Latest / Home Care Powered By AUAF / Home Care for Seniors With Arthritis: Safer, More Comfortable Daily Living at Home
Transcript
- 0:00SPEAKER_01: Welcome to the Home Care Podcast.
- 0:01SPEAKER_00: Thanks for having me back.
- 0:02SPEAKER_01: Oh, always.
- 0:04SPEAKER_01: So um, I want you to imagine waking up tomorrow and finding out that gravity has been turned up like 20%.
- 0:11SPEAKER_00: Yeah.
- 0:12SPEAKER_01: And while you were sleeping, someone came in and just greased all the door handles in your house.
- 0:17SPEAKER_00: Oh, wow.
- 0:18SPEAKER_00: Yeah, that sounds like a total nightmare.
- 0:20SPEAKER_01: Right.
- 0:20SPEAKER_01: I mean, every step is heavier.
- 0:22SPEAKER_01: Every twist of your wrist feels like, you know, grinding glass against bone.
- 0:26SPEAKER_01: And that invisible, excruciating daily obstacle course is what millions of seniors battling arthritis face.
- 0:34SPEAKER_01: Just, you know, simply trying to exist in their own homes.
- 0:36SPEAKER_00: It really is an obstacle course.
- 0:38SPEAKER_00: And it's completely invisible to everyone else.
- 0:40SPEAKER_01: Exactly.
- 0:41SPEAKER_01: So today, we are going on a deep dive designed specifically for you, the learner.
- 0:47SPEAKER_01: We really want to unpack the uh the practical mechanics of aging in place.
- 0:52SPEAKER_01: Our mission is to figure out exactly how seniors with arthritis can maintain their independence, their safety, and of course their comfort without having to abandon the homes they love.
- 1:00SPEAKER_00: Aaron Powell Which is the ultimate goal, right?
- 1:02SPEAKER_00: Nobody wants to leave their home if they don't absolutely have to.
- 1:05SPEAKER_01: Yeah, absolutely.
- 1:06SPEAKER_01: And our roadmap for this deep dive comes from some incredible resources provided by Home Care, powered by AUAF.
- 1:13SPEAKER_01: They are a leading non-medical in-home care agency, and they've actually been serving the Chicagoland and broader Illinois area for over 30 years.
- 1:21SPEAKER_00: Aaron Powell 30 years is a long time.
- 1:23SPEAKER_00: And that ground level experience is so vital here because the medical theory of arthritis is just very different from the daily reality of a senior trying to, you know, make a cup of coffee.
- 1:36SPEAKER_00: Trevor Burrus, Jr.
- 1:37SPEAKER_01: Right.
- 1:37SPEAKER_01: Making coffee shouldn't feel like a marathon.
- 1:39SPEAKER_00: Exactly.
- 1:39SPEAKER_00: And we often throw around the word arthritis as if it's just one single disease.
- 1:43SPEAKER_00: Right.
- 1:44SPEAKER_00: But we're actually talking about several distinct um mechanical and systemic breakdowns.
- 1:50SPEAKER_00: The big two that usually force seniors out of their homes are osteoarthritis and rheumatoid arthritis.
- 1:55SPEAKER_01: Okay, so osteoarthritis, that's the classic wear and tear one, right?
- 1:58SPEAKER_01: Like the smooth cartilage cushioning the bones basically just degrades over time.
- 2:02SPEAKER_00: Aaron Ross Powell Yeah, exactly.
- 2:03SPEAKER_00: It literally wears away over decades of use, leaving bone grinding directly on bone.
- 2:08SPEAKER_00: And that creates severe localized pain, stiffness, you know, swelling.
- 2:11SPEAKER_00: Yeah.
- 2:12SPEAKER_00: But then you have rheumatoid arthritis, which operates on an entirely different mechanism.
- 2:17SPEAKER_00: It's an autoimmune condition.
- 2:18SPEAKER_01: Aaron Powell So the body is like attacking itself.
- 2:21SPEAKER_00: Right.
- 2:21SPEAKER_00: The immune system gets confused and actively attacks the healthy lining of the joints.
- 2:27SPEAKER_00: And it usually starts symmetrically in the smaller joints, so the fingers, the wrists, the toes.
- 2:32SPEAKER_00: Oh wow.
- 2:32SPEAKER_00: And the sources also note things like gout, psoriatic arthritis, and uh specific thumb arthritis.
- 2:39SPEAKER_00: They all have different origins, but they lead to the same brutal outcome chronic irreversible joint damage.
- 2:46SPEAKER_01: So let's translate that cellular damage into like a standard morning routine for you.
- 2:51SPEAKER_01: If your hands are swollen from rheumatoid arthritis, you aren't just feeling a little stiff.
- 2:55SPEAKER_01: You're waking up and finding that just pulling the heavy blankets off your legs hurts.
- 2:58SPEAKER_00: Yeah, it's exhausting before you even get out of bed.
- 3:00SPEAKER_01: Right.
- 3:01SPEAKER_01: You go to the bathroom and turning that round tap to wash your face requires a pinch grip that just shoots pan up your arms.
- 3:08SPEAKER_01: And then you try to make breakfast opening a heavy refrigerator door means you're pulling against a vacuum seal.
- 3:12SPEAKER_00: Oh, those seals are tough even without arthritis.
- 3:15SPEAKER_01: Exactly.
- 3:16SPEAKER_01: Or um pinching a plastic zipper on a bag of bread feels like manipulating razor blades.
- 3:22SPEAKER_01: And turning a small resistant knob on the stove, it requires wristwork you just don't have anymore.
- 3:27SPEAKER_01: Trevor Burrus, Jr.
- 3:27SPEAKER_00: And that's just analyzing the upper body, right?
- 3:30SPEAKER_00: If the osteoarthritis is in the load-bearing joints, like the knees or the hips stepping over a two-inch threshold to get into the kitchen feels like scaling a wall.
- 3:39SPEAKER_01: Wow, yeah.
- 3:40SPEAKER_00: Just standing at that stove for 10 minutes to cook an egg, it becomes this agonizing endurance test.
- 3:45SPEAKER_01: Aaron Powell So if making a simple breakfast causes that much physical agony, I mean, the logical outcome is that they just stop eating.
- 3:52SPEAKER_01: Right.
- 3:52SPEAKER_01: They grab a cracker instead of cooking a hot meal.
- 3:54SPEAKER_00: That's exactly what happens.
- 3:56SPEAKER_01: And that has to create this massive downward spiral before the arthritis itself even does its worst damage.
- 4:02SPEAKER_00: It does.
- 4:02SPEAKER_00: That downward spiral is the precise threat we're looking at.
- 4:06SPEAKER_00: We call it the cascade of secondary risks.
- 4:08SPEAKER_00: The joint pain is the catalyst, sure, but it's the secondary risks that actually put a senior on a nursing home.
- 4:15SPEAKER_01: Aaron Powell Because they aren't eating properly.
- 4:16SPEAKER_00: Right.
- 4:17SPEAKER_00: Skipping meals leads to malnutrition and um rapid muscle wasting.
- 4:23SPEAKER_00: And if a senior loses muscle mass, their joints lose their vital structural support, which of course makes the arthritis pain even more severe.
- 4:30SPEAKER_01: Aaron Powell It's a vicious cycle.
- 4:32SPEAKER_01: And I imagine it affects their medications too.
- 4:35SPEAKER_01: Like if you have trouble opening a standard push and turn pill bottle, because that requires a lot of downward force and grip strength at the same time, they probably just start skipping their pills.
- 4:45SPEAKER_00: Aaron Powell Oh, absolutely.
- 4:46SPEAKER_00: You see severe medication errors, skipping blood pressure meds, skipping pain management drugs, and you also see a rapid decline in hygiene.
- 4:54SPEAKER_00: Trevor Burrus, Jr.
- 4:55SPEAKER_01: Because getting in the shower is scary.
- 4:56SPEAKER_00: Yeah.
- 4:57SPEAKER_00: The prospect of slipping in a wet bathtub when your knees feel unstable is genuinely terrifying.
- 5:02SPEAKER_00: So you take this combination weakness from malnutrition, untreated conditions from missed pills, and just the sheer mechanical instability of the joints, and it dramatically skyrockets the risk of falls.
- 5:13SPEAKER_01: Aaron Powell And a fall is usually the tipping point, isn't it?
- 5:16SPEAKER_00: It is.
- 5:16SPEAKER_00: A single fall is usually the final domino.
- 5:18SPEAKER_00: It leads to a fracture, an emergency hospitalization, and you know, often a permanent move to a care facility.
- 5:24SPEAKER_01: Aaron Powell That is so heartbreaking.
- 5:26SPEAKER_01: And there has to be a massive psychological component to that domino effect as well.
- 5:31SPEAKER_01: I mean, if you don't feel safe walking out to your own mailbox or you're exhausted just from the act of getting dressed, you're gonna stop inviting friends over.
- 5:39SPEAKER_00: You withdraw completely.
- 5:40SPEAKER_01: And you stop going to the community center.
- 5:42SPEAKER_01: The chronic pain becomes this engine for really deep, profound social isolation.
- 5:48SPEAKER_00: And when a simple act like getting out of a chair becomes a fall risk, the traditional societal instinct is to just pull the senior out of the house, you know, put them somewhere safe.
- 5:58SPEAKER_00: But forcing someone into an institution creates a completely new set of emotional traumas.
- 6:04SPEAKER_01: So the real challenge becomes bridging that gap.
- 6:07SPEAKER_01: How do we um neutralize the threats in the home environment so they don't have to leave in the first place?
- 6:12SPEAKER_00: Exactly.
- 6:13SPEAKER_00: And that shifts our focus to the actual interventions, specifically the non-medical home care support provided by agencies like AUAF across the Chicagoland area.
- 6:24SPEAKER_01: Right, because they operate as a licensed agency under the Illinois Department on Aging.
- 6:27SPEAKER_00: Yes.
- 6:28SPEAKER_00: And they offer personal care, so safe bathing, grooming, and safe transfers.
- 6:33SPEAKER_00: That preserves the seniors' dignity.
- 6:36SPEAKER_00: They also handle meal preparation, medication reminders, lighthousekeeping, laundry, running errands.
- 6:43SPEAKER_01: Wait, hold on.
- 6:43SPEAKER_01: Let me push back on this for a second.
- 6:45SPEAKER_01: Because these caregivers aren't nurses or physical therapists, right?
- 6:48SPEAKER_00: Correct.
- 6:49SPEAKER_00: They are non-medical professionals.
- 6:51SPEAKER_01: Aaron Powell So if they are providing medical treatment or like fixing the arthritis cartilage, how much of a difference can they really make on a physical health condition?
- 6:59SPEAKER_01: It seems kind of limited.
- 7:00SPEAKER_00: Aaron Powell I get why you'd say that, but it only seems limited until you reframe how you look at chronic pain management.
- 7:06SPEAKER_00: Non-medical home care is fundamentally an energy conservation strategy.
- 7:11SPEAKER_00: Aaron Powell Okay.
- 7:11SPEAKER_01: What do you mean by that?
- 7:12SPEAKER_00: Think of a senior with advanced arthritis as having a strictly capped, non-rechargeable battery life for the day.
- 7:18SPEAKER_01: Aaron Powell Oh, like the spoon theory used in chronic illness communities.
- 7:21SPEAKER_01: You wake up with exactly 10 spoons of energy, and every single task costs a spoon.
- 7:27SPEAKER_00: Exactly.
- 7:28SPEAKER_00: That's a perfect analogy.
- 7:29SPEAKER_00: If they spend 80% of their daily battery, or you know, eight of their 10 spoons, just trying to safely wash up, scrub pots, vacuum the rug, and carry a laundry basket down the hall, their battery is completely depleted by 10 a.m.
- 7:45SPEAKER_00: Wow.
- 7:45SPEAKER_01: So they are exhausted, just surviving the morning.
- 7:48SPEAKER_01: They have zero capacity left for anything that actually makes life worth living.
- 7:52SPEAKER_00: Right.
- 7:52SPEAKER_00: But by bringing in a caregiver to take over those highly joint taxing chores, the caregiver basically acts as a physical buffer.
- 8:00SPEAKER_00: They absorb the mechanical friction of maintaining the household.
- 8:03SPEAKER_01: That makes so much sense.
- 8:04SPEAKER_00: It changes everything.
- 8:05SPEAKER_00: The senior can then strategically budget their limited physical energy for meaningful activities.
- 8:10SPEAKER_00: They actually have the stamina to read a book or play a board game with a grandchild or just sit on the porch and converse with a neighbor.
- 8:18SPEAKER_01: So the caregiver isn't fixing the cartilage, but they are fundamentally preserving the senior's quality of life.
- 8:24SPEAKER_00: Yes.
- 8:25SPEAKER_00: It's a strategic delegation of physical effort.
- 8:27SPEAKER_00: It removes the exhausting survival tasks so the senior can focus on actually living.
- 8:32SPEAKER_01: That is such a powerful way to look at it.
- 8:34SPEAKER_01: And since the core philosophy here is conserving energy, it makes sense that the intervention goes beyond just bringing in human help.
- 8:42SPEAKER_01: I mean, it has to extend to the physical house itself, right?
- 8:45SPEAKER_01: The environment has to adapt to the person.
- 8:47SPEAKER_00: Absolutely.
- 8:48SPEAKER_00: Hacking the physical space is half the battle.
- 8:50SPEAKER_00: Because if a caregiver leaves at 5 p.m., the house still needs to be safe and manageable to navigate at night.
- 8:57SPEAKER_01: Yeah, and the sources outline this entire toolkit of adaptive products that essentially act as a physical software patch for the home.
- 9:06SPEAKER_01: You're basically upgrading the user experience so the environment works with the senior instead of against them.
- 9:11SPEAKER_00: I love that analogy.
- 9:12SPEAKER_00: A software patch for the physical house.
- 9:14SPEAKER_01: Right.
- 9:14SPEAKER_01: We're talking about things like shower chairs, grab bars, raised toilet seats.
- 9:17SPEAKER_01: But the really interesting items are the smaller mechanical hacks, like um thick grip pins, button hooks, lever style door handles, and voice typing apps.
- 9:26SPEAKER_00: Aaron Powell Let's break down the biomechanics of why those smaller items are so critical.
- 9:30SPEAKER_00: Take the lever style door handle, for example.
- 9:32SPEAKER_01: The ones that just push down.
- 9:34SPEAKER_00: Yeah.
- 9:35SPEAKER_00: A standard round doorknob requires a tight pin scrip and a rotational twist.
- 9:40SPEAKER_00: That puts immense localized torque right on the deteriorating joints of the thumb and the wrist.
- 9:46SPEAKER_01: Which is exactly what hurts the most.
- 9:47SPEAKER_00: Exactly.
- 9:48SPEAKER_00: When you replace that with a lever handle, a senior can use the larger, unaffected muscles of their forearm or even their elbow to simply push downward.
- 9:57SPEAKER_00: You are entirely bypassing the damaged finger joints.
- 10:00SPEAKER_01: Oh wow.
- 10:01SPEAKER_01: And the thick grip pen operates on that exact same logic, doesn't it?
- 10:05SPEAKER_01: A skinny pen forces the fingers into this tight, cramped, closed position.
- 10:09SPEAKER_01: But a thick grip pen allows the hand to remain in a more open, relaxed posture.
- 10:14SPEAKER_00: Yeah, it distributes the pressure away from those inflamed knuckles.
- 10:17SPEAKER_00: You're literally chaining the geometry of how they interact with objects.
- 10:20SPEAKER_01: And things like a button hook eliminate the need for fine motor dexterity entirely.
- 10:25SPEAKER_01: Instead of forcing swollen knuckles to pinch a tiny piece of plastic through tight fabric, a button hook lets you use your whole fist to pull the button through in one fluid motion.
- 10:34SPEAKER_00: It's brilliant.
- 10:35SPEAKER_00: But adapting the environment has to work hand in hand with how the senior treats their own body.
- 10:40SPEAKER_00: The CDC's recommendations for managing arthritis symptoms actually emphasize safe, low-impact movement.
- 10:46SPEAKER_01: Which feels entirely counterintuitive.
- 10:49SPEAKER_01: If your knees are grinding and your back aches, your biological instinct is to sit perfectly still in a recliner and not move a single muscle.
- 10:57SPEAKER_00: It is the natural instinct, but a sedentary lifestyle is actually the worst possible response to arthritis.
- 11:03SPEAKER_00: Immobility actively breeds stiffness.
- 11:06SPEAKER_01: Because the joints just lock up.
- 11:08SPEAKER_00: Yes.
- 11:08SPEAKER_00: When joints aren't moved, the muscles surrounding them weaken and the ligaments tighten up, restricting the range of motion even further.
- 11:15SPEAKER_00: So the CDC recommends short, consistent walks, chair exercises, stretching routines, and particularly water aerobics.
- 11:22SPEAKER_01: Oh, water exercise makes perfect sense.
- 11:24SPEAKER_01: Yeah.
- 11:24SPEAKER_01: You get the cardiovascular and muscular benefits of movement, but the buoyancy of the water entirely removes the impact of that 20% extra gravity we talked about earlier.
- 11:33SPEAKER_00: Exactly.
- 11:33SPEAKER_00: You are maintaining mobility without the high impact strain.
- 11:36SPEAKER_00: You adapt the activity, you don't abandon it.
- 11:38SPEAKER_01: But framing this shift in mindset is the tricky part, isn't it?
- 11:42SPEAKER_01: I mean, applying a software patch to the house sounds great in theory, but how do you convince a stubbornly independent senior to actually use a shower chair or a raised toilet seat?
- 11:53SPEAKER_01: Nobody wants to admit they need a grab bar.
- 11:56SPEAKER_01: It feels like an admission of defeat.
- 11:57SPEAKER_00: Aaron Powell The psychology of acceptance is a massive hurdle.
- 12:00SPEAKER_00: If a family member presents a shower chair as a sign that the senior is failing, it will be rejected immediately.
- 12:06SPEAKER_01: They'll just refuse to use it.
- 12:07SPEAKER_00: Right.
- 12:08SPEAKER_00: It has to be framed as a strategic tool for empowerment.
- 12:11SPEAKER_00: The narrative should be this shower chair is the guarantee that you get to stay in this house for the next 10 years.
- 12:17SPEAKER_01: Oh, I love that.
- 12:18SPEAKER_00: When you frame environmental modifications or adapting hobbies like shifting from heavy landscaping to light container gardening on a raised table as calculated adjustments rather than forced surrenders, the perception shifts.
- 12:32SPEAKER_00: It allows the senior to stay mentally engaged and safe.
- 12:35SPEAKER_01: So framing it as a victory over the environment is vital for the senior's dignity.
- 12:41SPEAKER_01: But the stark reality is that the burden of managing that victory, you know, installing the lever doors, coordinating the home care, managing the new routines, it usually crushes the family members who are trying to help.
- 12:53SPEAKER_01: Families are often paralyzed by the stress and the sheer cost of keeping a parent at home.
- 12:59SPEAKER_00: It's an incredible burden, and this is where we have to look at the systemic support structures that exist to keep families from collapsing under that weight.
- 13:06SPEAKER_00: The sources highlight an innovative feature of the Illinois Community Care Program, which home care powered by AUAF facilitates.
- 13:13SPEAKER_01: Okay, yeah, let's talk about this because this blew my mind.
- 13:16SPEAKER_00: Under this program, eligible family members can officially become paid family caregivers.
- 13:20SPEAKER_01: Oh no, wait.
- 13:21SPEAKER_01: You can actually get paid to care for your own parent in Illinois.
- 13:25SPEAKER_00: Yes, you can.
- 13:26SPEAKER_01: That is a massive aha moment.
- 13:28SPEAKER_01: I mean, that feels like a lifeline for families who are completely drowning financially because a son or daughter had to cut back their work hours or even quit their job entirely just to be at home to help with meals and transfers.
- 13:39SPEAKER_00: It really is.
- 13:40SPEAKER_00: It fundamentally changes the economic reality of aging in place for low and middle income families.
- 13:46SPEAKER_00: Alleviating that financial strain stabilizes the entire household.
- 13:51SPEAKER_01: It has to take so much pressure off.
- 13:52SPEAKER_00: But beyond the economics, it solves one of the biggest emotional friction points, which is culturally aligned care.
- 13:59SPEAKER_00: When a family member officially takes on the role, the senior doesn't have to adjust to a stranger in their house.
- 14:05SPEAKER_00: Accepting help becomes a dignified, natural extension of family life.
- 14:09SPEAKER_01: Right.
- 14:09SPEAKER_01: And when family members aren't available to take on that role, AUAF bridges the gap through incredible cultural competence.
- 14:16SPEAKER_01: The sources detail their deep community roots and honestly extreme linguistic diversity.
- 14:22SPEAKER_00: Their staff is amazing.
- 14:23SPEAKER_01: Yeah.
- 14:23SPEAKER_01: They aren't just speaking English.
- 14:25SPEAKER_01: They're fluent in Assyrian, Arabic, Spanish, Polish, Russian, Ukrainian, and Persian.
- 14:31SPEAKER_00: Think about the immense vulnerability required to let someone assist you with bathing or dressing or using the restroom.
- 14:38SPEAKER_00: Now imagine trying to navigate that extreme vulnerability with someone who does not speak your native language.
- 14:43SPEAKER_01: The anxiety would be completely paralyzing.
- 14:45SPEAKER_00: Exactly.
- 14:46SPEAKER_00: By matching a senior with a caregiver who speaks their mother tongue, you drastically reduce that anxiety.
- 14:52SPEAKER_00: You build immediate, profound trust.
- 14:55SPEAKER_01: You transform the caregiver from a clinical service worker into a trusted companion.
- 15:00SPEAKER_01: And to ensure this isn't just, you know, a luxury for the wealthy, AUAF has woven this service deeply into the existing medical safety net.
- 15:08SPEAKER_00: They partner with major health plans.
- 15:10SPEAKER_01: Yes.
- 15:10SPEAKER_01: They accept insurances like Aetna, Blue Cross, Blue Shield, Molina, Humana, and Meridian.
- 15:16SPEAKER_01: The crucial takeaway is that seniors operating under Medicaid have the coverage they need to access this exact level of personalized, culturally competent care.
- 15:25SPEAKER_00: It's a comprehensive ecosystem.
- 15:27SPEAKER_00: It's designed with one specific goalkeeping: the home intact and the senior safe.
- 15:32SPEAKER_01: So let's distill the core insights of this deep dive for you, our learner.
- 15:35SPEAKER_01: Arthritis creates an invisible, often brutal daily obstacle course that threatens a senior's ability to live safely.
- 15:41SPEAKER_01: But it absolutely does not have to end in the loss of their home.
- 15:44SPEAKER_00: Not at all.
- 15:45SPEAKER_01: Through strategic non-medical home care that budgets limited physical energy, clever adaptive tools that bypass joint friction, and innovative safety nets like paid family caregiving and culturally matched aids, seniors can completely neutralize that obstacle course.
- 16:00SPEAKER_00: It is a detailed, actionable roadmap for maintaining dignity.
- 16:05SPEAKER_00: It proves that when the body struggles to adapt to the environment, we can seamlessly adapt the environment to the body.
- 16:11SPEAKER_01: Absolutely.
- 16:12SPEAKER_01: And if you are in the Chicagoland or broader Illinois area and you are currently navigating this complex journey with a loved one, you don't have to figure it out alone.
- 16:21SPEAKER_01: You can explore these highly tailored care plans by contacting Home Care Powered by AUAF directly at 773-274-9262.
- 16:31SPEAKER_00: They really are a fantastic resource.
- 16:32SPEAKER_01: They are.
- 16:33SPEAKER_01: But before we wrap up this deep dive, I want to leave you with something to ponder about the future of aging in place.
- 16:38SPEAKER_01: We've talked a lot about physical adaptive tools today, right?
- 16:41SPEAKER_01: Thick grip pens, button hooks, and lever doors.
- 16:43SPEAKER_00: The physical patches.
- 16:44SPEAKER_01: Yeah.
- 16:45SPEAKER_01: But imagine what the next 10 years hold as smart home technology and artificial intelligence become seamlessly integrated into our drywall and our floorboards.
- 16:54SPEAKER_01: Like, will our homes eventually be able to anticipate joint stiffness based on a drop in the barometric pressure outside?
- 17:00SPEAKER_00: Oh, that's fascinating to think about.
- 17:02SPEAKER_01: Imagine a house that automatically adjusts the ambient temperature, brightens the lighting to prevent trips, and physically opens doors before a senior even has to reach for the handle.
- 17:12SPEAKER_01: The ultimate adaptive tool of the future might not be a gadget you buy, it might just be the house itself.
- 17:18SPEAKER_00: The idea of a home that actively participates in the caregiving process is a profound shift in how we think about aging.
- 17:24SPEAKER_01: It really is.
- 17:25SPEAKER_01: But until that technology arrives, we rely on the brilliant practical strategies we have today.
- 17:31SPEAKER_01: Because nobody should have to wake up and feel like gravity has been turned up and all the handlets have been greased.
- 17:36SPEAKER_01: We have the tools and the people to wipe the grease off those handles and make home feel exactly like home again.