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Welcome to Beyond the Petri Dish, a podcast where we dive deep into the captivating realm

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of clinical laboratory medicine and explore the impacts of our work beyond the lab bench.

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Join our hosts, Aaron Odegaard, a veteran laboratory scientist and aspiring stage actor with a

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heart of gold, Heather Nutting, an experienced clinical microbiologist with a wealth of knowledge

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and not so subpar human, and Kyle Magee, scientist, scholar, inventor, and Skeeter's dad, as we

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uncover hidden stories from the lab, discuss the latest innovations within the field, and

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connect the dots between our work and the broader world of healthcare.

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In this episode, we discuss an ethical dilemma in healthcare, recent CMS changes, and share

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some infection control stories.

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Just remember that the thoughts, views, and opinions expressed in this podcast are solely

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those of the hosts and do not represent our employers, organizations, committees, or other

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entities.

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Whether you're a fellow lab professional, a healthcare enthusiast, or simply curious

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about the science behind the scenes, there's something here for everyone.

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So join us as we journey beyond, beyond the Petri dish.

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Okay, are we ready for Erin's joke?

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Okay, how much room do you give a fungus?

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How much?

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As much room as possible.

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Mushroom?

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Okay.

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You really hyped that one up.

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I did.

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I did.

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The students really like that one.

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I'll keep it for my students.

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Yeah, it's pretty entertaining.

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So topics.

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Okay, I'll go.

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What you got?

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I'll go.

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I'll go.

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Okay, so.

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Surprise!

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I like to bring up controversial topics.

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You guys ready for a little controversial topic?

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It's not like insanely controversial, but there's controversy.

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Controversy?

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I don't know.

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Can Kyle hear?

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I don't think he can hear.

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He's back.

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Oh, Kyle.

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I'm bringing a little bit of a controversial topic to the table.

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Contravisty here.

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You guys ready for it?

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Okay, what's the topic?

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So recently in the news or social media, let's be honest, it's not the news.

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Does anybody watch the news anymore?

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In social media recently, there's been a lot of conversation and keep in mind this is related

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to the medical field, but not quite labs.

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Bear with me.

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There's been a lot of discussion about a recent flight where there was a doctor on board the

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flight and as they often do, actually not that often, only twice in my life.

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One time actually just like 48 hours ago, an announcement came over the PA.

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Is there a medical professional on board?

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We have a medical emergency on the plane.

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So I guess this fella had been hanging out at the airport lounge prior to boarding and

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you know, he was probably in, I guess, upgraded little situation.

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So he was enjoying a couple drinks on the flight.

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But I guess in doing so, he had shared with him or shared with the people next to him

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that he was in fact, a doctor.

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And I remember what type of doctor but the type of doctor that people would assume would

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be able to assist in said medical emergency.

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And when they called over the PA, he did not get up.

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He did not assist.

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And the people next to him that were aware of the situation were really, really upset

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by his unwillingness to get up and assist.

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And there has been a lot of back and forth conversations about this topic on whether

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or not they feel he should have assisted or whether he was within his rights to have refused

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to assist.

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So I kind of want you guys to take on the situation.

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Why did he refuse?

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Is there a story there?

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Did you not hear the beginning of the story?

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No, I stepped away.

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He stepped away.

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So are you sure that he was a medical doctor that could have helped?

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It's not like it's like a gastroenterologist surgeon or a pathologist who can diagnose

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cancer but...

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He self admits after the fact that he could have helped in a different circumstance.

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Could have helped.

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He had the skills, training and knowledge to assist in a medical emergency.

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Yes.

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He had been drinking?

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Yes.

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Oh, that's why he didn't?

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Yes.

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Because even if he would have saved their life, they might have sued him.

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Or if something went wrong.

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Somebody smelled alcohol, the people next to him saw him drinking.

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It's a tough position to be in.

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I do understand that, but...

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Did the person make it through in the end?

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I mean, I believe so.

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I don't know those details.

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A lot of the times a medical emergency in flight is often not a life or death situation.

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More likely than not, it is usually not life threatening.

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Plus, some added color to the situation.

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I don't know if you guys are aware, but flight attendants have a medical emergency number

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that if they can't get assistance from a passenger, they can call this number and they can be

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guided through with the supplies that they have on board exactly what needs to take place

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for them to administer care in the event that there isn't a medical professional on board

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that can help.

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Okay, so I'm going to put my quality compliance hat on.

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They have procedures and protocols in place.

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So I kind of understand where the doctor is coming from.

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They're, I mean, they have a process they can follow.

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They have a number they could call to do the necessary things that they needed.

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The training the flight attendants had should have been enough to hopefully keep the person

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fine.

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So I don't fault him because it could have gotten messy.

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He could have gotten hurt and if, and then the back and forth would be, well, you know,

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you should have just sat there.

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You'd been drinking.

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You should have just followed the procedures we had in place.

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So I can see why he just, he didn't want to do any, I mean, they take out not to do harm.

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So if you know you're in a condition where you're not at your best, where you've been

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drinking or something and you're not on the clock and you're not working, then your thing

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is not to do harm.

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So if he felt he was going to do harm to somebody, then it's in his right and it's probably good

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that he didn't help.

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Kyle, agree or disagree?

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I don't know.

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I'm torn on the subject.

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I guess, you know, it sounds like this wasn't life or death.

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So maybe that came into play with his assessment of the situation.

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Now what would you guys say if we remove the drinking component?

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He's sober.

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I'm going to stick with it.

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We've had cases where, like in our free San EDS where they're like demanding blood products

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for a patient without the pickup slip, without the process, just wanting the blood.

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Those processes are in place for a reason because those lab scientists were to give

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blood and a transfusion reaction were to happen and the patient was hurt even more.

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There's a process in place for a reason.

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So I mean, I'll stand by it.

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I wouldn't have gotten involved.

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That sounds heartless, but what if I did more harm?

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I think that it's interesting that you're only thinking about it from that perspective.

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If somebody on a plane threw an empty bag of chips on the ground, would we just expect

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that a garbage man that's on vacation would just pick it up because that's the profession

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that he chose?

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But I kind of feel like you have to in those situations in order to be effective, you have

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to take emotion out of it.

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Because it's easy.

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The guy's on vacation.

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He's expected to work just because the career path that he chose to take happened to present

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itself in a situation while he's on vacation.

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The garbage man's not going to pick up the empty bag of chips.

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Why do we expect the doctor to go and tend to the patient with the medical emergency?

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You're kind of helping me make my arguments so that...

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I know, but I just found it really interesting that you only viewed it from that perspective,

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like, from sort of a legal and risk standpoint.

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But I think that there is a human element here on both sides.

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Don't get me wrong, on both sides.

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There is a human element, but that's the trap of the dilemma that you presented to us.

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It's a no-win situation.

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I mean, probably if the patient was or the person was at a point where maybe you couldn't

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do anything or if you absolutely had to do something, I'm sure he would have got up and

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done something, but he probably was able...

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I don't know.

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I mean, that's what I was trying to get at is, you know, like, more context on the situation.

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Was it a very minor, you know, health crisis?

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But most of the time, we don't know that.

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There's just a call over the PA.

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And what if you're like, well, can you give me a little more color on the scenario before

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I make my decision?

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That's usually not an option.

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Like, attention airplane passengers, is there a medical doctor on board that has a specialty

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in seizures?

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Like, no, like, there's nothing specific.

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You either get up and help or you stay in your seat.

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You don't know that information.

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That information is not usually provided to you.

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And then my other question is, how many of you guys, if you were traveling with friends

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or family members that are not in the laboratory or medical profession, would have actually

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looked at you and expected you to get up because they know that you work in a field of medicine?

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How many?

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I feel like I know at least like two that would have been nudging me.

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And I'd be like, I cannot help this person unless you have like an incubator, auger plates

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and 24 to 48 hours.

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What do you want me to do?

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You want me to swab them?

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Exactly.

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But there's also this like widespread assumption, like everybody's like, will you look at this

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cut?

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Will you look at this?

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Yeah, I've had pathologists, friends that they have family members that look at them.

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Shouldn't you be doing something like, I'm a hemo-onc pathologist.

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I'm looking at slides or I can do a gross assessment of tissue.

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But yeah, no, my CPR skills are not up to par.

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Yeah.

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I had a friend that she was at the mall and she was in scrubs because she had just gotten

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off work.

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And someone ran up to her and said someone's having a medical emergency.

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Can you come help?

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And she's like, I'm not a nurse or a doctor.

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I can't help.

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Yeah.

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The first so this has happened to me twice on a plane.

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The first time I was wearing scrubs and I got the evil eye like you're saying nothing.

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No one actually said anything to me or gave me a nudge.

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But I had a lot of eyes on me, especially because I was in the exit row.

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So there's a lot of space there where people were starting to gather in the midst of this

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medical emergency and all eyes were on me.

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And I'm like, I'm a microbiologist.

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I cannot help this person.

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I can put on a band-aid, but I probably won't even do that well because I'm being honest.

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Yeah, I witnessed one too before.

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But I was surprised how many people did get up.

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Like there was a line in the aisle of people like trying to get to the person.

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There was already a doctor tending to them.

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He was like, guys, I've got this.

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You can go sit down.

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Nobody got up on this flight.

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So they had to defer not the flight that is causing this like social media sort of debate,

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but the most recent flight that I was on like just two days ago, nobody got up.

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So they did have to revert to their established protocols where they had to call somebody.

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The thing that amazed me the most is of course, when we landed, they were like, everybody,

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please stay in your seat when we get to the gate because we have to wait for emergency

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medical personnel to come on and get this person off, blah, blah, blah, blah.

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And I was actually sitting in row one.

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So we pull up to the gate and the little ding thing, the seatbelt light comes on as it does

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when you arrive at the gate.

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And I turned around and I looked because I was like, there's no way an entire plane full

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of people are going to comply with this request.

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There's just no way, especially knowing that none of them were now.

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Truly, it could have actually been that no one on the plane was a medical professional,

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but nobody was willing to help the person if they were, which in my opinion, I feel

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is fine.

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But the compliance with the request was actually astonishing.

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Nobody got up and normally nobody cares.

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Like when they're like, hey, some people have some short connections.

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Why don't you let them get up first?

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Blah, blah, blah, blah, blah.

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No, nobody listens.

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But everybody actually listened until one person with a short connection did get up

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and then the whole plane started to get up.

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But initially, everybody had to comply.

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Yeah.

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But once one person got up, everybody was like, screw the person with the medical emergency.

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They're probably fine.

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Yeah.

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Yeah.

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On the same topic.

246
00:14:59,400 --> 00:15:00,400
I did not hear that.

247
00:15:00,400 --> 00:15:01,400
You haven't heard that?

248
00:15:01,400 --> 00:15:02,400
Yep.

249
00:15:02,400 --> 00:15:06,600
Is there a video that went with it or was it just a no?

250
00:15:06,600 --> 00:15:07,600
No.

251
00:15:07,600 --> 00:15:17,880
But on a similar topic, one of the things you guys probably did hear about was the changes

252
00:15:17,880 --> 00:15:29,960
to the proposed edits that CMS was making to make it so that a nursing degree would

253
00:15:29,960 --> 00:15:34,080
be sufficient to perform testing in a high complexity lab.

254
00:15:34,080 --> 00:15:36,320
Now, this is something you guys probably heard about.

255
00:15:36,320 --> 00:15:37,320
No?

256
00:15:37,320 --> 00:15:38,320
Yeah, yeah, yeah.

257
00:15:38,320 --> 00:15:39,320
I know all about it.

258
00:15:39,320 --> 00:15:41,040
How do we feel about that?

259
00:15:41,040 --> 00:15:47,360
Well, so they, so from my understanding, Aaron, you probably know quite a bit about this too.

260
00:15:47,360 --> 00:15:55,160
They approved a degree, but they had to take additional pathways to do that.

261
00:15:55,160 --> 00:16:00,920
Is it that they can do high complexity, but not moderate complexity testing?

262
00:16:00,920 --> 00:16:02,400
It's the other way around.

263
00:16:02,400 --> 00:16:05,600
Yeah, it's the other way around.

264
00:16:05,600 --> 00:16:07,120
But they have to do more training.

265
00:16:07,120 --> 00:16:08,520
It's not as simple as just like...

266
00:16:08,520 --> 00:16:14,320
Yeah, no, because it's weird that the medical laboratory technicians, the MLTs, can do high

267
00:16:14,320 --> 00:16:20,200
complexity, but they can't do moderate complexity testing without supervision.

268
00:16:20,200 --> 00:16:21,200
It's really kind of weird.

269
00:16:21,200 --> 00:16:22,200
Oh, that is weird.

270
00:16:22,200 --> 00:16:28,080
Yeah, it took me a while to wrap my brain around that.

271
00:16:28,080 --> 00:16:34,120
And then to go off of that, the fact that the doctorate in clinical lab science, they're

272
00:16:34,120 --> 00:16:36,800
recognizing it as a lab director.

273
00:16:36,800 --> 00:16:37,800
It's a huge win.

274
00:16:37,800 --> 00:16:41,880
I mean, they recognize it, but the fellowships don't have to recognize it.

275
00:16:41,880 --> 00:16:43,640
Yeah, not yet.

276
00:16:43,640 --> 00:16:46,400
Baby steps, Kyle, baby steps.

277
00:16:46,400 --> 00:16:51,480
The people that control the reimbursement and the money, they recognize it.

278
00:16:51,480 --> 00:16:57,280
This particular topic is really near and dear to me and similar to Kyle's response about

279
00:16:57,280 --> 00:17:04,840
the doctor providing aid while inebriated on a flight to a potentially not severe medical

280
00:17:04,840 --> 00:17:08,040
emergency.

281
00:17:08,040 --> 00:17:12,760
So obviously, and I don't know, I think you guys know this, but maybe it hasn't come up

282
00:17:12,760 --> 00:17:16,240
on this podcast before.

283
00:17:16,240 --> 00:17:22,000
I don't have a degree in clinical laboratory science at all.

284
00:17:22,000 --> 00:17:28,600
And so there is a part of me that does sit on the fence about this topic, because what

285
00:17:28,600 --> 00:17:33,400
degree is required to go to nursing school?

286
00:17:33,400 --> 00:17:34,920
Anybody?

287
00:17:34,920 --> 00:17:42,320
So, so it's a bachelor's, so it's a bachelor's of nursing, a bachelor's in nursing.

288
00:17:42,320 --> 00:17:46,920
But what if you go to nursing school, like after the fact?

289
00:17:46,920 --> 00:17:49,560
Like what are the requirements to get into nursing school?

290
00:17:49,560 --> 00:17:54,360
I'd probably say it's a biological science degree because they do have fast track programs

291
00:17:54,360 --> 00:18:01,920
where you can do like an accelerated year on top of your your bachelor's or like 18 months

292
00:18:01,920 --> 00:18:02,920
or something.

293
00:18:02,920 --> 00:18:04,400
Do they even need that though?

294
00:18:04,400 --> 00:18:06,800
Don't they just need pre-reqs?

295
00:18:06,800 --> 00:18:08,320
The pre-reqs to do the program?

296
00:18:08,320 --> 00:18:12,880
But yeah, or the associates as well.

297
00:18:12,880 --> 00:18:14,720
Yeah.

298
00:18:14,720 --> 00:18:17,720
So my degree is in biology.

299
00:18:17,720 --> 00:18:22,880
But you probably did a program, right?

300
00:18:22,880 --> 00:18:32,840
So I started out as a Spanish major, and then I went to music performance for a little bit.

301
00:18:32,840 --> 00:18:35,360
On string bass.

302
00:18:35,360 --> 00:18:40,400
And then went to environmental biology and then went to biology after taking a micro

303
00:18:40,400 --> 00:18:41,400
class.

304
00:18:41,400 --> 00:18:48,400
So then I finished my degree in biology and got into a post-bac, like a hospital program

305
00:18:48,400 --> 00:18:57,000
that did like a four plus one situation where you did the year after you got your degree.

306
00:18:57,000 --> 00:19:00,240
So yeah, it took me a while to get here.

307
00:19:00,240 --> 00:19:04,680
But when you graduated, you were eligible to sit for an exam.

308
00:19:04,680 --> 00:19:05,680
No.

309
00:19:05,680 --> 00:19:08,720
So you took the education route.

310
00:19:08,720 --> 00:19:09,720
Well, I had to do...

311
00:19:09,720 --> 00:19:11,680
Or the experience route, I mean.

312
00:19:11,680 --> 00:19:16,640
So I had to get my degree, like I got my degree in biology, and then I had to do an additional

313
00:19:16,640 --> 00:19:21,600
year at a hospital-based program to sit for the test.

314
00:19:21,600 --> 00:19:23,760
But it was a formal program.

315
00:19:23,760 --> 00:19:26,800
It was a formal program, yeah.

316
00:19:26,800 --> 00:19:29,680
That has now reopened, excitingly enough.

317
00:19:29,680 --> 00:19:35,360
Yeah, I think all four of us have done three different pathways to get certification, but

318
00:19:35,360 --> 00:19:36,920
we all have certification.

319
00:19:36,920 --> 00:19:44,320
Yes, that is the difference that makes me put one leg onto one side of the fence.

320
00:19:44,320 --> 00:19:45,600
But correct me if I'm wrong.

321
00:19:45,600 --> 00:19:49,600
CMS is not saying that a nurse can just walk in and work in the lab.

322
00:19:49,600 --> 00:19:59,400
They're saying that a nursing degree is sufficient prerequisite for school, or am I wrong?

323
00:19:59,400 --> 00:20:00,400
For the change?

324
00:20:00,400 --> 00:20:06,360
Yeah, well, they're supposed to be making a pathway for them to essentially get more

325
00:20:06,360 --> 00:20:11,400
education to do this additional testing.

326
00:20:11,400 --> 00:20:16,240
Kind of in the same manner how we have our pathways to certification.

327
00:20:16,240 --> 00:20:28,760
Yeah, so I think I still lean much more heavily in the direction of it was a good decision.

328
00:20:28,760 --> 00:20:31,520
It was a win.

329
00:20:31,520 --> 00:20:38,840
But I think a lot of that stems from a conversation that I actually had over Christmas.

330
00:20:38,840 --> 00:20:42,040
And I've been sort of stewing over this.

331
00:20:42,040 --> 00:20:49,280
So I am going to release some of the frustration that I'm feeling by giving it to you guys

332
00:20:49,280 --> 00:20:52,900
because I have a feeling that you're going to feel as frustrated as I did at the time.

333
00:20:52,900 --> 00:20:59,160
So I am not going to mention who this person was, but it's someone close to me in my life

334
00:20:59,160 --> 00:21:01,840
that happens to be a nurse.

335
00:21:01,840 --> 00:21:06,680
And we're having a conversation at Christmas.

336
00:21:06,680 --> 00:21:14,000
I think that it started on the basis of how much of a paid discrepancy there is from an

337
00:21:14,000 --> 00:21:19,240
entry-level nurse to an entry-level clinical laboratory scientist.

338
00:21:19,240 --> 00:21:30,120
And I asked her the simple question of, true or false, the lab has an equal contribution,

339
00:21:30,120 --> 00:21:38,800
though a very different type of contribution, but an equal contribution to patient care

340
00:21:38,800 --> 00:21:42,560
as that of a nurse.

341
00:21:42,560 --> 00:21:45,720
Do you guys agree or disagree?

342
00:21:45,720 --> 00:21:50,360
I agree that equal, yes, but very different.

343
00:21:50,360 --> 00:22:00,240
A majority of what they're using for diagnosis is diagnostic testing.

344
00:22:00,240 --> 00:22:07,880
So whether it's imaging or laboratory, we do play a huge part as a part of the care

345
00:22:07,880 --> 00:22:09,640
team.

346
00:22:09,640 --> 00:22:12,120
So it's just how you look at it.

347
00:22:12,120 --> 00:22:15,840
We just impact differently with the testing we're doing.

348
00:22:15,840 --> 00:22:21,200
It's leading them to what the next step is.

349
00:22:21,200 --> 00:22:27,640
Nursing, they're taking care of a different aspect of the care.

350
00:22:27,640 --> 00:22:30,640
So I think we're all doing different aspects of the care.

351
00:22:30,640 --> 00:22:36,040
And when you're looking at it from the lens of I'm literally at the bedside versus in

352
00:22:36,040 --> 00:22:41,860
the laboratory or in radiology doing the imaging or the testing that's going to lead them further

353
00:22:41,860 --> 00:22:50,080
down the diagnosis, it's just kind of shifting the idea that multiple teams are part of the

354
00:22:50,080 --> 00:22:51,840
care team instead of...

355
00:22:51,840 --> 00:22:52,840
Yeah.

356
00:22:52,840 --> 00:23:02,160
I mean, I acknowledge wholeheartedly that a nurse has to handle the shitty part of that

357
00:23:02,160 --> 00:23:08,600
patient care, that they are right there doing the things that people who work in the lab

358
00:23:08,600 --> 00:23:10,960
will literally never have to do.

359
00:23:10,960 --> 00:23:14,560
I am not in any way downplaying that part.

360
00:23:14,560 --> 00:23:21,360
All I'm asking is, or saying, I guess, is I acknowledge that if every single nurse in

361
00:23:21,360 --> 00:23:29,080
a hospital did not show up on a particular day, that patient care is not going to be

362
00:23:29,080 --> 00:23:30,080
stellar.

363
00:23:30,080 --> 00:23:32,600
It's not going to be stellar that day at all.

364
00:23:32,600 --> 00:23:36,920
It's probably not going to happen, right?

365
00:23:36,920 --> 00:23:44,400
But if the lab closed for the day, do we not agree that the impact would probably be the

366
00:23:44,400 --> 00:23:45,400
same?

367
00:23:45,400 --> 00:23:53,480
If there was no lab, no results, no nothing, that we equally contribute to patient care,

368
00:23:53,480 --> 00:24:01,380
albeit in wildly different ways, that there are pros and cons of if you ask anyone on

369
00:24:01,380 --> 00:24:02,380
either side.

370
00:24:02,380 --> 00:24:03,380
True?

371
00:24:03,380 --> 00:24:10,000
Yeah, I would agree that if you take away any part of the team, the outcome's not good

372
00:24:10,000 --> 00:24:11,480
and it falls apart.

373
00:24:11,480 --> 00:24:22,560
Well, this person, very straight face, looked me in the eye and said, no, the lab does not.

374
00:24:22,560 --> 00:24:25,920
The lab hardly contributes to patient care.

375
00:24:25,920 --> 00:24:26,920
That's unfortunate.

376
00:24:26,920 --> 00:24:32,840
I've been stewing over this since it happened.

377
00:24:32,840 --> 00:24:36,480
So I would have countered that a little bit with them.

378
00:24:36,480 --> 00:24:42,360
So when you're calling me for that critical or that specimen, so it doesn't matter?

379
00:24:42,360 --> 00:24:43,360
Yeah.

380
00:24:43,360 --> 00:24:44,840
Well, full circle back.

381
00:24:44,840 --> 00:24:49,240
Are you in bad shape about the fact that your collection wasn't that great?

382
00:24:49,240 --> 00:24:50,760
So now I'm telling you it's clotted.

383
00:24:50,760 --> 00:24:52,640
Well, like I said, it doesn't matter then.

384
00:24:52,640 --> 00:24:54,560
So why are you getting so upset?

385
00:24:54,560 --> 00:24:56,720
Full circle back to the original conversation.

386
00:24:56,720 --> 00:25:01,080
We'd been drinking, so I just decided to drop it there.

387
00:25:01,080 --> 00:25:03,840
Yeah, I probably do that too.

388
00:25:03,840 --> 00:25:09,400
I was like, yeah, this is a little sensitive, a little Sally sensitive situation happening

389
00:25:09,400 --> 00:25:10,400
here.

390
00:25:10,400 --> 00:25:18,040
No, your CMS thing you brought up, I kind of, I'm okay with the fact that they're saying

391
00:25:18,040 --> 00:25:23,080
that it's not equivalent to be a lab director and they have to do additional work.

392
00:25:23,080 --> 00:25:26,720
Because if you give anyone additional work and they're already overworked, they're not

393
00:25:26,720 --> 00:25:32,840
going to do the 20 extra steps to be the lab director when they're like, wow, I've taken

394
00:25:32,840 --> 00:25:36,960
four new classes and I'm already doing 12 hour shifts and I'm exhausted and we're short

395
00:25:36,960 --> 00:25:37,960
staff.

396
00:25:37,960 --> 00:25:40,760
So it'll weed out the people that aren't serious is what you're saying.

397
00:25:40,760 --> 00:25:41,760
Yeah.

398
00:25:41,760 --> 00:25:44,760
And most nurses, when you tell them that, at least I've talked to like, I don't want to

399
00:25:44,760 --> 00:25:45,760
do the lab work.

400
00:25:45,760 --> 00:25:46,760
I'm tired enough.

401
00:25:46,760 --> 00:25:49,760
Who the hell wants me to do the lab work?

402
00:25:49,760 --> 00:25:52,360
They want to give me more stuff to do.

403
00:25:52,360 --> 00:25:54,200
Let's be realistic.

404
00:25:54,200 --> 00:25:57,280
One nurse wants to do more laboratory work.

405
00:25:57,280 --> 00:26:03,120
Apparently enough that it became like a pretty hot topic of conversation.

406
00:26:03,120 --> 00:26:07,080
Well, I think they just want them to be able to do point of care testing.

407
00:26:07,080 --> 00:26:08,080
Is that the general idea?

408
00:26:08,080 --> 00:26:09,080
But they can.

409
00:26:09,080 --> 00:26:15,680
Like literally, anybody can do point of care testing.

410
00:26:15,680 --> 00:26:19,680
We're probably only just a few years out before the patient can do it at his own bedside.

411
00:26:19,680 --> 00:26:25,480
I mean, I guess the idea is that if you're like in a rural area where you don't have

412
00:26:25,480 --> 00:26:31,360
too many lab professionals and it's maybe all you do is have that nursing component

413
00:26:31,360 --> 00:26:38,360
there that maybe they can do the testing to solve the work for a shortage, but it's detrimental.

414
00:26:38,360 --> 00:26:44,040
Like there's not one in the like amongst nurses right now, like what there's just like a bunch

415
00:26:44,040 --> 00:26:45,440
of them sitting around doing nothing.

416
00:26:45,440 --> 00:26:46,440
Yeah, I know.

417
00:26:46,440 --> 00:26:50,520
I feel like with nursing, it's kind of the, oh, just have the nurse do it.

418
00:26:50,520 --> 00:26:51,520
Just have the nurse do it.

419
00:26:51,520 --> 00:26:52,520
It's kind of like a dumping ground.

420
00:26:52,520 --> 00:26:54,880
Okay, they can do it.

421
00:26:54,880 --> 00:26:56,120
True.

422
00:26:56,120 --> 00:26:57,440
Yeah.

423
00:26:57,440 --> 00:27:04,040
So I guess to build off of the excitement of the plane.

424
00:27:04,040 --> 00:27:05,040
Plane straights and automobiles?

425
00:27:05,040 --> 00:27:06,040
Automobiles, yeah.

426
00:27:06,040 --> 00:27:12,560
But we all seen like contagion and outbreak movies where it spreads rapidly and people

427
00:27:12,560 --> 00:27:13,560
panic.

428
00:27:13,560 --> 00:27:18,720
Have you guys ever wondered how that whole process works?

429
00:27:18,720 --> 00:27:26,440
Like I ended up seeing that there was a recent outbreak of salmonella off of charcuterie

430
00:27:26,440 --> 00:27:27,440
boards.

431
00:27:27,440 --> 00:27:34,760
So off the like the meats and the stuff or like the little fancy charcuterie boards.

432
00:27:34,760 --> 00:27:36,240
Makes sense.

433
00:27:36,240 --> 00:27:40,560
So apparently, just to catch everyone up on the-

434
00:27:40,560 --> 00:27:45,720
Apparently, if you leave meat and cheese to sit out at room temperature and multiple people

435
00:27:45,720 --> 00:27:50,440
stick their grubby paws into it and put it in their mouth, someone might get sick.

436
00:27:50,440 --> 00:27:51,720
That's a listeria moment.

437
00:27:51,720 --> 00:27:52,720
Thank you.

438
00:27:52,720 --> 00:27:53,720
Yeah.

439
00:27:53,720 --> 00:27:58,560
There were no pregnant people harmed in this scenario.

440
00:27:58,560 --> 00:28:04,440
But on these charcuterie boards, it was reported out on the 5th of January by the Minnesota

441
00:28:04,440 --> 00:28:05,440
Health Department.

442
00:28:05,440 --> 00:28:13,840
So this one company had recalled 11,000 pounds of ready to eat charcuterie meat products

443
00:28:13,840 --> 00:28:16,200
and they were shipped throughout the country.

444
00:28:16,200 --> 00:28:21,240
So Georgia and Indiana and North Carolina and Oklahoma and Texas.

445
00:28:21,240 --> 00:28:26,760
He says throughout the country and you mentioned a cluster of states that are kind of close

446
00:28:26,760 --> 00:28:27,760
to each other.

447
00:28:27,760 --> 00:28:28,760
Yes.

448
00:28:28,760 --> 00:28:31,400
The home of- Yes.

449
00:28:31,400 --> 00:28:35,680
So the question is, do you guys have any memorable outbreaks?

450
00:28:35,680 --> 00:28:37,960
Something that you've helped with?

451
00:28:37,960 --> 00:28:42,320
Like the fact that the lab does play a role or do you think we do play a role?

452
00:28:42,320 --> 00:28:44,120
COVID-19 comes to mind.

453
00:28:44,120 --> 00:28:45,120
Okay.

454
00:28:45,120 --> 00:28:47,120
Besides the obvious global pandemic.

455
00:28:47,120 --> 00:28:51,000
Thanks, Heather.

456
00:28:51,000 --> 00:28:53,800
Let me add- Let me make a quick comment on that.

457
00:28:53,800 --> 00:28:58,200
So what you're telling me is next time I get upgraded to first class, I should not get

458
00:28:58,200 --> 00:29:01,120
the charcuterie board for my meal.

459
00:29:01,120 --> 00:29:02,800
Do not get the charcuterie.

460
00:29:02,800 --> 00:29:07,600
And I actually just had wine with a bunch of friends on Monday and we were snacking on

461
00:29:07,600 --> 00:29:08,680
a charcuterie board.

462
00:29:08,680 --> 00:29:11,400
So that's why I was like, hmm.

463
00:29:11,400 --> 00:29:13,600
I love charcuterie boards.

464
00:29:13,600 --> 00:29:14,600
I don't.

465
00:29:14,600 --> 00:29:15,600
I don't like that meat.

466
00:29:15,600 --> 00:29:20,280
That's not the kind of meat that I like.

467
00:29:20,280 --> 00:29:23,760
Don't like some fudu, some salami.

468
00:29:23,760 --> 00:29:24,760
It's very fancy.

469
00:29:24,760 --> 00:29:25,760
No.

470
00:29:25,760 --> 00:29:28,680
Some nice assorted sticky cheeses.

471
00:29:28,680 --> 00:29:29,680
The cheese, yes.

472
00:29:29,680 --> 00:29:32,880
Not the meat.

473
00:29:32,880 --> 00:29:35,400
It just looks like you shouldn't eat it.

474
00:29:35,400 --> 00:29:36,400
Much less the texture.

475
00:29:36,400 --> 00:29:37,400
It's a problem.

476
00:29:37,400 --> 00:29:38,400
Yeah.

477
00:29:38,400 --> 00:29:42,560
Well, so I've got a couple outbreak cases I've been a part of.

478
00:29:42,560 --> 00:29:44,720
Do you have a favorite or a crazy one?

479
00:29:44,720 --> 00:29:47,480
There was a- This wasn't like a major outbreak.

480
00:29:47,480 --> 00:29:49,520
I loved this outbreak.

481
00:29:49,520 --> 00:29:51,880
This wasn't a major outbreak.

482
00:29:51,880 --> 00:29:56,280
This was a small handful of Vibrio cholera cases that we saw.

483
00:29:56,280 --> 00:30:02,360
And they were able to track it back to the same restaurant amongst this small handful

484
00:30:02,360 --> 00:30:05,880
of patients and they all ate the same meal.

485
00:30:05,880 --> 00:30:08,240
Of course, it was raw oysters.

486
00:30:08,240 --> 00:30:16,440
I was going to say- And then they tracked- I talked to the person at the Department of

487
00:30:16,440 --> 00:30:17,720
Health, like what do they do?

488
00:30:17,720 --> 00:30:21,520
And apparently they track the- I guess the oysters have lots.

489
00:30:21,520 --> 00:30:26,400
They track the lots of oysters back to where they originated and have that originating

490
00:30:26,400 --> 00:30:29,880
site remove those oysters from rotation.

491
00:30:29,880 --> 00:30:30,880
Yeah.

492
00:30:30,880 --> 00:30:31,880
Yeah.

493
00:30:31,880 --> 00:30:38,680
So I went to a trade show a few months ago and there was an entire session on how CDC

494
00:30:38,680 --> 00:30:41,640
investigates outbreaks.

495
00:30:41,640 --> 00:30:47,400
And it happens exactly how I pictured it, which is surprising because every time I picture

496
00:30:47,400 --> 00:30:53,320
something, it's always some wild exaggeration of what's actually taking place.

497
00:30:53,320 --> 00:31:02,140
But exactly how I envisioned it seems to be pretty spot on and it's super interesting.

498
00:31:02,140 --> 00:31:08,800
It's almost like when we get a QC failure and we have to trace back the lot, it's similar

499
00:31:08,800 --> 00:31:11,200
to that, but they go- There's a human element.

500
00:31:11,200 --> 00:31:17,960
They go and interview everybody and then in this particular scenario that they were talking

501
00:31:17,960 --> 00:31:25,160
about, they were interviewing people and there was one commonality and everybody they interviewed

502
00:31:25,160 --> 00:31:26,160
and it was meat.

503
00:31:26,160 --> 00:31:27,640
And they're like, this has got to be it.

504
00:31:27,640 --> 00:31:29,680
We're going to go talk to this next person.

505
00:31:29,680 --> 00:31:30,680
Must be the meats.

506
00:31:30,680 --> 00:31:32,400
It's got to be the meats.

507
00:31:32,400 --> 00:31:34,840
And then one person was like, we don't eat meat.

508
00:31:34,840 --> 00:31:37,360
That made me think of the Arby's commercial.

509
00:31:37,360 --> 00:31:40,280
It's in the meat.

510
00:31:40,280 --> 00:31:47,160
But this one person was like, yeah, now we're completely vegan household.

511
00:31:47,160 --> 00:31:50,520
No one in this home eats meat.

512
00:31:50,520 --> 00:31:55,600
And they had to reset their entire investigation all the way back to the beginning.

513
00:31:55,600 --> 00:32:01,200
And it was just happenstance that all of these people had consumed the same meat and it had

514
00:32:01,200 --> 00:32:03,240
nothing to do with the meat.

515
00:32:03,240 --> 00:32:04,480
Could have been the tofu.

516
00:32:04,480 --> 00:32:09,200
But do you feel like people realize how much work goes into it?

517
00:32:09,200 --> 00:32:10,600
I don't think so.

518
00:32:10,600 --> 00:32:12,480
I don't think so.

519
00:32:12,480 --> 00:32:15,960
I believe there's probably a ton of work.

520
00:32:15,960 --> 00:32:17,560
They rescued an animal though.

521
00:32:17,560 --> 00:32:23,720
I don't remember the type of animal, but it was something where, oh no, it had to do with

522
00:32:23,720 --> 00:32:24,720
cows.

523
00:32:24,720 --> 00:32:30,120
Did you guys know that there are four, I think it's four segments or quadrants in a cow's

524
00:32:30,120 --> 00:32:32,360
udders?

525
00:32:32,360 --> 00:32:36,320
And all four of them are completely segmented from each other.

526
00:32:36,320 --> 00:32:38,540
Like they don't interchange.

527
00:32:38,540 --> 00:32:47,160
So you could legitimately do an investigation tracing back contaminated milk and it would

528
00:32:47,160 --> 00:32:53,680
be from like utter A, but the C and D are fine.

529
00:32:53,680 --> 00:32:55,440
How crazy is that?

530
00:32:55,440 --> 00:32:56,440
Utter contamination?

531
00:32:56,440 --> 00:32:57,440
It is utter contamination.

532
00:32:57,440 --> 00:32:58,440
No.

533
00:32:58,440 --> 00:33:03,120
But it was something like there was a very pan resistant, and I wish I could remember

534
00:33:03,120 --> 00:33:06,640
the organism now, but it was something that's very pan resistant.

535
00:33:06,640 --> 00:33:13,280
But all of the milk from the other udders, they were able to recover this organism, but

536
00:33:13,280 --> 00:33:18,040
it was completely pan susceptible that it was only problematic when it was milk from

537
00:33:18,040 --> 00:33:20,320
that particular utter.

538
00:33:20,320 --> 00:33:24,720
So it became of like massive interest to the CDC, I guess.

539
00:33:24,720 --> 00:33:28,120
And so they went and like visited this cow and they did all of these studies on this

540
00:33:28,120 --> 00:33:29,120
cow.

541
00:33:29,120 --> 00:33:35,040
And after they were done, they found out the cow was going to be euthanized and the CDC

542
00:33:35,040 --> 00:33:39,520
bought the cow so that it wouldn't be euthanized because they found they felt like it was like

543
00:33:39,520 --> 00:33:41,200
a scientific phenomenon.

544
00:33:41,200 --> 00:33:45,520
They go and they buy this cow and like bring it back to Georgia so they can continue to

545
00:33:45,520 --> 00:33:47,240
study it.

546
00:33:47,240 --> 00:33:51,440
So you're saying in some cases it's okay to cry over spilt milk?

547
00:33:51,440 --> 00:33:52,640
Yeah, yeah.

548
00:33:52,640 --> 00:33:56,800
The CDC cried when it was appropriate and I was like, this is the coolest story I've

549
00:33:56,800 --> 00:33:57,800
ever heard.

550
00:33:57,800 --> 00:34:02,480
See in my head, I thought that the infection control measure there would have been just

551
00:34:02,480 --> 00:34:05,280
taping off the utter.

552
00:34:05,280 --> 00:34:10,080
This utter is no longer in use.

553
00:34:10,080 --> 00:34:12,080
A picture looking out of order.

554
00:34:12,080 --> 00:34:13,320
Use these first.

555
00:34:13,320 --> 00:34:14,320
Use these first.

556
00:34:14,320 --> 00:34:15,320
For your ice cream.

557
00:34:15,320 --> 00:34:16,320
No, no, no.

558
00:34:16,320 --> 00:34:21,320
Slap a biohazard sticker on the utter.

559
00:34:21,320 --> 00:34:23,320
I've just been kind of thinking about that.

560
00:34:23,320 --> 00:34:29,840
Yeah, CDC has like a nice little outbreak website, but then they also show like an informative

561
00:34:29,840 --> 00:34:36,080
video that shows about how from when we call like an organism in the lab, then it goes

562
00:34:36,080 --> 00:34:43,560
to the state and they do like sequencing on it and then that's sent up to CDC to compare,

563
00:34:43,560 --> 00:34:46,100
see if it's compares to any other ones.

564
00:34:46,100 --> 00:34:51,720
So just the amount of time it takes before like from the point where you get sick and

565
00:34:51,720 --> 00:34:54,320
you're treated to when they actually pinpoint the outbreak.

566
00:34:54,320 --> 00:34:59,080
I just as a lab professional, I lose track of the fact that, you know, it's all those

567
00:34:59,080 --> 00:35:06,680
extra steps just to make sure that you can pinpoint it down to the out of order utter.

568
00:35:06,680 --> 00:35:08,680
And I guess this one was particularly problematic.

569
00:35:08,680 --> 00:35:16,600
No, this one was particularly problematic because it came from unpasteurized milk, which

570
00:35:16,600 --> 00:35:17,800
is illegal.

571
00:35:17,800 --> 00:35:24,640
And so like similar to I don't know if you guys know this, but similar to like like little

572
00:35:24,640 --> 00:35:34,520
drug, like situations around our country and outside of our country, you know, like the

573
00:35:34,520 --> 00:35:40,440
mafia, the mob, like keep it in the culture, keep it in the culture.

574
00:35:40,440 --> 00:35:48,200
So the this is like an unpasteurized milk distribution group that's like completely

575
00:35:48,200 --> 00:35:49,480
underground.

576
00:35:49,480 --> 00:35:55,400
And so when people started to get sick at first, they wouldn't reveal their source.

577
00:35:55,400 --> 00:35:58,600
They're like, no, no, no.

578
00:35:58,600 --> 00:36:02,600
Like they were like, no, like clinging to life.

579
00:36:02,600 --> 00:36:06,720
And still they were like, no, I'll never reveal my source.

580
00:36:06,720 --> 00:36:11,600
Like I guess the consequences of that would have been worse than what they were experiencing.

581
00:36:11,600 --> 00:36:18,800
But that's why the investigation just stalled because they they admitted to consuming unpasteurized

582
00:36:18,800 --> 00:36:23,920
milk, as did everyone in the investigation for this particular outbreak.

583
00:36:23,920 --> 00:36:29,520
But they it just last for like a year or more because no one was willing to give up their

584
00:36:29,520 --> 00:36:33,040
like underground source for unpasteurized milk.

585
00:36:33,040 --> 00:36:37,360
I had like chocolate cookies and milk planned out for after this.

586
00:36:37,360 --> 00:36:39,760
But I'm rethinking that a little bit.

587
00:36:39,760 --> 00:36:44,680
Yeah, I guess it's a pretty hot thing like up in New York, potentially.

588
00:36:44,680 --> 00:36:50,720
I believe that's the state that was referenced, that it was like this underground New York

589
00:36:50,720 --> 00:36:56,920
distribution center for unpasteurized milk and nobody was willing to give up the source.

590
00:36:56,920 --> 00:37:02,120
And then finally, somebody was like, it's this place with this cow and this utter.

591
00:37:02,120 --> 00:37:05,980
So imagine how long that investigation took, Erin, you think just a standard one where

592
00:37:05,980 --> 00:37:10,040
people are willing to say everything they ate in the last like two weeks.

593
00:37:10,040 --> 00:37:13,920
And now this person's like, I know what the problem is, but I'm not going to tell you

594
00:37:13,920 --> 00:37:14,920
where I got it from.

595
00:37:14,920 --> 00:37:20,600
I pictured like a criminal lineup of cows is number one, two, three, four.

596
00:37:20,600 --> 00:37:23,200
I think it's number four.

597
00:37:23,200 --> 00:37:24,200
Number four, please step forward.

598
00:37:24,200 --> 00:37:25,200
Please step forward.

599
00:37:25,200 --> 00:37:26,200
That's racist right there.

600
00:37:26,200 --> 00:37:27,200
It sounds like a commercial of some kind.

601
00:37:27,200 --> 00:37:28,200
I love that.

602
00:37:28,200 --> 00:37:29,200
I love chicken.

603
00:37:29,200 --> 00:37:30,920
I'm trying to help you.

604
00:37:30,920 --> 00:37:43,040
So on the same subject, I'm trying to help you.

605
00:37:43,040 --> 00:37:48,080
On the same subject, do you guys know about the Vibrio cholera story?

606
00:37:48,080 --> 00:37:53,880
That's like the foundation for modern epidemiology in London back in the 1800s.

607
00:37:53,880 --> 00:37:56,240
You know what story I'm talking about?

608
00:37:56,240 --> 00:38:00,680
It sounds familiar, but why don't you give us a rundown?

609
00:38:00,680 --> 00:38:05,920
The only reason the story is even told is because we talked about it and class last

610
00:38:05,920 --> 00:38:06,920
week.

611
00:38:06,920 --> 00:38:17,840
Um, but Dr. John Snow, not to be confused with John Snow from Game of Thrones, was a

612
00:38:17,840 --> 00:38:22,680
physician that was investigating an 1854 cholera outbreak.

613
00:38:22,680 --> 00:38:27,760
And he knew that, oh, suspected that cholera was probably waterborne.

614
00:38:27,760 --> 00:38:32,120
And this is still around the same time where the miasma theory was still kind of running

615
00:38:32,120 --> 00:38:33,120
rampant.

616
00:38:33,120 --> 00:38:34,120
Do you guys know the miasma theory?

617
00:38:34,120 --> 00:38:38,320
Is this the guy that infected himself?

618
00:38:38,320 --> 00:38:40,880
No, no, that's the H. Pylori.

619
00:38:40,880 --> 00:38:47,080
But the miasma theory was this theory that people got sick because of just bad air, that

620
00:38:47,080 --> 00:38:54,760
illness was in the air and you had to purify the air to prevent further illness.

621
00:38:54,760 --> 00:38:55,760
That's why you-

622
00:38:55,760 --> 00:39:00,120
We've also come full circle on that, huh?

623
00:39:00,120 --> 00:39:07,520
You ever seen the doc, like those like old school doctor masks with the long nose?

624
00:39:07,520 --> 00:39:11,320
They would wear that because they would stick incense in these long noses and the incense

625
00:39:11,320 --> 00:39:16,780
would purify the air when they would be seeing these patients because they believe that these

626
00:39:16,780 --> 00:39:19,760
ill patients, you know, could give off bad air.

627
00:39:19,760 --> 00:39:22,600
I mean, they were onto something, right?

628
00:39:22,600 --> 00:39:27,080
You know, you kind of look like COVID, but you know, obviously it wasn't bad air.

629
00:39:27,080 --> 00:39:28,080
It was microorganisms.

630
00:39:28,080 --> 00:39:29,080
Okay.

631
00:39:29,080 --> 00:39:32,000
So, we'll keep leading us down that road.

632
00:39:32,000 --> 00:39:33,840
So, what do we use now, Kyle?

633
00:39:33,840 --> 00:39:36,040
So there's a big cholera outbreak in the Soho district.

634
00:39:36,040 --> 00:39:37,040
It's ineffective, Aaron.

635
00:39:37,040 --> 00:39:39,240
What we use now is ineffective.

636
00:39:39,240 --> 00:39:43,200
Big outbreak in the Soho district of London.

637
00:39:43,200 --> 00:39:48,640
And he like mapped out all the people that were sick in that area and found out that

638
00:39:48,640 --> 00:39:53,880
they were essentially drinking from the same water well in that area.

639
00:39:53,880 --> 00:39:58,540
And so of course what they did is they closed off the water or that particular well and

640
00:39:58,540 --> 00:40:03,760
lo and behold, people get healthy and, you know, didn't keep getting sick.

641
00:40:03,760 --> 00:40:08,200
But you want to know the one subclass of people that weren't getting sick that lived in that

642
00:40:08,200 --> 00:40:09,200
district?

643
00:40:09,200 --> 00:40:14,680
Were the men that worked at the brewery there making beer?

644
00:40:14,680 --> 00:40:15,680
Because all they did was drink beer.

645
00:40:15,680 --> 00:40:16,680
They didn't drink any of the water.

646
00:40:16,680 --> 00:40:17,680
I would have been fine too.

647
00:40:17,680 --> 00:40:20,680
I would have been fine too.

648
00:40:20,680 --> 00:40:26,480
So to be preventative, I should be drinking beer to keep myself safe from Vibrio.

649
00:40:26,480 --> 00:40:27,480
You should.

650
00:40:27,480 --> 00:40:28,480
Cheers.

651
00:40:28,480 --> 00:40:29,480
Here, here.

652
00:40:29,480 --> 00:40:37,360
But you know that well in London, it's actually, it's got like a plaque and everything.

653
00:40:37,360 --> 00:40:43,320
And it's like regarded as the like, modern foundation, oh, you know, foundation of modern

654
00:40:43,320 --> 00:40:44,320
epidemiology.

655
00:40:44,320 --> 00:40:45,320
Wow.

656
00:40:45,320 --> 00:40:50,760
I'm surprised people haven't thrown microorganisms into said well, just to make a statement.

657
00:40:50,760 --> 00:40:53,680
I'm not saying that I want to or I'm going to.

658
00:40:53,680 --> 00:40:54,680
Would you make a wish on that?

659
00:40:54,680 --> 00:40:56,080
Would you wish on that well?

660
00:40:56,080 --> 00:40:57,080
Like, wish for nowhere?

661
00:40:57,080 --> 00:41:02,240
What if people put pennies in there that were infected with things and the whole thing repeated

662
00:41:02,240 --> 00:41:06,080
itself as history tends to do?

663
00:41:06,080 --> 00:41:08,280
So any, any tip?

664
00:41:08,280 --> 00:41:12,400
Okay, so kind of like closing out the outbreak conversation.

665
00:41:12,400 --> 00:41:15,240
Do you have any like good tips or anything?

666
00:41:15,240 --> 00:41:19,860
Anything that you, anything you've learned from working the bench?

667
00:41:19,860 --> 00:41:24,840
Like anything that might help somebody else?

668
00:41:24,840 --> 00:41:26,200
Don't eat bad oysters?

669
00:41:26,200 --> 00:41:30,320
I like the Karen's tip about the proteus, even though it's a very small one.

670
00:41:30,320 --> 00:41:31,320
I thought it was interesting.

671
00:41:31,320 --> 00:41:33,320
Oh, share it, share it.

672
00:41:33,320 --> 00:41:34,320
Yeah.

673
00:41:34,320 --> 00:41:36,440
Explain it to our, anyone that's listening.

674
00:41:36,440 --> 00:41:45,120
So we have a colleague that has a tip for cutting back on the swarming of proteus on

675
00:41:45,120 --> 00:41:47,160
the plates, on the blood auger plates.

676
00:41:47,160 --> 00:41:51,400
Apparently, what you can do is take an alcohol prep pad.

677
00:41:51,400 --> 00:41:58,200
I know every lab has them and you put them on the, the lid of the plate and incubate

678
00:41:58,200 --> 00:42:04,000
it and apparently that cuts back on the swarming of proteus.

679
00:42:04,000 --> 00:42:05,880
I haven't tested it yet, but I trust her.

680
00:42:05,880 --> 00:42:07,960
Oh, I think I was given homework.

681
00:42:07,960 --> 00:42:09,760
I think I was given homework to do this.

682
00:42:09,760 --> 00:42:11,760
I was supposed to go full back.

683
00:42:11,760 --> 00:42:13,400
Yeah, you need to do it, man.

684
00:42:13,400 --> 00:42:14,400
I'm dying to know.

685
00:42:14,400 --> 00:42:15,400
I was told to do this.

686
00:42:15,400 --> 00:42:16,400
No!

687
00:42:16,400 --> 00:42:23,840
The only thing I've used, like the PEA auger plate has helped with decreasing, like getting

688
00:42:23,840 --> 00:42:25,400
to stuff that is swarming.

689
00:42:25,400 --> 00:42:32,120
Do you guys think that the PEA plate smells like roses?

690
00:42:32,120 --> 00:42:35,520
I don't think I've ever smelled a plate without bacteria.

691
00:42:35,520 --> 00:42:36,520
It does.

692
00:42:36,520 --> 00:42:39,040
Okay, smell it fresh and clean.

693
00:42:39,040 --> 00:42:43,120
No proteus inoculated and it smells like a bouquet of roses.

694
00:42:43,120 --> 00:42:46,000
Oh, cause it's got rose oil in it.

695
00:42:46,000 --> 00:42:47,000
Yeah.

696
00:42:47,000 --> 00:42:49,600
Ooh, look at that.

697
00:42:49,600 --> 00:42:55,000
If you guys need any ideas for Valentine's Day that's coming up.

698
00:42:55,000 --> 00:42:58,080
A bouquet of PEA plates.

699
00:42:58,080 --> 00:43:00,080
I'm sure my wife would love that.

700
00:43:00,080 --> 00:43:02,240
Do it, Kyle.

701
00:43:02,240 --> 00:43:04,560
Remember two dozens, she's worth it.

702
00:43:04,560 --> 00:43:05,560
Yeah.

703
00:43:05,560 --> 00:43:06,560
That's true.

704
00:43:06,560 --> 00:43:07,560
Who needs it?

705
00:43:07,560 --> 00:43:08,560
Yeah.

706
00:43:08,560 --> 00:43:10,600
Who needs a candle when you got those plates?

707
00:43:10,600 --> 00:43:13,280
Just open a bag right there in your living room.

708
00:43:13,280 --> 00:43:16,320
Yeah, and one of those candle warmer things and just put the aromas.

709
00:43:16,320 --> 00:43:19,320
I got one of those for Christmas.

710
00:43:19,320 --> 00:43:20,320
Yeah.

711
00:43:20,320 --> 00:43:21,320
I got one of those for Christmas.

712
00:43:21,320 --> 00:43:22,320
Oh, Dan, you're getting a lot of stuff for Christmas.

713
00:43:22,320 --> 00:43:24,360
Get the white show.

714
00:43:24,360 --> 00:43:28,880
I had to literally take it apart to get it home because I got it in Alabama.

715
00:43:28,880 --> 00:43:34,880
And so I had to like unscrew it and the wires that come from the base up into the top were

716
00:43:34,880 --> 00:43:39,000
like dangling out and I'm like fingers crossed that this makes it home.

717
00:43:39,000 --> 00:43:47,200
Oh, and by the way, when I was going through TSA, they flagged my bag and they did all

718
00:43:47,200 --> 00:43:54,640
of their little like tests on the hand warmers that you guys got me.

719
00:43:54,640 --> 00:43:56,440
They're like, what is this?

720
00:43:56,440 --> 00:43:59,080
And I'm like, this is Detroit.

721
00:43:59,080 --> 00:44:03,440
I don't know why it's confusing to you that people would want to warm their hands.

722
00:44:03,440 --> 00:44:04,440
But.

723
00:44:04,440 --> 00:44:07,120
You don't have such things.

724
00:44:07,120 --> 00:44:08,120
Yeah.

725
00:44:08,120 --> 00:44:10,080
Do they cut them open?

726
00:44:10,080 --> 00:44:14,440
No, they just took their like the wand.

727
00:44:14,440 --> 00:44:15,440
What's it called?

728
00:44:15,440 --> 00:44:19,440
The no, it's like looks like an alcohol prep pad.

729
00:44:19,440 --> 00:44:24,400
But they like want to check it for like like explosives.

730
00:44:24,400 --> 00:44:25,400
Yeah.

731
00:44:25,400 --> 00:44:26,400
I know.

732
00:44:26,400 --> 00:44:27,400
Yeah.

733
00:44:27,400 --> 00:44:32,640
Speaking of alcohol prep pads, not every lab has them, Kyle.

734
00:44:32,640 --> 00:44:33,640
Not every lab.

735
00:44:33,640 --> 00:44:35,000
I'm so sorry.

736
00:44:35,000 --> 00:44:43,200
Because the research lab sort of that I was in this past week.

737
00:44:43,200 --> 00:44:45,920
And you know what I'm talking about?

738
00:44:45,920 --> 00:44:51,440
You know which one, Kyle, that you've been in, the one you've been into that we go to

739
00:44:51,440 --> 00:44:53,440
frequently.

740
00:44:53,440 --> 00:44:58,080
I had to explain to them actually what an alcohol prep pad was when we were learning

741
00:44:58,080 --> 00:45:02,920
to withdraw blood from a positive local.

742
00:45:02,920 --> 00:45:05,240
They're like, oh, prep pad.

743
00:45:05,240 --> 00:45:06,240
We use IPA.

744
00:45:06,240 --> 00:45:10,320
And they're like, bathe in the IPA and put it in their mouth.

745
00:45:10,320 --> 00:45:14,040
And I'm like, I sprinkle alcohol, you spray it on things.

746
00:45:14,040 --> 00:45:15,880
Oh, I was thinking IPA beer.

747
00:45:15,880 --> 00:45:18,680
Since we talked about that protecting me from the vibrio.

748
00:45:18,680 --> 00:45:24,880
So same first time somebody said, oh, my gosh, do you know that XYZ state will let you buy

749
00:45:24,880 --> 00:45:26,600
as much IPA as you want?

750
00:45:26,600 --> 00:45:28,880
And I was like, do states restrict that?

751
00:45:28,880 --> 00:45:31,720
And I'm thinking that they're talking about beer the whole time.

752
00:45:31,720 --> 00:45:37,440
But no, they're talking about actual large quantities of isopropyl alcohol at the store

753
00:45:37,440 --> 00:45:41,160
that like there are restrictions on that.

754
00:45:41,160 --> 00:45:42,720
And I was like, that's weird.

755
00:45:42,720 --> 00:45:49,680
Like you can buy IPA all you want where I live, as it turns out, not the beer.

756
00:45:49,680 --> 00:45:53,600
Hey, so what's your outbreak tip for everybody listening?

757
00:45:53,600 --> 00:45:54,600
My outbreak tip?

758
00:45:54,600 --> 00:45:58,520
Yeah, we got our IPA.

759
00:45:58,520 --> 00:46:07,400
My outbreak tip is, dude, I have just always felt that people who eat oysters are taking

760
00:46:07,400 --> 00:46:16,080
a risk because I'm like, is that delicious enough to risk a limb or death?

761
00:46:16,080 --> 00:46:17,960
Like how much do you like it?

762
00:46:17,960 --> 00:46:23,080
Because the risk feels a little higher than just low.

763
00:46:23,080 --> 00:46:24,080
You keep going to death here.

764
00:46:24,080 --> 00:46:27,040
I thought you were going to go with the with all the coughing thing.

765
00:46:27,040 --> 00:46:30,840
I thought you're going to go with wear a mask if you're sick, be considerate.

766
00:46:30,840 --> 00:46:31,840
But no.

767
00:46:31,840 --> 00:46:32,840
Oh, no.

768
00:46:32,840 --> 00:46:37,920
Like that has been said that has been said every 17 seconds for four years now and people

769
00:46:37,920 --> 00:46:38,920
don't listen.

770
00:46:38,920 --> 00:46:43,160
So that's a useless tip for for the group.

771
00:46:43,160 --> 00:46:47,280
I'm not saying that I don't think it's true.

772
00:46:47,280 --> 00:46:51,120
I'm just saying like no one listens to that tip anyway, nor do they listen to the oyster

773
00:46:51,120 --> 00:46:52,120
tip.

774
00:46:52,120 --> 00:46:53,120
Just a tip.

775
00:46:53,120 --> 00:46:54,120
Just for a second.

776
00:46:54,120 --> 00:46:55,120
For a day.

777
00:46:55,120 --> 00:46:57,120
I just see how it feels.

778
00:46:57,120 --> 00:46:59,520
Ouch, ouch, you're on my hair.

779
00:46:59,520 --> 00:47:03,760
OK, to culture our audience, what would you how would you culture our audience?

780
00:47:03,760 --> 00:47:06,520
How would I culture our audience?

781
00:47:06,520 --> 00:47:09,000
These are really in there.

782
00:47:09,000 --> 00:47:11,280
How would I culture our audience?

783
00:47:11,280 --> 00:47:13,280
Like providing a culture tip?

784
00:47:13,280 --> 00:47:15,880
Oh, it's a play on words.

785
00:47:15,880 --> 00:47:18,600
Oh, I was like, what?

786
00:47:18,600 --> 00:47:24,880
Oh, so to be cultured, you should probably wear a mask when you're sick.

787
00:47:24,880 --> 00:47:29,560
That's a cop out.

788
00:47:29,560 --> 00:47:32,800
OK.

789
00:47:32,800 --> 00:47:55,040
So carefully eat oysters and lobster.