WEBVTT - Coronavirus Check Up with Dr. Kaveh Hoda 0:00:03.840 --> 0:00:06.560 This is it could happen here a podcast that I 0:00:06.680 --> 0:00:10.239 opened perfectly as a professional, as a man who makes 0:00:10.280 --> 0:00:13.560 all of his money from the podcasts uh no, notes, 0:00:15.440 --> 0:00:18.000 How is syphilis doing these days? You don't hear a 0:00:18.000 --> 0:00:20.520 lot from syphilis? Is it? Is it holding up? Okay, yeah, 0:00:20.520 --> 0:00:22.599 it's around. It's fine. Thank you for asking it. I 0:00:22.840 --> 0:00:26.279 didn't know that it's not the same thread it used 0:00:26.280 --> 0:00:28.320 to be. It comes back in waves every now and then. 0:00:28.440 --> 0:00:31.000 It has had a good run for a couple of years, 0:00:31.040 --> 0:00:36.440 kind of like Star Trek. Right, yeah, yeah, there's a well, 0:00:36.600 --> 0:00:38.440 I don't think there's like new versions of it. I 0:00:38.440 --> 0:00:40.720 think it's like the same, good old syphilis pretty much. 0:00:40.760 --> 0:00:43.320 I don't think it changes drastically, so it's like Star 0:00:43.360 --> 0:00:47.279 Trek on Netflix. Yeah yeah, okay, Well, good to hear 0:00:47.360 --> 0:00:50.560 from syphilis. This has been your syphilis update. That's gonna 0:00:50.560 --> 0:00:53.120 do it for us this week until next week. I've 0:00:53.120 --> 0:00:56.920 been Robert Evans, Dr Cavojota, and of course Garrison Davis 0:00:57.240 --> 0:01:03.200 all right, by everyone by It would be pretty funny 0:01:03.240 --> 0:01:05.080 to just do that, so fa, to just drop a 0:01:05.120 --> 0:01:09.000 one and a half minute episode on, but only if 0:01:09.040 --> 0:01:13.360 we put in fifteen ads. M. Yeah, we really like 0:01:13.520 --> 0:01:18.160 every word, we have a full ad break in between. Yeah, 0:01:18.360 --> 0:01:20.679 then then people would probably complain lest about the nine 0:01:20.880 --> 0:01:25.200 dads that are in our episodes. Right now, I can 0:01:25.240 --> 0:01:27.440 talk about what are we what are we doing right now? 0:01:27.480 --> 0:01:31.360 What is this episode about? What's going on? I'm assuming 0:01:31.400 --> 0:01:35.680 you guys want to talk about the coronavirus or I 0:01:35.720 --> 0:01:37.600 don't know. I can talk about whatever you want, but 0:01:37.800 --> 0:01:40.360 I think that's probably what you guys brought me on for. 0:01:40.640 --> 0:01:42.640 All right, what do we what is this coronavirus? Is 0:01:42.640 --> 0:01:46.280 this a problem? It's a little problem. It's not good 0:01:46.280 --> 0:01:49.800 to hear it's it's it's not great. So why didn't 0:01:49.800 --> 0:01:52.920 you give me a heads up on this? So? Yeah, 0:01:52.960 --> 0:01:55.520 that that's me not giving you heads up on the plaque, 0:01:55.960 --> 0:02:03.640 the figure talking about hear anything about this? All the masks, 0:02:03.840 --> 0:02:06.120 that's why you got those two jabs in your arms 0:02:06.120 --> 0:02:11.600 and that random parking lot. Oh I thought that was heroin. Sorry. 0:02:12.840 --> 0:02:15.280 First of all, can can we talk about the use 0:02:15.320 --> 0:02:17.600 of the word jab. I don't love it. It's I mean, 0:02:18.000 --> 0:02:20.800 you're not James Bond, you don't. Let's not use jab. 0:02:21.600 --> 0:02:25.160 Prefer it's fair. I prefer what I think is the 0:02:25.160 --> 0:02:30.560 proper medical term. Vain fucked. Yeah, but it's not really 0:02:30.560 --> 0:02:33.560 your vein either, It's really just interra muscular fucked. Oh right, 0:02:33.840 --> 0:02:36.880 muscle fucked. Yeah. I mean, what what are the cool 0:02:36.960 --> 0:02:39.280 kids calling it? Is it a poke? What do we 0:02:39.320 --> 0:02:42.400 want to what do the teens call it? Is it? 0:02:42.520 --> 0:02:45.799 Are they calling it the TikTok's? Yeah, it's called it's 0:02:45.840 --> 0:02:47.919 called the TikTok. I don't know. I've I've been been 0:02:47.960 --> 0:02:52.000 working on I've been working on a all day Today've 0:02:52.000 --> 0:02:56.240 been working to find this proud boy who's pretending to 0:02:56.280 --> 0:03:01.359 take COVID vaccines but it's actually steroids. Um. He calls 0:03:01.400 --> 0:03:08.560 the critical support, he calls the extracurriculars. Okay, So that 0:03:08.760 --> 0:03:12.359 honestly rules, that's extremely funny. I'm hoping that article will 0:03:12.360 --> 0:03:16.160 be by the time this podcast airs. So, uh, who's 0:03:16.160 --> 0:03:18.720 the article for? I'm not sure yet. I'm talking with 0:03:18.720 --> 0:03:23.239 Opossum Press. Okay, cool, Well that's funny, Garrison. What is 0:03:23.240 --> 0:03:25.800 today's episode about? Well, we we want to talk to 0:03:25.919 --> 0:03:29.440 We wanted to talk to kVA about both what the 0:03:29.480 --> 0:03:32.680 current plague situation is because a lot of people seem 0:03:32.720 --> 0:03:34.600 to think it's over a lot of people seem to 0:03:34.600 --> 0:03:38.520 think it's not over um. And then also, how is 0:03:38.920 --> 0:03:42.040 COVID and all the stuff still affecting our hospital and 0:03:42.120 --> 0:03:45.480 medical system? Um? Is there supply shortages for medical supplies? 0:03:45.720 --> 0:03:50.400 What's going on in different areas? Yeah, because all of that, 0:03:50.480 --> 0:03:55.040 all that kind of stuff, Yes is the answer. Yes, 0:03:55.160 --> 0:03:59.160 the answer. Yeah, it's a it's still a problem. I 0:03:59.200 --> 0:04:01.720 don't think. Uh, don't listen to anyone who tells you 0:04:01.760 --> 0:04:04.120 that it's not. Um, don't listen to anyone who gives 0:04:04.120 --> 0:04:07.680 you too Sonny of forecast on it. But it you know, 0:04:07.880 --> 0:04:10.440 it's different in different places. Is the along the short 0:04:10.440 --> 0:04:14.720 of it. In places where the vaccinations are higher and 0:04:14.760 --> 0:04:18.599 where there's mandates and there's reasonable laws about things, the 0:04:18.800 --> 0:04:27.599 rates are going downs California, but also like Rhode Island, Maine, Massachusetts, Connecticut, Vermont. 0:04:27.640 --> 0:04:31.520 These are places with high vaccination rates. The rates of 0:04:31.560 --> 0:04:35.680 cases are going down in those places. Places like Mississippi, 0:04:35.720 --> 0:04:40.400 West Virginia, Idaho, Alabama. These are places where like it's 0:04:40.600 --> 0:04:46.040 for vaccination rates and the cases are going way up. 0:04:46.080 --> 0:04:48.560 You guys might have heard of a couple of things happening, 0:04:48.600 --> 0:04:51.039 Like there was that forty six year old guy named 0:04:51.080 --> 0:04:54.120 Daniel Wilkinson. He's like a vet who develops something called 0:04:54.160 --> 0:04:57.080 gallstone pancreatitis, which I could talk to you guys about 0:04:57.080 --> 0:04:59.600 for hours, but I won't. Don't worry, but I could. 0:04:59.640 --> 0:05:04.080 I'm just like you know, I could, I mean declared. 0:05:04.120 --> 0:05:07.039 It's not a total DNR, but like anyone who has 0:05:07.200 --> 0:05:10.719 um cardiac arrest is on a DNR now in Idaho 0:05:10.760 --> 0:05:13.640 because they just don't have the resources to be well, 0:05:13.640 --> 0:05:17.440 that's not entire I mean what am I Okay? So 0:05:17.680 --> 0:05:19.200 that's not your fault. You got wrong, because there are 0:05:19.200 --> 0:05:21.600 there were doctors that were sort of spreading that story 0:05:21.640 --> 0:05:24.159 about now they are and what's called the crisis standard 0:05:24.160 --> 0:05:27.240 of care. But and in part of that means that 0:05:27.560 --> 0:05:30.680 hospitals could go to putting everyone on DNR, which means 0:05:30.680 --> 0:05:34.520 do not resuscitate, which means if you have a cardiac arrest, 0:05:34.600 --> 0:05:37.000 they won't do anything about it. That's that's not what's 0:05:37.080 --> 0:05:40.480 actually happening. It could happen. What what when they institute 0:05:40.520 --> 0:05:43.080 this crisis standard of care. What it means is that 0:05:43.480 --> 0:05:47.039 if a hospital gets so short on their ventilators and 0:05:47.480 --> 0:05:49.640 they just don't have any more room, then they could 0:05:49.760 --> 0:05:53.000 implement that. I mean, I don't know I even heard 0:05:53.000 --> 0:05:55.479 of anyone I was. I was asking around to see 0:05:55.480 --> 0:05:57.200 if any doctors in Idaho could tell me of a 0:05:57.240 --> 0:05:59.960 hospital that's actually doing it. I haven't seen or heard 0:06:00.080 --> 0:06:02.520 of one that's actually doing it yet, but they could. 0:06:02.600 --> 0:06:04.880 The point is it's it's that bad. But that's a 0:06:04.920 --> 0:06:08.359 reasonable discussion where doctors have to discuss kind of like 0:06:08.400 --> 0:06:10.680 they were back in the day in New York, where 0:06:10.680 --> 0:06:13.000 they have to be like, okay, does this person do 0:06:13.040 --> 0:06:16.880 we put the you know, the young lady on the 0:06:17.240 --> 0:06:20.080 mental leader or the old guy? You know? Then we 0:06:20.160 --> 0:06:22.720 have to decide and they make those decisions. It's really awful. 0:06:22.720 --> 0:06:24.560 It's a position no doctor wants to be in. And 0:06:24.600 --> 0:06:28.159 now that's becoming a reality. It's brutal. It's brutal out there, 0:06:28.240 --> 0:06:31.920 and and that's bleeding into other states nearby, you know. 0:06:32.160 --> 0:06:35.400 So is that what you mean by the Welkerson situation 0:06:35.640 --> 0:06:39.719 because his doctor like couldn't find uh an ICU bed 0:06:39.760 --> 0:06:41.120 for him? Is that that is that the story you're 0:06:41.120 --> 0:06:44.120 talking about? That's the story. So he's this guy who 0:06:44.120 --> 0:06:46.040 had a problem that can be fixed. I mean it's 0:06:46.040 --> 0:06:48.120 a procedure called an e r CP that he can 0:06:48.120 --> 0:06:51.080 get done at specialty centers and he didn't live far 0:06:51.160 --> 0:06:54.360 from Houston. Houston has plenty of the specialty centers that 0:06:54.440 --> 0:06:57.480 can do it. They have great guests from urologists like myself, 0:06:58.080 --> 0:07:00.240 not as good, but you know, the same sort of thing. 0:07:00.400 --> 0:07:04.120 And they could do it if they if they, you know, 0:07:04.400 --> 0:07:06.640 if they had the availability to get him in. But 0:07:07.440 --> 0:07:09.560 they didn't, and so he died. Is something that he 0:07:09.600 --> 0:07:12.800 shouldn't love. It's basically the example. And I'm sure there's 0:07:12.840 --> 0:07:15.600 more examples of that. And what really worries me is 0:07:16.000 --> 0:07:19.160 the examples that you're not hearing yet, like cases they're 0:07:19.200 --> 0:07:22.520 delayed now, cancer screening, things that are being delayed now 0:07:22.640 --> 0:07:26.559 in these hospitals that we're gonna be paying down the road. 0:07:27.400 --> 0:07:32.080 That's that's the ship that really scares me. Just people 0:07:32.120 --> 0:07:37.640 not going in for things in general. Yeah, exactly. I 0:07:37.680 --> 0:07:39.560 have friends other than you who work in E. R 0:07:39.640 --> 0:07:43.600 s and stuff, nurses and the doctor um and bullshit. 0:07:43.920 --> 0:07:47.520 It's up in the pm W. But the ship they're 0:07:47.520 --> 0:07:52.200 saying is like in the days crap Like like I 0:07:52.920 --> 0:07:56.200 they are working on like building capacity and making sure 0:07:56.240 --> 0:07:58.960 they have things to like treat their friends because it's there, 0:07:59.040 --> 0:08:02.320 like the advice do not go to the hospital, like 0:08:02.360 --> 0:08:04.480 if if if at all possible, like because there's just 0:08:04.560 --> 0:08:09.040 not capacity for you unless it's like literally an immediate 0:08:09.080 --> 0:08:12.800 life and death thing. It's it's almost uh not worth 0:08:13.600 --> 0:08:17.240 like trying because there's just nothing, there's no slack the 0:08:17.320 --> 0:08:20.000 system is and it's it's it's starting to turn. It 0:08:20.000 --> 0:08:22.040 looks like here in in in the Portland area, but 0:08:22.160 --> 0:08:26.280 like it's it's frightening, like these are not people who 0:08:27.480 --> 0:08:31.080 would be bullshitting or or are are are prone to panic. 0:08:31.280 --> 0:08:35.440 You know, they're e er professionals, but um, it's it's 0:08:35.480 --> 0:08:38.959 it's fucked up, like it's it's it it's this thing 0:08:39.000 --> 0:08:40.719 where like the scary thing to me is not even 0:08:40.760 --> 0:08:43.439 necessarily where we are right now, because it does like 0:08:43.480 --> 0:08:46.040 there is some kind of broadly positive news in a 0:08:46.040 --> 0:08:48.280 lot of areas about like where the pandemic is going. 0:08:48.280 --> 0:08:53.360 It's just like this situation won't be fixed when case 0:08:53.440 --> 0:08:57.320 numbers go down. It's it's it's going to be permanent 0:08:57.360 --> 0:08:59.080 damage has been done to this system. And I guess 0:08:59.080 --> 0:09:02.360 what I'm wondering, first off, like from what you're seeing, 0:09:02.360 --> 0:09:05.400 like what what is the extent of the permanent damage 0:09:05.440 --> 0:09:08.920 done to our our emergency medical system in particular, and 0:09:08.960 --> 0:09:13.960 our our ability to even get care at the moment. Yeah, 0:09:14.000 --> 0:09:16.000 that's a really good question. I don't I don't know. 0:09:16.040 --> 0:09:18.199 It kind of goes back to I think what Garrison 0:09:18.240 --> 0:09:20.080 want to talk about, which is like the collapse of 0:09:20.080 --> 0:09:23.240 the medical system. I think we talk about it a 0:09:23.280 --> 0:09:26.680 lot in terms of we're on the edge of collapse, 0:09:26.720 --> 0:09:29.720 we're near collapse. I think there are places in this 0:09:29.800 --> 0:09:33.800 country where it already has collapsed. I think that's pretty evident. 0:09:33.960 --> 0:09:37.280 It's really it's not homogeneous in any way across this country. 0:09:37.320 --> 0:09:39.959 There are certainly places that are better than others, and 0:09:40.200 --> 0:09:43.720 there's certainly places that have a lot more uh leeway 0:09:43.760 --> 0:09:47.520 and flexibility, but everywhere is strained right now. And in 0:09:48.040 --> 0:09:50.800 regards to your question about permanent damage, I'll answer that 0:09:50.840 --> 0:09:56.040 in regards to just the personnel. You know, because um, 0:09:56.320 --> 0:09:58.600 because of the show that I have the House of Pod, 0:09:58.920 --> 0:10:02.000 all those twitter at the House of Pod, and I 0:10:02.120 --> 0:10:05.679 talked to a lot of doctors and nurses from all 0:10:05.720 --> 0:10:10.040 over the country, talk to them a lot, and it's bad. 0:10:10.320 --> 0:10:14.000 I mean, the stress that they're under, the pts D 0:10:14.240 --> 0:10:17.880 that they're that they're dealing with, the burnout, the level 0:10:17.880 --> 0:10:21.000 of burnout is just intense it's intense and and it's 0:10:21.480 --> 0:10:24.160 I think we were talking about moral injury and burnout 0:10:24.160 --> 0:10:27.280 before all this started, and now it is to a 0:10:27.320 --> 0:10:29.520 point where I don't know what's going to happen to 0:10:29.559 --> 0:10:32.319 the medical system, just in terms of the personnel when 0:10:32.360 --> 0:10:34.679 this is all over. I know a lot of people 0:10:34.920 --> 0:10:37.480 who are getting out of medicine, getting out clinical medicine. 0:10:37.760 --> 0:10:39.840 I mean out of like I would I would say, 0:10:39.920 --> 0:10:42.400 out of just my immediate friend group. I can think 0:10:42.440 --> 0:10:46.000 of a couple off hand, excellent doctors, really great I 0:10:46.080 --> 0:10:49.520 c U e R doctors who are already planning their exit. Yeah, 0:10:49.559 --> 0:10:51.480 and when I don't know, I mean in the next 0:10:51.480 --> 0:10:54.520 coming years, that's gonna be a major issue, and I 0:10:54.520 --> 0:10:56.040 don't know how we're going to address that. And our 0:10:56.160 --> 0:10:58.040 nurses in the i c u. S. Man, the stuff 0:10:58.040 --> 0:11:00.079 they have to put up with is is in and 0:11:00.240 --> 0:11:02.000 you just see it in their eyes. Eyes are broken, 0:11:02.320 --> 0:11:05.680 Like I was. I volunteered on the wards a couple 0:11:05.679 --> 0:11:09.839 of weeks ago, and people, they're the doctors and nurses 0:11:09.880 --> 0:11:12.000 taking care of these COVID patients day in day out, 0:11:12.480 --> 0:11:16.120 like they there's like a little bit of their soul 0:11:16.160 --> 0:11:19.280 that's been broken. Just see it in their eyes. Like 0:11:19.520 --> 0:11:22.679 I was there for like just a week, and it's terrifying. 0:11:23.760 --> 0:11:26.160 You're going into a room with a patient with COVID. 0:11:26.280 --> 0:11:28.560 It's scary, you know, even no matter how much ppe 0:11:28.720 --> 0:11:31.960 protective equipment you have on, like, you're always a little scared. 0:11:32.000 --> 0:11:35.640 And I just think years of that that way is 0:11:35.679 --> 0:11:37.679 on a person in a way I don't I mean, 0:11:37.760 --> 0:11:39.120 I am worried about. I don't know how we're going 0:11:39.160 --> 0:11:44.080 to address that. M Yeah, that's cool. Yeah, And it's 0:11:44.120 --> 0:11:47.200 frustrating because, like from the perspective of people listening, right, 0:11:47.240 --> 0:11:48.440 the thing you want to ask is like, well, how 0:11:48.440 --> 0:11:51.160 can I help? And it's like, well, you can't because 0:11:51.160 --> 0:11:53.280 you're already if you're listening to the show, I assume 0:11:53.320 --> 0:11:55.800 you're masking. I assume you've gotten vaccinated. If you don't 0:11:55.800 --> 0:11:58.040 have like a condition that that renders you unable to 0:11:58.080 --> 0:12:01.840 get the vaccine, you're you're I I think our listeners 0:12:01.880 --> 0:12:05.160 tend to be pretty responsible people. It's just not enough 0:12:05.280 --> 0:12:10.600 because the country decided to like Leroy Jenkins a plague 0:12:11.200 --> 0:12:18.280 and um Garrison, do you know that reference? Is that gence? 0:12:18.720 --> 0:12:23.640 I'm familiar with Leroy Jenkins. That's good. Were you born 0:12:23.640 --> 0:12:26.599 when Leroy Jenkins became a thing. I don't know. You 0:12:26.600 --> 0:12:29.199 would have been like three, would have been young. Yeah, 0:12:29.280 --> 0:12:31.480 it was it was Deadpool that brought him to your attention, 0:12:31.520 --> 0:12:35.120 isn't it. No, No, I it came to my attention 0:12:35.200 --> 0:12:38.640 just doing general internet nothing. Yeah. It was one of 0:12:38.640 --> 0:12:41.040 the first. It was the first meme that you could 0:12:41.040 --> 0:12:44.800 show your parents pretty much. I guess they were like Badger, Badger, mushroom, 0:12:44.800 --> 0:12:46.560 a couple of others in that category, but like, it 0:12:46.600 --> 0:12:48.640 was one of the first memes that wasn't a man's 0:12:48.720 --> 0:12:56.600 gaping asshole prolapsed. But I showed my parents that all 0:12:56.640 --> 0:13:00.000 the time. I don't know. Yeah, there was a beautiful 0:13:00.040 --> 0:13:04.280 full moment back in the day with some sea to stadium. Yeah, 0:13:04.360 --> 0:13:06.800 that's what brought you into medicine. This is when I 0:13:06.800 --> 0:13:09.120 saw work. They were so proud of me, like, look 0:13:09.160 --> 0:13:11.200 at look at our son, look at our boy, look 0:13:11.240 --> 0:13:13.600 at our boy. He can tell us exactly why that 0:13:13.679 --> 0:13:18.560 man's asshole looks that way. I have a weird job, 0:13:30.280 --> 0:13:33.240 I guess. One of my questions is, with the assumption 0:13:33.240 --> 0:13:37.320 that people are taking the actual plague related steps they 0:13:37.360 --> 0:13:41.400 can to reduce their burden to the medical system, what 0:13:41.480 --> 0:13:44.080 can people realistically do. I mean, I think part of 0:13:44.120 --> 0:13:45.959 that is and this is and I'm not going to 0:13:46.040 --> 0:13:48.319 have you to like explain how you can take care 0:13:48.360 --> 0:13:52.040 of your own medical treatments in an emergency on a podcast. 0:13:52.120 --> 0:13:54.400 That's not the time or the place. Although I do 0:13:54.520 --> 0:13:57.360 think it's probably a good idea for people to read 0:13:57.440 --> 0:14:00.800 up on first aid and basic life saving emergency like 0:14:00.840 --> 0:14:03.760 it's always a good idea to have some training there. 0:14:04.240 --> 0:14:06.920 But yeah, I mean, do you have other advice? You know, 0:14:07.520 --> 0:14:09.600 You're exactly right. The people that are listening to this 0:14:10.040 --> 0:14:13.600 podcast are totally on board already, and they're super supportive 0:14:14.160 --> 0:14:17.679 and we appreciate that. I mean, that is not unnoticed. 0:14:17.679 --> 0:14:22.400 I mean, um, you know, it's having people like uh 0:14:23.000 --> 0:14:26.160 outside the hospitals every now and then applauding doctors. I 0:14:26.160 --> 0:14:29.560 know it's cheesy, but it's great. I'll take that over 0:14:29.880 --> 0:14:33.280 the blue angels flying overhead any day, you know. So 0:14:33.520 --> 0:14:36.280 it's that's that stuff is really important, and masking and 0:14:36.320 --> 0:14:39.920 taking care of themselves is is great, you know. Um. 0:14:40.160 --> 0:14:44.040 The the real practical things that people can do, I 0:14:44.080 --> 0:14:48.200 think is help contribute to sites that will help get 0:14:48.200 --> 0:14:51.400 the rest of the world vaccinated. I mean, we can 0:14:51.440 --> 0:14:55.200 definitely talk about that, the question of boosters here versus 0:14:55.480 --> 0:14:59.000 you know, vaccines for the first time elsewhere. But there, 0:14:59.040 --> 0:15:01.280 that's the one thing I would recommend right now, if 0:15:01.600 --> 0:15:04.160 you want to help, um, let's put our money into 0:15:04.200 --> 0:15:08.040 places where we can get vaccines to other places. And 0:15:08.720 --> 0:15:11.200 I think that every little bit of that helps in 0:15:11.240 --> 0:15:13.320 the long run. And that's the sort of thing that 0:15:13.720 --> 0:15:16.840 we could use. Other than that, I mean, I just 0:15:16.920 --> 0:15:19.680 hope that people are still going into medicine and in nursing, 0:15:19.800 --> 0:15:22.000 you know. That's the only thing I can still hope 0:15:22.000 --> 0:15:24.360 is that people who haven't interest in it, you know, 0:15:24.440 --> 0:15:27.160 continue to do it. And and for those people who 0:15:27.240 --> 0:15:30.760 are just their training, those years of their formative years 0:15:30.760 --> 0:15:33.160 are during this time. I just want to let them know. 0:15:33.480 --> 0:15:37.080 I swear it gets better. It's not always gonna be 0:15:37.160 --> 0:15:39.920 like this. And if you make it through this, you're 0:15:39.920 --> 0:15:43.880 gonna be an amazing clinician, You're gonna be an amazing nurse, 0:15:43.920 --> 0:15:46.360 You're gonna be an amazing doctor. And I really want 0:15:46.440 --> 0:15:48.400 you guys to keep doing it. That's that's one thing 0:15:48.440 --> 0:15:51.880 I would say to Yeah, I mean, and I'll certainly 0:15:51.880 --> 0:15:54.760 add that if you're someone who's contemplating a medical career, 0:15:55.240 --> 0:15:58.120 please please. I mean just from a there's a couple 0:15:58.160 --> 0:16:00.200 of things on that, like just from a perspective of 0:16:01.560 --> 0:16:03.960 what the world needs, it's what the world needs. But also, 0:16:04.000 --> 0:16:06.440 if you're listening to this stuff we're saying about the crumbles, 0:16:06.480 --> 0:16:08.680 about the possibility of the collapse, if you're someone who 0:16:08.800 --> 0:16:12.520 who foresees things getting potentially much more difficult in the future, 0:16:13.040 --> 0:16:15.280 not a lot of things more useful in a bad 0:16:15.360 --> 0:16:19.560 situation than somebody with medical training. I do count on 0:16:19.600 --> 0:16:23.320 that getting me through the apocalypse. I'm I'm soft, I 0:16:23.360 --> 0:16:25.880 am so so. I went camping and I couldn't handle it. 0:16:25.960 --> 0:16:27.880 A couple of weeks ago, I went camping. It was awful. 0:16:28.240 --> 0:16:31.920 There was so much dust. It was an awful experience. 0:16:31.960 --> 0:16:34.520 But I just thought, if the apocalypse comes, I will 0:16:34.560 --> 0:16:37.560 hopefully get placed in a very nice tent because I'm 0:16:37.560 --> 0:16:40.640 a doctor. So I'm counting on that to get me through. 0:16:40.840 --> 0:16:45.240 There are there are so many dumbass boogaloo type quote 0:16:45.320 --> 0:16:49.280 unquote preppers who focus on the guns and the gear 0:16:49.440 --> 0:16:53.160 and the dried food but thrown in the shirt throwing 0:16:53.240 --> 0:16:55.600 knives but don't even have a n IFFAC, an individual 0:16:55.640 --> 0:16:58.280 first aid kit or like a tourniquet, and like the 0:16:58.600 --> 0:17:01.640 talk to you talk to like like I mean, this 0:17:01.680 --> 0:17:04.119 is a little off topic, but like talk to combat 0:17:04.160 --> 0:17:07.399 marines about like their favorite person. It's always the corman. 0:17:07.520 --> 0:17:09.440 It's the guy who knows or the lady who knows 0:17:09.440 --> 0:17:12.280 how to like patch a bullet wound and whatnot. Like 0:17:12.760 --> 0:17:16.760 there's there's nothing more useful in any situation pretty much 0:17:16.800 --> 0:17:20.480 that that is dangerous than somebody who can do medicine. 0:17:20.520 --> 0:17:24.040 So please, if you're if you're studying to do medicine, 0:17:24.080 --> 0:17:27.000 if you're contemplating becoming an e MT or a paramedic 0:17:27.119 --> 0:17:29.719 or a nurse or whatever, good God, we need you 0:17:29.760 --> 0:17:35.840 so badly. Yeah, we've talked to a little bit about 0:17:35.880 --> 0:17:38.720 just in the medical system in general, and then we 0:17:38.760 --> 0:17:42.800 can also kind of discuss more stuff related to how 0:17:42.840 --> 0:17:45.480 COVID is impacting certain areas more than others. And like 0:17:45.560 --> 0:17:48.880 let's say someone who's someone who's listening, who's in one 0:17:48.920 --> 0:17:52.080 of these areas that it has only vaccinated, you know, 0:17:52.200 --> 0:17:54.280 not a lot of people are going on with masks on, 0:17:55.240 --> 0:17:57.760 and you know, school starting back up, maybe they have 0:17:57.840 --> 0:18:00.240 kids are going to their school system. I know in Texas, 0:18:00.280 --> 0:18:03.520 you know, child deaths arising. That sounds very frightening to 0:18:03.520 --> 0:18:05.200 be that kind of person who, like, you know, would 0:18:05.200 --> 0:18:07.680 like like to see that stuff happened in their state, 0:18:07.680 --> 0:18:11.040 but it's just not really possible. And I don't know, 0:18:11.280 --> 0:18:12.920 with so much of the rest of the world kind 0:18:12.920 --> 0:18:16.359 of slowly taking back restrictions, and I'm sure it feels 0:18:16.480 --> 0:18:19.400 very jarring to be in a situation like that and 0:18:19.560 --> 0:18:22.400 kind of like there's really nothing you can do right 0:18:22.440 --> 0:18:24.520 besides you right, because you can talk to your family, 0:18:24.640 --> 0:18:27.159 talk to your friends, but like overall, it's hard to 0:18:27.600 --> 0:18:30.200 hard to make you know, a big impact in a state, 0:18:30.280 --> 0:18:33.760 you know, like Texas, Alabama, like Idaho, all the ones 0:18:33.800 --> 0:18:37.040 that you that you were mentioning before from a medical 0:18:37.280 --> 0:18:41.280 kind of perspective, is there is there any way people 0:18:41.320 --> 0:18:43.760 can kind of start to talk about those things with 0:18:44.000 --> 0:18:47.200 their family And because the way we've been trying to 0:18:47.200 --> 0:18:49.400 get people take the vaccine, with the marketing we've been doing, 0:18:49.720 --> 0:18:53.000 has not been super successful in these demographics. Um, do 0:18:53.080 --> 0:18:55.280 you think there's other conversations that can get people to 0:18:55.359 --> 0:19:01.360 slowly kind of be more be more able to you know, yeah, 0:19:01.480 --> 0:19:04.920 contemplate that. Yeah, that's a that's a tough question. It's 0:19:04.960 --> 0:19:08.480 particularly tough if you're someone who is believes in the 0:19:08.480 --> 0:19:11.960 importance of vaccines and you're or the importance of masks 0:19:12.040 --> 0:19:13.680 and that sort of thing, and you're in a place 0:19:13.680 --> 0:19:18.560 where you're a minority. That is tough. The first thing 0:19:18.600 --> 0:19:25.119 I'll say is definitely know that the vaccine helps. You're 0:19:25.160 --> 0:19:28.440 in a much better position because of the vaccine. When 0:19:28.480 --> 0:19:30.440 I was on the wards and I was looking at 0:19:30.480 --> 0:19:36.760 patients the they're almost all unvaccinated. Those are the people 0:19:36.800 --> 0:19:39.200 that end up in the hospital. You can't still get 0:19:39.240 --> 0:19:42.920 into the hospitalized if you have the vaccine, but it's 0:19:43.320 --> 0:19:46.200 it's much less likely. And you know, not that these 0:19:46.240 --> 0:19:49.000 people don't count, they count just as much. But if 0:19:49.040 --> 0:19:51.680 you don't have an underlying problem like a liver transplant 0:19:51.720 --> 0:19:54.840 or some immune suppression, then you're less likely to have 0:19:54.880 --> 0:19:58.879 a really bad outcome with COVID if you're vaccinated. So 0:19:59.200 --> 0:20:01.359 just know that it helps. You still might get it, 0:20:01.480 --> 0:20:05.120 it'll suck, um, but for the most part, you're gonna 0:20:05.119 --> 0:20:06.840 stay out of the hospital. And that really, I think 0:20:06.920 --> 0:20:09.800 is something have a little comfort in. It really does 0:20:09.840 --> 0:20:14.520 seem to work. You know. Outside of that, the schools 0:20:14.560 --> 0:20:18.240 thing is a real concern for me. And I'm gonna 0:20:18.280 --> 0:20:20.240 feel a lot better than We're going to be in 0:20:20.240 --> 0:20:22.680 a much better position once we are able to get 0:20:22.720 --> 0:20:26.679 kids vaccinated. So there's there's two things. You guys probably 0:20:26.680 --> 0:20:31.680 heard that there was, um this this committee that met 0:20:31.760 --> 0:20:35.440 to advise the FDA about booster shots. That's one thing. 0:20:35.920 --> 0:20:37.720 So booster shots are gonna go out to people who 0:20:37.720 --> 0:20:40.760 need them UH sixty five and older people at high 0:20:40.840 --> 0:20:45.320 risk people in high risk occupations. They're gonna like frontline workers. 0:20:45.960 --> 0:20:48.439 So there's gonna be booster shots coming out. And then 0:20:48.760 --> 0:20:52.240 the data is coming out now about five till Yeah, 0:20:52.480 --> 0:20:55.520 and that's pretty promising. Um, it looks like they're gonna 0:20:55.560 --> 0:20:57.840 do okay with lower doses, so they use about one 0:20:57.920 --> 0:21:00.840 third the dose of the vaccine that the adults get 0:21:01.240 --> 0:21:04.000 and it seems to work. We haven't seen much other 0:21:04.040 --> 0:21:07.920 than the pre press release from UH Fighter, but you know, 0:21:07.920 --> 0:21:10.679 if you really pick at it, it looks promising. So 0:21:11.280 --> 0:21:13.960 I am that's something that makes me hopeful. That's something 0:21:14.000 --> 0:21:17.320 I'm definitely clinging to. I think there's no way we're 0:21:17.400 --> 0:21:20.000 getting out of this without vaccinating kids. That just has 0:21:20.040 --> 0:21:23.720 to happen. Um, I think once that starts rolling out 0:21:23.720 --> 0:21:25.960 and hopefully it will soon. I mean, I don't want 0:21:25.960 --> 0:21:28.120 to put a date on it, but I'm hoping within 0:21:28.160 --> 0:21:32.000 the next couple of months this starts happening. So, you know, once, 0:21:32.200 --> 0:21:34.639 once that starts happening, I'm gonna feel a lot more comfortable. 0:21:35.000 --> 0:21:37.040 I think people in those situations are gonna feel a 0:21:37.040 --> 0:21:42.600 lot more comfortable too. Yeah. Yeah, the booster thing is 0:21:42.640 --> 0:21:47.720 an interesting question to me. I mean their ethical standpoint, particularly, 0:21:48.280 --> 0:21:50.919 you know, I I think I think it's not a 0:21:50.960 --> 0:21:52.520 fair narrative to say it has to be one or 0:21:52.560 --> 0:21:53.920 the other, and I think people are saying that. I 0:21:53.960 --> 0:21:55.600 don't think. I think we can do it. I think 0:21:55.640 --> 0:22:00.520 we can produce enough vaccine here for people who haven't 0:22:00.520 --> 0:22:03.840 got it yet, and enough for the boosters and start 0:22:03.920 --> 0:22:06.520 supplying more to the world. I mean, we can do more. 0:22:06.800 --> 0:22:10.320 Our government sharing Fiser Maderna definitely need to do more 0:22:10.400 --> 0:22:12.119 in that regards. They definitely need to do more in 0:22:12.200 --> 0:22:15.479