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0:24 Bismillahirrahmanirrahim. Peace be upon 0:27 you, brothers and sisters, may Allah 0:29 have mercy on you. It is a pleasure to 0:34 be with you in the Silaturahim Radio 0:37 health room program, which hopefully 0:40 will encourage us all to be able to 0:43 walk more lightly and enjoy our days to 0:47 be healthier physically and mentally. 0:52 Let's not forget to recite our salawat 0:54 (prayer) for our beloved Prophet 0:56 Muhammad, peace and blessings be upon 0:58 him. May we receive his intercession 1:03 and be reunited with him at the time we 1:06 long for in the final day. Okay, 1:11 hopefully we can listen wholeheartedly 1:15 and wholeheartedly to what will be 1:18 conveyed in our health room this time 1:21 with Dr. Daniati Kutoyo. Diani Oh, 1:26 Diani Niat Diani ee Kutoyo, she is a 1:31 consultant lung specialist and from the 1:38 Faculty of Medicine, University of 1:40 Indonesia. If we talk about bacteria, 1:46 viruses, it seems we rarely know 1:48 exactly. So let's listen fully to what 1:53 Dr. Dianiati will discuss. Let's greet 1:57 him first. Peace be upon you, Doc. 2:00 Peace be upon you, Doc. Everyone 2:06 is here. So, it's about lung and 2:11 respiratory resistance in dealing with 2:14 bacteria. 2:15 Yes. What 2:18 exactly is it like? Let's listen. If 2:20 anyone is late, for example, if there's 2:23 something to do, there's YouTube, right 2:25 ? Please, Doc. Yes, thank you. Uh, what 2:30 should I call us? Viewers, 2:33 brothers and sisters. Yes, 2:34 all viewers. So, uh, here I want to 2:39 talk about lung defense. So, we breathe 2:47 every day. We breathe. The lungs are 2:50 where air enters. Of course, we breathe 2:53 , air is free. Air is still there, we 2:56 breathe, or a newborn baby starts to 2:59 breathe, screams, cries. So, that's 3:02 where air enters. This atmospheric air 3:05 enters with all its components. Well, 3:10 there are several entry points for a 3:14 reaction or for materials from outside 3:16 the body to enter. So, the entry point 3:20 is certainly for good, but it can also 3:23 bring in something that's not good and 3:26 must be protected. So it definitely has 3:31 a defense that must prevent the body 3:34 from easily entering something bad. 3:38 Well, the lungs or breathing are one of 3:41 the entry points. Where are the other 3:43 entry points? The other entry points 3:44 are where we eat. So, the cervix, the 3:47 respiratory tract, the entry point for 3:49 air. Those are the two main entry 3:51 points. What's the other? The skin. 3:53 Because we are exposed to the skin, we 3:55 are exposed outside. Well, the lungs 3:58 are the entry point for air, and air 4:00 contains various components. We know we 4:03 inhale air, but actually air contains 4:05 various components. Among other things, 4:09 there are gases, yes, in dry air there 4:11 is water vapor, and then there are also 4:14 materials that are actually not good 4:16 that can occur, yes. These gases are 4:19 various, there is oxygen. Oxygen is 4:22 only a little, only 20 to 21%. The most 4:26 abundant is N2, which contains other 4:28 small gases, less than 1%, and it also 4:30 contains water vapor, and it also 4:32 contains materials that we might call 4:34 pollutants. So, if we are in a polluted 4:38 or unhealthy area, those materials 4:40 exceed the limit. Pollutants can be 4:44 various, they can be chemical, they can 4:46 also be biological, or those germs, 4:48 viruses, bacteria, fungi. They are 4:52 biological, or they can also be 4:55 physical, such as dust, particles, or 4:59 one component of the three, a 5:01 combination of those pollutants. Well, 5:07 because of that, Allah Almighty, the 5:09 lungs are the entry points, they are 5:11 equipped with a defense system 5:12 mechanism. Yes, in medical terms, we 5:15 call it a direct defense mechanism. 5:18 There is a local defense, there is a 5:20 defense. 5:21 Uh, the same thing happens in the 5:22 digestive tract. Well, in other places, 5:26 there is not necessarily a local 5:28 defense, there is, but there is also, 5:31 uh, does it have a defense that also 5:34 covers the body systemically, so 5:36 locally and systemically. Well, the 5:41 purpose of the local defense mechanism 5:44 is to protect the body. Well, there are 5:49 several ways that God has given us, how 5:51 we try to overcome this, taking in the 5:54 good, because breathing requires oxygen 5:57 , right? 5:59 Getting rid of CO2, getting rid of what 6:02 ? Carbon dioxide, yeah, brings in 6:05 oxygen, but the lungs 'job is gas 6:08 exchange. But they don't want bad 6:11 things to enter because they will 6:13 injure or cause injury, right, from 6:16 this body. Well, first, it's easy for 6:20 us to feel like, oh, why are we 6:21 coughing or sneezing, in our upper 6:23 respiratory tract. Actually, that's one 6:26 of the defenses, right? So, it's a 6:28 mechanism for how we can get rid of 6:31 what's entering. Don't let it get in, 6:34 but don't let it seep in and get 6:36 expelled again. So, first, it's wrapped 6:40 in mucus. We call it mucus, in layman's 6:46 terms, maybe mucus. Mucus secretions, 6:49 or fluids from the respiratory tract. 6:53 So, why is it wrapped? So it grows 6:56 because the particles are very small. 6:58 Viruses are very small. 7:00 No matter how big a virus is, it's 7:02 smaller than the smallest bacteria. So 7:04 the difference is that viruses are very 7:06 small, while bacteria are larger. 7:08 Bacteria can live outside, outside, 7:12 what? Outside, outside the host, 7:15 outside, outside, outside its nest. But 7:20 viruses can't live if they need cells 7:23 to nest. Well, that's the difference 7:26 between bacteria and viruses. So, uh, 7:28 they're wrapped in mucus or mucus for 7:31 what? So they can be expelled. When 7:33 they're expelled, we have vibrating 7:35 hairs. In our nose, we know these are 7:36 nose hairs. In our breath, there are 7:38 also vibrating hairs. They're wrapped, 7:41 moved, and then we cough them out with 7:43 the cough reflex. That's a mechanical 7:47 defense mechanism. But they can still 7:50 escape, and not all of them are 7:51 expelled. They can escape that 7:53 mechanism. Well, those that escape are 7:57 done by being killed, paralyzed, or 8:00 damaged. Among other things, there are 8:03 some by uh, substances in our body, 8:06 proteins in our body that are in the 8:08 mucus layer. There are even antibodies 8:12 in it if a specific defense or immunity 8:15 has been formed. So antibodies are in 8:18 it. So antibodies are specific in 8:20 nature. They can kill something 8:22 specific that they recognize in that 8:25 way. But they can also escape from what 8:28 was mentioned earlier. So in our body, 8:31 in our airways, there is an immune 8:33 system. 8:34 There is an innate immune system. 8:37 Meaning it's already prepared, ready, 8:39 right? The other is an acquired immune 8:42 system that is after it enters and is 8:45 recognized, it then creates, so we call 8:47 it acquired or adaptive, right? Well, 8:52 this innate one, its cells are ready, 8:55 lots of cells, and they will capture, 8:58 kill, destroy, or, uh, introduce, uh, 9:01 the thing we just mentioned, whether 9:04 it's a particle, a germ, a virus, a 9:07 bacteria, it will be introduced to 9:09 other cells so that other cells are 9:12 able to activate, right? Well, when 9:16 it's activated, those other cells are 9:19 the cells that cause the acquired 9:21 immune system to occur, uh, so it's not 9:24 just with the innate immune system. The 9:28 innate one is capable of killing, 9:30 recognizing, destroying. But it can 9:33 also fail. Well, if it fails, uh, then 9:36 it can't be just that. So, there is a 9:40 specific immune system, which is 9:42 stronger, which is more capable of 9:45 building uh stronger ranks or soldiers, 9:48 uh, to overcome, to overcome or uh kill 9:52 the foreign object, uh, so that's how 9:55 it is. But in the respiratory system, 9:59 there are two specific systems. One is 10:02 local in nature because it is local. 10:05 The local system is the respiratory 10:07 tract, which is lined with mucous 10:08 membranes. Uh, so mucous membranes are 10:11 known as mucosa. So within the mucosa, 10:15 there is a mucosal immune system. If 10:20 the mucosal immune system occurs, it 10:22 will be distributed to all organs that 10:25 have mucosa or mucous membranes. Not 10:29 all of our bodies have mucous membranes 10:30 , right? Well, but it is only to organs 10:33 , but in the respiratory tract or lungs 10:35 , it not only builds the immune system 10:38 in the mucosa, it is also able to 10:40 generate a systemic immune system for 10:42 the entire body. So, the advantage is 10:46 the entry point or entry port, the 10:49 germs enter the lungs. So, the immune 10:52 system prepared by God is so powerful. 10:56 But God is almighty. There is always a 10:59 balance, there is always a balance in 11:02 this life. So the germs or bacteria 11:05 also have the ability to escape or 11:09 avoid the soldiers of our body. So they 11:14 also have the ability, the system, the 11:17 germs. Well, in the body, what happens, 11:22 how the inflammation process occurs 11:26 between the body's system and the germs 11:30 ' abilities or efforts. Because every 11:34 living creature wants to survive. So 11:37 all living creatures want to survive. 11:38 So they also try to survive like that. 11:44 Well, but in this life, there are 11:49 things that, ee, the immune system is 11:52 so well prepared, but there are ee 11:54 special conditions that cause the 11:57 immune system or defense system to not 12:00 be as good as it should be. For example 12:06 , special conditions, for example, in 12:09 people with chronic diseases, where 12:12 chronic diseases interfere with the 12:15 immune system, or people who are 12:18 elderly or over 65 or the aging process 12:21 , then it also reduces the lung defense 12:24 system, including the general immune 12:27 system and the lung defense system. 12:31 Another lifestyle issue is lifestyle, 12:34 for example, smoking. Smoking also 12:37 greatly reduces the lung defense system 12:39 , making it easier to get infections 12:40 and all the risks that come with it. Uh 12:44 , others might be people who use ee 12:46 drugs that have the effect of reducing 12:49 the immune system, yes, whether 12:51 anti-cancer, yes, chemotherapy or 12:54 people who need ee drugs to reduce the 12:57 immune system, yes, immunosuppressants 12:59 we are familiar with, yes, for example 13:02 in people with autoimmune diseases or 13:05 people after transplants and lifelong 13:08 use of immune suppressants and several 13:10 things, yes, that is also a risk. Or 13:14 people who have an imperfect or 13:17 unhealthy immune system, yes, there are 13:20 deficiencies, yes, we know it as 13:23 immunocompromised, there are also 13:26 changes in the defense system that 13:29 should occur so that in such people it 13:32 is more prone to inflammation, yes, or 13:37 to illness or infection due to invasion 13:41 or attack by existing bacteria or 13:44 viruses. Maybe so, Ms. Nunin. 13:48 Masyaallah. So, Doctor, the discussion 13:53 related to what makes us feel yes, yes, 13:56 there are things that must be 13:59 considered. We can go straight to the 14:03 question that happened to have been 14:04 sent, yes, Doctor. Yes. 14:07 So, Ms. Nuning, I want to know if this 14:10 allergy thing is related to what is 14:13 being discussed? Is it a coronavirus or 14:17 bacteria? Please enlighten me, Mr. Budi 14:21 . Yes, allergies. 14:23 Allergies are, eh, not germs, bacteria 14:25 or viruses, but allergens. So it is one 14:29 of the components that enter our body 14:32 that causes inflammation in the 14:34 respiratory tract. But it is an 14:36 allergen, yes. Well, in reality, in 14:39 life, bacteria, viruses, and allergens 14:43 are interrelated. 14:45 He. 14:45 Yes. And pollutants. Actually, the four 14:48 pollutants, allergens, bacteria, 14:51 viruses, or fungi or biologics are 14:53 interrelated and interact with each 14:56 other. So, it's the same if an allergen 14:59 is an allergen that enters our body and 15:03 is indeed overcome, it causes 15:05 inflammation. The inflammation is not 15:08 inflammation due to infection, 15:09 inflammation due to allergens, the 15:11 allergic process can occur. But it's 15:13 not the system, not because of 15:15 infection. J is different, it only 15:19 enters, occurs, and causes an allergic 15:21 reaction, but it involves new defense 15:24 systems. 15:27 Yes, Mr. Budi's explanation, hopefully, 15:30 gives us a new understanding regarding 15:33 allergies. Maybe it's an allergy, but 15:36 it wasn't mentioned, what the allergy 15:37 is. Okay, this question doesn't have a 15:41 name. Erm. Oh, there's Ms. Susanti. How 15:48 do we prevent ourselves from being 15:52 exposed to diseases caused by bacteria? 15:58 Is there a connection with a lifestyle 16:01 that is not comfortable for ourselves 16:04 or dirty? Yes, Ms. Susanti. 16:07 Yes, that's right. That's definitely 16:10 the goal, we want to prevent it because 16:11 prevention is always better than cure. 16:14 If we're already sick, we have to treat 16:16 it. 16:17 But if we want to prevent it, we 16:19 prevent it, uh, first, uh, we know 16:22 ourselves, right? So, first, for 16:25 example, one, of course, a good 16:27 lifestyle, right? A good lifestyle so 16:30 that we generally, systemically, have 16:32 good stamina in general, uh, not just 16:34 our breathing, but our systemically, we 16:37 are generally healthy, we are good. 16:39 That's the first. Second, we don't 16:42 intentionally injure or disrupt our 16:47 respiratory health, right. For example, 16:51 I didn't smoke. Second, sometimes we 16:54 don't smoke, but conditions that harm 16:57 our respiratory health. For example, we 17:00 work in an environment or we live in an 17:02 environment where we are exposed to 17:05 pollutants every day. Well, that's 17:08 often the case, Ms. Nuni. So, we don't 17:10 smoke, for example, but our environment 17:12 is polluted. A simple thing that often 17:16 happens is not only in ourselves but 17:18 also in our neighbors, across from us, 17:20 for example, every time we burn trash, 17:22 every day there are pollutants, right. 17:25 Because burning trash. Trash contains 17:27 organic and inorganic substances, like 17:31 people in forest fires. Even in garbage 17:33 , it's worse because it contains 17:34 inorganic substances. There's plastic, 17:36 whatever, there's paper, and so on. 17:37 It's not just organic. If the forest is 17:39 still predominantly organic, it's all 17:41 there. And if it's continuous, even in 17:47 large quantities, the smoke that might 17:48 be carried by the wind can enter us and 17:50 be very disturbing, or even neighbors, 17:52 for example, who burn their gardens or 17:54 near our house, their gardens or each 17:55 of them, there's a lot. Um, I also have 17:59 patients who live in environments like 18:01 tofu factories, they live in 18:03 environments where neighbors have farms 18:05 , and so on. Pollutants, pollutants 18:07 that are present every day. That's why 18:09 we should be careful in our home 18:11 environment, looking for a good home 18:12 environment. So, good air, a good 18:15 environment. If we don't smoke, it 18:17 doesn't harm our breathing. Then 18:20 another is a healthy lifestyle. Another 18:23 is that we can improve the microbiota 18:26 in our gut. Because this body is a 18:29 comprehensive system. So, uh, we say 18:32 that the microbiota in our intestines, 18:35 or what we know as normal flora, the 18:38 good bacteria in the intestines, help 18:41 us overcome substances or germs or 18:47 viruses or damage that occurs in our 18:49 bodies, even in the lungs, because 18:51 there is a connection between the 18:53 intestines and the lungs, or the 18:55 intestines and other organs, there is a 18:57 connection. Jackfruit, which we know, 19:00 is probably associated with probiotics. 19:02 Well, yes, yes. There could be a 19:04 special topic about probiotics, as we 19:06 know, that we improve the microbiota in 19:07 our intestines. Then exercise, of 19:10 course, that's very good. Then another 19:14 thing is that we include our 19:15 nutritional days with healthy, correct, 19:18 good food. eh, another thing is that it 19:22 could be through medical efforts, 19:24 people who say vaccinations could be 19:25 like that, Miss. 19:29 Yes, healthy, correct and good food 19:31 does not mean delicious food, Doc, 19:32 delicious. Delicious in us is delicious 19:36 . Delicious only for a moment, 19:38 but in our bodies it is not necessarily 19:39 good. 19:40 Okay, this is the next question from 19:43 Miss or Mrs. Asma in South Jakarta. 19:47 Asalamualaikum. May I ask, Doc? I'm 65 19:51 years old, and I sometimes bite my 19:54 tongue and lips, which leads to canker 19:57 sores. And now the gum muscles are 20:00 enlarged. Is this due to bacteria, Doc, 20:03 or a virus? Thank you. 20:06 Thank you, Ma'am. Yes. Uh, if you 20:09 realize, for example, you said the 20:12 inflammation was due to biting, right? 20:16 That's 20:17 probably what we have, what's it called 20:19 , we have a reflex, uh, to chew, right? 20:22 There might also be a decrease, right, 20:25 uh, it's best not to let that happen, 20:27 right? Prevent it slowly. So, eat 20:30 carefully, slowly, especially if the 20:32 food is hard or the food is, uh, 20:36 structured, uh, uh, different, right, 20:38 not soft, right. We are careful, then 20:41 focus. When we eat, we don't think 20:43 about anything else, like that, or 20:45 while talking or thinking about 20:47 something else. We focus on eating, 20:50 avoiding biting. Likewise, when we talk 20:53 , sometimes we don't eat, we just talk, 20:55 and it turns out we bite our tongue, 20:57 right? Well, we were also careful 21:00 earlier. Another thing is about hygiene 21:04 . Oral hygiene. We have to maintain 21:08 oral hygiene. For oral hygiene, it's 21:12 best to brush our teeth after eating, 21:15 half an hour after eating. Not 21:16 immediately. Well, because when we eat, 21:19 we usually have a lot of stomach acid. 21:21 Let it sit for a while and then clean 21:23 it. 21:24 We just clean it. Another thing is ee 21:27 or gargling, just gargling often with 21:29 water. Another thing is that it could 21:33 also be from stomach acid, from stomach 21:35 acid that rises and enters our mouth or 21:38 esophagus and mouth, and that also 21:41 often causes canker sores. So gargling 21:45 or we see what from our other habits is 21:47 what could the bacteria be due to? 21:51 Because of poor oral hygiene, there 21:54 could be bacteria, so bacteria, 21:57 especially if we are older, often 22:01 colonize, right? Germs aren't just in 22:05 the respiratory tract or germs that 22:07 stay, we call them commensal germs, or 22:09 they colonize, and that's also true in 22:11 the mouth. So we really have to 22:16 maintain our oral hygiene more because 22:18 as we get older, we're more vulnerable, 22:21 it's easier for germs to enter, and the 22:24 body's efforts to expel the germs that 22:27 enter are reduced. So they enter more 22:32 often, but they might not cause illness 22:33 , they just stay there. Yes, we call 22:37 those commensal germs, or they are 22:39 actually germs that are capable of 22:41 causing illness and they stay and we 22:43 and they stay there, colonizing. And 22:46 one day, our bodies get weaker, the 22:49 germs win, so they make us sick. So, 22:52 who was that mother? I 22:55 don't have her name. Oh, Ms. Asma. Ms. 22:57 Asma. Heeh. So we really do maintain 22:59 hygiene. Why? Because the problem isn't 23:02 just oral hygiene or inflammation in 23:05 the mouth. 23:06 What happens is that the oral cavity 23:09 can cause inflammation in a person's 23:11 respiratory tract or lungs. 23:13 Heeh. 23:14 Because without us realizing it, every 23:16 time there's fluid from the mouth. 23:18 Especially in old age, aspiration 23:20 occurs and there's fluid. Well, and 23:22 that makes it easier for it to enter. 23:24 So oral hygiene also affects the risk 23:28 of lung infection if it's bad in our 23:31 oral hygiene, we call it cleanliness. 23:36 So a clean mouth is simply drinking 23:38 often, rinsing often, 23:40 drinking and rinsing often. Of course, 23:42 eating well too, right? 23:44 Yes. Okay, this is a question from a 23:48 servant of God 0811, that's all, Doc. 23:54 Uh, to be able to increase immunity, do 23:57 we need vaccines? Because some say 24:02 vaccination is important to avoid 24:05 various unwanted diseases. If yes, for 24:11 oh, the age mentioned here is around 69 24:15 years old, what vaccine is 24:18 it for lung infections, right? Uh, it's 24:22 not mentioned, just to avoid it, right? 24:26 We're talking about breathing, we're 24:27 talking about breathing. Maybe I'm 24:29 talking about lung health, breathing. 24:31 So if the vaccine is related to 24:32 respiratory vaccines because there are 24:33 so many vaccines, right? Um, I'm not 24:37 stressing that you have to get 24:39 vaccinated, but I'm not prohibiting you 24:42 from getting vaccinated either. The 24:45 point is, uh, number one, we want to 24:48 prevent ourselves from getting sick. So 24:50 our better effort is to increase our 24:53 body's immunity. That's my suggestion. 24:56 Increase our body's immunity. We try to 24:59 live better, and we see for ourselves 25:02 what our shortcomings are, how we can 25:04 correct them. Sometimes something that 25:08 makes our immune system weak or makes 25:10 us more susceptible to infection or 25:12 something isn't something that can't be 25:15 avoided. Actually, it can be avoided 25:18 and avoided, huh. 25:19 So we have to see for ourselves first. 25:22 uh, if uh, we want a vaccine, there are 25:24 vaccines for respiratory infections, 25:27 there are several vaccines for lung 25:29 infections. Because what often affects 25:31 the respiratory system is a serious 25:33 viral disease, which we know as 25:35 influenza. Mild viruses don't need to 25:37 be vaccinated. Coronavirus is a 25:40 self-limiting disease, a disease that 25:42 can heal itself, can heal itself. But 25:45 there are viruses that are serious, 25:48 they can be risky, not necessarily 25:50 severe, they can be risky, yes. So, 25:53 what we call a severe lung infection is 25:55 pneumonia, right? It can even lead to 25:57 pneumonia. Well, that's influenza. Uh, 26:01 for now, we know there are several 26:03 types of influenza. Because it mutates 26:05 every time it changes. So, the vaccine 26:07 is given once a year for influenza. And 26:10 then there's a vaccine for pneumonia. 26:13 Pneumonia has many germs. 26:16 And among them, it has properties, uh, 26:20 quite good, it causes pneumonia and can 26:23 cause other things outside the lungs, 26:26 right? Uh, that's what we know as 26:30 streptococcus pneumoniae, so the 26:32 existing vaccine is a vaccine for 26:34 pneumonia, uh, streptococcus pneumoniae 26:37 , right? We know pneumococcus, so it's 26:40 not for all germs, right, there are a 26:42 lot of germs for pneumonia, Doctor. Yes 26:44 . So, for ee, stripto pneumonia, 26:46 pneumonia vaccine germs, and influenza 26:48 vaccine. There are also vaccines now 26:52 for ee, ee, other viruses, which, it 26:54 turns out, in current developments, oh, 26:56 it exists especially in the elderly, 26:57 this virus, respiratory syncytial virus 26:59 , there are several vaccines. But of 27:03 course, I think all of those things 27:06 have their pros and cons. Hehe. So, if 27:11 we weigh it up, as those who know best 27:13 if we want to get vaccinated, I might 27:17 invite you to remind your doctor to 27:22 state, for example, do I need vaccine A 27:25 , do I need vaccine B? The doctor will 27:29 then assess it because, for people with 27:31 certain conditions, 27:35 it must be assessed. We want the 27:39 benefits to outweigh the harms, and we 27:41 must assess whether the vaccine is safe 27:44 in that condition, does it not cause 27:46 another condition, or does it increase 27:49 the risk of developing another 27:51 condition. So, the doctor must know. So 27:54 , if you have an acute illness, you 27:56 definitely shouldn't get vaccinated. 27:58 That's generally true for everyone. So, 28:00 we must be healthy. Vaccines prevent 28:03 illness. We're vaccinated when we're 28:07 not sick, right? So, it's not just 28:09 about being sick anymore, that's called 28:11 therapy, not a vaccine. Now, if you 28:13 have certain conditions, sometimes 28:16 vaccines build the body's immune system 28:18 . Building the body's immune system is 28:21 done through inflammation. Well, in the 28:25 lungs, the lungs do have an 28:26 inflammatory process that is risky to 28:28 be awakened, so don't do that with the 28:30 vaccine yet. So, is there any condition 28:33 , ee, the doctor knows better when I 28:35 can, whether I should be vaccinated, 28:38 whether I'm on time for the vaccine. 28:40 Well, I have to be vaccinated too, and 28:42 we'll assess ee after the vaccine. Is 28:44 there a risk, is the risk generally 28:47 mild, or are there other risks? That's 28:50 roughly it. So, in general, vaccines 28:53 are okay, yes, but in certain 28:54 conditions, especially the elderly, 28:57 it's better to ask a doctor first. 29:00 Yes. So it doesn't mean being paranoid, 29:02 afraid of getting sick and then getting 29:04 vaccinated. I shouldn't. Heeh. 29:06 Paranoid. Okay. This is from Ms. 29:09 Nurhaidah, the question. Hey CL smokers 29:12 because of the connection with smoking. 29:16 Asalamualaikum, Doc. Can cigarette 29:19 smoke irritate a cold? What is a cold? 29:24 And because my husband smokes 29:26 carelessly sometimes in the room and 29:28 I've been reminded many times, I've 29:30 been reprimanded, but he still doesn't 29:32 care. What should I do, Doc? Thank you. 29:36 What's bothering you? A runny nose. 29:37 What runny nose? A runny nose. 29:39 Oh, a cough and a cold. 29:40 Oh, Sir. Oh my God. 29:41 Is smoking linked to the term cough and 29:45 a cold? Huh. 29:46 Is smoking related, ma'am? Yes. A cough 29:49 and a cold are common terms that mean I 29:51 have a runny nose. I have a cough and a 29:54 cold. Actually, a cough and a cold are 29:57 conditions where I mentioned earlier 29:59 about a person's defense mechanism, 30:00 right? He, uh, because of something, he 30:03 produces a lot of secretions. 30:05 Secretions from the respiratory tract. 30:07 Then he wants to expel them, right, by 30:09 sneezing, he releases the secretions, 30:11 he has a runny nose. Well, then he also 30:13 coughs. That means there's something 30:15 there, meaning there's an inflammatory 30:16 process in the respiratory tract. Can 30:18 smoking contribute to the risk of 30:24 getting a cough and a cold? Yes, as I 30:28 said earlier, because people who smoke, 30:30 uh, their airway defenses are reduced, 30:36 very reduced. Because there's damage to 30:40 the epithelial cells. Smoking damages 30:43 the epithelial cells in our airways. It 30:47 damages the cells in the walls of our 30:49 other airways. These cells have many 30:53 functions. Damage occurs, and smoking 30:57 also increases mucus production, 31:00 changing its properties, 31:04 and weakening the lung's defense system 31:07 . Well, then, smoking also weakens that 31:12 system, the cells or the innate immune 31:15 system, the cells whose job is to kill 31:18 and capture; it weakens it. Even the 31:23 acquired immune cells, which should be 31:26 stronger, are weakened. So, smoking 31:30 does weaken the lung's defense system, 31:32 the respiratory tract's defense system. 31:35 It doesn't even reach the lungs or the 31:37 airways, it weakens them and causes 31:39 disease. Even if you don't smoke, 31:41 you're known as a smoker. Passive 31:44 smokers, those who don't smoke, are 31:46 affected. 31:48 So, passive smokers will have an impact 31:50 if it's related to the room. So, even 31:53 if it's indoors, even if one person 31:55 smokes, it's a space, but if the room 31:57 is small and not well-ventilated, it's 32:00 affected. Hehe. 32:01 But outdoors, even if there are many 32:03 people smoking, it's less impactful 32:05 because the air is wide open. So, it's 32:07 best for smokers not to smoke indoors. 32:11 What you said about still smoking in 32:13 the room, is that strictly indoors, or 32:15 smoking in the attic is also still 32:17 indoors. Smoking on the terrace is also 32:20 still indoors. So, if you smoke, maybe 32:22 you suggest you 32:23 go to the rice fields, 32:25 smoke in the field, or if you want to 32:28 smoke, do it 32:29 in the open air. Okay, this is from 32:34 Mrs. Intan. I was wondering, Doctor, if 32:43 someone who is stressed can have a 32:45 lowered immune system, how can you deal 32:47 with it even if the stress is constant? 32:52 I'm stressed, Ms. Noning. Oh, yes. 32:54 How do you deal with stress that's 32:56 constant? Yes, that's right, Ma'am. So, 32:59 there have been many studies that show 33:01 that if we are stressed, our immune 33:03 system will decrease, yes. Directly and 33:07 indirectly, yes. Indirectly, for 33:10 example, if we are stressed, we will 33:13 lack sleep, for example, yes. We lack 33:17 sleep, we have a lot of thoughts, so we 33:19 sleep, but the sleep is not of good 33:21 quality, yes. Or we become, uh, our 33:24 nutrition or food intake is not good, 33:26 we are stressed, stressed, or we become 33:29 not, uh, healthy because of, yes, our 33:31 lifestyle. Or we, uh, stress then we 33:34 become disorders, for example because 33:36 of stress we have digestive disorders, 33:38 stomach acid disorders, which 33:40 ultimately affect everything, yes. So 33:43 indirectly, yes, it affects our 33:45 physical conditions because we are 33:47 stressed. Directly, it turns out that 33:51 with stress we greatly reduce, uh, our 33:54 immunity or immune system, and there 33:56 have been observations or studies, 33:59 Ma'am, uh. So it is indeed effective 34:04 for stress, even though stress is still 34:06 present in life, there is always stress 34:08 . It is impossible for us to not have 34:10 stress, yes. Physical stress, 34:11 psychological stress. In life there is 34:13 physical stress, yes. Physical stress, 34:16 for example, when we are tired, what we 34:17 do, we work physically, yes. Because 34:19 every day there are changes in us, 34:20 there are physical things that we are 34:22 stressed, stretching more. 34:23 Psychological stress, yes. Well, it 34:25 can't be avoided. It can't be avoided. 34:27 But what we can do is how we deal with 34:30 it. If we avoid it, we don't avoid 34:33 stress because stress is there. But how 34:36 we deal with it or manage it or we face 34:39 it. That's 34:40 what Mrs. Nuning said, right? Besides, 34:42 it becomes our psychological language. 34:46 Besides, of course, as mentioned 34:48 earlier, Doc, proper diet, and then, 34:52 of course, rest, right? But the main 34:57 thing about stress is how we deal with 34:59 it, right? Stress depends on how we 35:02 accept it. Some people don't actually 35:04 have a lot of stress, but it's very 35:05 heavy for them. But on the other hand, 35:08 there are people who actually have a 35:10 lot of stress or burden, but they can 35:12 be grateful for it or it's not heavy 35:14 for them. The problem isn't the 35:16 severity of the stress, but how we 35:19 improve 35:20 it. 35:21 Okay, this is from Mas Andi in Bogor. 35:25 Oh, how to clean the lungs for smokers. 35:30 And what about non-smokers? How can we 35:33 naturally clean the lungs for smokers 35:37 and non-smokers? Are there any foods, 35:41 drinks, or breathing techniques that 35:44 are effective in cleansing the lungs 35:47 from pollution? 35:50 Hmm. No, there aren't any, sir. So, 35:53 smokers often...Yes. Smokers often say 35:55 that, huh? He. 35:57 Or they take some kind of medication or 35:59 something because they're tempted to 36:02 clean their lungs from cigarettes or, 36:04 for example, clean their lungs. 36:07 Hey, there's no such thing, sir. It 36:10 means cleaning up, sir. If you smoke, 36:12 stop smoking. If you've never smoked, 36:14 don't ever smoke. Because, uh, smoking 36:18 really does contain thousands of 36:20 chemicals, each of which interacts with 36:23 each other and damages your health. But 36:27 cigarettes are so bad, we should have a 36:29 separate clause on cigarettes. One bad 36:32 thing about cigarettes is that they're 36:34 harmful, but the second bad thing is 36:36 that they're addictive. 36:39 Hehe. 36:39 So even though people know they're 36:41 being harmed, they're addicted. So 36:43 they're already addicted or addicted. 36:46 The third bad thing is that cigarettes 36:48 contain substances that relieve them. 36:52 They relieve or temporarily relieve 36:54 them, not restore, cure them, until the 36:55 smoker feels like their complaints are 36:57 being relieved. H, 37:00 until there's a point where it's no 37:02 longer possible to relieve them because 37:03 the damage can't be relieved, it can't 37:05 be covered up. Well, that's when they 37:07 feel their complaints are being 37:08 relieved. Actually, when they relieve 37:10 them, they already have complaints, but 37:11 they're covering them up. Well, if the 37:13 damage is already big, severe, and 37:15 relieving them is no longer possible. 37:17 Well, usually they just come with 37:19 complaints. So, that means the three 37:22 things about cigarettes that I 37:25 mentioned earlier are very, very bad 37:28 and cruel. So a smoker is lulled by 37:31 their cigarettes 37:33 until they realize it, and it's usually 37:35 too late. They've accumulated so many 37:39 diseases due to smoking. 37:41 Edik, it's difficult. 37:42 So there's no way, sir, to clean the 37:45 lungs, there's no way. So it can't be 37:49 cleaned, what can be done is to stop 37:52 smoking. Okay, this is from Mr. Junaidi 37:55 . Doctors, everyone has experienced 37:59 stress, right? How do we manage that 38:03 stress so it doesn't lower our immune 38:06 system? And the second question, Ms. 38:10 Nuning, are viruses more dangerous than 38:12 bacteria? Thank you. 38:14 Well, I'll answer the second question 38:15 first because it's more related to 38:17 metopic. Are viruses more dangerous 38:19 than bacteria? Both are equally 38:22 dangerous because both are things that 38:25 shouldn't be in our bodies and both can 38:27 cause tissue damage or inflammation and 38:30 can cause illness, right? Hey, I said 38:35 earlier that the difference is that the 38:37 virus is small, and its nature, right? 38:41 The virus is small, right? It can cause 38:44 damage and is acute, and its system is 38:46 that it causes reactions in our bodies, 38:49 depending on what kind of virus it is. 38:53 Well, if it's bacteria, it can indeed 38:57 cause acute damage and also damage or 39:00 infection. But bacteria, uh, we usually 39:05 have more of the nature of bacteria, it 39:08 can be acute, it can be acute, but it 39:11 can also cause conditions that can be 39:13 chronic. This means that viruses and 39:17 bacteria are the same, we can recognize 39:18 them, we can recognize them. I think if 39:21 the virus is mild, it's self-limiting. 39:23 It's mild, it's 39:25 only local. For example, if the virus 39:27 enters the respiratory tract, it's only 39:29 local; coughing, coughing. It doesn't 39:31 shiver, it doesn't get to fever, it 39:33 doesn't get to headache, no body aches. 39:35 That's systemic. But if it gets to that 39:39 point and the virus is severe, then 39:41 it's not a mild virus. 39:44 Certainly, and it poses a risk not only 39:46 in the upper respiratory tract, but 39:48 also in the lower respiratory tract, 39:50 causing pneumonia, even more severe. 39:53 And we generally have to treat viruses 39:56 like that with antivirals. Viruses, 39:59 like bacteria, each have their own 40:02 characteristics, and certain conditions 40:04 that we don't want. Bacteria cause 40:07 infections. We often recognize bacteria 40:10 by them: we have a fever, we cough, we 40:12 have shortness of breath, we produce 40:14 colored phlegm, or our mucus is no 40:15 longer white. It's 40:17 no longer white. Often, patients will 40:21 state what color their mucus or phlegm 40:23 is, for example, normal. We have to ask 40:27 what is normal. It turns out that what 40:29 is considered normal is green, yellow. 40:33 So, basically, normal is usually white, 40:37 clear. So if it's colored, that also 40:40 needs to be addressed. Especially if 40:42 it's accompanied by conditions like 40:44 fever, cough, and shortness of breath, 40:46 bacteria cause that. So, the difference 40:48 between viruses is that they are acute. 40:51 Initially, nothing happens, but 40:52 suddenly it becomes like that, and it 40:54 becomes more systemic if the virus is 40:55 severe. 40:57 And it's the same with a condition of a 40:59 pathogen that we don't want, yes. It 41:03 can cause infection. 41:06 God willing, you can take care of 41:07 yourself, yes, Doc. But what about 41:09 stress, so that stress doesn't arise? 41:12 I said that everyone has stress, but 41:14 how do we deal with it because, uh, I 41:17 don't know if your stress is actually 41:19 heavy or light. Maybe it's heavy for 41:22 you, but it's actually light in my eyes 41:24 , for example, or vice versa, for you, 41:26 it's light, but it's actually very 41:27 heavy. So, uh, how do we deal with it 41:31 or overcome it? In my opinion, that's 41:34 all, Sir. Because stress is present in 41:36 all humans. As long as we are given 41:38 life, we are given breath, we will 41:39 definitely be given stress. Yes, but if 41:42 possible, we should not bring on stress 41:44 . Because often, stress doesn't mean it 41:46 doesn't have to be there, but we bring 41:48 it on ourselves. Is it physical stress 41:50 or psychological stress? It doesn't 41:53 have to be there, but we can also bring 41:55 it on, right? Sir, 41:59 avoiding or staying away from it is a 42:01 possibility that we can do, but there 42:03 are many ways, Doc, so as not to be 42:05 stressed, avoiding stress is 42:08 not avoiding it because stress cannot 42:09 be avoided. I said managing it, so 42:11 managing stress or overcoming it, 42:13 overcoming stress, avoiding it, we 42:14 can't, we can't 42:16 avoid it, yes, if it has come, then 42:18 accept it, but ee ee, don't make up 42:20 stress. 42:23 Okay, this is from Mr. Abu, ee, how do 42:26 you differentiate the symptoms of TB 42:28 from a normal cough or an allergy? The 42:33 number of TB cases here in Indonesia is 42:35 still quite high, right, Doc. So what 42:38 are the early signs that can be easily 42:40 recognized if it's TB? Yes, thank you 42:45 from Mr. Abu. Yes. TB is the same, 42:47 right, one germ or bacteria we know as 42:50 ee I with ee one what? Microbes, right. 42:56 Microbes are MTB bacteria, which have 42:58 their own characteristics, chronic 43:00 inflammation, chronic infection. If 43:03 pneumonia is an acute infection. The 43:06 symptoms of a cough are the same for 43:07 all, not necessarily an infection. All 43:10 respiratory disorders include coughing, 43:13 shortness of breath, and phlegm. 43:15 They're all the same, they all have the 43:18 same symptoms. However, if the 43:20 infection is accompanied by frequent 43:21 fever, the phlegm will be colored like 43:23 that. And if it's TB, that means it's a 43:27 chronic infection because the nature of 43:30 the disease, 43:33 the inflammation, or the process of the 43:36 bacteria, is chronic. It's different 43:39 from my infection. So, the infection or 43:42 the symptoms mentioned earlier are 43:43 chronic, not acute. What does chronic 43:46 mean? Chronic means it lasts a long 43:49 time. If you want the quickest, it's 43:52 probably more than 2 weeks, or so. But 43:54 not all of them are interpreted the 43:56 same way, the meaning is reversed. Not 43:58 all coughs that last for 2 weeks are TB 44:00 . But we can think about whether it 44:03 could be TB if it lasts for more than 2 44:06 weeks. Although a cough that lasts for 44:07 more than 2 weeks could be something 44:08 else. It doesn't have to be TB. Because 44:12 a cough isn't just a respiratory lung 44:14 problem. Lungs aren't just TB. It's a 44:18 chronic problem. Coughing can also be 44:20 caused by our stomach coughing. 44:21 Coughing can be a problem with our 44:23 upper respiratory tract. Yes, so, yes, 44:24 if TB, it often lasts a long time 44:26 because it is a chronic infection, the 44:28 disorder lasts a long time, the process 44:31 is long, and everyone has their own 44:33 immune system, they have their own 44:35 process of overcoming it. Sometimes, uh 44:38 , the immune system process doesn't 44:40 sometimes go on continuously from there 44:42 being a bacterial response, there being 44:44 an immune system, and it will continue 44:46 to go on, until the point where the 44:48 bacteria are more dominant and win, and 44:51 more damage occurs so that it starts to 44:53 manifest with complaints, and those 44:55 complaints are definitely chronic. 44:58 Yes. Yes. 44:59 So that's HCTBC, right? Okay, talking 45:03 about breathing, about coughing. 45:05 Another question, ee Umi Zahra, "Doc, 45:08 when is a cough considered abnormal? 45:13 And how long does a cough last before 45:17 deciding to go to a lung specialist?" 45:21 Thank you. Thank you, ma'am. So, ee, is 45:25 there a normal cough? Not a normal 45:29 cough, not a cough. Is there a normal 45:31 cough, no. That means coughing, if you 45:33 say it's normal, is the body's defense 45:35 process. 45:36 So we cough. Hm. We choke, we cough. Ah 45:39 , that's normal, ma'am. We feel mucus, 45:41 we keep coughing. A, we just cough for 45:44 a moment, then we stop. That's normal. 45:47 But if we keep coughing, coughing, then 45:50 we cough every day, we cough. Well, 45:53 that's not normal, ma'am. So coughing 45:55 is the body's defense, when we feel 45:57 something. But if it continues, the 45:59 body's defense is continuously 46:01 triggered, it has to cough every day. 46:04 Well, we have to think about why we 46:06 cough like that. 46:07 H, 46:09 yes, it means our body's defense 46:11 process is ongoing. Especially if the 46:13 cough is accompanied by other 46:14 respiratory complaints. For example, 46:16 with shortness of breath, with a lot of 46:19 mucus or phlegm. And there's an 46:21 unpleasant feeling in the chest, for 46:23 example, what's wrong, there's 46:24 inflammation like that or a discomfort 46:26 in the throat, for example. Those are 46:28 also things that you should see a 46:29 doctor for. 46:31 Besides the cough itself. 46:32 Yes, cough. Oh cough. If possible, 46:35 don't bother. But if it's a form of 46:38 information that something is wrong, 46:40 that's okay too, Doc. Coughing because 46:42 of choking, right? 46:43 Yes, but not every day, right? If you 46:46 choke every day, you should also see a 46:47 doctor. It means that maybe our 46:50 swallowing muscles are weakened, right? 46:54 Well, that also needs to be checked 46:56 because it's at risk of pneumonia 46:59 because the fluid from choking enters 47:01 the lungs. 47:02 Okay, this question is from a woman, 47:06 right? Because, as you heard earlier, 47:11 my husband smokes, but he's healthy, 47:14 but he only smokes far from home. Oh 47:18 okay. 47:20 Questions related to immunity, Miss Nun 47:23 , could you please tell me what 47:25 specific vitamins or supplements can 47:28 improve our immunity? Thank you. What 47:32 supplements are they? 47:34 Thank you, ma'am. So, actually, it's 47:37 not just supplements, as I said, number 47:41 one is improving or improving our 47:43 lifestyle. If we have something that's 47:47 not good, for example, we smoke, we 47:48 stop smoking. Or if we use substances 47:51 that make us addicted, we stop. Then we 47:54 exercise, and we eat good food, right? 47:58 Then, uh, another thing is that you can 48:00 improve your gut microbiota, right? Or 48:03 with probiotics. Because probiotics are 48:05 actually found in vegetables and fruit, 48:07 they also contain probiotics. Then, 48:10 another thing is vitamins. Actually, 48:14 I'm not the one who recommends taking 48:17 vitamins, because ee or minerals are 48:19 like that. Because in my opinion, all 48:22 of that is sufficient if we eat well, 48:25 it's in our food. 48:26 Fruits and vegetables are definitely 48:28 there. 48:28 Yes. Complete. For example, there are 48:30 carbohydrates, there are proteins, 48:31 animal fats, and there are fruits and 48:33 vegetables. That's actually there. But 48:35 oftentimes, we have deficiencies. Well, 48:39 when we have deviations, maybe we can't 48:42 keep up with our food, just from our 48:45 food. So we need additional or 48:48 supplements, or we're old, or we have a 48:50 condition that requires supplements. 48:54 Well, for example, as an elderly person 48:56 , it's okay to take supplements or 48:58 vitamins and minerals that can build 49:00 and repair our cells. So, what is 49:03 recommended? What is recommended, ee, 49:05 of course, is that improving our cell 49:08 function, which is often recommended, 49:10 is calcium, minerals, and vitamin D3. 49:14 Because those are the three friends who 49:16 improve our cell system in the repair 49:18 that we said to repair, right? 49:21 Yes. 49:22 For autophagy. 49:24 Uh, if it's related to food, what kind 49:27 of food is vitamin D3? 49:29 Those are the three friends, right? 49:30 Calcium, minerals, calcium, magnesium. 49:32 calcium, magnesium, and. But if D3 is 49:35 in our food, it's there, ma'am. It's in 49:38 eggs, it's in fish, it's in meat. But 49:40 that might not be enough because we 49:42 ourselves are already deficient. But D3 49:44 can also be found in sunlight, right? 49:47 But we can't sunbathe for more than 49:49 half an hour because it has other 49:51 effects than sunlight. Not only does it 49:53 contain D3, sunlight contains other 49:55 substances, right? 49:57 And we can't sunbathe continuously, or 49:59 something bad will happen, right? So, 50:02 it's not enough with the sun, but we 50:03 should indeed be exposed to sunlight in 50:05 tropical areas, right? But we can't 50:07 stay in the sun for too long because 50:09 we're afraid of other bad things. So, 50:12 uh, we uh, by sunbathing, by eating, 50:15 for example, if it's not enough, even 50:17 though we're deficient, we can add 50:20 vitamin supplements. Okay, this is the 50:24 last thing before we uh, closing 50:27 statement about the microbiota. What is 50:33 it, Ms. Nuning? Please ask. Why did I 50:36 come to hear it late? What microbiota, 50:39 Doc, were you discussing? 50:41 I said earlier that microbes, 50:43 microbiota, what are they called? Not 50:46 bacteria, which gives us a negative 50:48 impression, right? Heeh. 50:49 Microbiota is the term, uh, something 50:56 that lives, yes, living creatures, the 50:58 microbiota that is needed in the 51:00 digestive tract, or as we said earlier, 51:03 the good bacteria, right? 51:05 Microbiota are good bacteria, 51:07 intestinal bacteria, right, normal 51:09 flora. In the intestines, they are 51:11 normal, in the intestines, they are 51:13 there to improve the digestive system. 51:15 But besides improving the digestive 51:19 system, it turns out that the 51:21 microbiota in the intestines also has a 51:24 role, uh, in improving immunity 51:27 throughout the body, in repairing or 51:30 overcoming inflammation throughout the 51:34 body. Well, later, how exactly might we 51:37 need a specific topic about microbiota 51:40 or probiotics? So what is the medicine 51:42 for microbiota? So, the probiotics we 51:45 know are probiotics. So, if you can 51:48 take probiotics, ask your doctor, what 51:51 probiotics are right for me, okay? Okay 51:55 , what we're discussing is related to 52:00 our lung and respiratory resistance 52:02 against viruses and bacteria. For those 52:08 of you who are late to listen, you can 52:11 watch Rasil TV on YouTube, and we'll 52:15 hear a summary of the discussion on 52:18 lung and respiratory resistance with 52:21 Dr. He is a lung specialist, okay? 52:26 Please, Doc. 52:28 Yes. So, ladies and gentlemen, we 52:31 breathe every time, uh, to survive, uh, 52:34 to get oxygen, uh, to get oxygen, uh, 52:37 and we exhale CO2, but we also run the 52:40 risk of bringing in things we don't 52:43 want. But that's in the atmosphere, how 52:46 do we prevent our lungs from being 52:48 healthy and able to handle only the 52:50 good things that enter, and the bad 52:52 things don't enter. That's of course 52:54 one of us. We avoid intentionally 52:57 bringing in the bad things. We don't 52:59 try to keep the bad things out, okay? 53:02 Sometimes we breathe when we 53:04 intentionally take in something bad, of 53:06 course we avoid taking in something bad 53:08 . Among other things, don't smoke, or 53:11 if you already smoke, stop smoking. The 53:15 second is against other pollutants, and 53:17 it's not just cigarettes, pollutants in 53:20 our home or work environment. We pay 53:23 attention to how to prevent them. If we 53:26 work in that environment, then we can 53:29 use a defense system or the right mask 53:33 to deal with our work. And we also do 53:37 regular check-ups. Have we been 53:40 affected by the pollutants? No, no, any 53:43 further and we're too late. Another, 53:47 third, strengthen our bodies, so we can 53:50 protect our bodies, strengthen our lung 53:53 defense system. In this way, of course, 53:59 we are better, uh, increasing our 54:02 body's resistance in general ways: with 54:05 a good lifestyle, exercise, then we eat 54:08 well, get enough rest, and, uh, also we 54:11 , uh, what, uh, uh, pay attention, pay 54:14 attention to how, uh, our daily 54:17 respiratory complaints. Sometimes we 54:21 often have breathing problems, but we 54:23 ignore them. Oh, that's normal. That's 54:26 just a normal cough. That's just phlegm 54:28 . Sometimes we cough, or oh, that's 54:30 just a normal cough and cold. I've had 54:32 a cough and cold for a long time. Heeh. 54:34 So, coughs and colds since I was little 54:36 , coughs and colds are okay. A normal 54:38 cough and cold actually has tissue 54:40 damage in the upper and lower 54:41 respiratory tract, because of a history 54:43 of chronic inflammation and causes 54:45 something. So, we should pay attention 54:49 to what's happening, and if there's 54:51 something, we should go to the doctor. 54:56 That's all my advice. 54:59 Thank you for attending Dr. Dianiati at 55:03 this health room event. And brothers 55:08 and sisters, let's increase our 55:11 immunity as we've heard, and hopefully, 55:14 we'll be better able to maintain our 55:17 health. But before we end this 55:22 gathering, let's pray together silently 55:26 . We don't know how many of our 55:30 brothers and sisters have died due to 55:32 the disasters in Sumatra, North Sumatra 55:35 , West Sumatra, and also Aceh. It is 55:38 unknown how many millions have been 55:40 displaced and how many are missing, 55:41 with hundreds of thousands still 55:43 missing. Meanwhile, the number of 55:47 health services is not small, as 55:49 hundreds have been devastated. Yes, may 55:54 Allah end the suffering of the nation's 55:57 children and cleanse the hearts of this 56:01 nation from greed and the things that 56:04 caused all this. Together, with honesty 56:09 and compassion, we uphold justice in 56:12 every corner of the country, which can 56:15 save our nation and save it from the 56:18 suffering that is currently occurring 56:21 due to natural disasters. Amen, O Lord 56:26 of the Worlds. Thank you again for this 56:28 togetherness, Doctor, and brothers and 56:31 sisters wherever you listen to Radio 56:32 Silaturahim. May Allah grant us the 56:35 best of health and guidance. Peace be 56:36 upon you, O Lord of the Worlds. 
