April 20, 2026

Continuing the Conversation; Deep dive

Continuing the Conversation; Deep dive

medical health, eating, diabetes, sepsis, smoking, alcoholism Setting It Straight w/ Ms. Gray is broadcast live Mondays at 7PM ET and Music on W4CY Radio...

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Season 4

medical health, eating, diabetes, sepsis, smoking, alcoholism

Setting It Straight w/ Ms. Gray is broadcast live Mondays at 7PM ET and Music on W4CY Radio (www.w4cy.com) part of Talk 4 Radio (www.talk4radio.com) on the Talk 4 Media Network (www.talk4media.com). Setting It Straight w/ Ms. Gray is viewed on Talk 4 TV (www.talk4tv.com).

Setting It Straight w/ Ms. Gray Podcast is also available on Talk 4 Media (www.talk4media.com), Talk 4 Podcasting (www.talk4podcasting.com), iHeartRadio, Amazon Music, Pandora, Spotify, Audible, and over 100 other podcast outlets.

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WEBVTT

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The topics and opinions express in the following show are

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solely those of the hosts and their guests and not

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those of W four C Y Radio, it's employees are affiliates.

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We make no recommendations or endorsements for radio show programs, services,

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or products mentioned on air or on our web. No liability,

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explicit or implied shall be extended to W four C

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Y Radio or it's employees or affiliates. Any questions or

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comments should be directed to those show hosts. Thank you

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for choosing W four C Y Radio.

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Well, good evening, good evening, good evening, and welcome to

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another fabulous show, fabulous opportunity to enhance your knowledge, to

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get to hear something you normally don't hear, and to participate.

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Welcome to another segment with setting it Straight with Miss Gray,

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Thank you so much and her fabulous co hosts. Of course,

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we are continuing with acknowledging and identifying and being aware

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of national limb loss and limb difference. We have a

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guest tonight, but before I go into further, let's take

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it to.

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The throne room in prayer.

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Lord, we just thank you today, we praise you, we

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give you glory you alone are worthy to be praised.

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We just thank you for this opportunity. Now, this is

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your boys. These we're your fool, your children, we're your peace.

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We're gonna get.

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Behind the cross and let you do what you do best,

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and that's set your captives free.

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In Jesus name, we pray, Amen and amen.

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Well, thank you, Trey. How's the weather up there? I

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know you enjoying yourself.

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I know, yes, yes, for the coon of this week.

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It was eighties nineties last week, and I think we're

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fifties this week.

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Wow. Okay, Okay, Well it's okay, it's okay because May

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is right around the corner now. Now if we're going

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into the sixties in May, we okay, we got a problem.

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The ice is melting somewhere and we're in troubles. Amen

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and amen, I okay, roll call.

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Where's the audience?

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All right, audience, we need y'all checking in tonight. Okay,

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be safe while you do it, but we need everybody

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checking in in the name of Jesus, So roll call

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this show because we've got a guest tonight, and a

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fabulous guest at that.

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So what I want to see who's on the horn

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who's listening in. Before we bring.

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Her in, I want to give a show out out

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to our funders, our donors who I know I mentioned

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a few last week. I was waiting on a few

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more donations came in. But my ABC Prosthetic company here

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in Orlando, doctor my foot surgeon, doctor Latrelle Healing Soul Peddietary,

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and that's the guest UH member that's going to be

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on tonight. Who else? Mims Carolyn the Northern area of

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Florida here, a colleague of mine and good friend, one

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of my spiritual daughters donated. My twins donated, So I'm

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giving y'all a shout out. Thank you so much, ms

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Kay and to your twin mister k I'm just I

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was surprised if those and even one of the guests

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that showed up that attended also gave a financial donation

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which she didn't have to. And of course Tennessee came through.

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I'm not leaving them out.

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I got their their their donation.

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It was very sweet, very well needed, So I thank you,

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And of course I've sent out a fabulous shot out

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to IHAP Restaurant here in on the Orlando area, to

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mister Ron who is the manager over there. He's just

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he's just great and his words are your family, you know.

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So anything you need me to do, you know, we

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will step up and we do it. So they did,

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and and the our newest partners. It's a salvation army

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and the Men's Shelter in particular. I hope I did

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not leave anybody out. I don't think. Oh Desire for

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All Nations pass Oldia here also gave a donation, so

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we're just thankful for that, and uh, you know, thank

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you all. I just just say hey, you know, hey, Micky,

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how you doing. Okay, we're here, We're here. Okay, that's

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the crew there, got you.

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What's good. I'm not going to belabor the time anymore.

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Because I want Miss Horn to really enlighten us with

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her knowledge and everything, and I'm gonna let her introduce

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what she do and introduce herself. So without further ado,

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let's give a round of applause for Ms.

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Horn.

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Come on, hell everybody, Yes, thank you so much for

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the warmer introduction. I appreciate that.

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Thank you.

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Miss Gray, you know, invited me onto the show talk

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a little bit about, you know, my experience that is

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in the day to day setting that I do now

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as my career. But I'll give you a little bit

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of a background and how I got to that point, right. So,

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I actually started out at Valencia College. For anybody who

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is looking to put their kid in a four year

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college here locally highly recommend it. I saved so much money.

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I had very small classroom experience, which I think really

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did help like bolster my knowledge right, especially with these

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core classes that led into me getting to UCF as

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a biology major. I did graduate with honors, and I

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think it was around the last year or two that

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I was there that I actually went back with doctor Latrell,

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who was my father's pediatrist at the time, and spoke

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with him and said, hey, you know, I've been trying

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to get him anywhere to just get shadowing hours to

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try to get my foot in the door. All these

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hours are required because it come on in. We'd love

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to have you right, lovely family. Of course, I know now,

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great crew, very accepting, very wonderful learned under him, and

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I had been with healing souls paedietry now since I

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guess that would be twenty eighteen, which is kind of

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crazy to think about. Did take a two year hiatus

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for you know, Ms Grayno's some some family problems that

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I kind of needed my full attention. But very happy

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to be back, and you know, the knowledge that was

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given to me obviously is still very strong in my heart.

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I'm very passionate about patient care and longevity and you know,

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going further than I guess you would say clinical care,

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we really do care about every single patient that comes

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to that door. I specifically love research, so even one

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of my closest friends that I used to work with

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at the Valencia College biolf because that is also in

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my resume history, if you will. I did work at

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the bioprep lab at College too, which kind of helped

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with some of this research and clinical coming together. But yes,

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I'm very passionate about research as well and bringing some

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new topics to the table. Sometimes of you know, sometimes

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you can get discouraged and think that there's no options

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or eve been turned out by so many other physicians

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who have said, you know, here's your one option and

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there's nothing else that you can even try, and I

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just I do. I love that doctor Latrelle looks at

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different different scopes. I think him and I align very

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well with that, and yeah, unfortunately, we we do deal

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with I think some of these topics at hand which

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we you know, we'd spoken about amputations and vascular disease

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and diabetes, trauma, different things like that. And I think

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Miss Gray and I have had a lot of conversations.

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I've had many conversations with other patients as well about

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you know, the physical aspect of it of course, yes,

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but the mental and the spiritual side too. So yeah,

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I think I think that's what brings me here today.

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Amen, And we and I love Miss Horne because you know,

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the whole staff is just so open and receptive and

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they move along with you know, they recently saw me

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have a moment whereas kind of broke down, just couldn't

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take you know, this health stuff and going to get

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the blood work and going to do this and going

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to do that, and it just it really I've never

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have gotten overwhelmed in my personal life since I've been

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in the hospital and over these past seven years of

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going through what I went through.

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But I'm telling you, it's.

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Good to be able to, you know, be relaxed that

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there's no judgment there. They accept me as is, and

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like I said, he's one of my healing. Healing Souls

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is one of my leading sponsors. And the staff is there.

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We've had a luncheon there and everything else and they're

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open for everything. And I'm glad miss Horn made it

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back because she was missing and there's a difference there,

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you know, and everything. And she comes in and she

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meets with the patients first sometimes and she's getting up

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more of a history and everybody there knows your history.

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All the staff knows your history, and they know you.

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No judgment is best. There's Charles coming in from Washington.

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Hey, thank you. They're gonna be everybody.

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It welcomes people, it does Charles, and it keeps you there,

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it keeps you going back, it keeps you feeling okay.

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This is truly a safe space, you know if I

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you know, so whatever the and we can talk about everything,

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We can talk about anything.

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So you know, I'm just it makes a difference.

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But I'm glad you touched on one thing and I'm

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going to start opening that up you Finally, finally, people

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are identifying that once you're starting on that road of

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limb laws, that you're going to possibly lose a limb,

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you're going to be amputated. The front part of that

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most people think is diabetes automatically. And my story, part

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of my story is and I think I put it.

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I listed it in the book that you know my doctor, Lettraill,

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my surgeon said, you know, they wheeled me in.

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I already had the amputations of.

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My fingers in my hand, and so everybody's like, oh,

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what happened to her? And he's like, you know, he's

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trying to think, like, you know, how do I And

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then he had to finally quiet the area, said just

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I got to give me a minute. I got to

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sit here because I don't want her to have the limp.

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I don't want limping. And I tear up every time

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I recant that story, because that's who I'm talking about,

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with this organization, with this doctor's office. He was like, no,

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everybody out of Eachell'll be quiet because I got to think.

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And he's like, okay, okay, and he proceeded on. And

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so I know my angels are in the room with

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him as well, and he's just one of a kind.

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And I look at but going back to that, it's

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not only just diabetes. We now have sepsis. It's coming

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up and reoccurring. Now it's becoming just almost as frequent

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as you hear diabetes being the cause. Then we've got

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people with the smoking and alcoholism and having a cardiovascular

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But the newest category that people and I call it,

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it's not really new. It's been there since we've been

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since the world of amputation. But nobody's talked about it

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because you're already making a judgment. You're already assuming that

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you know how we got to hear. But there's the trauma.

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And lately I've been training with gentlemen, and I mean

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and mainly some men who too, what is that sepsis?

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Okay in a stage I'll circle back in a minute

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or either. Miss Horn could also help us with that.

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But let me say this part and then Miss Horn,

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I want you to jump on in. You know, trauma.

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There's two young men that were hit on their bikes

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when they were fifteen. They're now in their thirties and forties,

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and their limbs had to be amputee or they limb

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had to be amputated. That's a trauma. That was no diabetes,

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that was no sepsis, that was not they were smokers,

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none of that. They got hit by a car at

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fifteen and now here it is they are now an amputee.

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You know, there was one that had an accident on

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the job with a meat grinder. Things happened. I remember

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my dad, we were we got the call. He used

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to build houses and we had to go to the

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emergency room because there was an accident. They didn't tell us,

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and we get there. My dad's you know, he's bleeding,

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he's got a gauze on it. But it was this

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thumb this, I mean that thumb, this finger here that

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because he saw ricocheted and cut his finger.

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So not this. I'm just getting a revelation.

226
00:12:01.000 --> 00:12:04.240
My dad became an amputee. I didn't even think about that.

227
00:12:04.360 --> 00:12:06.840
Oh my god, because I'm seeing I'm having a picture

228
00:12:06.879 --> 00:12:10.159
of him. So so there's that, there's the medical pieces.

229
00:12:10.200 --> 00:12:14.559
There's the uh genealogy. You know, if you've got diabetes

230
00:12:14.559 --> 00:12:17.519
in the family, you just can't take that lightly, you can't.

231
00:12:17.519 --> 00:12:19.840
And then childhood diabetes, and I know you all don't

232
00:12:19.840 --> 00:12:23.120
see children, but that's another big issue that people are.

233
00:12:22.960 --> 00:12:23.840
Not thinking about.

234
00:12:24.320 --> 00:12:27.759
This is serious and that child could eventually lose a

235
00:12:27.879 --> 00:12:30.159
limb at some point in their life.

236
00:12:30.519 --> 00:12:32.320
So miss Horn, I know I've said a lot.

237
00:12:32.360 --> 00:12:36.279
But yeah, Litsten from the beautiful set of folks. Uh,

238
00:12:36.399 --> 00:12:38.600
you know patients that you all have. I know, we

239
00:12:38.679 --> 00:12:41.679
all have a story, our story. You know, even if

240
00:12:41.720 --> 00:12:45.759
you've got two diabetics and you've got three cardiovascular you

241
00:12:45.799 --> 00:12:47.960
know you got one sepstance. You know, we all have

242
00:12:48.039 --> 00:12:50.039
a story of how we got to this.

243
00:12:50.639 --> 00:12:52.399
Yeah, definitely, definitely.

244
00:12:53.600 --> 00:12:55.600
I mean, just whatever's on your heart, whatever you think

245
00:12:55.639 --> 00:12:59.000
the audience you guys, I'm sorry, Trey.

246
00:12:59.120 --> 00:13:03.559
Can I ask a question into a mishorn? I just thought, so,

247
00:13:03.600 --> 00:13:06.679
what about if someone has like a bite, an insect

248
00:13:06.720 --> 00:13:10.720
bite or annal bite, an allergic could that result in ampute?

249
00:13:11.360 --> 00:13:14.200
Definitely, definitely. So it kind of runs along that same

250
00:13:14.240 --> 00:13:18.120
side of sepsis. Right, So, sepsis can happen from either

251
00:13:18.279 --> 00:13:21.320
a wound that has become so poorly infected that it

252
00:13:21.320 --> 00:13:23.440
has not entered the blood stream. And the biggest problem

253
00:13:23.519 --> 00:13:26.000
is if we're concerned that it can enter the blood stream,

254
00:13:26.080 --> 00:13:29.200
it is safer to amputate the digit the limb than

255
00:13:29.240 --> 00:13:31.960
to allow potentially the whole body to shut down. There

256
00:13:32.000 --> 00:13:36.679
is also the side of sepsis where you are experiencing

257
00:13:36.720 --> 00:13:41.120
such a severe infection that unfortunately they have to basically

258
00:13:41.200 --> 00:13:43.399
put your body to sleep, put you into an induced coma.

259
00:13:44.120 --> 00:13:46.320
In worst case scenarios, they will give you something called

260
00:13:46.399 --> 00:13:50.399
vasopressors that basically constrict all the vessels and the most

261
00:13:51.200 --> 00:13:54.559
small furthest vessels which are typically in the hands, the feet,

262
00:13:54.639 --> 00:13:58.679
the lembs, to keep the core alive. And when that happens,

263
00:13:58.720 --> 00:14:00.960
it does result in them law. And it happens more

264
00:14:01.000 --> 00:14:02.639
often than you would think. And I will say as

265
00:14:02.639 --> 00:14:05.240
well that I am unfortunately was guilty as well. With

266
00:14:05.279 --> 00:14:06.759
miss Gray. I look in her chart and I go

267
00:14:06.799 --> 00:14:09.720
through every patient's chart and I seen non diabetic. I'm

268
00:14:09.720 --> 00:14:12.399
like this, that's good mistake. You know, everyone has hard days.

269
00:14:12.440 --> 00:14:14.159
She just didn't want to felt this part of the paperwork.

270
00:14:14.200 --> 00:14:17.240
And I go check with with the doctor and he

271
00:14:17.360 --> 00:14:19.600
says no, And mind you, this is this is earlier,

272
00:14:19.759 --> 00:14:22.159
very early in my time as well, still with doctor Latrell,

273
00:14:22.240 --> 00:14:24.440
and he's like no, and we went through the case

274
00:14:24.440 --> 00:14:26.200
and I was like, oh my word, I had just

275
00:14:26.279 --> 00:14:30.279
never heard of an experience like that. Yet right later

276
00:14:30.440 --> 00:14:33.360
now we have experience to her point. I had a

277
00:14:33.360 --> 00:14:35.759
patient just the other day that unfortunately did have a

278
00:14:35.840 --> 00:14:39.679
traumatic loss of their big toe just from something falling

279
00:14:39.679 --> 00:14:42.159
at their work and it completely amputated the digit. So

280
00:14:42.200 --> 00:14:46.360
traumatic loss is absolutely something that I have seen more

281
00:14:46.360 --> 00:14:48.159
and more in the years that I've worked there. As well.

282
00:14:48.519 --> 00:14:52.000
Car accidents as well is something to consider because unfortunately

283
00:14:52.039 --> 00:14:54.200
there's times where you know, I don't want to be

284
00:14:54.240 --> 00:14:58.960
too graphic on here, but you know, nothing's disconnected, but

285
00:14:59.039 --> 00:15:01.840
everything is so shattered on the inside that it's irreparable

286
00:15:02.240 --> 00:15:05.159
and the only option, unfortunately, is to proceed with amputation.

287
00:15:05.360 --> 00:15:08.679
So I do think there are several so many more

288
00:15:08.720 --> 00:15:11.639
cases besides just the cardiovascular disease and the diabetes. I

289
00:15:11.879 --> 00:15:15.240
do think unfortunately, it is still a predominant leading factor.

290
00:15:15.279 --> 00:15:17.840
I think there's a lot of new medications on the

291
00:15:17.840 --> 00:15:22.519
market to help diabetes in there, especially with patients and

292
00:15:22.919 --> 00:15:25.600
the lifestyle changes right, a lot of it's very difficult,

293
00:15:25.639 --> 00:15:27.879
and you know, medicines that can aid in that, even

294
00:15:27.919 --> 00:15:30.120
if it's just a crutch for a short period of time.

295
00:15:30.200 --> 00:15:31.399
Some of the things that they've come out with has

296
00:15:31.440 --> 00:15:33.679
been very helpful. So, you know, I hope that in

297
00:15:33.960 --> 00:15:35.879
future studies we're going to see a decrease in that.

298
00:15:35.919 --> 00:15:38.559
You know, you've seen that the newer generations are smoking

299
00:15:38.639 --> 00:15:40.919
less and things like that, So same things. You know,

300
00:15:40.960 --> 00:15:46.039
we all have hopes that those statistics will continue to decrease.

301
00:15:46.000 --> 00:15:50.000
Right, but yeah, yeah, and you know, two things that

302
00:15:50.080 --> 00:15:54.200
got out of it was I'm wondering what vaping is

303
00:15:54.240 --> 00:15:56.879
going to show us. Yeah, I wonder what vaping is

304
00:15:56.919 --> 00:15:59.600
going to because that's a different animal there, and the

305
00:15:59.639 --> 00:16:03.159
different dependency and everything else. I'm giving it a few

306
00:16:03.159 --> 00:16:07.240
more years, we may start seeing and hearing you know,

307
00:16:07.679 --> 00:16:10.519
the whole new set of batch of research you know,

308
00:16:10.639 --> 00:16:13.960
on that and everything. I was very blessed. Basal pressers

309
00:16:14.000 --> 00:16:17.159
were when I was was administered to uh while I

310
00:16:17.240 --> 00:16:20.679
was in surgery. And yeah, that that there you go.

311
00:16:21.120 --> 00:16:25.720
And it's sad that while we have snake venom antidotes,

312
00:16:26.120 --> 00:16:28.320
we don't have an antidote for something like that that

313
00:16:28.440 --> 00:16:31.360
takes the blood like you said, but it don't put

314
00:16:31.399 --> 00:16:34.080
it back. There's no medication to put it back. And

315
00:16:34.159 --> 00:16:37.159
so that's that's that's my story. So and and that

316
00:16:37.320 --> 00:16:39.399
one thing I've shared with you all over over the

317
00:16:39.480 --> 00:16:44.120
years that one of the receptionists uh uh in the

318
00:16:44.159 --> 00:16:47.320
early years I was there, she at Halloween time, she

319
00:16:47.399 --> 00:16:48.679
had two bags of candy.

320
00:16:49.039 --> 00:16:51.080
One was for everybody else and one bag was for

321
00:16:51.200 --> 00:16:53.159
me and she put my name on it.

322
00:16:53.759 --> 00:16:58.360
MS Gray is not a diaper, Yeah, exactly, the sugar

323
00:16:58.399 --> 00:17:01.000
free candies. And I will say that, like, you know,

324
00:17:01.080 --> 00:17:04.160
if we are talking about wind care, amputation, limb loss,

325
00:17:04.160 --> 00:17:07.119
et cetera, it is a vast majority of our patients

326
00:17:07.119 --> 00:17:09.400
that are diabetics. Some I will also mention as well

327
00:17:09.440 --> 00:17:14.839
that can kind of be forgotten is unfortunately, cancer treatments,

328
00:17:14.839 --> 00:17:18.400
such as radiation, there are secondary effects that cause lesions

329
00:17:18.440 --> 00:17:21.559
on the skin, especially the feet. So we definitely had

330
00:17:21.559 --> 00:17:24.119
patients as well that had no vascular disease, no diabetes,

331
00:17:24.160 --> 00:17:28.640
no trauma, because I do consider radiation trauma, but they

332
00:17:28.920 --> 00:17:31.319
did have massive ulsters to the feet and unfortunately, just

333
00:17:31.359 --> 00:17:34.359
like in type one diabetes, being an autoimmune disease and

334
00:17:35.279 --> 00:17:38.480
unfortunately causing you know, your immune system to be lowered

335
00:17:38.519 --> 00:17:41.480
in general. You know, with this with the cancer treatments

336
00:17:41.519 --> 00:17:43.759
as well, your immune system's lowered, so everything heals slower,

337
00:17:43.799 --> 00:17:46.480
everything is more difficult, and that can also lead to

338
00:17:46.519 --> 00:17:49.839
limb loss. When we talk about sepsist, God forbid the area,

339
00:17:50.160 --> 00:17:52.039
this open area that we're trying to heal for sometimes

340
00:17:52.160 --> 00:17:54.839
years at a time. And I'm not exaggerating does not

341
00:17:54.880 --> 00:17:57.640
get healed, it gets infected. We are just playing a

342
00:17:57.640 --> 00:18:00.400
game waiting to get a bone infection. And you know

343
00:18:00.599 --> 00:18:03.279
that's our goal really weekly with those type of patients

344
00:18:03.319 --> 00:18:06.160
is to mitigate infection, try to keep it healing, make

345
00:18:06.200 --> 00:18:08.079
sure they can still keep up with their treatments, and

346
00:18:08.599 --> 00:18:10.440
hopefully at some point in time be able to really

347
00:18:10.480 --> 00:18:12.440
tackle this and totally heal the wound up.

348
00:18:12.839 --> 00:18:14.720
Is there a way to save a limb before having

349
00:18:14.759 --> 00:18:16.240
to remove it? There you go.

350
00:18:16.759 --> 00:18:19.680
So I actually love that question because I like to

351
00:18:19.720 --> 00:18:22.720
say we are in the game of saving limbs. You know,

352
00:18:24.400 --> 00:18:26.640
I have several several patients that will come into the

353
00:18:26.680 --> 00:18:31.599
office that were greeted by a more brash person, let's say,

354
00:18:31.599 --> 00:18:34.960
an er who is a general doctor and says, oh, well,

355
00:18:34.960 --> 00:18:36.640
you're just gonna have to have this amputat whatever that

356
00:18:36.720 --> 00:18:38.039
may be. It may be a toe, maybe a leg,

357
00:18:38.039 --> 00:18:40.359
and it'say it nonshot like that, like it's not life changing,

358
00:18:40.480 --> 00:18:44.200
like it's their only option. And thankfully, I always get

359
00:18:44.240 --> 00:18:46.880
sad thinking about the percentage who do not, But thankfully

360
00:18:46.920 --> 00:18:48.839
a lot of these patients will advocate for themselves to

361
00:18:48.920 --> 00:18:51.279
have a second opinion, and anybody listening, I would always

362
00:18:51.319 --> 00:18:53.880
advocate that, just like if you have a construction worker

363
00:18:53.920 --> 00:18:55.640
come to your home, you should have three quotes, right,

364
00:18:55.960 --> 00:18:58.960
You should definitely advocate for a second opinion, especially if

365
00:18:58.960 --> 00:19:01.559
you don't feel like your question are you know, properly

366
00:19:01.599 --> 00:19:04.359
being answered. But we've had several patients who have come

367
00:19:04.400 --> 00:19:06.599
to us and maybe it does take several months, maybe

368
00:19:06.599 --> 00:19:09.240
even years, but we absolutely can save a lot of

369
00:19:09.240 --> 00:19:13.480
the lembs. Unfortunately, it just comes down to how repairable

370
00:19:13.559 --> 00:19:18.240
the damage is. Bone infections are very difficult. We can

371
00:19:18.279 --> 00:19:22.519
always try IV treatment of antibiotics. Sometimes it works, sometimes

372
00:19:22.559 --> 00:19:24.839
it does not, and you know, we always just pray

373
00:19:24.839 --> 00:19:29.079
that it does, of course. But yeah, there's there's definitely

374
00:19:29.119 --> 00:19:32.319
different options. Are there options at different times? Yeah, so

375
00:19:32.920 --> 00:19:35.279
depending on the stage that you are in of course

376
00:19:35.319 --> 00:19:38.240
as well. So she spoke of different different things that

377
00:19:38.279 --> 00:19:41.079
are happening here. So if we're talking about a vascular disease,

378
00:19:41.119 --> 00:19:44.759
unfortunately that is the most common one that will inevitably

379
00:19:44.839 --> 00:19:47.319
lead to an amputation. And why is that so? Vascular

380
00:19:47.359 --> 00:19:51.000
diseases are literally depriving the furthest parts of your bice

381
00:19:51.079 --> 00:19:54.960
your toes, your fingers of the oxygen that it needs

382
00:19:55.160 --> 00:19:57.880
to be able to keep those cells happy and alive

383
00:19:58.160 --> 00:20:00.680
right over time, the cells will just die off, the

384
00:20:00.720 --> 00:20:03.519
tissue will start to die off, and at that point

385
00:20:03.720 --> 00:20:05.720
it does hit where there's no coming back. The tissue

386
00:20:05.720 --> 00:20:10.880
will not rejuvenate once the cells are fully dead. So, unfortunately,

387
00:20:11.240 --> 00:20:13.519
you do kind of weigh the odds of moving forward

388
00:20:13.559 --> 00:20:18.759
an amputation in these worst cases not moving forward with

389
00:20:18.759 --> 00:20:21.720
an amputation, because your best option would be what's called

390
00:20:21.720 --> 00:20:24.920
an AKA, which is above knee amputation, where you're all

391
00:20:25.000 --> 00:20:28.720
the way up at the thigh, and that's just because

392
00:20:28.720 --> 00:20:31.279
that's where their nearest good blood flow is.

393
00:20:31.359 --> 00:20:31.519
Right.

394
00:20:31.559 --> 00:20:33.799
So if we let's say, unfortunately, have to amputate a

395
00:20:33.839 --> 00:20:35.880
limb and we start to do dopplers and see that

396
00:20:35.880 --> 00:20:37.880
their blood flow, you know, we only needed to amputate

397
00:20:38.200 --> 00:20:41.480
the dead toes, but their blood blood flow starts well

398
00:20:41.519 --> 00:20:43.480
below the knee, we have to do a blow knee

399
00:20:43.480 --> 00:20:47.200
amputation instead of a TMA, which is considered a trans

400
00:20:47.279 --> 00:20:50.880
metatarsal amputation, meaning you would take all the toes off

401
00:20:50.920 --> 00:20:54.359
and leave that portion of it. So it really does

402
00:20:54.400 --> 00:20:56.400
depend on the scenario. Vascular is the one that I

403
00:20:56.400 --> 00:21:00.839
would say, unfortunately, is the most bleak as far as

404
00:21:01.319 --> 00:21:03.720
if it comes in in a very dire state. There's

405
00:21:03.799 --> 00:21:06.240
usually not a lot that we can do, but there's

406
00:21:06.240 --> 00:21:08.119
a lot that we can try to do preventatively before

407
00:21:08.119 --> 00:21:08.920
it hits that point.

408
00:21:09.079 --> 00:21:13.039
Yeah, and having conversations like this in the schools. We

409
00:21:13.119 --> 00:21:15.079
need to, you know, we need folks going in to

410
00:21:15.119 --> 00:21:17.480
talk for the prevention because we've been so far away

411
00:21:17.519 --> 00:21:21.039
from prevention since I'm gonna say since almost since nine

412
00:21:21.079 --> 00:21:24.119
eleven and even twenty twenty, you know, because we don't

413
00:21:24.160 --> 00:21:27.359
talk about how to prevent something. We're already we're trying

414
00:21:27.359 --> 00:21:29.839
to you know, put the fire out in crisis mode

415
00:21:30.279 --> 00:21:33.759
or and not even early intervention. Trey, you remember, Trade

416
00:21:34.119 --> 00:21:36.720
was from my I met her in my hometown many

417
00:21:36.759 --> 00:21:39.680
many years ago, and she did domestic violence work. Remember,

418
00:21:39.720 --> 00:21:42.119
we always talked about the prevention side of things. We

419
00:21:42.200 --> 00:21:45.400
had grants out there that were for prevention only. That's

420
00:21:45.480 --> 00:21:49.119
pamphlets talking to people, educating people, you know, almost scaring

421
00:21:49.160 --> 00:21:52.079
you to death. Was with the stats to let you know,

422
00:21:52.200 --> 00:21:54.960
so no, if you see something, all y'all, if you

423
00:21:55.000 --> 00:21:56.920
see something, say something, you should have did that fifty

424
00:21:57.000 --> 00:21:57.440
years ago.

425
00:21:57.640 --> 00:21:59.759
We talked about that, seventy years ago.

426
00:21:59.839 --> 00:22:02.279
We're not that old though, but anyway, you know, I

427
00:22:02.279 --> 00:22:04.440
mean so we now we're not even That's what has

428
00:22:04.440 --> 00:22:08.079
concerned me about my field of social work and even

429
00:22:08.119 --> 00:22:10.880
in the medical field, that we don't talk we can't

430
00:22:10.880 --> 00:22:14.240
even talk about prevention anymore because we're already way over here.

431
00:22:14.279 --> 00:22:19.000
We're in intervention and crisis, not even early intervention. So

432
00:22:19.119 --> 00:22:22.519
having conversations like this, having our younger people hear this,

433
00:22:22.920 --> 00:22:25.119
having the parents to have a conversation and say, you

434
00:22:25.160 --> 00:22:28.799
know what, there's diabetic we have diabetes in the family,

435
00:22:28.920 --> 00:22:31.400
or we have high blood pressure in the family. One

436
00:22:31.400 --> 00:22:33.160
other gentleman that was in I was in the training

437
00:22:33.200 --> 00:22:35.519
with he stepped on a nail. He's a police officer,

438
00:22:35.880 --> 00:22:39.039
he is fine, no health issues. He stepped on a

439
00:22:39.119 --> 00:22:42.240
nail which went through his steel toe boot and the

440
00:22:42.319 --> 00:22:43.640
foot got infected.

441
00:22:44.119 --> 00:22:46.200
The toes got infected immediately.

442
00:22:46.279 --> 00:22:48.960
You know, just even the frost bite when people go

443
00:22:49.039 --> 00:22:51.440
up north and they're climbing mountains and stuff like that

444
00:22:51.480 --> 00:22:53.559
and they're not warm enough and stuff like that, that

445
00:22:53.680 --> 00:22:54.279
frost bite.

446
00:22:54.359 --> 00:22:57.000
You know, you got to have this conversation.

447
00:22:57.160 --> 00:23:00.200
And I don't I want you, you know, I want

448
00:23:00.240 --> 00:23:03.359
you to just understand and the body, now this is

449
00:23:03.400 --> 00:23:06.039
gonna get you. The body was created to heal itself.

450
00:23:06.359 --> 00:23:08.200
It was created to heal itself if you.

451
00:23:08.279 --> 00:23:11.640
Do it right. But you got to tell your body

452
00:23:11.720 --> 00:23:14.440
you got the line up. You know, you're supposed to heal.

453
00:23:14.440 --> 00:23:15.920
You healing this wound.

454
00:23:16.039 --> 00:23:18.480
I remember being a discharge planner at the hospital and

455
00:23:18.559 --> 00:23:20.279
I told you, I shared the story all the time.

456
00:23:20.319 --> 00:23:24.319
It was a slightly very obest bus sized woman who's

457
00:23:24.440 --> 00:23:27.160
who her kids had set her in a lazy boy

458
00:23:27.240 --> 00:23:29.799
chair in front of her bathroom and she would have

459
00:23:29.839 --> 00:23:31.799
to get up and try to hobble because she was

460
00:23:31.920 --> 00:23:32.240
very old.

461
00:23:32.279 --> 00:23:36.039
Wait, so she breaks the femur. She breaks the femur.

462
00:23:36.440 --> 00:23:40.759
Well, we can't there's no bone getting the bone.

463
00:23:40.440 --> 00:23:41.799
Back together, you know.

464
00:23:42.200 --> 00:23:44.960
And medicare says, well, no, she's on observation because there's

465
00:23:45.000 --> 00:23:46.200
nothing else the hospital could do.

466
00:23:46.519 --> 00:23:51.240
It had to heal itself. A bone healing itself.

467
00:23:51.559 --> 00:23:53.759
So I want people to understand that no matter when

468
00:23:53.799 --> 00:23:56.279
you go to the doctor and you're hearing the diagnosis,

469
00:23:56.279 --> 00:23:59.359
you're getting the lab results. Okay, listen for those results,

470
00:23:59.559 --> 00:24:02.960
because that's how you you you you you formulate your prayer.

471
00:24:03.400 --> 00:24:03.680
Lord.

472
00:24:03.759 --> 00:24:07.920
Right now, I bind inoperable diabetes, let it go no further,

473
00:24:08.359 --> 00:24:11.240
and whatever medications I'm prescribed, I don't want to be

474
00:24:11.279 --> 00:24:13.400
on it long, but let it hit where it needs

475
00:24:13.440 --> 00:24:16.519
to hit so I can be better and learning and

476
00:24:16.680 --> 00:24:18.960
educating yourself. So I'm glad we've got some young folks

477
00:24:19.000 --> 00:24:22.559
also listening in, you know, because you got to I know,

478
00:24:22.799 --> 00:24:26.480
the French fries, I know that the chicken nuggets McDonald's

479
00:24:26.519 --> 00:24:28.920
is not sustaining food anymore. It's not good stuff going

480
00:24:28.920 --> 00:24:32.240
in it anymore. It never really kind of was y'all

481
00:24:32.319 --> 00:24:34.000
need to get you to tell your parents to get

482
00:24:34.000 --> 00:24:36.880
a small little grill from Walmart y'all burger, you know,

483
00:24:37.039 --> 00:24:39.160
cook the burgers, grill the burgers and hot dogs in

484
00:24:39.200 --> 00:24:43.240
the backyard. Okay, do it yourself and not you know,

485
00:24:43.319 --> 00:24:45.880
going to these places and and and getting this. I know,

486
00:24:45.960 --> 00:24:49.960
fast food is just that it's fast food. But over time,

487
00:24:50.599 --> 00:24:54.039
and I'm just gonna be really uh uh, just really transparent.

488
00:24:54.519 --> 00:24:57.799
I was very healthy meeting with this great treatment team

489
00:24:57.799 --> 00:25:00.559
I've got here, my medical team, very healthy going along.

490
00:25:00.599 --> 00:25:02.680
But then I'm like, oh, well I could just have

491
00:25:02.720 --> 00:25:06.319
a little pepsi. It won't hurt, and a little PEPSI

492
00:25:06.400 --> 00:25:08.599
got to a six pack and an eight pack, and

493
00:25:08.680 --> 00:25:10.759
I went to drink up every day. But then I

494
00:25:10.799 --> 00:25:14.039
had my sweet tea and slowly, but surely, all of

495
00:25:14.079 --> 00:25:16.000
a sudden, the lad results came back and said, oh,

496
00:25:16.079 --> 00:25:17.200
it's great you you.

497
00:25:17.480 --> 00:25:20.440
Not no longer bought a line diabetic. You're diabetic. And

498
00:25:20.480 --> 00:25:23.519
I'm like, what, No, I went through No, I can't be.

499
00:25:24.240 --> 00:25:24.480
Yeah.

500
00:25:24.680 --> 00:25:26.559
Then I had to put this gookie device on my

501
00:25:26.720 --> 00:25:29.960
arm that reads my sugar level and report it every day.

502
00:25:30.480 --> 00:25:33.759
And everything I'm except for water it's got a little

503
00:25:33.799 --> 00:25:36.640
sugar in it, and my numbers are all over the place.

504
00:25:37.160 --> 00:25:39.240
And I'm like, oh, no, no, no, I can't go

505
00:25:39.359 --> 00:25:40.319
back in the hospital.

506
00:25:40.720 --> 00:25:41.559
But I had, I was.

507
00:25:41.599 --> 00:25:44.839
I was self sabotaging is what I'm gonna go hard

508
00:25:44.839 --> 00:25:46.920
on myself. I'm not saying other people would do this,

509
00:25:47.279 --> 00:25:50.519
but yeah, you know better. And I'm not out of

510
00:25:50.519 --> 00:25:54.200
the woods because now I'm I'm free. I'm already pre

511
00:25:54.759 --> 00:25:57.960
I'm already pre this. This opened up that door because

512
00:25:58.279 --> 00:26:00.880
you know, miss Horn and my saying it right, No,

513
00:26:01.400 --> 00:26:02.759
I rotted myself up.

514
00:26:03.160 --> 00:26:06.480
No, No, I definitely think what you're saying is true.

515
00:26:06.640 --> 00:26:10.119
And you know, unfortunately, when we talk about limb loss,

516
00:26:10.119 --> 00:26:13.400
we've had this conversation of the mental aspect of it.

517
00:26:13.759 --> 00:26:16.880
We are reaching for comfort that we have lost right

518
00:26:18.160 --> 00:26:19.960
and I do think that many people do that. And

519
00:26:20.279 --> 00:26:22.119
one of the cases that I see the most is,

520
00:26:22.279 --> 00:26:24.359
you know the way my grandfather used to say, you know,

521
00:26:24.400 --> 00:26:27.079
burying your head in bed, meaning you go to bed

522
00:26:27.119 --> 00:26:29.319
and that is just your comfort place. You find that

523
00:26:29.720 --> 00:26:31.279
you know, you don't really want to do the pet

524
00:26:31.440 --> 00:26:33.240
and you're you're really not wanting to cook it home.

525
00:26:33.359 --> 00:26:36.039
You know, you're really not wanting to try new things.

526
00:26:36.160 --> 00:26:38.759
And I'll be honest, I can think of maybe one patient.

527
00:26:38.799 --> 00:26:41.119
He's actually a double amputee. He got them both at

528
00:26:41.119 --> 00:26:43.440
the same time. He got fitted for both lights. He

529
00:26:43.599 --> 00:26:46.400
jumped up and was ready to walk. He is somebody

530
00:26:46.440 --> 00:26:48.160
that was just driven from day one and was like, well,

531
00:26:48.160 --> 00:26:49.720
there's no other option, so I'm just gonna do it.

532
00:26:49.880 --> 00:26:52.160
And but he was a rare species, if you will,

533
00:26:52.240 --> 00:26:55.279
right like, that is not the commonality. The commonality is

534
00:26:55.279 --> 00:26:59.000
to be terrified knowing my whole body could die, could

535
00:26:59.000 --> 00:27:01.319
shut down, and yet I need a day or two

536
00:27:01.319 --> 00:27:04.000
to think about maybe if I need to amputate this one. Right,

537
00:27:04.000 --> 00:27:05.480
And this is coming from a team that they trust,

538
00:27:05.480 --> 00:27:08.680
someone like us that potentially has tried to mitigate that

539
00:27:08.720 --> 00:27:11.319
problem for whatever given amount of time. So you know,

540
00:27:11.599 --> 00:27:13.279
it's not that they're not trusting it, it's that their

541
00:27:13.279 --> 00:27:15.319
brain is going, is this for real? I really have

542
00:27:15.400 --> 00:27:18.400
to mentally disconnect with this as well. So I do think,

543
00:27:18.480 --> 00:27:20.960
like you know, to your point of a diet pepsi

544
00:27:21.039 --> 00:27:23.359
or a pepsi or a French fry, even right a

545
00:27:23.440 --> 00:27:26.799
drive through whatever, it's it's that that little bit of

546
00:27:26.880 --> 00:27:29.359
I deserve a little convenience, right, Have I not been

547
00:27:29.359 --> 00:27:32.240
inconvenienced enough? And I think it is an easy trap

548
00:27:32.279 --> 00:27:35.519
to fall into because it does kind of start to

549
00:27:35.559 --> 00:27:37.960
fall down that let line of like pity me, and well,

550
00:27:38.279 --> 00:27:40.920
maybe I should just stay in bed today. And you know,

551
00:27:41.000 --> 00:27:43.000
my pet doesn't know everything I'm going through and it

552
00:27:43.079 --> 00:27:44.680
is too hard to dad, and I'm just not gonna

553
00:27:44.720 --> 00:27:47.519
do it. Instead of telling your brain, hey, hush, you're

554
00:27:47.519 --> 00:27:50.440
gonna feel better if we just shut that off, if

555
00:27:50.440 --> 00:27:52.920
we quiet the noise a little bit, we go back

556
00:27:52.960 --> 00:27:54.839
to our prayer, if we go back to our pete,

557
00:27:54.920 --> 00:27:57.319
and we put in the effort, and maybe we can't

558
00:27:57.319 --> 00:27:59.400
do all ten exercises, right. And I tell my patients

559
00:27:59.440 --> 00:28:01.119
this all the time. I was like, but if you

560
00:28:01.119 --> 00:28:02.960
did three, it was better than the zero. You were

561
00:28:02.960 --> 00:28:06.319
first willing to do right, like actually push to find

562
00:28:06.359 --> 00:28:08.720
what your boundaries are. You know, same thing with the

563
00:28:09.000 --> 00:28:11.759
you talk about diabetes and changing foods. And I have

564
00:28:11.839 --> 00:28:15.319
so many of my patients that, unfortunately, like have never

565
00:28:15.319 --> 00:28:17.000
even had a good talk with their doctor. And that's

566
00:28:17.039 --> 00:28:18.599
another thing I would I would play off to your

567
00:28:18.599 --> 00:28:23.240
point is ask questions to your doctor. Many doctors, unfortunately,

568
00:28:23.279 --> 00:28:25.039
are going to sit down and give you some crazy

569
00:28:25.039 --> 00:28:28.839
diagnosis like diabetes, right and think, oh, this is so generalized.

570
00:28:29.000 --> 00:28:31.599
You're a diabetic. Here's the info, here's your packet. You're

571
00:28:31.599 --> 00:28:33.599
gonna get a pamphlet, pick this up at your pharmacy.

572
00:28:33.960 --> 00:28:36.400
They don't know anything about the dietary changes. They don't

573
00:28:36.400 --> 00:28:38.599
know about panting their carbs. They don't know how carbs

574
00:28:38.599 --> 00:28:42.400
simple sugars versus complex sugars, you know, affect their blood

575
00:28:42.440 --> 00:28:46.480
sugar spikes versus longevity of holding blood sugars. And what

576
00:28:46.519 --> 00:28:48.319
I always and unfortunately, those are the patients that come

577
00:28:48.319 --> 00:28:50.559
to me frustrated. They're ticked off with the medical industry.

578
00:28:50.559 --> 00:28:52.839
They feel super confused because their sugars are all over

579
00:28:52.839 --> 00:28:54.839
the place. They don't know what they're doing wrong. And

580
00:28:54.920 --> 00:28:57.920
what I always tell them is don't be discouraged. Everybody

581
00:28:58.359 --> 00:29:00.480
has been at that point before. If any doctors ever

582
00:29:00.519 --> 00:29:02.799
made you feel belittled, I ever made you feel like,

583
00:29:03.119 --> 00:29:05.519
well you should just know this, then they're rude, right,

584
00:29:05.519 --> 00:29:07.759
they're not respectfully. Their bedside manner isn't good. And I

585
00:29:07.839 --> 00:29:09.440
used to joke and those people should be in research,

586
00:29:09.519 --> 00:29:12.359
right because you're smart, obviously are you got somewhere, But

587
00:29:12.440 --> 00:29:15.640
maybe you're not a people person and that's okay. But yeah,

588
00:29:15.640 --> 00:29:18.599
I definitely think. I definitely think it's something where maybe

589
00:29:18.599 --> 00:29:20.359
you have to spend the day, maybe you get down

590
00:29:20.480 --> 00:29:22.519
with family, maybe you do some googling, and you come

591
00:29:22.599 --> 00:29:25.519
up with some questions where you know, respectful, you hold

592
00:29:25.519 --> 00:29:27.440
that doctor's foot to the flame they're billing me for.

593
00:29:27.519 --> 00:29:29.559
And I promise you they are that full hour that

594
00:29:29.880 --> 00:29:32.720
answered all questions patient asked, you know whatever in their

595
00:29:32.720 --> 00:29:35.599
silk note, I would say, ask them, ask all the questions,

596
00:29:35.640 --> 00:29:37.440
and if you don't feel satisfied with that, give a

597
00:29:37.440 --> 00:29:39.720
second opinion. And I know people hate the thought of

598
00:29:39.759 --> 00:29:41.599
starting over, but I would definitely.

599
00:29:41.440 --> 00:29:42.960
To push you a little bit more each time to

600
00:29:43.000 --> 00:29:45.960
get further. Well, yeah, mister, you got to ask the questions.

601
00:29:46.000 --> 00:29:48.160
Now you can't you have to watch how you eat,

602
00:29:48.240 --> 00:29:50.960
make some changes. Yes, Mickey, you know you got to

603
00:29:51.000 --> 00:29:54.440
ask the questions. A good professor, a good teacher in

604
00:29:54.480 --> 00:29:58.119
your lifetime, will say, do anybody have any questions? I

605
00:29:58.240 --> 00:29:59.920
just gave you a whole lot of information the night,

606
00:30:00.400 --> 00:30:02.519
taking notes and everything. Anybody got any questions? Because we

607
00:30:02.559 --> 00:30:04.279
got a quiz coming up, or you got your major,

608
00:30:04.400 --> 00:30:07.039
we've got the midterms coming up, any questions?

609
00:30:07.119 --> 00:30:08.079
And I used to tell my.

610
00:30:08.000 --> 00:30:11.359
Students, don't leave me confused. Don't leave me because don't

611
00:30:11.359 --> 00:30:13.559
because you don't ask me the night of the quiz.

612
00:30:13.759 --> 00:30:15.599
You know, because I'm gonna give you a pop quiz.

613
00:30:15.680 --> 00:30:17.839
I gotta make sure you're with me and that you

614
00:30:18.079 --> 00:30:21.240
understand the material. Not just if you could define something,

615
00:30:21.519 --> 00:30:22.759
I need you to understand it.

616
00:30:22.880 --> 00:30:23.920
So, no, I want to know.

617
00:30:24.160 --> 00:30:25.799
So when I go in and have my blood work

618
00:30:25.880 --> 00:30:28.599
read with my primary and she's very she's an arn

619
00:30:28.680 --> 00:30:29.480
she's very good.

620
00:30:29.759 --> 00:30:30.400
She goes through.

621
00:30:30.440 --> 00:30:32.319
She don't just run it and look at the numbers,

622
00:30:32.359 --> 00:30:34.200
and then she comes back with the lecture. No, no, no,

623
00:30:34.319 --> 00:30:35.920
she goes, Okay, mis's great. Here we go, and I

624
00:30:36.279 --> 00:30:38.480
got my copy too, and I'm going right along with it.

625
00:30:38.640 --> 00:30:40.799
She's going line by line. Okay, this is good. The

626
00:30:40.920 --> 00:30:41.759
numbers are improving.

627
00:30:41.839 --> 00:30:43.519
This is good. So I see you doing this, I

628
00:30:43.519 --> 00:30:45.240
see you doing that. By the numbers.

629
00:30:45.440 --> 00:30:48.799
The numbers will give you up. Yeah, the numbers will

630
00:30:48.799 --> 00:30:51.359
give you They will tell it all. Go ahead, Trey,

631
00:30:51.400 --> 00:30:52.960
you want to say something, Yeah.

632
00:30:52.839 --> 00:30:56.000
I'm just just having and MICHAELA. I know you're in

633
00:30:56.000 --> 00:30:58.920
the medical field. So one of the things that I

634
00:30:59.000 --> 00:31:02.839
learned about being a caregiver, sometimes the person that you're

635
00:31:02.920 --> 00:31:06.720
carrying with, like I was, might not know what to ask.

636
00:31:07.200 --> 00:31:10.599
Correct he was.

637
00:31:10.640 --> 00:31:13.039
Older, so some of the things he might not have

638
00:31:13.079 --> 00:31:15.400
picked up on, Whereas when I went with him or

639
00:31:15.480 --> 00:31:18.759
my sisters went with him, we would ask those particular

640
00:31:18.839 --> 00:31:21.599
questions that he might not think of the one thing too.

641
00:31:21.759 --> 00:31:24.759
A lot of people are intimidated by going to the doctor.

642
00:31:25.240 --> 00:31:28.079
But I have some people in my corner that if

643
00:31:28.119 --> 00:31:31.680
I'm afraid to go, will go and assist me in there,

644
00:31:31.720 --> 00:31:35.599
and would go in to help advocate, because sometimes you

645
00:31:35.680 --> 00:31:39.759
miss things in a bit of nervousness and anxiety, and

646
00:31:39.799 --> 00:31:42.279
anxiousness can ask you know.

647
00:31:42.279 --> 00:31:45.359
There are certain conditions as well where people are legitimately

648
00:31:45.440 --> 00:31:48.119
not able to advocate for themselves, whether that is unable

649
00:31:48.119 --> 00:31:51.480
to speak physically literally does happen unfortunately we've had that

650
00:31:51.559 --> 00:31:54.599
happen in our world, or if that memory care issues.

651
00:31:54.680 --> 00:31:57.160
They don't even know if something was missed what the

652
00:31:57.240 --> 00:31:59.359
doctor said. I have one patient who will call his

653
00:31:59.400 --> 00:32:01.599
wife every time he's in there. That way she can

654
00:32:01.640 --> 00:32:04.119
hear everything that we discussed, and there's no question nobody's

655
00:32:04.119 --> 00:32:08.039
missing any information. So I can I completely agree with that. Definitely,

656
00:32:08.079 --> 00:32:11.319
there's something to be said about the fear of advocation

657
00:32:11.559 --> 00:32:14.119
and just not knowing this of it. I'll be honest

658
00:32:14.160 --> 00:32:16.400
for myself if I have a patient that I can

659
00:32:16.440 --> 00:32:18.400
tell is a little timid. I've actually had a conversation

660
00:32:18.480 --> 00:32:21.000
recently with a bachelor patient and he expressed to me

661
00:32:21.079 --> 00:32:23.519
his concerns and he expressed to me all the questions

662
00:32:23.559 --> 00:32:25.359
he had, and I said, you should write those down

663
00:32:25.440 --> 00:32:27.359
right now, and if it makes you feel better, tell

664
00:32:27.400 --> 00:32:29.240
them your Podietri just wanted to know this when we

665
00:32:29.240 --> 00:32:32.079
were talking with the PA dietary and conversation. You know,

666
00:32:32.119 --> 00:32:34.559
I'm always happy to be the advocates d the fall

667
00:32:34.599 --> 00:32:36.559
I've I've already told you as well. You know, if

668
00:32:36.559 --> 00:32:39.200
you ever just need somebody in your corner to answer questions.

669
00:32:39.240 --> 00:32:42.359
You want someone to, you know, help you with any

670
00:32:42.400 --> 00:32:44.160
of the insurance stuff. Right, our front desk lady is

671
00:32:44.200 --> 00:32:46.640
wonderful with that. Any questions with boond Care, they'll text me.

672
00:32:46.720 --> 00:32:49.799
There's a voicemail, right and we do try to bridge

673
00:32:49.799 --> 00:32:51.519
that gap. But I agree with you, unless you are

674
00:32:51.559 --> 00:32:54.200
reaching out to social work, which I always recommend as well,

675
00:32:54.559 --> 00:32:59.480
insurance companies a lot of times will cover social work. Yeah,

676
00:32:59.480 --> 00:33:00.960
there's definitely wonderful option.

677
00:33:02.640 --> 00:33:04.400
Yeah, you could do that, Mickey. You could say, hey,

678
00:33:04.400 --> 00:33:04.960
do you mind me?

679
00:33:05.160 --> 00:33:07.160
I just have to I want to record the questions

680
00:33:07.240 --> 00:33:10.039
I'm asking this, and you could I'll just and we'll

681
00:33:10.079 --> 00:33:12.000
just cut it off afterwards. But I just have five

682
00:33:12.079 --> 00:33:14.480
questions I need to ask and you're looking. You have

683
00:33:14.599 --> 00:33:17.720
that right and you have that time in there as well.

684
00:33:18.119 --> 00:33:20.599
You need to do that and advocate is nothing like

685
00:33:20.680 --> 00:33:24.279
advocacy for yourself. I think that was the biggest thing

686
00:33:24.599 --> 00:33:27.000
that really helped me together on a daily while I

687
00:33:27.039 --> 00:33:29.920
was in the hospital. I told them what I needed.

688
00:33:30.200 --> 00:33:32.400
This is what I needed, a discharge plan with a

689
00:33:32.400 --> 00:33:35.839
social work background that only he or she will understand

690
00:33:35.880 --> 00:33:37.839
what I'm about to ask her to do. And I

691
00:33:37.880 --> 00:33:40.480
had three you know, three major things, and she was

692
00:33:40.559 --> 00:33:43.319
right on it, didn't I mean even reached out and

693
00:33:43.359 --> 00:33:45.279
stepped out a little further because she got to know

694
00:33:45.400 --> 00:33:48.519
our family dynamic and what my needs were. So yeah,

695
00:33:48.559 --> 00:33:50.640
you know, you could ask the questions and if they

696
00:33:50.640 --> 00:33:52.160
don't want to, if they like want to give you a.

697
00:33:52.079 --> 00:33:54.400
Brush off, then they're not the folks for you.

698
00:33:54.519 --> 00:33:56.880
And I could tell you that, I will tell you

699
00:33:56.960 --> 00:33:59.400
that I will come and advocate with you. I'll be

700
00:33:59.480 --> 00:34:01.480
on the phone that I have no problem with that

701
00:34:01.880 --> 00:34:03.480
because I will ask the questions.

702
00:34:03.519 --> 00:34:05.119
I will tell you the questions to ask.

703
00:34:05.559 --> 00:34:07.720
Okay, So but you have to do that so you

704
00:34:07.720 --> 00:34:10.400
can have a peace of mind every day despite my

705
00:34:11.079 --> 00:34:13.480
you know, trying to just get my head around what

706
00:34:13.519 --> 00:34:16.920
was happening to me because they still hadn't said sepsis yet.

707
00:34:17.239 --> 00:34:19.320
They still hadn't said that because I was in that

708
00:34:19.400 --> 00:34:21.800
three week cooma, So you know, I'm waking up.

709
00:34:21.880 --> 00:34:22.760
What have you done to me?

710
00:34:22.920 --> 00:34:25.199
You know, and they still hadn't said that to me,

711
00:34:25.239 --> 00:34:26.599
because like I said, what have you done to me?

712
00:34:26.960 --> 00:34:30.039
What happened? And you know, later on I was able

713
00:34:30.079 --> 00:34:30.559
to see it.

714
00:34:30.519 --> 00:34:35.639
In the progress note Now I I we got portals,

715
00:34:35.639 --> 00:34:38.400
Now you have medical you know patient portals.

716
00:34:38.440 --> 00:34:41.480
Now you need to sign in, do your password. Go

717
00:34:41.519 --> 00:34:41.840
in there.

718
00:34:41.920 --> 00:34:44.360
You got all your test results, they're right there, and

719
00:34:44.400 --> 00:34:48.880
it'll say abnormal, it'll say red, it'll say borderline, yellow, caution.

720
00:34:49.760 --> 00:34:51.880
Some of that you can read because you'll see your

721
00:34:51.880 --> 00:34:55.119
prior number and you either went up or you went down.

722
00:34:55.519 --> 00:34:58.760
Some of that you just got to sit tight, copy it, you.

723
00:34:58.719 --> 00:35:01.280
Know, print it out and and go over and say okay,

724
00:35:01.320 --> 00:35:04.480
and then highlight your put a question mark and take

725
00:35:04.679 --> 00:35:07.559
that in with you to your doctor's appointment. And I

726
00:35:07.599 --> 00:35:09.440
got some questions. Can we go back to the lab work?

727
00:35:09.760 --> 00:35:13.280
Okay? Sure, they have no choice or they lose a patient.

728
00:35:13.639 --> 00:35:16.519
Done, and we write results, we write evaluations, and I'll

729
00:35:16.559 --> 00:35:18.599
tell people something, don't send me. You know, they'll be

730
00:35:18.719 --> 00:35:21.079
kind of cocky and they'll throw all So, just don't

731
00:35:21.079 --> 00:35:24.119
send me an evaluation. They're like, oh, oh yeah, don't

732
00:35:24.119 --> 00:35:26.079
send me. If no one could go with you, for sure,

733
00:35:26.360 --> 00:35:28.639
record the conversation and go back over with your trusted

734
00:35:28.639 --> 00:35:30.320
people and talk it over with the team on the

735
00:35:30.320 --> 00:35:32.800
next visit. There you go, Missy, you're doing our job

736
00:35:32.840 --> 00:35:35.559
for us. Missy, I think you're a social worker underneath there.

737
00:35:35.599 --> 00:35:39.039
I think you are anyway, But yeah, thank you, Okay,

738
00:35:39.119 --> 00:35:39.559
ms Horn?

739
00:35:39.679 --> 00:35:40.679
Is there anything else?

740
00:35:40.719 --> 00:35:44.159
We are we because we've got a buried age group

741
00:35:44.239 --> 00:35:47.559
that listens so and and I love our children. I

742
00:35:47.599 --> 00:35:50.360
love our youth because they take the questions, they'll take

743
00:35:50.360 --> 00:35:53.679
the conversation back to their parents, and so it's anything.

744
00:35:54.360 --> 00:35:57.039
Is there a prevention piece out there? Is there something

745
00:35:57.039 --> 00:36:01.119
we can say to anybody who right now, you don't

746
00:36:01.119 --> 00:36:03.880
have those issues, You've not been you don't have diabetes

747
00:36:03.920 --> 00:36:07.280
in the family, You've not stepped on a nail. You know,

748
00:36:07.440 --> 00:36:09.360
you're not being hit by a car. You know, you

749
00:36:09.400 --> 00:36:13.440
don't have any trauma going through something pending. But if

750
00:36:13.480 --> 00:36:17.519
something happens, of course, depending on what it is or was.

751
00:36:18.039 --> 00:36:19.400
Where do we go from here? Now?

752
00:36:19.760 --> 00:36:20.280
Yeah?

753
00:36:20.400 --> 00:36:22.119
Where we go from here? Yeah?

754
00:36:22.159 --> 00:36:23.719
So that's I think that's really good.

755
00:36:23.960 --> 00:36:24.159
Yeah.

756
00:36:24.280 --> 00:36:26.719
Sorry, no, no, no, no.

757
00:36:27.039 --> 00:36:29.559
What I was mentioning because we're coming up on hurricane

758
00:36:29.599 --> 00:36:33.800
season and I wanted we're coming up on a hurricane

759
00:36:33.840 --> 00:36:37.719
season and I've seen where places have maybe flooded areas

760
00:36:37.760 --> 00:36:42.119
and people are walking through the water, and so I

761
00:36:42.199 --> 00:36:44.280
wanted to bring that up. So maybe michaela can touch

762
00:36:44.320 --> 00:36:46.719
on that as well. You know, you don't know what

763
00:36:46.719 --> 00:36:48.719
you're walking and you don't know what you're walking on.

764
00:36:49.719 --> 00:36:51.480
So just that's something I thought of.

765
00:36:51.559 --> 00:36:54.440
I'm sorry, no, yeah, yeah, definitely. So to that point,

766
00:36:54.480 --> 00:36:57.000
there's actually a couple of risk factors involved in that.

767
00:36:57.119 --> 00:37:02.239
Let's talk about a healthy individual, right, no pre existing conditions.

768
00:37:02.480 --> 00:37:04.360
The biggest fear is the people who are trapped in

769
00:37:04.440 --> 00:37:07.199
water places where even the water is let's say, just

770
00:37:07.239 --> 00:37:10.440
past the toes, just past the toe line, it will

771
00:37:10.519 --> 00:37:12.679
hit the point where it is so moist your your

772
00:37:12.840 --> 00:37:14.840
base skin layer will start to kind of separate, like

773
00:37:14.880 --> 00:37:17.320
we get a blister. The problem with that is our

774
00:37:17.400 --> 00:37:21.480
skin is the most amazing protective organ. It's the biggest

775
00:37:21.559 --> 00:37:23.480
organ we have. If you don't know your skin's an organ,

776
00:37:23.519 --> 00:37:25.800
that's a fun one for the kids, the biggest orgon

777
00:37:25.880 --> 00:37:28.199
on your body, right, and it protects it's the best

778
00:37:28.239 --> 00:37:31.480
part of your immune system. Unfortunately, when that breach happens,

779
00:37:31.559 --> 00:37:33.280
which a lot of our patients is what we deal

780
00:37:33.280 --> 00:37:36.400
with the breach. When that breach happens, the body's very good.

781
00:37:36.440 --> 00:37:36.760
As Ms.

782
00:37:36.840 --> 00:37:40.199
Gray spoke about healing itself in the right conditions, right,

783
00:37:40.440 --> 00:37:42.760
we keep it in these moist conditions, We keep it

784
00:37:42.800 --> 00:37:46.800
in dirty waters and dirty bacterial conditions to your point

785
00:37:46.840 --> 00:37:48.760
of you know, it could be something very small, some

786
00:37:49.320 --> 00:37:52.000
branch or bit of debris, or you know, you really

787
00:37:52.000 --> 00:37:53.800
do never know what's kind of floating in those those

788
00:37:53.880 --> 00:37:56.199
darker areas, or how deep the water is, et cetera.

789
00:37:56.280 --> 00:37:58.480
You could scrape yourself. For one of my patients, my goodness,

790
00:37:58.480 --> 00:38:00.519
I joke about that, they could just scrape themsels, right,

791
00:38:00.920 --> 00:38:05.320
And because of the lower immune system, the infection can

792
00:38:05.360 --> 00:38:09.599
be unfortunately, very bad, very quick, and we always hope

793
00:38:09.639 --> 00:38:10.960
that it's not and we try to jump on it.

794
00:38:10.960 --> 00:38:12.400
I mean, we are people who will literally take a

795
00:38:12.400 --> 00:38:15.039
text message over the weekend and prescribe antibiotics because we're like, oh,

796
00:38:15.039 --> 00:38:16.800
my goodness, no, you're right, this is a problem. Let's

797
00:38:16.880 --> 00:38:18.559
let's go ahead and jump on it right now. So

798
00:38:19.400 --> 00:38:22.519
I think early prevention is very important as somebody who

799
00:38:23.079 --> 00:38:25.000
you know, I'm healthy and I'm very blessed and thank

800
00:38:25.039 --> 00:38:27.639
the Lord, but definitely go go to the doctor. Go

801
00:38:27.679 --> 00:38:29.760
to the doctor regularly. That's something I neglected a lot

802
00:38:29.760 --> 00:38:32.000
in my youth, and that was with the father who

803
00:38:32.039 --> 00:38:33.000
had type of diabetes.

804
00:38:33.159 --> 00:38:33.320
Right.

805
00:38:33.480 --> 00:38:35.760
So definitely, if you have history in your family, you know,

806
00:38:35.800 --> 00:38:38.400
advocate for yourself. I know that there are some tests

807
00:38:38.440 --> 00:38:40.960
and scans and things that get added to your blood

808
00:38:41.000 --> 00:38:42.719
work only at a certain age. But guess what you

809
00:38:42.719 --> 00:38:44.880
can advocate for it. You can say, hey, I want

810
00:38:44.920 --> 00:38:46.960
the full, full, full panel, and when they're like what

811
00:38:47.000 --> 00:38:48.840
do you mean by that, tell the doctor, well, what

812
00:38:48.880 --> 00:38:50.599
do you mean? What's the what is the most I

813
00:38:50.639 --> 00:38:52.639
can have done? I want every single thing tested that

814
00:38:52.639 --> 00:38:54.760
my insurance is willing to test me for, right, And

815
00:38:54.800 --> 00:38:56.480
if you feel like there's a concern outside of that,

816
00:38:56.519 --> 00:38:58.440
then ask for that too. See what the price. You'd

817
00:38:58.480 --> 00:39:01.639
be surprised sometimes, but I think nothing is worth your

818
00:39:01.639 --> 00:39:04.360
peace of mind, right, So you know, doing that research,

819
00:39:04.400 --> 00:39:09.119
asking those questions, and you know, to your point of

820
00:39:09.440 --> 00:39:11.480
the flooding, being aware of your surroundings. And I hate

821
00:39:11.480 --> 00:39:13.360
saying the word common sense because some of this is

822
00:39:13.400 --> 00:39:14.119
not a choice.

823
00:39:14.199 --> 00:39:14.360
Right.

824
00:39:14.400 --> 00:39:16.920
We talk about people whose homes are flooded, and I

825
00:39:16.920 --> 00:39:19.599
think sometimes when we think about floodwaters and injuries that

826
00:39:19.639 --> 00:39:21.119
go with that, we're thinking of the people out there

827
00:39:21.119 --> 00:39:23.719
and they're kiak, you know, screwing around in the streets.

828
00:39:23.719 --> 00:39:26.039
But the reality is the injuries can happen very likely

829
00:39:26.079 --> 00:39:29.400
in the homes too. And you know, I think the

830
00:39:29.400 --> 00:39:31.400
biggest thing for me and paid to be that lame person,

831
00:39:31.480 --> 00:39:33.199
is get out of the house. All the things in

832
00:39:33.199 --> 00:39:36.599
the house are replaceable. You're not replaceable. If you are

833
00:39:36.679 --> 00:39:38.480
financially able to if you have a friend, if they

834
00:39:38.760 --> 00:39:40.639
can make it to a shelter, you know, get to

835
00:39:40.639 --> 00:39:42.679
a place that's safe. I think that's always a big

836
00:39:42.679 --> 00:39:43.119
thing for me.

837
00:39:43.599 --> 00:39:46.000
I can tell people to be careful in the snow cold.

838
00:39:46.320 --> 00:39:48.679
Many people go to play and ski in the winter weathers,

839
00:39:48.719 --> 00:39:50.599
but they are not used to that kind of cold,

840
00:39:50.760 --> 00:39:53.320
and they have many they have issues not knowing how

841
00:39:53.360 --> 00:39:54.800
to prep for the type of cold that they have

842
00:39:54.880 --> 00:39:57.880
never been accustomed to. Very good shows, very good. The

843
00:39:57.960 --> 00:40:03.800
results a Florida winter clothing is nothing. We can't even

844
00:40:04.000 --> 00:40:06.800
go to Georgia. To go to Virginia and the cold,

845
00:40:06.840 --> 00:40:08.800
that's nothing. You've got to go to those states and

846
00:40:08.880 --> 00:40:12.119
buy your clothes there. Because our little, our little sweaters

847
00:40:12.159 --> 00:40:14.639
they're very thin and all that kind of stuff. They

848
00:40:14.719 --> 00:40:17.239
do nothing. They barely keep us for them. And we're

849
00:40:17.239 --> 00:40:19.519
in layers here in Florida. So you're that was a

850
00:40:19.559 --> 00:40:22.960
great point, Charles, Thank you for that. And you know,

851
00:40:23.039 --> 00:40:26.480
and we've got critters. Now, we've got critters just showing

852
00:40:26.599 --> 00:40:32.079
up from nowhere, mixed breed stuff. When I moved here,

853
00:40:32.119 --> 00:40:34.159
I was here and I went over the city called

854
00:40:34.159 --> 00:40:37.760
Castleburry to meet with a colleague of mine and there's

855
00:40:37.800 --> 00:40:40.719
this big thing and I'm like, what the devil is that?

856
00:40:41.119 --> 00:40:43.599
And he was about this law, and but he was

857
00:40:43.639 --> 00:40:46.239
different colors. I said, I know that can't be a grasshopper.

858
00:40:47.000 --> 00:40:48.920
I'm only seeing green grasshoppers.

859
00:40:49.119 --> 00:40:50.920
I've never seen even seen the brown one. But this

860
00:40:51.079 --> 00:40:54.239
was multicolored. And I'm like, wow. So you know, you're

861
00:40:54.239 --> 00:40:55.199
stepping on stuff.

862
00:40:55.239 --> 00:40:57.920
And you know kids out there, kids red alert, do

863
00:40:58.039 --> 00:41:00.920
not be picking up animals and rollers and stuff like that.

864
00:41:01.199 --> 00:41:02.760
You don't know what they're carrying.

865
00:41:03.119 --> 00:41:05.079
And don't just go up to a dog even you

866
00:41:05.119 --> 00:41:07.599
don't know if they've been vaccinated, they've had their shots

867
00:41:07.599 --> 00:41:10.920
and stuff. Now, that's one creature that has to have shots. Okay,

868
00:41:11.199 --> 00:41:14.280
that's one, all right. You don't go and be trying

869
00:41:14.280 --> 00:41:16.960
to put you know, you know, pull their tail or whatever.

870
00:41:17.119 --> 00:41:17.880
You don't know.

871
00:41:17.760 --> 00:41:21.079
If they've been well kept. You've got to just take precaution.

872
00:41:21.239 --> 00:41:23.800
You don't I'm not saying it become a prisoner and

873
00:41:23.840 --> 00:41:26.320
all of a sudden, oh, oh my god, I'm this

874
00:41:26.360 --> 00:41:29.960
is not fear. This show is not to instill fear,

875
00:41:30.320 --> 00:41:33.960
is to alert you, is to make you aware, and

876
00:41:34.000 --> 00:41:37.199
it's to hold make yourself accountable. You've got to hold

877
00:41:37.199 --> 00:41:40.440
yourself accountable and to your because of your animas.

878
00:41:40.760 --> 00:41:42.400
Let me tell you this, Well, and that's great, you

879
00:41:42.440 --> 00:41:44.800
are so correct. I cannot tell you how many patients

880
00:41:44.840 --> 00:41:47.440
came in with the misnomer of well, dog's mouths are

881
00:41:47.480 --> 00:41:50.199
cleaner than humans. Right, And what I'd like to always

882
00:41:50.199 --> 00:41:53.000
express to people that we tend to forget. And this

883
00:41:53.039 --> 00:41:54.519
is going to go with a couple of scenarios I'm

884
00:41:54.519 --> 00:41:57.239
going to give you. Okay, animals carry different bacteria than

885
00:41:57.280 --> 00:41:59.159
we do. Right, there are different species. Things like that

886
00:41:59.199 --> 00:42:01.480
when that bacteria it gets into our body, it doesn't

887
00:42:01.519 --> 00:42:03.199
know what to do with it. It's something that's a

888
00:42:03.239 --> 00:42:05.159
brand new infection. And those are the ones that become

889
00:42:05.519 --> 00:42:08.159
so severe so quickly. Whether you are a healthy individual,

890
00:42:08.440 --> 00:42:10.880
and then god forbid if you are someone who has compromised.

891
00:42:10.960 --> 00:42:11.119
Right.

892
00:42:11.519 --> 00:42:14.199
My other favorite point to that is pools. Right, I

893
00:42:14.239 --> 00:42:15.599
can't tell you how many of my patients with a

894
00:42:15.639 --> 00:42:17.400
wound or like I can't get in the pool. It

895
00:42:17.440 --> 00:42:19.440
has all this quarraine I can't get in my tub.

896
00:42:19.719 --> 00:42:21.800
I cleaned it with bleach. And what I like to

897
00:42:21.840 --> 00:42:25.159
express to them is, you know, my micro microbiology class,

898
00:42:25.360 --> 00:42:28.480
what we would learn is, you know, in those environments

899
00:42:28.519 --> 00:42:31.719
where bleach has killed everything, there are other bacteria that

900
00:42:31.760 --> 00:42:34.599
are still surviving. So think about that. In a pool

901
00:42:34.639 --> 00:42:37.840
that's fully chlorinated, in a tub, a shower that you've

902
00:42:37.920 --> 00:42:40.519
you've completely cleaned down, there is bacteria. And it's the

903
00:42:40.519 --> 00:42:44.159
bacteria that survived that you know, point zero one percent

904
00:42:44.239 --> 00:42:46.639
if you will, on the bottle that survived, and that

905
00:42:46.800 --> 00:42:48.639
is the bacteria that you just you do not want

906
00:42:48.679 --> 00:42:51.599
to be infected with. And so unfortunately, you know that

907
00:42:51.599 --> 00:42:55.159
means we do have to sacrifice parts of our life.

908
00:42:55.199 --> 00:42:57.840
So you talk about you know, unfortunately we're talking prevention

909
00:42:57.960 --> 00:43:01.599
to limb loss following your protocols. I have so many

910
00:43:01.639 --> 00:43:03.880
patients that are non complain and I'll be honest with Gray,

911
00:43:03.920 --> 00:43:05.719
was never that patient. You know, not to toot your horn,

912
00:43:05.800 --> 00:43:08.800
but there's always very wonderful and goal oriented on I

913
00:43:08.880 --> 00:43:11.760
want to be better and whatever way that means physically, spiritually,

914
00:43:11.800 --> 00:43:13.519
mentally right, I want to be in the right place.

915
00:43:14.000 --> 00:43:16.199
And unfortunately that's that's not always the case. I have

916
00:43:16.320 --> 00:43:18.320
patients you know that will ask me why their wounds

917
00:43:18.320 --> 00:43:19.840
aren't healing and then tell me they just did a

918
00:43:19.840 --> 00:43:21.760
full day at Disney and didn't want to use a scooter,

919
00:43:22.199 --> 00:43:24.000
you know, because it's just it's not for them. I'm like,

920
00:43:24.039 --> 00:43:27.199
it is though, unfortunately, No, I know you want you're

921
00:43:27.199 --> 00:43:28.440
a martyr and you want to give it up to

922
00:43:28.440 --> 00:43:31.880
everybody else. But get on the scooter, right, So, you know,

923
00:43:32.320 --> 00:43:35.639
being willing to listen to those protocols and make little

924
00:43:35.679 --> 00:43:38.599
sacrifices now, I know, like we talk about diabetes, it

925
00:43:38.840 --> 00:43:41.119
stinks to have to go to diet SODA's or to

926
00:43:41.199 --> 00:43:44.320
go to you know, reduce sugar, this Keto that. But

927
00:43:44.480 --> 00:43:46.800
you start to make those small adjustments and you'll find

928
00:43:47.000 --> 00:43:49.400
you might really like this brand's you know, keto bread.

929
00:43:49.440 --> 00:43:51.960
And you come to find that this alternative of how

930
00:43:52.000 --> 00:43:54.119
you cooked, you know, your breakfast isn't that bad. You're

931
00:43:54.119 --> 00:43:55.960
just leaving out the toast or the potatoes or you

932
00:43:55.960 --> 00:43:58.760
know whatever it is. Right, And I'm a big fan

933
00:43:58.960 --> 00:44:03.039
of finding exchanges. I'm someone who diets and exercises as well. Right,

934
00:44:03.440 --> 00:44:05.320
find changes in your life that you can stick to

935
00:44:05.360 --> 00:44:07.920
because you actually enjoy it because it was something where

936
00:44:08.079 --> 00:44:10.199
instead of seeing I can't have anything, I can have

937
00:44:10.280 --> 00:44:12.639
a little bit of something, right, Because imagine that's the

938
00:44:12.679 --> 00:44:14.760
only other alternative if you're trying to live a healthy

939
00:44:14.760 --> 00:44:17.280
lifestyle is nothing. And I encourage you to find a

940
00:44:17.280 --> 00:44:19.480
balance because I promise you can. You know, it doesn't

941
00:44:19.519 --> 00:44:21.280
have to be all or nothing. There's there's definitely a

942
00:44:21.280 --> 00:44:22.440
middle ground and good days and.

943
00:44:22.440 --> 00:44:26.159
Bad days, you know, man, thank you so much for that.

944
00:44:25.800 --> 00:44:28.480
This is this is this is why you know we're

945
00:44:28.719 --> 00:44:31.800
as we're honoring and recognizing and acknowledging limb laws and

946
00:44:31.880 --> 00:44:32.639
limb difference.

947
00:44:33.039 --> 00:44:34.599
You know, because there are people who were born with

948
00:44:34.639 --> 00:44:35.320
no limbs.

949
00:44:35.519 --> 00:44:38.000
You know, they still have to be extra It's still

950
00:44:38.039 --> 00:44:40.480
got to be as careful, you know, even though they

951
00:44:40.480 --> 00:44:43.599
were born with this situation, they still got to maintain

952
00:44:43.639 --> 00:44:45.880
so it won't get any worse. But please, if a

953
00:44:45.920 --> 00:44:48.000
service animal comes up to you without an owner, please

954
00:44:48.039 --> 00:44:50.760
get more people and follow the service animal. It may

955
00:44:50.840 --> 00:44:53.119
lead you to the owner who may need to need help,

956
00:44:53.239 --> 00:44:56.159
but never follow and think without another person.

957
00:44:56.199 --> 00:44:58.840
Be safe. Thank you, Missy say I love my audience.

958
00:44:58.880 --> 00:44:59.679
We love our audience.

959
00:44:59.719 --> 00:45:02.519
They so awesome and they think about these things because

960
00:45:02.559 --> 00:45:04.199
normally nobody's gonna think about that.

961
00:45:04.360 --> 00:45:05.559
Nobody's gonna say that, you know.

962
00:45:05.639 --> 00:45:07.679
But yeah, we got to be very careful and you've

963
00:45:07.679 --> 00:45:08.960
got to keep your head on a swivel.

964
00:45:09.000 --> 00:45:10.039
That's all you have to do.

965
00:45:10.400 --> 00:45:12.360
At the same time, you've got to put your self

966
00:45:12.400 --> 00:45:15.679
care techniques and protocols in place as well.

967
00:45:16.039 --> 00:45:18.440
You know what do I do? What do I enjoy doing?

968
00:45:18.519 --> 00:45:18.679
You know?

969
00:45:18.840 --> 00:45:20.559
Okay, I'm not able to do this right now.

970
00:45:20.920 --> 00:45:23.280
And that's one thing in this world of amputeeism we've

971
00:45:23.320 --> 00:45:25.840
all been able to say once we once.

972
00:45:25.639 --> 00:45:28.000
We have some time, because we have to have time,

973
00:45:28.320 --> 00:45:30.239
we can't you can't rush us into things.

974
00:45:30.400 --> 00:45:32.599
But once we've had time, we can say, you know

975
00:45:32.639 --> 00:45:34.840
what I get I think, you know what, I'm gonna

976
00:45:34.840 --> 00:45:35.039
do that.

977
00:45:35.079 --> 00:45:36.000
And sometimes most of the.

978
00:45:35.960 --> 00:45:40.199
Things I've reacquired that I didn't have to relearn I

979
00:45:40.280 --> 00:45:42.000
wasn't thinking about, Like, okay, today, I got to be

980
00:45:42.079 --> 00:45:43.800
able to put my earrings on. I gotta do I

981
00:45:43.840 --> 00:45:45.719
wasn't doing that. It's just like, oh, you know what,

982
00:45:45.760 --> 00:45:47.199
I can't wait for the kids to get up to me.

983
00:45:47.239 --> 00:45:48.679
And it was a hoop earring and you know, with

984
00:45:48.760 --> 00:45:50.159
a little hook, and I did it. I was like,

985
00:45:54.360 --> 00:45:57.079
you know, and we have those small celebrations, you know.

986
00:45:57.280 --> 00:45:59.320
Because I did it, I didn't have to ask for help.

987
00:45:59.440 --> 00:46:01.320
I got up there the morning everybody, you know, my

988
00:46:01.400 --> 00:46:04.239
daughter was at school, and I'm, oh, my baby just came.

989
00:46:04.360 --> 00:46:06.440
He came in from overnight work and and I think

990
00:46:06.480 --> 00:46:09.000
my other son stepped out or he was snoring, he

991
00:46:09.079 --> 00:46:09.480
was sleeping.

992
00:46:09.639 --> 00:46:11.039
I said, I'm hungry.

993
00:46:11.239 --> 00:46:13.880
I can go in there because miss miss Kay has

994
00:46:14.079 --> 00:46:16.800
put things in tumbleware and stuff like that meal proportion

995
00:46:16.960 --> 00:46:18.960
and stuff. So I said, oh, I could get this

996
00:46:19.360 --> 00:46:21.519
very carefully because my dog is sitting there waiting.

997
00:46:21.280 --> 00:46:21.719
For the scrap.

998
00:46:22.480 --> 00:46:26.599
That's what she does. I'm something's gonna you're gonna miss something.

999
00:46:26.639 --> 00:46:28.519
I'm gonna get it, you know. So I said, go

1000
00:46:28.599 --> 00:46:30.440
out the kitchen. Get out of the kitchen, you know.

1001
00:46:30.760 --> 00:46:32.039
And I just took my time.

1002
00:46:32.519 --> 00:46:35.840
Later on, okay, young had a young both.

1003
00:46:35.599 --> 00:46:39.000
Be imputated this weekend. Oh wow, Well the cave that's

1004
00:46:39.039 --> 00:46:43.599
out of Tennessee, Oh my gosh. Okay, Well, if he

1005
00:46:43.679 --> 00:46:46.480
needs support, if he I don't know how old he is,

1006
00:46:46.960 --> 00:46:49.039
but if he needs someone to talk to, give him

1007
00:46:49.039 --> 00:46:50.920
my number. Let me let me walk him through this,

1008
00:46:51.000 --> 00:46:53.599
because that that's that's a throwback right there.

1009
00:46:53.639 --> 00:46:56.159
That's I'm I'm I know I can't see my life.

1010
00:46:56.519 --> 00:46:58.639
I can't even see my life, you know, and what

1011
00:46:58.679 --> 00:46:59.400
life could be like.

1012
00:46:59.519 --> 00:47:01.760
So I'll be more happy to take some time and

1013
00:47:01.800 --> 00:47:03.320
talk to him, you know, when he's ready.

1014
00:47:03.559 --> 00:47:04.320
I don't know how old he.

1015
00:47:04.559 --> 00:47:08.440
I think she's just he was sixteen fifteen. Yeah, So

1016
00:47:08.639 --> 00:47:10.559
if you needs somebody, if he's ready, when he's ready,

1017
00:47:10.559 --> 00:47:12.519
and he has to be ready, he can't force us.

1018
00:47:12.760 --> 00:47:15.320
We got to be ready to hear the conversation.

1019
00:47:15.480 --> 00:47:15.719
I know.

1020
00:47:16.039 --> 00:47:19.679
My prosthetic company, you know, my technician was like, okay, hey,

1021
00:47:19.719 --> 00:47:21.360
mss Gray, I think you'd be this. I said, no, no, no,

1022
00:47:21.519 --> 00:47:24.119
hang on, just hang on. I'm not walking around with hooks.

1023
00:47:24.199 --> 00:47:26.400
I'm not doing that. I'm not doing it because I'll

1024
00:47:26.400 --> 00:47:28.559
pinch myself and then I'll be mad at you.

1025
00:47:28.519 --> 00:47:30.159
And won't talk to you anymore. You know.

1026
00:47:30.239 --> 00:47:33.119
But I had a great team because they're like, okay, this,

1027
00:47:33.239 --> 00:47:35.119
Grace says no. They knew when to back they know

1028
00:47:35.159 --> 00:47:37.239
when to push me, and they know when to back me,

1029
00:47:37.440 --> 00:47:39.159
back off, and they do it so they don't have

1030
00:47:39.199 --> 00:47:40.719
to back off because they're like, hey, it's great. You

1031
00:47:40.760 --> 00:47:42.840
know I was thinking, especially miss horneshit. You know, I

1032
00:47:42.880 --> 00:47:44.639
was thinking, so what are you doing with this? How

1033
00:47:44.639 --> 00:47:47.079
are you doing this? And very you know, and I

1034
00:47:47.119 --> 00:47:49.199
love her for it because it's like, you know, I

1035
00:47:49.199 --> 00:47:51.440
didn't think about that, or you know, what I'm doing

1036
00:47:51.559 --> 00:47:54.679
is this? There you go and they celebrate you, they

1037
00:47:54.719 --> 00:47:56.639
celebrate your wins and everything.

1038
00:47:56.679 --> 00:47:58.320
But anyway, we got less than a minute to go.

1039
00:47:58.760 --> 00:48:02.400
Any last words, he any last words the audience anything,

1040
00:48:02.920 --> 00:48:05.239
This is great, This is great, and thank you so much.

1041
00:48:06.079 --> 00:48:08.360
Doctor Littrell will look out for you. This is pay

1042
00:48:08.480 --> 00:48:12.000
She's working for fifty minutes effort, so please make sure

1043
00:48:12.079 --> 00:48:13.639
that the paycheck reflects that.

1044
00:48:13.800 --> 00:48:16.400
Okay, actually his birthday tomorrow?

1045
00:48:17.039 --> 00:48:18.920
Really, yes, okay.

1046
00:48:18.639 --> 00:48:21.440
Today's sure bout it much information, good things, ladies, Oh

1047
00:48:21.519 --> 00:48:24.760
thank you? Okay, So tomorrow okay, okay, And tomorrow is

1048
00:48:24.760 --> 00:48:25.760
a Tuesday in office.

1049
00:48:25.760 --> 00:48:28.400
Okay, I got a surprising whoo boo. Well, thank you

1050
00:48:28.440 --> 00:48:28.880
so much.

1051
00:48:29.000 --> 00:48:32.000
That's our time and we'll see you next week, same time,

1052
00:48:32.199 --> 00:48:34.199
same stay shine night night y'all.

1053
00:48:34.199 --> 00:49:03.760
Thank you, miss Hards