Against the Grain with Dr. Chad Edwards | Oklahoma Prolotherapy | Podcast 5 – Part 7

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Against the Grain with Dr. Chad Edwards | Oklahoma Prolotherapy | Podcast 5 – Part 7

Brian: That’s going to be another show, what you’ve seen in the ER. A whole show, maybe two shows. That would be great.

Chad:  It’s good stuff. Fascinating place to work. I love the emergency room. I really do. I love the emergency room.

Brian: We should actually talk about the dynamics of an emergency room and how it works. I’m dead serious because … No pun intended, dead serious, because I think the emergency room is one of those places that when I go to the emergency room, my finger has been cut off and they tell me to wait in the waiting room. I need to better understand how that all works.

Chad: Let’s do it. Maybe we’ll do it really soon.

Brian:I’m bleeding and my finger’s off and I feel like it needs to be put back on now, but the doctor’s like, “No. We’ve got someone else.” I just want to understand the dynamics.

Chad: I get it. We’ll do that soon.

Brian: We’ll do that. Okay.

Chad: Yeah. Where were we?

Brian: I don’t know. When you worked in the ER, you saw …

Chad: Okay, so this is my HIPAA compliant story. This lady, she comes in at the very beginning of the shift and she came in, and she had a cough. She had no fever. She had no other problems. She had a cough. Now, she felt bad because of the cough but she was in her 60’s, clearly affluent. I think she had some social expectations, like she was kind of a highfalutin kind of thing. She came in and she said, “I’ve had this cough.” I did my medical exam. There was absolutely no negative physical findings. Everything was completely normal on her. Her vital signs were completely normal. Everything was normal, but she had this cough.

She was afraid that she had bronchitis. Maybe she did, maybe she didn’t. I think we even did blood counts and those kinds of things, which again were all normal. This qualifies as an upper respiratory type infection. There’s no good scientific evidence to support the use of antibiotics in these kinds of cases. Then you have the potential for all kinds of other things. I said, “Everything looks normal to me. We can get you some medicine for your cough. We’ll try to make you more comfortable.” She was like, “Well, I need an antibiotic.” I said, “There’s no scientific evidence to support the use of antibiotics in this.”

Brian:  How many times have you had that conversation?

Chad:  Oh my goodness, until I’m blue in the face. There is a major push, by the way, to limit the use of antibiotics, governmental agencies like CDC and those kinds of things, because we over-prescribe antibiotics and it’s leading to the emergence of multi drug-resistant bacteria. This is a potential major problem. We should probably talk about that in a future podcast, too.

Brian:  Yeah, I’d love to. It’s all over the news. I think it’s a great topic.

Chad: We need to minimize and save these antibiotics for when it really matters, and your cough, will all due respect, does not matter. You’re going to get over this in a few days regardless of what we do. If it progresses and gets serious, now that’s a different story. Now we’re dealing with a different scenario. I politely told her there’s no evidence to support the use of antibiotics and she said, “Well, my doctor would give me an antibiotic.” I just had to laugh. I just had to chuckle. I was like, “Well, ma’am, I’m sorry but you’re in the emergency room. Your condition is not a true emergency. We will do the best we can to treat you, but if you don’t like your care and you want the care that your doctor would give you, then perhaps you should have seen your doctor.”

Brian: Nice, very passive aggressive. Very passive aggressive, but I like it. I like it. [crosstalk 00:42:11] Did she buy the hospital and fire you?

Chad: She threw such a stink, I was like, “Fine. I’ll give you erythromycin.” Now erythromycin is the category of drug that I would have chosen for that kind of case. I ended up giving her erythromycin. The side effect that can come with that is some gastrointestinal upset. The nurse came back and said, “She can’t take erythromycin because it upsets her stomach.” I was like, “Okay, so you’re asking for a …”

Brian: Sounds like a peach of a lady.

Chad: I was like, “You’re asking for a very specific antibiotic? You want what you want.” I don’t think I’ve ever said this to a patient, but I really wanted to say if you know what you want, or if you want to be able to prescribe yourself this, then maybe you should go to medical school.

Brian: I hear you can do it online. It’s fairly easy.

Chad:  Yeah, just with enough Cheerio box tops. You’re good.

Brian: Right, you’re good. It baffles me, people who talk about … It’s actually an epidemic. I would call it an epidemic, as an MBA, not an MD. My observation of what expert means in the health industry these days blows me away. You have all these nutritional companies and network marketing companies that you would be more than qualified to speak to, given that you have a very good comprehensive understanding of the body and how things affect people. If you step back and look at it, it all comes back to where we’ve started with the Tamiflu, and that is people aren’t making buying decisions based on facts. In fact, they’re making buying decisions from supplement companies and people that they know that don’t even have a nutrition degree or any background in nutritional supplements or medicine at all.

I think capitalist guys like me, guys that are looking for a profit, have taken advantage of that. You have hospitals that cater to lifestyle. What the heck do we know about medicine, but we’re going to make you feel really good when you come here. I think we can name a few.

Chad: I’m all for that.

Brian: Yeah, there’s nothing wrong with that, but it can’t be absent of science. There’s a universe in which both can exist. Right?

Chad: That’s right.

Brian:  I think that’s what you’re passionate about.

Chad:  Exactly.

Brian: Right, getting down to the science in a manner that makes the patient feel cared for and loved. Right?

Chad:  You got it.

Brian:  You have both. You’re doing pretty good, buddy.

Chad:  I try.

Brian:   Look at you. You know, Chad and I knew each other in college. I will say that this guy is extremely smart, always has been, has had a passion for medicine since I knew him. My gosh, Chad, it’s been a long time since we’ve been in college.

Chad:  It’s been a minute.

Brian:   It’s been a minute. We’ve been through a lot. We’ve been through it. That’s the end of our show today. We appreciate everyone listening. Stay tuned for the next podcast.

Chad:   The flu shot. It’s going to be a good one.

Brian:  The flu shot is going to be a great one.

Speaker 2:  Thanks for listening to this week’s podcast with Dr. Chad Edwards. Tune in next week, where we’ll be going Against the Grain.