WEBVTT

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This episode is sponsored by TeamBuildr, yet

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another company that's doing great things for

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the first responder community. As a strength

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and conditioning coach myself who also trains

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tactical athletes, dissemination of wellness

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information is one of the biggest challenges.

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Now TeamBuildr is the premier strength and conditioning

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there is a full exercise library. So you, the

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personal trainer, does not have to create that

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within your own department. Secondly, you can

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send out programming, but also individualize,

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which I love. So you blanket program for everyone.

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someone's need to maybe drop some body composition,

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rather than having to write a program for every

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single person on their own. TeamBuildr also

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allows you to build custom questionnaires to

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collate health and wellness data. It integrates

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with wearables. And I think one of the most important

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things is obviously it tracks. To me, it's imperative

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that we as a profession start tracking our people

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from day one and then over the full span of their

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career, therefore catching potential wellness

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issues and injuries before they happen. Now,

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if you want to try Team Builder, they are offering

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you, the audience of the Behind the Shield podcast,

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a free 14 -day trial to experience all of the

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features. And if you want to take a deeper dive

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into Team Builder, listen to episode 1032 with

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Melissa Mercado or go to teambuildr .com. And

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I'll spell that to you because it's not as you

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think, T -E -A -M -B -U -I -L -D -R .com. Welcome

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to the Behind the Shield podcast. As always,

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my name is James Gearing, and this week it is

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my absolute honor to welcome on the show veteran

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firefighter Di Alexander. Now, one area that's

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rarely discussed when it comes to the EMT and

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paramedic side of our profession is how we deal

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with death, whether it's working a code, whether

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it's going to someone who passed away during

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the night. We have very, very little training,

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and that in itself can turn into moral injury

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and even mental health challenges. So in this

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conversation, we discuss a host of topics, not

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only DAI's own journey into the fire service,

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the 343 Hero Challenge that we both do, and other

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areas of firefighting, but we take a deep dive

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into the world of codes and death notifications.

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Now, before we get to this incredible conversation,

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as I say every week, please just take a moment,

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go to whichever app you listen to this on, subscribe

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to the show. Leave feedback and leave a rating.

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Every single five -star rating truly does elevate

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this podcast, therefore making it easier for

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others to find. And this is a free library of

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well over 1 ,000 episodes now. So all I ask in

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return is that you help share these incredible

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men and women's stories so I can get them to

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every single person on planet Earth who needs

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to hear them. So with that being said... I introduce

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to you, Dai Alexander. Enjoy. Well, Diana, I

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want to start by saying thank you so much for

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taking the time and coming on the Behind the

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Shield podcast today. Thank you so much. Thank

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you for having me, James. It's an honor. So where

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on planet Earth are we finding you this afternoon?

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Well, today is my first day off shift. So yesterday

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was a pretty good day, but it was busy at work.

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And I have a small business that I also operate

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on my off days. So today I'm doing that and I'm

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hanging out with my dogs. hopefully having a

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pretty low key day. I play a lot of pickleball.

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So that's on the agenda today. That's part of

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my mental health plan and my physical fitness

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plan these days. And so that's what I'm up to

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today. I saw the pictures and I wanted to ask

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you about this. For me, having played tennis

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in the past, but never at a good level, kind

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of a. kind of advanced beginner at most. It is

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a very frustrating game because it's hard to

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really get a good rally in the game of tennis

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unless you're both great, great players. And

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what I've seen with pickleball is it seems to

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get people that maybe aren't, you know, skilled

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at the beginning to still be able to move around

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and have good rallies and enjoy the game rather

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than go get your tennis ball from the other side

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of the field because it went over the fence.

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Talk to me about your journey into pickleball

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and then what have you seen as far as the benefits?

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Yeah, so I think it has a lot of really amazing

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benefits. First of all, it really boomed a lot

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right after COVID. So you had a lot of people

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who had been, you know, hunkered down and scared

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and isolated for a really long time. And then

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out came this super social sport that almost

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anybody could play. You know, I think when I

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first started playing, a lot of people thought,

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you know, and I would say pickleball, first of

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all, it's kind of a funny word, you know, in

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terms of sports, it doesn't sound. Super exciting.

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And then lots of people would say, oh, that's

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an old person's sport, you know, or whatever.

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But I always caution people, those old people

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will beat you up when you get out there. But

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it's really wonderful because it's a very social

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sport in the sense of no matter what level you

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are, whether you're a beginner or not, people

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welcome you in to play on the court. And then

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also because there's all different levels of

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athleticism. Whether you have beat up knees and

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shoulders from tennis or any other sport is really

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super encouraging for people because no matter

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your level of athleticism, your physical ability

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or level of fitness, or even knowledge of the

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sport, people welcome you in. And so it's super

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encouraging for people because it gets them physically

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moving. Obviously, most courts are outside. which

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is super helpful too. So you get people outside

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in the sunshine, you know, in the fresh air and

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they get out there and get their bodies moving.

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They're having fun and now they're socializing

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and all of which I think are super, very healthy

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things and very healthy, not just for us physically

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and cardiovascular speaking, but for our minds.

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And so it's created a lot of really great relationships

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and friendships with people. And I think you

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can talk to a lot of people who will actually

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tell you that pickleball saved their life. Right.

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And then whether that was because they were coming

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out of, you know, COVID and being isolated for

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so long. Lots of people experience a lot of depression

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and darkness in their life. And this really brought

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a lot of light to them. And so it's been pretty

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cool. You know, my journey with pickleball started

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when I was same thing. I had worked in our emergency

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operations center for most of COVID. And so I

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wasn't isolated and away from people, but I was

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working all of the time. And so my normal regimen,

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I was doing CrossFit then. My normal regimen

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for CrossFit was null and void because none of

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the gyms were really open. And those machines

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and routines and wads were not really readily

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available, nor was my ability to do so schedule

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-wise with so much work. And so I had gone out

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to Arizona, which is where I'm going to retire

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to. I had gone out to Arizona and my aunt plays

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pickleball out there and she invited me to play.

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And I said, oh, you know, I don't know what this

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is, but OK, I'll go do it because, you know,

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I'm pretty competitive. I'll play anything. And

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went out there and I liked it a lot. Revisited

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it months later when I went back out there again.

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And then the next time I went out there and we

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went and played, I said, you know, I really love

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this sport. And I think if I got. little bit

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better I think I would love it even more so now

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here I am part of the pickleball cult if you

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will we're a pretty crazy group of people so

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so now I do tournaments and all kinds of stuff

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and it's a lot of fun and pickleball is a wonderful

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sport to get people moving and socializing who

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even if you don't have you know, that hand -eye

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coordination yet or a racket or paddle sport

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in your past that you can usually pick up on

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pretty quick. And people will be very accepting

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of that. So there's people on every levels playing

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all the time. I had the same observation. It's

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so sad that, you know, when we went through COVID,

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there wasn't an analysis at the end like, okay,

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what did we do well? What did we do poorly? how

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do we learn from the mistakes and make some changes?

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And I think, you know, arguably a lot of things

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that people were told, stay inside, don't be

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around people, you know, don't exercise, watch

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TV, get fast food and alcohol delivered to your

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house, binge watch Tiger King. We saw, you know,

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what happened. It wasn't a good outcome. And

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so it's taken a while, I think, really people

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to kind of start to really trust coming outside

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again. That's, I think, at least a year after

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COVID had passed was when people really started

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to go. And then what I love about the pickleball,

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it kind of reminds me of CrossFit. So we've both

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done it for a long time. You know, when you're

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talking about snatches and, you know, bar muscle

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-ups and some of these things, they're very,

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you know, complicated movements. This is why

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athletes that are very good at that spend their

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whole career just working on those few movements.

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And so it's very intimidating. But if you get

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a firefighter and you just give him a sandbag

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and say, okay, walk to that cone and back, or

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push that sled to the end and back. it removes

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that intimidation. I think it's the same, you

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know, with the general public, what pickleball

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is doing is saying, look, you don't have to be

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the best in the world. You know, we're not trying

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to win the world championship. You just want

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to get out there and play again. I think we've,

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we've lost that as a culture. You know, if you're

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first, you're last and all this bullshit, like

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it's okay just to go out and play. This is why

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games were invented in the first place for fun.

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Yeah. And what I love about it is, you know,

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I think what a lot of people just need to do

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is, you know, at least every other day, go out

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and intentionally move your body. And, and this

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just allow, this is just a platform to do that,

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you know, and I relate pickleball to CrossFit

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in the sense of, it's kind of a funny sense,

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but when I first started playing. You know, I

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would judge a book by its cover. You know, that's

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my competitive nature to look at that person,

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size them up real good and determine if I thought

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I could already whip their ass before the game

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even started, you know, or before the WOD started

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in the sense of CrossFit. And I was very often

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humbled when somebody who was. you know, larger

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than me. You know, maybe they had many more pounds

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than I did body fat wise or size wise. And I

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was humbled very quickly when I learned that

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they were, regardless of the outside of the book,

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that they still beat me or they were stronger

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than me. And so the same thing kind of happens

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in pickleball where you look at somebody, you

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think, ah, they're older, you know, we're going

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to dominate this game. And they humble you real

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quick. So it's a fun sport for that. And I think

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being humbled in all aspects of life is really

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important. 100%. That's why I do jujitsu. Yeah.

00:11:24.009 --> 00:11:25.789
All right. Well, let's start at the very beginning

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of your timeline then. So tell me where you were

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born and tell me a little bit about your family

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dynamic, what your parents did, how many siblings.

00:11:33.190 --> 00:11:38.970
Okay. Yeah. So I am an actual. original Floridian,

00:11:39.110 --> 00:11:43.169
not just Florida, but I was born here in Orlando.

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So back then it was, it's Florida Hospital, excuse

00:11:50.289 --> 00:11:55.169
me, AdventHealth East now, but back then it was

00:11:55.169 --> 00:11:57.730
Orlando General Hospital. So I'm an original

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Orlando O -Town girl. Mom and dad, my dad left

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when I was 15 months old and my mom raised myself

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and my two older brothers. I grew up on the east

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side of town. So if anybody's familiar with Orlando,

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I grew up in Bonneville, went to Bonneville Elementary

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School. I went to Union Park Junior High, then

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it became middle school. And then my mom moved

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us out to Titusville and I went to Astronaut

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High. And I really didn't love Titusville that

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much. So as soon as I had the opportunity to

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move back to Orlando, that is what I did. So

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I've pretty much lived in Orange County for the

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most part in Orlando and Orange County for all

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but about three years of my life. When you were

00:12:43.620 --> 00:12:45.539
in the school age, what were you playing and

00:12:45.539 --> 00:12:48.940
doing as far as sports and exercise? You know,

00:12:48.980 --> 00:12:51.860
I was on the swim team for a little while in

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high school. My middle school also had a pool.

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So there was a lot of swimming that was going

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on. My grandfather was very close with my grandfather.

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He had a pool. So every summer I did a lot of

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swimming. He taught us how to dive and all kinds

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of stuff. And so I was on the swim team in high

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school for a small amount of time. And I started

00:13:17.460 --> 00:13:22.980
realizing they were boys. And when I discovered

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boys, I discovered that the boys on the dive

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team, looked a little bit better than the boys

00:13:28.980 --> 00:13:31.820
on the swim team. So I went over to the dive

00:13:31.820 --> 00:13:34.519
team and that's what I did mostly through high

00:13:34.519 --> 00:13:37.600
school was the dive team. And I played a lot

00:13:37.600 --> 00:13:39.659
of other sports just on the side and for fun.

00:13:39.740 --> 00:13:43.620
And then I played a full contact football as

00:13:43.620 --> 00:13:46.440
an adult, which was a lot of fun. And then otherwise

00:13:46.440 --> 00:13:50.740
I've just been into, you know, for about. around

00:13:50.740 --> 00:13:53.000
eight to 10 years, I did competitive bodybuilding,

00:13:53.240 --> 00:13:55.960
then got into CrossFit and then COVID and then

00:13:55.960 --> 00:14:00.139
pickleball. When you talked about changing to

00:14:00.139 --> 00:14:03.980
the diving team, when I was young, we had a CDT,

00:14:04.039 --> 00:14:05.940
which is craft design technology. And it was

00:14:05.940 --> 00:14:08.529
like the woodworking stuff. I grew up on a farm.

00:14:08.629 --> 00:14:10.889
I was good at mucking out stables and, you know,

00:14:10.889 --> 00:14:13.250
stacking bales of hay, but I wasn't actually

00:14:13.250 --> 00:14:15.610
a craftsman by any means. So I ended up doing

00:14:15.610 --> 00:14:17.450
home economics because all the girls were in

00:14:17.450 --> 00:14:19.330
that class. So I totally understand what you're

00:14:19.330 --> 00:14:22.429
saying. I love that. I wish they still had, I

00:14:22.429 --> 00:14:25.070
think they do in some, in some schools, but you

00:14:25.070 --> 00:14:27.159
know, they took a lot of that. out of schools,

00:14:27.299 --> 00:14:30.740
the home mech, the shop, workshop mechanics.

00:14:30.960 --> 00:14:32.559
There's a few schools that still have them, but

00:14:32.559 --> 00:14:35.240
I think probably when we were in school about

00:14:35.240 --> 00:14:38.879
the same time, it was a requirement. You couldn't

00:14:38.879 --> 00:14:41.000
finish high school without going to home mech

00:14:41.000 --> 00:14:44.620
and making a pillow. There's a shift. I just

00:14:44.620 --> 00:14:47.440
posted a New York Times article a few weeks ago,

00:14:47.539 --> 00:14:50.299
and it's saying that the Gen Zs are going into

00:14:50.299 --> 00:14:52.679
the trades, and it makes perfect sense. The same

00:14:52.679 --> 00:14:55.139
reason why we have a recruitment crisis. They're

00:14:55.139 --> 00:14:57.710
looking... at all these jobs and they have all

00:14:57.710 --> 00:15:00.690
the information now this is 2025 and so they're

00:15:00.690 --> 00:15:02.710
looking at college like so wait a second this

00:15:02.710 --> 00:15:04.990
is fifty thousand dollars worth of debt four

00:15:04.990 --> 00:15:06.769
years of my life and i get a piece of paper that

00:15:06.769 --> 00:15:09.210
doesn't guarantee me a job that sounds terrible

00:15:09.210 --> 00:15:12.090
one year and i can be a welder you know one year

00:15:12.090 --> 00:15:14.750
i can be a firefighter and so this is what's

00:15:14.750 --> 00:15:17.809
exciting about This kind of period is that people

00:15:17.809 --> 00:15:20.549
are looking to go in the trades The problem is

00:15:20.549 --> 00:15:22.389
they're looking at the fire service and they're

00:15:22.389 --> 00:15:24.870
seeing 56 hour work weeks mandatory overtime

00:15:24.870 --> 00:15:29.279
cancers divorces and so Until we fix that, they're

00:15:29.279 --> 00:15:31.100
looking at this going, that doesn't seem good.

00:15:31.200 --> 00:15:33.320
And we're seeing the complete evidence of that.

00:15:33.460 --> 00:15:35.580
Young people are not flocking to the fire service

00:15:35.580 --> 00:15:38.340
anymore. So we have a beautiful opportunity to

00:15:38.340 --> 00:15:40.960
turn the ship around, but we've got to address

00:15:40.960 --> 00:15:43.600
the things that are broken. We talk before I

00:15:43.600 --> 00:15:46.000
hit record. I won't get on my soapbox, but the

00:15:46.000 --> 00:15:49.559
24 -72 is a huge part of that to show them, hey,

00:15:49.620 --> 00:15:51.679
we actually care about you. We want to invest

00:15:51.679 --> 00:15:53.840
in you. We want your marriage to stay intact

00:15:53.840 --> 00:15:56.360
and your kids still talk to you. So we're going

00:15:56.360 --> 00:16:00.539
to take care of you. Yeah, very important. All

00:16:00.539 --> 00:16:03.139
right. I think, you know, one of the things that

00:16:03.139 --> 00:16:07.460
I'll mention this again later also is that, you

00:16:07.460 --> 00:16:10.860
know, and I know you know this probably have

00:16:10.860 --> 00:16:13.120
better, more up -to -date statistics than I do.

00:16:13.279 --> 00:16:17.100
But when we start getting into firefighter and

00:16:17.100 --> 00:16:22.340
first responder fatalities or suicides. It's

00:16:22.340 --> 00:16:25.899
quite astounding. And that even more so makes

00:16:25.899 --> 00:16:29.820
me wonder why, honestly, anybody would want to

00:16:29.820 --> 00:16:33.500
come into this job if they knew that. It's terribly

00:16:33.500 --> 00:16:36.220
sad because I think this is a very personally

00:16:36.220 --> 00:16:41.730
fulfilling career. Can be. Yeah, 100%. I mean,

00:16:41.750 --> 00:16:43.990
we work together. I mean, just working in, for

00:16:43.990 --> 00:16:46.730
example, Battalion 4 in Orange County, you are

00:16:46.730 --> 00:16:50.110
going to get fires and all kinds of crazy, crazy

00:16:50.110 --> 00:16:51.830
calls. And you're truly going to make a difference,

00:16:52.029 --> 00:16:54.269
arguably, to some of the most desperate people

00:16:54.269 --> 00:16:57.769
in society. So this is what's so sad is the calling

00:16:57.769 --> 00:17:00.190
is amazing. But people say, oh, it's what you

00:17:00.190 --> 00:17:02.500
signed up for. It's like, no. When we went to

00:17:02.500 --> 00:17:04.440
fire Academy, we went to EMT school, we went

00:17:04.440 --> 00:17:06.920
to medic school. They weren't talking about mandatory

00:17:06.920 --> 00:17:10.000
overtime. You know, they were talking about the

00:17:10.000 --> 00:17:12.920
job itself. So we have an amazing opportunity

00:17:12.920 --> 00:17:16.720
to go back to that. We really do, but we have

00:17:16.720 --> 00:17:18.880
to fix the things that are broken. We just haven't

00:17:18.880 --> 00:17:21.400
evolved. And yet the calls have just gone through

00:17:21.400 --> 00:17:23.579
the roof and the staffing has stayed the same,

00:17:23.640 --> 00:17:28.880
arguably come down even. Yeah. The classic response

00:17:28.880 --> 00:17:33.069
you would get is the best job in the world. What's

00:17:33.069 --> 00:17:36.470
sad as well about the suicide statistics, people

00:17:36.470 --> 00:17:39.349
will quote what's actually studied. And it's

00:17:39.349 --> 00:17:41.930
like, OK, I understand that. How many people

00:17:41.930 --> 00:17:44.269
do you know personally that we've lost to suicide

00:17:44.269 --> 00:17:47.390
or overdose? And they said died suddenly in the

00:17:47.390 --> 00:17:49.829
announcement. They weren't counted. How many

00:17:49.829 --> 00:17:53.390
people get to retirement and then they take their

00:17:53.390 --> 00:17:55.690
own life? None of us are counted in statistics

00:17:55.690 --> 00:17:58.730
once you leave the fire service. So I would argue

00:17:58.730 --> 00:18:00.970
that the numbers that we see are the absolute

00:18:00.970 --> 00:18:03.789
tip of a massive, massive iceberg, which makes

00:18:03.789 --> 00:18:07.630
it even more startling. Yeah, I agree. 100%.

00:18:07.630 --> 00:18:11.329
All right. Well, then when you were in the high

00:18:11.329 --> 00:18:13.769
school age. what were you thinking as far as

00:18:13.769 --> 00:18:15.970
career aspiration was it already the fire service

00:18:15.970 --> 00:18:18.650
was it something else no definitely not um in

00:18:18.650 --> 00:18:21.029
fact my mom was a nurse my grandma was a nurse

00:18:21.029 --> 00:18:24.349
so i and in fact every halloween when i was a

00:18:24.349 --> 00:18:26.309
kid i dressed up as a nurse because that's what

00:18:26.309 --> 00:18:30.049
i thought i was going to be and so um once i

00:18:30.049 --> 00:18:33.349
got through high school i really didn't i really

00:18:33.349 --> 00:18:36.730
wasn't uh that young adult that thought i knew

00:18:36.730 --> 00:18:40.630
what i was going to do i really um i wasn't until

00:18:40.630 --> 00:18:45.220
about 25 when I had my son that I started thinking,

00:18:45.319 --> 00:18:47.640
I think I was supposed to be doing something

00:18:47.640 --> 00:18:52.750
with my life and I hadn't done it yet. Obviously,

00:18:52.750 --> 00:18:55.069
when you're looking at a child that depends on

00:18:55.069 --> 00:18:58.490
you, it was the ultimate reality check for me

00:18:58.490 --> 00:19:00.609
that I needed to do something more with my life.

00:19:00.690 --> 00:19:03.750
And I knew I had a calling. I just had not stepped

00:19:03.750 --> 00:19:06.170
into it yet. And I don't know that I would have

00:19:06.170 --> 00:19:10.549
been, for me anyways, any younger than that,

00:19:10.549 --> 00:19:13.750
that I would have been emotionally and mentally

00:19:13.750 --> 00:19:19.130
prepared. to be the patient care provider and

00:19:19.130 --> 00:19:26.029
the steward to the people that I was when I became

00:19:26.029 --> 00:19:29.869
a firefighter paramedic. So I don't know that

00:19:29.869 --> 00:19:32.309
I would have been able to provide that same love

00:19:32.309 --> 00:19:35.109
and care and compassion that I share with people

00:19:35.109 --> 00:19:39.009
now. I don't think I would have been ready for

00:19:39.009 --> 00:19:46.180
that at 22 or 23. But I decided that I was going

00:19:46.180 --> 00:19:49.460
to go to EMT school first. And so I went to EMT

00:19:49.460 --> 00:19:50.900
school and I said, you know what, let me go to

00:19:50.900 --> 00:19:54.440
EMT school and see if I can handle all these

00:19:54.440 --> 00:19:56.980
cool things that I see on TV that look like,

00:19:56.980 --> 00:19:59.460
you know, what I'm going to do for the job. And

00:19:59.460 --> 00:20:04.440
so I went to EMT school and I loved it. But I

00:20:04.440 --> 00:20:07.619
learned right then when I did my clinicals and

00:20:07.619 --> 00:20:10.579
my ride alongs, I learned instantly that I was

00:20:10.579 --> 00:20:13.099
not going to be a nurse. I at least knew that

00:20:13.099 --> 00:20:15.619
my place wasn't in the hospital, and I learned

00:20:15.619 --> 00:20:18.380
that I loved pre -hospital care. I loved being

00:20:18.380 --> 00:20:22.099
that first person with patient contact. I had

00:20:22.099 --> 00:20:30.119
done my turns in the ER for my clinicals, and

00:20:30.119 --> 00:20:38.230
there were a lot of really angry nurses. i just

00:20:38.230 --> 00:20:40.430
remember thinking like i i don't think that these

00:20:40.430 --> 00:20:42.250
i don't remember i think i remember thinking

00:20:42.250 --> 00:20:44.710
that it didn't seem like any of the nurses are

00:20:44.710 --> 00:20:47.130
very happy doing their job which sent a very

00:20:47.130 --> 00:20:49.009
clear message to me that maybe this is not what

00:20:49.009 --> 00:20:51.450
i want to do because i what i was coming in for

00:20:51.450 --> 00:20:55.430
is happiness you know and and then i went and

00:20:55.430 --> 00:20:57.190
did my ride -alongs i did some with the city

00:20:57.190 --> 00:21:00.859
of orlando i did some with orange county And

00:21:00.859 --> 00:21:04.460
I loved it. I instantly fell in love with the

00:21:04.460 --> 00:21:06.259
camaraderie at the station. I think a lot of

00:21:06.259 --> 00:21:08.059
that's because I have two older brothers. So

00:21:08.059 --> 00:21:10.940
I was really used to that environment of a lot

00:21:10.940 --> 00:21:15.079
of guys and that camaraderie and the jokes and

00:21:15.079 --> 00:21:19.079
stuff. I absolutely loved that. And then when

00:21:19.079 --> 00:21:23.000
we ran calls, I loved being that initial patient

00:21:23.000 --> 00:21:27.900
contact care person. That kind of makes you feel

00:21:27.900 --> 00:21:30.359
like you come in, swoop in and save the day and,

00:21:30.359 --> 00:21:32.980
you know, bring the calm to the storm. I really,

00:21:33.039 --> 00:21:36.279
really love that. And I knew in that moment after

00:21:36.279 --> 00:21:39.000
the clinical and the ride along, I knew exactly

00:21:39.000 --> 00:21:42.539
what I was supposed to do with my life. I had

00:21:42.539 --> 00:21:44.859
not chosen my exact pathway at that point, but

00:21:44.859 --> 00:21:47.140
I had a lot of friends in the fire service and

00:21:47.140 --> 00:21:50.440
for another adjoining county that I was good

00:21:50.440 --> 00:21:52.180
friends with who said, you know what, you should.

00:21:52.859 --> 00:21:54.880
you know go to standards and then go to medic

00:21:54.880 --> 00:21:57.079
school and i was i knew i was already going to

00:21:57.079 --> 00:21:58.980
go to mexico i had already taken my prereqs for

00:21:58.980 --> 00:22:01.900
it as well and i said you know what let me um

00:22:01.900 --> 00:22:04.359
let me look more into the fire service and then

00:22:04.359 --> 00:22:07.579
i i discovered that i also loved the physical

00:22:07.579 --> 00:22:10.099
aspects of the job the challenges of the job

00:22:10.099 --> 00:22:14.980
i also loved what seemed to be what i would call

00:22:14.980 --> 00:22:18.319
as a greater sense of equality Right. So the

00:22:18.319 --> 00:22:20.640
way I compare it is the game of golf. I'm not

00:22:20.640 --> 00:22:22.460
a very good golfer, but I'll golf with my brother

00:22:22.460 --> 00:22:26.720
every now and then for fun. And, you know, I

00:22:26.720 --> 00:22:29.900
tee up a little bit closer than he does right

00:22:29.900 --> 00:22:32.279
in the game of golf. And I never liked that.

00:22:32.299 --> 00:22:34.759
I always wanted to know that I had to shoot the

00:22:34.759 --> 00:22:37.680
shot just as good as the guy did, you know, to

00:22:37.680 --> 00:22:39.740
get hired or to get the job or for the position.

00:22:40.420 --> 00:22:43.980
So. I felt like the fire service, you know, like

00:22:43.980 --> 00:22:45.960
I had to take the same test the next guy did.

00:22:46.059 --> 00:22:48.160
I had to do all the same things. I had to carry

00:22:48.160 --> 00:22:51.539
the same weight, you know, as the other male

00:22:51.539 --> 00:22:54.460
or female that was competing for the same job.

00:22:54.559 --> 00:22:56.420
So I really liked that about the fire service,

00:22:56.480 --> 00:22:59.019
and I loved the physical challenges that I thought

00:22:59.019 --> 00:23:02.559
I was going to face doing the job. And so I said,

00:23:02.579 --> 00:23:05.180
let me go put in some applications and see if

00:23:05.180 --> 00:23:08.200
I can get a job. And I had a couple in. I went

00:23:08.200 --> 00:23:11.460
to standards, got hired, and went right to medical

00:23:11.460 --> 00:23:15.279
school. Going back to one thing you said about

00:23:15.279 --> 00:23:18.380
the nurses first, when I kind of look firstly

00:23:18.380 --> 00:23:20.319
at the shifts that they work, again, people talk

00:23:20.319 --> 00:23:22.460
about, oh, maybe 12 should be better. Nurses

00:23:22.460 --> 00:23:24.440
are a perfect example. Do they look happy? Do

00:23:24.440 --> 00:23:26.859
they look healthy? No. So that's not the answer.

00:23:27.220 --> 00:23:29.980
But I can also imagine, I hated the hospitals

00:23:29.980 --> 00:23:32.500
too. I actually had my prereqs ready for do the

00:23:32.500 --> 00:23:35.359
PA program at UF. And then I was like, nah, that's

00:23:35.359 --> 00:23:38.099
just not the right fit for me. But you think

00:23:38.099 --> 00:23:41.480
about the futility. In most things in life, whether

00:23:41.480 --> 00:23:44.119
it's a business, whether it's a military mission,

00:23:44.440 --> 00:23:48.119
you are moving towards a goal. But I can't imagine

00:23:48.119 --> 00:23:52.319
spending 20, 30 years in nursing. And despite

00:23:52.319 --> 00:23:54.839
all of your efforts, the people that walk through

00:23:54.839 --> 00:23:56.920
the doors get sicker and sicker. And there's

00:23:56.920 --> 00:23:59.059
more and more of them. You know, the obesity

00:23:59.059 --> 00:24:00.900
crisis is getting worse and worse and worse.

00:24:01.079 --> 00:24:04.180
You know, the overdoses. So it's no wonder that

00:24:04.180 --> 00:24:06.799
our medical professionals get burned out because

00:24:06.799 --> 00:24:10.339
despite all their hard work. it doesn't get better.

00:24:10.700 --> 00:24:16.619
Right. Yeah. Yeah, I knew pretty quickly it wasn't

00:24:16.619 --> 00:24:21.099
for me. From all the clinicals that I did, and

00:24:21.099 --> 00:24:23.019
even when I went to medic school and did clinicals,

00:24:23.019 --> 00:24:25.400
and then I went to UF and took my critical care

00:24:25.400 --> 00:24:28.079
and did clinicals, there were not very many happy

00:24:28.079 --> 00:24:33.099
nurses. So every time I had to do them, it was

00:24:33.099 --> 00:24:34.759
just a confirmation that I was choosing the right

00:24:34.759 --> 00:24:38.339
path. Well, you talked about the kind of equality

00:24:38.339 --> 00:24:41.660
element as well. With you having been bodybuilding

00:24:41.660 --> 00:24:45.259
and CrossFit, what is your perspective of fitness

00:24:45.259 --> 00:24:49.279
standards in the fire service? For me, we went

00:24:49.279 --> 00:24:50.519
through school. I don't know if you went to Mid

00:24:50.519 --> 00:24:53.440
-Florida Tech. That's where I went. It was called

00:24:53.440 --> 00:24:55.519
minimum standards. That's literally what they

00:24:55.519 --> 00:24:58.700
label our certification. And at that point, you're

00:24:58.700 --> 00:25:01.180
asked to do the firefighter challenge and all

00:25:01.180 --> 00:25:04.460
these things that are extremely taxing. And then

00:25:04.460 --> 00:25:06.299
you go into the profession and then you're told,

00:25:06.400 --> 00:25:08.220
oh, there's no standards. And then when people

00:25:08.220 --> 00:25:09.740
try and talk about it, oh, you're trying to take

00:25:09.740 --> 00:25:12.880
our jobs. I, James Gearing, have a massive problem

00:25:12.880 --> 00:25:15.599
with that, that we are asked to do incredible

00:25:15.599 --> 00:25:18.740
things, sometimes physically, and that we have

00:25:18.740 --> 00:25:21.359
no standard. But an ocean lifeguard or a special

00:25:21.359 --> 00:25:23.839
forces soldier is held to a very high standard.

00:25:24.099 --> 00:25:26.480
So what is your perspective on that whole concept,

00:25:26.680 --> 00:25:29.380
meeting the bar at the front door, regardless

00:25:29.380 --> 00:25:33.140
of gender? Yeah. So the reason why I think that

00:25:33.140 --> 00:25:35.680
happens first and foremost is because the industry

00:25:35.680 --> 00:25:39.140
is at such a demand for people that if we maintain

00:25:39.140 --> 00:25:42.019
a standard, we won't be able to hire anybody.

00:25:42.460 --> 00:25:48.400
I mean, it's sad, but I think that there's not

00:25:48.400 --> 00:25:51.480
enough emphasis. on physical fitness and the

00:25:51.480 --> 00:25:54.880
fire service and holding true people truly accountable

00:25:54.880 --> 00:25:58.519
for that. And having those requirements, you

00:25:58.519 --> 00:26:02.079
know, I mean, for us, we, if you were hired by

00:26:02.079 --> 00:26:03.960
a certain date, you don't even have to finish

00:26:03.960 --> 00:26:08.819
a particular basic baseline test within a certain

00:26:08.819 --> 00:26:10.420
amount of time that everybody else does. And

00:26:10.420 --> 00:26:14.829
so there's just no standard. you know, we can't

00:26:14.829 --> 00:26:16.490
hold people accountable for that. I've talked

00:26:16.490 --> 00:26:18.009
to other people in other departments outside

00:26:18.009 --> 00:26:21.690
of Florida that they have like body fat tests

00:26:21.690 --> 00:26:24.349
and everything, and they'll terminate you if

00:26:24.349 --> 00:26:26.269
you don't meet this criteria. So I know that

00:26:26.269 --> 00:26:28.170
it exists. I don't know how they do it. And we

00:26:28.170 --> 00:26:30.329
can't, I don't know if it's the size of the department

00:26:30.329 --> 00:26:34.390
that makes it such a big deal, but there is definitely

00:26:34.390 --> 00:26:40.869
not enough emphasis and standards being held

00:26:40.869 --> 00:26:44.940
accountability. to being of any sort of physical

00:26:44.940 --> 00:26:46.500
fitness, right? That doesn't mean you have to

00:26:46.500 --> 00:26:49.400
be into CrossFit. I mean, I love CrossFit because

00:26:49.400 --> 00:26:51.900
I like the fast pace. I'm not really a yoga person,

00:26:52.000 --> 00:26:54.140
you know? Like, I really like the fast pace,

00:26:54.339 --> 00:26:56.599
you know, pick up heavy shit and throw heavy

00:26:56.599 --> 00:27:01.000
shit around. I like that kind of stuff. And I

00:27:01.000 --> 00:27:03.279
have a very competitive nature. That doesn't

00:27:03.279 --> 00:27:06.900
mean that that has to be what a firefighter looks

00:27:06.900 --> 00:27:10.480
like. You know, it can be all kinds of, you know,

00:27:10.500 --> 00:27:13.640
we have lots of people who do, you know, who

00:27:13.640 --> 00:27:18.220
are cyclists and runners and people who do yoga.

00:27:18.319 --> 00:27:23.160
So there, but we are. We have brought in so many

00:27:23.160 --> 00:27:25.980
young adults who have never worked out a day

00:27:25.980 --> 00:27:28.859
in their life and and and have no interest in

00:27:28.859 --> 00:27:31.759
it. You know, now some of that, I think, can

00:27:31.759 --> 00:27:33.480
be because they're young and they didn't have

00:27:33.480 --> 00:27:36.240
that foundation already. And sometimes we bring

00:27:36.240 --> 00:27:38.160
them in and then you get to watch this person

00:27:38.160 --> 00:27:43.579
blossom into this amazing human. Right. Who has

00:27:43.579 --> 00:27:45.859
now adopted these great healthy lifestyles. So

00:27:45.859 --> 00:27:48.180
we have a heavy influence on some of these people

00:27:48.180 --> 00:27:52.039
also. You know, but there is just not enough

00:27:52.039 --> 00:27:58.579
emphasis on that. There's not a standard, actually.

00:27:59.259 --> 00:28:01.440
You know, we say, okay, this is what you have

00:28:01.440 --> 00:28:04.980
to do, you know, every year. But the reality

00:28:04.980 --> 00:28:07.059
is, let me turn this down. I'm sorry, it keeps

00:28:07.059 --> 00:28:11.329
going off. But the reality is. There actually

00:28:11.329 --> 00:28:15.349
is not a standard. And we may say you have to

00:28:15.349 --> 00:28:20.009
reach this. And so the goal, if you will, that

00:28:20.009 --> 00:28:21.970
we tell people for our department that you have

00:28:21.970 --> 00:28:25.630
to get to is not even a minimum standard. It's

00:28:25.630 --> 00:28:29.549
not a standard, right? It's just like this is

00:28:29.549 --> 00:28:31.670
what you have to do. But if you don't pass it,

00:28:31.730 --> 00:28:35.930
there is no repercussion. You know, there's there,

00:28:36.089 --> 00:28:38.210
you know, we'll we'll set you up on a plan. We'll

00:28:38.210 --> 00:28:40.910
offer you a trainer. We so there are things that

00:28:40.910 --> 00:28:46.329
we have in place that to help people. But there

00:28:46.329 --> 00:28:50.250
isn't any repercussions for not maintaining some

00:28:50.250 --> 00:28:54.130
level of fitness or reaching the goal. I think

00:28:54.130 --> 00:28:57.210
that's very common. How competitive was it when

00:28:57.210 --> 00:29:02.460
you tested? I would say that it was pretty competitive.

00:29:03.400 --> 00:29:07.720
It was, you know, and actually I recall I was

00:29:07.720 --> 00:29:10.799
testing for two different departments and I called

00:29:10.799 --> 00:29:12.700
the department I work for now and was trying

00:29:12.700 --> 00:29:17.420
to get one of my assessments rescheduled because

00:29:17.420 --> 00:29:19.839
I had an assessment at another department at

00:29:19.839 --> 00:29:22.160
the same time. And I was very transparent about

00:29:22.160 --> 00:29:24.480
that. I just believe in being honest at all costs.

00:29:25.240 --> 00:29:27.660
And so I said, well, I have this other thing.

00:29:27.759 --> 00:29:30.319
And actually their response was, then you need

00:29:30.319 --> 00:29:32.779
to decide who you want to work for. And I thought,

00:29:32.839 --> 00:29:35.039
oh, I better get my shit together, you know?

00:29:35.740 --> 00:29:42.579
And then I made, that is exactly what I did is

00:29:42.579 --> 00:29:46.259
I focused in on that department and focused in

00:29:46.259 --> 00:29:49.180
on my training for that task. I had my dog who's

00:29:49.180 --> 00:29:55.099
trying to join me here. And so I think it was

00:29:55.099 --> 00:29:58.500
very competitive for me. And there weren't, you

00:29:58.500 --> 00:30:00.140
know, I've been in the fire service for almost

00:30:00.140 --> 00:30:03.880
18 years. There weren't as many women then as

00:30:03.880 --> 00:30:08.720
there are now. And there was definitely a lot

00:30:08.720 --> 00:30:11.019
of focus, I think, on departments bringing women

00:30:11.019 --> 00:30:13.319
on board. You know, I think the average last

00:30:13.319 --> 00:30:16.160
I knew was about one to two percent in a department.

00:30:16.400 --> 00:30:20.200
And we we are somewhere around eight or nine

00:30:20.200 --> 00:30:22.400
percent, maybe even a little bit higher women.

00:30:26.070 --> 00:30:31.670
So my class had six or seven girls out of like

00:30:31.670 --> 00:30:35.410
25 or 30 people that got hired together. And

00:30:35.410 --> 00:30:38.769
that was a tremendous amount of women to come

00:30:38.769 --> 00:30:42.170
in at one time. So there was a lot of competition.

00:30:42.549 --> 00:30:47.430
My hiring process in general was about nine months

00:30:47.430 --> 00:30:51.259
long. You know, and I knew or at least I felt

00:30:51.259 --> 00:30:53.279
in my mind at the time. I don't know if this

00:30:53.279 --> 00:30:56.180
is real or not in hindsight, but I felt like

00:30:56.180 --> 00:30:58.720
there was a lot of competition and I felt like

00:30:58.720 --> 00:31:00.980
I had to do my best at everything. And whatever

00:31:00.980 --> 00:31:03.480
I was doing to be my best, somebody else was

00:31:03.480 --> 00:31:05.559
working harder. And that was my drive to work

00:31:05.559 --> 00:31:08.519
harder to get the job. So this is what I love

00:31:08.519 --> 00:31:10.619
to hear, because I think I think you came on.

00:31:11.000 --> 00:31:14.079
to orange county a year after i did i came from

00:31:14.079 --> 00:31:16.079
the west coast and then and then joined when

00:31:16.079 --> 00:31:19.380
i moved back here um and you know compared to

00:31:19.380 --> 00:31:21.160
what i'd seen in the west coast you know orange

00:31:21.160 --> 00:31:23.640
county was was not as competitive and this is

00:31:23.640 --> 00:31:25.660
what was crazy is the one that was the most competitive

00:31:25.660 --> 00:31:28.779
had the highest standards they set the bar high

00:31:28.779 --> 00:31:31.279
and that attracted all the good firefighters

00:31:31.279 --> 00:31:34.380
so this mentality that you lower the bar i mean

00:31:34.380 --> 00:31:36.880
it's a it makes no sense and b it's so dangerous

00:31:36.880 --> 00:31:39.180
just to illustrate i've talked about this a few

00:31:39.180 --> 00:31:43.500
times on here We had a little boy, Trucker Duke's,

00:31:43.500 --> 00:31:45.799
pass away. He's the son of a Hawaiian firefighter.

00:31:45.880 --> 00:31:48.640
And when he did, I put together a little kind

00:31:48.640 --> 00:31:52.200
of workout to dedicate to him. And I called the

00:31:52.200 --> 00:31:54.319
tower Trucker's Tower. And the tower next to

00:31:54.319 --> 00:31:56.460
us where in my last apartment was 28 stories.

00:31:57.059 --> 00:31:59.700
So I just put on, when I got a few of my fellow

00:31:59.700 --> 00:32:02.420
firefighters, we just put on a high -rise strip,

00:32:02.579 --> 00:32:04.259
what you would actually need to fight fire at

00:32:04.259 --> 00:32:07.839
that level. So two extra tanks, hose, a tool,

00:32:08.000 --> 00:32:09.660
and obviously a pack and your bunker gear. That's

00:32:09.660 --> 00:32:12.990
it. At 168 pounds, that was another 100 pounds

00:32:12.990 --> 00:32:16.750
of gear. Then you climb 28 floors, and then you

00:32:16.750 --> 00:32:19.549
go to work. That's right. You are the parent

00:32:19.549 --> 00:32:21.910
of the child that's stuck on that 28th floor,

00:32:22.049 --> 00:32:25.130
and you find out that the person that was supposed

00:32:25.130 --> 00:32:27.549
to be going up to get them only made it to the

00:32:27.549 --> 00:32:30.609
fifth floor. This is what we're talking about.

00:32:30.970 --> 00:32:33.890
These standards, it's so fucking dangerous to

00:32:33.890 --> 00:32:37.250
have no standards in a job where sometimes we're

00:32:37.250 --> 00:32:39.329
just bandaging a sprained ankle. I get it. There's

00:32:39.329 --> 00:32:41.970
no real athleticism in that. But sometimes you're

00:32:41.970 --> 00:32:44.809
dragging people out of a school shooting or climbing

00:32:44.809 --> 00:32:47.529
a skyscraper because all the elevators are out.

00:32:47.750 --> 00:32:50.789
So this is what blows my mind is that you're

00:32:50.789 --> 00:32:52.730
going to have an Evaldi moment. One day we're

00:32:52.730 --> 00:32:55.549
going to have the Grenfell or whatever horrendous

00:32:55.549 --> 00:32:58.710
fire in our first year. And they're going to

00:32:58.710 --> 00:33:00.569
do an analysis and they're going to say, wait

00:33:00.569 --> 00:33:03.269
a second, how come half these firefighters didn't

00:33:03.269 --> 00:33:06.390
even get up to the fire floor? Now, the money

00:33:06.390 --> 00:33:08.309
you could have spent on actually hiring good

00:33:08.309 --> 00:33:10.930
firefighters and putting that bar in and putting

00:33:10.930 --> 00:33:13.509
in a D -shift, for example, the four platoon

00:33:13.509 --> 00:33:16.349
system, that you would have saved money hand

00:33:16.349 --> 00:33:18.670
over fist from the lawsuits of all the dead people.

00:33:19.109 --> 00:33:24.809
Yeah. It's pretty wild. Yeah. You know, and I

00:33:24.809 --> 00:33:30.660
think, I think. You know, for us and for some

00:33:30.660 --> 00:33:34.299
other adjoining departments that I've seen, just

00:33:34.299 --> 00:33:38.519
also promoting people into positions of strong

00:33:38.519 --> 00:33:42.339
leadership who also don't have that physical

00:33:42.339 --> 00:33:46.700
presentation, if you will. And I hate to make

00:33:46.700 --> 00:33:48.660
it sound like, oh, it's the physical thing, right?

00:33:48.740 --> 00:33:53.819
But, you know, you're in a lot of cases. your

00:33:53.819 --> 00:33:56.500
physical presentation. And I may not, and I'm

00:33:56.500 --> 00:33:58.559
not necessarily just talking about body fat here,

00:33:58.640 --> 00:34:01.420
right? I'm talking about how you prepare yourself,

00:34:01.579 --> 00:34:06.059
your hair, your, your hygiene, right? How you

00:34:06.059 --> 00:34:08.280
dress is your shirt tucked in, like how you are

00:34:08.280 --> 00:34:11.670
presenting yourself to the world. on how you

00:34:11.670 --> 00:34:14.190
are presenting yourself to the organization shows

00:34:14.190 --> 00:34:16.829
everybody what kind of control and discipline

00:34:16.829 --> 00:34:19.190
you have in your life and how that and that's

00:34:19.190 --> 00:34:21.909
going to come into your professional life as

00:34:21.909 --> 00:34:26.150
well and so when i see departments that put people

00:34:26.150 --> 00:34:31.690
in positions of strong leadership let me rephrase

00:34:31.690 --> 00:34:34.969
that of strong influence right and that leadership

00:34:34.969 --> 00:34:41.389
role that don't Check any of those boxes that

00:34:41.389 --> 00:34:43.550
they appear to be a person who has got their

00:34:43.550 --> 00:34:47.309
life together. Right. Who has who has discipline

00:34:47.309 --> 00:34:50.710
and self -control and leadership. Yeah, I have

00:34:50.710 --> 00:34:53.750
to scratch my head at that because I think that's

00:34:53.750 --> 00:34:56.670
shameful. And I think it's shameful because not

00:34:56.670 --> 00:34:58.510
everybody has to be, you know, a bodybuilder

00:34:58.510 --> 00:35:00.969
or CrossFit or, you know, I'm only in pickleball

00:35:00.969 --> 00:35:03.369
shape right now, you know, but not everybody

00:35:03.369 --> 00:35:06.949
has to be a certain image. I don't want to make

00:35:06.949 --> 00:35:09.329
it sound superficial like that, but there is

00:35:09.329 --> 00:35:11.449
something to be said, you know, when you can

00:35:11.449 --> 00:35:13.829
look at somebody and say, there's a different

00:35:13.829 --> 00:35:16.349
level of reverence, right? When you look at somebody

00:35:16.349 --> 00:35:19.150
who's in charge of something and you can see

00:35:19.150 --> 00:35:21.820
that they also have. charge of their own personal

00:35:21.820 --> 00:35:24.079
life and their own personal health. It really

00:35:24.079 --> 00:35:29.440
says something. So I think we continue to breed

00:35:29.440 --> 00:35:34.719
this culture that that's okay. There have got

00:35:34.719 --> 00:35:37.739
to be better options. I'm suspicious as to why

00:35:37.739 --> 00:35:43.000
that happens. But sadly, when we put that on

00:35:43.000 --> 00:35:46.659
the forefront, I think we're showing what we're

00:35:46.659 --> 00:35:49.889
looking for for people. Yeah, I was very sad

00:35:49.889 --> 00:35:53.309
to hear when Chief Droz was ousted because to

00:35:53.309 --> 00:35:55.250
me, I worked with him in Hialeah as well. We

00:35:55.250 --> 00:35:57.170
always joke that every time he was my chief,

00:35:57.230 --> 00:36:01.010
I left. But, you know, he walked the walk. I

00:36:01.010 --> 00:36:03.210
think he was a great spokesperson. I think he

00:36:03.210 --> 00:36:05.610
was a great leader. I mean, I watched, for example,

00:36:05.809 --> 00:36:08.070
the dive program and some of those other ones

00:36:08.070 --> 00:36:11.639
have some life. breathed back into him and he

00:36:11.639 --> 00:36:13.659
allowed the people that originally created them

00:36:13.659 --> 00:36:16.159
to go ahead and continue and i watched him in

00:36:16.159 --> 00:36:18.239
the fit pit all the time working out constantly

00:36:18.239 --> 00:36:21.739
you know so that to me is a good fire service

00:36:21.739 --> 00:36:26.420
leader yeah uh chief droads was um he is an amazing

00:36:26.420 --> 00:36:30.800
leader um and he i felt like was an amazing leader

00:36:30.800 --> 00:36:35.400
an example for us um i was very sad to see him

00:36:35.400 --> 00:36:40.880
go um But I can tell you that I still have a

00:36:40.880 --> 00:36:42.719
really great relationship with him. I have an

00:36:42.719 --> 00:36:46.420
immense amount of respect for him. And when I

00:36:46.420 --> 00:36:49.539
think of Chief Drodes, what I think about is

00:36:49.539 --> 00:36:53.739
the leadership that he showed us, right? Not

00:36:53.739 --> 00:36:57.119
every organization is going to be so blessed

00:36:57.119 --> 00:37:01.519
to have experienced somebody like him. And so

00:37:01.519 --> 00:37:04.400
what he brings to the table, I think, is so cool

00:37:04.400 --> 00:37:06.019
and so very important. And I talk about this

00:37:06.019 --> 00:37:07.780
a lot when I talk about I'll talk about leadership

00:37:07.780 --> 00:37:10.000
for a second. When I talk about leadership is

00:37:10.000 --> 00:37:12.780
everybody understands these kind of analogies

00:37:12.780 --> 00:37:16.920
because you're either an adult child or you are

00:37:16.920 --> 00:37:19.400
a parent. Right. And so everybody knows that

00:37:19.400 --> 00:37:22.559
when you have kids, especially if you have more

00:37:22.559 --> 00:37:26.000
than one kid. Now, I'm talking about children,

00:37:26.159 --> 00:37:30.000
but relate this. to firefighters, right? Sometimes

00:37:30.000 --> 00:37:32.980
I say firemen, sorry. Relate this to firefighters.

00:37:34.840 --> 00:37:37.440
When you're a lieutenant and you have five or

00:37:37.440 --> 00:37:40.400
six firefighters in your house, those are your

00:37:40.400 --> 00:37:43.099
kids, right? I'm a captain. I got a whole bunch

00:37:43.099 --> 00:37:46.699
of them. These are my kids, right? And so when

00:37:46.699 --> 00:37:49.539
I'm using these analogies, I'm really applying

00:37:49.539 --> 00:37:55.400
this to my leadership in the fire service. Not

00:37:55.400 --> 00:37:59.699
every child is going to respond the same right

00:37:59.699 --> 00:38:02.619
you have brother you have siblings yes yeah one

00:38:02.619 --> 00:38:07.300
of five oh my that's a lot of kids that's like

00:38:07.300 --> 00:38:09.300
your mom and dad had their own firehouse is what

00:38:09.300 --> 00:38:11.719
they had yeah well we were kind of feral because

00:38:11.719 --> 00:38:13.679
they were my dad was a veterinary surgeon so

00:38:13.679 --> 00:38:15.980
he was off running calls and mom was in the office

00:38:15.980 --> 00:38:18.420
so we were like it was a lord of the flies on

00:38:18.420 --> 00:38:21.179
the farm basically yeah well a lot of most kids

00:38:21.179 --> 00:38:24.420
are feral anyways but you know there was there

00:38:24.420 --> 00:38:26.900
was a And, you know, you'll be able to identify

00:38:26.900 --> 00:38:29.480
what kind of child you were, which just really

00:38:29.480 --> 00:38:31.460
transitions a lot into how you are as an adult.

00:38:31.980 --> 00:38:35.599
But, you know, there's some some firefighters

00:38:35.599 --> 00:38:37.460
you can look at, some kids you can look at and

00:38:37.460 --> 00:38:38.639
you can just give them that look and they'll

00:38:38.639 --> 00:38:41.539
start crying. They'll do when you go, James,

00:38:41.760 --> 00:38:44.340
OK, I won't do it anymore. Right. And then you

00:38:44.340 --> 00:38:47.280
have the other kid, you know, you maybe this

00:38:47.280 --> 00:38:50.360
is you or you're one of your other siblings that

00:38:50.360 --> 00:38:52.719
you can beat the hell out of them and they'll

00:38:52.719 --> 00:38:56.230
come back for more. You know, and so organizations

00:38:56.230 --> 00:38:59.530
want us to treat everybody the same, you know,

00:38:59.530 --> 00:39:02.489
to have this equality of how we treat people.

00:39:02.590 --> 00:39:04.750
But that's not real and that's not good leadership.

00:39:05.030 --> 00:39:09.469
And what I loved about Drodes is that he expressed

00:39:09.469 --> 00:39:12.210
some of that leadership, not necessarily in those

00:39:12.210 --> 00:39:14.949
terms, but we always knew where we were going.

00:39:15.070 --> 00:39:19.389
And so I always say like when you're in a relationship

00:39:19.389 --> 00:39:22.059
with somebody. there's going to come a point

00:39:22.059 --> 00:39:23.860
in time, whether it's the male or the female

00:39:23.860 --> 00:39:25.860
or whoever it is in the relationship is going

00:39:25.860 --> 00:39:29.420
to come forward and say, so what are we doing

00:39:29.420 --> 00:39:32.139
with this? Right? Where are we going? Where's

00:39:32.139 --> 00:39:33.860
our relationship going? Are we getting married?

00:39:34.000 --> 00:39:36.380
Are we having kids? Do you love me? Like, are

00:39:36.380 --> 00:39:37.960
we going to move in together? What's the next

00:39:37.960 --> 00:39:40.530
step? You know what I mean? And that's really

00:39:40.530 --> 00:39:43.710
important for humans because we need to know

00:39:43.710 --> 00:39:45.469
where we're going in our life because forward

00:39:45.469 --> 00:39:48.949
progression is how we move. It's how we grow

00:39:48.949 --> 00:39:51.710
and it's how we maintain happiness and fulfillment

00:39:51.710 --> 00:39:53.789
in our life. So if you don't have that and you

00:39:53.789 --> 00:39:55.730
don't have it in a relationship, what do people

00:39:55.730 --> 00:39:57.550
start doing? They start scratching their head

00:39:57.550 --> 00:39:59.269
and they're saying, well, I wonder what it would

00:39:59.269 --> 00:40:02.710
be like with this person. You know, I wonder

00:40:02.710 --> 00:40:06.050
what my relationship would be like. All it takes

00:40:06.050 --> 00:40:09.409
is some other male or female to come along and

00:40:09.409 --> 00:40:12.090
tell you you look pretty that day, and then all

00:40:12.090 --> 00:40:13.769
of a sudden someone else has sparked your interest,

00:40:13.989 --> 00:40:17.449
and you can start figuring out real fast that

00:40:17.449 --> 00:40:21.929
maybe you're better served somewhere else. And

00:40:21.929 --> 00:40:23.989
so to bring it back around, what Drodes did is

00:40:23.989 --> 00:40:26.730
he always gave us direction. We always knew where

00:40:26.730 --> 00:40:28.969
we were going in our relationship, right? He

00:40:28.969 --> 00:40:33.329
came along and he said, We are going to be an

00:40:33.329 --> 00:40:38.210
ISO class one department. Okay. And this is the

00:40:38.210 --> 00:40:40.690
pathway to get there. You guys are going to do

00:40:40.690 --> 00:40:42.590
all the work. You guys are going to go flow,

00:40:42.750 --> 00:40:44.869
you know, hundreds of thousands of hydrants.

00:40:44.909 --> 00:40:46.889
You're going to do hundreds of thousands of PIPs.

00:40:46.929 --> 00:40:50.969
You're going to do all of this hard work, but

00:40:50.969 --> 00:40:52.269
I'm going to support you. I'm going to give you

00:40:52.269 --> 00:40:54.309
all the tools that you need. And that's going

00:40:54.309 --> 00:40:56.590
to be the pathway to success. Right. And then

00:40:56.590 --> 00:40:58.010
he came along and said, we're going to create

00:40:58.010 --> 00:41:00.690
a world -class dive team. I'm going to support

00:41:00.690 --> 00:41:02.690
you. I'm going to get you the funding. And so

00:41:02.690 --> 00:41:05.510
there was always direction on where we were going.

00:41:05.570 --> 00:41:08.650
We knew where we were all going in our relationship,

00:41:08.909 --> 00:41:13.570
you know, and a lot of departments don't have

00:41:13.570 --> 00:41:15.409
that. And so when you don't have that direction,

00:41:15.510 --> 00:41:16.949
you don't know where you're going. You start

00:41:16.949 --> 00:41:18.750
getting curious and you start looking for somewhere

00:41:18.750 --> 00:41:21.539
else to go. Whether that be another department

00:41:21.539 --> 00:41:25.119
or, you know, another somebody else in a relationship,

00:41:25.400 --> 00:41:27.179
you know, kind of thing. And so I think it's

00:41:27.179 --> 00:41:29.260
very important that people have that direction

00:41:29.260 --> 00:41:31.019
and they know this is what we're doing in life.

00:41:31.099 --> 00:41:33.480
This is what we're doing today for our job. This

00:41:33.480 --> 00:41:35.619
is what we're doing today for our physical health,

00:41:35.699 --> 00:41:38.179
our mental health, our spiritual health. Right.

00:41:38.199 --> 00:41:40.179
There's all different aspects. And you have to

00:41:40.179 --> 00:41:41.480
know where you're going and what you're doing,

00:41:41.539 --> 00:41:43.280
what the plan is. You know, otherwise you get

00:41:43.280 --> 00:41:45.469
bored and you. Probably sit on your phone and

00:41:45.469 --> 00:41:48.050
veg out on social media all day long, you know,

00:41:48.050 --> 00:41:50.889
which isn't exactly healthy either. You know,

00:41:50.889 --> 00:41:54.829
so Chief Drodes gave us a lot of excellent leadership

00:41:54.829 --> 00:41:57.949
and direction. And then he always had the support

00:41:57.949 --> 00:42:00.610
and he always knew who you were. And he always

00:42:00.610 --> 00:42:02.789
showed his face. And people need to see that,

00:42:02.829 --> 00:42:06.030
right? And even though he was very busy, he still

00:42:06.030 --> 00:42:10.329
made it known that he was present. And there's

00:42:10.329 --> 00:42:11.949
just something to be said for that. You know,

00:42:11.989 --> 00:42:16.230
when you don't know who your fire chief is, when

00:42:16.230 --> 00:42:19.269
you don't see your battalion chief, you don't

00:42:19.269 --> 00:42:21.690
see your leadership and they're not present,

00:42:21.809 --> 00:42:23.789
it's kind of like they're not there and you just

00:42:23.789 --> 00:42:27.429
want to go play with somebody else. Yeah. I mean,

00:42:27.429 --> 00:42:30.690
I saw it firsthand. I remember sitting in station

00:42:30.690 --> 00:42:34.530
50 when he came to visit and I was assigned at

00:42:34.530 --> 00:42:37.469
70. So we had the rescue boat and it was amazing.

00:42:37.530 --> 00:42:40.300
They'd float people through. that some of them

00:42:40.300 --> 00:42:42.659
couldn't even swim and you've been sent to a

00:42:42.659 --> 00:42:44.559
station where you might have to drive a boat

00:42:44.559 --> 00:42:48.179
to a lake back it down a dock then drive around

00:42:48.179 --> 00:42:49.860
and hopefully not kill the person that you need

00:42:49.860 --> 00:42:53.119
to save then jump in and understand how to backboard

00:42:53.119 --> 00:42:54.440
them and get them you know what i mean it's a

00:42:54.440 --> 00:42:56.500
very very i was a lifeguard for years it's a

00:42:56.500 --> 00:42:59.179
complex task that you're asking to do and so

00:42:59.179 --> 00:43:01.219
i was underlining that and wayne dormany had

00:43:01.219 --> 00:43:03.440
already been well involved in the the rescue

00:43:03.440 --> 00:43:06.070
diver side and i know And loads of people had

00:43:06.070 --> 00:43:07.650
tried to get it off ground the first time. So

00:43:07.650 --> 00:43:10.349
it's not that I had any big influence, but it

00:43:10.349 --> 00:43:13.469
was yet another voice. But I saw that actually

00:43:13.469 --> 00:43:16.449
make a difference. I saw him listen and go collectively

00:43:16.449 --> 00:43:18.670
all these voices I've heard about this dive program

00:43:18.670 --> 00:43:21.809
and the boats. They're right. We do need to fix

00:43:21.809 --> 00:43:24.070
this. And, you know, before I left, they were

00:43:24.070 --> 00:43:26.110
doing the surface diver and then ultimately went

00:43:26.110 --> 00:43:28.590
to the full on diver driver. And when he when

00:43:28.590 --> 00:43:30.550
he was my chief in Hialeah, we actually did rescue

00:43:30.550 --> 00:43:32.690
diver training because Hialeah is full of canals

00:43:32.690 --> 00:43:35.760
and lakes. So we did that in the academy. We

00:43:35.760 --> 00:43:37.840
got through all that dive training. So I know

00:43:37.840 --> 00:43:40.300
he had a background of that too. But what I saw,

00:43:40.340 --> 00:43:42.260
like you said, he was present in the stations.

00:43:43.019 --> 00:43:46.280
And if you were coming up with a problem and

00:43:46.280 --> 00:43:49.400
a solution, he empowered those people to actually

00:43:49.400 --> 00:43:51.940
do it. I mean, what the PIOs did, what the promos

00:43:51.940 --> 00:43:55.119
did as far as storytelling, all the amazing things

00:43:55.119 --> 00:43:57.139
that Orange County did, the lip sync battles

00:43:57.139 --> 00:44:00.059
with other departments. I mean, it was so good.

00:44:00.670 --> 00:44:03.670
And I just it blows my mind that whatever fragile

00:44:03.670 --> 00:44:06.610
egos behind the scenes were threatened by that,

00:44:06.650 --> 00:44:08.869
that they literally got rid of the best leader

00:44:08.869 --> 00:44:14.130
they've had in decades, arguably. Yeah, I definitely

00:44:14.130 --> 00:44:17.090
wouldn't argue that. That's, you know, I've seen,

00:44:17.170 --> 00:44:19.929
you know, 18 years worth of different leadership

00:44:19.929 --> 00:44:23.849
come through. And and I have a good working relationship

00:44:23.849 --> 00:44:27.489
with a lot of people, you know, so I don't want

00:44:27.489 --> 00:44:34.519
to make it sound like, you know. Drozd was wonderful.

00:44:35.900 --> 00:44:39.559
And I think that I don't know that there could

00:44:39.559 --> 00:44:45.340
be a better fire chief for me. When I see him,

00:44:45.340 --> 00:44:48.500
I still tell him he's my chief. I interviewed

00:44:48.500 --> 00:44:51.739
him just a few weeks ago. I'm hoping that he's

00:44:51.739 --> 00:44:53.920
going to get a very prominent national position.

00:44:54.179 --> 00:44:57.059
I'm still waiting to see, but I know he's in

00:44:57.059 --> 00:45:01.440
the running. Yeah. And, you know, I saw him at

00:45:01.440 --> 00:45:04.159
a union conference, and there was about 10 of

00:45:04.159 --> 00:45:11.199
us sitting at the table. And, you know, I feel

00:45:11.199 --> 00:45:15.239
that, I believe that if it was any other fire

00:45:15.239 --> 00:45:19.960
chief that we've had past or present, a lot of

00:45:19.960 --> 00:45:22.320
people might get up and shake a hand or, you

00:45:22.320 --> 00:45:24.539
know, do the hi thing. Because it was, you know,

00:45:24.539 --> 00:45:26.579
a dinner time kind of thing when he came by the

00:45:26.579 --> 00:45:30.860
table. But that's not what we did. Every single

00:45:30.860 --> 00:45:34.960
person at that table got up and walked over to

00:45:34.960 --> 00:45:38.960
him and shook his hand or hugged his neck. And

00:45:38.960 --> 00:45:41.920
that's just that is just the energy that he puts

00:45:41.920 --> 00:45:45.900
off and the leadership that he gives. And it's

00:45:45.900 --> 00:45:50.239
impressive. Absolutely. He does it right. He

00:45:50.239 --> 00:45:53.219
does. And the thing is, I I'm on this kind of

00:45:53.219 --> 00:45:55.829
chair at the moment to kind of call out. the

00:45:55.829 --> 00:45:58.550
poor leadership just because i mean i'm eight

00:45:58.550 --> 00:46:00.929
years plus deep into this podcast now with the

00:46:00.929 --> 00:46:03.750
same kind of messages and thousands of episodes

00:46:03.750 --> 00:46:08.050
with you know true smes you know layering this

00:46:08.050 --> 00:46:09.989
argument of you know how you fix this i mean

00:46:09.989 --> 00:46:12.230
the solutions are out there but it's really good

00:46:12.230 --> 00:46:14.710
to talk about some examples of good leadership

00:46:14.710 --> 00:46:16.829
because it does exist out there and we need to

00:46:16.829 --> 00:46:22.980
model those people it does i i i think that I

00:46:22.980 --> 00:46:25.659
don't know if that's really harder on that higher

00:46:25.659 --> 00:46:29.719
level of leadership. I find it hard to believe

00:46:29.719 --> 00:46:34.159
that it is other than staying true to yourself.

00:46:34.380 --> 00:46:37.260
And I do believe that with the right upper leadership

00:46:37.260 --> 00:46:39.460
that you can continue to promote through the

00:46:39.460 --> 00:46:42.960
ranks and stay true to who you are. And I mean,

00:46:42.960 --> 00:46:45.880
stay true to who you are, meaning you don't sell

00:46:45.880 --> 00:46:50.590
out to what some corrupt leadership wants. You

00:46:50.590 --> 00:46:57.809
know, and it's really disheartening when you

00:46:57.809 --> 00:47:01.869
want to give people what you think you have to

00:47:01.869 --> 00:47:08.469
offer, but you won't because of those what are

00:47:08.469 --> 00:47:11.610
seen as roadblocks above you. You know, that

00:47:11.610 --> 00:47:14.480
they want you to be a puppet. You know, they

00:47:14.480 --> 00:47:17.519
they want to they want you to say yes and do

00:47:17.519 --> 00:47:20.519
what they tell you to do without explaining anything.

00:47:21.179 --> 00:47:23.400
And I don't and I don't think that's good leadership.

00:47:23.559 --> 00:47:27.360
You know, I think I think people should be able

00:47:27.360 --> 00:47:29.159
to come to you and ask you questions. And I do

00:47:29.159 --> 00:47:30.699
believe in the chain of command. So don't misunderstand

00:47:30.699 --> 00:47:32.739
when I say that. But I think that people should

00:47:32.739 --> 00:47:36.000
be able to come to you, ask you questions and

00:47:36.000 --> 00:47:39.400
they your leadership should be able to give you

00:47:39.400 --> 00:47:44.980
a. answer that is based off of a policy a procedure

00:47:44.980 --> 00:47:51.079
a protocol right um logic common sense you know

00:47:51.079 --> 00:47:53.099
and safety things they they should be able to

00:47:53.099 --> 00:47:55.699
give you a proper answer for those things and

00:47:55.699 --> 00:47:58.659
not just because i said so That's not an answer.

00:47:58.719 --> 00:48:01.340
That doesn't create judgment. It doesn't create

00:48:01.340 --> 00:48:04.760
character. It doesn't create understanding. That's

00:48:04.760 --> 00:48:07.940
not succession planning. We're not bringing people

00:48:07.940 --> 00:48:10.099
up through the fire service to be leaders. We're

00:48:10.099 --> 00:48:13.059
bringing them up to be puppets. And that is going

00:48:13.059 --> 00:48:18.480
to cause major issues for people, their safety,

00:48:18.579 --> 00:48:21.260
first and foremost, but also their mental health.

00:48:21.579 --> 00:48:25.519
And I say that because people who don't feel

00:48:25.519 --> 00:48:32.360
like they have value will be of no value. I know

00:48:32.360 --> 00:48:35.860
it sounds super cliche, but that's just real.

00:48:35.960 --> 00:48:38.380
If you don't feel like you're contributing something

00:48:38.380 --> 00:48:41.980
to your career and to a department and to your

00:48:41.980 --> 00:48:44.820
crew and to your call, to your firehouse or whatever

00:48:44.820 --> 00:48:48.219
it is, then people will just stop feeling like

00:48:48.219 --> 00:48:50.809
they have a place. And we lose camaraderie. We

00:48:50.809 --> 00:48:52.889
lose brothership. It causes mental health problems.

00:48:52.969 --> 00:48:57.210
Like it's, it is a huge disconnect. You know,

00:48:57.230 --> 00:48:59.289
it's funny when you think about, you know, the

00:48:59.289 --> 00:49:01.429
fire service, let's take it another step further.

00:49:01.469 --> 00:49:05.369
Say you're Marines. We know that they break these

00:49:05.369 --> 00:49:08.409
young men and women down and then build them

00:49:08.409 --> 00:49:11.190
up to become Marines. I think in the fire service,

00:49:11.250 --> 00:49:14.530
we stopped at break these people down. So I agree

00:49:14.530 --> 00:49:16.550
with you completely. If you just leave them broken,

00:49:16.630 --> 00:49:18.900
you run them into the ground. you know, running

00:49:18.900 --> 00:49:21.639
five, six calls after midnight. And then they

00:49:21.639 --> 00:49:23.539
get that phone call at 7am that you're not going

00:49:23.539 --> 00:49:26.400
home, say for another 24, you know, we just,

00:49:26.420 --> 00:49:29.340
we just beaten them down. And I did a post not

00:49:29.340 --> 00:49:31.679
too long ago. And this is, this is how I feel.

00:49:32.179 --> 00:49:35.480
There is no greater cowardice than a leader who

00:49:35.480 --> 00:49:37.880
refuses to advocate for the health of their people.

00:49:39.099 --> 00:49:41.699
So if you have a retention problem, if you have

00:49:41.699 --> 00:49:45.059
suicides and cancers in your department, that's

00:49:45.059 --> 00:49:48.780
on you. That's the buck stops there. You're at

00:49:48.780 --> 00:49:51.679
the top of the pyramid. So if your department

00:49:51.679 --> 00:49:54.980
is crumbling, you're the person with the giant

00:49:54.980 --> 00:49:57.780
paycheck. You're the person with the jacket that

00:49:57.780 --> 00:49:59.579
looks like you're going to the freaking parade

00:49:59.579 --> 00:50:02.199
in New Orleans. So now it's time to earn those

00:50:02.199 --> 00:50:04.619
stripes and bugles, you know, and turn it around.

00:50:04.719 --> 00:50:07.460
I feel that's what Drozd did is he came in and,

00:50:07.500 --> 00:50:08.780
you know, no, you're not going to blame that

00:50:08.780 --> 00:50:11.159
person two weeks in, but he came in and was like,

00:50:11.199 --> 00:50:12.619
all right, like you said, what's the mission?

00:50:12.719 --> 00:50:15.860
How can we turn this around? But if like locally

00:50:15.860 --> 00:50:20.099
here, you've lost five of your firefighters in

00:50:20.099 --> 00:50:22.019
four years and almost lost another one. They

00:50:22.019 --> 00:50:24.739
just survived their attempt and you refuse to

00:50:24.739 --> 00:50:27.780
do anything. Like to me, there is no greater

00:50:27.780 --> 00:50:31.260
cowardice. You're literally a tiny, tiny man

00:50:31.260 --> 00:50:33.960
in this case wearing a uniform, but you haven't

00:50:33.960 --> 00:50:35.920
got the sack to actually do the job that you're

00:50:35.920 --> 00:50:38.559
supposed to be doing. And people are dying and

00:50:38.559 --> 00:50:42.059
you. are unmoved by it it just blows my mind

00:50:42.059 --> 00:50:44.519
i don't understand and then i don't understand

00:50:44.519 --> 00:50:47.179
if that person isn't doing it why the rest of

00:50:47.179 --> 00:50:50.199
the department isn't getting out you know forks

00:50:50.199 --> 00:50:53.679
and flicking you know torches and storming the

00:50:53.679 --> 00:50:55.139
castle and saying all right well then get the

00:50:55.139 --> 00:50:57.880
fuck out our people are dying you know if you're

00:50:57.880 --> 00:50:59.539
not going to do it fine then move out the way

00:50:59.539 --> 00:51:01.880
and let someone else do it this is what we need

00:51:01.880 --> 00:51:04.360
to do as a profession we need to stand up and

00:51:04.360 --> 00:51:07.239
demand change Yeah, I totally agree with you.

00:51:07.699 --> 00:51:11.079
You know, I think the issue, the reason why,

00:51:11.099 --> 00:51:13.219
in my opinion, you won't see that in some departments

00:51:13.219 --> 00:51:16.059
is because they've promoted a culture of people

00:51:16.059 --> 00:51:23.420
who won't stand up, right? There's a lot of leadership

00:51:23.420 --> 00:51:25.739
out there. They don't want people to ask them

00:51:25.739 --> 00:51:28.139
questions. They feel challenged and threatened

00:51:28.139 --> 00:51:32.300
by it, right? But when I ask you... Why, why

00:51:32.300 --> 00:51:35.099
are we doing it this way? Or it's a, it's a,

00:51:35.099 --> 00:51:38.019
it's a threat to them, but to me, it's a clarification,

00:51:38.260 --> 00:51:40.860
right? I need to understand because understanding

00:51:40.860 --> 00:51:42.980
what we're doing and how we're doing it is very

00:51:42.980 --> 00:51:44.460
important. And it's very important to relay that

00:51:44.460 --> 00:51:46.960
to other people, but they're creating this, these

00:51:46.960 --> 00:51:49.980
leaders, that's not what they want. Right. And

00:51:49.980 --> 00:51:52.860
so what happens is they, they put their head

00:51:52.860 --> 00:51:55.300
down and they say, whatever you want me to do.

00:51:55.900 --> 00:51:57.980
And that includes standing up for other people.

00:51:58.000 --> 00:52:01.750
They won't do it. Their their paycheck, their

00:52:01.750 --> 00:52:05.250
power, their whatever they're getting out of

00:52:05.250 --> 00:52:09.110
that position isn't worth it to them. Sadly.

00:52:10.650 --> 00:52:13.730
That's very sad. And, you know, one of the things

00:52:13.730 --> 00:52:17.449
I talk about in my presentation, too, is how

00:52:17.449 --> 00:52:20.409
how do you show people that you care? Right.

00:52:20.469 --> 00:52:22.849
It's easy to say I care about you. But what are

00:52:22.849 --> 00:52:26.130
you doing to show people that you care about

00:52:26.130 --> 00:52:29.619
them? On every level, right? Because even fireman

00:52:29.619 --> 00:52:31.219
to fireman, we just keep shitting on each other.

00:52:32.440 --> 00:52:35.599
You know, so whether it's, you know, call outs

00:52:35.599 --> 00:52:37.940
or the way that we treat each other or support

00:52:37.940 --> 00:52:40.260
each other or the lack thereof, there's lots

00:52:40.260 --> 00:52:42.840
of ways that we just, we just shit on each other.

00:52:44.199 --> 00:52:49.880
You know, and I think that when people can stop

00:52:49.880 --> 00:52:52.820
for a minute in the hustle and bustle to say.

00:52:54.279 --> 00:52:56.440
Okay, yeah, I mean, these are my brothers, these

00:52:56.440 --> 00:52:58.059
are my sisters, and I care about them, but what

00:52:58.059 --> 00:53:00.760
am I doing to show them that? You know, just

00:53:00.760 --> 00:53:02.559
showing up at work every day is not showing people

00:53:02.559 --> 00:53:05.320
that you care about them. You know, hell, even

00:53:05.320 --> 00:53:08.000
half the people that I know in the industry,

00:53:08.219 --> 00:53:13.400
I think a lot of us just say, I don't fucking

00:53:13.400 --> 00:53:17.139
care. Right? I mean, I say I don't care a lot,

00:53:17.199 --> 00:53:19.280
but anybody that knows me knows I just care too

00:53:19.280 --> 00:53:22.289
much is my actual problem. And then I think that's

00:53:22.289 --> 00:53:27.769
also a curse, you know, but I think that's a

00:53:27.769 --> 00:53:30.889
huge component that comes into our mental health,

00:53:30.969 --> 00:53:35.389
you know, is people come to the fire service.

00:53:35.409 --> 00:53:37.110
Right. One of the great things about the military

00:53:37.110 --> 00:53:39.570
is this brotherhood connection that you get,

00:53:39.750 --> 00:53:42.929
you know, and we're losing that brotherhood connection

00:53:42.929 --> 00:53:46.090
within the fire service. I think we are. It's

00:53:46.090 --> 00:53:49.400
not it's not the same. Five or even, you know,

00:53:49.440 --> 00:53:52.039
10 years ago, it's drastically different from

00:53:52.039 --> 00:53:54.860
even five years ago, those bonds that you feel

00:53:54.860 --> 00:53:57.719
or that you see, you know, how crews used to

00:53:57.719 --> 00:54:01.079
go out and they do do outings. And, you know,

00:54:01.119 --> 00:54:03.340
I send out an email every day to my guys and

00:54:03.340 --> 00:54:06.139
expect for the lieutenants to communicate that

00:54:06.139 --> 00:54:09.059
information to the crews. I'll go by a station

00:54:09.059 --> 00:54:11.980
and sit down with the whole crew and say, hey,

00:54:12.000 --> 00:54:14.340
did LT talk to you guys about the email I sent

00:54:14.340 --> 00:54:15.619
out? You know, we've been having these things

00:54:15.619 --> 00:54:18.550
go on or whatever it's about. And they'll all

00:54:18.550 --> 00:54:20.469
look at me dumbfounded. And then I'll look at

00:54:20.469 --> 00:54:21.809
the lieutenant. He goes, oh, I was going to do

00:54:21.809 --> 00:54:23.309
it in a little bit. And I go, what do you mean

00:54:23.309 --> 00:54:24.650
a little bit? It's four o 'clock in the afternoon.

00:54:26.210 --> 00:54:32.170
So we're losing this brotherhood and that connection.

00:54:32.309 --> 00:54:37.590
And that connection is so imperative for our

00:54:37.590 --> 00:54:40.900
mental well -being. To know that that person

00:54:40.900 --> 00:54:43.840
you're going to work with has your back not only

00:54:43.840 --> 00:54:45.920
in a fire, you know what I mean? But when your

00:54:45.920 --> 00:54:48.280
whole world falls apart at home, that you've

00:54:48.280 --> 00:54:49.960
got something else that can rely on. And there's

00:54:49.960 --> 00:54:52.119
lots of people that come into the fire service

00:54:52.119 --> 00:54:54.139
who don't have any of that already. They don't

00:54:54.139 --> 00:54:56.320
have parents, right? Or maybe they didn't have

00:54:56.320 --> 00:54:58.300
a good upbringing. They don't have siblings.

00:54:58.440 --> 00:55:00.860
They don't have a support system. Some people

00:55:00.860 --> 00:55:05.039
that have moved into larger counties like this.

00:55:05.480 --> 00:55:08.579
and left their family behind just to get a job.

00:55:09.539 --> 00:55:12.219
And then we're not even, I'm not even building

00:55:12.219 --> 00:55:15.280
them in to be part of their support system, you

00:55:15.280 --> 00:55:18.280
know? So I always encourage people to take a

00:55:18.280 --> 00:55:20.699
few minutes to try to just ask themselves like,

00:55:20.780 --> 00:55:22.960
okay, I care about people, but what are you doing

00:55:22.960 --> 00:55:26.820
to show people that you really care? Absolutely.

00:55:27.679 --> 00:55:30.500
Well, I want to kind of go back into your career

00:55:30.500 --> 00:55:33.599
before we dive into the world of codes and death

00:55:33.599 --> 00:55:37.440
notifications. As you progress through, what

00:55:37.440 --> 00:55:40.619
was some of the kind of career calls that you

00:55:40.619 --> 00:55:43.679
ran? And are there any that started your thought

00:55:43.679 --> 00:55:46.679
process on changing the way that we look at some

00:55:46.679 --> 00:55:56.300
of these things? So for me, I think the ones

00:55:56.300 --> 00:55:59.579
that hit me the hardest were some pretty bad

00:55:59.579 --> 00:56:05.119
pediatric calls. You know, and really, I'm pretty

00:56:05.119 --> 00:56:09.460
sensitive to seeing people suffer, you know,

00:56:09.460 --> 00:56:14.079
pain and suffering. And I think as you. I talk

00:56:14.079 --> 00:56:16.340
about being a mature medic, right, or a mature

00:56:16.340 --> 00:56:19.219
patient care provider isn't about your actual

00:56:19.219 --> 00:56:22.039
level of maturity and how old you are, but the

00:56:22.039 --> 00:56:23.800
things that you've experienced in life that make

00:56:23.800 --> 00:56:27.000
you sensitive to other people. You know, when

00:56:27.000 --> 00:56:29.239
you have kids, you treat kids differently. You

00:56:29.239 --> 00:56:31.780
know, when you've suffered a back injury, you'll

00:56:31.780 --> 00:56:33.880
probably stop telling people to slide over onto

00:56:33.880 --> 00:56:37.699
the stretcher themselves, you know? So I think

00:56:37.699 --> 00:56:41.360
there was... can't say anything like any one

00:56:41.360 --> 00:56:45.739
thing profoundly. It was just this sense of knowing

00:56:45.739 --> 00:56:52.260
that this is what I was made for. You know, I

00:56:52.260 --> 00:56:54.519
think there was a point in time in my career,

00:56:54.639 --> 00:56:56.739
or like I said, before I got into it, I was like,

00:56:56.800 --> 00:56:58.820
I know that, I know that I like this, right.

00:56:58.920 --> 00:57:02.340
But I think that there was a profound time for

00:57:02.340 --> 00:57:07.179
me that I realized that this is what I believe

00:57:07.179 --> 00:57:11.090
God made me to do. to help people on this level,

00:57:11.170 --> 00:57:14.329
to be a servant to others, you know? And, and

00:57:14.329 --> 00:57:15.949
then of course, as you get older, I think that

00:57:15.949 --> 00:57:18.949
you can really, if you're paying attention to

00:57:18.949 --> 00:57:20.989
yourself and to life, I think you can really

00:57:20.989 --> 00:57:24.309
understand that we're truly here to serve others

00:57:24.309 --> 00:57:26.889
and that this life isn't really just about us.

00:57:27.869 --> 00:57:32.030
And it really is about what you have to give

00:57:32.030 --> 00:57:36.559
other people. And I think that when you, Can

00:57:36.559 --> 00:57:39.119
really sit in that and really understand it.

00:57:39.179 --> 00:57:41.820
I think that's a very special place to be. And

00:57:41.820 --> 00:57:43.480
the unfortunate part is that you can know all

00:57:43.480 --> 00:57:45.340
of that and then have a department who doesn't

00:57:45.340 --> 00:57:47.219
give a shit about you and you don't feel like

00:57:47.219 --> 00:57:51.440
you have a lot of value. And after 18 years,

00:57:51.480 --> 00:57:55.920
sadly, you know, I've reached a point where I've

00:57:55.920 --> 00:58:01.099
never felt less valued in all of my career. And

00:58:01.099 --> 00:58:05.940
any less and so underutilized. You know, and

00:58:05.940 --> 00:58:08.019
when you have things to offer and you want to

00:58:08.019 --> 00:58:10.800
give things to people that you know are going

00:58:10.800 --> 00:58:14.820
to help them with the rest of their life, that's

00:58:14.820 --> 00:58:25.420
a moral insult. So I think for me, really, it

00:58:25.420 --> 00:58:28.380
was just a maturity thing for me that made me

00:58:28.380 --> 00:58:32.800
realize that this was what I was supposed to

00:58:32.800 --> 00:58:36.539
be doing. and made me push harder in that passion

00:58:36.539 --> 00:58:41.760
it's interesting coming from california where

00:58:41.760 --> 00:58:44.159
this bar like i said was set so high they would

00:58:44.159 --> 00:58:46.980
cut 25 of the recruit class by the end of the

00:58:46.980 --> 00:58:49.739
probationary year just through attrition it wasn't

00:58:49.739 --> 00:58:51.360
like they were trying to get rid of good people

00:58:51.360 --> 00:58:54.900
but the bar was so high that 25 never made it

00:58:54.900 --> 00:58:57.659
every year that was the ones that out of a thousand

00:58:57.659 --> 00:59:00.019
people did a written test in my class was about

00:59:00.019 --> 00:59:03.800
15 so out of a thousand people you know Three

00:59:03.800 --> 00:59:08.579
didn't make it to the end of the year. So, yeah,

00:59:08.659 --> 00:59:13.000
and then I come to Orange County. And in that

00:59:13.000 --> 00:59:15.380
previous California department, you know, whether

00:59:15.380 --> 00:59:17.719
it was roof operations, whether it was interior

00:59:17.719 --> 00:59:20.199
attack, you know, we had all these preset hose

00:59:20.199 --> 00:59:22.500
lays. We constantly worked on building construction

00:59:22.500 --> 00:59:24.719
and cutting, you know, conventional roofs and

00:59:24.719 --> 00:59:26.760
panelized roofs and all these different things.

00:59:26.800 --> 00:59:29.159
And it was just drilling over and over and over

00:59:29.159 --> 00:59:31.340
again. And what that meant was when you were

00:59:31.340 --> 00:59:35.059
at a fire. your captain over there would turn

00:59:35.059 --> 00:59:37.400
around and say, all right, lay the bundles. All

00:59:37.400 --> 00:59:39.500
right, we're going to do a pullback. That's all

00:59:39.500 --> 00:59:41.800
I need to say. And in your mind are all these

00:59:41.800 --> 00:59:43.619
orchestrated events. You're taking off the right

00:59:43.619 --> 00:59:45.940
tools. You're throwing ladders, getting on the

00:59:45.940 --> 00:59:48.380
roof, cutting opposite your partner, all the

00:59:48.380 --> 00:59:52.539
things. And that requires a lot of trust. And

00:59:52.539 --> 00:59:55.079
so at the chief level, they're telling my captain,

00:59:55.260 --> 00:59:58.059
all right, we roof ops, interior attack, primary.

00:59:58.219 --> 00:59:59.739
That's all they're saying. And then off we go.

01:00:00.159 --> 01:00:02.679
There's an immense level of trust. Then I go

01:00:02.679 --> 01:00:06.059
to orange and it's the other side of the spectrum,

01:00:06.219 --> 01:00:08.980
micromanaging. And now no one even knows really

01:00:08.980 --> 01:00:10.380
what they're supposed to be doing because there's

01:00:10.380 --> 01:00:12.960
no clear direction. And that's where you get

01:00:12.960 --> 01:00:15.840
that almost that moral injury element, that kind

01:00:15.840 --> 01:00:17.599
of organizational betrayal, because you've gone

01:00:17.599 --> 01:00:20.800
through fire academy. And, you know, the most

01:00:20.800 --> 01:00:23.239
firefighters wearing that uniform want to be

01:00:23.239 --> 01:00:25.199
a good firefighter. They want to be a good medic.

01:00:25.840 --> 01:00:28.900
But it requires strong leadership at the company

01:00:28.900 --> 01:00:30.880
level, at the station level, and then at the

01:00:30.880 --> 01:00:34.539
battalion level and then beyond. And I was just

01:00:34.539 --> 01:00:37.059
so weird because I saw both ends of the spectrum

01:00:37.059 --> 01:00:39.679
and it was such a large chasm between the two.

01:00:39.960 --> 01:00:43.679
But yeah, that lack of direction creates such

01:00:43.679 --> 01:00:46.619
toxicity. And then you throw in the extra sleep

01:00:46.619 --> 01:00:49.800
deprivation from the chronic understaffing. Like

01:00:49.800 --> 01:00:51.340
I was getting mandatory all the time at Orange

01:00:51.340 --> 01:00:54.820
County and I left there in 2013. You know what

01:00:54.820 --> 01:00:56.400
I mean? So it wasn't like when the hurricanes

01:00:56.400 --> 01:00:59.699
came, it was constant. And I was a single dad

01:00:59.699 --> 01:01:01.599
and a medic. And I was like, yeah, this isn't

01:01:01.599 --> 01:01:02.900
going to work. And I went to the creek because

01:01:02.900 --> 01:01:05.239
you can't tell me I can't go home. I'm a single

01:01:05.239 --> 01:01:08.619
father. So, yeah. So going back to what you're

01:01:08.619 --> 01:01:11.599
saying. We're taking these great firefighters

01:01:11.599 --> 01:01:14.340
and in the wrong environment, you're destroying

01:01:14.340 --> 01:01:17.719
them. And I don't think people realize how much

01:01:17.719 --> 01:01:21.260
impact that organizational betrayal has. Yes,

01:01:21.300 --> 01:01:23.480
we see some horrible shit. Yes, sleep deprivation

01:01:23.480 --> 01:01:26.340
is a massive part of the conversation. But the

01:01:26.340 --> 01:01:28.760
fact that your tribe that you said that you potentially

01:01:28.760 --> 01:01:31.840
could even die for turns their back on you when

01:01:31.840 --> 01:01:35.980
you need them is extremely detrimental. And what

01:01:35.980 --> 01:01:39.820
do you think in your research and all the people

01:01:39.820 --> 01:01:42.719
that you've talked to over the last eight years,

01:01:42.820 --> 01:01:45.920
what do you think drives that micromanagement

01:01:45.920 --> 01:01:50.940
for these leaders? I have my own suspicions,

01:01:50.940 --> 01:01:53.000
but I'm always interested in what other people

01:01:53.000 --> 01:01:56.519
think about it. Who is it that always tells you,

01:01:56.619 --> 01:01:59.340
sit down, you're making us look bad? Is it the

01:01:59.340 --> 01:02:01.500
stud in the station or is it the fat one in the

01:02:01.500 --> 01:02:05.059
Lazy Boy? Yeah, that one. It's the same thing.

01:02:05.519 --> 01:02:09.099
It's fragile egos. It's people who really know

01:02:09.099 --> 01:02:10.599
that they don't know what they're doing. It's

01:02:10.599 --> 01:02:12.699
what it boils down to because a strong leader

01:02:12.699 --> 01:02:16.699
grooms other strong leaders. Our span of control

01:02:16.699 --> 01:02:18.559
is supposed to be, what, five to seven, if my

01:02:18.559 --> 01:02:20.679
memory serves me right? So you're not supposed

01:02:20.679 --> 01:02:23.440
to be telling the firefighter what to do. That's

01:02:23.440 --> 01:02:27.679
several rungs of the ladder down. So having the

01:02:27.679 --> 01:02:29.719
trust in your people, but it's a high level of

01:02:29.719 --> 01:02:32.199
training. And this is what I saw in Anaheim and

01:02:32.199 --> 01:02:34.800
Hialeah. You know, when you train your people

01:02:34.800 --> 01:02:37.539
well, then you can say, all right, go do it.

01:02:37.559 --> 01:02:40.659
If you have a culture of fitness, you know, they're

01:02:40.659 --> 01:02:42.940
going to be OK climbing all those floors and

01:02:42.940 --> 01:02:46.039
getting the job done. But if you know, if that

01:02:46.039 --> 01:02:50.280
that entire cascade has all these faults, you

01:02:50.280 --> 01:02:52.260
know, and then people do make mistakes because

01:02:52.260 --> 01:02:54.840
there is a lack of direction is almost like that.

01:02:54.900 --> 01:02:57.340
Well, I told you so again now from the top. So

01:02:57.340 --> 01:02:59.920
if you have high standards and you have a high

01:02:59.920 --> 01:03:03.260
training bar. you can then trust each rung of

01:03:03.260 --> 01:03:05.039
the ladder to do the job they're supposed to

01:03:05.039 --> 01:03:07.679
be doing. But if you've lowered the standards

01:03:07.679 --> 01:03:09.880
and you've got people, as you said, that can't

01:03:09.880 --> 01:03:12.579
even make it up five flights of stairs, you end

01:03:12.579 --> 01:03:14.519
up with this kind of, you know, dude with a whistle

01:03:14.519 --> 01:03:16.199
in the middle of the crowd pointing their fingers

01:03:16.199 --> 01:03:18.880
everywhere rather than the calm, collected leader.

01:03:19.239 --> 01:03:21.039
You know, like, I mean, Band of Brothers is a

01:03:21.039 --> 01:03:23.519
perfect example. Dick Winters. That's who you

01:03:23.519 --> 01:03:25.480
need to have in battle. That's who you need to

01:03:25.480 --> 01:03:28.519
have on the fire ground. He's not telling the

01:03:28.519 --> 01:03:30.360
guy holding the grenade which way to throw it.

01:03:30.599 --> 01:03:36.179
Yeah, no, I agree with you. I always, I've always

01:03:36.179 --> 01:03:41.480
believed that micromanagement is led by incompetency.

01:03:42.440 --> 01:03:45.039
You know, whether it's that person doesn't know,

01:03:45.179 --> 01:03:50.139
it's kind of like the classic, you're never going

01:03:50.139 --> 01:03:52.739
to rise under a stressful situation, a person's

01:03:52.739 --> 01:03:54.599
never going to rise to their highest level of

01:03:54.599 --> 01:03:57.159
training. Right. They're going to they're in

01:03:57.159 --> 01:04:00.420
a stressful situation. And we see this when people

01:04:00.420 --> 01:04:03.659
when they're running critical calls. Right. And

01:04:03.659 --> 01:04:05.800
everybody in the fire service, especially as

01:04:05.800 --> 01:04:07.960
experiences in health care in general, where

01:04:07.960 --> 01:04:10.800
you're you have a specific type of patient that

01:04:10.800 --> 01:04:13.900
needs a specific type of treatment. And the probie

01:04:13.900 --> 01:04:16.980
or somebody else comes running in with a thermometer,

01:04:17.320 --> 01:04:19.960
you know, and you look at them like, what in

01:04:19.960 --> 01:04:22.909
the hell are you doing? Right. And what does

01:04:22.909 --> 01:04:25.110
that have anything to do with this patient? And

01:04:25.110 --> 01:04:27.349
that's because it's not really that they're stupid.

01:04:27.530 --> 01:04:29.929
I mean, sometimes we have those two. It's not

01:04:29.929 --> 01:04:33.010
really that they're stupid. It's that they are

01:04:33.010 --> 01:04:35.429
defaulting to their lowest level of training

01:04:35.429 --> 01:04:37.949
in a stressful situation. And people are never

01:04:37.949 --> 01:04:39.869
going to rise to their highest level of training.

01:04:39.929 --> 01:04:42.050
And that is why the training is so important.

01:04:42.150 --> 01:04:47.389
Right. The reps repetition is master. But I do

01:04:47.389 --> 01:04:53.710
think that micromanagement is led by and fueled

01:04:53.710 --> 01:04:56.989
by incompetency, whether that's the inability

01:04:56.989 --> 01:04:59.630
to do their own job or not knowing your job,

01:04:59.710 --> 01:05:03.309
but they cannot, a leader cannot do their job

01:05:03.309 --> 01:05:06.829
when they're micromanaging you to do yours. And

01:05:06.829 --> 01:05:09.829
I'll go back. This is one of the things I loved

01:05:09.829 --> 01:05:13.030
about Drodes is that he allowed people to do

01:05:13.030 --> 01:05:16.539
their job. You know, I don't I don't know, in

01:05:16.539 --> 01:05:21.559
hindsight. You know, I wish we still had him.

01:05:21.599 --> 01:05:23.659
So I just have to say, I don't know, in hindsight,

01:05:23.760 --> 01:05:31.159
if that's what hurt him the most was trusting

01:05:31.159 --> 01:05:34.800
the people that weren't really trustworthy. You

01:05:34.800 --> 01:05:39.619
know, but led, I believe, like what. a leader

01:05:39.619 --> 01:05:43.800
should lead and saying, okay, you are in charge

01:05:43.800 --> 01:05:46.019
of this, or these are all my division chiefs

01:05:46.019 --> 01:05:48.159
or my positions, right? These are all my people.

01:05:48.199 --> 01:05:51.440
And I trust them because I wouldn't have them

01:05:51.440 --> 01:05:55.710
in that position if I couldn't trust them. And

01:05:55.710 --> 01:05:58.110
maybe there wasn't time to fix some of those

01:05:58.110 --> 01:06:00.230
things. I don't know. I mean, I can speculate

01:06:00.230 --> 01:06:02.309
on all kinds of, I've got all kinds of crazy

01:06:02.309 --> 01:06:04.469
ideas in my head about, you know, how things

01:06:04.469 --> 01:06:06.409
could have been different, you know, in order

01:06:06.409 --> 01:06:09.550
to keep him and stuff. But, you know, sometimes

01:06:09.550 --> 01:06:12.650
I wonder if that's the very thing that hurt him

01:06:12.650 --> 01:06:17.929
the most was trusting maybe people that were

01:06:17.929 --> 01:06:19.690
or weren't trustworthy. I don't know, you know,

01:06:19.710 --> 01:06:23.570
but. That was a great leadership skill also that

01:06:23.570 --> 01:06:27.190
he exhibited was not micromanaging people. And

01:06:27.190 --> 01:06:31.769
it's a disease across the fire service. I'll

01:06:31.769 --> 01:06:34.750
give you a quick Orange County story. The last,

01:06:34.769 --> 01:06:38.070
very last shift there. So first thing in the

01:06:38.070 --> 01:06:40.630
morning, I finally got to ride up as an engineer

01:06:40.630 --> 01:06:42.730
for the day, being on the rescue the whole time.

01:06:45.050 --> 01:06:48.010
we went to a call with the medic unit and it

01:06:48.010 --> 01:06:49.929
was a gi bleed like i've said this on here i've

01:06:49.929 --> 01:06:52.289
never had a code save in my whole career i'm

01:06:52.289 --> 01:06:54.389
just that freaking grim reaper when i show up

01:06:54.389 --> 01:06:56.090
if you're already if you're already in cardiac

01:06:56.090 --> 01:06:57.989
arrest then you're screwed i just get the brain

01:06:57.989 --> 01:06:59.869
bleeds and the triple a's and you know all the

01:06:59.869 --> 01:07:03.110
things so anyway by the time we end up you know

01:07:03.110 --> 01:07:05.710
working that caught it on scene ultimately clean

01:07:05.710 --> 01:07:08.369
up go back in service they're like our gearing

01:07:08.369 --> 01:07:10.750
we need you back on the end on the rescue oh

01:07:10.750 --> 01:07:12.349
and by the way you're probably going to get mandatory

01:07:12.349 --> 01:07:16.079
again next shift And at that point, it was like

01:07:16.079 --> 01:07:19.039
I said, I'm a single dad. You can't tell me I

01:07:19.039 --> 01:07:21.519
cannot go home. I have a child that needs me

01:07:21.519 --> 01:07:25.000
for those 24 hours. So I went into the office

01:07:25.000 --> 01:07:27.820
and I was in everything but the actual medical

01:07:27.820 --> 01:07:30.619
left for Reedy Creek. So I was like, you know

01:07:30.619 --> 01:07:34.599
what? Fuck it. I'm done. And so I told my LT,

01:07:34.800 --> 01:07:36.500
John Brown, I'm like, hey, how do you how do

01:07:36.500 --> 01:07:38.840
you quit? He's like, well, how do you tell him

01:07:38.840 --> 01:07:40.579
that you don't want to work here anymore? Oh,

01:07:40.639 --> 01:07:42.679
you write an email. OK, so I wrote him an email.

01:07:42.760 --> 01:07:45.630
Hey. I won't be here as of next shift. He's like,

01:07:45.690 --> 01:07:47.010
I think you got to do two weeks. I'm like, they're

01:07:47.010 --> 01:07:48.429
not going to replace me in two weeks. That's

01:07:48.429 --> 01:07:51.230
stupid. I need to be home. And so I said, this

01:07:51.230 --> 01:07:53.010
is my last shift. And that was it. Boom, send

01:07:53.010 --> 01:07:56.250
it off. Well, the gods weren't very happy because

01:07:56.250 --> 01:07:59.210
the next call in the afternoon we had was a homeless

01:07:59.210 --> 01:08:01.710
lady that was missing for about three days. And

01:08:01.710 --> 01:08:05.230
this was the summer in Florida. So we go through

01:08:05.230 --> 01:08:07.690
the woods in Orange Ave, tell the crew, hey,

01:08:07.750 --> 01:08:09.570
just wait there because I'm the medic on that

01:08:09.570 --> 01:08:12.480
day. We can smell her. So I'm like, we don't

01:08:12.480 --> 01:08:14.039
all need to see this. You just stay here and

01:08:14.039 --> 01:08:16.979
I'll go check it out. Sure enough, it was just

01:08:16.979 --> 01:08:20.260
flesh dripping off bone by that point. So that's

01:08:20.260 --> 01:08:23.319
dead person number two. Day goes on a little

01:08:23.319 --> 01:08:26.000
bit more. We try and lay down. We get banged

01:08:26.000 --> 01:08:28.159
out. Structure fire. And I don't know if you

01:08:28.159 --> 01:08:29.979
remember, this one seemed to be kind of known

01:08:29.979 --> 01:08:32.779
in the county, but it was the one where it was

01:08:32.779 --> 01:08:37.949
either arson or suicide attempt. young man had

01:08:37.949 --> 01:08:40.329
set fire to a house and then came out the house

01:08:40.329 --> 01:08:43.989
completely on fire and so we're we're responding

01:08:43.989 --> 01:08:47.630
to the the call um chris booth was the medic

01:08:47.630 --> 01:08:50.149
um he's calling for help so we're initially going

01:08:50.149 --> 01:08:52.109
to the address and we we hear it and luckily

01:08:52.109 --> 01:08:53.909
we're at the right place and we divert and go

01:08:53.909 --> 01:08:57.090
help chris and the guy it was such a weird call

01:08:57.090 --> 01:09:01.550
because he's leaning against the fence um completely

01:09:01.550 --> 01:09:04.069
just burned head to toe like third degree burns

01:09:04.069 --> 01:09:08.039
um And we end up doing a standing takedown, get

01:09:08.039 --> 01:09:11.239
him in the back. And I'm literally about to intubate

01:09:11.239 --> 01:09:13.539
him. And Chris almost instinctively is like,

01:09:13.720 --> 01:09:17.220
what's your name? You know, this guy's, I won't

01:09:17.220 --> 01:09:20.140
go into detail, but the guy's injuries, you could

01:09:20.140 --> 01:09:23.140
not have an airway. And clear as I'm talking

01:09:23.140 --> 01:09:26.239
to you now, he says his name. And we're both

01:09:26.239 --> 01:09:30.939
like, what the actual? And so I end up, you know,

01:09:30.960 --> 01:09:33.680
he's answering the question. So now. We don't

01:09:33.680 --> 01:09:36.380
have, you know, RSI in Orange County. So it's

01:09:36.380 --> 01:09:37.960
like, all right, I guess non -rebreather then.

01:09:38.079 --> 01:09:40.439
Burn sheets and let's try and get a line. And,

01:09:40.479 --> 01:09:42.300
you know, it was only around the corner from

01:09:42.300 --> 01:09:45.800
RMC. So that was call number three. So that was

01:09:45.800 --> 01:09:48.899
my shift that day. Three dead people, you know,

01:09:48.979 --> 01:09:51.479
two, I mean, all three protests, to be honest.

01:09:52.239 --> 01:09:55.880
And the culture that we had there, it wasn't

01:09:55.880 --> 01:09:57.500
this particular day, but there have been days

01:09:57.500 --> 01:09:59.460
where we've been backing up the ambulance, the

01:09:59.460 --> 01:10:03.300
rescue out the bay in the ER or RMC. And we've

01:10:03.300 --> 01:10:05.260
been threatened to be written up because we weren't

01:10:05.260 --> 01:10:07.340
wearing our traffic vests to back up the rescue.

01:10:08.359 --> 01:10:10.720
That is the problem with the culture. No one

01:10:10.720 --> 01:10:13.560
asked, hey, you lost three people today. Are

01:10:13.560 --> 01:10:16.979
you OK? But God forbid that you clip the curb

01:10:16.979 --> 01:10:18.920
and the drive cam goes off or you're not wearing

01:10:18.920 --> 01:10:21.699
a traffic vest in an ambulance bay. And now all

01:10:21.699 --> 01:10:23.319
of a sudden they've got all the fucking time

01:10:23.319 --> 01:10:26.180
in the world for you. That, I think, is a massive

01:10:26.180 --> 01:10:28.600
example of what's wrong with the culture in a

01:10:28.600 --> 01:10:33.699
poorly run department. Agreed. No arguments there.

01:10:35.140 --> 01:10:38.619
Normal behavior. Yeah. And it should be the other

01:10:38.619 --> 01:10:40.020
way around. We're going to get into it now. The

01:10:40.020 --> 01:10:43.720
whole mental health thing. I was OK after that.

01:10:43.899 --> 01:10:46.319
I mean, I was not in a great place in my whole

01:10:46.319 --> 01:10:48.140
life. I was a single dad going through a divorce

01:10:48.140 --> 01:10:51.899
and all that stuff. But what if what if that

01:10:51.899 --> 01:10:54.640
had been crushing for me? And then someone comes

01:10:54.640 --> 01:10:57.220
and says, where's your vest? You know, what's

01:10:57.220 --> 01:10:58.920
that going to do to that person? You know, so

01:10:58.920 --> 01:11:01.319
this is why these conversations are so important.

01:11:01.420 --> 01:11:02.920
It's not about talking shit and criticizing.

01:11:03.060 --> 01:11:05.899
It's highlighting where things are wrong, highlighting

01:11:05.899 --> 01:11:08.340
where that could even lead, God forbid, lead

01:11:08.340 --> 01:11:11.640
to a suicide. And how can we turn it around to

01:11:11.640 --> 01:11:15.619
avoid that happening? Yeah. And I think I think

01:11:15.619 --> 01:11:18.920
really, you know, for people in roles of leadership

01:11:18.920 --> 01:11:21.600
and and to me, I say roles of leadership that

01:11:21.600 --> 01:11:23.710
can be literally anybody. You know, it doesn't

01:11:23.710 --> 01:11:25.789
have to be a lieutenant or it doesn't have to

01:11:25.789 --> 01:11:29.909
be a higher rank anything. Every single person

01:11:29.909 --> 01:11:33.789
is in some role of leadership or can be. And

01:11:33.789 --> 01:11:37.510
I think really just having a dialogue with people

01:11:37.510 --> 01:11:41.229
first. And trust me, I have had plenty of my

01:11:41.229 --> 01:11:45.210
own disciplines that a dialogue would have been

01:11:45.210 --> 01:11:49.000
appropriate first. For you, it's just exactly

01:11:49.000 --> 01:11:51.859
like what you're saying. Why, how, why, right?

01:11:51.979 --> 01:11:55.100
There's lots of questions, but, you know, starting

01:11:55.100 --> 01:11:58.640
out with a dialogue first, you know, instead

01:11:58.640 --> 01:12:01.060
of coming at somebody and accusing them or just

01:12:01.060 --> 01:12:04.140
slapping them with paperwork, I think a conversation

01:12:04.140 --> 01:12:08.359
is warranted first, you know? And I think even

01:12:08.359 --> 01:12:11.460
for, you know, some of the most egregious things,

01:12:11.539 --> 01:12:14.180
I think you really just have to look at somebody

01:12:14.180 --> 01:12:16.840
and say, What were you thinking? What's going

01:12:16.840 --> 01:12:20.520
on? You know, because I don't feel like the fire

01:12:20.520 --> 01:12:22.439
service is full of a bunch of crappy people.

01:12:22.520 --> 01:12:24.720
You know what I mean? I mean, I think I think

01:12:24.720 --> 01:12:27.859
almost every single person comes into this industry

01:12:27.859 --> 01:12:31.500
with the intent of helping other people. So why

01:12:31.500 --> 01:12:34.979
do we have so many people who go through times

01:12:34.979 --> 01:12:37.000
where they don't want to or they say, I don't

01:12:37.000 --> 01:12:39.340
care, you know, or, you know, fuck these people

01:12:39.340 --> 01:12:42.199
or whatever, you know, I just. There's something

01:12:42.199 --> 01:12:45.159
very wrong within the system and within a department

01:12:45.159 --> 01:12:48.579
that has that many people who feel that way.

01:12:49.079 --> 01:12:52.840
And that's how they respond. Well, I mean, and

01:12:52.840 --> 01:12:54.920
this is not the case in some departments, but

01:12:54.920 --> 01:12:57.920
in some that I've seen, again, if there's that

01:12:57.920 --> 01:13:01.039
low bar and someone barely squeaks through as

01:13:01.039 --> 01:13:04.260
it is, they don't want to be in the field. They

01:13:04.260 --> 01:13:06.359
want to get in that admin role as soon as they

01:13:06.359 --> 01:13:08.819
can, and then they climb that ladder. So they

01:13:08.819 --> 01:13:11.529
don't have any idea. what it's like some of them

01:13:11.529 --> 01:13:14.069
maybe were even threatened with termination or

01:13:14.069 --> 01:13:16.050
bullied by their classmates because they really

01:13:16.050 --> 01:13:18.869
weren't the right fit for the fire service they

01:13:18.869 --> 01:13:21.250
made it through and now they're climbing up and

01:13:21.250 --> 01:13:24.569
we all know some that even became very um vindictive

01:13:24.569 --> 01:13:27.010
once they got into these higher positions yeah

01:13:27.010 --> 01:13:30.649
and i think you have some um elder leadership

01:13:30.649 --> 01:13:34.909
um you maybe you call them elders um that likes

01:13:34.909 --> 01:13:38.800
to say things like I was on the rescue before,

01:13:38.960 --> 01:13:40.800
right? I've done this and I've done that, right?

01:13:40.859 --> 01:13:44.079
But you and I both know, not only are we running

01:13:44.079 --> 01:13:49.500
way more calls than what we used to, right? Industry

01:13:49.500 --> 01:13:52.579
-wide, right? Not just a particular, but we are

01:13:52.579 --> 01:13:54.659
running way more calls than what we used to.

01:13:55.079 --> 01:13:59.920
And the job they did then is different than the

01:13:59.920 --> 01:14:02.939
job that we do now. You know, the rescues didn't

01:14:02.939 --> 01:14:04.979
transport back then. You were on the rescue,

01:14:05.079 --> 01:14:09.840
but you didn't transport. 100%. So that is a

01:14:09.840 --> 01:14:15.619
big deal. Now, I do laugh at these young folk

01:14:15.619 --> 01:14:20.319
now where they talk about having to sit at the

01:14:20.319 --> 01:14:22.340
hospital. I do kind of laugh and poke fun with

01:14:22.340 --> 01:14:24.319
them. And they know I'm poking fun with them

01:14:24.319 --> 01:14:26.340
when I do it. But I tell them that they're very

01:14:26.340 --> 01:14:28.920
spoiled now. Because back when we were on the

01:14:28.920 --> 01:14:31.720
rescue, it was normal to sit at a hospital for

01:14:31.720 --> 01:14:34.750
three, four, five, six hours. i sat at one hospital

01:14:34.750 --> 01:14:38.649
in winter park one time for six hours nobody

01:14:38.649 --> 01:14:42.050
came to rescue me there wasn't sushi parfaits

01:14:42.050 --> 01:14:45.329
coffee energy drinks there was none of that salads

01:14:45.329 --> 01:14:47.529
sandwiches they didn't have any of that stuff

01:14:47.529 --> 01:14:50.810
you know so uh i joke around them now that they're

01:14:50.810 --> 01:14:52.909
pretty pretty spoiled that they get all those

01:14:52.909 --> 01:14:57.069
amenities when we didn't you know you're lucky

01:14:57.069 --> 01:14:59.569
if you could find one of those little one tablespoon

01:14:59.569 --> 01:15:02.170
size packets of peanut butter and a cracker and

01:15:02.170 --> 01:15:03.729
then the nurse was still going to yell at you

01:15:03.729 --> 01:15:06.789
for taking them that's what made me laugh about

01:15:06.789 --> 01:15:09.090
covid when all the reporters are like oh there's

01:15:09.090 --> 01:15:11.189
people in the hallway i'm like where were you

01:15:11.189 --> 01:15:13.529
the other years there's always people in the

01:15:13.529 --> 01:15:15.609
hallway what are you talking about yeah it's

01:15:15.609 --> 01:15:19.890
wild yeah so it's pretty crazy you know and i

01:15:19.890 --> 01:15:23.300
think the industry just continues to change um

01:15:23.300 --> 01:15:26.220
in a way that doesn't feel doesn't feel very

01:15:26.220 --> 01:15:30.420
good yeah i mean i i it feels like we're expected

01:15:30.420 --> 01:15:33.859
to care for everybody else but nobody cares about

01:15:33.859 --> 01:15:37.920
us that's a crappy feeling well i underline this

01:15:37.920 --> 01:15:40.899
too because i am an incurable optimist although

01:15:40.899 --> 01:15:43.600
i sound very angry a lot of times This is the

01:15:43.600 --> 01:15:46.819
perfect time to change. We are truly at crisis

01:15:46.819 --> 01:15:49.000
level now nationally in the fire service. There

01:15:49.000 --> 01:15:50.399
are some departments that are doing it well,

01:15:50.500 --> 01:15:53.140
and they're fine. But the other, I would argue,

01:15:53.180 --> 01:15:56.539
90 plus percent are struggling. And if you draw

01:15:56.539 --> 01:15:59.039
a line of recruitment, retention, et cetera,

01:15:59.220 --> 01:16:02.359
it's not headed in a good place at all. So we're

01:16:02.359 --> 01:16:05.279
in a perfect opportunity to change this. You

01:16:05.279 --> 01:16:07.460
know, you should be able to go in and become

01:16:07.460 --> 01:16:10.119
a police officer or a firefighter, have a healthy

01:16:10.119 --> 01:16:12.560
career, have plenty of rest and recovery, be

01:16:12.560 --> 01:16:14.800
held to a fitness standard that promotes performance

01:16:14.800 --> 01:16:18.000
and longevity, have immediate access to mental

01:16:18.000 --> 01:16:20.539
health, you know, within your department and,

01:16:20.619 --> 01:16:23.399
you know, retire. And look back and be proud

01:16:23.399 --> 01:16:25.739
of what you did and then spend, you know, decades

01:16:25.739 --> 01:16:28.880
with your grandchildren. So we absolutely can

01:16:28.880 --> 01:16:31.079
fix this. This isn't a doom and gloom conversation,

01:16:31.199 --> 01:16:34.119
but it is one of those, you know, look, lying

01:16:34.119 --> 01:16:37.039
in the sand. We're tired of pussyfooting around

01:16:37.039 --> 01:16:40.039
now. If we don't do something soon, aside from

01:16:40.039 --> 01:16:42.840
the freaking litany of deaths that we have, you

01:16:42.840 --> 01:16:45.000
know, everywhere in our first responder professions.

01:16:46.189 --> 01:16:48.409
Our delivery of service is going to go to the

01:16:48.409 --> 01:16:50.189
point where some areas are literally going to

01:16:50.189 --> 01:16:52.310
call 911 and they're going to get a dial tone.

01:16:52.710 --> 01:16:55.630
Nothing even there anymore. So what a beautiful

01:16:55.630 --> 01:16:58.510
opportunity to finally say, look, the data is

01:16:58.510 --> 01:17:02.189
undeniable now. Now is the time to make change.

01:17:02.329 --> 01:17:04.590
And I think the future of the fire service is

01:17:04.590 --> 01:17:08.569
extremely exciting. But sadly, it's off the backs

01:17:08.569 --> 01:17:11.250
of the men and women that we've buried that will

01:17:11.250 --> 01:17:16.859
finally be able to force change. For sure. All

01:17:16.859 --> 01:17:20.600
right. Well, with that segue, death, let's talk

01:17:20.600 --> 01:17:25.000
about your journey into doing presentations now

01:17:25.000 --> 01:17:30.060
on death notifications, on the perspectives from

01:17:30.060 --> 01:17:33.420
the responder and the family on a code. What

01:17:33.420 --> 01:17:36.560
kind of made you start questioning things about

01:17:36.560 --> 01:17:39.079
how we do it? And let's talk about the solutions

01:17:39.079 --> 01:17:43.600
that we need to be moving towards. So for me,

01:17:43.659 --> 01:17:48.640
I. Years ago, I had a pediatric code. It was

01:17:48.640 --> 01:17:52.479
a father who was at home with their four -year

01:17:52.479 --> 01:17:56.140
-old, and he was using drugs, and the baby drowned

01:17:56.140 --> 01:18:00.899
in the tub. And we took this child to the hospital,

01:18:00.920 --> 01:18:05.340
and I realized when we got to the hospital that

01:18:05.340 --> 01:18:10.819
there wasn't a lot of engagement with the mom

01:18:10.819 --> 01:18:15.350
when she arrived on scene. And I remember feeling

01:18:15.350 --> 01:18:19.689
heartbroken and at a loss for her, thinking that

01:18:19.689 --> 01:18:22.189
I should. I mean, I think that a lot of people

01:18:22.189 --> 01:18:25.029
think that somebody else on scene is going to

01:18:25.029 --> 01:18:27.310
talk to family members when they have a loved

01:18:27.310 --> 01:18:29.470
one that's having a crisis, whether it's death

01:18:29.470 --> 01:18:33.750
or a critical injury or illness. And so I began

01:18:33.750 --> 01:18:36.770
to realize that that is not what was happening,

01:18:36.829 --> 01:18:40.300
that a lot of us. believe that somebody else

01:18:40.300 --> 01:18:43.880
is going to have that conversation or we're just

01:18:43.880 --> 01:18:45.600
not supposed to have it because we haven't, it

01:18:45.600 --> 01:18:47.619
really hasn't been taught to many of us, you

01:18:47.619 --> 01:18:52.199
know? And so then just over time, you know, I've,

01:18:52.199 --> 01:18:56.920
I've been an EMS educator for over 15 years and,

01:18:56.920 --> 01:18:59.399
you know, teaching EMT school and medic school

01:18:59.399 --> 01:19:01.520
and anything EMS, I would teach it, you know,

01:19:01.520 --> 01:19:05.859
and I just loved it. And I really, I think over

01:19:05.859 --> 01:19:09.000
the years, as I've become more sensitive to that,

01:19:09.079 --> 01:19:13.720
I just realized that we're, there's a huge opportunity

01:19:13.720 --> 01:19:17.779
that we're missing to make a difference in people's

01:19:17.779 --> 01:19:23.420
lives, you know? And I kind of started honing

01:19:23.420 --> 01:19:27.119
in on that a little bit. And through that, I

01:19:27.119 --> 01:19:29.659
discovered that it wasn't just that we were missing

01:19:29.659 --> 01:19:32.739
an opportunity to change the lives of the family

01:19:32.739 --> 01:19:35.880
members who were suffering, but it was an opportunity

01:19:35.880 --> 01:19:39.600
for us to heal that we were missing. And so I

01:19:39.600 --> 01:19:44.819
kind of had this epiphany that this is a huge

01:19:44.819 --> 01:19:50.979
mental health component of how we survive this

01:19:50.979 --> 01:19:56.369
industry. So I for a while have said, I got to

01:19:56.369 --> 01:19:58.409
figure out how to get out of this job mentally

01:19:58.409 --> 01:20:01.609
and physically intact. And so as I started delving

01:20:01.609 --> 01:20:06.329
into that more, I really came to understand that

01:20:06.329 --> 01:20:11.590
we needed to get to closure on calls. And how

01:20:11.590 --> 01:20:13.289
and then how do we get there? You know, like

01:20:13.289 --> 01:20:15.149
everybody knows like what closure is if you have

01:20:15.149 --> 01:20:18.829
a loved one that's dead. Right. You know, but

01:20:18.829 --> 01:20:21.850
we. But how do we get to closure as first responders

01:20:21.850 --> 01:20:24.470
and why would we and what does it matter? What

01:20:24.470 --> 01:20:26.229
does it look like and why would we do it and

01:20:26.229 --> 01:20:29.050
things like that? And so there was a big discovery

01:20:29.050 --> 01:20:34.489
for me that we have so much to offer family members

01:20:34.489 --> 01:20:36.069
that we're not doing that a lot of people are

01:20:36.069 --> 01:20:39.289
not doing. And it's because. We haven't talked

01:20:39.289 --> 01:20:42.250
about it. We haven't trained for it. We're very

01:20:42.250 --> 01:20:45.890
robotic on the job to protect ourselves, right?

01:20:45.989 --> 01:20:52.390
We think that by not doing something and ignoring

01:20:52.390 --> 01:20:56.930
the distraught family members, we think that

01:20:56.930 --> 01:20:59.729
we're actually protecting ourselves. But there

01:20:59.729 --> 01:21:03.069
is a part of that that we're missing that can

01:21:03.069 --> 01:21:05.630
help them through the grieving process, but also

01:21:05.630 --> 01:21:09.399
help us get to closure. And so when I realized

01:21:09.399 --> 01:21:16.699
all that, every year, historically, in the last

01:21:16.699 --> 01:21:18.939
five years or whatever, maybe longer, five or

01:21:18.939 --> 01:21:21.939
eight years, I've been giving a pediatric class

01:21:21.939 --> 01:21:26.579
at our preceptors academy that we have every

01:21:26.579 --> 01:21:29.319
year. In fact, we have one coming up next week

01:21:29.319 --> 01:21:33.420
or the week after. And it's a multi -jurisdictional

01:21:33.420 --> 01:21:37.260
academy. People in from other jurisdictions and

01:21:37.260 --> 01:21:39.520
they participate. And it's really a quite wonderful

01:21:39.520 --> 01:21:42.359
educational two weeks that's available for people

01:21:42.359 --> 01:21:46.739
to go to. And I asked last year, I said, hey,

01:21:46.779 --> 01:21:50.000
I've got this presentation that I want to give.

01:21:50.840 --> 01:21:53.539
I kind of gave them a summary about what it was.

01:21:54.020 --> 01:21:56.539
And I was for sure that they were going to tell

01:21:56.539 --> 01:21:59.640
me no, because people like to tell me no. And

01:21:59.640 --> 01:22:05.220
they said yes. And so then I said, well, I better

01:22:05.220 --> 01:22:07.100
put the presentation together because I don't

01:22:07.100 --> 01:22:09.979
have one. But I knew, but it was all in my soul.

01:22:10.020 --> 01:22:11.760
It was all in my heart and soul. I knew what

01:22:11.760 --> 01:22:14.479
I wanted to share. I just needed to put it together

01:22:14.479 --> 01:22:17.359
and, you know, something that was going to make

01:22:17.359 --> 01:22:20.720
sense. And so I put together this presentation.

01:22:20.899 --> 01:22:23.680
I talked it over with all of our medical directors

01:22:23.680 --> 01:22:26.260
because I wanted to make sure that we were on

01:22:26.260 --> 01:22:28.319
the same page. And I wanted to make sure that

01:22:28.319 --> 01:22:31.859
what I wanted to share with people, that there

01:22:31.859 --> 01:22:37.079
was the same. vibe you know that that uh you

01:22:37.079 --> 01:22:40.720
know sometimes you can geek out on something

01:22:41.310 --> 01:22:42.869
And then when you go to give it to other people,

01:22:42.930 --> 01:22:45.569
they didn't quite geek out on it as well, you

01:22:45.569 --> 01:22:48.050
know? So I wanted to make sure that I was geeking

01:22:48.050 --> 01:22:51.670
out in some other people's lanes. And they loved

01:22:51.670 --> 01:22:53.949
it. And there was not really hardly any of it

01:22:53.949 --> 01:22:55.689
that they wanted to change. They had some really

01:22:55.689 --> 01:22:58.470
good suggestions of some things that I threw

01:22:58.470 --> 01:23:01.329
in there to talk about. And then every single

01:23:01.329 --> 01:23:04.869
one of the medical directors made it a point

01:23:04.869 --> 01:23:07.090
to come and see me give the presentation at the

01:23:07.090 --> 01:23:13.090
academy. And it was quite, well -received and

01:23:13.090 --> 01:23:18.029
the message is just so emotionally evoking because

01:23:18.029 --> 01:23:21.409
we're talking about something that we probably

01:23:21.409 --> 01:23:24.149
know deep in our hearts that we should be talking

01:23:24.149 --> 01:23:28.489
about and addressing with people. But it takes

01:23:28.489 --> 01:23:32.550
real raw courage to have those difficult conversations

01:23:32.550 --> 01:23:36.550
with people. It takes every, every single time

01:23:36.550 --> 01:23:40.520
I've done this. It takes the most courage I could

01:23:40.520 --> 01:23:43.520
ever have in my life to look at mom and dad and

01:23:43.520 --> 01:23:46.319
tell them that their child's dead. That never

01:23:46.319 --> 01:23:50.000
feels OK. And it doesn't even have to be a five

01:23:50.000 --> 01:23:52.180
year old. It could be, you know, a grown adult

01:23:52.180 --> 01:23:55.619
child. Right. But to look at, you know, even

01:23:55.619 --> 01:23:59.359
a wife or husband and tell them that their spouse.

01:24:00.199 --> 01:24:02.140
is dead takes a lot of courage and of course

01:24:02.140 --> 01:24:05.180
it's it's it is harder it is more difficult when

01:24:05.180 --> 01:24:07.840
um they're younger but to look at mom and dad

01:24:07.840 --> 01:24:09.260
and tell them that their five -year -old child

01:24:09.260 --> 01:24:12.920
is dead is it has got to be the hardest thing

01:24:12.920 --> 01:24:16.279
and hardest conversation to have with a family

01:24:16.279 --> 01:24:22.640
member so um when i when i realized that we weren't

01:24:22.640 --> 01:24:25.199
doing that a lot of people weren't doing that

01:24:25.199 --> 01:24:30.039
um i had to ask why And really the why is because

01:24:30.039 --> 01:24:33.399
we want to protect ourselves. It's difficult

01:24:33.399 --> 01:24:37.140
and we don't know what to say. And so I wanted

01:24:37.140 --> 01:24:41.500
to make it my mission and part of my journey

01:24:41.500 --> 01:24:45.039
for the rest of my career or until people are

01:24:45.039 --> 01:24:49.180
done listening to me say it, that we can do better.

01:24:49.560 --> 01:24:51.859
And we owe it to people to do better. We owe

01:24:51.859 --> 01:24:54.680
it to their families to do better. And we owe

01:24:54.680 --> 01:24:59.079
it to ourselves. for us to do better. And what

01:24:59.079 --> 01:25:02.100
I mean by that is I think there's a lot of times

01:25:02.100 --> 01:25:04.760
in the fire service, especially in the last several

01:25:04.760 --> 01:25:08.279
years, and I'm at fault for saying this myself,

01:25:08.479 --> 01:25:10.300
I'm not a hypocrite, so I will absolutely admit

01:25:10.300 --> 01:25:13.520
this, where we say, oh, you know, these generation

01:25:13.520 --> 01:25:15.840
of firemen that come in, they're softer now.

01:25:16.340 --> 01:25:20.579
You know, they're different. And I think we're

01:25:20.579 --> 01:25:23.260
softer as a species. You know what I mean? When

01:25:23.260 --> 01:25:26.180
you think about, like, how Greece was built.

01:25:26.560 --> 01:25:29.979
You've got structures made of marble that are

01:25:29.979 --> 01:25:32.859
still standing thousands and thousands of years

01:25:32.859 --> 01:25:37.159
later. And so I think that we are a softer species

01:25:37.159 --> 01:25:39.720
in general. But my point is that even if that

01:25:39.720 --> 01:25:44.279
is true, are we, the people that are doing the

01:25:44.279 --> 01:25:46.359
job now and have been doing the job for all these

01:25:46.359 --> 01:25:49.619
years, our leadership, are we still not responsible

01:25:49.619 --> 01:25:52.159
to change the culture for those that are coming

01:25:52.159 --> 01:25:57.079
through? And we are. And so my mission now is

01:25:57.079 --> 01:25:59.439
really to get this message to as many people

01:25:59.439 --> 01:26:02.159
as we can and as many people as I can, because

01:26:02.159 --> 01:26:04.699
if it changes one life and it saves one life

01:26:04.699 --> 01:26:06.520
or makes a difference in anybody else's life,

01:26:06.600 --> 01:26:09.079
then it is worth it to me. It's worth my time

01:26:09.079 --> 01:26:11.659
to go and give that presentation and to talk

01:26:11.659 --> 01:26:14.680
to people and share what I what I have to share

01:26:14.680 --> 01:26:18.329
with them on it. I'm not the only person out

01:26:18.329 --> 01:26:20.489
there that's talking about this. You know, in

01:26:20.489 --> 01:26:23.409
fact, I would argue to say that there's not enough

01:26:23.409 --> 01:26:25.270
of us spending enough time to talk about it.

01:26:25.670 --> 01:26:29.989
And so what I hit in this presentation isn't

01:26:29.989 --> 01:26:32.750
just about how we talk to families, because again,

01:26:32.930 --> 01:26:36.449
I am sensitive and I understand that all we keep

01:26:36.449 --> 01:26:41.069
doing in the fire service is asking for our boots

01:26:41.069 --> 01:26:44.279
on the ground workers to do more. right do more

01:26:44.279 --> 01:26:46.619
do more do more but then we don't have anything

01:26:46.619 --> 01:26:48.520
else to give we don't take anything off the plate

01:26:48.520 --> 01:26:50.680
right we just keep piling more stuff on so when

01:26:50.680 --> 01:26:52.899
i talk about this i know that it sounds so much

01:26:52.899 --> 01:26:54.779
like i'm talking about oh what else can we do

01:26:54.779 --> 01:26:58.359
we could do more for other people but but part

01:26:58.359 --> 01:27:02.159
of this pathway is how we get to closure as first

01:27:02.159 --> 01:27:04.800
responders and how we get out of this career

01:27:04.800 --> 01:27:08.039
mentally and physically intact you know and i

01:27:08.039 --> 01:27:09.899
and i just think that's so important so this

01:27:09.899 --> 01:27:13.220
has really become my mission Um, until I just

01:27:13.220 --> 01:27:17.180
can't say it anymore. Um, about how important

01:27:17.180 --> 01:27:19.739
this is of, of how we facilitate the grieving

01:27:19.739 --> 01:27:22.319
process for families and how we get to closure

01:27:22.319 --> 01:27:26.720
as first responders. In some of the recent conversations,

01:27:27.060 --> 01:27:29.760
uh, even Alex Javer that I think we talked about

01:27:29.760 --> 01:27:32.659
on the phone a while ago. Um, she's, she's, you

01:27:32.659 --> 01:27:35.020
know, excellent resource as well. Talking about

01:27:35.020 --> 01:27:39.380
just the clear, clear communication on someone,

01:27:39.460 --> 01:27:42.680
you know, not saying passed on or whatever, you

01:27:42.680 --> 01:27:44.600
know, and how that is actually healing for both.

01:27:45.300 --> 01:27:48.359
But when you think about the front door, and

01:27:48.359 --> 01:27:50.199
you talked about your journey, EMT school and

01:27:50.199 --> 01:27:54.020
then medic school, I reflect back now. And, you

01:27:54.020 --> 01:27:56.060
know, if we're doing a mega code, you get, you

01:27:56.060 --> 01:27:57.760
know, all these funky rhythms thrown at you and

01:27:57.760 --> 01:27:59.640
you push your drugs and you defibrillate or pace

01:27:59.640 --> 01:28:02.000
or whatever you need to do. And then, oh, congratulations,

01:28:02.300 --> 01:28:05.239
sign this rhythm, you got ROSC. I think that

01:28:05.239 --> 01:28:08.359
we do a disservice in the educational side. Because

01:28:08.359 --> 01:28:12.220
if we do A, B and C, the person lives. And as

01:28:12.220 --> 01:28:14.460
you and I both know, in James Gearing's career,

01:28:14.760 --> 01:28:17.859
I'm still batting zero at the moment. So, you

01:28:17.859 --> 01:28:20.159
know, it sets you up for failure. And then you

01:28:20.159 --> 01:28:22.880
have, again, that kind of moral injury of what's

01:28:22.880 --> 01:28:25.199
wrong with me? You know, and the thing is, what's

01:28:25.199 --> 01:28:27.220
wrong with you is it was a GI bleed or a heart

01:28:27.220 --> 01:28:29.399
that was so diseased, it's not going to come

01:28:29.399 --> 01:28:31.939
back, you know, or it was a, you know, a stroke,

01:28:32.020 --> 01:28:35.619
whatever it was. And so even at the front door.

01:28:36.199 --> 01:28:38.260
I'm thinking, isn't that a great opportunity

01:28:38.260 --> 01:28:40.260
to start applying what you're talking about?

01:28:40.479 --> 01:28:44.079
Do your mega code and get them to still push

01:28:44.079 --> 01:28:46.359
all the right drugs and still give the right

01:28:46.359 --> 01:28:50.199
electric therapeutics. But say, hey, you did

01:28:50.199 --> 01:28:52.659
everything you could. It's asystole. We're going

01:28:52.659 --> 01:28:55.439
to call it. Now I need you to tell the family

01:28:55.439 --> 01:28:58.779
what happened. Yeah, I love that. And I think

01:28:58.779 --> 01:29:03.420
that's a great opportunity to implement, if nothing

01:29:03.420 --> 01:29:06.149
else. the thought process and the new patient

01:29:06.149 --> 01:29:08.770
care provider, right? That's going to be having

01:29:08.770 --> 01:29:12.390
that interaction or that opportunity. And so

01:29:12.390 --> 01:29:17.750
what I used to, I found out when I used to, I

01:29:17.750 --> 01:29:20.510
developed the paramedic sign -off process for

01:29:20.510 --> 01:29:22.510
the county. When I developed that and I would

01:29:22.510 --> 01:29:24.310
have people come in and do a scenario and they

01:29:24.310 --> 01:29:27.750
would need to use like electric cardioversion,

01:29:27.930 --> 01:29:31.329
electrical therapy on a patient, I would ask

01:29:31.329 --> 01:29:35.750
the new medic, I would say, OK, tell the patient

01:29:35.750 --> 01:29:38.630
how what you're going to do before you deliver

01:29:38.630 --> 01:29:40.090
the energy. What are you going to say to them?

01:29:40.670 --> 01:29:43.510
And and and a lot of these people have never

01:29:43.510 --> 01:29:45.890
thought about what they're going to say. So they

01:29:45.890 --> 01:29:48.250
would say something like, OK, now hold still.

01:29:48.350 --> 01:29:50.569
I'm going to shock you. You know, I'm like, oh,

01:29:50.649 --> 01:29:52.310
God, is that what you would say to somebody?

01:29:52.689 --> 01:29:56.310
So we are. That's a great opportunity to build

01:29:56.310 --> 01:29:58.210
in at least some of that thought process. You

01:29:58.210 --> 01:30:00.069
know, most of the time we're going to be more

01:30:00.069 --> 01:30:03.489
successful. About saying something difficult

01:30:03.489 --> 01:30:06.090
to somebody, if we've at least thought about

01:30:06.090 --> 01:30:09.689
how we might say it before we have to say it.

01:30:10.810 --> 01:30:13.510
You know, so that's a lot about what this is

01:30:13.510 --> 01:30:17.329
about is, you know, is this a new concept? No,

01:30:17.430 --> 01:30:19.210
this has been around for a while. A lot of the

01:30:19.210 --> 01:30:22.329
things that I talk about we've done in hospitals

01:30:22.329 --> 01:30:24.510
before, you know, bringing family members in

01:30:24.510 --> 01:30:27.569
to be a part of the code. We've seen this has

01:30:27.569 --> 01:30:29.949
been happening for years, but not in the field.

01:30:31.119 --> 01:30:34.039
You know, and and there's power in doing that.

01:30:34.100 --> 01:30:37.819
And so and understanding why we do that and what

01:30:37.819 --> 01:30:40.119
kind of power that holds is so important. And

01:30:40.119 --> 01:30:42.340
I think that's a great opportunity. I was talking

01:30:42.340 --> 01:30:44.880
to one of my chiefs the other day and he was

01:30:44.880 --> 01:30:47.560
asking about the presentation and he was asking

01:30:47.560 --> 01:30:49.699
me if I thought it would be beneficial for the

01:30:49.699 --> 01:30:52.579
recruits. And I was like, oh, you know, let me

01:30:52.579 --> 01:30:53.899
think about this. I mean, I could change some

01:30:53.899 --> 01:30:56.439
of the content. And honestly, I just really didn't

01:30:56.439 --> 01:30:59.460
think of it. On the level that you just presented

01:30:59.460 --> 01:31:02.239
it. And so I think that I will go back and have

01:31:02.239 --> 01:31:04.460
another conversation because even though they

01:31:04.460 --> 01:31:08.439
are brand new, there is still so much power because

01:31:08.439 --> 01:31:11.039
this is really about planting the seed. I can't

01:31:11.039 --> 01:31:12.680
make people go out and have these conversations,

01:31:12.939 --> 01:31:14.899
right? I can't, I can't, I'm not going to be

01:31:14.899 --> 01:31:16.500
there to hold their hand and give them moral

01:31:16.500 --> 01:31:19.159
support or tell them what to say, but planting

01:31:19.159 --> 01:31:23.899
that seed for them to know that. You can do this.

01:31:23.899 --> 01:31:26.340
And this is why you do it. And this is why it's

01:31:26.340 --> 01:31:29.359
important for them and for you. It's really powerful.

01:31:29.500 --> 01:31:31.859
So I think I'll go back and have some conversations.

01:31:31.880 --> 01:31:34.180
So I'm really thankful that you mentioned that.

01:31:34.220 --> 01:31:36.880
That's a powerful, dynamic time in their career

01:31:36.880 --> 01:31:40.840
to implement and plant that seed for them. Yeah,

01:31:40.859 --> 01:31:42.520
this is coming from a lot of people that told

01:31:42.520 --> 01:31:44.579
people that their loved one was dead because

01:31:44.579 --> 01:31:46.680
I was their medic. So I had a lot of practice.

01:31:47.380 --> 01:31:51.939
Yeah. But joking aside. What were some of the

01:31:51.939 --> 01:31:54.439
things that you would say? Well, I mean, I have,

01:31:54.539 --> 01:31:56.760
I hear lots of things that people say, but what

01:31:56.760 --> 01:31:59.340
would you, because you probably didn't have any

01:31:59.340 --> 01:32:03.340
formal death notification training, right? No.

01:32:03.619 --> 01:32:05.840
Yeah. I'll give you the worst case scenario.

01:32:07.500 --> 01:32:09.460
Yeah. The worst case scenario. I'll never forget

01:32:09.460 --> 01:32:11.979
this. I was at the Creek and it was a cardiac

01:32:11.979 --> 01:32:15.720
arrest in a hotel room. The code went well, but

01:32:15.720 --> 01:32:19.939
the precursor to this. Before I got there, they

01:32:19.939 --> 01:32:22.039
were just show coding everyone. And they were

01:32:22.039 --> 01:32:25.239
filling ER beds with dead people and giving these

01:32:25.239 --> 01:32:27.380
families tens of thousands of dollars worth,

01:32:27.439 --> 01:32:28.920
if not tens of thousands of dollars worth of

01:32:28.920 --> 01:32:31.939
medical debt for someone who was asystole the

01:32:31.939 --> 01:32:35.439
whole time. So when I went in there, I was adhering

01:32:35.439 --> 01:32:37.800
to the asystole protocol that I'd been taught

01:32:37.800 --> 01:32:40.579
as an Orange County medic. And there was a time

01:32:40.579 --> 01:32:42.539
where a battalion chief grabbed me by my radio

01:32:42.539 --> 01:32:44.539
strap and said, you will take this patient. And

01:32:44.539 --> 01:32:46.279
I was a brand new probie then. You will take

01:32:46.279 --> 01:32:49.060
this patient to the hospital. The next code after

01:32:49.060 --> 01:32:53.100
that was this one. So I said to my crew, we're

01:32:53.100 --> 01:32:55.899
going to follow a sisterly protocol. If we get

01:32:55.899 --> 01:32:58.420
20 minutes, we're going to call it just to preset.

01:32:59.119 --> 01:33:02.199
But what I didn't realize is that the family

01:33:02.199 --> 01:33:07.289
next door were within earshot. And that came

01:33:07.289 --> 01:33:09.609
across as kind of callous. So even though I was

01:33:09.609 --> 01:33:11.609
doing it because I didn't want this guy to be

01:33:11.609 --> 01:33:14.229
dragged down a hallway in a resort and end up

01:33:14.229 --> 01:33:15.949
in an ER bed that might be needed by someone

01:33:15.949 --> 01:33:18.710
who has a chance of living, you know, so that's

01:33:18.710 --> 01:33:20.729
when I look back and go, when did I do it wrong?

01:33:20.890 --> 01:33:22.649
You know, I should have absolutely said that,

01:33:22.729 --> 01:33:25.449
but be aware of, you know, lowering my voice

01:33:25.449 --> 01:33:27.289
and all those things. So that's a poor example.

01:33:28.449 --> 01:33:30.510
But the other one was, it's just, it's by that

01:33:30.510 --> 01:33:33.329
point to me, again, making it up and listening

01:33:33.329 --> 01:33:36.350
to. other medics that i was you know respected

01:33:36.350 --> 01:33:40.109
and and listened to was just being kind and empathetic

01:33:40.109 --> 01:33:43.250
and switching from robocop medic which we have

01:33:43.250 --> 01:33:46.489
to be to you know sitting down holding their

01:33:46.489 --> 01:33:48.310
hand and saying look you know this is what we

01:33:48.310 --> 01:33:50.789
did this is you know how he responded or she

01:33:50.789 --> 01:33:53.449
responded you know we we try and try and try

01:33:53.449 --> 01:33:55.489
but we don't want to give you false hope and

01:33:55.489 --> 01:33:57.890
take him off in an ambulance when we've already

01:33:57.890 --> 01:34:00.149
passed the point of, you know, of them actually

01:34:00.149 --> 01:34:02.949
having a chance of living. So we want to be respectful

01:34:02.949 --> 01:34:05.890
and leave them here with you and just kind of

01:34:05.890 --> 01:34:09.569
be a very, very to the point, but also compassionate

01:34:09.569 --> 01:34:12.409
and sit with them as a human being now, not the

01:34:12.409 --> 01:34:14.489
medical professional that burst in a few minutes

01:34:14.489 --> 01:34:19.649
before. Right. Yeah. And I think, I think probably

01:34:19.649 --> 01:34:25.739
most people. I haven't had that good example

01:34:25.739 --> 01:34:29.020
of what to say. I mean, when I talk to people

01:34:29.020 --> 01:34:32.020
everywhere, you know, different states and everything,

01:34:32.239 --> 01:34:36.380
most people don't have training on what to say

01:34:36.380 --> 01:34:38.239
and how to say it and understanding that, you

01:34:38.239 --> 01:34:40.420
know, you too could feel something when you say

01:34:40.420 --> 01:34:42.920
it and that's okay, you know, because we're always

01:34:42.920 --> 01:34:44.439
protecting ourselves because we don't want to

01:34:44.439 --> 01:34:46.520
be emotionally involved and we don't want to

01:34:46.520 --> 01:34:49.300
feel this pain and suffering because we do this

01:34:49.300 --> 01:34:51.659
way too much. And so when I talk about this with

01:34:51.659 --> 01:34:55.710
people, I also... I have to kind of give that

01:34:55.710 --> 01:35:00.369
understanding, too, that doing this, the purpose

01:35:00.369 --> 01:35:03.630
is not to become over emotionally involved in

01:35:03.630 --> 01:35:06.029
calls either. Right. Because that can also be

01:35:06.029 --> 01:35:10.310
very dangerous. OK, I've I've given this presentation

01:35:10.310 --> 01:35:14.069
to I just gave it to a local department here

01:35:14.069 --> 01:35:19.520
to the entire department. And. they have a specific

01:35:19.520 --> 01:35:22.760
person that responds to all cardiac arrest and

01:35:22.760 --> 01:35:25.500
that is their role is to talk to the family which

01:35:25.500 --> 01:35:27.500
i think is wonderful that they have someone that

01:35:27.500 --> 01:35:29.380
does that now they have their own feedback on

01:35:29.380 --> 01:35:32.079
whether that person actually does it or not you

01:35:32.079 --> 01:35:34.439
know but um it's also important to know that

01:35:34.439 --> 01:35:39.340
um that particular person may not be the right

01:35:39.340 --> 01:35:41.920
person to have this conversation with the family

01:35:41.920 --> 01:35:44.619
you know because just like you're saying it has

01:35:44.619 --> 01:35:50.670
to be somebody who can be compassionate and kind

01:35:50.670 --> 01:35:55.170
and can control themselves. Right. Because you,

01:35:55.270 --> 01:35:57.310
you don't want to fall apart when you're telling

01:35:57.310 --> 01:36:00.289
anytime I've talked to mom and dad about their

01:36:00.289 --> 01:36:07.350
dead baby. It's very, it's very heavy. But I

01:36:07.350 --> 01:36:10.029
can manage to get the words out without falling

01:36:10.029 --> 01:36:13.350
apart. You know? So it's got to be the right

01:36:13.350 --> 01:36:15.510
person, too. And those words have to be direct

01:36:15.510 --> 01:36:18.430
and they have to be delivered directly and clearly

01:36:18.430 --> 01:36:21.329
and with kindness and a nice, steady cadence

01:36:21.329 --> 01:36:23.630
when you're talking to people that are under

01:36:23.630 --> 01:36:26.050
this much distress. And so I always encourage

01:36:26.050 --> 01:36:28.789
people to think about the person you love most

01:36:28.789 --> 01:36:34.689
in your life. Right. And if you were to die and

01:36:34.689 --> 01:36:37.829
assuming that, you know, you're the person that

01:36:37.829 --> 01:36:39.909
they love most in their life, if you were to

01:36:39.909 --> 01:36:43.439
die, what would you want? them to say to your

01:36:43.439 --> 01:36:48.199
loved one you know regardless of whether we have

01:36:48.199 --> 01:36:51.119
experience in the fire service or not or if they're

01:36:51.119 --> 01:36:53.659
are in the health care industry what would you

01:36:53.659 --> 01:36:56.760
want them to say to you and so I like to give

01:36:56.760 --> 01:36:58.939
examples of what that kind of dialogue sounds

01:36:58.939 --> 01:37:00.600
like for people because it's one thing to say

01:37:00.600 --> 01:37:03.380
oh we should be talking to people but what does

01:37:03.380 --> 01:37:07.180
it sound like right And so a lot of times what

01:37:07.180 --> 01:37:09.920
we do is we we say things like we're doing everything

01:37:09.920 --> 01:37:12.600
we can and we're sorry for your loss. Right.

01:37:12.680 --> 01:37:14.699
Those are probably the two most common things

01:37:14.699 --> 01:37:17.300
that we say to people that are their family members

01:37:17.300 --> 01:37:22.000
when they're critically injured or traumatized.

01:37:22.159 --> 01:37:28.020
And those things aren't wrong to say. Right.

01:37:28.699 --> 01:37:31.159
And it's just that I believe that we can do better.

01:37:31.199 --> 01:37:32.880
And I believe that we owe it to people to do

01:37:32.880 --> 01:37:35.180
better. And the problem is that people just don't

01:37:35.180 --> 01:37:38.399
have the training of what to say. And so I like

01:37:38.399 --> 01:37:40.619
to give examples of those dialogues. And so what

01:37:40.619 --> 01:37:44.000
I like to do for people is I like to show up

01:37:44.000 --> 01:37:46.319
on these calls. And the first thing I do is interface

01:37:46.319 --> 01:37:51.149
with the crew to find out. what we have right

01:37:51.149 --> 01:37:54.550
so an example would be you know i get there and

01:37:54.550 --> 01:37:56.670
i say hey what you got to the crew running the

01:37:56.670 --> 01:38:00.329
code and then they would say 80 year old female

01:38:00.329 --> 01:38:03.890
stage four cancer recent diagnosis initial rhythm

01:38:03.890 --> 01:38:07.689
is asystole and so that tells me that this patient's

01:38:07.689 --> 01:38:10.210
probably not going to survive their injuries

01:38:10.210 --> 01:38:12.449
right i mean that's the reality we're going to

01:38:12.449 --> 01:38:13.670
try right we're going to do everything we can

01:38:13.670 --> 01:38:15.090
but they're probably not going to have a good

01:38:15.090 --> 01:38:17.380
outcome And so at that point next, I want to

01:38:17.380 --> 01:38:19.319
interface with the family immediately, if there's

01:38:19.319 --> 01:38:23.560
family there. And that's going to sound like

01:38:23.560 --> 01:38:26.720
this, where we would say, the first thing I want

01:38:26.720 --> 01:38:29.079
to know is my audience, 100 % of the time, right?

01:38:29.140 --> 01:38:32.579
Who am I talking to? I gave up on trying to figure

01:38:32.579 --> 01:38:35.680
out if it's a guy, a girl, a husband, a wife,

01:38:35.720 --> 01:38:39.180
and how they're related. So I just ask, how are

01:38:39.180 --> 01:38:42.760
you related to the patient? you know this is

01:38:42.760 --> 01:38:44.760
my mother and then i like to go through and i'd

01:38:44.760 --> 01:38:48.100
like to tell them what we found what we're doing

01:38:48.100 --> 01:38:49.880
and what we're trying to get the outcome to be

01:38:49.880 --> 01:38:52.760
because it's very important that patient care

01:38:52.760 --> 01:38:57.539
providers understand that we see this all the

01:38:57.539 --> 01:39:00.960
time the families don't and they don't understand

01:39:00.960 --> 01:39:04.359
why we are still doing something there and we're

01:39:04.359 --> 01:39:06.380
not already on the way on the way to the hospital

01:39:06.380 --> 01:39:10.119
right they don't understand that doing, working

01:39:10.119 --> 01:39:13.739
the code on scene gives them the greatest chance

01:39:13.739 --> 01:39:16.300
of surviving if they're going to. And so you

01:39:16.300 --> 01:39:18.060
have to explain that to people and you don't

01:39:18.060 --> 01:39:20.159
have to explain to them like that, but you do

01:39:20.159 --> 01:39:22.279
need to tell them, we owe it to them to tell

01:39:22.279 --> 01:39:25.560
them what we're doing with their loved one. And

01:39:25.560 --> 01:39:28.380
so I love to ask people like, you know, when

01:39:28.380 --> 01:39:31.220
you worked for different departments, where did

01:39:31.220 --> 01:39:33.180
we put family members when we were working a

01:39:33.180 --> 01:39:38.699
code? Where do we normally? I mean, a lot of

01:39:38.699 --> 01:39:39.960
times we just take them to a different room.

01:39:40.119 --> 01:39:43.699
Yeah, we put them in another room with who? The

01:39:43.699 --> 01:39:47.279
cops. We usually put them in law enforcement

01:39:47.279 --> 01:39:50.039
there and they're screaming, crying. And the

01:39:50.039 --> 01:39:55.180
reality is that in almost every instance, I know

01:39:55.180 --> 01:39:57.859
there's a rare occasion that this happens, but

01:39:57.859 --> 01:40:00.880
in almost every instance, they just want to know

01:40:00.880 --> 01:40:03.829
what's happening. Right. And we put them in another

01:40:03.829 --> 01:40:06.609
room and we block them off from seeing the person

01:40:06.609 --> 01:40:08.890
that they love the most in their life who they

01:40:08.890 --> 01:40:11.210
have no idea what's going on. So we owe it to

01:40:11.210 --> 01:40:13.369
these people to talk to them. So I usually come

01:40:13.369 --> 01:40:16.430
in and say, how are you related to the patient?

01:40:16.550 --> 01:40:19.729
They tell me. And then I'll say, when we got

01:40:19.729 --> 01:40:21.710
here, your mom's heart wasn't working on our

01:40:21.710 --> 01:40:23.970
own on its own. We started doing compressions.

01:40:23.989 --> 01:40:25.750
We're trying to get our heart to work again.

01:40:26.189 --> 01:40:29.569
Right. Or CPR use very basic words. And so, again,

01:40:29.649 --> 01:40:32.369
what we found. what we're doing and what we're

01:40:32.369 --> 01:40:35.430
trying to get the outcome to be, right? She also

01:40:35.430 --> 01:40:37.390
wasn't breathing on her own. We put a tube down

01:40:37.390 --> 01:40:39.250
her throat. We're breathing for her, giving her

01:40:39.250 --> 01:40:43.170
the most amount of oxygen that we can. We've

01:40:43.170 --> 01:40:45.149
started an IV. We're giving medications. The

01:40:45.149 --> 01:40:46.850
medication's going to try to get her heart to

01:40:46.850 --> 01:40:49.029
work again. And then we have to tell people how

01:40:49.029 --> 01:40:50.850
long we're going to do this for. In standard

01:40:50.850 --> 01:40:53.229
practice, we know it's 20 minutes, right? We're

01:40:53.229 --> 01:40:56.369
going to do this. I usually say 15 to 20 minutes

01:40:56.369 --> 01:40:58.449
because by the time I get there, it's already

01:40:58.449 --> 01:41:00.430
been a few minutes, right? And so I usually tell

01:41:00.430 --> 01:41:04.109
people, we're going to do this for 15 to 20 minutes.

01:41:04.149 --> 01:41:08.289
If there's no change, we're going to stop. Now,

01:41:08.329 --> 01:41:10.810
just like we were talking earlier, we're not

01:41:10.810 --> 01:41:13.729
going to use the words dead, death, and dying

01:41:13.729 --> 01:41:15.960
yet. Right. We don't want to use the words like

01:41:15.960 --> 01:41:18.899
past, passed away, moved on their spirit left,

01:41:19.100 --> 01:41:20.939
like whatever kind of crazy things people say.

01:41:21.619 --> 01:41:23.479
We don't want to say that. We don't want to say

01:41:23.479 --> 01:41:25.659
those those words. We want it to be a very clear,

01:41:25.720 --> 01:41:28.680
direct communication. But we don't want to use

01:41:28.680 --> 01:41:31.159
dead, death and dying yet, because do you know

01:41:31.159 --> 01:41:33.279
that a lot of people believe that we're keeping

01:41:33.279 --> 01:41:36.319
their family member alive and that when we stop

01:41:36.319 --> 01:41:42.930
is when they die? So they think we are the ventilator

01:41:42.930 --> 01:41:44.590
that we're just going to go whenever they say

01:41:44.590 --> 01:41:46.390
it's OK, we're going to go over and unplug it.

01:41:46.409 --> 01:41:48.550
That's literally what a lot of people think is

01:41:48.550 --> 01:41:51.050
happening. And that's just in the world that

01:41:51.050 --> 01:41:52.529
we live in here that has nothing to do with the

01:41:52.529 --> 01:41:55.909
different cultures that come into the area, you

01:41:55.909 --> 01:41:58.710
know. And so a lot of people don't understand

01:41:58.710 --> 01:42:00.729
that. And so I tell them we're going to do this

01:42:00.729 --> 01:42:02.770
for about 15 or 20 minutes. And if there's no

01:42:02.770 --> 01:42:05.390
change, we're going to stop. And usually at that

01:42:05.390 --> 01:42:07.409
point, people get emotional and that's fine.

01:42:07.470 --> 01:42:10.250
They need space. Give them space. Allow them

01:42:10.250 --> 01:42:15.189
space or invite them to come in. Now, the problem

01:42:15.189 --> 01:42:17.569
is that a lot of times we don't want it. When

01:42:17.569 --> 01:42:19.590
I say this to other fire departments, people

01:42:19.590 --> 01:42:21.350
are like, oh, God, we're going to bring them

01:42:21.350 --> 01:42:23.350
in. These people are going to go crazy when you

01:42:23.350 --> 01:42:26.140
bring them in. The real reason why we don't want

01:42:26.140 --> 01:42:27.579
to do this, and I've asked people everywhere,

01:42:27.699 --> 01:42:29.640
like, why do you not want to bring people? Why

01:42:29.640 --> 01:42:30.939
do you not want to bring the family member in

01:42:30.939 --> 01:42:32.680
to see their loved one? And they're like, oh,

01:42:32.739 --> 01:42:34.539
they're in our way. They're going to see what

01:42:34.539 --> 01:42:38.859
we're doing. Okay. I mean, I've had one group

01:42:38.859 --> 01:42:42.739
tell me that, you know, sometimes. sometimes

01:42:42.739 --> 01:42:45.319
the bag isn't checked out properly. And so they're

01:42:45.319 --> 01:42:47.439
like, where, where the F is this? And where's

01:42:47.439 --> 01:42:49.020
that? And they're throwing stuff out of the bag.

01:42:49.100 --> 01:42:50.500
And I just looked at him and said, you know,

01:42:50.520 --> 01:42:52.300
you just have to be a better professional than

01:42:52.300 --> 01:42:54.899
that. That's not even acceptable. That's, that's

01:42:54.899 --> 01:43:00.819
crazy, you know? But we, the real, the real reason

01:43:00.819 --> 01:43:03.359
why we don't want to bring that family member

01:43:03.359 --> 01:43:06.060
in is because now we have to talk to them. Right.

01:43:06.119 --> 01:43:08.319
And historically, as much as we have to talk

01:43:08.319 --> 01:43:11.960
to people, we don't want to talk to them. And

01:43:11.960 --> 01:43:14.619
so, you know, if they, a lot of people are going

01:43:14.619 --> 01:43:16.399
to opt to not come in, but if they do, you just

01:43:16.399 --> 01:43:17.960
have to explain to them what we're doing and

01:43:17.960 --> 01:43:19.220
you have to be right there next to them. A lot

01:43:19.220 --> 01:43:21.199
of times I might have their arm, my arm around

01:43:21.199 --> 01:43:23.239
them or something. I am right there next. I'm

01:43:23.239 --> 01:43:27.869
married with them and now they are my job. And

01:43:27.869 --> 01:43:30.789
then also I identify that we don't always have

01:43:30.789 --> 01:43:32.710
that many resources to do that. So it's very

01:43:32.710 --> 01:43:35.149
dependent on what your outfit looks like, right?

01:43:35.189 --> 01:43:37.930
We're running four man engines, two man rescues,

01:43:37.930 --> 01:43:39.930
sometimes a third person on a rescue if we're

01:43:39.930 --> 01:43:41.470
precepting and things like that. So there is

01:43:41.470 --> 01:43:44.210
quite a bit of manpower and I'm showing up as

01:43:44.210 --> 01:43:48.199
an additional person. But in most cases, we can

01:43:48.199 --> 01:43:51.699
involve people. So if they opt to not come in,

01:43:51.859 --> 01:43:54.380
then that's a great time to give them space and

01:43:54.380 --> 01:43:55.800
tell them that you're going to come back and

01:43:55.800 --> 01:43:58.500
find them in about 15 or 20 minutes and let them

01:43:58.500 --> 01:44:02.439
know where we are. So in this specific example

01:44:02.439 --> 01:44:05.739
with the 80 -year -old female, we did reach a

01:44:05.739 --> 01:44:08.460
point to where we were ready to terminate the

01:44:08.460 --> 01:44:11.359
code. And so I told the crew, continue working

01:44:11.359 --> 01:44:13.279
the code. I'm going to go talk to the family,

01:44:13.340 --> 01:44:16.479
and I'll be right back. And so once I gather,

01:44:16.600 --> 01:44:18.340
now there's more family members there, right?

01:44:18.439 --> 01:44:21.220
So now I'm asking, who are you and who are you

01:44:21.220 --> 01:44:23.199
and how are you related? Because I need to know

01:44:23.199 --> 01:44:26.680
my entire audience. Maybe there's people there

01:44:26.680 --> 01:44:28.779
that aren't in the family and I'm getting ready

01:44:28.779 --> 01:44:30.920
to have a very intimate conversation with them

01:44:30.920 --> 01:44:32.819
that maybe they don't want the other people to

01:44:32.819 --> 01:44:35.020
hear. If there's children there, we have to be

01:44:35.020 --> 01:44:37.300
sensitive to that. Maybe they don't need to hear

01:44:37.300 --> 01:44:39.479
that. And you leave that up to the adults to

01:44:39.479 --> 01:44:41.420
make that decision. But knowing your audience

01:44:41.420 --> 01:44:46.430
is paramount. And so from there, I'm going to

01:44:46.430 --> 01:44:49.470
reiterate what we did. And so what we're doing

01:44:49.470 --> 01:44:53.189
for people is we're preparing them for bad news.

01:44:53.989 --> 01:44:56.130
Right. We are building them up to give them bad

01:44:56.130 --> 01:44:58.329
news. And so there's two main things that we

01:44:58.329 --> 01:45:01.109
say in all of the United States and probably

01:45:01.109 --> 01:45:03.250
outside of that, that we would say to somebody

01:45:03.250 --> 01:45:06.130
before we give them bad news. Right. One of the

01:45:06.130 --> 01:45:08.869
things that we say is you want the good news

01:45:08.869 --> 01:45:11.810
or the bad news first. Right. One of those common

01:45:11.810 --> 01:45:15.590
things we say, or we might say, I've got some

01:45:15.590 --> 01:45:17.729
bad news. You might want to sit down for this.

01:45:17.989 --> 01:45:20.250
And so what we're doing for people, we don't

01:45:20.250 --> 01:45:22.170
realize it because we haven't been trained that

01:45:22.170 --> 01:45:25.670
way. But what we're doing subconsciously is we

01:45:25.670 --> 01:45:29.689
are preparing them for bad news. And so now what

01:45:29.689 --> 01:45:33.409
I'm asking is that we do this intently. Right.

01:45:33.489 --> 01:45:38.510
We are intently building up bad for that to deliver

01:45:38.510 --> 01:45:42.670
bad news. And so by telling them we're going

01:45:42.670 --> 01:45:44.250
to do this for 15 or 20 minutes, I'm going to

01:45:44.250 --> 01:45:46.029
come back and find you. And then we're going

01:45:46.029 --> 01:45:47.750
to have a conversation and see where we are.

01:45:47.869 --> 01:45:50.130
We're building them up for bad news. So now we're

01:45:50.130 --> 01:45:51.989
at the point where we know we have to deliver

01:45:51.989 --> 01:45:56.569
bad news. And so we're going to go back through

01:45:56.569 --> 01:45:59.550
and basically repeat everything we said when

01:45:59.550 --> 01:46:01.729
we got there. As promised, we've done this for

01:46:01.729 --> 01:46:05.329
15 to 20 minutes. And basically you're kind of

01:46:05.329 --> 01:46:07.409
checking protocol boxes in your head. So it's

01:46:07.409 --> 01:46:10.170
nothing that's difficult. to think about because

01:46:10.170 --> 01:46:11.869
you already know it right we've done this for

01:46:11.869 --> 01:46:14.890
20 minutes we've given them you know four rounds

01:46:14.890 --> 01:46:17.310
of this medication and so you're kind of checking

01:46:17.310 --> 01:46:21.750
boxes but in layman terms with them and um and

01:46:21.750 --> 01:46:24.810
then i like to tell them um we are getting ready

01:46:24.810 --> 01:46:28.609
to stop is there anything that you can think

01:46:28.609 --> 01:46:32.829
of that we can do differently before we stop

01:46:32.829 --> 01:46:35.220
that might help And so that kind of gives the

01:46:35.220 --> 01:46:38.380
family an opportunity to chime in and be a part

01:46:38.380 --> 01:46:42.060
of the termination. And so as kind of crazy as

01:46:42.060 --> 01:46:46.180
it sounds, what's happening in our minds is we

01:46:46.180 --> 01:46:52.060
as healthcare professionals came to this job

01:46:52.060 --> 01:46:55.300
to help people and to save lives, right? And

01:46:55.300 --> 01:46:57.220
I know you're batting zero, but we all aren't,

01:46:57.220 --> 01:47:04.050
right? And so what happens is when we, Can't

01:47:04.050 --> 01:47:07.430
save somebody, even if we believe that everybody

01:47:07.430 --> 01:47:09.489
dies at their own time, like no matter what your

01:47:09.489 --> 01:47:15.390
belief system is. When we don't get pulses back,

01:47:15.550 --> 01:47:17.670
when we don't save somebody, when we have to

01:47:17.670 --> 01:47:20.949
pronounce somebody dead, there is a part of us

01:47:20.949 --> 01:47:24.149
that feels like we failed at our job. There is

01:47:24.149 --> 01:47:26.069
part of that that you're never going to forget.

01:47:26.229 --> 01:47:29.390
Right. You have every single person that's in

01:47:29.390 --> 01:47:33.880
this industry and you have calls. You are never

01:47:33.880 --> 01:47:38.640
going to forget for the rest of your life, not

01:47:38.640 --> 01:47:40.819
the rest of your career, right? We don't get

01:47:40.819 --> 01:47:43.579
to retire and retire these memories. This is

01:47:43.579 --> 01:47:47.420
for the rest of your life. So being able to have

01:47:47.420 --> 01:47:49.840
an opportunity when we talk about how we get

01:47:49.840 --> 01:47:53.260
to closure as responders is super important because

01:47:53.260 --> 01:47:56.079
again, this is about getting out mentally and

01:47:56.079 --> 01:47:58.760
physically intact. And if I can sit here and

01:47:58.760 --> 01:48:02.500
tell you that this is one of the keys. And the

01:48:02.500 --> 01:48:05.659
pathway to success of getting out of this industry

01:48:05.659 --> 01:48:07.819
mentally and physically intact, that's pretty

01:48:07.819 --> 01:48:15.600
important. And in most instances, the family

01:48:15.600 --> 01:48:17.060
members are going to say, you've done everything

01:48:17.060 --> 01:48:19.520
you can. Sometimes they may say, can you do it

01:48:19.520 --> 01:48:21.079
for five more minutes? Can you give one more

01:48:21.079 --> 01:48:24.180
round of that medication? And we can. We can

01:48:24.180 --> 01:48:27.130
do that to honor the family. Right. We know that's

01:48:27.130 --> 01:48:28.270
not going to make a difference in the patient.

01:48:28.350 --> 01:48:31.789
And even if it did, you know, sometimes if you

01:48:31.789 --> 01:48:36.310
got an iota of anything back, like rhythm wise

01:48:36.310 --> 01:48:39.250
for the patient, it's usually not going to change

01:48:39.250 --> 01:48:45.810
the outcome. But nonetheless. And then you want

01:48:45.810 --> 01:48:48.250
to extend the opportunity for them to come in

01:48:48.250 --> 01:48:51.899
and say goodbye to their loved one. And so in

01:48:51.899 --> 01:48:54.439
this particular instance, I said they said, no,

01:48:54.500 --> 01:48:56.819
you've done everything that you can. And I said,

01:48:56.859 --> 01:49:00.680
would you like to come in and be a part of the

01:49:00.680 --> 01:49:03.180
termination? And when we pronounce your mother

01:49:03.180 --> 01:49:06.899
dead, now we're using dead, death and dying very

01:49:06.899 --> 01:49:12.140
clearly, very calmly, steady cadence with kindness

01:49:12.140 --> 01:49:15.560
and compassion. And that's usually when you're

01:49:15.560 --> 01:49:17.659
going to see the next level of an emotional response.

01:49:18.329 --> 01:49:21.529
Right. But now they're getting to where they

01:49:21.529 --> 01:49:24.250
are understanding that this is real and this

01:49:24.250 --> 01:49:27.109
is really going to happen. And the really unique

01:49:27.109 --> 01:49:30.130
opportunity that we have to give this to people

01:49:30.130 --> 01:49:33.350
is something only that we get to offer. Right.

01:49:33.449 --> 01:49:36.989
If they're just if if if we don't do any of that,

01:49:37.109 --> 01:49:41.130
the next time they get to say goodbye to their

01:49:41.130 --> 01:49:42.750
loved one is going to be when they're cold, dead

01:49:42.750 --> 01:49:46.550
and stiff. You know, and so, again, remember

01:49:46.550 --> 01:49:48.210
that a lot of these family members think that

01:49:48.210 --> 01:49:51.229
we're kind of keeping their family alive. And

01:49:51.229 --> 01:49:54.470
so sometimes I'll even tell people, you know,

01:49:54.489 --> 01:49:57.529
the last senses that go before we die are our

01:49:57.529 --> 01:50:00.649
sense of hearing and our sense of touch. That's

01:50:00.649 --> 01:50:03.449
why when you have a patient that is fighting

01:50:03.449 --> 01:50:05.909
for their life and you're fighting for them,

01:50:05.989 --> 01:50:09.229
you talk to them. Right. Fight with me. Stay

01:50:09.229 --> 01:50:12.090
with me. Open your eyes. Squeeze my hands because

01:50:12.090 --> 01:50:15.390
they can hear you even when they're dying, even

01:50:15.390 --> 01:50:17.829
when they're actively dying. To what point? Maybe

01:50:17.829 --> 01:50:19.289
we don't really know. Right. I'm not in that

01:50:19.289 --> 01:50:21.489
spiritual realm. And maybe it's based off of

01:50:21.489 --> 01:50:27.069
your beliefs, you know, but. So I don't have

01:50:27.069 --> 01:50:29.590
any problem telling people, you know, come in

01:50:29.590 --> 01:50:35.289
and kiss her, tell your lover and say whatever

01:50:35.289 --> 01:50:38.689
last things you want to say. And so we bring

01:50:38.689 --> 01:50:40.810
the family in. In this particular instance, as

01:50:40.810 --> 01:50:43.210
soon as we walked in the door with the family,

01:50:43.329 --> 01:50:46.850
I told the crew, I said, hey, LT, you guys can

01:50:46.850 --> 01:50:48.890
go ahead and stop resuscitation and pronounce

01:50:48.890 --> 01:50:51.670
the time of death. And now I'm saying it again.

01:50:51.930 --> 01:50:54.510
So now this is probably at this point the second

01:50:54.510 --> 01:50:57.430
time I've said dead, death, or dying to them,

01:50:57.489 --> 01:51:00.590
and they know this is it. Now, again, remember,

01:51:00.670 --> 01:51:05.090
to them, a lot of family members believe that.

01:51:05.920 --> 01:51:08.600
there's a potential that their loved one might

01:51:08.600 --> 01:51:12.939
still be able to hear them. So what we're offering

01:51:12.939 --> 01:51:16.300
something to them is something very unique. It's

01:51:16.300 --> 01:51:19.720
a very unique opportunity that's going to facilitate

01:51:19.720 --> 01:51:23.180
the grieving process. And so it's really important

01:51:23.180 --> 01:51:25.560
for people to understand that grieving is the

01:51:25.560 --> 01:51:30.210
healing, not the hurting. So what we're doing

01:51:30.210 --> 01:51:32.590
is we're helping with the healing. And that's

01:51:32.590 --> 01:51:34.310
really the most important thing to think about

01:51:34.310 --> 01:51:36.630
when we're having these conversations with family

01:51:36.630 --> 01:51:38.909
members. So the family came in, they all sat

01:51:38.909 --> 01:51:42.090
down and they said, can we say the Lord's prayer?

01:51:42.250 --> 01:51:43.770
And I said, of course you can. And then they

01:51:43.770 --> 01:51:47.170
said, will you join us? Right. And I think this

01:51:47.170 --> 01:51:52.140
is an area where some people get a little. unsure

01:51:52.140 --> 01:51:55.500
of how to proceed when you have a patient that's

01:51:55.500 --> 01:51:56.859
saying, will you pray with me, which I've had

01:51:56.859 --> 01:51:59.239
people do many times over the course of my career,

01:51:59.319 --> 01:52:02.840
you know? And, and so what I like to tell people

01:52:02.840 --> 01:52:06.699
is, and I was raised in the church aligned with

01:52:06.699 --> 01:52:08.760
my beliefs. I felt fine with it. I got down on

01:52:08.760 --> 01:52:11.119
my knees. I prayed with them. And so did a couple

01:52:11.119 --> 01:52:13.239
of the other crew members. And I'm going to tell

01:52:13.239 --> 01:52:15.680
you, not only did we profoundly change the lives

01:52:15.680 --> 01:52:18.140
of the family that was there and help facilitate

01:52:18.140 --> 01:52:21.300
that grieving process, but in that moment, it

01:52:21.300 --> 01:52:24.140
profoundly changed the lives of the first responders

01:52:24.140 --> 01:52:27.680
on that call. Hands down. And so we debriefed

01:52:27.680 --> 01:52:32.739
after that call. And the crews kind of had a

01:52:32.739 --> 01:52:34.460
little bit of a hodgepodge crew. So about 50

01:52:34.460 --> 01:52:36.260
percent of them were assigned there and had never

01:52:36.260 --> 01:52:38.460
seen that before. I do that with all the codes

01:52:38.460 --> 01:52:40.359
that I go on. That's my goal of what it's supposed

01:52:40.359 --> 01:52:43.800
to look like. And they said, you know, we've

01:52:43.800 --> 01:52:46.979
never, ever seen that before. And so what I encourage

01:52:46.979 --> 01:52:49.239
people to do on the religious side of it when

01:52:49.239 --> 01:52:52.140
that happens is I've prayed with people. And

01:52:52.140 --> 01:52:54.880
what I tell people is I hold their hand. I'm

01:52:54.880 --> 01:52:57.220
literally delivering psychological first aid.

01:52:57.939 --> 01:53:01.420
And I hold their hand and I tell them, you lead

01:53:01.420 --> 01:53:03.760
the prayer. Now, I might be spooked out if they

01:53:03.760 --> 01:53:05.779
start praying to Satan, you know, or something.

01:53:06.159 --> 01:53:09.020
But at the end of the day, it wakes up. Yeah.

01:53:09.500 --> 01:53:11.760
Yeah, exactly. But at the end of the day, we're

01:53:11.760 --> 01:53:14.140
there for them. So whatever they believe in,

01:53:14.180 --> 01:53:16.420
they can pray to. I'll hold their hand. And at

01:53:16.420 --> 01:53:18.619
the end of it, I'll say amen or something, you

01:53:18.619 --> 01:53:21.340
know. So our beliefs don't always have to align.

01:53:21.500 --> 01:53:23.380
We don't have to be that sensitive about stuff

01:53:23.380 --> 01:53:26.100
like that. We're really just there for them,

01:53:26.199 --> 01:53:31.819
you know. And so it's real important to understand

01:53:31.819 --> 01:53:35.180
that. We're facilitating the grieving process

01:53:35.180 --> 01:53:37.859
for the family, but this is how we get to closure

01:53:37.859 --> 01:53:40.760
as first responders, right? And all the research

01:53:40.760 --> 01:53:46.420
and all the data is showing that getting to closure

01:53:46.420 --> 01:53:49.300
for us, being competent in the job, right? Being

01:53:49.300 --> 01:53:51.640
competent, right? Which comes from training and

01:53:51.640 --> 01:53:54.319
education, right? Getting all those reps in and

01:53:54.319 --> 01:53:57.199
having experience, having these conversations.

01:53:58.960 --> 01:54:01.380
Being competent and being confident are two of

01:54:01.380 --> 01:54:05.699
the biggest pillars of how we are going to respond

01:54:05.699 --> 01:54:08.399
and handle calls and the stress of the call.

01:54:08.560 --> 01:54:11.979
And then interacting with the patient and their

01:54:11.979 --> 01:54:14.800
families is how we get to closure. And that's

01:54:14.800 --> 01:54:17.239
how we're going to have, that's literally the

01:54:17.239 --> 01:54:20.920
pathway and the key to success. of our mental

01:54:20.920 --> 01:54:23.260
well -being after these calls because we don't

01:54:23.260 --> 01:54:26.739
have to have a 911 or a pulse event for us to

01:54:26.739 --> 01:54:30.380
need cism and debriefing right it is these are

01:54:30.380 --> 01:54:33.420
the everyday calls that we have we don't have

01:54:33.420 --> 01:54:35.960
to have some catastrophic event it doesn't have

01:54:35.960 --> 01:54:39.000
to be a pediatric code for us to need closure

01:54:39.000 --> 01:54:42.699
it's the everyday call where we're seeing people

01:54:42.699 --> 01:54:45.000
suffer whether they're dead or not right leaving

01:54:45.000 --> 01:54:48.939
people in a suffering state is a moral insult

01:54:49.529 --> 01:54:53.810
to our soul you know and feeling like even if

01:54:53.810 --> 01:54:56.489
it was even if even if grandma was 90 and she

01:54:56.489 --> 01:54:58.489
died and she was and in your mind you're like

01:54:58.489 --> 01:55:00.229
man well she had a great life 90 years old that's

01:55:00.229 --> 01:55:03.289
that's pretty good and old you know like we can't

01:55:03.289 --> 01:55:05.470
save everybody i believe that we can't save everybody

01:55:05.470 --> 01:55:09.710
um but even when we have to pronounce somebody

01:55:09.710 --> 01:55:14.229
dead there is part of that burden that we still

01:55:14.229 --> 01:55:20.109
carry and when you involve family members, and

01:55:20.109 --> 01:55:22.449
you allow them to be part of that decision -making

01:55:22.449 --> 01:55:25.149
process, you are sharing that burden with them.

01:55:25.229 --> 01:55:28.270
So you are not carrying the burden alone. And

01:55:28.270 --> 01:55:31.989
I think that's really important. And getting

01:55:31.989 --> 01:55:35.550
people to understand that really doesn't take

01:55:35.550 --> 01:55:39.189
much because the first time they have the courage

01:55:39.189 --> 01:55:43.409
to try it, they feel it. And it's pretty profound.

01:55:43.569 --> 01:55:46.750
And so usually after These presentations, I usually

01:55:46.750 --> 01:55:48.850
have someone that calls me or contacts me some

01:55:48.850 --> 01:55:50.930
way and says, I tried it and oh my God, that

01:55:50.930 --> 01:55:54.090
was so powerful. And it's just a unique opportunity

01:55:54.090 --> 01:55:56.970
that we have that we're not taking advantage

01:55:56.970 --> 01:55:59.250
of because we don't talk about it enough. And

01:55:59.250 --> 01:56:02.949
frankly, we have to talk to other people and

01:56:02.949 --> 01:56:06.989
that's difficult for us to do sometimes. It makes

01:56:06.989 --> 01:56:09.890
a lot of sense because when I think about all

01:56:09.890 --> 01:56:14.060
the deaths. And I hear this from other first

01:56:14.060 --> 01:56:16.119
responders. It wasn't to say it's more the traumatic

01:56:16.119 --> 01:56:19.439
deaths. It wasn't so much the grotesque nature

01:56:19.439 --> 01:56:22.979
of the car accident or wherever it was. It was

01:56:22.979 --> 01:56:25.260
the wails of the loved ones that really kind

01:56:25.260 --> 01:56:29.079
of reverberate. I had a code. A young man was

01:56:29.079 --> 01:56:31.680
dropping off a dog at a resort before going,

01:56:31.779 --> 01:56:34.420
spending a vacation there and literally just

01:56:34.420 --> 01:56:38.739
keeled over. Another, you know, another event

01:56:38.739 --> 01:56:40.600
that you're not going to return from. But the

01:56:40.600 --> 01:56:44.800
code. went perfectly and i think this is the

01:56:44.800 --> 01:56:47.300
thing when you talked about training if you're

01:56:47.300 --> 01:56:49.560
not training your department properly if you're

01:56:49.560 --> 01:56:51.479
not holding them to the right standard if you're

01:56:51.479 --> 01:56:53.779
not giving them those reps you're setting them

01:56:53.779 --> 01:56:56.560
up for mental health challenges because there's

01:56:56.560 --> 01:56:59.039
going to be that doubt would that person have

01:56:59.039 --> 01:57:01.520
made it had i got that io had i done my compressions

01:57:01.520 --> 01:57:04.000
properly whatever it was but that particular

01:57:04.000 --> 01:57:07.380
one we still had a somewhat of a rhythm so we

01:57:07.380 --> 01:57:11.000
worked in 20 minutes we we transported And ultimately,

01:57:11.020 --> 01:57:15.159
he didn't make it. It was a bleed. And I was

01:57:15.159 --> 01:57:17.239
doing, if you remember, RMC, the report writing

01:57:17.239 --> 01:57:21.420
area was right next to the grief room where they

01:57:21.420 --> 01:57:23.180
would do the notifications in the hospital. Oh,

01:57:23.380 --> 01:57:26.619
my goodness. And so I'm 10 feet, if that, from

01:57:26.619 --> 01:57:29.399
this room typing, and I just hear these screams.

01:57:30.119 --> 01:57:32.779
And I think this is where there's a lot of value

01:57:32.779 --> 01:57:35.300
in what you've been talking about is you're now

01:57:35.300 --> 01:57:38.720
making a connection with that traumatized family.

01:57:39.310 --> 01:57:41.529
before it's just this wails and you're from it

01:57:41.529 --> 01:57:44.449
i remember years ago in california we had a gangbang

01:57:44.449 --> 01:57:48.010
shooting and the kid i think was like 15 and

01:57:48.010 --> 01:57:50.289
i remember pulling the yellow sheet over him

01:57:50.289 --> 01:57:52.670
and then the whole fucking park just erupted

01:57:52.670 --> 01:57:55.649
in screams and the dark gallows humor in me thought

01:57:55.649 --> 01:57:57.529
well if i pull the sheet back will they stop

01:57:57.529 --> 01:58:00.109
and then i go forward again and then stop that's

01:58:00.109 --> 01:58:01.890
because that's the way we think up because we're

01:58:01.890 --> 01:58:05.319
fucked up But, you know, again, it was that I

01:58:05.319 --> 01:58:07.859
can remember vaguely the kid, but I remember

01:58:07.859 --> 01:58:10.479
the screams and the heartbroken families far

01:58:10.479 --> 01:58:13.600
more than that. So by actually creating a bridge

01:58:13.600 --> 01:58:16.560
to those very people that are traumatized, it

01:58:16.560 --> 01:58:20.079
makes perfect sense to me. Yeah. And a lot of

01:58:20.079 --> 01:58:22.140
times what you find is people, families that

01:58:22.140 --> 01:58:27.939
are very appreciative and loving towards you.

01:58:28.319 --> 01:58:32.420
And we're in a moment where we probably need.

01:58:32.880 --> 01:58:37.399
some level of validation and appreciation you

01:58:37.399 --> 01:58:41.899
know because in order for us to you know we love

01:58:41.899 --> 01:58:44.199
to say we're doing everything we can but it turns

01:58:44.199 --> 01:58:47.420
out that we have to not just say it but we have

01:58:47.420 --> 01:58:50.949
to believe it And so when families tell you,

01:58:50.970 --> 01:58:53.750
you did everything you can, thank you for trying,

01:58:53.869 --> 01:58:57.449
like, you know what I mean? It kind of reinforces

01:58:57.449 --> 01:59:01.810
that you also know, right? So the way that we

01:59:01.810 --> 01:59:03.630
believe that we've done everything we can is

01:59:03.630 --> 01:59:05.989
through confidence and competence, right? But

01:59:05.989 --> 01:59:07.789
then when you get that validation from the family,

01:59:07.989 --> 01:59:12.170
nobody else can give that to you, you know, and

01:59:12.170 --> 01:59:15.409
as a responder. And so it's interesting because

01:59:15.409 --> 01:59:20.279
the... Journal of American Medical Associates

01:59:20.279 --> 01:59:23.760
back in 2016 had an article on this, and it's

01:59:23.760 --> 01:59:26.579
called The Resuscitation That Never Ends. And

01:59:26.579 --> 01:59:29.079
it literally talks about, have you read it? I

01:59:29.079 --> 01:59:31.500
haven't, no. It's a great title. Yeah, yeah.

01:59:31.560 --> 01:59:34.979
Well, and it's because it's a great, great title.

01:59:35.100 --> 01:59:37.720
And it's because it's really true. And that's

01:59:37.720 --> 01:59:41.729
basically what it's talking about is that. having

01:59:41.729 --> 01:59:45.850
the competency and being confident in what you

01:59:45.850 --> 01:59:50.550
do in route and on scene are the building blocks

01:59:50.550 --> 01:59:54.229
of closure for you as a provider, not for the

01:59:54.229 --> 01:59:57.609
family, right? But for you as a provider, this

01:59:57.609 --> 02:00:00.890
was back in 2016, almost 10 years ago, you know,

02:00:00.930 --> 02:00:07.850
and a really profound article and just really

02:00:07.850 --> 02:00:15.659
underscoring. How that impact over a 25 or 30,

02:00:15.720 --> 02:00:19.020
30 year career is a deadly combination when we

02:00:19.020 --> 02:00:23.239
don't have it. You know, and and I and I just

02:00:23.239 --> 02:00:25.180
can't say it enough. You know, like I said earlier,

02:00:25.579 --> 02:00:28.539
those calls that you that you'll never forget

02:00:28.539 --> 02:00:30.920
the sounds, things you did, things you didn't

02:00:30.920 --> 02:00:33.979
do. You know, I worked at one particular station

02:00:33.979 --> 02:00:38.039
for 13 years of my career and I can drive down

02:00:38.039 --> 02:00:43.070
that road in that area and tell you. everything.

02:00:43.070 --> 02:00:46.489
I'll never forget any of it. Not because I haven't

02:00:46.489 --> 02:00:49.130
tried, you know, but you just never going to

02:00:49.130 --> 02:00:50.670
forget these things. So I'll say you have like

02:00:50.670 --> 02:00:53.329
this hypothetical cup in your head of all these

02:00:53.329 --> 02:00:55.649
memories of these things that you've seen and

02:00:55.649 --> 02:00:58.350
done, things you've heard, things you've seen,

02:00:58.489 --> 02:01:00.170
things you've done, things you haven't done,

02:01:00.210 --> 02:01:03.350
that you never want to look back and wonder if

02:01:03.350 --> 02:01:06.350
that had a negative impact on your patient's

02:01:06.350 --> 02:01:12.149
outcome. And you you don't get to ever empty

02:01:12.149 --> 02:01:16.210
that cup the cup runneth over you know so what

02:01:16.210 --> 02:01:20.869
you do in that moment for your own mental health

02:01:20.869 --> 02:01:24.029
your own future is so important because we have

02:01:24.029 --> 02:01:26.310
to get to closure as first responders not just

02:01:26.310 --> 02:01:31.069
on high acuity calls you know but if you think

02:01:31.069 --> 02:01:34.069
about the opportunities that we have to interface

02:01:34.069 --> 02:01:37.699
with families Even when we have, let's say, it's

02:01:37.699 --> 02:01:39.640
still a critical call, right? But even if you

02:01:39.640 --> 02:01:43.659
say like a STEMI, right? So what I encourage

02:01:43.659 --> 02:01:45.899
my guys to do and what I do when I'm on scene

02:01:45.899 --> 02:01:48.560
is I have the crew stop. We package the patient

02:01:48.560 --> 02:01:51.159
for transport. They're getting ready to go to

02:01:51.159 --> 02:01:53.720
the hospital. You know they're going to take

02:01:53.720 --> 02:01:56.199
this patient right to the cath lab. You know

02:01:56.199 --> 02:02:00.460
people die in the cath lab. So if you stopped

02:02:00.460 --> 02:02:04.319
for 30 seconds. So what I do is I tell the crew,

02:02:04.380 --> 02:02:06.300
hold on just a minute, guys. And I go get the

02:02:06.300 --> 02:02:08.220
loved one, the husband, the wife, or whoever

02:02:08.220 --> 02:02:10.199
it is, and I tell them, I say, would you like

02:02:10.199 --> 02:02:11.920
to come over and say I love you before we leave?

02:02:12.979 --> 02:02:14.659
Sometimes they're driving in separate vehicles.

02:02:14.739 --> 02:02:16.220
Sometimes they have to do something with the

02:02:16.220 --> 02:02:18.460
kids first before they come. What if by the time

02:02:18.460 --> 02:02:20.880
they get to the hospital, their loved one is

02:02:20.880 --> 02:02:24.979
dead? That's happened to me. We were pacing him,

02:02:25.020 --> 02:02:27.680
and she said, I love you. We closed the doors,

02:02:27.819 --> 02:02:30.180
and in about two minutes en route, we lost capture

02:02:30.180 --> 02:02:32.460
and never got him back. Yeah, and I'm going to

02:02:32.460 --> 02:02:39.159
tell you, as terrible as that is, At least the

02:02:39.159 --> 02:02:41.920
last thing, one of the last things that you remember

02:02:41.920 --> 02:02:44.399
and that she'll never forget is that she at least

02:02:44.399 --> 02:02:46.800
got to say, I love you. And those were her last

02:02:46.800 --> 02:02:49.560
words to him and the last words that he got to

02:02:49.560 --> 02:02:52.560
hear. And that's still profound. And that is

02:02:52.560 --> 02:02:54.340
still a part of the process of how we get to

02:02:54.340 --> 02:02:57.060
closure. So being able to afford that opportunity

02:02:57.060 --> 02:03:00.300
to somebody is very unique and we just don't

02:03:00.300 --> 02:03:02.760
think about it, but it's very powerful, you know,

02:03:02.760 --> 02:03:06.939
because. even if somebody is still, if someone's

02:03:06.939 --> 02:03:08.659
dead, but they're still warm, right? Like we're

02:03:08.659 --> 02:03:11.079
still actively working the code and we allow

02:03:11.079 --> 02:03:12.800
the family member to come over and say, I love

02:03:12.800 --> 02:03:14.380
you. I don't tell, I don't use the words like

02:03:14.380 --> 02:03:15.779
come over and say goodbye. Cause then they're

02:03:15.779 --> 02:03:18.560
like, Oh, they're going to die. I don't do that.

02:03:19.460 --> 02:03:22.500
My go -to phrase is, would you like to come over

02:03:22.500 --> 02:03:25.720
and say, I love you before we go? You know, sometimes

02:03:25.720 --> 02:03:27.460
people are like, no, it's okay. I'm like, okay.

02:03:27.659 --> 02:03:29.640
You know, but I afforded them that opportunity

02:03:29.640 --> 02:03:34.239
that nobody else was going to. Okay. And So even

02:03:34.239 --> 02:03:37.739
if they choose not to take it, you're still offering

02:03:37.739 --> 02:03:41.380
them something that's very unique. And it's part

02:03:41.380 --> 02:03:44.220
of the closure process for us, you know? And

02:03:44.220 --> 02:03:46.979
it doesn't have to be these high acuity, crazy

02:03:46.979 --> 02:03:48.899
calls that we do this on. When you have strokes,

02:03:49.180 --> 02:03:52.380
when you have STEMIs, right? It's going, it feels

02:03:52.380 --> 02:03:54.659
different. If you've ever lost somebody that

02:03:54.659 --> 02:03:58.479
you love and you got to say goodbye to them when

02:03:58.479 --> 02:04:01.720
they were warm and they still feel like they're

02:04:01.720 --> 02:04:05.159
kind of there. It's different than when you say

02:04:05.159 --> 02:04:07.979
goodbye to them in a casket or when they're cold,

02:04:08.020 --> 02:04:12.119
stiff and dead. And so we don't know that these

02:04:12.119 --> 02:04:14.399
critically injured patients that we take to the

02:04:14.399 --> 02:04:16.380
hospital are going to survive their injuries.

02:04:16.840 --> 02:04:19.579
They might die in the cath lab. Right. They might

02:04:19.579 --> 02:04:22.579
stroke out and that and they'll have no other

02:04:22.579 --> 02:04:25.859
memory of anything other than what you gave them,

02:04:25.960 --> 02:04:29.819
what you gave them before you left the scene.

02:04:30.539 --> 02:04:33.800
And so I think we have to slow down and take

02:04:33.800 --> 02:04:37.619
better care of our patients in that regard. But

02:04:37.619 --> 02:04:39.960
understanding that doing that, taking better

02:04:39.960 --> 02:04:42.399
care of them in turn is taking better care of

02:04:42.399 --> 02:04:45.859
us because we are taking an opportunity to be

02:04:45.859 --> 02:04:49.319
impacted in our mental health. We you know, we

02:04:49.319 --> 02:04:50.640
don't want to think of it in those terms, but

02:04:50.640 --> 02:04:52.539
that's what we're doing. We're allowing ourselves

02:04:52.539 --> 02:04:54.880
to get to closure. And we know that doing that

02:04:54.880 --> 02:04:57.800
over not doing it over a 25 or 30 year career,

02:04:57.859 --> 02:05:01.539
we see what's happening to people. You know,

02:05:01.560 --> 02:05:05.220
James, I just talked the other day to one of

02:05:05.220 --> 02:05:10.720
our guys who's pretty close to retirement and

02:05:10.720 --> 02:05:14.420
struggling tremendously. And when we talk about

02:05:14.420 --> 02:05:18.260
this, this is exactly why I talk about it. Because

02:05:18.260 --> 02:05:23.960
it's so hard to believe that this guy is so close

02:05:23.960 --> 02:05:27.220
to the end of his career and mentally struggling

02:05:27.220 --> 02:05:30.880
more than he is. ever has right and probably

02:05:30.880 --> 02:05:33.340
that person that came into the industry thinking

02:05:33.340 --> 02:05:36.199
that doesn't bother me i'm not going to be affected

02:05:36.199 --> 02:05:38.619
by this stuff right we all want to believe or

02:05:38.619 --> 02:05:40.359
maybe we never even thought about it before right

02:05:40.359 --> 02:05:42.079
like i never came into the fire service thinking

02:05:42.079 --> 02:05:45.199
all these calls were going to me up and i and

02:05:45.199 --> 02:05:47.239
i'm not even i'm not even like a sensitive kind

02:05:47.239 --> 02:05:49.899
of girl you know like i believe that when it's

02:05:49.899 --> 02:05:51.939
your time it's your time it's preordained when

02:05:51.939 --> 02:05:53.680
you know like i'm one of those people that believes

02:05:53.680 --> 02:05:56.029
that everything happens for a reason and And

02:05:56.029 --> 02:05:59.649
we can't we can't change that. Right. But it

02:05:59.649 --> 02:06:02.310
doesn't mean that when we when people die and

02:06:02.310 --> 02:06:06.750
we're there, that we don't hold on to and harvest

02:06:06.750 --> 02:06:10.210
some sort of pain from that in our heart and

02:06:10.210 --> 02:06:12.250
our soul and your mind, like whatever. Right.

02:06:12.350 --> 02:06:18.689
And so. When you see this over 25 or 30 year

02:06:18.689 --> 02:06:23.270
career and you leave the fire service, you you've

02:06:23.270 --> 02:06:29.170
been a. A servant to the people for 25 years

02:06:29.170 --> 02:06:33.050
and you're haunted by your own memories that

02:06:33.050 --> 02:06:37.930
the only answer to your pain and suffering is

02:06:37.930 --> 02:06:42.789
to take your own life. And so for me to talk

02:06:42.789 --> 02:06:45.729
about this all the time, but then just recently

02:06:45.729 --> 02:06:48.550
interact with one of our one of our guys who

02:06:48.550 --> 02:06:51.210
has less than a year left in his career and is

02:06:51.210 --> 02:06:55.579
mentally suffering. And it's not always it's

02:06:55.579 --> 02:06:57.840
not always completely job related. Right. There's

02:06:57.840 --> 02:07:00.119
a lot of things that you start to reflect on

02:07:00.119 --> 02:07:02.859
in your personal life. Right. About marriages

02:07:02.859 --> 02:07:05.060
and relationships and kids and your relationships

02:07:05.060 --> 02:07:07.439
with your kids about whether you mess those up

02:07:07.439 --> 02:07:09.960
or not. And how much was that impacted by our

02:07:09.960 --> 02:07:13.380
cold, callous job that we do? Our early life,

02:07:13.380 --> 02:07:15.239
too, is something we don't talk about a lot from

02:07:15.239 --> 02:07:17.579
in vitro through to when you put the badge on.

02:07:17.640 --> 02:07:21.640
That has an impact as well. Yes. Yeah. And so,

02:07:21.640 --> 02:07:24.520
you know, the reality is what we what these actually

02:07:24.520 --> 02:07:28.239
are, are trauma markers that we're creating in

02:07:28.239 --> 02:07:31.140
our body. You know, that's what that's what these

02:07:31.140 --> 02:07:33.520
are. I mean, right. And I don't mean like a traumatic

02:07:33.520 --> 02:07:36.340
call. I mean, like it's trauma. There's mental

02:07:36.340 --> 02:07:38.880
trauma, spiritual trauma, physical, sexual, all

02:07:38.880 --> 02:07:42.220
kinds of all kinds of traumas. And so that's

02:07:42.220 --> 02:07:44.520
what's happening is we're actually creating.

02:07:45.159 --> 02:07:47.239
We're not creating, but what's happening to our

02:07:47.239 --> 02:07:50.279
body are traumas that we just never get to get

02:07:50.279 --> 02:07:55.500
rid of. And there's so much research and so many

02:07:55.500 --> 02:07:58.720
people's stories out there about it. And unfortunately,

02:07:58.979 --> 02:08:02.699
just like you mentioned earlier, when we have

02:08:02.699 --> 02:08:06.699
organizations that are only tracking firefighter

02:08:06.699 --> 02:08:12.619
suicides that are active duty is not the whole

02:08:12.619 --> 02:08:16.829
picture. Of what's happening out there. And so

02:08:16.829 --> 02:08:19.149
sadly, we're seeing many people come to the end

02:08:19.149 --> 02:08:22.350
of their career and the end of their own lives.

02:08:23.050 --> 02:08:27.529
You know, and and so this is a this is a gateway

02:08:27.529 --> 02:08:31.710
to closure. And so I don't just talk about this,

02:08:31.750 --> 02:08:38.229
you know. For myself, I I try to show up. We

02:08:38.229 --> 02:08:42.529
run about 60 to 80 codes a month. In our organization.

02:08:43.650 --> 02:08:50.029
And in my area, I oversee six stations, second

02:08:50.029 --> 02:08:54.010
in command of six stations. And in my area, I

02:08:54.010 --> 02:08:57.909
ask my guys to add me to every code. I can only

02:08:57.909 --> 02:08:59.609
go to the ones I hear on the radio, the ones

02:08:59.609 --> 02:09:01.630
they add me to, but I go to every code that I'm

02:09:01.630 --> 02:09:04.789
added to. And my goal when I show up is to do

02:09:04.789 --> 02:09:07.630
this because I want them to see what this looks

02:09:07.630 --> 02:09:11.890
like. And I specifically tell them. So this is

02:09:11.890 --> 02:09:13.529
my mission. This is what I'm doing. I'm not showing

02:09:13.529 --> 02:09:15.289
up to be the protocol police. That's not what

02:09:15.289 --> 02:09:16.529
I'm trying to do. I'm not trying to show up and

02:09:16.529 --> 02:09:18.529
bust your balls, take over your call, call you

02:09:18.529 --> 02:09:20.090
out. Obviously, I'm going to make sure we're

02:09:20.090 --> 02:09:21.750
all doing our job because that is an important

02:09:21.750 --> 02:09:24.970
factor in us getting to closure also. Because

02:09:24.970 --> 02:09:27.090
again, you have to be competent and competent.

02:09:27.949 --> 02:09:30.710
Those are the two big pillars to get to closure.

02:09:31.250 --> 02:09:33.750
So if you're screwing up on a call, that's not

02:09:33.750 --> 02:09:38.630
going to help you get to closure. But my goal

02:09:38.630 --> 02:09:41.449
is to show up and show them. what this looks

02:09:41.449 --> 02:09:45.729
like in hopes that they get some closure and

02:09:45.729 --> 02:09:49.470
that they learn this process and they have good,

02:09:49.529 --> 02:09:54.890
happy, healthy careers and retirements. And so

02:09:54.890 --> 02:09:59.329
I'm just doing everything that I can to get that

02:09:59.329 --> 02:10:01.350
message out to people and really help them understand

02:10:01.350 --> 02:10:04.010
what is the point in doing this. And the point

02:10:04.010 --> 02:10:06.939
in doing it is not. It is for other people, right?

02:10:07.020 --> 02:10:08.800
So when I say this, yes, we're doing more for,

02:10:08.819 --> 02:10:10.619
just do more for other people. Have these hard

02:10:10.619 --> 02:10:12.600
conversations. I know they're difficult, but

02:10:12.600 --> 02:10:16.380
the reason why is the most profound, and that

02:10:16.380 --> 02:10:21.340
is to save your own life. Absolutely. And the

02:10:21.340 --> 02:10:23.579
gentleman or the firefighter that you're referring

02:10:23.579 --> 02:10:29.319
to, this is what's so scary, is when you go to

02:10:29.319 --> 02:10:32.180
the fire station, if you do have a cohesive firehouse,

02:10:32.840 --> 02:10:35.140
that's still nurturing. You're still able to

02:10:35.140 --> 02:10:37.380
have the firehouse banter and you're enjoying

02:10:37.380 --> 02:10:39.859
it. And if you're like we used to as 70, if you're

02:10:39.859 --> 02:10:42.039
playing Bay hockey and breaking windows and fixing

02:10:42.039 --> 02:10:46.140
them before anyone sees, it's a healing element.

02:10:46.520 --> 02:10:51.979
But for our retirees that transition now, sadly

02:10:51.979 --> 02:10:56.659
because of the landscape, they may well be divorced.

02:10:57.000 --> 02:10:59.079
They may be living in a one bedroom apartment.

02:10:59.850 --> 02:11:01.670
And now they don't have the firehouse. They've

02:11:01.670 --> 02:11:04.050
lost their identity as a firefighter because

02:11:04.050 --> 02:11:05.750
they go to the store. No one gives a shit what

02:11:05.750 --> 02:11:08.869
you used to do. And then that purpose. I used

02:11:08.869 --> 02:11:11.529
to love, I had a 70 mile drive to and from the

02:11:11.529 --> 02:11:14.989
station. I used to love driving home. And again,

02:11:15.050 --> 02:11:17.449
yes, I was a full on reaper if you went to cardiac

02:11:17.449 --> 02:11:20.470
arrest, but numerous pre -code saves, of course.

02:11:20.529 --> 02:11:23.810
And that's an amazing thing. Traumatic pre -codes

02:11:23.810 --> 02:11:26.210
and all those things. And it was just a back

02:11:26.210 --> 02:11:28.350
to bed call. And you change someone's life by

02:11:28.350 --> 02:11:30.409
cleaning them up and putting them in a fresh

02:11:30.409 --> 02:11:32.029
set of clothes and putting them back to bed.

02:11:32.170 --> 02:11:34.350
You know you made a difference and you've lost

02:11:34.350 --> 02:11:37.109
that too. So someone who's already struggling

02:11:37.109 --> 02:11:40.350
at the end of their career, that's a very dangerous

02:11:40.350 --> 02:11:42.829
place when we go transitioning out. So we need

02:11:42.829 --> 02:11:46.550
to really envelop him and give him the tools

02:11:46.550 --> 02:11:48.689
that he needs to start working on himself now

02:11:48.689 --> 02:11:51.989
and finding that tribe to transition into. find

02:11:51.989 --> 02:11:54.289
a pickleball group to start playing with. You

02:11:54.289 --> 02:11:56.350
know what I mean? Because if you leave that man

02:11:56.350 --> 02:11:59.850
or that woman isolated when they're already struggling

02:11:59.850 --> 02:12:02.430
with a, again, we all know Orange County, depending

02:12:02.430 --> 02:12:05.029
on where you're stationed, your career could

02:12:05.029 --> 02:12:08.229
be almost a flat line like 86 used to be, or

02:12:08.229 --> 02:12:11.470
you could be 50, 42. And it's almost a vertical

02:12:11.470 --> 02:12:13.550
line with your learning curve and the amount

02:12:13.550 --> 02:12:16.130
of trauma that you've accumulated. So, you know,

02:12:16.130 --> 02:12:21.449
we really need to identify that, that, um, enveloping

02:12:21.449 --> 02:12:23.569
of our people that are almost at the end of their

02:12:23.569 --> 02:12:27.050
career and really start helping them transition

02:12:27.050 --> 02:12:29.050
and preparing them for some of these jarring

02:12:29.050 --> 02:12:30.770
things that they're going to get. Because I would

02:12:30.770 --> 02:12:34.210
argue that the silent majority of suicides and

02:12:34.210 --> 02:12:37.729
overdoses and death by alcoholism are our retirees.

02:12:37.789 --> 02:12:39.649
That's when the heart disease manifests. That's

02:12:39.649 --> 02:12:42.189
when the cancer manifests. But we're not counted.

02:12:42.470 --> 02:12:45.189
There's no VA for firefighters. So you're not

02:12:45.189 --> 02:12:47.770
on the statistics. So those are the ones we have

02:12:47.770 --> 02:12:50.199
to watch more than anyone, in my opinion. Mm

02:12:50.199 --> 02:12:53.399
hmm. Yeah. And I think that's another thing to

02:12:53.399 --> 02:12:55.659
really touch on, you know, is the alcohol and

02:12:55.659 --> 02:13:01.260
substance abuse. And, you know, again, I'm not

02:13:01.260 --> 02:13:03.239
a hypocrite, so I can't sit here and say that

02:13:03.239 --> 02:13:04.640
I haven't been that person that's like, oh, man,

02:13:04.680 --> 02:13:06.479
that was a bad call. Let's go have a drink or

02:13:06.479 --> 02:13:08.180
man, that was a terrible shift or, you know,

02:13:08.180 --> 02:13:10.399
sometimes we celebrate fires. Right. You know,

02:13:10.399 --> 02:13:14.479
but the reality is that it is so important to

02:13:14.479 --> 02:13:18.520
understand your intent or your friend's intent.

02:13:19.710 --> 02:13:22.329
you know, pulling on your shoulder to say, let's

02:13:22.329 --> 02:13:25.949
go have this drink, you know, or whatever. And

02:13:25.949 --> 02:13:28.229
I think that it's just so important to understand

02:13:28.229 --> 02:13:33.750
that whatever substance or alcohol or action,

02:13:33.890 --> 02:13:37.750
right, because there's other things also that

02:13:37.750 --> 02:13:43.510
you're consuming to numb out pain also numbs

02:13:43.510 --> 02:13:48.260
out love and joy in your life. And I just I just

02:13:48.260 --> 02:13:51.000
think it's important to make mention of that

02:13:51.000 --> 02:13:56.060
and and be aware, because, you know, if someone

02:13:56.060 --> 02:13:57.640
called me tonight and was like, hey, let's go

02:13:57.640 --> 02:13:59.600
have a bottle of wine and talk about this. I'm

02:13:59.600 --> 02:14:02.640
going to say, hell, yeah. Right. But, you know,

02:14:02.640 --> 02:14:05.720
there's just so many instances where when we're

02:14:05.720 --> 02:14:08.279
talking about that brotherhood earlier, where.

02:14:10.220 --> 02:14:12.840
We it's it's a lot different in the last five

02:14:12.840 --> 02:14:15.439
years, the last 10 years, but definitely the

02:14:15.439 --> 02:14:17.600
last five years. There's a profound difference

02:14:17.600 --> 02:14:19.800
in the connections happening in the stations.

02:14:20.020 --> 02:14:22.739
So what happens is when we used to come back

02:14:22.739 --> 02:14:25.119
and stay up and talk about these calls and things

02:14:25.119 --> 02:14:28.300
like that. And maybe they weren't even in the

02:14:28.300 --> 02:14:29.760
middle of the night. Right. But we would come

02:14:29.760 --> 02:14:31.939
back and we everyone sit around the kitchen table

02:14:31.939 --> 02:14:37.109
and we almost had our own debriefing. You didn't

02:14:37.109 --> 02:14:39.130
even ask if you were doing it. You didn't have

02:14:39.130 --> 02:14:41.430
to go rally people to come and do it. We just

02:14:41.430 --> 02:14:44.250
did it. And that's not really happening much

02:14:44.250 --> 02:14:45.850
anymore because people are going back to their

02:14:45.850 --> 02:14:48.829
rooms or back to their bunks, back to whatever

02:14:48.829 --> 02:14:50.569
they were doing, back on their social media.

02:14:51.350 --> 02:14:56.149
They're looking for their own fix to forget about

02:14:56.149 --> 02:15:00.619
or mend that pain. that they're suffering from.

02:15:00.739 --> 02:15:03.300
And so we don't get those connections the same

02:15:03.300 --> 02:15:05.359
way in the stations after these calls either.

02:15:05.479 --> 02:15:07.300
And it's hard to keep track, even in leadership,

02:15:07.479 --> 02:15:09.800
it's hard to keep track of, like, who's okay

02:15:09.800 --> 02:15:14.340
and who's not, right? You know, and I think that's

02:15:14.340 --> 02:15:17.859
just a higher level of awareness that people

02:15:17.859 --> 02:15:21.579
need to have for each other. You know, we should

02:15:21.579 --> 02:15:25.029
know. We should get to know one another that

02:15:25.029 --> 02:15:26.390
we're working with. And if, you know, if you

02:15:26.390 --> 02:15:28.449
have someone floating in for the day, you don't

02:15:28.449 --> 02:15:30.829
know if maybe they, I mean, I actually had a

02:15:30.829 --> 02:15:33.789
guy that came to me a few months ago and I had

02:15:33.789 --> 02:15:36.449
showed up on a call. I don't, he doesn't usually

02:15:36.449 --> 02:15:38.189
work in our area, so he wasn't used to seeing

02:15:38.189 --> 02:15:43.890
this, but we had ran a call and he saw my presentation

02:15:43.890 --> 02:15:46.750
and then he came up to me and he says, you know,

02:15:46.789 --> 02:15:51.189
nobody in this department knows this. He goes,

02:15:51.229 --> 02:15:54.880
but. I had to work a code on my own child. And

02:15:54.880 --> 02:15:58.739
so he's telling me this whole story. And he obviously

02:15:58.739 --> 02:16:01.699
just felt the need to really share it with me.

02:16:02.560 --> 02:16:05.399
And it was invaluable. But this is an exact example

02:16:05.399 --> 02:16:07.859
about how many hundreds of people has he worked

02:16:07.859 --> 02:16:10.479
with that he's probably worked pediatric codes

02:16:10.479 --> 02:16:13.029
with. They don't even know this about him. And

02:16:13.029 --> 02:16:14.850
we just don't we're not taking the time to get

02:16:14.850 --> 02:16:16.689
to know one another because we're so engrossed

02:16:16.689 --> 02:16:19.130
in doing other things and all the training things

02:16:19.130 --> 02:16:21.390
that we have to do and all the mandatory this

02:16:21.390 --> 02:16:25.310
and, you know, all the other computer training

02:16:25.310 --> 02:16:27.710
we have to do and stuff that's taking time away

02:16:27.710 --> 02:16:30.109
from the building of that brotherhood where we're

02:16:30.109 --> 02:16:32.729
able to check on each other, you know. And so

02:16:32.729 --> 02:16:36.770
and then, of course, there's. There's never any

02:16:36.770 --> 02:16:39.670
substance abuse in the fire service, so we don't

02:16:39.670 --> 02:16:43.229
have to worry about that. But it's just so important

02:16:43.229 --> 02:16:46.290
to check on each other and get to know one another

02:16:46.290 --> 02:16:49.209
so that when we're coming back from these everyday

02:16:49.209 --> 02:16:51.809
calls, again, it doesn't have to be a child that

02:16:51.809 --> 02:16:57.850
died. It's the everyday call that we're working

02:16:57.850 --> 02:17:02.270
on how we get to closure and how we survive.

02:17:03.180 --> 02:17:05.719
this industry and how we get out mentally and

02:17:05.719 --> 02:17:09.620
physically intact hitting on the alcohol for

02:17:09.620 --> 02:17:11.700
a second what people don't realize is it's a

02:17:11.700 --> 02:17:14.600
sleep disruptor as well so you've got you know

02:17:14.600 --> 02:17:17.280
56 hour week you might have had a probably had

02:17:17.280 --> 02:17:19.860
a mandatory and now you go home and i get it

02:17:19.860 --> 02:17:22.620
i did it i didn't realize how much i drank through

02:17:22.620 --> 02:17:25.639
my career not binge drinking but frequent air

02:17:25.639 --> 02:17:30.100
quotes relaxing drinking wind down um And it

02:17:30.100 --> 02:17:32.180
disrupts your sleep. So you're compounding that

02:17:32.180 --> 02:17:34.520
sleep deprivation. And I think the other terrifying

02:17:34.520 --> 02:17:37.899
thing, if you look at most suicides, alcohol

02:17:37.899 --> 02:17:41.200
is involved. And I always kind of give this analogy.

02:17:43.239 --> 02:17:45.739
If you think about when we were young, there

02:17:45.739 --> 02:17:48.920
were times, I know with me at least, where you

02:17:48.920 --> 02:17:52.379
meet someone and you end up having a one -night

02:17:52.379 --> 02:17:54.159
stand or whatever. And then the next morning,

02:17:54.200 --> 02:17:57.459
you're like, oh, shit. You know, I didn't actually

02:17:57.459 --> 02:18:00.840
find that person that attractive. And here we

02:18:00.840 --> 02:18:03.860
are. It's the same with alcohol. You get people

02:18:03.860 --> 02:18:06.579
who are close to crisis. That invisible hand

02:18:06.579 --> 02:18:09.139
is still stopping them from, you know, making

02:18:09.139 --> 02:18:12.000
a permanent decision for a temporary problem.

02:18:13.200 --> 02:18:17.260
But when you add alcohol in. Again, it distorts

02:18:17.260 --> 02:18:19.299
your reality. All of a sudden, that guy or girl

02:18:19.299 --> 02:18:21.420
is way more attractive than they were. All of

02:18:21.420 --> 02:18:23.440
a sudden, that resistance that you take in your

02:18:23.440 --> 02:18:26.000
own life starts to melt away and you get that

02:18:26.000 --> 02:18:29.120
air of Dutch courage. So that's another important

02:18:29.120 --> 02:18:31.299
thing about alcohol is if you're in a crisis,

02:18:31.579 --> 02:18:33.760
think that you're compounding your own sleep

02:18:33.760 --> 02:18:36.959
and you're actually taking away some of the kind

02:18:36.959 --> 02:18:39.459
of training wheels, the safety mechanisms around

02:18:39.459 --> 02:18:43.819
you taking your own life. That's for sure. All

02:18:43.819 --> 02:18:46.090
right. Well. I want to be mindful of your time

02:18:46.090 --> 02:18:48.610
for people listening. If they want to reach out

02:18:48.610 --> 02:18:51.010
to you, they want to learn more about the presentation

02:18:51.010 --> 02:18:53.030
that you're giving to Orange County. Where are

02:18:53.030 --> 02:18:56.729
the best places to do that? So my best contact

02:18:56.729 --> 02:19:00.450
information is I'm going to give you my email

02:19:00.450 --> 02:19:01.989
address and I'm going to give you my cell phone

02:19:01.989 --> 02:19:06.709
number. And I am happy to come out and talk more

02:19:06.709 --> 02:19:09.610
about this. Talk to people one on one. I talk

02:19:09.610 --> 02:19:14.930
to. um people in mass quantities and i'll be

02:19:14.930 --> 02:19:17.030
giving this presentation the full presentation

02:19:17.030 --> 02:19:21.250
at the first their first care conference which

02:19:21.250 --> 02:19:23.090
is down south that's one of florida's largest

02:19:23.090 --> 02:19:26.590
ems conferences i'll be back down there in um

02:19:26.590 --> 02:19:32.829
uh in july july is it june or july and that's

02:19:32.829 --> 02:19:35.729
down south and of course i'm giving the presentation

02:19:35.729 --> 02:19:39.809
at our preceptors academy that's coming up um

02:19:40.600 --> 02:19:42.959
And those are open for other people to attend.

02:19:43.079 --> 02:19:45.819
So my contact information for that is my cell

02:19:45.819 --> 02:19:53.579
phone number is 407 -616 -2270. And then my email

02:19:53.579 --> 02:20:04.100
address is diana .alexander .ocfl .net. And I

02:20:04.100 --> 02:20:06.340
think the beautiful thing about giving this presentation

02:20:06.340 --> 02:20:11.959
is I go anywhere and I give it at no charge.

02:20:12.260 --> 02:20:15.799
And the reason why I do that is because I hold

02:20:15.799 --> 02:20:20.079
hardly believe that this message will change

02:20:20.079 --> 02:20:23.620
people's lives. And I wouldn't want anybody to

02:20:23.620 --> 02:20:26.159
not get the information on account of money.

02:20:26.899 --> 02:20:31.299
And so I will take my own personal time and come

02:20:31.299 --> 02:20:33.420
out of, like I said, I just gave it to an entire

02:20:33.420 --> 02:20:37.510
department. I'm here locally across three shifts

02:20:37.510 --> 02:20:41.290
and I'm going down south to give it at that conference.

02:20:41.350 --> 02:20:43.889
I have another department down south that has

02:20:43.889 --> 02:20:47.829
me coming. And then I'll also be at the Polk

02:20:47.829 --> 02:20:50.549
County EMS conference that Dr. Banerjee puts

02:20:50.549 --> 02:20:52.149
on. He asked me to come out and give it there

02:20:52.149 --> 02:20:57.200
in. I think that's in May. I got a lot of dates.

02:20:57.260 --> 02:20:59.899
I can't remember them all, but most of where

02:20:59.899 --> 02:21:01.979
I give the presentations are open for other people

02:21:01.979 --> 02:21:04.959
to attend and it's worth seeing. And I'm happy

02:21:04.959 --> 02:21:07.319
to answer questions, talk more about it, or just

02:21:07.319 --> 02:21:09.200
listen to people talk. I think it's, it really

02:21:09.200 --> 02:21:12.120
has its place. And I really appreciate the opportunity

02:21:12.120 --> 02:21:14.979
to come on here and talk to you about it. And

02:21:14.979 --> 02:21:17.559
obviously talking with you anyways is wonderful,

02:21:17.719 --> 02:21:22.600
but it's an honor to be able to give that to

02:21:22.600 --> 02:21:24.750
other people. So thank you for your time.
