1 00:00:00,960 --> 00:00:06,600 Speaker 1: Seven oh two Weekend Breakfast Your Health Worth, Doctor fund Linati. 2 00:00:07,440 --> 00:00:09,760 Speaker 2: It's twenty three minutes before seven o'clock. Welcome back to 3 00:00:09,800 --> 00:00:12,080 Speaker 2: seven oh two Weekend Breakfast with Negorgs and fungom. It's 4 00:00:12,080 --> 00:00:15,680 Speaker 2: a Saturday, so we speak health matters and coming up 5 00:00:16,120 --> 00:00:22,640 Speaker 2: is World Glaucoma Week, and it's intended to raise awareness 6 00:00:22,680 --> 00:00:28,520 Speaker 2: about gladcoma and also how to hopefully shine a light 7 00:00:28,600 --> 00:00:31,840 Speaker 2: on the condition in early detection before it is too late. 8 00:00:31,880 --> 00:00:35,479 Speaker 2: It is often called the silent thief of sight. And 9 00:00:35,520 --> 00:00:38,040 Speaker 2: so we'll speak about glaucoma this morning. If you have 10 00:00:38,080 --> 00:00:41,040 Speaker 2: any questions about clackhoma, you can give us a call 11 00:00:41,159 --> 00:00:42,959 Speaker 2: on A one one eight three or seven oh two. 12 00:00:43,360 --> 00:00:45,279 Speaker 2: Send us an SMS on three one seven o two 13 00:00:45,280 --> 00:00:48,120 Speaker 2: in your WhatsApps on seven two seven two one seven 14 00:00:48,159 --> 00:00:50,479 Speaker 2: o two. Joining us on the line is our resident 15 00:00:50,600 --> 00:00:53,800 Speaker 2: GP is also the Sea of Proactive Health Solution. Doctor 16 00:00:53,800 --> 00:01:03,360 Speaker 2: Fundlainnati joins us this morning, Doctor Natti, Good morning. We'll 17 00:01:03,400 --> 00:01:06,480 Speaker 2: try to get Doctrinati on the line in a short moment. 18 00:01:06,800 --> 00:01:09,680 Speaker 2: I think we have them on now, dat Nati, good morning. 19 00:01:10,760 --> 00:01:13,200 Speaker 1: Good morning, books, and good morning to all of your 20 00:01:13,200 --> 00:01:14,280 Speaker 1: seven o to listeners. 21 00:01:14,360 --> 00:01:16,720 Speaker 2: Oh it's a pleasure having you on the show, Doctor Nati. 22 00:01:16,840 --> 00:01:20,760 Speaker 2: So coming up next week is World Glackcoma Week. It 23 00:01:20,800 --> 00:01:23,480 Speaker 2: starts on the eighth of March until the fourteenth. It's 24 00:01:23,520 --> 00:01:27,760 Speaker 2: observed all over the world. Tell us about the twenty 25 00:01:27,880 --> 00:01:31,240 Speaker 2: twenty sixteen for World glackomer Week this year. 26 00:01:33,520 --> 00:01:38,040 Speaker 1: Thanks books. So yes, you are very right. From March 27 00:01:38,160 --> 00:01:43,920 Speaker 1: eighth to the fourteenth of every year in the Global 28 00:01:43,959 --> 00:01:49,520 Speaker 1: Health Calendar that's designated as a World plow Forma Week, 29 00:01:50,880 --> 00:01:55,680 Speaker 1: and so today this is the beginning basically of the 30 00:01:55,720 --> 00:02:03,520 Speaker 1: World Cladcorma Week and the four focus this year is 31 00:02:03,560 --> 00:02:11,360 Speaker 1: on encouraging individuals you know and health professionals and many 32 00:02:11,440 --> 00:02:16,080 Speaker 1: other people who are passionate about health advocacy to increase 33 00:02:16,240 --> 00:02:23,400 Speaker 1: awareness about this condition which is known as the thief 34 00:02:24,240 --> 00:02:28,800 Speaker 1: of sight you know, or thief of silent thief of 35 00:02:28,960 --> 00:02:34,400 Speaker 1: sight or silent thief of vision. And the theme for 36 00:02:34,520 --> 00:02:39,240 Speaker 1: this year is uniting for a cloud Pomer free world, 37 00:02:39,440 --> 00:02:44,880 Speaker 1: so trying to increase awareness, getting people to join hands 38 00:02:45,200 --> 00:02:48,440 Speaker 1: do the best they can, get the community to play 39 00:02:48,440 --> 00:02:55,480 Speaker 1: their role in terms of you know, awareness, screening and 40 00:02:56,120 --> 00:03:00,919 Speaker 1: early treatment access so that going into the future hopefully 41 00:03:01,000 --> 00:03:03,400 Speaker 1: we can have a cloud Comma free world. 42 00:03:04,160 --> 00:03:07,200 Speaker 2: And so when we speak about clack comma dot nyati, 43 00:03:07,320 --> 00:03:11,240 Speaker 2: what exactly are we talking about? How does this particular 44 00:03:11,280 --> 00:03:13,880 Speaker 2: condition affect one's eyesight. 45 00:03:15,400 --> 00:03:19,200 Speaker 1: So when we're talking cloud comma, we're really talking about 46 00:03:19,320 --> 00:03:26,799 Speaker 1: a group of eye diseases or group of diseases that 47 00:03:27,000 --> 00:03:32,880 Speaker 1: cause damage to what we call the optic nerve or 48 00:03:32,919 --> 00:03:37,560 Speaker 1: cranial nerve number one, which is very responsible for carrying 49 00:03:37,560 --> 00:03:42,440 Speaker 1: the images that we pick up with our eyes which 50 00:03:42,560 --> 00:03:46,200 Speaker 1: need to go to the brain for processing. So that's 51 00:03:46,280 --> 00:03:51,440 Speaker 1: the optic nerve. So the eyeball, at the back of 52 00:03:51,480 --> 00:03:54,840 Speaker 1: the eyeball is where the optic net you know, begins 53 00:03:54,880 --> 00:03:57,760 Speaker 1: and then it takes those images to the relevant part 54 00:03:57,800 --> 00:04:04,880 Speaker 1: on the brain. So these diseases is they affect you know, 55 00:04:04,960 --> 00:04:11,040 Speaker 1: the opticness in a way that it gets damaged and 56 00:04:11,560 --> 00:04:15,320 Speaker 1: for a long time when you have that damage, uh, 57 00:04:15,360 --> 00:04:18,400 Speaker 1: there isn't really any symptoms. That's why they call it 58 00:04:18,440 --> 00:04:22,760 Speaker 1: a silent sift. You know, there's no pain, there's no 59 00:04:22,920 --> 00:04:27,880 Speaker 1: redness of the eye. But by the time you realize 60 00:04:27,880 --> 00:04:32,400 Speaker 1: that there's a problem, it's usually very advanced and at 61 00:04:32,440 --> 00:04:36,800 Speaker 1: that point, once starts to lose what we call peripheral vision, 62 00:04:37,640 --> 00:04:40,680 Speaker 1: that is vision from the side you know, the you know, 63 00:04:41,960 --> 00:04:48,640 Speaker 1: and that progresses to a point where there is irreversible blindness. 64 00:04:48,880 --> 00:04:53,520 Speaker 1: So this is a condition that is the number two 65 00:04:54,080 --> 00:05:02,039 Speaker 1: cause of blindness worldwide, right second only to cataracts. But 66 00:05:02,160 --> 00:05:04,800 Speaker 1: we know that cataracts can be sorted out, you know, 67 00:05:05,480 --> 00:05:08,560 Speaker 1: an operation can be made and then lands can be 68 00:05:08,600 --> 00:05:14,400 Speaker 1: put there, so its cataracts are reversible. But this one, 69 00:05:14,720 --> 00:05:21,320 Speaker 1: claud comma is actually the number one cause of irreversible 70 00:05:21,720 --> 00:05:28,200 Speaker 1: blindness throughout the world. The class minus eighty million people 71 00:05:28,440 --> 00:05:34,440 Speaker 1: worldwide who are living with claud coma, and you know, 72 00:05:36,120 --> 00:05:40,640 Speaker 1: South Africa obviously being part of the world, also has 73 00:05:40,760 --> 00:05:46,280 Speaker 1: that challenge. And the literature is showing that Southern Africa 74 00:05:46,600 --> 00:05:53,839 Speaker 1: for some reason, actually has a higher prevalence of you know, glaucoma. 75 00:05:54,880 --> 00:05:57,960 Speaker 1: In South Africa, it tends to be much more aggressive, 76 00:05:58,440 --> 00:06:04,159 Speaker 1: tends to happen in people at much younger ages, and 77 00:06:04,200 --> 00:06:07,360 Speaker 1: so it is something that we really need to worry 78 00:06:07,360 --> 00:06:11,039 Speaker 1: about in our part of the world. Between four point 79 00:06:11,040 --> 00:06:15,080 Speaker 1: five percent to six point five percent of South Africans 80 00:06:15,640 --> 00:06:19,480 Speaker 1: live with claud coma. But what is very worrying coups 81 00:06:19,600 --> 00:06:24,680 Speaker 1: is the fact that only one in painting of people 82 00:06:24,720 --> 00:06:30,200 Speaker 1: who are living with claud coma actually know that they 83 00:06:30,520 --> 00:06:34,640 Speaker 1: have claud coma. So the overwhelming majority of people who 84 00:06:34,680 --> 00:06:39,120 Speaker 1: have claucoma who don't even know that they have clacoma. 85 00:06:39,680 --> 00:06:43,599 Speaker 1: And because I said it's a silent thief, they don't know, 86 00:06:44,240 --> 00:06:50,240 Speaker 1: so which therefore says it must be a business of 87 00:06:50,400 --> 00:06:54,680 Speaker 1: every South African or every body in the world, especially 88 00:06:54,720 --> 00:07:00,280 Speaker 1: those who are forty and above, to test themselves. Not 89 00:07:00,480 --> 00:07:03,599 Speaker 1: I mean to go for testing, you know, with the 90 00:07:03,800 --> 00:07:10,000 Speaker 1: eye professionals, so that they can know whether they have 91 00:07:10,160 --> 00:07:15,760 Speaker 1: got the problem of glucoma, which often results in a 92 00:07:16,000 --> 00:07:20,240 Speaker 1: higher pleasure within the eyeball. And it is that pleasure 93 00:07:20,600 --> 00:07:26,200 Speaker 1: that slowly kills you know, the optic nev So that 94 00:07:26,520 --> 00:07:28,360 Speaker 1: is basically black cooma. 95 00:07:28,800 --> 00:07:31,600 Speaker 2: And so Toturnati mentioned something quite interesting you said, for 96 00:07:31,760 --> 00:07:35,560 Speaker 2: us in this country, we seem to have people who 97 00:07:35,600 --> 00:07:39,960 Speaker 2: are of a younger age presenting or living with clack coma. 98 00:07:40,040 --> 00:07:42,440 Speaker 2: When we say younger, what do we mean is that 99 00:07:42,480 --> 00:07:45,720 Speaker 2: below the age of forty people in their thirties. And 100 00:07:45,760 --> 00:07:48,720 Speaker 2: do we have a sense of why that is? Is 101 00:07:48,760 --> 00:07:51,480 Speaker 2: that the wide is that we are showing, you know, 102 00:07:51,520 --> 00:07:54,160 Speaker 2: this kind of I guess difference in age. Is there 103 00:07:54,200 --> 00:07:56,360 Speaker 2: any other part of the world that maybe has a 104 00:07:56,360 --> 00:08:00,800 Speaker 2: similar you know, group of younger people present clock comma. 105 00:08:02,240 --> 00:08:06,200 Speaker 1: So if we just look at the risk factors for 106 00:08:06,320 --> 00:08:09,520 Speaker 1: clack comma, and some of them you just mentioned, now, 107 00:08:09,680 --> 00:08:13,720 Speaker 1: age is one of the risk factors. Adults who are 108 00:08:13,800 --> 00:08:18,920 Speaker 1: sixty and above, you know, tends to have a higher 109 00:08:19,000 --> 00:08:23,600 Speaker 1: risk of clag comma in some families. It may run 110 00:08:23,800 --> 00:08:27,880 Speaker 1: in the families where it's like ten times risks compared 111 00:08:27,960 --> 00:08:31,400 Speaker 1: to you know, their average you know, you know population. 112 00:08:32,160 --> 00:08:36,679 Speaker 1: But one thing that answers your question is race and 113 00:08:36,840 --> 00:08:40,440 Speaker 1: ethnicity has been found to play a role, but exactly 114 00:08:40,480 --> 00:08:43,360 Speaker 1: how it does that we do not know. So in 115 00:08:43,440 --> 00:08:48,640 Speaker 1: the US, for example, African Americans and as well as 116 00:08:48,679 --> 00:08:53,720 Speaker 1: the Hispanics and Latinos, they have got a higher risk 117 00:08:53,960 --> 00:08:58,880 Speaker 1: to develop plat comma. So I think you asked, is 118 00:08:58,920 --> 00:09:02,319 Speaker 1: there any other part of the world, So African Americans 119 00:09:02,400 --> 00:09:06,880 Speaker 1: definitely in the US, and so whatever it is, which 120 00:09:06,920 --> 00:09:10,800 Speaker 1: has not really been explained, there is something that increases 121 00:09:10,840 --> 00:09:15,600 Speaker 1: the risk for those who are of African descent, and 122 00:09:15,720 --> 00:09:18,199 Speaker 1: that's what we are seeing in the continent of Africa. 123 00:09:18,280 --> 00:09:23,680 Speaker 1: But again, why it's so much in Southern Africa compared 124 00:09:23,679 --> 00:09:27,160 Speaker 1: to the rest of the continent. It has not been explained, 125 00:09:27,200 --> 00:09:31,760 Speaker 1: but definitely raised ethnicity as play a role in this, 126 00:09:32,960 --> 00:09:36,480 Speaker 1: but also people who are on long term use of 127 00:09:36,840 --> 00:09:40,480 Speaker 1: what we call cortico steroids, they can get you know, 128 00:09:40,600 --> 00:09:47,319 Speaker 1: black coma. You know, people who are suffering from diabetes 129 00:09:47,400 --> 00:09:52,120 Speaker 1: and hypertension also can have this. But it's still not 130 00:09:52,400 --> 00:09:56,400 Speaker 1: very clear about I must say why we in Southern 131 00:09:56,440 --> 00:10:01,600 Speaker 1: Africa seem to be the living region of the continent. Yes, 132 00:10:01,720 --> 00:10:04,920 Speaker 1: because I mean even if you look at West Africa Aria, 133 00:10:05,000 --> 00:10:10,680 Speaker 1: that's still African descent, but our payvalleunce is much lower 134 00:10:10,679 --> 00:10:13,360 Speaker 1: than that of those religions of the continent. 135 00:10:13,800 --> 00:10:16,880 Speaker 2: So doctornat You just mentioned some of the risk factors. 136 00:10:16,920 --> 00:10:22,200 Speaker 2: So noncommunicable diseases for instance, like diabetes can have an impact, 137 00:10:23,840 --> 00:10:28,800 Speaker 2: hypertension can have an impact. There's a genet well, there's 138 00:10:29,120 --> 00:10:33,240 Speaker 2: a racial political link, genetic link, a racial link. What 139 00:10:33,440 --> 00:10:38,920 Speaker 2: other risk factors do we have for glaucoma? And when 140 00:10:38,960 --> 00:10:41,440 Speaker 2: you say genetic do you mean so for instance, my 141 00:10:41,559 --> 00:10:44,800 Speaker 2: grand has glacoma And often on a form I'll get asked, 142 00:10:44,840 --> 00:10:47,120 Speaker 2: is there someone in your family that has it? But 143 00:10:47,240 --> 00:10:50,440 Speaker 2: usually they mean mom, dad, sister or brother. Very seldom 144 00:10:50,480 --> 00:10:52,640 Speaker 2: do they mean grant, So I taken, But she's my 145 00:10:52,720 --> 00:10:56,160 Speaker 2: maternal grandmother. Is that then do I have then a 146 00:10:56,320 --> 00:11:01,040 Speaker 2: risk of developing glacoma because my maternal grandmother her is 147 00:11:01,320 --> 00:11:03,280 Speaker 2: has glacoma. 148 00:11:03,400 --> 00:11:08,120 Speaker 1: So we normally talk out best degree relatives. Yes, so 149 00:11:08,360 --> 00:11:12,560 Speaker 1: your mom, your dad, that kind of just those people. 150 00:11:13,800 --> 00:11:18,359 Speaker 1: If they have clacoma, then your risk as the offspring 151 00:11:18,480 --> 00:11:22,480 Speaker 1: direct offspring for those is then ten times the normal 152 00:11:22,600 --> 00:11:27,640 Speaker 1: risk of the average population. So in terms of the grandmom, 153 00:11:28,760 --> 00:11:34,800 Speaker 1: then that's not saistically and so your risk isn't as 154 00:11:34,960 --> 00:11:39,079 Speaker 1: high as those whose parents have got a past degree 155 00:11:40,240 --> 00:11:42,400 Speaker 1: I mean our past degree relatives. Right? 156 00:11:43,000 --> 00:11:46,520 Speaker 2: And so does do things like smoking and vaping have 157 00:11:46,559 --> 00:11:51,640 Speaker 2: any impact on your eye house, particularly as we with 158 00:11:51,760 --> 00:11:55,400 Speaker 2: this particular condition is glacoma? Does that present a risk 159 00:11:55,480 --> 00:11:58,920 Speaker 2: factor if there is any kind of sort of smoking 160 00:11:59,160 --> 00:12:02,960 Speaker 2: and or very pay or hardly any use of tobacco. 161 00:12:04,400 --> 00:12:09,199 Speaker 1: Look, and in what I've been you know, reading and 162 00:12:09,320 --> 00:12:12,600 Speaker 1: preparing for this, I have not come across that. But 163 00:12:12,679 --> 00:12:19,200 Speaker 1: we also know though that tobacco specifically affects all bodily systems, 164 00:12:19,960 --> 00:12:26,560 Speaker 1: and so indirectly tobacco predisposes people to hyper attension, and 165 00:12:26,679 --> 00:12:31,640 Speaker 1: so indirectly that you know, would be a contributor, but 166 00:12:32,040 --> 00:12:37,480 Speaker 1: not necessarily a direct contributer with this because they've only 167 00:12:37,520 --> 00:12:42,840 Speaker 1: been around for less than twenty years. What has been 168 00:12:42,880 --> 00:12:46,280 Speaker 1: described in terms of how it affects the eye is 169 00:12:46,400 --> 00:12:50,800 Speaker 1: more how it affects you know, the congent diver you know, 170 00:12:51,600 --> 00:12:55,880 Speaker 1: and the other parts of the of the eye, you know, 171 00:12:56,800 --> 00:13:00,960 Speaker 1: like the cornea. But again I have not seen the 172 00:13:01,120 --> 00:13:06,559 Speaker 1: direct link between vaping and you know, claud coma. 173 00:13:07,840 --> 00:13:12,120 Speaker 2: And so we mentioned earlier Toptrinity that for instance, cataracts 174 00:13:12,400 --> 00:13:16,160 Speaker 2: can be reversible once you have been detected, you've been screened, 175 00:13:16,200 --> 00:13:19,800 Speaker 2: you've been found that you do have glacoma. Can glacoma 176 00:13:19,960 --> 00:13:23,000 Speaker 2: be cured or I mean, my kind has been on 177 00:13:23,160 --> 00:13:25,800 Speaker 2: she takes these drops in her eyes to manage your preasure. 178 00:13:26,320 --> 00:13:28,880 Speaker 2: She's been on those drops for a number of years now, 179 00:13:28,920 --> 00:13:31,400 Speaker 2: and it looks as though even as her pressure and 180 00:13:31,440 --> 00:13:34,880 Speaker 2: cruise will be on them for life. So is glacoma 181 00:13:34,960 --> 00:13:38,080 Speaker 2: the a chronic thing. Once you have it, you have it, 182 00:13:38,160 --> 00:13:40,720 Speaker 2: and you can only manage it, you know, going forward. 183 00:13:41,920 --> 00:13:45,720 Speaker 1: I think that is the biggest issue groups about this 184 00:13:47,000 --> 00:13:51,400 Speaker 1: silent sift of vision, because like I've said area it 185 00:13:51,600 --> 00:13:58,760 Speaker 1: causes a permanent form of family of blindness. Now I 186 00:13:58,880 --> 00:14:03,880 Speaker 1: mentioned also that by the time people present, damage has 187 00:14:03,960 --> 00:14:08,199 Speaker 1: already happened. In the South African context, what we see 188 00:14:08,360 --> 00:14:11,760 Speaker 1: is that puff of the people who are diagnosed, they 189 00:14:11,840 --> 00:14:18,240 Speaker 1: already have got permanent damage to their eyes. One of 190 00:14:18,280 --> 00:14:22,320 Speaker 1: the of the eyes at least already has a blindness. 191 00:14:22,480 --> 00:14:28,640 Speaker 1: So there is no sure for glad coma. So which 192 00:14:28,720 --> 00:14:32,360 Speaker 1: is why we you know, this whole campaign is about 193 00:14:32,480 --> 00:14:38,360 Speaker 1: increasing awareness so that people can go forward to their 194 00:14:38,600 --> 00:14:44,040 Speaker 1: eye you know, professionals, get them to be tested because 195 00:14:44,240 --> 00:14:49,040 Speaker 1: if you detected ALI it is at least manageable. The 196 00:14:49,080 --> 00:14:54,240 Speaker 1: treatments that are available will slow down or halt the 197 00:14:54,400 --> 00:15:00,160 Speaker 1: progression towards that irreversible blindness. So that's why we have this. 198 00:15:00,320 --> 00:15:05,200 Speaker 1: So the call to action by you know during this 199 00:15:05,560 --> 00:15:12,680 Speaker 1: week of the world Cloud Comma Week is for everybody 200 00:15:13,400 --> 00:15:20,840 Speaker 1: to take advantage of this week. Go to your pometries, 201 00:15:20,960 --> 00:15:25,080 Speaker 1: go to your oppicient, go to your eye doctors, even 202 00:15:25,120 --> 00:15:28,440 Speaker 1: go to your GDS that's got the tools and get 203 00:15:28,800 --> 00:15:34,040 Speaker 1: your eyes tested a comprehensive eye test whereby they dilate 204 00:15:34,200 --> 00:15:38,560 Speaker 1: the eye, look inside and see how does your optic neess. 205 00:15:38,640 --> 00:15:44,600 Speaker 1: Look also how are your peripheral fields of vision and 206 00:15:44,720 --> 00:15:47,520 Speaker 1: the ones that is done and also the pressure of 207 00:15:47,560 --> 00:15:52,600 Speaker 1: the eye is also taken. Once that is done, then 208 00:15:52,720 --> 00:15:57,440 Speaker 1: if there's no problem, they normally say every two years 209 00:15:57,680 --> 00:16:00,360 Speaker 1: you should have that kind of test. But if you 210 00:16:00,440 --> 00:16:03,120 Speaker 1: are a person who comes from the high risk groups 211 00:16:03,640 --> 00:16:07,480 Speaker 1: that I mentioned, the alia, then the you know, the 212 00:16:07,560 --> 00:16:09,920 Speaker 1: recommendation is that you should have that at least on 213 00:16:10,000 --> 00:16:14,880 Speaker 1: a you know, on an annual basis. But also here 214 00:16:14,920 --> 00:16:20,400 Speaker 1: we talk so if you are forty and above, no history, 215 00:16:20,880 --> 00:16:25,760 Speaker 1: no reflectors every two years, but if you are somebody 216 00:16:26,320 --> 00:16:30,360 Speaker 1: who has those receptors, at least once a year, so 217 00:16:30,400 --> 00:16:32,960 Speaker 1: that if you are picked up with a problem, you 218 00:16:33,040 --> 00:16:37,680 Speaker 1: can get treatments. Treatments are very effective. The medical treatment 219 00:16:37,720 --> 00:16:41,120 Speaker 1: that you mentioned the eye drops that tend to help 220 00:16:41,200 --> 00:16:44,920 Speaker 1: to reduce the pressure within the eye. But sometimes surgical 221 00:16:45,000 --> 00:16:49,680 Speaker 1: interventions like laser may need to be used, you know, 222 00:16:50,440 --> 00:16:53,480 Speaker 1: and also sometimes they may need to be other forms 223 00:16:53,480 --> 00:16:55,120 Speaker 1: of surgical interventions. 224 00:16:55,320 --> 00:17:01,680 Speaker 2: Right, and so Doctrinetti. If you are someone who's reliant 225 00:17:01,680 --> 00:17:04,000 Speaker 2: on the public health care system, which we know the 226 00:17:04,080 --> 00:17:07,080 Speaker 2: bulk of South Africans are, do you know, if we 227 00:17:07,480 --> 00:17:10,280 Speaker 2: are screening for claud comma. I mean, a part of 228 00:17:10,280 --> 00:17:13,240 Speaker 2: the call is that people should present themselves for screening, 229 00:17:13,240 --> 00:17:15,960 Speaker 2: and you're mentioning some of the healthcare professionals you can 230 00:17:16,000 --> 00:17:19,480 Speaker 2: go to do we screen for claud coma in the 231 00:17:19,520 --> 00:17:20,440 Speaker 2: public sector? 232 00:17:22,240 --> 00:17:27,159 Speaker 1: Ideally we should be. I'm sure that, I mean, the 233 00:17:27,200 --> 00:17:32,639 Speaker 1: people from for the apps are actually screamed for claud coma. 234 00:17:33,000 --> 00:17:37,840 Speaker 1: But the reality in terms of the wetload is that 235 00:17:37,840 --> 00:17:42,680 Speaker 1: that does not happen routinely, even during weeks like this one, 236 00:17:43,280 --> 00:17:46,440 Speaker 1: it doesn't happen. So you know, when you look at 237 00:17:46,480 --> 00:17:51,840 Speaker 1: the I professionals, IK professionals, the majority of those are 238 00:17:52,000 --> 00:17:56,960 Speaker 1: in the private sector. You know, the limitation in the 239 00:17:57,040 --> 00:17:59,879 Speaker 1: number of these people and the distribution in the public 240 00:18:00,400 --> 00:18:04,440 Speaker 1: So unfortunately, once again this is one of those areas 241 00:18:04,840 --> 00:18:08,880 Speaker 1: whereby our public health system is found wanting. What I've 242 00:18:08,920 --> 00:18:15,159 Speaker 1: been saying this past week is advertisements from optometries, opticians 243 00:18:15,280 --> 00:18:18,880 Speaker 1: and other people in the private sector you know who 244 00:18:20,359 --> 00:18:24,679 Speaker 1: obviously are away of this particular week, But I haven't 245 00:18:24,720 --> 00:18:29,520 Speaker 1: seen much in terms of, you know, information coming from 246 00:18:29,600 --> 00:18:33,840 Speaker 1: either the provincial health departments or National Health Department where 247 00:18:33,880 --> 00:18:40,680 Speaker 1: they're encouraging people to actually both vowed seek those screening 248 00:18:40,720 --> 00:18:43,080 Speaker 1: tests so that they can be seen whether they have 249 00:18:43,160 --> 00:18:43,919 Speaker 1: the problem or not. 250 00:18:44,320 --> 00:18:46,960 Speaker 2: A question Jahn, what's happened? I'm not sure if this 251 00:18:47,040 --> 00:18:50,280 Speaker 2: isla common that they're describing, but it says my right 252 00:18:50,320 --> 00:18:52,960 Speaker 2: eye goes blind for a minute at least once a month. 253 00:18:53,000 --> 00:18:55,399 Speaker 2: I've checked by blood pressure that seems to be okay. 254 00:18:55,800 --> 00:18:59,360 Speaker 2: Sometimes I found that when I eat salty beef crisps, 255 00:18:59,560 --> 00:19:01,879 Speaker 2: it goes away. I've also found that I have a 256 00:19:02,040 --> 00:19:07,439 Speaker 2: migraine when it happens. Should I worry? That's a question 257 00:19:07,600 --> 00:19:09,360 Speaker 2: from anonymous on WhatsApp. 258 00:19:10,720 --> 00:19:14,840 Speaker 1: The answer is definitely you must worry because that is 259 00:19:14,880 --> 00:19:19,159 Speaker 1: not normal, and that is not normal at Also, I 260 00:19:19,200 --> 00:19:24,960 Speaker 1: would advise that he or she sees treating you know 261 00:19:25,280 --> 00:19:31,280 Speaker 1: a family doctor for referral to an ohalmologist, you know 262 00:19:31,880 --> 00:19:35,919 Speaker 1: a specialist eye doctor. This is not even something that 263 00:19:36,280 --> 00:19:39,520 Speaker 1: I would say it must be taken to an optometrist 264 00:19:39,600 --> 00:19:43,280 Speaker 1: or an optician here. I think a specialist eye doctor 265 00:19:44,280 --> 00:19:47,280 Speaker 1: is the person that should be looking at that because 266 00:19:48,040 --> 00:19:53,280 Speaker 1: it could be a forerunner to a serious problem. You know, 267 00:19:54,080 --> 00:19:57,480 Speaker 1: something similar to when we talk about transient is kindicatept 268 00:19:57,880 --> 00:19:59,960 Speaker 1: you know in the brain where you've got a temper 269 00:20:00,080 --> 00:20:03,760 Speaker 1: rare the you know, lots of some brain function with 270 00:20:04,080 --> 00:20:08,080 Speaker 1: heralds a stroke that may come later on, so I 271 00:20:08,160 --> 00:20:13,480 Speaker 1: think she or he must definitely be evaluated by an 272 00:20:13,480 --> 00:20:16,120 Speaker 1: ophthalmologist d'artagnati. 273 00:20:16,160 --> 00:20:17,879 Speaker 2: As always, it is a great pleasure having you on 274 00:20:17,920 --> 00:20:19,880 Speaker 2: the show. Thank you so much for your time. 275 00:20:21,160 --> 00:20:23,120 Speaker 1: And your books, and all the best for the rest 276 00:20:23,119 --> 00:20:23,560 Speaker 1: of the show. 277 00:20:23,600 --> 00:20:27,040 Speaker 2: Thank you very much. That's our residents, GP dot Yati. 278 00:20:27,440 --> 00:20:29,679 Speaker 2: When we come back, we'll get your very latest eyewitness 279 00:20:29,760 --> 00:20:32,439 Speaker 2: news at seven and then also we talk about the 280 00:20:32,480 --> 00:20:34,720 Speaker 2: things you should be doing if you happen to break 281 00:20:34,760 --> 00:20:37,840 Speaker 2: down on the highway. That's coming up in our motoring conversations.