Jan 15, 2014

Interview Transcript

Announcer: Medical news and research from the University of Utah physicians and specialists you can use for a happier and healthier life. You're listening to The Scope.

Interviewer: So the question is if you get a cold, should you go to the doctor? Or is that something you can just kind of handle by yourself at home?' Dr. Tom Miller from the University of Utah Healthcare. If I get a cold, should I come see you?

Dr. Miller: Most of the time if you have a cold, you don't need to see a doctor about that. So what is a cold? That's the next question. A cold is generally a stuffy nose and a scratchy throat, perhaps a sore throat and a mild cough without fever.

Interviewer: Without fever? Colds don't have fevers?

Dr. Miller: Not generally. Or if there is a fever, it's low-grade, meaning that it's less than 100.5 degrees Fahrenheit. If you have that, you likely have a viral cold that will take its time to heal in the next three to six days, and you don't really need to see a physician for that.
What you should see a physician for is if you have shortness of breath, if you have any chest pains, if you have difficulty breathing, or if you have a high fever. Of course, then, you probably need to be seen, and it could be something that is not just due to the common cold. By and large, when people develop a cold, they're talking about a viral cold that does not include fever or all the other things that I mentioned. It's uncomfortable, but we don't yet have a vaccine to prevent the common cold. By the way, there are many common cold viruses, so we'd have to have multiple vaccines to treat them.

Interviewer: So, really, there's not a shot you can give me? Like, some antibiotics or something?

Dr. Miller: It used to be that people would come in all the time to the doctors office, and they would get antibiotics for something that was caused by a virus. And in 95% of cases, it doesn't treat a virus, and the cold goes away in three to six days.

Interviewer: So why couldn't you just give me antibiotics just in case?

Dr. Miller: Well, a lot of people used to ask for that even when we said it wouldn't help them. The problem with giving people antibiotics unnecessarily is that we develop resistance to bacteria that we might need to use that antibiotic against in the future. That could really be a problem for us. And we've now developed strains of certain bacteria that thrive when someone takes an antibiotic. You could develop a diarrheal illness that goes on and on and on after taking antibiotics. So it's not a good idea to use antibiotics if you don't need them. If you go to the doctor's office and he tells you that you have a cold, please don't ask for antibiotics.

Interviewer: Anything else if one gets a cold that they could do at home since it sounds like going to the doctor probably isn't going to help me?

Dr. Miller: Basically, one can take Tylenol four times a day to alleviate the discomfort of having a scratchy throat. You can gargle. You can use saline nasal spray, and sometimes people can use decongestants or antihistamines. They may help. But in general, you just kind of have to tough it out.

Man: We're your daily dose of science, conversation and medicine. This is The Scope, the University of Utah Health Sciences Radio.


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