:11:43,520 Speaker 3: make bad decisions in addition to being bad for your body. 177 00:11:44,200 --> 00:11:47,600 Speaker 3: So you kind of if you're always in that stress mode, 178 00:11:47,640 --> 00:11:50,360 Speaker 3: you want to get out of that situation and you're 179 00:11:50,360 --> 00:11:52,719 Speaker 3: not very rational in how you get out of it. 180 00:11:53,160 --> 00:11:55,600 Speaker 3: But when you're being treated for hypotension years, you should 181 00:11:55,600 --> 00:11:59,360 Speaker 3: always try to avoid being stressed so that your hypertension 182 00:11:59,400 --> 00:12:00,439 Speaker 3: is easier to control. 183 00:12:02,000 --> 00:12:06,480 Speaker 2: And so if you're experiencing this kind of dizziness and 184 00:12:06,920 --> 00:12:09,960 Speaker 2: it's something that's kind of recurring or it's you know, 185 00:12:10,000 --> 00:12:13,199 Speaker 2: it's happening more often, At which point is it that 186 00:12:13,280 --> 00:12:17,559 Speaker 2: you should probably see either your family doctor, your GP, 187 00:12:18,360 --> 00:12:21,400 Speaker 2: or an experts especialist positions such as yourself. 188 00:12:22,280 --> 00:12:25,720 Speaker 3: At any particular point when it seems like it's recurring. 189 00:12:26,559 --> 00:12:31,400 Speaker 3: So if it happens once and you can find the reasons, 190 00:12:31,400 --> 00:12:35,920 Speaker 3: sometimes you get up too quickly and you you you'pidence dizziness, 191 00:12:36,000 --> 00:12:39,200 Speaker 3: that's that's kind of forgivable. It's just at one time. 192 00:12:39,800 --> 00:12:45,000 Speaker 3: But when business is associated with severe headache, neck pain, 193 00:12:45,480 --> 00:12:51,760 Speaker 3: if it's associated with weakness, numbness, paralysis, or any other 194 00:12:52,000 --> 00:12:55,840 Speaker 3: symptoms that are wort with some like difficulty in speech, vomiting, 195 00:12:56,520 --> 00:12:59,479 Speaker 3: you should ideally see your doctor. If it's not associated 196 00:12:59,480 --> 00:13:02,400 Speaker 3: with any other sometimes that it's persistent, you should also 197 00:13:02,440 --> 00:13:06,160 Speaker 3: try and see your your your family finition doctor. 198 00:13:06,200 --> 00:13:11,040 Speaker 2: Talk to us about the impact of tobacco products, whether 199 00:13:11,160 --> 00:13:17,440 Speaker 2: it is cigarettes, rapes, hubilis the sisha on your lungs, 200 00:13:17,480 --> 00:13:23,120 Speaker 2: but also on the risk for UH the I guess 201 00:13:23,160 --> 00:13:24,320 Speaker 2: the standard hypertension. 202 00:13:25,880 --> 00:13:30,880 Speaker 3: So tobacco products, I'll start with their impact on the 203 00:13:31,000 --> 00:13:36,640 Speaker 3: lung because that is a more commonly spoken about topic. 204 00:13:37,440 --> 00:13:40,840 Speaker 3: So over time, if you smoke, you you you damage 205 00:13:40,880 --> 00:13:44,800 Speaker 3: your lungs, you develop a condition called amphi zema, which 206 00:13:44,840 --> 00:13:48,920 Speaker 3: means your aways find it difficult to contract and release 207 00:13:48,960 --> 00:13:52,240 Speaker 3: the A that you have breathed in. So you if 208 00:13:52,240 --> 00:13:54,880 Speaker 3: you breathe in, for example, five hundred mods of A 209 00:13:55,280 --> 00:13:57,040 Speaker 3: if you don't at least two hundred mores of A, 210 00:13:57,480 --> 00:14:00,000 Speaker 3: and then you develop a trapping and your your lung 211 00:14:00,280 --> 00:14:05,520 Speaker 3: expand and the gas exchange also gets worse. That's the 212 00:14:05,559 --> 00:14:09,360 Speaker 3: simplest where I can explain employs z much. But tobacco 213 00:14:09,400 --> 00:14:16,480 Speaker 3: products such as she shas and happily and vapes have 214 00:14:16,920 --> 00:14:22,000 Speaker 3: other products in them that can also cause either aldola proteinosis, 215 00:14:22,040 --> 00:14:24,920 Speaker 3: so a lot of protein rich material is secuted from 216 00:14:24,920 --> 00:14:29,160 Speaker 3: your lungs and causes gas exchange to be difficult, or 217 00:14:29,200 --> 00:14:32,640 Speaker 3: they can cause scarring, permanent scarring in your lungs and 218 00:14:32,760 --> 00:14:36,800 Speaker 3: cause something that recording trasticient langu disease, and then you 219 00:14:36,960 --> 00:14:40,040 Speaker 3: we can't you kind of need a lung transplant to 220 00:14:40,080 --> 00:14:42,680 Speaker 3: cure that condition, or at the tail end of it, 221 00:14:42,760 --> 00:14:47,480 Speaker 3: you become oxygen dependent. That's how tobacco affects your lung 222 00:14:48,360 --> 00:14:50,920 Speaker 3: how to and also causes in the long term. Because 223 00:14:50,920 --> 00:14:55,960 Speaker 3: of this chronic lang disease, it causes powermonery hypotension. How 224 00:14:56,040 --> 00:15:01,560 Speaker 3: tobacco affects smoking tobacco itself as product, regardless of how 225 00:15:01,640 --> 00:15:04,760 Speaker 3: you take it, whether you inhale it or you chew it, 226 00:15:04,760 --> 00:15:09,840 Speaker 3: it causes chronic stress in your lungs as well, and 227 00:15:09,840 --> 00:15:12,800 Speaker 3: and in your in your lungs and in your blood vessels, 228 00:15:13,360 --> 00:15:18,480 Speaker 3: and causes your high blood pressure to spike. So when 229 00:15:18,520 --> 00:15:22,440 Speaker 3: you have hi hypertensi it you should ideally not be smoking. 230 00:15:23,680 --> 00:15:28,440 Speaker 2: Is emphysema treatable? Is it reversible? Or is it once 231 00:15:28,480 --> 00:15:30,960 Speaker 2: you have it you can only manage it. 232 00:15:30,960 --> 00:15:33,120 Speaker 3: It's once you have it, you can only manage it. 233 00:15:33,560 --> 00:15:36,560 Speaker 3: And once you have it, it gets worse. So if 234 00:15:36,560 --> 00:15:40,080 Speaker 3: you have if you're diagnosive emphis zama today and you 235 00:15:40,120 --> 00:15:44,640 Speaker 3: are on treatment and you stop smoking, you can make 236 00:15:44,760 --> 00:15:52,080 Speaker 3: the progression to live to to to worsening the worstening 237 00:15:52,160 --> 00:15:53,880 Speaker 3: of the disease. You can slow down the worstening of 238 00:15:53,920 --> 00:15:57,320 Speaker 3: the disease. If you are diagnosed emphis zama today, you 239 00:15:57,360 --> 00:16:03,520 Speaker 3: continue smoking, it will gets worse rapidly, but it cannot 240 00:16:03,520 --> 00:16:04,040 Speaker 3: be reversed. 241 00:16:05,480 --> 00:16:09,520 Speaker 2: And so would you then be on medication for the 242 00:16:09,600 --> 00:16:11,440 Speaker 2: condition for the rest of your life. 243 00:16:12,440 --> 00:16:14,600 Speaker 3: You definitely good medication for the rest of your life. 244 00:16:14,680 --> 00:16:17,840 Speaker 3: Most people actually come to you and they say, I 245 00:16:17,880 --> 00:16:21,920 Speaker 3: have asthma, because the medication looks like the asthma medication. 246 00:16:22,440 --> 00:16:25,800 Speaker 3: But if it's related to smoking, it's called chronic obstructive 247 00:16:25,880 --> 00:16:29,280 Speaker 3: lang disease, and parts of it is the emphysema. 248 00:16:28,960 --> 00:16:33,080 Speaker 2: Right, And there's often a concern about so often when 249 00:16:33,120 --> 00:16:35,640 Speaker 2: you speak about the impact of smoking, we talk about 250 00:16:35,640 --> 00:16:38,200 Speaker 2: it on the impact on the actual smoker. So the 251 00:16:38,240 --> 00:16:41,960 Speaker 2: person inhaling the tobacco with it through you know, the vibe, 252 00:16:42,080 --> 00:16:45,920 Speaker 2: the shisha or whatever. Are they the same kinds of 253 00:16:46,080 --> 00:16:49,960 Speaker 2: risks for secondary smokers? So you're sitting next to someone 254 00:16:50,200 --> 00:16:53,040 Speaker 2: who is smoking, is there the risk of the same 255 00:16:53,160 --> 00:16:57,080 Speaker 2: kind of damage to your lungs from secondary inhalation? 256 00:16:58,360 --> 00:17:04,440 Speaker 3: Yeah, So turning, just thirty percent of smoking related languages 257 00:17:05,040 --> 00:17:09,960 Speaker 3: happen in second that are smokers. Some second that smokers 258 00:17:09,960 --> 00:17:14,400 Speaker 3: can get lung cancer, and you can get respiratory illnesses 259 00:17:14,440 --> 00:17:17,439 Speaker 3: such as emphy zima and chronic obstructure languages that I 260 00:17:17,480 --> 00:17:20,760 Speaker 3: was talking about, and you can get worsening or tithering 261 00:17:20,920 --> 00:17:25,040 Speaker 3: off a new asthma if you hang around with people 262 00:17:25,040 --> 00:17:27,360 Speaker 3: who smoke a lot. Similarly, just as much as when 263 00:17:27,359 --> 00:17:30,360 Speaker 3: you're sitting with people who are smoking cannabis. You get 264 00:17:30,440 --> 00:17:33,680 Speaker 3: high when you're sitting with people who smoke. You also 265 00:17:33,720 --> 00:17:36,680 Speaker 3: inhale parts of the particles that are contained in the 266 00:17:36,800 --> 00:17:41,160 Speaker 3: inhaled smoke. It's just not as bad because the combustion 267 00:17:41,359 --> 00:17:45,480 Speaker 3: and the heat and the amount of smoke that you're 268 00:17:45,480 --> 00:17:49,000 Speaker 3: inhaling is less if you're a second that smoker. 269 00:17:50,560 --> 00:17:52,919 Speaker 2: Dr I must thank you very very much for joining 270 00:17:52,960 --> 00:17:56,160 Speaker 2: us this morning. If someone's looking to find your practice, 271 00:17:56,280 --> 00:17:57,560 Speaker 2: where can we find you? 272 00:17:58,800 --> 00:18:02,560 Speaker 3: My practice has made Mary Clinic met Forum Hospital, Room 273 00:18:02,640 --> 00:18:06,640 Speaker 3: fourteen and our number is Little sixty six one six 274 00:18:06,800 --> 00:18:09,160 Speaker 3: two seven four zero six. 275 00:18:10,040 --> 00:18:13,480 Speaker 2: Doctor I'm much much appreciated for giving us your time 276 00:18:13,560 --> 00:18:14,040 Speaker 2: this morning. 277 00:18:14,800 --> 00:18:16,040 Speaker 3: Thank you very much for having me. 278 00:18:16,200 --> 00:18:20,639 Speaker 2: That's doctor Becky Big Becky Holly, a specialist physician and 279 00:18:21,119 --> 00:18:25,119 Speaker 2: pulmonologist joining us this morning. Coming up, we shift our 280 00:18:25,119 --> 00:18:29,080 Speaker 2: attention to the Nature Diary and we're talking about spiders. 281 00:18:29,160 --> 00:18:33,119 Speaker 2: Just how dangerous are spider bites? Will speak to Jared Todd, 282 00:18:33,480 --> 00:18:36,800 Speaker 2: he is an enthusiastic member of South Africa's Spider Club. 283 00:18:37,119 --> 00:18:41,040 Speaker 2: Also speak to our residency sy in Asia conservationist Tim Neery. 284 00:18:41,119 --> 00:18:44,480 Speaker 2: But first, it's been a very busy sporting weekend. Let's 285 00:18:44,520 --> 00:18:46,960 Speaker 2: chugging with you later. As I witness News Sport was 286 00:18:47,080 --> 00:18:47,800 Speaker 2: tATu mulodo