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Back in bloom | Spring fact or fiction
24 Plays3 days ago
After a brief hibernation, On Call is back--just in time for Spring! After a long, cold winter, April and Alicia are thrilled to catch up by putting one another in the hot seat for a new seasonal fact or fiction. Does pollen exposure do more than make you sneeze? Could daylight savings impact more than just your sleep? And why haven't they put out a vaccine for Spring Fever yet? A fresh season deserves fresh answers--let's dive back in!
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Transcript
Reunion and Podcast Return
00:00:00
Speaker
Welcome back to another episode of On Call with April. Hey, April, excuse me one second. I'm sorry, really sorry for one second. Can i interrupt? Thank you. Of course. Go ahead. Ladies and gentlemen, it's been a very long time since I've seen my friend April.
00:00:13
Speaker
April, when's the last time we recorded a podcast? ah Last year. Exactly. Thank you. It's been way too long and I've been lamenting a little bit. And for those that are watching us on a video, I wrote you kind of like, um you know, when you go to camp and you don't really miss your parents at first, but Then you kind of miss them by like month two. i don't know how long your parents sent you to camp. but mine I never went to sleep away camp actually, but okay. Well, do this is a, this is my dear April letter that was really an email that I wrote.
00:00:42
Speaker
And so I want to read you all my thoughts about you. Ready? Dear April. It's been a few months since we last recorded on December 15th, and I spent that time doing two things you absolutely love, paying way too much attention to the weather and reading deeply upsetting germ-related news stories.
00:01:01
Speaker
First, I need to talk to you, April, about the weather. 2026 started with that really huge cold um freeze that, like, froze half of our country, and then there was a bunch of snow, and then there was random warm days, and then suddenly it felt like spring, and then there were tornadoes. Now we're back in winter. So that's my update on...
00:01:19
Speaker
That's my i update on the weather since we've been gone. i Also know the podcast is about medicine, but I do think the audience should be aware that the weather has been extremely active. So I will be continuing to track these temperatures. So I just want you to let you know that April and um I know this is completely unrelated, but I just want to prepare you emotionally for the possibility that this is going to come up on today's show.
00:01:40
Speaker
Also, um since we've been away from each other, i have been watching germ stories like a sport. We'll talk about this later. Welcome back to the podcast.
00:01:51
Speaker
Well, thanks. I thought it was going to be more about how you like love me and you miss me, but no, it's all about the weather. This is on call. This would be really cool to just wear scrubs all the time. and you don't have to think about what you're going to wear to work. That is awesome. We're here to answer your questions. we can sit down and discuss them.
00:02:09
Speaker
Wait, I got to go. I'm on call. Wait, you're on call. I thought I was on call.
00:02:17
Speaker
Welcome back everyone to another episode of On Call with April and Alicia. I'm April. I'm Alicia. We're back to the podcast, April. We are back. I did genuinely miss recording. really did write you a letter.
00:02:29
Speaker
Like it's real and it's a lot longer than what I read, but. I just wanted you to know all the things that have been happening in the world that we haven't that we haven't that I haven't had a chance to really bother you about. And I realized as I was thinking through some of them, I was like, you know, April's gotta be really annoyed. The germ stories. I was like, oh my gosh, wait till you see this one story that they were just talking about. What was it?
00:02:52
Speaker
Hold on. Let me look at my story. um i said I said, other thing I'm doing is reading horrifying germ stories on the internet. Like things about how much bacteria are living on shopping cart handles. Cash. We're not talking about that. I can't do it. No, we have to. And restaurant menus.
00:03:10
Speaker
That was the big one. No, no, no. So said, that said, um i which has frankly been a terrible choice for my mental health. Yes. We're not talking about that. It was really just slide ideas. Because I'm not going to think about that.
00:03:21
Speaker
Yeah. I was like, dear mom, while at camp, I thought it was going to be like, dear April, I miss you so much. You're such great it's podcast person. Are you paying attention to the weather? do you know? Well, I pay attention to the fact that I had an 80 degree day. And then yesterday we were in the 30s with snow. So I pay attention to that.
00:03:40
Speaker
Actually, it's been exciting. it's um I know there's been a lot of people. that have been impacted in other ways. But yeah, it's just been a wild, it's been a wild 26. It really has. Like I'm over the weather. I'm ready for it. over a lot of things. I just, I'm like, it's just been a wild, but I am happy to be back. And we have had a ton of stuff going on, i think personally and professionally and um really just rebranding and looking at where we wanted to take our podcasts and and thought it would be a good time for us to step back, work with our production team and our marketing teams and decide what's the best way to, to come back and make this podcast better
Hiatus Explained
00:04:19
Speaker
for all of you guys. So thanks for hanging out and and being patient with us in the time that we've been out, but we are more than excited to be back and ready to give you all of the entertainment that you can handle. I know there's been multiple people that have asked me like, are you guys like not recording anymore? I'm like, no, no, no, we're going to come back. We just needed a little, i was a little hiatus today. Somebody said that on a, on a, on a meeting and, said, I said, Oh, I can't do that this afternoon. i
00:04:47
Speaker
I, we were back. I was like, we're back in a podcast and i got a pretty large blog for it. And they said, um I was wondering, I happened to pop on there the other day and saw you haven't done anything since December. And I was like, e that's the way I'd be like, you're slacking. yes Yes, absolutely. So it is, it's also, it's awesome to be back and we're glad to be back. But one of our new segments is what's, ah what's coming off the pager this
Medical Breakthrough: Bladder Transplant
00:05:12
Speaker
week. And ah that's going to be a segment that we're taking a look at the news story or something that we do want to share with our community of listeners. So I'm going to ask you this week, April, what's, what's off your pager? What's, what's coming off your pager today
00:05:26
Speaker
Yeah, I actually thought this was um interesting. This story popped up when I was, you know, just looking at medical news, you know, as we do in our spare time. um Yeah, all that spare time. did yeah Did you know that there was the first successful human bladder transplant in 2025? No, i didn't even know you could transplant a bladder.
00:05:46
Speaker
I know, right? I mean, we hear about like, you know, the heart. lungs, kidney, all of that. But yep, in May ah at UCLA Health, there was a successful, yeah, of 25, there was a successful human bladder transplant. So it was a patient who had had cancer um and had lost a large amount of their bladder due to cancer, had been dialysis dependent for years, and they were able to successfully transplant the kidneys and the bladder so that they could go off of dialysis. So I think this is um obviously groundbreaking, right? But also
New Segments Introduction
00:06:19
Speaker
you know, lot of potential in the future to help a lot of people.
00:06:22
Speaker
So that was interesting. UCLA. UCLA. All right. Let's go with the bladders. I wonder if they could transplant bladders for those of us that have weak bladders that like when you jump, you know, don't know. You mean like every person who's ever given birth? Like every, I know women that haven't, you know, it's very interesting as a, as a younger girl in her twenties made a comment like,
00:06:46
Speaker
I don't know. i just, every time I jump rope, I pee my pants. And she was like, I don't know why. And I was like, there's nothing wrong with you. That's women. Not all women do, but you know, like it's familiar to us. i was like, welcome to the club.
00:06:59
Speaker
So I remember the first time I went to the trampoline park with the kids, like after i was like, Oh, we're not going to jump today, guys. I'm not anyways. Have fun. My ankles hurt. yeah That's funny. Well, it is i you know, I feel like there's so much, I want to talk so much, but all in due time, right?
00:07:18
Speaker
We're back. It's spring. Can you believe our last episode was winter? i know. And now we're back on the sport. It's not spring just yet, but it's close. And it is time to bring back our faker for real spring edition, 2026.
00:07:35
Speaker
This one though, with our new rebranding guys, we are keeping score for real. And there are real stakes at the end of this year for who is going to win. these episodes. So pay attention in April.
00:07:48
Speaker
You keep score. You know the rules. Yeah, I got it. All right. So we're doing spring Faker for Real 2026 edition. April, welcome back. You get to start.
00:07:59
Speaker
All right. Are you ready? i am. Fact or fiction. Daylight savings can result in increased risk of heart attack. Oh,
Daylight Savings and Health Risks
00:08:11
Speaker
a fact. I mean, I have a heart attack thinking about it.
00:08:15
Speaker
I think my troponins are currently elevated with just you saying. Well, it's so timely because it was last weekend, right? But um it ah yes, it is a fact. ah And so the real the reason for it, the primary issue is the disruption of your body's circadian rhythm, right? So that internal clock that regulates our sleep and our metabolism and our various bodily functions. So even just an hour shift in that can...
00:08:43
Speaker
Calls like, you know, kind of like a mini jet lag in our body. So it has effects in multiple things. So heart health is one. Um, so there was a research study that was done that showed the risk of heart attacks increases by about 24% on the Monday after the transition. Um, there were some other articles that didn't think that that was quite as significant, but, um, definitely some data showing that it is. There's also,
00:09:07
Speaker
An increased number of car accidents, uh, because people are sleepy, right? They're sleep deprived and reduced alertness. Start mornings are darker. um also an increase in workplace injuries and those that are doing like physical labor and they're tired, you know, sleep deprivation can make you a little less coordinated. Um, and then of course, if anybody's people who suffer from mental health, uh,
00:09:33
Speaker
challenges that can get worse, you know, with that change in their sleep. So, um, it's definitely has more effects than I thought it would, but, um, one hour, I definitely was really tired for like couple days, you know?
00:09:47
Speaker
So really, yeah I have so much to say, but we, we have a segment for that too. So we'll talk about that later, but okay. I've that's really one hour.
00:09:59
Speaker
I know. right Isn't that weird? I mean, of course, like kids, it doesn't affect them as much, but like. It affected me worse as a child. As we get older. Yeah. I was like, why? One, like one hour extra was like, yes.
00:10:11
Speaker
And then especially when you got older, you're like, well, teenage ish, like preteen, young adolescent college was like one extra hour at the club, one extra hour somewhere.
00:10:22
Speaker
Then it was like one extra hour sleep. Now it's like, Oh, I'm asleep at seven o'clock. Everybody's still up anyways. It doesn't matter. So no, I, well, I mean, it on those nights I prepare hours and hours and hours early, like where I'm like, I'm not going to feel the effects of it. I'm going to just trick myself into going to bed at like eight at night.
00:10:42
Speaker
Cause it'll really be nine. it I have not felt the effects. This is the first year. is that wild? Except I'm sleeping in longer from time to time.
Pollen Exposure and Immunity
00:10:51
Speaker
Depends on what's going on. Sometimes my body's like, hello, it's 2 a.m. and it's time for you to wake up. And then sometimes it's like, hello, it's 9 a.m. and you slept through your alarm.
00:10:59
Speaker
So that's the s stage of life I'm in right now. and It's been a long time, guys, since we saw each other. So we're going to be a little chatty on this episode. This is what it is. All right. I have one for you. Ready? So wait, that's a W for me. Got it.
00:11:12
Speaker
Sarah, poyle on my ding ding on my sheet, it's an R, right or wrong. Okay, I'm doing W's because I'm hip with the current 6-7, okay? or Here we go.
00:11:25
Speaker
High pollen exposure may temporarily reduce the airways antiviral immune response. Fake or for real? Can you repeat the question?
00:11:36
Speaker
High pollen exposure may, not will, may, temporarily reduce the airways antiviral immune response. I made these so hard today because I have to win.
00:11:51
Speaker
Period. I'm going to say fact. Okay. Well, that didn't work.
00:11:57
Speaker
I agree. I love it. All right. That didn't work, but um okay. You're right. Absolutely. So experimental models show that pollen exposure can suppress. So for our medical people out here, the type one and type three interferon responses in our airway epithelial cells. So that reduced interferon signaling impairs early antiviral defenses, right? And then may increase susceptibility to respiratory viruses. So when we where were looking at this, I'm doing this for what is happening in the world right now.
00:12:31
Speaker
This is one of the craziest seasons I've seen, April. I don't know what you're seeing, but- I, I don't know if you can hear it in my voice. I'm in week two, but I have like a down week. I so really swear, like it's been a month long and it's constant into pink eye into all these different things. It's like, oh it's nuts. People are really sick and I, the weather definitely is influencing it, but the weather being early spring, spring's coming early. We love it, but that pollen is causing some problems. And I think this is some of the reason that we could be seeing some increased incidences just with the lability of things. So, but also that um observational data did show that there were high correlations between pollen counts and respiratory viruses during this time of the year. So.
00:13:15
Speaker
Interesting. We love spring and then we love seeing those pretty flowers, but. Yeah. Yeah. I mean, just being outside the other was like 80. I was like, oh my gosh, my head is killing me in my ears. And then it was 30 the next day. It's snowing. know. You know, you gotta it. It was like,
00:13:33
Speaker
74, we got tornado warnings. will are I think we were talking about this before we started, like tornado warnings went all through basically from Texas to to to the East Coast and are still continuing as of this morning. But um we went from that beautiful weather, then within one day, dropped 30 degrees with with that
Insect Stings Explained
00:13:53
Speaker
storm system. And this weekend, we're going to be back up with more tornado threats. sleep know Mother Nature, listen, they put her in a spin cycle.
00:14:02
Speaker
I don't know. We're in a weather spin cycle right now. So i know hopefully we come out on a clean end. we're both in a we're in a W. Let's go. Or an R, but yeah. Okay. So my next one is I went multiple choice for this one because I know how much you love them. So are you ready? Sure.
00:14:23
Speaker
All of the following insects sting multiple times, except which one? Well, can you just listen to the options? bumblebees.
00:14:35
Speaker
B, honeybees. C, wasps. Or D, hornets. Which one does not sting multiple times? Wasp hornets, they do. Because I got stung multiple times in my ear by a wasp. I've been stung by hornets.
00:14:49
Speaker
They're the devil. Honeybees or what's the other bee? Bumblebee. Bumblebee tuna. Um... I'm going, I'm going, I'm going bumblebee. and You're wrong. It's honeybee.
00:15:06
Speaker
It is honeybee. Tell me why. So the honeybee I wanted to do that. And you know what I was thinking? My girl. He can't see without his glasses. Oh my gosh. I cried so much in that movie when young. That is the most, never sent a seventh, well, sixth grader to see that movie.
00:15:20
Speaker
That was traumatic. It's the first movie I saw in a movie theater. Oh man, that's a rough one. I hated Macaulay Culkin. Home Alone never saved it again. I was like, why did die? Jamie Lee Curtis, why did you help him? was so upset. I know. I know. All right, tell me why.
00:15:39
Speaker
So honeybees, they have like barbed stingers that they lodge in the skin of who they sting. so That stinger leaves, which causes the bee to die, the honeybees. So they sting once, they lose their stinger, and they die.
00:15:53
Speaker
um However, bumblebees, carpenter bees, um they have smoother stingers. so these guys can sting multiple times without harming themselves because their stingers don't get stuck.
00:16:05
Speaker
And as you mentioned, wasps, hornets, they all, and yellow jackets, they can sting multiple times as well. Oh, yellow jackets are horrible. Yeah, those things are pretty bad, but yep.
00:16:19
Speaker
That stinks. You know, when I was in, um I went to Mexico over the new year. And we've not talked, but I was sitting just, you know, those ledges they have on a pool, like it's in the pools are kind of in the water, but you don't have to go be water princess. You just can go be a shelf princess. I just was shelf princessing. And all of a sudden I just yell out look really loud. And I was like, something just bit me. And I was like, i but I'm not in the ocean. So what happened?
00:16:45
Speaker
And I couldn't figure it out, but like my side of my like leg, I was like, what the heck? it I got stuck. i must have rolled over. i don't know if a sweat bee, something. i could have the stinger was in me though. And it wasn't a honeybee sitting at the sea of Cortez. That would have been really weird, but.
00:17:03
Speaker
That bad boy lost its stinger and it deserved it. So, well, and if you're going to move the stingers, you got to pull them straight out. Don't squeeze them. Cause then you can put more of the yes the venom into you. But so it's important just to kind of keep in mind what is around just so you know, if it's going to sting more than once. Do they look different?
00:17:21
Speaker
Honeybees and. Well, yeah. Bumblebees are like the big fat ones that are like black and white. i mean just getting yellow. always thought those were yellow jackets. Yeah. Um, Black and yellow, right? I think that the bumblebees are the like the larger ones, I believe. The fatter of the bees? Yeah.
00:17:37
Speaker
So they should be on GLP ones? Sure. That's just a joke, because that's my next question. Okay. Ready? Did you like that transition? Yeah, nice job. I've been practicing for some years. Good work. Even what you're saying, on I can tell.
00:17:55
Speaker
I'm excited to be back, actually. this I think we needed this. We probably should have done this a lot. I know. It's good for my mental health, I think. Oh, it's so good. Okay. All right. GLP-1 receptor antagonists. We're going to talk about hydration risks. Ready?
00:18:09
Speaker
Patients taking GLP-1 receptor antagonists for weight loss may have an increased risk for dehydration, particularly during warmer months.
Dehydration Risks with GLP-1
00:18:17
Speaker
Fake or for real?
00:18:20
Speaker
For real. Yeah, you're right. Actually, are we tied? We are. Look at us. No, were you were wrong. We are not tied. We are tied. That's what I was just saying. No, I'm winning.
00:18:32
Speaker
I'm winning. I thought we said we're tied. I thought you said I got that one right. You did not. I gave you an answer. I thought said, pretty sure I said honeybee. So we are tied, but let listen, you got that right. Congratulations, April. This is great. This is what April keeps score and not Alicia. The GLP-1 receptor antagonists, they reduce appetite, right? That's their job.
00:18:50
Speaker
And they delay gastric emptying. when And they do other things, guys. So GLP-1s, want to do a plug here. I am hearing a lot of negativity. I don't know if you are too around yeah the use of these. And it upsets me a bit because there are people that are abusing it.
00:19:08
Speaker
That's different than its use and like what it was designed for. And there are people that really need this drug and that really benefit from this drug. So I just, I don't want us to be a podcast or like a group of people that are very judgmental that the minute we hear that we're like, Oh, somebody with unnecessary weight loss, I won't go to the gym and won't change diet modification. I'm not like, No, I think we see the worst of the worst, and we do see people that have access taking advantage of it, but it's a very helpful medication and it does. It did things before weight loss. Okay, so it was taking care of diabetes, that patient population and, and cardiovascular protection. So that's my little plug.
00:19:45
Speaker
Um, but. With the delayed gastric emptying, then it also like backs food up. So for patients listening, that just means your digestion slows down a lot, backs food up. It doesn't make you hungry, and it doesn't signal our body's need to want to eat or drink. So we are at risk for um dehydration, and then obviously, you know, can have hypotension and other effects from that because of the use of that medication, but not abuse. That's not what we're talking about here.
00:20:15
Speaker
Yep. So that makes sense. I just needed to do that plug because that's an important one. No, it is. I mean, there's a lot of, you know, talk about those lately. So. Well, and i feel that there's like patients that when they get in the hospital um and I actually had one that.
00:20:29
Speaker
when we were reviewing meds, um and for those that maybe have never been in a hospital, we sit down and we review your medication list with you and everything you're taking, including, you know, your supplements and your herbs and things, because we want to know, we want to continue, or we want to see like what else could be causing issues. And it's interesting when we get to semaglutide the Wagovi, I can't remember what that generic is, but we get there and they kind of like mumble through it. Um, or they're like, but I take it for diabetes, you know, immediately. And it's like, it's okay. Yeah. i I don't, I don't, if you were taking it for weight, it's okay.
00:21:03
Speaker
Yeah. Cause there's just a lot of shame and there's a lot of people making fun of it. So i I, don't hear a lot of people talking about this, especially in the community, but I think we have to really do a good job to make sure that our patients are then not going to be shamed by their own families or, family, you know, they're not healthcare care providers, all of them, and they don't know how to explain to their families why did their doctor put them on semaglutide, you know, or, you know, another GLP one. So they're not all weight loss meds guys.
00:21:32
Speaker
Yep. Okay. All right. All right. Fact or fiction? Snake bites. Are you want to stick with that answer? You want to listen to the question? No, I'm not going to and no you're already losing.
00:21:49
Speaker
No, we're tied. No. Okay. I think you're gaslighting me. Fake factor fiction. Snake bites cause more deaths annually than mosquito bites.
00:22:02
Speaker
Annually? Where? in the United States? it In the world. No. Mosquitoes. Okay. You got that one right. Good job. You know, I know my germs.
00:22:13
Speaker
I know. Mosquitoes. Tell me why. i think I have an idea. And i would i I hope we're not dying from snake bites at that rate because... I don't know what country to move to them.
00:22:24
Speaker
Where do I know? Right. I'm moving to New York. They don't have snakes. They have rats or something. Rats eat snakes. They are perfect. We solved the problem. I think it's the other way around, but don't rats. Oh, shoot.
00:22:35
Speaker
You're right. Yeah. See, I suck. Go ahead.
Mosquito vs. Snake Bite Fatalities
00:22:40
Speaker
All right. So when we talk about the killers of, you know, animal killers of humans, by far mosquitoes are the biggest ones. So.
00:22:47
Speaker
They have been quoted to kill approximately like over like 750,000 people a year, like around 760,000. Yes. And the majority of those deaths are from malaria. So I i do want to preface this Your question of where was a good question because mosquitoes typically kill people outside of the U.S. So it's malaria. There's also West Nile virus, you know, all the things that are mosquito-borne. it doggy fever from mosquitoes? I can't remember. I'll look it up.
00:23:17
Speaker
okay I will. I was just curious because one that keeps popping in my head about an increased incidence. That's the only reason i was asking. Gotcha. um But then ah snake bite deaths are much less. so they haven't really been able to really nail down a number, but anywhere between 50 to 100,000 deaths per year. um But yeah, much less for sure.
00:23:40
Speaker
So guess what? Dengue fever is by a mosquito. See, you know, I like infectious disease. I know. So it is my, yeah. Oh yeah. Dengue and yellow fever also. Dengue. Dengue. Is it Dengue? Dengue? Yes. That's like in our Caribbean areas, is but yes, mosquitoes are, um, they're the devil too. And, um, I know they say, you know, like treating your yards and stuff.
00:24:05
Speaker
Um, it's like not healthy with like pesticides. And I fully understand, um but bodies of water, low bodies of water, standing bodies of water, things like that. Like standing water. Yep.
00:24:17
Speaker
Yeah, those are, we are a family that has hyper, do they call it? Hyper, like a bolus reaction. Oh, it's a mosquito bite. Like four of the six of us. And it's bad. So we start on steroid and then we take like a high dose of hydrocortisone, topical prescription version. But it's, they like bolus and then they boil and they break, it's,
00:24:45
Speaker
And I'm sure it has to do with species too, but it's probably because we're so sweet. So. Okay. Well, let's keep talking about bugs and. All right let's do it. And gross things gardening. Okay. Which, you know how I garden with pool noodles and Amazon boxes and nice stock flowers on top of them. Yes, we know. That's correct.
Gardening and Fungal Infections
00:25:08
Speaker
um It's not a green thumb. What color would it be? Jaundice them. Yellow. Yellow. That's what I've got. When things die, they turn brown, right? Like flowers. are dying But OK, so disturbing a soil while gardening can aerosolize fungal spores capable of causing fungal or pulmonary infections. Excuse me, not fungal pulmonary infections.
00:25:31
Speaker
Fact. Yeah, but I didn't say fact or fiction. I said faker for real. So for real. So you lost that one. So that's loss. Nope. That's gone. But you're absolutely right. So that they're an endemic fungi, fungi, histoplasma, histoplasma. We've talked about histoplasmosis. Let's talk about, especially largely in the Ohio Valley, blastocysts. They reside soil that they're enriched like birds or bats. Bats, guys, we're going learn after COVID at some point that bats, bats are vectors. But yes, they drop their droppings in our soil. And they kind of settle, but then we get in there and they say, till it and turn it over and do all these special things. So your plants can have all this great stuff. And then they aerosolize the, these fungal spores and you can breathe them in while you're doing your gardening and cause yourself a nice little fungal pneumonia.
00:26:22
Speaker
And histoplasmosis has a very, very distinct pattern um radiographically, which I don't know if you see that a lot in your area, but it it's that in sarcoid is something that we tend to see a lot in the Ohio Valley.
00:26:35
Speaker
Yeah, I've seen sarcoid. I haven't really seen much stuff in the past, but interesting. So here's some facts, guys. Don't go outside so you don't get bitten by mosquitoes and so you don't get lung infections either. Yeah, and then don't play in the dirt either. you know Don't play in the dirt.
00:26:51
Speaker
So basically don't just live in a bubble. Where's the boy in the bubble again? you know Bring him back. All right, last round. All right. Are you ready? That's good one because you're about to lose today.
00:27:04
Speaker
No. Okay. Anyways, um fact or fiction. Spring fever is a scientifically proven phenomenon.
00:27:19
Speaker
I don't know what spring fever means. I know. You've never heard that saying? No, no, no, no, no. This is why I like, okay, Enneagram 5, ladies and gentlemen. So i'm I'm immediately like, I have, I thought of three contexts I've heard of spring fever.
00:27:35
Speaker
Spring fever was what my mom used to say that it was like spring fever meant I have spring fever time to clean your room, which was also spring cleaning. Then there was spring fever. Like I just had to get outside because it got warm out. And then it, well, I don't know, maybe it was just two. I thought I had a third one in my mind. So those two are what I think of with spring fever. So I don't know which one.
00:27:56
Speaker
spring fever. So I'm going to say bird box because I don't know what the definition of spring fever is. I'll take a loss on this one just because now I'm like, what the heck is spring fever?
00:28:07
Speaker
Like formally. Yeah, yeah. So formerly, spring fever is like that um sort of like burst in energy that you get when like the weather starts to turn
Spring Fever Myth
00:28:17
Speaker
warm, right? So people want to be outside, they have more energy, they want to be around other people, like all of those things. Like, so it's basically like, you know, you have seasonal um depression, right? And you know, sometimes we'll get that in in the winter. So like in the spring...
00:28:34
Speaker
Yeah, probably. press So, so when you get to the spring, people get happier, they have more energy, they want to get outside. um and so my question was whether or not that has been like a scientific, like, is it scientifically proven that that is a true thing? um Yeah, the end I'm gonna say, I'm gonna, true. okay Is it true?
00:28:55
Speaker
No. Okay, take it back. I redact. No, you can't redact. You are officially losing. I lost. That's okay. I still wanted to know what it was.
00:29:07
Speaker
So, so it was, it's it's not scientifically proven. It's just something, it's like an old wives tale. Yeah. I mean, there, you know, there is definitely like this. There is this definitely increase in people's happiness and energy, but, and so, um, there's been some people who look at it and say, it's because, um, our body produces like less melatonin. Like, you know, once the nights are less, you know, like once the nights are shorter, um,
00:29:35
Speaker
You know, and there's definitely and an improvement for people who suffer from seasonal depression, but there hasn't really been like a clear scientific reason for it. But there definitely, you know, is a phenomenon that happens, but the science behind it is not clear.
00:29:50
Speaker
So. I was just thinking, um as you were talking through that, I was like, oh, she's going to end with ah like a zinger. And I'm about to hit her back with something that piggybacks off of this. And you're lucky I can't find this paper because I had five extra questions in case you were winning that I was going to lean into. But I was having too much fun and didn't care to lose today. So since we are in Lent, I'm just going to give you that one. All right. um Final question for me for not the win, but just for fun. All right.
00:30:21
Speaker
Starting intranasal, intranasal, Lord, starting intranasal, naso, I did it again. Intranasal cortico, try to say it. Intranasal corticosteroids after symptoms begin provides the same symptom control as starting them before peak pollen exposures.
00:30:43
Speaker
You're wrong. Really? Sit in that. Sarah hit the wrong button. Just kidding. You're right. Hit the right button. There's no way I'm wrong. You're right. You're right. Intranasal. See, I can't do it, April. Intranasal corticosteroids are the most effective when initiated prior, not after. It just allows suppression of early inflammation, um kind of causes all that stuff to not kick up before it's already kicked up. It's kind of like, you know, don't wait till your pain's at 10 take Tylenol or ibuprofen, you know? Yep.
00:31:14
Speaker
Get ahead of it, If you can't. Same old, same old. So, Okay, now moving into, we're we're getting ready to end this one. This was a great game. We clearly both won. This is really wonderful to be back. I want to know what did you learn? What?
00:31:29
Speaker
Before we clock out.
00:31:32
Speaker
What'd you learn today? Did you get smarter?
00:31:37
Speaker
i mean, I got all mine right. So i already knew the ones you threw up. That's insane. You lost. So you didn't get smarter. So clearly today's episode made you. Did you get smarter today? I did. was actually writing some notes because I was I want to talk about this. I think I'm going to go back to your first question. What was your first question, April? Remind me. I'm grabbing my notes really fast. Bladder, bladder, bladder.
00:32:01
Speaker
Your first question was about... first question was around the daylight savings. That's correct. That is my I got smarter. And April made me smarter. Let's call it that. April made me smarter. Alicia made me smarter. April made me less smart.
00:32:18
Speaker
So April made me smarter today. I like it. The daylight savings blew my mind. i And I feel like I could talk about this for another 30 minutes because... one hour I just don't I want to know more I want to know why I want to know exactly like is it is it circadian rhythm stuff is it one yeah it just makes her she have an accident yeah but so it's certain groups are more vulnerable wow that was great cortical intranasal we're fresh guys we just learned how to talk we haven't talked for months clearly
00:32:52
Speaker
So it's including like older adults, individuals who have preexisting health conditions, shift workers, right? Who are already sleep deprived anyways. um but our And then people who are already suffering from sleep disorders. So any small disruption. Did you ever work during daylight savings?
00:33:08
Speaker
Ever? I mean, I'm sure I Or were you princess and you didn't have to? oh I worked weekends. I'm just kidding. Well, right. But i I don't think I worked a lot of nights when that would happen. Oh, no, I wasn't working night shifts. I was just working day shifts. puts you at 13 hours for that shift because I know, well, historically they would not take you off of it. So if I work nights, um when i my first hospitalist job, extra night yeah i mean the next my first job was nights. It was um um admissions 3P to three a
00:33:40
Speaker
And if it was a um daylight savings, then it was, I had to stay like for, 13 hours because it happened during that period. But I don't recall being any more tired than the fact that I was up at 3am and I am not built for that. So, um, I just, I, so that was my April made me smarter because i I'm going to go look into it and you best believe the next time we talk, actually, this might be the some conversation on our pot or on our Instagram next week, because I want to know more like poll.
00:34:14
Speaker
How many of you guys knew daylight savings right might kill you? Because maybe that could be a good argument to the government to have them stop doing it. but but If we've got all the data, why are we not telling the government? Let's just stop it. Yeah, I don't know. I think time zone. I think jet lag might kill you more than that's going to be the next question. Jet lag. All right. Pin it. What did you learn? Are you smarter?
00:34:38
Speaker
No, I told you already got all mine right. No, but did you learn anything from me? Just my letter or anything? you want to talk about the weather? No, i learned that you missed me.
00:34:49
Speaker
oh um miss talking about the weather. That's it. Okay. Well, it was great, everybody. It was great while it lasted, but this will be our last episode for 2026. We're just getting started. do We are just getting started. We're really excited to be back. And you get you know you might not know where to find us, so let's let's review this. None of you emailed us, so we're not even going to talk about our email address anymore for now. That's right. um Unless there's one of you out there, but that's oncallpodcast. Soundphysicians.com. But no one will do that. But hit us up on our social medias, guys. Instagram, we're oncallpodcast.
00:35:24
Speaker
with April and Alicia. you can also find us on LinkedIn. You can, we're eventually going to have some YouTube up and we're going some video and it's going be exciting. But most importantly, guys, if you can get on the the social media platform, especially the Instagram, Facebook, we will be starting to post um clips of our podcast for for you guys and insert engaging and talking about polls and medical fact of the week or tip of the week. So lots of good things going on there. April, anything you want to add on that end before we close?
Closing and Listener Invitation
00:35:52
Speaker
Nope, I think you covered it. We're just excited to be back and want to hear from you guys if you have any ideas. We really are. We're excited. And for all of you guys that did reach out, honestly, thank you. We missed you guys too. In all seriousness, this was really just what we needed to do to get the show back and right for you guys and right in our schedule. So until the next time, guys, we're getting ready clock out, but you guys stay well and we will stay on call.
00:36:14
Speaker
Bye, everyone. Bye.