March 16, 2025 • 39 mins
Dr John Cameron joins The Weekend Collective to discuss more effective pain management methods.
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Speaker 1 (00:05):
You're listening to the Weekend Collective podcast from News Talks edboous.
Speaker 2 (00:16):
Any back and welcome back to the show. This is
(00:37):
the Weekend Collective. I'm Tim Beverage. And by the way,
if you missed Politics Central, our discussion around tariffs and
trade and all that sort of stuff, you can go
and check out our podcast where you had a chat
with Oliver Hartwich from the New Zealand Initiative as well
as Brad Olson, who also did quite a good explainer.
I thought on you know why PPPs versus just the
government funding itself. So check out out podcast on News Talks,
hev website or on iHeart Radio. But right now it's
(00:58):
time for the Health Hub and we're actually well we're
gonna have a chat about a couple of things. One
is about the stones in our lives and whens you
should actually maybe you think, well, hang on it, I
don't mean to the doctor for five years and I've
hit my thirties or hit my forties, or if hit
my fifties or a hit in my sixties. Is there
a particular warrant of fitness I should go and get
from a doctor. Should I go and get some blood tests?
(01:20):
Every now and again, should I get your doctor to
give me the give me the finger where I don't
really want it? Or am I putting that off? And
it's ten years later. So the milestones because it has
been highlighted around the question around testing for bowel cancer.
There is a tricky political question, which is cause may
cause some problems for the government. But the question some
people might have, we shouldn't be waiting till fifty eight
to get a check for bowel cancer. Who should Looking
(01:42):
at your own personal circumstances, when should you go and
see someone about a particular issue. You might know that
mum and dad both got it, or your mum had
got breast cancer and her late forties or something, so
obviously that would be something you'd flag with your doctor.
We're going to dig into that. But also pain, because
I reckon I've got a theory and I'm going to
turn this Mike. If so you can't hear him laugh
(02:04):
at my my take on it. There is anyway but pain.
I've read a few things that tell us that, look,
paracetamol can be useful for some things but generally useless
for others. And of course we talked about it with
cold medication. They're some of the cold medification was barely
better than the placebo. But what are the genuinely affected
(02:24):
pain reliefs? Pain relievers or there's a lot of it placebo.
So if you've got a question around pain, give us
a call as well. At one hundred and eighty ten
and eighty. That's opened the floodgates wide open for my
guests who like you can hear them in the back grade.
You can even recognize them by his sniggering. It's doctor
John Cameron.
Speaker 3 (02:42):
Hello, how are you good afternoon?
Speaker 2 (02:44):
How are you excellent? Absolutely superse I like your arts.
When I asked you before when we were caught up
out outside the studio and you said, you know, I
woke up this morning and that's always good news, and
I actually think that that sounds like a flippant response.
But you know what, you wake up and you're alive,
and isn't life? You know, life's good?
Speaker 3 (03:01):
Yeah, for most people, life is a really great experience.
Speaker 2 (03:04):
Yeah, So let's take each.
Speaker 3 (03:06):
Day, make the most out of each day, fill it
with whatever you can to make a smile on your dial.
And the way we go.
Speaker 2 (03:12):
It's funny I thought about I was talking to you
as well. I thought about my dad. I went for us.
I've been trying to keep going for swims, and I
know that as we get closer to winter, there's good
of a day where I'm like our stuff first. But
it was a beautiful day to down. I went for
a swim. And my dad, when he was in his nineties,
used to still go for a swim at Coe Beach
and he was getting on and we used to be like, oh, Dad,
you know this is a bit dangerous and what if
something happens? And he said, look, if something happens, I'll
(03:35):
just quietly slip beneath the waves and that'll be fine
by me. And it's funny now every time I go
for a swim, I get it because he was living
life the way he wanted to. Because often our kids
want us to play it safe and don't do that,
and don't that's like, well, what's the point live while
you can beg of the kids? Yeah, bug of the.
Speaker 3 (03:53):
Kids, spend your money, don't give them any inheritance, and
have a great lit amount of fun doing it. There's
a book called I'm Being Mortal by Uttel goron.
Speaker 2 (04:01):
Day I'm Being Mortal.
Speaker 3 (04:03):
On Being mortal, okay, And it's all about what matters
to you and your life, and that's what you should
aim for. And it was a similar story to what
you were saying. His dad had a really nasty terminal
disease and they had a procedure which they could do
that might have given him some sort of extra time
or something. And the question was if we do this,
will my dad be able to sit up watch a
football game and have a beer. And they said, yeah, okay,
(04:26):
do the job. So you know, that was important to
his dad and if it gave him that back, that
was worthwhile.
Speaker 2 (04:32):
It's interesting how I think that, even though it sounds
so wishy washy, the questions about your own philosophy around
life become more and more important. We should be important
all the time. But because I think that they are
the ones that people go, they get, I would say
that it's usually the dependents who care about mum and
dad or granddad who get frustrated when a doctor may
(04:55):
be like, well, hang on, your mum and dad has
said that this is what they want and this may
not be the treatment that's going to prolong their lives,
but it's going to mean that they can live better
for the way, and young ones want d Mum and
dad around for as long as they can, generally just
because they love them. But the question is a deeper
one about for you know, how do you want to
live your life? Do you want to sink beneath the
waves that do you want to be stuck in your
(05:17):
bed for two years doing nothing?
Speaker 3 (05:18):
I think I've spoken about this before, but there's a
thing called not advas It's Advance Care directive for advanced planning,
which you can do at any time, and you should
be doing it at twenty and thirty and at forty
and at fifty. You don't have to wait until you're
seventy or eighty, and you're getting closer to that shuffling
off the mortal coil. But just detailing it how you
want to live your life, what's important to you? And
if you do strike something which is going to take
(05:40):
you off the planet, how would you want that to
be run for you? It's not carston Stone, no change
it at any time. It gets you thinking about what's
important to you, and it lets other people know if
you can't talk about it, if something's happened to you,
they can go back to this document and see. So
it's a really important thing to do. It's online where
you go.
Speaker 2 (05:57):
What's the name of that book again, It's called.
Speaker 3 (05:59):
On Being Mortal atol Gorwonda. He's a surgeon, you're a
neurologists in the States.
Speaker 2 (06:08):
You've got to be really careful. I thought you said
a we we searched, and I meant he was really sure.
Speaker 3 (06:14):
When you're bringing up the hospital and you want either
the neurologists or the neurologists, so you've got to say
eurology as and we we saw neurology as and brains
the other way, you end.
Speaker 2 (06:21):
Up talking to the long So you got to say
a neurologists, and you say it wrong and you walk
in the guy says, we'll drop your packs. It's like,
what the hell, it's all in the head.
Speaker 3 (06:28):
So no, he's he was a surgeon and he's done
a whole lot about surgical safety and about patient directed medicine.
He's worth read.
Speaker 2 (06:34):
You mentioned you know, think about these things through your
twenties and thirties, which does tie into that whole question.
Did I have a reasonable crack at talking at giving
a summary about the question of approaching milestones as that
of course it's always individual and summing people up by
age or whatever. It takes you so far. But in
the end, if you know you've got a family history
of something, then you're going to be getting bow cancer
(06:57):
screening earlier than others, or breast cancer screening whatever. When
should are there milestones?
Speaker 3 (07:02):
Though?
Speaker 2 (07:02):
Because should I turn up when I should? I have
turned up as I did to my doctor and when
I hit forty and I said, I said I need
a fall on men's health check and he said, did
you just book them for fifteen minutes? You should have
warned me about that.
Speaker 3 (07:16):
Anyway, it's warning and we can do a lot of
the laboratory work before you come, so it makes it
a hell of a lot more sensible to sit down
and talk you through your results. Otherwise you do two visits,
waste your time, waste my time. So pre plan. Talk
to the nursing team at the practice, say, look, this
is what I wanted to be doing. Will the doc
be okay to set me up some screening blood so
that I can bring them in and we can sit
(07:37):
down and have a talk. So is there a specific time?
What we're talking about, you are screening for health, so
you're starting with someone who's got no disease, no symptoms,
no science, no nothing. It's always dangerous because you're always
do on the risk of making them worse. So you're
starting with someone who is totally well, and some people.
Speaker 2 (07:54):
If you do this first to do nor.
Speaker 3 (07:56):
Investigate investigation on them, you will actually make them worse.
So it's called NH Numbers needed to treat versus numbers
needed to harm. If we had to do this to
a thousand people, how many of those thousands we have
to do this too to save one life? If we
did the same thing to that thousand people, how many
people would be harmed. As long as you're helping more
people than you're harming, it's probably okay. But you have
(08:18):
to explain to people that screening is a very inexact science. Okay,
everyone believes that if I go and get screened, it's
going to tell me yes or no. If it's no,
I'm fine. If it's yes, I will be cured.
Speaker 2 (08:29):
I think. And part of that's actually it's important to
understand what your family's health history is, of course, because
if you've had a if there's been a history of
bow cancer in your family or something, then obviously I
don't know actually does How does the politics play. I
know we've got a bit of controversy hapening around race
and all that sort of thing, But how does it
play if somebody does have a history within their family
(08:52):
with bow screening screening, do they actually get that funded
at a certain age or no?
Speaker 3 (08:57):
As far as population based screening for bow cancer, it's
age related. Yeah, totally age related to access a screening colonoscopy,
which be the next step. Yes, there are provisos in
there for family history and personal history and those sorts
of things. So a population based screening.
Speaker 2 (09:14):
Oh, that's that's usually any time provider you to get
a test and you mightest tests, think cold.
Speaker 3 (09:21):
Blood testing, which is the bowel screening that we've got
in New Zealand.
Speaker 2 (09:25):
As opposed to someone who's got a family history. So
we go and see their GP, they get referred and
they get put in for a colonoscopy.
Speaker 3 (09:30):
Possibly possibly, yeah, depending on that. And you've got to
have quite a strong family history of bell cancer to
actually reach the threshold, because Belle cancer is such a
common disease in this country, so for it to raise
its head as a genetically running process, you need a
quite strong family history to get the scope.
Speaker 2 (09:47):
Look just before we go to the cause, because you've
mentioned that. I always think it's useful when we ever
have an opportunity for people to learn something about how
can they best protect themselves in these things? What are
the primary causes of what are we doing wrong in
our lifestyle generally? Is there? I know it's a complex,
complex question. How long have we got but but are
there some basics that we are doing wrong with our
(10:09):
diets that mean that we do have this prevalence of
bowel cancer? Not enough rough urgeon, not enough healthy food.
Speaker 3 (10:15):
I think I've told you before that we can equate
the instance of oil cancer to the number of telephones
at a household, So therefore it's telephones which cause bowl cancer.
So being very careful, correlation does not equal causation. And
that is why it is so difficult to do the
cause all bit on it. We can associate it with
all sorts of things. There must be some dietary post
(10:37):
because it's part of our gasri intestinal system. But what
is it? Is it we see these things associated with
high meat intake? Da da da da da da. Is
that the causation or is it something else that leads
you to have the high meat intake that could be
the actual cause of the background. So teasing that out
is what we're trying to do every day, trying to
learn about these diseases to see what is the market
(10:59):
we could find. The classic one was stomach cancer. Firstly,
we've got a genetic process that we know there are
a group of people who genetically predisposed to stomach cancer.
Speaker 2 (11:07):
Cool.
Speaker 3 (11:08):
We also now know that it can be related to
a bacterical t helico back to polari, which lives on
our stomach lining. Wow, we only have known that for
the last ten to fifteen years. Besides that, we didn't
know that. So we found that people had ulcers more
likely to get stomach cancer. We didn't know what the cause.
If it is, we now not it seelo go back
to polari. So these things are coming. We're still trying
to tease all that stuff out.
Speaker 2 (11:27):
How much of it In the end, it spoils down
to the luck of the gene pool in terms of
well and number jeanes, you know, because we see plenty
of examples people who abuse them themselves with smoking, eating
the wrong foods. You know, I mean, and you say
that funny thing is funny things. I've even heard people say, well,
maybe they did diet ninety nine, but possibly they will
have to a lot of lived to one hundred and
nine if they haven't done.
Speaker 3 (11:48):
Anyway, you do the sensible things. Choose your parents, well,
eat a diet which is a cross all around, get exercised.
Don't be a smoker or be a non smoker. Please
have as small an alcohol intake that you can have.
There's all of these things which will give you the
best chance.
Speaker 2 (12:02):
Okay, but just genuinely, but generally speaking, should people at
least because some people don't get sex very often, they
don't go to the doctor. Is there a sort of
period where you should at least present yourself to the
doctor for a chat about maybe to even just keeping
up with immunizations or whatever. But how often a normally
healthy person should they go and make an appointment once?
(12:24):
It'll be what two five.
Speaker 3 (12:25):
Years and twenty year olds sea bulletproof it for every
decade gets a little bit more bullet dangerous. So yeah,
we would do a five yearly review is probably reasonable. Okay,
haven't you heard about forty fifty We're in the background,
we're doing cardiovascular risk screening. We're doing diabetic screening, We're
doing cervical screening, We're doing brist screening, we're doing balled
(12:48):
screen cancer screening. All of these things are happening actually
in the background. It's part of our job when you
enroll with a practice is to take responsibility for offering
you the screening processes.
Speaker 2 (13:00):
Does that mean if I'm weather practice, I'm going to
get a reminder for my flu jab at some stage yeap,
oh god, okay, good, I'll mark that one as not
to follow up on you anyway. Look, we want to
take your calls on this as well, because the other
question is around pain relief. We'll have a chat with
John after the break about this. But this is your
opportunity to get on the blower. Oh eight hundred and
eighty text nine two niney two. This is News Talks.
(13:22):
He'd be the Health Hub. It is twenty past four. Right,
we're back with doctor John Cameron taking your calls and Enid.
Thank you, thank you for waiting in it. How are
you doing well?
Speaker 4 (13:32):
I'm not doing great actually, but hi Tim and Dr John.
I'll try and tell you my symptoms quickly. End of
last September, had a fall got checked out, everything was fine.
About ten days later, while driving, I noticed my right
ankle had become very stiff, and then the whole foot
(13:54):
became stiff and heavy, and my lower leg. I've seen
a neurologist. She didn't think it was anything to do
with the fall. She thought it might be a stroke.
I've had an MRI and an MRA and totally clear,
no stroke. The next on the plan is stand on
(14:15):
my spine and nerves. Have you come across anything like this? Please?
Speaker 3 (14:20):
Oh? Most mondays right, it's actually quite a qualty.
Speaker 4 (14:25):
Sundays is that the day.
Speaker 3 (14:27):
Yeah, they all come in after the weekend. I think
the important thing to take from your story is that
having a negative MR of your head and a negative
angiography of angiography of your head that makes a decent
amount of safety. So we're not worried about a stroke
or transient schemic attect or any other thing nasty going
on inside your head. And in trying to define your
(14:48):
problem a little bit more, yes, it may be coming
from your back as the nerves which provide power and
sensation to your lower limb, they emerge from the spine,
and there can be pressure points on the spine on
those nerves as they emerge from the spine. So that's
a nice reasonable way to going about it. How much
does it affect your day to day living at the moment?
Speaker 4 (15:08):
Oh a lot, because it's getting worse every day. Can
hardly do anything. I mean, I don't go out anymore
unless it's a medical appointment.
Speaker 3 (15:16):
That's sad? Is that because of pain or what.
Speaker 4 (15:20):
I mean? When I'm sitting down, it's lovely. When I
get up, it's not exactly painful, but the toe of
that foot sort of drags on the ground. I have
to it's almost like foot drop.
Speaker 3 (15:32):
You know, there's a foot drop. I think that's what
you're talking about. Yeah, Now that may well be coming
from your lower back, unfortunately, and.
Speaker 4 (15:39):
I had the feeling it might be coming from the
lower back. Yeah.
Speaker 3 (15:43):
And unfortunately, if it's going on that long and you
do have a true foot drop, they tend not to
actually get better. I'm sorry, thank you, thank you, sorry
about that. Yeah. But what we try and do is
we try and make it so that the foot doesn't drop,
and we can use sort of inserts in your shoes
that hold the ankle at ninety degrees so it's not normal,
(16:04):
but it should give you back functioning. And I think
the most important thing for you is to be upright,
to be mobile, to be out in the world experiencing things,
because otherwise your world has got the chance of becoming
really small, very narrow, and that's not good for your health.
Speaker 4 (16:19):
Yeah. I mean, I've got a walker. My total weight
is leaning on that walker when I walk, and last
Thursday I fell over on the kitchen floor because my
knee gave way.
Speaker 3 (16:30):
Hey, look, it's not hard getting mature, is it? It's
not easy exactly. Yeah, it's hard work. Well done for
making ninety three. So you're on the right track. Try
and what we need to do if we can't find
something to fix it up completely, to try and minimize
the impact of this on your ongoing life.
Speaker 2 (16:48):
So who would en to talk to?
Speaker 3 (16:49):
Which is going to have a city of a lumber
spine by the sound of it.
Speaker 4 (16:52):
Okay, So that's thank you very much, Dr John.
Speaker 2 (16:56):
Good luck and thank you for your call.
Speaker 3 (16:59):
Ah.
Speaker 2 (17:00):
Yeah, that's god. Getting old does, is there? It is
hard work? I mean, well, actually to find me that
question around keeping yourself fit as you get older and
waits and things like that and sort of exit what
is the most effective form of exercise when you are
getting older, Because when people say, well, especially for guys
once you fifties, you should be doing some sort of
resistance training and all that sort of stuff.
Speaker 3 (17:21):
Go out the front door.
Speaker 2 (17:22):
Get out the front door.
Speaker 3 (17:23):
It's the number one thing. It's there. You don't need
a gym membership to do it. You don't need to
get dressed in theker and go on two wheels. You
can go out the front door and go for a
walk and then put a hell into it and do
some things like that for a start really important. And
you're telling me about your dad who was did the
round the base at what age?
Speaker 2 (17:38):
I'm going to check that. I'm pretty sure he was
eighty eight good. I think his time was a hundred
seventy two minutes, much faster than I would do. I think.
I actually, I'm really glad I did this. I took
a photo on my phone of his certificate, and Google
photos is very clever. You can just say search for
certificates and part up at pops.
Speaker 3 (17:59):
So being active, if you're looking at what makes people healthy,
it's being in a society. So if you are alone
and isolated in your house, your health is going to
suffer significant.
Speaker 2 (18:12):
Well, that was I think that's what I was thinking
of with then, and I didn't put it very well.
But even though it's hard for her to get out,
and of course I mean it's trying to be safe,
but yet still if she's so comfortable on the couch,
that's fine, but you can't be on the cauchule.
Speaker 3 (18:25):
In your decondition. You get weaker and weaker and weaker
by not doing things.
Speaker 2 (18:28):
All right, give us a call eight hundred and eighty
ten eight. You've got a few texts to go to first,
so we're going to talk about pain as well. Somebody
says he is swimming in the sea the best pain
relief and well being. That's from Karen.
Speaker 3 (18:40):
Absolutely, it's great.
Speaker 2 (18:42):
What's so good about it?
Speaker 3 (18:43):
Are you using your whole body. You're taking gravity out
of the equation so you can get your arms moving,
your hips moving, knees moving, you're buoyant. It's good aerobic
exercise and you normally do it with other.
Speaker 2 (18:54):
People and actually pretty social. Where it was noticed at
a certain time, when the tide is between the sort
of mid and high tide, you go part and it's
I don't know, how much time they spend swimming, but
they're sitting there smugly in their swimsuit. Ugler, well go on,
well why not? I don't know. I think I think
you actually better just have a good old fluppy pair
of board shorts because more resistance, more workout. He wants
(19:16):
the budge. Smuggler's goodness, man, I don't understand that. Here's
a look. We're talking about pain as well. And one says, Hi,
my husband has very sore hands and wrists from OS
the our art writers, what would help with pain relief?
He is allergic to die cloth. That's the one, thank you.
Speaker 3 (19:36):
Oh heck, warmth. Warmth will help keeping it moving. As
you're coming back to the paraceedmal paraceed is not highly effective,
but it's worth a trying to see what it's going
to do if taken regularly, which means to every four hours,
if you're going to get the benefit from it. That's
where it is you're Keeping the joints moving is really important.
If you've got a single isolated joint that's really sore
(19:58):
and stuff. We can sometimes reduce down the swelling and
pain with a little steroid injection into it, but it
won't be forever at the last a short while, maybe
three six months. There's a whole range of things that
we can do for that, but keeping it moving is
most important thing.
Speaker 2 (20:11):
Okay, afternoon, this is a question. I think a lot
of people because you know, they have that maxigesic thing
which combines paracetamol ibuprofene. This person says, afternoon, when I
really need pain relief, I've learned to combine paracetamol and
ibuprofne two each. So that's what two hundred mils two
hundred times two paracetamol. Thank you. And if doctor friend
(20:32):
told me I think the method, I don't know. It's
nagb no. There's a typo here, so I don't know
he's talking about it.
Speaker 3 (20:40):
Be careful, be careful. And ibuprofene is a six to
eight hourly medicine. Paracetamol is a four hourly medicine. So
if you're taking the combined one at a four hourly,
you're underdosing on the you're overdosing on the ibuprofene. If
you're taking it six hourly, you're underdosing on the paracetamol.
Speaker 2 (20:58):
So I guess the question is for a first hit.
So you've got a.
Speaker 3 (21:02):
Two paracetamol and if that's not working four hours, time
two parasi and wel plus two overprofen.
Speaker 2 (21:08):
And then wait for six hours before you replace.
Speaker 3 (21:10):
It in two parasion well at four hours after that.
Speaker 2 (21:13):
How do they work though? The different what's the difference
between them.
Speaker 3 (21:15):
We don't know how paracetamol works.
Speaker 2 (21:17):
I love that that we don't know how it works.
It's amazing game. I think the latest thing I heard
on some you know, there's that always releases and results
from some study that for tension headaches when you sort
of wake up. It's quite good for tension headaches. I'm
not sure where it is with period pain, but if
you've got a sore thumb or something, it's a waste
of time.
Speaker 3 (21:37):
It's worth a go, but don't expect miracles. Okay, So
paracetamol in itself, within the dose of racy regime that
you're talking about, it is safe. It is a highly
toxic chemical and an overdose it is highly lethal. So
please be careful with the dosing regime always with paracetamol,
especially with kids. Don't overdose your kids. So we know
(22:00):
that paracetamol seems to work somewhere in the brain. It
does for mild pain. It also helped bring down fevers.
That's what it does.
Speaker 2 (22:06):
How how did it end up being discovered? What know
these They know these things, aren't you?
Speaker 5 (22:13):
So?
Speaker 3 (22:13):
Ibuprofen is a non sterilanti inflammatory drug. It interferes with
the production of pro prostaglandins, which you're brought down from
a thing called racodonic acid made out of spiders rachnids,
and it races down to prost which cause pain and
bleeding and swelling. And it also protects your tummy. So
that's why we're very careful with them, because you lose
that stomach protection.
Speaker 2 (22:34):
Which protects your tommy.
Speaker 3 (22:35):
One group of the prostaglandins recodon aid pathway.
Speaker 2 (22:40):
I see, So non steroidal anti inflammatory n s AI.
What's the decent drugs drug? Okay? There we go. Okay,
so they're all quite they all work differently, they do they? Well,
how come I would we're talking about period pain in
the break? How come natprogese, which is one of those
neproxy and sodium please, Okay, that's the one, not the
(23:02):
brand the drug approximant, Okay, versus ibuprofen is one more
effective than the other.
Speaker 3 (23:08):
Though, see how it works for you?
Speaker 2 (23:10):
Really? But why would but approx and whatever it is
you call it come. That's the one that people say, well,
this is quite good.
Speaker 3 (23:17):
For periods because that's what we've come to know.
Speaker 2 (23:19):
Oh you've just come tonight, you come to know it.
Speaker 3 (23:21):
Some of them are more powerful anti inflammatories. There is
another group of anti inflammatories called the cox two inhiblatives
called Psychloagne two. They tend to hit the nasty prostate
glanders but leave the stomach ones alone, so you get
less of a stomach irritation with them.
Speaker 2 (23:36):
Is there one you're supposed to is the ibuprofens? And
that those ones? Are they the ones you're supposed to
take with a bit of food or something after decent meal,
after a maine meal, not like just a glass of
milk or something. What can you eat if you haven't
had a maine meal, but you need it. We want
to take one have one food? Would a sandwich be? Okay?
Speaker 3 (23:54):
A couple of sandwiches? So what you're trying to do
is put some food in your stomach to buffer the
effect of the anti inflammatory on the lining of the
stomach because they will call stomach ulses.
Speaker 2 (24:02):
Okay, right, that's good, good because I think it's one
of those things. I guess lost in the people are saying, oh,
take a couple of natrin whatever it is. Sorry, I
know brand names were try and stick away from varion names.
That's why when people say I took of Is there
an alternative to pane dollars? I say, well, you just
look for another paracetamol? Correct also, and actually, by the way,
(24:23):
go for it. Just ask the chemist for the end
of the counter one. I don't mean the illegal one,
but the non branded one, and you pay half the
price for twice the number of pills. You pay a
lot for that fancy packaging. But anyway, right, let's take
some more calls. That sounded a pretty simicle on my part.
You're rubbing off true, so true, Well done, Mary?
Speaker 5 (24:42):
Hello ah, yes, hi there. Infoseema. Is ZERI a cure
for it? Or does it progressively just get worse?
Speaker 3 (24:52):
So infosema is a part of what we call chronic
obstructive respiratory disease mixture of bronchite. Bronchite is esma and infosema.
Infosema is We're the little in tubes which were the
guests extreme occurs, they break down and rather than have
little bubbles on the end of your fingertips, you end
up with big floppy sacks. Can be caused by a
number of things. It can be caused by a genetic
(25:14):
process we think called alpha one needed trips and deficiency.
It can be caused by inhaled substances like coal, dust
and dust and things and cigarettes smoking sound number one thing.
So to answer your question, emphysema itself, if that's a diagnosis,
it doesn't improve, Okay, what we try. What we try
(25:36):
and do is stop any more insults to your lungs
by keeping your lungs as clean and as clear as
we possibly can. There are some medicines which can help
a little bit with the way that ear moves through
your lungs, but it can't repair the damage those floppy
sacs at the end of your ear tubes unfortunately.
Speaker 5 (25:55):
So does it progressively get a little bit worse as
time goes.
Speaker 3 (26:00):
Slowly, and we can slow it up by minimizing the
amount of toxins hitting your lungs. So fresh, clean mountaineer. Okay,
thanks Mary, and okay, thank you so Mary, what did
you want to say?
Speaker 5 (26:12):
Oh, I was just going to say I have found
that exercising it helps.
Speaker 3 (26:18):
Absolutely absolutely right.
Speaker 2 (26:20):
Thanks for your cole, I appreciate it.
Speaker 1 (26:22):
Ron.
Speaker 6 (26:22):
Hello, I just want to talk about jelatine again on
pain on arthritis. I was over in Australia and I
had pain in my fingers in hand. Ye, and how
can I get rid of it? The girl told me
that you can take gelatine. So I put in my coffee,
put on my week picks. It doesn't much straight away,
(26:45):
I mean I can guarantee on three months ago, but
it seems to work and I had no pain since.
Speaker 3 (26:51):
I'm sorry, I haven't read any studies on it. I
haven't read any studies on gelatine itself, and uh famco thinking.
I can't see how it would do a hell of
a lot myself. But if you found that works for you,
by all means, go for it. Yep.
Speaker 6 (27:05):
No, why works straightaway? It takes two or three months
for kicking.
Speaker 3 (27:12):
Yeah, So we were talking about these things from a
medical point of view. We need what's called a double blind,
placebo controlled trial to be able to say categorically this
does this or that, and I don't I haven't seen
any studies on that, but I'll keep looking.
Speaker 2 (27:25):
Hey, thanks for your call.
Speaker 3 (27:27):
Ron.
Speaker 2 (27:27):
We'll be back in just a moment. As twenty two
to two five newstalks it be. It's Newstalk's there be
(27:53):
welcome back. This is the Health happ with doctor John Cameron.
We're talking about well milestones and people's health when you
get checked up, but more particularly pain relief as well. Actually,
what are we doing? Let's go to Cheryl.
Speaker 7 (28:04):
Hello, Hi, Look it's actually Carol. It's not Sheryl.
Speaker 2 (28:09):
Oh, Okay, terrible that I'll blame my my other other
probably the.
Speaker 7 (28:16):
Way I said it. Look, I've got polymylgeria and I've
been on preaderzone. I had a really bad doze and
I got it down from thirty to ten and that's
all blown up again. It's gone from fifteen. My CPR
(28:36):
has gone from fifteen to sixty five. And I've got
the most dreadful headaches and I'm seeing a rheumatologist on Tuesday.
Speaker 3 (28:48):
What have you done? What have you done? Your pregnance dose.
Speaker 7 (28:51):
It's still on. Well, I've kept it low down to ten,
so I haven't. I haven't up to it yet because
I was getting all these weird symptoms and I couldn't
cope with it. My body was out of zinc with
my brain.
Speaker 3 (29:05):
Okay, I'm not going to step in, but I think
your rumatologists will increase your presnance own dose. Okay, how.
Speaker 7 (29:15):
Dangerous is that to your health?
Speaker 3 (29:18):
There are some risks with presnan zone. There are some
benefits from presna zone. So polymildy ramatica is a horrible,
nasty little thing where your joints become really stiff and sore,
and we generally find that presna zone will will take
away those symptoms, and then we try and get you
on as lower dose as we can to minimize the
long term effects of presna zone. So we try and
(29:40):
get you down as much as you can, but sometimes
you do have to play around with the dose in
short little bursts if you've got a fleir of your disease.
So anything is measured against the effect of the disease
on your way that your world went, world runs. So
if you're stiff and sore count lift your hands above
your head, then the benefits from presnan zone grossly outweigh
the risks.
Speaker 7 (30:01):
And I've heard that magnisium it's a let of magnesium
that can help, and I've been shaking magnesium, but I'm
wondering if on the wrong whimp.
Speaker 3 (30:13):
I'm not convinced that there is a big, big role
in magnesium and polymage or America.
Speaker 2 (30:19):
Okay, thanks, thanks.
Speaker 3 (30:20):
So good luck. Good luck for your rheumatologist. If you've
got really nasty headache, and especially if you've noticed any
change in your vision, you must contact your GP or
an emergency doctor straight away. Please. Okay, yep, that's a
really important thing.
Speaker 2 (30:34):
Okay, good luck, Carol, thank you, thanks very much. Quick question,
Good afterning Doctor John iman Gaba penton three hundred milligrams
is MG's milligrams two, two or three times a day.
Been on them for twelve years from my back at
a discriptant removed in nine ninety four. Is a safe
long term.
Speaker 3 (30:48):
As far as we know. Yes, yeah, it's a it's
a nerve pain medicine was an anti epileptic at one stage.
It's yeah. If it's doing the job, happy to be
on it.
Speaker 2 (30:59):
Okay, another one. Hi, I'm fifty eight. The last time
I went to a health test, I got asked. I
asked to get my prostate tests by blood test. The
young doctor said, they don't do that anymore, only when
you start getting symptoms. Is that correct? Have we han't
acount of worms on.
Speaker 3 (31:12):
That I know, we haven't known a can of words. No,
we do do PSA testing, but it has to be
informed consent. It's probably the it's the better test we've
got at the moment. It's not perfect. It's got a
whole range of false positive results, anything up to thirty
forty percent even higher false positivity. So if you get
a negative result, it's fine. We're actually moving away from
(31:35):
screening with digital rectal exams unless you've got major symptoms.
But doing a PSA test, I think we'll be considered
with informed consent to be an appropriate pathway.
Speaker 2 (31:42):
Okay, right, another call and hello hello, yes, wait, I'll
tell you what. I'm just going to put you back
to my producer. And and because your ligne's a bit
we've got we need to get your turn your radio
off in the background, and we'll get on to you
in just a moment. Look, so what of the John whatever?
(32:04):
Have too aspirin as a as a brilliant drug? Why
why is it? Why is it paracetamol? And and you
know the I don't want to say the brand? What
was it? You know? I be pray? Why I mean
I got I got turned away from aspirin because I
was a singer and it wasn't the risk of vocal hemorrhage,
et cetera. Well, my specialist said probably best to avoid that,
(32:28):
and I did have a couple of vocal hemorrhages to
be fair. But why what what happened to aspirin?
Speaker 3 (32:34):
It's great drug, brilliant drag. So why what's a non
stir royal anti inflammatory drug? So and an anti platelet drug.
So it's got a very important effect if you've got
a sore throat gargling and spitting or swallowing too soluble
aspirin resolved in water is the best remedy you can
ever possibly have. Don't buy over the canes the falling
(32:55):
off the radar. It hasn't fallen off the radar. Anyone
saying I've taken an asproa.
Speaker 2 (32:59):
There was saying taken it.
Speaker 3 (33:00):
So we've taken away from primary prevention. Okay, So someone
who hasn't had a cardio escular event. The jury is
still out whether taking half an esperin a day will
do anything for you. If you've had a cardio escular event,
especially if you're diabetic. Esperin has been proven to be
very very effective at reducing down the risk associated further
cardio escular events. So it's not for the whole population.
(33:23):
We're targeting a lot more. If you take esperin, usually
run the risk of gaestric ulceration and bleeding. So that's
always the other side to the equation.
Speaker 2 (33:30):
So that's when we have after a meal as well. Yeah,
if you swallow, want.
Speaker 3 (33:33):
To buff it down and rather than three hundred milligrams,
it's one hundred milligrams. So so esperin is still a
very very effective drug used in the right place. We
used to go slathering it everywhere. We've now worked out
that it's probably not the best attitude and actually targeting
it to the people who will get the most benefit
and making sure that they're will So should.
Speaker 2 (33:52):
I have asperin in my medicine cabinet?
Speaker 3 (33:54):
Oh for a sore throat? Yeah?
Speaker 2 (33:55):
So gard in fact, that that's the one thing I did.
Used to use it for gargling, and I used to
swallow it.
Speaker 3 (34:00):
That it's fine gargling swallows really, but it's topical of
you if it's garglin absolutely works topically as well as
that is a fun fact, and dispine would be fine.
Speaker 2 (34:13):
Doesn't need to be you.
Speaker 3 (34:14):
Know, displine is a trade name for esperant.
Speaker 2 (34:16):
I thought it was soluble. Aspirin is different. It doesn't
matter whether it's soluble or not. Right, gosh, there you go.
Well look at the health service we're provided it at
twelve minutes to five. Tell you what, we'll take a
brat come back with more calls and just to take yes.
News Talk said, be right, We're going to try squeeze
a couple more calls with Dr John Kelly.
Speaker 8 (34:31):
Hello, oh hi there, I think you mean my sour
names Kelly, Doctor John. I heard you comment earlier on
the connection with ulcers and stomach chancery. My child at
eight was diagnosed with a jordinal ulcer, which was the
biggest mission of my life to get anyone to take
(34:53):
me seriously. He is known as mid forties if fine,
But would he have a higher risk of stomach chenses
having had DA as a.
Speaker 3 (35:02):
Child Very unlikely. You could cover it off by doing
what's called the helico Helicobacter polari anybody test just to
make sure, just a simple blood test or a poo test,
but unusual to get a yourdenal ulcer. That a really
unusual and I can well imagine why you had a
lot of trouble. Sorry.
Speaker 8 (35:21):
I was told by a pediatrician that the idea it
was all in my head. I was giving my son
the idea that he was unwell because he wasn't doing
well at school. It was an uphill battle. It took
me ages to find someone to do something about it.
Speaker 3 (35:34):
Well done for.
Speaker 2 (35:37):
Thank you for your call. Max.
Speaker 9 (35:39):
Hi, Hey, good, I I just had I don't want
to ruffle any feathers first off, and I also don't
know what the unbranded name of the struggle is. But
I was just wondering about what your opinions are on prozac.
Do you think that the world is a happier place after.
Speaker 2 (36:04):
I mean, it was it was the drug of DuJour
at one stage, wasn't it.
Speaker 3 (36:08):
It's one of a group of medicine called selective serotonin
reuptake inhibit is. Yeah, Prozac is around. There's been a
whole lot of other ones. Look, it's horses for courses.
I'm not a keen advocate of throwing anyone who slightly
mood decreased on these medicines, I'd like to try other
things first. For some people it can be very helpful,
(36:28):
but you've got to pick who it is. I think
we probably over use these medicines rather than using talking therapies,
behavioral cognitive therapies, things like that. So that's my own
personal viewpoint. Other people may have different ideas.
Speaker 2 (36:41):
Thanks for your cormax. We're going to try and do
a couple of two or three quick texts on this.
Can the doctor answer? Cindy thinks it's becoming hard to
buy pure aspirin and just from these days, where can
you get it? I would have thought you'd just go
to your local pharmacy.
Speaker 3 (36:54):
She should do that for you.
Speaker 2 (36:55):
Just ask them. Maybe she's just not seeing it on
the shelf as obviously, but just to ask for it,
I'm sure they'll give it for you. My forty five
year old man who's been complaining to my doctors for
sixteen years about bowl and stomach issues. Last year I
finally got a cold and asked me at the Charity
Hospital in September. Since i've been since then, I've had
fifty five polyps removed. You have to advocate for yourself. Yep, well.
Speaker 3 (37:21):
Wow, Unfortunately, the polyps are unlikely to be causing of symptoms.
Ah hard, that's a hard thing. Polyps normally don't cause symptoms. Okay,
they can be pre cancerous, right, we'll keep moving.
Speaker 2 (37:31):
I work with one leg and foot cold, the other warm.
Once I moved the cold leg around for a bit,
came back to normal. Any reason for concern.
Speaker 3 (37:39):
Depends how you may feel the cold. Was it internally
cold or did you feel it cold with the external
temperature on your skin. If it just feel cold internally,
I'm not so worried. If it was cold, blue and
horrible with the external hand on it compared to the other. Yeah,
that needs to be checked through.
Speaker 2 (37:53):
Okay, look I love this one. It'll be common on
a Saturday morning. Hi, dots, John, have a major grass
burn on the outside of my aper leg playing soccer yesterday,
slide tackling on a dry brown feel really saw in
the shower. Wound sticks to my briefs, also seeps. What's
the best approach to treat it?
Speaker 3 (38:09):
You need a proper dressing on it, so talk to
your doc. We'll get a proper dressing on it that
won't stick. Yeah, will heal.
Speaker 2 (38:15):
Up, and it sounds it sounds like it would be
a reasonably large large dressing. You know those ones. They
cost two or three bucks each and they water proof,
non stick. I mean, there are some pretty sophisticated dressings there.
But you'd probably better to go to see your nurse,
wouldn't you if you.
Speaker 3 (38:30):
Want it done properly? Yeah, under acc see your practice
team for that. You can by the counter and cleaned
off with steer of salty water. And where you go.
Speaker 2 (38:37):
Well, there's a bit of practical advice. It's accause you
didn't intend to get the grass burned. Even next indle
injury you did, even though you deliberately slid in that tackle.
Speaker 3 (38:46):
The next indle injury external force for the resulting another quint.
Speaker 2 (38:49):
Gosh, we're whipping through the text. We've still got a
minute to go, and I'm going to do another one
high doctor Tim and doctor John as a shingles vaccine
still only free on your sixty fifth year of the
rules changed, chairs Donner.
Speaker 3 (38:59):
Still only for the time you're sixty five years of age.
Speaker 2 (39:02):
Okay, right, it will burst scientists go away eventually. Cheers.
Speaker 3 (39:05):
If I stick a big needle in it and suck
the fluid out, put some steory doun there.
Speaker 2 (39:08):
Oh, that was a painful way to go. Gosh, I
don't think we can do anymore because if I if
I asked another question with thirty seconds to go, I
wouldn't want you to short change people. Hey, John, great
to see you again. Please, full of life. What are
you up to for this evening?
Speaker 3 (39:23):
I don't know. Don't do the parbi, you know, fire
up the old barbie and do a few links in
a pool. Maybe a wee glass of rose. Excellent?
Speaker 2 (39:31):
Hey, thanks so much. We'll be back. Martin Hawes's books
finally out in retirement. We're gonna have a chatter about that.
Eight one hundred and eighty ten eighty taking your calls,
News Talks hed B. We can go forever. Lit out.
Speaker 1 (39:48):
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 edboous.
Speaker 2 (00:16):
Any back and welcome back to the show. This is
(00:37):
the Weekend Collective. I'm Tim Beverage. And by the way,
if you missed Politics Central, our discussion around tariffs and
trade and all that sort of stuff, you can go
and check out our podcast where you had a chat
with Oliver Hartwich from the New Zealand Initiative as well
as Brad Olson, who also did quite a good explainer.
I thought on you know why PPPs versus just the
government funding itself. So check out out podcast on News Talks,
hev website or on iHeart Radio. But right now it's
(00:58):
time for the Health Hub and we're actually well we're
gonna have a chat about a couple of things. One
is about the stones in our lives and whens you
should actually maybe you think, well, hang on it, I
don't mean to the doctor for five years and I've
hit my thirties or hit my forties, or if hit
my fifties or a hit in my sixties. Is there
a particular warrant of fitness I should go and get
from a doctor. Should I go and get some blood tests?
(01:20):
Every now and again, should I get your doctor to
give me the give me the finger where I don't
really want it? Or am I putting that off? And
it's ten years later. So the milestones because it has
been highlighted around the question around testing for bowel cancer.
There is a tricky political question, which is cause may
cause some problems for the government. But the question some
people might have, we shouldn't be waiting till fifty eight
to get a check for bowel cancer. Who should Looking
(01:42):
at your own personal circumstances, when should you go and
see someone about a particular issue. You might know that
mum and dad both got it, or your mum had
got breast cancer and her late forties or something, so
obviously that would be something you'd flag with your doctor.
We're going to dig into that. But also pain, because
I reckon I've got a theory and I'm going to
turn this Mike. If so you can't hear him laugh
(02:04):
at my my take on it. There is anyway but pain.
I've read a few things that tell us that, look,
paracetamol can be useful for some things but generally useless
for others. And of course we talked about it with
cold medication. They're some of the cold medification was barely
better than the placebo. But what are the genuinely affected
(02:24):
pain reliefs? Pain relievers or there's a lot of it placebo.
So if you've got a question around pain, give us
a call as well. At one hundred and eighty ten
and eighty. That's opened the floodgates wide open for my
guests who like you can hear them in the back grade.
You can even recognize them by his sniggering. It's doctor
John Cameron.
Speaker 3 (02:42):
Hello, how are you good afternoon?
Speaker 2 (02:44):
How are you excellent? Absolutely superse I like your arts.
When I asked you before when we were caught up
out outside the studio and you said, you know, I
woke up this morning and that's always good news, and
I actually think that that sounds like a flippant response.
But you know what, you wake up and you're alive,
and isn't life? You know, life's good?
Speaker 3 (03:01):
Yeah, for most people, life is a really great experience.
Speaker 2 (03:04):
Yeah, So let's take each.
Speaker 3 (03:06):
Day, make the most out of each day, fill it
with whatever you can to make a smile on your dial.
And the way we go.
Speaker 2 (03:12):
It's funny I thought about I was talking to you
as well. I thought about my dad. I went for us.
I've been trying to keep going for swims, and I
know that as we get closer to winter, there's good
of a day where I'm like our stuff first. But
it was a beautiful day to down. I went for
a swim. And my dad, when he was in his nineties,
used to still go for a swim at Coe Beach
and he was getting on and we used to be like, oh, Dad,
you know this is a bit dangerous and what if
something happens? And he said, look, if something happens, I'll
(03:35):
just quietly slip beneath the waves and that'll be fine
by me. And it's funny now every time I go
for a swim, I get it because he was living
life the way he wanted to. Because often our kids
want us to play it safe and don't do that,
and don't that's like, well, what's the point live while
you can beg of the kids? Yeah, bug of the.
Speaker 3 (03:53):
Kids, spend your money, don't give them any inheritance, and
have a great lit amount of fun doing it. There's
a book called I'm Being Mortal by Uttel goron.
Speaker 2 (04:01):
Day I'm Being Mortal.
Speaker 3 (04:03):
On Being mortal, okay, And it's all about what matters
to you and your life, and that's what you should
aim for. And it was a similar story to what
you were saying. His dad had a really nasty terminal
disease and they had a procedure which they could do
that might have given him some sort of extra time
or something. And the question was if we do this,
will my dad be able to sit up watch a
football game and have a beer. And they said, yeah, okay,
(04:26):
do the job. So you know, that was important to
his dad and if it gave him that back, that
was worthwhile.
Speaker 2 (04:32):
It's interesting how I think that, even though it sounds
so wishy washy, the questions about your own philosophy around
life become more and more important. We should be important
all the time. But because I think that they are
the ones that people go, they get, I would say
that it's usually the dependents who care about mum and
dad or granddad who get frustrated when a doctor may
(04:55):
be like, well, hang on, your mum and dad has
said that this is what they want and this may
not be the treatment that's going to prolong their lives,
but it's going to mean that they can live better
for the way, and young ones want d Mum and
dad around for as long as they can, generally just
because they love them. But the question is a deeper
one about for you know, how do you want to
live your life? Do you want to sink beneath the
waves that do you want to be stuck in your
(05:17):
bed for two years doing nothing?
Speaker 3 (05:18):
I think I've spoken about this before, but there's a
thing called not advas It's Advance Care directive for advanced planning,
which you can do at any time, and you should
be doing it at twenty and thirty and at forty
and at fifty. You don't have to wait until you're
seventy or eighty, and you're getting closer to that shuffling
off the mortal coil. But just detailing it how you
want to live your life, what's important to you? And
if you do strike something which is going to take
(05:40):
you off the planet, how would you want that to
be run for you? It's not carston Stone, no change
it at any time. It gets you thinking about what's
important to you, and it lets other people know if
you can't talk about it, if something's happened to you,
they can go back to this document and see. So
it's a really important thing to do. It's online where
you go.
Speaker 2 (05:57):
What's the name of that book again, It's called.
Speaker 3 (05:59):
On Being Mortal atol Gorwonda. He's a surgeon, you're a
neurologists in the States.
Speaker 2 (06:08):
You've got to be really careful. I thought you said
a we we searched, and I meant he was really sure.
Speaker 3 (06:14):
When you're bringing up the hospital and you want either
the neurologists or the neurologists, so you've got to say
eurology as and we we saw neurology as and brains
the other way, you end.
Speaker 2 (06:21):
Up talking to the long So you got to say
a neurologists, and you say it wrong and you walk
in the guy says, we'll drop your packs. It's like,
what the hell, it's all in the head.
Speaker 3 (06:28):
So no, he's he was a surgeon and he's done
a whole lot about surgical safety and about patient directed medicine.
He's worth read.
Speaker 2 (06:34):
You mentioned you know, think about these things through your
twenties and thirties, which does tie into that whole question.
Did I have a reasonable crack at talking at giving
a summary about the question of approaching milestones as that
of course it's always individual and summing people up by
age or whatever. It takes you so far. But in
the end, if you know you've got a family history
of something, then you're going to be getting bow cancer
(06:57):
screening earlier than others, or breast cancer screening whatever. When
should are there milestones?
Speaker 3 (07:02):
Though?
Speaker 2 (07:02):
Because should I turn up when I should? I have
turned up as I did to my doctor and when
I hit forty and I said, I said I need
a fall on men's health check and he said, did
you just book them for fifteen minutes? You should have
warned me about that.
Speaker 3 (07:16):
Anyway, it's warning and we can do a lot of
the laboratory work before you come, so it makes it
a hell of a lot more sensible to sit down
and talk you through your results. Otherwise you do two visits,
waste your time, waste my time. So pre plan. Talk
to the nursing team at the practice, say, look, this
is what I wanted to be doing. Will the doc
be okay to set me up some screening blood so
that I can bring them in and we can sit
(07:37):
down and have a talk. So is there a specific time?
What we're talking about, you are screening for health, so
you're starting with someone who's got no disease, no symptoms,
no science, no nothing. It's always dangerous because you're always
do on the risk of making them worse. So you're
starting with someone who is totally well, and some people.
Speaker 2 (07:54):
If you do this first to do nor.
Speaker 3 (07:56):
Investigate investigation on them, you will actually make them worse.
So it's called NH Numbers needed to treat versus numbers
needed to harm. If we had to do this to
a thousand people, how many of those thousands we have
to do this too to save one life? If we
did the same thing to that thousand people, how many
people would be harmed. As long as you're helping more
people than you're harming, it's probably okay. But you have
(08:18):
to explain to people that screening is a very inexact science. Okay,
everyone believes that if I go and get screened, it's
going to tell me yes or no. If it's no,
I'm fine. If it's yes, I will be cured.
Speaker 2 (08:29):
I think. And part of that's actually it's important to
understand what your family's health history is, of course, because
if you've had a if there's been a history of
bow cancer in your family or something, then obviously I
don't know actually does How does the politics play. I
know we've got a bit of controversy hapening around race
and all that sort of thing, But how does it
play if somebody does have a history within their family
(08:52):
with bow screening screening, do they actually get that funded
at a certain age or no?
Speaker 3 (08:57):
As far as population based screening for bow cancer, it's
age related. Yeah, totally age related to access a screening colonoscopy,
which be the next step. Yes, there are provisos in
there for family history and personal history and those sorts
of things. So a population based screening.
Speaker 2 (09:14):
Oh, that's that's usually any time provider you to get
a test and you mightest tests, think cold.
Speaker 3 (09:21):
Blood testing, which is the bowel screening that we've got
in New Zealand.
Speaker 2 (09:25):
As opposed to someone who's got a family history. So
we go and see their GP, they get referred and
they get put in for a colonoscopy.
Speaker 3 (09:30):
Possibly possibly, yeah, depending on that. And you've got to
have quite a strong family history of bell cancer to
actually reach the threshold, because Belle cancer is such a
common disease in this country, so for it to raise
its head as a genetically running process, you need a
quite strong family history to get the scope.
Speaker 2 (09:47):
Look just before we go to the cause, because you've
mentioned that. I always think it's useful when we ever
have an opportunity for people to learn something about how
can they best protect themselves in these things? What are
the primary causes of what are we doing wrong in
our lifestyle generally? Is there? I know it's a complex,
complex question. How long have we got but but are
there some basics that we are doing wrong with our
(10:09):
diets that mean that we do have this prevalence of
bowel cancer? Not enough rough urgeon, not enough healthy food.
Speaker 3 (10:15):
I think I've told you before that we can equate
the instance of oil cancer to the number of telephones
at a household, So therefore it's telephones which cause bowl cancer.
So being very careful, correlation does not equal causation. And
that is why it is so difficult to do the
cause all bit on it. We can associate it with
all sorts of things. There must be some dietary post
(10:37):
because it's part of our gasri intestinal system. But what
is it? Is it we see these things associated with
high meat intake? Da da da da da da. Is
that the causation or is it something else that leads
you to have the high meat intake that could be
the actual cause of the background. So teasing that out
is what we're trying to do every day, trying to
learn about these diseases to see what is the market
(10:59):
we could find. The classic one was stomach cancer. Firstly,
we've got a genetic process that we know there are
a group of people who genetically predisposed to stomach cancer.
Speaker 2 (11:07):
Cool.
Speaker 3 (11:08):
We also now know that it can be related to
a bacterical t helico back to polari, which lives on
our stomach lining. Wow, we only have known that for
the last ten to fifteen years. Besides that, we didn't
know that. So we found that people had ulcers more
likely to get stomach cancer. We didn't know what the cause.
If it is, we now not it seelo go back
to polari. So these things are coming. We're still trying
to tease all that stuff out.
Speaker 2 (11:27):
How much of it In the end, it spoils down
to the luck of the gene pool in terms of
well and number jeanes, you know, because we see plenty
of examples people who abuse them themselves with smoking, eating
the wrong foods. You know, I mean, and you say
that funny thing is funny things. I've even heard people say, well,
maybe they did diet ninety nine, but possibly they will
have to a lot of lived to one hundred and
nine if they haven't done.
Speaker 3 (11:48):
Anyway, you do the sensible things. Choose your parents, well,
eat a diet which is a cross all around, get exercised.
Don't be a smoker or be a non smoker. Please
have as small an alcohol intake that you can have.
There's all of these things which will give you the
best chance.
Speaker 2 (12:02):
Okay, but just genuinely, but generally speaking, should people at
least because some people don't get sex very often, they
don't go to the doctor. Is there a sort of
period where you should at least present yourself to the
doctor for a chat about maybe to even just keeping
up with immunizations or whatever. But how often a normally
healthy person should they go and make an appointment once?
(12:24):
It'll be what two five.
Speaker 3 (12:25):
Years and twenty year olds sea bulletproof it for every
decade gets a little bit more bullet dangerous. So yeah,
we would do a five yearly review is probably reasonable. Okay,
haven't you heard about forty fifty We're in the background,
we're doing cardiovascular risk screening. We're doing diabetic screening, We're
doing cervical screening, We're doing brist screening, we're doing balled
(12:48):
screen cancer screening. All of these things are happening actually
in the background. It's part of our job when you
enroll with a practice is to take responsibility for offering
you the screening processes.
Speaker 2 (13:00):
Does that mean if I'm weather practice, I'm going to
get a reminder for my flu jab at some stage yeap,
oh god, okay, good, I'll mark that one as not
to follow up on you anyway. Look, we want to
take your calls on this as well, because the other
question is around pain relief. We'll have a chat with
John after the break about this. But this is your
opportunity to get on the blower. Oh eight hundred and
eighty text nine two niney two. This is News Talks.
(13:22):
He'd be the Health Hub. It is twenty past four. Right,
we're back with doctor John Cameron taking your calls and Enid.
Thank you, thank you for waiting in it. How are
you doing well?
Speaker 4 (13:32):
I'm not doing great actually, but hi Tim and Dr John.
I'll try and tell you my symptoms quickly. End of
last September, had a fall got checked out, everything was fine.
About ten days later, while driving, I noticed my right
ankle had become very stiff, and then the whole foot
(13:54):
became stiff and heavy, and my lower leg. I've seen
a neurologist. She didn't think it was anything to do
with the fall. She thought it might be a stroke.
I've had an MRI and an MRA and totally clear,
no stroke. The next on the plan is stand on
(14:15):
my spine and nerves. Have you come across anything like this? Please?
Speaker 3 (14:20):
Oh? Most mondays right, it's actually quite a qualty.
Speaker 4 (14:25):
Sundays is that the day.
Speaker 3 (14:27):
Yeah, they all come in after the weekend. I think
the important thing to take from your story is that
having a negative MR of your head and a negative
angiography of angiography of your head that makes a decent
amount of safety. So we're not worried about a stroke
or transient schemic attect or any other thing nasty going
on inside your head. And in trying to define your
(14:48):
problem a little bit more, yes, it may be coming
from your back as the nerves which provide power and
sensation to your lower limb, they emerge from the spine,
and there can be pressure points on the spine on
those nerves as they emerge from the spine. So that's
a nice reasonable way to going about it. How much
does it affect your day to day living at the moment?
Speaker 4 (15:08):
Oh a lot, because it's getting worse every day. Can
hardly do anything. I mean, I don't go out anymore
unless it's a medical appointment.
Speaker 3 (15:16):
That's sad? Is that because of pain or what.
Speaker 4 (15:20):
I mean? When I'm sitting down, it's lovely. When I
get up, it's not exactly painful, but the toe of
that foot sort of drags on the ground. I have
to it's almost like foot drop.
Speaker 3 (15:32):
You know, there's a foot drop. I think that's what
you're talking about. Yeah, Now that may well be coming
from your lower back, unfortunately, and.
Speaker 4 (15:39):
I had the feeling it might be coming from the
lower back. Yeah.
Speaker 3 (15:43):
And unfortunately, if it's going on that long and you
do have a true foot drop, they tend not to
actually get better. I'm sorry, thank you, thank you, sorry
about that. Yeah. But what we try and do is
we try and make it so that the foot doesn't drop,
and we can use sort of inserts in your shoes
that hold the ankle at ninety degrees so it's not normal,
(16:04):
but it should give you back functioning. And I think
the most important thing for you is to be upright,
to be mobile, to be out in the world experiencing things,
because otherwise your world has got the chance of becoming
really small, very narrow, and that's not good for your health.
Speaker 4 (16:19):
Yeah. I mean, I've got a walker. My total weight
is leaning on that walker when I walk, and last
Thursday I fell over on the kitchen floor because my
knee gave way.
Speaker 3 (16:30):
Hey, look, it's not hard getting mature, is it? It's
not easy exactly. Yeah, it's hard work. Well done for
making ninety three. So you're on the right track. Try
and what we need to do if we can't find
something to fix it up completely, to try and minimize
the impact of this on your ongoing life.
Speaker 2 (16:48):
So who would en to talk to?
Speaker 3 (16:49):
Which is going to have a city of a lumber
spine by the sound of it.
Speaker 4 (16:52):
Okay, So that's thank you very much, Dr John.
Speaker 2 (16:56):
Good luck and thank you for your call.
Speaker 3 (16:59):
Ah.
Speaker 2 (17:00):
Yeah, that's god. Getting old does, is there? It is
hard work? I mean, well, actually to find me that
question around keeping yourself fit as you get older and
waits and things like that and sort of exit what
is the most effective form of exercise when you are
getting older, Because when people say, well, especially for guys
once you fifties, you should be doing some sort of
resistance training and all that sort of stuff.
Speaker 3 (17:21):
Go out the front door.
Speaker 2 (17:22):
Get out the front door.
Speaker 3 (17:23):
It's the number one thing. It's there. You don't need
a gym membership to do it. You don't need to
get dressed in theker and go on two wheels. You
can go out the front door and go for a
walk and then put a hell into it and do
some things like that for a start really important. And
you're telling me about your dad who was did the
round the base at what age?
Speaker 2 (17:38):
I'm going to check that. I'm pretty sure he was
eighty eight good. I think his time was a hundred
seventy two minutes, much faster than I would do. I think.
I actually, I'm really glad I did this. I took
a photo on my phone of his certificate, and Google
photos is very clever. You can just say search for
certificates and part up at pops.
Speaker 3 (17:59):
So being active, if you're looking at what makes people healthy,
it's being in a society. So if you are alone
and isolated in your house, your health is going to
suffer significant.
Speaker 2 (18:12):
Well, that was I think that's what I was thinking
of with then, and I didn't put it very well.
But even though it's hard for her to get out,
and of course I mean it's trying to be safe,
but yet still if she's so comfortable on the couch,
that's fine, but you can't be on the cauchule.
Speaker 3 (18:25):
In your decondition. You get weaker and weaker and weaker
by not doing things.
Speaker 2 (18:28):
All right, give us a call eight hundred and eighty
ten eight. You've got a few texts to go to first,
so we're going to talk about pain as well. Somebody
says he is swimming in the sea the best pain
relief and well being. That's from Karen.
Speaker 3 (18:40):
Absolutely, it's great.
Speaker 2 (18:42):
What's so good about it?
Speaker 3 (18:43):
Are you using your whole body. You're taking gravity out
of the equation so you can get your arms moving,
your hips moving, knees moving, you're buoyant. It's good aerobic
exercise and you normally do it with other.
Speaker 2 (18:54):
People and actually pretty social. Where it was noticed at
a certain time, when the tide is between the sort
of mid and high tide, you go part and it's
I don't know, how much time they spend swimming, but
they're sitting there smugly in their swimsuit. Ugler, well go on,
well why not? I don't know. I think I think
you actually better just have a good old fluppy pair
of board shorts because more resistance, more workout. He wants
(19:16):
the budge. Smuggler's goodness, man, I don't understand that. Here's
a look. We're talking about pain as well. And one says, Hi,
my husband has very sore hands and wrists from OS
the our art writers, what would help with pain relief?
He is allergic to die cloth. That's the one, thank you.
Speaker 3 (19:36):
Oh heck, warmth. Warmth will help keeping it moving. As
you're coming back to the paraceedmal paraceed is not highly effective,
but it's worth a trying to see what it's going
to do if taken regularly, which means to every four hours,
if you're going to get the benefit from it. That's
where it is you're Keeping the joints moving is really important.
If you've got a single isolated joint that's really sore
(19:58):
and stuff. We can sometimes reduce down the swelling and
pain with a little steroid injection into it, but it
won't be forever at the last a short while, maybe
three six months. There's a whole range of things that
we can do for that, but keeping it moving is
most important thing.
Speaker 2 (20:11):
Okay, afternoon, this is a question. I think a lot
of people because you know, they have that maxigesic thing
which combines paracetamol ibuprofene. This person says, afternoon, when I
really need pain relief, I've learned to combine paracetamol and
ibuprofne two each. So that's what two hundred mils two
hundred times two paracetamol. Thank you. And if doctor friend
(20:32):
told me I think the method, I don't know. It's
nagb no. There's a typo here, so I don't know
he's talking about it.
Speaker 3 (20:40):
Be careful, be careful. And ibuprofene is a six to
eight hourly medicine. Paracetamol is a four hourly medicine. So
if you're taking the combined one at a four hourly,
you're underdosing on the you're overdosing on the ibuprofene. If
you're taking it six hourly, you're underdosing on the paracetamol.
Speaker 2 (20:58):
So I guess the question is for a first hit.
So you've got a.
Speaker 3 (21:02):
Two paracetamol and if that's not working four hours, time
two parasi and wel plus two overprofen.
Speaker 2 (21:08):
And then wait for six hours before you replace.
Speaker 3 (21:10):
It in two parasion well at four hours after that.
Speaker 2 (21:13):
How do they work though? The different what's the difference
between them.
Speaker 3 (21:15):
We don't know how paracetamol works.
Speaker 2 (21:17):
I love that that we don't know how it works.
It's amazing game. I think the latest thing I heard
on some you know, there's that always releases and results
from some study that for tension headaches when you sort
of wake up. It's quite good for tension headaches. I'm
not sure where it is with period pain, but if
you've got a sore thumb or something, it's a waste
of time.
Speaker 3 (21:37):
It's worth a go, but don't expect miracles. Okay, So
paracetamol in itself, within the dose of racy regime that
you're talking about, it is safe. It is a highly
toxic chemical and an overdose it is highly lethal. So
please be careful with the dosing regime always with paracetamol,
especially with kids. Don't overdose your kids. So we know
(22:00):
that paracetamol seems to work somewhere in the brain. It
does for mild pain. It also helped bring down fevers.
That's what it does.
Speaker 2 (22:06):
How how did it end up being discovered? What know
these They know these things, aren't you?
Speaker 5 (22:13):
So?
Speaker 3 (22:13):
Ibuprofen is a non sterilanti inflammatory drug. It interferes with
the production of pro prostaglandins, which you're brought down from
a thing called racodonic acid made out of spiders rachnids,
and it races down to prost which cause pain and
bleeding and swelling. And it also protects your tummy. So
that's why we're very careful with them, because you lose
that stomach protection.
Speaker 2 (22:34):
Which protects your tommy.
Speaker 3 (22:35):
One group of the prostaglandins recodon aid pathway.
Speaker 2 (22:40):
I see, So non steroidal anti inflammatory n s AI.
What's the decent drugs drug? Okay? There we go. Okay,
so they're all quite they all work differently, they do they? Well,
how come I would we're talking about period pain in
the break? How come natprogese, which is one of those
neproxy and sodium please, Okay, that's the one, not the
(23:02):
brand the drug approximant, Okay, versus ibuprofen is one more
effective than the other.
Speaker 3 (23:08):
Though, see how it works for you?
Speaker 2 (23:10):
Really? But why would but approx and whatever it is
you call it come. That's the one that people say, well,
this is quite good.
Speaker 3 (23:17):
For periods because that's what we've come to know.
Speaker 2 (23:19):
Oh you've just come tonight, you come to know it.
Speaker 3 (23:21):
Some of them are more powerful anti inflammatories. There is
another group of anti inflammatories called the cox two inhiblatives
called Psychloagne two. They tend to hit the nasty prostate
glanders but leave the stomach ones alone, so you get
less of a stomach irritation with them.
Speaker 2 (23:36):
Is there one you're supposed to is the ibuprofens? And
that those ones? Are they the ones you're supposed to
take with a bit of food or something after decent meal,
after a maine meal, not like just a glass of
milk or something. What can you eat if you haven't
had a maine meal, but you need it. We want
to take one have one food? Would a sandwich be? Okay?
Speaker 3 (23:54):
A couple of sandwiches? So what you're trying to do
is put some food in your stomach to buffer the
effect of the anti inflammatory on the lining of the
stomach because they will call stomach ulses.
Speaker 2 (24:02):
Okay, right, that's good, good because I think it's one
of those things. I guess lost in the people are saying, oh,
take a couple of natrin whatever it is. Sorry, I
know brand names were try and stick away from varion names.
That's why when people say I took of Is there
an alternative to pane dollars? I say, well, you just
look for another paracetamol? Correct also, and actually, by the way,
(24:23):
go for it. Just ask the chemist for the end
of the counter one. I don't mean the illegal one,
but the non branded one, and you pay half the
price for twice the number of pills. You pay a
lot for that fancy packaging. But anyway, right, let's take
some more calls. That sounded a pretty simicle on my part.
You're rubbing off true, so true, Well done, Mary?
Speaker 5 (24:42):
Hello ah, yes, hi there. Infoseema. Is ZERI a cure
for it? Or does it progressively just get worse?
Speaker 3 (24:52):
So infosema is a part of what we call chronic
obstructive respiratory disease mixture of bronchite. Bronchite is esma and infosema.
Infosema is We're the little in tubes which were the
guests extreme occurs, they break down and rather than have
little bubbles on the end of your fingertips, you end
up with big floppy sacks. Can be caused by a
number of things. It can be caused by a genetic
(25:14):
process we think called alpha one needed trips and deficiency.
It can be caused by inhaled substances like coal, dust
and dust and things and cigarettes smoking sound number one thing.
So to answer your question, emphysema itself, if that's a diagnosis,
it doesn't improve, Okay, what we try. What we try
(25:36):
and do is stop any more insults to your lungs
by keeping your lungs as clean and as clear as
we possibly can. There are some medicines which can help
a little bit with the way that ear moves through
your lungs, but it can't repair the damage those floppy
sacs at the end of your ear tubes unfortunately.
Speaker 5 (25:55):
So does it progressively get a little bit worse as
time goes.
Speaker 3 (26:00):
Slowly, and we can slow it up by minimizing the
amount of toxins hitting your lungs. So fresh, clean mountaineer. Okay,
thanks Mary, and okay, thank you so Mary, what did
you want to say?
Speaker 5 (26:12):
Oh, I was just going to say I have found
that exercising it helps.
Speaker 3 (26:18):
Absolutely absolutely right.
Speaker 2 (26:20):
Thanks for your cole, I appreciate it.
Speaker 1 (26:22):
Ron.
Speaker 6 (26:22):
Hello, I just want to talk about jelatine again on
pain on arthritis. I was over in Australia and I
had pain in my fingers in hand. Ye, and how
can I get rid of it? The girl told me
that you can take gelatine. So I put in my coffee,
put on my week picks. It doesn't much straight away,
(26:45):
I mean I can guarantee on three months ago, but
it seems to work and I had no pain since.
Speaker 3 (26:51):
I'm sorry, I haven't read any studies on it. I
haven't read any studies on gelatine itself, and uh famco thinking.
I can't see how it would do a hell of
a lot myself. But if you found that works for you,
by all means, go for it. Yep.
Speaker 6 (27:05):
No, why works straightaway? It takes two or three months
for kicking.
Speaker 3 (27:12):
Yeah, So we were talking about these things from a
medical point of view. We need what's called a double blind,
placebo controlled trial to be able to say categorically this
does this or that, and I don't I haven't seen
any studies on that, but I'll keep looking.
Speaker 2 (27:25):
Hey, thanks for your call.
Speaker 3 (27:27):
Ron.
Speaker 2 (27:27):
We'll be back in just a moment. As twenty two
to two five newstalks it be. It's Newstalk's there be
(27:53):
welcome back. This is the Health happ with doctor John Cameron.
We're talking about well milestones and people's health when you
get checked up, but more particularly pain relief as well. Actually,
what are we doing? Let's go to Cheryl.
Speaker 7 (28:04):
Hello, Hi, Look it's actually Carol. It's not Sheryl.
Speaker 2 (28:09):
Oh, Okay, terrible that I'll blame my my other other
probably the.
Speaker 7 (28:16):
Way I said it. Look, I've got polymylgeria and I've
been on preaderzone. I had a really bad doze and
I got it down from thirty to ten and that's
all blown up again. It's gone from fifteen. My CPR
(28:36):
has gone from fifteen to sixty five. And I've got
the most dreadful headaches and I'm seeing a rheumatologist on Tuesday.
Speaker 3 (28:48):
What have you done? What have you done? Your pregnance dose.
Speaker 7 (28:51):
It's still on. Well, I've kept it low down to ten,
so I haven't. I haven't up to it yet because
I was getting all these weird symptoms and I couldn't
cope with it. My body was out of zinc with
my brain.
Speaker 3 (29:05):
Okay, I'm not going to step in, but I think
your rumatologists will increase your presnance own dose. Okay, how.
Speaker 7 (29:15):
Dangerous is that to your health?
Speaker 3 (29:18):
There are some risks with presnan zone. There are some
benefits from presna zone. So polymildy ramatica is a horrible,
nasty little thing where your joints become really stiff and sore,
and we generally find that presna zone will will take
away those symptoms, and then we try and get you
on as lower dose as we can to minimize the
long term effects of presna zone. So we try and
(29:40):
get you down as much as you can, but sometimes
you do have to play around with the dose in
short little bursts if you've got a fleir of your disease.
So anything is measured against the effect of the disease
on your way that your world went, world runs. So
if you're stiff and sore count lift your hands above
your head, then the benefits from presnan zone grossly outweigh
the risks.
Speaker 7 (30:01):
And I've heard that magnisium it's a let of magnesium
that can help, and I've been shaking magnesium, but I'm
wondering if on the wrong whimp.
Speaker 3 (30:13):
I'm not convinced that there is a big, big role
in magnesium and polymage or America.
Speaker 2 (30:19):
Okay, thanks, thanks.
Speaker 3 (30:20):
So good luck. Good luck for your rheumatologist. If you've
got really nasty headache, and especially if you've noticed any
change in your vision, you must contact your GP or
an emergency doctor straight away. Please. Okay, yep, that's a
really important thing.
Speaker 2 (30:34):
Okay, good luck, Carol, thank you, thanks very much. Quick question,
Good afterning Doctor John iman Gaba penton three hundred milligrams
is MG's milligrams two, two or three times a day.
Been on them for twelve years from my back at
a discriptant removed in nine ninety four. Is a safe
long term.
Speaker 3 (30:48):
As far as we know. Yes, yeah, it's a it's
a nerve pain medicine was an anti epileptic at one stage.
It's yeah. If it's doing the job, happy to be
on it.
Speaker 2 (30:59):
Okay, another one. Hi, I'm fifty eight. The last time
I went to a health test, I got asked. I
asked to get my prostate tests by blood test. The
young doctor said, they don't do that anymore, only when
you start getting symptoms. Is that correct? Have we han't
acount of worms on.
Speaker 3 (31:12):
That I know, we haven't known a can of words. No,
we do do PSA testing, but it has to be
informed consent. It's probably the it's the better test we've
got at the moment. It's not perfect. It's got a
whole range of false positive results, anything up to thirty
forty percent even higher false positivity. So if you get
a negative result, it's fine. We're actually moving away from
(31:35):
screening with digital rectal exams unless you've got major symptoms.
But doing a PSA test, I think we'll be considered
with informed consent to be an appropriate pathway.
Speaker 2 (31:42):
Okay, right, another call and hello hello, yes, wait, I'll
tell you what. I'm just going to put you back
to my producer. And and because your ligne's a bit
we've got we need to get your turn your radio
off in the background, and we'll get on to you
in just a moment. Look, so what of the John whatever?
(32:04):
Have too aspirin as a as a brilliant drug? Why
why is it? Why is it paracetamol? And and you
know the I don't want to say the brand? What
was it? You know? I be pray? Why I mean
I got I got turned away from aspirin because I
was a singer and it wasn't the risk of vocal hemorrhage,
et cetera. Well, my specialist said probably best to avoid that,
(32:28):
and I did have a couple of vocal hemorrhages to
be fair. But why what what happened to aspirin?
Speaker 3 (32:34):
It's great drug, brilliant drag. So why what's a non
stir royal anti inflammatory drug? So and an anti platelet drug.
So it's got a very important effect if you've got
a sore throat gargling and spitting or swallowing too soluble
aspirin resolved in water is the best remedy you can
ever possibly have. Don't buy over the canes the falling
(32:55):
off the radar. It hasn't fallen off the radar. Anyone
saying I've taken an asproa.
Speaker 2 (32:59):
There was saying taken it.
Speaker 3 (33:00):
So we've taken away from primary prevention. Okay, So someone
who hasn't had a cardio escular event. The jury is
still out whether taking half an esperin a day will
do anything for you. If you've had a cardio escular event,
especially if you're diabetic. Esperin has been proven to be
very very effective at reducing down the risk associated further
cardio escular events. So it's not for the whole population.
(33:23):
We're targeting a lot more. If you take esperin, usually
run the risk of gaestric ulceration and bleeding. So that's
always the other side to the equation.
Speaker 2 (33:30):
So that's when we have after a meal as well. Yeah,
if you swallow, want.
Speaker 3 (33:33):
To buff it down and rather than three hundred milligrams,
it's one hundred milligrams. So so esperin is still a
very very effective drug used in the right place. We
used to go slathering it everywhere. We've now worked out
that it's probably not the best attitude and actually targeting
it to the people who will get the most benefit
and making sure that they're will So should.
Speaker 2 (33:52):
I have asperin in my medicine cabinet?
Speaker 3 (33:54):
Oh for a sore throat? Yeah?
Speaker 2 (33:55):
So gard in fact, that that's the one thing I did.
Used to use it for gargling, and I used to
swallow it.
Speaker 3 (34:00):
That it's fine gargling swallows really, but it's topical of
you if it's garglin absolutely works topically as well as
that is a fun fact, and dispine would be fine.
Speaker 2 (34:13):
Doesn't need to be you.
Speaker 3 (34:14):
Know, displine is a trade name for esperant.
Speaker 2 (34:16):
I thought it was soluble. Aspirin is different. It doesn't
matter whether it's soluble or not. Right, gosh, there you go.
Well look at the health service we're provided it at
twelve minutes to five. Tell you what, we'll take a
brat come back with more calls and just to take yes.
News Talk said, be right, We're going to try squeeze
a couple more calls with Dr John Kelly.
Speaker 8 (34:31):
Hello, oh hi there, I think you mean my sour
names Kelly, Doctor John. I heard you comment earlier on
the connection with ulcers and stomach chancery. My child at
eight was diagnosed with a jordinal ulcer, which was the
biggest mission of my life to get anyone to take
(34:53):
me seriously. He is known as mid forties if fine,
But would he have a higher risk of stomach chenses
having had DA as a.
Speaker 3 (35:02):
Child Very unlikely. You could cover it off by doing
what's called the helico Helicobacter polari anybody test just to
make sure, just a simple blood test or a poo test,
but unusual to get a yourdenal ulcer. That a really
unusual and I can well imagine why you had a
lot of trouble. Sorry.
Speaker 8 (35:21):
I was told by a pediatrician that the idea it
was all in my head. I was giving my son
the idea that he was unwell because he wasn't doing
well at school. It was an uphill battle. It took
me ages to find someone to do something about it.
Speaker 3 (35:34):
Well done for.
Speaker 2 (35:37):
Thank you for your call. Max.
Speaker 9 (35:39):
Hi, Hey, good, I I just had I don't want
to ruffle any feathers first off, and I also don't
know what the unbranded name of the struggle is. But
I was just wondering about what your opinions are on prozac.
Do you think that the world is a happier place after.
Speaker 2 (36:04):
I mean, it was it was the drug of DuJour
at one stage, wasn't it.
Speaker 3 (36:08):
It's one of a group of medicine called selective serotonin
reuptake inhibit is. Yeah, Prozac is around. There's been a
whole lot of other ones. Look, it's horses for courses.
I'm not a keen advocate of throwing anyone who slightly
mood decreased on these medicines, I'd like to try other
things first. For some people it can be very helpful,
(36:28):
but you've got to pick who it is. I think
we probably over use these medicines rather than using talking therapies,
behavioral cognitive therapies, things like that. So that's my own
personal viewpoint. Other people may have different ideas.
Speaker 2 (36:41):
Thanks for your cormax. We're going to try and do
a couple of two or three quick texts on this.
Can the doctor answer? Cindy thinks it's becoming hard to
buy pure aspirin and just from these days, where can
you get it? I would have thought you'd just go
to your local pharmacy.
Speaker 3 (36:54):
She should do that for you.
Speaker 2 (36:55):
Just ask them. Maybe she's just not seeing it on
the shelf as obviously, but just to ask for it,
I'm sure they'll give it for you. My forty five
year old man who's been complaining to my doctors for
sixteen years about bowl and stomach issues. Last year I
finally got a cold and asked me at the Charity
Hospital in September. Since i've been since then, I've had
fifty five polyps removed. You have to advocate for yourself. Yep, well.
Speaker 3 (37:21):
Wow, Unfortunately, the polyps are unlikely to be causing of symptoms.
Ah hard, that's a hard thing. Polyps normally don't cause symptoms. Okay,
they can be pre cancerous, right, we'll keep moving.
Speaker 2 (37:31):
I work with one leg and foot cold, the other warm.
Once I moved the cold leg around for a bit,
came back to normal. Any reason for concern.
Speaker 3 (37:39):
Depends how you may feel the cold. Was it internally
cold or did you feel it cold with the external
temperature on your skin. If it just feel cold internally,
I'm not so worried. If it was cold, blue and
horrible with the external hand on it compared to the other. Yeah,
that needs to be checked through.
Speaker 2 (37:53):
Okay, look I love this one. It'll be common on
a Saturday morning. Hi, dots, John, have a major grass
burn on the outside of my aper leg playing soccer yesterday,
slide tackling on a dry brown feel really saw in
the shower. Wound sticks to my briefs, also seeps. What's
the best approach to treat it?
Speaker 3 (38:09):
You need a proper dressing on it, so talk to
your doc. We'll get a proper dressing on it that
won't stick. Yeah, will heal.
Speaker 2 (38:15):
Up, and it sounds it sounds like it would be
a reasonably large large dressing. You know those ones. They
cost two or three bucks each and they water proof,
non stick. I mean, there are some pretty sophisticated dressings there.
But you'd probably better to go to see your nurse,
wouldn't you if you.
Speaker 3 (38:30):
Want it done properly? Yeah, under acc see your practice
team for that. You can by the counter and cleaned
off with steer of salty water. And where you go.
Speaker 2 (38:37):
Well, there's a bit of practical advice. It's accause you
didn't intend to get the grass burned. Even next indle
injury you did, even though you deliberately slid in that tackle.
Speaker 3 (38:46):
The next indle injury external force for the resulting another quint.
Speaker 2 (38:49):
Gosh, we're whipping through the text. We've still got a
minute to go, and I'm going to do another one
high doctor Tim and doctor John as a shingles vaccine
still only free on your sixty fifth year of the
rules changed, chairs Donner.
Speaker 3 (38:59):
Still only for the time you're sixty five years of age.
Speaker 2 (39:02):
Okay, right, it will burst scientists go away eventually. Cheers.
Speaker 3 (39:05):
If I stick a big needle in it and suck
the fluid out, put some steory doun there.
Speaker 2 (39:08):
Oh, that was a painful way to go. Gosh, I
don't think we can do anymore because if I if
I asked another question with thirty seconds to go, I
wouldn't want you to short change people. Hey, John, great
to see you again. Please, full of life. What are
you up to for this evening?
Speaker 3 (39:23):
I don't know. Don't do the parbi, you know, fire
up the old barbie and do a few links in
a pool. Maybe a wee glass of rose. Excellent?
Speaker 2 (39:31):
Hey, thanks so much. We'll be back. Martin Hawes's books
finally out in retirement. We're gonna have a chatter about that.
Eight one hundred and eighty ten eighty taking your calls,
News Talks hed B. We can go forever. Lit out.
Speaker 1 (39:48):
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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