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Winter Infections

January 26, 2023 by John Ray

Winter Infections
North Fulton Studio
Winter Infections
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Winter Infections

Winter Infections (Episode 83, To Your Health with Dr. Jim Morrow)

Host Dr. Jim Morrow covers a variety of winter infections, including the common cold, bronchitis, pneumonia, and others. He detailed where they occur in the body, advice about when to go to the doctor, sensible measures to avoid getting sick, ways to get better once you’re sick, and much more.

To Your Health is brought to you by Village Medical (formerly Morrow Family Medicine), which brings the care back to healthcare.

About Village Medical (formerly Morrow Family Medicine)

Village Medical, formerly Morrow Family Medicine, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Village Medical one that will remind you of the way healthcare should be.  At Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Village Medical, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook | LinkedIn | Twitter

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics.

Dr. Morrow’s Show Notes

Winter Infections

What are the symptoms of the common cold?

  • Common cold symptoms may include:
    • Stuffy, runny nose
    • Scratchy, tickly throat
    • Sneezing
    • Watering eyes
    • Low-grade fever
    • Sore throat
    • Mild hacking cough
    • Achy muscles and bones
    • Headache
    • Mild fatigue
    • Chills
    • Watery discharge from nose that thickens and turns yellow or green
  • Colds usually start 2 to 3 days after the virus enters the body and symptoms last from several days to several weeks.
  • Cold symptoms may look like other medical conditions.
    • Always consult your healthcare provider for a diagnosis if your symptoms are severe.
  • A cold and the flu (influenza) are two different illnesses.
    • A cold is relatively harmless and usually clears up by itself, although sometimes it may lead to a secondary infection, such as an ear infection.
    • However, the flu can lead to complications, such as pneumonia and even death.

How is the common cold diagnosed?

  • Most common colds are diagnosed based on reported symptoms.
    • However, cold symptoms may be similar to certain bacterial infections, allergies, and other medical conditions.
    • Always consult your healthcare provider for a diagnosis if your symptoms are severe.

How is the common cold treated?

  • Currently, there is no medicine available to cure or shorten the duration of the common cold.
    • However, the following are some treatments that may help to relieve some symptoms of the cold:
      • Over-the-counter cold medicines, such as decongestants and cough medicine
      • Over-the-counter antihistamines (medicine that helps dry up nasal secretions and suppress coughing)
      • Rest
      • Increased fluid intake
      • Pain relievers for headache or fever
      • Warm, salt water gargling for sore throat
      • Petroleum jelly for raw, chapped skin around the nose and lips
  • Because colds are caused by viruses, antibiotics don’t work.
    • Antibiotics are only effective when given to treat bacterial infections.
  • Do not give aspirin to a child who has fever.
    • Aspirin, when given as treatment for viral illnesses in children, has been associated with Reye syndrome.
    • This is a potentially serious or deadly disorder in children.

What are the complications of the common cold?

  • Colds can lead to secondary infections, including bacterial, middle ear, and sinus infections that may require treatment with antibiotics.
    • If you have a cold along with high fever, sinus pain, significantly swollen glands, or a mucus-producing cough, see your healthcare provider.
    • You may need additional treatment.

Can the common cold be prevented?

  • The best way to avoid catching cold is to wash your hands often and avoid close contact with people who have colds.
    • When around people with colds, do not touch your nose or eyes, because your hands may be contaminated with the virus.
    • If you have a cold, cough and sneeze in facial tissue and dispose of the tissue promptly.
      • Then wash your hands right away.
      • Also clean surfaces with disinfectants that kill viruses can halt the spread of the common cold.
      • Research has shown that rhinoviruses may survive up to 3 hours outside of the nasal lining.

When should I call my healthcare provider?

  • If your symptoms get worse or you have new symptoms, let your healthcare provider know.
  • If your symptoms don’t improve within a few days, call your provider, as you could have another type of infection.

Key points about the common cold

  • A cold is caused by a virus that causes inflammation of the membranes that line the nose and throat.
  • The common cold is very easily spread to others.
    • It’s often spread through airborne droplets that are coughed or sneezed into the air by the sick person.
    • The droplets are then inhaled by another person.
  • Symptoms may include a stuffy, runny nose, scratchy, tickly throat, sneezing, watery eyes and a low-grade fever.
  • Treatment to reduce symptoms includes getting rest and drinking plenty of fluids.
  • Because colds are caused by viruses, treatment with antibiotics won’t work.
  • The best prevention for the common cold is frequent hand washing and avoiding close contact with people who have colds.

What is acute bronchitis?

  • Acute bronchitis is a contagious viral infection that causes inflammation of the bronchial tubes. These are the airways that carry air into your lungs. When these tubes get infected, they swell. Mucus (thick fluid) forms inside them. This narrows the airways, making it harder for you to breathe.
  • There are 2 types of bronchitis: acute and chronic. Chronic bronchitisis long-lasting and can reoccur. It usually is caused by constant irritation, such as from smoking. Acute bronchitis lasts only a short time. Most cases get better in several days, though the cough can last for several weeks.

Symptoms of acute bronchitis

  • The symptoms of acute bronchitis can include:
    • Chest congestion or tightness
    • Cough that brings up clear, yellow, or green mucus
    • Shortness of breath
    • Wheezing
    • Sore throat
    • Fever
    • Chills
    • Body aches
  • Your cough can last for several weeks or more. This happens because the bronchial tubes take a while to heal. A lasting cough may signal another problem, such as asthma or pneumonia.

What causes acute bronchitis?

  • Acute bronchitis is most often caused by a contagious virus. The same viruses that cause colds can cause acute bronchitis. First, the virus affects your nose, sinuses, and throat. Then the infection travels to the lining of the bronchial tubes. As your body fights the virus, swelling occurs and mucus is produced.
  • You can catch a virus from breathing it in or by skin contact. You are at higher risk of catching the virus if you have close contact with someone who has a cold or acute bronchitis.
  • Lesser-known causes of acute bronchitis are:
    • Bacteria or fungal infections.
    • Exposure to irritants, such as smoke, dust, or fumes. You are at greater risk if your bronchial tubes already have damage.
    • GERD (gastroesophageal reflux disease), which causes heartburn. You can get acute bronchitis when stomach acid gets into the bronchial tubes.

How is acute bronchitis diagnosed?

  • Your doctor can confirm acute bronchitis. He or she will do a physical exam and review your symptoms. He or she will listen to your lungs with a stethoscope. Your doctor might order a chest X-ray to look at your lungs. This will help rule out pneumonia.

Can acute bronchitis be prevented or avoided?

  • You can help prevent acute bronchitis by staying healthy and avoiding germs. Wash your hands with soap often to kill any contagious viruses.
  • If you smoke, the best defense against acute bronchitis is to quit. Smoking damages your bronchial tubes and puts you at risk for infection. Smoking also slows down the healing process.
  • Other steps you can take to avoid acute bronchitis include:
  • Wear a mask over your nose and mouth when using lung irritants. These could include paint, paint remover, or varnish.
  • Get a flu shot every year.
  • Ask your doctor if you should get a pneumonia shot, especially if you are over age 60.

Acute bronchitis treatment

  • Most cases of acute bronchitis are caused by a virus. This means that antibiotics won’t help. The infection needs to run its course. It almost always goes away on its own. Home treatment focuses on easing the symptoms:
    • Drink fluids but avoid caffeine and alcohol.
    • Get plenty of rest.
    • Take over-the-counter pain relievers to reduce inflammation, ease pain, and lower your fever. These could include acetaminophen (1 brand name: Tylenol) or ibuprofen (1 brand name: Advil). Never give aspirin to a child. It has been linked to Reye syndrome, which can affect the liver and brain.
    • Increase the humidity in your home or use a humidifier.
    • There are some over-the-counter cough medicines that help break up or loosen mucus. Look for the word “guaifenesin” on the label or ask your pharmacist for a suggestion.
  • Do not hold in a cough that brings up mucus. This type of cough helps clear mucus from your bronchial tubes. If you smoke, you should quit. It will help your bronchial tubes heal faster.
  • Some people who have acute bronchitis need inhaled medicine. You might need this if you are wheezing. It can help open your bronchial tubes and clear out mucus. You usually take it with an inhaler. An inhaler sprays medicine right into your bronchial tubes. Your doctor will decide if this treatment is right for you.
  • If your doctor thinks bacteria have caused your acute bronchitis, he or she may give you antibiotics.

Living with acute bronchitis

  • Most cases of acute bronchitis go away on their own in 7 to 10 days. You should call your doctor if:
  • You continue to wheeze and cough for more than 2 weeks, especially at night when you lie down or when you are active.
  • You continue to cough for more than 2 weeks and have a bad-tasting fluid come up into your mouth. This may mean you have GERD. This is a condition in which stomach acid gets into your esophagus.
  • Your cough produces blood, you feel weak, you have an ongoing high fever, and you are short of breath. These symptoms may mean you have pneumonia.
  • The risk of developing complications from acute bronchitis, such as pneumonia, is greater in some people. These include:
    • Young children
    • The elderly
    • People who have asthma
    • People who have other health issues (such as canceror diabetes)
    • People who haven’t gotten vaccines for flu, pneumonia, or whooping cough

What is pneumonia?

  • Pneumonia is an infection of the lungs. It causes the air sacs (alveoli) of the lungs to get inflamed (irritated and swollen). They may fill up with fluid or pus. This causes a variety of symptoms, which range from mild to severe. Pneumonia is usually caused by bacteria or a virus. It also can be caused by fungi or irritants that you breathe into your lungs. How serious pneumonia is depends on many factors. These include what caused the pneumonia, your age, and your overall health.

Symptoms of pneumonia

  • The symptoms of pneumonia can range from mild to severe. This depends on your risk factors and the type of pneumonia you have. Common symptoms are similar to the symptoms caused by a cold or the flu. They include:
    • cough
    • fever
    • bringing up mucus when you cough
    • difficulty breathing
    • chills
    • chest pain
  • You may also sweat, have a headache, and feel very tired. Some people also experience nausea, vomiting, and diarrhea.
  • If any of these symptoms are severe, call your family doctor. You should also call your doctor if you suddenly start getting worse after having a cold or the flu.

What is walking pneumonia?

  • Walking pneumonia is a mild case of pneumonia. It is often caused by a virus or the mycoplasma pneumoniae bacteria. When you have walking pneumonia, your symptoms may not be as severe or last as long as someone who has a more serious case of pneumonia. You probably won’t need bed rest or to stay in the hospital when you have walking pneumonia.

What causes pneumonia?

  • Bacteria: They are the most common cause of pneumonia in adults. They can cause pneumonia on their own, or after you’ve had a cold or the flu. Bacterial pneumonia usually only affects one area of a lung.
  • Any virus that affects the respiratory tract can cause pneumonia. This includes the flu virus and the virus that causes the common cold. In children under 1 year old, the respiratory syncytial virus (RSV) is the most common cause. Viral pneumonia tends to be mild. It often gets better on its own in 1 to 3 weeks.
  • Some fungal infections can lead to pneumonia, especially in people with weakened immune systems. There are also some fungi that occur in the soil in certain parts of the United States that can lead to pneumonia.
  • You can also get pneumonia through aspiration. This is when you inhale particles into your lungs. These could be food, saliva, liquids, or vomit. It occurs most often after vomiting, and you are not strong enough to cough the particles out. The particles cause irritation, swelling and can get infected. This causes pneumonia.

How is pneumonia diagnosed?

  • Pneumonia can sometimes be hard to diagnose because the symptoms are the same as for a bad cold or flu. If you think it could be pneumonia, you should see your doctor. Your doctor may diagnose pneumonia based on your medical history and the results from a physical exam. He or she will listen to your lungs with a stethoscope. Your doctor may also do some tests, such as a chest X-ray or a blood test. A chest X-ray can show your doctor if you have pneumonia and how widespread the infection is. Blood and mucus tests can help your doctor tell whether bacteria, a virus, or a fungal organism is causing your pneumonia.

Can pneumonia be prevented or avoided?

  • There are many factors that can raise your risk for developing pneumonia. These include:
    • Your age.People older than 65 are at increased risk because the immune system becomes less able to fight off infection as you age. Infants age 2 or younger are also at increased risk because their immune systems haven’t fully developed yet.
    • Your environment.Regularly breathing in dust, chemicals, air pollution, or toxic fumes can damage your lungs. This makes your lungs more vulnerable to infection.
    • Your lifestyle.Habits such as smoking cigarettes or abusing alcohol can increase your risk. Smoking damages the lungs, while alcohol interferes with how your body fights infection.
    • Your immune system.If your immune system is weakened, it’s easier for you to get pneumonia because your body can’t fight off the infection. This could include people who have HIV/AIDS, have had an organ transplant, are receiving chemotherapy, or have long-term steroid use.
    • If you are hospitalized, especially in an ICU.Being in the ICU (intensive care unit) raises your risk of pneumonia. Your risk increases if you are using a ventilator to help you breathe. Ventilators make it hard for you to cough and can trap germs that cause infection in your lungs.
    • If you have recently had major surgery or a serious injury.Recovering from major surgery or injury can make it difficult for you to cough. This is the body’s quickest defense for getting particles out of the lungs. Recovery also typically requires a lot of bed rest. Lying down on your back for an extended period of time can allow fluid or mucus to gather in your lungs. This gives bacteria a place to grow.
  • People who have any of the following conditions are also at increased risk:
    • chronic obstructive pulmonary disease (COPD)
    • asthma
    • heart disease
    • emphysema
    • diabetes
    • sickle cell disease
  • You can help prevent pneumonia by doing the following:
    • Get the flu vaccine each year.People can develop bacterial pneumonia after a case of the flu. You can reduce this risk by getting the yearly flu shot.
    • Get the pneumococcal vaccine.This helps prevent pneumonia caused by pneumococcal bacteria.
    • Practice good hygiene.Wash your hands frequently with soap and water or an alcohol-based hand sanitizer.
    • Don’t smoke.Smoking damages your lungs and makes it harder for your body to defend itself from germs and disease. If you smoke, talk to your family doctor about quitting as soon as possible.
    • Practice a healthy lifestyle.Eat a balanced diet full of fruits and vegetables. Exercise regularly. Get plenty of sleep. These things help your immune system stay strong.
    • Avoid sick people.Being around people who are sick increases your risk of catching what they have.

Is there a vaccine for pneumonia?

  • There isn’t a vaccine for all types of pneumonia, but 2 vaccines are available. These help prevent pneumonia caused by pneumococcal bacteria. The first is recommended for all children younger than 5 years of age. The second is recommended for anyone age 2 or older who is at increased risk for pneumonia. Getting the pneumonia vaccine is especially important if you:
    • Are 65 years of age or older.
    • Have certain chronic conditions, such as asthma, lung disease, diabetes, heart disease, sickle cell disease, or cirrhosis.
    • Have a weakened immune system because of HIV/AIDS, kidney failure, a damaged or removed spleen, a recent organ transplant, or receiving chemotherapy.
    • Have cochlear implants (an electronic device that helps you hear).
  • The pneumococcal vaccines can’t prevent all cases of pneumonia. But they can make it less likely that people who are at risk will experience the severe, and possibly life-threatening, complications of pneumonia.

Pneumonia treatment

  • Treatment for pneumonia depends on several factors. These include what caused your pneumonia, how severe your symptoms are, how healthy you are overall, and your age.
  • For bacterial pneumonia, your doctor will probably prescribe antibiotics. Most of your symptoms should improve within a few days. A cough can last for several weeks. Be sure to follow your doctor’s directions carefully. Take all the antibiotic medicine that your doctor prescribes. If you don’t, some bacteria may stay in your body. This can cause your pneumonia to come back. It can also increase your risk of antibiotic resistance.
  • Antibiotics don’t work to treat viral infections. If you have viral pneumonia, your doctor will likely talk to you about ways to treat your symptoms. Over-the-counter (OTC) medicines are available to lower fever, relieve pain, and ease your cough. However, some coughing is okay because it can help clear your lungs. Be sure to talk to your doctor before you take a cough suppressant.
  • If a fungus is causing your pneumonia, your doctor may prescribe an antifungal medicine.
  • If your case of pneumonia is severe, you may need to be hospitalized. If you are experiencing shortness of breath, you may be given oxygen to help your breathing. You might also receive antibiotics intravenously (through an IV). People who have weakened immune systems, heart disease or lung conditions, and people who were already very sick before developing pneumonia are most likely to be hospitalized. Babies, young children, and adults who are 65 years of age and older are also at increased risk.

What can I do at home to feel better?

  • In addition to taking any antibiotics and/or medicine your doctor prescribes, you should also:
    • Get lots of rest.Rest will help your body fight the infection.
    • Drink plenty of fluids.Fluids will keep you hydrated. They can help loosen the mucus in your lungs. Try water, warm tea, and clear soups.
    • Stop smoking if you smoke and avoid secondhand smoke.Smoke can make your symptoms worse. Smoking also increases your risk of developing pneumonia and other lung problems in the future. You should also avoid lit fireplaces or other areas where the air may not be clean.
    • Stay home from school or work until your symptoms go away.This usually means waiting until your fever breaks and you aren’t coughing up mucus. Ask your doctor when it’s okay for you to return to school or work.
    • Use a cool-mist humidifier or take a warm bath.This will help clear your lungs and make it easier for you to breathe.

Living with pneumonia

  • Your doctor may schedule a follow-up appointment after he or she diagnoses you with pneumonia. At this visit, he or she might take another chest X-ray to make sure the pneumonia infection is clearing up. Keep in mind that chest X-rays can take months to return to normal. However, if your symptoms are not improving, your doctor may decide to try another form of treatment.
  • Although you may be feeling better, it’s important to keep your follow-up appointment. The infection can still be in your lungs even if you’re no longer experiencing symptoms.

When should I see my doctor?

  • Pneumonia can be life-threatening if left untreated, especially for certain at-risk people. You should call your doctor if you have a cough that won’t go away, shortness of breath, chest pain, or a fever. You should also call your doctor if you suddenly begin to feel worse after having a cold or the flu.

What is whooping cough?

  • Whooping cough is a respiratory infection. It is also known as pertussis. Whooping cough is highly contagious and is most harmful to babies.

    Symptoms of whooping cough

  • Whooping cough begins like a cold. Symptoms can start a few days to several weeks after exposure. Early symptoms last 1 to 2 weeks and include:
    • Low fever
    • Mild cough
    • Runny nose
    • Dry or sore throat
    • Apnea (a pause in breathing or shallow breathing, often during sleep)
    • Your cough can get worse over time. Late-stage symptoms include:
    • Coughing fits that end in a “whooping” sound
    • Bursts of coughing that last longer
    • Vomiting after coughing
    • Getting red or blue in the face from coughing
    • Feeling exhausted after coughing
    • Increased coughing at night
    • Worsened apnea
  • Symptoms vary in babies and children, teenagers, and adults. For instance, babies cough less and are more likely to have apnea and turn blue. If you received the vaccine, symptoms will be milder and won’t last as long.

What causes whooping cough?

  • Whooping cough is caused by certain germs, or bacteria. You can get whooping cough if you breathe in these bacteria. It spreads between people when an infected person coughs or sneezes. You also can get it by touching an infected person or surface.

How is whooping cough diagnosed?

  • You should see your doctor if you or someone around you might have whooping cough. Your doctor will review your symptoms and listen to your cough. There are several tests to confirm whooping cough. Your doctor can swab inside your nose and/or throat. A lab will check the swab for whooping cough bacteria. Your doctor also may want to get a blood sample or take a chest X-ray.

Can whooping cough be prevented or avoided?

  • Vaccination is the best way to prevent whooping cough. The pertussis vaccine (DTaP, Tdap) is part of the recommended vaccine schedule for children and adults. Adults should get a pertussis booster every 5-10 years. Pregnant women and those in close contact with babies should be vaccinated. Talk to your doctor to make sure you and your family’s vaccinations are up to date.

Whooping cough treatment

  • Your doctor will most likely prescribe antibiotics. These will relieve your symptoms and kill the bacteria so you aren’t contagious. Infants and babies may need to stay in the hospital. If you have whooping cough, you should avoid contact with others, especially babies.

Living with whooping cough

  • Whooping cough can last anywhere from 1 to 6 weeks. You may continue to cough on and off, even with medicine. Over-the-counter medicines for coughing do not help with whooping cough. You should rest and drink fluids to prevent dehydration. You can try using a cool-mist humidifier or taking a warm bath or shower. These can help clear your lungs and make it easier to breathe. Avoid smoking and areas where the air is not clean. You may need to stay home from work or school. Talk to your doctor about when you can return to your regular schedule.

 

Tagged With: bronchitis, common cold, coronavirus, COVID-19, Dr. Jim Morrow, flu vaccines, infections, influenza, Morrow Family Medicine, pneumonia, RSV, RSV Vaccine, Village Medical, whooping cough, winter viruses

Sam Perkins, Pūrgenix™ (PHI Technologies, LLC)

March 24, 2020 by John Ray

Pūrgenix™
Alpharetta Tech Talk
Sam Perkins, Pūrgenix™ (PHI Technologies, LLC)
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“Alpharetta Tech Talk,” Episode 14:  Sam Perkins, Pūrgenix™ (PHI Technologies, LLC)

Pūrgenix™ equips hospitals with patented technology which eliminates airborne pathogens in hospitals, preventing root infection sources which cause numerous illnesses and even deaths. Sam Perkins joined this edition of “Alpharetta Tech Talk” to discuss how this technology not only protects patients but hospital employees as well, reducing absenteeism and turnover. The host of “Alpharetta Tech Talk” is John Ray and this series is broadcast from the North Fulton Business RadioX® studio. Special thanks to Renasant Bank for their support of this episode of “Alpharetta Tech Talk.”

Sam Perkins, Pūrgenix™ (PHI Technologies, LLC)

Pūrgenix
Sam Perkins, CEO of Pūrgenix™ (PHI Technologies, LLC)

Sam Perkins is the CEO of Pūrgenix™ (PHI Technologies, LLC).

Parents entrust their child to a children’s hospital, only to have their child infected during their stay. Failure to address the root infection sources in hospitals causes these infections and creates headlines like: “6 deaths, more illnesses blamed on mold at Seattle Children’s hospital, CEO admits.” Hospital-acquired infections (HAIs), known in the healthcare industry as nosocomial infections, are increasingly being recognized as preventable. Infectious pathogens, which may have no adverse effect on a healthy individual, can be life threatening to a patient with a compromised immune system.

Hospitals currently employ multiple technologies, products and procedures for cleaning, disinfecting, and sterilizing different aspects of the hospital environment. The PurgenixMatrix™ augments these best-practice techniques by delivering the first hospital-wide, systemic approach to air disinfection. We reduce the risk of airborne HAIs and provide healthier air for patients, staff, and visitors alike through addressing pure air at the source, the HVAC system.

Pūrgenix® attacks the root of mold and disease pathogens in hospitals creating a pūrHospital®. The first pūrHospital®, Harrison Memorial Hospital, has a three-year record of zero hospital acquired sepsis and pneumonia, combined with 9 of 12 quarters with zero surgical site infections-results not seen until becoming a pūrHospital®. Pūrgenix® creates pūrHospital® pathogen elimination by installing the PurgenixMatrix™, their patented germ eliminating energy field, in every air handling. PurgenixMatrix™ generates an intense UVGI energy field that kills or deactivates infectious pathogens both in the passing air and on air handling unit (AHU) interior surfaces.

For more information, you can connect with Sam on LinkedIn, or email him directly.

Show Transcript

John Ray: [00:00:14] And hello again, everyone. Welcome to yet another edition of Alpharetta Tech Talk. I’m John Ray and we are in Alpharetta. We’re not in the Business RadioX Studio inside Renasant Bank as we usually are. We’re in a new normal, but we’re in Alpharetta, in a nice safe location and excited about being here today. We’ll get to our guest in a moment, but I want to remind you that we love Renasant Bank even though we can’t be there right now. And Renasant Bank has all the mobile applications that you need.

John Ray: [00:00:51] Whether it’s your friends, your family or your life, Renasant understands how you bank and offer those mobile services you need. Renasant also knows that sometimes you need to speak to real people the real answers and they have real offices you can find, 190 convenient locations throughout the south ready to serve you. Call ahead and check in with them. For more information, go to renasantbank.com, Renasant Bank understanding you. Member FDIC. And now, I want to welcome Sam Perkins. Sam is the CEO of Purgenix. And Sam is as timely as anything can be right now. Sam, welcome.

Sam Perkins: [00:01:35] Thank you very much, John. I appreciate the opportunity to speak with you here from a safe zone in Nashville, Tennessee.

John Ray: [00:01:42] Yeah. All right. You’re on the phone from Nashville. And company headquartered here in Alpharetta. But you’re working out of Nashville because that’s really kind of a little bit of ground zero in terms of what you do, right?

Sam Perkins: [00:01:54] It is. It’s really the epicenter of health care in the United States. And this is where we need to be. And our presence here is actually quite timely.

John Ray: [00:02:05] So, let’s get into it, talk a little bit about Purgenix. How are you helping folks?

Sam Perkins: [00:02:13] You know, I think, John, the best way to summarize it is really our mission. And if you believe that they’re catching something in a hospital, getting an infection in a hospital is probably one of the greatest fears, I think especially right now in these times, then what you do is you really understand our mission and that is that we create an air-handling system performance that we are able to remove these germ agents inside the air system, and then block them from being able to be spread around the hospital again. And that is our underlying mission. And that impact when you do it across the entire hospital creates a PurHospital.

John Ray: [00:03:00] So, the way you help hospitals is, I guess, you’re installing really aftermarket technology into the air handling systems, correct?

Sam Perkins: [00:03:15] That’s right. So, what we have, John, is we have a patented platform of an array of ultraviolet lamps. That array with our patent is able to smooth or create a curtain of energy inside the air system. And because where we do it, we placed that at the pivot point of all air and the air-handling unit from what’s called the cooling coil. And we then design the energy field to eliminate. It’s the dog. I’m at home with a dog.

John Ray: [00:03:49] Absolutely. And that’s okay. So-

Sam Perkins: [00:03:52] We eliminate those pathogens in the course of that by being able to remove it. And we can design it at different levels of energy depending upon what’s needed.

John Ray: [00:04:07] So, Purgenix has been around a while. You’ve had this technology for a while. And before the coronavirus came along, we’ll get to that in a second. Of course, that’s extraordinarily timely. But the airborne pathogens are a big problem in hospitals, generally.

Sam Perkins: [00:04:30] Yeah, that’s right. If you were to spend some time, I think the best example of the impact that we can have is at a hospital in Cynthiana, Kentucky, which is really the first PurHospital. And I’d recommend your listeners go and check out their Facebook page, their Instagram feed and other such social media to see the impact of PurHospital. What we did there was three years ago, we installed our system inside of every air-handling unit.

Sam Perkins: [00:05:01] And by doing so, I think the CEO best summarizes it by the reason for what she said, “We’ve had quarters before where we’ve had zero infections”, but they believed that this was the next layer through which they could then take all of the great practices and get a more consistent zero infection ratio. And if you’re interested, I’ll be happy to share with you what happened over the last three years.

John Ray: [00:05:26] You know, that would be great. And folks, we’ll put these links to this in the show notes as well, but yeah, we’d love for you to share that, Sam.

Sam Perkins: [00:05:33] So, what’s curious is that they’re a hospital that has gone in the medical world with zero hospital-acquired pneumonias when I last met with them in April in person. That’s an astounding record, but there’s more. They also had gone a thousand days with zero central-line infections. That is an amazing statistic as well, but they’re not finished. They went seven out of 10 quarters with zero surgical-site infections. So, before this moment in time where we’re confronting the COVID-19, they were already having these outstanding infection rates over the past period of time.

John Ray: [00:06:20] So, several things to pull out of that, but again, before we get to COVID-19, even before we get to that, let’s talk about, there’s a huge branding impact on that for the hospital, but address that if you would. And also, what’s the financial impact because it’s got to be tremendous for them.

Sam Perkins: [00:06:40] Yeah. Oh, it is. So, let’s talk about, first, the emotional part of this. And if you take a look at their social media page particularly the last two weeks and a new story that was done on March 9th, what they’re talking about is that they can now talk about being a safer environment. All of their media is saying that over the last two weeks in particular. They’re safer because they’re a PurHospital. And I think a great way of being able to say it is that after the hands are washed, the surfaces are clean. The CDC protocols are followed.

Sam Perkins: [00:07:17] PurHospital assures that as you go through that hospital, that you’re actually in the safest environment. And that emotional piece of what we talked about with PurHospital, they’re using in Harrison Memorial to reassure the reality that they are safer hospitals. That’s the emotional part of it. The financial piece is pretty significant too. Sheila Currans, The CEO at Harrison Memorial has shared that they’d already seen after a-year-and-a-half a reduction in their infection control costs.

Sam Perkins: [00:07:53] And in the impact on absenteeism, while unmeasured, the employees are very happy working in that environment because they too are safer. Remember, we do have people on the front lines that are taking care of us in the hospital and they’re being exposed to this too. And we’re helping them be safer in that hospital, and that’s an important piece for employees. I mean, the question is where would you rather work? A PurHospital or the other hospital. Another emotional piece.

Sam Perkins: [00:08:21] But the financial aspect of it too is that because of that, the employees are healthier, you have an impact on employee absenteeism. But there’s another hard cost piece that has not as much to do with the infection prevention, but because of where we do it, in the air-handling units, there are actually some very significant energy savings and operating savings from cleaning the systems and replacing filters that go away. And they, in fact, paid for this system alone. And they recognize that there at Harrison Memorial.

John Ray: [00:08:56] And there are plenty of studies out there relatedly that employees that feel good about where they work, that translates into bottom-line performance.

Sam Perkins: [00:09:09] Oh, yeah. There’s no doubt. We did a social media promotion, if you will, a year ago, where there is a restaurant in town, Biancke’s. It’s one of the oldest restaurants in all of Kentucky. Biancke’s is a wonderful old place. I love visiting there when I’m in town, visiting them. And we went and bought two $100 gift cards to Biancke’s. And in that, we had one for the community and one for the employees. And all we ask them to do is take a picture next to one of the banners that proclaims that they’re a PurHospital.

Sam Perkins: [00:09:49] One says, you know, “Shouldn’t your babies air be pure?”, the picture of the baby and the mom. “Take your picture next to that banner, tag Harrison Memorial Hospital. Put the hashtag, PurHospital”, which is P-U-R-H-O-S-P-I-T-A-L, “and put it on social media and you have an entry to win that gift card.” Well, we had somewhere around 156 employees do that with comments on social media such as, “I am so happy that my hospital where I work cares as much about me as we do about our patients.”

Sam Perkins: [00:10:21] That was a powerful message. And that was affirmation of exactly what you’re talking about. That’s awesome. Folks, if you just joined us, we’re speaking with Sam Perkins. And Sam is the Chief Executive Officer of Purgenix. So, Sam, you have installations. It’s amazing, the list of—if I can just read a few, the list of installations that you have beyond Harrison. I mean, that includes Emory, WellStar, UHS Aiken, Baptist Health. That’s a pretty impressive client list.

Sam Perkins: [00:11:00] Yeah. Where we were if we’ve been demonstrating the power of this, you know, until COVID-19, I had a rather difficult challenge explaining to everybody the invisible enemy they were fighting, the germs, right?

John Ray: [00:11:13] Right.

Sam Perkins: [00:11:14] I think COVID-19 has raised awareness around this and before, we’re talking about solving problems of C. diff, which redistributes in a hospital, we solved that for somebody. MRSA, we can go on with the list of nasty germs there in hospitals that cause these problems that we help eliminate from the air system. And we were doing individual installations. It’s really the change that we had three years ago over the PurHospital saying, “Hey, this is not about a single part. You need an entire protective envelope across the entire hospital.” And then, you can talk about it because, you know, the funny thing about air is it doesn’t know how to stay place, stay in one place, it moves around.

John Ray: [00:11:57] Right.

Sam Perkins: [00:11:57] So, covering the whole hospital makes a difference, and that’s sort of what happened. So, Harrison Memorial is our first PurHospital. But if I may, the hospital in Georgia that people may be interested in, our technology is throughout the Paulding Hospital. Now, they did not choose to take the PurHospital branding. And so, they’re not a PurHospital, but they could be. And what I do like is that when that hospital was built and introduced, I love how Mark Haney, who’s now retired from WellStar introduced to all of Georgia, in essence, on WSBT, Channel 2, the hospital from the mechanical room. I mean, when have you ever seen that before, John?

John Ray: [00:12:43] Yeah, really.

Sam Perkins: [00:12:45] You want to go there in the atrium, right? You want to go to the pretty place.

John Ray: [00:12:48] Exactly. With all the potted plants, right?

Sam Perkins: [00:12:51] Exactly. So, instead, he decided that the pretty place was actually down in the mechanical room showing our system on TV. This happened, what, six years ago when they opened that hospital.

John Ray: [00:13:03] Wow.

Sam Perkins: [00:13:05] And I love the statement, he said like, “This hospital is designed as an infection-prevention tool from the outset. We still have to do the basics, but now, we have the building working for us.” That’s a powerful statement.

John Ray: [00:13:19] Yeah, for sure, for sure.

Sam Perkins: [00:13:20] I mean, in most instances, John, what’s happening is not only, you know, you’re washing your hands, cleaning the surfaces, and what’s happening is you’ve got to remember that you’re doing this environment with the rebroadcast of this drug building, and that’s what we’re preventing.

John Ray: [00:13:39] And so, just to clarify, you’ve got all these installations in the various parts of that particular institution or a location. So, you mentioned WellStar Paulding. You know, there’s just certain aspects of that property that you cover. But the Harrison installation was noteworthy because you covered the entire facility.

Sam Perkins: [00:14:10] That’s right.

John Ray: [00:14:10] Yeah. And so, that’s really where you’re going with the company in terms of branding an entire facility a PurHospital.

Sam Perkins: [00:14:18] That’s right. So, a part of what we’re doing quite frankly is that we’re designing and building installing. We’re maintaining the system to make sure—because part of PurHospital’s re-certifying, it’s going to perform to the standards to which we are going that we said that it will perform. And so, PurHospital is about the reassurance that system is operating as designed.

John Ray: [00:14:39] Right. Right. And-

Sam Perkins: [00:14:41] That’s part of it. So, part of it is, you know, WellStar Paulding has a medical office building attached to it. We did not put our systems into the medical office building. So, that’s part of it, too, is they could become a PurHospital pretty quickly by covering that and such. So, that’s an example. You know, over at UHS Aiken, with Universal Health Services, we did all their surgical suite. And while they’re much safer, you know, again, it’s not the whole hospital that’s covered.

John Ray: [00:15:09] So, why don’t we talk about return on investment? Because that’s really what it’s all about for, certainly, the health care industry where they’re squeezed in terms of their returns and profits just like everyone else. They’re looking for the best return they can get. Why don’t you talk a little bit about that because that’s a compelling part of your story, it seems to me.

Sam Perkins: [00:15:34] No, there’s so many multiple paybacks. Let me break them down into three areas. And I think most importantly, let’s start with the leader around PurHospital, the impact on infections. We talked about that and the important thing is that let’s start to look at the infection rate in United States, about 900,000 hospital beds, 1.7 million infections in hospitals a year and a hundred thousand people die from them. So, that’s a one in 17 probability of death if you get an infection in a hospital, right?  So, every hospital bed then, if you average, represents just slightly less than two infections.

Sam Perkins: [00:16:18] So, every 17 infections that we block, there’s a life that’s been saved. The cost of fighting an infection for a hospital is about $16,000 per infection. If we block those infections, that’s an immediate return to them. Certainly, it’s the impact on families too. How about the patients? Let me speak to that person that had a hip replacement three years ago as a result of a mountain bike accident that I had and they found an infection. I asked to see the records and I understood that it came from the environment. And it was not from the infection of a body or a human. Never confirmed that I had it, but guess what I had to do, John?

John Ray: [00:17:00] What’s that?

Sam Perkins: [00:17:00] Well, I had to follow a six-week course of antibiotics three times a day followed by probiotics two hours after, and I had to do that for six weeks. Now, that’s when you get infected. 1.7 million people are having to go through this infection fight, and it’s no fun. I know this. So, this mission became very personal from that moment, let me assure you.

John Ray: [00:17:25] For sure.

Sam Perkins: [00:17:26] Yeah. So, now, we come back. I think the third area is employees. And for employees, it’s an issue of absenteeism. We’ve seen reductions of absenteeism anecdotally from 5% to 30%. That’s pretty dramatic. And the cost of replacing employees is significant in a hospital. And while we can’t frame exactly what that number is because there’s not enough experience with PurHospitals yet, but it’s a clear benefit that comes. Very measurable impacts.

Sam Perkins: [00:17:58] Put it in three sub-parts of the financial area, energy, operating and capital. So, on the energy side, you have all these giant fans and these big chillers that are operating, and they are probably up to 40% of the total energy bill, maybe 50 in many instances in the hospital. And because of what we do, we slow fans down. We make chillers operate more efficiently, and that is a very, very big number.

Sam Perkins: [00:18:31] We can pretty much assure in every instance, you’re going to see about a 3% to 6% reduction in total building energy from what we do. So, that’s the energy side. Operating savings come in the form of these giant cooling coils. Just think about your home air unit where you see these silver coils and things, that’s where the heat exchange happens. And in hospitals, we’ve got to clean them once, twice, sometimes, four times a year. They don’t have to do that anymore after we’ve installed.

Sam Perkins: [00:19:05] So, that’s a significant savings on that. And then, these things called HEPA filters, these filters are after the system to take out all these pathogens. That’s been the standard for years, but they change them out every quarter, maybe twice, four times a year. We have one customer that hasn’t changed their HEPA filters for three years. That’s a significant savings in the cost of those filters and the labor required to go put them and take them out and let’s not forget about waste and disposal, too.

John Ray: [00:19:35] Sure. Sure.

Sam Perkins: [00:19:36] So, all those are savings. And finally, here’s an interesting one. We installed at Washington and Lee University, so this is universal, doesn’t matter what the setting is. But the capital piece of it is interesting. They had 100,000 giant systems called 100,000 CFM is how we tell them, so it would be about, for them, $2.4 million to replace it. Well, if you’re a for-profit system, if I make those two air-handling units operate longer, this is where we get a little bit technical in ROI, but if I take systems $2.4 million worth of systems that you were going to replace and you don’t have to replace them now because what we do, we return them to performance, that $2.4 million, if you have a return on equity in your for-profit company, it’s worth a quarter million dollars a year to you because you redeploy it into areas where you can drive profit rather than a sunk cost like an air system. So, those are three things. Energy, operating cost, a capital cost. Combine that with absenteeism and infections, it’s a powerful ROI, John.

John Ray: [00:20:47] Yeah. It’s kind of mind-boggling. And something tells me that you’ve got a way—I mean, every hospital’s different. Something tells me you’ve got a way to kind of plug in the variables and show what the ROI is or the average internal rate of return for that investment.

Sam Perkins: [00:21:07] Absolutely. In fact, we make it so it’s virtually no out-of-pocket cost, plus it’s beautiful we’re doing this interview, you in Georgia, we had one project with Georgia Power, had granted us a pre-approval for a rebate, an energy rebate. So, we were able to come back and say, “Hey, customer, now, we’re going to make this so that your cost is spread across 60 months. We’re going to align that to all the savings that you have. We’ll guarantee on the energy and operating side that you will not be out of pocket. All these other benefits will be for free. Oh, and by the way, here’s a check from Georgia Power.”

John Ray: [00:21:45] You can’t beat that deal. That’s awesome.

Sam Perkins: [00:21:47] That’s true.

John Ray: [00:21:48] Yeah. Wow. Terrific. Folks, we’re speaking with Sam Perkins. And Sam is the CEO of Purgenix. So, Sam, we’ve walked all around the issue, but we need to dive into COVID-19 because you offer solutions there as well.

Sam Perkins: [00:22:11] Yes. Well, thank you. Yes, John. And because of the way we design our systems, we’re able to eliminate in one single pass 70% of the COVID-19 in a single pass in the air. It’s significant because the Daily Mail published an article, I think, week before last that they’re finding COVID-19 in air-handling ducts that we now saw this week, in fact, that they’re finding it can last in the air for up to three days. That’s the best estimate they have by the way.

John Ray: [00:22:47] Right.

Sam Perkins: [00:22:47] I believe it may be higher. And so, we’re in a place where we are going to be able to address the unknown. Let’s face it, it could last on surfaces. I’ve seen some people say up to eight days. So, think of it as if it goes airborne for three days, there are 96 air changes in a hospital, think about that. Ninety-six air changes for an hour, for three days, you’re approaching 300 opportunities for COVID-19 to be redistributed throughout that hospital.

John Ray: [00:23:26] Wow.

Sam Perkins: [00:23:28] I mean, that’s all theoretical, mind you, but it’s possible. And so, as a result, that’s just what we’re dealing with. And so, in the midst of all this, we are addressing it in that fashion. The more—here’s another important part of it though, and we don’t know what the answer is, yet that’s the challenge, but at least at Harrison Memorial, they’re likely to have a better answer than most, and that’s this, once you have a person with COVID-19, their immune system is obviously compromised, making them more susceptible to guess what, other infections, secondary infections. You’re going to be hard-pressed to find a better environment which to fight COVID-19 than Harrison Memorial Hospital because of their infection rate that they’ve had that’s been so low for three years that the exciting part about it is—and so, it’s something where I can address it directly, frankly.

John Ray: [00:24:33] Right.

Sam Perkins: [00:24:34] And sorry for the dogs barking, but they’re kind of over at the backdoor, and I’m not. We’re going to go live with this. It’s kind of like, you know, you’re used to being in a studio setting and we’re just where we are today.

John Ray: [00:24:49] I just assumed there was some hospital folks knocking at the backdoor and they were barking at that. So, that’s-

Sam Perkins: [00:24:55] You’re breaking the door down to get in here.

John Ray: [00:24:58] Yeah, exactly. They’re looking for you because you’ve got some answers to the problems they’ve got. So-.

Sam Perkins: [00:25:03] That’s great. That’s great.

John Ray: [00:25:05] Yeah.

Sam Perkins: [00:25:05] Yeah.

John Ray: [00:25:05] So, talk about what this involves because when you’re talking about—I mean, you’re not replacing an air handling system, but you are doing an installation. What does that involve? How long does it take? In other words, how quickly can you bring a solution to a hospital’s issues?

Sam Perkins: [00:25:26] Well, it requires design. So, how quickly can you build a building? You first have to make sure that you have the structural engineer on it, right? So, in order to get this airborne, every air-handling system has a very, very different performance metric, different air velocities, speed, different temperatures, all this impacts how you’re going to design it. And so, we do an assessment of the air-handling unit. And then, from there, the implementation can be pretty fast. So, for example, at Harrison Memorial Hospital, once we had the pre-engineering completed and we manufactured the system specifically for each area in the unit and installed them from beginning to end, it was about nine weeks, which is pretty fast for a custom delivery of a solution.

John Ray: [00:26:19] Oh, wow. Absolutely. And then, after the installation, judging by what you’ve done with Harrison, you’re keeping pretty close tabs on the payback of that installation.

Sam Perkins: [00:26:33] Yeah, that’s right. Well, we are. There are smaller hospital, they don’t have specifics, but they’ll tell you, for example, that their air-handling systems had dropped by 20 percent in terms of their energy consumption. And since that comprises about 50%t of their energy consumption at that particular hospital, they’ve seen a 10% reduction in their energy cost. Now, the reality of it is that they don’t see it completely because they put a brand-new section on the building. We installed across that one new area in the unit, but the remaining 13 or so were all old ones, and they have energy recovery and all of those. And we stopped the new one from becoming, shall I say, impaired.

John Ray: [00:27:22] Got you.

Sam Perkins: [00:27:23] Yeah.

John Ray: [00:27:25] Got you. So, just trying to get out with this question, who is a good fit for the technology you bring to bear? I mean, Harrison’s a smaller hospital in the scheme of things. I mean, how big of a hospital plant can you service?

Sam Perkins: [00:27:47] Any hospital, frankly. Now, this is a unique point in time and I look forward to the issue of how to scale, frankly. And I think that COVID-19 has created a background for conversation around the invisible enemy that has never been there before. Certainly, our entire economy has been disrupted by an invisible enemy. It now makes the point that why are we getting all these infections in hospitals and while it may be finally transmitted by touch, questions how to get there.

Sam Perkins: [00:28:20] And my answer has been that don’t think of an air system as something you’re breathing in, but think of it more like a shower of germs coming down on top of you. Stop the shower, stop the infections. If it’s not there, it can’t be transmitted. So, I think that conversation has changed because this COVID-19 and the things that are happening because now, people understand, “Hey, maybe we do have an invisible energy and we want to be more like Mark Haney and have a building working for us, not against us.”

John Ray: [00:28:47] Yes.

Sam Perkins: [00:28:48] So, the answer is any hospital, but, you know, there are other applications. You’re sitting in Georgia, and I’ve always wanted to and have not had the opportunity to get to the Georgia Aquarium. Think about this for a moment, John. I suspect that all the mammals that are inside that aquarium have to be fed probably some anti-fungals and antibiotics. And why would that be? And you think about it, any mammal in the middle of the ocean has been playing around or even penguins, you know, they don’t deal with fungus or human bacteria. And you’re putting them into a building, where there’s a whole bunch of humans, and Charles Schulz by the way almost had it right with his characters, so here you go, I think you’ll like this, is that the best image to have is everybody is a pig pen.

John Ray: [00:29:40] Nobody wants to hear that, but it’s true, right?

Sam Perkins: [00:29:45] It is true.

John Ray: [00:29:45] Right.

Sam Perkins: [00:29:46] So, he always had it right. You know, the cloud that you’re carrying just varies and you just don’t want to be around someone that has a cloud of COVID-19 right now. That’s kind of the way I think of it as a pig pen.

John Ray: [00:29:57] Sure.

Sam Perkins: [00:29:58] So, if you take all this collection of people in the Georgia Aquarium, one, you have the same kind of recirculating system. We did put a system in there a long time ago for one installation, but they need to cover the—for example, covering the entire aquarium would be great. Can you imagine PurAquarium, and it didn’t quite smell like an aquarium because we alter that environment, just like a hospital or how about another one? A corporate headquarters. So, you have people coming internationally, at least you used to, internationally in your headquarters, you don’t know what they’re carrying, what illness there is.

Sam Perkins: [00:30:34] And that corporate headquarters is not designed any differently than a hospital other than they’re not using HEPA filters. And so, these same germs, these pig pens come in and out at the corporate headquarters. There are germs that are going up in the air system, festering, growing and being redistributed. We had one customer a long, long time ago, John, we had an employee that came up and said, “Hey, I got this sickness from being in this building.” And they took that employee upstairs, showed them the installation that we had and said, “You did not get it here because that does not get through this”, right?

John Ray: [00:31:11] Yeah. Wow.

Sam Perkins: [00:31:12] So, I think there’s going to be a potential in the area of corporate headquarters. There’s going to be a potential for aquariums, in particular. And how about the fact that we’re in 37 buildings on the Emory campus. They’re not PurBuildings, they’d be PurBuilding-eligible. And by the way, Emory has the largest collection of PurBuilding-eligible buildings in the United States. Second is Washington and Lee University. But now, imagine you’re a parent and you’re sending your child off to college, well, they shut them down, why? Well, because they’re in buildings where they could share, and what if you could block the sharing through PurBuilding?

John Ray: [00:31:53] Right. Wow.

Sam Perkins: [00:31:53] There are a lot of applications. But right now, I think if I had to choose between, you know, capacity, I’m going to throw it at health care because that’s our most vulnerable population right now. And we would have to figure out how to expand out to those others because I have a sense in about two to three months, we’re going to have a line.

John Ray: [00:32:13] Yeah. Sounds like it. Sam Perkins is with us folks, CEO of Purgenix. Sam, this has been awesome. Maybe we ought to let you go and take calls from hospitals at this point. But for-

Sam Perkins: [00:32:30] Actually, this is kind of funny, John, but investment bankers that wouldn’t take my phone call three weeks ago are now calling me.

John Ray: [00:32:41] Imagine that. Nothing like an opportunistic investment banker, right?

Sam Perkins: [00:32:45] Well, let’s face it, they’re in it to make a profit, right?

John Ray: [00:32:49] Of course. Of course. They’re-

Sam Perkins: [00:32:51] I’m happy to take their calls because I’m having very nice conversations about something I love, which is, we’re protecting patients and people inside of hospitals and when you have that as a mission, that’s a pretty awesome life, let me tell you.

John Ray: [00:33:05] So true. Outstanding. Sam Perkins, folks, CEO of Purgenix. So, Sam, for those that would like more information, would like to be in touch, tell them how they could do that.

Sam Perkins: [00:33:17] Sure. If you have Twitter, I have a funny name, but it’s @three50one, T-H-R-E-E-50-O-N-E. You can certainly connect with me on LinkedIn and just let me know in both instances that you heard me on this program and I’ll connect with you. I get several requests, as you might imagine, but if you heard on the radio show and you want to connect, just let me know and we’ll connect there. You can always DM me on that. Otherwise, if you want more information directly, you can always reach me on my email address which is sam@purgenix, P-U-R-G-E-N-I-X, .net.

John Ray: [00:34:04] Awesome. Sam Perkins, thanks for being with us.

Sam Perkins: [00:34:07] John, it was a pleasure. Thank you for helping us spread that there is good news even in these times.

John Ray: [00:34:14] Absolutely. Thanks again.

Sam Perkins: [00:34:16] Thank you.

John Ray: [00:34:17] Folks, just a reminder that you can listen to this show every Thursday morning live at 11:30. If you miss any of our live shows—and we also have special shows throughout the week, but if you missed any of our shows, we’re Podcast Space. You can find us on all the major podcast platforms, that’s Apple, Google, Stitcher, TuneIn, Spotify, Overcast, happens to be my favorite. We’re even on YouTube. So, just check us out on any of your favorite podcast apps. Also, we’re online at alpharettatechtalk.com. You can find our complete archive of shows there and follow us on social media channels, North Fulton BRX is our handle on Twitter, Facebook and LinkedIn. So, for my guest, Sam Perkins, I’m John Ray. Join us next time here on Alpharetta Tech Talk.

 

About “Alpharetta Tech Talk”

“Alpharetta Tech Talk” is the radio show/podcast home of the burgeoning technology sector in Alpharetta and the surrounding GA 400 and North Fulton area. We feature key technology players from a dynamic region of over 900 technology companies. “Alpharetta Tech Talk” comes to you from from the North Fulton studio of Business RadioX®, located inside Renasant Bank in Alpharetta.

Past episodes of “Alpharetta Tech Talk” can be found at alpharettatechtalk.com.

Renasant Bank has humble roots, starting in 1904 as a $100,000 bank in a Lee County, Mississippi, bakery. Since then, Renasant has grown to become one of the Southeast’s strongest financial institutions with approximately $12.9 billion in assets and more than 190 banking, lending, wealth management and financial services offices in Mississippi, Alabama, Tennessee, Georgia and Florida. All of Renasant’s success stems from each of their banker’s commitment to investing in their communities as a way of better understanding the people they serve. At Renasant Bank, they understand you.

 

 

Tagged With: Alpharetta, Alpharetta Tech Talk, coronavirus, COVID-19, Harrison Memorial Hospital, Novel Coronavirus, PHI Technologies, pneumonia, Purgenix, PurgenixMatrix, Sam Perkins, sepsis

To Your Health With Dr. Jim Morrow, Episode 18: 12 Flu Shot Myths

October 9, 2019 by John Ray

North Fulton Studio
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To Your Health With Dr. Jim Morrow, Episode 18: 12 Flu Shot Myths
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Dr. Jim Morrow, Host, “To Your Health With Dr. Jim Morrow”

To Your Health With Dr. Jim Morrow, Episode 18: 12 Flu Shot Myths

Flu season is coming! On this episode of “To Your Health with Dr. Jim Morrow,” Dr. Jim Morrow discusses the influenza virus and the 12 flu shot myths. “To Your Health” is brought to you by Morrow Family Medicine, which brings the CARE back to healthcare.

About Morrow Family Medicine and Dr. Jim Morrow

Morrow Family Medicine is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine one that will remind you of the way healthcare should be.  At Morrow Family Medicine, we like to say we are “bringing the care back to healthcare!”  Morrow Family Medicine has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Dr. Jim Morrow, Morrow Family Medicine, and Host of “To Your Health With Dr. Jim Morrow”

Dr. Jim Morrow, Morrow Family Medicine, and Host of “To Your Health With Dr. Jim Morrow”

Dr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in the area of healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

Dr. Morrow’s Show Notes on Flu Shots

What is the Flu?

  • Influenza is a highly contagious airborne viral illness.
    • The virus enters the respiratory tract cells of the host and, if not neutralized by antibodies, begins proliferating.
    • The incubation period is 18 to 72 hours, but viral shedding may occur up to 24 hours before symptom onset and continue for five to 10 days.
    • Influenza is typically uncomplicated and self-limited in otherwise healthy patients.
    • However, severe complications, such as pneumonia, encephalitis, respiratory failure, multi-organ failure, and death, can occur.
    • According to estimates from the World Health Organization, 3 to 5 million cases of severe influenza-related illness and 250,000 to 500,000 influenza-related deaths occur worldwide every year.
  • Diagnosis:
    • Sudden onset of symptoms is a telltale sign of influenza.
    • Common symptoms include
      • high fever,
      • headache,
      • sore throat,
      • myalgia,
      • cough,
      • rhinorrhea, and
      • fatigue
  • The CDC recommends that physicians diagnose influenza clinically and perform testing only in the limited situations.
    • Several diagnostic tests for influenza are but negative results do not rule out influenza.
    • Although many physicians use rapid influenza tests, clinical judgment should prevail, especially in view of the limitations of such tests.

Who should get vaccinated this season?

  • Everyone 6 months of age and older should get a flu vaccine every season with rare exception.
    • Vaccination is particularly important for people who are at high risk of serious complications from influenza.
  • Flu vaccination has important benefits.
    • It can reduce flu illnesses,
    • doctors’ visits, and
    • missed work and school due to flu,
    • as well as prevent flu-related hospitalizations.
    • Flu vaccine also has been shown to be life-saving in children.
    • In fact, a 2017 studyshowed that flu vaccination can significantly reduce a child’s risk of dying from flu.
  • Different flu vaccines are approved for use in different groups of people.
    • There are flu shots approved for use in children as young as 6 months of age
      • and flu shots approved for use in adults 65 years and older.
      • Flu shots also are recommended for use in pregnant women and people with chronic health conditions.
      • The nasal spray flu vaccine is approved for use in non-pregnant individuals, 2 years through 49 years of age.
      • People with some medical conditions should not receive the nasal spray flu vaccine.
    • The most important thing is for all people 6 months and older to get a flu vaccine every year.
    • Best time to get a flu shot is in October, so that it is in effect before the season gets into full force, and your immunity will last until the end of the season.

Making the Flu Vaccine: A Year-Round Effort

  • The job of producing a new vaccine for the next flu season starts well before the current flu season ends.
    • For the FDA, it’s a year-round initiative.
  • The composition of vaccines for the prevention of other infectious diseases stays the same year after year.
    • In contrast, flu viruses are constantly evolving.
    • And the flu viruses that circulate causing disease in people, often change from one year to another.
    • So, every year, there is a need for a new flu vaccine.
    • To that end, FDA, World Health Organization (WHO), CDC, and other partners collaborate by collecting and reviewing data on the circulating strains of influenza from around the world to identify those likely to cause the most illness in the upcoming flu season.
  • In late February/early March — well before the new flu season begins — an FDA advisory committee reviews data about
    • which flu viruses have caused disease in the past year,
    • how the viruses are changing, and
    • disease trends so they can recommend the three or four flu strains to include in the trivalent and quadrivalent influenza vaccines for the U.S in the upcoming flu season.
  • Once the strains are selected, vaccine manufacturers begin the manufacturing process to include the newly selected flu strains in their FDA-approved vaccines.
    • The different flu virus strains are combined to formulate the vaccine into standard dosages.
    • The vaccine is then filled into vials, syringes and, for the nasal vaccine, sprayers.
    • Both egg-based and non-egg-based manufacturing methods for FDA-approved flu vaccines require high-tech processes and manufacturing facilities that have been inspected by the FDA.
    • Vaccine manufacturers must submit applications to the FDA to include the new flu strains in their FDA-approved vaccines.
  • The FDA is also responsible for ensuring that released lots of influenza vaccines meet appropriate standards.
    • Each vaccine undergoes quality control tests, including testing for sterility.
    • Manufacturers submit the results of their testing, along with sample vials from each lot to the FDA for “lot release.”
    • The FDA typically begins releasing lots of flu vaccines in late summer.
    • Lot release can continue into early fall.
    • Once lots are released, manufacturers distribute the vaccine throughout the United States for use by the public.
  • Flu seasons and severity are unpredictable.
    • Annual vaccination is the best way to prevent the flu for people ages 6 months and older.
  • An annual immunization with flu vaccine is the most effective and safest way for most of us to reduce our risk of getting the flu and spreading it to others.
    • When more people get vaccinated, it is less likely that the flu viruses will spread through a community, making us all healthier.

Myths About the Flu Shot

  • Myth #1: The flu is the same thing as a cold and it is harmless.
    • It is common to confuse the flu with a cold.
      • Both have similar symptoms and often are treated with similar methods.
      • However, colds are mild and last longer.
      • The flu usually occurs suddenly and lasts 2 to 3 days. The flu also is contagious and can be dangerous.
    • Symptoms of the flu include:
      • fever of 102°F or higher
      • chills and sweats
      • nausea and vomiting
      • muscle aches and headaches
      • chest pain
      • cough
      • stuffy nose
      • loss of appetite.
  • Myth #2: You can’t die from the flu.
    • People who have severe cases of the flu or are high risk can die from the flu.
    • High-risk people include:
      • Babies or children up to 4 years old.
      • Anyone 65 years of age or older.
      • Women who are pregnant, trying to get pregnant, or breastfeeding.
      • Anyone who has a low or weakened immune system.
      • Anyone who has a chronic health condition.
      • Anyone who lives in in a long-term care center.
    • These people are at greater risk of having health problems that lead to death.
      • It is even more important that they receive an annual flu vaccine.
      • It helps prevent severe cases or problems related to flu.
      • It also lowers their chance of needing to go the hospital, which raises costs.
    • If you aren’t high risk, you still should get a flu vaccine.
      • It protects everyone around you.
      • This is especially true if you work in health care or care for high-risk people.
  • Myth #3: You won’t get the flu if you get the flu vaccine.
    • The flu vaccine helps to prevent the flu.
      • Every year, its purpose is to protect you from the main types of influenza.
      • However, you still can get the flu.
      • You could have been infected with the flu before you got the vaccine.
      • You also could get another type of flu that the vaccine does not cover.
      • Most likely, you will have a milder case than if you hadn’t gotten the shot.
    • There are other things you can do to lower your risk of getting the flu.
      • These include:
        • Washing your hands often.
        • Covering your mouth when you sneeze and cough.
        • Using household cleaning spray to disinfect surfaces and objects.
        • Using hand sanitizer.
        • Washing laundry of sick people separate from other items.
        • Keeping your children, especially newborns, away from anyone who is sick.
  • Myth #4: You won’t get the flu if you take vitamin C.
    • Vitamins cannot prevent the flu.
      • Using vitamin C can improve your immune system, but you can still get the flu.
  • Myth #5: The flu vaccine will give you the flu.
    • You cannot get the flu from a flu shot.
      • This form of vaccine is made up of dead viruses that can’t infect you.
      • The nasal spray flu vaccine is made up of live, but weakened viruses.
      • The nasal spray vaccine is no longer recommended.
    • You can’t get the flu, but you can have side effects.
      • The area of the shot could be red, sore, or swollen.
      • You also may have muscle aches, headaches, or a low fever for a short period of time.
      • These effects occur when your body responds to fight the new virus.
      • You also can have flu-like symptoms from other health issues, such as a bad cold.
  • Myth #6: You shouldn’t get the flu vaccine if you’re pregnant or breastfeeding.
    • It is important to get the flu shot if you are pregnant, trying to get pregnant, or breastfeeding.
    • The flu shot is safe for you and your baby.
    • If you don’t get the flu shot and develop the flu, you could give it to your baby.
    • Your doctor might prescribe antiviral medicine to help reduce symptoms. They also might suggest another form of feeding until you are better.
  • Myth #7: You shouldn’t get the flu vaccine if you have an egg allergy.
    • The amount of egg allergen in the flu vaccine is very small.
    • It is safe for people with egg allergies, even kids, to get the flu shot.
    • Serious allergic reactions are rare.
    • If you are at risk, doctors recommend getting the shot at your doctor’s office instead of a drugstore.
    • This way, your doctor can monitor any potential reactions.
  • Myth #8: You don’t need to get the flu vaccine if you’re healthy.
    • It is good to live a healthy lifestyle, but it can’t prevent the flu.
    • It is an infection that spreads easily.
    • Everyone over 6 months of age should get the flu vaccine, except for rare cases.
  • Myth #9: You shouldn’t get the flu shot if you’re sick or already have had the flu.
    • It is okay to get the flu vaccine when you have a mild sickness.
    • However, your doctor may suggest waiting until you’re better.
    • It also is okay to get the flu shot if you have cancer.
    • You still should get the flu shot if you’ve already had the flu. The flu vaccine protects you against several types of the virus.
  • Myth #10: You don’t need to get the flu vaccine every year.
    • The flu is caused by the influenza virus, which can change from year to year.
    • Because of this, the flu vaccine is adapted to protect against the main types of flu.
    • You should get the flu vaccine every year at the beginning of the flu season.
    • Flu season occurs in the colder months of year, typically October to May.
  • Myth #11: Getting the flu vaccine more than once a year will decrease your chance of getting the flu even more.
    • There is no research that multiple flu vaccines will lower your chance of getting the flu.
    • However, some kids or older adults may need two doses of the flu vaccine.
    • This depends on your age and medical history.
    • Talk to your doctor to see if you should receive two doses.
  • Myth #12: You should wait until later in the flu season to get the vaccine. Then you will be protected longer.
    • The CDC recommends getting the flu vaccine as soon as it’s ready at the beginning of flu season.
    • It can take up to 2 weeks for the your body to build protection against the flu.
    • You should get the shot before the flu becomes more contagious.
    • However, it still is better to get the flu shot late than not at all.

Sources: American Academy of Family Physicians and Center for Disease Control.

 

Tagged With: Cumming doctor, Cumming family care, Cumming family doctor, Cumming family medicine, Cumming family physician, Cumming family practice, Cumming md, Cumming physician, Dr. Jim Morrow, emphysema, encephalitis, fatigue, fever, flu shots, flu vaccine, heart disease, Milton doctor, Milton family care, Milton family doctor, Milton family medicine, Milton family physician, Milton family practice, Milton md, Milton physician, Morrow Family Medicine, myths about the flu, North Fulton Business Radio, pneumonia, respiratory illness, runny nose, sweat, To Your Health, viral illness, Virus strains

Reducing Hospital Readmissions – Part 2

June 27, 2013 by angishields

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Reducing Hospital Readmissions - Part 2
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Every person that has ever spent a day as an in-patient in a hospital has experienced a care transition.  And every person that has stayed in a hospital in the last several years has seen changes in the way in-patient stays and discharges are handled.  One in six of Medicare beneficiaries discharge from a hospital were readmitted within thirty days during 2009.  More than 1/3 were readmitted within 90 days.  In 2009 alone, the cost to taxpayers for unplanned re-admissions was more than $19 billion!

The good news is that these unplanned re-admissions can be drastically reduced by observing some fairly simple guidelines for post-discharge care.  Join Sam and Brad as they discuss the details of Griswold Home Care’s approach to Care Transitions, and explore what other organizations are doing to help keep discharged patients safe and healthy in their own homes.  This particular session describes in more detail the steps Griswold Home Care is taking to help reduce re-admissions, including specific recommendations for each of the four diagnoses:  Myocardial Infarction, Congestive Heart Failure, Pneumonia and Chronic Obstructive Pulmonary Disease (COPD).

For more information about care transitions, please contact Sam or Brad at (770) 908-0707, or send and email to brad@gscatlanta.com, or sam@gscatlanta.com.

We want to thank Griswold Home Care for sponsoring today’s show.  Griswold Home Care has been a preferred provider of high quality, affordable in-home senior care in Atlanta for more than 20 years.

 

Tagged With: COPD, heart attack, home care, non-medical homecare, pneumonia, senior care, senior services

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