January 25, 2025 • 40 mins
A recent study published in PLO One found that people who's parents divorced when they were under the age of 18 were 61% more likely to experience a stroke later in life.
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Speaker 1 (00:05):
You're listening to the Weekend Collective podcast from News Talks.
Speaker 2 (00:12):
London, Sunday. Welcome back to the Weekend Collective Roman Travism
for Tim Beveridge. This is the Health Hub and we're
joined by doctor John Cameron, who's got a very nice tan.
(00:34):
Doctor John, have you been on holiday?
Speaker 3 (00:36):
No, it couldn't possibly have been out in the sun. No, no, no,
you know, I just got back from two weeks a
way out north.
Speaker 2 (00:41):
Oh so you found somewhere that actually had summer?
Speaker 3 (00:43):
No, not really. We had about five days at the
beginning the three days at the end, but it was
all right.
Speaker 2 (00:48):
It does sound love nigsaws and lots.
Speaker 3 (00:49):
Of card games and Kevin fever.
Speaker 2 (00:51):
But otherwise it's great. Oh no, I love that. I
love that. Now we're going to be taking your caurse
of course, if you've got questions for doctor John Cameron,
who gee, you've got your CV is exciting. You're still
doing work with New Zealand Cricket.
Speaker 3 (01:03):
I'm doing a little bit now and then look after
the teams win there in Auckland when they're doing the internationals.
I've got a theoretically we're doing a tour to Bangladian
a couple of months with nsy on day team, which
would be quite good because my first ever tour was
to Bangladesh in twenty ten. Yeah yeah, wow, flying on
my birthday in business class with the black Caps. I
(01:23):
was going, Oh, let's just make this go longer and longer. Yeah,
so that's the start of it.
Speaker 2 (01:27):
Yeah, So there's all that prophylexis with malaria and to Manati, we.
Speaker 3 (01:30):
Don't need Profilexus. Oh you mean Profilectic Yes, okay, so
no take them anyways? Did I say, yeah, no, no,
I take them any We've never been used. They come
back home with the peck Sun open. It's brilliant now today, Yeah,
because they get charged an extra ten dollars if it's
after midnight.
Speaker 4 (01:44):
I see.
Speaker 2 (01:44):
I've only mentioned that because I've had malaria and tables
to Africa, so I'm really scared about that. Now. There
are questions that you want to ask doctor John Cameron.
Of course we're willing to take those. Of course, it's
not like a medical consultation. You can't strip down, lie
on a bed and be poked and prodded, but you
can get some general advice from doctor John Cameron O.
Eight hundred eighty ten eighty and nine two nine two
(02:04):
on the text I found a study. I love it.
Would you like to hear about the study? Tell me? Okay,
I'd like to get your remarks on this one. So
children of divorce have a higher risk of stroke. The
study has found now that there were thirteen two hundred
and five people in the study, which is a good cohort,
wouldn't you agree? Doctor? But keep going? Okay? That wasn't good.
(02:28):
It was published up. It was published, of course, which
is always a good start. Pair reviewed and published in
plus one plos. That's a great reputable publication, isn't it?
Speaker 3 (02:39):
Never heard of it?
Speaker 5 (02:39):
Oh?
Speaker 2 (02:39):
Okay? This isn't going well? Is it? Okay? So I
thought this was an exciting study. What's your take on this?
Because it shows that these people have a higher risk
of stroke and all this sort of stuff because the
children their parents broke up when they were children.
Speaker 3 (02:54):
You always have to be exceedingly careful of what we
call observational studies. You can equate the incidence of boil
cancer with the number of telephones per household. Therefore telephones
cause bowel cancer. No, So correlation does not equal causation.
And it's something that we battle with all the time
(03:15):
about You can use observational studies such as this to
say is there a possibility that something might be going
on here? And first you need to say is there
a logical link between these two outcomes? And you go, yeh, possibly,
but not really, it's not a really strong causative link
being there. And then you have to drill down into
(03:38):
what the groups were like is there a control group
where they randomized to active or not active? Which is
very hard to do in an observational study because it's
already happened. It's it's not interventional. And how have you
going to do an indiventional study? Are you going to
stop people getting divorced? You know that could be more
dangerous than actually doing it. So these studies are interesting
(04:00):
in that they make you think a little bit about
what's going on and postulate what could you do to
change that. Whether that is going to lead to a
change in the outcomes is probably much more remote.
Speaker 2 (04:13):
So when you're looking at.
Speaker 3 (04:14):
Medical data, you've got to put your cynics hat on
for a start. Yeah, as we're saying plus one, where's
plus one? It's not The New England Journal of Medican
it's not the Journal of the American American Medical Association
or the British Medical Journal, So okay, it goes down
in your estimation, and it's not one of the big
groupings of peer reviewed articles which are going on. You've
(04:36):
also then got to learn about who the authors are
and do they have a stake in the game, Is
there something there? Have they got a hobby horse which
they love to love to do, And we quite often
find that well, people will do studies and find data
that supports their base theories, even if the base theories
are wrong. Yeah, so yeah, all these things come into it.
Speaker 2 (04:54):
No, you make a very good point. So I just
want to say. One point from the study says that
researchers found out participants whose parents divorced before they turned eighteen,
we're sixty one percent more likely to experience stroke later
in life. Although people would read things like this, yep,
and they'll come to you. In fact, they'll probably print
it out and bring it to you and they'll say,
is this why I've got a heart condition? You're going sorry?
What how much does the role of what happens to
(05:16):
you as a child actually determine your outcome, whether it's psychosomatically,
or physically or genetically.
Speaker 3 (05:22):
Yeah, so all of those things. So, nutrition, genetics, love,
Are you being raised in a fostering environment that's supportive
and looking after all your needs? They can have huge
ramifications on your future health. And the lovely thing about
that is taking twins and the twin studies are quite
powerful because you've got exactly the same genetics but totally
(05:44):
different environments sometimes and you see how these things turn out,
and twins can turn out quite differently.
Speaker 2 (05:50):
Yeah, they're good. Point. Oh, this is fascinating. So this
is a brilliant fascinating.
Speaker 3 (05:55):
But there's another bit in there which is really good.
Now less to another one, absolute risk versus relative risk.
Oh yes, now that's a very cool one. It reduces
it by ninety five percent, gone from one per one
hundred thousand to one point nine per hundred thousand. I
haven't got the numbers there. So relative risk can look
really high, but absolute risk, the actual numbers of things
which happen can be very small. Yes, so people will
(06:19):
always report relative risk because it hits headlines. Yeah, eighty
five percent reduction.
Speaker 2 (06:24):
Yeah, those statistics are dangerous, aren't they Because you'll say
things like you know ninety five percent of women who
wear bras will have breast cancer. Well, you know bras
don't cause breast cancer, but ninety five percent of women
probably wear them one in twelve and some men.
Speaker 3 (06:36):
One and twelve women will develop breast cancer.
Speaker 2 (06:38):
Right, Oh, okay, it's a horrendous startup. It is all right,
eight hundred and eighty ten eighty. The text is nine
to nine two. This is the health Have your chance
to have a chat with doctor John Cameron.
Speaker 6 (06:48):
Get he there, Allison, Oh, hello, hello doctor John. I
just I don't want to be poked on produb. I've
just got one question and that is on my last
book test that came back my farroid stimulating hormone with
four point three. It's on the boardline come back in
six months. Now? Should I be reducing that to what figure?
That's not too sure what should be.
Speaker 3 (07:11):
It will vary tremendously. Don't worry about it, okay. So
what we worry about is if your thyroid gland gland
thiry glands a little butterfly shaped gland that sits around
your Adam's apple and the basing your throat, and it's
sow go faster hormone, and thyroid hormones go faster. Make
sure faster you lose weight and your eyes pop out
like Marty Felban and all those sorts of things. So,
(07:32):
if your thyroid gland is starting to fail, what happens
is the brain tries to stimulate it more with a
hormone comes out of the brain from the maturity gland
called thyroid stimulating hormone. So it'll start to thump your
THIID a little bit more, say, come on, make some
more thyroid hormone. And if the gland doesn't respond to that,
it keeps pushing higher and high. So if your thyroid
(07:52):
is failing, you'll see your TSH rising very slowly over
a matter of months to years. And at some stage
there's a lot of debate whether we treat the thyroid
stimulating hormone or whether you actually look at your thyroid
hormone activity itself when do you start to do an intervention.
The intervention is really quite simple, which is just to
simply replace the thyroid hormone. It's one of the commonest
(08:14):
endocrine diseases that we see.
Speaker 6 (08:15):
It's salt come under there at all. The salt make
a difference in your diet. Does there have any effect
on that?
Speaker 3 (08:21):
Well, not fascinating thing, yes, but no, no, salt won't
make a difference. But what we do find is that
New Zealand soils are very deficient in iodine. And iodine
is vital for making thyroid hormone because that's what the
hormone's got is it's core, it's an idene at them.
And that's why we have iodise salt. So for young
(08:41):
people and everyone else, that's why we have iodo salt.
Please throw your mold and love the Himalayan pink rocky
salt out the window. We need some good th iodose
salt in this country so that we keep our thioris nice.
But that's not your problem. That's that's something completely different.
I think what we'll do is repeat your blood test
in six months and the TSH might be down to
three point eight. We go sweet, we'll have a looked at.
Another year, it goes up to four. We go our cool,
(09:02):
who cares we're treating another looking another six month, ever
goes five, seven, ten, fifteen, twenty, and your thyroid hormone
levels are going twenty twelve nine eight five. That shows
that your thyroglander is just giving up the ghost and
we replace it nice and easy.
Speaker 2 (09:17):
Good on you, Ellison. Just on the blood test thing,
I get a lot of questions when I'm doing talk
back about blood testing how frequently anything. I'm not a doctor,
don't ask me that. Is there pressure from the government
to reduce the demand on blood tests?
Speaker 3 (09:29):
No, really, no, there is a demand that we should
be doing biochemical testing appropriately, and I think that is
not a stupid idea. Having a yearly blood test for
most people to waste their money brains in time. Not good.
So I've got this lovely thing which I tell people,
when you're doing a test, you should always know what
the result is before you do the test. You're testing
(09:51):
a hypothesis rather than going fishing. Wow, because if you
go fishing, you'll end up with the wrong fish, You'll
get wrong information that will just confound everything. So you
should always be testing a hypothesis. Some of the any
we do for adults adult males over the age of
fifty five cardiovestculars screening, which through lipids funs every five years.
(10:13):
If you've got a family history of diabetes or a
clinical indicator that you might have diabetes, we'll test your
for diabetes on a more regular basis. These sort of
things are what we should do for routing screening. So
different between screening and investigation.
Speaker 2 (10:25):
Yeah, good stuff, Doctor John Cameron here on the Health
Hub eight hundred and eighty ten eighty. You can text
nineteen ninety, but it's not as good as a phone
called get a there, Peter, Can I.
Speaker 7 (10:35):
There, doctor John?
Speaker 2 (10:37):
Yep?
Speaker 7 (10:38):
There, Yep. I've got type two diabetes. The doctor said
I had typed two diabetes when I went up to
twenty six, twenty eight or something like that. I'm on
my buzz scale yep. And then he gave me a
jest and I've been using lands the jets all the
(10:58):
time and it's gone down to five point eight and
six point four or six point three or something.
Speaker 5 (11:05):
Yep.
Speaker 7 (11:05):
Should I stop or not?
Speaker 5 (11:07):
No?
Speaker 3 (11:07):
Please don't. That's what's well, because the Landers is actually
stopping you from suffering the long term efix of diabetes.
It's normalizing your blood glucose.
Speaker 7 (11:18):
Well, the whole thing is I stopped tats well one
week and it's still the same.
Speaker 3 (11:22):
It'll go up, it'll go up. Yeah. So when we're
treating for diabetes, we're not actually fixing diabetes. Okay, so
we're not treating something to cure it. We're treating something
to manage it, to help reduce down the amount of
gluecose sugar flying around in your bloodstream. Because if you've
got too much sugar floating around you bloodstream, it causes
damage to the little small arteries, and we've got an
(11:42):
increased risk of blindness, heart attack, stroke, renal failure, or bliety,
blood blah blah blah, all of these things go on.
So when we're treating it, what we're trying to do
is artificially bring your blood glucose down by either trying
to stimulate your pancrest to make a little bit more insolent,
or giving you insulin, or using oral medicines to try
and do this. If you stopped all those medicines, the
(12:03):
diabetes will kick straight back in. So please, please please
don't stop taking atlantis.
Speaker 2 (12:07):
Good on your what is thank you, Peter, what is lantis?
Speaker 3 (12:10):
Thanks for the long ending, twenty four hour preparation for insulin.
That's interesting, unusual to be put straight on insulin. Normally
we would try diet, exercise, oral medicines first. And there
are some new lovely things called gpl ones coming through,
which are fascinating new medicines that.
Speaker 2 (12:24):
We're looking at to be funded by far Mek.
Speaker 3 (12:29):
They are partially Yes, Luke, you've gone like proteins type one?
Speaker 2 (12:34):
Okay, eight hundred and eighty ten eighty To have a
call and have a conversation with doctor John Cameron here
on the Health Hub, get a.
Speaker 8 (12:41):
Catherine, Oh hello hello doctor John, Hello hello? Can you
please tell me how would the cardiologist registra prioritize angiogram results?
Like is there a prioritization or is it just what
(13:02):
as it comes in?
Speaker 3 (13:04):
So are you talking about to go forward for an angiogram?
Or you say once the antagram's done, well how you
manage that result? Which is those?
Speaker 8 (13:11):
Yes, well I've had an angio Graham, and I'm just
just last week in Auckland, and I know there's hundreds
of patients. I'm just wondering if I heard from him early,
or that mean or might be serious? Or if I
don't hear for months, does it mean not so serious?
Or is it just a first and first result and
(13:34):
gets the appointment call up?
Speaker 3 (13:36):
So if you haven't heard in this length of time,
there's an assumption, and I hate that word assume because
it makes a mess out of you. There's an assumption
that it's going to be okay. So I talked to
my GP. Okay, because he can sneak it. He or
she can sneak in the bad way and find out
what the result is. And we do this all the time,
so you don't have to work for the cardiology appointment.
(13:56):
You get your GP to do the work for you.
So so if it was dire, I would imagine what
we would normally do if you had a lot of
critical lesions there and we were sitting at a powder
keg about to explode, we'd be onto you like a
ton of bricks and you'll be in hospital and we'd
be trying to sort it out for you. If they
haven't heard and there's nothing happening either, it's you can
(14:18):
make again this horrible word assumption, then it's going to
be okay. But always check back if have you got
an appointment to go back and see the cardiologist yet
or the registrar?
Speaker 8 (14:28):
No, not yet, Okay, That's why I'm thinking. Actually it's
probably two yeah, no, no, last week, last week overall?
Speaker 3 (14:36):
Now, so a good Angie n an angiogram, a straight angiogram,
they'll read within twenty four hours. Okay, they'll see it
on the screen while they're doing the anjigram, a CT antiogram,
which is slightly different one where they do you put
you through a CT machine to do the antigram.
Speaker 8 (14:50):
Oh, I'm sorry, sorry, that is the one I had, right.
Speaker 3 (14:53):
Sorry, they take a little bit longer to read because
they need to be sat down with a radiologist and
haven't looked at it very carefully, so they may take
a week or so, but I would still what I
do is, come tomorrow, we'll bring up your practice if
you're outside of work, and that's fine, we'real Can you
go to wait till tuesday, bring up with practice, Talk
to the practice news and say I've had the CT
angi gram any chance of getting a result on that
(15:14):
for me and get them to be your advocate.
Speaker 8 (15:18):
Thank you so much for that.
Speaker 2 (15:20):
Oh yes, you're a delight Catherine, Thank you, and I
hope you're good now. Just just going back to that,
like angiogram results, the results done in secondary care at
a hospital, coming back to a GP blood test results
pop up in med tech if they use med tech, right, So,
it's all there electronically. Do the angiogram results come to
the GP electronically No ah.
Speaker 3 (15:39):
So if it's been we don't normally order to get
an angiogram. We normally have to refer through to the
cardiologists and cardiologists with then arrangey angigram. They will very
often send us a copy of the result back right
and a letter normally from the outpatients. But once it's reported.
In Auckland you have this and in other areas have
(15:59):
the similar sort of thing, which is a repository for results.
So if something has occurs in either primary care secondary care,
that result is loaded into a database and with the
right priorities and agreements you can come in and review
those results and see what they are.
Speaker 2 (16:15):
Yeah, you wouldn't want to get repository mixed up with
suppository no one.
Speaker 3 (16:19):
Yes, yes, yes, yes, once to take out just as well.
Speaker 2 (16:22):
I'm not a doctor, right yea, Chris.
Speaker 9 (16:25):
Hi, how are you?
Speaker 5 (16:28):
Good question for the doctor. I'm a type two diabetic.
I'm on insulin lentis at night, in morning and revenue
during the day. Three times now I have been finding
that I have got better control with the senses. But
(16:54):
because I'm type two. I don't get it. When is
type two going to get.
Speaker 3 (16:59):
The allowed almost certainly never? Oh isn't that said?
Speaker 10 (17:06):
You have control have.
Speaker 2 (17:07):
A little bit.
Speaker 3 (17:08):
So what we're talking about here are continuous glucose monitors, correct,
Is that what you're meaning? So these little stick on pads,
they are about three to four millimeters high by about
three to four centimeters wide, and they're stuck onto your
shoulder on the upper out of arm. Sorry, and they
measure what's called tissue glucose, so extracellular fluid glucose. So
(17:31):
it's not a true blood glucose, but it's a constant
measurer and it's constantly measuring your glucose and you can
read that off on your phone on an app. It
can go to all sorts of things. They are brilliant.
They have just been funded in this country for people
with type one diabetics diabetes.
Speaker 2 (17:50):
Right.
Speaker 3 (17:51):
The problem that you've got for type twos is that
there are so god, there are many of us with
type two diabetes that would break the bank.
Speaker 5 (18:00):
Okay, but that's where proven that we are better.
Speaker 3 (18:06):
Yep. Absolutely, I go for you and I love CGMS.
Speaker 2 (18:09):
Brilliant.
Speaker 3 (18:10):
They help people normalize their lives, especially anyone who's using
insulin products such as type ones and type two's. On inchulin,
you remove the risk of hypogloscemia of low blood glucose
because this little thing will send a message to your
phone tell you or you're going low.
Speaker 5 (18:29):
Yeah.
Speaker 3 (18:30):
So look, but they're not cheap. They are they if
you paid for one yourself.
Speaker 5 (18:37):
I'm paying what two hundred and something a month?
Speaker 3 (18:41):
Yep, yep. So there's two which are gazetted in New
Zealand and funded. One lasts for seven days, one last
for about ten days. They have to be taken off
in ditched and thrown away. They are very expensive, yes,
and I'm glad that you have been able to make
the choice of using one of these for yourself and
paying for it. I am very pleased that we've got
(19:03):
them now available for type one diabete. I hope that
we would have them for type twos on inchulin. But
whether we while it out to type twos per se
who aren't on inchlin, I think that's going to be
a step too fast. So what's the space depends on
how much money the government's got in this coffers.
Speaker 2 (19:17):
There we go, Doctor John Cameron. Good advice there, Chris,
thank you, and make sure that you have a full
consultation with your GP. This is not in any way
a full and exhaustive process, but it's a good chance
to get some great information. Yeah, there's the health economics
that FARMAC are very good at focusing on, but health
outcomes perhaps could be enhanced, Doctor John somewhat get in
touch O. Eight hundred and eighty ten eighty the text
(19:39):
nine nine two twenty five past four. I'm not twenty
nine twenty nine past four, doctor John Cameron. Here now
a text in here about malaria tablets because I was
taking them fastidiously through Africa eight years ago. Still got malaria,
Doctor John, Do I need to take malaria tablets for Chennai, India?
Speaker 3 (19:55):
So India and malaria's is interesting. Look, if you want
to be absolutely safe, yes, if you're in Chennai and
the main part of the city, you're not going outside.
And it depends how long you're going for. If you're
going there for six months, yeah, reasonable idea. If you're
going there for three days, we are maybe not just good.
Insect repellent is a primary thing formularia prevention. So the
(20:18):
thing to stop malaria is not getting bidden by mosquitoes,
then malaria prefilexis just dampens down your malaria so you
can get treatment.
Speaker 2 (20:23):
So good stuff. Thank you eight hundred and eighty ten
eighty Doctor John Cameron here for the next half hour.
Hi there, Sharon, Hi, how are you guys?
Speaker 3 (20:32):
We're great.
Speaker 4 (20:36):
I'm just calling on because I'm just wanting to ask
about how I could get them here. I have hyper
to petuitarianism, right yep. And ten years ago I had
an a audit dissection type B which I have a sift,
but I wasn't. I didn't have a repair, but because
(20:59):
of my hype of petuitarism, have a very poor quality
of life, okay, And I've traveled to other cities to
try and get being the specialist peer and yeah, I
have had in films, so I've helped my head any
(21:19):
of the best that I recommended for it.
Speaker 2 (21:22):
So what's your question for doctor John there, Sharon?
Speaker 4 (21:26):
How can I go about without going privately? How can
I go about giving health care? And we'll meet my
conditions because how rare and I just don't see I
just seem to get nowhere.
Speaker 3 (21:40):
So it sounds like you feel like the health system
hasn't met you as the way that you would like
to be treated and giving you the options for care
that you think you should have. Is that what I'm feeling.
Speaker 4 (21:51):
Yeah, I mean, so I've been most self sets I
should go into a care facilitation, so I come to
you understand.
Speaker 3 (22:04):
So you are always entitled to a review opinion from
any hospital care physician should be looking after you. If
you feel that you haven't received that level of care
that you want, you should use your advocate In first instance,
it will be your GP to push for a further review.
Whether you get a better thing by going to a
(22:25):
different center, I think that's unlikely, Whether you get better
care by going privately. Again, I would hope that that
is unlikely in the New Zealand health environment, and that
our hospital specialist teams are normally the top notch people.
So it sounds like there's a mismatch between expectation and provision.
So we need to move that around a little bit
to make sure you've been listened to and given the
(22:46):
options that you need to make your future decisions on
your health. That's what I would advocate for. Your GP
should be finding for you on that basis.
Speaker 2 (22:52):
Yeah, no, I was good advice. Thank you, Sharon. Thanks
for the call and all the very best. And it's
probably misunderstood by some. I don't know how widely this
will be, but often the specialist you're seeing in the
public system you will see in private anyway. Way one, Yeah,
all right, thanks sharing all the very best. High there, Julian.
Speaker 11 (23:09):
I'm just touching on dot John just turned on since
you're talking about type two diabetes. Actually I've just been
dying there a few months ago. You get my fear
needles really fast. But I'm lucky enough to have the
Freestyle link, Liberal Links, and one of my questions was
ef they're going to fund it, but that makes sense,
but that they are amazing. Put them when you put
(23:31):
different foods in and you can put it that on PDU,
send the head doctor and and have a good look
at everything so that we use it to extinct.
Speaker 10 (23:41):
Curious, what what are.
Speaker 11 (23:42):
You any thoughts from the automatic pumps tit two diets.
Speaker 3 (23:47):
I think that's even longer away than the c d
ms for type twos.
Speaker 11 (23:52):
You're not funding it, but just actually use using them.
Speaker 3 (23:56):
So I don't have any personal knowledge of using instant
pumps and type twos, remembering the two things that we're
trying to remove here. Firstly is minimizing the long term
effects of diabetes, and you sound like a young bloke,
so we'd want to go all out to get your
blood gluecoses as normal as we possibly could. The second
(24:17):
thing is, as soon as we start getting that level
of interventionists, we increase the risk of low blood glucose
and hyperglycemia, and so we always have to balance that out. Now,
the cgms are really good at detecting hypoglocemia, and they're
also exceptionally good at relating to you information about what
your gluecose levels are, especially if they're going high, so
you can adjust your diet and other medicines and around that.
(24:39):
The best story about cgms I know about is a pilot,
a type one diabetic who's now allowed to fly in
his Zealand flights because he's got a c GM because
the risk of hyperglyocemia has been removed. So they are
life changing for you. Loop yep. For pumps, I'm not
so sure. I don't have enough information for you on
that one. I can hunt it up for you.
Speaker 10 (25:01):
Yeahighks, good It gives you.
Speaker 11 (25:05):
I walk into your phone and yeah, yeah, what.
Speaker 10 (25:09):
About fast fast effect insulin. I had it in the
morning because they have a couple of chocolate you and
some beer. Yeah, okay, yep, yeah, But I started having.
Speaker 11 (25:21):
That fast and I spat a couple of times during
the day. I get mixed sort of messages from doctor
and the hospitals whether I should be using it ahead
of certain foods and times.
Speaker 3 (25:32):
What do you mean say you've got five doctors and
fifteen opinions that never happens. Well, it does, look, I
promise you it does. If you think about what we're
trying to do, we're trying to normalize what happens with
the insulin. So pancreas is normally constantly sensing what your
glucose says and squirting a little bits of insulin all
the time, up and down, holding off then some more
as the food's going in. So the more closely you
(25:54):
can mirror that, the more the more normal the metabolism
should be. So that's what the concept of adding a
little bit of fast acting insulin before food is trying
to mimic that normal function of the pancreas. Now, the
downside to that means you're sticking yourself frequently with small
amounts of glucose. And the way we get around that's
(26:15):
by putting you on a pump, which happens is all
the time. So it's that middle step between just the
long acting, the long acting plus short acting plus pumps.
Speaker 2 (26:23):
There we go, Julian, isn't it amazing John? Just how
many people are calling in about diabetes. It's a big problem, huge,
isn't it? And growing growing heaps more. We're diagnosing at
least one or two a week. Really, Yeah, Doctor John
Cameron GP in the studio here for the health Hub.
I eight hundred and eighty ten eighty will connect you
through Hi Lorrain, Oh Hi, how are you tremendous?
Speaker 12 (26:46):
I love your wit, I have to say. I think
it's hoses up noses and all your little things you
say are so funny. I love listening to you, and
I'm you're a big buddy as well, because I already
set a program up in an area big bud. Isn't
it was hard to get men for air boys. But
aside from that, I've got a question from John. For John,
(27:10):
I have Osteo proros osos riders and I'm on mellarics
or meloxicym the other name. Yeah, I just wonder. I
don't mind, but it seems to be one of the
drugs that's not funded.
Speaker 3 (27:27):
By family agree.
Speaker 12 (27:28):
Is it because it's not popular or is it because
the celebrates and all the others are more popular.
Speaker 13 (27:33):
I don't know.
Speaker 3 (27:34):
It's all due to deals. This is where the finance
comes in, the deals between farmac and the drug companies.
So the medicine that you're on is what's called a
COX two inhibitor cyclo oxygenase type two inhibitor. They're a
family of the anti inflammatory medicines like ibyprofen and all
the other ones, except it tends to leave the pathway
(27:56):
that protects your stomach against acid alone. Okay, so just
it's the cyclooxygenase one part of that enzyme. A COX
two is the one which causes pay the COX one
that protects your tummy, so it leaves the COX one alone.
Speaker 12 (28:13):
He's got a high here and there, so that's probably
a reason why the others haven't yet. But this one
is fantastic. I'm surprised that there's not more people being
able to have access to it because of the sundon
but that's that's yeah, that sets it for me. I
just wanted to know because I promote it to other
(28:33):
people and say that's your doctor, you know for it,
But the doctors don't seem to do that. But that's
all right.
Speaker 3 (28:41):
There is there is one funded cox to there's one
funded cox to inhibit, which is called sella cox.
Speaker 12 (28:47):
Yes, yes, no, that's fine, thank you very much, good on,
thank you.
Speaker 5 (28:52):
Range.
Speaker 2 (28:53):
Yeah, so the cox to the COX one, the good stuff,
the good one, the bad one, the COX two cyclo
oxygen ase and cross the glands and synthesis and no.
But the thing is, the reason I know about this
is because I've got a little bit of arthritis. And
so a rheumatologist that you will know in Auckland, he's
a really good guy. He said to me, I don't
want you to be on strong anti inflammatories long term.
(29:14):
So even though you've got safer ones, it's still ok.
Speaker 3 (29:16):
To be on them. No, you've always got to trade
off the risk benefit analysis and anything you do in health.
Speaker 2 (29:23):
Okay, well that's good to know, and that could be
very well. And that's what concerns me with the call
who just said, you know, I'm telling my friends to
ask for it. But the doctors know the individual patient needs,
whether you've got kidney issues or liver issues or well.
Speaker 3 (29:34):
Sometimes docs do this horrible thing of assuming they're assuming
that you won't pay them. Pay the money for a
non funded or partially funded means. Yeah, So we've got
to get over that. We god need to put the
options out for the patient, saying here's the ones which
are funded, These are not funded or are partially funded.
If we've found that the funded one works really well
for you, sweet, If it's not, these are the other options.
Speaker 2 (29:54):
Yeah, there's other options. Good point, very good point, Doctor
John Cameron. Here till the top of the hour at
five o'clock eight hundred eighty ten eighty nine two nine two.
On the text it's the Health Hub on the weekend
Collective News Talks, there'd be seventeen to five. I've just
had a full consultation with my clothes on with doctor
John Cameron. This is your chance to help. That's not true,
no poking and no poking was involved. God, but I
feel so much better. You can have your chance to
(30:16):
talk to Dr John Cameron now eight hundred eighty ten
eighty and the text is nine two nine two.
Speaker 14 (30:20):
Welcome Heather, Hello Roman and doctor John. My question to
you is, can you tell me why a type two
diabetic on insulin, envision impaired and or blind cannot qualify
for the libretto.
Speaker 3 (30:40):
I think you need to talk to the new Minister
of Health on that one. He will have all the
answers for you. His name is Simeon Brown and I'm
sure you can get us email from somewhere. It's all
down to funding. It's absolutely down to funding. And yeah,
farmax View, which is under its its charter, it can
only look at the cost, not the downline savings or
(31:02):
anything like that because in health they normally disappear anyway.
But you're you're absolutely right. The c gms are the superb.
The gpl ones which would you have for people who
aren't on inc are also superb, going to be brilliant
medicines and diabetes. We're is going to find the money.
We're going to find the.
Speaker 14 (31:19):
Doll I know, and I'm on the pension, so I
can't afford this two hundred dollars a month.
Speaker 2 (31:28):
And it's a fair point.
Speaker 5 (31:30):
I can do.
Speaker 14 (31:31):
I can do the prick, but I can't see the
blood on my finger to do the sample and get
the Yeah, so the libretto is definitely what I need.
I've had to some trial breed.
Speaker 3 (31:44):
Yeah, have you triled it? And it was good.
Speaker 14 (31:47):
Winds paid for it and I'm still paying that back
two and a half grand, So no, I can't afford
another lot. Yeah, it's absolutely fantastic for me.
Speaker 3 (32:02):
So it sounds sort of round the things. But you
managed to go to WINS, I'd start looking to any
other locally funding agency that you might be able to
add up for it. Just find out, ask people for money,
grants from savings banks, from something like that. I know
your chances are not great, but the more you have,
(32:22):
more you hit buttons, more likely you're going to get something.
Speaker 14 (32:25):
It would be so nice if we could, you know, Yeah,
you know it's hard.
Speaker 5 (32:29):
To get well.
Speaker 2 (32:30):
Good on you here and look that brings you around
to a question just quickly. But you're a GP, you're
seeing patients all the time. What proportion roughly of your
patients would have comprehensive health insurance?
Speaker 3 (32:42):
My practice is in an area of relatively effluence, so
probably sixty percent really yep.
Speaker 2 (32:49):
Of like top level surgical care, optical dental, No one
is dental. No, it's mental. This is so expensive. But
I get the feeling we're being pushed more and more
to think more about our own health care.
Speaker 3 (32:59):
And one of the other things that you find is
as people get older, your premiums go up and other
out oh here care. So what we're telling and advising
and talking with that patient says, Okay, if you want
to run the risk, if you get really sick, the
public system is there for you. Why don't you put
the premium that you'll be paying to the insurance company
into a health fund so that you're saving your money
for your own things. So if we need to do
(33:21):
something which is not going to be fifty thousand dollars
but maybe two four hundred dollars, you've got some money
there to actually do that. So start putting the money
in your own health so yourself ensuring.
Speaker 2 (33:30):
Yeah, that's right, that's a good idea. I'm saving hard
for a league extension, which I'm glad it was a
leg you talked about fourteen to five. Thank you, David.
Welcome David.
Speaker 9 (33:41):
Oh hi, well, hello Roman and doctor John. I suffer
from treatment resistant depression YEP of hand for about thirty
seven years now and the psychiatrist has had me on.
It's just gone up. But I'm taking ninety milligrams of
(34:02):
phenol myth nate or written and if you like a day, yep,
and that that gives me windows of feeling better. Now.
I know that reading literature that ketamine has had quite
a good result coming from for treatment resistance to the present.
(34:25):
Do you think I can actually get my hands on
ethel ket and mate kidder. They're very difficult. No one
will give it to me.
Speaker 3 (34:36):
It's obtainable and theoretically through your psychiatrist for a start.
There's a whole lot of new research coming into treatment
resistant depression, things like microdosing of LSD, ketamine, methyl fin
all these other methines that we're trying, and some of
them are looking really good. That should best be done
(34:56):
under the auspices of a consultant psychiatrist. I wouldn't go
out and source it yourself. Vitamin K is not a
good thing to buy on the market. It's horse train
calliser basically that we use for emergency surgery.
Speaker 9 (35:07):
Yes, yep, um, I'm getting sourcing it myself. Please engage
into something.
Speaker 3 (35:13):
Yeah, I prefer not to because there are some downsides
to these medicines. It's not all all roses and sugarcoatings
in it, so we need to be careful and it
has to be done in a very controlled manner. So
I'll talk to you a psychiatrist about it and put
the accid on them to say why not?
Speaker 2 (35:26):
Yeah good on you, David. Look at That's another key point,
isn't it that when you hear people talking like you
you're a professional, but people hear this and they carry
that information as if it will be good for them
as well. You still need to see your own doctor.
Speaker 3 (35:37):
Right, You need to put into into the context Yeah.
Speaker 2 (35:40):
Good on your good stuff. Doctor John Cameron here in
the studio for the Health Hub on the Weekend Collective
eight hundred eighty ten eighty. This one, I think is
going to be very interesting because it's something I had
trouble with. It's air wax good a jam oh hi.
Speaker 13 (35:54):
I want to ask thought John, why we are there
wax as humans?
Speaker 9 (35:59):
Yep?
Speaker 13 (35:59):
And conversely why some don't ah?
Speaker 3 (36:03):
And also some people and some people have.
Speaker 13 (36:06):
Really really my audeologist yep, and one or two other
healths and nobody's given the outs and web just gives
me how to clean them right.
Speaker 3 (36:16):
So ear wax is important. It helps protect the lining
layers of the ear canal going down to the ear drum.
Without their protection, the skin becomes very dry, gets cracked,
gets broken, and you end up with infections thing called
titi sexterurner. So, and the amount of ear wax is normal.
Normally the wax production that is produced slowly migrates down
the air canal and gets deposited on the outside, so
(36:37):
you can pick it off with your fuga. So if
you want to clean your ears by all means, do so,
but please use your elbows. They are specifically they're specifically
designed and income attached, So use your elbows to clean
your ears. Here's a little handy hint. If your ears
are really blocked up with wax. You know what it is.
A glass of warm water and a couple of teaspoons
(36:58):
of sodium by carbonate. Okay, and just dribble.
Speaker 4 (37:01):
That out about that.
Speaker 13 (37:05):
My problem is absolutely none. Strangely enough, when I was
about seven, right, just huge pain and the doctor moved
a huge lump of parts. Right, But now I don't
know when I've ever seen that. And my ears get
very very cheap because I've got craps.
Speaker 3 (37:24):
Yeah, so we would manage that with some form of
lubricating drop. I'll try and keep it under control for you.
Speaker 5 (37:29):
Yeah, Jane.
Speaker 2 (37:30):
Look, I was going to say, I'm nodding furiously because
I see a clinical news specialist at green Lane Hospital
who minds my ears out probably once every three or
four months, right, and she's exactly the same thing when
it's dry. I used some very good dermatology recommended moisturizer. Yep, fine, yeah,
good stuff. Oh that's good to know. I'd do the
same advice. Good on you, Jan, Thank you. Eight hundred
eighty ten eighty. The text nine two nine two jump
(37:52):
in jumping Doctor John Cameron here till five on used
TALKS'EDB six to five. We haven't got much time, Kevin.
How's your ankle?
Speaker 3 (38:00):
Hi?
Speaker 15 (38:00):
Hi dud John.
Speaker 5 (38:02):
Yeah.
Speaker 15 (38:02):
I'm a seventy five year old with euntaineering tramping background
and reasonably physically fed. But about six months ago I
got diagnosed with the arthritis and sort of bone on
bone on the ankle, and progressively the surgeon said that
there's little that can be done for it. It's just progressively
(38:23):
got worse. So I can sort of hop around but
I was wondering I'd heard that they can do ankle
replacements now and what was the lightlihood and success of these?
Speaker 3 (38:34):
So, yes, we do ankle replacements. The thing that any
joint replacement, the thing that it will do is take
away pain. Okay, so that's the aim. Hopefully it will
help restore some mobility, but there's always a cost to
pay for that, and that's the surgery is quite extensive.
(38:55):
You will have a joint that will nowhere nearly a
normal joint, but it should be a pain free joint.
Speaker 2 (39:00):
How does that sound, Kevin?
Speaker 15 (39:03):
Pretty good? And with medical insurance, is that assistance to
getting it done much quicker?
Speaker 3 (39:10):
Yes? Absolutely?
Speaker 2 (39:12):
Okay, yeah, good stuff, all the very best.
Speaker 3 (39:14):
There's a few surgeons that only deal on feet and ankles, yes,
so you go to those.
Speaker 2 (39:18):
Wellington had a knee specialist called mister Tregoning and I
had some exploratory surgery on my knee. Do you he
was a lovely, lovely guy. My knees love him, they
absolutely do.
Speaker 4 (39:29):
Look.
Speaker 2 (39:30):
Thank you so much for all of your advice in
your time, doctor John Cameron, and all the very best
for that cricket trip. Yeah, looking forward to it. Ah, Yeah,
what number Batsman, Are you left right up?
Speaker 3 (39:42):
I mastgrad as the sight screen occasionally.
Speaker 2 (39:44):
Oh no, that's great now. Just to reiterate too, because
we've got hundreds of texts and lots of calls trying
to come through. But the importance of actually going to
see your own GP, regardless of the cost. If you're
not well, you need to go to the doctor.
Speaker 3 (39:54):
Right yep, No, when you look at it on the
scale of things, Although it is a costa, hopefully it
is within the realm of Melody. We try and keep
our prices as low as we possibly can, but we
have very quite very expensive businesses.
Speaker 2 (40:11):
Yeah, say all the very best. Lovely to see you again. Yeah,
doctor John Cameron back from holiday and seeing patients. Do
go and see your doctor. Don't be like a typical
bloke hid in the sand. I think we're getting better
at that anyway. Cheers. Smart Money up next with Max
Whitehead and Employment relations expert. How's your CV. Let's dust
that off and get you sorted for twenty twenty five.
(40:31):
Smart Money next on the weekend Collective News Talks EDB.
Speaker 1 (40:41):
For more from the weekend Collective, listen live to News
Talks EDB weekends from three PM, or follow the podcast
on iHeartRadio
You're listening to the Weekend Collective podcast from News Talks.
Speaker 2 (00:12):
London, Sunday. Welcome back to the Weekend Collective Roman Travism
for Tim Beveridge. This is the Health Hub and we're
joined by doctor John Cameron, who's got a very nice tan.
(00:34):
Doctor John, have you been on holiday?
Speaker 3 (00:36):
No, it couldn't possibly have been out in the sun. No, no, no,
you know, I just got back from two weeks a
way out north.
Speaker 2 (00:41):
Oh so you found somewhere that actually had summer?
Speaker 3 (00:43):
No, not really. We had about five days at the
beginning the three days at the end, but it was
all right.
Speaker 2 (00:48):
It does sound love nigsaws and lots.
Speaker 3 (00:49):
Of card games and Kevin fever.
Speaker 2 (00:51):
But otherwise it's great. Oh no, I love that. I
love that. Now we're going to be taking your caurse
of course, if you've got questions for doctor John Cameron,
who gee, you've got your CV is exciting. You're still
doing work with New Zealand Cricket.
Speaker 3 (01:03):
I'm doing a little bit now and then look after
the teams win there in Auckland when they're doing the internationals.
I've got a theoretically we're doing a tour to Bangladian
a couple of months with nsy on day team, which
would be quite good because my first ever tour was
to Bangladesh in twenty ten. Yeah yeah, wow, flying on
my birthday in business class with the black Caps. I
(01:23):
was going, Oh, let's just make this go longer and longer. Yeah,
so that's the start of it.
Speaker 2 (01:27):
Yeah, So there's all that prophylexis with malaria and to Manati, we.
Speaker 3 (01:30):
Don't need Profilexus. Oh you mean Profilectic Yes, okay, so
no take them anyways? Did I say, yeah, no, no,
I take them any We've never been used. They come
back home with the peck Sun open. It's brilliant now today, Yeah,
because they get charged an extra ten dollars if it's
after midnight.
Speaker 4 (01:44):
I see.
Speaker 2 (01:44):
I've only mentioned that because I've had malaria and tables
to Africa, so I'm really scared about that. Now. There
are questions that you want to ask doctor John Cameron.
Of course we're willing to take those. Of course, it's
not like a medical consultation. You can't strip down, lie
on a bed and be poked and prodded, but you
can get some general advice from doctor John Cameron O.
Eight hundred eighty ten eighty and nine two nine two
(02:04):
on the text I found a study. I love it.
Would you like to hear about the study? Tell me? Okay,
I'd like to get your remarks on this one. So
children of divorce have a higher risk of stroke. The
study has found now that there were thirteen two hundred
and five people in the study, which is a good cohort,
wouldn't you agree? Doctor? But keep going? Okay? That wasn't good.
(02:28):
It was published up. It was published, of course, which
is always a good start. Pair reviewed and published in
plus one plos. That's a great reputable publication, isn't it?
Speaker 3 (02:39):
Never heard of it?
Speaker 5 (02:39):
Oh?
Speaker 2 (02:39):
Okay? This isn't going well? Is it? Okay? So I
thought this was an exciting study. What's your take on this?
Because it shows that these people have a higher risk
of stroke and all this sort of stuff because the
children their parents broke up when they were children.
Speaker 3 (02:54):
You always have to be exceedingly careful of what we
call observational studies. You can equate the incidence of boil
cancer with the number of telephones per household. Therefore telephones
cause bowel cancer. No, So correlation does not equal causation.
And it's something that we battle with all the time
(03:15):
about You can use observational studies such as this to
say is there a possibility that something might be going
on here? And first you need to say is there
a logical link between these two outcomes? And you go, yeh, possibly,
but not really, it's not a really strong causative link
being there. And then you have to drill down into
(03:38):
what the groups were like is there a control group
where they randomized to active or not active? Which is
very hard to do in an observational study because it's
already happened. It's it's not interventional. And how have you
going to do an indiventional study? Are you going to
stop people getting divorced? You know that could be more
dangerous than actually doing it. So these studies are interesting
(04:00):
in that they make you think a little bit about
what's going on and postulate what could you do to
change that. Whether that is going to lead to a
change in the outcomes is probably much more remote.
Speaker 2 (04:13):
So when you're looking at.
Speaker 3 (04:14):
Medical data, you've got to put your cynics hat on
for a start. Yeah, as we're saying plus one, where's
plus one? It's not The New England Journal of Medican
it's not the Journal of the American American Medical Association
or the British Medical Journal, So okay, it goes down
in your estimation, and it's not one of the big
groupings of peer reviewed articles which are going on. You've
(04:36):
also then got to learn about who the authors are
and do they have a stake in the game, Is
there something there? Have they got a hobby horse which
they love to love to do, And we quite often
find that well, people will do studies and find data
that supports their base theories, even if the base theories
are wrong. Yeah, so yeah, all these things come into it.
Speaker 2 (04:54):
No, you make a very good point. So I just
want to say. One point from the study says that
researchers found out participants whose parents divorced before they turned eighteen,
we're sixty one percent more likely to experience stroke later
in life. Although people would read things like this, yep,
and they'll come to you. In fact, they'll probably print
it out and bring it to you and they'll say,
is this why I've got a heart condition? You're going sorry?
What how much does the role of what happens to
(05:16):
you as a child actually determine your outcome, whether it's psychosomatically,
or physically or genetically.
Speaker 3 (05:22):
Yeah, so all of those things. So, nutrition, genetics, love,
Are you being raised in a fostering environment that's supportive
and looking after all your needs? They can have huge
ramifications on your future health. And the lovely thing about
that is taking twins and the twin studies are quite
powerful because you've got exactly the same genetics but totally
(05:44):
different environments sometimes and you see how these things turn out,
and twins can turn out quite differently.
Speaker 2 (05:50):
Yeah, they're good. Point. Oh, this is fascinating. So this
is a brilliant fascinating.
Speaker 3 (05:55):
But there's another bit in there which is really good.
Now less to another one, absolute risk versus relative risk.
Oh yes, now that's a very cool one. It reduces
it by ninety five percent, gone from one per one
hundred thousand to one point nine per hundred thousand. I
haven't got the numbers there. So relative risk can look
really high, but absolute risk, the actual numbers of things
which happen can be very small. Yes, so people will
(06:19):
always report relative risk because it hits headlines. Yeah, eighty
five percent reduction.
Speaker 2 (06:24):
Yeah, those statistics are dangerous, aren't they Because you'll say
things like you know ninety five percent of women who
wear bras will have breast cancer. Well, you know bras
don't cause breast cancer, but ninety five percent of women
probably wear them one in twelve and some men.
Speaker 3 (06:36):
One and twelve women will develop breast cancer.
Speaker 2 (06:38):
Right, Oh, okay, it's a horrendous startup. It is all right,
eight hundred and eighty ten eighty. The text is nine
to nine two. This is the health Have your chance
to have a chat with doctor John Cameron.
Speaker 6 (06:48):
Get he there, Allison, Oh, hello, hello doctor John. I
just I don't want to be poked on produb. I've
just got one question and that is on my last
book test that came back my farroid stimulating hormone with
four point three. It's on the boardline come back in
six months. Now? Should I be reducing that to what figure?
That's not too sure what should be.
Speaker 3 (07:11):
It will vary tremendously. Don't worry about it, okay. So
what we worry about is if your thyroid gland gland
thiry glands a little butterfly shaped gland that sits around
your Adam's apple and the basing your throat, and it's
sow go faster hormone, and thyroid hormones go faster. Make
sure faster you lose weight and your eyes pop out
like Marty Felban and all those sorts of things. So,
(07:32):
if your thyroid gland is starting to fail, what happens
is the brain tries to stimulate it more with a
hormone comes out of the brain from the maturity gland
called thyroid stimulating hormone. So it'll start to thump your
THIID a little bit more, say, come on, make some
more thyroid hormone. And if the gland doesn't respond to that,
it keeps pushing higher and high. So if your thyroid
(07:52):
is failing, you'll see your TSH rising very slowly over
a matter of months to years. And at some stage
there's a lot of debate whether we treat the thyroid
stimulating hormone or whether you actually look at your thyroid
hormone activity itself when do you start to do an intervention.
The intervention is really quite simple, which is just to
simply replace the thyroid hormone. It's one of the commonest
(08:14):
endocrine diseases that we see.
Speaker 6 (08:15):
It's salt come under there at all. The salt make
a difference in your diet. Does there have any effect
on that?
Speaker 3 (08:21):
Well, not fascinating thing, yes, but no, no, salt won't
make a difference. But what we do find is that
New Zealand soils are very deficient in iodine. And iodine
is vital for making thyroid hormone because that's what the
hormone's got is it's core, it's an idene at them.
And that's why we have iodise salt. So for young
(08:41):
people and everyone else, that's why we have iodo salt.
Please throw your mold and love the Himalayan pink rocky
salt out the window. We need some good th iodose
salt in this country so that we keep our thioris nice.
But that's not your problem. That's that's something completely different.
I think what we'll do is repeat your blood test
in six months and the TSH might be down to
three point eight. We go sweet, we'll have a looked at.
Another year, it goes up to four. We go our cool,
(09:02):
who cares we're treating another looking another six month, ever
goes five, seven, ten, fifteen, twenty, and your thyroid hormone
levels are going twenty twelve nine eight five. That shows
that your thyroglander is just giving up the ghost and
we replace it nice and easy.
Speaker 2 (09:17):
Good on you, Ellison. Just on the blood test thing,
I get a lot of questions when I'm doing talk
back about blood testing how frequently anything. I'm not a doctor,
don't ask me that. Is there pressure from the government
to reduce the demand on blood tests?
Speaker 3 (09:29):
No, really, no, there is a demand that we should
be doing biochemical testing appropriately, and I think that is
not a stupid idea. Having a yearly blood test for
most people to waste their money brains in time. Not good.
So I've got this lovely thing which I tell people,
when you're doing a test, you should always know what
the result is before you do the test. You're testing
(09:51):
a hypothesis rather than going fishing. Wow, because if you
go fishing, you'll end up with the wrong fish, You'll
get wrong information that will just confound everything. So you
should always be testing a hypothesis. Some of the any
we do for adults adult males over the age of
fifty five cardiovestculars screening, which through lipids funs every five years.
(10:13):
If you've got a family history of diabetes or a
clinical indicator that you might have diabetes, we'll test your
for diabetes on a more regular basis. These sort of
things are what we should do for routing screening. So
different between screening and investigation.
Speaker 2 (10:25):
Yeah, good stuff, Doctor John Cameron here on the Health
Hub eight hundred and eighty ten eighty. You can text
nineteen ninety, but it's not as good as a phone
called get a there, Peter, Can I.
Speaker 7 (10:35):
There, doctor John?
Speaker 2 (10:37):
Yep?
Speaker 7 (10:38):
There, Yep. I've got type two diabetes. The doctor said
I had typed two diabetes when I went up to
twenty six, twenty eight or something like that. I'm on
my buzz scale yep. And then he gave me a
jest and I've been using lands the jets all the
(10:58):
time and it's gone down to five point eight and
six point four or six point three or something.
Speaker 5 (11:05):
Yep.
Speaker 7 (11:05):
Should I stop or not?
Speaker 5 (11:07):
No?
Speaker 3 (11:07):
Please don't. That's what's well, because the Landers is actually
stopping you from suffering the long term efix of diabetes.
It's normalizing your blood glucose.
Speaker 7 (11:18):
Well, the whole thing is I stopped tats well one
week and it's still the same.
Speaker 3 (11:22):
It'll go up, it'll go up. Yeah. So when we're
treating for diabetes, we're not actually fixing diabetes. Okay, so
we're not treating something to cure it. We're treating something
to manage it, to help reduce down the amount of
gluecose sugar flying around in your bloodstream. Because if you've
got too much sugar floating around you bloodstream, it causes
damage to the little small arteries, and we've got an
(11:42):
increased risk of blindness, heart attack, stroke, renal failure, or bliety,
blood blah blah blah, all of these things go on.
So when we're treating it, what we're trying to do
is artificially bring your blood glucose down by either trying
to stimulate your pancrest to make a little bit more insolent,
or giving you insulin, or using oral medicines to try
and do this. If you stopped all those medicines, the
(12:03):
diabetes will kick straight back in. So please, please please
don't stop taking atlantis.
Speaker 2 (12:07):
Good on your what is thank you, Peter, what is lantis?
Speaker 3 (12:10):
Thanks for the long ending, twenty four hour preparation for insulin.
That's interesting, unusual to be put straight on insulin. Normally
we would try diet, exercise, oral medicines first. And there
are some new lovely things called gpl ones coming through,
which are fascinating new medicines that.
Speaker 2 (12:24):
We're looking at to be funded by far Mek.
Speaker 3 (12:29):
They are partially Yes, Luke, you've gone like proteins type one?
Speaker 2 (12:34):
Okay, eight hundred and eighty ten eighty To have a
call and have a conversation with doctor John Cameron here
on the Health Hub, get a.
Speaker 8 (12:41):
Catherine, Oh hello hello doctor John, Hello hello? Can you
please tell me how would the cardiologist registra prioritize angiogram results?
Like is there a prioritization or is it just what
(13:02):
as it comes in?
Speaker 3 (13:04):
So are you talking about to go forward for an angiogram?
Or you say once the antagram's done, well how you
manage that result? Which is those?
Speaker 8 (13:11):
Yes, well I've had an angio Graham, and I'm just
just last week in Auckland, and I know there's hundreds
of patients. I'm just wondering if I heard from him early,
or that mean or might be serious? Or if I
don't hear for months, does it mean not so serious?
Or is it just a first and first result and
(13:34):
gets the appointment call up?
Speaker 3 (13:36):
So if you haven't heard in this length of time,
there's an assumption, and I hate that word assume because
it makes a mess out of you. There's an assumption
that it's going to be okay. So I talked to
my GP. Okay, because he can sneak it. He or
she can sneak in the bad way and find out
what the result is. And we do this all the time,
so you don't have to work for the cardiology appointment.
(13:56):
You get your GP to do the work for you.
So so if it was dire, I would imagine what
we would normally do if you had a lot of
critical lesions there and we were sitting at a powder
keg about to explode, we'd be onto you like a
ton of bricks and you'll be in hospital and we'd
be trying to sort it out for you. If they
haven't heard and there's nothing happening either, it's you can
(14:18):
make again this horrible word assumption, then it's going to
be okay. But always check back if have you got
an appointment to go back and see the cardiologist yet
or the registrar?
Speaker 8 (14:28):
No, not yet, Okay, That's why I'm thinking. Actually it's
probably two yeah, no, no, last week, last week overall?
Speaker 3 (14:36):
Now, so a good Angie n an angiogram, a straight angiogram,
they'll read within twenty four hours. Okay, they'll see it
on the screen while they're doing the anjigram, a CT antiogram,
which is slightly different one where they do you put
you through a CT machine to do the antigram.
Speaker 8 (14:50):
Oh, I'm sorry, sorry, that is the one I had, right.
Speaker 3 (14:53):
Sorry, they take a little bit longer to read because
they need to be sat down with a radiologist and
haven't looked at it very carefully, so they may take
a week or so, but I would still what I
do is, come tomorrow, we'll bring up your practice if
you're outside of work, and that's fine, we'real Can you
go to wait till tuesday, bring up with practice, Talk
to the practice news and say I've had the CT
angi gram any chance of getting a result on that
(15:14):
for me and get them to be your advocate.
Speaker 8 (15:18):
Thank you so much for that.
Speaker 2 (15:20):
Oh yes, you're a delight Catherine, Thank you, and I
hope you're good now. Just just going back to that,
like angiogram results, the results done in secondary care at
a hospital, coming back to a GP blood test results
pop up in med tech if they use med tech, right, So,
it's all there electronically. Do the angiogram results come to
the GP electronically No ah.
Speaker 3 (15:39):
So if it's been we don't normally order to get
an angiogram. We normally have to refer through to the
cardiologists and cardiologists with then arrangey angigram. They will very
often send us a copy of the result back right
and a letter normally from the outpatients. But once it's reported.
In Auckland you have this and in other areas have
(15:59):
the similar sort of thing, which is a repository for results.
So if something has occurs in either primary care secondary care,
that result is loaded into a database and with the
right priorities and agreements you can come in and review
those results and see what they are.
Speaker 2 (16:15):
Yeah, you wouldn't want to get repository mixed up with
suppository no one.
Speaker 3 (16:19):
Yes, yes, yes, yes, once to take out just as well.
Speaker 2 (16:22):
I'm not a doctor, right yea, Chris.
Speaker 9 (16:25):
Hi, how are you?
Speaker 5 (16:28):
Good question for the doctor. I'm a type two diabetic.
I'm on insulin lentis at night, in morning and revenue
during the day. Three times now I have been finding
that I have got better control with the senses. But
(16:54):
because I'm type two. I don't get it. When is
type two going to get.
Speaker 3 (16:59):
The allowed almost certainly never? Oh isn't that said?
Speaker 10 (17:06):
You have control have.
Speaker 2 (17:07):
A little bit.
Speaker 3 (17:08):
So what we're talking about here are continuous glucose monitors, correct,
Is that what you're meaning? So these little stick on pads,
they are about three to four millimeters high by about
three to four centimeters wide, and they're stuck onto your
shoulder on the upper out of arm. Sorry, and they
measure what's called tissue glucose, so extracellular fluid glucose. So
(17:31):
it's not a true blood glucose, but it's a constant
measurer and it's constantly measuring your glucose and you can
read that off on your phone on an app. It
can go to all sorts of things. They are brilliant.
They have just been funded in this country for people
with type one diabetics diabetes.
Speaker 2 (17:50):
Right.
Speaker 3 (17:51):
The problem that you've got for type twos is that
there are so god, there are many of us with
type two diabetes that would break the bank.
Speaker 5 (18:00):
Okay, but that's where proven that we are better.
Speaker 3 (18:06):
Yep. Absolutely, I go for you and I love CGMS.
Speaker 2 (18:09):
Brilliant.
Speaker 3 (18:10):
They help people normalize their lives, especially anyone who's using
insulin products such as type ones and type two's. On inchulin,
you remove the risk of hypogloscemia of low blood glucose
because this little thing will send a message to your
phone tell you or you're going low.
Speaker 5 (18:29):
Yeah.
Speaker 3 (18:30):
So look, but they're not cheap. They are they if
you paid for one yourself.
Speaker 5 (18:37):
I'm paying what two hundred and something a month?
Speaker 3 (18:41):
Yep, yep. So there's two which are gazetted in New
Zealand and funded. One lasts for seven days, one last
for about ten days. They have to be taken off
in ditched and thrown away. They are very expensive, yes,
and I'm glad that you have been able to make
the choice of using one of these for yourself and
paying for it. I am very pleased that we've got
(19:03):
them now available for type one diabete. I hope that
we would have them for type twos on inchulin. But
whether we while it out to type twos per se
who aren't on inchlin, I think that's going to be
a step too fast. So what's the space depends on
how much money the government's got in this coffers.
Speaker 2 (19:17):
There we go, Doctor John Cameron. Good advice there, Chris,
thank you, and make sure that you have a full
consultation with your GP. This is not in any way
a full and exhaustive process, but it's a good chance
to get some great information. Yeah, there's the health economics
that FARMAC are very good at focusing on, but health
outcomes perhaps could be enhanced, Doctor John somewhat get in
touch O. Eight hundred and eighty ten eighty the text
(19:39):
nine nine two twenty five past four. I'm not twenty
nine twenty nine past four, doctor John Cameron. Here now
a text in here about malaria tablets because I was
taking them fastidiously through Africa eight years ago. Still got malaria,
Doctor John, Do I need to take malaria tablets for Chennai, India?
Speaker 3 (19:55):
So India and malaria's is interesting. Look, if you want
to be absolutely safe, yes, if you're in Chennai and
the main part of the city, you're not going outside.
And it depends how long you're going for. If you're
going there for six months, yeah, reasonable idea. If you're
going there for three days, we are maybe not just good.
Insect repellent is a primary thing formularia prevention. So the
(20:18):
thing to stop malaria is not getting bidden by mosquitoes,
then malaria prefilexis just dampens down your malaria so you
can get treatment.
Speaker 2 (20:23):
So good stuff. Thank you eight hundred and eighty ten
eighty Doctor John Cameron here for the next half hour.
Hi there, Sharon, Hi, how are you guys?
Speaker 3 (20:32):
We're great.
Speaker 4 (20:36):
I'm just calling on because I'm just wanting to ask
about how I could get them here. I have hyper
to petuitarianism, right yep. And ten years ago I had
an a audit dissection type B which I have a sift,
but I wasn't. I didn't have a repair, but because
(20:59):
of my hype of petuitarism, have a very poor quality
of life, okay, And I've traveled to other cities to
try and get being the specialist peer and yeah, I
have had in films, so I've helped my head any
(21:19):
of the best that I recommended for it.
Speaker 2 (21:22):
So what's your question for doctor John there, Sharon?
Speaker 4 (21:26):
How can I go about without going privately? How can
I go about giving health care? And we'll meet my
conditions because how rare and I just don't see I
just seem to get nowhere.
Speaker 3 (21:40):
So it sounds like you feel like the health system
hasn't met you as the way that you would like
to be treated and giving you the options for care
that you think you should have. Is that what I'm feeling.
Speaker 4 (21:51):
Yeah, I mean, so I've been most self sets I
should go into a care facilitation, so I come to
you understand.
Speaker 3 (22:04):
So you are always entitled to a review opinion from
any hospital care physician should be looking after you. If
you feel that you haven't received that level of care
that you want, you should use your advocate In first instance,
it will be your GP to push for a further review.
Whether you get a better thing by going to a
(22:25):
different center, I think that's unlikely, Whether you get better
care by going privately. Again, I would hope that that
is unlikely in the New Zealand health environment, and that
our hospital specialist teams are normally the top notch people.
So it sounds like there's a mismatch between expectation and provision.
So we need to move that around a little bit
to make sure you've been listened to and given the
(22:46):
options that you need to make your future decisions on
your health. That's what I would advocate for. Your GP
should be finding for you on that basis.
Speaker 2 (22:52):
Yeah, no, I was good advice. Thank you, Sharon. Thanks
for the call and all the very best. And it's
probably misunderstood by some. I don't know how widely this
will be, but often the specialist you're seeing in the
public system you will see in private anyway. Way one, Yeah,
all right, thanks sharing all the very best. High there, Julian.
Speaker 11 (23:09):
I'm just touching on dot John just turned on since
you're talking about type two diabetes. Actually I've just been
dying there a few months ago. You get my fear
needles really fast. But I'm lucky enough to have the
Freestyle link, Liberal Links, and one of my questions was
ef they're going to fund it, but that makes sense,
but that they are amazing. Put them when you put
(23:31):
different foods in and you can put it that on PDU,
send the head doctor and and have a good look
at everything so that we use it to extinct.
Speaker 10 (23:41):
Curious, what what are.
Speaker 11 (23:42):
You any thoughts from the automatic pumps tit two diets.
Speaker 3 (23:47):
I think that's even longer away than the c d
ms for type twos.
Speaker 11 (23:52):
You're not funding it, but just actually use using them.
Speaker 3 (23:56):
So I don't have any personal knowledge of using instant
pumps and type twos, remembering the two things that we're
trying to remove here. Firstly is minimizing the long term
effects of diabetes, and you sound like a young bloke,
so we'd want to go all out to get your
blood gluecoses as normal as we possibly could. The second
(24:17):
thing is, as soon as we start getting that level
of interventionists, we increase the risk of low blood glucose
and hyperglycemia, and so we always have to balance that out. Now,
the cgms are really good at detecting hypoglocemia, and they're
also exceptionally good at relating to you information about what
your gluecose levels are, especially if they're going high, so
you can adjust your diet and other medicines and around that.
(24:39):
The best story about cgms I know about is a pilot,
a type one diabetic who's now allowed to fly in
his Zealand flights because he's got a c GM because
the risk of hyperglyocemia has been removed. So they are
life changing for you. Loop yep. For pumps, I'm not
so sure. I don't have enough information for you on
that one. I can hunt it up for you.
Speaker 10 (25:01):
Yeahighks, good It gives you.
Speaker 11 (25:05):
I walk into your phone and yeah, yeah, what.
Speaker 10 (25:09):
About fast fast effect insulin. I had it in the
morning because they have a couple of chocolate you and
some beer. Yeah, okay, yep, yeah, But I started having.
Speaker 11 (25:21):
That fast and I spat a couple of times during
the day. I get mixed sort of messages from doctor
and the hospitals whether I should be using it ahead
of certain foods and times.
Speaker 3 (25:32):
What do you mean say you've got five doctors and
fifteen opinions that never happens. Well, it does, look, I
promise you it does. If you think about what we're
trying to do, we're trying to normalize what happens with
the insulin. So pancreas is normally constantly sensing what your
glucose says and squirting a little bits of insulin all
the time, up and down, holding off then some more
as the food's going in. So the more closely you
(25:54):
can mirror that, the more the more normal the metabolism
should be. So that's what the concept of adding a
little bit of fast acting insulin before food is trying
to mimic that normal function of the pancreas. Now, the
downside to that means you're sticking yourself frequently with small
amounts of glucose. And the way we get around that's
(26:15):
by putting you on a pump, which happens is all
the time. So it's that middle step between just the
long acting, the long acting plus short acting plus pumps.
Speaker 2 (26:23):
There we go, Julian, isn't it amazing John? Just how
many people are calling in about diabetes. It's a big problem, huge,
isn't it? And growing growing heaps more. We're diagnosing at
least one or two a week. Really, Yeah, Doctor John
Cameron GP in the studio here for the health Hub.
I eight hundred and eighty ten eighty will connect you
through Hi Lorrain, Oh Hi, how are you tremendous?
Speaker 12 (26:46):
I love your wit, I have to say. I think
it's hoses up noses and all your little things you
say are so funny. I love listening to you, and
I'm you're a big buddy as well, because I already
set a program up in an area big bud. Isn't
it was hard to get men for air boys. But
aside from that, I've got a question from John. For John,
(27:10):
I have Osteo proros osos riders and I'm on mellarics
or meloxicym the other name. Yeah, I just wonder. I
don't mind, but it seems to be one of the
drugs that's not funded.
Speaker 3 (27:27):
By family agree.
Speaker 12 (27:28):
Is it because it's not popular or is it because
the celebrates and all the others are more popular.
Speaker 13 (27:33):
I don't know.
Speaker 3 (27:34):
It's all due to deals. This is where the finance
comes in, the deals between farmac and the drug companies.
So the medicine that you're on is what's called a
COX two inhibitor cyclo oxygenase type two inhibitor. They're a
family of the anti inflammatory medicines like ibyprofen and all
the other ones, except it tends to leave the pathway
(27:56):
that protects your stomach against acid alone. Okay, so just
it's the cyclooxygenase one part of that enzyme. A COX
two is the one which causes pay the COX one
that protects your tummy, so it leaves the COX one alone.
Speaker 12 (28:13):
He's got a high here and there, so that's probably
a reason why the others haven't yet. But this one
is fantastic. I'm surprised that there's not more people being
able to have access to it because of the sundon
but that's that's yeah, that sets it for me. I
just wanted to know because I promote it to other
(28:33):
people and say that's your doctor, you know for it,
But the doctors don't seem to do that. But that's
all right.
Speaker 3 (28:41):
There is there is one funded cox to there's one
funded cox to inhibit, which is called sella cox.
Speaker 12 (28:47):
Yes, yes, no, that's fine, thank you very much, good on,
thank you.
Speaker 5 (28:52):
Range.
Speaker 2 (28:53):
Yeah, so the cox to the COX one, the good stuff,
the good one, the bad one, the COX two cyclo
oxygen ase and cross the glands and synthesis and no.
But the thing is, the reason I know about this
is because I've got a little bit of arthritis. And
so a rheumatologist that you will know in Auckland, he's
a really good guy. He said to me, I don't
want you to be on strong anti inflammatories long term.
(29:14):
So even though you've got safer ones, it's still ok.
Speaker 3 (29:16):
To be on them. No, you've always got to trade
off the risk benefit analysis and anything you do in health.
Speaker 2 (29:23):
Okay, well that's good to know, and that could be
very well. And that's what concerns me with the call
who just said, you know, I'm telling my friends to
ask for it. But the doctors know the individual patient needs,
whether you've got kidney issues or liver issues or well.
Speaker 3 (29:34):
Sometimes docs do this horrible thing of assuming they're assuming
that you won't pay them. Pay the money for a
non funded or partially funded means. Yeah, So we've got
to get over that. We god need to put the
options out for the patient, saying here's the ones which
are funded, These are not funded or are partially funded.
If we've found that the funded one works really well
for you, sweet, If it's not, these are the other options.
Speaker 2 (29:54):
Yeah, there's other options. Good point, very good point, Doctor
John Cameron. Here till the top of the hour at
five o'clock eight hundred eighty ten eighty nine two nine two.
On the text it's the Health Hub on the weekend
Collective News Talks, there'd be seventeen to five. I've just
had a full consultation with my clothes on with doctor
John Cameron. This is your chance to help. That's not true,
no poking and no poking was involved. God, but I
feel so much better. You can have your chance to
(30:16):
talk to Dr John Cameron now eight hundred eighty ten
eighty and the text is nine two nine two.
Speaker 14 (30:20):
Welcome Heather, Hello Roman and doctor John. My question to
you is, can you tell me why a type two
diabetic on insulin, envision impaired and or blind cannot qualify
for the libretto.
Speaker 3 (30:40):
I think you need to talk to the new Minister
of Health on that one. He will have all the
answers for you. His name is Simeon Brown and I'm
sure you can get us email from somewhere. It's all
down to funding. It's absolutely down to funding. And yeah,
farmax View, which is under its its charter, it can
only look at the cost, not the downline savings or
(31:02):
anything like that because in health they normally disappear anyway.
But you're you're absolutely right. The c gms are the superb.
The gpl ones which would you have for people who
aren't on inc are also superb, going to be brilliant
medicines and diabetes. We're is going to find the money.
We're going to find the.
Speaker 14 (31:19):
Doll I know, and I'm on the pension, so I
can't afford this two hundred dollars a month.
Speaker 2 (31:28):
And it's a fair point.
Speaker 5 (31:30):
I can do.
Speaker 14 (31:31):
I can do the prick, but I can't see the
blood on my finger to do the sample and get
the Yeah, so the libretto is definitely what I need.
I've had to some trial breed.
Speaker 3 (31:44):
Yeah, have you triled it? And it was good.
Speaker 14 (31:47):
Winds paid for it and I'm still paying that back
two and a half grand, So no, I can't afford
another lot. Yeah, it's absolutely fantastic for me.
Speaker 3 (32:02):
So it sounds sort of round the things. But you
managed to go to WINS, I'd start looking to any
other locally funding agency that you might be able to
add up for it. Just find out, ask people for money,
grants from savings banks, from something like that. I know
your chances are not great, but the more you have,
(32:22):
more you hit buttons, more likely you're going to get something.
Speaker 14 (32:25):
It would be so nice if we could, you know, Yeah,
you know it's hard.
Speaker 5 (32:29):
To get well.
Speaker 2 (32:30):
Good on you here and look that brings you around
to a question just quickly. But you're a GP, you're
seeing patients all the time. What proportion roughly of your
patients would have comprehensive health insurance?
Speaker 3 (32:42):
My practice is in an area of relatively effluence, so
probably sixty percent really yep.
Speaker 2 (32:49):
Of like top level surgical care, optical dental, No one
is dental. No, it's mental. This is so expensive. But
I get the feeling we're being pushed more and more
to think more about our own health care.
Speaker 3 (32:59):
And one of the other things that you find is
as people get older, your premiums go up and other
out oh here care. So what we're telling and advising
and talking with that patient says, Okay, if you want
to run the risk, if you get really sick, the
public system is there for you. Why don't you put
the premium that you'll be paying to the insurance company
into a health fund so that you're saving your money
for your own things. So if we need to do
(33:21):
something which is not going to be fifty thousand dollars
but maybe two four hundred dollars, you've got some money
there to actually do that. So start putting the money
in your own health so yourself ensuring.
Speaker 2 (33:30):
Yeah, that's right, that's a good idea. I'm saving hard
for a league extension, which I'm glad it was a
leg you talked about fourteen to five. Thank you, David.
Welcome David.
Speaker 9 (33:41):
Oh hi, well, hello Roman and doctor John. I suffer
from treatment resistant depression YEP of hand for about thirty
seven years now and the psychiatrist has had me on.
It's just gone up. But I'm taking ninety milligrams of
(34:02):
phenol myth nate or written and if you like a day, yep,
and that that gives me windows of feeling better. Now.
I know that reading literature that ketamine has had quite
a good result coming from for treatment resistance to the present.
(34:25):
Do you think I can actually get my hands on
ethel ket and mate kidder. They're very difficult. No one
will give it to me.
Speaker 3 (34:36):
It's obtainable and theoretically through your psychiatrist for a start.
There's a whole lot of new research coming into treatment
resistant depression, things like microdosing of LSD, ketamine, methyl fin
all these other methines that we're trying, and some of
them are looking really good. That should best be done
(34:56):
under the auspices of a consultant psychiatrist. I wouldn't go
out and source it yourself. Vitamin K is not a
good thing to buy on the market. It's horse train
calliser basically that we use for emergency surgery.
Speaker 9 (35:07):
Yes, yep, um, I'm getting sourcing it myself. Please engage
into something.
Speaker 3 (35:13):
Yeah, I prefer not to because there are some downsides
to these medicines. It's not all all roses and sugarcoatings
in it, so we need to be careful and it
has to be done in a very controlled manner. So
I'll talk to you a psychiatrist about it and put
the accid on them to say why not?
Speaker 2 (35:26):
Yeah good on you, David. Look at That's another key point,
isn't it that when you hear people talking like you
you're a professional, but people hear this and they carry
that information as if it will be good for them
as well. You still need to see your own doctor.
Speaker 3 (35:37):
Right, You need to put into into the context Yeah.
Speaker 2 (35:40):
Good on your good stuff. Doctor John Cameron here in
the studio for the Health Hub on the Weekend Collective
eight hundred eighty ten eighty. This one, I think is
going to be very interesting because it's something I had
trouble with. It's air wax good a jam oh hi.
Speaker 13 (35:54):
I want to ask thought John, why we are there
wax as humans?
Speaker 9 (35:59):
Yep?
Speaker 13 (35:59):
And conversely why some don't ah?
Speaker 3 (36:03):
And also some people and some people have.
Speaker 13 (36:06):
Really really my audeologist yep, and one or two other
healths and nobody's given the outs and web just gives
me how to clean them right.
Speaker 3 (36:16):
So ear wax is important. It helps protect the lining
layers of the ear canal going down to the ear drum.
Without their protection, the skin becomes very dry, gets cracked,
gets broken, and you end up with infections thing called
titi sexterurner. So, and the amount of ear wax is normal.
Normally the wax production that is produced slowly migrates down
the air canal and gets deposited on the outside, so
(36:37):
you can pick it off with your fuga. So if
you want to clean your ears by all means, do so,
but please use your elbows. They are specifically they're specifically
designed and income attached, So use your elbows to clean
your ears. Here's a little handy hint. If your ears
are really blocked up with wax. You know what it is.
A glass of warm water and a couple of teaspoons
(36:58):
of sodium by carbonate. Okay, and just dribble.
Speaker 4 (37:01):
That out about that.
Speaker 13 (37:05):
My problem is absolutely none. Strangely enough, when I was
about seven, right, just huge pain and the doctor moved
a huge lump of parts. Right, But now I don't
know when I've ever seen that. And my ears get
very very cheap because I've got craps.
Speaker 3 (37:24):
Yeah, so we would manage that with some form of
lubricating drop. I'll try and keep it under control for you.
Speaker 5 (37:29):
Yeah, Jane.
Speaker 2 (37:30):
Look, I was going to say, I'm nodding furiously because
I see a clinical news specialist at green Lane Hospital
who minds my ears out probably once every three or
four months, right, and she's exactly the same thing when
it's dry. I used some very good dermatology recommended moisturizer. Yep, fine, yeah,
good stuff. Oh that's good to know. I'd do the
same advice. Good on you, Jan, Thank you. Eight hundred
eighty ten eighty. The text nine two nine two jump
(37:52):
in jumping Doctor John Cameron here till five on used
TALKS'EDB six to five. We haven't got much time, Kevin.
How's your ankle?
Speaker 3 (38:00):
Hi?
Speaker 15 (38:00):
Hi dud John.
Speaker 5 (38:02):
Yeah.
Speaker 15 (38:02):
I'm a seventy five year old with euntaineering tramping background
and reasonably physically fed. But about six months ago I
got diagnosed with the arthritis and sort of bone on
bone on the ankle, and progressively the surgeon said that
there's little that can be done for it. It's just progressively
(38:23):
got worse. So I can sort of hop around but
I was wondering I'd heard that they can do ankle
replacements now and what was the lightlihood and success of these?
Speaker 3 (38:34):
So, yes, we do ankle replacements. The thing that any
joint replacement, the thing that it will do is take
away pain. Okay, so that's the aim. Hopefully it will
help restore some mobility, but there's always a cost to
pay for that, and that's the surgery is quite extensive.
(38:55):
You will have a joint that will nowhere nearly a
normal joint, but it should be a pain free joint.
Speaker 2 (39:00):
How does that sound, Kevin?
Speaker 15 (39:03):
Pretty good? And with medical insurance, is that assistance to
getting it done much quicker?
Speaker 3 (39:10):
Yes? Absolutely?
Speaker 2 (39:12):
Okay, yeah, good stuff, all the very best.
Speaker 3 (39:14):
There's a few surgeons that only deal on feet and ankles, yes,
so you go to those.
Speaker 2 (39:18):
Wellington had a knee specialist called mister Tregoning and I
had some exploratory surgery on my knee. Do you he
was a lovely, lovely guy. My knees love him, they
absolutely do.
Speaker 4 (39:29):
Look.
Speaker 2 (39:30):
Thank you so much for all of your advice in
your time, doctor John Cameron, and all the very best
for that cricket trip. Yeah, looking forward to it. Ah, Yeah,
what number Batsman, Are you left right up?
Speaker 3 (39:42):
I mastgrad as the sight screen occasionally.
Speaker 2 (39:44):
Oh no, that's great now. Just to reiterate too, because
we've got hundreds of texts and lots of calls trying
to come through. But the importance of actually going to
see your own GP, regardless of the cost. If you're
not well, you need to go to the doctor.
Speaker 3 (39:54):
Right yep, No, when you look at it on the
scale of things, Although it is a costa, hopefully it
is within the realm of Melody. We try and keep
our prices as low as we possibly can, but we
have very quite very expensive businesses.
Speaker 2 (40:11):
Yeah, say all the very best. Lovely to see you again. Yeah,
doctor John Cameron back from holiday and seeing patients. Do
go and see your doctor. Don't be like a typical
bloke hid in the sand. I think we're getting better
at that anyway. Cheers. Smart Money up next with Max
Whitehead and Employment relations expert. How's your CV. Let's dust
that off and get you sorted for twenty twenty five.
(40:31):
Smart Money next on the weekend Collective News Talks EDB.
Speaker 1 (40:41):
For more from the weekend Collective, listen live to News
Talks EDB weekends from three PM, or follow the podcast
on iHeartRadio
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