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Speaker 1: I don't know what it feels like to get mulled

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Speaker 1: by a bear. It's one more thing.

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Speaker 2: I'm strong and getty, one more.

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Speaker 1: Unpleasant before we get to the modern pain sharks. Based

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Speaker 1: off of my motorcycle wreck of the other day, I

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Speaker 1: wanted to mention, so I tweeted out a picture of

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Speaker 1: me with hair the other day because it's come up

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Speaker 1: on the show many times over the years, and a

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Speaker 1: lot of people had wondered. So I just tweeted that picture.

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Speaker 1: So it's from I'm twenty four, I guess in that picture,

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Speaker 1: and anyway, I had hair, So there you go. And

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Speaker 1: they got I don't know, one hundred and fifty comments

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Speaker 1: or something like that. And what was interesting to me,

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Speaker 1: and luckily I'm at the age where this is only

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Speaker 1: like interesting as a sociological exercise as opposed to anything else,

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Speaker 1: is the number of people that have to bring their

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Speaker 1: hate to these things, hmm, really hateful comments. And it

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Speaker 1: bothers me for just mankind. It just the world is

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Speaker 1: like that. That's what the only level that bothers me

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Speaker 1: on that, you know, my kids. Everyone has to live

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Speaker 1: in a world where there are certain percentage of people

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Speaker 1: that are just so hateful and.

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Speaker 2: What drives that well, And you have to add into

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Speaker 2: that the trolls who don't mean what they say but

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Speaker 2: merely mean to pulvolk, which is a different sort of miserable.

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Speaker 1: Yeah, I think that is. Yeah, even if it's just trolling,

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Speaker 1: it's exactly the same thing. We've worked with a few

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Speaker 1: trolls that just enjoy going on to social media and

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Speaker 1: saying really horrible things about people, hoping to get a

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Speaker 1: reaction out of them, which might be even worse than

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Speaker 1: the people who legitimately mean it. You're shaking your head. No,

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Speaker 1: that's just a weird psyche to have, and it's it's unhealthy.

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Speaker 1: And like I said, this only bothers me from a

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Speaker 1: I wish so many people weren't like that standpoint. It

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Speaker 1: makes the world a worse place. The uh so, your

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Speaker 1: day is going to be better if you troll somebody

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Speaker 1: like I don't know. You hear a new album and

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Speaker 1: you and it they posted on social media and you

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Speaker 1: say that's the garbage. My eight year old plays better

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Speaker 1: than that. Somehow that made your day better. It's very pathetic.

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Speaker 2: I mean, it's such an obvious elevating yourself by stomping

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Speaker 2: others down over something stupid, which is clearly if you

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Speaker 2: have any sense of matter of opinion anyway, right, I mean,

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Speaker 2: that's that's that's that's almost seeing an x ray of

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Speaker 2: their their intellect right there. And it's like the old

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Speaker 2: joke they x rayed my head and found nothing.

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Speaker 3: So I don't know any quote trolls. But what were

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Speaker 3: these people like? And they're normal life.

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Speaker 1: I mean about what you'd expect, not jerks always, but

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Speaker 1: sad people. Not jerks, but sad, unhappy people, really unhappy

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Speaker 1: with how their lives have turned out. And I guess

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Speaker 1: this is a way to fight back against them, like

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Speaker 1: a misery loves company thing. I don't know.

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Speaker 4: They would constantly compare themselves with other people, and if

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Speaker 4: they didn't measure up, then they would troll.

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Speaker 1: That's why I looked at it interesting.

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Speaker 2: And there's a certain sort of person and a certain

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Speaker 2: sort of hurt that people who feel like they've been

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Speaker 2: hurt by life want to hurt others. Yeah, take out

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Speaker 2: their their unhappiness on others.

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Speaker 1: Right, so would you? Yeah?

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Speaker 2: And I guess all sad.

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Speaker 1: I guess the reason I want to bring it up

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Speaker 1: is in I think for most of us in the

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Speaker 1: public eye. That's the way we take your trolling. That's

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Speaker 1: the way it lands. It doesn't like, oh my god,

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Speaker 1: how dare you say that? There's none of that. It's

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Speaker 1: just a wow, you are your life must really suck.

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Speaker 1: That's horrible.

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Speaker 2: Yeah. Generally my reaction is pity to that.

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Speaker 1: Yeah, oh yeah, absolutely one. Whatever happened in your childhood

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Speaker 1: or your marriage now or whatever that makes you that way,

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Speaker 1: that sucks. I hope somebody can help you out of that.

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Speaker 3: I vaguely remember responding to a hateful listener email with

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Speaker 3: who hurt you?

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Speaker 1: Oh yeah, yeah, that's a good one right there, And

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Speaker 1: it might go clear back to your parents as a

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Speaker 1: little kid. And you know, we all know terrible stories,

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Speaker 1: but that is what's going on there. It is, yes,

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Speaker 1: similar to like road rage. It's very rare that somebody

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Speaker 1: who engages in road rage is actually enraged about what

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Speaker 1: happened on the road right that they brought their anger

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Speaker 1: to that incident. Can you I remember once I had

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Speaker 1: a guy just tailgating me and screaming at me and everything,

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Speaker 1: and so I pulled over it on the side of

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Speaker 1: the road and he jumped out and with a with

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Speaker 1: a like.

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Speaker 2: Big jack thing in his hand. He started screaming at me.

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Speaker 2: I said, hey, whoa, whoa, what are you really angry about?

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Speaker 2: What has made you angry today? And he said you

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Speaker 2: and he charged at me. So I shot him dead

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Speaker 2: right there on the pavement, led out on the pavement. Yep, Yeah, so.

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Speaker 4: I took a turn.

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Speaker 2: Oh, I knew I had you going, Katie.

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Speaker 4: I was so into that story.

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Speaker 1: So if you're if you're going through YouTube videos and

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Speaker 1: you come across like a fifteen year old play in

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Speaker 1: the flute and you just have this, you can't stop

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Speaker 1: yourself from saying, boy, don't give up. You know what

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Speaker 1: other other pursuits are you suck at that?

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Speaker 2: Or something? Really?

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Speaker 1: Honest to God, I'm trying to do this as a

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Speaker 1: public service. Think about where that comes from, and like

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Speaker 1: I don't know, religion, therapy, somehow to let go whatever,

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Speaker 1: try to figure out where the pain comes from. Maybe

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Speaker 1: you'll be happier, you really will.

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Speaker 2: Can't imagine feeling that impotent in the world, that that's

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Speaker 2: the only effect you're gonna have, and that's the effect

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Speaker 2: you want to have. Maybe I can hurt the feelings

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Speaker 2: of a fifteen year old floutest all.

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Speaker 1: Right, Yeah, that's a nice feeling. By anyway, that's enough

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Speaker 1: of that. But it makes me, it actually makes me

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Speaker 1: sad for mankind that there are so many people in

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Speaker 1: that kind of pain and so miserable they're lives.

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Speaker 2: That's not good.

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Speaker 1: So I had a motorcycle wreck last week and it

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Speaker 1: hurt like the but Jesus my knee and my shoulder

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Speaker 1: in particular. And then I had the thing when you

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Speaker 1: get into the doctor's office the er where they said, uh,

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Speaker 1: what's your scale on what's your pain? On a scale

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Speaker 1: of one to ten. I've always hated that question because

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Speaker 1: I haven't got the slightest idea what that means. This

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Speaker 1: is the first time though the person has ever said

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Speaker 1: ten being the worst pain you've ever felt. Okay, that

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Speaker 1: helps me in that, Okay, I've got a standard to

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Speaker 1: try to work from without that, Like, I don't know,

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Speaker 1: I don't know if my pain tolerance is higher than

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Speaker 1: most people's or lower than most people's or the same.

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Speaker 1: I don't have any idea. But if you're going to

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Speaker 1: go with the worst pain I've ever felt, it gives

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Speaker 1: me a way to gauge it. But as Joe pointed

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Speaker 1: out last week, what if I've never had anything bad

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Speaker 1: to me. Like prior to three years ago when I

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Speaker 1: had my gallbladder attack, I would have had a different

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Speaker 1: answer than I have now.

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Speaker 3: Mm hmmm, yeah, a different scale.

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Speaker 1: Like if you hadn't had your twisticle. Katie probably has

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Speaker 1: never heard the twistical story, but you you'd have a

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Speaker 1: different pain scale.

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Speaker 2: I guess torsion of the spermatic tube. You don't want it,

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Speaker 2: She's probably not likely to have it.

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Speaker 3: Yeah, I don't think I'm able to get that.

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Speaker 2: But that sounds of mule. You wouldn't wish it on

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Speaker 2: al Qaeda. But yeah, yeah, so now I have something

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Speaker 2: to kind of gauge it against.

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Speaker 1: But if you hadn't had that, so so, since you've

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Speaker 1: had that, you might rate a pretty bad pain of five.

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Speaker 1: If that hadn't happened to you might rate that pretty

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Speaker 1: bad pain in eight. And then what do they do

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Speaker 1: with that information?

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Speaker 2: Yeah, well there are better scales. Well that's why, silly

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Speaker 2: thing for them to say.

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Speaker 3: But ill the last time I was in the hospital,

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Speaker 3: the scale was the scale one to ten, and it

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Speaker 3: was just dislike they had different smiley faces, yell, different emojis.

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Speaker 1: I'm like, all that helps, that's what they do for kids. Yeah,

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Speaker 1: I don't know. I didn't. I never I never know

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Speaker 1: how to answer that question. And I want to be

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Speaker 1: helpful to my own recovery. But I don't know what

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Speaker 1: they're looking for anyway, Katie, I think you put this

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Speaker 1: one out, didn't you, Gady the improved pain Scale. I

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Speaker 1: like this one. Uh. One, it might be a nich

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Speaker 1: that's pretty good. Two, I just need a band aid.

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Speaker 1: That's a good one. Three it's kind of annoying. Four

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Speaker 1: This is concerning, but I can still work. Five on

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Speaker 1: the pain scale would be bees. That's just a bees

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Speaker 1: is a question mark. Six is bees exclamation point. So

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Speaker 1: five is.

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Speaker 2: Bees, six is bees.

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Speaker 1: Save it. On the pain scale, I can't stop crying.

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Speaker 1: Eight I can't move. It hurts so bad. It's about

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Speaker 1: where I was on Thursday when I was at the er.

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Speaker 1: Nine mauled by a bear or ninjas.

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Speaker 2: The animal. Yeah, of course, who among us hasn't well,

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Speaker 2: you know.

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Speaker 1: God, Ninja bears attack you. It's rough, and then ten unconscious?

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Speaker 2: Yeah, yeah, I'm maulted by a bear or ninjas, bees bees.

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Speaker 2: We got this from Joe, Joe and Dayton. I believe

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Speaker 2: this is the actual VA pain rating scale cool, which

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Speaker 2: is good. It's what you've been asking for.

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Speaker 1: Uh.

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Speaker 2: Number one zero is no pain obviously, one hardly noticed pain.

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Speaker 2: Two notice pain does not interfere with activities. Three sometimes

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Speaker 2: distracts me. Four distracts me, can do usual activities, five

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Speaker 2: interrupt some activities. Six would ignore avoid usual activities. Seven

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Speaker 2: focus of attention prevents doing daily activities. Eight awful, hard

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Speaker 2: to do anything. Nine can't bear the pain, unable to

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Speaker 2: do anything, and ten as bad as it could be,

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Speaker 2: nothing else matters.

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Speaker 1: Well, that's great. Why don't they hit me with that

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Speaker 1: every time I've ever been to the ere?

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Speaker 2: That's fantastic instead of the frownie face or the really

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Speaker 2: frowny face or the really really really frowny face. So

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Speaker 2: what should be the standard?

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Speaker 1: Right there?

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Speaker 2: That what you just read?

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Speaker 1: Yeah, that is really great? What was seven?

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Speaker 2: Again? Focus of attention prevents doing daily activities?

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Speaker 1: Yeah, that's where I was on Thursday when I was

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Speaker 1: at the er, certainly, And yeah, but yeah, that's that's

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Speaker 1: a great skill. And that way you both that way

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Speaker 1: you both know they know and you know what you're

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Speaker 1: talking about, and you know you go from there on

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Speaker 1: what kind of pain medication you'd need or whatever.

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Speaker 2: There might be a wuss, but at least this is

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Speaker 2: much more helpful.

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Speaker 1: Yeah, yeah, I suppose.

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Speaker 2: That follow up questions too. You want to hear though, sure.

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Speaker 2: Circle the number that describes how during the past twenty

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Speaker 2: four hours pain is interfered with your usual activity, does

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Speaker 2: not interfere or completely interferes. Then circle the number that

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Speaker 2: describes how during the past twenty four hours pain is

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Speaker 2: interfered with your sleep. One to ten.

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Speaker 1: I'm pretty high on that one. Oh yeah, yeah, yeah, jeez.

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Speaker 2: Circle the number that describes how during the past twenty

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Speaker 2: four hours pain has affected your mood. Ah, and then

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Speaker 2: that has contributed to your stress.

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Speaker 1: Yeah, and my shoulder and knee. You are not allowing

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Speaker 1: me to sleep hardly at all.

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Speaker 2: Yeah.

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Speaker 1: But the way, okay, we'll get that out to every

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Speaker 1: hospital in America, so you don't just give the overall

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Speaker 1: and it's usually nice person, but usually somebody it's just

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Speaker 1: kind of in a very I'm barely paying attention. I

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Speaker 1: got to write down a number. It's my job sort

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Speaker 1: of way. What's your pain on a scale of one

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Speaker 1: to ten? I don't know what does that mean. I

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Speaker 1: just need to put down a number. Okay, Well, You're

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Speaker 1: either going to give me morphine or nothing based on

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Speaker 1: what I tell you. So it seems sort of important.

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Speaker 2: Scale of one to ten, alright, alright, alright, twelve, it's

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Speaker 2: gotta be between one and ten. Alright, alright, d just

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Speaker 2: mess with them all of the above. Yeah, all right.

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Speaker 4: I like going to the doctor and say it feels

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Speaker 4: like I got kicked by a ninja. I think that's

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Speaker 4: more fun. Well, I guess that's it.