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View count:7,940
Likes:196
Dislikes:11
Comments:33
Duration:16:44
Uploaded:2016-03-16
Last sync:2018-05-08 23:00
Our internet was very unreliable today--sorry! We're drilling a hole through the floor this week to connect ourselves to an ethernet jack to hopefully cut down on the skipping for next time.

Here's a master list of questions we've asked in the past: http://ow.ly/Zy7W6

Next LIVE Show (Mar. 30): https://www.youtube.com/watch?v=7hzTV3bbjPU

0:59 Amber necklaces? I have a few a friends recommending these for our teething child. I keep thinking choking and strangulation hazard. Thoughts?
2:35 In The Martian, Mark Watney survives for a long time on just potatoes, water, and vitamins. Probably not a great idea, but is it possible? How long before you'd run into major medical issues?
3:33 How do you know when to have a mole checked out? Is it better to get a suspicious mole checked out sooner or can it wait?
4:19 I see quite a few questions on HTC Live starting with some sort of diet, drink, supplement, or activity, and ending with the question: is this thing better for me? AC seems to unerringly answer these questions with no, because there are no studies linking these things to positive differences in health outcomes. My problem is that I think these people don't really want to know how these things affect disease and death which are measurable health outcomes, but more difficult metrics like mood, comfort, and energy. These things are a big part of how we actually feel on a daily basis, but is there any way to actually study these things and what decisions have an impact on them? If there was, would we be less susceptible to all the products that claim to make us "feel better"? I would love to see this addressed on an HTC Live.
7:55 Does Neosporin actually speed up healing and/or reduce scarring for small wounds?
8:52 I'm learning about health care and systems in the states. I know that the creation of Medicare and Medicaid had an enormous impact on hospitalization rates in the U.S. (more old people/those in need acquired paid access), which also set the basis for reimbursement rates. These high reimbursement rates fueled the rising cost of health care in the US. Could you help me understand reimbursement rates and it's connection to health care / cost of care for hospitals? Thank you!
10:10 I contracted chicken pox at the age of three weeks consequently I have never received the vaccination... recently there was some concern that my immune system being so young hadn't created the normal immunities a child gets from chicken pox, and that there could be a risk of contraction again. Should I be concerned, I don't think so but as we say on HCT "TO THE RESEARCH!"
10:26 Is cancer hereditary? Specifically skin cancer. I understand that one may pick up on some bad habits from one's parents, such as not wearing sunblock, but is there something passed on genetically?
11:02 What is the research on saturated fat? Is it actually bad? Or are certain forms bad? At what amount would it be detrimental to health?
12:09 Brushing your teeth only once vs. twice. which is better any research?
13:25 What is the true likelihood of me giving a baby whooping cough if I am not up to date on my TDAP vaccination?

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(Intro)

I'm told I'm on.  I'm just Tweeting it because nothing is real unless it's been Tweeted.  And now it has been Tweeted.  Yay!  We apologize for all the issues last week besides my being like, at death's door, I apparently also infected the equipment and it wouldn't work, so we'll try again and hopefully you're all watching this week.  Thank you so much for tuning in.  HCTMerch.com.  Right?  Yes, yes.  'Cause we'd love for you to buy a mug or poster.  Go support us on patreon.com/healthcaretriage.  We're already late, I'm just gonna start.

Amanda Treadwell asks, "Amber necklaces?  I have a few friends recommending these for a teething child.  I keep thinking choking and strangulation hazard.  Thoughts?"  

My thoughts are, you are correct.  Why?  Why?  So amber necklaces, evidently they're these, like, they make like, they put the beads on necklaces and kids are supposed to chew on it and evidently it's the chewing on it, it's supposed to release enzymes or compounds or something, oil, something that's supposed to soothe--why?  No!  No, no, no!  No, first of all, it's like, would you--do you really want your kids gnawing on stuff and just getting whatever seeps out of it?  That doesn't seem like a good idea, plus this is a monster choking hazard.  You know, like, they get, they manage to chew off one of those beads or pull it off and they're gonna choke, or, you're right, they got a necklace on and they could strangle themselves.  It's like, we don't even want a blanket in bed with babies, 'cause we're worried, but you're gonna give them like a choker with little choking hazards on it?  That's insane and why amber?  

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I mean, if your kid's in pain, talk to your doctor.  We have medications for that.  You know, I'm not suggesting children should be in pain, you know, and sometimes, we used to just have them gnaw on frozen things, 'cause the cold makes their teeth feel better.  I know I'm stealing this from a comedian, I can't remember which comedian, but we used to like, give them frozen waffles and the joke was like that the, that the indentations are like natural drool cups to catch the drool, but regardless, no on the amber necklaces.  No, no, no, no, no.  Do something else that's reasonable.  

Amanda--I apologize, I'm still getting over my flu, it's rough.  Amanda Cook asks, "In The Martian, Mark Watney survives for a long time on just potatoes, water, and vitamins.  Probably not a great idea, but is it possible?  How long until you'd run into major medical issues?" 

So, from what I gather, the author of that book did a lot of research to see, to make this as realistic and believable as possible and he, I know he actually like, talked to botanists and stuff, so I'm gonna guess that whatever Mark Watney did, it's possible to survive.  Of course, survival is not the same as, you know, happy living.  He prob--I'm gonna guess that the vitamins took care of, like, whatever like, you know, acids he certainly needed or whatever else was extra.  You know, the potatoes would work as a source based on everything else and maybe given enough carbs, you get through.  I don't doubt by the time you get off Mars, you know, he was suffering, but people starve all the time and at least he was being fed and had some vitamins and water and so I think it's possible. 

Hotrhetoric asks, "How do you know when to have a mole checked out?  Is it better to get a suspicious mole checked out sooner or can it wait?"  

If you're asking me, you should have it checked out.  It seems like a good rule of thumb.  If you're worried, then ask.  The, you know, best case scenario is that your doctor's gonna look at it and be like, no, don't worry about that.  On the other hand, it might be concerning, so I would not wait, you know, get it checked out.  Again, checked out is the baseline.  I'm not saying get it biopsied.  I'm not saying get it scanned.

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I'm not saying run labs, but you should have at least a doctor look at it, or healthcare provider look at it. And especially I would never tell you to wait considering that I've never seen it and I don't know anything about your history or what it looks like, so you shouldn't be getting advice from YouTube anyway. You should be getting advice from real healthcare professionals we say every week. Do that!

Leah78 asks a book here, that I'm gonna summarize. "I see quite a few questions on healthcare triage live starting with some sort of diet drinks, supplement, activity and ending with a question 'is it better for me'" at which point I seem to always answer the questions with "no" cause there are no studies linking those things to positive differences in health outcomes.

Leah78's problem is that he thinks or she thinks people don't want to know always about health outcomes but mood, comfort, energy, you know softer outcomes and things like that. Then that, maybe you'd be less susceptible to all product that claim to make you feel better you want to see this addressed.

Look, most of the time I'm addressing the hard outcomes of health because that's the promises that are being made. And if that's the promises that are being made I'm going to investigate them. For instance when I drink hot tea it's not because Lipton has put an ad out saying it's gonna cure my cancer, or it's gonna improve my diet. It's that I like hot tea and it makes my throat feel better and we don't need a study for that because there's no harm, it's just you're going to do it if you like it, and it costs like pennies, and that's awesome all the way around.

My problem with all these supplements and diets and drinks and activities is that they're promising the moon. They're not saying "hey, you know buy this acai berry because it tastes good" or "because you know what if you like it and you drink stuff you like you might have a happier life" that's not what the ad says.

The ad talks about your antioxidants, and your risk of cancer, and improves brain health, and you're gonna be smarter blah. None of that is true none of that is improving. So, low level stuff like "it's gonna improve your mood", "it's gonna, you know, give you some energy"

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Yeah, yeah, coffee, this improves my energy. But it's not marketed as like a magic "whoo" kind of solution, it's caffeine. It works.

And I know exactly what I'm doing and I'm paying exactly the market value for what I think it should be, and I'm overpaying because I went to Starbucks. You know you could go and get this dirt cheap and still get your caffeine. So, that's the problem.

So... and there not going to be those studies because that's not what they are trying to market on nor is anyone disputing this. Always we should be weighing the harms, we should be weighing the benefits. And if the benefit... and the harms are negligible, like none.

Like it's a beverage, it's not going to harm you. We know exactly what's in it, there's nothing wrong with it. And the cost is low, because even the economic cost can be a harm.

If there's no harm, then any benefit you might get from it – even if it's a personal "I like the taste" benefit – is going to outweigh the harms. Go, do it.

I like somethings... I like Scotch, and it can even cost like 40, 50, 60, 70 dollars a bottle. I'm willing to pay that. But there's no ads out there telling me it's gonna make me healthier or promising any kind of things.

I just like it and I'm willing to spend – which is the harm – money on it because that's what it's for me. And I'm not gonna sit here and preach that you should do it, cause I don't know if you'll like it. But you know if we're talking about just like local personal mood, comfort, energy things like that, we don't need a study.

You know what works for you, you know what you are willing to spent for it. That's where it starts and ends – if there's no harm. The problem is when they make this claims about gross benefit for everyone. That's where it gets into problems. And that's what we are trying to dispel here on...

...these are different parts or pigskin because it most naturally mimics human skin. And then, they leave some empty

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they use some Neosporin, they use some hydrogen peroxide, they use some other stuff.

Neosporin actually results in quicker healing, and better scar, and everything sort of better overall than doing nothing. Because it's better to keep a would moist and covered, and Neosporin helps with that.

It also has, you know, antibacterial properties cause it's got antibacterias in it, so it's gonna help you in that respect as well. So, yes, now like "so much so that you're gonna notice monster differences" and I said "every cut has to be covered in Neosporin," no.

But, you know, if you're gonna cover it, and if you're gonna, you know, cover it with Neosporin to keep it sort of moist and covered and then cover with a band-aid that is the way to sort of achieve optimal wound grow... optimal wound healing. You could do that with things other than Neosporin as well. Aloe seems to work with burns and some other things you can do as well, but Neosporin is good.

Derekzoo "Learning about healthcare and systems in the United Stated and now the creation of Medicare and Medicaid had an enormous impact and hospitalization rates in the U.S. which also increased reimbursement rates. Could you help me understand reimbursement rates and it's connection to health care costs or hospitals" and all this other stuff.

So, this is such a big question we could spend hours on it. So, yes, Medicare when it was first passed it was demonised by the AMA and many other groups because they thought it was a government  takeover of healthcare.

They even got Ronald Reagan to produce this like – I guess it's like a podcast that you would call these days – it was these ads that people would play you know on... there was a record and it talked about how it was the end of days (?~9:35) end in Doctor salaries in the 70s and 80s, and you know now that we are trying to slow that down it's still... we still do an enormous amount of spending in healthcare and Medicare... Medicare and Medicaid, some of that is on reimbursement rates, but it's not entirely on reimbursement rates and it is complicated.

And as they've tried to slow reimbursement rates in Medicare doctors are savvy as are most people when it comes to economics and they've increased their volume

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