WEBVTT

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Welcome back to the Light Keepers podcast, an

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exclusive production of A Guiding Light, our

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nonprofit charity dedicated to the idea that

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knowledge is power and good information leads

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to a better life. I'm Clayton Vandiver, your

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Light Keeper, with my co -host as always, Charlene,

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our very own licensed clinical social worker

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certified in the state of Florida. This show

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is dedicated to everyone who wants to get the

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most quality out of life that they can. Join

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us for the conversation this week about what

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are we talking about this week? What do you do

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when you have nobody? Oh, what do you do when

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you have nobody? And so much more on this edition

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of the Light Keepers podcast. Please leave your

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questions or comments below and join our conversation.

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Questions are answered during our next show online

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every Wednesday evening at 7 p .m. Eastern. The

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Light Keepers podcast is an exclusive production

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of Guiding Light Incorporated. And over the last

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couple of weeks, we've been talking about when

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couples or when people have conversations about

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their wishes and they may not agree, what do

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you do when you have nobody? Are you not agreeing

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with yourself? Well, just to be clear, we're

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talking about medical wishes, what you would

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want for medical treatment if you were to become

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seriously ill and not able to make your own decisions.

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It's important to have someone that you trust

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that can make those decisions for you, someone

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that you know is going to carry out what you

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would want for yourself. maybe doesn't agree

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with your wishes and therefore you don't trust

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that they're going to carry them out. Or maybe

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they would rather you go in a different path

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with your treatment. Maybe you want treatment

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and they don't think it's a good idea. Maybe

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you don't want treatment and they don't want

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you to give up. Or maybe you just don't have

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anybody. It's not uncommon. It can happen. As

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we age, some people are the last survivors in

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their family. They don't have friends. Maybe

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they never had children. Who do these people

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use as medical decision makers? Yeah, that's

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a serious question. Obviously, we've never had

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any disagreement in our ability to communicate

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because, you see, we both put on burgundy shirts

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for this episode and neither one of us planned

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that. Nope. Never thought about it. It just happened

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that way. But it is important to know that there

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are folks out there who don't have anyone. And

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it's even more tragic when you know that you

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have a pet and that pet might... outlive you

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and that you don't have anyone who's going to

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be looking out for that animal. So that's another

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thought that I wanted us to join in the conversation

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this week about because we've run into a lot

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of people over the years who they're not that

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worried about themselves. They wind up being

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really concerned. Their biggest stress in their

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life is what's going to happen to my pet. Exactly.

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And talking about pets for a moment before we

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get into the people aspect. If you live alone

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and you have pets, it's always a good idea to

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keep a card or something in your wallet or where

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you keep your ID, where you keep your insurance

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card that says, I have a pet at home. Here's

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their vet. provide the vet information, provide

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an emergency contact that can be notified, because

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it's very sad, but I have seen situations where

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by the time someone got out of the hospital because

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they didn't have anyone to go check on Fido,

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they went home to a deceased pet because there

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was no water, there was no food. So when you

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don't have someone else, there are a lot of other

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dynamic things that you need to be thinking about

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or that need to be taken care of. And that's

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a situation where if you went into a coma, a

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brief coma, for instance, was in the hospital

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for a while, and they didn't know you had a pet

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when they retrieved you from your home, then

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unless that was written down somewhere, no one

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would have known to look for your animal and

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to care for it. And that's such a tragedy. And

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the thing is, there are so many misconceptions

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in society about what would happen. For example,

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I've had people tell me, you know, well, I don't

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have to worry about it because the police will

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go by and check on them, right? No, no. No, they

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don't do that. I have, I, now keep in mind that.

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I have law enforcement in my family. I'm a big

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supporter of our family in blue. Absolutely.

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But there are some police officers who do not

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feel it is their responsibility to have to do

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anything like that. And I have literally been

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standing in the middle of the trauma department

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and had an 18 -year -old. deceased in the trauma

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room, and I asked the officer, are you going

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to contact the family to let them know, the parents?

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And the response I got was, he's over 18, I'm

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not obligated. So if they feel that way about

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an 18 -year -old individual, how are they going

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to feel about taking care of somebody's dog?

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That's an absolute thing that needs to be...

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And you don't think of those things. No, you

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don't, because you always think that there's

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going to be a safety net in society that surely

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no one would let something like that happen.

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Well, most of us go through life thinking pretty

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much life is going to be the way it is right

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now all the time. It's not going to change. In

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another episode that's coming up very, very soon,

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we're going to talk about hurricane season. We're

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doing this show out of the state of Florida,

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where hurricanes are very important, and up the

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eastern seaboard. The rest of the country, many

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of our listeners are going to think, oh, hurricanes,

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that's nice, that's sort of a novelty. We hear

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about that on the news when it gets real bad

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over there, where we would never live. Well,

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I lived in Los Angeles for 10 years, and I still

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talk about earthquakes, too. We'll talk about

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earthquakes at some point in the future, but

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it is hurricane season, and we wanted to do a

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little bit of hurricane prep. That's coming up.

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That's a little teaser preview for an upcoming

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show. Next episode. But it is something to consider

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that just as you would prepare for a major storm

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like that, you should also prepare for those

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unexpected health storms that may come along,

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like you may have to go to the hospital, and

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there may not be anyone there to take care of

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your animal. Now, I've got to switch from the

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animals at heart side of the mug to the guiding

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light side of the mug. Let's talk about people

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a little bit more. So if you have an individual

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who doesn't have someone that they trust to make

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medical decisions for them, a lot of people,

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another one of those common misconceptions in

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society, the doctors will decide what's best

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for me. Doctors can't do that. Really? A doctor

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cannot give permission for a procedure unless

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it is life -threatening and can be ruled as an

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emergency, but they have to show due diligence

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that they tried to contact someone to get consent.

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Consent is a big deal in the medical world. Now,

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there's an important question there. Is the consent

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generally something that they would look to the

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social worker to execute for them, or does the

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doctor go about calling for that consent? No.

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Well, the doctors make sure that the consent

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is done before they do the procedure. Okay. It's

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everyone's responsibility to make sure consent

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is in place. Because when you have a hospital

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setting especially, there are so many different

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layers that have to be passed through before

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you get to the doctor. You have the nurse. You

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have the case manager. You have the admissions

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person. You have the billing person who's trying

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to get insurance information. You have all of

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these different layers of people who have that

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opportunity. to put someone's name in the chart

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that can be contacted for decisions. But who

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actually does the contacting once that name is

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determined and is in the chart? So normally that

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would be done by either the case manager or the

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nurse or even the physician if it's something

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really pressing and nobody's been able to be

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contacted. I have seen doctors get on the phone

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to try to track somebody down. Well, and I know

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that you're particularly adept at tracking people

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down. There were times when you would come home

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from work and say, you know, someone came in,

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no one could identify them. The police were standing

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there. They couldn't identify them. They turned

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to me and I walked around the corner, came back

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a minute later and told them who the person was.

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That's amazing, those skills. But that's what

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a good social worker can do. Little tidbit, just

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not to get off topic, but if you go out to do

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any type of sporting activity, if you're just

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even mowing the grass in your yard, make sure

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you have some form of ID on you. Most of my John

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and Jane does that came into the trauma department

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were people that were out exercising and got

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injured. I had a very dear friend, a colleague,

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co -worker, who was an avid runner. And he collapsed

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one day in the middle of a run. And genuinely,

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generally, yes, he's a professional broadcaster.

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He can talk. Generally, when you're exercising,

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especially when you're running and concerned

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about weight, you don't carry a wallet with you.

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When you're working out at a gym, you're not

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going to have a lot of ID on you. And it is.

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Oftentimes, when you least expect it is when

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that's going to happen. Correct. And exercising,

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mowing the grass, working in the yard. Now, if

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you're at your home, it's relatively easy to

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track down who you are. But if you're out on

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a run, out on a bike ride, you fall off the bike,

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even with a helmet on, hit your head on the curb,

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and the next thing you know, some time may have

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passed and they may not know who you are. You're

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waking up in the hospital under the last name

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Doe. Yeah. Yeah. And when you least expect it,

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that can happen. And as we say so often in this

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conversation, that can happen at any age, in

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any physical condition. Men, women, children,

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anyone can wind up in a situation where your

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ID is needed. Correct. And it's important to

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have something on you with your name. and a phone

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number for an emergency contact. And while we're

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on the topic of emergency contacts, I just want

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to throw out one of my biggest pet peeves. I

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understand the need for it, but oh my goodness.

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So I cannot tell you how many times I talked

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to people who said, well, I have an emergency

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contact on the face screen of my phone. And I

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would pick up their phone, and it's locked. I

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can't get to that information. Yeah. And something

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that's so intuitive to us. We think, well, anybody

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can look at my face screen. No, they can't. And

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it's not fun when you have someone laying on

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a gurney in pain and you have the case manager

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saying, hold on that pain medication until I

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can get their security code. Right. Because you

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don't know what someone's allergic to. You don't

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know what... Their wishes are, what their next

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of kin might say. I have no information about

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them if I can't get into that phone. So if you

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are not able to know, to figure out how to put

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your emergency contact information on the lock

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screen itself, it can be done. I have it on mine.

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Find someone who can help you put it there, please,

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for your own sake. That is something you want

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done. You need to help me do that later. You

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don't have it on yours? No. Oh, my goodness.

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But if you're going out without your phone, it's

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important to have your name and a phone number.

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There's that light again. We need to fix the

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motion sensor light. We need to fix that. Keeps

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us on our toes. But, yes, it's important. Otherwise,

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people don't know who you are. They don't know

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who to contact. Yeah, that's fine if you have

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somebody to contact. But talking about people

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who don't have anybody, that can create a real

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dilemma. So what do you do? So what would happen?

00:14:22.679 --> 00:14:25.340
Well, what would you do as the professional needing

00:14:25.340 --> 00:14:29.279
that information, needing some contact? And what

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would you suggest that our viewers and our listeners

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do? So hypothetically, if someone went into the

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hospital who had no... decision maker then what

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the hospital case manager would do is reach out

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to a guardian ad litem okay or a lot of hospitals

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will have an attorney on file that is someone

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trusted to be a decision maker and they are basically

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acting as a health care surrogate So without

00:15:07.179 --> 00:15:11.000
having a health care surrogate or a, what's the

00:15:11.000 --> 00:15:14.759
other word for that, a health care attorney,

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well, I can't exactly think of the word for it.

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I had one. I actually served in that capacity

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for my mom, but it was so long ago, and I've

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tried to blank out so much of that experience.

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So those are actually advocates. A proxy. A proxy,

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that's the word I was trying to think of. So

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those proxies then serve as their decision makers.

00:15:39.299 --> 00:15:42.059
Correct. Now, what a lot of people don't know

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is if you are someone who does not have a decision

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maker, you can set up a proxy or a surrogate

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for yourself. You can actually, if you have an

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attorney, you can actually assign your attorney

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as your proxy. Okay. or you can have it set up

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with the courts. What I would recommend to anyone

00:16:08.669 --> 00:16:11.909
who does not have a medical decision maker that

00:16:11.909 --> 00:16:15.669
might need one at some point in the future, go

00:16:15.669 --> 00:16:19.590
see an elder law attorney and talk to them about

00:16:19.590 --> 00:16:25.169
getting a surrogate set up. Okay. That's great

00:16:25.169 --> 00:16:28.289
advice. And there is another term for it, and

00:16:28.289 --> 00:16:33.679
I'm trying to think of it. Yeah, well, we'll

00:16:33.679 --> 00:16:36.980
put it in the comments later, of course. And

00:16:36.980 --> 00:16:39.379
we actually want to have an elder law attorney

00:16:39.379 --> 00:16:43.039
as a guest on the show in one of our upcoming

00:16:43.039 --> 00:16:46.639
episodes because their expertise far exceeds

00:16:46.639 --> 00:16:50.600
ours in so many of these nuanced situations where

00:16:50.600 --> 00:16:54.320
legal advice is needed. And again, this is a

00:16:54.320 --> 00:16:57.899
highly personal choice. And no conversation that

00:16:57.899 --> 00:17:00.360
we have on the Light Keepers podcast should ever

00:17:00.360 --> 00:17:03.240
take the place of your own medical care team

00:17:03.240 --> 00:17:05.799
or other professional advisor like a health care

00:17:05.799 --> 00:17:08.980
surrogate or an attorney. or even a financial

00:17:08.980 --> 00:17:12.420
advisor like an accountant who knows your specific

00:17:12.420 --> 00:17:15.980
needs and your unique situation and should be

00:17:15.980 --> 00:17:19.579
consulted on those needs because the conversation

00:17:19.579 --> 00:17:21.500
that we have here on the Light Keepers podcast

00:17:21.500 --> 00:17:24.220
is just to get your thinking. It's just to get

00:17:24.220 --> 00:17:26.619
the topics out there and make you think, hey,

00:17:26.660 --> 00:17:28.740
maybe I need to talk to my doctor about that.

00:17:29.339 --> 00:17:31.039
We all need good information to help make the

00:17:31.039 --> 00:17:34.099
most informed decisions to live life on our own

00:17:34.099 --> 00:17:36.700
terms. The conversation is to start you thinking

00:17:36.700 --> 00:17:38.700
because most people are not prepared at all.

00:17:39.160 --> 00:17:41.480
Some are very well prepared indeed because they

00:17:41.480 --> 00:17:44.319
join us right here on the Light Keepers podcast

00:17:44.319 --> 00:17:49.829
every Wednesday evening at 7 p .m. Eastern. The

00:17:49.829 --> 00:17:52.250
Light Keepers Podcast is an exclusive production

00:17:52.250 --> 00:17:55.250
of Vanimation Studios and The Guiding Light and

00:17:55.250 --> 00:17:58.569
is found on all audio RSS podcast feeds and also

00:17:58.569 --> 00:18:02.250
on YouTube. Yes, you are. This is our little

00:18:02.250 --> 00:18:04.529
foster kitten that is with us from the Jacksonville

00:18:04.529 --> 00:18:08.109
Humane Society. This is Nugget. And Nugget will

00:18:08.109 --> 00:18:10.890
be available for adoption soon. Right now he

00:18:10.890 --> 00:18:15.299
is waiting until he's big enough to... to be

00:18:15.299 --> 00:18:18.420
neutered, and so he is staying with us temporarily,

00:18:18.680 --> 00:18:21.579
and we have thoroughly enjoyed having him here.

00:18:21.680 --> 00:18:24.519
He's such a sweetheart. And for all of you who

00:18:24.519 --> 00:18:27.460
are listening on the audio feed, this is a tiny

00:18:27.460 --> 00:18:29.779
little, barely bigger than a handful kitten.

00:18:30.589 --> 00:18:32.950
That was just fairly newborn when he came to

00:18:32.950 --> 00:18:37.609
us. And, yep, there he is. He is mostly white,

00:18:37.670 --> 00:18:41.329
a little bit of yellow tabby. He's an orange

00:18:41.329 --> 00:18:45.049
tabby torty. Yeah, an orange tabby torty. And

00:18:45.049 --> 00:18:50.650
very, very cute and bright and steals the show

00:18:50.650 --> 00:18:53.289
any time he gets in front of the camera. So,

00:18:53.289 --> 00:18:59.079
speaking of stealing the show. If you would like

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to help us with theguidinglight .org and make

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a tax -deductible contribution, the address is

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right below us here on the screen. And we're

00:19:08.220 --> 00:19:10.420
so grateful for that support. Speaking of that,

00:19:10.460 --> 00:19:12.880
hit the like and subscribe buttons. It is free,

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so you'll catch every single episode and every

00:19:16.440 --> 00:19:20.519
moment of the cleaning that Charlene is getting

00:19:20.519 --> 00:19:23.119
right now from our little... Little kitten. Yes,

00:19:23.160 --> 00:19:25.700
he's going to attack. He's slowing down. He's

00:19:25.700 --> 00:19:29.259
getting ready for nap time. So you'll catch every

00:19:29.259 --> 00:19:32.500
single episode. And I'm Clayton Vandiver, your

00:19:32.500 --> 00:19:35.220
light keeper. We'll see you next time.
