Latest / The MeatEater Podcast / Ep. 192: Bleeding Out

Transcript

Ep. 192: Bleeding Out · The MeatEater Podcast

• 0:08
  Speaker 1: This is me eater podcast coming at you shirtless, severely
• 0:13
  Speaker 1: bug bitten in my case underwear listening un podcast. You
• 0:18
  Speaker 1: can't predict anything presented by on X Hunt creators are
• 0:22
  Speaker 1: the most comprehensive digital mapping system for hunters. Download the
• 0:26
  Speaker 1: Hunt app from the iTunes or Google play store. Nor
• 0:29
  Speaker 1: where you stand with on x cal Your hat is
• 0:36
  Speaker 1: um almost not even on Well, I had to jack
• 0:40
  Speaker 1: it up because get these ear phones on. That's what's
• 0:43
  Speaker 1: going on here. But it's like you got like a
• 0:45
  Speaker 1: shop rag on top of your head. Yeah, do you
• 0:49
  Speaker 1: have no hair? Uh? Here, here's one we're gonna get
• 0:52
  Speaker 1: into medical. We have a special doctor, you know he
• 0:55
  Speaker 1: would you call yourself a special doctor? Uh No, I
• 0:58
  Speaker 1: would say I am an emergency medicine physician, but you can.
• 1:02
  Speaker 1: My mom thinks I'm special. We're gonna talk about one
• 1:04
  Speaker 1: thing that we're gonna get into things that are are
• 1:06
  Speaker 1: medical ish because we have a doctor with us. Yes,
• 1:10
  Speaker 1: introduce yourself real quick. My name is Alan Lazara and
• 1:13
  Speaker 1: I am an emergency medicine physician from Michigan. I work
• 1:17
  Speaker 1: in Jackson, Michigan at Henry Ford Allegiance Health and um Live.
• 1:22
  Speaker 1: Part of my life Michigan, then mostly in Chicago, and
• 1:25
  Speaker 1: then now back in Michigan. So I think of you
• 1:27
  Speaker 1: as I've begun to think of you as are resident
• 1:30
  Speaker 1: doctor because you write in a lot of times with
• 1:33
  Speaker 1: really good medical information. That is a huge honor and nod.
• 1:38
  Speaker 1: And all I can say is, you guys produced so
• 1:40
  Speaker 1: much excellent material that I I'm just honored to be
• 1:44
  Speaker 1: able to have a small saying in this situation. So great.
• 1:49
  Speaker 1: Did you take ethics when you're in med school? Um?
• 1:52
  Speaker 1: So it's built in we have UM in med school.
• 1:55
  Speaker 1: I went to Loyola in Maywood, Illinois, which, um, I
• 1:58
  Speaker 1: think is the best medical school in the country for sure,
• 2:00
  Speaker 1: because I just it was the best educational experience that
• 2:04
  Speaker 1: I had UM in my career. And we talked about
• 2:08
  Speaker 1: patient centered medicine and part of that was learning how
• 2:11
  Speaker 1: to communicate with people both emotionally, UM and through like
• 2:14
  Speaker 1: difficult situations and how to deliver bad news and stuff
• 2:17
  Speaker 1: like that. Ethics was built into that. Yeah, because here's
• 2:20
  Speaker 1: the ethics. Here's an ethics conundrom. Okay, I gotta say
• 2:24
  Speaker 1: that it's being an e R doctor. My my, uh,
• 2:29
  Speaker 1: sometimes your your riding line on on ethical situations all
• 2:33
  Speaker 1: the time. So yeah, well you can stay silent on.
• 2:35
  Speaker 1: This's when you can weigh in. Okay, let's dude rights in.
• 2:40
  Speaker 1: This is complicated because it involves a buck with three antlers.
• 2:45
  Speaker 1: But he doesn't like acknowledge how unusual three antler de
• 2:49
  Speaker 1: buck is. Okay, it involves a buck of three antlers.
• 2:53
  Speaker 1: Guy in Virginia's a bunch of brothers. Okay. One of
• 2:57
  Speaker 1: the brothers hunting and Virginia and shoots the three antlerd buck. Okay,
• 3:04
  Speaker 1: talking about three points, talking about like two, Well, Brody
• 3:07
  Speaker 1: just sent me a photo of three antlered elk like
• 3:09
  Speaker 1: a unicorn and a deer put together three basses setops.
• 3:16
  Speaker 1: There are a unicorn and a deer. Yeah, combo had intercourse, shoots,
• 3:22
  Speaker 1: the shoots a three antlerd buck. Um, it falls over.
• 3:28
  Speaker 1: He thinks his daddy runs up and then uh he
• 3:31
  Speaker 1: get starts getting set up to take a photo of it,
• 3:33
  Speaker 1: and it gets up and runs off. Scary situation it
• 3:36
  Speaker 1: happened to any ones gets up and runs off, tries
• 3:39
  Speaker 1: trailing it, can't find the thing anywhere. Month goes by
• 3:44
  Speaker 1: on Christmas Day. His brother so the hunters is this
• 3:47
  Speaker 1: collection of brothers and some several of them playing into
• 3:50
  Speaker 1: the story. Christmas Day is brother is out in the
• 3:53
  Speaker 1: cattlefield and finds a recently dead buck. It had at
• 4:00
  Speaker 1: this point shed. It's two antlers, okay, but one of
• 4:06
  Speaker 1: the third antler is still on the deer. And that's
• 4:11
  Speaker 1: how they're able to be that's how they're able to ascertain. Hey,
• 4:15
  Speaker 1: that's the buck that my brother killed. But when he
• 4:20
  Speaker 1: killed it had three and it naturally shed, so it
• 4:24
  Speaker 1: has clean pedicles where two of the three antlers have
• 4:27
  Speaker 1: fallen off. It's all mauled up, been getting fed on
• 4:32
  Speaker 1: by coyotes, but they can find a wound mark on
• 4:38
  Speaker 1: the neck even though the hide is you know, in
• 4:42
  Speaker 1: rough shape. Then the hunt is on for the antlers.
• 4:48
  Speaker 1: So you got Now you got the brother that shot.
• 4:50
  Speaker 1: You got the brother that finds the dead carcass with
• 4:54
  Speaker 1: the one aniler. So he's got a skull with antler
• 4:56
  Speaker 1: sticking out of it. This is getting biblical, I feel like, yeah,
• 5:00
  Speaker 1: or it's like three brothers. Yeah, So the other brother
• 5:05
  Speaker 1: is like a real antler hound, he explains, and this
• 5:08
  Speaker 1: brother manager just go out and find the shed antlers. Okay.
• 5:14
  Speaker 1: Now there's a custody battle where the brother that shot
• 5:18
  Speaker 1: and lost it is making the thing that it's all his. Yeah.
• 5:24
  Speaker 1: So we have a rule in our family that we
• 5:27
  Speaker 1: have three children who I love very much. We have
• 5:30
  Speaker 1: a rule that if a toy is not being played
• 5:32
  Speaker 1: with at that time, um, it is not yours. So
• 5:36
  Speaker 1: it is a community property. So I would say since
• 5:39
  Speaker 1: he was not handling it at that time, the person
• 5:41
  Speaker 1: who found it, it's theirs. I think that everybody keeps
• 5:43
  Speaker 1: what they found exactly. Guy that the guy that like
• 5:46
  Speaker 1: winged it, Yeah, dude, he lost it. It's like, you're
• 5:50
  Speaker 1: not even in the conversation. Yeah, you've got no claim
• 5:52
  Speaker 1: to that thing. At the fact that he thinks he
• 5:56
  Speaker 1: gets at all, is it? I guarantee that's the older
• 5:59
  Speaker 1: that's the older brother, right that you know, he doesn't
• 6:01
  Speaker 1: get into who's oldest and who's youngest. That's an older
• 6:03
  Speaker 1: brother kind of statement. That's mine. Yeah, I don't think
• 6:09
  Speaker 1: the guy. I think everybody just keeps what keeps what
• 6:11
  Speaker 1: The guy that found the antlers found the antlers or his.
• 6:14
  Speaker 1: Now there's like, what should There's plenty of room in
• 6:17
  Speaker 1: here for people to just be nice and whatever, But
• 6:20
  Speaker 1: I'm not talking about that. I think there's like in
• 6:24
  Speaker 1: like uh, like you know the meat eater court, I
• 6:29
  Speaker 1: would say, legally, everybody just keeps what they have. If
• 6:33
  Speaker 1: you guys want to be like all nice and cool
• 6:35
  Speaker 1: and everything and give other people stuff or whatever, that's
• 6:38
  Speaker 1: nothing to do with what should happen. That's just you
• 6:39
  Speaker 1: being a nice guy about that. Cal Man, I got
• 6:45
  Speaker 1: the story about dude who left a bunch of firewood
• 6:48
  Speaker 1: on my deck. Oh this good story. You know I
• 6:51
  Speaker 1: was there that day tell that story. Oh yeah, So
• 6:56
  Speaker 1: I got this place and catch him and there was
• 6:59
  Speaker 1: a guy renting it prior to me, and um, the
• 7:04
  Speaker 1: real estate agents like, yeah, guy wants to know if
• 7:07
  Speaker 1: he can leave his firewood on the deck for two weeks.
• 7:15
  Speaker 1: And being as I knew that there's a lot of
• 7:18
  Speaker 1: work to be done on the place and I didn't
• 7:21
  Speaker 1: want this guy to be all spiteful. Um, I was like, yeah,
• 7:24
  Speaker 1: no problem, two weeks, that's great, But let him know
• 7:27
  Speaker 1: that I'm gonna be like tearing that deck apart because
• 7:30
  Speaker 1: it was about to fall off anyway. Um, which I
• 7:34
  Speaker 1: took me forever to get around too, about three and
• 7:37
  Speaker 1: a half years to be exact. But but that was
• 7:42
  Speaker 1: the deal of the two weeks well like a year later. No,
• 7:46
  Speaker 1: that's it. That's an exaggeration. It takes. That was in June,
• 7:52
  Speaker 1: the end of October, the very end of October. The
• 7:57
  Speaker 1: guy shows up and he's like, yeah, I want to
• 8:01
  Speaker 1: talk to you about my wood. And I was like, yeah, man,
• 8:08
  Speaker 1: that ship sailed and I had already cut a bunch
• 8:11
  Speaker 1: of firewood. And uh they moved the whole pile and
• 8:15
  Speaker 1: moved the entire pile um at the request of the
• 8:19
  Speaker 1: h o W, who was like, yeah, so sorry, the
• 8:22
  Speaker 1: guy who was a renter. We kept asking and move
• 8:24
  Speaker 1: this thing. You never did? Do you think you could,
• 8:26
  Speaker 1: you know, start fresh and move the Yeah, and uh yeah,
• 8:34
  Speaker 1: that's like the didn't you then try to get you
• 8:37
  Speaker 1: to pay him for it. I remember you guys are
• 8:39
  Speaker 1: having a little argument. I was standing out talking to
• 8:41
  Speaker 1: someone in the driveway. Yeah, that was a real comfortable situation.
• 8:44
  Speaker 1: So he's like, whoa, you need to pay me for
• 8:47
  Speaker 1: that wood? Then as it great, you need to pay
• 8:50
  Speaker 1: me for the eight loads of your crap I had
• 8:53
  Speaker 1: to take to the dunk from the house. Eight truck
• 8:57
  Speaker 1: and four wheeler, like a foot by six ft wide
• 9:02
  Speaker 1: four wheeler trailer. Eight loads truck and trailer combo to
• 9:06
  Speaker 1: the dump. I'm sure that was really friendly before I
• 9:08
  Speaker 1: even like sleep in the place. Had you run any
• 9:11
  Speaker 1: of his wood through your stove yet? No, it's it's
• 9:16
  Speaker 1: it's odd how he showed up right by the time
• 9:18
  Speaker 1: it gets cold, and of that would you? But yeah,
• 9:22
  Speaker 1: so it's like when in my mind his claim to
• 9:29
  Speaker 1: that would left left somewhere around the first load of
• 9:36
  Speaker 1: stuff to the dumping, well beyond the two week marking.
• 9:40
  Speaker 1: His dream of getting his wood back must have been
• 9:42
  Speaker 1: a pretty fragile dream, because he never came back and
• 9:44
  Speaker 1: pursued it anymore, did he. I think he just kind
• 9:46
  Speaker 1: of gave it a hail Mary and yeah, yeah, no,
• 9:50
  Speaker 1: it was not It wasn't It wasn't great. But in
• 9:53
  Speaker 1: regards to hey, I remember those antlers, Thanks for spending
• 10:00
  Speaker 1: day of out there looking for antlers and picking him up.
• 10:02
  Speaker 1: I'll take those back now. That doesn't really stack up
• 10:05
  Speaker 1: with me either. Maybe that guy didn't come back because
• 10:08
  Speaker 1: he was intimidated by your mustache. How masculine you are. Um,
• 10:14
  Speaker 1: I didn't get that sense from him. I think he
• 10:19
  Speaker 1: just walks around the middle of day a little bit drunk,
• 10:21
  Speaker 1: is the sense I got. Um, we're talking about. A
• 10:25
  Speaker 1: guy wrote in about getting his nipple bit by a
• 10:27
  Speaker 1: bluegill and bleeding all over, and I said, man, this
• 10:30
  Speaker 1: guy doesn't know one fish from the other. And I
• 10:32
  Speaker 1: thought he got bit by a northy, a northern that
• 10:34
  Speaker 1: was hunting bluegills. This guy from Oregon said, man, he's
• 10:40
  Speaker 1: telling me you don't know what you're talking about. He
• 10:43
  Speaker 1: says he was swimming seven years ago. He was swimming
• 10:45
  Speaker 1: in a small pond and Oregon, and the only fish
• 10:48
  Speaker 1: in the pond was bluegills. Stock Pond says he got
• 10:52
  Speaker 1: bit on the nipple by blue gel He said, I
• 10:55
  Speaker 1: felt like getting bit by rottweiler. Drew a lot of blood.
• 11:00
  Speaker 1: They do have a very small roll of teeth so
• 11:03
  Speaker 1: that they can't eat human nipples. He says. It's the
• 11:06
  Speaker 1: prawna of the north. It's a very sensitive tissue area. Yeah,
• 11:13
  Speaker 1: did you see somebody's been releasing piranha, probably aquarium piranha
• 11:20
  Speaker 1: that just got too big for him to handle. The
• 11:23
  Speaker 1: second one found in the same lake and BC that
• 11:26
  Speaker 1: somebody caught like full on. But they're not gonna win
• 11:29
  Speaker 1: her up there, are they. That's what the biologists said.
• 11:32
  Speaker 1: It is like listen they're gonna die of this winter,
• 11:34
  Speaker 1: but that doesn't mean go releasing piranha into a lake. Yeah. Yeah,
• 11:39
  Speaker 1: they're good to eat, man, really, dude, they're really good. Yeah,
• 11:44
  Speaker 1: red prawn and black prana like a perch. No, it's
• 11:48
  Speaker 1: like you know, it's like a lot of those fish
• 11:52
  Speaker 1: down there. It has like you know, it's like a
• 11:54
  Speaker 1: like a firm white ocean fish type flesh. I'm very good.
• 12:00
  Speaker 1: And they got like and they split their head, you know,
• 12:02
  Speaker 1: you split their head and cook them. Yeah. I ate
• 12:06
  Speaker 1: him in one time in Argentina, then I ate him
• 12:08
  Speaker 1: in Olivia and Guyana. Yeah, they take him in like
• 12:13
  Speaker 1: you caught a flayoff. Then you tipped the fish on
• 12:15
  Speaker 1: his nose and so you got like not a flame,
• 12:18
  Speaker 1: but it's like a fish on the half shell, split
• 12:21
  Speaker 1: all the way through his head. Because they got their
• 12:23
  Speaker 1: real media had with big cheeks in it, and being
• 12:26
  Speaker 1: as you were in these awesome situations, do you think
• 12:29
  Speaker 1: that piranha would be just as tasty here in Bozeman, Montana?
• 12:34
  Speaker 1: Oh yeah, you do for sure, man, very good. You know,
• 12:37
  Speaker 1: they like the black prowna the most because they're big.
• 12:39
  Speaker 1: You know, you get like three four or five pound
• 12:40
  Speaker 1: black parana. Wow, yeah, Biggins, Um, did you talk about
• 12:47
  Speaker 1: this lady that bit a camel on the testicles? Skip
• 12:50
  Speaker 1: that one. It's an interesting story where there's like a
• 12:54
  Speaker 1: woman from Florida, Florida woman and her and her old
• 12:56
  Speaker 1: man stop at a wildlife like a truck stop while
• 13:00
  Speaker 1: they've truck stopped in Louisiana, and somehow or another, like
• 13:07
  Speaker 1: they throw a dog treat in there for the animals,
• 13:12
  Speaker 1: but their dog season throw a dog treat. You went
• 13:16
  Speaker 1: after it, and he runs in there and gets into
• 13:18
  Speaker 1: a scuffle. So then they run in there. Even though
• 13:22
  Speaker 1: there's a science thing, don't run in there. They run
• 13:25
  Speaker 1: in there and get into a scuffle with a camel
• 13:29
  Speaker 1: and she bites him on the sack. The cops get
• 13:34
  Speaker 1: involved in this. They said, the camel's not at fault.
• 13:44
  Speaker 1: I don't understand how that was the first available part
• 13:47
  Speaker 1: to bite. She somehow got under it. It's sad on her. Uh,
• 13:54
  Speaker 1: this is medical. This is this is sort of medical.
• 13:58
  Speaker 1: Sure you'll see the connection. Guy asked, Let's say you
• 14:02
  Speaker 1: go hunting and you're in a s w D area
• 14:05
  Speaker 1: and you shoot a buck and you're like, I'm not
• 14:06
  Speaker 1: gonna eat that buck. This it's still okay to get
• 14:10
  Speaker 1: it mounted. So I don't know. He doesn't mean safety wise,
• 14:16
  Speaker 1: like oh that he would get contract from having it
• 14:18
  Speaker 1: in his house. That's not his concern. He never thought
• 14:21
  Speaker 1: about it. But his kids said, if we can't like
• 14:23
  Speaker 1: eat it, uh, and it's and it's like out of sickness,
• 14:27
  Speaker 1: why would we get it stuffed? Because it doesn't seem
• 14:30
  Speaker 1: like so the main tissue. So I thought about that. No, no,
• 14:34
  Speaker 1: it's not a safety issue. Not a safety issue. He's
• 14:36
  Speaker 1: not proposing it as a safety issue. Can he still
• 14:40
  Speaker 1: put it on the wall and be proud of it?
• 14:44
  Speaker 1: He never says I never connected taxidermy to consumption, but
• 14:48
  Speaker 1: now a thirteen year old has me all twisted up
• 14:51
  Speaker 1: about this. I don't think i'd mount the animal if
• 14:54
  Speaker 1: I couldn't eat it. This is him talking European mount
• 14:58
  Speaker 1: and I would absolutely you the European mount and I'd
• 15:01
  Speaker 1: point at it when people came over and I'd be like,
• 15:02
  Speaker 1: see that so, and I'd be like that dear head
• 15:07
  Speaker 1: c w D. So the only problem with that, and
• 15:10
  Speaker 1: not to bring it to the safety issue. But when
• 15:13
  Speaker 1: I've done my own European mounts, it involves boiling the
• 15:15
  Speaker 1: head and then I and then I use a power
• 15:18
  Speaker 1: sprayer to basically spray the brains out if they've been
• 15:20
  Speaker 1: all liquefied. And I've been on my sidewalking and arbor
• 15:24
  Speaker 1: with people walking their dogs by uh and a skull
• 15:27
  Speaker 1: on the sidewalk and uh. But you're spraying brain all
• 15:30
  Speaker 1: over the place, right, So that's the number one tissue.
• 15:32
  Speaker 1: It's a brain, spinal cord, lymph nodes, and bone or
• 15:35
  Speaker 1: bone marrow. So if you're making a European mount on
• 15:38
  Speaker 1: an animal that has known c w D, you're getting
• 15:42
  Speaker 1: probably some of the highest exposure you could as far
• 15:45
  Speaker 1: as particles flying around. And obviously there's no human cases
• 15:48
  Speaker 1: that have been documented. But if that was if that
• 15:52
  Speaker 1: was me, I would not want I would not be
• 15:54
  Speaker 1: power spraying that thing in my house. I would probably
• 15:56
  Speaker 1: just discard the animal. Unfortunately. You know, the power spraying
• 16:00
  Speaker 1: is interesting because the body of mine over Whitehall, Montana
• 16:05
  Speaker 1: just texted me the are D curious about that same
• 16:07
  Speaker 1: thing because he he was gonna go hunt in the area.
• 16:11
  Speaker 1: He's going to hunt an area where there's been some
• 16:12
  Speaker 1: c w D cases and he was like, even besides
• 16:16
  Speaker 1: the meat and everything, man like, what about when when
• 16:18
  Speaker 1: I had my kid go out and clean the skull. Yeah,
• 16:22
  Speaker 1: like he just saying, I don't know if I want
• 16:24
  Speaker 1: anything to do with that stuff. Well, you have the
• 16:25
  Speaker 1: animal tested. And then the scary thing is from the
• 16:28
  Speaker 1: other podcast you because they have talked about the Dougdurn
• 16:30
  Speaker 1: talked about where they will test animals. They say it's
• 16:32
  Speaker 1: a non positive test, which to me, I really like
• 16:36
  Speaker 1: things when they're certain kind of zero or one, and
• 16:38
  Speaker 1: a non positive is kind of a soft way of saying, yeah,
• 16:42
  Speaker 1: it's okay, we're not super sure. It doesn't look like
• 16:44
  Speaker 1: it's positive now. Um, so that would make me real uncomfortable. Um,
• 16:49
  Speaker 1: if you're hunting a high prevalence area, you know, even
• 16:52
  Speaker 1: in dealing with that kind of meat, you know, if
• 16:53
  Speaker 1: you're hunting in southeast Wisconsin, that would be spit. Give
• 16:56
  Speaker 1: me an example of this is this, like, Um, you
• 16:59
  Speaker 1: turn learning in a lymph node and they're like, yes,
• 17:02
  Speaker 1: there are there are no c w D prions in
• 17:06
  Speaker 1: this lymph node. Correct, But I wish we would have
• 17:10
  Speaker 1: got a piece of the brain. And I'm not a biologist,
• 17:14
  Speaker 1: I can't say for certain, but from what I remember hearing,
• 17:17
  Speaker 1: they just give you a non positive result, meaning that
• 17:20
  Speaker 1: they don't see anything now. Um. And because they say
• 17:23
  Speaker 1: that the deer can be asymptomatic for up to two years,
• 17:27
  Speaker 1: you can shoot a fork and yeah, two years later
• 17:30
  Speaker 1: he's it's not positive and right. So um, the cases
• 17:35
  Speaker 1: of pre on illness that we've seen in hospital, or
• 17:38
  Speaker 1: the highest rate of transmission are to neurosurgeons because they're
• 17:42
  Speaker 1: dealing with brain tissue. So if the neurosurgeons, um, if
• 17:46
  Speaker 1: there's a you know, middle aged lady who comes in
• 17:49
  Speaker 1: with this kind of Alzheimer's type weird acute decline and
• 17:55
  Speaker 1: they're concerned about c W D or um not CWD
• 17:58
  Speaker 1: but croc felt yakub disease, right, which is a pre
• 18:02
  Speaker 1: on human transmiss It's like a human variation of these
• 18:05
  Speaker 1: spongef form and cephalopathies. The the hospitalists, the people managing
• 18:10
  Speaker 1: the care will want a biopsy of the brain to
• 18:12
  Speaker 1: to send a pathology and see if there's prions in
• 18:14
  Speaker 1: it or characteristics as such, and they are very reluctant
• 18:19
  Speaker 1: to want to do that. It's a nightmare for them.
• 18:21
  Speaker 1: They don't want to they don't want to do that.
• 18:23
  Speaker 1: If they can do it a different way, so they'll
• 18:24
  Speaker 1: do a um an e G, which is like uh
• 18:27
  Speaker 1: an e k G for your brain to check if
• 18:29
  Speaker 1: you have certain patterns. So it's a non invasive way
• 18:32
  Speaker 1: of testing for that. But the point of story is
• 18:35
  Speaker 1: that people who are operating on people's brains who might
• 18:38
  Speaker 1: have these kinds of illnesses are are not not super
• 18:42
  Speaker 1: psyched about doing it because they're sawing through bone. Dust
• 18:46
  Speaker 1: is getting into the air, and so they are concerned
• 18:50
  Speaker 1: about that. Yeah, get dressed up like you're working on
• 18:52
  Speaker 1: e Bowler patients. I don't know. I I never sat
• 18:55
  Speaker 1: in on a neurosurgery um myself. You get to select
• 18:59
  Speaker 1: what kind of rotation you do. I did more trauma
• 19:01
  Speaker 1: surgery stuff. But um, yeah, I think they have like
• 19:04
  Speaker 1: positive pressure ventilation that they're using, so they're not breathing
• 19:07
  Speaker 1: that air. Um, I would imagine, So that's what I
• 19:10
  Speaker 1: would want. I've been looking for a good segue. I
• 19:13
  Speaker 1: uh talk about my tooth is damn your head brain
• 19:18
  Speaker 1: surgery there day because my tooth is like five inches
• 19:24
  Speaker 1: from my brain. Yeah, I got a super sore tooth
• 19:27
  Speaker 1: and they and I had cracked the root and they,
• 19:30
  Speaker 1: dug are you've already heard about this? But because you
• 19:35
  Speaker 1: want to bite something. Yeah, I went to bite something
• 19:38
  Speaker 1: and about sent me through the roof. Anyway, They're going,
• 19:42
  Speaker 1: I gotta cracked root. And so they pry the whole
• 19:45
  Speaker 1: tooth out of my head and then they take pliers
• 19:48
  Speaker 1: and pull all three the roots stems out. Then they
• 19:50
  Speaker 1: pack it with cadaver bone. They showed me a little boy. Yeah,
• 19:56
  Speaker 1: some dudes ground up bone. And I asked them, and
• 20:00
  Speaker 1: everybody must ask this question. I asked him, like, what
• 20:02
  Speaker 1: can you tell you about whose bone? It is? So like,
• 20:06
  Speaker 1: we don't have information on him. I don't know if
• 20:09
  Speaker 1: he had c w D. But then I had someone
• 20:11
  Speaker 1: else tell me, you can find out. I don't know.
• 20:13
  Speaker 1: I said, you can find out. Yeah, I had to
• 20:15
  Speaker 1: go over to the house. His kid recognize something in
• 20:23
  Speaker 1: my jaw. They pack it full of cold everbone powdered
• 20:26
  Speaker 1: could ever bone, because somehow it affects how your what
• 20:30
  Speaker 1: your body does with that area, whether or not a
• 20:32
  Speaker 1: like fills it with bone, or whether or not it
• 20:36
  Speaker 1: fills it with soft tissue. The space they want to
• 20:39
  Speaker 1: grow backbone. But the thing is it's granular. So at
• 20:44
  Speaker 1: any right now, in this moment, at any given time,
• 20:48
  Speaker 1: I could work up from under my tongue or on
• 20:51
  Speaker 1: my tongue or whatever, a little like a large piece
• 20:55
  Speaker 1: of sand and spit it out and it's a hunk
• 20:59
  Speaker 1: of that dude own, unbelievable. I had three of them
• 21:03
  Speaker 1: this morning when I woke up. No, yeah, I've been
• 21:07
  Speaker 1: showing everyone who wants to look a little showing me
• 21:12
  Speaker 1: that guy's bone. You swallowed some of them. I haven't
• 21:16
  Speaker 1: crunched some of them up, crunch them up with my
• 21:19
  Speaker 1: front teeth. I just don't like the fact that this,
• 21:23
  Speaker 1: I guess a. I really dislike the fact that this
• 21:27
  Speaker 1: happened on a hunt. So you just started chewing on
• 21:30
  Speaker 1: the other side of your mouth. That was even then. Man,
• 21:33
  Speaker 1: it got worse and worse and worse and worse till
• 21:34
  Speaker 1: I was no longer having fun. If it didn't happened
• 21:36
  Speaker 1: at the beginning of that hunt, I'd have been screwed.
• 21:38
  Speaker 1: But I mean it got to be like really painful. Wow,
• 21:42
  Speaker 1: but man, that could ever So your body. Is it
• 21:46
  Speaker 1: a reaction from your body, like being like this is
• 21:48
  Speaker 1: foreign material and we gotta build something up to get
• 21:53
  Speaker 1: rid of it. Or I can't say exactly why. M
• 21:58
  Speaker 1: You're not the oral surgeon, not normal, not a dentist,
• 22:01
  Speaker 1: but this guy wasn't. Well. This guy's a dentist and
• 22:03
  Speaker 1: a oral surgeon, which they have to go to a
• 22:05
  Speaker 1: lot of school to be an oral surgeon, so that's
• 22:07
  Speaker 1: a lot. It's like dentistry school plus some medical school
• 22:12
  Speaker 1: then a fellowship, so it's like eight years, I think.
• 22:15
  Speaker 1: But they do very well, I think because they're pulling wisdoms.
• 22:19
  Speaker 1: Like when I got then you got like a rolling
• 22:20
  Speaker 1: tool chest, but it looks like you're fixing a car. Dude,
• 22:23
  Speaker 1: I got my wisdom teeth out, man, I got my
• 22:25
  Speaker 1: wisdom teeth pulled out, and it was whatever I don't know,
• 22:28
  Speaker 1: like three thousand bucks or something like that. And I
• 22:29
  Speaker 1: was asking me. I'm like I was, you know, college kid,
• 22:32
  Speaker 1: and I didn't know anything, and I'm like, how many
• 22:34
  Speaker 1: teeth have you pulled out? Just want to know. He's
• 22:36
  Speaker 1: like tens of thousands, and I'm like, oh, tens of
• 22:39
  Speaker 1: thousands times three for sure, man, those guys because he
• 22:42
  Speaker 1: doesn't two or three at a time. And my grandpa,
• 22:44
  Speaker 1: Doc Callahan, oral surgeon, retired. Yeah, I had all crazy history.
• 22:52
  Speaker 1: He did his residency at d C. General. But this
• 22:55
  Speaker 1: is a big dude. X. He played football at Carol
• 22:59
  Speaker 1: Colle International Championship Team, bunch of broken fingers. Did you
• 23:03
  Speaker 1: see that guy coming at you and you're like, those
• 23:06
  Speaker 1: fingers are going in my mouth. It's not a pleasant
• 23:09
  Speaker 1: scene as a kid. Very like, no, I used tools,
• 23:12
  Speaker 1: very strong forms those guys have because they have to crank.
• 23:14
  Speaker 1: You know, this dude was Muslim. Yanni talked about getting
• 23:17
  Speaker 1: hissel teeth some wisdom teeth pulled out of him. Oh,
• 23:20
  Speaker 1: I keep forgetting Yanni's not here. This is the first, No,
• 23:24
  Speaker 1: this is maybe the second. Let me finish something up.
• 23:27
  Speaker 1: Then want to talk about Yanni's apsend? We got start
• 23:29
  Speaker 1: talking about We're spos about what's new, what's anything on
• 23:32
  Speaker 1: the horizon? Oh yeah, so Phil Phill the engineer, pulled
• 23:38
  Speaker 1: special cliffs to Yanni. Man I forgot about talking about
• 23:41
  Speaker 1: how Yanni's not here. Do you know what? I missed
• 23:43
  Speaker 1: a podcast once and Yanni did it. I don't remember
• 23:46
  Speaker 1: that that. Yeah, long ago, I missed the podcast and
• 23:50
  Speaker 1: Yanni handled it. I had a lot of critiques. Um,
• 23:55
  Speaker 1: then this Yann's only missed like one before. He's not here,
• 23:59
  Speaker 1: but this time, I'm uh, Phil hit hit another couple. Phil,
• 24:02
  Speaker 1: It's just like we're gonna be able to just like
• 24:04
  Speaker 1: install Yanni where we need him. Go ahead, yeah, ye see.
• 24:09
  Speaker 1: Or I'll say, like, what's you take on that, Ynnie?
• 24:13
  Speaker 1: Look at this science at work? Very what do you got?
• 24:18
  Speaker 1: You got twenty four options? Phil? You just hit the
• 24:22
  Speaker 1: matt will ye give us a couple more? Just a
• 24:24
  Speaker 1: couple more options, okay? Or you just hit a playlist
• 24:28
  Speaker 1: at random? Oh right, right right, that's great. So you're
• 24:35
  Speaker 1: on top of that, right Phil. Yeah, yeah, I've I've
• 24:37
  Speaker 1: got a pretty good one that I'm kind of saving.
• 24:38
  Speaker 1: I'm hoping to whip out later. So just when you
• 24:41
  Speaker 1: when Yanni needs to say a word, he just can
• 24:43
  Speaker 1: butt in no sense, and just he can just butt
• 24:46
  Speaker 1: in and say what he needs to say. Yeah, I've
• 24:48
  Speaker 1: always wanted to say this. Yanni's on assignment. Oh nice,
• 24:53
  Speaker 1: he's on assignment. He's filming. Um, he's filming his own
• 24:59
  Speaker 1: uh special elk hunt in Colorado for which he like
• 25:01
  Speaker 1: what he like, had like seventeen bonus points. It was
• 25:06
  Speaker 1: I think it was like ten or eleven? No, no, no, no,
• 25:08
  Speaker 1: no teens no, yes, I'll bet you any amount of money.
• 25:12
  Speaker 1: What's he has got to say about that? Do you
• 25:15
  Speaker 1: have a clip say in seventeen if you're so, please
• 25:18
  Speaker 1: play it. No, I did not get that that specific.
• 25:21
  Speaker 1: I'm sorry seventeen uh high teens. I'm telling you it's
• 25:26
  Speaker 1: only like ten or make a bet? Yep? Okay, how
• 25:29
  Speaker 1: much five bucks? Right now? Like a hundred? No friendships?
• 25:33
  Speaker 1: You know about the bet? Yann has lost me for
• 25:35
  Speaker 1: ten dollars and I used to do quarter beats, So
• 25:37
  Speaker 1: let's do a quarter bet five bucks? Yeah, Yanni lost
• 25:41
  Speaker 1: ten dollar bet? Was it? Ten Graham? Me and Yanni
• 25:43
  Speaker 1: bet one time? Yeah? Something high? Yeah. I had to
• 25:46
  Speaker 1: forgive him. Does he pay you an interest? No? I
• 25:48
  Speaker 1: told him to forget about it, and it was my
• 25:50
  Speaker 1: friendship with Yanni's worth more than uh ten Graham. This
• 25:53
  Speaker 1: is the last medical piece of listener feedback. You got it.
• 25:58
  Speaker 1: He's blaming me on it. This guy's blaming me for
• 26:01
  Speaker 1: his for someone winding up in a hospital. He went
• 26:05
  Speaker 1: to make our hot butter buck nuts. Yeah, if you
• 26:11
  Speaker 1: cook testicles too fast, they burst. You gotta cook them
• 26:15
  Speaker 1: slow and too hot. Too hot, too fast, they'll burst,
• 26:18
  Speaker 1: but they always a kind of burst. They'll burst. You
• 26:21
  Speaker 1: ever cook a spawn sack out of a perch or bluegill? No,
• 26:25
  Speaker 1: same shape as a nut, and they'll also open up. Yeah,
• 26:29
  Speaker 1: a little membrane splits. Yeah, and like a row sack
• 26:31
  Speaker 1: on a row chad will sort of open up and
• 26:34
  Speaker 1: opens up in the exact same way, like kind of
• 26:36
  Speaker 1: splitsing some stuff. Anyways, they're cooking hot buttered buck nuts,
• 26:40
  Speaker 1: and um, his wife's working on him. She's cooking them,
• 26:45
  Speaker 1: and one blows up so violently did it scalds her
• 26:50
  Speaker 1: eyeballs with hot butter? She has to go to the er.
• 26:55
  Speaker 1: He included a photo of the buck and his wife
• 26:57
  Speaker 1: laying on a hospital bed. Oh no, I'm sure she
• 27:00
  Speaker 1: was not happy about either of those things. The photo.
• 27:04
  Speaker 1: He's like, you're gonna have to do a better job
• 27:06
  Speaker 1: explaining how to cook those things and slow. Yeah, all right,
• 27:12
  Speaker 1: we'll get you cooking with that chainsaw a mask that
• 27:17
  Speaker 1: everybody wears the advisor, Yeah, exactly one of those. Do
• 27:22
  Speaker 1: you think about that? I'm with you, Good job, Phil,
• 27:31
  Speaker 1: This one's very specific. Do you want to ask you, Hey, Janice,
• 27:34
  Speaker 1: how did you like reading The Cat in the Hat
• 27:38
  Speaker 1: to your kids? The other night? Sentences? I had to
• 27:40
  Speaker 1: read twice or three times to really make sure I
• 27:43
  Speaker 1: you know ingested it properly. Knew what was going on there.
• 27:48
  Speaker 1: That is very That's what happens when Yanni reads cat
• 27:51
  Speaker 1: and hat. Yeah, it takes them a while. That was mean.
• 27:55
  Speaker 1: It's it's possible to be really mean, to be honest
• 27:57
  Speaker 1: right now? Oh no, we do anything? Okay, sounds good. Oh,
• 28:00
  Speaker 1: Brody's here you've been talking about you haven't introduced self,
• 28:02
  Speaker 1: Brodie Henderson, senior editor here at Meat Either got a
• 28:07
  Speaker 1: big old bull with his most loader. Not big, but
• 28:10
  Speaker 1: you know, yeah, they're big. There's large compared to they're
• 28:13
  Speaker 1: big when you're dealing with him by yourself. Man, that's
• 28:16
  Speaker 1: some work. Okay. Dr Lazara, Yes, sir, Italian and Sicilian.
• 28:22
  Speaker 1: I notice you mentioned it's true you don't bundle him together. Well,
• 28:25
  Speaker 1: I mean, you know specifically because I think you are Sicilian, right,
• 28:29
  Speaker 1: yea one fourth Sicilian. But it feels like more than
• 28:33
  Speaker 1: that because I got the name, and my father was
• 28:36
  Speaker 1: raised by his grandparents who were Sicilian immigrants, so you know,
• 28:41
  Speaker 1: it's a specific flavor of Italiano. You know, like people say,
• 28:46
  Speaker 1: Southern Italian is different than Northern Italian. Northern Italians were
• 28:50
  Speaker 1: traditionally more wealthy. Southern Italians were tended to be looked
• 28:53
  Speaker 1: down upon by the northern Italians more romantic himself. I can't,
• 28:59
  Speaker 1: I don't, I can't. I had. I've been to Italy
• 29:02
  Speaker 1: and the food is great all over. So you know,
• 29:06
  Speaker 1: one of our camera guys, Ridge Pounder, was in Sicily.
• 29:09
  Speaker 1: I've been there. Guess what he bought in Sicily? Uh, crucifix.
• 29:13
  Speaker 1: He bought a pair of birken stock. It's like, hey,
• 29:18
  Speaker 1: is like, I bought these birds in Sicily? Like that,
• 29:20
  Speaker 1: no one goes. Maybe his shoes exploded or something needed
• 29:24
  Speaker 1: some impromptu footwear. Okay, let me paint a scenario for you. Well,
• 29:29
  Speaker 1: what's most valuable I heard of you recently? I want
• 29:31
  Speaker 1: to talk about guys falling out of tree stands, yes, sir,
• 29:34
  Speaker 1: And what's that? What's that's all about? And I want
• 29:36
  Speaker 1: to talk about gunshot wounds. And I want to talk
• 29:39
  Speaker 1: about the most common general maladies, not infectious diseases. We
• 29:44
  Speaker 1: already covered that with another feller. We covered that with epidemiologists.
• 29:48
  Speaker 1: That is, more maladies that afflict outdoors men and outdoors women. Correct,
• 29:56
  Speaker 1: We can talk about whatever term about that. There's just
• 29:59
  Speaker 1: no perfect term. Hunters in general. What is she's hunting mushrooms?
• 30:07
  Speaker 1: People outside out of door people, people who are using
• 30:10
  Speaker 1: in an exploring nature. I mean, so where do we start?
• 30:13
  Speaker 1: He was saying, you recently had a guy uh come
• 30:16
  Speaker 1: into your er area. They had fallen out of the
• 30:19
  Speaker 1: tree and had opened up his scroll. That was a
• 30:23
  Speaker 1: case that happened. Not too recent, but it was. I
• 30:27
  Speaker 1: think it was about a year ago. He um was
• 30:30
  Speaker 1: was injured, wasn't wearing I think he was wearing his harness,
• 30:33
  Speaker 1: but he didn't he wasn't clipped into a uh safety
• 30:36
  Speaker 1: line going up and he had um the foothooks that
• 30:39
  Speaker 1: we're in and had had slipped out and had just
• 30:42
  Speaker 1: caught him right on back up. He had what no
• 30:46
  Speaker 1: uh you know those screw in footooks that you you
• 30:49
  Speaker 1: see him at like myers were kids. Yeah, that was
• 30:52
  Speaker 1: the brand we use was Dear Knees. I don't know
• 30:55
  Speaker 1: what the brand was, dear me. Was it Dear or
• 30:57
  Speaker 1: Dear knee It's like a six chook, like an L
• 31:00
  Speaker 1: shape or J shape, and they're they're pretty burly iron
• 31:04
  Speaker 1: or steel, and you screw him in. Seems very unsafe
• 31:06
  Speaker 1: to me in general, but not note but I've never
• 31:11
  Speaker 1: used them. But oh, you got one of those things
• 31:14
  Speaker 1: in man that especially once that tree grows around him
• 31:18
  Speaker 1: there there for you gotta wrassle them. You had to
• 31:20
  Speaker 1: bring a mallet to get him back out of the tree. Yeah,
• 31:22
  Speaker 1: I like my climber. I feel more safe in the
• 31:25
  Speaker 1: finished Sorry, so he climbs up to so he had
• 31:28
  Speaker 1: his hard So this is something that we see a
• 31:30
  Speaker 1: lot of people wear their harness. There's a couple of
• 31:32
  Speaker 1: iterations people either a don't wear a harness or be
• 31:36
  Speaker 1: they wear a harness but they don't clip in on
• 31:37
  Speaker 1: the way up or down. Which we know that most
• 31:39
  Speaker 1: of these falls are occurring ascending or descending traditionally, and
• 31:44
  Speaker 1: that's true. So the data is is hard. We can
• 31:47
  Speaker 1: speak a little bit about the data around tree stand injuries,
• 31:49
  Speaker 1: which it's an important topic because it's the number one
• 31:52
  Speaker 1: malady that affects hunters as far as serious trauma in
• 31:56
  Speaker 1: the Midwest and South um out here not so much
• 31:59
  Speaker 1: because you guys aren't doing a lot of tree stand
• 32:00
  Speaker 1: on it. There's the number one major thing to befall
• 32:03
  Speaker 1: a hunter in the East and South correct correct as
• 32:05
  Speaker 1: far as trauma, not gunshot wounds. And because this guy
• 32:08
  Speaker 1: did not clip in, what was the malady that he suffered.
• 32:12
  Speaker 1: So he when he fell, he fell on the tree hook,
• 32:15
  Speaker 1: lacerated part of his scrotum and then he hit the ground.
• 32:19
  Speaker 1: Like you're saying, the tree hook was so strong, yes,
• 32:23
  Speaker 1: and had such a purchase on the tree. Yes, yeah,
• 32:26
  Speaker 1: that it was able to disembowl his scroll. Yeah. Well
• 32:29
  Speaker 1: it didn't pull his testicles out, but it did it
• 32:31
  Speaker 1: did cut part of his scrotum. Yeah. Now, when Alan
• 32:33
  Speaker 1: told us this, Brody turned to me and said, left
• 32:37
  Speaker 1: couple of acorns up that tree. So he eventually did
• 32:42
  Speaker 1: well were the doctor Sam was able to They sewed
• 32:46
  Speaker 1: him up no problem and uh, you know the wound
• 32:50
  Speaker 1: healing and whatnot. But he got really lucky. You know,
• 32:52
  Speaker 1: he landed on his feet, didn't break his back or
• 32:54
  Speaker 1: his legs. But you know, we saw we will see
• 32:56
  Speaker 1: people middle aged, very functional, um you know, uh, members
• 33:02
  Speaker 1: of society, and they will fall and then all of
• 33:04
  Speaker 1: a sudden they are quadriplegic and they're on hospice. You know,
• 33:07
  Speaker 1: it's a heartbreaking situation. You know how many people in
• 33:11
  Speaker 1: your area and you said you have high hunter densities
• 33:13
  Speaker 1: in your area, correct, Yeah, we have about so I've
• 33:15
  Speaker 1: been talking with the Michigan DNR getting some numbers, and
• 33:18
  Speaker 1: we have about hundred and fifty thousand people in Jackson
• 33:20
  Speaker 1: County and we have roughly ten to thirteen thousand individual
• 33:25
  Speaker 1: hunting licenses, which is about ten percent, which is above
• 33:28
  Speaker 1: the national average of hunters. Because we're talking the highest
• 33:31
  Speaker 1: percentage is eight percent seven per hunter participation, and so
• 33:35
  Speaker 1: we have a pretty high hunter density in our in
• 33:38
  Speaker 1: our county. UM and UM, you know, we see everything
• 33:42
  Speaker 1: from lacerations to people accidentally getting their ear drum blown
• 33:46
  Speaker 1: open because there you know, not using gun safety, not
• 33:50
  Speaker 1: using high Yeah, I saw a guy who came in. UM,
• 33:54
  Speaker 1: they were messing around with a pistol and his so
• 33:58
  Speaker 1: it wasn't specifically a hunting injury, but it was a
• 34:00
  Speaker 1: firearms injury and his buddy just let it loose right
• 34:03
  Speaker 1: when we're standing right next to him, and it blew open.
• 34:04
  Speaker 1: His ear drum, just totally perforated, super painful. What happens then,
• 34:09
  Speaker 1: So my understanding is if it's wide open, obviously no
• 34:13
  Speaker 1: swimming or any thing, cause you get water in there
• 34:15
  Speaker 1: and your inner ears and expose and you don't want
• 34:17
  Speaker 1: an infection to develop. It'll heal or not, He'll depends
• 34:20
  Speaker 1: how large the um it's like a drum head. So
• 34:24
  Speaker 1: depending on how large the injury is, it can seal
• 34:28
  Speaker 1: over and then you kind of have a chronic weak spot,
• 34:30
  Speaker 1: or they can put a patch over it and create
• 34:33
  Speaker 1: a new ear drum for you. So you see ear,
• 34:35
  Speaker 1: nose and throat doc and they tell you that kind
• 34:36
  Speaker 1: of stuff. So touching off a pistol next to his
• 34:39
  Speaker 1: buddy's head ruptures his ear drum. Yeah, yeah, it was
• 34:41
  Speaker 1: pretty impressive, completely ruptured, and it was using a ton
• 34:44
  Speaker 1: of pain. I mean using like a twenty five b
• 34:46
  Speaker 1: H and the head, ear, eyes, nose and throat, h
• 34:50
  Speaker 1: E and T. Stuff very painful because there's a lot
• 34:52
  Speaker 1: of nerve endings in your face, your ears, your nose,
• 34:55
  Speaker 1: like your tooth. I mean, we see a lot of
• 34:56
  Speaker 1: people who have bad teeth from you know, not brushing,
• 35:01
  Speaker 1: drinking too much mountain dew and smoking, and they come
• 35:03
  Speaker 1: in and excruciating pain. It's it's really I had my
• 35:06
  Speaker 1: heart goes out to him. Unfortunately, I was with a
• 35:08
  Speaker 1: body mind yesterday and we're talking about floss in your teeth. Yeah,
• 35:11
  Speaker 1: and uh, he said, last time he's into dentist. They
• 35:16
  Speaker 1: asked him when the last time he floss his teeth
• 35:18
  Speaker 1: was and he said to the dentist, don't know when
• 35:21
  Speaker 1: was I in here last? They came out it's a
• 35:25
  Speaker 1: good point. So they came out with something. So they've
• 35:27
  Speaker 1: been pushing the flossing thing for a long time, and
• 35:29
  Speaker 1: they came out with some sort of some study that
• 35:31
  Speaker 1: said there's no definitive evidence that flossing prevents um, you know,
• 35:38
  Speaker 1: decay or tooth loss whatever. It can't be true. Well,
• 35:43
  Speaker 1: I think, told me, so, yeah, go ahead, no you
• 35:45
  Speaker 1: tell me. So I'm saying what your dentist said. I'm
• 35:51
  Speaker 1: from with interrupting, so it go ahead, go ahead. So
• 35:55
  Speaker 1: even though even though there's a research tell you that
• 35:58
  Speaker 1: came out and said that you don't need a research
• 36:00
  Speaker 1: to wear a parachute jumping out of a plane. You
• 36:02
  Speaker 1: don't need research studies, so you can bend research to
• 36:04
  Speaker 1: tell it what you want to tell you. So it's
• 36:07
  Speaker 1: like the doctors at the tobacco companies for sure. For sure.
• 36:10
  Speaker 1: So you you just use common sense, like is this good?
• 36:13
  Speaker 1: It's like thirty your tooth surfaces in between your teeth,
• 36:15
  Speaker 1: so why not clean it? You know? So right, yeah,
• 36:20
  Speaker 1: Well the guy explained to me when I was asking
• 36:21
  Speaker 1: him what's up with floss? And because I was saying, well,
• 36:24
  Speaker 1: I'm not religious about it. I floss a fair bit,
• 36:26
  Speaker 1: flost four or five times a week. He was selling
• 36:29
  Speaker 1: me my dentist who's the hunter, and my rollal surgeons
• 36:31
  Speaker 1: a hunter my dentist, but am I rollal surgeon? Both
• 36:34
  Speaker 1: like hunt, so you have a lot of trust. And uh,
• 36:38
  Speaker 1: my knee doctor likes the hunt. There you go. I
• 36:40
  Speaker 1: don't need him. So I only went once and he said,
• 36:42
  Speaker 1: my knees fines. I don't know if he counts with
• 36:43
  Speaker 1: my knee doctor. Talk about that later too. But what
• 36:47
  Speaker 1: was it getting at? Oh, why flossing? He said that
• 36:50
  Speaker 1: there are communities of bacteria that set up shop on
• 36:54
  Speaker 1: your teeth, and they're always trying to set up shop
• 36:57
  Speaker 1: on your teeth. When you flost, you interrupt the setting
• 37:01
  Speaker 1: up of shop. And the longer they get, and this
• 37:05
  Speaker 1: is just in a matter of days, the more tenacious,
• 37:09
  Speaker 1: the more tenaciously they can bind to the tooth. So
• 37:13
  Speaker 1: you're saying, by flossing every day, it's a convenient spacing
• 37:17
  Speaker 1: of time to interrupt them from setting up shop in
• 37:20
  Speaker 1: a way that makes them harder to get off. So
• 37:23
  Speaker 1: it's not like you can catch up. Like it's like,
• 37:26
  Speaker 1: if you don't floss Monday, well I just floss on Thursday.
• 37:29
  Speaker 1: By then they've adhered themselves in the way that just
• 37:33
  Speaker 1: mere floss is gonna have a hard time dislodging. But
• 37:36
  Speaker 1: by keeping on that daily schedule, you're keeping them off
• 37:39
  Speaker 1: before they can harden. Yeah, they I mean I always
• 37:42
  Speaker 1: ask why whenever I go to get your teeth clean.
• 37:44
  Speaker 1: I'm always like, why do you have to use the
• 37:46
  Speaker 1: same medieval type instruments to scrape my mouth like they used,
• 37:50
  Speaker 1: you know, eighty years ago. But they're saying they're getting
• 37:52
  Speaker 1: off that hardened plaque at the gum line, and like,
• 37:55
  Speaker 1: no matter how much you brush, and it just happens
• 37:58
  Speaker 1: with our diet, and you know, um, I think it's
• 38:01
  Speaker 1: a good litmus test. I always ask people who are
• 38:03
  Speaker 1: in the dental field how often they flost, and then
• 38:06
  Speaker 1: I can kind of gauge how often I should probably flost.
• 38:08
  Speaker 1: So they give it two to three times a week,
• 38:10
  Speaker 1: then I feel like that's probably pretty good. They're not
• 38:12
  Speaker 1: giving you that. No, Yeah, they'll say that, the honest
• 38:14
  Speaker 1: ones will. They don't. Some of them are fanatic and
• 38:17
  Speaker 1: they've lost twice a day. But you think, yeah, I
• 38:19
  Speaker 1: got you. I'll do every two three days. What just
• 38:22
  Speaker 1: to wrap up the tooth conversation, you gave us a
• 38:24
  Speaker 1: great hot tip on tooth that if you had this happen.
• 38:28
  Speaker 1: My brother shot my tooth out with a blowgun when
• 38:30
  Speaker 1: I was ten. A blowgun? What a rock? No, we
• 38:33
  Speaker 1: would take aluminum arrows. Okay, we'd cut the ends off them.
• 38:39
  Speaker 1: And remember what a light bright Yeah, okay, light bright peg.
• 38:45
  Speaker 1: Well that's not well, it's more complicated. So there's a
• 38:47
  Speaker 1: light bright peg, and a light bright peg fit an
• 38:50
  Speaker 1: illuminum arrow wonderfully. And it was a very effective, accurate
• 38:54
  Speaker 1: projectile to shoot an illuminum arrow. Oh okay, But just
• 38:59
  Speaker 1: so happened that a buddy bars down on west Lake
• 39:03
  Speaker 1: named Davy Cole. His old man worked in a ball
• 39:07
  Speaker 1: bearing factory, and he had access to all diameters of
• 39:11
  Speaker 1: ball bearings, and so my brother came into some ball
• 39:13
  Speaker 1: bearings that fit that aluminum arrow perfectly. And we do
• 39:18
  Speaker 1: a thing called a machine gun where you would fill
• 39:20
  Speaker 1: your mouth full of those ball bearings and then to
• 39:24
  Speaker 1: start blowing and using your tongue to feed the bearings
• 39:27
  Speaker 1: into the aluminum tube. Sounds like a tom and Jerry episode.
• 39:31
  Speaker 1: Oh and you could get up and just rip someone
• 39:33
  Speaker 1: like you could rip someone from crosh the eyeball with
• 39:35
  Speaker 1: a stream of ball bearings on a good breath and
• 39:39
  Speaker 1: he bob. We would wear goggles, but no one thought
• 39:42
  Speaker 1: to wear mouth protection. But he shot the tooth clean off,
• 39:46
  Speaker 1: snapped in half, and that exposed nerve. I was saying,
• 39:50
  Speaker 1: how I was saying that this exposed nerve, even breathing
• 39:53
  Speaker 1: would hurt. And you had a hot tip for this
• 39:57
  Speaker 1: is for people out in the field. This is like
• 39:58
  Speaker 1: what we're here to talk about. A broken tooth and
• 40:01
  Speaker 1: that exposed nerve. You can do what to help make
• 40:04
  Speaker 1: it feel better? So, um, so I've read and done.
• 40:09
  Speaker 1: We'll see people for various kinds of oral trauma. They'll
• 40:12
  Speaker 1: come in with a tooth half cracked off, and you
• 40:14
  Speaker 1: know they really need a dentist or oral surgeon, right,
• 40:17
  Speaker 1: but they come in at three am. They're not they
• 40:19
  Speaker 1: don't have access to that. They gotta wait till tomorrow
• 40:21
  Speaker 1: or the next day or whatever. So to help mitigate
• 40:23
  Speaker 1: some of that pain, um, you can put cianocrylate, which
• 40:27
  Speaker 1: is super glue basically over that nerve, so you get
• 40:30
  Speaker 1: the area really dry and then put the super blow
• 40:33
  Speaker 1: and then then blow on it so it drives real quick.
• 40:35
  Speaker 1: It's seals the nerve over and um. You know you're
• 40:38
  Speaker 1: messing with a native tooth. But when what the dentist
• 40:42
  Speaker 1: is gonna do is grind it down to a post,
• 40:43
  Speaker 1: probably try and save the nerve and then put a
• 40:46
  Speaker 1: cap on it. So whatever you put on that remaining
• 40:49
  Speaker 1: tooth is gonna get ground off anyway. You know, they
• 40:52
  Speaker 1: have other materials you can use, like copack and and
• 40:54
  Speaker 1: other things in a dental box. We keep in the
• 40:57
  Speaker 1: e d um but that works pretty effective. You probably
• 41:00
  Speaker 1: need antibiotics too, because you gotta expose nerve, can get infected.
• 41:03
  Speaker 1: Could you get infected? Yes? Nothing. Super glue is gonna
• 41:09
  Speaker 1: look better because it's clear. Yeah, we use super bowl
• 41:13
  Speaker 1: all the time. And stuff we use in the medical
• 41:15
  Speaker 1: field is you know for you know, we use it
• 41:17
  Speaker 1: for skin lacerations on the face and stuff and and
• 41:20
  Speaker 1: for face I use it all time my fingers and
• 41:21
  Speaker 1: stuff we use in the hospitals about they say five
• 41:24
  Speaker 1: times stronger than the stuff you buy at the store.
• 41:26
  Speaker 1: But I use the stuff I buy the store all
• 41:28
  Speaker 1: the time for a little cuts on my fingers because
• 41:29
  Speaker 1: I'm like walking around with cuts. Yeah, I carry super
• 41:32
  Speaker 1: glue in my kit my little hunting kit bag. Those
• 41:34
  Speaker 1: single serving tubes, Yeah, that's a good because they always
• 41:37
  Speaker 1: get clogged up, you know, I mean, and then all
• 41:38
  Speaker 1: of a sudden you're dealing with a like a clog
• 41:40
  Speaker 1: tip and some goo in there that you can't really
• 41:42
  Speaker 1: get to. So what's the proper way if you get
• 41:44
  Speaker 1: a cut? How do you tell us a couple of questions.
• 41:49
  Speaker 1: Is there more to say about falling out of trees
• 41:50
  Speaker 1: before we talk about this next thing? I would say,
• 41:53
  Speaker 1: you know, since this is around the time where you
• 41:55
  Speaker 1: have a lot of people hunting um in the mid
• 41:57
  Speaker 1: you know, using tree stands, I would I would appeal
• 42:00
  Speaker 1: to everybody to know that the number one injury would
• 42:03
  Speaker 1: be falling out of a stand, not a firearm injury.
• 42:05
  Speaker 1: You know, gun safety is extremely important. You know, we
• 42:08
  Speaker 1: see those tragic injuries, um, But the thing that you're
• 42:12
  Speaker 1: more likely to encounter somebody falling out of a stand.
• 42:15
  Speaker 1: So review a DVD, YouTube video something where your harness.
• 42:19
  Speaker 1: You know, you want to live to hunt another day.
• 42:20
  Speaker 1: You don't want to be paralyzed with a broken pelvis,
• 42:23
  Speaker 1: laying in the forest it's it's really important that people
• 42:27
  Speaker 1: do that. I think, yeah, I have a bad habit
• 42:29
  Speaker 1: of getting in the tree and then putting the harness on.
• 42:34
  Speaker 1: I have settled. I have seen I saw a guy
• 42:36
  Speaker 1: who came in. He came in for like a colitis
• 42:39
  Speaker 1: or a bowl infection, and I was talking to him
• 42:41
  Speaker 1: and I said, you got some nasty looking scars in
• 42:43
  Speaker 1: your bellies, like sixty five. Yeah. I'm like, well, what's
• 42:45
  Speaker 1: that from? Just kind of shooting the ship with him,
• 42:47
  Speaker 1: and because well, I fell out of a tree stand,
• 42:49
  Speaker 1: I'm like how. Then, of course my interest piques up
• 42:51
  Speaker 1: and I'm started asking lots of questions of how that happened.
• 42:53
  Speaker 1: He goes, well, I got to the top of the
• 42:55
  Speaker 1: tree stand and put my harness on and I slipped
• 42:57
  Speaker 1: out putting it on like while he's in the top
• 43:00
  Speaker 1: up and he was also on a blood thinner, and
• 43:02
  Speaker 1: it was he you know, fractured his spleen. It was
• 43:05
  Speaker 1: amazing he lived. And then the real bomb and he goes,
• 43:08
  Speaker 1: it was actually the second time that happened to me.
• 43:10
  Speaker 1: I'm like, dude, you're like lucky to be alive falling
• 43:14
  Speaker 1: out twice. It's you know, and you said, us ending
• 43:18
  Speaker 1: and descending acending. So the and like I said, the
• 43:20
  Speaker 1: research is hard because not all of them are reported.
• 43:23
  Speaker 1: Not every state tracks and Michigan doesn't track them. Illinois
• 43:26
  Speaker 1: will track them. Um, so anybody involved in like a
• 43:29
  Speaker 1: police officer or conservation police officer, it's a mandatory reporting
• 43:33
  Speaker 1: in Illinois, but Michigan it's not. They just do firearms,
• 43:36
  Speaker 1: so getting the mandatory reporting. So if somebody is injured
• 43:39
  Speaker 1: in the field with a firearm hunting you, that's a
• 43:43
  Speaker 1: mandatory report to the d NR. So they there's a
• 43:46
  Speaker 1: stream of information that gets passed from police officer through
• 43:50
  Speaker 1: a specific network kind of like a pager system. Was
• 43:53
  Speaker 1: explained to me to the CPO, who to them go
• 43:56
  Speaker 1: investigate if needed at the hospital or at home and
• 43:59
  Speaker 1: figure out what and they keep itally of these every
• 44:01
  Speaker 1: and they release a report. It's pretty morbid to read it,
• 44:04
  Speaker 1: but it's interesting from a medical perspective to look at
• 44:07
  Speaker 1: it and see, you know, a lot of these firearm
• 44:09
  Speaker 1: injuries are occurring for you know, it's it's not it's
• 44:12
  Speaker 1: usually careless handling of a firearm, not um failure to
• 44:16
  Speaker 1: identified target. It's usually you know, carrying your gun, you know,
• 44:21
  Speaker 1: the wrong way up a tree stand, linking your you know,
• 44:24
  Speaker 1: haul of court to the freaking trigger guard, handing weapons
• 44:27
  Speaker 1: to each other, falling over something, you know, the stuff
• 44:30
  Speaker 1: you learn in hunters that you know, don't go over
• 44:33
  Speaker 1: a fence with a loaded gun. You drop your gun
• 44:35
  Speaker 1: and it goes off. You don't rely on the safety, etcetera.
• 44:38
  Speaker 1: That kind of stuff. You know, you do see people
• 44:40
  Speaker 1: swinging on you know, I read one from Michigan. Somebody
• 44:42
  Speaker 1: swings on a squirrel and the twenty two hits you know,
• 44:46
  Speaker 1: a young person in the head and they die and
• 44:47
  Speaker 1: it's just tragic, tragic. So that was it was like
• 44:51
  Speaker 1: a sixty three year old killed like a thirteen year old.
• 44:53
  Speaker 1: It was just squirrels. Yeah, just that kind of stuff
• 44:56
  Speaker 1: really gets to maybe, I think the further on I
• 44:58
  Speaker 1: get in medicine, you get a little you can get
• 45:01
  Speaker 1: a little numb to um pain in some ways because
• 45:06
  Speaker 1: you have to function in an environment where you're functioning
• 45:09
  Speaker 1: with somebody else's in pain and you're you're you're trying
• 45:11
  Speaker 1: to help them. So if you're emoting with them and
• 45:13
  Speaker 1: feeling what they're feeling, then you can't get your job done.
• 45:16
  Speaker 1: You can't help that person. The things that I think
• 45:18
  Speaker 1: really bother me is when I can relate and whether
• 45:21
  Speaker 1: it's you know, it's a thirty six year ol guy
• 45:23
  Speaker 1: who's always got a new diagnosis of cancer, or it's
• 45:25
  Speaker 1: a little kid that looks like my kid that's injured.
• 45:27
  Speaker 1: That ship's really hard to emotionally process. And so reading
• 45:31
  Speaker 1: these stories because I'm a hunter, and because I feel
• 45:35
  Speaker 1: so bad, it's hard to even just read the one
• 45:37
  Speaker 1: liner about what happens. You know, it's thinking about jeez man.
• 45:42
  Speaker 1: But I should say I sent a power point to
• 45:45
  Speaker 1: Brodie that, UM, we use some of these statistics. There's
• 45:48
  Speaker 1: a national Injury database that's collected. There's a hundred e
• 45:51
  Speaker 1: rs and this it's a government run database through the
• 45:55
  Speaker 1: Consumer Protection CPSC. I can't remember the acronym, but it's
• 45:59
  Speaker 1: a hundred yers that are surveillanced in a input anything
• 46:04
  Speaker 1: um that has related to a consumer products. So if
• 46:06
  Speaker 1: you're injured, but you wanna know how many people are
• 46:07
  Speaker 1: injured by vacuum cleaners, you can search vacuum cleaners. You
• 46:10
  Speaker 1: can search hunting knives and lacerations, the hand, finger, arm,
• 46:14
  Speaker 1: whatever um. They estimate there's about six to four thousand
• 46:19
  Speaker 1: tree stand related injuries per year in the United States,
• 46:23
  Speaker 1: and it really has not I looked at the numbers
• 46:25
  Speaker 1: and it really has not declined with more education. It's
• 46:29
  Speaker 1: pretty much stayed the same. Because our hunting numbers are
• 46:31
  Speaker 1: going down a little bit, you know, the big game numbers.
• 46:33
  Speaker 1: If you compare them, we're still having the same rough
• 46:36
  Speaker 1: rate of tree STANM related injuries across the country. Um
• 46:40
  Speaker 1: interestingly though, because there's so much more focused on it.
• 46:43
  Speaker 1: There there is. But it's just like we're it's just like,
• 46:46
  Speaker 1: you know, seatbelts with cars, right, so we're talking about
• 46:48
  Speaker 1: earlier education is a hard thing to um change habit
• 46:54
  Speaker 1: when it comes to our patient population and people in general.
• 46:57
  Speaker 1: So you can talk yourself to your boo in the face,
• 46:59
  Speaker 1: but until you engineer solution into the equation, you're still
• 47:03
  Speaker 1: going to get those people like you know, like maybe
• 47:06
  Speaker 1: my grandfather doesn't wear a seat belt as often as
• 47:08
  Speaker 1: I would, but you put that annoying beep in your car,
• 47:11
  Speaker 1: in the brand new car, you're gonna wear your seat
• 47:13
  Speaker 1: belt because you don't want to listen to the beep.
• 47:14
  Speaker 1: For Somebody told me you can take the fuse out
• 47:17
  Speaker 1: of that situation. Yeah, that's sounds hard. To do. Man,
• 47:20
  Speaker 1: they do sell You can go online and buy um,
• 47:24
  Speaker 1: you can go online and buy just like a buckle
• 47:26
  Speaker 1: with a orange piece on it, yeah, and then keep
• 47:29
  Speaker 1: it clicking there so it just thinks you're buckled up.
• 47:31
  Speaker 1: No kidding. Those people don't have any lie. I can't
• 47:33
  Speaker 1: believe there's not a lawsuit gets that cup on the toyota.
• 47:36
  Speaker 1: Uh there's the sensors underneath the seat, and you just
• 47:40
  Speaker 1: disconnect that sensor. U I saw once on YouTube. Don't
• 47:47
  Speaker 1: listen to kel so Okay, yeah, do not listen to me.
• 47:50
  Speaker 1: I'm a terrible example. But just like as you are
• 47:54
  Speaker 1: saying this, I'm realizing, like when you're like, yeah, the
• 47:56
  Speaker 1: sixty year old guy who fell out of the tree
• 47:59
  Speaker 1: stand twice, Yeah, I just go, oh yeah, I get it.
• 48:04
  Speaker 1: But if it's the sixteen year old kid who falls
• 48:06
  Speaker 1: out of the tree, stown like idiot, Yeah right, you know, absolutely,
• 48:13
  Speaker 1: I don't because it's true he is an idiot. Right,
• 48:16
  Speaker 1: You're like sixteen, you haven't seen a lot of stuff.
• 48:18
  Speaker 1: But the sixty year old guy, like he's making informed decisions. Oh,
• 48:23
  Speaker 1: I got you right. And I just feel like if
• 48:27
  Speaker 1: there was an emphasis on safety in my growing up,
• 48:32
  Speaker 1: which looking back there there was a lot of like, yeah,
• 48:35
  Speaker 1: you shouldn't do that, and that was about it that
• 48:38
  Speaker 1: you learned your lesson there. Yeah, I feel like that
• 48:42
  Speaker 1: is just such a better way to start out because
• 48:45
  Speaker 1: now like nothing and somebody's like, oh, well, you know,
• 48:50
  Speaker 1: you shouldn't do it that way. I'm always like, you
• 48:53
  Speaker 1: should have seen me ten years ago, man, right, But
• 48:56
  Speaker 1: I think they're just like the tree stand thing. Like
• 48:59
  Speaker 1: I feel like a lot of people have changed their ways. Man.
• 49:02
  Speaker 1: Like we used to build tree stands out of chunks
• 49:04
  Speaker 1: of two by fours and just like no ladder, no rot,
• 49:07
  Speaker 1: like just lean up there. My dad would make him, uh,
• 49:11
  Speaker 1: he would steal street signs for a platform, like what
• 49:16
  Speaker 1: like a stop signer, like you take that? He liked
• 49:19
  Speaker 1: that metal. Yeah. Um. They used to have had these
• 49:22
  Speaker 1: like thick signs. It was like a lamb and it
• 49:24
  Speaker 1: was like a thick plywood with a face on for
• 49:26
  Speaker 1: a solid metal. And we had some tree stands. You
• 49:29
  Speaker 1: can still see like the parts of speed limit numbers
• 49:31
  Speaker 1: and stuff. But I wouldn't get up in one of
• 49:34
  Speaker 1: those things I made when I was a kid. Yeah,
• 49:36
  Speaker 1: use you know, I use harness. I think the reason
• 49:41
  Speaker 1: that the reason that I started getting into it. I
• 49:43
  Speaker 1: think so before I started, I'm kind of an adult
• 49:45
  Speaker 1: onset hunter. I used to wrestle in high school, college
• 49:50
  Speaker 1: and and so wrestling season is pretty much all of
• 49:53
  Speaker 1: deer season. Do you still have that wrestling problem where
• 49:56
  Speaker 1: you're always trying to wrestle guys? We're not familiar enough yet,
• 50:01
  Speaker 1: So I haven't done it to you. But here I
• 50:04
  Speaker 1: would have advised him about my blast. Pick a good one, Phil.
• 50:11
  Speaker 1: That's right. It's a it's a thing. It's a unique subculture,
• 50:17
  Speaker 1: you know. And I think because you know it's it's
• 50:19
  Speaker 1: underappreciated and how difficult it is. It doesn't get any popularity,
• 50:23
  Speaker 1: like you know, football gets so much play, and and
• 50:25
  Speaker 1: you wrestled at a high in school. Oh no, the
• 50:28
  Speaker 1: University of Chicago is a Division three. It was you know,
• 50:31
  Speaker 1: it was more high end academically. Oh yeah, which would
• 50:33
  Speaker 1: mean to be easy to beat everybody. Well, I have
• 50:36
  Speaker 1: to hope, I so I didn't. I kind of like it. Really.
• 50:39
  Speaker 1: It's emotionally draining with you know, cutting weight and training
• 50:43
  Speaker 1: all the time, and your focus gets to be on
• 50:45
  Speaker 1: other things when you're in college, um that don't involve
• 50:50
  Speaker 1: you know, athletics, you know. And then and then at
• 50:51
  Speaker 1: a certain point, I'm like, I'm not going to be
• 50:53
  Speaker 1: a professional wrestler. I'm gonna study to get into medical
• 50:56
  Speaker 1: school and wrestling scholarship. No, no, they don't, they don't,
• 51:00
  Speaker 1: d three, they don't have scholarship. They give you like
• 51:02
  Speaker 1: a workman, they like give you money to work in
• 51:03
  Speaker 1: the cafeteria or something like that. And um, I could
• 51:06
  Speaker 1: have gone to smaller school and maybe gotten a scholarship.
• 51:09
  Speaker 1: But you got that little Rodney Dangerfield swimsuit on one
• 51:12
  Speaker 1: out there, and yeah, it's you know, it's comforting. I
• 51:16
  Speaker 1: love it. It's I still I still will do UM
• 51:19
  Speaker 1: club wrestling at UMM with the college kids there and
• 51:21
  Speaker 1: go and I get to pull the old man break
• 51:24
  Speaker 1: because I'm winded. Um. And I'm gonna try and get
• 51:26
  Speaker 1: my kids into it and we'll we'll see if they
• 51:28
  Speaker 1: like it or maybe they'll be in defencing. I don't
• 51:30
  Speaker 1: know what they'll like. You want to raise up wrestlers.
• 51:32
  Speaker 1: It's so much it's so much fun, dude. It's a
• 51:35
  Speaker 1: physicality and like a fitness that doesn't ever go away,
• 51:38
  Speaker 1: a work ethic that you just cannot It's different than football.
• 51:42
  Speaker 1: It's different because you know you're the only one out there,
• 51:44
  Speaker 1: You're the only one staying. There's no one else to
• 51:46
  Speaker 1: blame when you lose. It's a manoe mono. It's not
• 51:48
  Speaker 1: as traumatic as boxing. Right. I don't want my kids
• 51:50
  Speaker 1: to box because of the chronic traumatic and cephalopathy. I
• 51:53
  Speaker 1: don't my kids to play football because it's like the
• 51:55
  Speaker 1: number one injured sport, although I love playing football when
• 51:57
  Speaker 1: I grew up. So, but who knows what they'll be in.
• 52:01
  Speaker 1: My wife's a very good influence in saying you should
• 52:03
  Speaker 1: let them try and choose what they enjoy. I don't
• 52:06
  Speaker 1: recommend that either. Let I want to get back to this, Okay,
• 52:12
  Speaker 1: let's I want to talk about cuts in the field.
• 52:14
  Speaker 1: Cuts in the field, right, we'll start minor. Okay, when
• 52:17
  Speaker 1: is it okay? And when is the appropriate to try
• 52:20
  Speaker 1: to superglue a cut back together? Again? So when is
• 52:23
  Speaker 1: it okay? This is a two parter. When is it
• 52:26
  Speaker 1: okay to to do a rambo and stitch yourself up?
• 52:30
  Speaker 1: So it all has to do with I think the
• 52:32
  Speaker 1: size of the cut um and what is your When
• 52:37
  Speaker 1: are you going to be able to get to definitive care?
• 52:39
  Speaker 1: So we ideally like to have wounds healed by primary intention,
• 52:43
  Speaker 1: meaning that we'll stitch them back together, bring the skin
• 52:45
  Speaker 1: back together so the skin can heal itself. The stitches
• 52:47
  Speaker 1: don't actually heal the skin, they just bring it next
• 52:49
  Speaker 1: to itself so it can heal. So um, we ideally
• 52:53
  Speaker 1: try and do that within eight to twelve hours. Anything
• 52:55
  Speaker 1: beyond that we worry about enough bacteria from the environment
• 52:58
  Speaker 1: getting in there, and then we close it up and
• 53:00
  Speaker 1: then we seal in some infection. Exception to that would
• 53:03
  Speaker 1: be facial injuries because face, you know, it's generally not
• 53:08
  Speaker 1: tolerable to have somebody have a giant scars in their
• 53:10
  Speaker 1: face for cosmetic reasons. So if you're in the field
• 53:14
  Speaker 1: and you have like a you know, a one inch
• 53:16
  Speaker 1: cut on your finger that's closely approximate, it's not a
• 53:19
  Speaker 1: lot of gapping or gaping. Um, then you can stretch
• 53:22
  Speaker 1: that thing out, put some super bluel on it, like
• 53:25
  Speaker 1: kind of like pull it, pull the skin on either end,
• 53:27
  Speaker 1: or pinch it together and the inside with super glue. No, sir, Yeah,
• 53:31
  Speaker 1: so you want you want the skin. So skin has
• 53:33
  Speaker 1: different layers. You have like the top or superficial epidermist,
• 53:36
  Speaker 1: then you have the dermist and then you have the
• 53:38
  Speaker 1: extracellular matrix. Underneath. The extracellular matrix is where these fibroblasts
• 53:44
  Speaker 1: that are basically like connectors will come together and heal
• 53:47
  Speaker 1: your tissue. You don't want that all gummed up with
• 53:50
  Speaker 1: glue or you're just gonna have you know, you want
• 53:52
  Speaker 1: the skin to be touching, and then you put the
• 53:54
  Speaker 1: glue on top like a seal on top, and provide
• 53:57
  Speaker 1: that touching skin so it can heal itself. Bottom line,
• 54:00
  Speaker 1: most of the time, we're just helping our body out.
• 54:03
  Speaker 1: The body is an amazing thing. It's it's doing, it's
• 54:06
  Speaker 1: doing and in healing itself more than we're really helping
• 54:10
  Speaker 1: most of the time. You know, when I, uh, I'm
• 54:14
  Speaker 1: just talking about minor cuts, like everything leading up to uh,
• 54:19
  Speaker 1: everything leading up to like, man, I should probably get
• 54:22
  Speaker 1: a stitch, but yeah, we're not gonna go get a
• 54:25
  Speaker 1: stitch that type of cut. I tell me if if
• 54:30
  Speaker 1: this is correct, because this is what like I carry
• 54:32
  Speaker 1: in my medikit only what's good up to that only
• 54:37
  Speaker 1: really what's going up to that point, alcohol swab okay,
• 54:41
  Speaker 1: then Neil Sporn triple antibiotic ointment, then band aid. Then
• 54:49
  Speaker 1: oh that that stretchy tape you can wrap around and
• 54:52
  Speaker 1: protect the hold the band aid on, so you could
• 54:54
  Speaker 1: use um. So there's a couple of parts of wound care.
• 54:57
  Speaker 1: So the primary part is um. You sure it stays
• 55:00
  Speaker 1: clean and dry. And when somebody has a laceration um
• 55:05
  Speaker 1: or cut, you can we we always irrigate them with water.
• 55:08
  Speaker 1: And so a lot of people will use iodine and
• 55:10
  Speaker 1: normal saline and other stuff. But really you can just
• 55:12
  Speaker 1: use tap water as long as you can drink it.
• 55:15
  Speaker 1: You can irrigate it when with it. There's been plenty
• 55:17
  Speaker 1: tap water when plenty of studies that show it's not
• 55:20
  Speaker 1: inferior to the saline and the iodine. And what about
• 55:23
  Speaker 1: creek water if you could drink it, I mean, if
• 55:25
  Speaker 1: you purified it and you could drink it, that'll be fine.
• 55:28
  Speaker 1: You know, creek water and I don't know, I know
• 55:31
  Speaker 1: the differences one dirtier, Yeah, creek is dirty in the creek, yeah,
• 55:37
  Speaker 1: Patrick McManus um he described the difference being in a creek.
• 55:43
  Speaker 1: Somewhere in there. You can find a tire in the
• 55:48
  Speaker 1: absence of a tire, it's a creek you worried more about. Yeah,
• 55:52
  Speaker 1: tires are fine, you know, feces from animals and other
• 55:55
  Speaker 1: bacteria is what we worry about. But what you can
• 55:57
  Speaker 1: do is you can take like a zip block bag
• 55:58
  Speaker 1: or any kind of bag at full water, poke a
• 56:01
  Speaker 1: hole in the bottom it with like a needle, and
• 56:03
  Speaker 1: then spray your wound and you have your little own irrigation.
• 56:06
  Speaker 1: That's a good way to clean it. Spray it with water.
• 56:08
  Speaker 1: That's what that's what we do every time. And so
• 56:10
  Speaker 1: before no, no, no, no, just just room temperature water
• 56:13
  Speaker 1: is fine. And so a lot of times previous and
• 56:16
  Speaker 1: so the thing about medicine is that everything things are
• 56:18
  Speaker 1: always moving and shifting and changing. And right, because now
• 56:20
  Speaker 1: we're more evidence, base will do a study and then
• 56:23
  Speaker 1: see what happens, and and we'll build on the people
• 56:26
  Speaker 1: before us um So previously it used to be we
• 56:30
  Speaker 1: think that it's the pressure of the water knocking the
• 56:33
  Speaker 1: bacteria off the wound. And now it's more that we
• 56:36
  Speaker 1: think it's like the volume of water. But to me,
• 56:38
  Speaker 1: it doesn't really matter. Just use enough water. They say
• 56:41
  Speaker 1: fifty mls per centimeter of cut. Just use a whole
• 56:44
  Speaker 1: bunch of water irrigated out. See if you can bring
• 56:47
  Speaker 1: the edges together, you can you could use in a pinch,
• 56:50
  Speaker 1: you could use duct tape to try and get it
• 56:51
  Speaker 1: close together. You could use starry strips or um wound
• 56:54
  Speaker 1: closure strips. Um. In the Wilderness Medicine fellowship that I did,
• 56:59
  Speaker 1: they talked about in a real hardup situation, you could
• 57:01
  Speaker 1: use like boiled thread if you had to. In a
• 57:05
  Speaker 1: sewing needle, you could use nylon. A lot of the
• 57:07
  Speaker 1: suitors we use are basically nylon, and we do use
• 57:10
  Speaker 1: silk too, so if you had silk thread you could
• 57:12
  Speaker 1: use that as well. You could use that. But it's
• 57:16
  Speaker 1: really thick, you know, Like so suiture is graded based
• 57:19
  Speaker 1: off size, Like six oh is what I would use
• 57:21
  Speaker 1: for your face. It's very fine. It's like you know,
• 57:24
  Speaker 1: very hair, you know, super thin, breaks real easy, and
• 57:28
  Speaker 1: then uh, like one oh or three oh is something
• 57:31
  Speaker 1: you use for somebody's thigh. Dental floss is like double oh,
• 57:34
  Speaker 1: so it's like it's like shot, you know, kind of
• 57:36
  Speaker 1: like six oh is real at the top and then
• 57:38
  Speaker 1: oh oh does down here and that's super thick. So
• 57:40
  Speaker 1: dental floss would probably be real, real uncomfortable and quick interjection.
• 57:44
  Speaker 1: Do you ever do you ever get that dad who
• 57:46
  Speaker 1: kind of like grabs you and you like, you know,
• 57:48
  Speaker 1: doc like a little bit of a scar up there
• 57:50
  Speaker 1: is fine. I have not uh not really yeah, we
• 57:55
  Speaker 1: don't really see you do get You get varied um,
• 58:00
  Speaker 1: varied amounts of concern about scars, you know, and UM
• 58:04
  Speaker 1: typically people that are I mean, what you'd expect like
• 58:07
  Speaker 1: a teenage girl, you want to make sure that her
• 58:09
  Speaker 1: face is you know, not scarred up. But you know, uh,
• 58:13
  Speaker 1: twenty three year old boy, your man, I guess boy,
• 58:16
  Speaker 1: you don't really you believe in UM you're telling me that,
• 58:22
  Speaker 1: uh you're like you factor in age and gender when
• 58:25
  Speaker 1: deciding whether they want a scar or not. Uh. So
• 58:28
  Speaker 1: expectation I think is important to address. And so there
• 58:32
  Speaker 1: is a large customer service aspect to medicine nowadays. UM,
• 58:36
  Speaker 1: and it is it is for I think in buy
• 58:39
  Speaker 1: and large. I think it's for the better because I
• 58:41
  Speaker 1: think if we treat people the way we would want
• 58:43
  Speaker 1: to be treated, whether you know you're talking about a
• 58:45
  Speaker 1: golden rule, you're talking about a service industry, you're talking
• 58:48
  Speaker 1: about UM, doing how you'd want your family member treated,
• 58:52
  Speaker 1: then it's for the better. And I think both providers
• 58:55
  Speaker 1: and patients are are better off and feel better about
• 58:57
  Speaker 1: their job. But it can go over the line, right.
• 59:00
  Speaker 1: So you got somebody coming in who is pissed because
• 59:03
  Speaker 1: their kids got a running nose and a cough. And
• 59:05
  Speaker 1: I just talked to somebody who I just diagnosed with cancer,
• 59:08
  Speaker 1: and this other person's piss because they're waited an hour,
• 59:10
  Speaker 1: and so how do you address that. You have to
• 59:12
  Speaker 1: treat them, But they don't under they don't understand. They
• 59:14
  Speaker 1: don't know because their experiences in a vacuum correct. And
• 59:17
  Speaker 1: I think that that is a big societal problem. I
• 59:19
  Speaker 1: think that's so lack of social awareness is a big
• 59:22
  Speaker 1: societal problem that we have. And what's interesting about the
• 59:25
  Speaker 1: emergency department is that you see all walks of life.
• 59:27
  Speaker 1: You could walk down the hall and see a CEO
• 59:29
  Speaker 1: of a company who's getting a d U I and
• 59:31
  Speaker 1: crash his car, and an eight three old grandma who
• 59:34
  Speaker 1: has five family members at the side of their bed
• 59:36
  Speaker 1: versus uh, you know, sixty year old guy with dementia
• 59:39
  Speaker 1: that has nobody in his bed, nobody, nobody cares about him.
• 59:42
  Speaker 1: And then a little girl cut her face because her
• 59:44
  Speaker 1: brother threw a book add her. You know, I mean,
• 59:46
  Speaker 1: it's just the equalizer for everybody. Healthcare and particularly e
• 59:51
  Speaker 1: d you know. Uh, I wasn't dogging on you about it, because, yeah,
• 59:55
  Speaker 1: my my four year old he's got a couple pretty
• 59:58
  Speaker 1: good nicks in his forehead now from stitches, and I
• 1:00:00
  Speaker 1: don't care. But I wouldn't want my daughter to be
• 1:00:02
  Speaker 1: all scarred up. I feel some you know, I don't
• 1:00:05
  Speaker 1: know why. I mean, there's a there's a premium placed
• 1:00:09
  Speaker 1: on beauty, like it or not. I think you know,
• 1:00:12
  Speaker 1: but I think you know. I'm sure you feel the
• 1:00:14
  Speaker 1: same way. All my children are beautiful, So no, i'd
• 1:00:16
  Speaker 1: prefer my little boy to be all scarred up. It does,
• 1:00:19
  Speaker 1: I guess, I don't know. I want me too tore up.
• 1:00:21
  Speaker 1: My girl had a big old scar across her face,
• 1:00:23
  Speaker 1: I think. So, you know, as long as there's no
• 1:00:26
  Speaker 1: permanent damage otherwise it's fine. It doesn't matter. Okay, what
• 1:00:29
  Speaker 1: about stitching yourself up? I just meant I thought you
• 1:00:31
  Speaker 1: couldn't do it because I was One time we were
• 1:00:34
  Speaker 1: hunting out easter here and my buddy's dog got a
• 1:00:41
  Speaker 1: gash up on a barber fence. My buddy's wife, it
• 1:00:46
  Speaker 1: was a doctor, okay, it was Thanksgiving Day. She stitched
• 1:00:52
  Speaker 1: the dog up. I thought she had a good and
• 1:00:54
  Speaker 1: clean stitch the dog up. She gives stitches all the time,
• 1:00:58
  Speaker 1: which is in my brother's g I just ditching it up. Yeah,
• 1:01:01
  Speaker 1: and then ended up needing to open it back up. Yeah,
• 1:01:06
  Speaker 1: because of an infection. That's unfortunate. Yeah, yeah, and she
• 1:01:09
  Speaker 1: was worried about that happening do the nature of the injury. Yeah,
• 1:01:14
  Speaker 1: but I thought that, Um, when I watched Rambo, we
• 1:01:18
  Speaker 1: all went out and bought Rambo knives. They had a
• 1:01:21
  Speaker 1: needle and in fishing in the handle, right handle. I
• 1:01:24
  Speaker 1: had that. That was the coolest thing. A non functioning compass,
• 1:01:27
  Speaker 1: a compass on the bottom on the butt. Yeah. You
• 1:01:30
  Speaker 1: used to be able to go to the Moskegan flea
• 1:01:32
  Speaker 1: market and buy Rambo knives for four nine and nine
• 1:01:35
  Speaker 1: weastic sheath, really bad little owner. That was the stone
• 1:01:39
  Speaker 1: in the handle. My grandfather, who was the first person
• 1:01:42
  Speaker 1: to teach me how to shoot, at twenty two a
• 1:01:44
  Speaker 1: like a milk jug floating in a lake on his
• 1:01:46
  Speaker 1: farm in Indiana. That's that was his preferred target, milk
• 1:01:49
  Speaker 1: jug floating in a lake. Were there's home video of
• 1:01:51
  Speaker 1: my brother and he must be my brother must be
• 1:01:55
  Speaker 1: ice kids, you know, he must be four years old
• 1:01:57
  Speaker 1: and we're doing this, but they're over our shoulder, like
• 1:01:59
  Speaker 1: holding it, you know. But we used to go to
• 1:02:01
  Speaker 1: the flea market in southern Indiana and that was the
• 1:02:03
  Speaker 1: main It was either baseball cards or knives, that's what
• 1:02:06
  Speaker 1: we wanted. Oh yeah, and you could buy illegal fireworks
• 1:02:09
  Speaker 1: at the flea market too, and they rambon. They had
• 1:02:11
  Speaker 1: a lot of stuff down there. There was a couple
• 1:02:14
  Speaker 1: of times in high school. No, this is horrible. I
• 1:02:16
  Speaker 1: just want to say it's horrible. There's a couple of
• 1:02:18
  Speaker 1: times in high school we would on lunch break go
• 1:02:20
  Speaker 1: down to the Moskegon River and have someone run upstream
• 1:02:25
  Speaker 1: and huck bottles out of the river so that you
• 1:02:28
  Speaker 1: could shoot Tony two's Adam as they floated past the
• 1:02:31
  Speaker 1: boat launch. No kidding, just stupid shooting it. Shooting at
• 1:02:36
  Speaker 1: a moving object with somebody nearby, at a flat surface,
• 1:02:39
  Speaker 1: you're breaking making some glass, breaking some hunter safety rules
• 1:02:43
  Speaker 1: for sure, and then like run back to hopefully not
• 1:02:45
  Speaker 1: be tardy. That's the stuff. That's the stuff of youth, though,
• 1:02:47
  Speaker 1: I mean, that's what that's not even youth. That's just
• 1:02:49
  Speaker 1: that's just like old enough to know better. That's that's
• 1:02:51
  Speaker 1: the thing that I don't know how we were dumb.
• 1:02:54
  Speaker 1: I don't know how. So I tell my kids, my
• 1:02:57
  Speaker 1: wife and I both they love our possible story. And
• 1:03:00
  Speaker 1: I think I you live a paranoid life in some
• 1:03:03
  Speaker 1: ways when you're in the healthcare profession because you're around
• 1:03:05
  Speaker 1: sony sick people. You see so much and you see
• 1:03:08
  Speaker 1: somebody you just think everybody's injured all the time. Dude.
• 1:03:10
  Speaker 1: I mean it's really it's makes you kind of paranoid.
• 1:03:12
  Speaker 1: And so you might see a bookshelf that's on a wall,
• 1:03:15
  Speaker 1: I see something that could tip over and crush the
• 1:03:17
  Speaker 1: two year old head because I've seen that before, you know,
• 1:03:19
  Speaker 1: And and so you're just kind of have this thing
• 1:03:22
  Speaker 1: that you're beating down. You want to be super O
• 1:03:24
  Speaker 1: c D paranoid. But to teach your kids about the stuff,
• 1:03:28
  Speaker 1: like a good parent would like, don't do this. And
• 1:03:31
  Speaker 1: I think the way and you guys touch on this
• 1:03:34
  Speaker 1: a lot. I think you talk about how you you
• 1:03:36
  Speaker 1: mentor your children and bring them whether you think you've
• 1:03:39
  Speaker 1: taken his kids fishing, sorry fishing and stuff, and talking
• 1:03:43
  Speaker 1: about how you know boater safety and whatnot. And I
• 1:03:47
  Speaker 1: think that showing people how it's supposed to be done
• 1:03:49
  Speaker 1: and and being a mentor is a very powerful thing.
• 1:03:53
  Speaker 1: So um, anyway, we probably won't be shooting milk jugs
• 1:03:57
  Speaker 1: and lakes when I'm my and my kids. Don shooting
• 1:04:02
  Speaker 1: glass bottles at the boat launch and bring your neck
• 1:04:07
  Speaker 1: drifted by on lunch ower, So get back to school.
• 1:04:10
  Speaker 1: So I thought so that because Rambo did it, I
• 1:04:12
  Speaker 1: thought I was all right to sit yourself up. And
• 1:04:14
  Speaker 1: then I thought that, Then I thought that you can't
• 1:04:17
  Speaker 1: under any circumstances stit yourself up. But then just happened
• 1:04:20
  Speaker 1: to be with two guys. These are these are some
• 1:04:22
  Speaker 1: cool guys. Uh rerewhelming and we packed in a horseback.
• 1:04:25
  Speaker 1: These dudes Crooked Sky Outfitters. We've been talking a bunch about.
• 1:04:29
  Speaker 1: Both his dad and his kid have stitched themselves up.
• 1:04:34
  Speaker 1: They stitched themselves up without any um anesthetic anesthetic, and
• 1:04:39
  Speaker 1: then someone, uh I think maybe gave him some kind
• 1:04:42
  Speaker 1: of anesthetic that they could use next time they need
• 1:04:44
  Speaker 1: to stitch themselves up. And I said, well, I thought
• 1:04:46
  Speaker 1: you can't do that, and he showed me. He's like,
• 1:04:48
  Speaker 1: I'm fine, Yeah, stitched himself up. So what's the verdict? Cool?
• 1:04:51
  Speaker 1: Not cool? I mean, if I had I have the
• 1:04:54
  Speaker 1: number of times I've so I could stitch myself up.
• 1:04:57
  Speaker 1: You could sit yourself up and had the appropriate material.
• 1:04:59
  Speaker 1: I think it's all about the tools. Like it's like carpentery.
• 1:05:01
  Speaker 1: If you got the right tools, you can do it.
• 1:05:02
  Speaker 1: Most people can stit yourself up, um, if you have
• 1:05:05
  Speaker 1: the right tools. But you know, winging it with some
• 1:05:07
  Speaker 1: threat in the sewing, you know, would be pretty not
• 1:05:09
  Speaker 1: a good way to do it. It is you know, yeah,
• 1:05:11
  Speaker 1: the skin, the cotton in there is probably gonna cause irritation.
• 1:05:14
  Speaker 1: I think the best thing would be, you know, scary
• 1:05:16
  Speaker 1: strips or some sort of like you know, the thing
• 1:05:18
  Speaker 1: that you could try and bring the edges together or
• 1:05:20
  Speaker 1: you know, superglue. But you don't recommend people to start
• 1:05:24
  Speaker 1: stitching themselves up. No, I'm not trying to drum up
• 1:05:26
  Speaker 1: any business. But we're happy to see you in the
• 1:05:28
  Speaker 1: department to sew you up anytime. Were those guys stitching
• 1:05:31
  Speaker 1: themselves up because they like needed to like or were
• 1:05:36
  Speaker 1: they just avoiding the hassle up going to a doct
• 1:05:38
  Speaker 1: avoiding the hassle because they were back in the mountains
• 1:05:41
  Speaker 1: guiding and didn't want And it's a long horse ride
• 1:05:46
  Speaker 1: and a very long vehicle ride and they have clients
• 1:05:49
  Speaker 1: with them, and it wasn't tenable to like be like, hey,
• 1:05:52
  Speaker 1: I'll be back in two days and ride all those
• 1:05:55
  Speaker 1: miles and drive all you know what I mean. So
• 1:05:58
  Speaker 1: they would just rather doing that themselves up. And they're
• 1:06:01
  Speaker 1: both firm believers in it. No no vocane or whatever
• 1:06:05
  Speaker 1: you call it. Yeah, no light of cane. Yeah, it's
• 1:06:07
  Speaker 1: I mean, it stings, for sure. It doesn't feel good.
• 1:06:10
  Speaker 1: I've had stitches and I think the anaesthetic wasn't really
• 1:06:13
  Speaker 1: working very well. And it hurts when you get the
• 1:06:15
  Speaker 1: needle through your skin, but certainly not the worst pain. Yanni.
• 1:06:19
  Speaker 1: Are you ready to move on to tourniquets? Right? Yeah,
• 1:06:23
  Speaker 1: it's very enthusiastic. He really job Phil. He's only got
• 1:06:29
  Speaker 1: twenty five to choose from. He's picking some great sound ups.
• 1:06:32
  Speaker 1: Uh so yeah, yeah, yeh, he's ready to move on
• 1:06:34
  Speaker 1: to tourniquets. Okay, uh, me and Calier, let's say, me
• 1:06:38
  Speaker 1: and Calier hunt Okay, I am I shoot him in
• 1:06:41
  Speaker 1: the on accident, on accident, shoot him right in the calf, okay,
• 1:06:47
  Speaker 1: bleeding all over the place, Okay, a lot of pooling blood.
• 1:06:49
  Speaker 1: And the bullet doesn't just bounce off because you've seen
• 1:06:52
  Speaker 1: my calves. Yeah, it's like a very high high power load, okay. Um.
• 1:06:59
  Speaker 1: And and it's able to penetrate Cal's calf, not like
• 1:07:03
  Speaker 1: a most loader which it just bounce off, but it
• 1:07:07
  Speaker 1: penetrates Cal's calf, knocks the hunk of bone out of it.
• 1:07:11
  Speaker 1: Who bleeding all over all? Right? Uh? And let's just
• 1:07:19
  Speaker 1: say we're in the universe where, for whatever reason, professional
• 1:07:23
  Speaker 1: medical care is hours away, and we're looking at the
• 1:07:28
  Speaker 1: amount of blood coming out and we're like, man, I
• 1:07:30
  Speaker 1: don't know if a fella can sustain that level of
• 1:07:33
  Speaker 1: blood loss. Sure what happens? So they're in action or action, right,
• 1:07:39
  Speaker 1: So in action so you can stand there and watch,
• 1:07:43
  Speaker 1: which unfortunately you know as a bystander that glass up
• 1:07:47
  Speaker 1: on top of be like, I guess you'll be Okay,
• 1:07:49
  Speaker 1: we'll just put some so we see, you know, when
• 1:07:52
  Speaker 1: it comes to like bystander participation in somebody who's who
• 1:07:55
  Speaker 1: was injured, you can see a varied amount of uh success.
• 1:07:59
  Speaker 1: Somebody can stand air, or somebody can call nine and one,
• 1:08:01
  Speaker 1: or or you can get a T shirt and just
• 1:08:03
  Speaker 1: put it on there and basically mop up the blood.
• 1:08:05
  Speaker 1: But what we should really do and what we're teaching
• 1:08:08
  Speaker 1: trying to teach our lay public to do now is
• 1:08:11
  Speaker 1: um use the resources they have around them, uh, and
• 1:08:14
  Speaker 1: get educated, just like we did for CPR, you know.
• 1:08:17
  Speaker 1: And so there's a UM a group out there called
• 1:08:19
  Speaker 1: Stop the Bleed and they allow people to become instructors
• 1:08:23
  Speaker 1: and they teach people how to use tourniquates. And so
• 1:08:25
  Speaker 1: a situation like that where you have a lot of
• 1:08:27
  Speaker 1: pooling blood and like a defined pooling blood for me,
• 1:08:31
  Speaker 1: so human beings have about five leaders of blood in
• 1:08:33
  Speaker 1: their body, um, and so if you have like just
• 1:08:37
  Speaker 1: they're laying in a circle of blood, you know, like
• 1:08:40
  Speaker 1: somebody poured out a pool of blood like a half
• 1:08:44
  Speaker 1: gallon of half gallon of milks build out on the ground.
• 1:08:47
  Speaker 1: That's a lot of blood. And that is reasonable that
• 1:08:50
  Speaker 1: maybe you should describe the injury. But there was a
• 1:08:52
  Speaker 1: reasonable that I could hit cat like that and get
• 1:08:54
  Speaker 1: a pool for sure. I mean, so there's arteries, so
• 1:08:57
  Speaker 1: there's not to be too simplistic, but in our cardiovascular
• 1:09:00
  Speaker 1: system there's arteries and there's veins. The arteries under higher
• 1:09:03
  Speaker 1: pressure than the veins. The arteries bring oxygen ned blood
• 1:09:06
  Speaker 1: to our tissues, and veins bring it back um the
• 1:09:09
  Speaker 1: arteries under high pressure. If you lace rate or injure
• 1:09:12
  Speaker 1: an artery, that blood will pump out in will spray
• 1:09:15
  Speaker 1: from me a brody across the room. Um and it's
• 1:09:18
  Speaker 1: hard to hard to miss that, you know. So if
• 1:09:21
  Speaker 1: you have an extremity injury that's pumping blood, or even
• 1:09:24
  Speaker 1: a bad vein that's bleeding a lot um or a
• 1:09:28
  Speaker 1: set of veins, you could need to use a tourniquet.
• 1:09:31
  Speaker 1: And so the first thing that they teach in this
• 1:09:33
  Speaker 1: course and what we teach is direct pressure. Um So,
• 1:09:36
  Speaker 1: you start putting pressure either their palm in your hand,
• 1:09:39
  Speaker 1: two fingers and some gauze or a T shirt, or
• 1:09:42
  Speaker 1: you can kneel on it to get hands free to
• 1:09:44
  Speaker 1: grab yep, yep, you can kneel on it so your
• 1:09:48
  Speaker 1: hands free. It's a hot pro tip from paramedics there
• 1:09:50
  Speaker 1: superstars out in the in the field, and so they
• 1:09:52
  Speaker 1: do that a lot when somebody has injuries or they
• 1:09:55
  Speaker 1: need to stabilize somebody's neck when they're doing stuff. Um So,
• 1:10:00
  Speaker 1: after direct pressure, if it's not controlling the bleeding, we
• 1:10:02
  Speaker 1: still see you know, blood self close pooling of blood.
• 1:10:05
  Speaker 1: Then it's time to put a tourniquet. On and so
• 1:10:08
  Speaker 1: what about like what Rambo does where he uh cauterized
• 1:10:12
  Speaker 1: it cauterized with a flair. Yet it's uh not advised.
• 1:10:16
  Speaker 1: We we we talked about um, we've talked about that
• 1:10:18
  Speaker 1: a little bit. And and UM, you know, cinema has
• 1:10:21
  Speaker 1: a lot of interesting interpretations of what medical injuries look like.
• 1:10:25
  Speaker 1: And I think, I mean, we all know how devastating
• 1:10:30
  Speaker 1: a single shot can be on a mammal like a deer.
• 1:10:34
  Speaker 1: I can't speak to like with an elk er, but
• 1:10:35
  Speaker 1: like you know a deer that it's just the amount
• 1:10:38
  Speaker 1: of trauma that you get from a single round is incredible.
• 1:10:41
  Speaker 1: But you see these movies and people like run run
• 1:10:44
  Speaker 1: through bullets like it's no big deal. They get shot.
• 1:10:46
  Speaker 1: They're always getting shot, like in the upper shoulder or
• 1:10:48
  Speaker 1: over the clavical and there's not a lot of bleeding.
• 1:10:50
  Speaker 1: But underneath your clavical are these big artises called the
• 1:10:52
  Speaker 1: subclavian arties that you would die like immediately if you
• 1:10:55
  Speaker 1: had a twelve gates round go through that. So cauterizing
• 1:10:59
  Speaker 1: is not a no good there's no situation. Cauterizing is
• 1:11:03
  Speaker 1: done in the operating room or like say operating theater
• 1:11:06
  Speaker 1: because that used to be a theater, and they will
• 1:11:09
  Speaker 1: use a pen like instrument to cauter as individual vessels UM.
• 1:11:12
  Speaker 1: And when you talk about gross cauterization or large area cauterization,
• 1:11:17
  Speaker 1: you're basically creating a third degree burn with a lot
• 1:11:19
  Speaker 1: of dead tissue around that is probably going to get
• 1:11:22
  Speaker 1: infected or or you know, fall off. So in the
• 1:11:25
  Speaker 1: major in the gunshot wound category, the first thing you
• 1:11:28
  Speaker 1: try is direct pressure. Direct pressure, yep. And depending on
• 1:11:33
  Speaker 1: where it is, so you have three different areas. There's
• 1:11:35
  Speaker 1: your extremities, your junctional areas like your neck, your armpit,
• 1:11:38
  Speaker 1: and your growing and then your torso which is like
• 1:11:40
  Speaker 1: your chest and your abdomen. Um. Direct pressure will work
• 1:11:43
  Speaker 1: for any of those sites, but you can only put
• 1:11:45
  Speaker 1: tourniquets on your extremities really from what point down, So
• 1:11:50
  Speaker 1: it depends on um. So Ideally, if you are able
• 1:11:53
  Speaker 1: to look at the wound, you put the tourniquit two
• 1:11:55
  Speaker 1: to three inches above it UM. But in like say
• 1:11:58
  Speaker 1: a combat situation or a police officer was shot or um,
• 1:12:02
  Speaker 1: somebody has closed on you can't tell. You put the
• 1:12:05
  Speaker 1: tournique on as high up as you can to the
• 1:12:07
  Speaker 1: junctional area all the way up to growing all the
• 1:12:08
  Speaker 1: way to the shoulder basically, or to the junction of
• 1:12:11
  Speaker 1: the shoulder. Tighten that one down and then expose the limb,
• 1:12:15
  Speaker 1: and then you see where the wound is, and then
• 1:12:17
  Speaker 1: put one two above it and you can loosen that
• 1:12:19
  Speaker 1: top and you're not kissing that extremity goodbye when you
• 1:12:24
  Speaker 1: turn to get it. No, sir. So even if you
• 1:12:27
  Speaker 1: had a finger completely cut off or something, they had
• 1:12:30
  Speaker 1: complete blood flow cut off. Six hours is when we're
• 1:12:34
  Speaker 1: starting to worry about limbs schemia or lack of lack
• 1:12:38
  Speaker 1: of auction to that tissue causing that tissue to die.
• 1:12:41
  Speaker 1: Would you ever turn to get a finger? We do
• 1:12:44
  Speaker 1: that all the time, um in the emergency department to
• 1:12:48
  Speaker 1: temporarily to get a bloodless field to be able to
• 1:12:51
  Speaker 1: sew up somebody's finger. You know, they cut it with
• 1:12:52
  Speaker 1: a knife, and it's just because there's arteries that run
• 1:12:55
  Speaker 1: on either side or your finger on um like where
• 1:12:58
  Speaker 1: your fingers touch. And so what did I say. It
• 1:13:00
  Speaker 1: saw a guy the other day, he's a he's a
• 1:13:04
  Speaker 1: tree trimmer and he hit it with his chainsaw and
• 1:13:06
  Speaker 1: so his artery was bleeding like stink, and so we
• 1:13:09
  Speaker 1: had to put a tourniquet. We injected it with some
• 1:13:11
  Speaker 1: lie to king with epinephrin, which that's a myth. You
• 1:13:14
  Speaker 1: can't do that. Hand surgeon do it all the time.
• 1:13:16
  Speaker 1: And we put a tourniquet on it. What do you use? Yeah, yeah,
• 1:13:21
  Speaker 1: we use like a um, a vessel loop, which it's
• 1:13:24
  Speaker 1: kind of thinner. You probably shouldn't use it so thin,
• 1:13:26
  Speaker 1: but we had it on there for five minutes or
• 1:13:27
  Speaker 1: something like that, but we can use. You tend to
• 1:13:29
  Speaker 1: want to use. If you're using an impromptu tourniquet, um,
• 1:13:32
  Speaker 1: you want them to be like at least an inch
• 1:13:34
  Speaker 1: and a half wide. You don't want something super thin
• 1:13:37
  Speaker 1: um because you can for a finger. Yeah. Room having
• 1:13:41
  Speaker 1: these kind of conversations, I need to cross my arms.
• 1:13:44
  Speaker 1: Why defensive posture? You're like you're processing up, you get
• 1:13:48
  Speaker 1: nervous about you don't seem like somebody you handle bloody,
• 1:13:50
  Speaker 1: bloody things all the time. I know, but talking about
• 1:13:52
  Speaker 1: people being real bad injuries, yeah, makes you want to
• 1:13:56
  Speaker 1: cross my arms because it Maybe it's because you feel vulnerable.
• 1:13:59
  Speaker 1: I don't know, you know, I similarly cringe, like I
• 1:14:03
  Speaker 1: was saying, people with chainsaws that's a very common injury.
• 1:14:06
  Speaker 1: We see people either there arbors or you know, a
• 1:14:10
  Speaker 1: lot of this like popularization of hinge cutting and things
• 1:14:12
  Speaker 1: like that. And I'll tell you it's the only manual
• 1:14:14
  Speaker 1: I've ever read front to back is the chainsaw Manual,
• 1:14:17
  Speaker 1: because it's they're powerful tools, for sure. I mean, the
• 1:14:20
  Speaker 1: popularity of hinge cutting, it's like a thing. So like
• 1:14:24
  Speaker 1: my it's like a fan, it's a it's a thing.
• 1:14:28
  Speaker 1: So asked Mark Kenyon about it. It's so people guys. Yeah,
• 1:14:32
  Speaker 1: I thought you meant using a hinge when he fell
• 1:14:34
  Speaker 1: a treat guys out in the woods hinge cutting trees. Yeah, exactly,
• 1:14:39
  Speaker 1: you bring in brows I meant fellers. No, no, no, no, no,
• 1:14:42
  Speaker 1: you're bringing browsers like fellas, but fellers like tree fellers. Yeah.
• 1:14:45
  Speaker 1: And I don't know what it is about chainsaws, but
• 1:14:47
  Speaker 1: it's one of those things where I feel like the
• 1:14:50
  Speaker 1: less you use them, the more confident you are with it.
• 1:14:52
  Speaker 1: You know, like people that use them are just like
• 1:14:56
  Speaker 1: there's a varying degree of safety with them. And I
• 1:14:58
  Speaker 1: don't think they didn't read the manu. Oh I'm very
• 1:15:01
  Speaker 1: free wheeling with the chainsaw, but you know how to
• 1:15:03
  Speaker 1: use it though. I'm very free wheeling too much, so
• 1:15:06
  Speaker 1: oh buddy. Yeah, one time taking chainsaw and stick it
• 1:15:13
  Speaker 1: right in to the toe of my shoe, right through
• 1:15:16
  Speaker 1: the leather, cut through the sole and stop just shy
• 1:15:19
  Speaker 1: on my toe and I had to run around with
• 1:15:21
  Speaker 1: the gash in my boots. Last time I saw used
• 1:15:23
  Speaker 1: when you had flip flops on. When we're grabbing those
• 1:15:27
  Speaker 1: cottonwood stumps. I tell you, um, the battery operated chainsaw.
• 1:15:33
  Speaker 1: That thing scares me because it's so much so toy like.
• 1:15:42
  Speaker 1: It's like it's quiet, so how could it hurt me? Yeah,
• 1:15:45
  Speaker 1: And every time I grabbed that thing, I'm like, now,
• 1:15:48
  Speaker 1: remember it's a real chainsaw, and you watch that thing
• 1:15:52
  Speaker 1: ripped through would you know? It's just like, my god,
• 1:15:58
  Speaker 1: it's only a matter of time. I've turned over a
• 1:16:00
  Speaker 1: new leaf. The last time I was wheeled to chainsaw,
• 1:16:02
  Speaker 1: which is a couple of weekends ago. Chaps, Yeah, for sure,
• 1:16:07
  Speaker 1: big boots. I didn't have my iron toe boots on,
• 1:16:09
  Speaker 1: but I had big boots on. Chaps, big boots. The
• 1:16:13
  Speaker 1: steel helmet, yeah, with the drop down face mask. My
• 1:16:16
  Speaker 1: dad got me that for crystal snow in real hard
• 1:16:20
  Speaker 1: and you lift the face mask up and you collect
• 1:16:22
  Speaker 1: the wet snow, you put the face mask down. And
• 1:16:25
  Speaker 1: it was less than ideal, but it just took a
• 1:16:28
  Speaker 1: little more maintenance. Took a couple of rabs to find
• 1:16:30
  Speaker 1: your cut again. I was full on, was full on,
• 1:16:35
  Speaker 1: and I've turned over a new leaf. But we used
• 1:16:37
  Speaker 1: to speak in the old days. We were cavalier with chainsaws.
• 1:16:40
  Speaker 1: Now you've ever heard our favorite, uh my personal favorite
• 1:16:43
  Speaker 1: chainsaw story from Doug during his dad do We tell
• 1:16:45
  Speaker 1: a story all the time, but I try to tell
• 1:16:47
  Speaker 1: a short version. It's like Doug durn his dad gasses
• 1:16:52
  Speaker 1: stern him with the chainsaw, and like he goes and
• 1:16:58
  Speaker 1: drives down and gets rescued and goes to the hospital
• 1:17:01
  Speaker 1: and stuff. And a while later, like he'd left his
• 1:17:04
  Speaker 1: all his stuff out in the woods. And a while
• 1:17:07
  Speaker 1: later do it goes out to retrieve his old man's
• 1:17:09
  Speaker 1: stuff and there's some old homelight chainsaw, and he said
• 1:17:14
  Speaker 1: that jains house is laying on the forest floor. What's
• 1:17:22
  Speaker 1: like it was possessed by a demon sharp and he's
• 1:17:26
  Speaker 1: taking care of the motor. Right to take care of
• 1:17:28
  Speaker 1: that motor. It's probably twenty years old, dude. It is
• 1:17:30
  Speaker 1: the greatest story I feel like you told it on
• 1:17:32
  Speaker 1: this show. Okay, so let's get back to tourniquets. What
• 1:17:35
  Speaker 1: do you use for tourniquets? So we use UM. So
• 1:17:39
  Speaker 1: if it's for a finger, you can do something like
• 1:17:40
  Speaker 1: a vessel loop or like basically paracord. I would not
• 1:17:45
  Speaker 1: use that because it's tooth thin. So um it's too thin.
• 1:17:48
  Speaker 1: Because for a finger, you could use that temporarily, you know,
• 1:17:51
  Speaker 1: it's all like temporary stuff. Um, but for like an
• 1:17:55
  Speaker 1: actual extremity wound, we would use something like the CAT
• 1:17:58
  Speaker 1: seven or the sam x T. There's like there's like
• 1:18:01
  Speaker 1: what about stuff just the person's got laying around, so
• 1:18:04
  Speaker 1: you could use um cool, No, you could. You could
• 1:18:07
  Speaker 1: definitely make an impromptu tourniquet like you know. On Kl's
• 1:18:10
  Speaker 1: podcast they talked about the guy from British Columbia who
• 1:18:13
  Speaker 1: got mauled by a grizzly and ripped his own shirt
• 1:18:16
  Speaker 1: limb off. Tie that around so basically tie it around
• 1:18:21
  Speaker 1: your limb and then tie like a half like you're
• 1:18:23
  Speaker 1: tying your shoe, and then put a stick in there,
• 1:18:26
  Speaker 1: tie a knot on top of that, and then twist
• 1:18:28
  Speaker 1: the stick around and then you tie the stick down
• 1:18:31
  Speaker 1: so it doesn't move. Um, you could do that, and
• 1:18:34
  Speaker 1: it's okay to do this. You could do that. So
• 1:18:36
  Speaker 1: if I'm bleeding like holy hell out of my finger
• 1:18:38
  Speaker 1: and I want to slow it down to bandage it,
• 1:18:41
  Speaker 1: I can just wrap something around my finger to base
• 1:18:43
  Speaker 1: your finger yet and start tightening it until the like
• 1:18:47
  Speaker 1: grant crank crank crank crank, blood stops and I'm not
• 1:18:50
  Speaker 1: doing irreparable harm to myself, not until about six hours. Yeah. Yeah,
• 1:18:54
  Speaker 1: it's important to know this isn't a fix. Yeah yeah, yeah, yeah,
• 1:18:59
  Speaker 1: it's the temper situation. Then keep hunting all Yeah, it
• 1:19:03
  Speaker 1: has some blood for days, turning a little green though
• 1:19:07
  Speaker 1: purple like this new shade. I had no idea you
• 1:19:10
  Speaker 1: could do this. Yeah. So and again to temphasize it's
• 1:19:14
  Speaker 1: a temporary thing. I mean, if you have a an
• 1:19:16
  Speaker 1: arterial injury or a deep enough laceration, you should seek
• 1:19:20
  Speaker 1: medical care, you know, to have it evaluated. You know
• 1:19:23
  Speaker 1: whether or not it's it actually needs stitches or not,
• 1:19:26
  Speaker 1: or it needs something more. Like you cut your artery,
• 1:19:29
  Speaker 1: you're gonna need to see hand surgeon because the nerves
• 1:19:32
  Speaker 1: and arteries tend to run right next to each other.
• 1:19:34
  Speaker 1: So if you cut your index finger nerve. I mean
• 1:19:36
  Speaker 1: that's a real fine area of you know, sensation for
• 1:19:42
  Speaker 1: typing and handling stuff. You know, you don't want to
• 1:19:44
  Speaker 1: have a nerve injury if you don't need it, So
• 1:19:45
  Speaker 1: you got to see a hand surgeon eventually. What's your
• 1:19:48
  Speaker 1: take on carrying combat gause. I used to carry it,
• 1:19:51
  Speaker 1: and I carried it without knowing how one uses it. No,
• 1:19:56
  Speaker 1: like quick clot, sure, yeah, quick clot it's about the
• 1:19:59
  Speaker 1: same stuff. Yeah, it's like all all impregnated gauze with
• 1:20:02
  Speaker 1: something to help clot blood. Well, I carried it for years.
• 1:20:05
  Speaker 1: Then I realized that it was rock hard inside there,
• 1:20:08
  Speaker 1: like it wasn't good anymore anyway, and I threw it out.
• 1:20:11
  Speaker 1: And then I learned that I didn't know how to
• 1:20:13
  Speaker 1: use it anyway, because I thought you held it on
• 1:20:15
  Speaker 1: top of the wound. And then someone sent us a video.
• 1:20:18
  Speaker 1: You need to pack that stuff into the wound channel.
• 1:20:22
  Speaker 1: It depends what kind of wound, right, So there's varying kinds.
• 1:20:24
  Speaker 1: There's surface wounds, um, and there's you know, puncture wounds,
• 1:20:29
  Speaker 1: are deep wounds are cavitating wounds. So a bullet wound
• 1:20:32
  Speaker 1: will cavitate, right. Cavitate means creative what means on a
• 1:20:36
  Speaker 1: boat engine? Yeah, I actually I had no idea what
• 1:20:38
  Speaker 1: that means. Cavitation plate, I don't know, to prevent it
• 1:20:41
  Speaker 1: from sinking down, probably, Yeah, well they got a jet.
• 1:20:46
  Speaker 1: Cavitation becomes a because you don't want to air like
• 1:20:49
  Speaker 1: there's an intake and you wanted to intake exposed to
• 1:20:52
  Speaker 1: undisturbed water. So people are very careful about the position,
• 1:20:55
  Speaker 1: like the position of the cavitation plate relative to the
• 1:21:00
  Speaker 1: bullet hole and learning about all this right now, anything
• 1:21:03
  Speaker 1: but an expert. But I've been using the word cavitation
• 1:21:07
  Speaker 1: more than normal. It's good normal being none unless you're
• 1:21:12
  Speaker 1: talking about the hunt for red October. Yeah. I believe
• 1:21:14
  Speaker 1: the word cavitations and there they're talking about it in
• 1:21:16
  Speaker 1: a fair bit, but I'm still not able to use
• 1:21:19
  Speaker 1: it with any sort of confidence. So bullet wounds have both, uh,
• 1:21:24
  Speaker 1: you know, there's a realized track and there's also a
• 1:21:27
  Speaker 1: temporary track that's created by the pressure of the wound,
• 1:21:30
  Speaker 1: and so you can have um nerve and artery damage
• 1:21:32
  Speaker 1: from that pressure as a bullet goes through the hydrostatic shock. Correct, Yeah,
• 1:21:36
  Speaker 1: absolutely so, um a part of that, you know, you
• 1:21:38
  Speaker 1: get some you can get some cavitation of tissue where
• 1:21:40
  Speaker 1: you have tissue blown out or um so it's a hole.
• 1:21:44
  Speaker 1: And so in a situation like that, putting some of
• 1:21:46
  Speaker 1: those UH clotting agents in there into the hole to
• 1:21:50
  Speaker 1: fill the hole and put pressure on the veins and arteries.
• 1:21:53
  Speaker 1: Not only that, but also helping promote the coagulation cascade
• 1:21:57
  Speaker 1: that happens in your body naturally. That's how they work. UM.
• 1:22:00
  Speaker 1: But we do see, you know, we'll see UM people
• 1:22:04
  Speaker 1: who have superficial wound sometimes that require say they're on
• 1:22:07
  Speaker 1: a blood thinner, which it's more and more common now days.
• 1:22:10
  Speaker 1: People have um abnormal heart rhythms, they have history of
• 1:22:14
  Speaker 1: blood clots, and they're on a blood thinner and they
• 1:22:16
  Speaker 1: have a wound that just will not stop bleeding. It's
• 1:22:18
  Speaker 1: it's really UM, it's really frustrating for not only the
• 1:22:22
  Speaker 1: patient the provider to to try and get to stop.
• 1:22:24
  Speaker 1: We'll put some of that stuff on there and just
• 1:22:25
  Speaker 1: put a gentle pressure wrapping on it and then it
• 1:22:28
  Speaker 1: will will cloud off usually so you can use it
• 1:22:30
  Speaker 1: in a superficient way. But you're in your application. If
• 1:22:34
  Speaker 1: you had a stab wound or something like that, you're
• 1:22:35
  Speaker 1: gonna try and pack some of that stuff in there. Yeah,
• 1:22:38
  Speaker 1: what does a item a med item, a med kit
• 1:22:42
  Speaker 1: item that you find uh, that people don't have with
• 1:22:48
  Speaker 1: them but should And is there stuff people have but
• 1:22:53
  Speaker 1: shouldn't and what is an appropriate kit? So Brodie and
• 1:22:58
  Speaker 1: I were talking about sair day by and Large, um,
• 1:23:01
  Speaker 1: the kits that people will buy it like ARII or whatever,
• 1:23:04
  Speaker 1: you know, buy him at Meyer or whatever they're keeping
• 1:23:07
  Speaker 1: in my car, going to Amazon, type in medical kit,
• 1:23:09
  Speaker 1: yeah and throw that in your crime like sweet, you've
• 1:23:11
  Speaker 1: got so Yeah, so you're gonna spend all this time
• 1:23:14
  Speaker 1: and people if you feel secure if you have that equipment.
• 1:23:18
  Speaker 1: So the best medical equipment that you can have is
• 1:23:20
  Speaker 1: the medical kit you can have, is the one that
• 1:23:21
  Speaker 1: you have with you. Because if you have a nice,
• 1:23:23
  Speaker 1: sweetass kit but it's in your basement, doesn't really matter
• 1:23:26
  Speaker 1: if you're having the ship at the fan in the
• 1:23:27
  Speaker 1: laundry room somewhere. Yeah, yeah, buy and large. A lot
• 1:23:32
  Speaker 1: of those kids are just band aids and like a
• 1:23:33
  Speaker 1: pair of scissords and some tape and you know, gloves
• 1:23:36
  Speaker 1: and whatnot. But you can make your own medical kit
• 1:23:39
  Speaker 1: um with that same stuff for far less money and
• 1:23:42
  Speaker 1: have it tailored to your needs. So the thing I
• 1:23:45
  Speaker 1: would say, if you're involved in any kind of firearm
• 1:23:50
  Speaker 1: or outdoor adventuring situation, I think a turni kid is
• 1:23:53
  Speaker 1: something a lot of people do not have. Le store
• 1:23:56
  Speaker 1: bought tourniquet, correct, yep. I think that that's very important
• 1:23:59
  Speaker 1: because the most likely thing that's gonna happen to you is,
• 1:24:02
  Speaker 1: you know, well, the most likely thing is you' either
• 1:24:04
  Speaker 1: gonna get diarrhea or roll your ankle or both when
• 1:24:07
  Speaker 1: you're camping or hiking or whatever. But on the off
• 1:24:10
  Speaker 1: chance it's something super bad happens to you and you
• 1:24:13
  Speaker 1: have an extremity injury, having a tourniquet can be a
• 1:24:15
  Speaker 1: life saving what's the tourniquet? What's the store about? Tourniquet?
• 1:24:18
  Speaker 1: Wind up looking like um small, No, yeah, we got
• 1:24:22
  Speaker 1: some out in the grab them. We got some, had
• 1:24:24
  Speaker 1: a bunch of them. Yeah, what a thinking about that? Johnnie?
• 1:24:28
  Speaker 1: Should Brodie grab that tourniquet? Yeah, another great reason to
• 1:24:34
  Speaker 1: buy an ONEX membership? Oh no, that's not it. Yeah.
• 1:24:40
  Speaker 1: Uh So I was like, yeah, I don't need a tourniquet,
• 1:24:43
  Speaker 1: but the a store bought tourniquet right, Because all you
• 1:24:47
  Speaker 1: were ever taught was like how to make a tourniquet,
• 1:24:49
  Speaker 1: how to improvise a splant, how to improvise a tourniquet.
• 1:24:52
  Speaker 1: But uh yeah, just just in the lobby of our
• 1:24:55
  Speaker 1: office here, I was like, you know, having that at
• 1:25:01
  Speaker 1: pre made specialized. This is all it does, is a
• 1:25:05
  Speaker 1: tourniquet saves you a lot of thinking time. Here's Brody
• 1:25:10
  Speaker 1: now with the tourniquet. Looks like something you use the
• 1:25:12
  Speaker 1: strap your canoe down to the top of a car.
• 1:25:16
  Speaker 1: So there's there's a variety for kinds. There's about seven
• 1:25:19
  Speaker 1: of them that are approved by the um T Triple C,
• 1:25:23
  Speaker 1: which is the Tactical Combat Casualty Care Organization, which is
• 1:25:26
  Speaker 1: a government organization that approves these things. And you can
• 1:25:31
  Speaker 1: buy one for the problem let me tell you right now,
• 1:25:33
  Speaker 1: go on. But the problem with that is it's too
• 1:25:35
  Speaker 1: big and most guys aren't gonna carry it. Yeah, I mean,
• 1:25:38
  Speaker 1: so I'm gonna start prevention. Is I think a real
• 1:25:42
  Speaker 1: important thing that we um It looks like it looks
• 1:25:46
  Speaker 1: like you're carrying a belt around with a stick tied
• 1:25:48
  Speaker 1: to it. Yeah, he's turn a kid in cal I'm
• 1:25:52
  Speaker 1: cal well, I just hope this thing can hold up
• 1:25:56
  Speaker 1: these beefy arms. Biceps are pretty large, so cal was
• 1:26:00
  Speaker 1: gord by god By out. So the main the main,
• 1:26:06
  Speaker 1: one of the main causes of turning kits failure is
• 1:26:08
  Speaker 1: that they don't get pulled tight enough initially, and you
• 1:26:10
  Speaker 1: try and pull this windless around. It's kind of like
• 1:26:13
  Speaker 1: putting your good word choice, trying to put your scope
• 1:26:16
  Speaker 1: on and then doing the fine tune. If you put
• 1:26:18
  Speaker 1: your scope on, all cock eyed on your barrel, the newing,
• 1:26:20
  Speaker 1: all the fine tune in the world's not gonna fix it, right,
• 1:26:23
  Speaker 1: So you're putting this on. Sorry, yo oh, I just
• 1:26:28
  Speaker 1: don't hurt yourself. Doc crank got thing until his hand
• 1:26:32
  Speaker 1: turns purple. Ah, So it's supposed to click, but I'm
• 1:26:37
  Speaker 1: not getting enough. I think this science it worked. That
• 1:26:41
  Speaker 1: was good, good, good observation. And then you twist this
• 1:26:43
  Speaker 1: windless around and it will stop the bleeding. But usually
• 1:26:45
  Speaker 1: these will click that windless down his clothes are twisted.
• 1:26:51
  Speaker 1: Has got a leg that big around, a leg that
• 1:26:54
  Speaker 1: big around? Or are there are some big folks out there? Yeah, dude,
• 1:26:59
  Speaker 1: yeah for sure. Yeah, but they're not gonna be backpacking.
• 1:27:02
  Speaker 1: So these that yeah, for sure, you're you're right about that.
• 1:27:06
  Speaker 1: They're just like extraordinarily powerful. So those will you could fit.
• 1:27:09
  Speaker 1: You could turn to get my my head, chest area.
• 1:27:13
  Speaker 1: You can turn to get me around the armpits of
• 1:27:15
  Speaker 1: this turns not advisable. Yeah, yeah, you don't turn it
• 1:27:18
  Speaker 1: get neck wounds, neck wounds, junctional areas don't work. No,
• 1:27:21
  Speaker 1: you don't want to do that. But what we learned
• 1:27:23
  Speaker 1: this morning, right is like a huge part of this
• 1:27:25
  Speaker 1: like triple C deal coming on is mass casualty events. Right,
• 1:27:31
  Speaker 1: So you've got a big variety of folks in a
• 1:27:33
  Speaker 1: random spot so the way, So I'm sorry, but this
• 1:27:36
  Speaker 1: thing still doesn't make many sense to me, so it
• 1:27:39
  Speaker 1: should be said, I think, um, no, no, do my arm.
• 1:27:47
  Speaker 1: I can only learn when something that's uh like you know,
• 1:27:51
  Speaker 1: so I think of a good injury for me, call
• 1:27:52
  Speaker 1: what happened to me? Brody is working on your forearm.
• 1:27:57
  Speaker 1: So this is your classic chainsaw injury. Right, Or if
• 1:28:01
  Speaker 1: we get the video working, people will be able to
• 1:28:03
  Speaker 1: get to check this out. Turning gets turniquets hurt is
• 1:28:06
  Speaker 1: one thing us not cut that bad. That's how when
• 1:28:11
  Speaker 1: does that little cranker come into play? Then now you
• 1:28:14
  Speaker 1: do it once that's as tight as you get it.
• 1:28:15
  Speaker 1: Then you crank it down, give me one like a
• 1:28:19
  Speaker 1: portion of a crank, because on the windlass there and
• 1:28:23
  Speaker 1: this the windlass, you're you're cranking that thing until you
• 1:28:26
  Speaker 1: see the blood and just put it hook it in now.
• 1:28:29
  Speaker 1: Then how's the anchor the windlass in right there? If
• 1:28:31
  Speaker 1: we're talking about yep, just like that, yep, perfect, yeah,
• 1:28:35
  Speaker 1: and you can crank that windlass down way tighter and
• 1:28:37
  Speaker 1: usually but you're cranking the windlass until you see the
• 1:28:42
  Speaker 1: blood flow slow or stop. I want to throw one
• 1:28:45
  Speaker 1: of these ons someone who's bleeding so bad. It's very
• 1:28:48
  Speaker 1: satisfying to help save somebody's life with some one of those. Yeah,
• 1:28:50
  Speaker 1: for sure. So we just said there you oh that
• 1:28:52
  Speaker 1: one click. That's why I didn't because it was I
• 1:28:54
  Speaker 1: think it was. It was clicked. That's why I didn't
• 1:28:56
  Speaker 1: go because I want to do it to someone. So
• 1:28:58
  Speaker 1: I should say, you know, you know, anyone run around
• 1:29:02
  Speaker 1: with firearms out in the woods, you feel should have
• 1:29:04
  Speaker 1: one of these, correct? Yep. I bought them for my
• 1:29:07
  Speaker 1: hunting group as a you know, every year we get
• 1:29:09
  Speaker 1: each other presence of some variety. It's can be commemorative
• 1:29:12
  Speaker 1: knives or whatever. You know, a nice bottle of guys
• 1:29:15
  Speaker 1: are all jabbing arrows through their legs and stuff. Yeah,
• 1:29:18
  Speaker 1: I mean, certainly any kind of penetrating wound. I think
• 1:29:21
  Speaker 1: you should if you can be exposed. That all right,
• 1:29:23
  Speaker 1: I'm switching over. I'm gonna start carrying one. I like it.
• 1:29:26
  Speaker 1: So we did the Stop the Bleed course today, which
• 1:29:28
  Speaker 1: is a course that UM was created by the American
• 1:29:31
  Speaker 1: College of Surgeons after the New Newtown, Connecticut shooting UM
• 1:29:35
  Speaker 1: at Sandy Hook Elementary and so basically the surgeons in
• 1:29:38
  Speaker 1: Connecticut where the trauma surgeon said, look, we need to
• 1:29:40
  Speaker 1: do something about this. How are we gonna do public
• 1:29:43
  Speaker 1: outreach and prevent loss of life prehospital? And so they met,
• 1:29:48
  Speaker 1: they put out four papers and they created this Stop
• 1:29:50
  Speaker 1: the Bleed campaign where anybody UM who had some degree
• 1:29:54
  Speaker 1: of like medical background, anybody from a respiratory therapist to
• 1:29:58
  Speaker 1: a dentist to a chirop actor, doctor, nurse, e MT lifeguard,
• 1:30:02
  Speaker 1: SKI patrol can get certified as an instructor and then
• 1:30:06
  Speaker 1: you can teach people how to apply you know, direct
• 1:30:09
  Speaker 1: pressure to stem massive bleeding and apply tourniquets. This is
• 1:30:13
  Speaker 1: all in an effort to mobilize our first responder base
• 1:30:17
  Speaker 1: to basically the lay public. So if a shooting happens
• 1:30:20
  Speaker 1: like or like for instance, of bombing happens like marathon,
• 1:30:24
  Speaker 1: Boston marathon. So this that happened. I can't remember what
• 1:30:27
  Speaker 1: year that happened, but they saw the effects of bystanders
• 1:30:31
  Speaker 1: applying tourniquets and saving lives. And those people were not
• 1:30:34
  Speaker 1: using they were using belts and improvised tournicates and they
• 1:30:37
  Speaker 1: were not perfectly placed, but they still stem the bleeding
• 1:30:39
  Speaker 1: and those people whore whisked off to trauma centers right nearby.
• 1:30:43
  Speaker 1: But in the so there's a big movement to mobilize
• 1:30:47
  Speaker 1: the public, just like for CPR teaching people how to
• 1:30:49
  Speaker 1: use a E d S, how to do um massive
• 1:30:52
  Speaker 1: hemorrhage control. And unfortunately, you know, this is the world
• 1:30:56
  Speaker 1: we live in and it's uh, it's a scary reality.
• 1:30:59
  Speaker 1: But you know, like parents, they had to do the
• 1:31:01
  Speaker 1: duck and cover thing for the Cold War, right, they
• 1:31:03
  Speaker 1: were gonna duck under the desks if there was gonna
• 1:31:04
  Speaker 1: be a nuclear school desk for sure, which would not work.
• 1:31:09
  Speaker 1: But you know this is no You've got to make
• 1:31:11
  Speaker 1: like the red down kids and mule. So that is
• 1:31:19
  Speaker 1: a uh and I'm not I'm not paid by them
• 1:31:22
  Speaker 1: at all. But that's a Sam x T And I
• 1:31:23
  Speaker 1: remember Sam company, they UM when we would do a
• 1:31:28
  Speaker 1: wilderness medicine training in UM in medical school and college.
• 1:31:33
  Speaker 1: You know, I would write them and say, hey, could
• 1:31:34
  Speaker 1: you guys give me some some splints, and you know,
• 1:31:37
  Speaker 1: we're a bunch of poor med students with a lot
• 1:31:40
  Speaker 1: of debt, and they would send me some stuff for
• 1:31:42
  Speaker 1: for them and so, uh, you know, there's a variety
• 1:31:45
  Speaker 1: of different choices and I think people should explore them.
• 1:31:48
  Speaker 1: But it's definitely different than same like Sam, which is
• 1:31:53
  Speaker 1: something you also say you should be carrying in your kid. Yep,
• 1:31:57
  Speaker 1: I can't get it open? Is that just that'll just click?
• 1:32:00
  Speaker 1: So here it'll here. There's not a single use, is it.
• 1:32:03
  Speaker 1: No no, no, no, no, no, Brody can't get it
• 1:32:07
  Speaker 1: open here? It doesn't click here. I got it anyway,
• 1:32:09
  Speaker 1: you said, uh, Sam splint, we should be carrying those around.
• 1:32:13
  Speaker 1: And there's a there's another one that's more commonly carried
• 1:32:17
  Speaker 1: now because they were like one of the So it'll
• 1:32:19
  Speaker 1: click like that. So that's and then you just lift
• 1:32:21
  Speaker 1: it up like that. So it's it's the pressure created
• 1:32:23
  Speaker 1: on that that makes it and you just lift it
• 1:32:25
  Speaker 1: up like that. So, um, the cats seven, which is
• 1:32:29
  Speaker 1: they have seven generations of them. Those are the ones
• 1:32:31
  Speaker 1: I think primarily are used in uh combat medicine and
• 1:32:35
  Speaker 1: and also like police officers and stuff will carry those.
• 1:32:38
  Speaker 1: But I think these are probably gonna be more popularized.
• 1:32:42
  Speaker 1: So part of the courses, you have a model with
• 1:32:45
  Speaker 1: like a it's like a fake thigh with a big
• 1:32:47
  Speaker 1: gash in it and a bullet wound, and you can
• 1:32:49
  Speaker 1: practice on that and then once you do it a
• 1:32:50
  Speaker 1: couple of times, then you're you're good to go. I mean,
• 1:32:53
  Speaker 1: it's it's like learning. It's much more simple than CPR
• 1:32:56
  Speaker 1: for sure. Um, it's kind of funny the fake thigh
• 1:32:59
  Speaker 1: with the wounds in it. You jam your fingers in
• 1:33:02
  Speaker 1: those wounds. And Brody and I were sitting next to
• 1:33:05
  Speaker 1: each other and I'm like, yeah, that is we know
• 1:33:07
  Speaker 1: that feeling fishing around for bullet or something, you know, Yeah,
• 1:33:15
  Speaker 1: that's trauma flesh feel. Yeah. What else? So I think
• 1:33:19
  Speaker 1: something like a SAM splint, because muscle sclet injuries are
• 1:33:22
  Speaker 1: very common. Splint splint, Yeah, So they have these malleable
• 1:33:25
  Speaker 1: splints that made of they're basically aluminum that has a
• 1:33:27
  Speaker 1: little bit of patting on it, and the guy that
• 1:33:29
  Speaker 1: invented them, UM was a trauma surgeon from Vietnam and
• 1:33:32
  Speaker 1: he specialized in orthopedics. When he came back and Um,
• 1:33:35
  Speaker 1: I was playing with this is a connection juicy fruit
• 1:33:38
  Speaker 1: wrapper and was folding the foil and decided that if
• 1:33:41
  Speaker 1: you fold it number of ways that it's more stiff.
• 1:33:45
  Speaker 1: And so that's how he created these and we see
• 1:33:46
  Speaker 1: those coming all the time. There's there's knockoff versions, but
• 1:33:49
  Speaker 1: I'm pretty sure they made the first one. UM. But
• 1:33:52
  Speaker 1: I feel like, here's what you're running. The risk of
• 1:33:56
  Speaker 1: people are going to carry a splint. So you guys
• 1:33:59
  Speaker 1: do the up a hunting that you guys do. You're
• 1:34:01
  Speaker 1: you're going from what I see. I mean, you guys move,
• 1:34:05
  Speaker 1: You cover a lot of ground and you move far.
• 1:34:07
  Speaker 1: You don't generally have like big horse broad in camps
• 1:34:11
  Speaker 1: right like, but people that are running operations where you're
• 1:34:15
  Speaker 1: horsing in people in gear. Like having a medical kit.
• 1:34:19
  Speaker 1: The size of a toolbox is not unreasonable to have
• 1:34:22
  Speaker 1: some of that stuff in it, and a lot of
• 1:34:23
  Speaker 1: this stuff is pretty lightweight for the benefit and in
• 1:34:26
  Speaker 1: any medical kit, you want multiple use items in it.
• 1:34:28
  Speaker 1: You don't just want a one off other than something
• 1:34:30
  Speaker 1: like a turning kid is a is a one off
• 1:34:32
  Speaker 1: valuable thing, you know, um, having things like some hypodermic
• 1:34:37
  Speaker 1: needles you can dig splinters out of your finger, having
• 1:34:39
  Speaker 1: appropriate medications. I think you know, I was talking to
• 1:34:42
  Speaker 1: Brody about this. You have a pill box and you
• 1:34:44
  Speaker 1: label it um aspirin, a seed of menifen, slash tile
• 1:34:48
  Speaker 1: and all ibprof and slash motor in emodium for diarrhea,
• 1:34:53
  Speaker 1: and then zoe fran which is on dancer tron, which
• 1:34:56
  Speaker 1: is for vomiting. You know, so a curious single serving
• 1:35:00
  Speaker 1: to tablet twin tablet bene drules too. Yep, that's not
• 1:35:04
  Speaker 1: unreasonable too. So the pharmacology that you really need to
• 1:35:06
  Speaker 1: have with you is is a lot of it's over
• 1:35:08
  Speaker 1: the counter, and it's it's pretty easy. You can get
• 1:35:10
  Speaker 1: really great pain control with doing alternating Thailand a motor
• 1:35:14
  Speaker 1: And then people don't really realize or can you explain,
• 1:35:16
  Speaker 1: because you explain that to us yesterday why you carry
• 1:35:19
  Speaker 1: thailand all and and so and so for everybody that's
• 1:35:23
  Speaker 1: listening to All medications have trade names. Thailand also trade
• 1:35:28
  Speaker 1: name A seed a menifin is the generic name, and
• 1:35:30
  Speaker 1: it's me and my experience personally, I just buy the
• 1:35:33
  Speaker 1: generic Meyer brand, so seen a menefit is tail And
• 1:35:36
  Speaker 1: also when you alternate them, you're supposed to take them. Uh.
• 1:35:40
  Speaker 1: The's supposed to take a seat an in every six hours,
• 1:35:43
  Speaker 1: and you're supposed to take between five grams um. Sometimes
• 1:35:47
  Speaker 1: you can take a thousand milligrams, but you want to
• 1:35:49
  Speaker 1: stay below four thousand milligrams a day otherwise you can
• 1:35:51
  Speaker 1: hurt your liver. So a lot of people will take
• 1:35:53
  Speaker 1: medications and then all of a sudden, an hour five
• 1:35:56
  Speaker 1: or six, their tooth is throbbing again. They feel awful,
• 1:36:00
  Speaker 1: They're like it takes a while for the new medication
• 1:36:02
  Speaker 1: to set back. In in between that, what you could
• 1:36:04
  Speaker 1: do is you could take a different medicine that works
• 1:36:06
  Speaker 1: in a different way. So tailing all works at the
• 1:36:08
  Speaker 1: central level of your brain to reduce pain and fever,
• 1:36:12
  Speaker 1: and ibprofen is a nonsteroidal anti inflammatory that helps work
• 1:36:16
  Speaker 1: at the site to prevent um swelling pain inflammation. So
• 1:36:20
  Speaker 1: you're using two different meds that were two different mechanisms
• 1:36:23
  Speaker 1: of action to help control your pain. So if you
• 1:36:26
  Speaker 1: had somebody in your your party who you guys are
• 1:36:29
  Speaker 1: eight miles out and they broke their ankle. Getting them
• 1:36:31
  Speaker 1: good pain control can turn that situation from You can
• 1:36:35
  Speaker 1: extract yourself, put a splint on, You can hobble out
• 1:36:38
  Speaker 1: with a with a crutch, versus we got to carry
• 1:36:41
  Speaker 1: you out because we can't get good pain control. And
• 1:36:44
  Speaker 1: when you have to carry somebody out, which I've never
• 1:36:46
  Speaker 1: had to physically do on a wilderness trip, but I've
• 1:36:49
  Speaker 1: done in my training, it is an arduous ordeal and
• 1:36:52
  Speaker 1: it puts the whole party at risk to have to
• 1:36:55
  Speaker 1: hock somebody out very very difficult. Deadweight is horrible left
• 1:37:00
  Speaker 1: carry around. I mean you guys know all that, like
• 1:37:02
  Speaker 1: putting a backpack, pulling Brodier lawn for years now. Yeah,
• 1:37:06
  Speaker 1: not dede animal wise, let's talking about what you know
• 1:37:11
  Speaker 1: what a cam strap is like an NRS strap? Do
• 1:37:14
  Speaker 1: not mhmm boat strap? Bolt strap? Like just so like
• 1:37:19
  Speaker 1: a like a hitch like a like um it's a yeah,
• 1:37:23
  Speaker 1: it's very similar to this where the buckle has teeth
• 1:37:27
  Speaker 1: that allow that strap to slide primarily one direction. It
• 1:37:31
  Speaker 1: rides on a spring. Is it like one of those
• 1:37:33
  Speaker 1: where you go like this like cranks them on my
• 1:37:34
  Speaker 1: top ratch strap? So that's all I know, Ye, cam
• 1:37:37
  Speaker 1: strap is different. That be a good tourniquet depends on
• 1:37:40
  Speaker 1: why it is right. So one and a half is
• 1:37:44
  Speaker 1: probably better than one. But you could crank You could
• 1:37:46
  Speaker 1: crank that down for sure. I mean people make turniquets
• 1:37:48
  Speaker 1: out of belts and shirt sleeves and all sorts of
• 1:37:51
  Speaker 1: found material. But the main goal is to stop the
• 1:37:55
  Speaker 1: the arterial flow to that distal injury. So, uh, you
• 1:38:00
  Speaker 1: know what I carry? What do you carry? Well, I'm
• 1:38:04
  Speaker 1: telling you, but I'm also checking with you. Yeah, I
• 1:38:07
  Speaker 1: do the talent all. I'll be profen buy a single
• 1:38:12
  Speaker 1: serving those little square foil packets with two pills each.
• 1:38:16
  Speaker 1: I use our organizer, back country organizer, and it's got
• 1:38:20
  Speaker 1: a pocket that it was almost like made for this.
• 1:38:24
  Speaker 1: I put a bunch of talent alls in there, a
• 1:38:26
  Speaker 1: bunch of IV profans in there. As far as I know,
• 1:38:29
  Speaker 1: they don't make Amoti mayde in those packets, but I
• 1:38:31
  Speaker 1: buy the push packets of Amoti made, which is nice.
• 1:38:34
  Speaker 1: We were talking about this yesterday. It's nice to have
• 1:38:36
  Speaker 1: the label on there, the dose, so you know what
• 1:38:38
  Speaker 1: you're doing. Yeah. The ideal ones are the kind where
• 1:38:40
  Speaker 1: when you tear the square off, it carries the information
• 1:38:43
  Speaker 1: on it because a lot of times I'll look in
• 1:38:44
  Speaker 1: it and I don't know what I got his hand
• 1:38:46
  Speaker 1: and stuff out. Yeah, so emoti made and then I
• 1:38:49
  Speaker 1: carry benetrylcuse I'm always afraid of someone getting allergic reaction,
• 1:38:53
  Speaker 1: some kind of reaction. Yeah, you feel like I should
• 1:38:56
  Speaker 1: add in some zoo fran. I would for puking, because
• 1:39:00
  Speaker 1: I have been UM. All of my experiences with that
• 1:39:05
  Speaker 1: have not been actually in the field. They've been pre
• 1:39:07
  Speaker 1: being in the field. And UM, having die real illness
• 1:39:12
  Speaker 1: so bad that you can't feel like you you can't
• 1:39:15
  Speaker 1: walk because you're so weak is a profound experience that
• 1:39:17
  Speaker 1: it feels awful. UM. And so if you have some
• 1:39:20
  Speaker 1: ammodium or you have some antibiotics that you might you know,
• 1:39:23
  Speaker 1: get your doctor to prescribe to you ahead of time.
• 1:39:25
  Speaker 1: Like if you guys are going to hunt in South America,
• 1:39:28
  Speaker 1: I would say, Hey, write me a script for uh
• 1:39:32
  Speaker 1: catholex in case I get a bad skin injury, like
• 1:39:34
  Speaker 1: an infection, and like some either augmented or back drum
• 1:39:39
  Speaker 1: or or cipro for bad die real illness. Yeah, that's
• 1:39:42
  Speaker 1: the one I usually get. I get it, like when
• 1:39:44
  Speaker 1: you're going to get your vaccines checked your vaccination's check.
• 1:39:48
  Speaker 1: I'll get the travelers diarrhea. Yeah, prescription ahead of time. Yeah,
• 1:39:55
  Speaker 1: the only anticipation of so, the only thing, the only
• 1:39:58
  Speaker 1: thing with that. So and I remember this is not
• 1:40:00
  Speaker 1: it's not a wilderness thing. But we were traveling after
• 1:40:02
  Speaker 1: medical school. We were in Egypt and it was like
• 1:40:05
  Speaker 1: a group trip that we went together and it was fun.
• 1:40:07
  Speaker 1: And we all ate in Cairo at this like beautiful
• 1:40:10
  Speaker 1: place and we're looking out over this huge park and
• 1:40:12
  Speaker 1: we decided to have some appetizers, had some tabuli. You're
• 1:40:15
  Speaker 1: not supposed to eat like the fresh stuff, only supposed
• 1:40:17
  Speaker 1: to eat the cook stuff because it basically the water
• 1:40:20
  Speaker 1: has feces in it in certain areas or you know,
• 1:40:23
  Speaker 1: in in different parts of the world. Uh, the sanitation
• 1:40:26
  Speaker 1: is not quite the same, or you're just not used
• 1:40:28
  Speaker 1: to that kind of bacteria like India or whatever. I
• 1:40:30
  Speaker 1: probably get diarrhea immediately, and like six of us were
• 1:40:33
  Speaker 1: just crapping our brains out, and um, I was the
• 1:40:36
  Speaker 1: only one that had the cippro. So I had people
• 1:40:38
  Speaker 1: like knocking on my door in the middle of night, like, hey,
• 1:40:40
  Speaker 1: could you and the real dirty kid in your groups
• 1:40:44
  Speaker 1: doing just fine? Yeah? Exactly. We had our kids looking
• 1:40:48
  Speaker 1: the floor at the airport on the way here. It's
• 1:40:50
  Speaker 1: a great way to prevent illness. Um, but the cip
• 1:40:53
  Speaker 1: road so it changes, so the bacterial resistance patterns change,
• 1:40:57
  Speaker 1: and and also side effect profile or it's different. So
• 1:41:00
  Speaker 1: with cipro, one of the things, it's a low rate.
• 1:41:02
  Speaker 1: It's like less than one percent. You can have a
• 1:41:04
  Speaker 1: tendonopathy that develops after taking even a short course where
• 1:41:07
  Speaker 1: you can rupture your achilles heel, which for something like yeah,
• 1:41:11
  Speaker 1: it's really messed. Yeah. So it's a very effective thing
• 1:41:16
  Speaker 1: for treating dire illness, but I try and avoid it,
• 1:41:18
  Speaker 1: um unless I absolutely need it for um, for somebody
• 1:41:22
  Speaker 1: who has an allergy to say augmented or backdrum um.
• 1:41:26
  Speaker 1: So I would probably not recommend that at this point,
• 1:41:29
  Speaker 1: you know, given the amount of activity level you guys
• 1:41:32
  Speaker 1: do and like, you know, so the thing in medicine
• 1:41:34
  Speaker 1: is that you have studies and you have anecdote, and
• 1:41:36
  Speaker 1: so anecdote speaks wonders. So I saw like two or
• 1:41:40
  Speaker 1: three cases of it within six months, and I was like,
• 1:41:42
  Speaker 1: oh man, this is it really affects you. You know,
• 1:41:45
  Speaker 1: when you see enough cases like that, even though it's
• 1:41:48
  Speaker 1: not the preponderance isn't that high, you know, And if
• 1:41:51
  Speaker 1: there's a better alternative, why not without those kinds of
• 1:41:54
  Speaker 1: side effects? Why I try that? Do they use cipro
• 1:41:56
  Speaker 1: to treat beaver fever? I don't know what so they like?
• 1:42:02
  Speaker 1: And cryptosporidia they use, uh to treat giardia. I believe
• 1:42:06
  Speaker 1: they use metronitis all, which is a different kind of antibotic.
• 1:42:10
  Speaker 1: It works on that particular kind of bacteria. Uh, it's
• 1:42:14
  Speaker 1: a Giardia is a protozoa. M hm. Would they give
• 1:42:18
  Speaker 1: you that just to carry around with you? Depends on
• 1:42:21
  Speaker 1: I mean, it's not unreasonable to ask your doctor and
• 1:42:23
  Speaker 1: to go and say I'm going here, I'm doing this.
• 1:42:27
  Speaker 1: What would you recommend? I mean, this is kind of
• 1:42:28
  Speaker 1: a especially in this type of area. And if you
• 1:42:30
  Speaker 1: guys are in Montana or Colorado and they deal with
• 1:42:33
  Speaker 1: hunters that are doing things that you're doing, then they
• 1:42:35
  Speaker 1: should be familiar with. If you go overseas, they can
• 1:42:38
  Speaker 1: give you on the CDC website web vaccines you need,
• 1:42:41
  Speaker 1: you know, so UM, it's not unreasonable to ask ahead
• 1:42:44
  Speaker 1: of time UM for small prescriptions like that, because you know,
• 1:42:48
  Speaker 1: like you might not need um. You know, if you
• 1:42:51
  Speaker 1: had a prescription for uh cephlexin for a skin injury
• 1:42:55
  Speaker 1: or cellulitis that developed. You could start taking that and
• 1:42:58
  Speaker 1: then as you got back out, you know, go see
• 1:43:01
  Speaker 1: your doc and say he'll say keep taking it, or
• 1:43:03
  Speaker 1: this is getting worse. You need different antibotics. You have
• 1:43:05
  Speaker 1: to go to the hospital. So, um, it's kind of
• 1:43:08
  Speaker 1: a bridge. You know. Maybe we didn't even get into
• 1:43:11
  Speaker 1: flesh eating bacteria. It's a rare to come back out. Oh,
• 1:43:15
  Speaker 1: so many, so much we could cover. No one knows this,
• 1:43:17
  Speaker 1: but we're working on we've never even mentioned this. I
• 1:43:20
  Speaker 1: don't want to tell too much. Secret project. We're working
• 1:43:23
  Speaker 1: on a secret project, top secret. I heard top secret
• 1:43:26
  Speaker 1: book project and uh, this will give a little bit
• 1:43:30
  Speaker 1: of a hint. Yeah, if you're smart, you can figure
• 1:43:33
  Speaker 1: it out. This top secret book project is divided into
• 1:43:38
  Speaker 1: this top secret project is divided into ten components. One
• 1:43:44
  Speaker 1: of those components, UH Dr Lazara is uh consulting on
• 1:43:51
  Speaker 1: us with love to help anything I can do. Um,
• 1:43:56
  Speaker 1: we never talked about flesh eating bacteria, which you think
• 1:43:58
  Speaker 1: is just a freak. It's a free Yeah, it's it's
• 1:44:00
  Speaker 1: a scary thing, you know. Um, it's a very rare thing.
• 1:44:04
  Speaker 1: But we do see it. It's becoming more and more
• 1:44:06
  Speaker 1: prevalent with the more and more diabetes we see. And
• 1:44:08
  Speaker 1: the main thing that you worry about is somebody who
• 1:44:10
  Speaker 1: has like paying out of proportion to a wound that
• 1:44:13
  Speaker 1: looks like the ones I've seen. The guy had an
• 1:44:16
  Speaker 1: innocuous wound on his thigh. It just very clean looking.
• 1:44:20
  Speaker 1: It was a small puncture moment. I don't even he
• 1:44:21
  Speaker 1: didn't even know how he got it, and he lost
• 1:44:23
  Speaker 1: his entire leg and almost like part of his abdomen um.
• 1:44:27
  Speaker 1: And it's a it's a terrible thing. The bacteria will
• 1:44:30
  Speaker 1: glide along the fascial planes, just like when you're you know,
• 1:44:33
  Speaker 1: processing a deer the long muscle. It will glide along
• 1:44:37
  Speaker 1: the fashial planes and just travel up and down. And
• 1:44:40
  Speaker 1: it's the main The main treatment is operative to breed ment.
• 1:44:44
  Speaker 1: So it's not antibiotics. I mean, we give the antibiotics,
• 1:44:46
  Speaker 1: but they need to go the o R to get
• 1:44:47
  Speaker 1: the limb cut off or the area to breed. It
• 1:44:49
  Speaker 1: didn't cut out. It's it's a scary thing. And so
• 1:44:53
  Speaker 1: in my profession, we are very focused on risk versus
• 1:44:57
  Speaker 1: benefit and thinking worst case scenario a lot. And so
• 1:44:59
  Speaker 1: if we see somebody with that, we will call the
• 1:45:01
  Speaker 1: surgeon and would say I need you to come take
• 1:45:02
  Speaker 1: a look at this guy and give me your opinion.
• 1:45:05
  Speaker 1: What do you think? And um, you know a lot
• 1:45:08
  Speaker 1: of times they'll just take him right to the o R.
• 1:45:10
  Speaker 1: Or we can do a bedside would just do a
• 1:45:11
  Speaker 1: bedside cut. And if like dirty dishwater appearing fluid comes
• 1:45:15
  Speaker 1: out and the tissues like soft, you put your finger
• 1:45:16
  Speaker 1: in there and it's just like fucking pudding, then that's
• 1:45:20
  Speaker 1: a high chance they have that. That's just beyond reason.
• 1:45:24
  Speaker 1: It feel like if you go in and they're like, okay,
• 1:45:28
  Speaker 1: something really serious and they take off your entire leg,
• 1:45:33
  Speaker 1: that's where it ends. That's where we're like, reason, Okay, yes, okay,
• 1:45:37
  Speaker 1: it was very serious. You had to take off my
• 1:45:40
  Speaker 1: entire leg. But then when you like throw in the
• 1:45:42
  Speaker 1: and part of the abdomen, Yeah, that's like where it
• 1:45:44
  Speaker 1: gets beyond like no, no, like very serious, but it
• 1:45:50
  Speaker 1: moves super quick, super quick, like you know, twenty four
• 1:45:54
  Speaker 1: hours or less, and you're you're hurting really bad. I mean,
• 1:45:56
  Speaker 1: I think my great with the fascial planes that you
• 1:45:59
  Speaker 1: described as the way when you um shoot a deer,
• 1:46:04
  Speaker 1: the way clodding. We'll travel in those fascial planes well
• 1:46:09
  Speaker 1: also air too, right, so you feel all those air
• 1:46:11
  Speaker 1: bubbles like you know, shoot something in the chest. And
• 1:46:13
  Speaker 1: then you know you're looking at air bubbles and they're
• 1:46:14
  Speaker 1: like why is there? Like why would I take the
• 1:46:16
  Speaker 1: front shoulder off? Is there like clodding all the way
• 1:46:20
  Speaker 1: up into the neck The way it travels between those things.
• 1:46:23
  Speaker 1: I just think it's because of the massive destruction, like
• 1:46:25
  Speaker 1: you expose that. The bleeding happens everywhere, and so we'll
• 1:46:27
  Speaker 1: get sometimes we'll get people to pop along a neumothorax,
• 1:46:31
  Speaker 1: and then you get this thing called subcutaneous emphysema, which
• 1:46:34
  Speaker 1: is basically air slash feels like rice crispy treats under
• 1:46:37
  Speaker 1: the skin. You can feel it on your deer too,
• 1:46:39
  Speaker 1: and then you'll feel the deer you'll feel off the
• 1:46:42
  Speaker 1: neck and towards the face, you'll feel that like kind
• 1:46:44
  Speaker 1: of rice crispy treat And that will happen when people
• 1:46:46
  Speaker 1: puncture along. Yeah. Yeah, it's scary because you know sometimes
• 1:46:50
  Speaker 1: their face can swell or you know, it makes it
• 1:46:52
  Speaker 1: difficult to put a tube in to treat it because
• 1:46:55
  Speaker 1: you know they might be an obese person. They have
• 1:46:56
  Speaker 1: a lot of fat tissue and then all of this
• 1:46:58
  Speaker 1: Now you're dealing with air and you're like having a
• 1:47:01
  Speaker 1: smush basically smushed their chest like you're pushing on a
• 1:47:04
  Speaker 1: like a like a bubble rap package to to get
• 1:47:07
  Speaker 1: down to the chest wall. You know. A guy just
• 1:47:10
  Speaker 1: rode in. I'm trying to get permission to put this photo.
• 1:47:12
  Speaker 1: I'm sure I'll be able to get permission to put it.
• 1:47:14
  Speaker 1: I'm gonna put it on Instagram, So if you go
• 1:47:16
  Speaker 1: to at Steven Ranella, you'll find this photo by the
• 1:47:19
  Speaker 1: time you listen to this, hopefully. He hit a mule
• 1:47:22
  Speaker 1: here with his bowl. Yeah, I wanted to give it
• 1:47:25
  Speaker 1: a while before he tracked it. And he goes up
• 1:47:26
  Speaker 1: to the top of hilled us a glass around for
• 1:47:28
  Speaker 1: a while and eventually, not far from where he shot,
• 1:47:31
  Speaker 1: glasses up a buck standing next to a tree. Then
• 1:47:34
  Speaker 1: the more he looked at it, something was weird about it.
• 1:47:37
  Speaker 1: He'd hit the buck. The buck ran down the hill,
• 1:47:39
  Speaker 1: must have misstepped and impaled itself through the ribs on
• 1:47:45
  Speaker 1: a broken branch that went in one side and puckered
• 1:47:49
  Speaker 1: the hide out on the other side. Talking about a
• 1:47:53
  Speaker 1: bad way to go, he had to pull it off
• 1:47:54
  Speaker 1: the stop, which is a tree man term for a
• 1:47:57
  Speaker 1: broken limb. I do not know that are the question
• 1:48:00
  Speaker 1: whether it was a real word or not, but I've
• 1:48:01
  Speaker 1: come to accept it. Hold it off the stop. And
• 1:48:04
  Speaker 1: he sent us a picture of the deer hanging on
• 1:48:06
  Speaker 1: the stop, and then the stop with the deer removed,
• 1:48:08
  Speaker 1: and that deer was all the way through it. Yeah,
• 1:48:13
  Speaker 1: pucker now at the hide. Yeah, that's a that's a
• 1:48:17
  Speaker 1: sad way to go for any creature. Unfortunately, as a
• 1:48:21
  Speaker 1: last thing, you don't have to come back because we
• 1:48:23
  Speaker 1: didn't even scratch the surface. Well, I don't think like
• 1:48:25
  Speaker 1: I wasn't very I wasn't like a very good host
• 1:48:27
  Speaker 1: because I didn't I wasn't very efficient. You guys are,
• 1:48:30
  Speaker 1: I mean you didn't ever ever did a class and
• 1:48:34
  Speaker 1: hosting because you guys all do a pretty darn good job,
• 1:48:36
  Speaker 1: I think because school hard knocks man. Well, I mean,
• 1:48:38
  Speaker 1: you know, conversation can be can be complicated, sometimes a
• 1:48:42
  Speaker 1: lot of dead There's not a lot of dead space
• 1:48:44
  Speaker 1: on your podcast, for sure. I try to do a
• 1:48:46
  Speaker 1: good hosting job, but I didn't get to my I
• 1:48:48
  Speaker 1: didn't like get to everything I wanted to get to,
• 1:48:50
  Speaker 1: missing your honest this guidance, I know, Ni, what do
• 1:48:52
  Speaker 1: you think about that Annie, which is what he's out
• 1:48:58
  Speaker 1: there doing right now? Yeah? So can you get out
• 1:49:03
  Speaker 1: that thing you had your showing me what you need
• 1:49:04
  Speaker 1: to do if you want to stay alive a long time?
• 1:49:06
  Speaker 1: Oh yeah, CC thing up. Dr Lazarre is gonna walk
• 1:49:11
  Speaker 1: you through what you need to do. The American male
• 1:49:15
  Speaker 1: hit us with an American mail, alright, an American mail
• 1:49:18
  Speaker 1: wants to live a long time. Yeah. So if you
• 1:49:21
  Speaker 1: go to the CDC website, it's a wonderful governmental organization.
• 1:49:24
  Speaker 1: They can they give a lot of stats as they
• 1:49:26
  Speaker 1: track causes of death across the country, and so kind
• 1:49:29
  Speaker 1: of wrote real question. Yeah, what it makes sense that
• 1:49:31
  Speaker 1: the that the antibiotic I'm on plus the gram ivy
• 1:49:37
  Speaker 1: profens are giving me a lot of gastro intestinal upset
• 1:49:39
  Speaker 1: for sure, So ibprofen, I quit the antibiotic. Depends what
• 1:49:43
  Speaker 1: you're on. We got I can't remember. It's like a
• 1:49:45
  Speaker 1: couple of word, a couple of letters and words probably, Yeah, Okay,
• 1:49:48
  Speaker 1: keep in mind this room is not as well ventilated
• 1:49:51
  Speaker 1: as it used to be. It's not like that, man,
• 1:49:53
  Speaker 1: it's different. So so a lot of times So antibiotics
• 1:49:56
  Speaker 1: can cause a lot of g I distress, so upset
• 1:49:59
  Speaker 1: stomach or diarrhy. About one in five people get diarrhea
• 1:50:01
  Speaker 1: with taking antibotics, So I've never had this before, but
• 1:50:04
  Speaker 1: it's it's not fun. Not a lot of um, not
• 1:50:07
  Speaker 1: a lot of great evidence. But eating yogurt every day
• 1:50:09
  Speaker 1: or taking prot could could prevent diarrhea if I quit
• 1:50:14
  Speaker 1: the ib pro from which I'm thinking about doing anyway,
• 1:50:17
  Speaker 1: is that going to help or is it the antibiotic
• 1:50:18
  Speaker 1: that's doing it. It could be a combo both because
• 1:50:20
  Speaker 1: I'd be profen as side effects, and it not only
• 1:50:23
  Speaker 1: stops bad inflammation but can also stop there's such a
• 1:50:25
  Speaker 1: thing as good inflammation, which is UH in the same pathway.
• 1:50:29
  Speaker 1: It helps make mucus in your stomach to help protect
• 1:50:32
  Speaker 1: your stomach from the acid the stomach produces, and so um.
• 1:50:36
  Speaker 1: It inhibits that as well. So you can see people
• 1:50:39
  Speaker 1: who come in and chronically take ibuprofen and give themselves
• 1:50:41
  Speaker 1: a stomach ulcer. So I would recommend cutting your dose
• 1:50:44
  Speaker 1: back to four hundred or six hundred milligrams because I'm done.
• 1:50:48
  Speaker 1: You can just got four more days of this antibiotic.
• 1:50:51
  Speaker 1: But I want to quit now. It's generally recommending that
• 1:50:54
  Speaker 1: you continue them till the full course is done, because
• 1:50:56
  Speaker 1: you don't want to leave the resistant bacteria sitting there
• 1:50:59
  Speaker 1: in your skull there. Well, I'm taking the antibotic prophylactically.
• 1:51:02
  Speaker 1: I don't have an infection. I know I did have
• 1:51:04
  Speaker 1: an infection. Yeah, I'd probably take my tooth out. This
• 1:51:07
  Speaker 1: is so. I have a friend who I like very much,
• 1:51:09
  Speaker 1: a guy that i'm i'm we're gonna go. We're hunting
• 1:51:12
  Speaker 1: together soon, deer hunting. And he's a neurologist, and he
• 1:51:14
  Speaker 1: says a lot of I remember I got one of
• 1:51:17
  Speaker 1: my little camp Yeah, for sure. So he he often
• 1:51:20
  Speaker 1: says he's neurologist. He deals with a lot of like
• 1:51:22
  Speaker 1: sixty year olds that don't want their prostate operating on
• 1:51:25
  Speaker 1: and he says, you know, his line is, we don't
• 1:51:29
  Speaker 1: have to do anything, but we should, Yeah, and just
• 1:51:32
  Speaker 1: leaves it that and lets it hang. And so you
• 1:51:34
  Speaker 1: don't have to do anything but what you know, but
• 1:51:36
  Speaker 1: you should. And what I would do is probably finish them,
• 1:51:39
  Speaker 1: take tilent on instead, give yourselfs a little bit of
• 1:51:42
  Speaker 1: a knease. One of my favorite parts about this tooth
• 1:51:45
  Speaker 1: process can't hold what y'all was going to ask you
• 1:51:47
  Speaker 1: about staying alive long time? As they came out and
• 1:51:49
  Speaker 1: presented the price, the cost of all this whole thing
• 1:51:51
  Speaker 1: to me and ala carte fashion dude, as though, um,
• 1:51:55
  Speaker 1: I would get halfway into this and quit. Yeah, but
• 1:51:59
  Speaker 1: that caused this much for this part. I think if
• 1:52:01
  Speaker 1: you're buying a car and you're like, well, the tires
• 1:52:02
  Speaker 1: of this, the doors, this, the dentistry, the dentistry operation
• 1:52:09
  Speaker 1: they've got, Essentially it's a different kind of business. I mean,
• 1:52:13
  Speaker 1: they have an infinite demand and they have essentially said
• 1:52:17
  Speaker 1: we're taking cash, and so it's a very expensive endeavor
• 1:52:21
  Speaker 1: to get major dental work done. Insurance is a bomb
• 1:52:24
  Speaker 1: around dental for sure, and so all the more reason
• 1:52:26
  Speaker 1: to brush teeth loss. You know you don't want those problems.
• 1:52:29
  Speaker 1: You know, it's prevention is worth a pound of cure. Okay,
• 1:52:32
  Speaker 1: help everyone stay alive a long time, alright, So first thing,
• 1:52:35
  Speaker 1: don't smoke, uh, Second thing, where your seatbelt? Um, stay
• 1:52:39
  Speaker 1: fit and active. If you look at these um CDC websites,
• 1:52:43
  Speaker 1: you can see the leading causes of death and so
• 1:52:45
  Speaker 1: for people our age and the you know, mid thirties, forties,
• 1:52:48
  Speaker 1: the number one thing that used to kill all of
• 1:52:50
  Speaker 1: us um between like five and forty five was motor
• 1:52:52
  Speaker 1: vehicle collisions, so unintentional injuries. But in the most recent
• 1:52:57
  Speaker 1: decade that has overtaken and overtaken by opioid overdoses. Possibly
• 1:53:04
  Speaker 1: it's insane. Man, it's it's an epidemic for a reason,
• 1:53:06
  Speaker 1: and it's um, it's an unfortunate there's some interesting podcast
• 1:53:11
  Speaker 1: you can listen to us how that came about, and
• 1:53:13
  Speaker 1: you know it is a tragedy. More people in our
• 1:53:18
  Speaker 1: age demographic, well I just left it. More people in
• 1:53:22
  Speaker 1: our age demographic are dying from getting too hopped up
• 1:53:25
  Speaker 1: on pain killers. Then are dying from getting a car crashes. Yep,
• 1:53:29
  Speaker 1: it's insane. Um Amazon alaz on those things a couple
• 1:53:32
  Speaker 1: of days ago. So the rates of addiction, can you know,
• 1:53:35
  Speaker 1: some people have very addictive personalities, and so being on
• 1:53:38
  Speaker 1: these pills for uh, it's I've read everywhere from a
• 1:53:41
  Speaker 1: couple of weeks a couple of months, and you'll be
• 1:53:43
  Speaker 1: physically addicted to them. And it's not so being physically
• 1:53:46
  Speaker 1: addicted as different than the mental addiction. So you will
• 1:53:49
  Speaker 1: go through withdrawals if you stop taking them. I took
• 1:53:51
  Speaker 1: a tablet twice. No, yeah, you're fine. Well no, And
• 1:53:54
  Speaker 1: that was like very much opposed to taking another time
• 1:53:58
  Speaker 1: because it's like, wow, I sleep good. Yeah, sound like
• 1:54:00
  Speaker 1: it's a slippery slope. Man, dude, I know people that
• 1:54:03
  Speaker 1: have had dental and so I think part of the
• 1:54:06
  Speaker 1: problem too, is it like we just didn't up until
• 1:54:09
  Speaker 1: the last decade or five years, we just don't get
• 1:54:12
  Speaker 1: taught how to treat acute or chronic pain. In medical school,
• 1:54:15
  Speaker 1: they don't teach you that. And now there's courses where
• 1:54:18
  Speaker 1: you learn how to do it, and our residents, we
• 1:54:19
  Speaker 1: spend a lot of time saying, this is what we
• 1:54:22
  Speaker 1: typically give for this, because a lot of times you
• 1:54:24
  Speaker 1: would just see see one, do one. You know, you
• 1:54:26
  Speaker 1: just do what your mentor did, and you'd give somebody
• 1:54:28
  Speaker 1: for a niece orgery, give them sixty norco or sixty
• 1:54:32
  Speaker 1: percose because you don't want them to have to call
• 1:54:34
  Speaker 1: you because they're in a lot of paint, so you
• 1:54:35
  Speaker 1: give them extra. Right, So then they have forty percosets
• 1:54:38
  Speaker 1: sitting in their closet and then their grandkid comes over
• 1:54:40
  Speaker 1: and steals those and then goes to a party, and
• 1:54:43
  Speaker 1: you know, it's just a multifaceted epidemic. Um, and the
• 1:54:47
  Speaker 1: health care industry is trying to correct that. And I
• 1:54:52
  Speaker 1: think that, you know, there's there's a blame that can
• 1:54:54
  Speaker 1: be thrown around everywhere, but I think we're we're trying
• 1:54:56
  Speaker 1: to correct it. Have you seen the documentary I Am
• 1:54:58
  Speaker 1: Trying to Break your Heart? Nope, not. It's about a musician.
• 1:55:04
  Speaker 1: There's a little bit in there about percoset. Yeah, it's
• 1:55:06
  Speaker 1: it likes the way it makes music sound. Yeah. Man,
• 1:55:09
  Speaker 1: everybody's everybody's looking for a drug. I mean, whether you're
• 1:55:12
  Speaker 1: filling it with McDonald's or alcohol or cigarettes, or religion
• 1:55:15
  Speaker 1: or whatever. Everybody's looking to trying to fill some sort
• 1:55:17
  Speaker 1: of void in their life and and and process those emotions.
• 1:55:21
  Speaker 1: And you know, we see lots of unhealthy coping mechanisms,
• 1:55:24
  Speaker 1: but there's plenty of healthy ones, you know, and um,
• 1:55:27
  Speaker 1: you know, if you struggle with something like that, not
• 1:55:30
  Speaker 1: only there's a whole armamentarium of people that are willing
• 1:55:34
  Speaker 1: and ready to help it all hours of the day,
• 1:55:36
  Speaker 1: social workers, primary care, doctors, emergency you know, we're these
• 1:55:39
  Speaker 1: people went into this for this reason and it's a
• 1:55:42
  Speaker 1: big you know, you have a lot of valuable people
• 1:55:46
  Speaker 1: that that have these struggle with these problems, you know. So,
• 1:55:49
  Speaker 1: so it used to be if you want to stay
• 1:55:51
  Speaker 1: alive between the ages or whatever, and forty five, you
• 1:55:53
  Speaker 1: don't want to get in a car crash. So we
• 1:55:55
  Speaker 1: don't know, you don't want to get in a car crash,
• 1:55:56
  Speaker 1: and you don't want to get hooked on pills. Yeah,
• 1:55:59
  Speaker 1: so where your seatbelt, don't get hooked down pills? Right,
• 1:56:01
  Speaker 1: and then what comes next? Then what's going to kill you? Then, unfortunately,
• 1:56:04
  Speaker 1: you see an uptick of malignant neoplasms or cancer in
• 1:56:08
  Speaker 1: the middle ages, like fifty to sixty five, that's what
• 1:56:11
  Speaker 1: gets you. Then that and that, So that's like basically
• 1:56:13
  Speaker 1: that's kind of that's behavioral. You know, if you're smoking
• 1:56:16
  Speaker 1: a lot, If you smoke, or you you are obese,
• 1:56:19
  Speaker 1: it increases your risk of cancer if you're obese. UM,
• 1:56:22
  Speaker 1: because fat is you know, produces hormones that your body
• 1:56:25
  Speaker 1: gets exposed to. So it can be lifestyle choices that
• 1:56:29
  Speaker 1: expose you to that, or it could be just a
• 1:56:31
  Speaker 1: bad genetic draw and so being somewhat lucky in life
• 1:56:34
  Speaker 1: is nothing you can do about that. So cars kill you,
• 1:56:37
  Speaker 1: then your genes kill you, and then um and then
• 1:56:40
  Speaker 1: it's just worked up a little chunk of bone. Yeah,
• 1:56:42
  Speaker 1: I'm actually grinding. I'm grinding it up right now with
• 1:56:45
  Speaker 1: my teeth. I think you'll be okay, You're good. Not
• 1:56:47
  Speaker 1: my own some dudes. I hear that. And then after that,
• 1:56:51
  Speaker 1: it's cardiovascular disease, which um the only way to really
• 1:56:54
  Speaker 1: so some of that is going to kill you, like
• 1:56:57
  Speaker 1: sixty plus. I mean, we see it depends. You know.
• 1:56:59
  Speaker 1: We see people with third five who use cocaine or
• 1:57:01
  Speaker 1: smoke a lot of a bad family history, who get
• 1:57:03
  Speaker 1: heart attacks. And you told me I probably don't need
• 1:57:05
  Speaker 1: to worry about dying from that. So because you're so active,
• 1:57:08
  Speaker 1: I mean, you know, I don't think people realize the
• 1:57:12
  Speaker 1: uh So, everybody knows it's smoking is bad for your lungs,
• 1:57:15
  Speaker 1: but I don't think people realize that smoking is bad
• 1:57:16
  Speaker 1: for the vessels around your heart. They hardened early, and
• 1:57:19
  Speaker 1: so that's I think people don't realize, um, how that
• 1:57:23
  Speaker 1: can affect you. So Yanni used to smoke. Yeah, I
• 1:57:25
  Speaker 1: hear used to chew too. It's uh anything about that, Joannie.
• 1:57:29
  Speaker 1: I don't leave home without it. So, uh So, after
• 1:57:37
  Speaker 1: the cardiovascular disease, then it's um pahone you're saying fault. Yeah,
• 1:57:43
  Speaker 1: I think it's fault. Yeah, it's falling. Someone told me
• 1:57:46
  Speaker 1: recently that once you hit a certain age and you
• 1:57:49
  Speaker 1: break your hip, yeah, you're dead within a month. Yeah,
• 1:57:52
  Speaker 1: because of all the coal morbidities that come with it.
• 1:57:54
  Speaker 1: So it's kind of like sharks, right, so or fish,
• 1:57:56
  Speaker 1: you know, stop morbidity. Yeah, it was something like I
• 1:58:00
  Speaker 1: can't here what it was, some staggering thing like once
• 1:58:02
  Speaker 1: you're and you break your hip, you have a chance
• 1:58:07
  Speaker 1: of being dead in a month or And it's really
• 1:58:09
  Speaker 1: scary because you see, you can see these eighty year
• 1:58:11
  Speaker 1: old young eighty year old ladies come in who you know,
• 1:58:14
  Speaker 1: they break their hip, and they don't realize how how
• 1:58:16
  Speaker 1: this is like one of the last notches sometimes, you know,
• 1:58:19
  Speaker 1: it's it's really profound because if you stop, when you're
• 1:58:22
  Speaker 1: like they come in, you're like, you're statistically you're done,
• 1:58:25
  Speaker 1: but you're not saying that. You mean, you're saying, we're
• 1:58:27
  Speaker 1: gonna get you fixed up, We're gonna try the best
• 1:58:28
  Speaker 1: we can. And I don't think they realize how serious
• 1:58:30
  Speaker 1: something like that is. Don't chance you're done? No, no, no, no, yeah,
• 1:58:33
  Speaker 1: we don't. That's going back to the how you are
• 1:58:35
  Speaker 1: your grandma treated. That's not a good good approach. But
• 1:58:38
  Speaker 1: I think, uh so, people don't realize how a body
• 1:58:42
  Speaker 1: emotion stays in motion. And I think it's not only
• 1:58:44
  Speaker 1: for your brain if you're continually using your brain, but
• 1:58:46
  Speaker 1: also your body. And everybody was stressing like, oh, you
• 1:58:49
  Speaker 1: gotta run all the time and cardiovasc your fitness. But really,
• 1:58:52
  Speaker 1: and my wife could attest this too because she's a doctor.
• 1:58:54
  Speaker 1: You know. We see strength as a big issue, like
• 1:58:57
  Speaker 1: older people that just can't stand up out of a chair. Right,
• 1:58:59
  Speaker 1: you get up and go, And the more sedentary become,
• 1:59:03
  Speaker 1: the less your blood flows, the more you eat, the
• 1:59:05
  Speaker 1: more it just like a shark and water. You gotta
• 1:59:08
  Speaker 1: stay moving all the time. Whatever it is. Yoga is
• 1:59:11
  Speaker 1: terrific um. Strength training and some cardiovascular is the way
• 1:59:15
  Speaker 1: to stay for That's what I plan on doing from
• 1:59:18
  Speaker 1: what I've seen, so where your seatbelt, don't get hooked
• 1:59:21
  Speaker 1: on opioids, have good genes, stay active, correct, don't smoke.
• 1:59:27
  Speaker 1: Don't smoke, that's the and then eat eat things that spoil, right,
• 1:59:31
  Speaker 1: you won't want like you're trying the other day, Like
• 1:59:33
  Speaker 1: eat things you're talking about the brown food, right, you
• 1:59:35
  Speaker 1: can watch the time lapse video of some fast food
• 1:59:37
  Speaker 1: sit in the woods, and it looks the same three
• 1:59:39
  Speaker 1: weeks later than it does. I bet it does. I
• 1:59:43
  Speaker 1: bet it does. Tastes like salt and fat. It's preservatives, right,
• 1:59:47
  Speaker 1: So my I was trying to explain my and I
• 1:59:50
  Speaker 1: don't addhere to this in the strict fashion, but I
• 1:59:52
  Speaker 1: was trying to explain my diet. Your day, we have
• 1:59:54
  Speaker 1: an arguing about fat diets. Well, I was marveling at
• 1:59:57
  Speaker 1: how fat diets um, they only die when they get replaced. Yeah,
• 2:00:03
  Speaker 1: are you there's never a period of no fat diet. Yeah,
• 2:00:06
  Speaker 1: there's all like a fat diet lives. It's like it's
• 2:00:10
  Speaker 1: like when you're a king. Yeah, in the old days,
• 2:00:13
  Speaker 1: Like a king or an emperor lives until it gets
• 2:00:16
  Speaker 1: killed by yeah, an open coming king or emperor. And
• 2:00:20
  Speaker 1: fat diets only get fat diets only get killed by
• 2:00:23
  Speaker 1: a new replacement. There's never like we never take a
• 2:00:26
  Speaker 1: year off of fat diets. Yeah, man, So the reason
• 2:00:29
  Speaker 1: they're the reason there's more and more diets of coming
• 2:00:31
  Speaker 1: around me. If there was one diet that worked for everybody,
• 2:00:33
  Speaker 1: then that's what people would do, you know. But the
• 2:00:35
  Speaker 1: thing is that it's all about calories in calories out right,
• 2:00:38
  Speaker 1: So you have to burn more calories than you put
• 2:00:40
  Speaker 1: in in order to burn fat. In order to do that,
• 2:00:43
  Speaker 1: you have to exercise, which is the hardest part. People
• 2:00:45
  Speaker 1: don't can't or won't, or they're stressed, or they work
• 2:00:49
  Speaker 1: it on. I got kids, I know how hard is
• 2:00:50
  Speaker 1: to fit in working out. I mean it's ridiculous. So
• 2:00:54
  Speaker 1: so diet I'm trying to construct is this Are you
• 2:00:57
  Speaker 1: starry to interject? But are you in ketosis yet? Because
• 2:00:59
  Speaker 1: that's a big one now, you know, get I'll tell
• 2:01:02
  Speaker 1: you what my diet is. Yeah, that it should look
• 2:01:05
  Speaker 1: like it was chopped out of a fish or animal,
• 2:01:08
  Speaker 1: meaning you're looking at it and you can tell that
• 2:01:12
  Speaker 1: it was chopped out of a fish or an animal,
• 2:01:15
  Speaker 1: or it looks like it grew out of the dirt. Yeah,
• 2:01:19
  Speaker 1: So they talked, that's a diet. That's not even a
• 2:01:23
  Speaker 1: fad diet. That's just a diet. You're talking about whole eating, right,
• 2:01:25
  Speaker 1: you're talking about I don't know what I'm talking about
• 2:01:27
  Speaker 1: talking about looking that's it. That's like I don't want
• 2:01:30
  Speaker 1: anybody interpreting it. So it's like if you can call
• 2:01:32
  Speaker 1: you like it I'm just envisioning all the things you've
• 2:01:36
  Speaker 1: excluded from your diet. Most wit can just only be
• 2:01:39
  Speaker 1: found at fancy restaurants. But no, it's it's a it's
• 2:01:42
  Speaker 1: a hype. I'm not gonna do it. I'm just saying
• 2:01:44
  Speaker 1: I feel like that's when I feel best the most time,
• 2:01:47
  Speaker 1: when I'm like when I lay out my kids dinner
• 2:01:49
  Speaker 1: at night, I'm most happy when I look at like
• 2:01:52
  Speaker 1: it looks like stuff that you chopped out of animals
• 2:01:54
  Speaker 1: and grow out of the dirt. Yeah, I mean, it's
• 2:01:56
  Speaker 1: probably good for him. So I often tell patients, in
• 2:01:58
  Speaker 1: the simplest terms, just eat around the perimeter of the
• 2:02:01
  Speaker 1: grocery store. Everything that's on the outside my middle. My doctor.
• 2:02:06
  Speaker 1: I've heard it before, my doctor, stay away from the middle.
• 2:02:09
  Speaker 1: As the frozen stuff, the like the process. You eat
• 2:02:14
  Speaker 1: what God and nature made, not what man. Just go
• 2:02:17
  Speaker 1: laugh at the grocery store. I get frozen veggies because
• 2:02:20
  Speaker 1: I just, yeah, it looks like it got shot grew
• 2:02:22
  Speaker 1: out of the dirt, for sure. I mean, I'm certainly
• 2:02:24
  Speaker 1: no saying I love potato chips, but you know, I try,
• 2:02:27
  Speaker 1: and it doesn't look I could grew out of the dirt.
• 2:02:29
  Speaker 1: They're bad for you. But unless you get the kind
• 2:02:32
  Speaker 1: of look Pringles, it looks like a leaf came out
• 2:02:37
  Speaker 1: of a machine. Um, if let's get a concluder from Johnnie,
• 2:02:43
  Speaker 1: I have a good looking aunt. Thanks Johnny kel you
• 2:02:51
  Speaker 1: gotta come back, man. We've wait, we've burned up disease.
• 2:02:56
  Speaker 1: We're coming down. We covered that with the in fact,
• 2:02:58
  Speaker 1: we had an epidemialogies for that. Yeah, and it's trying
• 2:03:00
  Speaker 1: to do one to punch. We had. We had like
• 2:03:02
  Speaker 1: an infectious disease guy. Now we're trying to have an
• 2:03:04
  Speaker 1: injury guy. Yeah, it's super relevant. I mean listening to
• 2:03:07
  Speaker 1: your story about your experience with lime, I mean that
• 2:03:09
  Speaker 1: was fascinating to hear that about your elbows, what numb
• 2:03:11
  Speaker 1: and whatnot. That's that kind of stuff is I mean,
• 2:03:14
  Speaker 1: we don't fully understand how the body works, and that
• 2:03:16
  Speaker 1: is a very squirrely disease. I don't it's crazy. That's
• 2:03:19
  Speaker 1: a great word for it. Squirrely. Yeah, very scary too.
• 2:03:24
  Speaker 1: You turniquet man, Yeah, yeah, I mean you gotta make
• 2:03:28
  Speaker 1: like I said, I just feel like I go back
• 2:03:31
  Speaker 1: and just start a little smarter and a little safer
• 2:03:35
  Speaker 1: instead of the trial and error existence I've led because
• 2:03:39
  Speaker 1: it's just harder now because, like I said, every time
• 2:03:42
  Speaker 1: I look back, if somebody's like, well, you know, you
• 2:03:45
  Speaker 1: shouldn't do that, all the dumb stuff you do all
• 2:03:47
  Speaker 1: the time, not you, not you. But but oh my god,
• 2:03:50
  Speaker 1: I'm so much better than I was ten years ago.
• 2:03:54
  Speaker 1: I'm so much safer than I was. I think about
• 2:03:56
  Speaker 1: this stuff so much more. Um, I'll tell you quickie. Yeah,
• 2:04:00
  Speaker 1: we grew up next to dude. They're down the road
• 2:04:02
  Speaker 1: from dude. Uh. Dan Morgan and Mike Morgan two brothers,
• 2:04:07
  Speaker 1: very different brothers, but one of them fixed up an
• 2:04:09
  Speaker 1: old snow and being I can't remember what happened. He
• 2:04:11
  Speaker 1: had a problem where you wound up that he would
• 2:04:13
  Speaker 1: take a mason jar and fill it full of gas. Perfect,
• 2:04:18
  Speaker 1: I'm not joking. He had a mason jar full of
• 2:04:21
  Speaker 1: gas with a lid on, a ball cap on it,
• 2:04:24
  Speaker 1: not a ball cap like a baseball cap, ball brand cap,
• 2:04:27
  Speaker 1: and a hole in it. He would fill that jar
• 2:04:30
  Speaker 1: full of gas and carry it between his legs with
• 2:04:33
  Speaker 1: the fuel line going into the jar of gas. That
• 2:04:38
  Speaker 1: was his fuel tank between his legs. Uh, And then
• 2:04:44
  Speaker 1: barely warranted comment we're going, so you do, superstar? Yeah?
• 2:04:51
  Speaker 1: But in regards to the opioids, you know, my grandma
• 2:04:55
  Speaker 1: just passed away here um end of the summer. And
• 2:05:00
  Speaker 1: sorry to hear that, by the way, oh thank you. Yeah.
• 2:05:02
  Speaker 1: She had she had a great run. Um hard headed
• 2:05:05
  Speaker 1: old gal six I think, yeah, um. But she was
• 2:05:15
  Speaker 1: like vehemently anti drugs and she would you know, scientologist, no,
• 2:05:26
  Speaker 1: she just like she was. She would literally scream at
• 2:05:30
  Speaker 1: the doctor and say, you're not going to turn me
• 2:05:33
  Speaker 1: into a goddamn drug addict. That this cholesterol film. Yeah yeah,
• 2:05:40
  Speaker 1: I mean she was like and if she felt because
• 2:05:43
  Speaker 1: she had to have surgeries and stuff, and if she
• 2:05:45
  Speaker 1: felt like at all doped up, she's like, what are
• 2:05:49
  Speaker 1: you giving me? And just and I mean then that's
• 2:05:53
  Speaker 1: that's the way she expired. Like she she was with
• 2:05:56
  Speaker 1: it and fought that stuff until you know, she she
• 2:06:00
  Speaker 1: exically like went into a pain fog and then the
• 2:06:03
  Speaker 1: family got to step in and be like, okay, go ahead,
• 2:06:06
  Speaker 1: doper up so we can. Yeah. Yeah, it was, I mean,
• 2:06:10
  Speaker 1: it was amazing. It's good to applaudable in the sense
• 2:06:12
  Speaker 1: that it's good to ask what people are giving you,
• 2:06:14
  Speaker 1: even if you're in that environment. It's nice to ask
• 2:06:16
  Speaker 1: and say, hey, take some ownership and be like, what
• 2:06:18
  Speaker 1: are you doing to me? Don't just take everything face value,
• 2:06:21
  Speaker 1: you know. But thing like being on the outside, right,
• 2:06:24
  Speaker 1: we're like take the pill, trying to hurt you. Yeah,
• 2:06:29
  Speaker 1: you got anything to wrap up? Yeah, I just want
• 2:06:31
  Speaker 1: to thank Alan, because what was I saying, Adam or
• 2:06:36
  Speaker 1: what you're saying that was gonna be a Michael but Alan, Yeah, No,
• 2:06:41
  Speaker 1: I just want to thank you. No, you did not
• 2:06:44
  Speaker 1: like I could have made that mistake. Yeah, but I've
• 2:06:49
  Speaker 1: got I've gotten kind of complacent about what I was
• 2:06:52
  Speaker 1: carrying around in my medical kit and just kind of
• 2:06:54
  Speaker 1: throwing it in there in the bottom of the pack,
• 2:06:57
  Speaker 1: you know, just I'm like, it's there. But now I'm
• 2:07:00
  Speaker 1: gonna like get a little more serious about looking at
• 2:07:02
  Speaker 1: it and what's in there and checking it frequently and
• 2:07:06
  Speaker 1: things like that. Oh, I've been thinking this this whole thing,
• 2:07:09
  Speaker 1: Like this weekend, I gotta I gotta make a trip
• 2:07:11
  Speaker 1: to the store here before I hit through. Yeah, because
• 2:07:14
  Speaker 1: like stuff goes bad or gets wet or you know whatever.
• 2:07:17
  Speaker 1: And people definitely, people definitely love love gear stuff and
• 2:07:21
  Speaker 1: this is a valuable way to spend some time and
• 2:07:23
  Speaker 1: a little bit. It can go a long way, I think.
• 2:07:25
  Speaker 1: But my second thing was when when we were talking
• 2:07:28
  Speaker 1: about how to live to be an old age something
• 2:07:30
  Speaker 1: you pointed out that we didn't touch on. And I'm
• 2:07:33
  Speaker 1: not condoned and drinking or being mean to people, but
• 2:07:36
  Speaker 1: you said, uh, angry alcoholics. You know they can they
• 2:07:39
  Speaker 1: can go a long time, yea. So you know, we
• 2:07:42
  Speaker 1: sometimes we just see people that are able to withstand.
• 2:07:45
  Speaker 1: You know, some people smoke for five years and they
• 2:07:47
  Speaker 1: end up with COPD. Some people smoke till there nine
• 2:07:50
  Speaker 1: and have no breathing problems. So it's it's a lot
• 2:07:52
  Speaker 1: of it's genetic. Or you see people who treat their
• 2:07:55
  Speaker 1: bodies like a playground and live to old age. And
• 2:07:58
  Speaker 1: but you said, being me means like being a little
• 2:08:01
  Speaker 1: means a good thing you think, you know, in reference
• 2:08:03
  Speaker 1: to the fact that some of the middle aged people
• 2:08:05
  Speaker 1: I see who end up being diagnosed with cancer, unfortunately,
• 2:08:07
  Speaker 1: it's always it's a it's a part of our gallows humor.
• 2:08:11
  Speaker 1: You know, they're just so nice. Why would that happen
• 2:08:13
  Speaker 1: to that person who's like, uh, you know, a pastor
• 2:08:16
  Speaker 1: with three kids and super nice and great guy and
• 2:08:19
  Speaker 1: he's got pancreatic cancer for no freaking reason, you know.
• 2:08:22
  Speaker 1: And it's just this ironic, horrible thing that I got
• 2:08:25
  Speaker 1: my grandma throwing stuff at you know, he lives in
• 2:08:29
  Speaker 1: your nineties, you know, so um it's a joke that
• 2:08:32
  Speaker 1: you know, you have a little bit of a mean streak,
• 2:08:34
  Speaker 1: but yeah, you can you know, uh take it out
• 2:08:37
  Speaker 1: on a tree stump or something like that. Well, I
• 2:08:39
  Speaker 1: was at the dentisty or day. I couldn't see if
• 2:08:40
  Speaker 1: there was an old old lady in the stall next
• 2:08:43
  Speaker 1: to you whatever they call those things, And I heard her.
• 2:08:46
  Speaker 1: He's like greating her and all she has to say
• 2:08:49
  Speaker 1: to him, She's like, you're gonna wear gloves in a mask? Yeah, yeah, yeah, yeah, yeah,
• 2:08:54
  Speaker 1: tell yeah, yeah, you're correct. Yes, I'm going to It's
• 2:08:59
  Speaker 1: good to advocate yourself. We can all do it politely,
• 2:09:03
  Speaker 1: all right, You got any final and you gotta have
• 2:09:06
  Speaker 1: to come back on. Man. I love to love to
• 2:09:09
  Speaker 1: you know. We never give a final thought too. Yeah, no,
• 2:09:11
  Speaker 1: fill the engineer never say no. One cares a handsome devil.
• 2:09:15
  Speaker 1: I appreciate that. I think the reason most people don't
• 2:09:17
  Speaker 1: care because I don't have a whole lot to bring
• 2:09:19
  Speaker 1: to the table. Yeah, I don't care less. What film
• 2:09:22
  Speaker 1: right now. But yeah, I just want to thank you
• 2:09:23
  Speaker 1: for for that's about enough. We've heard enough. No, I
• 2:09:33
  Speaker 1: was here filing now that you got started. Yeah, no,
• 2:09:34
  Speaker 1: I mean I was kind of nervous when that during
• 2:09:37
  Speaker 1: the class today, that slide popped up that said, you know,
• 2:09:39
  Speaker 1: they're warning disturbing images coming up, because I think when
• 2:09:43
  Speaker 1: I think most humans, they're natural inclination is to kind
• 2:09:48
  Speaker 1: of push stuff like horrible injuries out of their heads
• 2:09:51
  Speaker 1: and like, because it's just it's a massive reminder that
• 2:09:54
  Speaker 1: we're all just sacks of goo. Yeah, absolute, and like,
• 2:09:57
  Speaker 1: you know, one horrible thing could happened and all the
• 2:09:59
  Speaker 1: good could spill out and we could be dead. But
• 2:10:01
  Speaker 1: I think it's really important to at least learn the
• 2:10:03
  Speaker 1: basics of how to keep the goo in. Yeah, so yeah,
• 2:10:06
  Speaker 1: thanks for coming in. You should have him comment more often.
• 2:10:09
  Speaker 1: Always start that's pretty good, young good. I used to
• 2:10:12
  Speaker 1: think he's some kind of playboy and then realize he's
• 2:10:14
  Speaker 1: got kids. Yeah, keeps quiet about him, Yeah, not very
• 2:10:17
  Speaker 1: proud of them, apparently, lovely, lovely children. What do you
• 2:10:22
  Speaker 1: got any concluders? I would just say, you know, to
• 2:10:25
  Speaker 1: all of the first responders and in emergency and emergency staff, nurses,
• 2:10:31
  Speaker 1: everybody's out there, who's you know, standing standing on the
• 2:10:34
  Speaker 1: wall in the middle of the night taking care of people.
• 2:10:36
  Speaker 1: Thank you to everybody that does that. And for all
• 2:10:39
  Speaker 1: of us hunters out there, please protect yourself, protect your family,
• 2:10:43
  Speaker 1: um because you know, like Phil was saying, it only
• 2:10:45
  Speaker 1: takes one misstep and we're dealing with a pretty life
• 2:10:48
  Speaker 1: changing situation. So announcer preventions worth a pound of cure.
• 2:10:51
  Speaker 1: So be safe. Yeah, when you're bragging up, how your
• 2:10:53
  Speaker 1: pack anyways three pounds and you're washing your body bleed
• 2:10:57
  Speaker 1: out inside of the hill. Yeah, you need to you
• 2:10:59
  Speaker 1: want to have to hunt another day. They could have
• 2:11:01
  Speaker 1: had a three pound, three ounce pack and had you turniquet. Yeah,
• 2:11:03
  Speaker 1: very good. That's a great point. So and thank you guys.
• 2:11:06
  Speaker 1: And I think also too, I mean, what you guys do,
• 2:11:08
  Speaker 1: what your vision is producing both for nature conservation and
• 2:11:13
  Speaker 1: hunting is extra positive. And I think we'll live on
• 2:11:17
  Speaker 1: for a long time. So I think you guys are
• 2:11:19
  Speaker 1: doing something really special here. So thank you, Thank you.
• 2:11:21
  Speaker 1: Than I look forward to working with you on our
• 2:11:23
  Speaker 1: secret project, secret double triple A. Right, Thanks guys,