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>>> WELCOME BACK TO WELLNESS WEDNESDAY.
WEDNESDAY. OUR DOCTORS ARE BACK WITH US TO
ANSWER YOUR SPECIFIC HEALTH AND
WELLNESS QUESTIONS.
WELLNESS QUESTIONS. PLEASE WELCOME DOCTOR ALAN
ZANDER -- ALEXANDER CHOW,
DOCTOR CHOWDHURY AND DOCTOR
CHRISTINA BRECHT FROM AESTHETIC
REJUVENATION.
REJUVENATION. WE APPRECIATE YOU BEING HERE.
LET'S TALK ABOUT THE STIGMA FOR
PEOPLE WHO HAVE HEPATITIS C AND
HOW THAT SOMETIMES KEEPS THEM
FROM EITHER GOING TO THE DOCTOR
OR TELLING THEIR DOCTOR AND
WHAT WE NEED TO DO ABOUT THIS.
>> I THINK THIS IS A BIG ISSUE
BECAUSE WE HAVE SUCH GREAT
TREATMENTS NOW BUT IF PEOPLE
AREN'T COMFORTABLE TALKING TO
DOCTORS ABOUT THE SCREENING
TESTS, THEY ARE NOT GOING TO BE
IDENTIFIED.
IDENTIFIED. OF THE 5 MILLION AMERICANS THAT
HAVE HEPATITIS C, ONLY ABOUT
HALF KNOW IT.
>> THIS IS BECAUSE WE ARE
AFRAID SOMEONE WILL MAKE AN
ASSUMPTION ABOUT HOW WE GOT IT,
NEEDLE USERS OR WHATEVER BUT
THE DOCTOR JUST WANTS TO HELP.
>> I THINK IF YOU HAVE A GOOD
RELATIONSHIP WITH YOUR DOCTOR,
THAT'S THE BEST BUT IF YOU ARE
EMBARRASSED ABOUT POTENTIAL
BEHAVIORS IN YOUR PAST, YOU CAN
STILL ASK FOR THE TEST BECAUSE
YOU HEARD THE CDC OR THE U.S.
PREVENTATIVE TASK FORCE
RECOMMENDS BABY BOOMERS GET
SCREENED.
SCREENED.
SCREENED. >> TATTOO NEEDLES.
IS THERE A RISK?
>> NOT IF YOU ARE GOING TO A
LICENSED SHOP.
LICENSED SHOP. THE RISK IS REALLY FOR HOME
TATTOOS AND WHOEVER IS
ADMINISTERING THE TATTOOS NOT
USING STERILE EQUIPMENT.
>> SO DON'T GO TO YOUR FRIEND'S
GARAGE FOR A TATTOO.
LET'S TALK ABOUT STROKES.
YOU MENTIONED ASPIRIN, YOU
MIGHT TAKE IT AFTER YOU'VE HAD
A TIA OR STROKE.
WOULD THAT BE A PREVENTATIVE
THING PEOPLE SHOULD DO?
>> IT'S A GREAT PREVENTION TO
PREVENT YOURSELF FROM HAVING A
STROKE.
STROKE.
STROKE. I
STROKE. I DON'T WANT YOU TO TAKE IT IF
YOU THINK YOU ARE ACTIVELY
HAVING A STROKE.
15% OF STROKES ARE THE BLEEDING
TYPE AND IF YOU TAKE A BLOOD
THINNER YOU'VE MADE IT WORSE.
WE CAN TELL THAT UNTIL YOU GET
A CAT SCAN.
>> THE BOTTOM LINE IS JUST CALL
AN AMBULANCE.
AN AMBULANCE. >> CALL 911.
>> AND KING COUNTY HAS A COOL
THING WHERE THEY WILL TAKE YOU
TO A HOSPITAL FOR SPECIALIZED
TREATMENTS.
TREATMENTS. >> KING COUNTY'S VERY
PROGRESSIVE NATIONWIDE AND HOW
IT DOES TRIAGE FOR CENTERS THAT
CAN HELP THEM.
AND NOT JUST HELP THEM ON A
SUPERFICIAL LEVEL BUT WITH THE
LATEST TREATMENTS, SO KING
COUNTY WILL TAKE YOU IF YOU
HAVE A STROKE OR THEY THINK YOU
ARE HAVING A LARGE VESSEL
STROKE TO A CENTER THAT CAN GO
IN AND FISH OUT THAT BLOOD CLOT
IN ADDITION TO THE MEDICATIONS.
>> THAT'S REALLY COOL.
THAT'S FAIRLY NEW?
>> CORRECT.
>> CORRECT. IT STARTED IN JANUARY OF THIS
YEAR.
YEAR.
YEAR. >>
YEAR. >> IT GIVES YOU -- GETS YOU
TREATED FASTER.
TREATED FASTER. WHY AREN'T WE DOING THIS
EVERYWHERE?
EVERYWHERE? >> GOOD QUESTION.
>> OKAY.
>> OKAY.
>> OKAY. THAT'S FINE.
THAT'S FINE. STROKES AND HEART CONDITIONS,
IS THERE A RELATIONSHIP BETWEEN
THOSE?
THOSE?
THOSE? >>
THOSE? >> THERE IS.
IT DOESN'T AFFECT JUST ONE PART
OF THE BODY, IT AFFECTS YOUR
WHOLE BODY.
WHOLE BODY. PEOPLE THAT HAVE HEART DISEASE
PROBABLY SHOULD GET THERE
CAROTID ARTERIES AND THE NECK
LOOKED AT AS WELL AS THE BRAIN
ARTERIES.
ARTERIES.
ARTERIES. >> THIS HAS MADE ME WONDER FOR
YOU, WHAT DO YOU LIKE TO SEE
WITH PEOPLE BEFORE THEY UNDERGO
AN ELECTIVE PROCEDURE?
>>
>> I
>> I HAVE
>> I HAVE A PRETTY EXTENSIVE MEDICAL BACKGROUND.
MEDICAL BACKGROUND. I AM ABLE TO SCREEN A LOT OF
THINGS BUT THEY SHOULD BE
HEALTHY BEFORE THEY COME IN.
BECAUSE I DON'T DO THE
SURGERIES UNDER GENERAL
ANESTHESIA, THEY DON'T NEED
SOME OF THE MORE VIGOROUS
WORKUPS LIKE A CHEST X-RAY OR
AN EKG NECESSARILY.
WHATEVER THEIR MEDICAL ISSUE
IS, THEY JUST NEED TO BE STABLE.
THE ANESTHESIA I USE IS LIKE A
BIG LOCAL.
BIG LOCAL. YOU CAN THINK OF IT LIKE IF YOU
ARE GOING TO REMOVE A SKIN
LESION, WHAT MEDICAL SAFETY DO
YOU NEED WHEN YOU REMOVE IT?
ESSENTIALLY THE SAME EVEN WHEN
I'M DOING A TUMMY TUCK OR
BREAST LIFT.
BREAST LIFT. IT'S THE SAME SAFETY MEASURES.
>> HOW DO YOU MEASURE THE OTHER
SIDE OF THIS?
THE EMOTIONAL OR PSYCHOLOGICAL
SIDE OF WHY PEOPLE WANT
SURGERY, WHAT THEIR
EXPECTATIONS ARE NOW GETTING
ALL OF THAT.
>> THAT'S A WONDERFUL QUESTION
AND IT'S VERY COMPLICATED.
CERTAINLY, THIS IS SOMETHING
SPECIAL ABOVE AND BEYOND.
IT'S A HUGE BOOST EMOTIONALLY
FOR A LOT OF PATIENTS WHO MAY
BE FELT UNHAPPY WITH PART OF
THEIR BODY.
THEIR BODY. IT BOOSTS THEM TO EXERCISE, TO
WANT TO MAINTAIN THE RESULTS
AND MAKES THEM FEEL EMOTIONALLY
HAPPIER.
HAPPIER.
HAPPIER. IT'S PART OF THAT OVERALL
MEDICAL WELL-BEING.
MEDICAL WELL-BEING. IF THAT IS THEIR OBJECTIVE,
THAT IS AN AMAZING REASON TO DO
IT.
IT.
IT. TO
IT. TO JUST HOPE -- HELP WITH
OVERALL WELL-BEING.
OVERALL WELL-BEING. >> IF SOMEBODY COMES INTO YOU
AND SAYS I NEED TO DO THIS
BECAUSE I'M AFRAID MY MARITAL
BREAKUP IF I DON'T, WHAT DO YOU
TELL THEM?
TELL THEM? >> THAT IS VERY CHALLENGING
BECAUSE NO SURGERY OR MEDICAL
TREATMENT CAN HELP WITH THEIR
PARTICULAR RELATIONSHIP.
PARTICULAR RELATIONSHIP. I STILL LISTEN.
I WANT TO HELP THEM.
I WANT TO HELP ADJUST THEIR
EXPECTATIONS TO WHAT THE
SURGERY CAN DO FOR THEM AS AN
INDIVIDUAL.
INDIVIDUAL. HOW IT CAN MAKE THEM BETTER
INDIVIDUALLY.
INDIVIDUALLY. WE DON'T WANT THEM -- THEY
DON'T NEED TO LOOK LIKE
SOMEBODY ELSE.
SOMEBODY ELSE. IT'S A POSITIVE THING BUT
MAKING SURE THEIR EXPECTATIONS
ARE JUSTIFIED.
ARE JUSTIFIED. >> YOU GOT A COMPLEX JOB.
>> IT'S VERY COMPLICATED BUT
IT'S WONDERFUL.
IT'S WONDERFUL. >> YOU ALL DO AMAZING THINGS.