1 00:00:00,280 --> 00:00:03,000 Speaker 1: This episode of Stuff You Should Know is sponsored by 2 00:00:03,120 --> 00:00:06,040 Speaker 1: squar Space. Whether you need a landing page, a beautiful 3 00:00:06,080 --> 00:00:09,879 Speaker 1: gallery of professional blogger, an online store, it's all possible 4 00:00:09,920 --> 00:00:13,240 Speaker 1: with the square space website. Go to squarespace dot com 5 00:00:13,480 --> 00:00:17,880 Speaker 1: and set your website apart. Welcome to Stuff you Should 6 00:00:17,960 --> 00:00:26,880 Speaker 1: Know from House Stuff Works dot com. Hey, and welcome 7 00:00:26,920 --> 00:00:30,280 Speaker 1: to the podcast. I'm Josh Clark, and there's Chuck Bryant 8 00:00:30,360 --> 00:00:34,920 Speaker 1: and there's Jerry and it's Stuff you Should Know. How's 9 00:00:34,960 --> 00:00:38,160 Speaker 1: going pretty good? Do you like my Scotland shirt? That's great. 10 00:00:38,159 --> 00:00:40,440 Speaker 1: You're gonna wear that in Scotland. Yeah, that's why I 11 00:00:40,440 --> 00:00:43,000 Speaker 1: got it. Okay, I got a shirt for each city 12 00:00:43,600 --> 00:00:49,320 Speaker 1: nice country. Well Edinburgh, yeah, yeah, that's the city. Yeah. 13 00:00:49,360 --> 00:00:51,839 Speaker 1: I think they'll be behind the Scotland shirt. And they 14 00:00:51,840 --> 00:00:57,000 Speaker 1: will too. They're gonna stand up and do that Arsenio like, yeah, 15 00:00:57,560 --> 00:01:00,480 Speaker 1: because they're living in the eighties. Yeah, about a shirt 16 00:01:00,520 --> 00:01:04,560 Speaker 1: for each city on our UK tour because I'm just 17 00:01:04,920 --> 00:01:09,560 Speaker 1: you know, I can write it off and that's just 18 00:01:09,680 --> 00:01:13,080 Speaker 1: the very mean thing to do. I'll keep the Manchester 19 00:01:14,000 --> 00:01:18,000 Speaker 1: shirt a secret. Oh I know what it is, do you? 20 00:01:18,520 --> 00:01:22,080 Speaker 1: I think? So? All right, Well, we'll talk later. Okay. 21 00:01:22,959 --> 00:01:26,880 Speaker 1: In the meantime, Chuck, let's talk about trias. Let's talk 22 00:01:26,920 --> 00:01:33,160 Speaker 1: about the French language. Okay, tree a okay means too short? 23 00:01:33,240 --> 00:01:36,120 Speaker 1: Did you know that? Which means that Lars von Trier's 24 00:01:36,200 --> 00:01:39,520 Speaker 1: name is Lars Vaughan. To sort, Yeah, sort or sift. 25 00:01:39,600 --> 00:01:42,600 Speaker 1: I saw another meaning, but everywhere else said sort, and 26 00:01:42,640 --> 00:01:49,160 Speaker 1: apparently it was originally used exclusively in reference to sorting vegetables. Yeah, 27 00:01:49,280 --> 00:01:54,320 Speaker 1: a little known fact. But the pre industrial French society 28 00:01:54,480 --> 00:01:59,960 Speaker 1: was a grarian, so they would say, and that means 29 00:02:00,760 --> 00:02:04,720 Speaker 1: and they snapped their fingers and point and pile of vegetables, 30 00:02:04,720 --> 00:02:09,280 Speaker 1: sort of veggies, root veggies in France. Yeah, they have 31 00:02:09,320 --> 00:02:13,600 Speaker 1: those everywhere, but but they they're bonkers for root veggies 32 00:02:13,639 --> 00:02:17,720 Speaker 1: in France. They have good, clean, simple food in that country. Yeah, 33 00:02:17,840 --> 00:02:22,520 Speaker 1: good good food. Yeah. What's it called the French food? 34 00:02:23,160 --> 00:02:25,920 Speaker 1: It's not not the trinity that's like a Cajun, but 35 00:02:25,960 --> 00:02:30,400 Speaker 1: the mere poix. Oh I've not heard that before. Is 36 00:02:30,440 --> 00:02:33,919 Speaker 1: it the same thing? No? I think mere poise carrot onion, 37 00:02:34,000 --> 00:02:41,160 Speaker 1: and one other thing parsley, celery, celery. Jerry's the celery Jerry. 38 00:02:41,160 --> 00:02:44,399 Speaker 1: I think you're right? Are you right? You know you're right, okay, 39 00:02:44,440 --> 00:02:48,280 Speaker 1: in Cajun Land, it's like Bell Pepper onion and what 40 00:02:48,800 --> 00:02:54,040 Speaker 1: and uh garlic it would meet garlic. I was trying 41 00:02:54,040 --> 00:02:56,680 Speaker 1: to think of something funny and I failed my brain 42 00:02:56,800 --> 00:03:02,280 Speaker 1: just like, yeah, well it's late in the day, trying 43 00:03:02,280 --> 00:03:06,480 Speaker 1: to think of something about like an angel Heart reference. Man, 44 00:03:06,600 --> 00:03:10,320 Speaker 1: that movie is crazy. Still holds up. I saw it 45 00:03:10,760 --> 00:03:13,280 Speaker 1: really well. Actually I can't say it holds up because 46 00:03:13,280 --> 00:03:14,679 Speaker 1: I never saw it as a kid. I saw it 47 00:03:14,720 --> 00:03:17,480 Speaker 1: as an adult recently. I think it's still on Netflix. 48 00:03:18,600 --> 00:03:21,679 Speaker 1: You know, Lisa Bonet is in the season of Ray 49 00:03:21,720 --> 00:03:29,760 Speaker 1: Donovan and she looks exactly the same vampire perhaps very 50 00:03:29,800 --> 00:03:32,760 Speaker 1: pretty lady. I was crushed on her big when I 51 00:03:32,800 --> 00:03:36,840 Speaker 1: was a kid, and she's super laid back. Um, what 52 00:03:36,960 --> 00:03:42,920 Speaker 1: was it Lisa Huxtable? Yeah, for sure they didn't. Her 53 00:03:42,960 --> 00:03:47,160 Speaker 1: name wasn't Lisa Huxtable. It was something huxtable. Well probably 54 00:03:47,160 --> 00:03:49,720 Speaker 1: not because the real names Lisa. Yes. You know, sometimes 55 00:03:49,720 --> 00:03:52,760 Speaker 1: shows like used the actor's first name as the character's name, 56 00:03:53,240 --> 00:03:56,480 Speaker 1: even though they're not playing themselves. I always thought that 57 00:03:56,560 --> 00:03:59,360 Speaker 1: was weird. Yeah. I always wonder if it's because they 58 00:03:59,400 --> 00:04:02,560 Speaker 1: have a hard time I'm remembering their characters right, or 59 00:04:02,600 --> 00:04:04,640 Speaker 1: the writers like I just can't come up with a name. 60 00:04:05,080 --> 00:04:07,800 Speaker 1: Just call him the real name, okay, sue me. And 61 00:04:07,840 --> 00:04:10,880 Speaker 1: I know people get so tired of screaming at us 62 00:04:11,040 --> 00:04:14,400 Speaker 1: about like, oh, what was the name of that? And 63 00:04:14,440 --> 00:04:17,240 Speaker 1: they're like her name was this? I do that to 64 00:04:17,279 --> 00:04:20,400 Speaker 1: other podcasts, so I feel your pain. I heard one 65 00:04:20,440 --> 00:04:22,480 Speaker 1: just the other day. I think Judge John Hodgement he 66 00:04:22,480 --> 00:04:28,400 Speaker 1: couldn't think of something, and I was like, no navy blue. Anyway, 67 00:04:28,440 --> 00:04:31,839 Speaker 1: I apologize for all the things we don't know. Uh. 68 00:04:32,160 --> 00:04:38,360 Speaker 1: Treer to sort was to sort vegetable foundation of the 69 00:04:38,480 --> 00:04:42,400 Speaker 1: term triage. Yeah. And the reason why the French got 70 00:04:42,400 --> 00:04:45,960 Speaker 1: to got naming rights for this process that will describe 71 00:04:45,960 --> 00:04:49,720 Speaker 1: in a minute is because it was basically invented by 72 00:04:50,320 --> 00:04:54,719 Speaker 1: a French person. Pretty remarkable guy from what I can tell. 73 00:04:54,880 --> 00:04:57,800 Speaker 1: He had a great name. He was Napoleon's surgeon, the 74 00:04:57,880 --> 00:05:01,119 Speaker 1: chief surgeon of Napoleon's Imperial Guard. His name was Baron 75 00:05:01,200 --> 00:05:07,159 Speaker 1: Dominique Jean Larrey. Yeah, and he was, uh, he was 76 00:05:07,200 --> 00:05:10,279 Speaker 1: a bad dude in all the best ways. He was. 77 00:05:10,360 --> 00:05:14,360 Speaker 1: And this was at a time when warfare was getting 78 00:05:14,400 --> 00:05:17,400 Speaker 1: pretty serious. Um, I mean it was already serious, but 79 00:05:17,920 --> 00:05:23,480 Speaker 1: people were dying and massive amounts of people soldiers dying 80 00:05:23,680 --> 00:05:27,599 Speaker 1: on the field and great, great numbers. And so he said, 81 00:05:27,680 --> 00:05:30,800 Speaker 1: you know what, we need to come up with the system, 82 00:05:30,839 --> 00:05:33,400 Speaker 1: a way to take care of these dudes. Uh, so 83 00:05:33,440 --> 00:05:35,440 Speaker 1: they're not waiting over there with a bone sticking out 84 00:05:35,440 --> 00:05:39,000 Speaker 1: of their leg waiting for attention. Well this dude also, 85 00:05:39,120 --> 00:05:41,280 Speaker 1: I mean he came to this conclusion because he was 86 00:05:41,400 --> 00:05:46,359 Speaker 1: running around battlefields like performing amputations and um, just in 87 00:05:46,400 --> 00:05:49,320 Speaker 1: a sea of bodies. Like bite, bite on your gun 88 00:05:49,320 --> 00:05:53,040 Speaker 1: barrel while I cut your leg off. Yeah that kind 89 00:05:53,040 --> 00:05:57,679 Speaker 1: of thing. Yeah, um, and he barrel but stuck. Sure 90 00:05:58,320 --> 00:06:01,479 Speaker 1: could bite on yourn, but be really, they needed up 91 00:06:01,520 --> 00:06:05,280 Speaker 1: needing new teeth. Um, the wood is much more comfortable 92 00:06:05,279 --> 00:06:08,359 Speaker 1: when you're having your leg amputative without anesthetic, I would 93 00:06:08,360 --> 00:06:11,600 Speaker 1: say so. Um, but while he's running around performing these 94 00:06:11,600 --> 00:06:15,880 Speaker 1: battlefield amputations, he realizes quite quick quickly that some people 95 00:06:15,920 --> 00:06:19,360 Speaker 1: are in need of help more urgently than others. And 96 00:06:19,480 --> 00:06:22,400 Speaker 1: he decided it would be pretty awesome if you could 97 00:06:22,400 --> 00:06:25,240 Speaker 1: figure out a way, like you were saying, to devise 98 00:06:25,279 --> 00:06:30,040 Speaker 1: a system of arranging people very quickly so that, um, 99 00:06:30,200 --> 00:06:34,080 Speaker 1: you could give aid to the people who needed it most. 100 00:06:35,000 --> 00:06:37,560 Speaker 1: And Uh, to do that, you would need to sort 101 00:06:37,640 --> 00:06:42,160 Speaker 1: through the people, hence triage as if they were root vegetables. 102 00:06:43,200 --> 00:06:46,479 Speaker 1: Uh so what he did initially, and it's gone through 103 00:06:46,480 --> 00:06:48,599 Speaker 1: some changes that we're going to talk about, but the 104 00:06:48,640 --> 00:06:54,400 Speaker 1: initial incarnation of triage was only based on severity of injuries, 105 00:06:54,800 --> 00:06:57,839 Speaker 1: no other factor. Well even before that, and this is 106 00:06:57,880 --> 00:07:01,840 Speaker 1: another reason this guy is awesome when he like, there 107 00:07:01,960 --> 00:07:04,520 Speaker 1: was a very vague form of triage before, but it 108 00:07:04,600 --> 00:07:07,320 Speaker 1: was based on your social standing. Oh really, so yeah, 109 00:07:07,360 --> 00:07:10,040 Speaker 1: I was reading that, like, if you have a of course, 110 00:07:10,080 --> 00:07:14,160 Speaker 1: a guy who's like, uh, an aristocrat with a broken leg, yeah, 111 00:07:14,200 --> 00:07:17,320 Speaker 1: and just a grunt whose bowels are hanging out, you 112 00:07:17,440 --> 00:07:21,800 Speaker 1: fix the broken leg first, which is senseless. And laure 113 00:07:22,120 --> 00:07:24,280 Speaker 1: was like, no, we're not gonna do that anymore. It's 114 00:07:24,320 --> 00:07:28,160 Speaker 1: going to be based on severity of of injury, yeah, 115 00:07:28,160 --> 00:07:31,360 Speaker 1: their need for help. And Napoleon was like, that's great, 116 00:07:31,800 --> 00:07:33,280 Speaker 1: but you know, I'm at the top of the list 117 00:07:33,320 --> 00:07:36,559 Speaker 1: no matter what. Right, Hey, have you heard people calling 118 00:07:36,600 --> 00:07:39,000 Speaker 1: me the anti Christ behind my back? Because I could 119 00:07:39,040 --> 00:07:41,360 Speaker 1: hear rumblings about this and it's bugging me. You know, 120 00:07:41,400 --> 00:07:45,040 Speaker 1: I'm not really short, I'm average. Yeah, that's true. Uh. 121 00:07:45,240 --> 00:07:47,160 Speaker 1: And the process went on to change a little bit more. 122 00:07:47,440 --> 00:07:52,880 Speaker 1: With British surgeon naval surgeon John Wilson in six he said, 123 00:07:52,920 --> 00:07:55,200 Speaker 1: you know what, let's refine this a little bit and 124 00:07:55,440 --> 00:07:59,200 Speaker 1: let's put some focus on people who can be successfully treated, 125 00:07:59,240 --> 00:08:02,080 Speaker 1: so not necessary early. That guy's got all his bowels 126 00:08:02,120 --> 00:08:06,520 Speaker 1: hanging out, he's the most severely injured. He thought, well, 127 00:08:06,560 --> 00:08:08,720 Speaker 1: you know what, that guy might not make it, so 128 00:08:08,760 --> 00:08:11,320 Speaker 1: maybe we shouldn't spend so much time. It's harsh, but 129 00:08:11,400 --> 00:08:13,600 Speaker 1: it's war, it is. And that was a huge shift 130 00:08:13,680 --> 00:08:16,160 Speaker 1: because it up to that point, if you were a 131 00:08:16,160 --> 00:08:20,760 Speaker 1: medic um like you just treated people. Now you have 132 00:08:20,880 --> 00:08:23,720 Speaker 1: a decision to make with each person. Do you let 133 00:08:23,760 --> 00:08:28,760 Speaker 1: that person die? Um, because they're probably going to die 134 00:08:28,960 --> 00:08:31,720 Speaker 1: and you could be saving other people rather than wasting 135 00:08:31,760 --> 00:08:34,560 Speaker 1: your talents and resources on this person right here, Make 136 00:08:34,640 --> 00:08:38,320 Speaker 1: them comfortable, maybe throw some morphine their way, and then 137 00:08:38,480 --> 00:08:40,640 Speaker 1: you know, go about your business. That was a big 138 00:08:40,679 --> 00:08:44,000 Speaker 1: big shift in in triage, in battlefield triage, and in 139 00:08:44,040 --> 00:08:47,200 Speaker 1: the US it didn't um, they didn't, We didn't. We 140 00:08:47,280 --> 00:08:51,120 Speaker 1: didn't catch up very quickly by the Civil War. So 141 00:08:51,200 --> 00:08:56,600 Speaker 1: that guy uh Laura was was working on triage, inventing 142 00:08:56,600 --> 00:09:00,760 Speaker 1: it in the seventeen nineties. Um, John Wilson refined it 143 00:09:00,800 --> 00:09:05,079 Speaker 1: in the eighteen forties in the Civil War. Still we 144 00:09:05,080 --> 00:09:08,559 Speaker 1: were doing like first come, first served. Whoever was closest 145 00:09:08,600 --> 00:09:11,240 Speaker 1: to the medic was who got worked on first in 146 00:09:11,280 --> 00:09:14,240 Speaker 1: the Civil War in the eighteen sixties. Still, it wasn't 147 00:09:14,320 --> 00:09:17,800 Speaker 1: until um, I think the late eighteen sixties or early 148 00:09:17,840 --> 00:09:22,800 Speaker 1: eighteen seventies that the US first started adopting even basic triage. 149 00:09:23,080 --> 00:09:25,440 Speaker 1: So Britain led the way in this case, well, France 150 00:09:26,160 --> 00:09:29,640 Speaker 1: and then Britain. Yeah, yeah, France led the way in mercy. 151 00:09:30,000 --> 00:09:33,280 Speaker 1: Britain led the way in um saying like, no, we 152 00:09:33,400 --> 00:09:36,559 Speaker 1: gotta let some people die here. Well, I would say 153 00:09:36,600 --> 00:09:40,600 Speaker 1: efficiency in saving lives overall. Yeah, I mean it's a 154 00:09:40,679 --> 00:09:44,400 Speaker 1: very utilitarian way of looking at and like they're they're 155 00:09:44,400 --> 00:09:47,520 Speaker 1: like gotta be gotta have nerves of steel, gotta have 156 00:09:47,640 --> 00:09:53,160 Speaker 1: a kung fu grip. World War One things changed again. Uh, 157 00:09:53,200 --> 00:09:56,480 Speaker 1: they tweaked it and now they said, all right, maybe 158 00:09:56,520 --> 00:09:59,560 Speaker 1: we should treat and you know, if this was what country, 159 00:09:59,559 --> 00:10:04,199 Speaker 1: this was just generally this is a US Army manual. 160 00:10:04,320 --> 00:10:06,880 Speaker 1: It was, but apparently the US wasn't alone in this. 161 00:10:06,960 --> 00:10:11,520 Speaker 1: It was like a it seems like a worldwide movement 162 00:10:12,679 --> 00:10:18,439 Speaker 1: shift in in triage, which was to treat, uh, how 163 00:10:18,440 --> 00:10:20,600 Speaker 1: many people can you treat in the shortest amount of time, 164 00:10:21,120 --> 00:10:24,920 Speaker 1: So like maybe people that don't need as much. But yeah, 165 00:10:24,960 --> 00:10:28,400 Speaker 1: and the basis of this is even more steely nerved 166 00:10:28,440 --> 00:10:33,559 Speaker 1: than than um John Wilson's shift, because this is saying 167 00:10:34,400 --> 00:10:38,160 Speaker 1: not ignore that person, they're probably going to die. It's 168 00:10:38,840 --> 00:10:42,360 Speaker 1: this person is going to die, you could probably save, 169 00:10:42,920 --> 00:10:44,720 Speaker 1: but it's gonna take up too much time. And the 170 00:10:44,760 --> 00:10:46,920 Speaker 1: time that it takes to save this person's life and 171 00:10:46,960 --> 00:10:49,520 Speaker 1: you probably could save it. You could have fixed up 172 00:10:49,520 --> 00:10:52,520 Speaker 1: twelve people who weren't going to die but can get 173 00:10:52,520 --> 00:10:54,839 Speaker 1: back out and fight the war a lot faster if 174 00:10:54,840 --> 00:10:56,880 Speaker 1: you work on them. And that was I think the 175 00:10:56,920 --> 00:10:59,679 Speaker 1: thinking behind it, patching up people who are more likely 176 00:10:59,679 --> 00:11:01,839 Speaker 1: to be a will it returned to battle, rather than 177 00:11:02,000 --> 00:11:05,800 Speaker 1: saving lives of people who UH might not be able 178 00:11:05,880 --> 00:11:07,960 Speaker 1: to or who would take up a lot of time, 179 00:11:08,480 --> 00:11:12,520 Speaker 1: hard choices. Yeah, that's super utilitarian. That was, like you said, 180 00:11:12,520 --> 00:11:14,720 Speaker 1: a surgical manual out of the military at the time 181 00:11:15,040 --> 00:11:18,200 Speaker 1: said this quote, a single case, even if it urgently 182 00:11:18,240 --> 00:11:21,160 Speaker 1: requires attention, may have to wait for in that time 183 00:11:21,200 --> 00:11:25,600 Speaker 1: a dozen others almost equally exigent but requiring less time 184 00:11:26,200 --> 00:11:28,960 Speaker 1: might be cared for. And four people died while I 185 00:11:28,960 --> 00:11:33,240 Speaker 1: read that on the battlefield it could have really sum 186 00:11:33,240 --> 00:11:45,880 Speaker 1: that up quicker. Uh, should we take a little break? Sure? Man, No, 187 00:11:56,000 --> 00:12:00,280 Speaker 1: all right, my friend, Uh, there are we've been talking 188 00:12:00,280 --> 00:12:03,680 Speaker 1: about the battlefield so far in its history. That was 189 00:12:03,720 --> 00:12:07,240 Speaker 1: the origin of it. But uh, if you go to 190 00:12:07,320 --> 00:12:10,280 Speaker 1: the e R. And actually I haven't been to the 191 00:12:10,320 --> 00:12:15,920 Speaker 1: e R much at all in the last jeez much 192 00:12:15,920 --> 00:12:18,080 Speaker 1: at all in my life. That's good. But since I 193 00:12:18,120 --> 00:12:20,320 Speaker 1: was a kid, but I did go in New York remember, 194 00:12:20,559 --> 00:12:24,400 Speaker 1: Oh yeah, that's right. When I got sick. I went 195 00:12:24,440 --> 00:12:28,600 Speaker 1: to the emergency room in New York City, Beth Israel. 196 00:12:29,480 --> 00:12:34,280 Speaker 1: And it was, man, it was a little a little scary, 197 00:12:35,840 --> 00:12:38,760 Speaker 1: just the scene there. Sure, yeah, it wasn't like I'm 198 00:12:38,840 --> 00:12:41,160 Speaker 1: sort of used to the hospitals around here, kind of nicer, 199 00:12:41,920 --> 00:12:45,480 Speaker 1: like it had seen its better days, the e R 200 00:12:45,559 --> 00:12:49,080 Speaker 1: room and the waiting room, and it was it's sad 201 00:12:49,160 --> 00:12:51,160 Speaker 1: to see the people that are in there that need help, 202 00:12:51,320 --> 00:12:54,240 Speaker 1: you know, in a big city like that. It's um, 203 00:12:54,280 --> 00:12:55,839 Speaker 1: it's not like you know, my kid fell down and 204 00:12:55,880 --> 00:12:59,120 Speaker 1: bumped his head. It's like, you know, it was disturbing. 205 00:13:00,280 --> 00:13:03,600 Speaker 1: I'll just say that. Yeah, but I was triaged when 206 00:13:03,600 --> 00:13:06,120 Speaker 1: I first got there. And that's what will happen to 207 00:13:06,160 --> 00:13:08,000 Speaker 1: you when you go to a er there. There's gonna 208 00:13:08,000 --> 00:13:10,160 Speaker 1: be a triage nurse. Somebody runs up to you and 209 00:13:10,160 --> 00:13:12,520 Speaker 1: throws glitter in your face and said, you've been triaged. 210 00:13:17,679 --> 00:13:20,839 Speaker 1: That's after someone already threw molasses on your face. That 211 00:13:20,920 --> 00:13:24,400 Speaker 1: glitter would sticks. Yeah, So triage nurse is gonna come 212 00:13:24,440 --> 00:13:27,200 Speaker 1: by and that that dude to that lady is gonna say, hi, 213 00:13:27,280 --> 00:13:32,960 Speaker 1: welcome to Beth Israel. Sorry about the mess. Um, let's 214 00:13:33,080 --> 00:13:37,120 Speaker 1: check you out. I'll watch your step. There's some blood. Seriously, 215 00:13:37,559 --> 00:13:41,600 Speaker 1: it's kind of like that. Um and uh, they will 216 00:13:41,640 --> 00:13:44,240 Speaker 1: do an assessment. They're gonna look at you and say, 217 00:13:44,360 --> 00:13:47,400 Speaker 1: you know, deep, this guy has a spoon coming out 218 00:13:47,400 --> 00:13:50,200 Speaker 1: of his ear, so I can make a snap judgment 219 00:13:50,280 --> 00:13:54,160 Speaker 1: that you need quick help. Yeah. Or this dude in 220 00:13:54,160 --> 00:13:57,040 Speaker 1: my case was just holding his belly and so he 221 00:13:57,080 --> 00:13:58,760 Speaker 1: looks like he can wait, Yeah, he looks like he 222 00:13:58,880 --> 00:14:02,240 Speaker 1: was shooted duck. He can sit here and hold that 223 00:14:02,320 --> 00:14:04,520 Speaker 1: for a little while. She said, here, let me pull 224 00:14:04,559 --> 00:14:07,440 Speaker 1: your finger. Everything will be all right. And there's what 225 00:14:07,480 --> 00:14:10,560 Speaker 1: you're describing this e er triage that's done by a 226 00:14:10,559 --> 00:14:14,040 Speaker 1: triage nurse, right, the first person about the first person 227 00:14:14,120 --> 00:14:16,360 Speaker 1: you see when you come to an e er when 228 00:14:16,360 --> 00:14:20,960 Speaker 1: they're doing triage. It's not constant necessarily they have been 229 00:14:21,000 --> 00:14:23,880 Speaker 1: trained to do this, but they're also following float charts. 230 00:14:23,920 --> 00:14:29,200 Speaker 1: There's there's triage protocols, different ones, and there's one from Manchester, 231 00:14:29,520 --> 00:14:33,040 Speaker 1: UK and it's from what I understand, the international gold 232 00:14:33,080 --> 00:14:39,640 Speaker 1: standard for triage, the Manchester Triage system And it's a band. Yeah, 233 00:14:39,680 --> 00:14:43,440 Speaker 1: it is like Manhattan Transfer. Um. But it's like it's 234 00:14:43,440 --> 00:14:45,760 Speaker 1: a flow chart and it basically says like, um, are 235 00:14:45,800 --> 00:14:49,680 Speaker 1: they breathing? No, get them immediate help, like stop right 236 00:14:49,720 --> 00:14:53,160 Speaker 1: now and immediately get them into a place where a 237 00:14:53,200 --> 00:14:56,560 Speaker 1: lifesaving intervention can be carried out right. Um. And there's 238 00:14:56,560 --> 00:15:01,320 Speaker 1: some other ones, but it seems like breathing is the 239 00:15:01,360 --> 00:15:04,760 Speaker 1: focus of it. That's good, Yeah it is, but but 240 00:15:04,840 --> 00:15:07,480 Speaker 1: I mean you think about it, you would think there'd 241 00:15:07,520 --> 00:15:09,800 Speaker 1: be some other ones too, like as are there is 242 00:15:09,840 --> 00:15:12,440 Speaker 1: their blood coming out of their ear or something like that. No, 243 00:15:12,640 --> 00:15:16,600 Speaker 1: it's mostly breathing. Like if if you're breathing, there's a 244 00:15:16,640 --> 00:15:19,400 Speaker 1: pretty good chance you're you're gonna make it, especially if 245 00:15:19,440 --> 00:15:22,200 Speaker 1: you have a normal breathing pattern, right. Um. And but 246 00:15:22,240 --> 00:15:24,120 Speaker 1: then there's some other ones like if if the person 247 00:15:24,200 --> 00:15:29,720 Speaker 1: is not responsive or if they're drooling. Apparently it's another one. Um, 248 00:15:29,760 --> 00:15:32,240 Speaker 1: there are a couple of jewelers in the r Israel. 249 00:15:32,520 --> 00:15:35,280 Speaker 1: They should have been seen immediately according to the Manchester 250 00:15:35,720 --> 00:15:39,720 Speaker 1: UM triage system. So, um, there's like a float chart. 251 00:15:39,760 --> 00:15:43,160 Speaker 1: You don't have to It's not necessarily just the nurses 252 00:15:43,280 --> 00:15:47,280 Speaker 1: subjective judgment. It's not supposed to be. I'm sure it 253 00:15:47,440 --> 00:15:50,240 Speaker 1: is in like high stress situations and with really highly 254 00:15:50,280 --> 00:15:53,280 Speaker 1: trained triage nurses they can just be like, yeah, this 255 00:15:53,960 --> 00:15:58,120 Speaker 1: move that person there, you go sit down, you go home. Um. 256 00:15:58,160 --> 00:15:59,880 Speaker 1: But for the most part, it's supposed to be a 257 00:16:00,360 --> 00:16:04,880 Speaker 1: UM an objective system that you can just consult and 258 00:16:04,920 --> 00:16:09,320 Speaker 1: be like, okay, well here here's where you fit paper. 259 00:16:09,400 --> 00:16:12,040 Speaker 1: You're so smart, why don't you just treatage everybody yourself? 260 00:16:12,480 --> 00:16:15,560 Speaker 1: Well beyond the initial UH flow chart to they're also 261 00:16:15,600 --> 00:16:18,880 Speaker 1: going to take some vitals. Um, here your complaint in 262 00:16:18,920 --> 00:16:22,400 Speaker 1: your medical history, allergies, all that good stuff, medications you 263 00:16:22,440 --> 00:16:25,440 Speaker 1: might be on, and then take your vitals, blood pressure, temperature, 264 00:16:25,480 --> 00:16:28,000 Speaker 1: all that good stuff. Yeah, if if you're not in 265 00:16:28,080 --> 00:16:31,200 Speaker 1: that group where they're just like to send them right back. Yes, 266 00:16:31,240 --> 00:16:33,120 Speaker 1: And by the way, I'm not knocking beth is reel 267 00:16:33,680 --> 00:16:37,000 Speaker 1: because Nurse Eddie there, this dude, the guy who didn't 268 00:16:37,040 --> 00:16:40,280 Speaker 1: believe that you were sick. Yeah, a little bit. He 269 00:16:40,680 --> 00:16:43,240 Speaker 1: was amazing and took wonderful care of me and was 270 00:16:43,280 --> 00:16:46,360 Speaker 1: like the typical New York nurse that you might think 271 00:16:46,400 --> 00:16:49,280 Speaker 1: of this sort of like he had the accent, and 272 00:16:49,360 --> 00:16:52,520 Speaker 1: he was like a very kind of cool customer dude, 273 00:16:52,520 --> 00:16:54,880 Speaker 1: like I would have felt very comfortable walking into his 274 00:16:55,000 --> 00:16:57,960 Speaker 1: arms like a gunshot, because I'm sure he could have 275 00:16:58,000 --> 00:17:00,480 Speaker 1: like totally taken care of me. But he did get 276 00:17:00,520 --> 00:17:03,960 Speaker 1: a little like like I couldn't figure out what's wrong 277 00:17:04,000 --> 00:17:06,720 Speaker 1: with me at first, and then after I got better 278 00:17:07,440 --> 00:17:09,520 Speaker 1: and they knocked me out and gave me fluids and 279 00:17:09,560 --> 00:17:12,600 Speaker 1: I woke up. I had a I was like, all right, great, 280 00:17:12,600 --> 00:17:13,800 Speaker 1: and you know, I'm out of here. And I felt 281 00:17:13,800 --> 00:17:16,159 Speaker 1: this lump, remember that, I felt a lump behind my 282 00:17:16,200 --> 00:17:18,919 Speaker 1: ear the size of a golf ball. And I walked 283 00:17:18,960 --> 00:17:21,800 Speaker 1: back in. I was like, Nurse Eddie, dude, I got like, 284 00:17:21,920 --> 00:17:24,000 Speaker 1: what is this? And he kind of gave me one 285 00:17:24,040 --> 00:17:26,119 Speaker 1: of those looks like, oh, you're one of those guys. 286 00:17:27,359 --> 00:17:32,200 Speaker 1: And I was like, I'm not a hypochondriac. I'm never 287 00:17:32,520 --> 00:17:35,800 Speaker 1: at the doctor. I've never been to the e R hardly, like, 288 00:17:35,920 --> 00:17:39,720 Speaker 1: please don't look at me those eyes. Nurse Eddie and um, 289 00:17:39,760 --> 00:17:42,560 Speaker 1: he felt it and I was like, see, it's like 290 00:17:42,640 --> 00:17:44,919 Speaker 1: it's huge. And I think he determined that it was 291 00:17:44,960 --> 00:17:46,880 Speaker 1: some kind of like he had a doctor come over 292 00:17:47,560 --> 00:17:50,160 Speaker 1: and they determined it was just a swelling of lymph 293 00:17:50,240 --> 00:17:56,399 Speaker 1: node from hypochondria brought on by my sickness. But anyway, 294 00:17:56,400 --> 00:17:58,679 Speaker 1: big shout out. It turned out to be you had 295 00:17:58,720 --> 00:18:02,359 Speaker 1: snakes in your belly. Yeah. If I passed out on 296 00:18:02,400 --> 00:18:05,840 Speaker 1: the subway, woke up two days later in Coney Island, 297 00:18:06,320 --> 00:18:11,920 Speaker 1: I had thirteen snakes in my belly, no more, no less. 298 00:18:11,920 --> 00:18:18,840 Speaker 1: So weird. So um. They gather these details in the 299 00:18:19,000 --> 00:18:23,200 Speaker 1: triage didn't take long. They use the color coded system 300 00:18:23,240 --> 00:18:26,760 Speaker 1: in some hospitals. Numbers and some were both things on 301 00:18:27,040 --> 00:18:31,000 Speaker 1: where you are. Yeah, what's this is astounding to me? 302 00:18:31,240 --> 00:18:36,000 Speaker 1: It's not universal, Like the colors aren't universal. Numbers seem 303 00:18:36,080 --> 00:18:39,119 Speaker 1: to be like nobody does it backwards, but the color 304 00:18:39,200 --> 00:18:42,359 Speaker 1: should be the exact same too. So for example, like 305 00:18:42,440 --> 00:18:46,600 Speaker 1: in Manchester's jam Like the worst of all is red. 306 00:18:47,600 --> 00:18:51,480 Speaker 1: See red? Making sense? No another trio system blues? The 307 00:18:51,520 --> 00:18:54,399 Speaker 1: worst code blue. Yeah, I think you hear that a 308 00:18:54,400 --> 00:18:57,360 Speaker 1: lot on American TV, but it's a It's a real thing, 309 00:18:57,560 --> 00:19:00,679 Speaker 1: at least in the States. So I I think that 310 00:19:00,760 --> 00:19:03,360 Speaker 1: everybody should get together and agree on a color system 311 00:19:03,920 --> 00:19:07,040 Speaker 1: because the whole point of triage is rapid fire. Let's 312 00:19:07,040 --> 00:19:09,679 Speaker 1: get this done. Not oh, well, which system did you 313 00:19:09,760 --> 00:19:13,520 Speaker 1: triage them? Because I'm I'm I enjoy a spotted t 314 00:19:13,760 --> 00:19:17,040 Speaker 1: so I'm a fan of the Manchester system, so this 315 00:19:17,040 --> 00:19:20,359 Speaker 1: this red is completely odd to me. Yeah, but you 316 00:19:20,359 --> 00:19:22,280 Speaker 1: know the one your hospital uses, so you're probably not 317 00:19:22,320 --> 00:19:27,200 Speaker 1: getting confused as the triage nurse. Yeah, I guess it's true, 318 00:19:27,359 --> 00:19:29,520 Speaker 1: But I mean, I know what you mean. There's just 319 00:19:29,680 --> 00:19:31,760 Speaker 1: you should you should go out of your way to 320 00:19:32,600 --> 00:19:37,400 Speaker 1: um take out any possible you get transferred to another hospital. Yeah, 321 00:19:37,440 --> 00:19:39,800 Speaker 1: there's just I think there should be universal colors. I 322 00:19:40,320 --> 00:19:43,159 Speaker 1: have a strong opinion on that. I totally agree. If 323 00:19:43,160 --> 00:19:46,080 Speaker 1: you're a kid, you may get sent to closer to 324 00:19:46,119 --> 00:19:48,480 Speaker 1: the front of the line um or if you have 325 00:19:48,560 --> 00:19:52,399 Speaker 1: a history of illness or like you have cancer or 326 00:19:52,440 --> 00:19:56,119 Speaker 1: something like, if you have an outstanding condition already, you 327 00:19:56,160 --> 00:19:59,160 Speaker 1: may be shuffled to the front um or. And this 328 00:19:59,200 --> 00:20:01,200 Speaker 1: makes a lot of sense to me. A lot of 329 00:20:01,240 --> 00:20:03,320 Speaker 1: times now they have what they call it a different track. 330 00:20:03,359 --> 00:20:06,159 Speaker 1: They have two tracks. Um, if you're in severe distress, 331 00:20:06,200 --> 00:20:09,399 Speaker 1: you're in one gets you right away. But if you 332 00:20:09,400 --> 00:20:11,960 Speaker 1: have another one doesn't necessarily mean you're gonna wait eight hours. 333 00:20:12,080 --> 00:20:14,119 Speaker 1: They'll just put you in a different track, right for 334 00:20:14,200 --> 00:20:16,960 Speaker 1: the less severe cases. Yeah, you go see the doctor 335 00:20:17,000 --> 00:20:20,359 Speaker 1: who's been caught drinking on the job. You know that's right. 336 00:20:20,560 --> 00:20:23,560 Speaker 1: All right, Well, let's talk about those color codes since 337 00:20:23,600 --> 00:20:27,399 Speaker 1: you mentioned it. Okay, here in the US, code blue, 338 00:20:27,440 --> 00:20:30,919 Speaker 1: like you said, is the most that means come right away. 339 00:20:31,240 --> 00:20:34,920 Speaker 1: I understand the use of blue. It's um like they're 340 00:20:34,960 --> 00:20:38,960 Speaker 1: turning blue, yes, cyanotic? Okay, right, that it makes sense. 341 00:20:39,080 --> 00:20:42,280 Speaker 1: But again red makes sense too. Yeah, you hear code 342 00:20:42,320 --> 00:20:45,639 Speaker 1: red and that doesn't sound great. It doesn't make me 343 00:20:45,680 --> 00:20:48,760 Speaker 1: think like, oh, they'll be fine. Well code red it's 344 00:20:48,800 --> 00:20:52,040 Speaker 1: category too though, so it is serious. That means they 345 00:20:52,080 --> 00:20:57,200 Speaker 1: require immediate attention. But they're just not blue, right, they're 346 00:20:57,200 --> 00:21:00,880 Speaker 1: still breathing. Uh, then what he got got an orange 347 00:21:01,359 --> 00:21:05,040 Speaker 1: mid level Okay, you got gray, which means you're sick, 348 00:21:05,800 --> 00:21:08,760 Speaker 1: but it's like a bad cold. Really, gray should be 349 00:21:08,800 --> 00:21:13,040 Speaker 1: the worst. If you're gray, you've already passed blue. That's true, 350 00:21:13,480 --> 00:21:17,960 Speaker 1: you're uh. And then the least urgent is green, which 351 00:21:18,040 --> 00:21:21,040 Speaker 1: just means you want someone to love you. Yeah, it 352 00:21:21,080 --> 00:21:23,280 Speaker 1: means you're you're med seeking. Yeah, you shouldn't be in 353 00:21:23,320 --> 00:21:25,479 Speaker 1: the er basically, right, and that's not a joke. That 354 00:21:25,560 --> 00:21:28,320 Speaker 1: literally means you don't have an emergency, right they they 355 00:21:28,400 --> 00:21:32,200 Speaker 1: if if you are deemed code green five, do they 356 00:21:32,280 --> 00:21:35,120 Speaker 1: send you home? Yeah? Or else they'll be like, there's 357 00:21:35,119 --> 00:21:38,399 Speaker 1: a minute clinic down the street, go there. Yeah, you don't, 358 00:21:38,800 --> 00:21:43,760 Speaker 1: you're wasting valuable resources here, go away. So then across 359 00:21:43,800 --> 00:21:46,639 Speaker 1: the pond and then under the Manchester scale, the worst 360 00:21:46,720 --> 00:21:50,479 Speaker 1: is code red, followed by code orange, then code yellow, 361 00:21:51,000 --> 00:21:59,119 Speaker 1: then code green, then code blue, then code earl gray. Wow, 362 00:21:59,320 --> 00:22:02,120 Speaker 1: code blue is the least Yes, yeah, see you got 363 00:22:02,119 --> 00:22:04,840 Speaker 1: a point like that's you can't have one color be 364 00:22:04,920 --> 00:22:08,000 Speaker 1: the worst possible thing and one color be the the 365 00:22:08,080 --> 00:22:14,000 Speaker 1: least dangerous, especially in an increasingly globalized world. I don't 366 00:22:14,040 --> 00:22:18,040 Speaker 1: like it either, Um, what can we do? Should we 367 00:22:18,040 --> 00:22:22,879 Speaker 1: start a movement? Yes? We should online petitions. How does 368 00:22:22,920 --> 00:22:24,960 Speaker 1: that get done? Or just yell about it on Facebook? 369 00:22:25,640 --> 00:22:29,160 Speaker 1: I think the Facebook wanna that's that's the best shot 370 00:22:29,240 --> 00:22:34,360 Speaker 1: we have. That's how you accomplish things. Um, triage if 371 00:22:34,359 --> 00:22:37,160 Speaker 1: there's I mean, we talked about battlefield, we talked about 372 00:22:37,520 --> 00:22:42,160 Speaker 1: regularly er. But then there's of course, like when bad 373 00:22:42,200 --> 00:22:45,560 Speaker 1: things happen, like in New York when that building exploded. Yeah, 374 00:22:45,760 --> 00:22:48,920 Speaker 1: those are called incident triage. Yea, like a natural disaster 375 00:22:49,080 --> 00:22:52,200 Speaker 1: or something. Yeah, uh that Harlem explosion, right, it was 376 00:22:52,200 --> 00:22:57,000 Speaker 1: a gas explosion in Harlem. Yeah. Um, so triage works 377 00:22:57,040 --> 00:23:01,040 Speaker 1: anytime there's a scarcity of resources in a high demand 378 00:23:01,359 --> 00:23:04,200 Speaker 1: of for medical care. It's a good way to say. 379 00:23:04,280 --> 00:23:07,199 Speaker 1: It's just it's healthcare rashing. It's it's it's saying like, 380 00:23:07,320 --> 00:23:09,199 Speaker 1: we don't have enough resources for all you people, so 381 00:23:09,240 --> 00:23:11,560 Speaker 1: we're gonna have to figure out who's worse, right, and 382 00:23:11,600 --> 00:23:13,840 Speaker 1: you're supposed to do it very quickly. But yeah, with 383 00:23:13,920 --> 00:23:18,800 Speaker 1: incident triage. Um, there's actually a really clever thing called 384 00:23:18,840 --> 00:23:22,400 Speaker 1: the met tag. Then that article you sent was awesome 385 00:23:22,440 --> 00:23:25,959 Speaker 1: and it was a fast code design article, and there's 386 00:23:26,080 --> 00:23:30,119 Speaker 1: basically a triage code system that's used out in the 387 00:23:30,160 --> 00:23:34,560 Speaker 1: field Um that you'll see people who are victims of 388 00:23:34,600 --> 00:23:37,280 Speaker 1: like an explosion or a plane crash or something like that, 389 00:23:37,560 --> 00:23:39,840 Speaker 1: and they'll have tags around their necks with the color 390 00:23:39,920 --> 00:23:43,080 Speaker 1: code attached. And that was invented by a guy named 391 00:23:43,160 --> 00:23:47,880 Speaker 1: Robert bludgett Um in Jacksonville, Florida, in the early nineteen sixties, 392 00:23:48,080 --> 00:23:50,960 Speaker 1: in response to the Cuban missile crisis. Yeah. I thought 393 00:23:50,960 --> 00:23:54,199 Speaker 1: that was so interesting. It did not exist. Um, he 394 00:23:54,280 --> 00:23:58,600 Speaker 1: was a civil defense director and America was super scared, 395 00:23:58,760 --> 00:24:01,480 Speaker 1: especially Florida at the time time, because the Soviet Union 396 00:24:01,520 --> 00:24:06,000 Speaker 1: had nuclear missiles pointed at us right off the coast, 397 00:24:06,920 --> 00:24:09,879 Speaker 1: what ninety miles off the coast of Florida, and people 398 00:24:09,920 --> 00:24:13,119 Speaker 1: were freaking out. And um, he was one of him. 399 00:24:13,240 --> 00:24:16,000 Speaker 1: He wasn't freaking out, and he seemed like a cool customer. Yeah, 400 00:24:16,080 --> 00:24:20,160 Speaker 1: but he was definitely worried. But no, he doesn't seem 401 00:24:20,200 --> 00:24:22,240 Speaker 1: like he was freaking He wasn't running around going like 402 00:24:22,280 --> 00:24:23,680 Speaker 1: oh my god, oh my god. But he had a 403 00:24:23,680 --> 00:24:27,000 Speaker 1: bomb shelter at his house. Sure don't you think anybody 404 00:24:27,000 --> 00:24:29,240 Speaker 1: who was anybody had a bomb shelter back then? I 405 00:24:29,280 --> 00:24:31,080 Speaker 1: told I think I mentioned before my dad went to 406 00:24:31,080 --> 00:24:35,040 Speaker 1: build one after the day after movie, and um it 407 00:24:35,160 --> 00:24:39,280 Speaker 1: was his obsession for a month, like you know, every 408 00:24:39,320 --> 00:24:41,879 Speaker 1: Saturday for a month. I don't remember. Did he complete it. 409 00:24:43,080 --> 00:24:47,520 Speaker 1: He got about a third of this dirt room dug 410 00:24:47,520 --> 00:24:51,440 Speaker 1: out behind the wall. Like my brother and I basically 411 00:24:51,640 --> 00:24:54,800 Speaker 1: were the was We were the cheap labor, you know, 412 00:24:54,840 --> 00:24:56,720 Speaker 1: we were carrying buckets of dirt out in the woods. 413 00:24:56,960 --> 00:24:58,600 Speaker 1: He'd come down with like a high left and be like, 414 00:24:58,600 --> 00:25:01,879 Speaker 1: how's it going down here? How my project coming? He 415 00:25:01,920 --> 00:25:04,840 Speaker 1: didn't drink, but yeah he would come down with his 416 00:25:04,840 --> 00:25:10,680 Speaker 1: his buttermilk and corn bread I know, right, Um yeah, 417 00:25:10,760 --> 00:25:12,400 Speaker 1: he know. Of course he didn't finish any didn't because 418 00:25:12,680 --> 00:25:15,520 Speaker 1: you guys went on strike or something. Uh No, he 419 00:25:15,680 --> 00:25:18,280 Speaker 1: just like a lot of people that probably saw the 420 00:25:18,359 --> 00:25:23,280 Speaker 1: day after a month later, they're like, yeah, not so scared. 421 00:25:23,480 --> 00:25:27,840 Speaker 1: That's an awesome story. Um So anyway, this guy has 422 00:25:28,160 --> 00:25:33,440 Speaker 1: uh Mr Blodgett definitely had completed shelter. Oh yeah, there's 423 00:25:33,440 --> 00:25:36,280 Speaker 1: no way he bailed. He probably swept it like every 424 00:25:36,359 --> 00:25:39,240 Speaker 1: couple of days. Even well, his deal was he made it. 425 00:25:39,520 --> 00:25:41,679 Speaker 1: It was really pretty brilliant. It was a two sided 426 00:25:41,720 --> 00:25:44,760 Speaker 1: laminated card on lanyard and he said, you know what 427 00:25:44,800 --> 00:25:47,439 Speaker 1: this thing needs to be kind of universal. Um, so 428 00:25:47,480 --> 00:25:51,400 Speaker 1: I'm gonna put pictures and colors and things of uh, 429 00:25:52,040 --> 00:25:55,520 Speaker 1: like you know a symbol that represents blood pressure in 430 00:25:55,520 --> 00:25:58,200 Speaker 1: your sex and what time it is. Imagine those little 431 00:25:58,240 --> 00:26:01,960 Speaker 1: clock on there. Um, So anyone can read this thing 432 00:26:02,119 --> 00:26:05,240 Speaker 1: no matter what happened. Right. And then, um, you would 433 00:26:05,240 --> 00:26:08,280 Speaker 1: be assigned a color code depending on the severity of 434 00:26:08,320 --> 00:26:11,639 Speaker 1: your injury, your illness. Right, um, just like in an 435 00:26:11,640 --> 00:26:17,480 Speaker 1: e er. Um. But this this lanyard around your neck, 436 00:26:17,520 --> 00:26:20,000 Speaker 1: they would tear off the colors that you weren't. So 437 00:26:20,040 --> 00:26:23,480 Speaker 1: it was progressive, right if you had one, I think 438 00:26:23,480 --> 00:26:27,960 Speaker 1: it was green, You're fine, no problems. Uh. And then 439 00:26:28,000 --> 00:26:30,000 Speaker 1: it got progressively worse. And like you said, there were 440 00:26:30,000 --> 00:26:33,520 Speaker 1: some pretty clever symbols, including, um, I think on the 441 00:26:33,560 --> 00:26:36,760 Speaker 1: green one, there's an ambulance with a circle with a 442 00:26:36,840 --> 00:26:38,960 Speaker 1: slash through it, Like, don't even put this person on 443 00:26:39,040 --> 00:26:42,119 Speaker 1: an ambulance. They're fine, they can probably, they can probably 444 00:26:42,160 --> 00:26:45,560 Speaker 1: help you out if you need assistance in like applying 445 00:26:45,600 --> 00:26:49,480 Speaker 1: pressure to a wound. Right, Green's fine. Um, it went 446 00:26:49,520 --> 00:26:52,960 Speaker 1: all the way to black, and the black said morgue 447 00:26:53,040 --> 00:26:56,400 Speaker 1: on it, and it's said in this article, it's really 448 00:26:56,480 --> 00:27:00,920 Speaker 1: unsettling that if you had uh met around your neck 449 00:27:01,119 --> 00:27:04,679 Speaker 1: and the only tag that was left was a black 450 00:27:04,720 --> 00:27:06,840 Speaker 1: one because they ripped them off one by one, right, 451 00:27:07,280 --> 00:27:09,120 Speaker 1: or they could rip off like three if like they 452 00:27:09,200 --> 00:27:12,080 Speaker 1: just knew it meant you're a goner. You might still 453 00:27:12,119 --> 00:27:14,160 Speaker 1: be alive right now, you're looking you're about to die 454 00:27:14,200 --> 00:27:17,639 Speaker 1: where you're laying right now, and that awful because it 455 00:27:17,800 --> 00:27:22,040 Speaker 1: said Morgan it too, so you could look and be like, oh, 456 00:27:22,200 --> 00:27:23,920 Speaker 1: I imagine if you're in that kind of condition, you 457 00:27:23,960 --> 00:27:25,840 Speaker 1: don't need that black tag to let you know that 458 00:27:26,040 --> 00:27:30,440 Speaker 1: time is near. Yeah, probably not. But if you're holding 459 00:27:30,480 --> 00:27:34,440 Speaker 1: out hope, it does not help. No, Yeah, no, that's good. 460 00:27:34,520 --> 00:27:37,199 Speaker 1: You give up the ghost. But again, the whole idea 461 00:27:37,240 --> 00:27:43,560 Speaker 1: of disaster or a battle battlefield triages. It's a necessary 462 00:27:44,000 --> 00:27:46,159 Speaker 1: kind of sad thing that you have to do to 463 00:27:46,200 --> 00:27:51,639 Speaker 1: save more people. It's the mercilessness of a compassionate um profession. 464 00:27:51,840 --> 00:27:54,240 Speaker 1: Yeah all right, well let's take a break and we'll 465 00:27:54,240 --> 00:27:58,200 Speaker 1: talk a little bit more about these tags right after this. 466 00:27:59,200 --> 00:28:22,160 Speaker 1: So oh alright, So this guy Mr Blodgett, he actually 467 00:28:22,240 --> 00:28:25,600 Speaker 1: sold these through I don't know if he got the money, 468 00:28:25,640 --> 00:28:27,560 Speaker 1: that's what I was He didn't. I think he found 469 00:28:27,640 --> 00:28:31,200 Speaker 1: somebody who was like, we can distribute these widely. Your 470 00:28:31,359 --> 00:28:33,640 Speaker 1: your idea will be set in stone. But we're keeping 471 00:28:33,680 --> 00:28:37,159 Speaker 1: the money. The American Civil Defense Association is who he 472 00:28:38,000 --> 00:28:40,360 Speaker 1: gave them too to sell. That's the impression I have. 473 00:28:40,520 --> 00:28:43,880 Speaker 1: All Right, Well, good on him, you know, hero hero, 474 00:28:44,800 --> 00:28:50,600 Speaker 1: anybody who gives up intellectual property rights as a hero. Agreed. Um. 475 00:28:50,680 --> 00:28:52,920 Speaker 1: So it's said here in the heyday that they were 476 00:28:52,920 --> 00:28:56,680 Speaker 1: selling about a hundred thousand of these a year, two agencies, 477 00:28:57,280 --> 00:29:02,080 Speaker 1: which is uh no small number. And um I didn't 478 00:29:02,080 --> 00:29:05,640 Speaker 1: see how much they sold them for though. Yeah, they 479 00:29:05,640 --> 00:29:08,640 Speaker 1: were in bulk, so like scantron sheets or something, probably 480 00:29:08,640 --> 00:29:10,960 Speaker 1: not a lot of money. But um they went on 481 00:29:11,000 --> 00:29:15,600 Speaker 1: to be refined years later in when was this? This 482 00:29:15,640 --> 00:29:21,000 Speaker 1: was after the Oklahoma building explosion, right, yeah, the bombing, Yeah, 483 00:29:21,040 --> 00:29:25,600 Speaker 1: the Alfred P. Murrah building. Is that pronounced right, Murmur? 484 00:29:26,000 --> 00:29:28,440 Speaker 1: I think I'm pretty sure it's Maura. I just see 485 00:29:28,440 --> 00:29:30,440 Speaker 1: out of the corn mon Jerry nodding and shaking her head. 486 00:29:30,440 --> 00:29:34,960 Speaker 1: I don't know what means. What's speaking circle? Um. There 487 00:29:35,000 --> 00:29:38,560 Speaker 1: was a l A. P. D Fire department. Um. Well, 488 00:29:38,600 --> 00:29:43,560 Speaker 1: two guys actually, Dennis Ortiz and his brother, and they 489 00:29:43,600 --> 00:29:45,440 Speaker 1: were working that, like I said, at l A County 490 00:29:45,440 --> 00:29:49,760 Speaker 1: Fire Department and when when were they on the scene 491 00:29:49,760 --> 00:29:52,680 Speaker 1: in Oklahoma at the time or were they think they 492 00:29:52,680 --> 00:29:55,680 Speaker 1: were moved by it? They were like, uh, if something 493 00:29:55,720 --> 00:29:58,560 Speaker 1: happened like that in l A, would we do we 494 00:29:58,640 --> 00:30:01,880 Speaker 1: have like the resources we need. That's pretty amazing. So 495 00:30:02,840 --> 00:30:06,280 Speaker 1: he went to get these tags from l A County 496 00:30:06,320 --> 00:30:09,160 Speaker 1: and these MET tags, he said, we're basically disintegrating in 497 00:30:09,200 --> 00:30:11,280 Speaker 1: my hand, I guess because they were just so old. 498 00:30:12,000 --> 00:30:15,000 Speaker 1: And he said, there's there should be a new tag 499 00:30:15,720 --> 00:30:20,720 Speaker 1: and this is sad but also necessary for terrorist disasters 500 00:30:21,600 --> 00:30:25,320 Speaker 1: and terrorist attacks, and it was pretty great idea. So 501 00:30:25,440 --> 00:30:30,160 Speaker 1: he now included this new tag with things like biological contamination, 502 00:30:31,080 --> 00:30:38,400 Speaker 1: radioactive contamination, UM diagrams for blast injuries, personal property receipts, 503 00:30:39,320 --> 00:30:43,480 Speaker 1: stuff like that. Yeah, it's like a trifold package. It's 504 00:30:43,600 --> 00:30:46,720 Speaker 1: it's got everything all the bells and whistles you need, right, 505 00:30:47,320 --> 00:30:52,360 Speaker 1: including basically a revised, improved MET tag. So a MET 506 00:30:52,400 --> 00:30:54,840 Speaker 1: tag for the new Yeah. I think they're called smart 507 00:30:54,880 --> 00:30:59,280 Speaker 1: tags now, really smart everything. Yeah. Well, another thing they 508 00:30:59,320 --> 00:31:02,440 Speaker 1: can do too is UM, a lot of times you 509 00:31:02,480 --> 00:31:04,920 Speaker 1: might not have these tags, so they'll literally right go 510 00:31:05,000 --> 00:31:08,120 Speaker 1: around with sharpie's and write on people. Uh in in 511 00:31:08,160 --> 00:31:10,480 Speaker 1: the case of a disaster. I wonder if people can 512 00:31:10,520 --> 00:31:15,080 Speaker 1: feel you writing write the word on your forehead or something. Yeah, 513 00:31:15,520 --> 00:31:17,640 Speaker 1: I can feel you're writing morge on my forehead. I 514 00:31:17,640 --> 00:31:19,480 Speaker 1: know what you're doing. That's not good. Did you ever 515 00:31:19,480 --> 00:31:21,600 Speaker 1: play that game when you're a little word You would 516 00:31:21,680 --> 00:31:23,840 Speaker 1: draw on someone's back and you would try to guess 517 00:31:23,840 --> 00:31:25,760 Speaker 1: what they were. I was. That was terrible at that 518 00:31:26,120 --> 00:31:28,440 Speaker 1: I was bad too, but it felt so good. Yeah, 519 00:31:28,680 --> 00:31:30,960 Speaker 1: I love back scratches. So it was always like, draw 520 00:31:31,040 --> 00:31:37,400 Speaker 1: something really elaborate, Jah Lawrenz attractor, that'd be wonderful, but chuck. 521 00:31:37,520 --> 00:31:40,640 Speaker 1: Whether it's in an incident triage or e ER trias 522 00:31:40,720 --> 00:31:43,680 Speaker 1: or something like that, it's um well, I should say. 523 00:31:43,760 --> 00:31:47,560 Speaker 1: And an e R triage. There's a spectrum of triage, right, 524 00:31:48,280 --> 00:31:52,440 Speaker 1: and e R is about the most calm, stable version 525 00:31:52,480 --> 00:31:54,880 Speaker 1: of it, even a chaotic, crazy e ER in a 526 00:31:54,880 --> 00:32:00,600 Speaker 1: big city, compared to on the other end, the site 527 00:32:00,640 --> 00:32:04,160 Speaker 1: of a massive disaster that's not just impacted a bunch 528 00:32:04,160 --> 00:32:07,080 Speaker 1: of people, it's probably affected like the health care infrastructure 529 00:32:07,080 --> 00:32:11,160 Speaker 1: as well. Within within that spectrum, there's different types of triage, 530 00:32:11,400 --> 00:32:15,360 Speaker 1: and usually the worst it is the faster your assessment 531 00:32:15,400 --> 00:32:18,520 Speaker 1: has to be. So like out on a battlefield. Um, 532 00:32:18,600 --> 00:32:23,160 Speaker 1: they've come up with basically a two two point um 533 00:32:23,480 --> 00:32:26,840 Speaker 1: triage assessment. It's called the field triage score. It's part 534 00:32:26,840 --> 00:32:31,240 Speaker 1: of the technical combat casualty care methodology, right where they 535 00:32:31,280 --> 00:32:34,240 Speaker 1: feel your pulse and then they give you a rating 536 00:32:34,560 --> 00:32:38,640 Speaker 1: of awareness on the Glasgow Coma scale, which we covered 537 00:32:38,640 --> 00:32:42,640 Speaker 1: in our comma. Yeah, and apparently if you put those together, 538 00:32:42,640 --> 00:32:45,360 Speaker 1: it's a pretty good predictor of whether somebody's going to 539 00:32:45,440 --> 00:32:48,000 Speaker 1: survive their injuries or not. So like, if you're out 540 00:32:48,000 --> 00:32:50,880 Speaker 1: of it and your pulse is low, move along, that 541 00:32:50,960 --> 00:32:55,280 Speaker 1: person is a goner in that situation. Whereas if that 542 00:32:55,320 --> 00:32:59,640 Speaker 1: person came into an e R in the suburbs um 543 00:32:59,880 --> 00:33:01,840 Speaker 1: or or trauma center or something like that, they might 544 00:33:01,880 --> 00:33:04,920 Speaker 1: have a really good chance of making it. But depending 545 00:33:04,960 --> 00:33:09,040 Speaker 1: on the situation along that spectrum of triage, UM, you're 546 00:33:09,120 --> 00:33:12,040 Speaker 1: you're going to depending on where you are on that 547 00:33:12,080 --> 00:33:16,680 Speaker 1: spectrum physically literally, Um, you may just get passed over 548 00:33:17,400 --> 00:33:19,600 Speaker 1: or you may have your life saved. Man, You've got 549 00:33:19,720 --> 00:33:23,000 Speaker 1: to have nerves of steel to be a first responder. Yeah, 550 00:33:23,040 --> 00:33:27,480 Speaker 1: and we should also say to once you're given a code. Um, 551 00:33:27,560 --> 00:33:30,280 Speaker 1: but you're like, that's not it's not static, like it 552 00:33:30,320 --> 00:33:35,520 Speaker 1: can change, You're you can deteriorate over right, switch tags 553 00:33:35,760 --> 00:33:38,479 Speaker 1: that person next to you, right, But no, you're absolutely right, 554 00:33:38,520 --> 00:33:41,880 Speaker 1: like to to to say, like I want to save 555 00:33:41,920 --> 00:33:44,920 Speaker 1: your life, but I can't. I've got to leave you 556 00:33:45,000 --> 00:33:49,600 Speaker 1: there to die. You're absolutely right. I mean it's metal, 557 00:33:50,280 --> 00:33:55,280 Speaker 1: not for me. That's metal in both spellings, two D 558 00:33:55,440 --> 00:34:01,360 Speaker 1: s and a T, you know, two teas and an 559 00:34:01,520 --> 00:34:03,200 Speaker 1: L E. Oh, it's M E T T L E. 560 00:34:04,320 --> 00:34:05,840 Speaker 1: Why do I think it was emmy D D L E. 561 00:34:05,920 --> 00:34:13,200 Speaker 1: Because it's like meddling. If you went and rearranged everybody's tags, 562 00:34:13,280 --> 00:34:17,280 Speaker 1: that would be meddling. It's amazing metal and like metal. 563 00:34:17,680 --> 00:34:19,719 Speaker 1: I know, it's amazing the amount of dope things I 564 00:34:19,719 --> 00:34:21,480 Speaker 1: say on the show, and people still think I like 565 00:34:21,960 --> 00:34:24,239 Speaker 1: have anything to offer the world. I've got you beat 566 00:34:24,280 --> 00:34:26,200 Speaker 1: by like four or five times. I think I don't 567 00:34:26,200 --> 00:34:29,680 Speaker 1: think so, I think so. Um, all right, well let's 568 00:34:29,719 --> 00:34:31,959 Speaker 1: talk a little bit about what's well, we've talked about 569 00:34:32,000 --> 00:34:35,080 Speaker 1: what's good about it, um, pretty much everything because it 570 00:34:35,239 --> 00:34:38,239 Speaker 1: will say ultimately more lives, yeah, but has its critics 571 00:34:38,480 --> 00:34:40,600 Speaker 1: well yeah, and a lot of times you know when 572 00:34:40,600 --> 00:34:42,879 Speaker 1: you go to the e er. We're not talking battlefield 573 00:34:42,960 --> 00:34:45,920 Speaker 1: or disaster, but when you go to the er, you 574 00:34:45,960 --> 00:34:48,440 Speaker 1: want to get seen as quickly as possible because it's 575 00:34:48,480 --> 00:34:52,400 Speaker 1: the worst. My thumb hurts, Yeah, and so long you 576 00:34:52,440 --> 00:34:54,960 Speaker 1: look around and you're like, well, that person doesn't look 577 00:34:55,000 --> 00:34:58,319 Speaker 1: so bad off, why are they going in? Or I've 578 00:34:58,320 --> 00:35:00,080 Speaker 1: been here for an hour. This guy just came in 579 00:35:00,200 --> 00:35:02,359 Speaker 1: and he got seen and he didn't look too bad 580 00:35:02,800 --> 00:35:06,479 Speaker 1: that the kids breathing, Yeah, why is he going ahead 581 00:35:06,520 --> 00:35:08,239 Speaker 1: of me? Yeah? I mean they hear a lot of 582 00:35:08,320 --> 00:35:10,960 Speaker 1: I mean e ers have to feel a lot of complaints, 583 00:35:11,160 --> 00:35:13,479 Speaker 1: yeah about wait times. And there's a lot of people 584 00:35:13,520 --> 00:35:16,000 Speaker 1: who end up in what's called the l w B 585 00:35:16,480 --> 00:35:19,760 Speaker 1: S category. Is that where they send complainers left without 586 00:35:19,800 --> 00:35:22,880 Speaker 1: being seen. Some people just give up there, like forget it, 587 00:35:22,960 --> 00:35:25,680 Speaker 1: I'm not sitting around here any longer. I could see 588 00:35:25,719 --> 00:35:28,600 Speaker 1: me doing that. Yeah, you just become indignant or you're 589 00:35:28,640 --> 00:35:32,440 Speaker 1: like I feel like eating some cereal. Well, I just 590 00:35:32,480 --> 00:35:35,960 Speaker 1: don't like to wait. And maybe it would have to 591 00:35:36,000 --> 00:35:38,160 Speaker 1: be something where it's subsided enough to rouse like I 592 00:35:38,200 --> 00:35:40,560 Speaker 1: think I'll be all right, right, not like an injury, right, 593 00:35:40,640 --> 00:35:43,120 Speaker 1: Unless I thought I could set it up myself or 594 00:35:43,320 --> 00:35:48,080 Speaker 1: Rambo style, which Emily's dad did once. What did you 595 00:35:48,160 --> 00:35:51,080 Speaker 1: like soda cut in his arm himself one time with 596 00:35:51,360 --> 00:35:53,680 Speaker 1: needle and thread? Did he put gunpowder in it and 597 00:35:53,800 --> 00:35:57,200 Speaker 1: light it on fire? He should have that would have 598 00:35:57,239 --> 00:36:00,719 Speaker 1: done it. Uh. And apparently that they interviewed someone from 599 00:36:01,040 --> 00:36:04,120 Speaker 1: for our House to Works article from our great children's 600 00:36:04,120 --> 00:36:07,759 Speaker 1: hospital here Scottish right, and this doctor said, especially at 601 00:36:07,800 --> 00:36:13,080 Speaker 1: children's hospitals, a lot of upset parents that don't really 602 00:36:13,120 --> 00:36:17,120 Speaker 1: get the triage thing. Well, um, there's been studies actually 603 00:36:17,160 --> 00:36:20,560 Speaker 1: that there was. There was one very famous study from 604 00:36:21,200 --> 00:36:25,719 Speaker 1: the nineteen nineties I think actually, and then it had 605 00:36:25,880 --> 00:36:29,000 Speaker 1: there was such an outcry against it as far as 606 00:36:29,040 --> 00:36:32,000 Speaker 1: criticism of the study went, because the study, the studies 607 00:36:32,040 --> 00:36:35,040 Speaker 1: findings were very critical the trio triage as a whole, 608 00:36:35,280 --> 00:36:38,600 Speaker 1: like the concept of it. Um that the authors actually 609 00:36:38,960 --> 00:36:43,280 Speaker 1: wrote another study responding to the criticisms of their original study. 610 00:36:43,920 --> 00:36:46,000 Speaker 1: And I was reading that and they're basically in the 611 00:36:46,000 --> 00:36:51,280 Speaker 1: original study they found that triage when it's actually done, 612 00:36:52,440 --> 00:36:54,919 Speaker 1: leads to longer wait times for the people who need 613 00:36:54,920 --> 00:36:58,319 Speaker 1: the most immediate care, like gets in the way, and 614 00:36:58,400 --> 00:37:02,360 Speaker 1: that it didn't have any impact patient satisfaction, meaning people 615 00:37:02,400 --> 00:37:06,239 Speaker 1: didn't feel like they were being cared for better than 616 00:37:06,680 --> 00:37:12,200 Speaker 1: when they weren't exposed to triage. So um, they the 617 00:37:12,200 --> 00:37:14,640 Speaker 1: the people just said this is what we found. A 618 00:37:14,640 --> 00:37:16,720 Speaker 1: lot of people were like, this is a B S study, 619 00:37:17,560 --> 00:37:20,320 Speaker 1: but it does make sense. There are critics to triage 620 00:37:20,320 --> 00:37:24,080 Speaker 1: saying like, no, this is unnecessary. Uh, it's clumsy, it 621 00:37:24,120 --> 00:37:26,840 Speaker 1: gets in the way. It's an extra layer, a barrier 622 00:37:26,920 --> 00:37:33,279 Speaker 1: between a patient and treatment. Um, like someone's gotta say 623 00:37:33,320 --> 00:37:35,279 Speaker 1: this guy's got a spoon in his ear. I think 624 00:37:35,520 --> 00:37:40,480 Speaker 1: for the most part, the critics don't have an alternative 625 00:37:41,840 --> 00:37:45,080 Speaker 1: and that you know, triage can help. But I think 626 00:37:45,160 --> 00:37:48,520 Speaker 1: there's a it's almost a cult of triage, where like, yeah, 627 00:37:48,560 --> 00:37:51,280 Speaker 1: of course triage helps. You're an idiot for saying anything different. 628 00:37:51,600 --> 00:37:56,000 Speaker 1: Scientists are saying like, it's not it's not perfect. Um, 629 00:37:56,400 --> 00:37:58,600 Speaker 1: but I don't know what an alternative would be in 630 00:37:58,640 --> 00:38:03,200 Speaker 1: the case of really scarce resources. Well, here's one, not alternative, 631 00:38:03,239 --> 00:38:05,839 Speaker 1: but one other way of doing things. And they did this, 632 00:38:06,040 --> 00:38:12,000 Speaker 1: uh at the Kaiser Permanent South Sacramento Medical Center Kaiser Permanente. 633 00:38:12,040 --> 00:38:15,120 Speaker 1: They forgot the e oh they did Kaiser Permanent. What 634 00:38:15,120 --> 00:38:19,359 Speaker 1: they said here, Um, what does permanente? I mean either 635 00:38:19,440 --> 00:38:22,760 Speaker 1: what does what does it think? It means permanent in Spanish? Okay, 636 00:38:22,960 --> 00:38:28,239 Speaker 1: who's kaiser? Uh? That means permanent in German? So the 637 00:38:28,280 --> 00:38:32,320 Speaker 1: permanent permanent. No, that means a role, A delightful type 638 00:38:32,320 --> 00:38:41,520 Speaker 1: of role that's permanent, a German role forever. Uh yeah 639 00:38:41,640 --> 00:38:45,719 Speaker 1: yeah four times. So. Um they employed something from the 640 00:38:46,000 --> 00:38:49,280 Speaker 1: l e A and the lean thinking principle in Japan 641 00:38:49,640 --> 00:38:52,400 Speaker 1: and their businesses. Is this like when they have people 642 00:38:52,440 --> 00:38:55,920 Speaker 1: do like calistinics and that kind of thing. Now, I 643 00:38:56,000 --> 00:38:57,680 Speaker 1: don't know, I want to look into what that is. 644 00:38:57,680 --> 00:39:01,439 Speaker 1: It sounds interesting. Well, it's like a cutting down on waste. 645 00:39:02,120 --> 00:39:04,640 Speaker 1: But I'm sure that the Japanese probably figured out a 646 00:39:04,680 --> 00:39:09,040 Speaker 1: way to insert calisthenics into it. Um are Actually I 647 00:39:09,120 --> 00:39:15,040 Speaker 1: might be thinking of China. No, Japanese are into too, okay. Um. 648 00:39:15,080 --> 00:39:18,600 Speaker 1: So they used this lead methodology and what they would do, 649 00:39:19,120 --> 00:39:21,799 Speaker 1: and this makes a lot of sense. It was sort 650 00:39:21,840 --> 00:39:23,880 Speaker 1: of like the two track thing. But if you have 651 00:39:24,000 --> 00:39:27,440 Speaker 1: the minor injury, you actually have a doctor come out 652 00:39:27,480 --> 00:39:31,880 Speaker 1: to the waiting room and treat you in the waiting room, 653 00:39:32,000 --> 00:39:35,080 Speaker 1: or at least see you at first in the waiting room. 654 00:39:35,120 --> 00:39:37,680 Speaker 1: And I think that definitely would give someone a sense 655 00:39:37,760 --> 00:39:40,759 Speaker 1: of while I'm being tended to, at least I'm not 656 00:39:40,800 --> 00:39:43,480 Speaker 1: just sitting over here holding my belly in pain. But 657 00:39:43,520 --> 00:39:46,920 Speaker 1: it's also not like, uh, you're on track to go 658 00:39:47,040 --> 00:39:49,319 Speaker 1: sit over there and wait for a bed to come 659 00:39:49,360 --> 00:39:52,200 Speaker 1: open so you can see. It's like, you there, you 660 00:39:52,239 --> 00:39:54,040 Speaker 1: don't have to wait for a bed. The doctor came 661 00:39:54,080 --> 00:39:56,160 Speaker 1: to you instead. Yeah, that's a great idea. And they 662 00:39:56,360 --> 00:39:59,480 Speaker 1: found it reduced the left without being seen rate from 663 00:39:59,520 --> 00:40:02,879 Speaker 1: four point five percent to one point five percent. Uh, 664 00:40:02,880 --> 00:40:07,560 Speaker 1: and the wait times fell by half. Yeah, that's right. 665 00:40:07,800 --> 00:40:11,680 Speaker 1: Wait times are one of my biggest complaints with modern medicine. Sure, 666 00:40:12,120 --> 00:40:15,320 Speaker 1: it's the worst. Your appointments at one, you get in 667 00:40:15,360 --> 00:40:20,440 Speaker 1: there at two. Oh man, boy, oh boy, you want 668 00:40:20,440 --> 00:40:23,160 Speaker 1: to see me get mad? Stick me in the waiting 669 00:40:23,200 --> 00:40:27,840 Speaker 1: room with bad magazines. But if you got some mad magazines, 670 00:40:27,880 --> 00:40:31,800 Speaker 1: you're like, this is delightful. The other criticism of triage 671 00:40:31,840 --> 00:40:34,320 Speaker 1: is that it shouldn't be done at all, That withholding 672 00:40:34,360 --> 00:40:38,080 Speaker 1: care under any circumstances is unethical. So I just have 673 00:40:38,239 --> 00:40:40,800 Speaker 1: like eight times as many doctors and nurses. I guess 674 00:40:41,440 --> 00:40:43,759 Speaker 1: it's come on. Uh, if you want to know more 675 00:40:43,760 --> 00:40:47,600 Speaker 1: about triage you're sorting. Um, you can type those words 676 00:40:47,600 --> 00:40:49,360 Speaker 1: into the search part how stuff works dot Com. And 677 00:40:49,400 --> 00:40:54,279 Speaker 1: since I said that it's time for listening mail, I'm 678 00:40:54,280 --> 00:40:56,200 Speaker 1: gonna call this lighthouse follow up. We've got a lot 679 00:40:56,200 --> 00:40:59,239 Speaker 1: of really great pictures and emails from lighthouse enthusiasts. Yeah, 680 00:40:59,280 --> 00:41:02,720 Speaker 1: it's pretty cool. Uh, including ones that were for sale 681 00:41:03,600 --> 00:41:05,360 Speaker 1: so I could live about my fantasy. Yeah. Are you 682 00:41:05,400 --> 00:41:09,280 Speaker 1: going to know how much are they didn't see? Um, 683 00:41:09,320 --> 00:41:11,600 Speaker 1: I don't know. I didn't. I don't remember any crisis 684 00:41:12,120 --> 00:41:14,400 Speaker 1: looking up on Zilo. I bought like two of them 685 00:41:14,440 --> 00:41:17,640 Speaker 1: and I didn't catch the price. You're just like, here's 686 00:41:17,680 --> 00:41:20,600 Speaker 1: a bunch of money. Bring me those lighthouses. Hey, guys, 687 00:41:20,719 --> 00:41:23,480 Speaker 1: I listened to your lighthouse episode and it was so 688 00:41:23,520 --> 00:41:26,759 Speaker 1: excited to hear this. Last year, I visited every lighthouse 689 00:41:27,239 --> 00:41:33,319 Speaker 1: on Oregon's coast her state. Uh, such a good year 690 00:41:33,600 --> 00:41:36,960 Speaker 1: long goal, That's what she said. I agree. Anyhow, I 691 00:41:37,000 --> 00:41:40,239 Speaker 1: wanted to tell you about one of our coolest in 692 00:41:40,280 --> 00:41:44,719 Speaker 1: my opinions, is Terrible Tilly. She was built on a 693 00:41:44,840 --> 00:41:47,600 Speaker 1: rock a mile off shore and see pictures is really neat. 694 00:41:47,880 --> 00:41:50,120 Speaker 1: That's what I needs. It's like just out there in 695 00:41:50,160 --> 00:41:52,320 Speaker 1: the middle of the ocean. Many men died trying to 696 00:41:52,360 --> 00:41:55,040 Speaker 1: construct in eighteen seventies, and many men died while keeping 697 00:41:55,120 --> 00:41:57,799 Speaker 1: the light that was decommissioned in nineteen fifty seven and 698 00:41:57,840 --> 00:42:02,080 Speaker 1: was sold after her sale, until he became a graveyard 699 00:42:02,120 --> 00:42:05,239 Speaker 1: so to speak. Sailors would be cremated and had their 700 00:42:05,239 --> 00:42:08,839 Speaker 1: ashes stored in the lighthouse. During the seasonal storms, when 701 00:42:08,840 --> 00:42:12,600 Speaker 1: the waves break into the lighthouse, the ocean chooses who 702 00:42:12,640 --> 00:42:16,640 Speaker 1: she takes back with her to be buried in her bosom. Well, 703 00:42:16,640 --> 00:42:19,360 Speaker 1: it's very poetic. It's pretty romantic in a Victorian or 704 00:42:19,440 --> 00:42:22,840 Speaker 1: Gothic way. I totally agree. Thanks for all you guys do. 705 00:42:22,880 --> 00:42:24,719 Speaker 1: I look forward to listening to your podcast every week. 706 00:42:25,120 --> 00:42:27,600 Speaker 1: And I evangelized stuff you should know, the stuff you 707 00:42:27,640 --> 00:42:30,640 Speaker 1: should know gospel to all my friends. And that is 708 00:42:30,680 --> 00:42:34,640 Speaker 1: from Kendra, and Kendra used the word evangelizing bosom in 709 00:42:34,680 --> 00:42:38,120 Speaker 1: the same email and Gothic, so that means straight to 710 00:42:38,160 --> 00:42:40,400 Speaker 1: the top of the pile. Thanks a lot, Kendra, that 711 00:42:40,560 --> 00:42:43,640 Speaker 1: was indeed to create email. Uh. If you want to 712 00:42:43,680 --> 00:42:45,279 Speaker 1: get in touch with us, you can tweak to us 713 00:42:45,280 --> 00:42:47,719 Speaker 1: a S y S podcast. You can join us on 714 00:42:47,760 --> 00:42:50,279 Speaker 1: Facebook dot com slash Stuff you Should Know You can 715 00:42:50,280 --> 00:42:52,560 Speaker 1: send us an email to Stuff podcast. The House suff 716 00:42:52,560 --> 00:42:54,440 Speaker 1: works dot com and has always joined us at our 717 00:42:54,520 --> 00:43:02,160 Speaker 1: home on the web Stuff you Should Know dot com. 718 00:43:02,200 --> 00:43:04,719 Speaker 1: For more on this and thousands of other topics, visit 719 00:43:04,760 --> 00:43:13,080 Speaker 1: how stuff Works dot com.