18 Burst results for "dr barry"
"dr barry" Discussed on Bulletproof Radio
"Me actually doesn't matter how positive your it doesn't matter how many great surgeries you've done. The united states taught you know you're out there hanging on a mountain in the middle of cold and no one's there carrying about you and you've got to be doing either certain exercises or you've been given an assignment to figure out this cohen The is and cohen. And you have no idea what it even means. Just they become back. They're treating worse than they treated you before they sent you out zero there in freezing cold doing exercises you houses hardcore like out of a movie Well actually some wanna make a movie. I need some people did make. There's a couple of movies from people that i've done my courses that i brought back Are treated personally. I think there's two movies about this story that i've gone through that. I'm telling me the names of the movies. Only kanda movies really. There's the listening so it's just it's just a part of it. But they took part of it and they stuck it in there. The both movies were big. Big sellers blockbusters. But anyway i mean. Like one of the attainments had the you had to be all sitting snow and the feltus. When you're in your you know. I would say bathing suit a win win. Hof kind of as you're bathing suit was not your bathing suit. It was like who brought a bank is your underwear under ice all around you in the snow there and you've got to You know the next stages. Are you going to be able to pull in enough energy to keep that place warmer on you and you warm also And if you don't do that you can only go. That's the end that goes. That's the training. They were intimating which turned out to be absolutely true. Is that you sort of have to bodies you've got the one that you've sort of allowed to express itself through whatever you whatever channel you came with you came through brooklyn can through los angeles. You came through. Seattle doesn't matter whose family where it is pretty much people's bodies.
"dr barry" Discussed on Dentistry Uncensored with Howard Farran
"My son would laugh me when we're, let's say affecting someone else right. So you can't kill another person. I think that we would all agree that freedom doesn't mean that you can take somebody else's life for you can't take their land right I. mean that's a fundamental tenet of this country that my land is my land. Expect but that brings up an important point in the important point is that we're not ever really truly free and I think that's an I think we have to understand that because without. Any sort of structure in society society can't function. It can't be everybody rowing the boat in a different direction and everybody doing all their own thing and it comes back to the mask. Thing when people say you know you can't infringer my civil liberties and it's I mean I. Don't think it's a question. Anybody can answer but you can make an argument that. But if you're sick and you sneeze on me and you get me sick. You know. So it's a much deeper question than that, and it's the same thing with you know does it could have suggested that was the dental board right and all that kind of stuff and it's very very. It's a very, very difficult answer and people like to over simplify it people like to say, you're the constitution read the First Amendment, the Second Amendment they forget that there are have been Supreme Court decisions that interpret those amendments in the the the the constitution was drafted as a living breathing document and I, think the founding fathers understood that times change in. That's why. We have the judiciary correct and and the other I agree with everything you're saying and remember kids at almost every supreme court decision that was ever made was like the important that was five to four. So they were looking at the same constitution in the same language in the same books and the same words and five said, yes, and four said no, and so the devil's in the details I, agree with all that. I. Just I just it just comes down to one litmus point I. Disagree with you are you going to kidnap may put me in a cage and kill me No I was on. My wasn't on my agenda for today. WE'LL SEE Your idea when your idea so good that no one will agree with you until you kidnap them, put them in a cage and kill them. Then, you know you need killed I mean it's it's crazy but So yeah. So we probably talked enough about. The Ben Burruss and the all that kind of stuff like that. So, this course is for orthodontist only say thirteen week starts again November I November first and we'll this'll be starts the second round or the second series. So this'll be a completely new groups of the course will recycle so. The first thing in graduate, and this is a whole new class starting from the beginning. So it will be the second glass I can class. Yeah and the First Class when you did your first thirteen week online class Did. You get feedback. You weren't expecting that. Did you do a lot of changes for the second? What did you learn from the first thirteen week class of graduates? Are Going to change in the second thirteen week you know it's a great question. We actually I actually sent out a survey right at the beginning sort of as a pre-test. You know how used to get those pre-test and they give you the same test later on to see how much learn. So I sent out a survey at the beginning now obviously, we're still ongoing. I have learned certainly we we have continued to address the curriculum. In fact, one of the doctors asked I don't do any three D in how Selena. Liners from technology but one of the doctors had some questions about three D. printed a so I spoke to. A new friend of Mine Russa Cassani who is the the three D. Printing. Expert so he's going to do a module on that. So as we're going through the course, we're we're getting an idea of, let's say, maybe some of the gaps that we've missed. So we're re-recording somewhere modules for the next next course, it went from twelve weeks to thirteen weeks. Probably the next one will be fourteen weeks as we keep finding that there's more things that people Wanna learn about we tried to make Gary and I tried to make it comprehensive. So we again we Start the beginning as you talked about, the first week is diagnosis and treatment planning. It's critical and then we went through different inclusions in all kind of on the backside of the course, we're talking more about the business of orthodontics and had to be profitable and You know we we didn't get a chance to talk about some of the tell dentistry platforms. If you want to have me back on Sunday, we can talk about things that can reach virtual care and dental monitoring but Yeah so in listening and I think by probably by January, it's GonNa be a different planet and we'll probably have to retool the course all over again as the planet starts to spin in a different direction.
"dr barry" Discussed on Dentistry Uncensored with Howard Farran
"But if you're going to go on living and breathing and talk and then have your tongue hit the lower teeth three thousand times a day every time you say syllable then you're gonNA have bar. So my question to use for the General Dentist Diagnosis Dream Planning. Some general dentists are saying, they're telling adults we'll do invis- line because the last invis- line trae is your permanent retainer, and if sent him shift around, you get another design trae where if you do fixed, you're gonNA need to cement a lingual bar around the bottom inside of the lower sixteenth. I hear that's what people are saying. What do you think of that advice from a General Dennis? So well, the first in for the first visit, the last invis- line trae, which is made out of like this by layer plastic you're the smart trek plastic it's certainly not GonNa, hold up I, mean you might get a month or two out of it. So if you're going to go with some kind of clear type retainer, you're probably better off to use something like Rivera which you the patient gets four sets of them because the the plastic fatigue. So I I don't I don't advocate using that lasts trae because it's just it's you. In, two months you're you're just kicking, the can down the road and the patients gonNA come back and say my my trae broke. What am I supposed to do now having said that you know the teeth, the fundamentally the teeth don't know the difference whether they being pushed around with brackets and wires or whether they're being pushed around with clear liners. So from a philosophical standpoint, the retention protocol should not be any different whether you're treating patient with braces or the treating patients with invis-. Liner clear liners. So then you have option we I give the patient that option they can get a fixed retainer. Or they can get a removable retainer. Both have their pros and cons with a there that that's an. Though Project Veritas and design product you would scana the patient's teeth rotor if the last stage and they send you four sets of really nice durable material that maybe each one can last anywhere between a year and two years depending on much the patients boxing. But at least they give the gives that patient some some time you know to with the retainers as far as a fixed retainer, listen this pros and cons to both fixed retainers a great until they break when you're on the Caribbean on vacation and you can find an orthodontist though the. Patients come in and they ask for a permanent retainer and we never qualify because he's you know he's fail and the wires eventually fatigue anytime you put a rigid element next to mobile teeth something's going to break and it's usually neither the he's over the wire. So the fix retainers and then is also the hygiene issues with flopping in Calculus buildup and all that kind of stuff. So the fixed retainers have their pros and cons and the removable retainers are great until Fido eats it. or Johnny loses it and then the people say what retainer, how you never give me a retainer well, I I need to go I. Need to go back to Clinton point because you said it, they're not that great I was I had Benjamin bursts on the show years ago and he was a Meister lives out in Fayetteville Arkansas and he's out there in Arkansas and I think it's insane when they they have to go to the orthodontist. He takes everything off and they come to my office. We do the cleaning. Then they got to go back to the US and that's a doctor focused system and said, that's crazy we're going. To have our own hygienists and he hired hygienists and that's one stop shop I mean, and it's the business model look implants. The number one implant. Biz model is we're going to get the the surgeon and the process on us and the lab guy. We're GONNA, put them all in one room and that's clear choice and they're selling a was something like i. mean it's crazy number of total arches a year. Every the fastest growing business model and my backyard for your department is when a pediatric dentists and orthodontist go in together because you know everybody any mom who's got it together to take your kid to a pediatric dentist is GonNa ask this little johnny need braces and she's right there and then I thought absolutely and I WANNA remind everybody I want to remind his that I'm not here to be your friend. You know when when you go to your GRANDPA and he tells you, you know going through life drunk is not a good idea or what is that a dumb and dumber movie where he says that going through life dumb fat and drunk but I'm GonNa tell you actually was an animal house. Chateauroux could stupid is no way to go through life son is something like that right wermer. Yeah going yeah. I. Want that cal can you find me that quote and? but anyway. I just want to remind you that that I'm always gonNA, call you on your shed and they the only reason Dennis make the big bucks is because nine thousand, nine, hundred, one hundred years one hundred, twenty years ago. The new political party, the Democrats Republicans have been in control since the civil war to this day, they got a lot of money from a lot of doctors and they in one year they closed down ninety percent of all the med schools then schools in lights and doctors and set up fifty state board said, we're GONNA license school. We're going to license a doctor and we're going to get rid of all the all this crap. Okay. So that was good for quality control and it got rid of. All the competition and that's why you make the big bucks but were there's poor people like in Phoenix Arizona were like I'm across from Guadeloupe invasion twenty, five, five, thousand. Yawkey. Indians twenty, thousand illegal. We're supposed to call them illegal Mexicans when we stole the land from them at gunpoint and so if they're living on the land, we stole the gun point. Now they're an illegal and every time there's not one dennis in that area and every time a license tennis Mexico or Molar City down in Yuma. Which you cross the wall Yuma Arizona Moeller city. There's more dentists in that square mile density than any place in the world and Americans are going down there. To cheaper. But when that Mexican Dennis comes in Guadeloupe and search doing dentistry for the poor and then they charge like twenty dollars a filling. The government will send a policeman to arrest him and kidnap him and put him in a cage, deport him and and so. I as a registered Libertarian, I've never bought into the Democrat Bullshit Binary Star highway to hell race to the bottom I won the bank won drove the getaway car and neither of them impressed me on what made America Great, which was five hundred years of immigration and the greatest minds voted with their feet left wherever the hell they were and came here and I don't I would I think that the dental licensor should say oh well. You are a licensed Dennis and my Gosh. Berry Glazer he went to these universities. He certified the schools are a he's a licensed Dennis New York. Okay. That's great. But where did you go off saying that the unlicensed dentists who just moved here from Italy who went to school? When I got to Arizona War, it just got out and a lot of people got the hell out of Germany specifically the Jewish you go down Australia, all the big labs, Ruth Port Lavatory. These were all Jewish Germans they got the hell out and this woman came here and came to the country from mercedes-benz to the land of Chrysler and they they didn't honor her dental diploma from Germany. Are you kidding me thirty one graduating class from a Jewish private school in in? Europe that was made everything possible for everything you buy best buy I mean from Faraday to Murray burried Albert Einstein. Germany was the smartest country in the world and they wouldn't honor her license. So she could only own dental.
Struggling with Digestive Problems?
"I'm Shelby Olsen. I'm a licensed nutritionist. With a bachelor's degree in exercise science and a masters degree in clinical nutrition and I understand that education is really important when it comes to talking about human health and nutrition. And of course I learned lots of things about nutrition and health while I was completing my master's degree. But to be honest with you as a practicing nutritionist with nutritional weight and wellness. I feel like I've learned even more so much of that. Clinical experience working with clients helping people feel their best. You know they always talk about education's great you learn lots of good things but when you're out in the real world working with people that's really where you've got to use those problem solving skills you really have to understand what is going to make a big difference here for people. We don't WanNa talk about theories we WANNA talk about action step so theresa and I are tasked this morning with talking about how those of you can change your digestive health so our topic is all things related to digestion have digestive problems. You certainly are not alone. According to a survey in the Journal of gastroenterology seventy four percent of the US population has some type of Gi symptoms and Gi gastrointestinal symptoms. That could be things like heartburn or acid reflux that could be abdominal pain or nausea. And of course that could be bloating gas diarrhea and constipation. You Know Teresa when I was in my first year of my master's program one of my professors said to me. You know if you're not comfortable asking people about their poop you're in the wrong profession. Isn't that or digestive. Problems are a common reason. People make an appointment with a traditional or a Dietitian. You know three so. I know you're busy in the office. Always but I'm sure you have clients that are in their eighties or ninety S. I'm sure you work with kids as well. You know we see that people can have digestive problems regardless of their age in fact we were talking before we came in that. There's a nutrition educator with nutritional weight and wellness who is a physical therapist and specializes in helping kids with chronic and very severe constipation. And I was KINDA SURPRISED TO LEARN. That parents are flying in all over to get help with constipation. Whether it's some some nutrition help some physical therapy help as you might imagine. Childhood Constipation is not very enjoyable for parents. Oh you feel your paying exactly so when we think about constipation. Oftentimes we're thinking about processed foods. Excess sugar were really looking at. What could be that foundation of creating that slow digestion or creating more of that painful Experience so another culprit that I think is often linked to constipation in children cheese sticks. And we're going to talk a little bit more about foods that are more challenging for the digestive tract but cheeses often constipated for both children and adults so think about the foods. Kids eat MAC and cheese pizza. Maybe snacking on crackers and cheese or those sorts of things they can be really challenging for those little belly's to digest. Yeah those are the foods that I think are very common. That kids are eating right now. Just because they're they're easy to eat first of all. I mean as far as just the mechanics of eating them right and then Yeah I mean. They're very convenient for parents to give their kids to right so parents. If you're listening you do have a child or you. As an adult or struggling with constipation or other tummy. Troubles are tasked today. Theresa and I are really hoping to address what helps with good gut health. And what may happen? If you don't have that right balance in the intestinal tract now it may surprise some of you listening to learn that your gut is even connected to your brain. We talked about that gut brain connection now. You heard her voice Joining me in studio this morning is our co host Teresa Wagner. I would say First and foremost she's a mom that's where she's spending a lot of time but we also get her a few days a week to in our offices and of course on the show so theresa you're a registered and licensed Dietitian. And how long have you been practicing? I think I've been a nutritional weight and wellness for five years. Maybe it's six. Yeah this they time flies when you're having fun so you must be fine now at one time. Teresa you and I were talking a little bit more as Nutritionists Dietitians. We experienced some of these things too. And I think you've kind of shared you've had some day just of issues before so hopefully you can kind of bring us into some of that discussion. Yes and maybe before we discuss that and before we discuss heartburn diarrhea constipation. Ibs I want to talk about how your immune function is connected to your Gut Hill. So not just the brain but also the immune system. Yes everything's connected. Isn't it approximately seventy percent of your immune system is found in your digestive system and because of Cova Nineteen? Many of us are trying to do everything. Possible in order to have good immune function Have you thought about your gut health and how it affects your immune function and I know shelby you have for the listeners out there have you made that connection. It's interesting to realize that throughout your life your immune system has been shaped by the communities of bacteria that reside in an on your body. How you were fed as a baby is a very important part digestive health And it's important for your current digestive function so how you were fed as an infant affects your current health right. Breast Milk provided for those of you who are breastfed and abundance of beneficial bacteria. And if you were breastfed you may have missed out on some of the those most protective bacteria from your intestinal track And now as a mom when I hear that I know of so many moms who tried breastfeeding and forever. Whatever reason it just didn't work out so this isn't necessarily meant to be a guilt trip but what it is or it's not at all meant to be a guilt trip but What it is just really good information for you to know for your children or you're having digestive issues Or the prevention of digestive issues or chronic illnesses right and there's also really good information for us as adults who maybe when we were being raised or when our parents were feeding us that it wasn't maybe breastfeeding wasn't in vogue at the time or our mothers weren't able to breastfeed at that time just as good information to have. I agree and I often tell people you know. I know I wasn't breastfed as a baby. And when I talked to some of my clients and ask them. It's it's an interesting reaction they while I had never thought of that. Does that really affect my immune system or you know that sort of stuff now and I tell them well you know. We can't travel back in the past and we're not going to blame and shame mom for what she didn't know at the time but that also gives like for me personally. That gave me really good reason to focus on reestablishing that good bacteria. Because I know I wasn't exposed to that beneficial bacteria through breast milk. Yeah good information right Some babies who are breastfed have a higher proportion of that beneficial bacteria that protects them against pathogens Certain diseases are often linked to an unhealthy. Good which may not contain adequate levels of that beneficial bacteria that bacteria. That's crucial for good digestion. Which we're talking about today exactly and in fact Teresa when we're talking about bacteria we're starting to see the bad bacteria has been connected as one of the primary causes of ulcers specifically those peptic ulcers. So yes I said bad. Bacteria causes ulcers not stress and not spicy foods for one hundred years or more Doctors and researchers believed that ulcers were related to stress and spicy foods. You know but it wasn't until two thousand five that Nobel Prize winners in medicine Dr Barry Marshall and Dr Robin Warren made that connection between ulcers and a type of bacteria called heliotrope actor Pylori. Sometimes you guys have heard of that as H. Pylori
"dr barry" Discussed on Probably Science
"Five to seven days from now. I was saying that last week but here we are But again there's probably under reporting because there's under testing in the United States but I think you have to look at the numbers from every every country and see how good the testing has been in terms of trying to figure out what the counselor I would say that. In general the number worldwide cases is probably underestimated. But I just don't know what the magnitude of that underestimation is right now right right. So what's next? What are you doing next day to day? What are you what is your current as an infectious diseases specialists What what do you do? Well we're doing a lot of planning right now because At least Wisconsin. The number of cases is a little over one hundred in the local community. We have. There's a somewhere around. I think the latest number thirty five cases in our county. We're trying to prepare for the worst by having specific protocols for hospitalized patients to make sure that we have all healthcare providers are prepared for taking care of patients that they are able to use the appropriate personal protective equipment and they have the appropriate shields and mass and and things to prevent them from getting sick while caring for the sick. We're trying to prior to rise for these negative airflow rooms in the hospital. Were trying to count intensive care unit. Beds we're trying to. They're trying to reduce the number of people there in the hospital by canceling elective surgeries. I mean there's a whole central command that's ongoing in the community here. That's part of A. It's not quite military setup but it's modeled after the military control system and the systems are in existence here in our local community to try to against ahead of what what might be. We're hoping for the best but we're planning for the worst. I would say the the right to not be. Don't get hugs again. Thank thank you for taking time out of the planning and everything to talk through this as we said before as the top of the show you can also go to the grossest plus and watch a series of lectures that take you through all infectious diseases. The history the treatments and feature reductions including the remarkably prescient final lecture recorded substantially before today. you find out about the possible culprits. I'm possible spread of future. Pandemics sure and and there may I don't want to say any final word on this year but there may be some Announcements coming from the great courses about the availability of course in the near future which. I'm sure you'll be. If it's official you'll make public with the with the podcast here. We can actually do that so we still have our thirty day. Free trial for any of our listeners. so if you go to the greatest plus slash probably you can watch all of. Dr. Fox's like just plus a you know you learn a language Do LEARN ABOUT. Why are agriculture oil poets? That you wish to discover. We've got time but in the meantime Again wants more. Thank you Dr. Barry for Professor Belt. Affair ended for joining us and taking us through this. Okay thank you. Thank you for asking me to dismay..
"dr barry" Discussed on Probably Science
"No little two zero symptoms can take viruses from that house to twenty other children who then take it back to their house full of battles people. It's yes it's and and again it. You know it was really you know it. It's a big decision because obviously people are struggling for for getting childcare and and the concert home and it's having a tremendous effect on the workforce things like that but it was. I'm sure it was disgusted at very high levels and very well thought out To to be part of the social distancing as well written where I'm from his own. Kiosk nells closing at schools On Friday and it it took the entire family including my doctor cousin. Four days of haranguing to persuade my sixty. Something Mum who is a teacher to stop going into work because that is also again playing against those sort of social conventions. Why she's like no I. This is my job and I have to do. You are in the danger zone and you are. Potentially you're being exposed to this virus every day. It's sort of flies in the face of most of the advice we get in these kinds of moments. Like POST. Nine eleven was all. Just get back out there and shop if you aren't shopping the terrorists win and there's no equivalent thing. I think that that's a lot of the problem right because people do have to sort of Typically people from an older generation have this sort of stoicism. And we'll just walk on and we'll get through this and we won't let ourselves full victim to this. There's this is the opposite of that is what we should be doing. That's right Well said and and that's because we're we're dealing with with science and biology and and you know it's not it's it's not social behavior social behavioral issues. I mean certainly. That's part of it but Biology wins an expert as an expert in this. What were the last two months of Your Life? Like were you sounding alarms to your immediate friends and Family. Much earlier exasperated. Or what was your mood like said well as I mentioned as I mentioned when I was in Washington. Dc about a month ago. I know concern because and again this is interesting I hope I don't see anything wrong here but China you know this outbreak broken China but as a communist society and people are going to be told what they can do and you know they had to do what they had to do or they had to face the consequences. My big concern when I was in Washington about four weeks ago was the virus was getting out into Western societies okay and had just made sway to Europe cases in the UK and and and and such here and obviously these are societies. That are not used to people for people being told what to do. And how to do it? And there's GonNa be a lot of resistance for things like social distancing and behavioral issues so my concern was. Actually that wants this. Fires got out into Western societies. That we would not have the means to contain it like the Chinese have contained. Contain things now and you know this has has played out in in in various places in Europe and right at that time the virus was kind of landing on our shores in in various places. Not necessarily maybe a little bit from China before the borders were. The borders were closed But also from traveller returning travellers from Europe so yes my fears were yes the the contagion that has been seated from China but mostly Europeans assures was going to end up with the situation that we're in now so yeah it's been it's been very worrisome. Seems to be sort of a gradual reframing in people's minds in terms of like not the government is ordering us to do this and scree the government but hey we're all in this together and we need to help each by following these steps and doing this for the good while we're I'm hoping that most people are abiding by that by that philosophy. I think there's certainly enough on social media that there's certain certain segments of our society that are not really doing that writes. Uh Spring break comes to mind is the. I saw the footage coming from Florida Yesterday there was a student for my hometown was on National Public Radio yesterday and they they were having a good time but but they did say well when I get back. Okay I'm going to isolate myself for two weeks. So I guess that's a that's kind of a consolation prize. What is the GO-TO source that you're recommending the CDC for up to the minute information? Well Yeah I mean the. Cdc's got a good sign. I think the New York Times has a good site. I think the Washington at the The Wall Street Journal has a good site in terms of three You know well I'm newspapers and then In the city. So yeah I would say almost all the questions can be answered from the from the CDC website but a both the Wall Street Journal and the New York Times have interesting articles like the Wall Street. Journal had one yesterday about you know. Can I trust home deliveries okay Food Okay and what? What are the implications of that? So so there's some little quirky stuff on each of those sites that that relate to human relations stories that people questions are asked that the CDC wouldn't necessarily have a definitive answer on right willing to all those sure before we go. We talk just a little bit about home treatment because I know obviously the most. The more serious cases a told to Gospel in be treated by In hospitals but because of limited resources a large number of people take the younger people on unlikely to have less dangerous symptoms than being told if they show symptoms just self isolate and treat themselves. I seen conflicting information comes through. About what medication you can. And can't take won't may mitigate it the simpsons won't make the symptoms worse like a possibly ibuprofen might be a bad idea to take. It seems do. Do you know where the research currently stands in terms of what you should do if you're these symptoms and but not to a dangerous level well while sure. This is certainly an evolving evolving process. Here right now so. Ib program went from the hot seat to the cold seat. Within twenty four hours there was some preliminary information that came out of I think it was actually from China. That Ibuprofen may be something that maids condition worse. But when people examine the data the World Health Organization said today reverse that and said No. There's no reason that you shouldn't take Ibuprofen. If you need to take Ibuprofen now one point I wanNA make before. I'll I'll answer the question but is that just because someone has a fever of one hundred one degrees. Does it mean they need to take? Ibuprofen or see the medicine. So fever is actually physiologic. And we talk about this. My course we have a whole discussion about fever. The mechanisms fever. And if you have a fever and you don't know it or you have a fever and you're just feeling not too bad then. You don't have to suppress the fever because fever was put into our bodies over over time here to actually help with the process. Now that doesn't mean that if you have one hundred hundred fever and you have this terrible headache and you feel lousy that you can't take something for it But ideally you should let itself play out if you're not if you're not really a very symptomatic from from the fever but with respect to other home home remedies here. There's there's nothing that really stands out that people can actually do for symptomatic relief from their cough. I mean you can still take coffee. Congestions and things like that. For reducing a coughing and being getting a chance to sleep tylenol or see the manufacturers for for sore throat or ibuprofen Paracetamol for the Brits the Brits but they there is nothing kind of in the home. You know over the shelf Drugstore type of thing. Now that that can be aside from symptomatic control aspects that you would do the same for influenza or a cold. That would be recommended at at home right now. I sort of nasal rinses useful or said new troll general hydration. I I would not. I would not recommend anyone with the current or stew nasal treatments particularly because for for a couple of reasons number one the degree of nasal and involvement and upper mucous membrane involvement and symptomatic symptom symptomatic wise. It's probably not going to benefit that and number two. If they're not careful they do have the potential to end up with more spread of the virus. Okay so I would not really recommend that as a as a routine for for anyone for the condition it. We've covered a lot but is there anything else that you think we should know is useful to know both about the virus itself or about sort of human behavior surrounding the viruses? Or what might happen in the future? Well I I guess it's tough to tackle in the last few minutes here. Specifically President Trump was on television today with some of his associates. Talking about some potential Medications that might be used in the hospital setting and some them are investigational. Some of them are currently available. And we're trying to sort through that information right now. Because there's there's not necessarily going to be any magic bullet that is put forth in the next two to four weeks and but I mean one of the things that again makes this outbreak stand out compared to influenza people. Keep saying well you know we have a lot of influence going around by the way we do have a lot of influence. That's still going around. That can still land people in the hospital and can still kill people but we do have an anti viral medication for influenza which is given to all patients that are hospitalized with influenza and if in the outpatient setting if you get to medical attention before forty eight hours you can. There's an antiviral. Medication would which mitigates symptoms of influenza. So that that's is that cool Tamiflu. Is that the well. That's the trade name. But but the generic name is called Oat cell temp ozil Tama beer and it's available in generic generic forum and so Anyway we have that in that in that that helps us with employees and and help can reduce can reduce in patients hospitalized patients seriously. Ill need security. It can reduce the chances of death. So we'd like to be able to find something to be able to help us with this corona virus to help. Newt move that needle on the death ray back back somewhat here so people are looking. People are are working on this right now but. I'm not sure there's a magic bullet that is on the horizon in the next in the next week or two. Sorry did you have a final question are but my question is is in the final one but just. I'm just sort of flabbergasted by the by the numbers and how they don't seem to line up and I'm just curious if you think that the global case reportings are just extremely low because of lack of testing like the fact that so many celebrities have it and we're still saying it's late two hundred thousand worldwide. That just doesn't match. It seems like more they were able to get tested and the number is actually much higher. Is that your entree now or not. Well I think it depends upon what country you're from also depends upon what you know what? Abacus you're playing on The Chinese cheese their definition several times of the cases here and there are other countries like South Korea have test kits and can be accurate in terms of their their their number of cases here We're not as we're not as fortunate so far in the United States that that needs to change it is changing Hopefully will be completely different..
"dr barry" Discussed on Probably Science
"Again with rhinovirus coal viruses nasal congestion runny nose. Okay and Cough. That might be associated with large volumes of production of nasal secretions are the common aspects of things for coughing but generally people are not sure too breath because the lung. The lungs are not affected by the typical Rhino viruses. That cause cause coal Influenza the there's a lot of symptoms that are very similar between influenza and the new corona virus and those include fever and again real fever that might be one hundred one to one hundred three degrees. The flu tends to come on more relatively abruptly over a span of twenty four hours Hence the French term The La- grip and my French is not great here but people are were kind of knocked knocked down relatively abruptly and felt fever and chills their muscles eight significantly they would also with the flu have some nasal congestion but not as much as a typical cold they would also have a sore throat And and and both a sore throat and rhinovirus can have a sore throat and so does the corona virus but And coffin be there but again usually related to the respiratory nasal secretions and not necessarily invasion to lung now. There are a small percentage of individuals. And there's probably about one percent so that can develop influenza pneumonia where these shortness of breath and persistent cough may persist but the muscle aches of influenza are really very characteristic and they tend to last for two or three days so turning to the corona virus there may be muscle aches and small percentage of of of individuals but they tend to be relatively transient. And maybe only lasts for about twenty four hours The CORONA VIRUS. Illness tends to be right in between the flu. And the and the rhinovirus in terms of its Beginnings here so the symptoms come on Hispaniola somewhere between twenty four to seventy two hours. If you'RE GONNA develop clinical illness what's missing often is yet. There is off. There's a sore throat. But what's missing? Is these decree of nasal runny runny nose type of characteristics and there's more of a propensity to have a a dry cough again because the virus tends to have a little bit more of a propensity to be in the loans and invade the loans So is this invasion of the lung. Something that makes it more contagious. 'cause you're more likely to then converts into this. Aerosol Spreadable Arizo. Well that's a good question. That's a good question. I'm not sure I can tell you with quantitative certainty that that's a truism because if if you're if you're sneezing and you have a rhinovirus and you're sneezing you have the rights and you're GonNa you're gonNA generate enough of a contagion base spread. Hypothetically if you're coughing and you have influenza in the lungs are not involved in the same is true for rhinovirus that you might be potentially less contagious but this is the involvement of the lungs is is is really the reason that the metality rate from the corona virus is somewhere between ten to twenty five times that of a influenza. Because as I Lou. Very few people get influenza. Pneumonia and the death rate from influenza again is somewhere between a tenth to a half of one percent but the death rate from the corona virus The new corona virus is going to be somewhere between two to three percent. And we're not going to know exactly what that death-ray is completely because until we see what the how the United States healthcare system really responds to the challenge of early diagnosis and management of this here but again across the world. Now the numbers are somewhere between a two to three percent and those numbers all sorts of very by the the health status of the individual. So the younger you are the more like your immune system is likely to be able to manage the illness again on. Unfortunately sixty doesn't seem to be very elderly these days but sixteen above and eighty and above the mortality rates tend to be higher again partially. Because as you get older there are other what we call co Morbidity so people have heart disease can't handle the infection people have underlying lung disease like chronic obstructive lung disease emphysema and they have less reserve and then they're more like the more likely to die. Starting it for and I was just GonNa say I've I've heard that. They're pretty vast differences in the fatality rates in the Chinese population. Because of things like smoking. What other exacerbating factors have you heard about this? Well see smoking will not be in your favor. That that's for sure and the reason for that is just just a general The smoke so in the lungs And we actually talk about this in my course and I think we actually illustrate this in the what's what's called respiratory epithelium and they have there are are hairs. Ha Irs stand up in the linings of the lungs others also the hairs in the linings of the nose. But what happens is when germs get into the lungs the This these these hairs act together. Like a like a broom to try to sweep out microorganisms. And get them out of out of the lungs and if you're if you're smoker Again people have different degrees of smoking. But there's more likely to be a non coordination of these hairs and there's more likely to be a small amounts of damage in the functioning of these sweeping hairs to get out of the lungs and that's that's one reason why smoking Smoking is a additive risk factor for death but also in China people people really smoke. For long periods of time they develop what's called chronic obstructive pulmonary disease or emphysema which actually destroys the number of air exchange sacks sac chaos in the lung and then also reduces the ability of an individual to handle of a virus or any type of infection. Along this comb abilities an interesting thing because I I know there is not yet in any kind of antiviral treatment for this either but I did read that are giving some patients with this Antibiotics which seems counter intuitive Don't work against viruses. They only look against bacteria. But it's to Avoi- it's to mitigate these secondary infections or these these other things that go along with it right. Yeah well that's actually So that that's interesting even before. The outbreak of the Corona Corona virus for the first time ever the Infectious Disease Society of America recommended in the guidelines for pneumonia earlier. This fall that patients that are that are diagnosed with hospitalized. Influenza should even though we know it's a virus and we actually have antiviral viral medications to give to patients that are hospitalized with influenza. But they also concomitantly should be given antibacterial therapy and the reason for that is because there is somewhere between ten to twenty percent risk that the virus influenza virus. Does what cigarette smoking does it? Destroys this these hair cells and they functioning capacities of the lung to clear clear germs? And it's more likely that bacteria will actually get trapped inside the lungs and cause a secondary bacterial infection. In fact it's thought and nobody knows the exact numbers that maybe up to fifty percent of all the mortality from the one thousand nine hundred eighteen in great influenza pandemic was due to secondary bacterial infections. And not necessarily due to violence of the virus itself. There's no doubt that the virus was a a stronger flavor of influenza virus and people have studied that are continuing to study that but the secondary bacterial. You gotta remember not only do we not know it was a virus but we knew about bacteria but we didn't have antibiotics in one thousand nine eighteen so if you if you develop the secondary bacterial infection you were you. Were going to die so getting back to the original question is that yes indeed. So I think what what's happening. Now is these practitioners and practitioners are extrapolating from the recommendations now from influenza that if you have the new corona virus that we want to reduce the risk of any secondary infection here. So it's not. We don't know what the numbers are compared to influenza but if somebody's getting antibiotics antibacterial -biotics. That would be the reason for giving them that makes sense Another thing I read. Sorry just sort of use you as fact checking But is in his right to get to talk to an expert The one of the routes that looking at to develop a treatment involves taking antibodies from recovered. All recovering patients is that. Is that a common procedure or is this something. That's a relatively new method a lot. So so we talk about this in the in the lecturer on infection and immunity on the immune system so antibodies are Specific proteins that are produced by the body by US white blood cells that are circulating in the in the blood and also that are in the the spleen and lymph nodes and these proteins are produced specifically for the invader Here so hence the corona virus. And so if you if you have these proteins that can kind of what they do. Is they kind of the analogy? Would be they. They glue down the virus and make it easier for our own. Immune system to target a removing the virus from the lungs moving the virus from the from the mucous membranes. Zimmer removing the virus from potentially even while it's trans transferring if it goes into the blood so getting back to your question here yes. This is a hypothetical means of trying to improve the outcomes for this. This would be likely targeted for severely ill patients in the intensive care unit. That are on ventilators where we're actually pulling out several different modes of treatment to try to try to save individuals. This is not really a completely new concept. This is called passive immunization and this concept actually dates back to the pre antibiotic era before we had penicillin because the most common cause of death from pneumonia was will call pneumococcal bacteria pneumonia and since we didn't have antibiotics they were trying to take serum from individuals who survived pneumonia and give it to patients to to try to save them from pneumonia before antibiotics but again jumping back again Several years to to to my course in in Africa when Ebola was Was RAVAGING THE LARGEST BOLA outbreak Again there were survivors from Bola and they harvested blood from survivors. And then try to try to give it to the sickest of individuals for for treatment purposes. So there's not not really new concept. It goes back nearly eighty years. But it is one of the means passive passive amid immunization. Is something that that still may play a role. In trying to mitigate this pandemic the guy. I'd love to talk a bit about sort of you. Know those sort of social distancing corentin and what we're doing right now right now. Andy and I are in different cities as a you. Of course we're recording over the Internet phones. But how much of a difference do these practices? Make Him. What's what should everyone be doing right now? Sure so there certainly is a lot on the on the Internet now regarding in mathematical models of what could be apocalypse. Doomed say or the possibility of really You know good outcomes from social distancing and cocooning so so. The goal of this whole process of social distancing is to reduce that number of infections or to spread out the infections over time. So there's something called. The doubling time of the virus mentioned that the virus typically would transmit it to somewhere between two or three hundred individuals but the doubling time for the For the virus it went unchecked. If you went from one person to another person to another person to another person you had a susceptible human is going to be somewhere between two to three days but if you can separate those with the virus and not allow it to get into other humans in a longer period of time or not at all then the if you if you do if you do the math and you do the arithmetic than the number of people that would be infected would be less or if not the number of people that would be less again. This is what you hearing a bit on the news about flattening the curb. So what we don't want to see is a an an exponential rise in the number of cases because that's going to bring on an exponential rise in the number of people that need to be hospitalized an exponential increase in the number of people that will have to be in intensive care units potentially fighting for their life and fighting for ventilators. And this is not you know. The situation is kind of playing out in in Italy in track. Tragically in in Italy right now. So we're trying to learn a little bit from the lessons of that that dynamic so the goal is to if people are going to be infected is to to spread out the need for hospitalization so spread out the need for hospital care to spread out the need for intensive care units and possibly ventilators. It may not come to that. I mean we're in. We're actually doing a social experiment right now but again in certain areas in in the in the Seattle Area. This scenario is beginning to play out. And we're I'm I'm hopeful that the situation is not coulda could play out in in many American cities Or Not may not play out at all but this is the reason that the social distance this is also. An people may not understand that. It's the reason that schools daycare centers are closed. It's not because children are going to be sick because we actually surprisingly this particular virus does not children can get sick but they don't get sick like adults do and but they still could have the virus. They can still spread the virus even though they either have minor symptoms or no symptoms at all. So children are the perfect What we call vectors for transmitting. The illness among many adult adult people here. So while the adults are practicing social distancing taking the kids away from socialization and allowing it to spread in ASEM dramatic fashion in the Child. A child education population is also another reason that the schools are closed. Right now right. I can't think of a mall. Perfect way of spreading this virus than schools. Where a Kid?.
"dr barry" Discussed on Probably Science
"Ups driver today and they're they're not requesting signatures anymore but anyway the pot is a third a third a inanimate object is a way to transmit the corona virus. Now unfortunately I just signed one of those documents ten minutes before we started recording. Wash your hands off to his anti dumping is I felt the social pressure not to make a service guy coming out to service this propane tank and I was watching your course like to Fox and he came in and also felt guilty that I was that he might have been hearing these things that seem to walk into so that I did want to stay on top of what you just heard. I also don't want to touch your computer. You are scientists led. You gave me so I signed it and then wash hands right away. But that's not the best remarkable those social pressures like I. I think we have to do us at of recalculating the last just last week before. We were fully quarantined. I I I was in the bay area and I had a show and everyone was being very careful. You know had washing and hand sanitizer everywhere. But it's still like you know a a someone came up and pet to the dog of my dog and her husband had been coughing and he was like wanted to drag the dog away before before she had to chose dependent but it does this huge social pressures. Don't like don't touch my dog or shouted a woman in her sixties. Just it's it's very hard not to do that. But this then you will be in there so it'll be like find different polite ways to go. I'm GonNa declined to do what used to be a polite social interaction right and I happened to be in Washington about a four weeks ago when the outbreak in Washington DC. At the time. But I met with the Wisconsin representative my local house of Representative Person for talking about Antibiotic Resistance. And you know. I started pumping elbows as he offered his hand to me. And I said this is going to be the new norm so you should get used to it so yes particularly in Washington that was it was as you know and you can see on. Tv It was not the new norm till about a week ago right. That really is a case. Where you sort of you need your leaders to lead by example and you know and they should be. They should ideally be taking their cue from someone like yourself and then passing that message to the population exactly when it comes to these transmissibility factors. Is there? Nothing? That's that's consistent across all corona viruses as far as whether they can be transmitted like how long they stay in the air would be about the same size and therefore fall similarly or is there a big range in this family of viruses and how they would behave in terms of while they would all behave the same way among the current viruses. Although I will mention and it's a little hard to go into right now it is thought it was thought at the time that when When SARS first came out that that there was the potential to be transmitted in what we call an airborne manner. Okay and I'm not sure we've completely excluded that for the current current viruses well and what that means is that the virus can spread and be suspended in particles that will not fall to the ground within that six foot radius and hence to have the potential to be transmitted beyond that six foot six with distance and that was one that was also another factor for causing a pandemics so the more common and known virus that does is is measles and measles can be airborne. Chicken pox can be airborne and and that's the reason why if one person has measles the average number of measles cases that happens after a measles exposure is somewhere between sixteen to twenty okay and this the corona virus. Now if one person has it the what's called the are not which is the a mathematical term for how many people that this could be transmitted to is running somewhere between two point five to two point seven but I don't WanNa get off topic here. It's just that we're not entirely sure that the current events cannot be spread by the airborne route and the there were outbreaks of the SARS outbreak in for example the Metropole Hotel. I believe it was in Hong Kong. Where hundreds of people came down with the virus and they were on different floors in the hotel. Okay and it was thought that and there's publications on this that the air handling system of the of the hotel has something to do with so many people getting sick in the same hotel and right now it was just coming through the vents. They think possibly well yes and You know literally now if we have if we have the option and if we have the availability within the hospitals. Because we're not. We don't know everything about this virus yet. We are trying to put patients that are hospitalized into what's called the negative airflow room and what that means is that when the doors of the rumor opened. Okay the air is contained within the room. And there's the air is set to a pressure that's lower than the outside pressure for the room. The doors outside and everything that's in the room stays in the room. Okay and that's not being absolutely mandated if there are space problems with a number of hospital beds because any typical hospital may only have maybe a dozen of the rooms or two dozen rooms at the most depending upon what type of hospital it is that have this negative airflow. So it's not it's not a mandate it's more of an ideal circumstance for hospitalized patients obviously in physician in doctors offices and clinics and things like that there's also a limited number of these negative airflow rooms if there are any so we have to do our best to to have the appropriate personal protective equipment so to try to reduce the spread. Is there anything that can be studied about the virus itself to determine these features or is it only once we get epidemiological data that we decide? Oh yes it has gone. Airborne is transmissible in this way. We can't just look at the virus closely and then say oh because of this size I of their feature that it would have that would indicate these things without having to wait to see how it how it works in the real world that those are great questions. I don't know the answer those questions. I'm sorry you mentioned measles Obviously the measles is top of people's mind because of the fact that the vaccine does exist for it which is not being as universally uptaken as it should be because of Sutton People with bad intense and other people fulling stupid things with this cove in nineteen Novel Coronavirus Walk. I know they're sort of tr. They rushing the process to try and get vaccines out there. They're already at the stage where they are starting to test some things in the in some humans and skipping. Animal Trials Chick can you? Can you talk a bit about what the processes for this and how how vaccines are even sort of developed and then rolled out? Well I'll do my best here. There is a lecture that we have on unpack the nation's immunizations and the reasons for vaccinations in the musicians and In in my lecture we also talk about the the anti VACs Reasons and and try to handle that in a diplomatic Fashion but the actual development and manufacturing a vaccine is a little beyond my technical a knowledge in terms of biology. I mean I I know that they were able to look at the sequence of the virus right away and they had done some work on the SARS vaccine back in two thousand to two thousand three not knowing that the source was going to be able to be contained with mostly with mostly the isolation mekhmet methods but some of the preliminary work that was done there The the company or the molecular biologist substituted the new molecular sequences into the other work that had been done with the SARS vaccine and now this is what they're they're working with here now. Most vaccines are actually are actually grown in egg based okay at least typically influenza vaccines are the most And and other vaccines are done as well and and that enhances because the egg serve as the as the host for the virus life cycle that we went through at the beginning of this podcast here. So it's a efficient way to make large numbers of virus particles and large number of vaccine but the actual technical aspects of bringing the vaccine actually multiplying and make vaccine and getting the vaccine into trials. I'm sorry is beyond my my technical expertise at this time. That's completely fine. Let's let's get back into your area of technical expertise because obviously as well as a professor and the The university you and teacher you are a. You are a practicing medical doctor so well. What is your process if you if a patient of yours has suspected symptoms. I know there are tests wondering short supply and as a Sudden Matt. Triaging happened to happen right now. Sure so a lot of this is happening on the on the primary care side of things. Now we as infectious disease experts are. I wouldn't say we're not on the front line but we're not seeing you know patients Directly except for patients that might be in the hospital and be ill enough where we have to kind of generate what we call it differential diagnosis for their illness. And one of them certainly now is the is the new Corona Virus. But there are a lot of other a respiratory microorganisms. That can cause illness here so we can have common bacterial pneumonia. There can be. There's lots of influenza. That's going on in the community. There's other organisms called mycoplasma and Columbia. Which are kind of halfway between the viruses and bacteria that we talked about in my course that can also cause respiratory ailments so as an infectious disease. That practicing doctor now. We're more likely to try to help. The doctors Taking care of patients in the hospital sort through this what. We call differential diagnosis. For what the what the patient might have. And certainly. We're also a senator disease control and the State Department's Health departments have been trying to to send out information for the Journal public regarding what other symptoms of the new corona virus? One of the symptoms of the flu. One of the symptoms of rhinovirus or common cold and there are some small differentiating factors. That can help people try to figure out what type of element they have if they don't if they don't feel well so we're trying to help with that education process as well as infectious disease doctors. So what what are the main sort of different show? All the main differences in terms of symptoms that people should look out for to.
"dr barry" Discussed on Probably Science
"Also evident in certain parts of the Middle Eastern parts of the country. Now so what? Most people don't know that there are still small cases of Burns M E R S. That are out there. But anyway this this New New form of the corona virus. I we didn't know that it was a corner virus. We we had a pretty good guess after this first emerged in China a few months ago and then it was identified and relatively quickly based on the epidemiology and indeed they because we know a little bit about the molecular biology of the of the virus. We were able to actually able to pin down kind of a fingerprinting for the virus relatively early so take take us back to our question here So the current virus is the is the cause for the current current delicious? And the reason that this has been a relatively problematic and that's not necessarily predicted as the final outcome for my chorus is because the other corona viruses that were merged and SARS which had a mortality rates somewhere between fifteen and thirty percent Had a a an incubation period? That was somewhere between five to fourteen days and also it did not appear that individuals that had the virus but were not sick could actually spread the virus to other humans so with the identification of SARS and mirrors and with the initiation of implementation of social isolation but specifically quarantine for a number of days. The SARS outbreak in particular was able to be brought under control because it did not have those other conditions meaning. It was not transmitted before someone knew that they actually have the virus in the eight quote as symptomatic state and secondly because the incubation period tend to be a little bit longer in the five or fourteen days and this virus current virus seemed people can become symptomatic within a couple of days although the median duration of symptoms onset is still at five days. And sorry. Sorry I cut you off piece. There's one more factor that that's that's important to this particular virus again. This is being studied now. And we'll be studying for a long time to come. But the virus seems to have receptors that make it ideal to not only infect nose and the back of the throat but also seems to have receptors. That are a little bit more Able to navigate into the lungs so a variety of the symptoms that are associated with this particular corona virus are more likely to be cough and shortness of breath than necessarily a runny or stuffy. Nose that you might have with a typical cold just to clarify some terms from earlier incubation period refers to the time between contracting and being symptomatic or between contracting and being able to retransmit yeah it's usually referred to as the time between contraction and being symptomatic. Yes okay so this is something that you you've talked about. You talked about in the cool in terms of making a perfect epidemic. It needs to hit the sweet spot. Spits Wayne incubation period but also the fatality rate interestingly for it to be a really dangerous pandemic it can't be too high in to meet you talk about one of the reasons why Boa took wasn't as widespread and dangerous is because people die of it too quickly so it doesn't get passed onto as many people that's correct. That is true that we talk about the course and that is Again there's a there's a virus sweet spot involve several variables Including this incubation period the actual virulence itself but having a a death rate that is somewhere between influenza which is somewhere between a tenth of a percent and a half of a percent although in the nineteen eighteen influenza outbreak. It was. It was likely much higher than that. But having a mortality rate that hovers Under five percent allows the virus to spread and actually favors the transmission of the virus. I I've never quite understood. So what exactly is a virus in because it sort of seemingly less than a Criterium in that. It's it's not. It's sort of semi living. Not really living. It has to share living elements with the host. Okay so virus is a relatively primitive life form but yet primitive but deadly It has genetic material. That's on the inside. That's either deoxyribonucleic acid or DNA or aren. A and we won't get into the technical details of that but then often it's surrounded by an envelope which has a variety of a characteristics which kinda keeps the nucleic acid and the genetic content in the middle and then some viruses have a cap. A capsule in some viruses. Don't again the details of that are not important but we do believe that. The Corona virus is an enveloped virus and hence one of the reasons said alcohol hand gels for example in bleaches are relatively effective on the on the virus. I don't WanNa get too far off the subject here of what you're asking so a virus itself can't really go anywhere by itself. What it has to do is I'd tach to human or other cells and then it is able to gain entry into the cells via a variety of a physiologic things once the surface receptors are triggered. And then it goes into the host human cell and then it tricks the host human cell into feeling that it it's it represents its own DNA Aurigny and it turns on the host Cell Machinery and this leads to actually a reproduction of the virus. And not anything. That's that's beneficial to the to the human host. And then when it's when it's done replicating inside the cell it kind of knocks on the door and it has certain receptors that allows it to to get out into the blood and to spread. So it's really a perfect. It is a parasite if you think of a term parasite see movies with with something. That's called a parasite on a on a macroscopic base. Where you can visually see it or people seen worms and things like that. But this is a microscopic parasite is totally dependent upon what we call the host and the human doesn't have to be human host machinery of the cells to To survive and to propagate you touch to this. I'm more than happy with diversions. We go on diversions all the time on this show you talking about because it's an envelope It's thought to be an envelope Virus that does mean that these alcohol hand gels and I it seems to be relatively easy to kill albeit extremely hard to avoid the spread. So this thing sticking a virus can be spread multiple ways right through droplets through contact G. Do we know. Do we know how much we know so far about how it can be spread in house prevents? It's a good question here. So we know that it to their courses well about transmissibility as another important what we call virulence factor for causing a pandemic so Microorganisms are transmitted by direct contact by touching either one another or touching surfaces. Or what we talk about quite a bit in the courses something called the the fecal oral route and that sounds a bit disgusting but it just basically means that you're touching your own mouth and you may end up introducing something into your intestine and then when you're you know defecating the organism or microorganism can be picked up again as you're as you're doing that. I mean this is on a microscopic basis but Is a holiday is when a cholera is transmitted that way right? Cholera is transmitted that way. Yes yeah and and also a number of bacterial well cholera bacteria but other other things like Salmonella and Shigella and other Back a bacterial intestinal diseases are also transmitted by the fecal oral but there are viruses like hepatitis. A which is also transmitted by the fecal oral route. And but I don't like get off on the fecal route because that's not the major means of this virus spread it is is a direct contact and the contact can also be not directly. Because if there's a well let me get to the second mode of transmission here which is by droplets. So when even when I'm speaking on this podcast now I'm trying to generate my voice and I'm likely generating a small aerosol of very small particles that are traveling on the average a distance of three to the most six feet before these particles will drop and fall to the ground or fall to a table or fall to its surface so if if people are congregating within that six foot radius then they have a potential not by contact but actually to breathe in that aerosol directly into the nose and the back of the throat and the lungs and and and get the virus. If you're talking about a contact I should elaborate that the contact with one another or with a very surfaces. You have to actually touch your eyes or your touch your nose touch your mouth. And what we call inoculate the mucous membranes of the eyes nose mouth in order for the virus to get into the body so the virus is not going to say burrow through intact skin. Just because you touch something to get into the body and this is again why the the common sense of ice has been. Don't touch your face. Don't touch your nose. Don't touch your mouth. Which unfortunately as human beings we are prone to doing because humans touch their touch their face and touch their their their touch their face somewhere between six to twelve times per hour when people have done observational studies regarding this here so it's it's a hard habit to kick so that's spread is by the Aerosol route. The spread is by direct contact or the spread is by contact with a surface which then is touched and then inoculated into one of these the mucous membranes of the of the body again. The eyes the nose or the mouth now. One of the questions that might come up for from listeners is how long can the virus actually survive on inanimate surfaces? How long can survive on a table? How long can it survive on the floor? How long could survive on a grocery box delivered from the Grocery Store? And you know there. There is some information on that although and again this was actually published in the New England Journal medicine the last forty hours but the conditions by which they did the experiments where we're actually experimental so the exact answer is not out there but the the point is the virus likely can survive for somewhere between twenty four hours to five to seven days depending upon what surface it lands on depending on what the temperature is in the room depending upon whether there's any moisture that's on the surface and so so the virus can be transmitted by intermediary a type of objects and. Henson going to point out one that I think is is a pitfall that Fedex and united parcel services have picked up on in that all of our in our electric agents signing for pen signing for for groceries and on these electric boards now Those pens are perfect of vector for one touch another time picking up these things and then people touching their faces amounts. This is not the only one. But this is one of these hidden electronic devices which unfortunately I got a push email from Fedex and talked by..
"dr barry" Discussed on Probably Science
"Randomly Hey Everyone. Welcome to quarantine probably science again. I'm cushion here. We are here we are. We're still recording via skype. So when we get onto the actual main guest the audio quality will be a little bit patchy than we used to. We working out ways around right now to do three way skype. Kohl's that are recorded each individually at each end and Clara So you get better sound quality but in the meantime this is a bit of a makeshift system. Hope you're with us. Our guest for this episode is professor. Barry See Fox. Md He is both a medical doctor and a professor of infectious diseases and we found him because he is one of the course lecturers at courses plus one of the things I did. When this whole thing started was to look on great coaches and find out what they have in the way of infectious diseases courses and he the guy who teaches the class on this And so we reached out to our friends at the great closest plus the people who set up the sponsorship that they do with US said. Hey you could get in touch with this professor and see if he'd be willing to come onto the show and he said yes. So that's what we have and I hope you enjoy this corona virus. Special this episode with Dr Barry Fox. Yeah and I think we'll try to put more frequent episodes especially if they can be topical in this way because obviously everything's changing day to day so we'll get this out quickly and since everyone's skyping as well we love and all of our various comedy friends or a home as well. It's easy to organized logistics. We just I hate you. Fast hopping on skype right now and doing an episode with us. So hopefully we'll be a few more with our friends who normally too busy and successful to easily access levels level. The playing field a little bit. Didn't it would kinda got. It is all of our friends at currently sitting there looking for things to do. So we're going to hopefully bring us more episodes. Give you some stuff to listen to and enjoy well. You are also setting on your respective houses in your respective homes If you've got We'll do some regular episodes as well just recovering known corona virus stories And we're going to try and do some special episodes where we go into the specifics with various experts and people who have direct knowledge or information So this is one of those. This is Dr Barry Fox who is a professor of infectious diseases and and a practicing doctor and one of the lectures on the greatest plus And if you want to listen to any of the old watch any of the other..
"dr barry" Discussed on NewsRadio WIOD
"A little bit now Dr Barry Taff is kind of a rarity as I said at the beginning of the program a rarity in the sense that he's a man of science who investigates weird stop he's over four decades he's investigated more than forty five hundred cases of ghosts hauntings poltergeist studies conducted an extensive studies in telepathy and precognition is developed initial protocols and methodologies for what was later termed remote viewing he's consulted government and business and law enforcement CIA office of naval intelligence the NSA and a lot of other initial for folks with initials he's investigated cases that ultimately became movies and TV shows and day you're going to know some of them immediately when we return we get into the heart of it with Dr Barry Taff janitors is under attack in the invasion has begun war the world is now a new original series on epic starring Gabriel Byrne and Elizabeth McGovern when astronomers detected transmission from another galaxy it is definitive proof of intelligent extraterrestrial life mankind is all but wiped out by a devastating attack with only pockets of humanity left in an eerily deserted world the invaders hunt and kill those left alive leaving the survivors desk a burning question who are these attackers and where the hell bent on our destruction now ordinary people are forced into extraordinary circumstances as.
"dr barry" Discussed on KLBJ 590AM
"A little bit now Dr Barry Taff is kind of a rarity as I said at the beginning of the program a rarity in the sense that he's a man of science who investigates weird stop he's over four decades he's investigated more than forty five hundred cases of ghosts hauntings poltergeist cities conducted extensive studies and telepathy and precognition is developed initial protocols and methodologies for what was later termed remote viewing he's consulting government and business and law enforcement CIA office of naval intelligence the NSA and a lot other initial for folks with initials he's investigated cases that ultimately became movies and TV shows and day you're going to know some of them immediately when we return we get into the heart of it with Dr Barry Taff what interests is under attack in the invasion has begun war the world is now a new original series on FX starring Gabriel Byrne and Elizabeth McGovern and when astronomers detected transmission from another galaxy it is definitive proof of intelligent extraterrestrial life mankind is all but wiped out by a devastating attack with only pockets of humanity left in an eerily deserted world the invaders hunt and kill those left alive leaving the survivors desk a burning question who are these attackers and where the hell bent on our destruction now ordinary people are forced into extraordinary circumstances as invaders ambitions have only just begun in the world is no longer.
"dr barry" Discussed on Are You Real
"Different territories and the treasury is going to be exchanged between the both of us because the glory of a king is one of the glory of king is the abundance a how big is his treasury room that's why we don't have the right to curious spirit of poverty or spirit of an orphan because when a kingdom is really being being lived out all is left at the end of the day is extravagant abundance it has nothing to do with trying to get the money it's the byproduct of being something priceless and everything comes to you for value so that in itself is a big statement however when you have two kings in the same territory we're calling territory called earth on the fear call earth a territory that you've been designed to over it's not all where does the budget kings look at each other and regathering church insane oh yeah this is this is all the kings this is this is illegal no it's legal because in the king's protocol you always bring a gift wbt is always the exchange of wealth when we meet we should be as the wiseman did they brought things of value to a king they're going to give the abundance of what they are to another king there were there are things that we needed understand the protocol the reason we have such a hard time with this is because we ended democracy we're not we raised democracy we don't raise it a kingdom so we we question everything about the protocol but you unwind you understand the movement of it is extremely powerful that also it also gives you the privilege to understand that we don't take in consideration we pray for money rather than being from a kingdom where you're being supplied from kingdom that has lots of money we don't have money for taxes jesus when we ended do all my own my what we get to do any kind of i could see him looking like are you kidding me i have a treasury room it's not of this realm you are still.
"dr barry" Discussed on Are You Real
"Jesus is the prince of peace because he's lying in wait do bring the fullness of himself to earth that he can be the king of the earth again here's the issue is long as we are kings on the earth he cannot be the king of the earth because we're the representation of the kings of the earth so what happens is that makes him prince if in order for a prince has to wait for the king to be removed once the king is removed the prince has the right to take the throne as a cane so when he's referred as the prince of peace that means there's a king ruling somewhere that he's ready to take over if the king is removed or as allowed this kingdom come in annika's a king allowed in but a king is removed from particular rulership because i again i don't have time to break down what god is actually ton on earth because he's given us the earth steward the earth and in order to stewart maintain the image and likeness of him you have to be a king and the glory a king here's what it is people input in the context of not being confused with kings on earth more than it is exchange wealth with other kings when the queen is she became king solomon she brought the wealth and she wants to know if this cannot give another king we should with hilarity be so powerful in this this round called earth that we should be bringing the treasury room to out give each other that you wanna see how much abundance that this principles of the kingdom in the domain that you rule over we should be able to exchange we should have wealth wars not poverty wars where we're trying to break poverty but we are so abundantly blessed by the principles of the kingdom because we take into minion over a domain that god gave us to rule on that i should from the business mountain come to the medium i'm going to bring all the wealth i got i don't wanna see if the king of media king can actually out give the kingdom of business it's not that there's too you can have two kings same territory there representing two kings from to.
"dr barry" Discussed on Are You Real
"So the question that i get all the time is okay if that is true than how do we all exist in the same territory called earth as king's yes that's a great question so first of all you have to understand what kingdom is it's a king and his domain the king dome means domain mean that god has placed everyone of us on this earth to rule over a particular domain now for instance if you are in the media mountain in i am in the business mountain we are on the same speier called earth but our domain is different in so yes there are multiple kings and there's thousands of kings on this earth in the form of who we are in the image of him but we do not rule the same territory we have the privilege to bring the influence or the blueprint of what heaven looks like in the business arena so if i'm a businessman and i meet with you there's no violation of kingdom protocol because the territory that we own is different it's it's to king if you will let me put to you this way when kings come together they exchange information and the exchange wealth that's what they do but you cannot have two kings in the same territory with the word their territory means is that you cannot have two kings that are beyond the same business mountain in column they both calling their territory meaning if you're gonna have a business your business is going to be if you're going to be the ceo or the king of apple there's not going to be two kings of the apple company there's no two kings of the ibm industry there's one there's only one king of england you can have two kings of england is not going to happen you can have princess and this brings up a very interesting point because you understand that jesus refers to himself as the prince of peace.
"dr barry" Discussed on Are You Real
"The issue of kingship i feel is what is really restricting the church in america from being able to affect culture in an effective way i know that you know you have the orphan spirit going on and people you have the poverty spirit going on people you have slave ship mentality going on people in kingship fixes all of those things because when you understand your king you understand the bloodline that you come from you understand that she were the one who was governing rather than being governed you understand that wealth is apart should be a natural part of who you are absolutely you mentioned how the political spirit and the religious spirit like to team up and in order to push through the agenda of the kingdom of darkness and you just so lightly touched on that when it's such a deep a strategy of the enemy and a powerful truth to understand could you bring some more light to that absolutely one of the things that so powerful to me is when you say governmental look at it again because god one man to represent to represent a government so the kingdom of darkness copied that so so immediately which you begin to realize that the spirit realm is a higher authority so what the enemy does especially in the process of of jesus going to the crosser through the cross the political force united with religious force and what you begin to find out is if they're always take note of what happens to jesus in the forces that arises to try to overcome him because when you see the regional quote unquote confrontation when jesus was being led into the willingness by the spirit the holy spirit led jesus right to the political figure or wack and say is the king of darkness there's the kingdom of darkness right there is the political by say that that means that governmental the the wares of his kingdom the agenda of his kingdom jesus was confronted i in the unseen realm of king of darkness.
"dr barry" Discussed on Bulletproof Radio
"Use it all that's what i love about energy is that you get into your groove soul that just like your child it becomes natural for you go i wanna go to bed because tomorrow is gonna be a great day so so what's the next evolution of these energy practices they've been volving and practice for five thousand years and now you've sort of taken them out of the monastery and put them into first time into thinking about his he didn't writing down i didn't writing down the whole time they're all this was brought because it was grilled in step by step and you couldn't have gotten through the different attainment levels unless you were able to actually manifested each one of those levels which i know when you go see shame and south america are you see the psychic healers in philippines all places i went and actually stay with him long before i went got to make the china they make a big deal about that but i think your life is a big deal i think your relationship with your family's a big deal i think your your contribution of love and kindness and prowess is a big deal and nobody taps it maybe you hear stories that there was somebody who really showed up in an emergency you know some child was gonna fall in the water and they they caught the most when they woke up this is about waking you up gently and having you return to your real total self and it just keeps expanding would a person be a master it's up to them but you could be a master in making your income go from four figures to seventy eight figures we've had number of people been able to do that over the years you can be a master in art and never learned any painting i think everybody has their own interests a master and taking care of your kid.
"dr barry" Discussed on Bulletproof Radio
"Let's say some of the people were at my camp and in the movies are very successful in martial arts and have been been heralded as like the number one artists come from china are we about to lose this practice if there's only twelve people left two grandmasters and there aren't structured programs to build the next generation of this is the last gasp of this kind of energy the energy will always be there but this practice of managing it well i have this opportunity available for people so i just decided to enjoy where you live in british columbia and sit out there in the forest and just in just taking all the wonderment of life it's all here i've run it back no one has to like starve on a mountain or freeze the death in glaciers and stay in the freezing cold water until the grandmaster says okay you can get out now and you're you know and then when you go well i guess i don't need all my winter clothes that i was worried up here because now i was warm enough in there and then you start to learn you adjust all that's in the videos that i've created that are brought back all the audios in apps so that physical we've got it all recorded for people so you can get it all straight from there you don't have to get you i you don't have to go to the mountain nor could you go there nor could you pay him too because he wouldn't have always say to me he said look this practicing you're learning nfs it's not for sale and plus there's no price on it because i have to give it to you for you to get it or at least guide you so you can start pulling in all these videos and audio so we've got will guide people if i'm not even here but even if i did all the videos and all the audios you'd be phenomenal but i wouldn't be at your level of attainment how do you know i'm just asking the question now all the great scientists and all the great athletes that i've worked with over the years of doing this here openly i guess i i was only doing it in my office for wanting to test it with every age group and every ethnishity and found that it worked with kids.