Deacons Discussions Drinks
Deacons Discussions Drinks
#22 - Dr. Ryan Stanton MD - COVID19 and more.
The Deacons sat down with Dr. Ryan Stanton, MD on Friday evening. Dr. Stanton is a board-certified emergency physician and has 28 years of TV, radio, and print experience. Ryan is the doctor behind several popular Facebook pages. He has not only worked as an ER physician at Baptist Health, but Ryan also works with AMR/NASCAR as a Team Physician and with WKYT as a Medical Expert/Contributor. We had a great time and we can’t wait for you to listen and give us your feedback.
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Did you ever stop and think, well, I spent too much time just getting ready I don't know a single thing that I haven't noticed. When I see you my heart starts racing. I don't know if
Unknown Speaker :it's the same thing my head start shaking.
Unknown Speaker :But this time, this
Tim Stout :Today is September 11 2020, Friday. 23rd week in Ordinary Time, and you are tuned into deacons, discussions and drinks
Unknown Speaker :so much that
Unknown Speaker :when I see my heart starts racing with the lightning round it's the same for my hand starts shaking
Unknown Speaker :but this time
Tim Stout :Good evening, everybody and welcome to another episode of deacons discussions and drinks. I'm diggin Tim Stout Deacon Dallas Kelly. I'm falling when and yes, we're back after taking a week off. We're back in the studio with cardomom. And we have Dr. Ron Stanton. In our house. Hey, Doctor, good. Welcome to the show.
Dr. Ryan Stanton :Well, I appreciate it. Thanks for bringing me in.
Tim Stout :Obviously, this time of global pandemic, doctors aren't that busy or,
Dr. Ryan Stanton :interestingly isn't actually turned down. They mean we lost 60% of our volume in March in April. So it we are actually just now getting back to our usual business.
Tim Stout :Crazy, crazy. You never thought that during
Dr. Ryan Stanton :during a pandemic that doctors and nurses would lose their jobs and get furloughed and pay cuts and all those things like that. It's like Welcome to the Welcome to the pandemic. Well, that's your supply chain, right.
Tim Stout :So, just on these mics, I had to remind these guys all the time, just get closest you feel comfortable to
Dr. Ryan Stanton :I'm just gonna speak loud enough that I'm on one of y'all mics to
Tim Stout :No, don't do that. So I'm going to do an intro of what? What of the education that I've learned from you and then I'll let you do your own country. Okay, so board certified emergency physician at Baptist Health Lexington 28 years TV, radio and print. Work with election fire department and city Lexington. Work with NASCAR Amr safety team there, which is pretty cool. I'll hopefully talk about that. President Officer of all kinds of different medical organizations past present, I guess and graduate of East Tennessee State University home of fill in the blank.
Dr. Ryan Stanton :Well, the Buccaneers as well as one of the best country music artists of all time. Kenny Chesney and I actually took Guitar Lessons my fourth year of college from the same guy that taught him I did not pick it up like Kenny does not on the back of the book, the book they use for education.
Tim Stout :I had Kenny Chesney, that was the Number one alumna of East Tennessee so well, that
Dr. Ryan Stanton :is definitely the number one alumni. Can you name another one? Well, we've had a couple of Well, I was the general, we had a really, really high ranking general that was there. That did a lot of things. Now, interestingly, I was there forever, but my dad was president for 15 years. Oh, of the university. Oh, wow. Yeah. So that's one reason I'm up here is because I couldn't do anything out there in East Tennessee without being
Tim Stout :a son, Paul Stanton. So that's, that's a good reason. That's a good reason to leave for sure. Sure. And when the other famous alumni that I saw, because you know, everybody likes to dreams, the TV, the movie, Kevin Costner, his brother in law, Timothy busfield is a graduate of East Tennessee
Dr. Ryan Stanton :Okay, you could have you could have hung me on said you are going to die if you don't get this one and i would i would not make
Tim Stout :so that would have been you. We also have a survivor contestant. Yes, we do have it. Yes,
Dr. Ryan Stanton :you can. And actually, it's not surprising because we're up there in the mountains. And so it's a beautiful place a lot of outdoor activity. Everybody around here says, Man, there's a ton of lakes around here. And I was like, are you kidding me with the TV I lived within I had five lakes in 30 minutes. Like if I had a couple of extra hours, I would just walk up, you know, just take out the little johnboat to like, I used to study that's how I got through med school is me and my best friend would go out on the lake and do cat fishing all night while we're studying medical school. There you
Tim Stout :go. There you go, though somewhere else fish, you know. Yeah, he's official. He just bought a boat.
Dr. Ryan Stanton :I didn't say I was good at it.
Tim Stout :We could do a medical show from a fishing boat. We're talking about doing one of our shows from a boat.
Dr. Ryan Stanton :Well, I mean, it gives you any idea of the quality. I'm able to study for medical school ball fishing. So and I finished medical school so clearly the fishing wasn't that good.
Tim Stout :So you're not plugging East Tennessee State Medical School. So you went you did your undergrad and your med school both it It. So
Dr. Ryan Stanton :East Tennessee State University had an early admissions program after the first year of college, you could test go ahead and take the MCAT and test into medical school and at that point you'd be accepted after the first year interviews and then you did a certain number of courses. Your sophomore junior senior year that got you ready, prep for medical school, and then just rolled straight into it. You know, I love the medical school. I love the people there love the environment. If I would have thought better. I probably would have gotten a little bit better grades if I didn't have all my best friends, none of which were medical still down there. They were still saying, Hey, Ryan, it's Monday Night Football. We should go down to shoeless Joe's and then eat some wings and watch some Monday Night Football. I'm like, Yeah, that makes sense. I can study there. It never worked out that well. There are certain things kids if you're thinking about going to medical school, get away from friends that it is best to be just live in a cave gnome at that point.
Fr. Linh Nguyen :There you go. You go. That's a good advice. Yes.
Tim Stout :I don't know anybody's going to medical school right now. I think COVID might be scared. away from medical professions. Yes, no.
Dr. Ryan Stanton :Well, it's potential. There's, this is very interesting. I think a lot of people once this is said and done, I think you're gonna see a decent wave of folks leaving the medical profession. Just because it's, it's so taxing every day thinking about the fact that you're going in and exposing. So a lot of folks, when you think about you think well, maybe I've been around COVID or maybe I've been exposed to COVID. Well, I know I've been exposed to it every day that I go to work, like probably three to five patients just right in right in there and you know, it's there. And you just hope that in the end that that your mask is fit well enough that you've used enough hand sanitizers, hand washing, you're changing your clothes, nobody in the hospital anymore is wearing their own scrubs. I used to wear my own scrubs that I had that actually fit me well, because I'm tall enough that scrub makers, there's no scrub maker apparently that's over about six two, because I just make them wider. And so it's like I've got this giant tent on my rear end. That's still ready for flood and so we're all wearing the hospital scrubs we change them out we leave everything there we're using disposable stethoscopes wearing a cap everything's covered. And I think we're I think we're all in a little bit ready for this but I think every will of course everybody you know across the country around the world is ready for this to be over.
Tim Stout :Yeah, I think for me the the mental side of it is really kicked in for me the last couple weeks,
Dr. Ryan Stanton :there's been a lot of announce a lot of releases just to over the last couple of weeks about the mental health impact associated with COVID. And it truly is, it's gonna be huge. I mean, humans are we congregate we like to be together we like to see faces we like to touch we like to, you know, just do the things that we used to do in that separation and not being able to see faces and facial expressions. And even though you want to hug somebody, you can't hug somebody and shake hands. Yeah, even shake hands and those those are the things that are are being pulled away. And it not to mention the underlying mental health issues within the Union. In states, not access to treatment, but also throwing this on top of it. And certainly, you know, employment uncertainty, school uncertainty, a lot of food security uncertainty with a lot of folks out there. You know, this is I think the victims of COVID are going to be exponentially higher from the external aspects than just the virus itself. So some some form of PTSD for covid ASD exacerbation of depression. You know, and there's a lot of people live with behavioral health and psychiatric issues. And, you know, if you throw this curveball in there, and it's if you can handle a quick curveball, you can handle one curveball, but at that pitcher stands up there and throws nine innings of curveballs at you, each one a little bit different. That's what we're dealing with. And I think everybody expected this to be two weeks a month, two months, maybe? Well, this is actually going to push a year Easy, easy here. And we're six months into it now. Six, six, was it six months in about a week from the cases here in the US?
Tim Stout :Yeah, I was actually I was at a trade show in Vegas, the day sports died.
Dr. Ryan Stanton :I was in a fire suit in about to head to the Atlanta motor speedway.
Tim Stout :I remember walking by the sports book and everything had been canceled March Madness got canceled and a baseball you know, spring training get canceled all that and somebody had ruled on, wrote on a piece of paper and left it on the sporting book that said, sport has dead. Yeah,
Dr. Ryan Stanton :it was. It was just as this vast emptiness of anything so you're stuck at home but there's nothing decent on of course Netflix spikes because we're all start binge watching just random shows, just because of sport. sports are gone. And we took a break from NASCAR from I guess it was early marches, I guess that have been the first weekend of march into February, beginning of March, all the way until middle of May when we restarted again with Darlington it was the same me and the same medic. And so we actually took a picture when everything was canceled sitting in the hotel room with our fire seats on about to get the track because we had already started preparing that we weren't they'd canceled We were not going to go do any of the interactions, the meetings we usually do before. We're putting on our uniforms. We're going straight to the chase trucks, we're going to the race. That's all it's going to be in our picture in the middle of May and Darlington was us in the RV that we've got there. And same uniforms about the same distance apart. The distance even to that point to get racing back going again. And since then, I think I've done about 1818 1518 weekends since we've gotten back going again, because NASCAR was one of the first sporting events to start it was so the ones that had returned, you'd had a couple of small things MMA didn't event like the weekend before. Even Mays done a fantastic job in terms of their planning, of course, fight Island and that sort of thing. But then NASCAR was the first large event and so actually, they're racing right now. The xfinity series is racing right now in Richmond. And so I screen the the forums each night we'd send forms to everybody is super restricted. Even the owners of the cars can go in the infield. You have to be an active somebody that's actively participating in getting The race on the track. So everybody else either has to stay out or can't come. So it's very, very restrictive. And we average about 1000 to 1500 people that make a race happen. And interesting, we've only had about two or three dozen cases and five months or so, which is
Tim Stout :from a percentage perspective, that's
Dr. Ryan Stanton :pretty good. None from actual track. And so we've had about 50,000 total people that tracks and we've had just only external cases. So we've prevented any spread from inside the track, which has been huge. And hopefully the blueprint we're seeing in other races and other sports as well. So we've had a lot of interest from the other sports on how it happened. How do you distance How do you screen one of the things you do so we had the pre forums that we have beforehand, and then when you arrive at track, check a temperature confirm the symptoms, you get a sticker for that day. So even if you have a car that says, I started NASCAR, you're not getting in unless you get the sticker for that day that says you're allowed to be here that day. Oh, wow.
Tim Stout :Pretty cool. NASCAR fans, you guys, you've been to a NASCAR race.
Fr. Linh Nguyen :Yeah. Good. Indy 500 is that nice guy. That's it.
Dr. Ryan Stanton :So it's close. That's just don't tell my NASCAR friends. So Indy so the way I got into it was actually here Kentucky Speedway. Well, I grew up next to Bristol motor speedway. So I was a fan forever. And then when I moved up here with with the University of Kentucky as a resident, we had the contract to do the infield Care Center and fans for Kentucky Speedway. And at that point, Indy car and what is now xfinity raced on the same weekend, right. And so I mean, the difference between the, the stock cars are they're big, they're heavy. The Indy cars, they're small. They're there. They're almost like ridiculous. Especially you're thinking about speeds at Kentucky Speedway on the cup cars of about 180 maybe pushing 190 the Indy cars were like 215 to 20. That's a big and it's Oh, it was just ridiculous how fast they would go. But so I love all types of racing. And actually the are the company that we work for a Mr. gmar actually has the contract for IndyCar emsa in NASCAR so we all work together. With a motor sports forum to share information because Indy cars had a great program for a number of years, and this is the fourth year of NASCAR having a traveling team.
Tim Stout :I just watched the Indy race this year and the cars changed, right? Yeah, the cars have changed so much in the last couple of years. If you haven't watched in a couple years, you look at the cars you're like, wow.
Dr. Ryan Stanton :So that the the new Halo that they have, right, interesting for the show. So the new Halo they have is actually there's only one tool in the country, that the jaws of life tool, they can cut that and it can only cut twice before they had to replace the blades. Each set of blades is about $5,000. So they can remove that Halo within about two minutes. Because it's now they have a hard time accessing the driver. But that Halo is designed just to protect them from an impact into the fence or whatever it may be. And so it's it's it's
Tim Stout :impressive. It's It's It's from a safety perspective. It's probably one of the safest sports out There's no
Dr. Ryan Stanton :racing sports. I think it's I believe, I can't remember i think is a single piece of titanium that makes up that Halo. So it's pretty impressive.
Tim Stout :NASCAR fan does. No, never, never have. I think Bass Pro Shop sponsors a team.
Dallas Kelley :They know I've seen I've seen their em, they've got a
Dr. Ryan Stanton :they've got a while camping world does the actual truck series. And again, that's right.
Tim Stout :Maybe we have a camping world here in
Dr. Ryan Stanton :Georgetown. Right. So so you could do a show from the speedway.
Tim Stout :That would be cool.
Dr. Ryan Stanton :I introduce you to NASCAR. And we talked about it over.
Tim Stout :Okay, where do we where do we sign up?
Dr. Ryan Stanton :As soon as we get vans? We will make this happen?
Tim Stout :Yeah, it's you know, it's we actually do have some
Dr. Ryan Stanton :actually the Bristol next weekend. I'll be working Bristol. they've sold it out. 20,000 20,000 tickets for that race. It's still been the place hold 200 Yeah,
Tim Stout :that's my dream. I've never been to
Dr. Ryan Stanton :Oh, it's incredible.
Tim Stout :Isn't credited to Talladega a couple times. Talladega? Is it pretty different bear? Yeah,
Dr. Ryan Stanton :totally like half the tracks in the NASCAR within
Tim Stout :Talladega Talladega is like in the middle of nowhere.
Dr. Ryan Stanton :Most are in the middle of nowhere. I mean, we're you can say I can have 100 acres and build a giant road incident that is in a circle. There's not a lot of no we're not going to do that in downtown New York.
Tim Stout :We did it in Galle Gallatin county I base.
Dr. Ryan Stanton :The marks interesting. The Martinsville has noise ordinance. So we can't You can't race a certain time in the morning, especially on Sunday, so there can be no noise. There's no practice on Sunday mornings at Martinsville. And after a certain point at night, even though they did put in lights, they can't race because of noise ordinances there.
Tim Stout :Wow. What goes on on Saturday? The blue laws are still in effect. Oh, very much. So we didn't ask you to introduce yourself. Or we we were but we kind of got we got we got we got we went zero to 60. So if you had that
Dr. Ryan Stanton :15 minutes into it, and I'm just now introducing myself
Tim Stout :so you know, fewer mates about I'm Sally road.
Dr. Ryan Stanton :This was I'm introducing myself. I just introduced myself as Hey, I'm Ryan. Right? Because the other stuff is, but that's
Tim Stout :what we, that's what we want.
Dr. Ryan Stanton :Yeah. So it's technically so emergency board certified emergency physician meaning I did and then very few people actually realized that emergency medicine is a specialty. And so I did three years of training in just emergency medicine. So it's acute care trauma, that it's, it's everything that is emergency medicine, so board certified in that so I really can't just walk out and hang up my shingle and do something else. I guess theoretically, you could. general practice.
Tim Stout :Yeah, you can't just go be a family Doc, you know, I
Dr. Ryan Stanton :could do I could do family medicine, you know, family type stuff, but I just can't walk out and say, Hey, today I'm gonna do some neurosurgery. I'm gonna start working on some brains. I've got a little bit of a tremor but let's see how that goes. So yeah, so an emergency physician here in Lexington. actually worked here at Georgetown for a while love the hospital. Probably the most efficient hospital I've ever worked for. Thank you, Toyota. They've done some stuff there. I mean, you could get stuff done so quick there. Then Medical Director for Lexington, fire and emfs as well as the airport. And then the NASCAR gig was the infield Care Center. But over the last four years has been with the more traveling safety team. And this year is my first year. Thank you pandemic, as the medical director for that team. Because we transition January 1, something and this is just going to we've got this as a well oiled machine. And then we had the big wreck at daytona and then followed by a pandemic. And so it has been nothing. I mean, we thought we were just going to be an on track resource for NASCAR. But now we're in charge of their the COVID response and screening and monitoring and decisions on who gets to go and do stays home. I mean, this is a we need to renegotiate this contract.
Tim Stout :You probably aren't just using a handheld thermometer either. Yeah.
Dr. Ryan Stanton :Well, no, it's actually the the basic one is just the the no touch thermals if we're doing 1500 now if we have to do a secondary screening where somebody is British If they get to go in or not because their temperature was high like they drove with no air conditioning on down on them which which happens a lot of people do that then we actually use the oral thermometer we always threaten with the red thermometer but we don't use
Tim Stout :we have a thermal scanner at work to the that we figured out when we first installed it was right or anything air conditioned duck we said okay, that's that's no good. We got to move that you know, cold air blowing right on somebody shooting with the camera
Dr. Ryan Stanton :one has to be pretty close to it. So it's actually more the body camera. It's not the real close.
Tim Stout :No, no, it's a it's a camera that sits on this wall about I think six feet away is a no temperature source. It's in the picture with them and it scans them and the source and it does an algorithm and so
Dr. Ryan Stanton :we looked at that for the initial fan scans at so Indy. We're gonna do Indy the Indy 500 was initially going to have 150,000 things a lot of people process and then it was it dropped down to 50,000. Then two weeks out, they said hey, we're not gonna have any fans. We're like Well scrap that. And I think that plan is actually going to be used in for, for Phoenix at the end of the NASCAR season. Put that in, but initially, it was a scan like what you're talking about, but then looking at the potential of handheld scanners and what do you really want to know? Right? What what information how are we going to make sure it's accurate? What we don't want to do is get false positive temperature readings. But we also don't want to admit somebody, this the potential of making a super spatter event. Yeah,
Tim Stout :like 130 degree
Dr. Ryan Stanton :temperatures. Yeah. And I'm pretty sure most of those folks that come in with 103 we can identify Thank you look like you know, death on a cracker at that point. And you look You look pretty puny. If you walk up to me with 103 you're not going to hide it and say, Well, I'm just a little out of shape.
Tim Stout :Like I just need a hospital. I just clogged up a couple flights of stairs with some camera gear like Steve does when he walks in here.
Dr. Ryan Stanton :I've seen I've seen Steve do the walks at the at the Bengals games. He likes to park about eight miles away.
Tim Stout :That's That's no bueno.
Dr. Ryan Stanton :Well, it's not bad on the way there because it's downhill. To the stadium, but it's uphill the whole way back.
Tim Stout :NFL is gonna happen.
Dr. Ryan Stanton :Yeah. Watch the game last night. Yeah, it was part of it.
Tim Stout :Yeah, it was interesting game. The fan Steve and I were talking about for the show that the fan Did you watch Game? Did you watch the fanboys for how many people they had was I think they had about 20,000 Yeah, I mean, it was, it was loud. I mean, I, if you wouldn't have known that there were, you know, half or a third or whatever the capacity was, he would have thought it was just a normal crowd
Dr. Ryan Stanton :about what we expect from a Bengals game.
Unknown Speaker :Oh,
Tim Stout :he had his headphones off.
Dr. Ryan Stanton :He didn't miss 20,000 fans, like we all know we're gonna get all these extra people.
Dallas Kelley :So that so the Bengals have no restrictions.
Dr. Ryan Stanton :They're still at full capacity.
Tim Stout :They do have the number one draft. I mean,
Dr. Ryan Stanton :he's gonna bring something that's actually that he's actually gonna be pretty good and there's there's some chatter that they're gonna stay still They're picked up four and a half wins this year if you look at the at the lines on it but you know it looks like they're going to be there's a decent chance support that they're going to get past that that burrows is going to be a decent addition to that team and it's at least gonna make it exciting you know because my thing with with prior was just waiting for who's going to get injured next like how long is as calling cow herd called him the beige water pistol. When is he gonna injure himself to break his thumb or something and when's AJ green gonna go down?
Tim Stout :It's true. We were were you at the game with me when the when the Pittsburgh Steeler guy went down. He got hit. paralyzed. Yeah, I got parallel. I mean, that that that game was very eventful. Anyway for us. We were. We were in the it's it's upper deck. It's zone. Dr. You nk drunk. It's the drunk zone we were in and the gas behind us. Well, you know, we now know why the NFL or the Bengals put up on the splash screen. If fans are out of control Call this number.
Dr. Ryan Stanton :Reminds me the first. My first NASCAR event was was actually at Bristol Motor Speedway as a Boy Scout. Because you get if you wear your uniform you could get in for free. And they they only sat 50,000 seats at that time and you sat up basically in the low traffic patterns for the airports like you were talking about for the Bengals. And we call them the human bowling ball. And as Ray started, he kind of stumbled a little bit he had shirt he clearly been priming. And so it kind of stumbled a little bit in each kind of time and go to the bathroom. And of course this time got shorter and shorter and shorter. He keeps stumbling more into waste till he starts falling and falling but right before the end of the race. He doesn't even go to the aisle all of a sudden we look and he's rolling down the bleachers. just grabbing coolers as he goes just tearing stuff down and makes it probably 50 rows down until he hits the rails that stopped before you go over the edge. And this after that. I was like I'm a fan.
Dallas Kelley :It's like I had to tell Tim, Tim, I'm two weeks out of neck surgery. If we get in a fight, you're on your own.
Tim Stout :It was. It was getting pretty bad. It was bad. This guy he was getting it was a first I was a buddy night football game. Okay, so they'd been drinking since noon. So it's 930 at night. And this guy's mad at us because we're not standing up the whole time. Yeah. And he starts he starts grabbing me. Um, I'm not a big dude, but I'm not a small dude either. And he was a small unis Ma. And finally I turned around to him. I said, Look, man, if you touch me one more time, we're gonna have a serious problem. Get your hands off me. I mean, I'm here to watch a game. I'm not here to have you drunk vomit on a whatever's gonna happen and grab me the whole time. It's just a surreal experience.
Dr. Ryan Stanton :That's one of the challenges of football now. Is it is It is hard to take kids to a pro football game, because there is so much it's this great. Well, there's so much debriefing you got to do afterwards during and afterwards you gotta say kids. Okay, we're gonna start with number one here number one we don't. Number two, we don't talk like this. Number three, we don't treat other people like this. Number four, try and water on occasion. I mean it just run through the whole list of everything that you go through. And you'll see a lot of places now and I think the Bengals actually have a a family zone. But I know that Bristol and a lot of the Speedway's have families zones, too, that you can take your families and not have to worry about that type of activity. Now we were I was with a guy work with Baptist, Baptist preacher and his son, and he
Tim Stout :actually got up and left before we did. He said I just I can't you know it gets to that point. That's a problem. You know, where you can't watch a game
Dr. Ryan Stanton :if it takes away from the entertainment. Exactly. And
Dallas Kelley :what was funny is before we went in the last pro football game I was at before that was it seemed like to Many years prior first time the Bengals ever played the Dallas Cowboys Danny White was the quarterback of the Dallas Cowboys. And my boss took me to a Bengals the Bengals game in Dallas Cowboy game. And it was horrific, just like we experienced. And as we're walking into the stadium with his friend, I warned him I said just wanna let you know, the last football game I went to here's what happened. I just grabbed it. And that's exactly what happened.
Dr. Ryan Stanton :You're gonna check out two services next Sunday between this stuff.
Tim Stout :No, it was it was bad he it was it was a it was a blowout I think or something he found he eventually found a seat down to the lower Bo Bob cell phone against the wall with the sun and they got to enjoy the rest of the game. We move to I think and it started to rain we left a little bit earlier whatever but you know, the NFL is got a lot a lot of issues to deal with. And that's probably not how they're list right now. No,
Dr. Ryan Stanton :no for them right now. It's just making things happen. Well, and that's it. That's actually anybody in professional sports media, right? You're talking about that. A college football game has been postponed tonight is the fact that you have a schedule, but you don't know if that schedule is going to happen. I mean, until when you are on the field or on the playing surface, or whatever it is, and there's a go the whistle blows or whatever, you don't know that it's going to happen. I mean, even with NASCAR, you know, not only have we moved a lot of races because of state restrictions, but we have we've, we just know that there's one big outbreak from a potential significant delay or cancellation. And so I think that's what really drives a lot of this, especially those that are dependent on the paycheck. You know, a lot of these crew members and things that we deal with are living paycheck to paycheck. I mean, it's not a huge living, especially when you're talking about the lower series. And they understand that if they mess around, make a bad decision, or choice with high risks or whatever. They may lose, they may lose their job and profession for the year. And, you know, I think every sport is looking at that is that calculated risk, we're going to have cases how many Then what do we do? And do we have a super spreader event or a large outbreak that's going to sideline this entire process?
Tim Stout :Yeah, I think that's what the prediction was for the Major League Baseball. Right. That's what the first Was it the Cardinals who was though it was the Mariners, the Mariners. Yeah. They, they obviously thought that that was gonna be and everybody was predicting that Santa season, and they've done a good job of managing it.
Dr. Ryan Stanton :Interestingly, if you look at it, that that got a lot of press because it was MLB. But if you look at their number of cases, it's still tiny. They have just they've had very few positive cases. I mean, if you look at the sports that can do a bubble, those are pretty incredible. You know, NBA has done a fantastic job in terms of COVID safety and managing their aspect. But a lot of sports can't do that. And you know, baseball is still a larger team sport, football even larger. You know, you can't really do a quote bubble and those types of things. And so then you throw in, if you can control the entire environment, then you can control it and prevent COVID. But when you can't control the entire environment, you just have to understand the risk and then every But he has to understand that you are not guaranteed to be there on game day.
Tim Stout :And we've done a we've done a good job here at our school right? So far knock on
Fr. Linh Nguyen :but the interesting I learned because we open our school, of course, we've been pressured by the health department because we follow CDC in regards social distance if kids in the classroom six feet apart, I can take the mass off by right after Catholic Church in Kentucky decided to open it all the governors are happy with that. So the health department came after the US pressure. The superintendent to make sure advocate wear mask at eight hours every day. Non Stop view lesson Christian did not view school that against it. And they put a lot of pressure on them. Yeah, unfortunate.
Dr. Ryan Stanton :Yeah, my kids are at a in Trinity and Lexington and They're back in live school and we're expecting at some point that we're going to be on delay and quarantine everybody go home for a couple weeks, we think we expect it to happen. But we also know the stress and strain that we're seeing with families that are trying to make with the number of single family homes and, and dumped and you know, both working homes, trying to make these things work and teaching your kids and I saw something on social media earlier, they have a child sitting in the parking lot of the school because they didn't have social meet me they didn't have, they didn't have internet access. So they're trying to reach the Wi Fi so they could do their homework and they could do their schoolwork. And that's it. There's I understand we are dealing with a pandemic, but we also got to try to do everything that we can to make families in life function. And if you are trying to infect my sister today, you know, she's a pediatric physical therapist in Virginia, and she's talking about how terrible it is dealing with the fact that her kids both all three of her kids, but two of them school aged at home dealing with all their schoolwork while she's doing virtual appointments and everything and everything going on. It's just kind of goes back to that whole. Everybody's tired. Everybody's just worn out from COVID. Just mentally, emotionally, physically,
Tim Stout :there's nothing that is normal anymore.
Dr. Ryan Stanton :Nothing if anybody if we can get the bank to the future machine and Marty McFly shows up here, I guarantee you 2020 is not going to be putting that dial.
Tim Stout :Hey, the only thing that's probably normal is fishing, efficient, normal. I mean, when you get out there on the water by yourself,
Dallas Kelley :no restrictions, no nothing.
Dr. Ryan Stanton :Essentially that is that is the super version of social distancing. Because so far we've we've learned that Tigers can get COVID maybe dogs can COVID salmon.
Fr. Linh Nguyen :Salmon.
Dr. Ryan Stanton :Good news. We're not in salmon country.
Fr. Linh Nguyen :We're not in salmon.
Dr. Ryan Stanton :Thankfully trout and bass and bluegill and catfish.
Tim Stout :Now they're clean. Wow. So far so far. I just got a delivery of salmon today. Know, that transmittal that trades cannot be transmitted from animals to humans that we know of,
Dr. Ryan Stanton :not that we know of, but of course, has a database of six, eight months ago, there were no experts in COVID. And so this is the first time that I have seen and of course, I think, since probably modern medical history, that the entire disease process of learning about it, discovering, researching, has played out in the public venue. And so you're seeing stuff playing on social media in the news. And that's where a lot of anger has come because these things get pushed out before they're ready for primetime, where they would play out in medical journals. And then they would be picked apart and researched and studied to see if they were legitimate. But they're playing out on social media, they're playing out on the news. And then you everybody gets upset. They're like, Well, what about hydrochloric when that's the cure, we already have it. There's a study that says it works. I was like, Well, actually, there's one study that says it may work that should have motivated further studies. And now there's been three studies That show it's not helpful. And so don't get hooked on something that's early news ready to play out, that actually takes your eye off the ball on what we actually can
Tim Stout :do to help people. But that's against our culture now, right? Because we want, we want immediate, we want now we want to have a solution today. And so we
Dr. Ryan Stanton :do we want that instant satisfy that instant gratification and satisfaction. But also, when you're dealing with a pandemic, people just want hope. They want to see the light at the end of the tunnel, and that light not being a train. They want to be able to see that that look, we got a way out of this. And I think right now what you're seeing is that a lot of people are kind of like, this is this new Is this the new life we're going to live the rest of our lives, and it's not. We are going to see here in Kentucky, we're going to see the cases kind of roll like they are now for another couple of months. They're going to start to tail off we're going to deal with flu season, which hopefully, if Australia is the indication, it's going to be very mild flu season because of the steps we're taking for COVID. We're gonna get a vaccine, and then sometime in 2021, we'll get back to as close to normal As we can find,
Tim Stout :so we won't be wearing mascot Christmas in 2021. You think?
Dr. Ryan Stanton :I don't think so? No, I think we'll be out of it. I think some people, interestingly, have what I think will be a very interesting cultural change is how many of us continue to wear masks, like we see in a lot of cultures. And if we'll shake hands again, and I'm okay with not with that not happening if you realize how many germs on their hands and what a lot of people do with their hands,
Tim Stout :but it's just that that's such a part of our culture. It is, you know, but
Dr. Ryan Stanton :I think the fist bump the elbow, bump, the air fives, all those things are, that's what we do in NASCAR. Now, we used to do, you know, high fives and fist bumps. So now we do air fives and they work just fine. And then I don't have to worry about washing my hands after I meet somebody every time.
Tim Stout :It's I'm just old school. School. I just there's something about I guess Lloyd said it best. I'd like to hug people. Well, maybe you guys
Dr. Ryan Stanton :maybe you should just go overboard and just go ahead and get those European cultures and do the cheek to cheek kiss. I mean, if you're gonna do it Let's just go let's go full. Monty, are we ready for a question?
Tim Stout :Yeah. Do we have a question? Yes, I do have the phone line open too. But I didn't I didn't plug that figure can get that number ready. Steve will tell he's
Dr. Ryan Stanton :actually hung up on like five people.
Dallas Kelley :Do you feel like the COVID numbers that are being reported are pretty accurate? And what do you think about the reports have only 6% are actually COVID only with no underlying conditions.
Dr. Ryan Stanton :Okay. So actually, the second question is, so that was four to 6% is actually incredibly accurate, because we know that very rarely does death happen in a vacuum. It is rarely a single causation event. And we know with COVID with obesity, hypertension, diabetes, other chronic conditions that significantly increases your risk. And so if you if you pass away, and I do the death certificate, I list the primary cause, and then everything that contributes so when that says 6%. That's saying on six percent they only list COVID-19. Well, I rarely ever list just one diagnosis, because there's always things that work into it. So if you die of cardiac arrest, from myocardial infarction, from coronary artery disease, by hypertension, from smoking, from obesity from hyperlipidemia, from diabetes, all of those things go in it because they're all contributing. So this is all get
Tim Stout :listed.
Dr. Ryan Stanton :So they all get listed primary diagnosis and contributing diagnoses because you, the humans rarely just drop. There's always things that kind of worked together to make things happen. As for the numbers, I think the numbers are about I think we're missing just as many as we're over reporting. Now, I think there's certain places that have probably done done a little fiddling with the numbers for whatever secondary game they want to do. But for, for most numbers, I think we're probably getting decent in in the import I'd like to stress is not the actual down to the individual hair on your head numbers. My interest is where our trends going, and most importantly, what type of complications, admissions intubations and deaths that we're seeing. You can't you can't really mess up deaths. Now we're all seeing those memes of two people die in a house fire from COVID or speak to people die from in a meth house explosion from COVID. You know, and I understand that that narrative popped up this week, and I understand that narrative. But, you know, looking at the test, the tests are missing a lot more than they're catching. So do So are you saying false positives cancel out false negatives. We think that we think that we're actually missing more than we're actually over catching the tests, anything that's rushed through, especially the cheaper test. There's a lot of false negatives. We think there's false positives too, because a lot of those PCR tests pick up RNA fragments, not actual infection. So there's only a couple of tests that actually look for acute infection detect that So we're just picking up when they do that swab up your nose, all they're looking for is the RNA fragments, are they infectious was an exposure is your body going to fight it off and you're not going to actually get an infection. So those are going to be the false positives, it's there. It's just not an active infection. But what we're finding as a lot of clearly COVID patients, we're testing three and four times before we get a positive. So we think there's a lot more false negatives and false positives, what you just
Tim Stout :described prior to that, where they they've been exposed that have that RNA fragment is that is different from somebody that's has it and is asymptomatic,
Dr. Ryan Stanton :right, okay. And there's there's the thought is with the purely asymptomatic that the risk of spread is pretty low and you probably don't build the immune response either. So you may have an infection but your body it just doesn't take it doesn't go your immune system gets doesn't get fired. The symptoms you experience with COVID. The vast majority of symptoms anytime you're sick or actually your immune system is not the infection itself. It's the immune system trying to fight it. is causing the other symptoms, the inflammatory responses, all the things that are having a fever is not an infection, the fever is your immune system trying to make the environment uncomfortable, like three lights in a room with five dudes. How we're all sweating a little bit.
Tim Stout :You would like it in here a few weeks ago, it is comfortable.
Dr. Ryan Stanton :Yeah. I mean, so so your body is doing the same thing your body is trying to when it builds a fever, it's trying to turn the world into a sweatbox. To where, say you've got a party at your house, and you're trying, you're ready for everybody to get out of there. Well, you just turn the temperature up to about 100 degrees and everybody wants to leave much less make more viruses. And so that's that's kind of what the body does with a fever and the immune response is just a secondary aspect of things. And with COVID a lot of the deaths and complications are actually the over stimulation of the immune system.
Tim Stout :Wow. It's a lot to take in. Hey, let's let's let's throw this phone number up there. Steve, you got that. You got that ready to go. It's one second. 573322667 that's 16573322667657 deacons. We'll take a call if you call in Dallas is obviously getting comments on Facebook. You got another one rolled up. So you guys think on your social media,
Dr. Ryan Stanton :I'm going to tell that it's warm enough, though that I'm getting a little I'm getting red cheeked.
Tim Stout :Well, that's a camera
Dr. Ryan Stanton :combination of the water that we're we're enjoying in the water and the temperature. Yeah.
Tim Stout :Yeah, so it was mild today. It was only 74 degrees.
Unknown Speaker :Oh, great today. It was
Fr. Linh Nguyen :dark here. There we go. A person has a friend in ICU for 17 days on oxygen daily a testing COVID negative berry healthy man, but has all the symptoms. How can we trust a vaccine when false negative or not capturing those who are clinically positive. How can we trust a vaccine when the positive Not being a PCR luckily been shown as positive?
Dr. Ryan Stanton :Well, I think that the vaccine is a different story the vaccine is the only issue with potentially having it and not knowing it and getting the vaccine is that your immune system is already tanked up and ready to go for COVID. And you get the vaccine, and you're going to get some symptoms from it, because the immune systems like Oh, crap, it's back. We're going to work less, we're time to fight again. And so you're going to get some symptoms. So when people get the flu shot, they say I got the flu from it. It's really just you already had an immune response. And when it saw that coming in and said, everybody, they're attacking us again, it's time to fight. And so it goes after it. And that's why you get symptoms, so you don't actually get the flu. Now what one of the things you're just you're talking about somebody who's in the ICU for 17 days, it probably is COVID. We're just not picking up the the symptoms, and that is that's what I'm talking about. The tests just aren't really sensitive. They're very specific if it's positive. So what we tell people, the tests are really only valuable if they're positive, if they're negative, ie pretty decent chance but not guarantee that it's negative. The thing we're also seeing though is in that case, the patient may have legitimately already cleared COVID they may just be having the secondary effects. We are seeing people coming in the emergency department now, that three and four months out are having shortness of breath, cough headaches, symptoms left over from COVID. Well after it's cleared, and so they're going to test negative, but that damage and things that were done from the immune system and from the virus are still producing symptoms.
Fr. Linh Nguyen :I know that person that does that as a no joke. Yeah. She over a month and a half, you know, still positive until the health department released her and she had all those symptoms. You know that that heart breathing all of that.
Dr. Ryan Stanton :Interestingly, the CDC has found that their new recommendation is once symptomatic, it's actually you have a longer time, quarantined if you don't have symptoms. If you don't have symptoms, you have an exposure, it's 14 days, but if you get symptoms, their recommendation now it's 10 days after you become symptomatic, because what they found is that you're most symptomatic just before the symptoms start. And then as soon as the symptom starts, the risk of you spreading it goes down significantly. And so they're seeing that after 10 days, it's incredibly rare that somebody can actually still spread it at that point. So now some of that is trying to preserve the workforce and things like that you can go back to work in a healthcare setting 24 hours after the fever resolves, but, you know, I think one thing that we've learned from this over the last six months is that that we're the biggest risk is right before symptoms.
Tim Stout :so crazy, everything we learned. Yeah, everything we learned in the beginning, that was reversed and in a way, I mean, it's, it's almost like I'm gonna use a Star Trek reference here. Kobayashi Maru, it's like it's it's an impossible to make good decisions, long term decisions. You're making decisions based on the information that you have. Most likely that decision will if you look back on it 30 6090 days later, it's going to look like a bad decision.
Dr. Ryan Stanton :Well, Wk YT decided to bring up my first interview on this last week. What I expected back in late February, early May, I mean, late early March, the other the other one, and they, you know, and it's of course, I don't think it's going to have a huge impact. We're going to see a little bit of stuff, just do the things that you need to do. And the advice was still, you know, masks, distancing, hand washing, that sort of thing. But, you know, the last 10 years, almost every year we've had the next big pandemic, and it doesn't happen. I think Ebola was the closest but we had chicken ganja. We have Zika we had all of those things that happen, you know, h1, and one came through and it was big, but it was still the flu, right? Just hit. It just hit populations that that flu typically doesn't hit. And so I think we all can at this point, if any professional in the healthcare industry can Go back and tell you they were right about everything with COVID. They are a bold faced liar or have no idea what they're talking about. Because every single one of us has not only been humbled, we have been proven wrong time after time. we've adjusted our narrative. And so anytime anybody posts something from March and says what it says it right here, masks are useless. I think that was March. That was before we had a big pandemic. That's when we were worried that China that China was the super spreader right now. We are the super spread.
Dallas Kelley :Yeah, just just don't run for politics or that old video will come up.
Tim Stout :It's like the Fauci video where
Dr. Ryan Stanton :he has a one, that's the one where they say masks are of no use. And I think all of us can admit that masks aren't the aren't a miracle, they're not going to fix COVID. But that with combination of distancing, hand washing is going to at least decrease and what we're talking about that are not, which is the spread ability, and if we go above one, we're spread If we're less than one, we are having fewer cases, we just have to push that curve down a little bit. And that's what we're Kentucky what we're seeing is the numbers are relatively, we're on a new plateau right now. And that plateau is running with many things open and things like that. It's going to, we're going to stay right there. I think for quite a while. But you know, I think it's working. We have not seen that huge spike. And the whole purpose of flattening a curve is not to say we're not going to have any cases. It's just to preserve access to health care and resources and to give everybody who gets COVID the best chance at beating COVID
Tim Stout :Patel Patel, which is fatality rate. Yeah,
Dr. Ryan Stanton :you don't we don't want anybody in Kentucky, to show up to one of our hospitals and say we cannot help you because we have no beds, we have no ventilators. We have no ICU space. Your family member is going to have to go home and die. We want every single person who comes in even though we don't have great treatments for COVID. We still have done some things and knows things in terms of helping people get through it. We want everybody to get as much chance no matter their risk factors.
Tim Stout :I noticed, you know, one of the big one of the big things at the beginning of this pandemic was ventilators, the number of ventilators and that that sense has not really been a hot topic. And for two reasons, I think, correct me if I'm wrong here, one is we produce more ventilators and, and to intubating someone is not necessarily the first course of action anymore.
Dr. Ryan Stanton :One thing we've learned is that with this virus, humans with the virus can withstand a much lower oxygen saturations than we understood before. If you came in with an oxygen saturation in the 70s, before you were on death's door, with COVID, we see people coming in with saturations in the 70s and they feel otherwise fine. And it's just a number like there's no way that's right. There's no way that's accurate, but it is the body is compensated, it's doing the things it needs to do. You're absolutely correct. We've learned that intubation, we want to avoid as much as possible with COVID. Because once people go on the vent, it just snowballs from there. So other things prone positions, pulmonary therapy, you know, just permissive hypoxia, pipe type things. Those are the things that we're doing. And we have seen a couple places where those resources have been pushed New York, New Jersey, most recently, some areas of Texas in Florida had a push to where they got close to exhausting the resources, especially the ventilators and ICU. But most states in here in the Commonwealth, we have avoided that and, you know, every map that we have had so far, since shortly after the beginning has shown that we're going to stay below that curve that requires rationing of healthcare resources,
Tim Stout :which is which is good news for everybody, everybody. Right? Because you know, and you alluded to this earlier that one of the one of the biggest issues besides the mental health side of it is that people are not Going in doing their their normal health care things, right, like they're not going to get their colonoscopies and they're not going to get their heart checkups. And so a lot of that is has stopped and I think the the medical professionals are trying to get that kickstart again, and am I saying that correctly?
Dr. Ryan Stanton :Yeah. So we've had an accident. We just did a story with NPR this week about people delaying healthcare and having complications with it. And, you know, talking with some of the oncologists, actually, when we talked about before, about people who delayed care and have come into it with an advanced state, not much to do. I've had folks come in with surgical issues that they've sat on for a couple of weeks, we've seen an increase in out of hospital cardiac arrest, we've seen a significant increase in the number of strokes that are presenting and they're delaying care, many times because folks thought the ER was closed, or they thought the ER was just for COVID. Or they didn't have access to their providers to their physicians to a PA or NPS. They're the people to help guide them and to see him in clinics and things like that. And that was where we saw that 60% drop in ER volume in March and April, because a lot of that type of thing was going on in a lot of people had complications because of it, I saw a lot of elective procedures that are that turned into emergent procedures because of the waste that the weight and the time that took place. And we're, that's getting corrected now. And we're seeing that come around. But still, there's, you know, I've seen a couple procedures delayed because somebody couldn't get a COVID test in time. And that's, you know, they wouldn't have the COVID test before elected procedure. And so it's
Tim Stout :definitely had a co worker that was gonna go get it. And I didn't realize this was happening, but she was gonna have surgery and
Dr. Ryan Stanton :she had to go get a COVID test before we think about an ophthalmologist, ophthalmologist and dentist. They're right up there in your grill. They're right at the interface. I mean, they're in there on ground zero exposure to code.
Tim Stout :She tested positive. Yeah, you know, and no surgery. Let's see. Yeah, well, for a while. Yeah. So she waited until she got to negative test and in a relatively short period of time, seven days or something like that
Dr. Ryan Stanton :asymptomatic and the question is whether that first one was potentially false. Or even just an exposure, like if I want by somebody who's got COVID I may breathe in some of that viral RNA and it may still be there, but it may not be the viral load necessary for me to get infected, but it may be enough that I can pick it up on the test. And that's, that's the challenge. We have the antigen tests, which theoretically pick up acute an actual infection, the antigen test, which is a is that there's one that's
Tim Stout :different from antibody.
Dr. Ryan Stanton :Yeah. So the antibody test looks at your response that has no value whatsoever in terms of acute illness type stuff. That is was I exposed enough to it that my body has built a response to it? And at this point, we don't even know what the antibodies mean. Does it mean protection for a month, two months, three months, six months, the other coronavirus strains, the mild strains only have about a two to three month protection after you have it. The more severe like MERS and SARS tend to have about a two or three year protection and I think that's what we're going to be shooting for for the vaccine. is looking for that MERS and SARS protection that you get afterwards that it's decent enough that we're not doing it every single year. So the vaccine wouldn't be a lifelong vaccine. I don't think it will be because so far we have not built a lifelong immunity to any type of flu coronaviruses and simply being an
Tim Stout :evil D. I hear. One of the stats I hear a lot of is excess deaths, that and I hear both sides of this argument. Some people say, Oh, well, the excess deaths are covid. That's how you can tell really what the real fatality rate is. And I hear other people say no, the excess deaths are really people that aren't getting their, their care that they normally would and they're just dying for other other causes. thoughts on that?
Dr. Ryan Stanton :No, it's it is used, it is a good indicator. So what you're talking about is excess deaths. If we look through year over time, so September 2020, versus September 2019 versus 2018, population adjusted everything like that, how many deaths are we expect During this timeframe just with being the United States of America. Now, where are our numbers looking at from there, and then looking that at those numbers above that baseline above or below baseline, and we've been pretty consistently since after March, getting into April, May and June, we've been above we've had more deaths than we would have expected at this at that particular time throughout the year. And I think it does, it translates into a couple of things. A lot of them probably are COVID. But I think you are seeing a lot of things that are other causes to delaying care procedures, ignoring symptoms, we're seeing not only the increase out of hospital cardiac arrest, but we're seeing significant decrease in bystander assistance for cardiac arrest. So fewer people doing CPR, super people helping people out. And so all of that thought about that. So all this stuff increases those death numbers. And the biggest challenge is everybody's you know, you mentioned in the beginning of the program, the 6% stat. Well, what we are actually worried about the highest number of complications we're seeing is Is the non traditional COVID symptoms like the strokes. So COVID is a hypercoagulable state with the immune system and makes the blood clot more. So we're seeing a huge increase across the country, but especially here and locally, in strokes, likely because of COVID. I have had more potential exposures from stroke patients that I have from anybody coming in with actual COVID symptoms that are testing positive after admission.
Fr. Linh Nguyen :So let me let me ask you, let's step away from from the professional point of view. I'm more concerned. I think our viewer would like to know too, as we mentioned earlier, there was so much information thrown out there, you know, from the CDC from the president from the governor, all over the place social media all over what is the best advice from you as a professional dealing with this stuff? Because we worry about people anxiousness. You know, what is the best advice to face whatever you perspective what what what would you tell people?
Dr. Ryan Stanton :Well, the most important thing is to be smart, but Don't let this derail you. Don't let this hijack who you are. Your life, your thoughts, your sleep, your wellness, your family. There's only so much that we can do with COVID there's we can't prevent it. 100% I can't say that you'll never get it. And I can't say that you're guaranteed to get it. But what I can tell you is make smart decisions, wise decisions. Don't put yourself in harm's way. Don't go to a big a big, close to everybody get together. This isn't the time to start picking up the French approach to Huggy those types of things, but I won't Yeah. I won't. I'm not you know, I don't know that you know you that well, but
Tim Stout :you're not that French either. Just
Dr. Ryan Stanton :absolutely. Beautiful. And but it's just be realistic. Don't panic. And there's one thing we always talk about in racing is when we have an incident on the track and you get people on the radio or even the fire department, and everybody gets on the radio and they're really there. They start getting high pitch talking really fast. Asked me really loud, it's like prepare to panic. And, and I always tell my kids when they're dealing with challenges is spazzing out, never fixes a thing. It doesn't make things better. When I'm in a code situation or somebody's very sick in the emergency department, I walk in just like I am right now. Normal cadence, normal tone, no hurry, because you need your mind and your thoughts to be on point. Because the more we panic, and the more we stress, the more we revert back to our brainstem, which is a very, very fight or flight aspect of our brain. And it is not designed to make big thoughts and break things down. And what happens though is that increases stress hormones, that increases the things that damage our vessels worsen. You know, chronic medical conditions put us at increased risk. So just take appropriate approach safe approach to COVID. But don't let it derail everything about you.
Fr. Linh Nguyen :But in regarding in your profession, Right now, am I right to say we, we learn a lot about COVID? You know, you know, go see a physician to manage right away, right? It just, it don't. Sometimes we we see COVID compare it to the death wish of, you know, stage five cancer. without, you know, we get more panic about it and instead of be calm a collective, let a doctor deal with you symptomatic and do whatever it needs to take right
Dr. Ryan Stanton :now we try to go to if we try to go to herd immunity with natural exposure to COVID, we're going to have a little panic because it's going to take 50 to 60% easily 60% of the population getting COVID. Right now we're pushing known cases somewhere around one to 2%. Some areas are seeing about 10 to 20%. And certain areas of New York, New Jersey areas where they're really hot spot, but most areas of the country are still well below that 1% Mark, and even then the death rate of the known cases is under 2%. And those are still very overall Relatively predictable in terms of the risk factors of age and comorbid medical conditions, long term care facilities, nursing homes, those types of things. We talked about Lexington and one third of the deaths in Fayette County have been from one long term care facility. And not because of necessarily anything that was done wrong. Just that type of setting spreads it with high risk populations. And so, you know, I, I'm trapped, I travel with NASCAR and I do the things I do my family and I, my wife and I went out and ate lunch today together. And, you know, we can make wise decisions. I walk into a place and I can tell whether they take COVID seriously, do they have a seat in the right way? are they wearing their mass? Do they have separations? Do they have clean surfaces and the things they do? They have availability to hand sanitizers, those types of things. If I don't feel they are I turn around and walk out. I'm not going to put myself at excess risk, but I'm also not going to live underneath a rock until 2020s over.
Tim Stout :It's good. Good advice right there. I have
Fr. Linh Nguyen :a question. If blood clotting issues are an issues Why have we heard the I'd be profaned with a deterrent.
Dr. Ryan Stanton :So ibuprofen initially when it came out and this was part of the scientific process that played out on social media is initially very early was ibuprofen was considered a no fly zone that it may have increased the complications associated with covid follow up studies on that have found there's actually been no link with any type of adverse reaction or response with any of the insides being ibuprofen, naproxen, any of those like that. And so you can still take those we kind of recommend just because of how that's kind of set that people take acetaminophen or Tylenol if they have the fever or COVID. Aspirin is still okay even though it still fits into that kind of inset category, but we actually do screening and if people have certain test markers that we look for D dimers, ferritin, things like that. The inflammatory markers in the body, if you have COVID you come in the hospital will start you on an anticoagulant because we know if those markers are elevated those inflammatory marker That you have increased risk of some sort of clotting issue, whether it be a pulmonary embolus. So DVT, pulmonary embolus, which is a DVT is a clot in the legs or arms. pulmonary embolus is a clot in the lungs, and then of course, stroke related symptoms, then then we actually do have screening protocols for that. But there's really not much you're going to do at home to promote that or prevent that. It's just if you start to have symptoms with COVID, following up with your health care professional to see if you need to be tested, not I wouldn't run straight to the office or to the hospital. Because again, 90% of people are going to be fine at home, or they're just going to manage this at home about 10% have to be admitted to the hospital. If you start getting more severe symptoms than coming into the hospital letting us check things out depending on your risk factors over age 60 hypertension, diabetes, oxygen, saturations, inflammatory markers, things like that kind of determine our course of action.
Tim Stout :When you say hypertension, are you saying uncontrolled hypertension or anybody that's because I have hypertension as
Dr. Ryan Stanton :well of course on uncontrolled is worse. But most a lot of people who have hypertension or kind of in a control is in a range where you still kind of be in that lower in that lower edge anyway, but you know, really more that uncontrolled non compliance with medications. It's amazing how many people don't take the medicine and there was a study that was done in emergency medicine that found the prescriptions we write 75% are either not taken at all or taken incorrectly.
Tim Stout :I can, I can vouch for that. I have people that work that Come, come to the office and say, you know, they look like death warmed over. Well, I didn't take my blood pressure medicine,
Dr. Ryan Stanton :well, really come into the year and with uncontrolled blood pressure, and it's like, well, are you taking your medicines now and taking them for about two weeks? Well, let's start by giving you your medicines and say, oh, wow, that fix the problem.
Tim Stout :So that's a it's like a miracle.
Dr. Ryan Stanton :That's a really expensive way to determine that you should be compliant.
Tim Stout :You got any questions over here?
Fr. Linh Nguyen :I got one right here. Oh, go back to vaccine. How can we trust vaccine when the present of a vaccine can be recorded, if they don't have a complete diagnosis, how can a vaccine be universally effective?
Dr. Ryan Stanton :Well, we don't know that it's going to be universally effective. In fact, with a vaccine The goal is to produce herd immunity, meaning those that either can't take the vaccine because of a sensitivity allergy or they can't build an immune response, that they are protected by everybody around them that has that and that's what we do with things like well, it was back in the time when it was like smallpox and, and things like that. But you know, the, the mumps, measles, rubella, all those exciting type things. They're still in the environment, we still see cases. pertussis we actually had an outbreak of pertussis here in Georgetown a few years back. And you know, those types of things we that's the reason those don't actually get to the pandemic levels because we have herd immunity that kind of contains it in. So with the vaccine, the vaccine is going to be we've got three that are in phase that I know of that are in phase three trials right now, which is The final trial that is generalized testing the one out of Oxford, which is the AstraZeneca. One is testing on 30,000 people before it will be approved. And so the FDA and the FDA and CDC says that, yeah, we are hurrying the vaccine, we are fast tracking. But it's kind of like when we went to the moon in the 60s, you put enough money and motivation, we can make a lot of incredible things happen. And this but they've also ushered in, in fact, we had a meeting earlier this week, when we were on with the CDC and the CDC said we are We will not hurry the approval process, we are going to ensure that this is effective and it is most importantly safe before we approve it for the American public. And I think the question will be is how well it protects and basically what we're going to see is once we are done is once we provide this is whether we see significant drops in the cases and risks and in the immune response. But everything has been shown so far with those that are in stage three is that they produce the immune response that is felt to be necessary to create protect against COVID-19
Tim Stout :we're over. We over were over. That's good man. Well, that that means you have to come back.
Fr. Linh Nguyen :Okay. Let me have a chance to talk about his faith yet.
Tim Stout :I know. Well, maybe we'll, we'll have that as part two. We'll talk about your faith. We did. I do have a note here that you do go to Southland church, is that correct?
Dr. Ryan Stanton :We do. We actually when we first moved up here, I grew up in the Methodist Church. Actually, that's where I got into media. When I was 14, I started narrating the church broadcast. And on for the am radio station, because everybody knows church broadcasts, if it's just a radio, that there are a lot of gaps where there's not a lot of action. You know, there's singing and talking that sort of thing. But there's a lot of gaps where we're making transition points, communion, whatever it may be, you got to fill in those gaps. We can't have dead air. And so that's actually where I started in media in when I was 14 years old. And my wife grew up in a Missionary Baptist Church. Her grandfather was a preacher of Eastside bad Just church Missionary Baptist Church in Franklin, Kentucky. And so she spent all of her summers doing revivals. And so when we got married the Methodist and the in the Baptist, we just when we moved here we were off of Southland. So we started going to Hillandale. And then when we had children, the programs at Southland allowed us to get them into children's programs. And we just moved south where we live on the south side of the Harrisburg campus, Harrisburg road campus. And so we continue to go there. So
Tim Stout :it's a big church.
Dr. Ryan Stanton :It is a big church it is but what I love Now, one thing that's been great about COVID is the fact that I have access to not only those services, but the church that I grew up in their services. So when I'm on the road with NASCAR,
Tim Stout :on Sunday morning, you can pick whatever you want to catch
Dr. Ryan Stanton :two or three services. And
Tim Stout :that's the same thing with the Catholic Church too. I mean, you have to be you have to be streaming some, some method, nothing.
Dr. Ryan Stanton :I mean, that's the most important thing when you're talking about, you know, how do we reach new people. You know, the attendances dropped across a lot of the country but how do we get the Jesus on and that a lot of it is getting that information out there.
Tim Stout :But we would like to converge it, but that'll take a couple of episodes to converge. At least one more, at least one more. Typically we give our guests I think you're the first non Catholic guest. Correct. So you go down in the annals of history is the first non Catholic. Yes. Which is fine. I don't know. That's a compliment. It is a compliment. It's gonna be a really good compliment here just a second. Because usually we give we give Catholic guests we give him a rosary, but he's not Catholic, so I can't give him a rosary so
Fr. Linh Nguyen :you can What? What's stopping him? It's perfect, but I
Tim Stout :didn't bring it. Oh. I brought something else Okay.
Dr. Ryan Stanton :Oh my god.
Tim Stout :Brought a bottle of McKenna 10 year.
Unknown Speaker :bat.
Tim Stout :A little birdie told me you might like that. That
Dr. Ryan Stanton :is incredible. That is a Fantastic three years best bourbon in the world for the ones that San Francisco competition. Yeah,
Tim Stout :it's good stuff for sure. So we appreciate you coming and being a guest. And we'd like to have you back sometimes salutely. Anytime
Dr. Ryan Stanton :that made fantastic
Tim Stout :maybe at the end of COVID, where you we can play back some of this as a B row and say, look what he said.
Dr. Ryan Stanton :Wrong. He was even when I knew stuff.
Tim Stout :We're gonna cut out all those other stuff we do. Because you know, we're way over but again, thanks for coming. They have a good very informative, yeah, good. Good. Good conversation. good discussion. So next week, we're back here in the studio with Father Danny Taylor. He's the he was supposed to be on last week we took a break. You know, you gotta take breaks now. You need we need like mental mental health days this weekend.
Dr. Ryan Stanton :This weekend for me is my first weekend off in about three months. I mean,
Tim Stout :you got it. You got to do it week. Now. I should be going fishing tomorrow. But instead I'm going to be on my bicycle, which I haven't written in a while. So I'm gonna be back on the bike tomorrow but Danny Taylor Being with us next week. That should be a good show. Follow Lynn has to take us out to dinner so you don't get ready for that. Oh, is that right? Yeah, Danny's coming up and you're buying dinner for everybody. Okay, well, you know their budget. Yeah, it's in our budget. Yeah. We'll get to that here in just second. Two weeks ago. We were Gavin's with Dwayne and Chrissy Allison, I just want to remind everybody, the fendley five k packet pickup is tomorrow. So if you signed up for that, check your email you should be able to get Did you sign up? Of course and do sign up. Okay, you can't sign up too late sign up. Okay.
Fr. Linh Nguyen :The only time I not run the five k still got a medal. Okay,
Tim Stout :that's how you're gonna get a metal. The virtual
Dr. Ryan Stanton :when we make one request here at the end is that we all just do a real round robin of just changing real fast so we can watch Steve's head explode.
Tim Stout :It is it is pretty good. But you can't sign up for the fenley five K, but you can donate Finley 105 dot org. You know, they're doing some good stuff for SIDS. And we heard about last week about how there's not a lot of research going on right because Funding there's no money in SIDS research there's no miracle drug. So if you feel so inclined, please donate great calls. Hey, if you're just joining us for the first time on this broadcast, because you you know you'd like one a Dr. Ryan stands, numerous Facebook page or follow him on Twitter, whatever we invite you to like our Facebook page and our YouTube page, St. Francis and john, to search for that you'll find it if you're watching this broadcast, you've already found it. If you're listening to us on a podcast, you're one of our fans, check out the docs pages go ahead so
Dr. Ryan Stanton :on Facebook we get this Stanton MD everyday medicine as the general information that's where I put all my COVID updates. We have a set front line which is the podcast and then we have the doc is in which is the weekly TV segment that's on Wk YT here in about six stations throughout the southeast that's just topical segments which in 2020 COVID
Tim Stout :everything COVID everything go every everything company
Dr. Ryan Stanton :wants anything but COVID COVID
Tim Stout :so we have your back we won't talk about COVID It lead that'll be a real How about that?
Dr. Ryan Stanton :That's a short show.
Tim Stout :There's a lot more to talk about. So yeah, like, like, like and follow all of us on all of our social media accounts, check it out latest post events, all that stuff. Also, if you're so inclined ss fj.org sfj.org. That's the parish websites for financial donations. We're a church. We have no money, always. So we always need money. If you like our ministries, you like what we're doing. All we're trying to do is spread the gospel. That's all we're trying to do. And you can help. So tell your friends about us. Hit Like, a fine line, can you give us a blessing, your turn
Fr. Linh Nguyen :will be both a blessing 911 is very important. That's true. I forgot a day to commemorate and remember, to give a freedom was so many people die and tragic for this nation. But at the same time, give us a The willingness to rise together as a community of freedom that we witness for this great country. graces Gaby give you thanks for power life together your faith then during this difficult time of this pandemic, give you so much thanks for your any intelligent people science doctor, willing to explore and try to end this pandemic. That we do know there are many people suffering to this pandemic to fear and doubt and sickness. We as you said, the grace and blessing especially on this 911 we live out the dead, those victim for that crime. We trust your mercy and you eternal hope and love and bless us this evening. Blessed are those who listen to us and blessed are those who longing for faith and love in hope during a difficult time. We ask this in Jesus name, amen. May almighty God bless you and me The son of the Holy Spirit. Amen. Great show. Thanks, Doc. Thanks, guys. Thanks, everybody. And until next week, Steve.
Dallas Kelley :I'm Deacon Tim. I'm diggin Dallas.
Tim Stout :Good night, everybody. Good night.
Unknown Speaker :ever stop and think why spend too much time just getting ready. I don't know a single thing that I haven't noticed. When I see you my heart starts racing. I don't know if the light is Jason Brown. It's the same for my hair.