WEBVTT - Ep. 192: Bleeding Out 0:00:08.960 --> 0:00:13.320 This is me eater podcast coming at you shirtless, severely 0:00:13.440 --> 0:00:18.319 bug bitten in my case underwear listening un podcast. You 0:00:18.360 --> 0:00:22.600 can't predict anything presented by on X Hunt creators are 0:00:22.600 --> 0:00:26.160 the most comprehensive digital mapping system for hunters. Download the 0:00:26.239 --> 0:00:29.440 Hunt app from the iTunes or Google play store. Nor 0:00:29.440 --> 0:00:36.400 where you stand with on x cal Your hat is 0:00:36.520 --> 0:00:40.720 um almost not even on Well, I had to jack 0:00:40.760 --> 0:00:43.800 it up because get these ear phones on. That's what's 0:00:43.800 --> 0:00:45.839 going on here. But it's like you got like a 0:00:45.960 --> 0:00:49.559 shop rag on top of your head. Yeah, do you 0:00:49.560 --> 0:00:52.720 have no hair? Uh? Here, here's one we're gonna get 0:00:52.760 --> 0:00:55.160 into medical. We have a special doctor, you know he 0:00:55.240 --> 0:00:58.400 would you call yourself a special doctor? Uh No, I 0:00:58.440 --> 0:01:01.480 would say I am an emergency medicine physician, but you can. 0:01:02.160 --> 0:01:04.800 My mom thinks I'm special. We're gonna talk about one 0:01:04.800 --> 0:01:06.520 thing that we're gonna get into things that are are 0:01:06.640 --> 0:01:09.920 medical ish because we have a doctor with us. Yes, 0:01:10.040 --> 0:01:13.280 introduce yourself real quick. My name is Alan Lazara and 0:01:13.440 --> 0:01:17.080 I am an emergency medicine physician from Michigan. I work 0:01:17.160 --> 0:01:22.080 in Jackson, Michigan at Henry Ford Allegiance Health and um Live. 0:01:22.240 --> 0:01:25.200 Part of my life Michigan, then mostly in Chicago, and 0:01:25.240 --> 0:01:27.840 then now back in Michigan. So I think of you 0:01:27.959 --> 0:01:30.200 as I've begun to think of you as are resident 0:01:30.800 --> 0:01:32.960 doctor because you write in a lot of times with 0:01:33.040 --> 0:01:37.919 really good medical information. That is a huge honor and nod. 0:01:38.080 --> 0:01:40.600 And all I can say is, you guys produced so 0:01:40.680 --> 0:01:44.760 much excellent material that I I'm just honored to be 0:01:44.800 --> 0:01:49.600 able to have a small saying in this situation. So great. 0:01:49.920 --> 0:01:52.560 Did you take ethics when you're in med school? Um? 0:01:52.640 --> 0:01:55.360 So it's built in we have UM in med school. 0:01:55.360 --> 0:01:58.560 I went to Loyola in Maywood, Illinois, which, um, I 0:01:58.600 --> 0:02:00.880 think is the best medical school in the country for sure, 0:02:00.920 --> 0:02:04.120 because I just it was the best educational experience that 0:02:04.160 --> 0:02:08.239 I had UM in my career. And we talked about 0:02:08.280 --> 0:02:11.000 patient centered medicine and part of that was learning how 0:02:11.000 --> 0:02:14.760 to communicate with people both emotionally, UM and through like 0:02:14.800 --> 0:02:17.440 difficult situations and how to deliver bad news and stuff 0:02:17.480 --> 0:02:20.079 like that. Ethics was built into that. Yeah, because here's 0:02:20.080 --> 0:02:24.639 the ethics. Here's an ethics conundrom. Okay, I gotta say 0:02:24.680 --> 0:02:28.720 that it's being an e R doctor. My my, uh, 0:02:29.160 --> 0:02:33.920 sometimes your your riding line on on ethical situations all 0:02:33.960 --> 0:02:35.600 the time. So yeah, well you can stay silent on. 0:02:35.680 --> 0:02:39.040 This's when you can weigh in. Okay, let's dude rights in. 0:02:40.720 --> 0:02:45.519 This is complicated because it involves a buck with three antlers. 0:02:45.560 --> 0:02:49.519 But he doesn't like acknowledge how unusual three antler de 0:02:49.560 --> 0:02:52.880 buck is. Okay, it involves a buck of three antlers. 0:02:53.600 --> 0:02:57.560 Guy in Virginia's a bunch of brothers. Okay. One of 0:02:57.560 --> 0:03:03.120 the brothers hunting and Virginia and shoots the three antlerd buck. Okay, 0:03:04.160 --> 0:03:07.560 talking about three points, talking about like two, Well, Brody 0:03:07.639 --> 0:03:09.400 just sent me a photo of three antlered elk like 0:03:09.440 --> 0:03:15.200 a unicorn and a deer put together three basses setops. 0:03:16.800 --> 0:03:22.200 There are a unicorn and a deer. Yeah, combo had intercourse, shoots, 0:03:22.200 --> 0:03:27.799 the shoots a three antlerd buck. Um, it falls over. 0:03:28.200 --> 0:03:31.080 He thinks his daddy runs up and then uh he 0:03:31.080 --> 0:03:33.120 get starts getting set up to take a photo of it, 0:03:33.240 --> 0:03:36.160 and it gets up and runs off. Scary situation it 0:03:36.160 --> 0:03:39.480 happened to any ones gets up and runs off, tries 0:03:39.520 --> 0:03:42.920 trailing it, can't find the thing anywhere. Month goes by 0:03:44.400 --> 0:03:47.720 on Christmas Day. His brother so the hunters is this 0:03:47.840 --> 0:03:50.160 collection of brothers and some several of them playing into 0:03:50.200 --> 0:03:53.080 the story. Christmas Day is brother is out in the 0:03:53.120 --> 0:04:00.400 cattlefield and finds a recently dead buck. It had at 0:04:00.440 --> 0:04:06.480 this point shed. It's two antlers, okay, but one of 0:04:06.560 --> 0:04:11.120 the third antler is still on the deer. And that's 0:04:11.120 --> 0:04:15.080 how they're able to be that's how they're able to ascertain. Hey, 0:04:15.120 --> 0:04:20.680 that's the buck that my brother killed. But when he 0:04:20.760 --> 0:04:24.240 killed it had three and it naturally shed, so it 0:04:24.279 --> 0:04:27.800 has clean pedicles where two of the three antlers have 0:04:27.920 --> 0:04:32.720 fallen off. It's all mauled up, been getting fed on 0:04:32.880 --> 0:04:38.240 by coyotes, but they can find a wound mark on 0:04:38.400 --> 0:04:42.279 the neck even though the hide is you know, in 0:04:42.400 --> 0:04:47.000 rough shape. Then the hunt is on for the antlers. 0:04:48.640 --> 0:04:50.720 So you got Now you got the brother that shot. 0:04:50.920 --> 0:04:54.240 You got the brother that finds the dead carcass with 0:04:54.320 --> 0:04:56.440 the one aniler. So he's got a skull with antler 0:04:56.480 --> 0:04:59.200 sticking out of it. This is getting biblical, I feel like, yeah, 0:05:00.320 --> 0:05:05.560 or it's like three brothers. Yeah, So the other brother 0:05:05.640 --> 0:05:08.160 is like a real antler hound, he explains, and this 0:05:08.240 --> 0:05:11.800 brother manager just go out and find the shed antlers. Okay. 0:05:14.400 --> 0:05:18.920 Now there's a custody battle where the brother that shot 0:05:18.960 --> 0:05:23.880 and lost it is making the thing that it's all his. Yeah. 0:05:24.240 --> 0:05:27.039 So we have a rule in our family that we 0:05:27.200 --> 0:05:30.159 have three children who I love very much. We have 0:05:30.200 --> 0:05:32.000 a rule that if a toy is not being played 0:05:32.040 --> 0:05:36.000 with at that time, um, it is not yours. So 0:05:36.279 --> 0:05:39.160 it is a community property. So I would say since 0:05:39.200 --> 0:05:41.479 he was not handling it at that time, the person 0:05:41.480 --> 0:05:43.719 who found it, it's theirs. I think that everybody keeps 0:05:43.720 --> 0:05:46.240 what they found exactly. Guy that the guy that like 0:05:46.320 --> 0:05:50.200 winged it, Yeah, dude, he lost it. It's like, you're 0:05:50.200 --> 0:05:52.559 not even in the conversation. Yeah, you've got no claim 0:05:52.600 --> 0:05:56.039 to that thing. At the fact that he thinks he 0:05:56.080 --> 0:05:59.520 gets at all, is it? I guarantee that's the older 0:05:59.640 --> 0:06:01.719 that's the older brother, right that you know, he doesn't 0:06:01.720 --> 0:06:03.920 get into who's oldest and who's youngest. That's an older 0:06:03.960 --> 0:06:09.160 brother kind of statement. That's mine. Yeah, I don't think 0:06:09.200 --> 0:06:11.520 the guy. I think everybody just keeps what keeps what 0:06:11.960 --> 0:06:13.800 The guy that found the antlers found the antlers or his. 0:06:14.520 --> 0:06:17.800 Now there's like, what should There's plenty of room in 0:06:17.839 --> 0:06:20.680 here for people to just be nice and whatever, But 0:06:20.720 --> 0:06:24.680 I'm not talking about that. I think there's like in 0:06:24.839 --> 0:06:29.440 like uh, like you know the meat eater court, I 0:06:29.480 --> 0:06:33.680 would say, legally, everybody just keeps what they have. If 0:06:33.680 --> 0:06:35.359 you guys want to be like all nice and cool 0:06:35.360 --> 0:06:38.039 and everything and give other people stuff or whatever, that's 0:06:38.080 --> 0:06:39.880 nothing to do with what should happen. That's just you 0:06:39.960 --> 0:06:45.599 being a nice guy about that. Cal Man, I got 0:06:45.600 --> 0:06:48.279 the story about dude who left a bunch of firewood 0:06:48.279 --> 0:06:51.120 on my deck. Oh this good story. You know I 0:06:51.200 --> 0:06:56.040 was there that day tell that story. Oh yeah, So 0:06:56.160 --> 0:06:59.000 I got this place and catch him and there was 0:06:59.000 --> 0:07:04.320 a guy renting it prior to me, and um, the 0:07:04.360 --> 0:07:07.839 real estate agents like, yeah, guy wants to know if 0:07:07.880 --> 0:07:13.120 he can leave his firewood on the deck for two weeks. 0:07:15.120 --> 0:07:18.840 And being as I knew that there's a lot of 0:07:18.840 --> 0:07:21.200 work to be done on the place and I didn't 0:07:21.200 --> 0:07:24.360 want this guy to be all spiteful. Um, I was like, yeah, 0:07:24.480 --> 0:07:27.440 no problem, two weeks, that's great, But let him know 0:07:27.480 --> 0:07:30.640 that I'm gonna be like tearing that deck apart because 0:07:30.640 --> 0:07:33.400 it was about to fall off anyway. Um, which I 0:07:34.120 --> 0:07:37.040 took me forever to get around too, about three and 0:07:37.040 --> 0:07:42.080 a half years to be exact. But but that was 0:07:42.120 --> 0:07:46.040 the deal of the two weeks well like a year later. No, 0:07:46.320 --> 0:07:51.480 that's it. That's an exaggeration. It takes. That was in June, 0:07:52.280 --> 0:07:57.760 the end of October, the very end of October. The 0:07:57.800 --> 0:08:01.520 guy shows up and he's like, yeah, I want to 0:08:01.560 --> 0:08:07.920 talk to you about my wood. And I was like, yeah, man, 0:08:08.040 --> 0:08:11.520 that ship sailed and I had already cut a bunch 0:08:11.520 --> 0:08:15.120 of firewood. And uh they moved the whole pile and 0:08:15.200 --> 0:08:18.880 moved the entire pile um at the request of the 0:08:19.120 --> 0:08:22.240 h o W, who was like, yeah, so sorry, the 0:08:22.280 --> 0:08:24.440 guy who was a renter. We kept asking and move 0:08:24.520 --> 0:08:26.280 this thing. You never did? Do you think you could, 0:08:26.560 --> 0:08:34.280 you know, start fresh and move the Yeah, and uh yeah, 0:08:34.440 --> 0:08:37.280 that's like the didn't you then try to get you 0:08:37.320 --> 0:08:39.720 to pay him for it. I remember you guys are 0:08:39.720 --> 0:08:41.439 having a little argument. I was standing out talking to 0:08:41.520 --> 0:08:44.320 someone in the driveway. Yeah, that was a real comfortable situation. 0:08:44.520 --> 0:08:47.600 So he's like, whoa, you need to pay me for 0:08:47.600 --> 0:08:50.120 that wood? Then as it great, you need to pay 0:08:50.200 --> 0:08:53.600 me for the eight loads of your crap I had 0:08:53.640 --> 0:08:56.920 to take to the dunk from the house. Eight truck 0:08:57.160 --> 0:09:02.400 and four wheeler, like a foot by six ft wide 0:09:02.400 --> 0:09:06.040 four wheeler trailer. Eight loads truck and trailer combo to 0:09:06.120 --> 0:09:08.360 the dump. I'm sure that was really friendly before I 0:09:08.679 --> 0:09:11.640 even like sleep in the place. Had you run any 0:09:11.640 --> 0:09:16.640 of his wood through your stove yet? No, it's it's 0:09:16.679 --> 0:09:18.640 it's odd how he showed up right by the time 0:09:18.640 --> 0:09:21.960 it gets cold, and of that would you? But yeah, 0:09:22.120 --> 0:09:29.520 so it's like when in my mind his claim to 0:09:29.679 --> 0:09:36.079 that would left left somewhere around the first load of 0:09:36.720 --> 0:09:39.680 stuff to the dumping, well beyond the two week marking. 0:09:40.120 --> 0:09:42.040 His dream of getting his wood back must have been 0:09:42.080 --> 0:09:44.320 a pretty fragile dream, because he never came back and 0:09:44.320 --> 0:09:46.520 pursued it anymore, did he. I think he just kind 0:09:46.520 --> 0:09:49.840 of gave it a hail Mary and yeah, yeah, no, 0:09:50.320 --> 0:09:53.480 it was not It wasn't It wasn't great. But in 0:09:53.520 --> 0:09:59.880 regards to hey, I remember those antlers, Thanks for spending 0:10:00.080 --> 0:10:02.520 day of out there looking for antlers and picking him up. 0:10:02.600 --> 0:10:05.640 I'll take those back now. That doesn't really stack up 0:10:05.640 --> 0:10:08.080 with me either. Maybe that guy didn't come back because 0:10:08.080 --> 0:10:14.920 he was intimidated by your mustache. How masculine you are. Um, 0:10:14.960 --> 0:10:19.120 I didn't get that sense from him. I think he 0:10:19.200 --> 0:10:21.120 just walks around the middle of day a little bit drunk, 0:10:21.720 --> 0:10:25.719 is the sense I got. Um, we're talking about. A 0:10:25.800 --> 0:10:27.679 guy wrote in about getting his nipple bit by a 0:10:27.679 --> 0:10:30.360 bluegill and bleeding all over, and I said, man, this 0:10:30.440 --> 0:10:32.200 guy doesn't know one fish from the other. And I 0:10:32.240 --> 0:10:34.719 thought he got bit by a northy, a northern that 0:10:34.880 --> 0:10:40.120 was hunting bluegills. This guy from Oregon said, man, he's 0:10:40.120 --> 0:10:43.160 telling me you don't know what you're talking about. He 0:10:43.200 --> 0:10:45.400 says he was swimming seven years ago. He was swimming 0:10:45.400 --> 0:10:48.400 in a small pond and Oregon, and the only fish 0:10:48.520 --> 0:10:52.880 in the pond was bluegills. Stock Pond says he got 0:10:52.880 --> 0:10:55.000 bit on the nipple by blue gel He said, I 0:10:55.000 --> 0:10:58.360 felt like getting bit by rottweiler. Drew a lot of blood. 0:11:00.120 --> 0:11:03.000 They do have a very small roll of teeth so 0:11:03.120 --> 0:11:06.240 that they can't eat human nipples. He says. It's the 0:11:06.240 --> 0:11:13.000 prawna of the north. It's a very sensitive tissue area. Yeah, 0:11:13.840 --> 0:11:20.280 did you see somebody's been releasing piranha, probably aquarium piranha 0:11:20.400 --> 0:11:23.120 that just got too big for him to handle. The 0:11:23.200 --> 0:11:26.160 second one found in the same lake and BC that 0:11:26.280 --> 0:11:29.240 somebody caught like full on. But they're not gonna win 0:11:29.240 --> 0:11:32.520 her up there, are they. That's what the biologists said. 0:11:32.559 --> 0:11:34.200 It is like listen they're gonna die of this winter, 0:11:34.400 --> 0:11:39.280 but that doesn't mean go releasing piranha into a lake. Yeah. Yeah, 0:11:39.440 --> 0:11:43.000 they're good to eat, man, really, dude, they're really good. Yeah, 0:11:44.000 --> 0:11:48.000 red prawn and black prana like a perch. No, it's 0:11:48.040 --> 0:11:52.760 like you know, it's like a lot of those fish 0:11:52.840 --> 0:11:54.560 down there. It has like you know, it's like a 0:11:54.840 --> 0:12:00.360 like a firm white ocean fish type flesh. I'm very good. 0:12:00.760 --> 0:12:02.800 And they got like and they split their head, you know, 0:12:02.800 --> 0:12:06.000 you split their head and cook them. Yeah. I ate 0:12:06.080 --> 0:12:08.640 him in one time in Argentina, then I ate him 0:12:08.640 --> 0:12:13.240 in Olivia and Guyana. Yeah, they take him in like 0:12:13.240 --> 0:12:15.160 you caught a flayoff. Then you tipped the fish on 0:12:15.240 --> 0:12:18.360 his nose and so you got like not a flame, 0:12:18.400 --> 0:12:21.120 but it's like a fish on the half shell, split 0:12:21.120 --> 0:12:23.560 all the way through his head. Because they got their 0:12:23.600 --> 0:12:26.040 real media had with big cheeks in it, and being 0:12:26.120 --> 0:12:29.320 as you were in these awesome situations, do you think 0:12:29.360 --> 0:12:34.360 that piranha would be just as tasty here in Bozeman, Montana? 0:12:34.600 --> 0:12:37.600 Oh yeah, you do for sure, man, very good. You know, 0:12:37.679 --> 0:12:39.400 they like the black prowna the most because they're big. 0:12:39.440 --> 0:12:40.800 You know, you get like three four or five pound 0:12:40.840 --> 0:12:47.360 black parana. Wow, yeah, Biggins, Um, did you talk about 0:12:47.360 --> 0:12:50.360 this lady that bit a camel on the testicles? Skip 0:12:50.559 --> 0:12:54.240 that one. It's an interesting story where there's like a 0:12:54.280 --> 0:12:56.720 woman from Florida, Florida woman and her and her old 0:12:56.720 --> 0:13:00.760 man stop at a wildlife like a truck stop while 0:13:00.800 --> 0:13:07.080 they've truck stopped in Louisiana, and somehow or another, like 0:13:07.160 --> 0:13:12.680 they throw a dog treat in there for the animals, 0:13:12.880 --> 0:13:16.199 but their dog season throw a dog treat. You went 0:13:16.240 --> 0:13:18.360 after it, and he runs in there and gets into 0:13:18.360 --> 0:13:22.640 a scuffle. So then they run in there. Even though 0:13:22.640 --> 0:13:25.600 there's a science thing, don't run in there. They run 0:13:25.640 --> 0:13:27.400 in there and get into a scuffle with a camel 0:13:29.840 --> 0:13:34.800 and she bites him on the sack. The cops get 0:13:34.800 --> 0:13:39.160 involved in this. They said, the camel's not at fault. 0:13:44.800 --> 0:13:47.080 I don't understand how that was the first available part 0:13:47.120 --> 0:13:53.200 to bite. She somehow got under it. It's sad on her. Uh, 0:13:54.520 --> 0:13:58.040 this is medical. This is this is sort of medical. 0:13:58.320 --> 0:14:02.120 Sure you'll see the connection. Guy asked, Let's say you 0:14:02.200 --> 0:14:04.880 go hunting and you're in a s w D area 0:14:05.000 --> 0:14:06.839 and you shoot a buck and you're like, I'm not 0:14:06.880 --> 0:14:10.199 gonna eat that buck. This it's still okay to get 0:14:10.200 --> 0:14:15.280 it mounted. So I don't know. He doesn't mean safety wise, 0:14:16.200 --> 0:14:18.839 like oh that he would get contract from having it 0:14:18.880 --> 0:14:21.720 in his house. That's not his concern. He never thought 0:14:21.760 --> 0:14:23.720 about it. But his kids said, if we can't like 0:14:23.880 --> 0:14:27.640 eat it, uh, and it's and it's like out of sickness, 0:14:27.680 --> 0:14:30.240 why would we get it stuffed? Because it doesn't seem 0:14:30.280 --> 0:14:34.640 like so the main tissue. So I thought about that. No, no, 0:14:34.720 --> 0:14:36.960 it's not a safety issue. Not a safety issue. He's 0:14:36.960 --> 0:14:40.080 not proposing it as a safety issue. Can he still 0:14:40.160 --> 0:14:42.400 put it on the wall and be proud of it? 0:14:44.640 --> 0:14:48.880 He never says I never connected taxidermy to consumption, but 0:14:48.960 --> 0:14:51.080 now a thirteen year old has me all twisted up 0:14:51.120 --> 0:14:54.240 about this. I don't think i'd mount the animal if 0:14:54.240 --> 0:14:57.280 I couldn't eat it. This is him talking European mount 0:14:58.720 --> 0:15:01.240 and I would absolutely you the European mount and I'd 0:15:01.240 --> 0:15:02.880 point at it when people came over and I'd be like, 0:15:02.920 --> 0:15:07.040 see that so, and I'd be like that dear head 0:15:07.520 --> 0:15:09.720 c w D. So the only problem with that, and 0:15:10.000 --> 0:15:13.200 not to bring it to the safety issue. But when 0:15:13.240 --> 0:15:15.760 I've done my own European mounts, it involves boiling the 0:15:15.800 --> 0:15:18.440 head and then I and then I use a power 0:15:18.480 --> 0:15:20.640 sprayer to basically spray the brains out if they've been 0:15:20.680 --> 0:15:24.480 all liquefied. And I've been on my sidewalking and arbor 0:15:24.520 --> 0:15:27.680 with people walking their dogs by uh and a skull 0:15:27.720 --> 0:15:30.360 on the sidewalk and uh. But you're spraying brain all 0:15:30.400 --> 0:15:32.760 over the place, right, So that's the number one tissue. 0:15:32.800 --> 0:15:35.240 It's a brain, spinal cord, lymph nodes, and bone or 0:15:35.320 --> 0:15:38.880 bone marrow. So if you're making a European mount on 0:15:38.960 --> 0:15:41.920 an animal that has known c w D, you're getting 0:15:42.280 --> 0:15:45.000 probably some of the highest exposure you could as far 0:15:45.040 --> 0:15:48.720 as particles flying around. And obviously there's no human cases 0:15:48.760 --> 0:15:52.600 that have been documented. But if that was if that 0:15:52.640 --> 0:15:54.200 was me, I would not want I would not be 0:15:54.240 --> 0:15:56.560 power spraying that thing in my house. I would probably 0:15:56.640 --> 0:15:59.840 just discard the animal. Unfortunately. You know, the power spraying 0:16:00.200 --> 0:16:05.520 is interesting because the body of mine over Whitehall, Montana 0:16:05.640 --> 0:16:07.840 just texted me the are D curious about that same 0:16:07.880 --> 0:16:10.920 thing because he he was gonna go hunt in the area. 0:16:11.200 --> 0:16:12.720 He's going to hunt an area where there's been some 0:16:12.760 --> 0:16:16.080 c w D cases and he was like, even besides 0:16:16.120 --> 0:16:18.800 the meat and everything, man like, what about when when 0:16:18.800 --> 0:16:22.560 I had my kid go out and clean the skull. Yeah, 0:16:22.760 --> 0:16:23.960 like he just saying, I don't know if I want 0:16:24.000 --> 0:16:25.760 anything to do with that stuff. Well, you have the 0:16:25.760 --> 0:16:28.160 animal tested. And then the scary thing is from the 0:16:28.200 --> 0:16:30.600 other podcast you because they have talked about the Dougdurn 0:16:30.760 --> 0:16:32.880 talked about where they will test animals. They say it's 0:16:32.880 --> 0:16:36.560 a non positive test, which to me, I really like 0:16:36.720 --> 0:16:38.920 things when they're certain kind of zero or one, and 0:16:38.920 --> 0:16:42.160 a non positive is kind of a soft way of saying, yeah, 0:16:42.200 --> 0:16:44.400 it's okay, we're not super sure. It doesn't look like 0:16:44.440 --> 0:16:49.000 it's positive now. Um, so that would make me real uncomfortable. Um, 0:16:49.080 --> 0:16:52.280 if you're hunting a high prevalence area, you know, even 0:16:52.520 --> 0:16:53.880 in dealing with that kind of meat, you know, if 0:16:53.920 --> 0:16:56.760 you're hunting in southeast Wisconsin, that would be spit. Give 0:16:56.760 --> 0:16:59.720 me an example of this is this, like, Um, you 0:16:59.800 --> 0:17:02.640 turn learning in a lymph node and they're like, yes, 0:17:02.720 --> 0:17:06.720 there are there are no c w D prions in 0:17:06.760 --> 0:17:10.280 this lymph node. Correct, But I wish we would have 0:17:10.320 --> 0:17:14.240 got a piece of the brain. And I'm not a biologist, 0:17:14.280 --> 0:17:17.119 I can't say for certain, but from what I remember hearing, 0:17:17.400 --> 0:17:20.600 they just give you a non positive result, meaning that 0:17:20.880 --> 0:17:23.760 they don't see anything now. Um. And because they say 0:17:23.800 --> 0:17:27.119 that the deer can be asymptomatic for up to two years, 0:17:27.400 --> 0:17:30.200 you can shoot a fork and yeah, two years later 0:17:30.240 --> 0:17:35.080 he's it's not positive and right. So um, the cases 0:17:35.119 --> 0:17:38.680 of pre on illness that we've seen in hospital, or 0:17:38.960 --> 0:17:42.080 the highest rate of transmission are to neurosurgeons because they're 0:17:42.119 --> 0:17:46.320 dealing with brain tissue. So if the neurosurgeons, um, if 0:17:46.320 --> 0:17:49.840 there's a you know, middle aged lady who comes in 0:17:49.880 --> 0:17:55.080 with this kind of Alzheimer's type weird acute decline and 0:17:55.119 --> 0:17:58.560 they're concerned about c W D or um not CWD 0:17:58.720 --> 0:18:01.879 but croc felt yakub disease, right, which is a pre 0:18:02.080 --> 0:18:05.679 on human transmiss It's like a human variation of these 0:18:05.680 --> 0:18:10.439 spongef form and cephalopathies. The the hospitalists, the people managing 0:18:10.440 --> 0:18:12.440 the care will want a biopsy of the brain to 0:18:12.800 --> 0:18:14.920 to send a pathology and see if there's prions in 0:18:14.960 --> 0:18:19.360 it or characteristics as such, and they are very reluctant 0:18:19.400 --> 0:18:21.359 to want to do that. It's a nightmare for them. 0:18:21.400 --> 0:18:22.960 They don't want to they don't want to do that. 0:18:23.080 --> 0:18:24.680 If they can do it a different way, so they'll 0:18:24.720 --> 0:18:27.760 do a um an e G, which is like uh 0:18:27.960 --> 0:18:29.719 an e k G for your brain to check if 0:18:29.760 --> 0:18:32.480 you have certain patterns. So it's a non invasive way 0:18:32.520 --> 0:18:35.639 of testing for that. But the point of story is 0:18:35.680 --> 0:18:38.800 that people who are operating on people's brains who might 0:18:38.840 --> 0:18:42.800 have these kinds of illnesses are are not not super 0:18:42.840 --> 0:18:46.160 psyched about doing it because they're sawing through bone. Dust 0:18:46.280 --> 0:18:50.320 is getting into the air, and so they are concerned 0:18:50.320 --> 0:18:52.600 about that. Yeah, get dressed up like you're working on 0:18:52.720 --> 0:18:55.680 e Bowler patients. I don't know. I I never sat 0:18:55.760 --> 0:18:59.240 in on a neurosurgery um myself. You get to select 0:18:59.320 --> 0:19:01.159 what kind of rotation you do. I did more trauma 0:19:01.200 --> 0:19:04.600 surgery stuff. But um, yeah, I think they have like 0:19:04.840 --> 0:19:07.480 positive pressure ventilation that they're using, so they're not breathing 0:19:07.520 --> 0:19:10.399 that air. Um, I would imagine, So that's what I 0:19:10.440 --> 0:19:13.000 would want. I've been looking for a good segue. I 0:19:13.240 --> 0:19:18.640 uh talk about my tooth is damn your head brain 0:19:18.680 --> 0:19:23.960 surgery there day because my tooth is like five inches 0:19:24.000 --> 0:19:27.040 from my brain. Yeah, I got a super sore tooth 0:19:27.160 --> 0:19:30.440 and they and I had cracked the root and they, 0:19:30.640 --> 0:19:35.320 dug are you've already heard about this? But because you 0:19:35.600 --> 0:19:38.200 want to bite something. Yeah, I went to bite something 0:19:38.240 --> 0:19:42.520 and about sent me through the roof. Anyway, They're going, 0:19:42.600 --> 0:19:45.200 I gotta cracked root. And so they pry the whole 0:19:45.840 --> 0:19:47.920 tooth out of my head and then they take pliers 0:19:48.000 --> 0:19:50.760 and pull all three the roots stems out. Then they 0:19:50.840 --> 0:19:55.960 pack it with cadaver bone. They showed me a little boy. Yeah, 0:19:56.160 --> 0:20:00.399 some dudes ground up bone. And I asked them, and 0:20:00.480 --> 0:20:02.680 everybody must ask this question. I asked him, like, what 0:20:02.760 --> 0:20:06.560 can you tell you about whose bone? It is? So like, 0:20:06.640 --> 0:20:09.560 we don't have information on him. I don't know if 0:20:09.560 --> 0:20:11.160 he had c w D. But then I had someone 0:20:11.200 --> 0:20:12.960 else tell me, you can find out. I don't know. 0:20:13.080 --> 0:20:15.800 I said, you can find out. Yeah, I had to 0:20:15.840 --> 0:20:23.159 go over to the house. His kid recognize something in 0:20:23.240 --> 0:20:26.240 my jaw. They pack it full of cold everbone powdered 0:20:26.280 --> 0:20:30.200 could ever bone, because somehow it affects how your what 0:20:30.359 --> 0:20:32.760 your body does with that area, whether or not a 0:20:32.920 --> 0:20:36.159 like fills it with bone, or whether or not it 0:20:36.600 --> 0:20:39.159 fills it with soft tissue. The space they want to 0:20:39.200 --> 0:20:44.159 grow backbone. But the thing is it's granular. So at 0:20:44.240 --> 0:20:47.320 any right now, in this moment, at any given time, 0:20:48.680 --> 0:20:51.320 I could work up from under my tongue or on 0:20:51.520 --> 0:20:55.760 my tongue or whatever, a little like a large piece 0:20:55.800 --> 0:20:59.440 of sand and spit it out and it's a hunk 0:20:59.480 --> 0:21:03.080 of that dude own, unbelievable. I had three of them 0:21:03.119 --> 0:21:07.480 this morning when I woke up. No, yeah, I've been 0:21:07.520 --> 0:21:12.320 showing everyone who wants to look a little showing me 0:21:12.400 --> 0:21:16.280 that guy's bone. You swallowed some of them. I haven't 0:21:16.280 --> 0:21:19.240 crunched some of them up, crunch them up with my 0:21:19.280 --> 0:21:22.280 front teeth. I just don't like the fact that this, 0:21:23.320 --> 0:21:27.200 I guess a. I really dislike the fact that this 0:21:27.359 --> 0:21:30.720 happened on a hunt. So you just started chewing on 0:21:30.760 --> 0:21:33.080 the other side of your mouth. That was even then. Man, 0:21:33.160 --> 0:21:34.920 it got worse and worse and worse and worse till 0:21:34.960 --> 0:21:36.920 I was no longer having fun. If it didn't happened 0:21:36.920 --> 0:21:38.480 at the beginning of that hunt, I'd have been screwed. 0:21:38.560 --> 0:21:42.080 But I mean it got to be like really painful. Wow, 0:21:42.320 --> 0:21:45.720 but man, that could ever So your body. Is it 0:21:46.000 --> 0:21:48.560 a reaction from your body, like being like this is 0:21:48.720 --> 0:21:53.760 foreign material and we gotta build something up to get 0:21:53.880 --> 0:21:58.639 rid of it. Or I can't say exactly why. M 0:21:58.760 --> 0:22:01.040 You're not the oral surgeon, not normal, not a dentist, 0:22:01.200 --> 0:22:03.680 but this guy wasn't. Well. This guy's a dentist and 0:22:03.960 --> 0:22:05.600 a oral surgeon, which they have to go to a 0:22:05.680 --> 0:22:07.800 lot of school to be an oral surgeon, so that's 0:22:07.840 --> 0:22:12.159 a lot. It's like dentistry school plus some medical school 0:22:12.200 --> 0:22:15.800 then a fellowship, so it's like eight years, I think. 0:22:15.960 --> 0:22:19.000 But they do very well, I think because they're pulling wisdoms. 0:22:19.040 --> 0:22:20.560 Like when I got then you got like a rolling 0:22:20.640 --> 0:22:23.360 tool chest, but it looks like you're fixing a car. Dude, 0:22:23.440 --> 0:22:25.399 I got my wisdom teeth out, man, I got my 0:22:25.440 --> 0:22:27.920 wisdom teeth pulled out, and it was whatever I don't know, 0:22:28.080 --> 0:22:29.800 like three thousand bucks or something like that. And I 0:22:29.920 --> 0:22:32.880 was asking me. I'm like I was, you know, college kid, 0:22:32.920 --> 0:22:34.480 and I didn't know anything, and I'm like, how many 0:22:34.520 --> 0:22:36.560 teeth have you pulled out? Just want to know. He's 0:22:36.600 --> 0:22:39.200 like tens of thousands, and I'm like, oh, tens of 0:22:39.280 --> 0:22:42.320 thousands times three for sure, man, those guys because he 0:22:42.359 --> 0:22:44.280 doesn't two or three at a time. And my grandpa, 0:22:44.720 --> 0:22:51.800 Doc Callahan, oral surgeon, retired. Yeah, I had all crazy history. 0:22:52.040 --> 0:22:55.520 He did his residency at d C. General. But this 0:22:55.640 --> 0:22:59.639 is a big dude. X. He played football at Carol 0:22:59.680 --> 0:23:03.280 Colle International Championship Team, bunch of broken fingers. Did you 0:23:03.320 --> 0:23:06.120 see that guy coming at you and you're like, those 0:23:06.440 --> 0:23:09.480 fingers are going in my mouth. It's not a pleasant 0:23:09.520 --> 0:23:11.879 scene as a kid. Very like, no, I used tools, 0:23:12.240 --> 0:23:14.520 very strong forms those guys have because they have to crank. 0:23:14.560 --> 0:23:17.840 You know, this dude was Muslim. Yanni talked about getting 0:23:17.880 --> 0:23:20.320 hissel teeth some wisdom teeth pulled out of him. Oh, 0:23:20.400 --> 0:23:22.680 I keep forgetting Yanni's not here. This is the first, No, 0:23:24.119 --> 0:23:27.919 this is maybe the second. Let me finish something up. 0:23:27.920 --> 0:23:29.520 Then want to talk about Yanni's apsend? We got start 0:23:29.520 --> 0:23:32.000 talking about We're spos about what's new, what's anything on 0:23:32.119 --> 0:23:38.760 the horizon? Oh yeah, so Phil Phill the engineer, pulled 0:23:38.880 --> 0:23:41.840 special cliffs to Yanni. Man I forgot about talking about 0:23:41.840 --> 0:23:43.320 how Yanni's not here. Do you know what? I missed 0:23:43.320 --> 0:23:46.200 a podcast once and Yanni did it. I don't remember 0:23:46.240 --> 0:23:50.520 that that. Yeah, long ago, I missed the podcast and 0:23:50.640 --> 0:23:54.080 Yanni handled it. I had a lot of critiques. Um, 0:23:55.320 --> 0:23:59.480 then this Yann's only missed like one before. He's not here, 0:23:59.520 --> 0:24:02.520 but this time, I'm uh, Phil hit hit another couple. Phil, 0:24:02.600 --> 0:24:04.240 It's just like we're gonna be able to just like 0:24:04.359 --> 0:24:09.400 install Yanni where we need him. Go ahead, yeah, ye see. 0:24:09.880 --> 0:24:12.280 Or I'll say, like, what's you take on that, Ynnie? 0:24:13.000 --> 0:24:18.480 Look at this science at work? Very what do you got? 0:24:18.560 --> 0:24:22.119 You got twenty four options? Phil? You just hit the 0:24:22.160 --> 0:24:24.399 matt will ye give us a couple more? Just a 0:24:24.440 --> 0:24:28.000 couple more options, okay? Or you just hit a playlist 0:24:28.080 --> 0:24:35.360 at random? Oh right, right right, that's great. So you're 0:24:35.400 --> 0:24:37.199 on top of that, right Phil. Yeah, yeah, I've I've 0:24:37.240 --> 0:24:38.760 got a pretty good one that I'm kind of saving. 0:24:38.800 --> 0:24:41.280 I'm hoping to whip out later. So just when you 0:24:41.320 --> 0:24:43.800 when Yanni needs to say a word, he just can 0:24:43.880 --> 0:24:46.560 butt in no sense, and just he can just butt 0:24:46.600 --> 0:24:48.720 in and say what he needs to say. Yeah, I've 0:24:48.720 --> 0:24:52.040 always wanted to say this. Yanni's on assignment. Oh nice, 0:24:53.000 --> 0:24:58.440 he's on assignment. He's filming. Um, he's filming his own 0:24:59.200 --> 0:25:01.720 uh special elk hunt in Colorado for which he like 0:25:01.760 --> 0:25:05.119 what he like, had like seventeen bonus points. It was 0:25:06.040 --> 0:25:08.440 I think it was like ten or eleven? No, no, no, no, 0:25:08.600 --> 0:25:12.520 no teens no, yes, I'll bet you any amount of money. 0:25:12.680 --> 0:25:15.639 What's he has got to say about that? Do you 0:25:15.720 --> 0:25:18.200 have a clip say in seventeen if you're so, please 0:25:18.240 --> 0:25:21.320 play it. No, I did not get that that specific. 0:25:21.400 --> 0:25:26.919 I'm sorry seventeen uh high teens. I'm telling you it's 0:25:26.960 --> 0:25:29.040 only like ten or make a bet? Yep? Okay, how 0:25:29.119 --> 0:25:33.680 much five bucks? Right now? Like a hundred? No friendships? 0:25:33.960 --> 0:25:35.680 You know about the bet? Yann has lost me for 0:25:35.720 --> 0:25:37.840 ten dollars and I used to do quarter beats, So 0:25:37.920 --> 0:25:41.600 let's do a quarter bet five bucks? Yeah, Yanni lost 0:25:41.720 --> 0:25:43.840 ten dollar bet? Was it? Ten Graham? Me and Yanni 0:25:43.880 --> 0:25:46.000 bet one time? Yeah? Something high? Yeah. I had to 0:25:46.080 --> 0:25:47.879 forgive him. Does he pay you an interest? No? I 0:25:48.000 --> 0:25:50.000 told him to forget about it, and it was my 0:25:50.080 --> 0:25:53.560 friendship with Yanni's worth more than uh ten Graham. This 0:25:53.680 --> 0:25:57.240 is the last medical piece of listener feedback. You got it. 0:25:58.320 --> 0:26:01.040 He's blaming me on it. This guy's blaming me for 0:26:01.200 --> 0:26:05.600 his for someone winding up in a hospital. He went 0:26:05.720 --> 0:26:11.040 to make our hot butter buck nuts. Yeah, if you 0:26:11.240 --> 0:26:15.879 cook testicles too fast, they burst. You gotta cook them 0:26:15.880 --> 0:26:18.800 slow and too hot. Too hot, too fast, they'll burst, 0:26:18.880 --> 0:26:21.800 but they always a kind of burst. They'll burst. You 0:26:21.800 --> 0:26:24.760 ever cook a spawn sack out of a perch or bluegill? No, 0:26:25.840 --> 0:26:29.360 same shape as a nut, and they'll also open up. Yeah, 0:26:29.400 --> 0:26:31.840 a little membrane splits. Yeah, and like a row sack 0:26:31.920 --> 0:26:33.960 on a row chad will sort of open up and 0:26:34.119 --> 0:26:36.159 opens up in the exact same way, like kind of 0:26:36.160 --> 0:26:39.040 splitsing some stuff. Anyways, they're cooking hot buttered buck nuts, 0:26:40.440 --> 0:26:44.800 and um, his wife's working on him. She's cooking them, 0:26:45.400 --> 0:26:50.760 and one blows up so violently did it scalds her 0:26:50.840 --> 0:26:54.080 eyeballs with hot butter? She has to go to the er. 0:26:55.480 --> 0:26:57.880 He included a photo of the buck and his wife 0:26:57.960 --> 0:27:00.320 laying on a hospital bed. Oh no, I'm sure she 0:27:00.440 --> 0:27:03.760 was not happy about either of those things. The photo. 0:27:04.400 --> 0:27:06.280 He's like, you're gonna have to do a better job 0:27:06.359 --> 0:27:10.560 explaining how to cook those things and slow. Yeah, all right, 0:27:12.040 --> 0:27:17.320 we'll get you cooking with that chainsaw a mask that 0:27:17.640 --> 0:27:22.520 everybody wears the advisor, Yeah, exactly one of those. Do 0:27:22.560 --> 0:27:31.040 you think about that? I'm with you, Good job, Phil, 0:27:31.320 --> 0:27:34.200 This one's very specific. Do you want to ask you, Hey, Janice, 0:27:34.480 --> 0:27:37.120 how did you like reading The Cat in the Hat 0:27:38.200 --> 0:27:40.560 to your kids? The other night? Sentences? I had to 0:27:40.600 --> 0:27:42.840 read twice or three times to really make sure I 0:27:43.000 --> 0:27:46.360 you know ingested it properly. Knew what was going on there. 0:27:48.880 --> 0:27:51.400 That is very That's what happens when Yanni reads cat 0:27:51.480 --> 0:27:55.280 and hat. Yeah, it takes them a while. That was mean. 0:27:55.880 --> 0:27:57.800 It's it's possible to be really mean, to be honest 0:27:57.880 --> 0:28:00.119 right now? Oh no, we do anything? Okay, sounds good. Oh, 0:28:00.240 --> 0:28:02.480 Brody's here you've been talking about you haven't introduced self, 0:28:02.520 --> 0:28:07.879 Brodie Henderson, senior editor here at Meat Either got a 0:28:07.880 --> 0:28:10.240 big old bull with his most loader. Not big, but 0:28:10.560 --> 0:28:13.080 you know, yeah, they're big. There's large compared to they're 0:28:13.080 --> 0:28:16.320 big when you're dealing with him by yourself. Man, that's 0:28:16.359 --> 0:28:21.960 some work. Okay. Dr Lazara, Yes, sir, Italian and Sicilian. 0:28:22.000 --> 0:28:25.640 I notice you mentioned it's true you don't bundle him together. Well, 0:28:25.760 --> 0:28:28.560 I mean, you know specifically because I think you are Sicilian, right, 0:28:29.880 --> 0:28:33.800 yea one fourth Sicilian. But it feels like more than 0:28:33.880 --> 0:28:36.720 that because I got the name, and my father was 0:28:36.880 --> 0:28:41.440 raised by his grandparents who were Sicilian immigrants, so you know, 0:28:41.840 --> 0:28:45.960 it's a specific flavor of Italiano. You know, like people say, 0:28:46.160 --> 0:28:50.000 Southern Italian is different than Northern Italian. Northern Italians were 0:28:50.680 --> 0:28:53.800 traditionally more wealthy. Southern Italians were tended to be looked 0:28:53.840 --> 0:28:59.080 down upon by the northern Italians more romantic himself. I can't, 0:28:59.160 --> 0:29:02.840 I don't, I can't. I had. I've been to Italy 0:29:02.920 --> 0:29:05.600 and the food is great all over. So you know, 0:29:06.160 --> 0:29:08.760 one of our camera guys, Ridge Pounder, was in Sicily. 0:29:09.200 --> 0:29:13.040 I've been there. Guess what he bought in Sicily? Uh, crucifix. 0:29:13.360 --> 0:29:18.239 He bought a pair of birken stock. It's like, hey, 0:29:18.320 --> 0:29:20.400 is like, I bought these birds in Sicily? Like that, 0:29:20.720 --> 0:29:24.400 no one goes. Maybe his shoes exploded or something needed 0:29:24.440 --> 0:29:28.960 some impromptu footwear. Okay, let me paint a scenario for you. Well, 0:29:29.280 --> 0:29:31.320 what's most valuable I heard of you recently? I want 0:29:31.320 --> 0:29:34.080 to talk about guys falling out of tree stands, yes, sir, 0:29:34.520 --> 0:29:36.960 And what's that? What's that's all about? And I want 0:29:36.960 --> 0:29:39.800 to talk about gunshot wounds. And I want to talk 0:29:39.800 --> 0:29:44.800 about the most common general maladies, not infectious diseases. We 0:29:44.920 --> 0:29:48.480 already covered that with another feller. We covered that with epidemiologists. 0:29:48.640 --> 0:29:55.440 That is, more maladies that afflict outdoors men and outdoors women. Correct, 0:29:56.880 --> 0:29:59.080 We can talk about whatever term about that. There's just 0:29:59.200 --> 0:30:04.640 no perfect term. Hunters in general. What is she's hunting mushrooms? 0:30:07.080 --> 0:30:10.160 People outside out of door people, people who are using 0:30:10.600 --> 0:30:13.000 in an exploring nature. I mean, so where do we start? 0:30:13.400 --> 0:30:15.920 He was saying, you recently had a guy uh come 0:30:16.000 --> 0:30:19.480 into your er area. They had fallen out of the 0:30:19.560 --> 0:30:22.640 tree and had opened up his scroll. That was a 0:30:23.640 --> 0:30:27.080 case that happened. Not too recent, but it was. I 0:30:27.120 --> 0:30:29.960 think it was about a year ago. He um was 0:30:30.360 --> 0:30:32.960 was injured, wasn't wearing I think he was wearing his harness, 0:30:33.040 --> 0:30:36.880 but he didn't he wasn't clipped into a uh safety 0:30:36.920 --> 0:30:39.760 line going up and he had um the foothooks that 0:30:39.800 --> 0:30:41.920 we're in and had had slipped out and had just 0:30:42.200 --> 0:30:45.760 caught him right on back up. He had what no 0:30:46.320 --> 0:30:49.120 uh you know those screw in footooks that you you 0:30:49.240 --> 0:30:51.760 see him at like myers were kids. Yeah, that was 0:30:52.800 --> 0:30:55.760 the brand we use was Dear Knees. I don't know 0:30:55.800 --> 0:30:57.600 what the brand was, dear me. Was it Dear or 0:30:57.640 --> 0:31:00.840 Dear knee It's like a six chook, like an L 0:31:00.920 --> 0:31:04.200 shape or J shape, and they're they're pretty burly iron 0:31:04.320 --> 0:31:06.840 or steel, and you screw him in. Seems very unsafe 0:31:06.920 --> 0:31:11.760 to me in general, but not note but I've never 0:31:11.880 --> 0:31:14.320 used them. But oh, you got one of those things 0:31:14.360 --> 0:31:18.080 in man that especially once that tree grows around him 0:31:18.120 --> 0:31:20.120 there there for you gotta wrassle them. You had to 0:31:20.160 --> 0:31:22.240 bring a mallet to get him back out of the tree. Yeah, 0:31:22.520 --> 0:31:24.320 I like my climber. I feel more safe in the 0:31:25.120 --> 0:31:28.600 finished Sorry, so he climbs up to so he had 0:31:28.640 --> 0:31:29.960 his hard So this is something that we see a 0:31:30.000 --> 0:31:32.000 lot of people wear their harness. There's a couple of 0:31:32.080 --> 0:31:35.680 iterations people either a don't wear a harness or be 0:31:36.080 --> 0:31:37.800 they wear a harness but they don't clip in on 0:31:37.920 --> 0:31:39.760 the way up or down. Which we know that most 0:31:39.840 --> 0:31:43.560 of these falls are occurring ascending or descending traditionally, and 0:31:44.200 --> 0:31:47.200 that's true. So the data is is hard. We can 0:31:47.200 --> 0:31:49.400 speak a little bit about the data around tree stand injuries, 0:31:49.400 --> 0:31:52.160 which it's an important topic because it's the number one 0:31:52.280 --> 0:31:56.040 malady that affects hunters as far as serious trauma in 0:31:56.120 --> 0:31:59.400 the Midwest and South um out here not so much 0:31:59.440 --> 0:32:00.880 because you guys aren't doing a lot of tree stand 0:32:00.920 --> 0:32:02.920 on it. There's the number one major thing to befall 0:32:03.000 --> 0:32:05.760 a hunter in the East and South correct correct as 0:32:05.800 --> 0:32:08.440 far as trauma, not gunshot wounds. And because this guy 0:32:08.560 --> 0:32:12.240 did not clip in, what was the malady that he suffered. 0:32:12.640 --> 0:32:15.520 So he when he fell, he fell on the tree hook, 0:32:15.960 --> 0:32:19.120 lacerated part of his scrotum and then he hit the ground. 0:32:19.480 --> 0:32:23.600 Like you're saying, the tree hook was so strong, yes, 0:32:23.680 --> 0:32:26.360 and had such a purchase on the tree. Yes, yeah, 0:32:26.480 --> 0:32:29.040 that it was able to disembowl his scroll. Yeah. Well 0:32:29.080 --> 0:32:31.200 it didn't pull his testicles out, but it did it 0:32:31.280 --> 0:32:33.840 did cut part of his scrotum. Yeah. Now, when Alan 0:32:33.880 --> 0:32:37.160 told us this, Brody turned to me and said, left 0:32:37.240 --> 0:32:42.239 couple of acorns up that tree. So he eventually did 0:32:42.320 --> 0:32:46.400 well were the doctor Sam was able to They sewed 0:32:46.440 --> 0:32:50.160 him up no problem and uh, you know the wound 0:32:50.200 --> 0:32:52.200 healing and whatnot. But he got really lucky. You know, 0:32:52.280 --> 0:32:54.000 he landed on his feet, didn't break his back or 0:32:54.040 --> 0:32:56.840 his legs. But you know, we saw we will see 0:32:56.880 --> 0:33:02.520 people middle aged, very functional, um you know, uh, members 0:33:02.560 --> 0:33:04.840 of society, and they will fall and then all of 0:33:04.840 --> 0:33:07.080 a sudden they are quadriplegic and they're on hospice. You know, 0:33:07.200 --> 0:33:11.280 it's a heartbreaking situation. You know how many people in 0:33:11.360 --> 0:33:13.400 your area and you said you have high hunter densities 0:33:13.440 --> 0:33:15.280 in your area, correct, Yeah, we have about so I've 0:33:15.320 --> 0:33:17.680 been talking with the Michigan DNR getting some numbers, and 0:33:18.120 --> 0:33:20.280 we have about hundred and fifty thousand people in Jackson 0:33:20.360 --> 0:33:25.320 County and we have roughly ten to thirteen thousand individual 0:33:25.400 --> 0:33:28.280 hunting licenses, which is about ten percent, which is above 0:33:28.360 --> 0:33:31.680 the national average of hunters. Because we're talking the highest 0:33:31.720 --> 0:33:35.560 percentage is eight percent seven per hunter participation, and so 0:33:35.680 --> 0:33:38.240 we have a pretty high hunter density in our in 0:33:38.320 --> 0:33:42.480 our county. UM and UM, you know, we see everything 0:33:42.520 --> 0:33:46.320 from lacerations to people accidentally getting their ear drum blown 0:33:46.360 --> 0:33:49.920 open because there you know, not using gun safety, not 0:33:50.080 --> 0:33:53.680 using high Yeah, I saw a guy who came in. UM, 0:33:54.200 --> 0:33:58.040 they were messing around with a pistol and his so 0:33:58.120 --> 0:33:59.960 it wasn't specifically a hunting injury, but it was a 0:34:00.080 --> 0:34:03.040 firearms injury and his buddy just let it loose right 0:34:03.080 --> 0:34:04.760 when we're standing right next to him, and it blew open. 0:34:04.800 --> 0:34:08.839 His ear drum, just totally perforated, super painful. What happens then, 0:34:09.600 --> 0:34:13.440 So my understanding is if it's wide open, obviously no 0:34:13.560 --> 0:34:15.200 swimming or any thing, cause you get water in there 0:34:15.239 --> 0:34:17.399 and your inner ears and expose and you don't want 0:34:17.480 --> 0:34:20.200 an infection to develop. It'll heal or not, He'll depends 0:34:20.239 --> 0:34:24.160 how large the um it's like a drum head. So 0:34:24.680 --> 0:34:28.120 depending on how large the injury is, it can seal 0:34:28.200 --> 0:34:30.120 over and then you kind of have a chronic weak spot, 0:34:30.360 --> 0:34:32.959 or they can put a patch over it and create 0:34:33.000 --> 0:34:35.120 a new ear drum for you. So you see ear, 0:34:35.160 --> 0:34:36.839 nose and throat doc and they tell you that kind 0:34:36.840 --> 0:34:38.960 of stuff. So touching off a pistol next to his 0:34:39.040 --> 0:34:41.920 buddy's head ruptures his ear drum. Yeah, yeah, it was 0:34:41.960 --> 0:34:44.600 pretty impressive, completely ruptured, and it was using a ton 0:34:44.640 --> 0:34:46.200 of pain. I mean using like a twenty five b 0:34:46.719 --> 0:34:50.000 H and the head, ear, eyes, nose and throat, h 0:34:50.120 --> 0:34:52.400 E and T. Stuff very painful because there's a lot 0:34:52.440 --> 0:34:54.799 of nerve endings in your face, your ears, your nose, 0:34:55.160 --> 0:34:56.759 like your tooth. I mean, we see a lot of 0:34:56.800 --> 0:35:01.040 people who have bad teeth from you know, not brushing, 0:35:01.120 --> 0:35:03.719 drinking too much mountain dew and smoking, and they come 0:35:03.760 --> 0:35:06.520 in and excruciating pain. It's it's really I had my 0:35:06.560 --> 0:35:08.400 heart goes out to him. Unfortunately, I was with a 0:35:08.400 --> 0:35:11.160 body mind yesterday and we're talking about floss in your teeth. Yeah, 0:35:11.480 --> 0:35:16.520 and uh, he said, last time he's into dentist. They 0:35:16.520 --> 0:35:18.479 asked him when the last time he floss his teeth 0:35:18.680 --> 0:35:20.960 was and he said to the dentist, don't know when 0:35:21.040 --> 0:35:25.560 was I in here last? They came out it's a 0:35:25.640 --> 0:35:27.399 good point. So they came out with something. So they've 0:35:27.400 --> 0:35:29.239 been pushing the flossing thing for a long time, and 0:35:29.280 --> 0:35:31.200 they came out with some sort of some study that 0:35:31.320 --> 0:35:37.320 said there's no definitive evidence that flossing prevents um, you know, 0:35:38.040 --> 0:35:43.000 decay or tooth loss whatever. It can't be true. Well, 0:35:43.160 --> 0:35:45.880 I think, told me, so, yeah, go ahead, no you 0:35:45.960 --> 0:35:51.279 tell me. So I'm saying what your dentist said. I'm 0:35:51.360 --> 0:35:54.719 from with interrupting, so it go ahead, go ahead. So 0:35:55.960 --> 0:35:58.840 even though even though there's a research tell you that 0:35:58.880 --> 0:36:00.920 came out and said that you don't need a research 0:36:00.960 --> 0:36:02.560 to wear a parachute jumping out of a plane. You 0:36:02.560 --> 0:36:04.840 don't need research studies, so you can bend research to 0:36:04.960 --> 0:36:07.200 tell it what you want to tell you. So it's 0:36:07.200 --> 0:36:10.439 like the doctors at the tobacco companies for sure. For sure. 0:36:10.800 --> 0:36:13.080 So you you just use common sense, like is this good? 0:36:13.120 --> 0:36:15.680 It's like thirty your tooth surfaces in between your teeth, 0:36:15.719 --> 0:36:19.799 so why not clean it? You know? So right, yeah, 0:36:20.200 --> 0:36:21.840 Well the guy explained to me when I was asking 0:36:21.920 --> 0:36:24.160 him what's up with floss? And because I was saying, well, 0:36:24.200 --> 0:36:26.080 I'm not religious about it. I floss a fair bit, 0:36:26.440 --> 0:36:29.000 flost four or five times a week. He was selling 0:36:29.080 --> 0:36:31.960 me my dentist who's the hunter, and my rollal surgeons 0:36:31.960 --> 0:36:34.680 a hunter my dentist, but am I rollal surgeon? Both 0:36:34.719 --> 0:36:38.040 like hunt, so you have a lot of trust. And uh, 0:36:38.160 --> 0:36:40.840 my knee doctor likes the hunt. There you go. I 0:36:40.840 --> 0:36:42.279 don't need him. So I only went once and he said, 0:36:42.280 --> 0:36:43.600 my knees fines. I don't know if he counts with 0:36:43.600 --> 0:36:47.480 my knee doctor. Talk about that later too. But what 0:36:47.600 --> 0:36:50.640 was it getting at? Oh, why flossing? He said that 0:36:50.880 --> 0:36:54.880 there are communities of bacteria that set up shop on 0:36:54.960 --> 0:36:57.640 your teeth, and they're always trying to set up shop 0:36:57.680 --> 0:37:01.640 on your teeth. When you flost, you interrupt the setting 0:37:01.719 --> 0:37:05.480 up of shop. And the longer they get, and this 0:37:05.600 --> 0:37:08.680 is just in a matter of days, the more tenacious, 0:37:09.800 --> 0:37:13.320 the more tenaciously they can bind to the tooth. So 0:37:13.400 --> 0:37:17.400 you're saying, by flossing every day, it's a convenient spacing 0:37:17.480 --> 0:37:20.759 of time to interrupt them from setting up shop in 0:37:20.800 --> 0:37:23.239 a way that makes them harder to get off. So 0:37:23.360 --> 0:37:26.200 it's not like you can catch up. Like it's like, 0:37:26.400 --> 0:37:28.840 if you don't floss Monday, well I just floss on Thursday. 0:37:29.719 --> 0:37:33.279 By then they've adhered themselves in the way that just 0:37:33.480 --> 0:37:35.880 mere floss is gonna have a hard time dislodging. But 0:37:36.000 --> 0:37:39.759 by keeping on that daily schedule, you're keeping them off 0:37:39.840 --> 0:37:42.360 before they can harden. Yeah, they I mean I always 0:37:42.360 --> 0:37:44.680 ask why whenever I go to get your teeth clean. 0:37:44.719 --> 0:37:46.040 I'm always like, why do you have to use the 0:37:46.120 --> 0:37:49.759 same medieval type instruments to scrape my mouth like they used, 0:37:50.000 --> 0:37:52.640 you know, eighty years ago. But they're saying they're getting 0:37:52.640 --> 0:37:55.400 off that hardened plaque at the gum line, and like, 0:37:55.560 --> 0:37:58.000 no matter how much you brush, and it just happens 0:37:58.040 --> 0:38:01.839 with our diet, and you know, um, I think it's 0:38:01.880 --> 0:38:03.839 a good litmus test. I always ask people who are 0:38:03.880 --> 0:38:06.040 in the dental field how often they flost, and then 0:38:06.080 --> 0:38:08.240 I can kind of gauge how often I should probably flost. 0:38:08.320 --> 0:38:10.440 So they give it two to three times a week, 0:38:10.480 --> 0:38:12.640 then I feel like that's probably pretty good. They're not 0:38:12.719 --> 0:38:14.880 giving you that. No, Yeah, they'll say that, the honest 0:38:14.960 --> 0:38:17.239 ones will. They don't. Some of them are fanatic and 0:38:17.280 --> 0:38:19.680 they've lost twice a day. But you think, yeah, I 0:38:19.760 --> 0:38:22.640 got you. I'll do every two three days. What just 0:38:22.760 --> 0:38:24.600 to wrap up the tooth conversation, you gave us a 0:38:24.640 --> 0:38:28.040 great hot tip on tooth that if you had this happen. 0:38:28.120 --> 0:38:30.680 My brother shot my tooth out with a blowgun when 0:38:30.680 --> 0:38:33.759 I was ten. A blowgun? What a rock? No, we 0:38:33.840 --> 0:38:39.040 would take aluminum arrows. Okay, we'd cut the ends off them. 0:38:39.520 --> 0:38:44.120 And remember what a light bright Yeah, okay, light bright peg. 0:38:45.360 --> 0:38:47.680 Well that's not well, it's more complicated. So there's a 0:38:47.760 --> 0:38:49.960 light bright peg, and a light bright peg fit an 0:38:50.000 --> 0:38:54.680 illuminum arrow wonderfully. And it was a very effective, accurate 0:38:54.920 --> 0:38:59.279 projectile to shoot an illuminum arrow. Oh okay, But just 0:38:59.360 --> 0:39:02.640 so happened that a buddy bars down on west Lake 0:39:03.760 --> 0:39:07.160 named Davy Cole. His old man worked in a ball 0:39:07.239 --> 0:39:11.239 bearing factory, and he had access to all diameters of 0:39:11.280 --> 0:39:13.839 ball bearings, and so my brother came into some ball 0:39:13.920 --> 0:39:18.360 bearings that fit that aluminum arrow perfectly. And we do 0:39:18.440 --> 0:39:20.879 a thing called a machine gun where you would fill 0:39:20.960 --> 0:39:24.360 your mouth full of those ball bearings and then to 0:39:24.440 --> 0:39:27.440 start blowing and using your tongue to feed the bearings 0:39:27.520 --> 0:39:30.960 into the aluminum tube. Sounds like a tom and Jerry episode. 0:39:31.160 --> 0:39:33.000 Oh and you could get up and just rip someone 0:39:33.160 --> 0:39:35.640 like you could rip someone from crosh the eyeball with 0:39:35.800 --> 0:39:39.120 a stream of ball bearings on a good breath and 0:39:39.280 --> 0:39:42.160 he bob. We would wear goggles, but no one thought 0:39:42.200 --> 0:39:45.640 to wear mouth protection. But he shot the tooth clean off, 0:39:46.360 --> 0:39:50.000 snapped in half, and that exposed nerve. I was saying, 0:39:50.040 --> 0:39:53.360 how I was saying that this exposed nerve, even breathing 0:39:53.400 --> 0:39:56.880 would hurt. And you had a hot tip for this 0:39:57.000 --> 0:39:58.640 is for people out in the field. This is like 0:39:58.719 --> 0:40:01.759 what we're here to talk about. A broken tooth and 0:40:01.800 --> 0:40:04.680 that exposed nerve. You can do what to help make 0:40:04.719 --> 0:40:08.680 it feel better? So, um, so I've read and done. 0:40:09.080 --> 0:40:12.080 We'll see people for various kinds of oral trauma. They'll 0:40:12.120 --> 0:40:14.160 come in with a tooth half cracked off, and you 0:40:14.200 --> 0:40:17.440 know they really need a dentist or oral surgeon, right, 0:40:17.480 --> 0:40:19.400 but they come in at three am. They're not they 0:40:19.440 --> 0:40:21.160 don't have access to that. They gotta wait till tomorrow 0:40:21.200 --> 0:40:23.280 or the next day or whatever. So to help mitigate 0:40:23.360 --> 0:40:27.799 some of that pain, um, you can put cianocrylate, which 0:40:27.880 --> 0:40:30.960 is super glue basically over that nerve, so you get 0:40:30.960 --> 0:40:33.600 the area really dry and then put the super blow 0:40:33.640 --> 0:40:35.319 and then then blow on it so it drives real quick. 0:40:35.360 --> 0:40:38.839 It's seals the nerve over and um. You know you're 0:40:38.880 --> 0:40:42.080 messing with a native tooth. But when what the dentist 0:40:42.120 --> 0:40:43.800 is gonna do is grind it down to a post, 0:40:43.920 --> 0:40:46.160 probably try and save the nerve and then put a 0:40:46.239 --> 0:40:49.080 cap on it. So whatever you put on that remaining 0:40:49.160 --> 0:40:52.120 tooth is gonna get ground off anyway. You know, they 0:40:52.160 --> 0:40:54.840 have other materials you can use, like copack and and 0:40:54.960 --> 0:40:57.080 other things in a dental box. We keep in the 0:40:57.160 --> 0:41:00.600 e d um but that works pretty effective. You probably 0:41:00.640 --> 0:41:03.840 need antibiotics too, because you gotta expose nerve, can get infected. 0:41:03.880 --> 0:41:09.719 Could you get infected? Yes? Nothing. Super glue is gonna 0:41:09.719 --> 0:41:13.239 look better because it's clear. Yeah, we use super bowl 0:41:13.239 --> 0:41:14.600 all the time. And stuff we use in the medical 0:41:15.080 --> 0:41:17.239 field is you know for you know, we use it 0:41:17.320 --> 0:41:19.960 for skin lacerations on the face and stuff and and 0:41:20.120 --> 0:41:21.480 for face I use it all time my fingers and 0:41:21.520 --> 0:41:24.200 stuff we use in the hospitals about they say five 0:41:24.320 --> 0:41:26.560 times stronger than the stuff you buy at the store. 0:41:26.600 --> 0:41:28.200 But I use the stuff I buy the store all 0:41:28.239 --> 0:41:29.640 the time for a little cuts on my fingers because 0:41:29.640 --> 0:41:32.080 I'm like walking around with cuts. Yeah, I carry super 0:41:32.120 --> 0:41:34.319 glue in my kit my little hunting kit bag. Those 0:41:34.360 --> 0:41:37.160 single serving tubes, Yeah, that's a good because they always 0:41:37.160 --> 0:41:38.560 get clogged up, you know, I mean, and then all 0:41:38.560 --> 0:41:40.439 of a sudden you're dealing with a like a clog 0:41:40.600 --> 0:41:42.640 tip and some goo in there that you can't really 0:41:42.680 --> 0:41:44.600 get to. So what's the proper way if you get 0:41:44.640 --> 0:41:48.720 a cut? How do you tell us a couple of questions. 0:41:49.440 --> 0:41:50.839 Is there more to say about falling out of trees 0:41:50.840 --> 0:41:52.960 before we talk about this next thing? I would say, 0:41:53.200 --> 0:41:54.920 you know, since this is around the time where you 0:41:55.000 --> 0:41:57.080 have a lot of people hunting um in the mid 0:41:57.400 --> 0:41:59.920 you know, using tree stands, I would I would appeal 0:42:00.040 --> 0:42:03.239 to everybody to know that the number one injury would 0:42:03.280 --> 0:42:05.680 be falling out of a stand, not a firearm injury. 0:42:05.760 --> 0:42:08.440 You know, gun safety is extremely important. You know, we 0:42:08.520 --> 0:42:11.960 see those tragic injuries, um, But the thing that you're 0:42:12.000 --> 0:42:15.000 more likely to encounter somebody falling out of a stand. 0:42:15.080 --> 0:42:19.040 So review a DVD, YouTube video something where your harness. 0:42:19.200 --> 0:42:20.920 You know, you want to live to hunt another day. 0:42:20.960 --> 0:42:23.640 You don't want to be paralyzed with a broken pelvis, 0:42:23.719 --> 0:42:27.279 laying in the forest it's it's really important that people 0:42:27.320 --> 0:42:29.520 do that. I think, yeah, I have a bad habit 0:42:29.640 --> 0:42:33.440 of getting in the tree and then putting the harness on. 0:42:34.000 --> 0:42:36.319 I have settled. I have seen I saw a guy 0:42:36.400 --> 0:42:39.520 who came in. He came in for like a colitis 0:42:39.640 --> 0:42:41.440 or a bowl infection, and I was talking to him 0:42:41.440 --> 0:42:43.480 and I said, you got some nasty looking scars in 0:42:43.560 --> 0:42:45.879 your bellies, like sixty five. Yeah. I'm like, well, what's 0:42:45.880 --> 0:42:47.480 that from? Just kind of shooting the ship with him, 0:42:47.480 --> 0:42:49.680 and because well, I fell out of a tree stand, 0:42:49.680 --> 0:42:51.520 I'm like how. Then, of course my interest piques up 0:42:51.520 --> 0:42:53.640 and I'm started asking lots of questions of how that happened. 0:42:53.680 --> 0:42:55.759 He goes, well, I got to the top of the 0:42:55.800 --> 0:42:57.600 tree stand and put my harness on and I slipped 0:42:57.600 --> 0:42:59.920 out putting it on like while he's in the top 0:43:00.040 --> 0:43:02.520 up and he was also on a blood thinner, and 0:43:02.600 --> 0:43:05.520 it was he you know, fractured his spleen. It was 0:43:05.560 --> 0:43:08.080 amazing he lived. And then the real bomb and he goes, 0:43:08.360 --> 0:43:10.360 it was actually the second time that happened to me. 0:43:10.440 --> 0:43:14.560 I'm like, dude, you're like lucky to be alive falling 0:43:14.560 --> 0:43:17.960 out twice. It's you know, and you said, us ending 0:43:18.000 --> 0:43:20.719 and descending acending. So the and like I said, the 0:43:20.800 --> 0:43:23.800 research is hard because not all of them are reported. 0:43:23.840 --> 0:43:26.320 Not every state tracks and Michigan doesn't track them. Illinois 0:43:26.360 --> 0:43:29.320 will track them. Um, so anybody involved in like a 0:43:29.560 --> 0:43:33.880 police officer or conservation police officer, it's a mandatory reporting 0:43:33.880 --> 0:43:36.200 in Illinois, but Michigan it's not. They just do firearms, 0:43:36.640 --> 0:43:39.839 so getting the mandatory reporting. So if somebody is injured 0:43:39.880 --> 0:43:43.160 in the field with a firearm hunting you, that's a 0:43:43.200 --> 0:43:45.719 mandatory report to the d NR. So they there's a 0:43:46.360 --> 0:43:50.319 stream of information that gets passed from police officer through 0:43:50.560 --> 0:43:53.200 a specific network kind of like a pager system. Was 0:43:53.239 --> 0:43:56.040 explained to me to the CPO, who to them go 0:43:56.120 --> 0:43:59.279 investigate if needed at the hospital or at home and 0:43:59.320 --> 0:44:01.480 figure out what and they keep itally of these every 0:44:01.600 --> 0:44:04.680 and they release a report. It's pretty morbid to read it, 0:44:04.719 --> 0:44:07.440 but it's interesting from a medical perspective to look at 0:44:07.480 --> 0:44:09.480 it and see, you know, a lot of these firearm 0:44:09.520 --> 0:44:12.719 injuries are occurring for you know, it's it's not it's 0:44:12.800 --> 0:44:16.480 usually careless handling of a firearm, not um failure to 0:44:16.560 --> 0:44:20.640 identified target. It's usually you know, carrying your gun, you know, 0:44:21.080 --> 0:44:24.040 the wrong way up a tree stand, linking your you know, 0:44:24.280 --> 0:44:27.720 haul of court to the freaking trigger guard, handing weapons 0:44:27.760 --> 0:44:30.719 to each other, falling over something, you know, the stuff 0:44:30.760 --> 0:44:32.960 you learn in hunters that you know, don't go over 0:44:33.040 --> 0:44:35.279 a fence with a loaded gun. You drop your gun 0:44:35.360 --> 0:44:37.440 and it goes off. You don't rely on the safety, etcetera. 0:44:38.040 --> 0:44:40.080 That kind of stuff. You know, you do see people 0:44:40.120 --> 0:44:42.520 swinging on you know, I read one from Michigan. Somebody 0:44:42.560 --> 0:44:45.719 swings on a squirrel and the twenty two hits you know, 0:44:46.160 --> 0:44:47.440 a young person in the head and they die and 0:44:47.480 --> 0:44:51.400 it's just tragic, tragic. So that was it was like 0:44:51.440 --> 0:44:53.520 a sixty three year old killed like a thirteen year old. 0:44:53.560 --> 0:44:56.640 It was just squirrels. Yeah, just that kind of stuff 0:44:56.640 --> 0:44:58.880 really gets to maybe, I think the further on I 0:44:58.960 --> 0:45:01.799 get in medicine, you get a little you can get 0:45:01.840 --> 0:45:06.040 a little numb to um pain in some ways because 0:45:06.080 --> 0:45:09.600 you have to function in an environment where you're functioning 0:45:09.640 --> 0:45:11.479 with somebody else's in pain and you're you're you're trying 0:45:11.520 --> 0:45:13.480 to help them. So if you're emoting with them and 0:45:13.920 --> 0:45:16.440 feeling what they're feeling, then you can't get your job done. 0:45:16.480 --> 0:45:18.880 You can't help that person. The things that I think 0:45:18.960 --> 0:45:21.680 really bother me is when I can relate and whether 0:45:21.719 --> 0:45:23.160 it's you know, it's a thirty six year ol guy 0:45:23.160 --> 0:45:25.319 who's always got a new diagnosis of cancer, or it's 0:45:25.320 --> 0:45:27.280 a little kid that looks like my kid that's injured. 0:45:27.840 --> 0:45:31.759 That ship's really hard to emotionally process. And so reading 0:45:31.800 --> 0:45:34.880 these stories because I'm a hunter, and because I feel 0:45:35.280 --> 0:45:37.719 so bad, it's hard to even just read the one 0:45:37.800 --> 0:45:41.759 liner about what happens. You know, it's thinking about jeez man. 0:45:42.680 --> 0:45:45.160 But I should say I sent a power point to 0:45:45.239 --> 0:45:48.759 Brodie that, UM, we use some of these statistics. There's 0:45:48.800 --> 0:45:51.719 a national Injury database that's collected. There's a hundred e 0:45:51.880 --> 0:45:55.480 rs and this it's a government run database through the 0:45:55.640 --> 0:45:59.920 Consumer Protection CPSC. I can't remember the acronym, but it's 0:45:59.920 --> 0:46:03.840 a hundred yers that are surveillanced in a input anything 0:46:04.560 --> 0:46:06.400 um that has related to a consumer products. So if 0:46:06.400 --> 0:46:07.680 you're injured, but you wanna know how many people are 0:46:07.719 --> 0:46:10.600 injured by vacuum cleaners, you can search vacuum cleaners. You 0:46:10.680 --> 0:46:14.239 can search hunting knives and lacerations, the hand, finger, arm, 0:46:14.360 --> 0:46:19.520 whatever um. They estimate there's about six to four thousand 0:46:19.800 --> 0:46:22.959 tree stand related injuries per year in the United States, 0:46:23.040 --> 0:46:25.200 and it really has not I looked at the numbers 0:46:25.200 --> 0:46:29.080 and it really has not declined with more education. It's 0:46:29.120 --> 0:46:31.200 pretty much stayed the same. Because our hunting numbers are 0:46:31.200 --> 0:46:33.640 going down a little bit, you know, the big game numbers. 0:46:33.680 --> 0:46:36.080 If you compare them, we're still having the same rough 0:46:36.239 --> 0:46:39.719 rate of tree STANM related injuries across the country. Um 0:46:40.200 --> 0:46:42.719 interestingly though, because there's so much more focused on it. 0:46:43.280 --> 0:46:46.360 There there is. But it's just like we're it's just like, 0:46:46.640 --> 0:46:48.839 you know, seatbelts with cars, right, so we're talking about 0:46:48.920 --> 0:46:54.840 earlier education is a hard thing to um change habit 0:46:54.920 --> 0:46:57.520 when it comes to our patient population and people in general. 0:46:57.640 --> 0:46:59.480 So you can talk yourself to your boo in the face, 0:46:59.520 --> 0:47:03.719 but until you engineer solution into the equation, you're still 0:47:03.760 --> 0:47:06.719 going to get those people like you know, like maybe 0:47:06.760 --> 0:47:08.880 my grandfather doesn't wear a seat belt as often as 0:47:08.960 --> 0:47:11.600 I would, but you put that annoying beep in your car, 0:47:11.719 --> 0:47:13.359 in the brand new car, you're gonna wear your seat 0:47:13.360 --> 0:47:14.719 belt because you don't want to listen to the beep. 0:47:14.800 --> 0:47:17.080 For Somebody told me you can take the fuse out 0:47:17.120 --> 0:47:20.200 of that situation. Yeah, that's sounds hard. To do. Man, 0:47:20.920 --> 0:47:23.600 they do sell You can go online and buy um, 0:47:24.800 --> 0:47:26.720 you can go online and buy just like a buckle 0:47:26.960 --> 0:47:29.279 with a orange piece on it, yeah, and then keep 0:47:29.320 --> 0:47:31.239 it clicking there so it just thinks you're buckled up. 0:47:31.280 --> 0:47:33.000 No kidding. Those people don't have any lie. I can't 0:47:33.040 --> 0:47:36.000 believe there's not a lawsuit gets that cup on the toyota. 0:47:36.960 --> 0:47:40.239 Uh there's the sensors underneath the seat, and you just 0:47:40.360 --> 0:47:47.120 disconnect that sensor. U I saw once on YouTube. Don't 0:47:47.160 --> 0:47:50.480 listen to kel so Okay, yeah, do not listen to me. 0:47:50.560 --> 0:47:54.120 I'm a terrible example. But just like as you are 0:47:54.200 --> 0:47:56.480 saying this, I'm realizing, like when you're like, yeah, the 0:47:56.560 --> 0:47:59.080 sixty year old guy who fell out of the tree 0:47:59.160 --> 0:48:03.560 stand twice, Yeah, I just go, oh yeah, I get it. 0:48:04.239 --> 0:48:06.560 But if it's the sixteen year old kid who falls 0:48:06.600 --> 0:48:11.200 out of the tree, stown like idiot, Yeah right, you know, absolutely, 0:48:13.200 --> 0:48:16.000 I don't because it's true he is an idiot. Right, 0:48:16.239 --> 0:48:18.520 You're like sixteen, you haven't seen a lot of stuff. 0:48:18.960 --> 0:48:23.239 But the sixty year old guy, like he's making informed decisions. Oh, 0:48:23.719 --> 0:48:27.279 I got you right. And I just feel like if 0:48:27.320 --> 0:48:31.719 there was an emphasis on safety in my growing up, 0:48:32.040 --> 0:48:35.279 which looking back there there was a lot of like, yeah, 0:48:35.320 --> 0:48:38.080 you shouldn't do that, and that was about it that 0:48:38.239 --> 0:48:41.600 you learned your lesson there. Yeah, I feel like that 0:48:42.000 --> 0:48:45.160 is just such a better way to start out because 0:48:45.239 --> 0:48:50.160 now like nothing and somebody's like, oh, well, you know, 0:48:50.280 --> 0:48:53.640 you shouldn't do it that way. I'm always like, you 0:48:53.640 --> 0:48:56.400 should have seen me ten years ago, man, right, But 0:48:56.520 --> 0:48:58.880 I think they're just like the tree stand thing. Like 0:48:59.480 --> 0:49:01.880 I feel like a lot of people have changed their ways. Man. 0:49:02.000 --> 0:49:04.000 Like we used to build tree stands out of chunks 0:49:04.040 --> 0:49:07.799 of two by fours and just like no ladder, no rot, 0:49:07.960 --> 0:49:11.239 like just lean up there. My dad would make him, uh, 0:49:11.680 --> 0:49:16.279 he would steal street signs for a platform, like what 0:49:16.480 --> 0:49:19.600 like a stop signer, like you take that? He liked 0:49:19.640 --> 0:49:22.359 that metal. Yeah. Um. They used to have had these 0:49:22.400 --> 0:49:23.960 like thick signs. It was like a lamb and it 0:49:24.080 --> 0:49:26.719 was like a thick plywood with a face on for 0:49:26.800 --> 0:49:29.360 a solid metal. And we had some tree stands. You 0:49:29.360 --> 0:49:31.520 can still see like the parts of speed limit numbers 0:49:31.560 --> 0:49:34.000 and stuff. But I wouldn't get up in one of 0:49:34.040 --> 0:49:36.160 those things I made when I was a kid. Yeah, 0:49:36.800 --> 0:49:41.520 use you know, I use harness. I think the reason 0:49:41.640 --> 0:49:43.440 that the reason that I started getting into it. I 0:49:43.560 --> 0:49:45.840 think so before I started, I'm kind of an adult 0:49:45.880 --> 0:49:50.520 onset hunter. I used to wrestle in high school, college 0:49:50.560 --> 0:49:53.120 and and so wrestling season is pretty much all of 0:49:53.480 --> 0:49:56.640 deer season. Do you still have that wrestling problem where 0:49:56.680 --> 0:50:01.120 you're always trying to wrestle guys? We're not familiar enough yet, 0:50:01.120 --> 0:50:04.200 So I haven't done it to you. But here I 0:50:04.239 --> 0:50:11.359 would have advised him about my blast. Pick a good one, Phil. 0:50:11.840 --> 0:50:17.239 That's right. It's a it's a thing. It's a unique subculture, 0:50:17.360 --> 0:50:19.200 you know. And I think because you know it's it's 0:50:19.920 --> 0:50:23.239 underappreciated and how difficult it is. It doesn't get any popularity, 0:50:23.320 --> 0:50:25.440 like you know, football gets so much play, and and 0:50:25.760 --> 0:50:28.360 you wrestled at a high in school. Oh no, the 0:50:28.480 --> 0:50:31.000 University of Chicago is a Division three. It was you know, 0:50:31.239 --> 0:50:33.919 it was more high end academically. Oh yeah, which would 0:50:33.920 --> 0:50:35.880 mean to be easy to beat everybody. Well, I have 0:50:36.040 --> 0:50:39.520 to hope, I so I didn't. I kind of like it. Really. 0:50:39.680 --> 0:50:43.440 It's emotionally draining with you know, cutting weight and training 0:50:43.440 --> 0:50:45.480 all the time, and your focus gets to be on 0:50:45.600 --> 0:50:49.840 other things when you're in college, um that don't involve 0:50:50.000 --> 0:50:51.520 you know, athletics, you know. And then and then at 0:50:51.520 --> 0:50:53.200 a certain point, I'm like, I'm not going to be 0:50:53.280 --> 0:50:56.000 a professional wrestler. I'm gonna study to get into medical 0:50:56.080 --> 0:50:59.960 school and wrestling scholarship. No, no, they don't, they don't, 0:51:00.120 --> 0:51:01.960 d three, they don't have scholarship. They give you like 0:51:02.000 --> 0:51:03.920 a workman, they like give you money to work in 0:51:03.960 --> 0:51:06.799 the cafeteria or something like that. And um, I could 0:51:06.840 --> 0:51:09.560 have gone to smaller school and maybe gotten a scholarship. 0:51:09.640 --> 0:51:12.319 But you got that little Rodney Dangerfield swimsuit on one 0:51:12.360 --> 0:51:16.000 out there, and yeah, it's you know, it's comforting. I 0:51:16.080 --> 0:51:19.080 love it. It's I still I still will do UM 0:51:19.280 --> 0:51:21.640 club wrestling at UMM with the college kids there and 0:51:21.680 --> 0:51:24.200 go and I get to pull the old man break 0:51:24.239 --> 0:51:26.520 because I'm winded. Um. And I'm gonna try and get 0:51:26.560 --> 0:51:28.279 my kids into it and we'll we'll see if they 0:51:28.360 --> 0:51:30.439 like it or maybe they'll be in defencing. I don't 0:51:30.440 --> 0:51:32.600 know what they'll like. You want to raise up wrestlers. 0:51:32.960 --> 0:51:35.520 It's so much it's so much fun, dude. It's a 0:51:35.600 --> 0:51:38.600 physicality and like a fitness that doesn't ever go away, 0:51:38.640 --> 0:51:42.760 a work ethic that you just cannot It's different than football. 0:51:42.840 --> 0:51:44.759 It's different because you know you're the only one out there, 0:51:44.760 --> 0:51:46.120 You're the only one staying. There's no one else to 0:51:46.200 --> 0:51:48.520 blame when you lose. It's a manoe mono. It's not 0:51:48.640 --> 0:51:50.920 as traumatic as boxing. Right. I don't want my kids 0:51:50.960 --> 0:51:53.560 to box because of the chronic traumatic and cephalopathy. I 0:51:53.560 --> 0:51:55.239 don't my kids to play football because it's like the 0:51:55.320 --> 0:51:57.839 number one injured sport, although I love playing football when 0:51:57.840 --> 0:52:01.400 I grew up. So, but who knows what they'll be in. 0:52:01.440 --> 0:52:03.200 My wife's a very good influence in saying you should 0:52:03.280 --> 0:52:06.839 let them try and choose what they enjoy. I don't 0:52:06.840 --> 0:52:11.920 recommend that either. Let I want to get back to this, Okay, 0:52:12.280 --> 0:52:13.799 let's I want to talk about cuts in the field. 0:52:14.560 --> 0:52:17.799 Cuts in the field, right, we'll start minor. Okay, when 0:52:17.920 --> 0:52:20.520 is it okay? And when is the appropriate to try 0:52:20.560 --> 0:52:23.440 to superglue a cut back together? Again? So when is 0:52:23.480 --> 0:52:25.960 it okay? This is a two parter. When is it 0:52:26.080 --> 0:52:29.480 okay to to do a rambo and stitch yourself up? 0:52:30.480 --> 0:52:32.480 So it all has to do with I think the 0:52:32.600 --> 0:52:37.279 size of the cut um and what is your When 0:52:37.320 --> 0:52:38.960 are you going to be able to get to definitive care? 0:52:39.120 --> 0:52:43.120 So we ideally like to have wounds healed by primary intention, 0:52:43.200 --> 0:52:45.440 meaning that we'll stitch them back together, bring the skin 0:52:45.520 --> 0:52:47.840 back together so the skin can heal itself. The stitches 0:52:47.880 --> 0:52:49.719 don't actually heal the skin, they just bring it next 0:52:49.760 --> 0:52:53.120 to itself so it can heal. So um, we ideally 0:52:53.120 --> 0:52:55.320 try and do that within eight to twelve hours. Anything 0:52:55.440 --> 0:52:58.680 beyond that we worry about enough bacteria from the environment 0:52:58.719 --> 0:53:00.200 getting in there, and then we close it up and 0:53:00.239 --> 0:53:03.839 then we seal in some infection. Exception to that would 0:53:03.840 --> 0:53:07.360 be facial injuries because face, you know, it's generally not 0:53:08.040 --> 0:53:10.319 tolerable to have somebody have a giant scars in their 0:53:10.360 --> 0:53:13.280 face for cosmetic reasons. So if you're in the field 0:53:14.200 --> 0:53:16.279 and you have like a you know, a one inch 0:53:16.360 --> 0:53:19.120 cut on your finger that's closely approximate, it's not a 0:53:19.160 --> 0:53:22.880 lot of gapping or gaping. Um, then you can stretch 0:53:22.960 --> 0:53:25.000 that thing out, put some super bluel on it, like 0:53:25.120 --> 0:53:27.400 kind of like pull it, pull the skin on either end, 0:53:27.640 --> 0:53:31.560 or pinch it together and the inside with super glue. No, sir, Yeah, 0:53:31.640 --> 0:53:33.520 so you want you want the skin. So skin has 0:53:33.560 --> 0:53:36.359 different layers. You have like the top or superficial epidermist, 0:53:36.600 --> 0:53:38.719 then you have the dermist and then you have the 0:53:38.840 --> 0:53:44.040 extracellular matrix. Underneath. The extracellular matrix is where these fibroblasts 0:53:44.080 --> 0:53:47.359 that are basically like connectors will come together and heal 0:53:47.480 --> 0:53:49.960 your tissue. You don't want that all gummed up with 0:53:50.040 --> 0:53:52.120 glue or you're just gonna have you know, you want 0:53:52.239 --> 0:53:54.360 the skin to be touching, and then you put the 0:53:54.360 --> 0:53:57.040 glue on top like a seal on top, and provide 0:53:57.080 --> 0:54:00.719 that touching skin so it can heal itself. Bottom line, 0:54:00.760 --> 0:54:03.640 most of the time, we're just helping our body out. 0:54:03.719 --> 0:54:06.879 The body is an amazing thing. It's it's doing, it's 0:54:06.920 --> 0:54:10.360 doing and in healing itself more than we're really helping 0:54:10.480 --> 0:54:14.399 most of the time. You know, when I, uh, I'm 0:54:14.440 --> 0:54:19.399 just talking about minor cuts, like everything leading up to uh, 0:54:19.920 --> 0:54:22.680 everything leading up to like, man, I should probably get 0:54:22.719 --> 0:54:25.520 a stitch, but yeah, we're not gonna go get a 0:54:25.520 --> 0:54:30.239 stitch that type of cut. I tell me if if 0:54:30.320 --> 0:54:32.880 this is correct, because this is what like I carry 0:54:32.960 --> 0:54:37.479 in my medikit only what's good up to that only 0:54:37.520 --> 0:54:40.680 really what's going up to that point, alcohol swab okay, 0:54:41.920 --> 0:54:49.560 then Neil Sporn triple antibiotic ointment, then band aid. Then 0:54:49.600 --> 0:54:52.200 oh that that stretchy tape you can wrap around and 0:54:52.360 --> 0:54:54.160 protect the hold the band aid on, so you could 0:54:54.280 --> 0:54:57.120 use um. So there's a couple of parts of wound care. 0:54:57.239 --> 0:55:00.560 So the primary part is um. You sure it stays 0:55:00.600 --> 0:55:04.480 clean and dry. And when somebody has a laceration um 0:55:05.000 --> 0:55:08.560 or cut, you can we we always irrigate them with water. 0:55:08.760 --> 0:55:10.680 And so a lot of people will use iodine and 0:55:10.800 --> 0:55:12.840 normal saline and other stuff. But really you can just 0:55:12.960 --> 0:55:14.520 use tap water as long as you can drink it. 0:55:15.400 --> 0:55:17.040 You can irrigate it when with it. There's been plenty 0:55:17.719 --> 0:55:20.200 tap water when plenty of studies that show it's not 0:55:20.320 --> 0:55:23.560 inferior to the saline and the iodine. And what about 0:55:23.560 --> 0:55:25.960 creek water if you could drink it, I mean, if 0:55:25.960 --> 0:55:27.759 you purified it and you could drink it, that'll be fine. 0:55:28.239 --> 0:55:31.520 You know, creek water and I don't know, I know 0:55:31.600 --> 0:55:36.479 the differences one dirtier, Yeah, creek is dirty in the creek, yeah, 0:55:37.360 --> 0:55:43.280 Patrick McManus um he described the difference being in a creek. 0:55:43.760 --> 0:55:48.640 Somewhere in there. You can find a tire in the 0:55:48.800 --> 0:55:51.919 absence of a tire, it's a creek you worried more about. Yeah, 0:55:52.080 --> 0:55:55.239 tires are fine, you know, feces from animals and other 0:55:55.280 --> 0:55:57.440 bacteria is what we worry about. But what you can 0:55:57.480 --> 0:55:58.759 do is you can take like a zip block bag 0:55:58.840 --> 0:56:01.239 or any kind of bag at full water, poke a 0:56:01.280 --> 0:56:03.160 hole in the bottom it with like a needle, and 0:56:03.239 --> 0:56:06.080 then spray your wound and you have your little own irrigation. 0:56:06.239 --> 0:56:07.879 That's a good way to clean it. Spray it with water. 0:56:08.040 --> 0:56:09.719 That's what that's what we do every time. And so 0:56:10.000 --> 0:56:13.120 before no, no, no, no, just just room temperature water 0:56:13.200 --> 0:56:15.759 is fine. And so a lot of times previous and 0:56:16.120 --> 0:56:18.080 so the thing about medicine is that everything things are 0:56:18.080 --> 0:56:20.279 always moving and shifting and changing. And right, because now 0:56:20.360 --> 0:56:23.120 we're more evidence, base will do a study and then 0:56:23.200 --> 0:56:26.879 see what happens, and and we'll build on the people 0:56:26.960 --> 0:56:30.719 before us um So previously it used to be we 0:56:30.840 --> 0:56:33.480 think that it's the pressure of the water knocking the 0:56:33.520 --> 0:56:36.120 bacteria off the wound. And now it's more that we 0:56:36.160 --> 0:56:38.759 think it's like the volume of water. But to me, 0:56:38.800 --> 0:56:41.120 it doesn't really matter. Just use enough water. They say 0:56:41.160 --> 0:56:44.480 fifty mls per centimeter of cut. Just use a whole 0:56:44.480 --> 0:56:47.400 bunch of water irrigated out. See if you can bring 0:56:47.440 --> 0:56:50.120 the edges together, you can you could use in a pinch, 0:56:50.120 --> 0:56:51.680 you could use duct tape to try and get it 0:56:51.719 --> 0:56:54.680 close together. You could use starry strips or um wound 0:56:54.719 --> 0:56:59.120 closure strips. Um. In the Wilderness Medicine fellowship that I did, 0:56:59.160 --> 0:57:01.799 they talked about in a real hardup situation, you could 0:57:01.920 --> 0:57:05.239 use like boiled thread if you had to. In a 0:57:05.320 --> 0:57:07.640 sewing needle, you could use nylon. A lot of the 0:57:07.680 --> 0:57:10.400 suitors we use are basically nylon, and we do use 0:57:10.440 --> 0:57:12.359 silk too, so if you had silk thread you could 0:57:12.440 --> 0:57:16.200 use that as well. You could use that. But it's 0:57:16.280 --> 0:57:19.240 really thick, you know, Like so suiture is graded based 0:57:19.280 --> 0:57:21.560 off size, Like six oh is what I would use 0:57:21.600 --> 0:57:23.800 for your face. It's very fine. It's like you know, 0:57:24.480 --> 0:57:28.040 very hair, you know, super thin, breaks real easy, and 0:57:28.120 --> 0:57:31.320 then uh, like one oh or three oh is something 0:57:31.360 --> 0:57:34.240 you use for somebody's thigh. Dental floss is like double oh, 0:57:34.320 --> 0:57:36.120 so it's like it's like shot, you know, kind of 0:57:36.200 --> 0:57:37.880 like six oh is real at the top and then 0:57:38.280 --> 0:57:40.520 oh oh does down here and that's super thick. So 0:57:40.640 --> 0:57:44.720 dental floss would probably be real, real uncomfortable and quick interjection. 0:57:44.840 --> 0:57:46.640 Do you ever do you ever get that dad who 0:57:46.800 --> 0:57:48.360 kind of like grabs you and you like, you know, 0:57:48.520 --> 0:57:50.640 doc like a little bit of a scar up there 0:57:50.720 --> 0:57:55.360 is fine. I have not uh not really yeah, we 0:57:55.400 --> 0:57:59.760 don't really see you do get You get varied um, 0:58:00.440 --> 0:58:04.000 varied amounts of concern about scars, you know, and UM 0:58:04.600 --> 0:58:07.360 typically people that are I mean, what you'd expect like 0:58:07.400 --> 0:58:09.240 a teenage girl, you want to make sure that her 0:58:09.280 --> 0:58:12.760 face is you know, not scarred up. But you know, uh, 0:58:13.040 --> 0:58:16.040 twenty three year old boy, your man, I guess boy, 0:58:16.160 --> 0:58:21.240 you don't really you believe in UM you're telling me that, 0:58:22.000 --> 0:58:25.360 uh you're like you factor in age and gender when 0:58:25.400 --> 0:58:28.320 deciding whether they want a scar or not. Uh. So 0:58:28.960 --> 0:58:32.120 expectation I think is important to address. And so there 0:58:32.200 --> 0:58:36.560 is a large customer service aspect to medicine nowadays. UM, 0:58:36.880 --> 0:58:39.640 and it is it is for I think in buy 0:58:39.720 --> 0:58:41.160 and large. I think it's for the better because I 0:58:41.200 --> 0:58:43.840 think if we treat people the way we would want 0:58:43.840 --> 0:58:45.560 to be treated, whether you know you're talking about a 0:58:45.600 --> 0:58:48.640 golden rule, you're talking about a service industry, you're talking 0:58:48.680 --> 0:58:52.520 about UM, doing how you'd want your family member treated, 0:58:52.760 --> 0:58:55.320 then it's for the better. And I think both providers 0:58:55.400 --> 0:58:57.880 and patients are are better off and feel better about 0:58:57.880 --> 0:59:00.200 their job. But it can go over the line, right. 0:59:00.280 --> 0:59:03.560 So you got somebody coming in who is pissed because 0:59:03.560 --> 0:59:05.400 their kids got a running nose and a cough. And 0:59:05.600 --> 0:59:07.800 I just talked to somebody who I just diagnosed with cancer, 0:59:08.080 --> 0:59:10.000 and this other person's piss because they're waited an hour, 0:59:10.320 --> 0:59:12.000 and so how do you address that. You have to 0:59:12.080 --> 0:59:14.360 treat them, But they don't under they don't understand. They 0:59:14.400 --> 0:59:17.560 don't know because their experiences in a vacuum correct. And 0:59:17.680 --> 0:59:19.760 I think that that is a big societal problem. I 0:59:19.840 --> 0:59:22.040 think that's so lack of social awareness is a big 0:59:22.280 --> 0:59:25.320 societal problem that we have. And what's interesting about the 0:59:25.320 --> 0:59:27.800 emergency department is that you see all walks of life. 0:59:27.840 --> 0:59:29.560 You could walk down the hall and see a CEO 0:59:29.640 --> 0:59:31.160 of a company who's getting a d U I and 0:59:31.240 --> 0:59:34.320 crash his car, and an eight three old grandma who 0:59:34.440 --> 0:59:36.760 has five family members at the side of their bed 0:59:36.960 --> 0:59:39.440 versus uh, you know, sixty year old guy with dementia 0:59:39.520 --> 0:59:42.080 that has nobody in his bed, nobody, nobody cares about him. 0:59:42.200 --> 0:59:44.120 And then a little girl cut her face because her 0:59:44.280 --> 0:59:46.080 brother threw a book add her. You know, I mean, 0:59:46.200 --> 0:59:51.280 it's just the equalizer for everybody. Healthcare and particularly e 0:59:51.400 --> 0:59:55.360 d you know. Uh, I wasn't dogging on you about it, because, yeah, 0:59:55.560 --> 0:59:58.560 my my four year old he's got a couple pretty 0:59:58.560 --> 1:00:00.520 good nicks in his forehead now from stitches, and I 1:00:00.600 --> 1:00:02.360 don't care. But I wouldn't want my daughter to be 1:00:02.440 --> 1:00:05.439 all scarred up. I feel some you know, I don't 1:00:05.480 --> 1:00:09.080 know why. I mean, there's a there's a premium placed 1:00:09.160 --> 1:00:12.360 on beauty, like it or not. I think you know, 1:00:12.480 --> 1:00:14.480 but I think you know. I'm sure you feel the 1:00:14.480 --> 1:00:16.920 same way. All my children are beautiful, So no, i'd 1:00:16.960 --> 1:00:19.560 prefer my little boy to be all scarred up. It does, 1:00:19.760 --> 1:00:21.200 I guess, I don't know. I want me too tore up. 1:00:21.240 --> 1:00:22.960 My girl had a big old scar across her face, 1:00:23.720 --> 1:00:26.000 I think. So, you know, as long as there's no 1:00:26.120 --> 1:00:29.440 permanent damage otherwise it's fine. It doesn't matter. Okay, what 1:00:29.480 --> 1:00:31.280 about stitching yourself up? I just meant I thought you 1:00:31.320 --> 1:00:34.200 couldn't do it because I was One time we were 1:00:34.280 --> 1:00:40.480 hunting out easter here and my buddy's dog got a 1:00:41.040 --> 1:00:46.000 gash up on a barber fence. My buddy's wife, it 1:00:46.120 --> 1:00:52.080 was a doctor, okay, it was Thanksgiving Day. She stitched 1:00:52.120 --> 1:00:54.080 the dog up. I thought she had a good and 1:00:54.120 --> 1:00:58.439 clean stitch the dog up. She gives stitches all the time, 1:00:58.680 --> 1:01:01.040 which is in my brother's g I just ditching it up. Yeah, 1:01:01.840 --> 1:01:06.320 and then ended up needing to open it back up. Yeah, 1:01:06.520 --> 1:01:09.600 because of an infection. That's unfortunate. Yeah, yeah, and she 1:01:09.720 --> 1:01:13.800 was worried about that happening do the nature of the injury. Yeah, 1:01:14.040 --> 1:01:18.200 but I thought that, Um, when I watched Rambo, we 1:01:18.280 --> 1:01:21.120 all went out and bought Rambo knives. They had a 1:01:21.200 --> 1:01:24.640 needle and in fishing in the handle, right handle. I 1:01:24.720 --> 1:01:27.520 had that. That was the coolest thing. A non functioning compass, 1:01:27.560 --> 1:01:30.080 a compass on the bottom on the butt. Yeah. You 1:01:30.200 --> 1:01:32.200 used to be able to go to the Moskegan flea 1:01:32.320 --> 1:01:34.800 market and buy Rambo knives for four nine and nine 1:01:35.160 --> 1:01:39.440 weastic sheath, really bad little owner. That was the stone 1:01:39.440 --> 1:01:42.160 in the handle. My grandfather, who was the first person 1:01:42.240 --> 1:01:44.120 to teach me how to shoot, at twenty two a 1:01:44.240 --> 1:01:45.920 like a milk jug floating in a lake on his 1:01:46.040 --> 1:01:49.360 farm in Indiana. That's that was his preferred target, milk 1:01:49.440 --> 1:01:51.680 jug floating in a lake. Were there's home video of 1:01:51.760 --> 1:01:55.080 my brother and he must be my brother must be 1:01:55.200 --> 1:01:57.160 ice kids, you know, he must be four years old 1:01:57.200 --> 1:01:59.080 and we're doing this, but they're over our shoulder, like 1:01:59.160 --> 1:02:01.040 holding it, you know. But we used to go to 1:02:01.080 --> 1:02:03.360 the flea market in southern Indiana and that was the 1:02:03.520 --> 1:02:06.160 main It was either baseball cards or knives, that's what 1:02:06.240 --> 1:02:08.960 we wanted. Oh yeah, and you could buy illegal fireworks 1:02:09.000 --> 1:02:11.880 at the flea market too, and they rambon. They had 1:02:11.880 --> 1:02:14.120 a lot of stuff down there. There was a couple 1:02:14.120 --> 1:02:16.800 of times in high school. No, this is horrible. I 1:02:16.840 --> 1:02:18.160 just want to say it's horrible. There's a couple of 1:02:18.160 --> 1:02:20.720 times in high school we would on lunch break go 1:02:20.880 --> 1:02:23.800 down to the Moskegon River and have someone run upstream 1:02:25.320 --> 1:02:28.680 and huck bottles out of the river so that you 1:02:28.720 --> 1:02:31.000 could shoot Tony two's Adam as they floated past the 1:02:31.000 --> 1:02:36.040 boat launch. No kidding, just stupid shooting it. Shooting at 1:02:36.040 --> 1:02:39.400 a moving object with somebody nearby, at a flat surface, 1:02:39.800 --> 1:02:43.360 you're breaking making some glass, breaking some hunter safety rules 1:02:43.400 --> 1:02:45.200 for sure, and then like run back to hopefully not 1:02:45.320 --> 1:02:47.920 be tardy. That's the stuff. That's the stuff of youth, though, 1:02:47.920 --> 1:02:49.560 I mean, that's what that's not even youth. That's just 1:02:49.720 --> 1:02:51.880 that's just like old enough to know better. That's that's 1:02:51.920 --> 1:02:54.200 the thing that I don't know how we were dumb. 1:02:54.520 --> 1:02:57.080 I don't know how. So I tell my kids, my 1:02:57.120 --> 1:03:00.080 wife and I both they love our possible story. And 1:03:00.200 --> 1:03:03.760 I think I you live a paranoid life in some 1:03:03.840 --> 1:03:05.880 ways when you're in the healthcare profession because you're around 1:03:05.960 --> 1:03:08.040 sony sick people. You see so much and you see 1:03:08.040 --> 1:03:10.640 somebody you just think everybody's injured all the time. Dude. 1:03:10.640 --> 1:03:12.640 I mean it's really it's makes you kind of paranoid. 1:03:12.640 --> 1:03:15.680 And so you might see a bookshelf that's on a wall, 1:03:15.840 --> 1:03:17.600 I see something that could tip over and crush the 1:03:17.640 --> 1:03:19.480 two year old head because I've seen that before, you know, 1:03:19.720 --> 1:03:22.400 And and so you're just kind of have this thing 1:03:22.480 --> 1:03:24.240 that you're beating down. You want to be super O 1:03:24.400 --> 1:03:28.040 c D paranoid. But to teach your kids about the stuff, 1:03:28.480 --> 1:03:31.560 like a good parent would like, don't do this. And 1:03:31.680 --> 1:03:34.440 I think the way and you guys touch on this 1:03:34.480 --> 1:03:36.560 a lot. I think you talk about how you you 1:03:36.720 --> 1:03:39.800 mentor your children and bring them whether you think you've 1:03:39.840 --> 1:03:43.320 taken his kids fishing, sorry fishing and stuff, and talking 1:03:43.360 --> 1:03:46.920 about how you know boater safety and whatnot. And I 1:03:47.040 --> 1:03:49.640 think that showing people how it's supposed to be done 1:03:49.720 --> 1:03:52.960 and and being a mentor is a very powerful thing. 1:03:53.280 --> 1:03:57.720 So um, anyway, we probably won't be shooting milk jugs 1:03:57.760 --> 1:04:02.440 and lakes when I'm my and my kids. Don shooting 1:04:02.800 --> 1:04:04.960 glass bottles at the boat launch and bring your neck 1:04:07.120 --> 1:04:09.840 drifted by on lunch ower, So get back to school. 1:04:10.080 --> 1:04:12.400 So I thought so that because Rambo did it, I 1:04:12.440 --> 1:04:14.840 thought I was all right to sit yourself up. And 1:04:14.920 --> 1:04:17.760 then I thought that, Then I thought that you can't 1:04:17.840 --> 1:04:20.560 under any circumstances stit yourself up. But then just happened 1:04:20.560 --> 1:04:22.320 to be with two guys. These are these are some 1:04:22.400 --> 1:04:25.800 cool guys. Uh rerewhelming and we packed in a horseback. 1:04:25.920 --> 1:04:28.720 These dudes Crooked Sky Outfitters. We've been talking a bunch about. 1:04:29.840 --> 1:04:33.320 Both his dad and his kid have stitched themselves up. 1:04:34.160 --> 1:04:39.480 They stitched themselves up without any um anesthetic anesthetic, and 1:04:39.560 --> 1:04:42.560 then someone, uh I think maybe gave him some kind 1:04:42.560 --> 1:04:44.080 of anesthetic that they could use next time they need 1:04:44.080 --> 1:04:46.160 to stitch themselves up. And I said, well, I thought 1:04:46.200 --> 1:04:48.400 you can't do that, and he showed me. He's like, 1:04:48.440 --> 1:04:51.640 I'm fine, Yeah, stitched himself up. So what's the verdict? Cool? 1:04:51.760 --> 1:04:53.880 Not cool? I mean, if I had I have the 1:04:54.000 --> 1:04:57.200 number of times I've so I could stitch myself up. 1:04:57.360 --> 1:04:59.360 You could sit yourself up and had the appropriate material. 1:04:59.360 --> 1:05:01.440 I think it's all about the tools. Like it's like carpentery. 1:05:01.440 --> 1:05:02.600 If you got the right tools, you can do it. 1:05:02.720 --> 1:05:05.160 Most people can stit yourself up, um, if you have 1:05:05.240 --> 1:05:07.600 the right tools. But you know, winging it with some 1:05:07.720 --> 1:05:09.360 threat in the sewing, you know, would be pretty not 1:05:09.440 --> 1:05:11.520 a good way to do it. It is you know, yeah, 1:05:11.640 --> 1:05:14.080 the skin, the cotton in there is probably gonna cause irritation. 1:05:14.120 --> 1:05:16.360 I think the best thing would be, you know, scary 1:05:16.400 --> 1:05:18.320 strips or some sort of like you know, the thing 1:05:18.360 --> 1:05:20.000 that you could try and bring the edges together or 1:05:20.680 --> 1:05:24.160 you know, superglue. But you don't recommend people to start 1:05:24.200 --> 1:05:26.280 stitching themselves up. No, I'm not trying to drum up 1:05:26.280 --> 1:05:28.400 any business. But we're happy to see you in the 1:05:28.480 --> 1:05:31.680 department to sew you up anytime. Were those guys stitching 1:05:31.720 --> 1:05:36.520 themselves up because they like needed to like or were 1:05:36.560 --> 1:05:38.680 they just avoiding the hassle up going to a doct 1:05:38.800 --> 1:05:41.680 avoiding the hassle because they were back in the mountains 1:05:41.960 --> 1:05:46.000 guiding and didn't want And it's a long horse ride 1:05:46.120 --> 1:05:49.240 and a very long vehicle ride and they have clients 1:05:49.360 --> 1:05:52.480 with them, and it wasn't tenable to like be like, hey, 1:05:52.520 --> 1:05:55.880 I'll be back in two days and ride all those 1:05:55.920 --> 1:05:58.480 miles and drive all you know what I mean. So 1:05:58.560 --> 1:06:01.600 they would just rather doing that themselves up. And they're 1:06:01.640 --> 1:06:04.960 both firm believers in it. No no vocane or whatever 1:06:05.000 --> 1:06:06.760 you call it. Yeah, no light of cane. Yeah, it's 1:06:07.840 --> 1:06:10.800 I mean, it stings, for sure. It doesn't feel good. 1:06:10.800 --> 1:06:13.400 I've had stitches and I think the anaesthetic wasn't really 1:06:13.440 --> 1:06:15.920 working very well. And it hurts when you get the 1:06:15.960 --> 1:06:19.040 needle through your skin, but certainly not the worst pain. Yanni. 1:06:19.120 --> 1:06:22.720 Are you ready to move on to tourniquets? Right? Yeah, 1:06:23.880 --> 1:06:29.320 it's very enthusiastic. He really job Phil. He's only got 1:06:29.400 --> 1:06:31.800 twenty five to choose from. He's picking some great sound ups. 1:06:32.880 --> 1:06:34.560 Uh so yeah, yeah, yeh, he's ready to move on 1:06:34.600 --> 1:06:38.640 to tourniquets. Okay, uh, me and Calier, let's say, me 1:06:38.680 --> 1:06:41.480 and Calier hunt Okay, I am I shoot him in 1:06:41.520 --> 1:06:46.120 the on accident, on accident, shoot him right in the calf, okay, 1:06:47.000 --> 1:06:49.400 bleeding all over the place, Okay, a lot of pooling blood. 1:06:49.440 --> 1:06:51.960 And the bullet doesn't just bounce off because you've seen 1:06:52.000 --> 1:06:58.200 my calves. Yeah, it's like a very high high power load, okay. Um. 1:06:59.440 --> 1:07:03.760 And and it's able to penetrate Cal's calf, not like 1:07:03.800 --> 1:07:06.920 a most loader which it just bounce off, but it 1:07:07.040 --> 1:07:11.400 penetrates Cal's calf, knocks the hunk of bone out of it. 1:07:11.840 --> 1:07:19.560 Who bleeding all over all? Right? Uh? And let's just 1:07:19.600 --> 1:07:23.720 say we're in the universe where, for whatever reason, professional 1:07:23.800 --> 1:07:28.840 medical care is hours away, and we're looking at the 1:07:28.880 --> 1:07:30.520 amount of blood coming out and we're like, man, I 1:07:30.560 --> 1:07:33.040 don't know if a fella can sustain that level of 1:07:33.080 --> 1:07:39.840 blood loss. Sure what happens? So they're in action or action, right, 1:07:39.880 --> 1:07:42.919 So in action so you can stand there and watch, 1:07:43.000 --> 1:07:46.960 which unfortunately you know as a bystander that glass up 1:07:47.000 --> 1:07:49.000 on top of be like, I guess you'll be Okay, 1:07:49.120 --> 1:07:52.280 we'll just put some so we see, you know, when 1:07:52.320 --> 1:07:55.160 it comes to like bystander participation in somebody who's who 1:07:55.280 --> 1:07:59.240 was injured, you can see a varied amount of uh success. 1:07:59.240 --> 1:08:01.480 Somebody can stand air, or somebody can call nine and one, 1:08:01.720 --> 1:08:03.320 or or you can get a T shirt and just 1:08:03.400 --> 1:08:05.240 put it on there and basically mop up the blood. 1:08:05.640 --> 1:08:08.200 But what we should really do and what we're teaching 1:08:08.320 --> 1:08:10.440 trying to teach our lay public to do now is 1:08:11.320 --> 1:08:14.640 um use the resources they have around them, uh, and 1:08:14.960 --> 1:08:17.320 get educated, just like we did for CPR, you know. 1:08:17.439 --> 1:08:19.760 And so there's a UM a group out there called 1:08:19.800 --> 1:08:23.920 Stop the Bleed and they allow people to become instructors 1:08:23.960 --> 1:08:25.519 and they teach people how to use tourniquates. And so 1:08:25.720 --> 1:08:27.320 a situation like that where you have a lot of 1:08:27.360 --> 1:08:30.160 pooling blood and like a defined pooling blood for me, 1:08:31.000 --> 1:08:33.640 so human beings have about five leaders of blood in 1:08:33.680 --> 1:08:36.840 their body, um, and so if you have like just 1:08:37.240 --> 1:08:40.360 they're laying in a circle of blood, you know, like 1:08:40.880 --> 1:08:44.320 somebody poured out a pool of blood like a half 1:08:44.400 --> 1:08:47.360 gallon of half gallon of milks build out on the ground. 1:08:47.560 --> 1:08:50.040 That's a lot of blood. And that is reasonable that 1:08:50.760 --> 1:08:52.800 maybe you should describe the injury. But there was a 1:08:52.840 --> 1:08:54.599 reasonable that I could hit cat like that and get 1:08:54.640 --> 1:08:57.080 a pool for sure. I mean, so there's arteries, so 1:08:57.120 --> 1:09:00.840 there's not to be too simplistic, but in our cardiovascular 1:09:00.880 --> 1:09:03.639 system there's arteries and there's veins. The arteries under higher 1:09:03.680 --> 1:09:06.559 pressure than the veins. The arteries bring oxygen ned blood 1:09:06.880 --> 1:09:09.400 to our tissues, and veins bring it back um the 1:09:09.520 --> 1:09:12.280 arteries under high pressure. If you lace rate or injure 1:09:12.280 --> 1:09:15.519 an artery, that blood will pump out in will spray 1:09:15.720 --> 1:09:18.519 from me a brody across the room. Um and it's 1:09:18.800 --> 1:09:21.160 hard to hard to miss that, you know. So if 1:09:21.240 --> 1:09:24.599 you have an extremity injury that's pumping blood, or even 1:09:24.680 --> 1:09:28.360 a bad vein that's bleeding a lot um or a 1:09:28.400 --> 1:09:31.320 set of veins, you could need to use a tourniquet. 1:09:31.439 --> 1:09:33.120 And so the first thing that they teach in this 1:09:33.280 --> 1:09:36.560 course and what we teach is direct pressure. Um So, 1:09:36.800 --> 1:09:39.200 you start putting pressure either their palm in your hand, 1:09:39.720 --> 1:09:42.760 two fingers and some gauze or a T shirt, or 1:09:42.880 --> 1:09:44.760 you can kneel on it to get hands free to 1:09:44.800 --> 1:09:48.040 grab yep, yep, you can kneel on it so your 1:09:48.040 --> 1:09:50.200 hands free. It's a hot pro tip from paramedics there 1:09:50.520 --> 1:09:52.840 superstars out in the in the field, and so they 1:09:52.920 --> 1:09:55.320 do that a lot when somebody has injuries or they 1:09:55.360 --> 1:09:59.800 need to stabilize somebody's neck when they're doing stuff. Um So, 1:10:00.000 --> 1:10:02.200 after direct pressure, if it's not controlling the bleeding, we 1:10:02.240 --> 1:10:05.719 still see you know, blood self close pooling of blood. 1:10:05.840 --> 1:10:07.720 Then it's time to put a tourniquet. On and so 1:10:08.479 --> 1:10:12.440 what about like what Rambo does where he uh cauterized 1:10:12.479 --> 1:10:16.320 it cauterized with a flair. Yet it's uh not advised. 1:10:16.400 --> 1:10:18.800 We we we talked about um, we've talked about that 1:10:18.840 --> 1:10:21.599 a little bit. And and UM, you know, cinema has 1:10:21.640 --> 1:10:25.200 a lot of interesting interpretations of what medical injuries look like. 1:10:25.640 --> 1:10:30.480 And I think, I mean, we all know how devastating 1:10:30.760 --> 1:10:33.719 a single shot can be on a mammal like a deer. 1:10:34.400 --> 1:10:35.800 I can't speak to like with an elk er, but 1:10:35.960 --> 1:10:38.479 like you know a deer that it's just the amount 1:10:38.479 --> 1:10:41.800 of trauma that you get from a single round is incredible. 1:10:41.840 --> 1:10:43.920 But you see these movies and people like run run 1:10:44.040 --> 1:10:46.080 through bullets like it's no big deal. They get shot. 1:10:46.080 --> 1:10:48.160 They're always getting shot, like in the upper shoulder or 1:10:48.160 --> 1:10:50.160 over the clavical and there's not a lot of bleeding. 1:10:50.240 --> 1:10:52.840 But underneath your clavical are these big artises called the 1:10:52.840 --> 1:10:55.360 subclavian arties that you would die like immediately if you 1:10:55.479 --> 1:10:59.480 had a twelve gates round go through that. So cauterizing 1:10:59.600 --> 1:11:03.479 is not a no good there's no situation. Cauterizing is 1:11:03.560 --> 1:11:06.679 done in the operating room or like say operating theater 1:11:06.760 --> 1:11:08.920 because that used to be a theater, and they will 1:11:09.000 --> 1:11:12.519 use a pen like instrument to cauter as individual vessels UM. 1:11:12.960 --> 1:11:16.680 And when you talk about gross cauterization or large area cauterization, 1:11:17.080 --> 1:11:19.200 you're basically creating a third degree burn with a lot 1:11:19.240 --> 1:11:22.000 of dead tissue around that is probably going to get 1:11:22.040 --> 1:11:24.720 infected or or you know, fall off. So in the 1:11:25.080 --> 1:11:28.479 major in the gunshot wound category, the first thing you 1:11:28.560 --> 1:11:32.479 try is direct pressure. Direct pressure, yep. And depending on 1:11:33.160 --> 1:11:35.200 where it is, so you have three different areas. There's 1:11:35.240 --> 1:11:38.479 your extremities, your junctional areas like your neck, your armpit, 1:11:38.560 --> 1:11:40.400 and your growing and then your torso which is like 1:11:40.439 --> 1:11:43.840 your chest and your abdomen. Um. Direct pressure will work 1:11:43.880 --> 1:11:45.400 for any of those sites, but you can only put 1:11:45.439 --> 1:11:49.560 tourniquets on your extremities really from what point down, So 1:11:50.040 --> 1:11:53.400 it depends on um. So Ideally, if you are able 1:11:53.439 --> 1:11:55.760 to look at the wound, you put the tourniquit two 1:11:55.840 --> 1:11:58.559 to three inches above it UM. But in like say 1:11:58.760 --> 1:12:02.479 a combat situation or a police officer was shot or um, 1:12:02.640 --> 1:12:04.960 somebody has closed on you can't tell. You put the 1:12:05.000 --> 1:12:07.040 tournique on as high up as you can to the 1:12:07.120 --> 1:12:08.880 junctional area all the way up to growing all the 1:12:08.920 --> 1:12:11.040 way to the shoulder basically, or to the junction of 1:12:11.080 --> 1:12:14.880 the shoulder. Tighten that one down and then expose the limb, 1:12:15.479 --> 1:12:17.479 and then you see where the wound is, and then 1:12:17.520 --> 1:12:19.439 put one two above it and you can loosen that 1:12:19.520 --> 1:12:24.000 top and you're not kissing that extremity goodbye when you 1:12:24.080 --> 1:12:27.000 turn to get it. No, sir. So even if you 1:12:27.120 --> 1:12:30.080 had a finger completely cut off or something, they had 1:12:30.120 --> 1:12:33.960 complete blood flow cut off. Six hours is when we're 1:12:34.000 --> 1:12:37.960 starting to worry about limbs schemia or lack of lack 1:12:38.000 --> 1:12:40.840 of auction to that tissue causing that tissue to die. 1:12:41.160 --> 1:12:44.800 Would you ever turn to get a finger? We do 1:12:44.920 --> 1:12:47.840 that all the time, um in the emergency department to 1:12:48.160 --> 1:12:51.000 temporarily to get a bloodless field to be able to 1:12:51.040 --> 1:12:52.640 sew up somebody's finger. You know, they cut it with 1:12:52.680 --> 1:12:55.120 a knife, and it's just because there's arteries that run 1:12:55.160 --> 1:12:58.080 on either side or your finger on um like where 1:12:58.120 --> 1:13:00.640 your fingers touch. And so what did I say. It 1:13:00.680 --> 1:13:04.040 saw a guy the other day, he's a he's a 1:13:04.120 --> 1:13:06.760 tree trimmer and he hit it with his chainsaw and 1:13:06.960 --> 1:13:09.479 so his artery was bleeding like stink, and so we 1:13:09.560 --> 1:13:11.600 had to put a tourniquet. We injected it with some 1:13:11.800 --> 1:13:14.200 lie to king with epinephrin, which that's a myth. You 1:13:14.240 --> 1:13:15.920 can't do that. Hand surgeon do it all the time. 1:13:16.400 --> 1:13:21.720 And we put a tourniquet on it. What do you use? Yeah, yeah, 1:13:21.760 --> 1:13:24.720 we use like a um, a vessel loop, which it's 1:13:24.760 --> 1:13:26.320 kind of thinner. You probably shouldn't use it so thin, 1:13:26.400 --> 1:13:27.720 but we had it on there for five minutes or 1:13:27.760 --> 1:13:29.320 something like that, but we can use. You tend to 1:13:29.360 --> 1:13:32.360 want to use. If you're using an impromptu tourniquet, um, 1:13:32.600 --> 1:13:34.840 you want them to be like at least an inch 1:13:34.920 --> 1:13:36.599 and a half wide. You don't want something super thin 1:13:37.400 --> 1:13:41.800 um because you can for a finger. Yeah. Room having 1:13:41.800 --> 1:13:43.880 these kind of conversations, I need to cross my arms. 1:13:44.240 --> 1:13:48.080 Why defensive posture? You're like you're processing up, you get 1:13:48.160 --> 1:13:50.840 nervous about you don't seem like somebody you handle bloody, 1:13:50.840 --> 1:13:52.880 bloody things all the time. I know, but talking about 1:13:52.920 --> 1:13:56.000 people being real bad injuries, yeah, makes you want to 1:13:56.000 --> 1:13:59.200 cross my arms because it Maybe it's because you feel vulnerable. 1:13:59.360 --> 1:14:03.000 I don't know, you know, I similarly cringe, like I 1:14:03.080 --> 1:14:06.400 was saying, people with chainsaws that's a very common injury. 1:14:06.439 --> 1:14:10.040 We see people either there arbors or you know, a 1:14:10.080 --> 1:14:12.679 lot of this like popularization of hinge cutting and things 1:14:12.760 --> 1:14:14.920 like that. And I'll tell you it's the only manual 1:14:14.960 --> 1:14:17.080 I've ever read front to back is the chainsaw Manual, 1:14:17.120 --> 1:14:20.560 because it's they're powerful tools, for sure. I mean, the 1:14:20.640 --> 1:14:23.720 popularity of hinge cutting, it's like a thing. So like 1:14:24.120 --> 1:14:28.240 my it's like a fan, it's a it's a thing. 1:14:28.320 --> 1:14:32.200 So asked Mark Kenyon about it. It's so people guys. Yeah, 1:14:32.479 --> 1:14:34.080 I thought you meant using a hinge when he fell 1:14:34.160 --> 1:14:39.240 a treat guys out in the woods hinge cutting trees. Yeah, exactly, 1:14:39.479 --> 1:14:41.920 you bring in brows I meant fellers. No, no, no, no, no, 1:14:42.000 --> 1:14:45.000 you're bringing browsers like fellas, but fellers like tree fellers. Yeah. 1:14:45.040 --> 1:14:46.920 And I don't know what it is about chainsaws, but 1:14:47.240 --> 1:14:50.200 it's one of those things where I feel like the 1:14:50.360 --> 1:14:52.560 less you use them, the more confident you are with it. 1:14:52.720 --> 1:14:55.160 You know, like people that use them are just like 1:14:56.080 --> 1:14:58.240 there's a varying degree of safety with them. And I 1:14:58.280 --> 1:15:01.280 don't think they didn't read the manu. Oh I'm very 1:15:01.360 --> 1:15:03.479 free wheeling with the chainsaw, but you know how to 1:15:03.560 --> 1:15:05.920 use it though. I'm very free wheeling too much, so 1:15:06.320 --> 1:15:13.760 oh buddy. Yeah, one time taking chainsaw and stick it 1:15:13.880 --> 1:15:15.960 right in to the toe of my shoe, right through 1:15:16.000 --> 1:15:19.080 the leather, cut through the sole and stop just shy 1:15:19.160 --> 1:15:21.120 on my toe and I had to run around with 1:15:21.200 --> 1:15:23.599 the gash in my boots. Last time I saw used 1:15:23.640 --> 1:15:27.519 when you had flip flops on. When we're grabbing those 1:15:27.560 --> 1:15:32.839 cottonwood stumps. I tell you, um, the battery operated chainsaw. 1:15:33.800 --> 1:15:41.280 That thing scares me because it's so much so toy like. 1:15:42.280 --> 1:15:44.719 It's like it's quiet, so how could it hurt me? Yeah, 1:15:45.160 --> 1:15:47.880 And every time I grabbed that thing, I'm like, now, 1:15:48.040 --> 1:15:52.479 remember it's a real chainsaw, and you watch that thing 1:15:52.640 --> 1:15:57.200 ripped through would you know? It's just like, my god, 1:15:58.040 --> 1:16:00.280 it's only a matter of time. I've turned over a 1:16:00.360 --> 1:16:02.479 new leaf. The last time I was wheeled to chainsaw, 1:16:02.560 --> 1:16:06.679 which is a couple of weekends ago. Chaps, Yeah, for sure, 1:16:07.040 --> 1:16:09.400 big boots. I didn't have my iron toe boots on, 1:16:09.479 --> 1:16:13.000 but I had big boots on. Chaps, big boots. The 1:16:13.320 --> 1:16:16.840 steel helmet, yeah, with the drop down face mask. My 1:16:16.960 --> 1:16:18.960 dad got me that for crystal snow in real hard 1:16:20.120 --> 1:16:22.639 and you lift the face mask up and you collect 1:16:22.640 --> 1:16:25.360 the wet snow, you put the face mask down. And 1:16:25.400 --> 1:16:28.080 it was less than ideal, but it just took a 1:16:28.120 --> 1:16:30.200 little more maintenance. Took a couple of rabs to find 1:16:30.240 --> 1:16:34.320 your cut again. I was full on, was full on, 1:16:35.360 --> 1:16:37.160 and I've turned over a new leaf. But we used 1:16:37.160 --> 1:16:40.120 to speak in the old days. We were cavalier with chainsaws. 1:16:40.200 --> 1:16:43.000 Now you've ever heard our favorite, uh my personal favorite 1:16:43.040 --> 1:16:45.920 chainsaw story from Doug during his dad do We tell 1:16:45.960 --> 1:16:47.599 a story all the time, but I try to tell 1:16:47.600 --> 1:16:51.839 a short version. It's like Doug durn his dad gasses 1:16:52.160 --> 1:16:57.960 stern him with the chainsaw, and like he goes and 1:16:58.120 --> 1:17:01.000 drives down and gets rescued and goes to the hospital 1:17:01.040 --> 1:17:03.800 and stuff. And a while later, like he'd left his 1:17:04.520 --> 1:17:07.320 all his stuff out in the woods. And a while 1:17:07.400 --> 1:17:09.920 later do it goes out to retrieve his old man's 1:17:09.920 --> 1:17:14.120 stuff and there's some old homelight chainsaw, and he said 1:17:14.120 --> 1:17:22.080 that jains house is laying on the forest floor. What's 1:17:22.120 --> 1:17:26.200 like it was possessed by a demon sharp and he's 1:17:26.200 --> 1:17:28.439 taking care of the motor. Right to take care of 1:17:28.479 --> 1:17:30.640 that motor. It's probably twenty years old, dude. It is 1:17:30.680 --> 1:17:32.320 the greatest story I feel like you told it on 1:17:32.400 --> 1:17:35.840 this show. Okay, so let's get back to tourniquets. What 1:17:35.920 --> 1:17:39.120 do you use for tourniquets? So we use UM. So 1:17:39.280 --> 1:17:40.680 if it's for a finger, you can do something like 1:17:40.720 --> 1:17:45.160 a vessel loop or like basically paracord. I would not 1:17:45.240 --> 1:17:48.320 use that because it's tooth thin. So um it's too thin. 1:17:48.360 --> 1:17:51.360 Because for a finger, you could use that temporarily, you know, 1:17:51.439 --> 1:17:55.000 it's all like temporary stuff. Um, but for like an 1:17:55.040 --> 1:17:58.200 actual extremity wound, we would use something like the CAT 1:17:58.400 --> 1:18:01.640 seven or the sam x T. There's like there's like 1:18:01.720 --> 1:18:04.080 what about stuff just the person's got laying around, so 1:18:04.200 --> 1:18:07.880 you could use um cool, No, you could. You could 1:18:07.880 --> 1:18:10.519 definitely make an impromptu tourniquet like you know. On Kl's 1:18:10.560 --> 1:18:13.479 podcast they talked about the guy from British Columbia who 1:18:13.520 --> 1:18:16.519 got mauled by a grizzly and ripped his own shirt 1:18:16.600 --> 1:18:20.200 limb off. Tie that around so basically tie it around 1:18:21.040 --> 1:18:23.200 your limb and then tie like a half like you're 1:18:23.200 --> 1:18:26.320 tying your shoe, and then put a stick in there, 1:18:26.840 --> 1:18:28.639 tie a knot on top of that, and then twist 1:18:28.680 --> 1:18:30.800 the stick around and then you tie the stick down 1:18:31.160 --> 1:18:34.439 so it doesn't move. Um, you could do that, and 1:18:34.520 --> 1:18:36.320 it's okay to do this. You could do that. So 1:18:36.400 --> 1:18:38.240 if I'm bleeding like holy hell out of my finger 1:18:38.960 --> 1:18:40.800 and I want to slow it down to bandage it, 1:18:41.360 --> 1:18:43.360 I can just wrap something around my finger to base 1:18:43.439 --> 1:18:47.080 your finger yet and start tightening it until the like 1:18:47.360 --> 1:18:50.400 grant crank crank crank crank, blood stops and I'm not 1:18:50.520 --> 1:18:54.679 doing irreparable harm to myself, not until about six hours. Yeah. Yeah, 1:18:54.840 --> 1:18:58.760 it's important to know this isn't a fix. Yeah yeah, yeah, yeah, 1:18:59.200 --> 1:19:03.519 it's the temper situation. Then keep hunting all Yeah, it 1:19:03.600 --> 1:19:07.479 has some blood for days, turning a little green though 1:19:07.560 --> 1:19:10.280 purple like this new shade. I had no idea you 1:19:10.320 --> 1:19:14.160 could do this. Yeah. So and again to temphasize it's 1:19:14.200 --> 1:19:16.400 a temporary thing. I mean, if you have a an 1:19:16.520 --> 1:19:20.200 arterial injury or a deep enough laceration, you should seek 1:19:20.280 --> 1:19:22.800 medical care, you know, to have it evaluated. You know 1:19:23.439 --> 1:19:26.439 whether or not it's it actually needs stitches or not, 1:19:26.760 --> 1:19:29.559 or it needs something more. Like you cut your artery, 1:19:29.560 --> 1:19:32.000 you're gonna need to see hand surgeon because the nerves 1:19:32.040 --> 1:19:34.000 and arteries tend to run right next to each other. 1:19:34.400 --> 1:19:36.600 So if you cut your index finger nerve. I mean 1:19:36.680 --> 1:19:41.960 that's a real fine area of you know, sensation for 1:19:42.280 --> 1:19:44.200 typing and handling stuff. You know, you don't want to 1:19:44.280 --> 1:19:45.840 have a nerve injury if you don't need it, So 1:19:45.880 --> 1:19:47.960 you got to see a hand surgeon eventually. What's your 1:19:48.000 --> 1:19:50.280 take on carrying combat gause. I used to carry it, 1:19:51.120 --> 1:19:55.760 and I carried it without knowing how one uses it. No, 1:19:56.160 --> 1:19:59.120 like quick clot, sure, yeah, quick clot it's about the 1:19:59.120 --> 1:20:02.400 same stuff. Yeah, it's like all all impregnated gauze with 1:20:02.600 --> 1:20:05.320 something to help clot blood. Well, I carried it for years. 1:20:05.840 --> 1:20:08.040 Then I realized that it was rock hard inside there, 1:20:08.640 --> 1:20:11.360 like it wasn't good anymore anyway, and I threw it out. 1:20:11.720 --> 1:20:13.040 And then I learned that I didn't know how to 1:20:13.120 --> 1:20:15.560 use it anyway, because I thought you held it on 1:20:15.720 --> 1:20:18.400 top of the wound. And then someone sent us a video. 1:20:18.800 --> 1:20:22.280 You need to pack that stuff into the wound channel. 1:20:22.640 --> 1:20:24.880 It depends what kind of wound, right, So there's varying kinds. 1:20:24.920 --> 1:20:29.320 There's surface wounds, um, and there's you know, puncture wounds, 1:20:29.320 --> 1:20:32.679 are deep wounds are cavitating wounds. So a bullet wound 1:20:32.880 --> 1:20:36.240 will cavitate, right. Cavitate means creative what means on a 1:20:36.280 --> 1:20:38.519 boat engine? Yeah, I actually I had no idea what 1:20:38.640 --> 1:20:41.240 that means. Cavitation plate, I don't know, to prevent it 1:20:41.280 --> 1:20:44.760 from sinking down, probably, Yeah, well they got a jet. 1:20:46.520 --> 1:20:49.080 Cavitation becomes a because you don't want to air like 1:20:49.160 --> 1:20:52.240 there's an intake and you wanted to intake exposed to 1:20:52.360 --> 1:20:55.799 undisturbed water. So people are very careful about the position, 1:20:55.880 --> 1:21:00.680 like the position of the cavitation plate relative to the 1:21:00.840 --> 1:21:03.559 bullet hole and learning about all this right now, anything 1:21:03.600 --> 1:21:06.840 but an expert. But I've been using the word cavitation 1:21:07.000 --> 1:21:12.160 more than normal. It's good normal being none unless you're 1:21:12.160 --> 1:21:14.400 talking about the hunt for red October. Yeah. I believe 1:21:14.439 --> 1:21:16.320 the word cavitations and there they're talking about it in 1:21:16.320 --> 1:21:19.680 a fair bit, but I'm still not able to use 1:21:19.760 --> 1:21:24.439 it with any sort of confidence. So bullet wounds have both, uh, 1:21:24.880 --> 1:21:27.479 you know, there's a realized track and there's also a 1:21:27.680 --> 1:21:29.960 temporary track that's created by the pressure of the wound, 1:21:30.160 --> 1:21:32.799 and so you can have um nerve and artery damage 1:21:32.800 --> 1:21:36.639 from that pressure as a bullet goes through the hydrostatic shock. Correct, Yeah, 1:21:36.880 --> 1:21:38.920 absolutely so, um a part of that, you know, you 1:21:38.960 --> 1:21:40.760 get some you can get some cavitation of tissue where 1:21:40.760 --> 1:21:43.800 you have tissue blown out or um so it's a hole. 1:21:44.040 --> 1:21:46.760 And so in a situation like that, putting some of 1:21:46.800 --> 1:21:49.960 those UH clotting agents in there into the hole to 1:21:50.080 --> 1:21:53.200 fill the hole and put pressure on the veins and arteries. 1:21:53.800 --> 1:21:57.759 Not only that, but also helping promote the coagulation cascade 1:21:57.800 --> 1:22:00.760 that happens in your body naturally. That's how they work. UM. 1:22:00.840 --> 1:22:04.320 But we do see, you know, we'll see UM people 1:22:04.360 --> 1:22:07.720 who have superficial wound sometimes that require say they're on 1:22:07.800 --> 1:22:10.160 a blood thinner, which it's more and more common now days. 1:22:10.240 --> 1:22:14.360 People have um abnormal heart rhythms, they have history of 1:22:14.400 --> 1:22:16.280 blood clots, and they're on a blood thinner and they 1:22:16.320 --> 1:22:18.360 have a wound that just will not stop bleeding. It's 1:22:18.479 --> 1:22:22.200 it's really UM, it's really frustrating for not only the 1:22:22.240 --> 1:22:24.080 patient the provider to to try and get to stop. 1:22:24.200 --> 1:22:25.479 We'll put some of that stuff on there and just 1:22:25.600 --> 1:22:28.000 put a gentle pressure wrapping on it and then it 1:22:28.040 --> 1:22:30.920 will will cloud off usually so you can use it 1:22:30.960 --> 1:22:34.000 in a superficient way. But you're in your application. If 1:22:34.040 --> 1:22:35.880 you had a stab wound or something like that, you're 1:22:35.880 --> 1:22:37.920 gonna try and pack some of that stuff in there. Yeah, 1:22:38.320 --> 1:22:42.479 what does a item a med item, a med kit 1:22:42.600 --> 1:22:48.760 item that you find uh, that people don't have with 1:22:48.960 --> 1:22:52.880 them but should And is there stuff people have but 1:22:53.080 --> 1:22:58.000 shouldn't and what is an appropriate kit? So Brodie and 1:22:58.000 --> 1:23:00.439 I were talking about sair day by and Large, um, 1:23:01.000 --> 1:23:04.240 the kits that people will buy it like ARII or whatever, 1:23:04.760 --> 1:23:07.040 you know, buy him at Meyer or whatever they're keeping 1:23:07.040 --> 1:23:09.400 in my car, going to Amazon, type in medical kit, 1:23:09.560 --> 1:23:11.599 yeah and throw that in your crime like sweet, you've 1:23:11.680 --> 1:23:14.200 got so Yeah, so you're gonna spend all this time 1:23:14.600 --> 1:23:17.759 and people if you feel secure if you have that equipment. 1:23:18.400 --> 1:23:20.439 So the best medical equipment that you can have is 1:23:20.560 --> 1:23:21.880 the medical kit you can have, is the one that 1:23:21.920 --> 1:23:23.760 you have with you. Because if you have a nice, 1:23:23.800 --> 1:23:26.280 sweetass kit but it's in your basement, doesn't really matter 1:23:26.320 --> 1:23:27.840 if you're having the ship at the fan in the 1:23:27.920 --> 1:23:32.160 laundry room somewhere. Yeah, yeah, buy and large. A lot 1:23:32.200 --> 1:23:33.880 of those kids are just band aids and like a 1:23:33.960 --> 1:23:36.360 pair of scissords and some tape and you know, gloves 1:23:36.400 --> 1:23:38.920 and whatnot. But you can make your own medical kit 1:23:39.720 --> 1:23:42.519 um with that same stuff for far less money and 1:23:42.600 --> 1:23:45.720 have it tailored to your needs. So the thing I 1:23:45.760 --> 1:23:49.440 would say, if you're involved in any kind of firearm 1:23:50.120 --> 1:23:53.800 or outdoor adventuring situation, I think a turni kid is 1:23:53.840 --> 1:23:56.439 something a lot of people do not have. Le store 1:23:56.520 --> 1:23:59.639 bought tourniquet, correct, yep. I think that that's very important 1:23:59.640 --> 1:24:02.479 because the most likely thing that's gonna happen to you is, 1:24:02.920 --> 1:24:04.640 you know, well, the most likely thing is you' either 1:24:04.680 --> 1:24:07.280 gonna get diarrhea or roll your ankle or both when 1:24:07.360 --> 1:24:10.519 you're camping or hiking or whatever. But on the off 1:24:10.640 --> 1:24:13.280 chance it's something super bad happens to you and you 1:24:13.360 --> 1:24:15.240 have an extremity injury, having a tourniquet can be a 1:24:15.280 --> 1:24:18.519 life saving what's the tourniquet? What's the store about? Tourniquet? 1:24:18.520 --> 1:24:21.960 Wind up looking like um small, No, yeah, we got 1:24:22.040 --> 1:24:24.760 some out in the grab them. We got some, had 1:24:24.760 --> 1:24:28.439 a bunch of them. Yeah, what a thinking about that? Johnnie? 1:24:28.840 --> 1:24:34.360 Should Brodie grab that tourniquet? Yeah, another great reason to 1:24:34.439 --> 1:24:37.160 buy an ONEX membership? Oh no, that's not it. Yeah. 1:24:40.040 --> 1:24:42.960 Uh So I was like, yeah, I don't need a tourniquet, 1:24:43.120 --> 1:24:47.040 but the a store bought tourniquet right, Because all you 1:24:47.080 --> 1:24:49.160 were ever taught was like how to make a tourniquet, 1:24:49.360 --> 1:24:52.120 how to improvise a splant, how to improvise a tourniquet. 1:24:52.600 --> 1:24:55.559 But uh yeah, just just in the lobby of our 1:24:55.640 --> 1:25:00.240 office here, I was like, you know, having that at 1:25:01.160 --> 1:25:05.680 pre made specialized. This is all it does, is a 1:25:05.760 --> 1:25:10.679 tourniquet saves you a lot of thinking time. Here's Brody 1:25:10.720 --> 1:25:12.880 now with the tourniquet. Looks like something you use the 1:25:12.920 --> 1:25:14.479 strap your canoe down to the top of a car. 1:25:16.320 --> 1:25:19.479 So there's there's a variety for kinds. There's about seven 1:25:19.760 --> 1:25:23.080 of them that are approved by the um T Triple C, 1:25:23.240 --> 1:25:26.840 which is the Tactical Combat Casualty Care Organization, which is 1:25:26.880 --> 1:25:31.000 a government organization that approves these things. And you can 1:25:31.080 --> 1:25:33.720 buy one for the problem let me tell you right now, 1:25:33.800 --> 1:25:35.599 go on. But the problem with that is it's too 1:25:35.720 --> 1:25:38.400 big and most guys aren't gonna carry it. Yeah, I mean, 1:25:38.800 --> 1:25:42.360 so I'm gonna start prevention. Is I think a real 1:25:42.479 --> 1:25:46.840 important thing that we um It looks like it looks 1:25:46.880 --> 1:25:48.559 like you're carrying a belt around with a stick tied 1:25:48.600 --> 1:25:52.840 to it. Yeah, he's turn a kid in cal I'm 1:25:52.920 --> 1:25:56.280 cal well, I just hope this thing can hold up 1:25:56.520 --> 1:26:00.160 these beefy arms. Biceps are pretty large, so cal was 1:26:00.280 --> 1:26:06.240 gord by god By out. So the main the main, 1:26:06.400 --> 1:26:08.120 one of the main causes of turning kits failure is 1:26:08.200 --> 1:26:10.800 that they don't get pulled tight enough initially, and you 1:26:10.920 --> 1:26:13.280 try and pull this windless around. It's kind of like 1:26:13.320 --> 1:26:16.559 putting your good word choice, trying to put your scope 1:26:16.640 --> 1:26:18.519 on and then doing the fine tune. If you put 1:26:18.560 --> 1:26:20.840 your scope on, all cock eyed on your barrel, the newing, 1:26:20.880 --> 1:26:22.960 all the fine tune in the world's not gonna fix it, right, 1:26:23.479 --> 1:26:28.680 So you're putting this on. Sorry, yo oh, I just 1:26:28.760 --> 1:26:32.280 don't hurt yourself. Doc crank got thing until his hand 1:26:32.320 --> 1:26:37.559 turns purple. Ah, So it's supposed to click, but I'm 1:26:37.600 --> 1:26:40.960 not getting enough. I think this science it worked. That 1:26:41.040 --> 1:26:43.400 was good, good, good observation. And then you twist this 1:26:43.439 --> 1:26:45.559 windless around and it will stop the bleeding. But usually 1:26:45.600 --> 1:26:50.839 these will click that windless down his clothes are twisted. 1:26:51.720 --> 1:26:54.479 Has got a leg that big around, a leg that 1:26:54.560 --> 1:26:58.920 big around? Or are there are some big folks out there? Yeah, dude, 1:26:59.120 --> 1:27:02.360 yeah for sure. Yeah, but they're not gonna be backpacking. 1:27:02.640 --> 1:27:06.120 So these that yeah, for sure, you're you're right about that. 1:27:06.360 --> 1:27:09.800 They're just like extraordinarily powerful. So those will you could fit. 1:27:09.920 --> 1:27:13.360 You could turn to get my my head, chest area. 1:27:13.520 --> 1:27:15.200 You can turn to get me around the armpits of 1:27:15.280 --> 1:27:18.120 this turns not advisable. Yeah, yeah, you don't turn it 1:27:18.160 --> 1:27:20.960 get neck wounds, neck wounds, junctional areas don't work. No, 1:27:21.200 --> 1:27:23.040 you don't want to do that. But what we learned 1:27:23.080 --> 1:27:25.600 this morning, right is like a huge part of this 1:27:25.800 --> 1:27:30.920 like triple C deal coming on is mass casualty events. Right, 1:27:31.000 --> 1:27:32.960 So you've got a big variety of folks in a 1:27:33.120 --> 1:27:36.640 random spot so the way, So I'm sorry, but this 1:27:36.680 --> 1:27:39.560 thing still doesn't make many sense to me, so it 1:27:39.600 --> 1:27:45.680 should be said, I think, um, no, no, do my arm. 1:27:47.360 --> 1:27:49.880 I can only learn when something that's uh like you know, 1:27:51.000 --> 1:27:52.680 so I think of a good injury for me, call 1:27:52.760 --> 1:27:56.879 what happened to me? Brody is working on your forearm. 1:27:57.280 --> 1:28:01.360 So this is your classic chainsaw injury. Right, Or if 1:28:01.360 --> 1:28:03.240 we get the video working, people will be able to 1:28:03.400 --> 1:28:06.680 get to check this out. Turning gets turniquets hurt is 1:28:06.720 --> 1:28:11.720 one thing us not cut that bad. That's how when 1:28:11.720 --> 1:28:14.120 does that little cranker come into play? Then now you 1:28:14.200 --> 1:28:15.800 do it once that's as tight as you get it. 1:28:15.840 --> 1:28:19.000 Then you crank it down, give me one like a 1:28:19.120 --> 1:28:23.120 portion of a crank, because on the windlass there and 1:28:23.320 --> 1:28:26.640 this the windlass, you're you're cranking that thing until you 1:28:26.800 --> 1:28:29.600 see the blood and just put it hook it in now. 1:28:29.720 --> 1:28:31.640 Then how's the anchor the windlass in right there? If 1:28:31.680 --> 1:28:35.320 we're talking about yep, just like that, yep, perfect, yeah, 1:28:35.400 --> 1:28:37.439 and you can crank that windlass down way tighter and 1:28:37.960 --> 1:28:42.080 usually but you're cranking the windlass until you see the 1:28:42.200 --> 1:28:45.200 blood flow slow or stop. I want to throw one 1:28:45.200 --> 1:28:48.000 of these ons someone who's bleeding so bad. It's very 1:28:48.080 --> 1:28:50.760 satisfying to help save somebody's life with some one of those. Yeah, 1:28:50.800 --> 1:28:52.439 for sure. So we just said there you oh that 1:28:52.479 --> 1:28:54.120 one click. That's why I didn't because it was I 1:28:54.320 --> 1:28:56.000 think it was. It was clicked. That's why I didn't 1:28:56.000 --> 1:28:58.360 go because I want to do it to someone. So 1:28:58.880 --> 1:29:02.559 I should say, you know, you know, anyone run around 1:29:02.600 --> 1:29:04.800 with firearms out in the woods, you feel should have 1:29:04.880 --> 1:29:06.920 one of these, correct? Yep. I bought them for my 1:29:07.600 --> 1:29:09.680 hunting group as a you know, every year we get 1:29:09.720 --> 1:29:12.240 each other presence of some variety. It's can be commemorative 1:29:12.320 --> 1:29:15.599 knives or whatever. You know, a nice bottle of guys 1:29:15.640 --> 1:29:18.519 are all jabbing arrows through their legs and stuff. Yeah, 1:29:18.640 --> 1:29:21.519 I mean, certainly any kind of penetrating wound. I think 1:29:21.560 --> 1:29:23.880 you should if you can be exposed. That all right, 1:29:23.920 --> 1:29:25.880 I'm switching over. I'm gonna start carrying one. I like it. 1:29:26.120 --> 1:29:28.000 So we did the Stop the Bleed course today, which 1:29:28.040 --> 1:29:31.040 is a course that UM was created by the American 1:29:31.080 --> 1:29:35.200 College of Surgeons after the New Newtown, Connecticut shooting UM 1:29:35.680 --> 1:29:38.439 at Sandy Hook Elementary and so basically the surgeons in 1:29:38.479 --> 1:29:40.680 Connecticut where the trauma surgeon said, look, we need to 1:29:40.720 --> 1:29:43.000 do something about this. How are we gonna do public 1:29:43.080 --> 1:29:48.320 outreach and prevent loss of life prehospital? And so they met, 1:29:48.400 --> 1:29:50.800 they put out four papers and they created this Stop 1:29:50.920 --> 1:29:54.719 the Bleed campaign where anybody UM who had some degree 1:29:54.800 --> 1:29:58.200 of like medical background, anybody from a respiratory therapist to 1:29:58.760 --> 1:30:02.760 a dentist to a chirop actor, doctor, nurse, e MT lifeguard, 1:30:02.920 --> 1:30:06.360 SKI patrol can get certified as an instructor and then 1:30:06.400 --> 1:30:09.240 you can teach people how to apply you know, direct 1:30:09.280 --> 1:30:13.320 pressure to stem massive bleeding and apply tourniquets. This is 1:30:13.360 --> 1:30:17.120 all in an effort to mobilize our first responder base 1:30:17.320 --> 1:30:19.960 to basically the lay public. So if a shooting happens 1:30:20.560 --> 1:30:23.920 like or like for instance, of bombing happens like marathon, 1:30:24.800 --> 1:30:27.439 Boston marathon. So this that happened. I can't remember what 1:30:27.520 --> 1:30:31.520 year that happened, but they saw the effects of bystanders 1:30:31.600 --> 1:30:34.280 applying tourniquets and saving lives. And those people were not 1:30:34.479 --> 1:30:37.000 using they were using belts and improvised tournicates and they 1:30:37.040 --> 1:30:39.800 were not perfectly placed, but they still stem the bleeding 1:30:39.840 --> 1:30:42.160 and those people whore whisked off to trauma centers right nearby. 1:30:43.120 --> 1:30:47.120 But in the so there's a big movement to mobilize 1:30:47.160 --> 1:30:49.600 the public, just like for CPR teaching people how to 1:30:49.680 --> 1:30:52.639 use a E d S, how to do um massive 1:30:52.680 --> 1:30:56.080 hemorrhage control. And unfortunately, you know, this is the world 1:30:56.160 --> 1:30:59.000 we live in and it's uh, it's a scary reality. 1:30:59.120 --> 1:31:01.479 But you know, like parents, they had to do the 1:31:01.560 --> 1:31:03.280 duck and cover thing for the Cold War, right, they 1:31:03.320 --> 1:31:04.960 were gonna duck under the desks if there was gonna 1:31:04.960 --> 1:31:09.120 be a nuclear school desk for sure, which would not work. 1:31:09.360 --> 1:31:11.720 But you know this is no You've got to make 1:31:11.760 --> 1:31:19.600 like the red down kids and mule. So that is 1:31:19.720 --> 1:31:22.160 a uh and I'm not I'm not paid by them 1:31:22.200 --> 1:31:23.560 at all. But that's a Sam x T And I 1:31:23.920 --> 1:31:28.280 remember Sam company, they UM when we would do a 1:31:28.280 --> 1:31:33.400 wilderness medicine training in UM in medical school and college. 1:31:33.520 --> 1:31:34.880 You know, I would write them and say, hey, could 1:31:34.880 --> 1:31:37.040 you guys give me some some splints, and you know, 1:31:37.120 --> 1:31:40.000 we're a bunch of poor med students with a lot 1:31:40.080 --> 1:31:41.600 of debt, and they would send me some stuff for 1:31:42.000 --> 1:31:45.519 for them and so, uh, you know, there's a variety 1:31:45.520 --> 1:31:48.320 of different choices and I think people should explore them. 1:31:48.320 --> 1:31:53.040 But it's definitely different than same like Sam, which is 1:31:53.120 --> 1:31:56.960 something you also say you should be carrying in your kid. Yep, 1:31:57.400 --> 1:32:00.360 I can't get it open? Is that just that'll just click? 1:32:00.479 --> 1:32:03.560 So here it'll here. There's not a single use, is it. 1:32:03.920 --> 1:32:06.960 No no, no, no, no, no, Brody can't get it 1:32:07.040 --> 1:32:09.920 open here? It doesn't click here. I got it anyway, 1:32:09.960 --> 1:32:13.120 you said, uh, Sam splint, we should be carrying those around. 1:32:13.240 --> 1:32:17.080 And there's a there's another one that's more commonly carried 1:32:17.080 --> 1:32:19.160 now because they were like one of the So it'll 1:32:19.200 --> 1:32:21.200 click like that. So that's and then you just lift 1:32:21.240 --> 1:32:23.160 it up like that. So it's it's the pressure created 1:32:23.240 --> 1:32:25.320 on that that makes it and you just lift it 1:32:25.400 --> 1:32:29.240 up like that. So, um, the cats seven, which is 1:32:29.720 --> 1:32:31.840 they have seven generations of them. Those are the ones 1:32:31.880 --> 1:32:35.519 I think primarily are used in uh combat medicine and 1:32:35.840 --> 1:32:38.680 and also like police officers and stuff will carry those. 1:32:38.720 --> 1:32:41.920 But I think these are probably gonna be more popularized. 1:32:42.560 --> 1:32:45.120 So part of the courses, you have a model with 1:32:45.280 --> 1:32:47.639 like a it's like a fake thigh with a big 1:32:47.680 --> 1:32:49.320 gash in it and a bullet wound, and you can 1:32:49.360 --> 1:32:50.640 practice on that and then once you do it a 1:32:50.720 --> 1:32:53.519 couple of times, then you're you're good to go. I mean, 1:32:53.600 --> 1:32:56.599 it's it's like learning. It's much more simple than CPR 1:32:56.720 --> 1:32:59.639 for sure. Um, it's kind of funny the fake thigh 1:32:59.800 --> 1:33:02.680 with the wounds in it. You jam your fingers in 1:33:02.760 --> 1:33:05.280 those wounds. And Brody and I were sitting next to 1:33:05.360 --> 1:33:07.800 each other and I'm like, yeah, that is we know 1:33:07.920 --> 1:33:14.240 that feeling fishing around for bullet or something, you know, Yeah, 1:33:15.000 --> 1:33:19.559 that's trauma flesh feel. Yeah. What else? So I think 1:33:19.640 --> 1:33:22.080 something like a SAM splint, because muscle sclet injuries are 1:33:22.160 --> 1:33:25.400 very common. Splint splint, Yeah, So they have these malleable 1:33:25.439 --> 1:33:27.680 splints that made of they're basically aluminum that has a 1:33:27.680 --> 1:33:29.400 little bit of patting on it, and the guy that 1:33:29.479 --> 1:33:32.360 invented them, UM was a trauma surgeon from Vietnam and 1:33:32.439 --> 1:33:35.320 he specialized in orthopedics. When he came back and Um, 1:33:35.880 --> 1:33:38.400 I was playing with this is a connection juicy fruit 1:33:38.439 --> 1:33:41.920 wrapper and was folding the foil and decided that if 1:33:41.960 --> 1:33:44.880 you fold it number of ways that it's more stiff. 1:33:45.080 --> 1:33:46.880 And so that's how he created these and we see 1:33:46.920 --> 1:33:49.280 those coming all the time. There's there's knockoff versions, but 1:33:49.320 --> 1:33:52.600 I'm pretty sure they made the first one. UM. But 1:33:52.760 --> 1:33:55.200 I feel like, here's what you're running. The risk of 1:33:56.080 --> 1:33:58.880 people are going to carry a splint. So you guys 1:33:59.000 --> 1:34:01.519 do the up a hunting that you guys do. You're 1:34:01.560 --> 1:34:04.559 you're going from what I see. I mean, you guys move, 1:34:05.280 --> 1:34:07.479 You cover a lot of ground and you move far. 1:34:07.640 --> 1:34:11.759 You don't generally have like big horse broad in camps 1:34:11.920 --> 1:34:15.320 right like, but people that are running operations where you're 1:34:15.720 --> 1:34:18.920 horsing in people in gear. Like having a medical kit. 1:34:19.000 --> 1:34:21.120 The size of a toolbox is not unreasonable to have 1:34:22.040 --> 1:34:23.720 some of that stuff in it, and a lot of 1:34:23.800 --> 1:34:25.960 this stuff is pretty lightweight for the benefit and in 1:34:26.080 --> 1:34:28.720 any medical kit, you want multiple use items in it. 1:34:28.880 --> 1:34:30.720 You don't just want a one off other than something 1:34:30.800 --> 1:34:32.400 like a turning kid is a is a one off 1:34:32.520 --> 1:34:37.440 valuable thing, you know, um, having things like some hypodermic 1:34:37.520 --> 1:34:39.679 needles you can dig splinters out of your finger, having 1:34:39.720 --> 1:34:42.040 appropriate medications. I think you know, I was talking to 1:34:42.080 --> 1:34:44.240 Brody about this. You have a pill box and you 1:34:44.400 --> 1:34:48.840 label it um aspirin, a seed of menifen, slash tile 1:34:48.880 --> 1:34:52.800 and all ibprof and slash motor in emodium for diarrhea, 1:34:53.240 --> 1:34:56.000 and then zoe fran which is on dancer tron, which 1:34:56.040 --> 1:35:00.679 is for vomiting. You know, so a curious single serving 1:35:00.760 --> 1:35:04.120 to tablet twin tablet bene drules too. Yep, that's not 1:35:04.240 --> 1:35:06.640 unreasonable too. So the pharmacology that you really need to 1:35:06.680 --> 1:35:08.360 have with you is is a lot of it's over 1:35:08.400 --> 1:35:10.160 the counter, and it's it's pretty easy. You can get 1:35:10.200 --> 1:35:14.320 really great pain control with doing alternating Thailand a motor 1:35:14.360 --> 1:35:16.639 And then people don't really realize or can you explain, 1:35:16.680 --> 1:35:19.000 because you explain that to us yesterday why you carry 1:35:19.120 --> 1:35:23.960 thailand all and and so and so for everybody that's 1:35:23.960 --> 1:35:28.280 listening to All medications have trade names. Thailand also trade 1:35:28.360 --> 1:35:30.360 name A seed a menifin is the generic name, and 1:35:30.439 --> 1:35:33.040 it's me and my experience personally, I just buy the 1:35:33.280 --> 1:35:36.680 generic Meyer brand, so seen a menefit is tail And 1:35:36.760 --> 1:35:40.640 also when you alternate them, you're supposed to take them. Uh. 1:35:40.720 --> 1:35:42.799 The's supposed to take a seat an in every six hours, 1:35:43.400 --> 1:35:47.360 and you're supposed to take between five grams um. Sometimes 1:35:47.400 --> 1:35:49.000 you can take a thousand milligrams, but you want to 1:35:49.000 --> 1:35:51.360 stay below four thousand milligrams a day otherwise you can 1:35:51.439 --> 1:35:53.800 hurt your liver. So a lot of people will take 1:35:53.880 --> 1:35:56.599 medications and then all of a sudden, an hour five 1:35:56.720 --> 1:35:59.759 or six, their tooth is throbbing again. They feel awful, 1:36:00.000 --> 1:36:02.400 They're like it takes a while for the new medication 1:36:02.479 --> 1:36:04.920 to set back. In in between that, what you could 1:36:04.960 --> 1:36:06.639 do is you could take a different medicine that works 1:36:06.680 --> 1:36:08.880 in a different way. So tailing all works at the 1:36:08.920 --> 1:36:11.960 central level of your brain to reduce pain and fever, 1:36:12.400 --> 1:36:16.120 and ibprofen is a nonsteroidal anti inflammatory that helps work 1:36:16.200 --> 1:36:20.479 at the site to prevent um swelling pain inflammation. So 1:36:20.720 --> 1:36:23.280 you're using two different meds that were two different mechanisms 1:36:23.360 --> 1:36:26.320 of action to help control your pain. So if you 1:36:26.400 --> 1:36:28.800 had somebody in your your party who you guys are 1:36:29.040 --> 1:36:31.880 eight miles out and they broke their ankle. Getting them 1:36:31.960 --> 1:36:35.439 good pain control can turn that situation from You can 1:36:35.479 --> 1:36:38.080 extract yourself, put a splint on, You can hobble out 1:36:38.680 --> 1:36:41.760 with a with a crutch, versus we got to carry 1:36:41.800 --> 1:36:43.880 you out because we can't get good pain control. And 1:36:44.320 --> 1:36:46.479 when you have to carry somebody out, which I've never 1:36:46.560 --> 1:36:49.559 had to physically do on a wilderness trip, but I've 1:36:49.600 --> 1:36:52.760 done in my training, it is an arduous ordeal and 1:36:52.840 --> 1:36:55.200 it puts the whole party at risk to have to 1:36:55.439 --> 1:37:00.680 hock somebody out very very difficult. Deadweight is horrible left 1:37:00.720 --> 1:37:02.080 carry around. I mean you guys know all that, like 1:37:02.560 --> 1:37:05.960 putting a backpack, pulling Brodier lawn for years now. Yeah, 1:37:06.400 --> 1:37:11.600 not dede animal wise, let's talking about what you know 1:37:11.640 --> 1:37:14.200 what a cam strap is like an NRS strap? Do 1:37:14.360 --> 1:37:19.080 not mhmm boat strap? Bolt strap? Like just so like 1:37:19.200 --> 1:37:23.439 a like a hitch like a like um it's a yeah, 1:37:23.720 --> 1:37:27.639 it's very similar to this where the buckle has teeth 1:37:27.880 --> 1:37:31.200 that allow that strap to slide primarily one direction. It 1:37:31.360 --> 1:37:33.200 rides on a spring. Is it like one of those 1:37:33.200 --> 1:37:34.600 where you go like this like cranks them on my 1:37:34.760 --> 1:37:37.599 top ratch strap? So that's all I know, Ye, cam 1:37:37.680 --> 1:37:40.320 strap is different. That be a good tourniquet depends on 1:37:40.400 --> 1:37:44.320 why it is right. So one and a half is 1:37:44.360 --> 1:37:46.320 probably better than one. But you could crank You could 1:37:46.320 --> 1:37:48.719 crank that down for sure. I mean people make turniquets 1:37:48.760 --> 1:37:51.320 out of belts and shirt sleeves and all sorts of 1:37:51.360 --> 1:37:54.880 found material. But the main goal is to stop the 1:37:55.720 --> 1:38:00.560 the arterial flow to that distal injury. So, uh, you 1:38:00.600 --> 1:38:04.200 know what I carry? What do you carry? Well, I'm 1:38:04.240 --> 1:38:06.960 telling you, but I'm also checking with you. Yeah, I 1:38:07.080 --> 1:38:12.280 do the talent all. I'll be profen buy a single 1:38:12.360 --> 1:38:15.519 serving those little square foil packets with two pills each. 1:38:16.439 --> 1:38:20.000 I use our organizer, back country organizer, and it's got 1:38:20.040 --> 1:38:22.120 a pocket that it was almost like made for this. 1:38:24.080 --> 1:38:26.040 I put a bunch of talent alls in there, a 1:38:26.080 --> 1:38:29.280 bunch of IV profans in there. As far as I know, 1:38:29.360 --> 1:38:31.400 they don't make Amoti mayde in those packets, but I 1:38:31.520 --> 1:38:34.880 buy the push packets of Amoti made, which is nice. 1:38:34.920 --> 1:38:36.680 We were talking about this yesterday. It's nice to have 1:38:36.760 --> 1:38:38.720 the label on there, the dose, so you know what 1:38:38.800 --> 1:38:40.920 you're doing. Yeah. The ideal ones are the kind where 1:38:40.920 --> 1:38:43.120 when you tear the square off, it carries the information 1:38:43.160 --> 1:38:44.880 on it because a lot of times I'll look in 1:38:44.960 --> 1:38:46.800 it and I don't know what I got his hand 1:38:46.840 --> 1:38:49.880 and stuff out. Yeah, so emoti made and then I 1:38:49.960 --> 1:38:53.160 carry benetrylcuse I'm always afraid of someone getting allergic reaction, 1:38:53.400 --> 1:38:56.679 some kind of reaction. Yeah, you feel like I should 1:38:56.680 --> 1:39:00.800 add in some zoo fran. I would for puking, because 1:39:00.920 --> 1:39:05.280 I have been UM. All of my experiences with that 1:39:05.360 --> 1:39:07.200 have not been actually in the field. They've been pre 1:39:07.760 --> 1:39:12.599 being in the field. And UM, having die real illness 1:39:12.680 --> 1:39:14.920 so bad that you can't feel like you you can't 1:39:15.000 --> 1:39:17.800 walk because you're so weak is a profound experience that 1:39:17.960 --> 1:39:20.400 it feels awful. UM. And so if you have some 1:39:20.479 --> 1:39:23.040 ammodium or you have some antibiotics that you might you know, 1:39:23.200 --> 1:39:25.000 get your doctor to prescribe to you ahead of time. 1:39:25.360 --> 1:39:28.320 Like if you guys are going to hunt in South America, 1:39:28.439 --> 1:39:31.880 I would say, Hey, write me a script for uh 1:39:32.120 --> 1:39:34.600 catholex in case I get a bad skin injury, like 1:39:34.720 --> 1:39:38.880 an infection, and like some either augmented or back drum 1:39:39.040 --> 1:39:42.160 or or cipro for bad die real illness. Yeah, that's 1:39:42.200 --> 1:39:44.320 the one I usually get. I get it, like when 1:39:44.320 --> 1:39:48.320 you're going to get your vaccines checked your vaccination's check. 1:39:48.479 --> 1:39:55.559 I'll get the travelers diarrhea. Yeah, prescription ahead of time. Yeah, 1:39:55.640 --> 1:39:58.640 the only anticipation of so, the only thing, the only 1:39:58.680 --> 1:40:00.560 thing with that. So and I remember this is not 1:40:00.800 --> 1:40:02.679 it's not a wilderness thing. But we were traveling after 1:40:02.840 --> 1:40:05.200 medical school. We were in Egypt and it was like 1:40:05.240 --> 1:40:07.360 a group trip that we went together and it was fun. 1:40:07.520 --> 1:40:10.000 And we all ate in Cairo at this like beautiful 1:40:10.040 --> 1:40:12.040 place and we're looking out over this huge park and 1:40:12.439 --> 1:40:15.040 we decided to have some appetizers, had some tabuli. You're 1:40:15.040 --> 1:40:17.519 not supposed to eat like the fresh stuff, only supposed 1:40:17.520 --> 1:40:19.960 to eat the cook stuff because it basically the water 1:40:20.120 --> 1:40:23.479 has feces in it in certain areas or you know, 1:40:23.840 --> 1:40:26.799 in in different parts of the world. Uh, the sanitation 1:40:26.920 --> 1:40:28.400 is not quite the same, or you're just not used 1:40:28.439 --> 1:40:30.280 to that kind of bacteria like India or whatever. I 1:40:30.320 --> 1:40:33.639 probably get diarrhea immediately, and like six of us were 1:40:33.960 --> 1:40:36.880 just crapping our brains out, and um, I was the 1:40:36.920 --> 1:40:38.360 only one that had the cippro. So I had people 1:40:38.400 --> 1:40:40.439 like knocking on my door in the middle of night, like, hey, 1:40:40.560 --> 1:40:44.759 could you and the real dirty kid in your groups 1:40:44.800 --> 1:40:48.599 doing just fine? Yeah? Exactly. We had our kids looking 1:40:48.640 --> 1:40:50.240 the floor at the airport on the way here. It's 1:40:50.240 --> 1:40:53.400 a great way to prevent illness. Um, but the cip 1:40:53.520 --> 1:40:57.240 road so it changes, so the bacterial resistance patterns change, 1:40:57.280 --> 1:41:00.080 and and also side effect profile or it's different. So 1:41:00.560 --> 1:41:02.479 with cipro, one of the things, it's a low rate. 1:41:02.560 --> 1:41:04.560 It's like less than one percent. You can have a 1:41:04.680 --> 1:41:07.559 tendonopathy that develops after taking even a short course where 1:41:07.560 --> 1:41:11.479 you can rupture your achilles heel, which for something like yeah, 1:41:11.600 --> 1:41:15.960 it's really messed. Yeah. So it's a very effective thing 1:41:16.040 --> 1:41:18.400 for treating dire illness, but I try and avoid it, 1:41:18.720 --> 1:41:22.599 um unless I absolutely need it for um, for somebody 1:41:22.640 --> 1:41:25.559 who has an allergy to say augmented or backdrum um. 1:41:26.040 --> 1:41:29.320 So I would probably not recommend that at this point, 1:41:29.479 --> 1:41:32.400 you know, given the amount of activity level you guys 1:41:32.479 --> 1:41:34.320 do and like, you know, so the thing in medicine 1:41:34.360 --> 1:41:36.800 is that you have studies and you have anecdote, and 1:41:36.840 --> 1:41:40.240 so anecdote speaks wonders. So I saw like two or 1:41:40.280 --> 1:41:42.320 three cases of it within six months, and I was like, 1:41:42.439 --> 1:41:45.479 oh man, this is it really affects you. You know, 1:41:45.560 --> 1:41:48.040 when you see enough cases like that, even though it's 1:41:48.080 --> 1:41:50.960 not the preponderance isn't that high, you know, And if 1:41:51.000 --> 1:41:54.120 there's a better alternative, why not without those kinds of 1:41:54.120 --> 1:41:56.439 side effects? Why I try that? Do they use cipro 1:41:56.600 --> 1:42:01.479 to treat beaver fever? I don't know what so they like? 1:42:02.160 --> 1:42:06.679 And cryptosporidia they use, uh to treat giardia. I believe 1:42:06.760 --> 1:42:10.759 they use metronitis all, which is a different kind of antibotic. 1:42:10.800 --> 1:42:14.519 It works on that particular kind of bacteria. Uh, it's 1:42:14.560 --> 1:42:18.479 a Giardia is a protozoa. M hm. Would they give 1:42:18.520 --> 1:42:20.880 you that just to carry around with you? Depends on 1:42:21.080 --> 1:42:23.560 I mean, it's not unreasonable to ask your doctor and 1:42:23.640 --> 1:42:26.519 to go and say I'm going here, I'm doing this. 1:42:27.120 --> 1:42:28.840 What would you recommend? I mean, this is kind of 1:42:28.920 --> 1:42:30.760 a especially in this type of area. And if you 1:42:30.760 --> 1:42:33.240 guys are in Montana or Colorado and they deal with 1:42:33.840 --> 1:42:35.760 hunters that are doing things that you're doing, then they 1:42:35.760 --> 1:42:38.240 should be familiar with. If you go overseas, they can 1:42:38.280 --> 1:42:40.479 give you on the CDC website web vaccines you need, 1:42:41.120 --> 1:42:44.080 you know, so UM, it's not unreasonable to ask ahead 1:42:44.120 --> 1:42:47.920 of time UM for small prescriptions like that, because you know, 1:42:48.280 --> 1:42:51.320 like you might not need um. You know, if you 1:42:51.439 --> 1:42:55.360 had a prescription for uh cephlexin for a skin injury 1:42:55.479 --> 1:42:58.800 or cellulitis that developed. You could start taking that and 1:42:58.920 --> 1:43:01.360 then as you got back out, you know, go see 1:43:01.360 --> 1:43:03.439 your doc and say he'll say keep taking it, or 1:43:03.600 --> 1:43:05.720 this is getting worse. You need different antibotics. You have 1:43:05.800 --> 1:43:08.800 to go to the hospital. So, um, it's kind of 1:43:08.840 --> 1:43:11.000 a bridge. You know. Maybe we didn't even get into 1:43:11.040 --> 1:43:14.880 flesh eating bacteria. It's a rare to come back out. Oh, 1:43:15.040 --> 1:43:17.880 so many, so much we could cover. No one knows this, 1:43:17.960 --> 1:43:20.200 but we're working on we've never even mentioned this. I 1:43:20.240 --> 1:43:23.360 don't want to tell too much. Secret project. We're working 1:43:23.439 --> 1:43:26.920 on a secret project, top secret. I heard top secret 1:43:26.920 --> 1:43:30.960 book project and uh, this will give a little bit 1:43:30.960 --> 1:43:33.840 of a hint. Yeah, if you're smart, you can figure 1:43:33.840 --> 1:43:36.880 it out. This top secret book project is divided into 1:43:38.360 --> 1:43:44.639 this top secret project is divided into ten components. One 1:43:44.760 --> 1:43:51.320 of those components, UH Dr Lazara is uh consulting on 1:43:51.479 --> 1:43:54.760 us with love to help anything I can do. Um, 1:43:56.160 --> 1:43:58.439 we never talked about flesh eating bacteria, which you think 1:43:58.560 --> 1:44:00.599 is just a freak. It's a free Yeah, it's it's 1:44:00.640 --> 1:44:04.080 a scary thing, you know. Um, it's a very rare thing. 1:44:04.240 --> 1:44:06.240 But we do see it. It's becoming more and more 1:44:06.280 --> 1:44:08.479 prevalent with the more and more diabetes we see. And 1:44:08.920 --> 1:44:10.640 the main thing that you worry about is somebody who 1:44:10.640 --> 1:44:12.880 has like paying out of proportion to a wound that 1:44:13.240 --> 1:44:16.280 looks like the ones I've seen. The guy had an 1:44:16.320 --> 1:44:19.840 innocuous wound on his thigh. It just very clean looking. 1:44:20.280 --> 1:44:21.640 It was a small puncture moment. I don't even he 1:44:21.680 --> 1:44:23.880 didn't even know how he got it, and he lost 1:44:23.920 --> 1:44:26.639 his entire leg and almost like part of his abdomen um. 1:44:27.040 --> 1:44:29.680 And it's a it's a terrible thing. The bacteria will 1:44:30.160 --> 1:44:33.040 glide along the fascial planes, just like when you're you know, 1:44:33.200 --> 1:44:37.280 processing a deer the long muscle. It will glide along 1:44:37.320 --> 1:44:40.439 the fashial planes and just travel up and down. And 1:44:40.520 --> 1:44:44.639 it's the main The main treatment is operative to breed ment. 1:44:44.640 --> 1:44:46.519 So it's not antibiotics. I mean, we give the antibiotics, 1:44:46.560 --> 1:44:47.639 but they need to go the o R to get 1:44:47.680 --> 1:44:49.840 the limb cut off or the area to breed. It 1:44:49.840 --> 1:44:52.800 didn't cut out. It's it's a scary thing. And so 1:44:53.160 --> 1:44:57.280 in my profession, we are very focused on risk versus 1:44:57.360 --> 1:44:59.519 benefit and thinking worst case scenario a lot. And so 1:44:59.640 --> 1:45:01.280 if we see somebody with that, we will call the 1:45:01.320 --> 1:45:02.880 surgeon and would say I need you to come take 1:45:02.920 --> 1:45:05.000 a look at this guy and give me your opinion. 1:45:05.040 --> 1:45:08.519 What do you think? And um, you know a lot 1:45:08.600 --> 1:45:10.160 of times they'll just take him right to the o R. 1:45:10.320 --> 1:45:11.600 Or we can do a bedside would just do a 1:45:11.640 --> 1:45:15.000 bedside cut. And if like dirty dishwater appearing fluid comes 1:45:15.040 --> 1:45:16.880 out and the tissues like soft, you put your finger 1:45:16.920 --> 1:45:20.680 in there and it's just like fucking pudding, then that's 1:45:20.720 --> 1:45:24.000 a high chance they have that. That's just beyond reason. 1:45:24.400 --> 1:45:28.040 It feel like if you go in and they're like, okay, 1:45:28.240 --> 1:45:32.679 something really serious and they take off your entire leg, 1:45:33.600 --> 1:45:37.120 that's where it ends. That's where we're like, reason, Okay, yes, okay, 1:45:37.160 --> 1:45:39.920 it was very serious. You had to take off my 1:45:40.120 --> 1:45:42.000 entire leg. But then when you like throw in the 1:45:42.200 --> 1:45:44.519 and part of the abdomen, Yeah, that's like where it 1:45:44.520 --> 1:45:50.680 gets beyond like no, no, like very serious, but it 1:45:50.800 --> 1:45:54.280 moves super quick, super quick, like you know, twenty four 1:45:54.320 --> 1:45:56.800 hours or less, and you're you're hurting really bad. I mean, 1:45:56.880 --> 1:45:59.240 I think my great with the fascial planes that you 1:45:59.360 --> 1:46:03.519 described as the way when you um shoot a deer, 1:46:04.400 --> 1:46:09.240 the way clodding. We'll travel in those fascial planes well 1:46:09.280 --> 1:46:11.000 also air too, right, so you feel all those air 1:46:11.080 --> 1:46:13.160 bubbles like you know, shoot something in the chest. And 1:46:13.160 --> 1:46:14.599 then you know you're looking at air bubbles and they're 1:46:14.800 --> 1:46:16.720 like why is there? Like why would I take the 1:46:16.800 --> 1:46:19.960 front shoulder off? Is there like clodding all the way 1:46:20.000 --> 1:46:22.320 up into the neck The way it travels between those things. 1:46:23.000 --> 1:46:25.040 I just think it's because of the massive destruction, like 1:46:25.120 --> 1:46:27.840 you expose that. The bleeding happens everywhere, and so we'll 1:46:27.880 --> 1:46:31.880 get sometimes we'll get people to pop along a neumothorax, 1:46:31.920 --> 1:46:34.439 and then you get this thing called subcutaneous emphysema, which 1:46:34.520 --> 1:46:37.479 is basically air slash feels like rice crispy treats under 1:46:37.520 --> 1:46:39.160 the skin. You can feel it on your deer too, 1:46:39.200 --> 1:46:42.120 and then you'll feel the deer you'll feel off the 1:46:42.280 --> 1:46:44.479 neck and towards the face, you'll feel that like kind 1:46:44.479 --> 1:46:46.280 of rice crispy treat And that will happen when people 1:46:46.320 --> 1:46:50.000 puncture along. Yeah. Yeah, it's scary because you know sometimes 1:46:50.040 --> 1:46:52.200 their face can swell or you know, it makes it 1:46:52.240 --> 1:46:54.360 difficult to put a tube in to treat it because 1:46:55.040 --> 1:46:56.880 you know they might be an obese person. They have 1:46:56.960 --> 1:46:58.519 a lot of fat tissue and then all of this 1:46:58.600 --> 1:47:01.000 Now you're dealing with air and you're like having a 1:47:01.040 --> 1:47:03.640 smush basically smushed their chest like you're pushing on a 1:47:04.040 --> 1:47:07.800 like a like a bubble rap package to to get 1:47:07.880 --> 1:47:10.160 down to the chest wall. You know. A guy just 1:47:10.320 --> 1:47:12.920 rode in. I'm trying to get permission to put this photo. 1:47:12.960 --> 1:47:14.439 I'm sure I'll be able to get permission to put it. 1:47:14.439 --> 1:47:16.400 I'm gonna put it on Instagram, So if you go 1:47:16.520 --> 1:47:19.360 to at Steven Ranella, you'll find this photo by the 1:47:19.400 --> 1:47:22.200 time you listen to this, hopefully. He hit a mule 1:47:22.240 --> 1:47:25.000 here with his bowl. Yeah, I wanted to give it 1:47:25.000 --> 1:47:26.800 a while before he tracked it. And he goes up 1:47:26.840 --> 1:47:28.519 to the top of hilled us a glass around for 1:47:28.560 --> 1:47:31.479 a while and eventually, not far from where he shot, 1:47:31.520 --> 1:47:34.439 glasses up a buck standing next to a tree. Then 1:47:34.439 --> 1:47:36.479 the more he looked at it, something was weird about it. 1:47:37.479 --> 1:47:39.479 He'd hit the buck. The buck ran down the hill, 1:47:39.640 --> 1:47:45.400 must have misstepped and impaled itself through the ribs on 1:47:45.800 --> 1:47:49.200 a broken branch that went in one side and puckered 1:47:49.280 --> 1:47:52.960 the hide out on the other side. Talking about a 1:47:53.000 --> 1:47:54.760 bad way to go, he had to pull it off 1:47:54.880 --> 1:47:57.640 the stop, which is a tree man term for a 1:47:57.720 --> 1:48:00.439 broken limb. I do not know that are the question 1:48:00.439 --> 1:48:01.840 whether it was a real word or not, but I've 1:48:01.880 --> 1:48:04.080 come to accept it. Hold it off the stop. And 1:48:04.160 --> 1:48:05.960 he sent us a picture of the deer hanging on 1:48:06.120 --> 1:48:08.839 the stop, and then the stop with the deer removed, 1:48:08.920 --> 1:48:13.360 and that deer was all the way through it. Yeah, 1:48:13.800 --> 1:48:17.720 pucker now at the hide. Yeah, that's a that's a 1:48:17.800 --> 1:48:20.880 sad way to go for any creature. Unfortunately, as a 1:48:21.000 --> 1:48:23.040 last thing, you don't have to come back because we 1:48:23.120 --> 1:48:25.400 didn't even scratch the surface. Well, I don't think like 1:48:25.439 --> 1:48:27.080 I wasn't very I wasn't like a very good host 1:48:27.120 --> 1:48:30.720 because I didn't I wasn't very efficient. You guys are, 1:48:30.920 --> 1:48:33.960 I mean you didn't ever ever did a class and 1:48:34.000 --> 1:48:36.280 hosting because you guys all do a pretty darn good job, 1:48:36.360 --> 1:48:38.519 I think because school hard knocks man. Well, I mean, 1:48:38.840 --> 1:48:42.720 you know, conversation can be can be complicated, sometimes a 1:48:42.760 --> 1:48:44.280 lot of dead There's not a lot of dead space 1:48:44.360 --> 1:48:46.600 on your podcast, for sure. I try to do a 1:48:46.640 --> 1:48:48.439 good hosting job, but I didn't get to my I 1:48:48.479 --> 1:48:50.120 didn't like get to everything I wanted to get to, 1:48:50.439 --> 1:48:52.880 missing your honest this guidance, I know, Ni, what do 1:48:52.920 --> 1:48:58.599 you think about that Annie, which is what he's out 1:48:58.640 --> 1:49:03.000 there doing right now? Yeah? So can you get out 1:49:03.040 --> 1:49:04.439 that thing you had your showing me what you need 1:49:04.520 --> 1:49:06.040 to do if you want to stay alive a long time? 1:49:06.800 --> 1:49:11.800 Oh yeah, CC thing up. Dr Lazarre is gonna walk 1:49:11.880 --> 1:49:15.760 you through what you need to do. The American male 1:49:15.840 --> 1:49:18.840 hit us with an American mail, alright, an American mail 1:49:18.920 --> 1:49:21.120 wants to live a long time. Yeah. So if you 1:49:21.200 --> 1:49:24.519 go to the CDC website, it's a wonderful governmental organization. 1:49:24.600 --> 1:49:26.360 They can they give a lot of stats as they 1:49:26.439 --> 1:49:29.559 track causes of death across the country, and so kind 1:49:29.600 --> 1:49:31.640 of wrote real question. Yeah, what it makes sense that 1:49:31.760 --> 1:49:37.320 the that the antibiotic I'm on plus the gram ivy 1:49:37.360 --> 1:49:39.799 profens are giving me a lot of gastro intestinal upset 1:49:39.960 --> 1:49:43.840 for sure, So ibprofen, I quit the antibiotic. Depends what 1:49:43.880 --> 1:49:45.519 you're on. We got I can't remember. It's like a 1:49:45.560 --> 1:49:48.719 couple of word, a couple of letters and words probably, Yeah, Okay, 1:49:48.920 --> 1:49:51.040 keep in mind this room is not as well ventilated 1:49:51.080 --> 1:49:53.400 as it used to be. It's not like that, man, 1:49:53.479 --> 1:49:56.800 it's different. So so a lot of times So antibiotics 1:49:56.840 --> 1:49:59.080 can cause a lot of g I distress, so upset 1:49:59.160 --> 1:50:01.799 stomach or diarrhy. About one in five people get diarrhea 1:50:01.920 --> 1:50:04.640 with taking antibotics, So I've never had this before, but 1:50:04.720 --> 1:50:07.120 it's it's not fun. Not a lot of um, not 1:50:07.200 --> 1:50:09.519 a lot of great evidence. But eating yogurt every day 1:50:09.600 --> 1:50:14.720 or taking prot could could prevent diarrhea if I quit 1:50:14.760 --> 1:50:16.759 the ib pro from which I'm thinking about doing anyway, 1:50:17.200 --> 1:50:18.880 is that going to help or is it the antibiotic 1:50:18.960 --> 1:50:20.800 that's doing it. It could be a combo both because 1:50:20.840 --> 1:50:23.080 I'd be profen as side effects, and it not only 1:50:23.160 --> 1:50:25.920 stops bad inflammation but can also stop there's such a 1:50:25.960 --> 1:50:29.559 thing as good inflammation, which is UH in the same pathway. 1:50:29.600 --> 1:50:32.559 It helps make mucus in your stomach to help protect 1:50:32.600 --> 1:50:36.400 your stomach from the acid the stomach produces, and so um. 1:50:36.840 --> 1:50:39.000 It inhibits that as well. So you can see people 1:50:39.040 --> 1:50:41.519 who come in and chronically take ibuprofen and give themselves 1:50:41.520 --> 1:50:44.800 a stomach ulcer. So I would recommend cutting your dose 1:50:44.840 --> 1:50:47.880 back to four hundred or six hundred milligrams because I'm done. 1:50:48.880 --> 1:50:51.160 You can just got four more days of this antibiotic. 1:50:51.200 --> 1:50:54.000 But I want to quit now. It's generally recommending that 1:50:54.080 --> 1:50:56.160 you continue them till the full course is done, because 1:50:56.200 --> 1:50:59.000 you don't want to leave the resistant bacteria sitting there 1:50:59.040 --> 1:51:02.200 in your skull there. Well, I'm taking the antibotic prophylactically. 1:51:02.200 --> 1:51:04.120 I don't have an infection. I know I did have 1:51:04.160 --> 1:51:07.000 an infection. Yeah, I'd probably take my tooth out. This 1:51:07.160 --> 1:51:09.160 is so. I have a friend who I like very much, 1:51:09.200 --> 1:51:12.320 a guy that i'm i'm we're gonna go. We're hunting 1:51:12.320 --> 1:51:14.720 together soon, deer hunting. And he's a neurologist, and he 1:51:14.760 --> 1:51:17.360 says a lot of I remember I got one of 1:51:17.400 --> 1:51:20.240 my little camp Yeah, for sure. So he he often 1:51:20.280 --> 1:51:22.040 says he's neurologist. He deals with a lot of like 1:51:22.120 --> 1:51:24.720 sixty year olds that don't want their prostate operating on 1:51:25.320 --> 1:51:28.960 and he says, you know, his line is, we don't 1:51:29.240 --> 1:51:32.280 have to do anything, but we should, Yeah, and just 1:51:32.400 --> 1:51:34.720 leaves it that and lets it hang. And so you 1:51:34.760 --> 1:51:36.680 don't have to do anything but what you know, but 1:51:36.800 --> 1:51:38.880 you should. And what I would do is probably finish them, 1:51:39.600 --> 1:51:42.280 take tilent on instead, give yourselfs a little bit of 1:51:42.280 --> 1:51:45.320 a knease. One of my favorite parts about this tooth 1:51:45.400 --> 1:51:47.200 process can't hold what y'all was going to ask you 1:51:47.200 --> 1:51:49.120 about staying alive long time? As they came out and 1:51:49.200 --> 1:51:51.360 presented the price, the cost of all this whole thing 1:51:51.439 --> 1:51:55.280 to me and ala carte fashion dude, as though, um, 1:51:55.960 --> 1:51:59.000 I would get halfway into this and quit. Yeah, but 1:51:59.160 --> 1:52:01.200 that caused this much for this part. I think if 1:52:01.200 --> 1:52:02.799 you're buying a car and you're like, well, the tires 1:52:02.840 --> 1:52:09.759 of this, the doors, this, the dentistry, the dentistry operation 1:52:09.800 --> 1:52:13.160 they've got, Essentially it's a different kind of business. I mean, 1:52:13.200 --> 1:52:17.360 they have an infinite demand and they have essentially said 1:52:17.439 --> 1:52:21.360 we're taking cash, and so it's a very expensive endeavor 1:52:21.400 --> 1:52:24.479 to get major dental work done. Insurance is a bomb 1:52:24.520 --> 1:52:26.760 around dental for sure, and so all the more reason 1:52:26.800 --> 1:52:29.400 to brush teeth loss. You know you don't want those problems. 1:52:29.439 --> 1:52:32.240 You know, it's prevention is worth a pound of cure. Okay, 1:52:32.280 --> 1:52:34.920 help everyone stay alive a long time, alright, So first thing, 1:52:35.000 --> 1:52:39.519 don't smoke, uh, Second thing, where your seatbelt? Um, stay 1:52:39.600 --> 1:52:43.440 fit and active. If you look at these um CDC websites, 1:52:43.479 --> 1:52:45.280 you can see the leading causes of death and so 1:52:45.439 --> 1:52:47.960 for people our age and the you know, mid thirties, forties, 1:52:48.439 --> 1:52:50.320 the number one thing that used to kill all of 1:52:50.439 --> 1:52:52.800 us um between like five and forty five was motor 1:52:52.920 --> 1:52:57.080 vehicle collisions, so unintentional injuries. But in the most recent 1:52:57.280 --> 1:53:03.439 decade that has overtaken and overtaken by opioid overdoses. Possibly 1:53:04.080 --> 1:53:06.559 it's insane. Man, it's it's an epidemic for a reason, 1:53:06.720 --> 1:53:11.320 and it's um, it's an unfortunate there's some interesting podcast 1:53:11.360 --> 1:53:13.200 you can listen to us how that came about, and 1:53:13.760 --> 1:53:18.840 you know it is a tragedy. More people in our 1:53:18.920 --> 1:53:22.280 age demographic, well I just left it. More people in 1:53:22.320 --> 1:53:25.800 our age demographic are dying from getting too hopped up 1:53:25.840 --> 1:53:28.720 on pain killers. Then are dying from getting a car crashes. Yep, 1:53:29.040 --> 1:53:32.080 it's insane. Um Amazon alaz on those things a couple 1:53:32.120 --> 1:53:35.400 of days ago. So the rates of addiction, can you know, 1:53:35.600 --> 1:53:38.320 some people have very addictive personalities, and so being on 1:53:38.439 --> 1:53:41.760 these pills for uh, it's I've read everywhere from a 1:53:41.800 --> 1:53:43.160 couple of weeks a couple of months, and you'll be 1:53:43.240 --> 1:53:46.839 physically addicted to them. And it's not so being physically 1:53:46.880 --> 1:53:49.880 addicted as different than the mental addiction. So you will 1:53:49.920 --> 1:53:51.880 go through withdrawals if you stop taking them. I took 1:53:51.920 --> 1:53:54.600 a tablet twice. No, yeah, you're fine. Well no, And 1:53:54.680 --> 1:53:57.200 that was like very much opposed to taking another time 1:53:58.040 --> 1:54:00.680 because it's like, wow, I sleep good. Yeah, sound like 1:54:00.920 --> 1:54:03.519 it's a slippery slope. Man, dude, I know people that 1:54:03.680 --> 1:54:06.120 have had dental and so I think part of the 1:54:06.160 --> 1:54:09.280 problem too, is it like we just didn't up until 1:54:09.320 --> 1:54:12.479 the last decade or five years, we just don't get 1:54:12.600 --> 1:54:15.639 taught how to treat acute or chronic pain. In medical school, 1:54:15.640 --> 1:54:18.120 they don't teach you that. And now there's courses where 1:54:18.160 --> 1:54:19.720 you learn how to do it, and our residents, we 1:54:19.840 --> 1:54:22.000 spend a lot of time saying, this is what we 1:54:22.080 --> 1:54:24.000 typically give for this, because a lot of times you 1:54:24.040 --> 1:54:26.280 would just see see one, do one. You know, you 1:54:26.360 --> 1:54:28.759 just do what your mentor did, and you'd give somebody 1:54:28.920 --> 1:54:32.400 for a niece orgery, give them sixty norco or sixty 1:54:32.440 --> 1:54:34.520 percose because you don't want them to have to call 1:54:34.600 --> 1:54:35.680 you because they're in a lot of paint, so you 1:54:35.680 --> 1:54:38.600 give them extra. Right, So then they have forty percosets 1:54:38.600 --> 1:54:40.480 sitting in their closet and then their grandkid comes over 1:54:40.560 --> 1:54:42.240 and steals those and then goes to a party, and 1:54:43.040 --> 1:54:47.800 you know, it's just a multifaceted epidemic. Um, and the 1:54:47.920 --> 1:54:51.880 health care industry is trying to correct that. And I 1:54:52.000 --> 1:54:54.400 think that, you know, there's there's a blame that can 1:54:54.440 --> 1:54:56.600 be thrown around everywhere, but I think we're we're trying 1:54:56.640 --> 1:54:58.600 to correct it. Have you seen the documentary I Am 1:54:58.640 --> 1:55:03.880 Trying to Break your Heart? Nope, not. It's about a musician. 1:55:04.120 --> 1:55:06.680 There's a little bit in there about percoset. Yeah, it's 1:55:06.880 --> 1:55:09.800 it likes the way it makes music sound. Yeah. Man, 1:55:09.920 --> 1:55:12.480 everybody's everybody's looking for a drug. I mean, whether you're 1:55:12.480 --> 1:55:15.640 filling it with McDonald's or alcohol or cigarettes, or religion 1:55:15.760 --> 1:55:17.520 or whatever. Everybody's looking to trying to fill some sort 1:55:17.560 --> 1:55:20.960 of void in their life and and and process those emotions. 1:55:21.040 --> 1:55:24.360 And you know, we see lots of unhealthy coping mechanisms, 1:55:24.440 --> 1:55:27.240 but there's plenty of healthy ones, you know, and um, 1:55:27.600 --> 1:55:30.400 you know, if you struggle with something like that, not 1:55:30.600 --> 1:55:34.080 only there's a whole armamentarium of people that are willing 1:55:34.120 --> 1:55:35.520 and ready to help it all hours of the day, 1:55:36.040 --> 1:55:39.800 social workers, primary care, doctors, emergency you know, we're these 1:55:39.840 --> 1:55:42.120 people went into this for this reason and it's a 1:55:42.200 --> 1:55:45.480 big you know, you have a lot of valuable people 1:55:46.160 --> 1:55:49.320 that that have these struggle with these problems, you know. So, 1:55:49.800 --> 1:55:51.240 so it used to be if you want to stay 1:55:51.280 --> 1:55:53.800 alive between the ages or whatever, and forty five, you 1:55:53.840 --> 1:55:55.160 don't want to get in a car crash. So we 1:55:55.200 --> 1:55:56.800 don't know, you don't want to get in a car crash, 1:55:56.880 --> 1:55:59.080 and you don't want to get hooked on pills. Yeah, 1:55:59.120 --> 1:56:01.360 so where your seatbelt, don't get hooked down pills? Right, 1:56:01.680 --> 1:56:04.720 and then what comes next? Then what's going to kill you? Then, unfortunately, 1:56:04.920 --> 1:56:08.360 you see an uptick of malignant neoplasms or cancer in 1:56:08.440 --> 1:56:11.080 the middle ages, like fifty to sixty five, that's what 1:56:11.200 --> 1:56:13.600 gets you. Then that and that, So that's like basically 1:56:13.680 --> 1:56:16.800 that's kind of that's behavioral. You know, if you're smoking 1:56:16.800 --> 1:56:19.640 a lot, If you smoke, or you you are obese, 1:56:19.680 --> 1:56:22.080 it increases your risk of cancer if you're obese. UM, 1:56:22.480 --> 1:56:25.360 because fat is you know, produces hormones that your body 1:56:25.400 --> 1:56:28.920 gets exposed to. So it can be lifestyle choices that 1:56:29.000 --> 1:56:30.800 expose you to that, or it could be just a 1:56:31.040 --> 1:56:34.280 bad genetic draw and so being somewhat lucky in life 1:56:34.360 --> 1:56:37.160 is nothing you can do about that. So cars kill you, 1:56:37.240 --> 1:56:40.200 then your genes kill you, and then um and then 1:56:40.320 --> 1:56:42.840 it's just worked up a little chunk of bone. Yeah, 1:56:42.920 --> 1:56:44.960 I'm actually grinding. I'm grinding it up right now with 1:56:45.000 --> 1:56:47.200 my teeth. I think you'll be okay, You're good. Not 1:56:47.480 --> 1:56:50.960 my own some dudes. I hear that. And then after that, 1:56:51.040 --> 1:56:54.040 it's cardiovascular disease, which um the only way to really 1:56:54.600 --> 1:56:56.880 so some of that is going to kill you, like 1:56:57.000 --> 1:56:59.040 sixty plus. I mean, we see it depends. You know. 1:56:59.120 --> 1:57:01.120 We see people with third five who use cocaine or 1:57:01.160 --> 1:57:03.360 smoke a lot of a bad family history, who get 1:57:03.440 --> 1:57:05.000 heart attacks. And you told me I probably don't need 1:57:05.040 --> 1:57:08.480 to worry about dying from that. So because you're so active, 1:57:08.520 --> 1:57:11.680 I mean, you know, I don't think people realize the 1:57:12.360 --> 1:57:15.160 uh So, everybody knows it's smoking is bad for your lungs, 1:57:15.200 --> 1:57:16.760 but I don't think people realize that smoking is bad 1:57:16.800 --> 1:57:19.600 for the vessels around your heart. They hardened early, and 1:57:19.720 --> 1:57:23.120 so that's I think people don't realize, um, how that 1:57:23.200 --> 1:57:25.480 can affect you. So Yanni used to smoke. Yeah, I 1:57:25.520 --> 1:57:28.040 hear used to chew too. It's uh anything about that, Joannie. 1:57:29.160 --> 1:57:37.840 I don't leave home without it. So, uh So, after 1:57:37.920 --> 1:57:43.160 the cardiovascular disease, then it's um pahone you're saying fault. Yeah, 1:57:43.200 --> 1:57:46.080 I think it's fault. Yeah, it's falling. Someone told me 1:57:46.160 --> 1:57:49.320 recently that once you hit a certain age and you 1:57:49.440 --> 1:57:52.560 break your hip, yeah, you're dead within a month. Yeah, 1:57:52.560 --> 1:57:54.160 because of all the coal morbidities that come with it. 1:57:54.400 --> 1:57:56.720 So it's kind of like sharks, right, so or fish, 1:57:56.760 --> 1:58:00.040 you know, stop morbidity. Yeah, it was something like I 1:58:00.280 --> 1:58:02.240 can't here what it was, some staggering thing like once 1:58:02.320 --> 1:58:07.520 you're and you break your hip, you have a chance 1:58:07.560 --> 1:58:09.480 of being dead in a month or And it's really 1:58:09.560 --> 1:58:11.600 scary because you see, you can see these eighty year 1:58:11.600 --> 1:58:14.480 old young eighty year old ladies come in who you know, 1:58:14.560 --> 1:58:16.640 they break their hip, and they don't realize how how 1:58:16.760 --> 1:58:19.400 this is like one of the last notches sometimes, you know, 1:58:19.560 --> 1:58:22.440 it's it's really profound because if you stop, when you're 1:58:22.480 --> 1:58:24.920 like they come in, you're like, you're statistically you're done, 1:58:25.680 --> 1:58:27.280 but you're not saying that. You mean, you're saying, we're 1:58:27.280 --> 1:58:28.760 gonna get you fixed up, We're gonna try the best 1:58:28.800 --> 1:58:30.600 we can. And I don't think they realize how serious 1:58:30.640 --> 1:58:33.520 something like that is. Don't chance you're done? No, no, no, no, yeah, 1:58:33.520 --> 1:58:35.320 we don't. That's going back to the how you are 1:58:35.360 --> 1:58:38.800 your grandma treated. That's not a good good approach. But 1:58:38.920 --> 1:58:42.160 I think, uh so, people don't realize how a body 1:58:42.200 --> 1:58:44.240 emotion stays in motion. And I think it's not only 1:58:44.320 --> 1:58:46.560 for your brain if you're continually using your brain, but 1:58:46.600 --> 1:58:49.120 also your body. And everybody was stressing like, oh, you 1:58:49.160 --> 1:58:51.760 gotta run all the time and cardiovasc your fitness. But really, 1:58:52.240 --> 1:58:54.120 and my wife could attest this too because she's a doctor. 1:58:54.200 --> 1:58:57.040 You know. We see strength as a big issue, like 1:58:57.440 --> 1:58:59.720 older people that just can't stand up out of a chair. Right, 1:58:59.760 --> 1:59:03.320 you get up and go, And the more sedentary become, 1:59:03.640 --> 1:59:05.600 the less your blood flows, the more you eat, the 1:59:05.680 --> 1:59:08.560 more it just like a shark and water. You gotta 1:59:08.600 --> 1:59:11.120 stay moving all the time. Whatever it is. Yoga is 1:59:11.440 --> 1:59:15.920 terrific um. Strength training and some cardiovascular is the way 1:59:15.960 --> 1:59:18.280 to stay for That's what I plan on doing from 1:59:18.320 --> 1:59:21.320 what I've seen, so where your seatbelt, don't get hooked 1:59:21.360 --> 1:59:27.080 on opioids, have good genes, stay active, correct, don't smoke. 1:59:27.120 --> 1:59:31.080 Don't smoke, that's the and then eat eat things that spoil, right, 1:59:31.160 --> 1:59:33.160 you won't want like you're trying the other day, Like 1:59:33.240 --> 1:59:35.160 eat things you're talking about the brown food, right, you 1:59:35.200 --> 1:59:37.280 can watch the time lapse video of some fast food 1:59:37.320 --> 1:59:39.040 sit in the woods, and it looks the same three 1:59:39.080 --> 1:59:43.440 weeks later than it does. I bet it does. I 1:59:43.560 --> 1:59:46.800 bet it does. Tastes like salt and fat. It's preservatives, right, 1:59:47.880 --> 1:59:50.200 So my I was trying to explain my and I 1:59:50.240 --> 1:59:52.080 don't addhere to this in the strict fashion, but I 1:59:52.160 --> 1:59:54.200 was trying to explain my diet. Your day, we have 1:59:54.240 --> 1:59:56.960 an arguing about fat diets. Well, I was marveling at 1:59:57.000 --> 2:00:03.400 how fat diets um, they only die when they get replaced. Yeah, 2:00:03.440 --> 2:00:06.520 are you there's never a period of no fat diet. Yeah, 2:00:06.840 --> 2:00:10.080 there's all like a fat diet lives. It's like it's 2:00:10.120 --> 2:00:12.160 like when you're a king. Yeah, in the old days, 2:00:13.240 --> 2:00:16.520 Like a king or an emperor lives until it gets 2:00:16.640 --> 2:00:20.400 killed by yeah, an open coming king or emperor. And 2:00:20.560 --> 2:00:23.560 fat diets only get fat diets only get killed by 2:00:23.560 --> 2:00:26.560 a new replacement. There's never like we never take a 2:00:26.640 --> 2:00:29.000 year off of fat diets. Yeah, man, So the reason 2:00:29.080 --> 2:00:31.280 they're the reason there's more and more diets of coming 2:00:31.280 --> 2:00:33.080 around me. If there was one diet that worked for everybody, 2:00:33.160 --> 2:00:34.920 then that's what people would do, you know. But the 2:00:35.400 --> 2:00:38.280 thing is that it's all about calories in calories out right, 2:00:38.320 --> 2:00:40.680 So you have to burn more calories than you put 2:00:40.720 --> 2:00:43.040 in in order to burn fat. In order to do that, 2:00:43.200 --> 2:00:45.680 you have to exercise, which is the hardest part. People 2:00:45.720 --> 2:00:49.160 don't can't or won't, or they're stressed, or they work 2:00:49.240 --> 2:00:50.600 it on. I got kids, I know how hard is 2:00:50.640 --> 2:00:53.320 to fit in working out. I mean it's ridiculous. So 2:00:54.040 --> 2:00:57.040 so diet I'm trying to construct is this Are you 2:00:57.880 --> 2:00:59.840 starry to interject? But are you in ketosis yet? Because 2:00:59.840 --> 2:01:02.800 that's a big one now, you know, get I'll tell 2:01:02.800 --> 2:01:05.400 you what my diet is. Yeah, that it should look 2:01:05.480 --> 2:01:08.160 like it was chopped out of a fish or animal, 2:01:08.360 --> 2:01:12.680 meaning you're looking at it and you can tell that 2:01:12.800 --> 2:01:14.560 it was chopped out of a fish or an animal, 2:01:15.480 --> 2:01:18.680 or it looks like it grew out of the dirt. Yeah, 2:01:19.720 --> 2:01:23.320 So they talked, that's a diet. That's not even a 2:01:23.360 --> 2:01:25.920 fad diet. That's just a diet. You're talking about whole eating, right, 2:01:25.920 --> 2:01:27.400 you're talking about I don't know what I'm talking about 2:01:27.480 --> 2:01:30.240 talking about looking that's it. That's like I don't want 2:01:30.240 --> 2:01:32.360 anybody interpreting it. So it's like if you can call 2:01:32.400 --> 2:01:35.960 you like it I'm just envisioning all the things you've 2:01:36.280 --> 2:01:38.920 excluded from your diet. Most wit can just only be 2:01:39.000 --> 2:01:42.440 found at fancy restaurants. But no, it's it's a it's 2:01:42.440 --> 2:01:44.160 a hype. I'm not gonna do it. I'm just saying 2:01:44.200 --> 2:01:47.600 I feel like that's when I feel best the most time, 2:01:47.640 --> 2:01:49.480 when I'm like when I lay out my kids dinner 2:01:49.520 --> 2:01:52.520 at night, I'm most happy when I look at like 2:01:52.720 --> 2:01:54.400 it looks like stuff that you chopped out of animals 2:01:54.440 --> 2:01:56.280 and grow out of the dirt. Yeah, I mean, it's 2:01:56.280 --> 2:01:58.840 probably good for him. So I often tell patients, in 2:01:58.920 --> 2:02:01.480 the simplest terms, just eat around the perimeter of the 2:02:01.520 --> 2:02:05.320 grocery store. Everything that's on the outside my middle. My doctor. 2:02:06.960 --> 2:02:09.760 I've heard it before, my doctor, stay away from the middle. 2:02:09.760 --> 2:02:14.320 As the frozen stuff, the like the process. You eat 2:02:14.400 --> 2:02:17.200 what God and nature made, not what man. Just go 2:02:17.400 --> 2:02:20.560 laugh at the grocery store. I get frozen veggies because 2:02:20.600 --> 2:02:22.600 I just, yeah, it looks like it got shot grew 2:02:22.640 --> 2:02:24.920 out of the dirt, for sure. I mean, I'm certainly 2:02:24.960 --> 2:02:27.120 no saying I love potato chips, but you know, I try, 2:02:27.160 --> 2:02:28.720 and it doesn't look I could grew out of the dirt. 2:02:29.440 --> 2:02:32.120 They're bad for you. But unless you get the kind 2:02:32.160 --> 2:02:37.600 of look Pringles, it looks like a leaf came out 2:02:37.640 --> 2:02:41.920 of a machine. Um, if let's get a concluder from Johnnie, 2:02:43.160 --> 2:02:51.120 I have a good looking aunt. Thanks Johnny kel you 2:02:51.240 --> 2:02:55.280 gotta come back, man. We've wait, we've burned up disease. 2:02:56.080 --> 2:02:58.240 We're coming down. We covered that with the in fact, 2:02:58.280 --> 2:03:00.760 we had an epidemialogies for that. Yeah, and it's trying 2:03:00.760 --> 2:03:02.600 to do one to punch. We had. We had like 2:03:02.680 --> 2:03:04.480 an infectious disease guy. Now we're trying to have an 2:03:04.480 --> 2:03:07.520 injury guy. Yeah, it's super relevant. I mean listening to 2:03:07.640 --> 2:03:09.480 your story about your experience with lime, I mean that 2:03:09.680 --> 2:03:11.880 was fascinating to hear that about your elbows, what numb 2:03:11.920 --> 2:03:14.120 and whatnot. That's that kind of stuff is I mean, 2:03:14.160 --> 2:03:16.120 we don't fully understand how the body works, and that 2:03:16.320 --> 2:03:19.280 is a very squirrely disease. I don't it's crazy. That's 2:03:19.280 --> 2:03:22.520 a great word for it. Squirrely. Yeah, very scary too. 2:03:24.160 --> 2:03:27.920 You turniquet man, Yeah, yeah, I mean you gotta make 2:03:28.520 --> 2:03:30.960 like I said, I just feel like I go back 2:03:31.040 --> 2:03:35.040 and just start a little smarter and a little safer 2:03:35.600 --> 2:03:39.720 instead of the trial and error existence I've led because 2:03:39.720 --> 2:03:42.720 it's just harder now because, like I said, every time 2:03:42.760 --> 2:03:45.640 I look back, if somebody's like, well, you know, you 2:03:45.680 --> 2:03:47.840 shouldn't do that, all the dumb stuff you do all 2:03:47.840 --> 2:03:50.520 the time, not you, not you. But but oh my god, 2:03:50.560 --> 2:03:54.200 I'm so much better than I was ten years ago. 2:03:54.360 --> 2:03:56.240 I'm so much safer than I was. I think about 2:03:56.320 --> 2:03:59.800 this stuff so much more. Um, I'll tell you quickie. Yeah, 2:04:00.360 --> 2:04:02.200 we grew up next to dude. They're down the road 2:04:02.240 --> 2:04:07.240 from dude. Uh. Dan Morgan and Mike Morgan two brothers, 2:04:07.800 --> 2:04:09.520 very different brothers, but one of them fixed up an 2:04:09.520 --> 2:04:11.440 old snow and being I can't remember what happened. He 2:04:11.480 --> 2:04:13.880 had a problem where you wound up that he would 2:04:13.920 --> 2:04:17.960 take a mason jar and fill it full of gas. Perfect, 2:04:18.760 --> 2:04:21.200 I'm not joking. He had a mason jar full of 2:04:21.280 --> 2:04:23.800 gas with a lid on, a ball cap on it, 2:04:24.120 --> 2:04:26.520 not a ball cap like a baseball cap, ball brand cap, 2:04:27.480 --> 2:04:30.560 and a hole in it. He would fill that jar 2:04:30.640 --> 2:04:33.520 full of gas and carry it between his legs with 2:04:33.680 --> 2:04:38.160 the fuel line going into the jar of gas. That 2:04:38.280 --> 2:04:43.840 was his fuel tank between his legs. Uh, And then 2:04:44.840 --> 2:04:51.200 barely warranted comment we're going, so you do, superstar? Yeah? 2:04:51.760 --> 2:04:55.360 But in regards to the opioids, you know, my grandma 2:04:55.520 --> 2:04:59.280 just passed away here um end of the summer. And 2:05:00.720 --> 2:05:02.640 sorry to hear that, by the way, oh thank you. Yeah. 2:05:02.720 --> 2:05:05.680 She had she had a great run. Um hard headed 2:05:05.720 --> 2:05:14.000 old gal six I think, yeah, um. But she was 2:05:15.320 --> 2:05:26.280 like vehemently anti drugs and she would you know, scientologist, no, 2:05:26.520 --> 2:05:30.880 she just like she was. She would literally scream at 2:05:30.920 --> 2:05:33.680 the doctor and say, you're not going to turn me 2:05:33.720 --> 2:05:40.200 into a goddamn drug addict. That this cholesterol film. Yeah yeah, 2:05:40.280 --> 2:05:43.400 I mean she was like and if she felt because 2:05:43.440 --> 2:05:45.800 she had to have surgeries and stuff, and if she 2:05:45.960 --> 2:05:49.320 felt like at all doped up, she's like, what are 2:05:49.400 --> 2:05:53.040 you giving me? And just and I mean then that's 2:05:53.160 --> 2:05:56.360 that's the way she expired. Like she she was with 2:05:56.560 --> 2:05:59.760 it and fought that stuff until you know, she she 2:06:00.080 --> 2:06:03.120 exically like went into a pain fog and then the 2:06:03.200 --> 2:06:06.320 family got to step in and be like, okay, go ahead, 2:06:06.400 --> 2:06:10.280 doper up so we can. Yeah. Yeah, it was, I mean, 2:06:10.320 --> 2:06:12.880 it was amazing. It's good to applaudable in the sense 2:06:12.920 --> 2:06:14.440 that it's good to ask what people are giving you, 2:06:14.800 --> 2:06:16.560 even if you're in that environment. It's nice to ask 2:06:16.600 --> 2:06:18.560 and say, hey, take some ownership and be like, what 2:06:18.680 --> 2:06:21.800 are you doing to me? Don't just take everything face value, 2:06:21.840 --> 2:06:24.640 you know. But thing like being on the outside, right, 2:06:24.720 --> 2:06:28.280 we're like take the pill, trying to hurt you. Yeah, 2:06:29.320 --> 2:06:31.640 you got anything to wrap up? Yeah, I just want 2:06:31.720 --> 2:06:36.160 to thank Alan, because what was I saying, Adam or 2:06:36.200 --> 2:06:41.720 what you're saying that was gonna be a Michael but Alan, Yeah, No, 2:06:41.840 --> 2:06:44.440 I just want to thank you. No, you did not 2:06:44.720 --> 2:06:49.919 like I could have made that mistake. Yeah, but I've 2:06:49.960 --> 2:06:52.680 got I've gotten kind of complacent about what I was 2:06:52.760 --> 2:06:54.800 carrying around in my medical kit and just kind of 2:06:54.880 --> 2:06:56.640 throwing it in there in the bottom of the pack, 2:06:57.320 --> 2:07:00.240 you know, just I'm like, it's there. But now I'm 2:07:00.240 --> 2:07:02.400 gonna like get a little more serious about looking at 2:07:02.480 --> 2:07:05.640 it and what's in there and checking it frequently and 2:07:06.000 --> 2:07:08.920 things like that. Oh, I've been thinking this this whole thing, 2:07:09.160 --> 2:07:11.560 Like this weekend, I gotta I gotta make a trip 2:07:11.640 --> 2:07:14.200 to the store here before I hit through. Yeah, because 2:07:14.360 --> 2:07:17.000 like stuff goes bad or gets wet or you know whatever. 2:07:17.160 --> 2:07:20.920 And people definitely, people definitely love love gear stuff and 2:07:21.000 --> 2:07:23.520 this is a valuable way to spend some time and 2:07:23.680 --> 2:07:25.240 a little bit. It can go a long way, I think. 2:07:25.600 --> 2:07:28.080 But my second thing was when when we were talking 2:07:28.120 --> 2:07:30.720 about how to live to be an old age something 2:07:30.800 --> 2:07:33.760 you pointed out that we didn't touch on. And I'm 2:07:33.760 --> 2:07:36.160 not condoned and drinking or being mean to people, but 2:07:36.280 --> 2:07:39.480 you said, uh, angry alcoholics. You know they can they 2:07:39.520 --> 2:07:42.240 can go a long time, yea. So you know, we 2:07:42.480 --> 2:07:45.360 sometimes we just see people that are able to withstand. 2:07:45.840 --> 2:07:47.680 You know, some people smoke for five years and they 2:07:47.720 --> 2:07:49.680 end up with COPD. Some people smoke till there nine 2:07:50.080 --> 2:07:52.800 and have no breathing problems. So it's it's a lot 2:07:52.840 --> 2:07:55.880 of it's genetic. Or you see people who treat their 2:07:55.880 --> 2:07:58.680 bodies like a playground and live to old age. And 2:07:58.960 --> 2:08:01.080 but you said, being me means like being a little 2:08:01.160 --> 2:08:03.640 means a good thing you think, you know, in reference 2:08:03.640 --> 2:08:05.520 to the fact that some of the middle aged people 2:08:05.520 --> 2:08:07.879 I see who end up being diagnosed with cancer, unfortunately, 2:08:07.920 --> 2:08:11.200 it's always it's a it's a part of our gallows humor. 2:08:11.200 --> 2:08:13.760 You know, they're just so nice. Why would that happen 2:08:13.800 --> 2:08:16.000 to that person who's like, uh, you know, a pastor 2:08:16.200 --> 2:08:19.320 with three kids and super nice and great guy and 2:08:19.680 --> 2:08:22.440 he's got pancreatic cancer for no freaking reason, you know. 2:08:22.560 --> 2:08:25.920 And it's just this ironic, horrible thing that I got 2:08:25.960 --> 2:08:29.760 my grandma throwing stuff at you know, he lives in 2:08:29.840 --> 2:08:32.800 your nineties, you know, so um it's a joke that 2:08:32.920 --> 2:08:34.320 you know, you have a little bit of a mean streak, 2:08:34.360 --> 2:08:37.480 but yeah, you can you know, uh take it out 2:08:37.520 --> 2:08:39.200 on a tree stump or something like that. Well, I 2:08:39.280 --> 2:08:40.880 was at the dentisty or day. I couldn't see if 2:08:40.920 --> 2:08:43.720 there was an old old lady in the stall next 2:08:43.760 --> 2:08:45.880 to you whatever they call those things, And I heard her. 2:08:46.720 --> 2:08:49.680 He's like greating her and all she has to say 2:08:49.680 --> 2:08:54.120 to him, She's like, you're gonna wear gloves in a mask? Yeah, yeah, yeah, yeah, yeah, 2:08:54.600 --> 2:08:59.200 tell yeah, yeah, you're correct. Yes, I'm going to It's 2:08:59.200 --> 2:09:01.680 good to advocate yourself. We can all do it politely, 2:09:03.920 --> 2:09:06.120 all right, You got any final and you gotta have 2:09:06.200 --> 2:09:08.800 to come back on. Man. I love to love to 2:09:09.040 --> 2:09:11.440 you know. We never give a final thought too. Yeah, no, 2:09:11.600 --> 2:09:15.760 fill the engineer never say no. One cares a handsome devil. 2:09:15.840 --> 2:09:17.920 I appreciate that. I think the reason most people don't 2:09:17.920 --> 2:09:19.640 care because I don't have a whole lot to bring 2:09:19.720 --> 2:09:22.040 to the table. Yeah, I don't care less. What film 2:09:22.160 --> 2:09:23.520 right now. But yeah, I just want to thank you 2:09:23.600 --> 2:09:33.080 for for that's about enough. We've heard enough. No, I 2:09:33.200 --> 2:09:34.840 was here filing now that you got started. Yeah, no, 2:09:34.960 --> 2:09:37.120 I mean I was kind of nervous when that during 2:09:37.160 --> 2:09:39.800 the class today, that slide popped up that said, you know, 2:09:39.880 --> 2:09:43.640 they're warning disturbing images coming up, because I think when 2:09:43.680 --> 2:09:47.960 I think most humans, they're natural inclination is to kind 2:09:48.000 --> 2:09:51.160 of push stuff like horrible injuries out of their heads 2:09:51.240 --> 2:09:54.400 and like, because it's just it's a massive reminder that 2:09:54.480 --> 2:09:57.440 we're all just sacks of goo. Yeah, absolute, and like, 2:09:57.680 --> 2:09:59.240 you know, one horrible thing could happened and all the 2:09:59.280 --> 2:10:01.200 good could spill out and we could be dead. But 2:10:01.280 --> 2:10:03.560 I think it's really important to at least learn the 2:10:03.600 --> 2:10:06.880 basics of how to keep the goo in. Yeah, so yeah, 2:10:06.920 --> 2:10:08.880 thanks for coming in. You should have him comment more often. 2:10:09.560 --> 2:10:12.960 Always start that's pretty good, young good. I used to 2:10:12.960 --> 2:10:14.560 think he's some kind of playboy and then realize he's 2:10:14.560 --> 2:10:17.440 got kids. Yeah, keeps quiet about him, Yeah, not very 2:10:17.480 --> 2:10:22.280 proud of them, apparently, lovely, lovely children. What do you 2:10:22.320 --> 2:10:25.080 got any concluders? I would just say, you know, to 2:10:25.280 --> 2:10:31.680 all of the first responders and in emergency and emergency staff, nurses, 2:10:31.720 --> 2:10:34.360 everybody's out there, who's you know, standing standing on the 2:10:34.400 --> 2:10:36.040 wall in the middle of the night taking care of people. 2:10:36.360 --> 2:10:39.000 Thank you to everybody that does that. And for all 2:10:39.000 --> 2:10:42.440 of us hunters out there, please protect yourself, protect your family, 2:10:43.080 --> 2:10:45.760 um because you know, like Phil was saying, it only 2:10:45.800 --> 2:10:48.320 takes one misstep and we're dealing with a pretty life 2:10:48.400 --> 2:10:51.360 changing situation. So announcer preventions worth a pound of cure. 2:10:51.480 --> 2:10:53.560 So be safe. Yeah, when you're bragging up, how your 2:10:53.600 --> 2:10:56.960 pack anyways three pounds and you're washing your body bleed 2:10:57.000 --> 2:10:59.600 out inside of the hill. Yeah, you need to you 2:10:59.640 --> 2:11:01.200 want to have to hunt another day. They could have 2:11:01.280 --> 2:11:03.640 had a three pound, three ounce pack and had you turniquet. Yeah, 2:11:03.760 --> 2:11:06.360 very good. That's a great point. So and thank you guys. 2:11:06.440 --> 2:11:08.680 And I think also too, I mean, what you guys do, 2:11:08.960 --> 2:11:13.080 what your vision is producing both for nature conservation and 2:11:13.160 --> 2:11:17.560 hunting is extra positive. And I think we'll live on 2:11:17.720 --> 2:11:19.200 for a long time. So I think you guys are 2:11:19.240 --> 2:11:21.360 doing something really special here. So thank you, Thank you. 2:11:21.440 --> 2:11:23.480 Than I look forward to working with you on our 2:11:23.520 --> 2:11:27.120 secret project, secret double triple A. Right, Thanks guys,