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Okay, so Mike is as a popular broadcast I like
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to listen to, likes to say on assignment. He's he's
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working on something else right now, so he's not not
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available to me for podcasts. So I'm going to have
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a string of guest slash co hosts, I guess for
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the next few weeks. I have not done a any
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kind of a show without Mike since late twenty eighteen.
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So you know, if I if I go up at
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some point, just kind of poke me and then I'll
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try to The standards are high, though, oh I said
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the standards are high. Standards are high.
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Yeah, absolutely.
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I'm here with josh one of our members. I'm going
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to have you introduce yourself. We don't stand on ceremony here.
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Actually we hardly ever stand for anything as lazy.
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But anyway, Hi, my name is Joshua jar I am
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forty two years old, turning forty three soon. I've been
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working out at Third Street Barbell since April of twenty
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twenty three.
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Okay, I was not sure exactly how long it about it.
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I knew it'd been a while, but yeah, yeah, we're
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gonna tilt that Mike just a little bit more towards
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your mouth, just like out out out.
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Yeah, there we go.
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There we go. Okay, that's probably that's a little better. Yeah, yeah, yeah,
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it's just I can tell you're you're kind of falling
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off Mike. So now all right, not Mike, not you
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know what I mean.
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Yes, So.
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I want to talk to you just because I know
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you have you have an interesting story, definitely faced some
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some struggles, some some battle some things like that, and
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you can feel free at any point to say, oh
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that's not a direction I want.
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To go whatever. Yeah, not a problem, thank you.
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Well, you know we can cut that on. We can
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do whatever. So you are you were nurse?
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Yes, I'm an emergency nurse. I've been an emergency nursing
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in some capacity in about fifteen years. I started working
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in healthcare in the early two thousands. I worked kind
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of like the desk to start, and then I've been
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in various roles until I became a nurse. I worked
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as nursing administration for a small portion of my career,
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but mostly with emergency patients in the emergency department.
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Okay, cool, And what was the like a lure of
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nursing And I know what kind of person you are,
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so I know the answer to the question, but I'm
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gonna ask it anyway.
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Initially I took the job as working the front desk
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of an emergency department because I needed money for college.
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And then I started really liking the aspect of healthcare,
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the teamwork that I saw from my coworkers, and so
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one of them kind of encouraged me to look at
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becoming an EMT, which I did, and then becoming a nurse,
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which was the ultimate goal. So that was the allure
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of it was I saw how well we all worked
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as a team, even when I just worked at the
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desk and I wasn't physically at the bedside with patients.
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And then as my career progressed and I started more
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hands on with patients, it was really enjoying the teamwork
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aspect and having colleagues that were, you know, we had
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to function as a team or we really couldn't perform
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our duties.
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Nursing has been historically been a profession that is dominated
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by the sheer number of women who do it, and
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men have definitely been more in the minority. I think
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that's grown over the last probably twenty twenty five years.
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My wife was a nurse and so and you know that,
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and I've definitely seen over the years that she was
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working with more men as nurses. Is there was there
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any push back in your head about that.
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Or there was never really any pushback in my head
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about it when I saw what nurses did, especially in
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the early two thousands. It's a lot different from what
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those stereotypes originally were, And I think as a profession
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we've done a really good job at getting rid of
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some of those stereotypes. We work in an environment that
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you know, from the emergency department to any capacity that
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you work with patients directly in the q care setting
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where it's high stress. You have to use a skill
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base that's physical. You have to use a knowledge base
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not just from your training in school, but what you
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learn on the job. So I think that the society
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as a whole is starting to respect the profession more.
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They're not just seen as caretakers who clean people up
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after they've soiled themselves, but they see them as people
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who administer high risk medications and they need to know
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all the parameters around those and that we are directly
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responsible for saving the lives of people. Doctors do a
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great job don't get me wrong, but they spend maybe
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five to ten minutes with every patient, and then it's
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response to the nurse's responsibility for telling the doctor. I
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see these labs, I see these vital signs, I see
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these symptoms. Can I get orders to intervene with this?
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And I think society as a whole is starting to
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see us more in that light.
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I think that nursing has become and this is just
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from observation, more technical over time, Yes, definitely, and that
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and you know a lot of guys are drawn to
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that part of it, and that's why I like it.
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There's a lot of a lot of guys become a
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MTS or paramedics or whatever because that's a very technical
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and you know, kind of algorithmic almost. These are the things,
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these are your standing orders. You can do these things,
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and these are your standing orders.
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These are the things that I'm capable of with the
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physical skills, IVY placement, all those things that I have
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to do that. You know, if you ask the doctor
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to place an IV unless they were trained in certain
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regions or in the military, they wouldn't.
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Know how, they wouldn't know how to do it.
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Yeah, So there's there's certain things that I'm really good at.
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I am the IVY guy at my facility, and I
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really enjoy that. I really enjoy that resource. But there's
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also there. It's it's it's the knowledge that comes with
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the technical skills too. You know how to use the
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algorithms what you're talking about to intervene when somebody's having
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a life threatening situation. And that's like you get to
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use that knowledge on a day and day out basis.
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Let me ask you this question. When you see bodybuilders,
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like pictures of bodybuilders or just the bodybuilders out in
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the wild, are you surveying their veins?
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Sometimes? I am. Sometimes you see somebody and you're just like,
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oh my gosh, those are amazing veins. And I think
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that's just a part of the business. We see it
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all the time.
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Yeah, it's and yeah, phlebotomous and nurses are always like, oh,
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you have good veins.
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Yeah, that's like one of the first things you noticed.
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Now that if you've been in the trade long enough, Yeah.
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I'll tell you that my anti cubital is run transverse
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and so and that freaks and put some of them out.
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They don't know like how to how do I go
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into that. It's like just it's a vein, just goes
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to the sideways to tilt the angle, tilt the angle.
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You'll get it, trust me. Just don't what And I
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mean I'm not huge veins currently, but I they they're
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not hard to find. No, No, I'm always frustrated when
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somebody misses and it's so like I could stick myself.
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Why are you doing?
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It's a I would say it's a nerve wracking thing
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when you first start, and sometimes you'll just end up
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missing because they they they most trades. When it comes
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to phlebotomy to nursing, we are not allowed to practice
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on humans. So when we first come out or when
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we're still in school, that's when we get and we're
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kind of working more on the inside of our schooling
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or our training. We sometimes we do get to work
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on humans, but in a lot of states, we can't
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stick ivs or any needles inside of a human until
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we get our first job. So you might be running
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into people who maybe they've only got a couple months
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experience to less than a year's experience.
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Yeah, when I was sixteen, I ended up in the
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er for something stupid and not something well so was
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something stupid I did, but it was just anyway, there's
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we don't need to get into exactly why I was
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there anyway. Had a nurse, probably considering where I was,
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probably in LVN, tried to draw blood and she literally
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went all the way through the vein and scraped the bone.
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Oh that's painful.
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It was the biggest bruise I've ever had on my
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arm at any point in my life. It was it
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was a whole thing.
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Yeah, that sounds really painful.
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It was. It was not good at all. I was
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frustrated by that. I know that another part of your
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journey is having been diagnosed with a life threatening illness,
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and like, first before we launched into what it was,
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what did that feel like as a medical professional?
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Oh, so this is this is this actually kind of
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relates to nursing a little bit too. My story, and
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it's kind of an aspect of my story. I don't
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tell that often. So in February of twenty nineteen, before
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I was diagnosed, I was involved with a pediatric fatality
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at work that kind of left me with some symptoms
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of CPTSD and I kind of knew this was happening,
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and this is February of twenty nineteen. So I was
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having difficulty sleeping, I was having anxiety, I was having palpitations,
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I was having night terrors, like all all the symptoms
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you get from PTSD, right, And then in March of
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twenty nineteen, those symptoms progressed and kept getting worse. Palpitations,
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occasional shortness of breath, chest tightness, all these things, And
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so I kept thinking to myself, Oh, this is just
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the symptoms of my PTSD. I'm okay, you know, I
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just need to find ways to calm my anxiety and
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I'll feel better. But the anxiety and the symptoms of
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shortness of breath, chest pressure and just palpitations kept getting worse.
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I was wearing like a garment fitness watch at the time,
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and it was telling me that my resting heart rate
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was in the one thirties, and I was like, oh,
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this can't be anxiety. This is way too high. But
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I didn't know what was going on, and I didn't
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start feeling severely short of breath until April of twenty nineteen.
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At that point in time, I was working for a
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facility that had an urgent care kind of attached to
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the emergency department. So I said, after my shift, I'm
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going to go and just check into the urgent care
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and say, I'm feeling a little shorter breath. Can you
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check me out. The doctor there Ransom lab work in
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an EKG and did a chest X ray and at
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that point in time you could see the mass in
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my chest. But I was thirty seven years old then,
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and he thought it was just anxiety and said, just
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follow up with your doctor. And so here I'm thinking, okay,
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I got checked out by a doctor. It's an emergency
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room doctor. I'm fine, it's just me. It's just anxiety
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from this event that I went through. All these things
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by Memorial Day actually just passed. By Memorial Day of
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twenty nineteen, I was severely short of breath. My resting
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heart rate was in the one fifties. I was pale.
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I went into work and my coworker said, you look
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like you are dying, and I said, I feel like
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I'm dying. And I was working an administrative role at
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that point in time. Sorry, I was working administrative role
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at that point in time. And my boss and one
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of the doctors that I worked with, said, we're going
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to bring you to the er. Now. They brought me
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to the emergency department and I kind of gave a
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story about I've been feeling progressively more short of breath
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than palpitations, and they saw that my heart rate on
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the monitor was very fast, and they said, oh, we
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think this might be a blood clot in your lungs
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called a pulmonary embolism, because you've been driving long periods
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of time to move from where you've lived to here
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to Sacramento. And I said, okay, let's check it out.
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So they performed cat skin of my chest and the
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nurse came into the room and I said, hey, do
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we have results from that cat skin yet? And he said,
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the doctor's going to come talk to you. And that's
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when I knew, Okay, this probably isn't a blood clot,
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because the nurse would just tell me. So the doctor
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came into the room and he said, we found a
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mass in your chest. And my first question was posterior anterior,
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because sometimes you can have anterior masses on your heart
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that are completely benign and some people just developed them
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because it's genetic thing. They don't know why, but they're
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just completely benign and they get removed and anterior means
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the front, the back the post. I mean, so posterior
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is the back and then anterior is the front. And
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so he said anterior and I said, okay, And that's
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when I knew there's something really wrong here. And he said,
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00:13:10.799 --> 00:13:15.639
you also have very large plural effusions, which are liquid