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Welcome back to Urgent Care Unscripted.

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My name is Barbara run, alter.

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I'm the director of operations

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and business development for AFC
Urgent Care in West Haven.

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And this is Mohammad Salman.

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The franchise in honor
of is here with Dave and,

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No.

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it's seven now.

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It's hot.

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And, also prime time for all kinds of,

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rashes and bug bites and, heat.

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And sunburns
that make you flex in your life choices.

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Yeah.

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And, today, I thought it'd be a good idea
to ask Google

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what are the most, asked

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questions regarding summer skin scaries.

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I guess I was going to call this one.

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So thank you so much for your feelings
for joining us.

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Our medical director
and veteran er, physician.

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Thank you for having me.

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Lovely.

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I know you love that.

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I don't care.

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Can you tell us, like,

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this seems small,
but they cause a lot of anxiety,

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especially with the concerns
about Lyme disease.

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If you can elaborate, like how did it
happen and what was it there?

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All right, so, in general, the politics

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carry infections and can, you know,
infect people once they bite them.

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That, Lyme disease is a big
one of the other

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diseases
to take into consideration as well.

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Obesity is,

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Rocky Mountains fight fever, some
which are not necessarily in the

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northeast, but these are considered,
that a tick bite once it occurs.

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If it's attached long enough to then
transmit these antigens into the body

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and in, a person can get sick from it
can then get

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is known for Lyme disease.

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And it was discovered in Connecticut.

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So hence the name line. Right.

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And the problems that can occur
is that the disease can affect

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the actually the heart
joints, the nervous system.

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So depending on severity,
the illness depends on the manifestations.

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And sometimes
it can be difficult to treat.

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So that's the big concern.

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You know, you don't want to get them
by taking have it untreated

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and potentially suffer
the consequences of the disease.

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Yes. What questions like,
where does that come from most frequently,

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like I heard a lot of times from animals
like deer and so forth.

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It's actually probably more rodents that,
they actually carry it.

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And, but winds up
happening is during their life cycle,

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they, try to attach
to animals, mammals primarily.

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And they say at the end of

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grass, whatever,

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with their, like, claws out,
ready to latch onto something.

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So then, you know,
when you out in the woods hiking,

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obviously
you should wear insect repellent.

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So we're likely to see some dark
be identifying thing

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that may be crawling on you and always do
a, tick check after kind of hikes.

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Also keep in mind pets can also carry them

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and bring them into the home,
especially if you live in a wooded area

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and they come back inside
and you know, provide you with,

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unwanted guests in the home.

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So just keep that, be mindful of that.

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But once they attach, right,
then they, they bite into the skin,

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they feed on you
and they transmit their pathogens.

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So how does a person know that that person
was not bitten by a mosquito?

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Or, and but was bitten by a tick?

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What's the symptom of,
you know, tick, attach?

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They stay on the skin
as opposed to a mosquito bite.

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That lovely little bug
takes the blood and goes away right.

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Ticks actually stay on board.

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Ticks don't jump.

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They crawl. Right.

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The way to get to touch is,
as I described earlier,

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they say on the end of plants waiting for
somebody to come by and grab on.

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So once they get on that,
they stay attached.

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And usually we find something
attached to your skin.

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Sometimes you can venom bite
and not realize that they have been there

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and done unnoticed,
depending on the part of body.

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And then you may have, you know, symptoms
that manifest, you know, days, weeks

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or even months later, so quickly
before we move on to the next, skin.

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Scary.

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What should a patient do if they realized
that they got bit by a tick?

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What the challenge would do
in terms of lactic acid biotics,

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just because of the strong
likelihood of a tick borne illness.

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If you don't have any symptoms
and you then realize you forget,

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you could always get tested for later,
if you develop symptoms,

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some sounds kind of difficult

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from the survivor perspective,
because they may come in with things

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that sound like aches and pains that,
you know, it doesn't get those, you know.

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Yeah.

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That if associated
with some other concern features, then,

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you know, maybe, a tick borne illness,
we consider that testing would be done.

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Yeah.

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So it can sometimes be a little bit
of a diagnostic dilemma.

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So from a provider's perspective,
if you give it by a tick it's always best

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to just get come in and get diagnosed.

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You would had a diagnosis. You.

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Right away to the disease
a prophylactic site.

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Sorry.

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Yes. In order to potentially prevent
the onset of symptoms.

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Got it.

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Our next topic is going to be poison ivy.

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So that's a good one.

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It's that time of the year
where people are working in their yard.

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So just quickly go through

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from a provider's perspective,
what should a patient do and when should

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they come to the urgent care?

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Avoid them.

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Tell my husband that please.

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That said, is, you know, oftentimes,

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we have a large amount in the area

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or an unidentified and you came across,

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the poison ivy, poison oak, Sumatra,

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or the oils in the plant
that actually caused this reaction.

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Not everyone is allergic to it.

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And there are a lot of people that are,
and with it,

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it can be, very uncomfortable
to have this rash,

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you know, depending on the severity
will depend on what kind of treatment.

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Sometimes, you may need, prescription

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medication, steroids to combat the,

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the inflammatory
response, the immune response to the oil.

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But then other, like,

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basic things to do are, taking the clothes
and washing them,

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you know, get those out.

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Yeah, those are big ones,

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but it can spread if somebody touches, 
so the oil,

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if it's still present, like,
that's what you have to wash the clothes.

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It can contaminate
other parts of the body.

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So even if you no longer by the plants,
but you have contaminated clothing.

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Yeah.

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Then you can actually, we, you know, touch
anything else with it, and you get that,

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kind of like, sanitize once
it has happened. Yes.

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And then sanitize all your clothes
that you've been wearing and,

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bed sheets and stuff
so that you are not causing more trouble

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to yourself or, or others
who might get in touch.

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Yeah.

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I mean, the theme.

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Oh, please, I know.

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So is that the kind of reaction it is?

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You often wouldn't get it
the first time is the repeated exposure.

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That's
when your immune system gets primed to it.

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Yeah.

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So, either way, avoiding the oils

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which come with the plant, I'm unsure
how they're handling bedding, but.

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Interesting.

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Maybe somebody doesn't like you and.

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Oh, I don't give any ideas.

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Please.

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That's okay.

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Let's, Definitely.

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So one of the other skin
scary is, is sunburn.

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So let's talk a little bit about that.

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When or I know sunburns can be very mild,
but they can also be very severe.

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So at what point should a patient

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say I think I need to do something
about this sunburn.

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A blistering
would be a concern for like, deeper burn.

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Most sunburns are going to be,
superficial, uncomfortable.

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For those that care about you,
for your appearance, you know,

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and and having a high SPF
will be, paramount

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to reducing the amount of wrinkles
you have.

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So that's one thing.

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But besides that, you know, the
amount of pain can be very comfortable.

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And the location, right,

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if you have something on
your forearm is probably not as bad.

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You have something in your back,
you know, you went and laid on the beach

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with, exposure to,
the sun in the Caribbean.

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And, I'm expecting it to be similar

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kind of exposure
as someone somewhere in the northeast.

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You probably going to have,
most of your burden at that point.

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And wearing clothing on top of somebody's
skin can be very uncomfortable.

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So something you can do is, you know,
provide, you know, medications for pain

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relief, you know, and give suggestions
in terms of, like, local care.

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Gotcha.

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Regiment, like, okay,
if I'm starting for the day

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and I had the beads for the whole day,
do I just put it on once a day

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or in the morning and be done with it,
or is there like a frequency

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or you depending upon the heat
and whatnot?

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Yeah.

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You will need some other sunscreen
so that.

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What's up for you?

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You think about 20 minutes
before going outside to settle

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and then if you're going to be outside,
you need to reapply,

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especially if you're going to be in water,
you know, things get washed off.

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And also realize
that when you're in the water,

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you actually get exposed to the sun
as well.

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So, a long time in water is likely going
to give you a sunburn as well.

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Okay.

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However, you don't feel hot water
the water, you are getting sunburn.

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So, because of the applications,

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the timing of which I'm not sure, but
definitely if you're getting into water.

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All right, so

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to summarize, tick bites,
poison ivy, and sunburns can be minor,

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but can also be, turned into major
really quickly.

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And that's where we come in
as an urgent care, and that's where we can

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come in and help treat you fast,
affordable and no appointment necessary.

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Which is the best part?

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Actually, one thing I did want to add is,
you know, he strokes, heat exhaustion,

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other things to consider,
you know, you want to,

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try to stay cool in warm weather,
you know, being

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some of the summer months of the year,
and you always want to maintain hydration.

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If you find yourself getting, like,

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being in a hot environment, not sweating,
that's always a bad sign.

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Confusion. Always a bad sign.

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You sort to get confused.

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You're feeling like your brain
is actually getting a little bit too hot.

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So those are some emergencies,
and a lot of prevention will help.

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You know, be mindful of that basically.

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That's great.

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Thank you so much for listening today
to Urgent Care Unscripted.

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And you can find us at 354
Sawmill Road in West Haven.

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And, enjoy. I'll be safe.

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And when you need, contact us.

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That is your generous haven.

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We welcome you to.

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And thank you for watching our episodes.

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And I think, Barbara and Doctor Pacheco
for joining us today.

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Thank you. My.