Speaker 1: Hey, folks, welcome to this episode of Amy and TJ.
Speaker 1: We are back on We are back on track, which
Speaker 1: means that I am going to be indrawing all the
Speaker 1: podcasts from now on. Our last one we had a
Speaker 1: little bit of a It didn't go so well, but
Speaker 1: it might have been the best one.
Speaker 2: It was so us last intro, just because I started
Speaker 2: and then I wanted to stop because I didn't like
Speaker 2: how I sounded, and then I got all flustered, and
Speaker 2: you made the suggestion that we just keep going, and
Speaker 2: everyone could just see that I'm not the person who
Speaker 2: should start podcasts, and it worked well. I was going
Speaker 2: to say, you know, when some people just aren't good
Speaker 2: at folding laundry, you know.
Speaker 1: How do we get there? Now we have to.
Speaker 2: I'm saying, when you know you're not good at something,
Speaker 2: and then you say, see I'm not good at it,
Speaker 2: then you don't have to do it anymore.
Speaker 1: Okay, but why did the folding and the laundry come
Speaker 1: into play?
Speaker 2: Because that's what men do. They're like, I'm terrible at
Speaker 2: folding laundry. I can't fold on you're not in that category.
Speaker 2: But a lot of guys will just deliberately be bad
Speaker 2: at something, so they don't have to do it anymore.
Speaker 1: Oh what I was referencing, that's not another thing.
Speaker 2: That is a thing, like what a thing?
Speaker 1: Like what dishes and laws?
Speaker 2: Yeah, they're not good at it. They don't know how
Speaker 2: to do it.
Speaker 1: What was that? We were out with a friend last night.
Speaker 1: We had a wild night last night. We did and
Speaker 1: I don't know it's it was wild because anytime we
Speaker 1: go up with this particular friend, it gets interesting. And
Speaker 1: I don't you know why we keep saying this. It's
Speaker 1: not a it's not a secret. Charles Barkley is a
Speaker 1: very good friend of mine and we've gone back seventeen
Speaker 1: years and he's been doing a CNN show for the
Speaker 1: past several months. So now I get Chuck in down
Speaker 1: every week.
Speaker 2: So Wednesday nights are usually lit. Wednesday nights are lit. Yeah,
Speaker 2: and they get crazy. It attracts other people and you're
Speaker 2: having in a moment where you're like, how is this
Speaker 2: my life right now?
Speaker 1: Yeah? So we had that last night and we didn't
Speaker 1: want to go Chuck. You'll hear us sale on this
Speaker 1: podcast everyone every almost once a week, like, oh I
Speaker 1: got a friend in town, we might have to go
Speaker 1: out tonight, and sure enough, yesterday was a cold, rainy,
Speaker 1: nasty day in New York. We had a long, very
Speaker 1: just busy day. And man, he said, yeah, nine o'clock.
Speaker 2: It's on nine o'clock, nine p's that's a late night
Speaker 2: for us.
Speaker 1: We ate dinner at seven. We had a couple of drains, sweatpants.
Speaker 1: We were done. Then we go out. He tells us
Speaker 1: me this at a place and the plate the restaurant.
Speaker 1: Actually there, they have more than one. They have more
Speaker 1: than one. Vocation didn't specify which location. So we're in
Speaker 1: the rain. We go to the wrong restaurant.
Speaker 3: Yep.
Speaker 1: Have to get back in an uber and go to
Speaker 1: the real place. I can't. I started telling all that
Speaker 1: because you made me think of something about the folding
Speaker 1: of the clothes. He made some comments last night that
Speaker 1: were wildly offensive about what men and women should do
Speaker 1: in the house, and to your point about the folding
Speaker 1: of the laundry. As a man, I am ocd as
Speaker 1: you call it, Yes, and so I prefer to do
Speaker 1: things my way and to fold things my way. You're
Speaker 1: better at it, truly, But in my place, I would
Speaker 1: rather have my bad folding situation.
Speaker 2: And it's one of the many things I love about you.
Speaker 1: That I would rather do it poorly than to have
Speaker 1: you do it correct. Okay, I applaud that I do
Speaker 1: wash the dishes. I don't know I've what else? What
Speaker 1: do I pass off on you?
Speaker 2: You don't pass off anything on me. I think you
Speaker 2: actually really are self sufficient, which is great. You could
Speaker 2: do a better job of cleaning up after you give
Speaker 2: yourself haircuts. But that's a little gross good and I'm
Speaker 2: not going to clean that up and you haven't asked
Speaker 2: me to.
Speaker 1: Is it gross? It just hair? Why is it? That's
Speaker 1: That's the one thing that when it leaves your body, it's.
Speaker 2: Fils and hair and hair. When they leave your body,
Speaker 2: they are disgusting. I don't want to be near them.
Speaker 1: I'm putting my fingers through your hair now as we talk.
Speaker 1: But if this is in my shower, ill exactly all right.
Speaker 1: So that's that was our night in our day now
Speaker 1: has a lot to do. We've talked here ropes plenty
Speaker 1: about some health struggles that we've had, some minor, some major.
Speaker 1: Some of yours have been documented as more major. But
Speaker 1: everybody has little this and that around the house. I
Speaker 1: don't know how well of a job we do. We
Speaker 1: talk about men a lot of times in this situation.
Speaker 1: If it ain't broken, ain't bleeding, we ain't going to
Speaker 1: the doctor. Period. And you've seen this probably play out
Speaker 1: with me in ways you didn't appreciate.
Speaker 2: Yes, men are like that for sure, and I'm actually
Speaker 2: like that too. Some people get one pain and go
Speaker 2: straight to the doctor and want to know what it is,
Speaker 2: and I think that's amazing. I'm the opposite. I don't
Speaker 2: want to know, and I'll put it off until it
Speaker 2: becomes a problem big enough that I actually am forced
Speaker 2: to go. And everyone I think it's whether or not
Speaker 2: you're a warrior or not. Are you a warrior?
Speaker 1: I don't know, am I? I don't know.
Speaker 2: I don't think you are. I'm not a worrier at all,
Speaker 2: and so therefore I always assume it's going to be fine,
Speaker 2: which is actually really bad when it comes to staying healthy.
Speaker 1: Sometimes it's been working out great for you.
Speaker 2: I'm still here. I'm still here.
Speaker 1: That's what you're going with.
Speaker 2: Yeah, made it to fifty one.
Speaker 1: That's not what I meant. But look at the house.
Speaker 1: What are the basics? Advil and band aids, that's kind
Speaker 1: of it. What else is an emergency kid around your house.
Speaker 2: So I actually have antibiotics just because when I travel
Speaker 2: internationally and also because I am immuno compromised slightly because
Speaker 2: I'm missing lymph nodes. I do have I do carry.
Speaker 2: I do carry antibiotics with me. I do I have zipro.
Speaker 1: You have two EpiPens.
Speaker 2: I do have EpiPens too, because what else. I definitely
Speaker 2: like to carry some acids around just in case you
Speaker 2: eat something you don't like, doesn't sit well with you.
Speaker 1: Wow, Okay, I don't know how well most people do.
Speaker 1: I think at the house we try to when something's
Speaker 1: going on. I think sabine the little ones kids. It
Speaker 1: might be a little different where you have the tendency
Speaker 1: to just rush to the emergency room, but you don't.
Speaker 1: I mean, that's just parent. You just kind of have
Speaker 1: that and you kind of want to do it. But
Speaker 1: a lot of people try to avoid the emergency room.
Speaker 1: Someone has to do with money. Some of it has
Speaker 1: to do with it. Yes, the coverage, you have the
Speaker 1: fear of going in there, But there are times you
Speaker 1: need to get to the emergency room. Or maybe you
Speaker 1: should just have an emergency room doctor on standby that
Speaker 1: can maybe answer some of your questions, and that's what
Speaker 1: we're trying to get at.
Speaker 2: To me, that sounds a lot more digestible to me. Yes,
Speaker 2: and so we are very very lucky to have someone
Speaker 2: many of you may have already seen on TikTok and
Speaker 2: on social media, doctor Dari along. She goes by doctor Daria,
Speaker 2: but she is joining us from one of our favorite
Speaker 2: favorite places in the world, Atlanta, Ga. So, doctor Daria,
Speaker 2: thanks for being with us.
Speaker 3: Hijay, thank you.
Speaker 1: All right, doctor Daria, help us. What'll we're gonna get
Speaker 1: right in. We'll talk about your viral videos and things
Speaker 1: you've talked about. Let's jump right in for everybody listening.
Speaker 1: What needs to be in that cabinet at the house.
Speaker 1: Everybody needs, Like everybody's health situation is a little different,
Speaker 1: but the absolute basics that need to be in there,
Speaker 1: advil and band aids. That kind of covers it, right.
Speaker 3: Yes, I love how Amy was like, I got some antibiotic,
Speaker 3: I got some I got some ivy fluid.
Speaker 2: Well, I do have some pampus there.
Speaker 3: I mean, what all do you have in there? No?
Speaker 3: But so yes, I always say, you know, have a
Speaker 3: non non steroidal anti inflammatory like hypoprofen, motrin something like that,
Speaker 3: and you need to have that in whatever formulations for
Speaker 3: your ages, like adult children's invent You know, I have ten,
Speaker 3: seven and eight month old, so I have all the
Speaker 3: concentrations steeda menifin. I also then throw in yes, you
Speaker 3: get your band aids, get your gauze, get something for
Speaker 3: allergies like a benadr because did y'all know that if
Speaker 3: you start to have an allergy coming on, you want
Speaker 3: to actually take that as quickly as possible because you
Speaker 3: want to snuff out that histemininergic reaction. So you don't
Speaker 3: want to say, oh, we're having an allergic reaction, so
Speaker 3: somebody run at the pharmacy to pick up padrill. You
Speaker 3: want to take it faster, so always have that in
Speaker 3: there too.
Speaker 2: That's great, Can I ask there?
Speaker 1: Because someone told me A lot of people probably deal
Speaker 1: with this. I was told this finally years ago. But
Speaker 1: I had some very bad allergies that caused a post
Speaker 1: NAVS drip. Ended up with a call fro and an infection.
Speaker 1: It was just nasty and it lasted for months. Never
Speaker 1: did anything but drink water and just deal with it
Speaker 1: for months. I was told the Clarton I take don't
Speaker 1: wait until allergy season. Start taking just pop one every
Speaker 1: day while you're fine, and then when allergy season does come,
Speaker 1: you're gonna be Okay. That seems to be working. But
Speaker 1: is that the advice?
Speaker 3: It's exactly right, son. People they wait until like they're
Speaker 3: like you said, you just look the noses draining and
Speaker 3: you're behind the eight ball by then. So if you
Speaker 3: know you get allergies every year, start a few weeks
Speaker 3: early to take your anti allergy metachin.
Speaker 2: That And I've seen it work with you and I
Speaker 2: had never heard that before. And mine's about to start,
Speaker 2: so I should probably jump on the Clearton train very soon.
Speaker 3: Here what Claton train?
Speaker 2: I'm I'm going to jump in with a with a
Speaker 2: big question, Doctor Daria, what is your most important life
Speaker 2: saving advice to the average person?
Speaker 3: Ooh, most important? I mean, let's just go to the top, Amy, Like,
Speaker 3: let's just find the number one thing I would think
Speaker 3: it would be. Actually, no CPR. Know what to do
Speaker 3: if somebody needs CPR, and that includes I count in
Speaker 3: their CPR, drowning, choking. Take a course, like literally physically
Speaker 3: go take a course. Practice on a dummy. Know what
Speaker 3: you're going to do. Because as an er doctor, people
Speaker 3: say like, how do you say so calm in an emergency?
Speaker 3: It's not that I'm anything special or magic. It is
Speaker 3: that I have practiced, so I know if somebody is
Speaker 3: choking or comes in from a drowning or in cardiac arrest,
Speaker 3: I already know what I'm going to do. And I
Speaker 3: think that especially for parents, but everybody listening. If you
Speaker 3: know what your plan is ahead of time, that A
Speaker 3: helps you save somebody's life in the moment, and B
Speaker 3: it gives you peace of mind because you're less scared
Speaker 3: about it and thinking about all the scenarios.
Speaker 1: On the CPR thing. I think a lot of people
Speaker 1: and you're right, I've had a course over the years
Speaker 1: at some point, but that was in college a long
Speaker 1: time ago. I don't know if a lot of people
Speaker 1: will take the time to go do that. So in
Speaker 1: case they don't, I know you recommend that, But in
Speaker 1: case they don't, what is a can you give a
Speaker 1: quick or brief or tell them to go to a
Speaker 1: YouTube video? What can you tell them to still kind
Speaker 1: of get up to speed if they don't take the
Speaker 1: time to go take a course.
Speaker 3: Yes, absolutely, those are some of the videos that I
Speaker 3: create TJ. That's a great question because yes, best case scenario,
Speaker 3: go take a class. But if you're not going to,
Speaker 3: or if you did ten years ago or five years ago,
Speaker 3: you're not going to take a class every year, that's fine,
Speaker 3: watch a video refresher. So I do a video repressure
Speaker 3: on like how to use an AED, because just that
Speaker 3: those defibrillators that you see, you see them in the mall,
Speaker 3: in the grocery store, to help people be to demystify
Speaker 3: them and understand how to do that, how to do
Speaker 3: CPR TJ. When you learn CPR, it was probably still
Speaker 3: doing mouth to mouth. We don't do that anymore adults.
Speaker 3: You just do compression only. So here's what you need
Speaker 3: to know. You do you see somebody there collapse there down,
Speaker 3: somebody go gets to see AED. You start CPR to
Speaker 3: the beat of the BEG staying alive, and you just
Speaker 3: do that until the AED comes and then until nine
Speaker 3: one one arrives. It is that simple. But exactly that's
Speaker 3: why I make videos for how to handle a child
Speaker 3: choking or infan choking, all of those, so that people
Speaker 3: can come and at least watch it and have an
Speaker 3: idea of what to do.
Speaker 2: I love that you say know what you're going to
Speaker 2: do in case of because I know when I when
Speaker 2: my kids were little, choking and drowning, those were my
Speaker 2: two biggest fears, and it was just what would I do?
Speaker 2: How do I handle it? How do overcoming panic? Is
Speaker 2: simply by being prepared? Correct.
Speaker 3: I think it's two things. I think it's being prepared
Speaker 3: and then when you're in that moment no matter what,
Speaker 3: we all have the like oh bleep moment just taking
Speaker 3: a break, and me like I know what to do, Okay,
Speaker 3: I can do this. So it's those two things. It's
Speaker 3: being prepared and then when you're in the moment saying
Speaker 3: I prepared for this, I can do this, focus taken
Speaker 3: care of it.
Speaker 2: And one of you were, I mean, this is also
Speaker 2: very timely. We were looking at some of your videos
Speaker 2: and some of them have gone extremely viral. And the
Speaker 2: one that really is interesting is something that happened just
Speaker 2: a short while ago, the bridge collapse. We all saw
Speaker 2: it happen in Baltimore, and I think almost everyone listening
Speaker 2: here has driven over a bridge and has had that worry,
Speaker 2: like what would happen if something hit this bridge or
Speaker 2: my car went into the water for whatever reason, there
Speaker 2: was an accident, and it crosses your mind. It's so
Speaker 2: extremely rare, Teajer. You looked up the.
Speaker 1: Numbers, right, yeah, I mean we're talking again. If it
Speaker 1: happens to you, then you would think it happens a lot.
Speaker 1: But we're talking to a few hundred three to four hundred,
Speaker 1: by the estimates, of people a year that die in
Speaker 1: a submerged vehicle. So obviously we know it doesn't happen
Speaker 1: that often, but so many of us feel like it
Speaker 1: could happen to us, especially after we see something like
Speaker 1: happen in Baltimore.
Speaker 2: That's right, So you put up some tips on TikTok,
Speaker 2: and I believe that video got thirteen point five million views,
Speaker 2: which just shows that people want to know what could
Speaker 2: I do? What should I do if this happens, even
Speaker 2: though it's almost assuredly not going to It's interesting to
Speaker 2: see you tapped into this fear that we all have,
Speaker 2: even when it's so rare, we still want to know.
Speaker 2: So what is it that people should know? And I
Speaker 2: also just want to know why you think people really
Speaker 2: reacted to that so strongly.
Speaker 3: So I mean that video, you're right, and what kind
Speaker 3: of wild across all of the platforms, social media platforms,
Speaker 3: and what it actually started from is I was driving
Speaker 3: across a bridge with my husband and my kids in
Speaker 3: the car. You know, again, as an er doctor, I
Speaker 3: it is my job to think of all the things
Speaker 3: that can go wrong, and not to sit there and
Speaker 3: fixate on that, but to say, okay, so what would
Speaker 3: I do? I mean, I do that. I'm on a
Speaker 3: plane and I think if they call me overhead, what
Speaker 3: am I going to do at resources? Who's going to
Speaker 3: watch my kids? If somebody's choking? What do I have?
Speaker 3: You know? I remember, I know the exits. I'm always
Speaker 3: thinking about that. And I was driving over the bridge
Speaker 3: and I thought, you know, that's a scenario that I
Speaker 3: don't know what to do. Yes, I've taken care of
Speaker 3: people who have come from a submersion, but in the moment,
Speaker 3: I don't know, And as a mom that made me
Speaker 3: worried it. As an er doctor, I was like, I
Speaker 3: need to know. So I started reaching out to you know, firefighters,
Speaker 3: police officers, kind of first responders and started kind of
Speaker 3: planning do them. This was like a month or two ago,
Speaker 3: and then there was a story of a woman who
Speaker 3: had drowned in a lake, which is really far more common.
Speaker 3: That's so we see more, you know, far few people
Speaker 3: drive off a bridge and you know, land in the water.
Speaker 3: Then you know, just drive into a lake, or they
Speaker 3: drive in a street that's flooded and they don't realize
Speaker 3: how deep that puddle is and their car starts to
Speaker 3: build with water. So I had posted that, and then
Speaker 3: yes it was posted. It had done very well before
Speaker 3: the Francis Scott Keybridge, and then after that, of course
Speaker 3: everybody was looking and I think what it was, And
Speaker 3: now I'll get to the tips. Is a get an
Speaker 3: er doctor. I want you to have a plan, and
Speaker 3: I want it to be simple, because when you are
Speaker 3: scared and you are panicked, you're not going to remember
Speaker 3: my thirty step process. You're gonna remember the three things
Speaker 3: I told you or the one thing. So that's what
Speaker 3: I always do, is what's the plan? How to keep
Speaker 3: it simple? So for that one, it's swak and I
Speaker 3: did not make up. The mnemonic is from a guy
Speaker 3: who's actually studies car submersions out of Manitoba in Canada,
Speaker 3: and so it's seatbelts off, window open, and that pretty
Speaker 3: much happens at the same time and then get out.
Speaker 3: And then he's added c in there to say, you know,
Speaker 3: get the children out and get your oldest out first,
Speaker 3: mainly because he said, you know, if you are trying
Speaker 3: to hold your toddler and then undo other kids seatbelts,
Speaker 3: you're not going to get anybody out. Versus you get
Speaker 3: your oldest child out, they can fend for themselves. They
Speaker 3: can hold on to the car for a second while
Speaker 3: you get the other ones young as done, and then
Speaker 3: you just swim out. And so another key thing he
Speaker 3: said is that, especially newer cars, you cannot rely on
Speaker 3: window breakers, so literally, as soon as you can get
Speaker 3: those windows down.
Speaker 1: We've done stories over the years about such a thing,
Speaker 1: and I've used a window breaker live on TV before,
Speaker 1: and we've done demos. So it's always not work.
Speaker 2: That one time. Were you the one I remember trying
Speaker 2: to get it to break? It works? I've seen that
Speaker 2: happen on my television too, which is actually a good
Speaker 2: thing to remember. To your point, doctor Darian, they don't
Speaker 2: always work.
Speaker 3: No, I bought one. I had bought an entire set
Speaker 3: for all of our cars about three months ago, and
Speaker 3: I'm talking to this guy and he's like, yeah, I
Speaker 3: think they probably won't work. Just in case.
Speaker 1: You mentioned planes, and your theme here always is just
Speaker 1: know what you're going to do, have a plan. We
Speaker 1: just happen to be. Always think about this on the plane,
Speaker 1: about a medical emergency, like what I would do if
Speaker 1: I wasn't okay, or if somebody next to me wasn't okay,
Speaker 1: if somebody I'm traveling with. We happen to land the
Speaker 1: other day from a five plus hour flight from LA
Speaker 1: We get back at eleven o'clock at night. We land,
Speaker 1: and the pilot comes on and says, you can't get
Speaker 1: off the plane because we have someone on board was
Speaker 1: having a medical situation and we all had I know,
Speaker 1: people were frustrated and just have to sit there. Don't
Speaker 1: know what the person's issue was, but they eventually got
Speaker 1: them off and we got off. But when you're in
Speaker 1: a five hour flight, a four hour flight, a three
Speaker 1: hour flight, and you're thirty thousand feet and how do
Speaker 1: you prepare? How do you think ahead to a medical
Speaker 1: emergency you might have, or your loved one might have,
Speaker 1: your child might have. How do you prepare for that
Speaker 1: scenario which could be almost anything. And then you hear
Speaker 1: an announcement is there a doctor on board? All right?
Speaker 1: And then we're in the whole airplane movie situation and
Speaker 1: it comes to Leslie Nielsen trying to save the day.
Speaker 1: We don't want that, y'all.
Speaker 3: And this is one of those nearest I remember being
Speaker 3: pre med and thinking like when they call overhead, is
Speaker 3: there a doctor on board? You know, I'll be like
Speaker 3: el Wood to be like, yeah, oh fabulous, I'll come
Speaker 3: in with my cape for once you're actually that person
Speaker 3: and you're like, h come on, let there be another
Speaker 3: doctor on board. I'm here with my three kids. But
Speaker 3: just this little story. And my husband and I were
Speaker 3: flying back from I think Denver's Denver or Vegas or
Speaker 3: something was somewhere out there, going back to Boston and
Speaker 3: we had just you know, ten minutes up in the air,
Speaker 3: and they said, it's there a doctrunboard. Now, incidentally, my
Speaker 3: husband is an orthopedic surgeon, but so is. He started
Speaker 3: being like here, she's right here, she's right here. So
Speaker 3: of course I go and I stand up, and my
Speaker 3: husband's like, call me if their shoulders dislocate. Super helpful,
Speaker 3: So thanks love. And it was actually a gentleman who
Speaker 3: was having a seizure and of course, you know, traveling
Speaker 3: with people who barely knew him, so nobody knew what
Speaker 3: is his You were like, that's me fine. Me as
Speaker 3: an er doctor, I'm used to having almost no information.
Speaker 3: But so on the flight there was a neurologist, this
Speaker 3: is like a bad joke or something. A neurologist, a
Speaker 3: your ologists, and an EMT slash surgery intern who was
Speaker 3: also a diabetica. It's like said, these people walk into
Speaker 3: a bar. No, so the you know, the neurologists wanted
Speaker 3: an MRI. I was like, again, thank you so much,
Speaker 3: please go have a cocktail. I'll call you if I
Speaker 3: knew you. The neurologists flent and sat back down to
Speaker 3: you because they knew they could be helpful. The e
Speaker 3: MT surgery intern was great because the airplanes are so limited.
Speaker 3: So this guy actually had his own glucometer and I
Speaker 3: was like, great, can you check this guy's blood sugar?
Speaker 3: And I remember being so surprised when I opened up
Speaker 3: the plane and I've actually the plane medical kit. I've
Speaker 3: actually done some posts on this because the FAA made
Speaker 3: some rules of what needs to be on planes, but
Speaker 3: it was done. I think about it. You know, I
Speaker 3: did this post about a year ago, so, but it
Speaker 3: was done like several years ago, and then since then
Speaker 3: they've made some new voluntary updates, but not all the
Speaker 3: airline have to follow it. And I remember opening up
Speaker 3: this medical kit and I was like, there's oral lasix
Speaker 3: on here, like, great, if I need the guy to
Speaker 3: pee in six hours, that's going to be really helpful.
Speaker 3: But otherwise it wasn't useful. So what I really learned
Speaker 3: is if there is a medication that you think there
Speaker 3: is a chance your family member might need, like you said,
Speaker 3: you keep epibeds, harry them in your purse because you
Speaker 3: really cannot rely on that onboard medical kit to have
Speaker 3: what you might need. So if somebody has seizures, even
Speaker 3: if they're not regular, harry whatever. You know, if they
Speaker 3: have migraines, whatever, their kind of abortive medication is, carry
Speaker 3: it with you in your carry on.
Speaker 2: Say hi, it's so smart. You know you just mentioned that.
Speaker 2: And I remember doing one of the scariest stories to
Speaker 2: me because I had just done this with my daughters.
Speaker 2: How many people go, you're on vacation, you think, you know,
Speaker 2: you're not thinking about a medical emergency. But I covered
Speaker 2: a story about this this woman and her daughter, a
Speaker 2: family going snorkeling in the Bahamas. Right, they go on
Speaker 2: a boat, they go forty five minutes out, so you're
Speaker 2: not near any sort of medical help, and a shark
Speaker 2: attacked her daughter, and no one even had a tourniquet
Speaker 2: on that boat. And so they were advocating for boats
Speaker 2: and places around the world to make sure they have
Speaker 2: the correct medical equipment there in case the unthinkable or
Speaker 2: something that's possible could happen. But to your point, when
Speaker 2: you're going anywhere outside of you know, having a hospital nearby,
Speaker 2: it's something you should think about to bring with you,
Speaker 2: to pack with you. Like I would never have thought
Speaker 2: to make sure I have a tournique. I mean, what
Speaker 2: do you suggest people bring with them. You don't want
Speaker 2: people to overthink it or go overboard, but what can
Speaker 2: you bring with you either when you're traveling on a plane,
Speaker 2: by train, you know, on a boat somewhere remote where
Speaker 2: you know you're not going to have immediate medical attention.
Speaker 3: Yeah, well that's a great question. I always have a
Speaker 3: little bit of a first aid kid I take with us.
Speaker 3: There's my basic one. No matter where we're going, I'm
Speaker 3: going to have, you know, tunnel eiderprobe and congestion medication
Speaker 3: some you know, Benadryl, some band aids. Just because I'm
Speaker 3: there with the kids, I don't want to have to
Speaker 3: find a pharmacy. So first it's just your base, which
Speaker 3: is like, if there's a little minor illness, how can
Speaker 3: I treat it? Just to not be inconvenience, That's always
Speaker 3: kind of what I'm taking. Then beyond that, when you
Speaker 3: were saying, Okay, now I'm going someplace where I will
Speaker 3: have less access, Now I need to bring something additional.
Speaker 3: So depending on where you're going. So sometimes if you're
Speaker 3: going to different, you know, undless developed countries, you may
Speaker 3: need to bring antibiotics just in case somebody gets you know,
Speaker 3: you're already prepared. You got your zipro amy yep.
Speaker 2: I send my daughter to Mexico with zipro yes.
Speaker 3: Exactly, so you might you know, talking to your doctor
Speaker 3: before you go, like are we going to need that?
Speaker 3: You know, in my own family, I travel with, you know,
Speaker 3: suture material in case somebody gets a cut. Not everybody
Speaker 3: can do that, but you can travel with things say okay,
Speaker 3: what's going to temporize so I'll have pain medication, congestion
Speaker 3: allergy medication. I'll have lots of gauze. Yes, if you
Speaker 3: really are going someplace where you could fall, get a fracture,
Speaker 3: get a cut. Sure you can take a turn to
Speaker 3: guet if you're really trained and doing that. But usually
Speaker 3: most places, just having a lot of pressure, you can
Speaker 3: use a god, you can use a T shirt. You
Speaker 3: don't have to take as much. But that's kind of
Speaker 3: like my basics that I would be taking.
Speaker 1: Will a doctor give you I mean, I guess I'm asking,
Speaker 1: I'm looking at you, robot, I got a doctor. I
Speaker 1: don't know why I'm looking at you. Will the doctor
Speaker 1: if you explain where you're going. Will a doctor give
Speaker 1: you an antibiotic ahead of time?
Speaker 3: A lot of times travel clinics will. And you're not
Speaker 3: saying like, hey, give me an antibiotic, give me a
Speaker 3: Z pack in case I have a runny nose. You're saying,
Speaker 3: I need, you know, anti diarrheal medication in case I
Speaker 3: get this. Really, you know, bad illness, and I'm someplace
Speaker 3: where I can't get to a pharmacy.
Speaker 2: And there are some people, like I suggested, who are
Speaker 2: immunocompromised or who do have an extra underlying condition. Where
Speaker 2: they know. If something happens and I can't get to
Speaker 2: a hospital by X y Z, I need to make
Speaker 2: sure I have this in my pack. And so everyone
Speaker 2: has to talk to their doctor about that, obviously, specifically
Speaker 2: as to whether or not you need that.
Speaker 3: If you especially if you have specialized medications that you
Speaker 3: need to take, don't really on them being available where
Speaker 3: you're going to be going. If you're going out of
Speaker 3: the country, they may not even have the same medications.
Speaker 3: So I always say, also take extra whatever your prescription
Speaker 3: medications are taken, enough for a week or two, just
Speaker 3: just to have it alongside.
Speaker 1: Doctor Daria, what do you recommend I think about this
Speaker 1: Sometimes I'm just all around New York. If anything ever
Speaker 1: happened to me, a medical emergency of some kind and
Speaker 1: I'm incapacitated, I'm not with a friend or loved one,
Speaker 1: with Robock, with my daughter, and there's some information that
Speaker 1: needs to be accessed in my phone, and the right
Speaker 1: first thing somebody might want to do is look at
Speaker 1: my phone and try to call a loved one. Of course,
Speaker 1: you call nine one one if it's that serious, But
Speaker 1: should we make is there anything we can do with
Speaker 1: our phones to make sure if we have an emergency
Speaker 1: and we can't open it for someone that they can
Speaker 1: have access to our phone to maybe find out if
Speaker 1: we have some medical issue or find out who they
Speaker 1: can call. Is there anything that can be done there?
Speaker 3: You can, I mean some people advocate saying, you know,
Speaker 3: put in their ice like in case of emergency, having that.
Speaker 3: Sometimes Apple will let you set an emergency CA contact
Speaker 3: that e MT can access. You know, for the most part,
Speaker 3: when I have a patient who has something critical going on,
Speaker 3: if they're coming into the ear I'm looking at the patient.
Speaker 3: I'm not looking at their phone. So it may be
Speaker 3: something that you know, a nurse to me would try
Speaker 3: to look at later. I wouldn't stress a ton about that.
Speaker 3: But that is something you could do, is put in
Speaker 3: those an emergency contact or I see, just in case
Speaker 3: you do have somebody who is going to try to
Speaker 3: look for it.
Speaker 2: Doctor Daria, what is the number one reason why most
Speaker 2: people come into the emergency room?
Speaker 3: Oh? Wow, Well it depends, can I give it a sure?
Speaker 3: And number one? That depends. So of course there are
Speaker 3: things like you know, there are a couple of buckets.
Speaker 3: There are things like traumas, car accidents, falls, you know,
Speaker 3: any number of things there there are, and then there
Speaker 3: are just symptoms that people come in. They have scary symptoms.
Speaker 3: You know, they have chest pain, or their child has
Speaker 3: a weird headache or you know, vomiting, any number of things.
Speaker 3: That's a beauty of the RS. You never know why
Speaker 3: somebody's going to be coming in, and of course the
Speaker 3: number one reason differs by somebody's age, so you just
Speaker 3: really never know. They can come in for anything, anything
Speaker 3: ranging from you know, somebody something awful to somebody just
Speaker 3: being scared and not knowing. And that's one of the
Speaker 3: things I love about the ER is it kind of
Speaker 3: get to meet people where they are for whatever reason
Speaker 3: brought them in.
Speaker 1: You know, what do you see person? Not necessarily a percentage,
Speaker 1: but an idea. Of course, if somebody's in a car accident,
Speaker 1: if somebody had some trauma, they come to the er.
Speaker 1: Of course they're going to be admitted, that's one thing.
Speaker 1: But for the folks who just walk in, who are
Speaker 1: a little scared, who are a little nervous, or something
Speaker 1: doesn't feel right, how I guess how often is it
Speaker 1: that those people say, hey, you're okay and get sent
Speaker 1: back home versus people actually catching something that's serious.
Speaker 3: You know, you'd be surprised. There are people who walk
Speaker 3: in who are like, hey, just not feeling so great
Speaker 3: that you put the heart monitor. I'm like, sir, you
Speaker 3: have a heart rate of two hundred and twenty. Oh,
Speaker 3: that would explain why I don't feel so hot. Like
Speaker 3: do you have any idea when this heart rate started? No,
Speaker 3: but I've been feeling like crap for a week. Like great, sahkay,
Speaker 3: you're staying. You're gonna be staying with me for a while.
Speaker 3: And you might have that you know, you might have
Speaker 3: a mom who or a dad who brings in their
Speaker 3: child and they're like, you know, they just they weren't
Speaker 3: looking right. And sometimes, you know, you give that child
Speaker 3: some you see the minifin and thirty minutes later, their
Speaker 3: fever's done and they are running around like a bansheet,
Speaker 3: jumping up on all the beds, and you're like, okay,
Speaker 3: they're good, have a popsicle, have a good night. And
Speaker 3: then that you know a child right next door that
Speaker 3: the parent may have said the same thing. You give
Speaker 3: them the medicine and their fever comes down, they're still
Speaker 3: not better, and that kid were going to be, you know,
Speaker 3: doing more tests, You often cannot tell. People can be stoic,
Speaker 3: people can be scared. People can be scared, but they're
Speaker 3: scared about something that I'm worried about, something totally different
Speaker 3: for them. You often cannot tell. That's what kind of
Speaker 3: makes it tough about the er is you know, it's
Speaker 3: finding the needle in the haystack? Is who's you know,
Speaker 3: find this sick? Like? Who? Figuring out who is the
Speaker 3: sick person is part of our challenge.
Speaker 1: Would you tell us, doctor Darien not to try to
Speaker 1: make that determination on our own because those conversations happen
Speaker 1: in homes right before they head to the emergency room.
Speaker 1: Should we go? Is it serious enough? We're gonna look
Speaker 1: silly if this is just a little minor headache, this
Speaker 1: is no big deal?
Speaker 3: Right?
Speaker 1: How how can you coach people through that debate before
Speaker 1: they even get to you?
Speaker 3: Right? So, of course everybody's gonna have some degree of
Speaker 3: that debate. Nobody nobody ever wants to come see me
Speaker 3: in the er, and I try not to take offense
Speaker 3: at it, but like nobody ever wants to actually be there.
Speaker 3: I get it. So, but I always say, you just
Speaker 3: kind of at a certain point you have to it
Speaker 3: comes down to your own gut. No, people, do not
Speaker 3: please do not Google, do not AI, do not chat,
Speaker 3: GPT your symptoms. There was a study that came out
Speaker 3: recently of like asked me AI their symptoms. It was
Speaker 3: it was so bad. It was just so dramatically awfully
Speaker 3: kind of advice that it gave you, So do not
Speaker 3: do that. Somewhere I have a mug that says, like,
Speaker 3: do not confuse my medical degree with your Google search, Like,
Speaker 3: just don't. That is why, like I try to create
Speaker 3: content on that too, like sprained your ankle when to
Speaker 3: go to the er, your child hit their head when
Speaker 3: to go to the er, Because I know as parents
Speaker 3: there's just so much noise, and I'm trying to simplify
Speaker 3: it for them. But in the end, if it comes
Speaker 3: down to something that you think is worrying you, that
Speaker 3: you are afraid to sleep on because you're afraid, you
Speaker 3: know that something could go wrong tonight if you especially,
Speaker 3: like I always tell a parent, like if you just say,
Speaker 3: my child's not being themselves, that's the sixth the vital side.
Speaker 3: If I have a parent, you know their child's temperatures,
Speaker 3: find their heart rates, fine, they're everything. My parents like
Speaker 3: I know my kid and this they're not behaving like themselves. Okay, valid,
Speaker 3: I'm going to start looking at that child and try
Speaker 3: to figure out what's going on. So I could give
Speaker 3: you all the rules in the world. Of course, if
Speaker 3: you have chest pain, shortness of breath, you can't do
Speaker 3: your normal things. You can't complete a full sentence, anything,
Speaker 3: can't stop vomiting. Yes, all all of those things, but
Speaker 3: never forget if you just are worried, you can't get
Speaker 3: an answer and you're scared. That is why we are there.
Speaker 3: Twenty four to seven.
Speaker 2: Wow, I saw one of your other viral videos was
Speaker 2: about your own heart palpitations, and it struck a chord
Speaker 2: with me because I was sure I was having panic attacks.
Speaker 2: I was sure I needed to do and I'm sure
Speaker 2: I do need therapy still always, but I was just
Speaker 2: assigning it to a mental condition. And I had a
Speaker 2: friend of mine and say, no, you actually don't look right.
Speaker 2: And so when they did my EKG, I ended up
Speaker 2: having a dangerous rhythmia, end up having an ablation heart
Speaker 2: surgery from it. But I was convinced that I was
Speaker 2: just having panic attacks for weeks. And it's one of
Speaker 2: those interesting things because you went through this too as
Speaker 2: a runner. You started realizing that you were having an
Speaker 2: elevated heart rate, but you didn't realize just how how
Speaker 2: elevated it was. I believe you said you had tech
Speaker 2: acardia or a version of it. How do you know,
Speaker 2: like that one of that's I think it's a very
Speaker 2: common thing. You can have anxiety, you can have panic attacks,
Speaker 2: you can have or you can actually have a heart problem.
Speaker 2: How do you distinguish between the two?
Speaker 3: Yeah, yes, you are so amy. I did not realize
Speaker 3: we're like soul sisters, were having our tactic cardias and
Speaker 3: our oblations. You had an ablation too, Yeah, multiple ones, Yes,
Speaker 3: and you're right. I developed a crazy heart condition in
Speaker 3: twenty twenty and it was during COVID and I'd been
Speaker 3: taking care of a lot of COVID patients got super
Speaker 3: sick and and it had never been so sick before.
Speaker 3: And then all that summer I'd go on my runs
Speaker 3: and I would have these episodes. It would it would
Speaker 3: get so bad, like I had to sit down because
Speaker 3: I had chest pain, shortness of breath. But you know,
Speaker 3: I had a good amount of like probably denial, probably
Speaker 3: er doctor Hubris and being like I'm forty what could
Speaker 3: be wrong? Even though I know I know so much
Speaker 3: better than this. And finally, one day I took my
Speaker 3: heart rate at home and it was two hundred and
Speaker 3: seventy and it was something called ventricular attach pardia, and
Speaker 3: as an er doctor, I just like I knew there
Speaker 3: was no good response and no no benign cause of that.
Speaker 3: So it was, you know, in life kind of really
Speaker 3: changed for me there. I know, Amy, you had your
Speaker 3: own medical scares, breast cancer all, and it's like that
Speaker 3: moment where you know, the next eighteen months I was
Speaker 3: hearing doctors talk about me and you know, cardiac arrest
Speaker 3: and sudden death and getting shocked on the side of
Speaker 3: the road. And I always tell people though, like you
Speaker 3: don't know what the cause is until you've gotten it evaluated.
Speaker 3: So I don't want people if you're having a lot
Speaker 3: of palpitations, I don't want somebody sitting out there and
Speaker 3: saying it's probably anxiety. I would much rather they come in,
Speaker 3: whether it's to the er or to their primary care doctor,
Speaker 3: because usually if they come in with palpitations to the ear,
Speaker 3: their pop patients have stopped by the time they get
Speaker 3: to me, so then they're trying to like It's kind
Speaker 3: of like you go to your mechanic when your car
Speaker 3: is making noise, but it's no longer making the noise,
Speaker 3: and you try to like repeat the sound and it
Speaker 3: doesn't work. But the best thing is, I say, go
Speaker 3: to your doctor, get a twenty one day monitor, wear that,
Speaker 3: get an echo cardiogram, you know that way you're wearing
Speaker 3: the monitor. When the pop patients come on, you press
Speaker 3: a little button. It knows to record it right at
Speaker 3: that moment. Your doctor can then say, okay, here are
Speaker 3: your symptoms, here's your AKG, and they might say, holy goodness,
Speaker 3: when you had those symptoms, your EKG was wild and
Speaker 3: we need to intervene. Or they'll say, you know what,
Speaker 3: you were just having some sinus tachycardia, which means it's
Speaker 3: either anxiety or this is something else medical, like thyroid
Speaker 3: or something. Let's check all those things off. If we
Speaker 3: rule everything out, then we can safely say it's anxiety
Speaker 3: and amy. I'll have patients who come in and they'll say,
Speaker 3: you know what, I was having tach acardia, but I
Speaker 3: know it's due to my anxiety because I've had that
Speaker 3: work up, so I'm Okay, Now like that gives them
Speaker 3: a peace of mind, and then that's fine. If you
Speaker 3: tell me that, then that's fine. But don't just ascribe
Speaker 3: it to anxiety until you've actually done the work out.
Speaker 1: Should we all have a way to monitor our heart
Speaker 1: rate or blood pressure at home?
Speaker 3: I want to go crazy about it. No, not unless
Speaker 3: you actually have symptoms. I think you know, the whole
Speaker 3: quantified self. We can tend to lose ourself and all
Speaker 3: sorts of things because everybody's going to have an extra
Speaker 3: beat here or there, and you don't want to do
Speaker 3: it if there's nothing, if it ain't broke, don't try
Speaker 3: to fix it, TJ. But if you have symptoms, then yes,
Speaker 3: guy would get a monitor, either use your you know,
Speaker 3: your smart watch, use a device like Cardia. That's what
Speaker 3: I used to catch my heart rate and full disclosure.
Speaker 3: I'm on their board now because I use them, but
Speaker 3: so just full disclosure there. But if you have symptoms,
Speaker 3: get a device, get the work up, and then it
Speaker 3: might be anxiety, but.
Speaker 1: At least you know I do that.
Speaker 3: It might be your magnesium, it might be your thiroid,
Speaker 3: it might be something else that we can easily intervene
Speaker 3: onto to that point.
Speaker 1: Yeah, I was you A doctor told me to get
Speaker 1: one and I was monitoring twice a day when I
Speaker 1: was having a heart issue back in twenty fifteen sixteen,
Speaker 1: So I have it. I don't use it now, But
Speaker 1: to your point, that's exactly why I was got one
Speaker 1: and was using it because doctor.
Speaker 2: Don't How often doctor daria should we be getting and
Speaker 2: at what age did you start getting blood work done?
Speaker 3: Well, it really depends, you know, as women start to
Speaker 3: go into you know, for the most part, you know,
Speaker 3: if you're in your thirties and forties, you might need
Speaker 3: you might need to get anything is like your cholesterol
Speaker 3: every so often to make sure that you don't have
Speaker 3: you know, some familigal or some high cholesterol for a reason.
Speaker 3: That's something we can intervene on you might want to get.
Speaker 3: You to invite them in d checked. A lot of
Speaker 3: the times though, instead of just getting like a thousand
Speaker 3: different things blood work, talk to your doctor and you
Speaker 3: kind of get deliberate blood work done based on your
Speaker 3: symptoms or based on your health or what you're feeling.
Speaker 3: You know, you have feel really bloated, you might get
Speaker 3: a GI work up done, but you don't have to
Speaker 3: do all those things. So I think, you know, in
Speaker 3: your thirties and forties, you're gonna check your you know,
Speaker 3: maybe you write them in DA you're cholesterol things like that.
Speaker 3: Then once you start to get older than there are
Speaker 3: regulations for men for their PSA, you know, for women
Speaker 3: as we start to go in premenopausal, then you may
Speaker 3: want to get work up done then. But again I'm
Speaker 3: not a big believer in just getting all the blanket
Speaker 3: work up done, but really instead being a lot more
Speaker 3: deliberate and talking to your doctor like what should I
Speaker 3: get done now? Of course, in addition, there's like the mammograms,
Speaker 3: which I know you're a believer in, and make sure
Speaker 3: you're getting those done regularly. I mean, it's you know,
Speaker 3: it's just it's a pain. We got to do those
Speaker 3: things too. Colonoscopy, you know, it's not just blood work,
Speaker 3: especially once you get forty.
Speaker 2: Oh yeah, it gets really fun once you cross forty, right, it.
Speaker 3: Gets real, real, real real.
Speaker 1: I got Those are the text of my sister not
Speaker 1: long ago. My sister does she's doing a half years older.
Speaker 1: She's sent a random text out of nowhere. Hey have
Speaker 1: you had a colonoscopy yet? You're over forty five now, like, jeez,
Speaker 1: this is where we are.
Speaker 3: Wasn't it like the Super Bowl? It was like if
Speaker 3: you knew all the words to that, Yeah, you needed
Speaker 3: to have a I've got a klenoscopy. Oh didn't I
Speaker 3: see that?
Speaker 1: Are you seeing any trends in the er that are
Speaker 1: are kind of alarming to you? I know sometimes when
Speaker 1: even when COVID was first happening, that if VR doctors
Speaker 1: were reporting they were starting to see people come in
Speaker 1: with certain conditions and didn't understand blah blah blah. But
Speaker 1: are you seeing any trends that are concerning you in
Speaker 1: the the er for people coming in with particular types
Speaker 1: of injuries or illnesses.
Speaker 3: I think post COVID a lot we are seeing, you know,
Speaker 3: we did see kind of a lot more kind of
Speaker 3: autonomic or vascular or heart abnormalities simply because of the
Speaker 3: way COVID reacting. You may have heard of conditions like pots.
Speaker 3: A lot more people are talking about pots and or
Speaker 3: have heart palpitations or things like that simply due to
Speaker 3: the inflammation that we got from COVID infection. So I
Speaker 3: think there are you know, there's just an increasing discussion
Speaker 3: about that. They're also just me be increasing awareness about
Speaker 3: it too. That's a big other than that. I think
Speaker 3: we've kind of gone back to where we were. There
Speaker 3: was an issue for a while with com people were
Speaker 3: delaying all their preventive care, so they were coming in
Speaker 3: far later in terms of like later in their disease.
Speaker 3: We're kind of back reset for that. Now it's just
Speaker 3: back to like the typical hospital and er overcrowding, which
Speaker 3: is an ongoing issue and something that that's another soapbox
Speaker 3: for another day. You know, we take care of patients
Speaker 3: in the waiting room and you might have massively ill
Speaker 3: patients sitting there in the waiting room for eight hours
Speaker 3: and I can't do anything about it, and it just
Speaker 3: drives me wild. So that's kind of the biggest struggle
Speaker 3: that we have right now. It's just not enough beds.
Speaker 2: Yeah wow, I mean that's crazy, but it feels like
Speaker 2: it's been like that for so long, and it got
Speaker 2: even worse obviously during COVID, Doctor Dry, I want to
Speaker 2: ask you this. I know we've seen so many celebrities
Speaker 2: come out and they're talking about their conditions and it
Speaker 2: raises awareness for a lot of things from cancer to
Speaker 2: just you know, every day maladies where people say, hey,
Speaker 2: this happened to me. It might be embarrassing to talk about,
Speaker 2: but I'm going to talk about it. It raises awareness.
Speaker 2: I'm curious what you think the ripple effect is, if
Speaker 2: it's good or if people end up panicking or getting
Speaker 2: more worried. We saw Olivia Month come out recently about
Speaker 2: breast cancer, but I think it was just a week ago.
Speaker 2: We saw Halle Berry come out talking about perry menopause,
Speaker 2: but with a very flashy headline because she was told
Speaker 2: initially that she had the worst case of herpes that
Speaker 2: a doctor had ever seen, and she got tested, her
Speaker 2: boyfriend got tested. They were negative. Turns out it was perimenopause.
Speaker 2: And I'm just I'm curious what you think about You know,
Speaker 2: everyone's sharing now and it's usually for something good. They
Speaker 2: want to raise awareness, But what do you think about it?
Speaker 2: As an emergency room doctor, do you have more people
Speaker 2: anytime a celebrity comes out and says something, they come
Speaker 2: in thinking, oh, no, I have this.
Speaker 3: M Yes, you're right. There's always a balance. It's kind
Speaker 3: of like when you're a med student. Every chapter you
Speaker 3: go through you think you have that diagnosis, so you
Speaker 3: know you know you're going through the brain tumor the
Speaker 3: chapter and section year and everybody thought we all thought
Speaker 3: we had brain tumors for a while, so you know,
Speaker 3: so yes, that does happen. I do think it's really
Speaker 3: valuable though, I think because if you are out of
Speaker 3: the medical field, like for me in the medical field,
Speaker 3: even you know, Kate Middleton a pre cancerous diagnosis at
Speaker 3: age forty, and so many people were shocked, and I
Speaker 3: remember I was like, why are they shocked? I see
Speaker 3: lots of women who are in their thirties and forties
Speaker 3: with cancer, and so I don't think it's a bad
Speaker 3: idea for the general public, who'll be aware that yes,
Speaker 3: it can happen at those early ages, which is why
Speaker 3: you don't we want to pay attention to the symptoms.
Speaker 3: I teach try to teach people here's how to pay
Speaker 3: attention to the symptoms without panicking. I try to like
Speaker 3: always marry those two, like how can you hold that
Speaker 3: duality which is the knowledge that bad things can happen,
Speaker 3: but also saying I have information so I know when
Speaker 3: to be aware and to react. So I think that's
Speaker 3: really important even for everybody listening, you know, just like
Speaker 3: I as a medical student. Just because you learn about
Speaker 3: it does not mean you have it. It used to
Speaker 3: means now you know to look for it.
Speaker 2: Do you think we don't know enough about menopause and
Speaker 2: perimenopause for women. We don't talk about it, and then
Speaker 2: when the symptoms happen, women like Halle Berry, even who
Speaker 2: obviously is a very well learned woman, she knows her body,
Speaker 2: she knows she's an intelligent woman, and yet still we
Speaker 2: don't know what's happening.
Speaker 3: Yeah. I think perimenopause and menopause is an area that
Speaker 3: we are just now starting to hear about, doctors are
Speaker 3: talking about, and I think that's wonderful. I mean, even
Speaker 3: when I did the palpitations video, I had Sony Bill say,
Speaker 3: you know, I had this at perimenopause and this came on,
Speaker 3: and so I think it's wonderful. I think we are
Speaker 3: at the very beginning of being able to say, here
Speaker 3: are all the symptoms that you can have, here's what
Speaker 3: they mean, here's when you can just talk it of
Speaker 3: perimenopause and menopause, and here's one to seek care. We're
Speaker 3: just starting to do that. We're kind of you know,
Speaker 3: where we were maybe in terms of like fertility. Talking
Speaker 3: about infertility ten years ago is now where we are
Speaker 3: for perimenopause, and I think that's wonderful, Like, let's talk
Speaker 3: about it. You know. I think it's great to know
Speaker 3: that you can at perimenopause you can have that kind
Speaker 3: of pain. Now women know not to just write it off.
Speaker 3: But now, okay, so now let's tell them when you
Speaker 3: need to go see a doctor for it and what
Speaker 3: can be done?
Speaker 1: What is peru?
Speaker 2: TJ just raised his hand like he was in class.
Speaker 3: I know, I feel like we're in medical school class.
Speaker 3: Do I be like my chalkboard, like, now here's a
Speaker 3: uter if you need.
Speaker 1: To the diagram will be helpful. But yes, we talk
Speaker 1: about MENOPAUGI is one thing. But you say to that point,
Speaker 1: and I didn't want to sit here kind of embarrassed.
Speaker 1: But I hear menopause, that's one thing I understand, but
Speaker 1: it's not talked about to your point enough. We don't
Speaker 1: talk about perimenopause to the point. So I hear rolling
Speaker 1: off you all's tongues. I couldn't define what we're talking about.
Speaker 3: And TJ, I'm so glad you asked. And to be clear,
Speaker 3: I was laughing, not at you asking the question, but
Speaker 3: more how cutely you kind of like raise your hands
Speaker 3: like teacher. So I think that's wonderful. So menopause obviously
Speaker 3: not obviously, menopause is when our woman's body kind of
Speaker 3: ceases to be able to bear children and all the
Speaker 3: hormonal things. But did that come with that? But that's
Speaker 3: kind of how we often think about it. Perimenopause can
Speaker 3: be a number of years during before that actual finality
Speaker 3: where you might have hormone fluctuations, irregular cycles, temperature fluctuations,
Speaker 3: all sorts of things. We're realizing that can happen two three,
Speaker 3: four years before actual menopause actually happened. So it's that
Speaker 3: transition period. There is also sometimes people argue, say there
Speaker 3: is menopause that men go through their own side transitions
Speaker 3: at some point. But that's discussion for another day.
Speaker 2: Ah what what what age does that start to happen.
Speaker 1: We'll get you back on that. We will follow up
Speaker 1: later on that.
Speaker 3: Doctor, we don't have gays like a next you.
Speaker 1: Know, doc? Can I ask you? I only have a
Speaker 1: couple more things for you, and one of them is
Speaker 1: what do you google? What do you find yourself googling?
Speaker 1: You know, you know good in hell, Well, you shouldn't
Speaker 1: be trying to find an answer somewhere on Google to
Speaker 1: something going on with you medically.
Speaker 3: So what so if somebody looks at if somebody looks
Speaker 3: at my Google TJ, they probably think a mysterial killer.
Speaker 3: So I'll explain hold on that needs to have contact. Okay,
Speaker 3: so just realize that's a SoundBite that y'all aren't ones.
Speaker 3: So as you know, just you know, I'd had my
Speaker 3: crazy heart stuff, I'd had this scare, I was trying
Speaker 3: to have another child. I'd dealt with all this infertility
Speaker 3: and the two really awful scary struggles, and in the
Speaker 3: end had baby number three, you know, four years later
Speaker 3: in July. That's and coming out of that now it's
Speaker 3: my third child, but he's much younger than my other children.
Speaker 3: Realizing I needed to baby proof my home and we
Speaker 3: have to redo everything, and also realizing as a mom
Speaker 3: that I had stressed about a lot of things with
Speaker 3: my first two kids that were unnecessary and maybe misplaced stress,
Speaker 3: And as an er doctor saying seeing the outcomes you
Speaker 3: have with little children and saying, okay, how can I
Speaker 3: make child safety baby safety easier for parents and use
Speaker 3: it started the outcomes. What are the bad things they
Speaker 3: want to avoid that I see as an ear doctrine,
Speaker 3: Let to work backwards to protect them, and those are
Speaker 3: the things that parents need to do. Again, how can
Speaker 3: I simplify babyproofing and baby safety and child safety so
Speaker 3: that baby safe and you as the parents the peace
Speaker 3: of mind. So I'm working on that course right now.
Speaker 3: We're launching it in a few weeks. So if you
Speaker 3: but every once in a while I'll just do a
Speaker 3: quick Google search to search and it will be things
Speaker 3: like top ways children choke or most poisonous things for children,
Speaker 3: just trying to see what's in the common vernacular. They're like, Man,
Speaker 3: if somebody looks at my Google search, they're gonna dee
Speaker 3: bacs is gonna call me. So you'all just know you
Speaker 3: this is my testimony that that is just be researcher
Speaker 3: my Google for my baby proofing course. These are the
Speaker 3: things that again, as ere doctors, we think of all
Speaker 3: the emergencies she.
Speaker 2: Did, I did.
Speaker 3: And calling my lawyers after this.
Speaker 2: As an er doctor and a mom, what do you
Speaker 2: worry about most with your kids?
Speaker 3: Depends my age, But it's interesting, Amy. One thing I
Speaker 3: really I didn't know. And in researching the baby proofing course,
Speaker 3: the number one cause of death in a infant under
Speaker 3: one is death while they sleep, not cause not call
Speaker 3: including kids, but literally suffocation in their crib or you know,
Speaker 3: wherever they're sleeping. And I realized if you can make
Speaker 3: your baby sleep space safe, that accounts for eighty two
Speaker 3: percent of all infant deaths in that first year, which
Speaker 3: was just kind of mind blowing to me to say, Okay,
Speaker 3: if I can just help parents get a safe baby space.
Speaker 3: We're worrying about all the other things that we're doing,
Speaker 3: outlet everything for your child, you know, plug all the outlets,
Speaker 3: do all things, but let's focus on the baby sleep space.
Speaker 3: And that was just it was like, that's eighty two
Speaker 3: percent of the first year. That's huge. So things like that,
Speaker 3: you know, and so in the first year it's that
Speaker 3: you know. And then of course we're in the process
Speaker 3: with a pool. I always worry about pool and water safety,
Speaker 3: their kits. Those are one of the things that kind
Speaker 3: of for children under one, it's a bathtub. For children
Speaker 3: above one, it's a pool or a lake. So always
Speaker 3: making sure you know that your children know how to swim.
Speaker 3: Early I was really surprised from the car submersion videos.
Speaker 3: So people so they don't know how to swim. And
Speaker 3: how can you get your kids not just comfortable in
Speaker 3: the water, but actually knowing how to swim. I always
Speaker 3: because you see kids with swimmy's and doing things. I say,
Speaker 3: I want my child to their skill needs to match
Speaker 3: their level of comfort. So I do not put my
Speaker 3: kids in the pool and a swimming because I don't
Speaker 3: want them to feel comfortable in the pool unless they
Speaker 3: can swim. I want them to feel, you know, adequately
Speaker 3: uncomfortable until they can float over on their back and
Speaker 3: float to the edge.
Speaker 1: That's Daria. If you were given the power, I don't
Speaker 1: know if you could wave a wand or you were
Speaker 1: given power by the we're meant to change everybody's behavior.
Speaker 1: There are a lifestyle change that everybody could make that
Speaker 1: would severely reduce the number of er visits you get,
Speaker 1: that would reduce the number of times people end up
Speaker 1: in the hospital with some issue. What lifestyle change for
Speaker 1: all of us would you recommend we all stop doing
Speaker 1: or do less of or do more of? What lifestyle
Speaker 1: change would you give to every single person out there?
Speaker 3: Off the top of my head, I'm going to say,
Speaker 3: looking at your phone while driving, oh wow, because wow,
Speaker 3: I'm going to say that. And making sure that your
Speaker 3: kids are in the right car seat.
Speaker 1: Wow.
Speaker 3: As the two things there. You know, looking at your
Speaker 3: phone while driving because either you can hit somebody or
Speaker 3: you know, the most heartbreaking cases I see in the
Speaker 3: er is like the person, the patient in front of me,
Speaker 3: who is now so injured. They didn't do anything wrong,
Speaker 3: they were hit by somebody else, and you know if
Speaker 3: potentially if they'd been looking up or been more aware,
Speaker 3: could they have avoided that versus Also like looking at
Speaker 3: your phone, and you can cause an accident. So that's
Speaker 3: the first. And also if you're looking at your phone
Speaker 3: and your kids are watching, then when your kids are driving,
Speaker 3: they will be looking at their phones. So that's it.
Speaker 3: And then working in the pediatrics er, the number of
Speaker 3: kids who you see who get injured in a car accident,
Speaker 3: who if they had been properly restrained in the right
Speaker 3: car seat, in the right area of the car. I
Speaker 3: hate that. I hate that because that's something that would
Speaker 3: have been preventive, and I hate it for the kid,
Speaker 3: and I hate it for the parents because the parents
Speaker 3: feel that guilt that they did not do that, and
Speaker 3: often those parents who thought they were doing the right thing,
Speaker 3: which is why I do so much on social media
Speaker 3: to help parents know what they need to be doing.
Speaker 2: You said the right space in the car. Where is
Speaker 2: the right space in the car?
Speaker 3: So for children twelve and under, that's in the second row,
Speaker 3: and you know, and that also means we see parents
Speaker 3: do things like they turn the car seat around too soon.
Speaker 3: Your children's vertebrae is just not formed in the first
Speaker 3: couple of years of life, so they need to be backwards.
Speaker 3: You know, they're not cramped. They need to be backwards.
Speaker 3: Their spines can't handle it. Or you see kids who
Speaker 3: aren't in a booster and you know, they're just not
Speaker 3: large enough for the seat belt to adequately take care
Speaker 3: of them. I took care of a little guy who
Speaker 3: had literally ripped his kidney because he was not in
Speaker 3: a booster and the seat belt hit him at the
Speaker 3: wrong spot. So those are the ones that are heartbreaking,
Speaker 3: are the ones this was. All accidents are technically preventable,
Speaker 3: but things like that are really preventable. And that's that's
Speaker 3: what I really hate.
Speaker 2: No front seat before the age of twelve. Yep, we're
Speaker 2: actually thirteen thirteen, okay, so m hm.
Speaker 3: And so when I see little kids get in the
Speaker 3: front seat, also driving me crazy, trying me crazy, put
Speaker 3: them in the back, put them in the back, and
Speaker 3: put them in a booster for goodness sake. I don't
Speaker 3: care that they don't like it. I did have some
Speaker 3: people say they showed their kids were arguing about riding
Speaker 3: in a booster, so they just showed them my video,
Speaker 3: Like great, make me be the bad guy. I am
Speaker 3: happy to say. Blame it on doctor Dharia.
Speaker 2: It's so interesting because I thought you were going to
Speaker 2: say something about smoking salt, drinking salt, salt diet. But
Speaker 2: the truth is you're an er doctor and you see emergencies,
Speaker 2: you see accidents and car driving in a car is
Speaker 2: probably the most dangerous thing any of us do at
Speaker 2: any point. It is.
Speaker 3: It's the one that's most dangerously in that moment. Yes,
Speaker 3: salt smoking, at all of those, So get said a lot.
Speaker 3: I felt like those we needed to shed some love
Speaker 3: on other things. But you know, cars are can be
Speaker 3: killing machines. Like they are. They are wonderful things, but
Speaker 3: they are also so dangerous, and people forget that because
Speaker 3: we drive so common doctor.
Speaker 1: Daria, that's a great no, no, no, you gave us something
Speaker 1: to think about that we don't think about enough in
Speaker 1: that yes, you could cause an accident by hitting someone,
Speaker 1: but you also aren't paying attention to avoid somebody hitting you,
Speaker 1: and then you're giving some bad habits to some bad
Speaker 1: drivers that you're raising in the backseat.
Speaker 2: We're seeing it that, yes, yeah, no, I mean we
Speaker 2: see it with people walking going down the escalators. We
Speaker 2: were subway folks and we walk, so we see you know,
Speaker 2: everyone is just on their phone and I will actually
Speaker 2: I will say I'm guilty of it too. But when
Speaker 2: you see other people just we're walking, that's dangerous enough.
Speaker 2: But in the car it's happening too. We're just you know,
Speaker 2: we're not seeing it as much. So I think that's
Speaker 2: such a good reminder of what a very preventable situation
Speaker 2: by just putting that phone away, whether you're navigating and
Speaker 2: using ways, or you're messaging or whatever, it's it's not safe.
Speaker 2: There's no scenario in which it's safe.
Speaker 3: There is a car. Accidents happened so so quickly that
Speaker 3: you can't look down for a second.
Speaker 2: Well, we want to thank you, doctor Daria. Long Harvard
Speaker 2: and Yale trained emergency physician. It was so great to
Speaker 2: be able to talk to you and hear your advice
Speaker 2: for so many of us who can do things better,
Speaker 2: and just be reminded of what we can do to prepare.
Speaker 2: I think that's one of my biggest takeaways is if
Speaker 2: you're prepared, or at least you have some semblance of
Speaker 2: knowledge about what to do when or if that moment happens,
Speaker 2: you're ready to do it. So thank you very much,
Speaker 2: doctor Daria, Thank.
Speaker 3: You Amy, thank you t J. It was such a
Speaker 3: pleasure for you both.
Speaker 1: I'll email you about menopause.
Speaker 3: Give me a call. Hop you see TJ.