Bee Stings: Lifesaving Information with Dr. Juanita Mora, MD

WEBVTT

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in a world brimming with complexity few creatures

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embody harmony like the honeybee with tireless

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precision she dances from bloom to bloom each

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motion guided by millennia upon millennia of

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instinct each act in service to the whole and

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then There are the beekeepers, watchful stewards

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of this ancient symbiosis. Part agriscientist,

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part poet, they move along their hives with the

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efficiency of mow, levy and curly, tending to

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the bees' needs as best they can comprehend,

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and with the infrequency of a waterfall in the

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Sahara, sometimes running off flapping and flailing

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like a penguin on a hot sidewalk. This is their

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journey. Welcome, welcome to Be Love Beekeeping

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presented by our good friends over at Man Lake.

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Today's expert guest is a board certified allergy

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doctor and allergist. We will be discussing everything

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about bee sting allergic reactions and what you

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can do to save a life. This may be the most important

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beekeeping podcast you have ever listened to.

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Be sure to share it with your beekeeper friends.

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But before we go to our discussion with Dr. Mora,

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let's take just a couple of minutes. for some

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interesting facts about bee stings and bee venom.

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Number one, bee venom is mostly one protein.

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About 50 % of bee venom's dry weight is melaton,

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the peptide responsible for most of the pain

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and tissue damage from a sting. It's actually

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one of the most studied venom peptides in biology.

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Two, only female bees can sting. The stinger

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is a modified, oh I hope I can pronounce this

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correctly, ovipositor or egg -laying organ. So

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drones, which are all boys, have no stinger and

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can't sting at all. Number three, worker bees

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die after stinging but queens don't. A worker's

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barbed stinger lodges in mammal skin and rips

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out part of her abdomen when she pulls away.

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But queen bees have smoother stingers without

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the barbs. These are designed for fighting rival

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queens, not for defense of the hive, so they

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can sting repeatedly and survive. However, there

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are some exceptions if a worker bee stings something

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with thick or leathery type skin. like another

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insect or thick clothing. Rather than mammal

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skin, the barbs may not catch, letting the bee

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escape and sting again. Number four, the stinger

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keeps pumping venom after detachment. Once a

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worker bee stings and the stinger tears off,

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muscles attached to the venom sac keep contracting

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for a few minutes, pumping in more venom even

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though the bee itself is gone. That's why beekeepers

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know the best thing to do is to scrape a stinger

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out quickly rather than pinch it. Number five,

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venom triggers an attack me alarm pheromone.

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Isopental acetate, a component released alongside

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the sting, smells a little like bananas and signals

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other bees to join the attack on the same target,

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which is part of why beekeepers avoid eating

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bananas near their hives. Number six, bee venom

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is used as a real medical treatment. Purified

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bee venom is used in allergen immunotherapy shots

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to help people build tolerance and reduce the

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risk of severe allergic reactions to future stings.

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Number seven, melaton is being studied for medicinal

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uses beyond just allergies. Researchers have

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investigated melaton's potential effects on bacteria,

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viruses and even cancer cells in lab studies.

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Though it's still an active area of research,

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there aren't any approved applied treatments

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quite yet. And lastly, number eight, temperature

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and bee mood can affect the venom yield and therefore

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affect the sting itself. Bees can produce different

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yields depending on colony health, season, and

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stress levels. So if you've ever had a much bigger

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reaction and more pain from one sting versus

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another, there really is actually a reason for

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it. It can be a real thing. I'd like to welcome

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our very special guest today. We have Dr. Juanita

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Mora coming to us from, is it Chicago? Chicago.

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Chicago, and she's an allergist and oh my goodness,

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a wealth of information. I've been looking forward

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to this a long time. How are you, Dr. Mora? Oh,

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so wonderful to be with you and on this wonderful

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podcast to help educate our public, which is

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always one of my big passions. Allergies come

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up all the time in beekeeping, well in talk about

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beekeeping. And one of the things as a beekeeper

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that non beekeepers ask us the most is, do you

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ever get stung? And oh, I could never do that

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because I'm allergic. So first of all, yes, we

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get stung and it's okay. We don't really care.

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But let's, where should we even start talking

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about bee venom allergies? Where should we jump

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in? Well, maybe how many people suffer in the

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United States? So we know in the United States,

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when we're talking people allergic to V -Venom,

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we're talking about 2 million Americans. And

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out of these 2 million Americans, we know that

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20 % of all anaphylaxis or severe allergic reactions

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happen in people who aren't allergic to V -Venom.

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It accounts for 45 ,000 to 50 ,000 hospitalizations,

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emergency department visits every single year.

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and we lose 72 people secondary to fatal or mortal

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bee sting allergy every single year, which is

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why it's so important that we talk, especially

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with people who work with bees and are beekeepers

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year -round. I have so many questions. I'm going

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to try to I'm going to try not to get ahead of

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myself too far And so where I want to start is

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let's talk about bee venom allergies because

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some people have different kinds of reactions

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localized reactions Some people have a reaction

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that is not localized For example, they get stung

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on their thumb and they get hives on their back

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And then other people have a real anaphylactic

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reaction. Can you take those three things and

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let's put the proper terminology to what we're

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talking about. Absolutely. So when a person comes

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in to be evaluated for a bee sting or any insect

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sting. First thing, you know, taking the histories.

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So a lot of people get what's called a large

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local reaction right where they get this thing.

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They get an actual big hive that occurs right

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at the area. And sometimes it extends in the

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arm, but that's where it stays. It doesn't go

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into full body hives. There's no throat swelling.

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There's no eye swelling or anything. Then basically

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there's people who have a non -localized reaction

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like you described where they might get stung

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on their wrist and then they develop hives on

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their legs or different things. But again, just

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one localized area. When it becomes anaphylaxis

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is where we're looking at two or more systems

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involved or anything like threatening. Two or

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more systems involved might be breaking out in

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hives and lip swelling. Breaking out in hives

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and eye swelling. Breaking out in hives and vomiting.

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Or anything life threatening. Feeling like your

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throat is closing. Swelling obviously of the

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tongue that can actually occur as well too. Shortness

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of breath or wheezing or dizziness and feeling

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like you're about to pass out. It's called anaphylaxis

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and at that point we need epinephrine. Okay.

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How does somebody know when they need epinephrine

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and to rush to the hospital and when they don't?

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You know, you mentioned two different reactions,

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but expound on that a little bit. Sure, so what

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I teach my patients all the time is when two

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or more systems are involved or anything life

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-threatening You're gonna want epinephrine epinephrine

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first and ready and the reason for it is I tell

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them it's better to be safe rather than sorry

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You won't hurt anyone by giving them epinephrine.

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It's basically adrenaline and help stops an allergic

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reaction in seconds to minutes And what you're

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looking for is a fast response, because a lot

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of people sometimes are scared to do an epinephrine

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device. And they're like, well, maybe I'll just

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take a little Benadryl. Maybe I'll just take

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a little Zyrtec. It'll pass. But you don't want

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to take the risk when it's an anaphylactic reaction.

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So any symptom that's life threatening, throat

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closing, shortness of breath, wheezing, feeling

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like you're about to faint. or two or more systems

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involve skin and eyes, skin and GI, so vomiting,

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skin and lungs, any two combinations or one life

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-threatening, you're going to give epinephrine

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right away and call 911 to make sure the allergic

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reaction has completely stopped and is resolved.

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So even if you get epinephrine and we're talking

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an EpiPen or a nephi, anytime that you give that

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Does that mean you need a trip to the hospital

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or a 911 call or is that enough for some people?

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Sometimes it's enough, but when it's a first

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time reaction, you want to make sure to call

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911 when it's someone who maybe has had an allergic

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reaction before and they're using the epinephrine

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and they know when their symptoms are resolved,

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then they might be more at ease with, you know,

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calling their doctor, and then being monitored

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by their doctor via phone and making sure the

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allergic reaction has completely stopped. We

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always carry our epinephrine devices, whether

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it's Nephi or an EpiPen, in a two -pack. And

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the reason for it is because if within five minutes

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we do not get resolution of symptoms, you use

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the second actual device. So if the first nephi

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is not completely resolving the symptoms, then

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you're going to use the second nephi into the

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nostril and go ahead and repeat the dose. Same

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with the nepinephrine pen as well, too, to make

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sure the allergic reaction is resolving. All

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right. Let's talk a little bit more about bee

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allergies. One of the things that I've read multiple

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times, and tell me if you know anything about

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this, is that beekeepers who do not have any

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kind of an allergic reaction to bee venom can

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develop that later in life or whenever. How does

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that work and why does that happen? Well, when

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we have looked at studies that have looked at

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beekeepers, what would account for desensitization

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in terms of stakes. So if a bee stinging me,

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how many stings do I have to get in a year for

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me to be desensitized to be like, oh, I'm not

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going to react at all. 200 bee stings will keep

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you desensitized, desensitized and tolerant.

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But most beekeepers do not get 200 bee stings

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they got. So most beekeepers get about 25 bee

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stings, but 25 bee stings actually do not create

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a desensitization. They can create a sensitization.

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So at one point or another, our bodies can decide

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that they are allergic to B -venom when they've

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never been allergic before. It's that one thing

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that suddenly comes, changes our immune system

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and can occur. And what basically then puts anyone

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at risk who is a beekeeper for anaphylaxis. When

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we look at rate of anaphylaxis in beekeeper,

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it ranges from 15 to 47 % in beekeepers depending

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on probably how big their hive is, how many stings

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they get a year, et cetera. When I hear things

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like that, my recommendation on our podcast is,

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and always has been, every beekeeper should have

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some kind of epinephrine, whether it's an auto

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injector, EpiPen's the one we've all heard of,

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Nephi, which I know you're very familiar with

00:13:13.519 --> 00:13:16.080
and we'll talk more specifically about the difference

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in a few minutes. Everybody should have one because

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as a beekeeper, oh I'm not allergic, I can develop

00:13:23.700 --> 00:13:28.139
an allergic reaction. Also, I have Kids that

00:13:28.139 --> 00:13:31.159
come around and want to see the bees. I have

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grandkids that want to be involved. I have neighbors.

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Some people teach classes. Some people do agritourism

00:13:39.240 --> 00:13:42.039
things where people come in and they have a beekeeping

00:13:42.039 --> 00:13:45.299
experience. Especially if you're doing a lot

00:13:45.299 --> 00:13:49.000
of that. Please just be safe. Cover yourself

00:13:49.000 --> 00:13:52.720
legally and just be safe and be prepared for

00:13:52.720 --> 00:13:55.000
something like this. Have it on hand and know

00:13:55.000 --> 00:13:58.980
how to use it. Amen to that. Amen to that. I

00:13:58.980 --> 00:14:01.539
couldn't agree more. Every beekeeper should have

00:14:01.539 --> 00:14:04.080
epinephrine on hand for themselves and also for

00:14:04.080 --> 00:14:07.039
any little visitors as well too. So in both doses,

00:14:07.299 --> 00:14:09.860
the pediatric dose and the adult dose as well

00:14:09.860 --> 00:14:13.620
too. So that way we make sure that everyone is

00:14:13.620 --> 00:14:16.679
covered. We don't know when an allergic reaction

00:14:16.679 --> 00:14:19.860
can occur and we want to make sure that we save

00:14:19.860 --> 00:14:24.059
lives. We know that we lose 72 people a year

00:14:24.059 --> 00:14:27.779
to bee sting allergy. and anaphylaxis, so we

00:14:27.779 --> 00:14:30.100
want to make sure that we save as many legs as

00:14:30.100 --> 00:14:32.759
possible. Yeah, that's just way too many when

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there is something that we can do about it. Another

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thing along those lines that I've read a lot

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about is that families of beekeepers, even if

00:14:40.879 --> 00:14:44.519
they're not involved in the bees, have a higher

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percentage of them end up developing some kind

00:14:47.960 --> 00:14:50.879
of allergic reactions. Are you familiar with

00:14:50.879 --> 00:14:55.080
that? Yes, and part of the reason why that occurs

00:14:55.080 --> 00:14:58.120
is because even though they're not the primary

00:14:58.120 --> 00:15:01.100
beekeeper They're still in contact with the bees

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and they go in and get the honey, etc So it puts

00:15:04.940 --> 00:15:08.379
them at higher risk. They might be lower risk

00:15:08.379 --> 00:15:12.299
for as many stings as the beekeeper But they're

00:15:12.299 --> 00:15:15.840
still at risk which might actually put them That's

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why they're at rest for anaphylaxis because they're

00:15:18.240 --> 00:15:21.090
still have exposure to the honeybee venom Yeah

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and it can even be on your clothes of a beekeeper.

00:15:25.350 --> 00:15:29.070
Like your beekeeping jacket and veil. Some bees

00:15:29.070 --> 00:15:31.470
will be trying to sting you from the outside.

00:15:32.210 --> 00:15:35.190
That then may come into the house to be put in

00:15:35.190 --> 00:15:38.809
with the laundry or something. And my understanding

00:15:38.809 --> 00:15:42.330
is even if you're not being stung that is a type

00:15:42.330 --> 00:15:45.870
of exposure to some of that bee venom. Are those

00:15:45.870 --> 00:15:48.740
things correct that I've been reading? You are

00:15:48.740 --> 00:15:51.240
correct, 100 % correct when it comes to that.

00:15:51.360 --> 00:15:54.259
Yes, we don't have to be exactly stung, but yes,

00:15:54.259 --> 00:15:56.980
we can also be exposed through just contact as

00:15:56.980 --> 00:16:00.659
well. If someone does not have one of these devices

00:16:00.659 --> 00:16:04.259
already, something of epinephrine, do we have

00:16:04.259 --> 00:16:06.840
to go to our doctor and get a prescription? And

00:16:06.840 --> 00:16:09.519
if we don't have an allergy, is our doctor going

00:16:09.519 --> 00:16:12.580
to give us a prescription? Well, I think just

00:16:12.580 --> 00:16:16.980
by vocation of being a beekeeper. I think most

00:16:16.980 --> 00:16:19.279
doctors would definitely write for an epinephrine

00:16:19.279 --> 00:16:22.940
device being an EpiPen or an Nefi device as well,

00:16:23.460 --> 00:16:26.220
too. Quick break to discuss what just might be

00:16:26.220 --> 00:16:29.919
on your mind right now. Come on, admit it. You're

00:16:29.919 --> 00:16:33.120
imagining the upcoming honey harvest. Because

00:16:33.120 --> 00:16:35.120
no matter where you live in the world, it's either

00:16:35.120 --> 00:16:38.580
here now or it will be in the near future. And

00:16:38.580 --> 00:16:42.080
Man Lake is making it so easy to plan for. Click

00:16:42.080 --> 00:16:45.059
on over to Man Lake's website for an amazing

00:16:45.059 --> 00:16:49.120
selection of extractors, filters, bottling supplies,

00:16:49.639 --> 00:16:53.419
uncapping knives, supplies for comb honey, everything.

00:16:53.419 --> 00:16:56.809
And I mean. everything you'll need. But if you

00:16:56.809 --> 00:16:59.529
aren't there quite yet and the honey flows right

00:16:59.529 --> 00:17:02.610
around the corner, make sure you have extra supers

00:17:02.610 --> 00:17:06.230
on hand. You never can have too many or be too

00:17:06.230 --> 00:17:08.890
prepared. And right now Man Lake is offering

00:17:08.890 --> 00:17:13.470
podcast listeners $10 off your next order. Just

00:17:13.470 --> 00:17:18.170
enter code MLBLove10 at checkout. That's manlakeltd

00:17:18.170 --> 00:17:24.480
.com. Discount code MLBLove10. Nephi has a program

00:17:24.480 --> 00:17:28.279
though on their website that if you for example

00:17:28.279 --> 00:17:31.559
want to get access to a Nephi you can actually

00:17:31.559 --> 00:17:36.099
go on Nephi .com and be connected with a doctor

00:17:36.099 --> 00:17:38.619
there who will be able to write your prescription

00:17:38.619 --> 00:17:41.700
as well too if needed for both the pediatric

00:17:41.700 --> 00:17:44.480
and adult dose given that you're a beekeeper

00:17:44.480 --> 00:17:47.380
as well too. Give us an idea of what they cost

00:17:47.380 --> 00:17:49.940
and how often we have to replace them because

00:17:49.940 --> 00:17:53.349
I know they don't last forever. No, so when we're

00:17:53.349 --> 00:17:57.190
talking Epi pens Epi pens are basically one -year

00:17:57.190 --> 00:17:59.809
usual shelf like and you have to check the date

00:17:59.809 --> 00:18:02.109
because sometimes They take them right off the

00:18:02.109 --> 00:18:04.170
shelf and they might be expiring soon. So that

00:18:04.170 --> 00:18:07.269
I always tell people check the date You're looking

00:18:07.269 --> 00:18:10.250
at a cost depending on what state you live in

00:18:10.250 --> 00:18:13.430
probably like $300 when it comes for a two -pack

00:18:13.430 --> 00:18:17.269
and most people require Two two packs, right?

00:18:17.309 --> 00:18:19.750
So that way you're gonna have an adult and a

00:18:19.750 --> 00:18:23.430
child dosage as well, too. When we're talking

00:18:23.430 --> 00:18:27.009
nephi, it's basically a shelf life of two and

00:18:27.009 --> 00:18:30.089
a half to three years. Right now, the company

00:18:30.089 --> 00:18:33.849
has negotiated. So even if it's commercial actual

00:18:33.849 --> 00:18:37.269
pay insurance, then it's one hundred and ninety

00:18:37.269 --> 00:18:41.250
nine dollars max for a two pack for the nephi.

00:18:41.349 --> 00:18:44.430
What I like about nephi as well, too, is one,

00:18:44.650 --> 00:18:46.910
it's ease of administration. Right. So you just

00:18:46.910 --> 00:18:50.210
go right into the nostril. Because as an allergist

00:18:50.210 --> 00:18:52.769
and immunologist, I have found that a lot of

00:18:52.769 --> 00:18:56.230
people with the nephrine injection, they are

00:18:56.230 --> 00:18:59.210
afraid of the needle. So they hesitate upon giving

00:18:59.210 --> 00:19:02.609
it to themselves or to others. And that's really

00:19:02.609 --> 00:19:06.569
scary because it's seconds or minutes that are

00:19:06.569 --> 00:19:09.690
worth gold, right? You need to act fast. And

00:19:09.690 --> 00:19:13.329
so Nephi, I have found, makes a lot of my patients

00:19:13.329 --> 00:19:16.910
less anxious and have more relief. The other

00:19:16.910 --> 00:19:20.559
thing I like is the temperature also that extremes

00:19:20.559 --> 00:19:23.319
of temperature that it can have. With EpiPen,

00:19:23.619 --> 00:19:25.579
one of the things that they have to watch out

00:19:25.579 --> 00:19:29.059
is for the temperature extremes because you can't

00:19:29.059 --> 00:19:31.819
leave it in a hot car because then it won't work

00:19:31.819 --> 00:19:35.640
or in freezing temperatures. With Nephi, it goes

00:19:35.640 --> 00:19:39.359
up to 145 degrees Fahrenheit that it can reach

00:19:39.359 --> 00:19:42.980
and then the lower portion it can actually freeze

00:19:42.980 --> 00:19:46.480
and if you thaw it within 20 minutes should beautifully

00:19:46.480 --> 00:19:49.470
still work. So just so people know kind of the

00:19:49.470 --> 00:19:52.210
differences between both. As soon as Nuffy came

00:19:52.210 --> 00:19:55.569
out, I'll tell the story. I had all these moms

00:19:55.569 --> 00:19:58.589
with college students who have food allergies

00:19:58.589 --> 00:20:01.609
going, Dr. Mora, you gotta write the Nuffy for

00:20:01.609 --> 00:20:03.970
my kid because there's no way my kid's gonna

00:20:03.970 --> 00:20:06.750
carry a big EpiPen to the bar where there's peanuts

00:20:06.750 --> 00:20:09.910
right on the table. And I wrote so many at that

00:20:09.910 --> 00:20:12.029
point, but I realized what they were saying.

00:20:12.069 --> 00:20:14.150
They wanted a little bit of peace for themselves

00:20:14.150 --> 00:20:17.869
and peace for their child, but yet be well protected

00:20:17.869 --> 00:20:20.509
with the device that they could use. And I found

00:20:20.509 --> 00:20:23.769
you through the Nephi people and I do not, we

00:20:23.769 --> 00:20:26.289
need to be careful. This is not an infomercial

00:20:26.289 --> 00:20:30.470
today. Okay. We're talking about safety for everybody.

00:20:31.089 --> 00:20:35.170
And I don't care which device you pick, just

00:20:35.170 --> 00:20:39.819
have it on hand. know how to use it. To me, again,

00:20:39.980 --> 00:20:43.119
personally, not an advertisement, Nephi makes

00:20:43.119 --> 00:20:46.519
sense because you don't have a needle. Okay,

00:20:46.880 --> 00:20:50.299
let's talk about this. How do you use an EpiPen

00:20:50.299 --> 00:20:53.539
or one of the other auto injector brands? So

00:20:53.539 --> 00:20:57.440
one of the things is when we use an EpiPen, and

00:20:57.440 --> 00:21:00.359
I actually have a demo here, I'm in the office.

00:21:00.920 --> 00:21:03.039
Are you going to actually stab yourself and do

00:21:03.039 --> 00:21:06.279
it right now? That was so well, this is an actual

00:21:06.279 --> 00:21:09.160
just it doesn't have any real medication or real

00:21:09.160 --> 00:21:12.519
needle So it's just a practice demo So the way

00:21:12.519 --> 00:21:15.119
I always taught people to use it is you would

00:21:15.119 --> 00:21:17.339
grab it in a nice fist because you don't want

00:21:17.339 --> 00:21:20.480
to poke your fingers with it Blue to the sky

00:21:20.480 --> 00:21:23.880
orange to the thigh. It doesn't matter if people

00:21:23.880 --> 00:21:26.059
are wearing jeans or anything They're wearing

00:21:26.059 --> 00:21:29.579
you take the blue cap off and then you're going

00:21:29.579 --> 00:21:31.660
to stab right at the thigh I'm gonna pretend

00:21:31.660 --> 00:21:34.859
this is my thigh You're gonna stab and hold for

00:21:34.859 --> 00:21:37.839
three seconds a thousand one a thousand two a

00:21:37.839 --> 00:21:40.440
thousand three and then it's got a needle guard

00:21:40.440 --> 00:21:42.740
So you don't poke your fingers with it as it

00:21:42.740 --> 00:21:46.599
comes out So I had a lot of parents who at that

00:21:46.599 --> 00:21:49.160
point are really nervous So instead they did

00:21:49.160 --> 00:21:51.619
it upside down and they poke their fingers and

00:21:51.619 --> 00:21:57.579
turn them blue. No No, no Yes, I've had a lot

00:21:57.579 --> 00:22:01.150
of incidences like that Okay. And this is real

00:22:01.150 --> 00:22:04.049
life. So this is why I tell these stories. So

00:22:04.049 --> 00:22:06.890
obviously this is I practice with every parent

00:22:06.890 --> 00:22:10.670
or every patient in this in the exam rooms, because

00:22:10.670 --> 00:22:12.349
I want to make sure that they're able to use

00:22:12.349 --> 00:22:14.930
it. And now I'll show you the nephew and a beekeeper

00:22:14.930 --> 00:22:18.369
who just has this on hand, probably hasn't practiced,

00:22:18.630 --> 00:22:21.549
maybe didn't get this little training from their

00:22:21.549 --> 00:22:23.950
doctor. So I appreciate you filling that in.

00:22:24.130 --> 00:22:26.700
OK, show us the nephew. How does it work? So

00:22:26.700 --> 00:22:29.720
the nephi is in the same type of device that

00:22:29.720 --> 00:22:33.059
narcanis So people will be more familiar with

00:22:33.059 --> 00:22:36.819
it because it's obviously what it is It's you're

00:22:36.819 --> 00:22:39.759
gonna press an actual tab right in the middle

00:22:39.759 --> 00:22:42.619
They're gonna go right into the nostril and they

00:22:42.619 --> 00:22:45.900
basically just have them relax there. I usually

00:22:45.900 --> 00:22:49.119
have people count to five So a thousand one a

00:22:49.119 --> 00:22:52.200
thousand two a thousand three a thousand four

00:22:52.200 --> 00:22:56.029
a thousand five And then it completely starts

00:22:56.029 --> 00:22:59.930
acting. I've used both of them on kids and adults,

00:22:59.950 --> 00:23:02.769
and I know they work really, really fast. And

00:23:02.769 --> 00:23:06.730
obviously in a life -threatening event, you're

00:23:06.730 --> 00:23:09.369
going to want to use one of these devices immediately.

00:23:09.690 --> 00:23:12.549
So with the nasal spray, the Neffe, do they have

00:23:12.549 --> 00:23:15.109
to like, you know, breathe in, sniff in hard

00:23:15.109 --> 00:23:17.759
or anything like that? No, that's the beauty

00:23:17.759 --> 00:23:20.579
of it that you don't have to it just starts acting

00:23:20.579 --> 00:23:24.680
completely. It goes in right into the sinuses,

00:23:24.779 --> 00:23:28.319
goes right into the actual throat, goes to the

00:23:28.319 --> 00:23:30.579
lungs, into the bloodstream, into the rest of

00:23:30.579 --> 00:23:33.619
the organs, the heart, the lungs, the brain,

00:23:33.619 --> 00:23:36.819
etc. So that way it starts completely shutting

00:23:36.819 --> 00:23:40.259
down the allergic reaction. which is exactly

00:23:40.259 --> 00:23:43.599
what we want. Intramuscular does the same thing,

00:23:43.660 --> 00:23:45.960
but it just acts through the muscle, goes into

00:23:45.960 --> 00:23:48.019
the bloodstream, et cetera, to hit the other

00:23:48.019 --> 00:23:50.839
organs. And whoever you jab it in may punch you

00:23:50.839 --> 00:23:55.500
in the face when you do it. What is epinephrine?

00:23:55.700 --> 00:23:58.099
Tell us a little bit more about it. Epinephrine

00:23:58.099 --> 00:24:01.839
is basically adrenaline. And since you have a

00:24:01.839 --> 00:24:05.660
fun podcast, I always tell this story for patients

00:24:05.660 --> 00:24:09.069
luck. we're talking about epinephrine and adrenaline

00:24:09.069 --> 00:24:13.250
as it shuts down to receptors that cause allergic

00:24:13.250 --> 00:24:15.769
reactions. I said you're not supposed to use

00:24:15.769 --> 00:24:18.329
it like in Pulp Fiction where they put it right

00:24:18.329 --> 00:24:21.190
through the heart. I said for the epipen to the

00:24:21.190 --> 00:24:24.529
muscle for the nephi to the nose and I said it

00:24:24.529 --> 00:24:27.390
just within seconds to minutes starts completely

00:24:27.390 --> 00:24:31.519
acting. at the alpha and beta receptors. So these

00:24:31.519 --> 00:24:35.740
are your adrenergic receptors in your cells that

00:24:35.740 --> 00:24:38.839
start shutting down the cascade and the allergic

00:24:38.839 --> 00:24:42.019
actual reaction that can occur. Okay, let's talk

00:24:42.019 --> 00:24:45.200
about some other B -related allergies that I

00:24:45.200 --> 00:24:47.720
know very little about. For example, are there

00:24:47.720 --> 00:24:50.099
some people that are allergic to honey? There

00:24:50.099 --> 00:24:53.640
are, but it's less cases of actual allergy to

00:24:53.640 --> 00:24:57.480
honey, more actual cases of, say, botulism from

00:24:57.480 --> 00:25:01.720
honey that occur in the actual public than actual

00:25:01.720 --> 00:25:05.079
true honey allergy. That was my next question.

00:25:05.299 --> 00:25:07.980
Why don't we feed honey to babies under the age

00:25:07.980 --> 00:25:11.400
of one? And such a beautiful and wonderful question.

00:25:11.859 --> 00:25:14.420
And that is definitely cases of botulism that

00:25:14.420 --> 00:25:17.519
used to occur. We are seeing currently, and this

00:25:17.519 --> 00:25:20.450
is I'm glad we're bringing it in on your podcast

00:25:20.450 --> 00:25:23.309
as well, too. Secondary to a baby formula, now

00:25:23.309 --> 00:25:27.470
there's four cases that have occurred secondary

00:25:27.470 --> 00:25:32.549
to a botulism, secondary to this actual infant

00:25:32.549 --> 00:25:35.589
formula that can occur. So this is why it's so

00:25:35.589 --> 00:25:38.549
important that we also keep honey out of baby's

00:25:38.549 --> 00:25:41.089
diets during the first year. Okay, how about

00:25:41.089 --> 00:25:43.930
other B -related products or what we call hive

00:25:43.930 --> 00:25:47.569
-related products? For example, propolis and

00:25:47.569 --> 00:25:50.069
royal jelly and things like this that people

00:25:50.069 --> 00:25:53.730
are often using in a quasi -medical sense or

00:25:53.730 --> 00:25:56.569
a health sense. What do you know about those?

00:25:57.230 --> 00:26:00.029
As a lapina doctor, I know a lot of the home

00:26:00.029 --> 00:26:02.980
run that he's involved in. And obviously we all

00:26:02.980 --> 00:26:05.220
know, for example, honey in your tea, right?

00:26:05.359 --> 00:26:08.539
For that sore throat that actually occurs every

00:26:08.539 --> 00:26:12.000
single year for the flu, et cetera. We also know

00:26:12.000 --> 00:26:15.019
the medicinal properties of honey that can have,

00:26:15.160 --> 00:26:17.819
right? So one is that's a beautiful one. The

00:26:17.819 --> 00:26:20.460
soothing of the throat when you're sick, decreasing

00:26:20.460 --> 00:26:22.559
of the mucus that actually occurs with honey.

00:26:22.980 --> 00:26:25.480
But then there's other. and things that honey's

00:26:25.480 --> 00:26:28.740
used for. So a lot of people also who might have

00:26:28.740 --> 00:26:31.519
bad environmental allergies feed it to their

00:26:31.519 --> 00:26:34.259
kids as well too. And they say, well, it's gonna

00:26:34.259 --> 00:26:37.220
help them to develop some sensitization so that

00:26:37.220 --> 00:26:39.700
way they're less allergic to the environment

00:26:39.700 --> 00:26:43.180
as well too. So using it as a medicinal property.

00:26:43.579 --> 00:26:46.200
doesn't have much data when it comes to it but

00:26:46.200 --> 00:26:49.539
I never deter people from doing it because honey

00:26:49.539 --> 00:26:52.180
obviously is something good for you as well too.

00:26:52.839 --> 00:26:56.259
So honestly I love the mix of western and a little

00:26:56.259 --> 00:26:58.500
bit of eastern medicine and I think it brings

00:26:58.500 --> 00:27:01.099
a lot to the table. That's actually why I got

00:27:01.099 --> 00:27:03.859
into beekeeping in the first place. I have pretty

00:27:03.859 --> 00:27:07.779
major seasonal allergies to you know tree pollen

00:27:07.779 --> 00:27:10.559
and grasses and all kinds of things and so I

00:27:10.559 --> 00:27:13.420
had read a whole bunch of stuff about eat raw

00:27:13.420 --> 00:27:16.980
honey and they'll go away. Well it's obviously

00:27:16.980 --> 00:27:19.880
not anywhere near that simple but here's what

00:27:19.880 --> 00:27:22.660
I did and again this is not research this is

00:27:22.660 --> 00:27:26.099
just one person's experience. I bought honey

00:27:26.099 --> 00:27:31.119
from raw honey from a beekeeper about 150 miles

00:27:31.119 --> 00:27:34.500
away from where I live and religiously had like

00:27:34.500 --> 00:27:37.019
a spoonful of this every day for a few months.

00:27:37.420 --> 00:27:40.950
Allergy season came along It did nothing. It

00:27:40.950 --> 00:27:43.869
didn't help me at all. As I did a little bit

00:27:43.869 --> 00:27:47.910
more of my own research, what I read was how

00:27:47.910 --> 00:27:51.410
important the hyper locality of everything is.

00:27:51.710 --> 00:27:55.009
If the bees are foraging right around where I

00:27:55.009 --> 00:27:58.710
live. I may get more of that pollen that then

00:27:58.710 --> 00:28:02.230
is going to desensitize my allergies some. And

00:28:02.230 --> 00:28:04.470
that is exactly what happens. That's why I got

00:28:04.470 --> 00:28:07.950
into beekeeping. I eat my own raw honey and the

00:28:07.950 --> 00:28:11.670
allergies are not gone. But literally, Dr. Mora,

00:28:11.750 --> 00:28:14.190
they're like 50 percent better, which to me is

00:28:14.190 --> 00:28:17.630
a big deal. That's beautiful. Absolutely. So

00:28:17.630 --> 00:28:20.849
it worked somewhat for you, which is great. And

00:28:20.849 --> 00:28:22.730
that's why, like, I don't take it away from people.

00:28:22.730 --> 00:28:25.609
I think it's a wonderful mix. Like, we can do

00:28:25.609 --> 00:28:27.950
the raw honey. We can do the antihistamines.

00:28:28.089 --> 00:28:30.829
It all works. Yeah, but I'd rather not have to

00:28:30.829 --> 00:28:34.710
take so much antihistamines. Yeah, I know. Okay,

00:28:34.970 --> 00:28:37.309
last thing. And you don't have any of your own

00:28:37.309 --> 00:28:41.170
beekeeping experience, do you? No, I wish I did.

00:28:41.509 --> 00:28:44.569
My grandfather did in Mexico back when I was

00:28:44.569 --> 00:28:47.230
a little girl. We can get you set up even in

00:28:47.230 --> 00:28:50.490
Chicago. Oh, I love it. I would love it. Every

00:28:50.490 --> 00:28:54.369
guest that comes on the show, and 99 % of them

00:28:54.369 --> 00:28:57.890
are beekeepers, I give them an opportunity to

00:28:57.890 --> 00:29:00.470
talk about a wild and crazy beekeeping story.

00:29:00.849 --> 00:29:04.789
Something that is funny or just crazy or painful

00:29:04.789 --> 00:29:08.569
or embarrassing. As an allergist, an allergy

00:29:08.569 --> 00:29:12.049
doctor, I'm going to give you the same opportunity.

00:29:12.630 --> 00:29:15.269
If you're allowed to, you don't have to use any

00:29:15.269 --> 00:29:19.410
names or anything. What kinds of crazy Allergic

00:29:19.410 --> 00:29:21.670
reaction and things with patients do you run

00:29:21.670 --> 00:29:24.410
into? Well, I think I'm going to speak from the

00:29:24.410 --> 00:29:27.210
experience of my grandfather because I was a

00:29:27.210 --> 00:29:30.390
six year old little girl. I visit him in Mexico.

00:29:30.589 --> 00:29:34.049
He had a beehive. He loved his bees, et cetera.

00:29:34.710 --> 00:29:40.069
And I was a very, you know, I would run around

00:29:40.069 --> 00:29:44.089
a lot and just not a sit down little girl. I

00:29:44.089 --> 00:29:49.210
sat down on a beehive. And I got probably about

00:29:49.210 --> 00:29:53.509
a hundred things Now, you know what makes this

00:29:53.509 --> 00:29:58.029
funny is look who got actually stunned so much

00:29:58.029 --> 00:30:01.049
Completely had to get antihistamines etc and

00:30:01.049 --> 00:30:03.789
then became an allergist Just as a little bit

00:30:03.789 --> 00:30:07.390
of practical advice for anybody out there beekeeper

00:30:07.390 --> 00:30:11.190
or not when they get stung by a bee Are there

00:30:11.190 --> 00:30:14.789
any recommendations? I mean I've heard Benadryl.

00:30:14.789 --> 00:30:17.109
I've heard ice. I've heard other things. What

00:30:17.109 --> 00:30:20.430
would you recommend? So I always tell my patients,

00:30:20.630 --> 00:30:23.289
especially those that get on a big allergic reaction,

00:30:23.890 --> 00:30:27.289
is making sure that they do, for example, they

00:30:27.289 --> 00:30:29.650
can double up their antihistamine on the day

00:30:29.650 --> 00:30:32.839
they're going to be outdoors, right? So if they're

00:30:32.839 --> 00:30:35.059
going to go to that picnic or the kids aren't

00:30:35.059 --> 00:30:37.279
at camp or they're going to go see their grandpa

00:30:37.279 --> 00:30:39.519
who's a beekeeper, etc. This might be a good

00:30:39.519 --> 00:30:42.440
time to basically help to decrease any local

00:30:42.440 --> 00:30:44.859
reactions by doubling up their antihistamines

00:30:44.859 --> 00:30:48.849
for the day. I like ice on the actual sting when

00:30:48.849 --> 00:30:51.829
it occurs and then a little bit of hydrocortisone

00:30:51.829 --> 00:30:54.589
cream, which basically helps to decrease the

00:30:54.589 --> 00:30:57.349
reaction and doing a dose of antihistamine if

00:30:57.349 --> 00:30:59.950
they haven't had one. We're kind of yielding

00:30:59.950 --> 00:31:02.150
away a little bit from Benadryl as a short -acting

00:31:02.150 --> 00:31:04.549
because of the side effects, sleepiness, etc.

00:31:04.930 --> 00:31:08.690
So then I tell adults or kids to do a dose of

00:31:08.690 --> 00:31:11.849
Zyrtec or Zyzo or Allegra or anything that's

00:31:11.849 --> 00:31:14.150
a little bit long -lasting to kind of help to

00:31:14.150 --> 00:31:17.380
decrease the reaction. OK, I appreciate that.

00:31:17.859 --> 00:31:19.559
Is there any other wisdom you want to share with

00:31:19.559 --> 00:31:22.519
us before we let you go? Well, I definitely want

00:31:22.519 --> 00:31:25.819
to make sure that, you know, beekeepers, I obviously

00:31:25.819 --> 00:31:28.319
respect all the work, wonderful work that you

00:31:28.319 --> 00:31:32.000
do for our country, but I want you to keep safe.

00:31:32.460 --> 00:31:35.900
Please have an epinephrine device. at your workplace,

00:31:36.579 --> 00:31:39.099
have pediatric dose, have an adult dose as well

00:31:39.099 --> 00:31:42.180
to get it from your doctor, very important, could

00:31:42.180 --> 00:31:45.519
save your own life. And your life is priceless.

00:31:45.599 --> 00:31:50.039
So I always say, do it, get it. The other thing

00:31:50.039 --> 00:31:53.220
is making sure that you use it in case of a severe

00:31:53.220 --> 00:31:55.880
allergic reaction or any two systems involved.

00:31:56.140 --> 00:31:58.880
Don't hesitate. You'll never be wrong for using

00:31:58.880 --> 00:32:01.700
it because it's better to be safe rather than

00:32:01.700 --> 00:32:05.000
sorry. Then the third thing, continue the protective

00:32:05.000 --> 00:32:08.500
gear because it's so important as well too. And

00:32:08.500 --> 00:32:11.440
continue to educate as well to other beekeepers

00:32:11.440 --> 00:32:14.920
and keep a podcast like this one, which is amazing,

00:32:15.579 --> 00:32:18.099
that helps to keep everyone safe because at the

00:32:18.099 --> 00:32:22.079
end of the day, I love working. towards public

00:32:22.079 --> 00:32:25.039
health in terms of making sure that we save as

00:32:25.039 --> 00:32:27.740
many lives as possible. And we're trying. I'm

00:32:27.740 --> 00:32:30.279
so happy that Nephi's out on the market because

00:32:30.279 --> 00:32:32.460
it's about saving lives. We don't want those

00:32:32.460 --> 00:32:37.359
72 lives lost every single year due to bee sting

00:32:37.359 --> 00:32:40.240
allergy. We need to save more people. And having

00:32:40.240 --> 00:32:43.819
an epinephrine device at hand will do that. Thank

00:32:43.819 --> 00:32:46.119
you, Dr. Mora. I appreciate you being with me.

00:32:46.359 --> 00:32:48.759
Oh, you're welcome. Have a beautiful day, everyone.

00:32:51.640 --> 00:32:54.480
Thanks again for joining us on Be Love, Be Keeping

00:32:54.480 --> 00:32:57.740
presented by Manlike. Another big thank you goes

00:32:57.740 --> 00:33:01.049
to V2B Health for their support. Vita's Varroa

00:33:01.049 --> 00:33:04.509
Control Ranger products includes Epistan, Epigard,

00:33:04.970 --> 00:33:08.569
and now Varroxan Extended Release Oxalic Acids

00:33:08.569 --> 00:33:11.410
Trips. Hey thanks a lot guys. And if you haven't

00:33:11.410 --> 00:33:13.950
yet, please subscribe to and follow the show,

00:33:14.210 --> 00:33:16.109
tell your friends about it, and click on over

00:33:16.109 --> 00:33:19.490
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00:33:19.490 --> 00:33:22.769
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00:33:22.769 --> 00:33:25.289
topic you'd like discussed on the show, shoot

00:33:25.289 --> 00:33:28.789
me an email, eric at BeLoveBekeeping .com. And

00:33:28.789 --> 00:33:31.289
remember if you're not just in it for the honey

00:33:31.289 --> 00:33:34.329
or the money, you're in it for the love. See

00:33:34.329 --> 00:33:35.049
you next week.