Podcasts about emts

Home inspection is one of the most popular second careers and side businesses for first responders, and for good reason. In this episode of The Ride Along Home Inspection Podcast, we talk with a working firefighter and home inspector about why firefighters, EMTs, and other first responders often excel as home inspectors. We break down how skills from emergency response—risk assessment, situational awareness, building knowledge, and communication under pressure—translate directly into better home inspections. We also discuss how inspection experience can make first responders safer and more effective in their primary careers. Whether you're a firefighter, EMT, or police officer exploring home inspection as a second career, or a homebuyer curious why inspectors with first-responder backgrounds bring extra value, this episode explains the crossover skills, challenges, and real-world benefits from both sides of the job. Chapters:  00:00 Home Inspection Basics: What Inspectors Look for and Why It Matters 05:33 Firefighters as Home Inspectors: Why First Responders Excel in Inspections 11:13 Home Inspection Safety: Identifying Fire, Electrical, and Life-Safety Risks 16:45 How Home Inspectors Explain Safety Hazards to Homebuyers 22:25 Real Fire Hazards Found During Home Inspections (Real-World Examples) 27:50 Home Inspection Takeaways for Buyers, Inspectors, and First Responders The Links: Subscribe to our newsletter here: https://pages.theridealong.show/newsletter  Leave us a VOICEMAIL here: http://theridealong.show  Key Points: - Why home inspection works as a second career - Skills firefighters bring to inspections - Inspection training vs fire training - Advice for first responders getting started - How Ryan Miller integrates his firefighting experience into home inspections - Effective communication is key in delivering inspection findings - Home inspectors should educate clients about real hazards - Fire safety knowledge enhances home inspection practices - Understanding structural integrity is crucial for both firefighters and inspectors - Home inspections can reveal hidden dangers in properties - The importance of addressing common fire hazards like dryer vents - Inspectors should balance honesty with sensitivity to clients' concerns. - Real estate agents and buyers must understand the implications of inspection reports - The role of the home inspector is to inform, not to kill deals.    

In Episode 319 of the Medic2Medic Podcast, Steve welcomes back Dr. Jeff Jarvis, a returning guest from the first edition of the podcast, for a thoughtful and wide-ranging conversation rooted in experience, evidence, and perspective. Jeff is the Chief Medical Officer and System Medical Director for the regional EMS system serving the Fort Worth Fire Department in Fort Worth, Texas. He is board certified in both Emergency Medicine and Emergency Medical Services, and he began his career in EMS in 1984 as a volunteer firefighter in rural East Texas.This episode is packed with nuggets of advice, words of wisdom, and storytelling as Jeff reflects on his path in EMS, from his early days as a volunteer firefighter and paramedic to his current role as a nationally recognized EMS physician, researcher, and medical director.Jeff's reflections offer a perspective that only comes with time on the street, in education, and in system leadership. This is a conversation about how EMS has evolved, how it should use evidence and data wisely, and why experience and curiosity still matter.Subscribe to Medic2Medic wherever you get your podcasts and share this episode with someone who appreciates wisdom earned the hard way.https://www.spreaker.com/episode/episode-319-dr-jeff-jarvis--69574894

In this episode of EMS One-Stop, Sophie Fuller — better known across social media as Paramedic Sophie — joins host Rob Lawrence for a candid, energizing conversation about what it really feels like to work in EMS right now: pride, the pressure, the burnout, and the culture issues that too many providers have been taught to silently absorb. Sophie is a critical care ground paramedic, flight paramedic, educator and president of the Tennessee Association of EMS Providers (TAEMSP), and she brings a provider-first lens to everything from leadership visibility, to mental health and pay equity. Together, Rob and Sophie dig into why Sophie started creating content in the first place (hint: burnout and the need to connect), how social media can be used as a force for good, and what “healthy” EMS culture should look like in practice. Sophie shares practical advice for crews and leaders alike: Be human Say the uncomfortable thing Stop normalizing harm Build systems that “care back” for the people doing the work Memorable quotes “We're just working in systems that haven't yet learned how to care back for the provider.” — Sophie Fuller “Management by walking about. Don't be stuck in the office. Don't say my door is always open because that relies on people coming in to see you. Get out and go and see them.” — Rob Lawrence “We love this job and that distracts us from the fact that it's also hurting us.” — Sophie Fuller “Just because it's normal doesn't mean it's healthy.” — Sophie Fuller “We confuse trauma with tradition.” — Sophie Fuller Additional resources: Follow Paramedic Sophie on: YouTube Tik Tok “The Next Shift : A mentorship workbook for EMTs and Paramedics” | E-Book, by Sophie Fuller “To Err is Human: Building a Safer Health System” - PubMed Episode timeline 01:00 – Rob introduces Sophie Fuller (“Paramedic Sophie”) and frames the influencer vs. “effluencer” concept 02:14 – Sophie's origin story: graphic design → hospital tech → EMT → volunteer fire → paramedic → critical care → flight 06:16 – TAEMSP: why Tennessee needed a provider-level association and the shift toward legislative advocacy 08:05 – Why she started with social media: two full-time 911 jobs, low pay, burnout and the need for an outlet/connection 09:32 – Defining EMS burnout: the “jar on the shelf” and cumulative strain that becomes chronic fatigue 13:26 – Sophie's guidance to providers: vulnerability, telling the truth and not letting naysayers silence needed conversations 16:00 – Sophie's message to leadership: don't be the “Wizard of Oz” — show up, communicate and stay connected to crews 20:26 – EMS culture: self-sacrifice, silence, “earning your place through suffering,” and confusing trauma with tradition 23:10 – Sophie's book “The Next Shift”: a field guide to “learn, lead and last” in EMS 26:03 – Mistakes and “just culture”: reporting, mentoring, anonymous reporting systems, and learning vs. blame 32:08 – Closing challenge: stop normalizing harm; speak up for culture and patient care 33:14 – Where to find Sophie online and how large her platform has become Enjoying the show? Email editor@ems1.com to share feedback or suggest guests for a future episode. 

By Bram Duffee, PhD, EMT-P For EMS providers who respond to a traumatic cardiac arrest, the instinct to initiate CPR is almost automatic. But could this life-saving intervention inadvertently hinder recovery in cases of severe hemorrhagic shock? A recent study, “Effect of Cardiopulmonary Resuscitation on Perfusion in a Porcine Model of Severe Hemorrhagic Shock,” challenges conventional wisdom and offers new insights that could reshape trauma care protocols. The Study: A Closer Look at CPR in Trauma-Induced PEA The research, led by Dr. Patrick Greiffenstein, professor of clinical surgery at LSU New Orleans and trauma ICU director at the Norman McSwain Spirit of Charity Trauma Center, addresses a critical gap in trauma care. While CPR is a cornerstone of resuscitation in cardiac arrest, its application in trauma-induced pulseless electrical activity (PEA) has not been rigorously validated. Trauma PEA, unlike medical cardiac arrest, is a low-flow state caused by severe blood loss (hypovolemia), where the heart shows electrical activity but fails to generate a palpable pulse. “CPR is a cornerstone of resuscitation and cardiac arrest, but its application in trauma-induced PEA has not really been rigorously evaluated,” explains Dr. Greiffenstein. “Trauma PEA is fundamentally a low-flow state caused by hypovolemia—insufficient blood volume.” The study aimed to determine how CPR affects tissue perfusion—specifically oxygen delivery to the brain and skin—during severe hemorrhagic shock. Using a porcine model, researchers simulated life-threatening blood loss and compared outcomes between two groups: one receiving automated CPR and the other left untreated during the shock phase. Key Findings: When CPR May Do More Harm Than Good The results were both surprising and concerning: No Improvement in Perfusion: CPR did not enhance oxygenation in the brain or skin. In fact, skin perfusion was significantly lower in the CPR group during both the shock and recovery phases. Adverse Hemodynamic Effects: While CPR increased systolic blood pressure (SBP), it significantly reduced diastolic blood pressure (DBP), which is critical for coronary and organ perfusion. Potential Harm: CPR caused a threefold increase in intracranial pressure (ICP), suggesting that chest compressions might disrupt normal blood flow dynamics in the brain. “Knowing now that extreme efforts like lining people up to do CPR can cause turbulence within the system is a significant advancement,” says Dr. Greiffenstein. “It's possible to have perfusion at these unreadable MAP scores, which is a critical insight for trauma care.” Implications for Trauma Care These findings challenge the one-size-fits-all approach to CPR in cardiac arrest scenarios. In cases of hemorrhagic shock, CPR might: Divert attention from more effective interventions, such as rapid blood transfusion or surgical control of bleeding. Worsen perfusion to vital organs, potentially exacerbating the patient's condition. “In military cases, field medics often don't have the opportunity to perform full chest compressions on the battlefield. Sometimes, all they can do is drag a person to a safe position,” notes Dr. Greiffenstein. This study underscores the importance of prioritizing interventions that address the root cause of trauma PEA—severe blood loss—over traditional resuscitation techniques. A Call for Updated Guidelines The American Heart Association's current guidelines broadly recommend CPR for all pulseless patients. However, this study adds to a growing body of evidence suggesting that trauma-induced PEA requires a different approach. By focusing on restoring blood volume and controlling bleeding, paramedics and EMTs can improve outcomes for patients in hemorrhagic shock. As Dr. Greiffenstein puts it, “This research is a step toward more tailored and effective trauma care protocols. It's about understanding the unique physiology of trauma and adapting our interventions accordingly.” For EMS providers on the front lines, this study serves as a reminder to critically evaluate the tools and techniques we rely on in emergency care. While CPR remains a vital intervention in many scenarios, its role in trauma-induced PEA warrants careful reconsideration by physician medical directors. By staying informed about the latest research, we can continue to improve outcomes for the patients who depend on us most. Click below to watch the full interview Reference Greiffenstein, P., Cavalea, A., Smith, A., Sharp, T., Warren, O., Dennis, J., Gatterer, M. C., Danos, D., Byrne, T. C., Scarborough, A., Deville, P., & VanMeter, K. (2025). Effect of cardiopulmonary resuscitation on perfusion in a porcine model of severe hemorrhagic shock. The Journal of Trauma and Acute Care Surgery, 98(2), 251–257.      

What Is Verbal Judo and Drug Interdiction for Police? A Maryland State Perspective. In modern policing, success is not measured solely by arrests or seizures, but by how safely and professionally officers navigate high-stress encounters. Two critical tools continue to shape effective law enforcement across the United States: verbal judo and drug interdiction for police. Both rely heavily on observation, communication, and disciplined decision-making rather than force. Check out Jerimy Tindall's Podcast appearance, and content shared for free on the Law Enforcement Talk Radio Show and Podcast website, also on Apple Podcasts, Spotify, YouTube and most major podcast platforms. The Power of Verbal Judo in Policing Verbal judo for police is a tactical communication system developed by Dr. George Thompson, widely recognized as the father of the discipline. First introduced in his groundbreaking 1983 book, verbal judo teaches officers how to use words strategically to de-escalate conflict and gain voluntary compliance. The Law Enforcement Talk Radio Show and Podcast social media like their Facebook , Instagram , LinkedIn , Medium and other social media platforms. Rather than relying on aggressive commands, verbal judo emphasizes professionalism, empathy, and redirection. Officers are trained to ask purposeful questions, actively listen, and use respectful language to manage tense encounters. Supporting articles about this and much more from Law Enforcement Talk Radio Show and Podcast in platforms like Medium , Blogspot and Linkedin . “Verbal judo isn't about winning an argument,” Dr. Thompson often explained. “It's about achieving a peaceful resolution while maintaining officer safety and dignity for everyone involved.” What Is Verbal Judo and Drug Interdiction for Police? A Maryland State Perspective. Although Dr. Thompson passed away in 2001 at the age of 69, his teachings remain deeply influential. In recent years, police instructors have renewed their focus on tactical communication, blending scientific analysis with realistic training scenarios to prepare officers for the psychological stress of the job. A Maryland State Police Example Jerimy Tindall, a retired Maryland State Police Sergeant, offers a powerful real-world example of verbal judo in action. Early in his career, Tindall encountered a suicidal individual, an incident that could have easily turned violent. Available for free on the Law Enforcement Talk Radio Show and Podcast website, also on Apple Podcasts, Spotify, Youtube and most major Podcast networks. “I realized very quickly that force would only make things worse,” Tindall recalled. “What worked was slowing the situation down, listening, and choosing my words carefully.” Through calm dialogue and empathy, Tindall was able to de-escalate the situation without using force, a moment he credits directly to verbal judo training. He later retired early to focus on the growing demands placed on his family, but his lessons continue to resonate with officers today. Drug Interdiction for Police: More Than Traffic Stops In addition to his experience with tactical communication, Tindall also worked drug interdiction in Frederick, Maryland, a specialized area of policing focused on preventing illicit drugs from reaching their destination. What Is Verbal Judo and Drug Interdiction for Police? A Maryland State Perspective. Look for The Law Enforcement Talk Radio Show and Podcast on social media like their Facebook , Instagram , LinkedIn , Medium and other social media platforms. Drug interdiction often takes place during traffic stops, including pretextual stops. These are lawful stops initiated for a traffic violation but used to investigate unrelated criminal activity. The U.S. Supreme Court affirmed this practice in Whren v. United States, ruling that an officer's motivation is irrelevant as long as probable cause exists for the traffic violation. “When you stop a vehicle, you're observing everything,” Tindall said. “Body language, tone of voice, how someone reacts when they see police lights, it all tells a story.” Officers trained in drug interdiction learn to recognize behavioral indicators of stress that may suggest criminal activity. Sudden braking, furtive movements, inconsistent answers, or visible nervousness can all contribute to developing probable cause during a lawful stop. Observation, Communication, and Strategy Drug interdiction is rooted in constant observation and communication. Every driver responds differently to stress, and officers are trained to watch and listen closely. Communication extends beyond spoken words to include posture, gestures, and tone. Available for free on their website and streaming on Apple Podcasts, Spotify, Youtube and other podcast platforms. Beyond individual stops, agencies also rely on spatial optimization to deploy interdiction resources effectively. This strategic planning determines where officers, training, and testing equipment should be placed to disrupt drug trafficking networks. By identifying likely source routes and trafficking corridors, agencies can maximize impact without overstretching resources. What Is Verbal Judo and Drug Interdiction for Police? A Maryland State Perspective. Supporting Those Injured in the Line of Duty: Operation Mayday-13 After retiring, Jerimy Tindall and his family founded Operation Mayday-13, a nonprofit organization dedicated to helping first responders injured in the line of duty. The organization provides financial assistance to police officers, firefighters, and EMTs facing hardship after on-duty injuries. “Too many first responders fall through the cracks,” Tindall said. “Mayday-13 exists to make sure they're not forgotten.” The Law Enforcement Talk Radio Show and Podcast episode is available for free on their website , Apple Podcasts , Spotify and most major podcast platforms. Operation Mayday-13 can be found on Facebook, where community members can learn more or reach out for assistance. First responders face risks ranging from vehicle accidents and violence to hazardous exposures and PTSD. While federal programs like the Public Safety Officers' Benefits (PSOB) and state workers' compensation systems exist, gaps in coverage remain, gaps nonprofits like Mayday-13 work to fill. What Is Verbal Judo and Drug Interdiction for Police? A Maryland State Perspective. Continuing the Conversation Discussions around verbal judo and drug interdiction continue to gain traction across News outlets and social media platforms like their Facebook, Instagram, and LinkedIn. These topics are also explored in depth on podcasts available via Apple Podcasts and Spotify, where current and retired officers share firsthand experiences and lessons learned. More information and the interview with him is available on the Law Enforcement Talk Radio Show and Podcast website also on Apple Podcasts, Spotify, Youtube and other major platforms From tactical communication to strategic interdiction, the message is clear: effective policing depends as much on words and awareness as it does on authority. As Jerimy Tindall's career illustrates, the right words at the right moment can save lives, on both sides of the badge. Listeners can tune in on the Law Enforcement Talk Radio Show website, on Apple Podcasts, Spotify, YouTube, and most every major Podcast platform and follow updates on Facebook, Instagram, and other major News outlets. You can find the show on Facebook, Instagram, Pinterest, X (formerly Twitter), and LinkedIn, as well as read companion articles and updates on Medium, Blogspot, YouTube, and even IMDB. Stay connected with updates and future episodes by following the show on Facebook, Instagram, LinkedIn, their website and other Social Media Platforms. Interested in being a guest, sponsorship or advertising opportunities send an email to the host and producer of the show jay@letradio.com. Listen to this special episode on the Law Enforcement Talk Radio Show and Podcast website on Apple Podcasts, Spotify, Youtube, Facebook, Instagram, LinkedIn, and most major podcast platforms. Find a wide variety of great podcasts online at The Podcast Zone Facebook Page , look for the one with the bright green logo. Be sure to check out our website . Be sure to follow us on X , Instagram , Facebook, Pinterest, Linkedin and other social media platforms for the latest episodes and news. Background song Hurricane is used with permission from the band Dark Horse Flyer. You can contact John J. “Jay” Wiley by email at Jay@letradio.com , or learn more about him on their website . What Is Verbal Judo and Drug Interdiction for Police? A Maryland State Perspective. Attributions The Guardian D.O.J. Facebook Amazon Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The MIB. They appear without warning, dressed in black, knowing things about you they shouldn't possibly know — and they always deliver the same chilling message: stop asking questions, forget what you saw, or else.IN THIS EPISODE: The mysterious Men in Black… are they government agents? Time travelers? One man who experienced them first-hand has a different theory. And we'll look over a few separate incidents of people experiencing the Men in Black. (The MIB: I Knew They Were Evil) *** In spring of 2015, the Great Barrington Historical Society & Museum formally inducted the infamous Reed case of alien encounters. But is the Reed family alien abduction a valid historical fact - or UFO fan fiction? (Reed Family Alien Abduction) *** Weeping statues are nothing new, and believers claim they are miracles without much investigation. However, the Vatican proves them to be hoaxes almost 100% of the time. The latest is the statue of Our Lady of Guadalupe in New Mexico. Will this be the one that finally convinces the Vatican of a true miracle? (Weeping Statue) *** Had Leonarda Cianciulli's life not been so muddled by superstition, curses, and Romani fortune tellers, she may never have murdered at all. (She Turned Her Victims Into Soap and Teacakes) *** A family keep seeing black creatures in their home with no explanation of where they came from – or where they go. (Black Creatures on the Isle of White) *** On May 30, 1883, a stampede took place on New York's Brooklyn Bridge, killing 12 people -- all because of a bizarre rumor! But the bridge has always had a strange history. (Death On The Brooklyn Bridge) *** If humanity were to receive a message from an extraterrestrial civilization right now, it would be the single greatest event in the history of civilization. But according to a new study, such a message could also pose a serious risk to humanity. (If We Receive A Message From Aliens Should We Delete It Without Reading?) *** With as many people that pass on while being treated by EMTs, it should probably be no surprise that phantoms might be encountered in an ambulance. (Haunted Ambulance) *** There was no doubt that Thomas Joy was murdered by gunshot – but the witnesses all had different stories, as did the police. What really happened? (Who Shot “Tonce” Joy?) *** If you believe your house is haunted, it's best not to try and confirm it by using a Ouija board. Nothing good can come from that. (Ouija Halloween) *** In 1928, a young boy mysteriously disappears after his mother gives him a dime to spend on admission to the local theater. But that is just the beginning of this very twisted true story. (The Very Strange Case of Christine and Walter Collins)CHAPTERS & TIME STAMPS (All Times Approximate)…00:00:00.000 = Lead-In00:00:31.699 = Show Intro00:03:52.709 = MIB, I Knew They Were Evil00:16:59.222 = Reed Family Abduction00:25:17.090 = *** Weeping Statue00:29:15.522 = She Turned Her Victims Into Soap And Teacakes00:36:17.818 = Black Creatures on the Isle of White00:42:12.272 = *** The Very Strange Case of Christine and Walter Collins00:47:12.731 = Death on the Brooklyn Bridge00:52:57.400 = If We Receive A Message From Aliens, Should We Delete It Without Reading?01:02:14.337 = *** Haunted Ambulance01:06:12.803 = Who Shot “Tonce” Joy?01:12:51.768 = Ouija Halloween01:16:54.985 = Show Close*** = Begins immediately after inserted ad breakSOURCES and RESOURCES:“Weeping Statue” by Paul Seaburn for Mysterious Universe: http://bit.ly/2M23zFw“The Reed Family Alien Abduction” from the Alien UFO Sightings website: http://bit.ly/2xYaRln“The MIB: I Knew They Were Evil”: Brent Swancer for Mysterious Universe http://bit.ly/2XUzTS3 and Jacob Geers for Thought Catalog: http://bit.ly/2XUAJyb“She Turned Her Victims Into Soap and Teacakes” by Katie Serena for All That's Interesting: http://bit.ly/2ZaaGiM“Black Creatures on the Isle of White” from Ghost-Story.co.uk: http://bit.ly/2YlqHWk“Death On The Brooklyn Bridge” by Troy Taylor: http://bit.ly/2LvphCl“If We Receive A Message From Aliens Should We Delete It Without Reading?” from Alien UFO Sightings: http://bit.ly/2Yb7hTT“Haunted Ambulance” by an unknown author: (link no longer available)“The Very Strange Case of Christine and Walter Collins” from CoolInterestingStuff.com: http://bit.ly/30J7dIx“Who Shot ‘Tonce' Joy?” by Robert Wilhelm for Murder By Gaslight: http://bit.ly/2JOSjK2“Ouija Halloween” by Blake Lacy from MyHauntedLifeToo.com: http://bit.ly/2O0pEXx=====(Over time links may become invalid, disappear, or have different content. I always make sure to give authors credit for the material I use whenever possible. If I somehow overlooked doing so for a story, or if a credit is incorrect, please let me know and I will rectify it in these show notes immediately. Some links included above may benefit me financially through qualifying purchases.)= = = = ="I have come into the world as a light, so that no one who believes in me should stay in darkness." — John 12:46= = = = =WeirdDarkness® is a registered trademark. Copyright ©2026, Weird Darkness.=====Originally aired: July 19, 2019EPISODE PAGE (includes sources): https://weirddarkness.com/RealMIBABOUT WEIRD DARKNESS: Weird Darkness is a true crime and paranormal podcast narrated by professional award-winning voice actor, Darren Marlar. Seven days per week, Weird Darkness focuses on all things strange and macabre such as haunted locations, unsolved mysteries, true ghost stories, supernatural manifestations, urban legends, unsolved or cold cases, conspiracy theories, and more. Weird Darkness has been named one of the “20 Best Storytellers in Podcasting” by Podcast Business Journal. Listeners have described the show as a blend of “Coast to Coast AM”, “The Twilight Zone”, “Unsolved Mysteries”, and “In Search Of”.DISCLAIMER: Stories and content in Weird Darkness can be disturbing for some listeners and intended for mature audiences only. Parental discretion is strongly advised.#WeirdDarkness, #MenInBlack, #MIB, #UFO, #Paranormal, #TrueEncounters, #GovernmentCoverUp, #AlienEncounters, #Supernatural, #MysteriousVisitors

The team starts to discuss specifics of the expanded scope of practice. First up, the epinephrine auto-injector initiated by EMTs. EMTs are now able to give epinephrine via I.M. and broncho-dilators. Reconstituting Glucagon and administering it via IM is also part of the new EMT expanded scope of practice. Needle chest decompression and blood product administrations for advanced providers are also discussed.

Episode 317 of the Medic2Medic Podcast, Steve sits down with longtime EMS leader, educator, and U.S. Army veteran T. J. Bishop for a grounded conversation on rural EMS, leadership, education, and service. T.J. serves as the Assistant Chief of Operations and Training for San Juan Island EMS, overseeing response and education. With more than 30 years spanning civilian EMS, military medicine, and healthcare education, TJ shares hard-earned lessons on training an entire system, leading in resource-limited environments, and building programs that last.A Powerful Family StoryToward the end of the episode, TJ shares a deeply personal story about his family, specifically his son Andrew, who has special needs, and his incredible Make-A-Wish journey to become a U.S. Coast Guard Rescue Swimmer. It's a moment that captures the heart of this episode: service, resilience, and what truly matters.

In this lively episode of the Nacho Kids Podcast, hosts Lori and David dive straight into a wild story involving clogged toilets, dangerous chemical reactions, and a visit from the local fire department. Lori recounts her adventure with her friend Holley as they try to fix her dad's clogged toilet, inadvertently creating chlorine gas by mixing household chemicals. The resulting chaos - fire trucks, EMTs, neighbors, and dad's dark humor - serves as a hilarious reminder: don't mix cleaning products! The hosts then shift the conversation toward stepfamily dynamics, exploring how emotional attachments shape responses to mistakes made by stepkids versus biological kids and close friends. Lori and David share personal anecdotes about household frustrations (think dirty dishes and leftover cereal boxes) and how they navigate daily stresses, especially with the anticipated return of David's son and more family members moving in. Throughout the episode, there's plenty of laughter, playful banter, and honest reflection on blending families, boundaries, and giving grace - even when someone leaves time on the microwave or a mess on the counter. The episode closes with a tongue-in-cheek debate about food, chores, and who really needs to stop eating - all in typical Nacho Kids Podcast fashion. Key Topics: When DIY plumbing goes wrong—chemical mishaps and calling 911 Differences in reactions to mishaps between stepkids, bio kids, and friends The rising stress of blended family living arrangements Household chores, boundaries, and comedic interactions between hosts Listeners get a healthy dose of humor, relatable stepfamily struggles, and a reminder that sometimes, all you can do is "nacho"—let go and laugh about it. Nacho Kids Testimony: "I no longer regret marrying my husband! Thank you Nacho!" ~ H.H., Montgomery, AL, USA

Ben Rodgers sits down with Baxter Fire Chief Matt White, a Cookeville native who has spent 37 years in emergency services after unexpectedly falling into the field he now loves. Matt shares how growing up in a family of EMTs—and a push from his older brother—led him from working as a mechanic and in a body parts store to volunteering with Putnam County and eventually going full-time in the fire service in 1990. He reflects on how much Cookeville and Baxter have grown, the challenges of staffing a young full-time fire department with just three full-time employees, and the nationwide decline in volunteer firefighters. Matt also talks about the department's 17 current volunteers, the city's growing pains, and his hope to see a second full-time station built in Baxter before he retires. It's an insightful look at dedication, community service, and the future of public safety in a rapidly growing town. Listen To The Local Matters Podcast Today! News Talk 94.1

Happy New Year, EMTs! We hope you all made it through the holiday season as intact as possible. Now, normally we'd be covering a New Year's rom-com with Vicky, but she has written a persuasive essay on why we should cover something else so be on alert for that! In the meantime, enjoy our episode on the second half of the Guillermo del Toro's "Frankenstein."  We covered the first half two episodes ago in #543. Yes, it has been nearly a month. Yes, we are bad at this. You can support us at patreon.com/werewolfambulance and listen to a ton of action movie episodes and three episodes of our third podcast, "Nice One, Mate!" Get in now to vote for our next movie! leave us a message at 412-407-7025 hang out with some cool listeners at https://discord.gg/DutFjx3cBD buy merch at www.teepublic.com/user/werewolfambulance the best place to reach us is at werewolfambulance@gmail.com we're on Reddit at r/werewolfambulance sorta on Twitter @werebulance sorta on Instagram @werewolfambulance www.werewolfambulance.com if you feel you really must lodge a complaint with us, please do it on Facebook at facebook.com/werewolfambulance because we are probably not gonna see that, ever. If you liked this, please leave us a review on Apple Podcasts or wherever you listen! It helps others find us and allows us to continue to grow. Intro song is by Alex Van Luvie Outro song is A. Wallis- "EMT" Seriously, we have the best listeners, hands down.

In this episode, we spotlight Folds of Honor, a nonprofit organization that provides educational scholarships to the spouses and children of fallen or disabled service members and first responders.We'll discuss the mission, the impact, and how veterans, families, and supporters can get involved. Whether you're a veteran, a student, or someone looking to give back, this episode explains how Folds of Honor helps ensure that the sacrifices of America's heroes are never forgotten.

Episode 315: This episode goes beyond trends and buzzwords. It's a candid discussion about leadership, accountability, education, and execution grounded in decades of experience across multiple EMS systems and cultures. Steve reconnects with longtime EMS leader, strategist, and global EMS advocate Rob Lawrence for a wide-ranging conversation on leadership, education, system design, and the future of EMS. Rob is the Director of Strategic Implementation for PRO EMS and its educational arm, Prodigy EMS. Rob brings a rare international perspective, shaped by leadership roles in the United States, the United Kingdom, and the development of EMS systems worldwide. Rob is a prolific writer and broadcaster for EMS1 and Police1.https://www.spreaker.com/episode/episode-315-rob-lawrence--69220043I

Break in the Case, Season 4: Stories from the Emergency Service Unit introduces some of the most highly-trained officers in the NYPD. They're EMTs. Divers. Hostage Negotiators. SWAT. They put their own lives at risk in the service of others. In Season 4, go behind the scenes with the officers of Truck 1 for a rescue on the Statue of Liberty. Learn why ESU are known as the buffs of the police department and how they prepare both mentally and physically for the most stressful jobs. The season also features a white-knuckle narrative by the officers who stopped a suicide bomb plot from taking place on Brooklyn's subways in 1997. Break in the Case is supported by the independent nonprofit New York City Police Foundation, and is written and produced by Jill Bauerle and Kenzie DeLaine II. The podcast's narrator, retired Detective Sergeant Wally Zeins, served at the NYPD from 1973 to 2003.

Directed by Christopher Leone, Code 3 tells the story of Randy (Rainn Wilson), a veteran paramedic who has been broken by the stresses of his job. Working with his best friend, Mike (Lil Rel Howery), Randy forces himself to resign after his next 24-hour shift. However, as he trains his replacement, Jessica (Aimee Carrero), they find themselves locked into another shift fueled by tough patients and even tougher choices. In this 1on1, we speak to Carrero why EMTs are unsung heroes and the challenges of the healthcare system.

Happy holidays EMTs! Would you like to spend them with a creepy clown committing grisly crimes? Great news, we have you covered. This week we are talking about "Terrifier 3," a hell of a Christmas movie. Special topics for you consideration include: podcasts that are actually worse than ours, rough acting, credit card swipes, so many hot dogs on the outside, and finding a yum that even we truly must yuck.  We've covered the whole damn series: Episode 197 is the OG, and Episode 497 is the sequel.  the regular lineup of links! You can support us at patreon.com/werewolfambulance and listen to a ton of action movie episodes and three episodes of our third podcast, "Nice One, Mate!" Get in now to vote for our next movie! leave us a message at 412-407-7025 hang out with some cool listeners at https://discord.gg/DutFjx3cBD buy merch at www.teepublic.com/user/werewolfambulance the best place to reach us is at werewolfambulance@gmail.com we're on Reddit at r/werewolfambulance sorta on Twitter @werebulance sorta on Instagram @werewolfambulance www.werewolfambulance.com if you feel you really must lodge a complaint with us, please do it on Facebook at facebook.com/werewolfambulance because we are probably not gonna see that, ever. If you liked this, please leave us a review on Apple Podcasts or wherever you listen! It helps others find us and allows us to continue to grow. Intro song is by Alex Van Luvie Outro song is A. Wallis- "EMT" Seriously, we have the best listeners, hands down.

I give my perspective on being an APP in the ED, be humble and teachable and strike an affect that allows the physicians to speak into your practiceWhen in doubt, consult the specialistJulie talks about what makes her proud about her careerShe is proud of the connections she made, that she treated her patients how she would have wanted to be treatedRemember to take that intentional time with patients to help reassure and connect with themJulie talks about a the expectation she sets for patients with abdominal pain -  that we don't find a clear answer most of the time and when we do it's usually something emergent and surgical so sometimes no answer is good newsSet the right expectation for the ER visit earlyShe talks about how she reassures patients that may be embarrassed for coming in when they end up not having anything emergent going onJulie highlights the need to eat and hydrate on shiftJulie talks about the next generation of providers and how she hopes they continue to keep their observation skills and clinical thinking skills intact considering technology advances and AI incorporation Julies advice to her younger self would be to not let people drag you downA big thing we need to learn is to not let others poor behavior or flexing of their ego affect us personally, it speaks more about them than usWe need to learn to give constructive criticism without judgingSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Double Vision After Stroke: What Jorden's Story Teaches Us About Brainstem Stroke Recovery Double vision after stroke is one of those symptoms no one imagines they'll ever face—until the day they wake up and the world has split in two. For many stroke survivors, it's confusing, frightening, and completely disorienting. And when it happens as part of a brainstem stroke, like it did for 45-year-old attorney Jorden Ryan, it can mark the beginning of a long and unpredictable recovery journey. In this article, we walk through Jorden's powerful story, how double vision after stroke showed up in his life, and what other survivors can learn from the way he navigated setback after setback. If you’re living with vision changes or recovering from a brainstem stroke, this piece is for you. The Morning Everything Changed Jorden went to bed preparing for a big day at work. By morning, nothing made sense. When he opened his eyes, the room looked doubled—two phones, two walls, two versions of everything. He felt drunk, dizzy, and disconnected from his own body. Double vision after stroke often appears suddenly, without warning. In Jorden's case, it was the first sign that a clot had formed near an aneurysm in his brainstem. As he tried to read his phone, he realised he couldn't. As he tried to stand, he collapsed. And as nausea took over, his vision became just one of many things slipping away. He didn't know it then, but this was the beginning of a brainstem stroke recovery journey that would test every part of who he was. When the Body Quits and the World Keeps Moving Even when paramedics arrived, the situation remained confusing. “You're too young for a stroke,” they told him. But the double vision, vomiting, and collapsing legs said otherwise. By the time he reached the hospital, he was drifting in and out of consciousness. Inside the MRI, everything changed again—his left side stopped working completely. He couldn't move. He couldn't speak. He couldn't swallow. His ability to control anything was gone. For many survivors, this is where the fear sets in—not only the fear of dying, but the fear of living this way forever. Understanding Double Vision After Stroke Double vision happens when the eyes no longer work together. After a stroke—especially a brainstem stroke—the nerves that control eye alignment can be affected. Survivors often describe it the way Jorden did: blurry, overlapping images difficulty reading nausea when focusing a sense of being “detached” from reality exhaustion from trying to make sense of their surroundings In Jorden's case, double vision wasn't the only issue, but it shaped everything that came after. It influenced his balance, his confidence, and even whether he felt safe leaving his home. Three Weeks Missing: The Silent Part of Recovery Jorden spent nearly three weeks in a coma-like state. Days blurred together. Friends visited. Family gathered. He remembers fragments, but not the whole chapter. When he finally became more aware, nothing worked the way it used to—not his speech, not his swallow, not his limbs, and certainly not his vision. This is something many survivors aren't prepared for: Stroke recovery often begins long before you're fully conscious. Starting Over: The Fight to Stand Again Inpatient rehab became Jorden's new world. It was full of firsts, none of them easy. The first time he tried to sit up. The first time he attempted to transfer out of bed. The first swallow test. The first attempt to speak. Everything required more energy than he had. And yet, small wins mattered: “When my affected hand moved for the first time, I felt human again.” Double vision made everything more complicated, especially balance and spatial awareness. Even brushing his teeth triggered trauma because of early choking experiences in hospital. Still, he kept going. Life Doesn't Pause for Stroke Recovery Just like so many survivors say, the world didn't stop for Jorden to recover. On the very day he left inpatient rehab, his close friend—who had also lived with paralysis—died by suicide. Not long after, his dog passed away too. It felt unfair. Cruel. Like everything was happening at once. But even in that darkness, Jorden found a way to keep moving. Not fast. Not perfectly. Just forward. Learning to Walk Again With Vision Working Against Him Double vision after stroke made walking terrifying. Every step felt unpredictable. Every movement demanded complete attention. He used a slackline as a walking rail. He held onto countertops, walls, chairs—anything that would keep him upright. He practised daily, even when the exhaustion was overwhelming. This is something survivors often underestimate: Vision problems drain energy faster than physical limitations. Your brain is constantly trying to make sense of visual chaos. Of course you get tired faster. Of course progress feels slow. But slow progress is still progress. Humour as a Survival Tool Many survivors rely on humour to keep themselves grounded. For Jorden, it showed up in moments like these: His leg falling off the footrest of a wheelchair and being dragged without him realising. Gym sessions where he pushed through fatigue—even after peeing his pants slightly. Laughing at situations that would've once embarrassed him. Humour didn't erase the trauma, but it gave him permission to keep going. “Now it's me versus me. Every step I take is a win, even if no one sees it.” What Jorden Wants Every Survivor to Know Recovery doesn't end after 12 months. Double vision after stroke can improve—even years later. Brainstem stroke recovery isn't linear. You're allowed to grieve what you lost and still fight for what's ahead. The simplest achievements matter. Hope is not naïve—it's a strategy. His story is proof that even when everything falls apart, life can still move forward. If You're Living With Double Vision After Stroke You are not alone. Your progress might feel invisible. Your days might feel slow and frustrating. But your brain is still rewiring, still adapting, still learning. And you don't have to navigate that alone either. Take the Next Step in Your Recovery If you want guidance, support, and practical tools for rebuilding life after stroke, you're invited to explore the resources below: Read Bill's Book: The Unexpected Way That a Stroke Became the Best Thing That Happened Join the Patreon: Recovery After Stroke This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Jorden Ryan: Living With Double Vision After Stroke & Finding a Way Forward He woke up seeing double, and everything changed. Jorden's journey through double vision after stroke shows how recovery can begin in the darkest moments. Jorden’s Facebook Highlights: 00:00 Introduction to Double Vision After Stroke 03:15 The Day Everything Changed 10:26 When the Diagnosis Finally Made Sense 16:32 Surviving a Second Stroke 21:47 What Recovery Really Feels Like 32:16 The Emotional Toll No One Talks About 44:57 The First Swim After Stroke 54:08 Finding Light in the Darkest Moments 59:28 Living with PTSD After Stroke 01:15:01 Being Told “You'll Never…” by Doctors 01:26:40 Finding Meaning After Stroke Transcript: Introduction to Jorden Ryan’s Double Vision After Stroke Bill Gasiamis (00:01) Welcome again to the Recovery After Stroke podcast. I’m Bill Gasiamis. And if you’re listening right now, chances are stroke recovery feels confusing and isolating. I get that. I’ve been there. Leaving the hospital, feeling lost, desperate for clarity and unsure of what comes next. That’s why this podcast exists. Recovery After Stroke gives you real stories and expert insights that help guide your recovery so you can feel more confident, informed. and in control of your progress. And so you never have to feel alone or uncertain again. Today you’ll hear from Jordan Ryan, a 45 year old attorney who woke up one morning and nothing worked anymore. His story is raw, honest, and filled with moments that every stroke survivor will recognize. Fear, frustration, identity loss, and the courage to begin again. But I won’t spoil the episode. I’ll let you hear it from him. Jordan Ryan, welcome to the podcast. Jorden Ryan (00:58) Thank you, Bill. Happy to be here. Bill Gasiamis (01:01) Great to have you here. So if I recall correctly, your stroke was in March, 2024. So not that long ago. What was life like before that? Jorden Ryan (01:10) Life, I would say, was pretty normal. I didn’t have any symptoms or anything and I was a attorney. I walked to work every day about two miles and everything was going well. So right up until the night that I went to sleep, I had no symptoms at all. Bill Gasiamis (01:26) What kind of person were you then? Your routine, for example, and your relationships, where were they at? What kind of life did you lead? Jorden Ryan (01:34) I was awesome, right? No, just kidding. Yeah, they were good. Like I had a lot of friends and work colleagues and they did a lot. Like I was mostly a social person and went out a lot. So not home that much. I mean, I made a lot of friends in my loft, like down the halls were a lot of friends, but I lived by myself. Bill Gasiamis (01:55) ⁓ Well, if you thought you were awesome, I’m going to go with that. I got no problem with you thinking you are awesome. What about your health? Did you have a sense of your health? You know, we often talk about how we felt and what we were like and how energetic we were. Did you have a sense of where your health was at now in hindsight? Jorden Ryan (02:17) No, I did not. Actually, ⁓ I had a deviated septum from somebody hitting me in the face a while back from me trying to stop a fight. And so it took three surgeries to finally get it correct. Like they had to take a piece of my rib and some of my ear to straighten out my nose. But anyways, I say all that because it made me gain a lot of weight and I guess have sleep apnea. I didn’t know that, but you know, the girl I was dating at the time told me. So anyways, I got it fixed. And I had just seen a person to help me lose weight, the doctor and everybody. so I thought my health was good. And I had probably maybe a year and a half ago, I got into a jet ski, just knocked on conscious when I hit the water. So they did a cat scan and I didn’t know, but I thought that when they did that, I was fine. I was healthy. I didn’t know it would take an MRI to know that stuff. So I felt. totally fine until the event. The Day Everything Changed Bill Gasiamis (03:17) So after the nose surgery, things started to improve with regards to your weight and your sleeping. Yeah. Jorden Ryan (03:22) I don’t know that, like, I tried to get a CPAP machine before my surgery and yes, I was starting to work out more but I was still a little bit tired I guess but I mean nothing like, un-normal like, really bad or anything like that. Bill Gasiamis (03:38) Yeah, I do hear that sleep apnea is kind of that strange kind of a thing that people don’t realize they have until somebody diagnoses it and says to them, this is why you feel so drained, so tired all the time. And then they get it resolved in one way or another and things improve, especially with a, sometimes with a CPAP machine. So, ⁓ but then you’ll fit an active and you were pretty well. So take us back to that moment of that first stroke or what? What was it like? What happened? Jorden Ryan (04:08) So when I had ZPAP like to get a diagnosis or whatever they sent something in the mail and you just put it on your finger it was not as comprehensive as an actual sleep study and they said well that will be fine anyway so I got the machine it was very hard for me to sleep with so it would keep me up it did the exact opposite of what it was supposed to do so anyways that night I went to bed I had a big day the next day work call international call and I was gonna be the only one on the call, only attorney on the call. And so I woke up, I could not sleep, which was kind of normal with the CPAP machine. So I watched a movie and then went to sleep maybe an hour before it was time to wake up. And I went to bed and my alarm went off and I got up and I felt like really strange. I saw double, basically like I felt like I’d been drinking all night or something. Then, ⁓ I called into work and said, I’m sorry I cannot help you. Like, I was looking at my cell phone, which I do all the time, and I couldn’t read it or anything like that. being, you know, kind of naive, I think I took a quick shower, like, rinse some cold water on me, thinking maybe that would fix it. No, that’s ridiculous, but I thought it would, and when it got worse, that’s when I called on my one. Bill Gasiamis (05:35) Yeah, how long did they take to arrive? Do you feel Jorden Ryan (05:38) Mmm, I felt like forever, but I think it was pretty short. I lived in the city So the ambulance was right down the street. So I think like maybe 15 minutes or something like that Bill Gasiamis (05:49) Were you able to let them in? Jorden Ryan (05:52) I was, I, you know, the dispatch 911 person said to make sure I unlocked the door first. I thought I was having a stroke, but I fell down on my knees and laid against my bed and it was very difficult to go open the door to let them in. So yes, I was able to unlock the door and I did that. And I just started throwing up like more than I’ve ever vomited before in my life. Like something was really wrong. my leg went out. I didn’t know that it like couldn’t move at all. I just fell backwards and it was kidney due to throwing up. So then they came and I was still able to stand and talk and I felt, I mean, other than throwing up and double vision, I felt fine. So they told me that I was probably too young to have a stroke and that maybe it was just ready to go. So I was thinking that, okay, well I’ll just go to the hospital and you know, get checked out and I’ll come home early. But it seemed to get worse as things were going. I pulled myself up onto the gurney the EMTs had and I remember thinking like I’ve got to go to the hospital now and they were like being nice and getting my stuff and my phone and whatever else and if I threw up they were getting the trash can and I remember thinking I didn’t care if all of my stuff was stolen. I need to go to the hospital now. So we definitely got up there. When I was kind of in and out of consciousness by that time and I got to the hospital and they checked me out like an actual MRI. And when I was inside of it is when my left side of my body completely quit working. So I didn’t know what was going on. I mean, I had no clue. So I pulled myself out of the MRI. And some people get claustrophobic or whatever, but this was a square machine and because I felt sick already and half my body quit working while I was in there, it really put fear in me to get out. Bill Gasiamis (07:59) ⁓ So you had the right to the hospital, they saw you rather rapidly before they got you into the MRI? Jorden Ryan (08:10) The EMTs did see me pretty quick. They did not think I had a stroke, so it wasn’t as maybe punctual as possible. they were still… I mean, the fire department, I think, was maybe a quarter of a mile from my house. So they got there pretty fast. Bill Gasiamis (08:27) Yeah, okay. So when you got to hospital, what was that like? What happened then? Jorden Ryan (08:33) Yeah, by the time I got to the hospital, I was barely able to be coherent at all. Like someone would say, hey, Jordan, I would bring me to for a second, like, what is your phone number? And I could answer, but then I would be out again. when they were taking me to the MRI, they kind of with me. And this was the first time that I was frightened for my life. I think that one of the nurses was like, I can’t believe they’re going to waste the time to do MRI on this person. He’s gonna die anyway. There are people that need them. Machine. Bill Gasiamis (09:04) Wow, they didn’t say that, did they? Jorden Ryan (09:07) Well, I was like, couldn’t talk, couldn’t move. I don’t know if they said it for real, but I think so. I believe that’s what they said. then I was like, this is not how I die. I’ve done so much crazy stuff. can’t be just cause I was going to work early in the morning. ⁓ Bill Gasiamis (09:22) Wow. So you have a sense that that’s what they said while you’re being, while you’re on the bed being moved to the MRI. Jorden Ryan (09:32) Well, I was in going to like a holding area, like a waiting area to do MRI. Yeah. And so they left me and I couldn’t move. And so it was pretty scary. Yeah. And then after the MRI, the nurse did say, you know, we need to call your family. And so I did unlock my iPhone and I remember her calling, but it’s kind of hazy in and out of that. And I think They said, need to call the family so they can say their goodbyes. I think I overheard that. And I was like, what is going on? This can’t be this serious, right? So I really do believe I did hear that though. Bill Gasiamis (10:12) Seems like they may have very quickly upgraded your condition from vertigo, which they originally said when they arrived and seems like they kind of knew that something else dramatic was happening. Jorden Ryan (10:19) Yeah When the Diagnosis Finally Made Sense That’s correct. I wish it would have been just ready to go. Right. But it was all of a sudden went from, you know, pretty good news or decent, extremely dire consequences or like something bad was going to happen. Yes. Bill Gasiamis (10:42) Yeah. How old were you in 2024? Jorden Ryan (10:46) I was 45. Bill Gasiamis (10:49) Yeah. And do you have a sense now? Do you understand what it was that caused the stroke? We’ll jump back into Jordan’s story in just a moment. But first, I wanted to pause and acknowledge something. If you’re listening to this and stroke recovery feels confusing and isolating, I want you to know you’re not imagining it. I know exactly what that feels like. That’s why I created Recovery After Stroke to bring you real stories and insights that guide your recovery and help you feel more confident, informed and in control. And if you’d like to go deeper, remember to check out my book, The Unexpected Way The Stroke Became, The Best Thing That Happened, and support the show on Patreon at patreon.com slash recovery after stroke. Jorden Ryan (11:34) Yes, I do have ⁓ an aneurysm in my, ⁓ in the brainstem. can’t, it affected the pontine area and the salabella. Like I cannot remember the nerves. Unfortunately, I’m sorry. The veins that it’s in, but it is really big and the blood being kind of, ⁓ kind of mixed around. mean, like because my vein is so wide, the clots can form just. Yeah. Bill Gasiamis (12:03) Okay, so with an aneurysm, you’re at risk of it bursting, but then because of the different shape, the high pressure and the low pressure systems that occur in the aneurysm create a different blood flow. It causes the blood to turn into a clot and then perhaps get stuck there. And then when it gets big enough, it can break off or move and then it causes the clot. Jorden Ryan (12:31) Yeah, I don’t know if it breaks off and or just makes a clot and get stuck in there, but same concept, I think. Right. And so, yeah. Bill Gasiamis (12:40) Okay, so then you know that now after they did the MRI, what happened then? Did you have to ⁓ go through some kind of a procedure to sort out the clot and to remove the blockage and to fix the aneurysm? What was the situation? Jorden Ryan (12:59) Yeah, unfortunately they cannot fix aneurysm. They are just throwing as much medicine as they can, like all the tools that they have at the disposal at this time. But after they found out I had a clot, they’re just kind of like, let’s see what happens now. So that is when I went kind of again unconscious in probably about three weeks. I do not remember very much at all. Bill Gasiamis (13:26) Okay. Was that because they were, were in an induced coma to help you with it, with the healing? Jorden Ryan (13:32) I don’t think it was induced. think it was just my body went into a coma. mean, at the time I thought probably I was just very tired because I’d only slept an hour, but I mean, three weeks is a long nap. So a lot of my friends come in to visit me in the hospital, but I was like, I felt like just tired, but I didn’t feel bad. Like I was going to die or something. But so it was very strange because I felt very coherent. Like every day is just a different day. but my body like wouldn’t move like I could tell my left hand to move and it would not. So, but other than that, like, ⁓ I felt normal so to speak. Bill Gasiamis (14:13) I can see those three weeks. Did you have a sense that you had a stroke? Did that actually sort of say you’ve had a stroke? Did you understand that for the first time? Jorden Ryan (14:25) Yeah, I understood that I had a stroke, but I just didn’t understand what that meant. Like, for example, to sit up, which I would do in my whole life, I was not able to do that anymore. So during that three weeks, they would have a hoist system to move me to a couch. So I wouldn’t get bed sores, I think, you know, just precaution, but that was like a really scary, like I did not like that at all. was, which would normally be super easy. ⁓ Yes, they said I had a stroke, but I had no idea how bad it was. Bill Gasiamis (14:58) Yeah. family and friends. You had people rally around to do people have to fly. Excuse me. Do people have to fly in or come from out of town or were they all nearby? How, how did you go and see that? Jorden Ryan (15:13) I think that my sister put something on Facebook, on my Facebook. And so I had people close by and I did have people fly from a couple of different areas because at that time I think I was in ICU. So, you know, that may be the last chance I had to talk to me. So they did come say goodbye, but the hospital for so long, I mean, people got me flowers and I would think that would be as long as possible, but then those flowers would die. and people would bring plants and when those died, I mean, wow, that’s really a long time to be in the hospital, you know? And the plants died because I couldn’t water them because I’m paralyzed, so, at that time. Bill Gasiamis (15:54) Yeah, how long were you in hospital in total? Jorden Ryan (15:58) The first stroke I was probably, I got out May 17th, but that’s out of the inside rehab that what do you call inpatient rehabs? think that I was in hospital for maybe three weeks, maybe a month. Like, you know, they downgraded me from ICU for a week and then sent me to the internal rehab. Bill Gasiamis (16:23) Yeah, so the stroke was March 22 and then you got out of hospital in May. Jorden Ryan (16:29) That’s great. In mid-May, yeah. Surviving a Second Stroke Bill Gasiamis (16:32) Yeah. And you said that that was the first stroke. So was there another stroke? Jorden Ryan (16:37) Yeah, it’s crazy. So I had my first stroke and then I really tried hard like no sugar, no pop, no alcohol. I did everything I thought is best I could and even in rehab they had me bake cookies and I didn’t eat them because they had sugar in them. And then I had another stroke when I woke up to go to rehab. So that was October 7th. So it was, it started out with just my hand wouldn’t move like it should like I was regaining everything back pretty well from the first stroke. And I thought I was Superman basically. I was healing pretty fast and I was like, I beat it. This is great. And then right back to being in a bad stroke and being a wheelchair and all of that. Bill Gasiamis (17:25) So the same issue in the cerebellum near the pons again caused another clot or was it just something else that happened? Jorden Ryan (17:34) No, you’re right. It was the same thing, basically affected the same areas of my brain. So they say that your brain with spasticity can do like a detour. So now I have a detour of a detour, basically. So my brain had just rewired and was working pretty decently and then that area got damaged as well. Bill Gasiamis (17:57) Okay. And were you on blood thinners or something to help thin the blood to kind of minimize the risk of another blood clot or? Jorden Ryan (18:06) Yes, I was on the Eloquist, so I thought that that would be enough, but it was not. So now I am also on aspirin, but it’s just a small pill every day. I think that, like I said, they don’t really have a whole lot they can do. So they’re just telling me to take this medicine out for the best and maybe it will happen again and maybe it won’t, but they can’t operate on it because the risks outweigh the reward. Like there is a Good chance of death. Bill Gasiamis (18:37) Yeah, understood. How long did you spend in hospital for the second incident? Jorden Ryan (18:42) I was out, ⁓ towards the end of November. think mid and like either the second or third week in November. Bill Gasiamis (18:52) And then when you left hospital that time, you left with the deficits, which had kind of eased up or you didn’t really have before the, after the first one, is that right? Jorden Ryan (19:04) Yes, that’s right. I will, will wheeled out in wheelchair and had no use of my leg or my arm and my face was not really healed from the first stroke, but a little bit and I still had that too. I could not talk. I couldn’t eat. I couldn’t drink. Like, I mean, I could, guess, but not how, yeah. So like holding glass to my face would come all over down my face and stuff. so This area right here always felt wet. Like it felt like I was in a pool, even though I wasn’t. So I couldn’t tell if I had food all over me or what have you that I would have to rely on people to tell me. I could chewing a salad is, I mean, it was really, really hard. That was kind of the, as I advanced, that was something I could do. My first stroke, I could not, you know, a steady is it. I don’t know if you know what that is for using the restroom. It’s like a basically a dolly. put you on and I had a really hard time even trying to use that. I went through a lot of swallow tests. I could not swallow my own saliva. So that was very difficult for me. ⁓ They brushed my teeth and I felt like I was gonna die. I could not breathe. Like probably for that went on for like five minutes. Like, I mean, I could breathe, sorta, but it was very difficult. Bill Gasiamis (20:29) They brushing your teeth for you and it, and it, and triggered some kind of a reaction or. Jorden Ryan (20:34) Like the yeah, the saliva that you have in your mouth that is I mean was enough for me to drown in basically I guess Yeah Bill Gasiamis (20:45) So it wasn’t the actual tooth brushing. It was the saliva that was being generated that you couldn’t. Jorden Ryan (20:50) I so. didn’t know for sure what it was, right? Like, but I’m pretty sure was alive. It was something I couldn’t manage. That’s for sure. And it just tasted like toothpaste probably because I just had done brushing my teeth. But they did give me a peg tube so I could get food and nutrition and water in me. However, the way that they installed it the first time was ⁓ caused ulcers in my… I think in my colon, so I had to go back to the ICU. Bill Gasiamis (21:24) Yeah. Such a dramatic time, right? A lot of stuff going wrong. What’s going through your head at the time? Because you went, like we said, like it was a year earlier, everything was going fine. Everything was all okay. And now you’re dealing with all this stuff. How do you, you know, what are you saying to yourself? How do you feel about what’s happening to you? What Recovery Really Feels Like Jorden Ryan (21:47) I wish that I could give you like a really good answer, but to be honest it was more like, why is this happening to me? I can’t believe this is happening. I’m too young. Like I have to take decent care of myself. I cannot believe this. I mean, when I was in the hospital, I was watching like my 600 pound life and like, I’m just saying that I was, I thought, you know, at least that healthy, but at that time I was really devastated by what was going on. Bill Gasiamis (22:16) Yeah, you would be, it makes complete sense, right? How do you go from being quote unquote normal? Everything’s just going along as it always has. And now all these hurdles that come your way that are really challenging to overcome. you probably don’t have the skillset to deal with them in such a dramatic short amount of time. Jorden Ryan (22:17) Yeah. Yeah, I think that’s right. And I think probably if it would have just been on me, maybe I could have, but I was like, I’m going to be such a huge burden to my family in my way life is going to be so bad. Like, I was just like, how is this happening? You know, I don’t smoke and like, I don’t do heavy drugs or any of that stuff. So what is going on? And then they said, well, you must drink a lot of energy drinks. And I was like, no, I don’t drink any energy drinks. So they’re like, we don’t know what’s going on then. So just that was. So for me, I really didn’t know what was going on. Bill Gasiamis (23:15) Yeah. And in hindsight, it was just random. It’s just one of those things with the aneurysm and how can you possibly, how can you possibly deal with it when you don’t know that it’s happening to you? Similar to me, like I had a brain hemorrhage three times because of a blood vessel that I was born with. I wasn’t having the best lifestyle, but I also wasn’t causing it. I also didn’t. I wasn’t able to solve it. Everything was kind of handed over to other people. It’s not, it was nothing. It was not up to me. And I had to just kind of go through it. Jorden Ryan (23:51) Very similar. was, you know, couldn’t be in charge or control anything basically, like even really simple things. I mean, I had a diaper on, I couldn’t even go to the restroom by myself. So it was just very hard. It was a lot of stuff all at once, right? Like, it wasn’t just like I a cold or something. It was very difficult. And at first, when I was there, I couldn’t talk. So people would come and visit me but and to me what’s very strange is that my voice sounded exactly the same before the stroke which it didn’t in real life I was probably like I have no idea what I sounded like but people couldn’t understand me so I would say something to them and they’re like sorry I can’t understand you but in my head I said it perfectly it sounded like me I can hear ⁓ like my slur now but I could not at first Bill Gasiamis (24:47) Yeah. Yeah. It was there somebody that you met who helped support you and guide you through those really sort of tough bits early on, like was there kind of a mentor or somebody that came out of nowhere and just helped you navigate this? Jorden Ryan (25:06) ⁓ I don’t know really like who navigated like how it happened, you know, I had a chaplain that came in there maybe a doctor would help I Didn’t have my phone or anything at the time But when I was able to do that I saw your channels and stuff and so I listened to it and probably the totality of a lot of things there wasn’t like a one person or one thing that helped me really a lot so I remember being kind of upset at you because you said it was the best thing that ever happened to you and that was it was too new for me. I was like, what do you mean? That’s not possible. And a nurse came and said, well, you have the beautiful blue eyes and that my eyes are green. So I was like, well, maybe my hair will grow back and I’ll have blue eyes. Maybe it’ll be the best thing that ever happened. But yeah, I mean, I wasn’t really mad at you. I just said the time I could not accept those that verbiage. Bill Gasiamis (26:02) that is perfectly understandable. And it’s exactly why I chose the title, not to piss people off or make people upset while they’re recovering. In fact, I never expected that people would find it so early on in their journey. I just thought it was a story I was gonna tell and it was gonna go out there. But of course, the very first time I spoke about my book a few years ago on YouTube, the very first comment was a negative comment along the lines of, Similar to what you said. It was a bit more rude. It wasn’t so polite ⁓ And I and I was like, ⁓ no, no, no, you guys have got it wrong I don’t think I think you missed the boat. No, sorry. You missed the point the point being that It was really terrible when I was going through it for three years But when I came out the other side, there was a lot of personal growth. There was a lot of ⁓ Things that I had appreciated that I’d done that I’d learned that I’d overcome etc that became the reason why I was able to say it was the best thing that happened to me because I started a podcast, I wrote a book, I’ve spoken publicly about it, I have this platform, I’ve created a community, all these things, right? So the things that I didn’t know that I was lacking in life before the stroke, I thought my life was complete, waking up in the morning, going to work, coming home to the family, cooking dinner, paying the bills. paying the mortgage, the car lease. I thought it was all cool, all complete, but I was kind of unhappy. There was a lot that I was lacking in my life. And only because of the stroke journey, the end result of the podcast, the book and all that stuff, did I realize, ⁓ actually the… Aftermath, the things that I have grown and discovered were the best things that happened to me. And it was because of the stroke. It’s such a weird and dumb thing to say. Like I can’t even wrap my head around it, that I had to go through something so dramatic to accomplish some amazing things. I wish I would have just done it before the dramatic events. I wish there didn’t have to be one. And that being said though, I’m 13 years. post stroke, the first one, and I still live with the deficits. I still have problems sleeping on my left side because it’s numb and it’s burning and it tingles and all that kind of stuff. When I get tired, I still have balance issues when, ⁓ you know, sometimes my memory is a bit flaky because of it, but you know, a little bit, I still have deficits in my muscles and spasticity and all that kind of stuff and it hurts. I’ve accepted that part of it. how it feels in my body, but I’ve also ⁓ gone after the growth. Like I’ve really, ⁓ seriously, dramatically gone after the post-traumatic growth that comes from a serious episode. And what I hope- Jorden Ryan (29:10) explaining that in other episodes. was just my friend that I had heard and I was still like too bitter to hear that. Right. And now I kind of make sense. Like there are a of things that I didn’t appreciate as much as I should have. All the cliches, know, kind of true. Like I wake up and like that is a good day then because most of my stroke, both of my strokes came from when I was sleeping when I woke up. So kind of like Bill Gasiamis (29:21) Yeah. Jorden Ryan (29:38) Even being in the hospital, I saw more sunsets than I did in my regular life or post stroke, whatever you want to call it. I definitely get it and I can appreciate what you’re saying now, but after that time, was just more difficult. Bill Gasiamis (29:45) Yeah. I definitely come across people regularly, even though ⁓ I’ve been speaking about it for a little while, who come across the first podcast episode that I’ve done, that they’ve found in the 370 odd. And then they hear me say that again. And then there’s also, there’s sometimes a repeat of that incident where I know exactly where they’re at. Like I know exactly what’s happening. I know they don’t know that. And then what I hope that happens is say in three or four years, they can, when they go, there was that crazy guy who said stroke was the best thing that I wonder what that was about. I’m going to go get that book now and I’m going to read it. And I’m going to see if I can, you know, shift my mindset from perhaps something that’s been bugging me to something that we can grow from. And the book has got 10 steps to recovery and personal transformation. It not 10 steps to getting your perfect walk again, or making your hand work perfect again, or you know, getting rid of your deficits. It’s not that kind of book. It’s an inspiring book. We’re trying to give people some tools that they can use that doesn’t cost them any extra that will improve the quality of their health and their life. And it doesn’t matter how injured you are because of a stroke. That’s what the book helps people to do. I love challenging people. I’m not, of course, you know, I’m not intending to make people think that I promote. stroke is something that they must experience as ⁓ you know. Jorden Ryan (31:23) the ⁓ Bill Gasiamis (31:26) Yeah. ⁓ It’s not on audible. I am going to remedy that at some stage. I’m going to remedy that and I’m going to get people the ability to listen to it because ⁓ Jorden Ryan (31:46) Well, I will be your first customer, hopefully. Bill Gasiamis (31:49) Yeah, a he-man. Jorden Ryan (31:51) cannot read because my eyes are cro- like not crossed but I have double vision so they are off I cannot read so but yeah Bill Gasiamis (32:01) ⁓ After your three weeks in ICU the first time, I think you began inpatient rehab. What were those days like going through that first few motions of trying to get yourself up and about? The Emotional Toll No One Talks About Jorden Ryan (32:16) Yeah, it was very emotional, right? because you want right away, I thought just to get back to where I was. And I mean, I read some other things and I had friends of friends send me stuff and that chapter of my life is over. I mean, it was a good one, but it’s time to rewrite another one, right? Like I have to move forward. So the whole journey was really difficult. Probably took me longer than most people, but, ⁓ I was very lucky in the fact that I had a friend that had told me like, hey, you have done hard things before you were, you know, in Muay Thai, you were a attorney, you can do it again. And then in my mind, I was like, you’re not a brain doctor. What are you talking about? Leave me alone. So even though the expression was being really nice internally, that’s what I was thinking. Then I saw something like, um, it was, you know, I think it was a PT, a physical therapist who said, think that you’re gonna heal yourself in three hours a week or a day or whatever, that’s not it. Then I had another friend who told me that his sister had a stroke and she wished she would have done more during recovery. So I eventually got to the point thinking like, well, all these doctors are saying it depends, which is a fair answer, right? And I tell clients that and they hate it. But I thought that’s better than absolute no. They’re not saying and so they’ve made it to me like, well, maybe I won’t get better, but it’s not going to be from me not trying. I think another one of the people on your episodes ⁓ saying like they were always very positive and I was like, that’s not me. That’s I’m not 100 % going to be better. That just wasn’t my attitude during it. I mean, it’s good. wish I would have been, but unfortunately I wasn’t. But it kind of. Over time it’s gotten better, but at first it was very difficult for me. Bill Gasiamis (34:17) Yeah, that’s completely understandable. ⁓ You had, did you have some small wins in rehab that kind of made you shift a little bit slowly and kind of realize you’re making ground or things are, you’re overcoming things. Jorden Ryan (34:35) Yes, I did. I was very lucky in the fact that, I mean, I would just notice my therapist face like when my affected arm started to work or I did something, they didn’t say like, that’s unbelievable. But it was kind of like I was making progress faster than a lot of people. And I’m not saying I’m better. I was very lucky and I would never come to other people, but they were like, wow, that’s really amazing that you’re able to do that. So it was, it felt good. Being able, like, even just to move my finger, like, in my defective hand for the first time was huge, and then I was able to use my thumb to… I feel human again. I mean, to be honest with you, when I couldn’t talk and I couldn’t move and everything, it just felt weird, like it wasn’t me. Bill Gasiamis (35:22) Yeah, absolutely. So were there some setbacks during that time as well? Jorden Ryan (35:27) There were some setbacks. I, again, I watched one of your episodes and a gentleman told me, like I said, he had the fatigue set in later on in his journey. And so one of the things I was like, well, I’m so lucky that I don’t have that because I go to the gym pretty often. And that would be devastating to have fatigue. And then I also had fatigue. I mean, to the point where I didn’t want to move around at all. didn’t want to get out of bed hardly so there’s setbacks in the fact that like my my sister and brother-in-law luckily took me in I mean they were like ⁓ angels so to speak but they live in a big one bedroom app like one one floor house I meant to like a ranch style and just going to the bathroom was a setback because it would take forever to walk down the hall or whatever I mean it was my gate it was a walking style was Pretty hilarious there, you saw me. Bill Gasiamis (36:27) And then fatigue doing that walk also then ties you out. Jorden Ryan (36:34) Yeah, just walking to the bathroom did tire me out. So, like, to brush my teeth, I’m already scared of, like, not feeling well. Plus, walking all the way there and brushing my teeth and walking all the way back, it would be… I would really have to get my strength together to do that. Bill Gasiamis (36:53) A journey, a proper journey. Jorden Ryan (36:55) I had to do it because I didn’t want to wet myself or soil myself, but it was very difficult. mean, looking back, it’s like, wow, that stuff was so easy now. But at that time, it was not easy. was very difficult. Bill Gasiamis (37:11) Yeah. I remember being in a similar situation and I don’t have that far to go to the toilet from my couch where the lounge room is and the TV is. But I remember going to the toilet and getting back to the couch and then being completely wiped out. that’s it. I was done for hours, done for hours, just sitting there resting and then hoping to get enough energy to get back up off the couch and be okay. Um, that was very early on. That was probably a few, maybe about four five months after the second bleed, it was still very dramatic. And I couldn’t really appreciate how ⁓ I took for granted that trip before that. Like it was just, it never crosses your mind. Jorden Ryan (37:55) You wouldn’t even think about it, right? Like getting out of a car to walk to the house was very difficult for me. Or when I came back, I would just fall on my bed because I was worn out. But before that, before my stroke, I would not ever think about that kind of stuff. Yeah. In a wheelchair at first, but I walked around the house with a walker and like two laps inside the house would wear me out. That’s maybe one. Bill Gasiamis (38:11) Yeah, hell no. Jorden Ryan (38:24) Like, one hundredth of a mile is not much, or not even close to a kilometer, and that would wipe me out completely. Bill Gasiamis (38:32) Yeah. You find yourself thinking about the steps that you’re taking. Are you putting a lot of brain energy into the actual task? How your leg is moving? What was the process like for you? Jorden Ryan (38:44) Yes, my- so all the things that your body does without you thinking about were affected in me. Like blinking, I have to think about it. To move my arms at the same time, I have to think about it. So to walk was- I had to really be like, okay, which foot goes first? Left foot. Okay, now what foot goes next, right? It sounds ridiculous, but that’s really what I was like. My mind was, I had to think every time like learning to walk. I was like, what hand goes in front? with what foot? Like it was, I mean, very, very basic, like to the beginning, right? Like before elementary school, like it was, so everything I did was taxing mentally because I just had to think about stuff that you don’t normally think about, right? Like Okay, I should breathe. It wasn’t quite as bad as that, but that’s pretty close. Bill Gasiamis (39:37) Wow, So in the notes that we shared between us, you mentioned something about the first time you were taken out of hospital ⁓ to go and eat, I think. Tell me a little bit about that story. What happened then? Jorden Ryan (39:53) Sure, so I noticed, to start a little bit further back, I lost my hearing. It wasn’t when I first had my stroke, but when I was in rehab, they were actually changing my diaper. And so I would lay on each side and I noticed when I laid on the side, I could not hear them. They were telling me to roll over or something. And so I had lost my hearing completely. Then, um… When I got out of the hospital, my friends and family and whatever got together and took me out to eat and the noises were so loud that my senses were too heightened. It was confusing to me. I had a lifetime of going out to eat with friends and going to drinking or whatever. This was just a lunch and I couldn’t really handle it. It was almost too much for me. The car ride from maybe a three hour car ride, had to close my eyes because I would feel sick if they were open. it was, I realized just how different my life is gonna be, right? Bill Gasiamis (40:59) Yeah, did that make you want to avoid those types of events? Jorden Ryan (41:02) Yes, I have to push myself to do that kind of stuff because I don’t know, I think it’s easy to become depressed, right? Like, it’s easy to just be like, I will just sit here on the couch, watch TV. I don’t really watch TV, but… And even that is hard with my eyes doubled, but I mean, like, I push myself to hang out with friends or go to eat or something. But it’s very difficult. I would rather just stay home. If you just ask me, like… I mean, I’m always excited to go out with people, that’s not what I mean, but it just is easier to stay home. Bill Gasiamis (41:37) Yeah, I understand that easier to stay home. It’s a trap as well, isn’t it? It’s a, if I stay home, I don’t have to deal with all those difficulties, all those challenges. I don’t have to overcome anything. I can just have the easy way out. But then that you pay a price for that as well. That’s not, it doesn’t work like that. You have to pay the price of, well, then you don’t go out and then you’re alone again. And then you’re in your thoughts again. Then you don’t interact with people again. And It’s not the easy way out. seems that way, it’s potentially leading you down a path that you don’t want to go down. Jorden Ryan (42:11) You’re exactly right. I tell people that because I’m so lazy, I try so hard now because I don’t want to have that life like that forever, you know? So I try very hard now so I can be lazy if that makes sense. Bill Gasiamis (42:26) That makes complete sense. love it because it’s kind of like you’re lazy. Jorden Ryan (42:31) Right, exactly right. You know, because going to the bathroom, if that’s hard forever, that’s gonna be terrible. I gotta get up and walk and have to go out with people. then life is not as hard, hopefully, because you’re doing the things, right? So. Bill Gasiamis (42:47) Yeah, yeah, and you’re getting all the genuine awesome things that come from interacting with people, going out, being ⁓ in public. ⁓ I know what you’re saying about the kind of the earning our lazy kind of thing, right? Because I would say to myself, ⁓ Saturday, I’m gonna go hard. Now, hard for me might’ve been just to literally go to an event and stay an hour longer than I normally would have stayed, whether it was a family event, a party or whatever. And then I’m gonna be really exhausted tomorrow. I know that tomorrow I’m gonna be really, and I’ve got nothing booked in. I’m gonna do absolutely nothing for the entire day so that I can go out and go hard tonight, whatever tonight looked like, whatever that was gonna be like. And that was where I earned my recovery, my lazy. I’m sitting on the couch and I’m watching TV or I’m reading a book or I’m not doing anything. That’s exactly how I kind of used to talk to myself about doing nothing on the following day. Jorden Ryan (43:54) That is a good way to put it, earn your laziness. Like that is exactly what I did. I did something hard or out of my comfort zone and then when I was lazy I felt better about it. If I just wanted to stay home and watch TV, I mean I would have won the lottery basically, you know, like that would be my life. But because that is not what I want to do, doing hard things and then being lazy is a good way to look at it. It would make me feel better about myself. people and everything just kinda makes it harder to be depressed. Bill Gasiamis (44:32) Yeah, agreed, 100%. I would encourage people to get out as much as they can. ⁓ Now, I’m very interested in your thoughts about this. Your first swim, I wanna know what that was like, cause I had a first swim as well. I remember my first swim after waking up from surgery, not being able to use my left side and needing to rehabilitate it. ⁓ What was it like for you to experience that? The First Swim After Stroke Jorden Ryan (44:57) Yeah, so I’ve been swimming before I can remember when I was a kid. So like being by a pool was very scary for me because I thought if I fell in, I could not like get out. And I got in the pool with a life jacket to try to walk and doing I don’t know what this stroke is called where move both arms like that. But only one would work at a time. But I’ve been doing it forever. So it was so strange to be in the pool and not both my arms work together. It was almost like I didn’t expect that that late in my recovery It was not that long but still it was strange to me probably maybe a month after I got out of the hospital so luckily my mom took me to the pool quite a bit and Pushed a wheelchair even though it’s really heavy and she is older so Bill Gasiamis (45:50) Yeah, I went to the pool for the first time during rehab. They asked me if I had anything particular I wanted to work with or a particular exercise I wanted to do. And for me going into the pool, I felt safe that I couldn’t fall over. So we kind of did aqua aerobics and my left side wasn’t working well, but in the pool you couldn’t tell that it wasn’t working well. then put on a, it just felt normal. It felt normal. It kind of. ⁓ appeared like it was working normally, but it felt strange because the water pressure on my affected side, that was different. Feeling the water pressure on my affected side for the first time was really strange. What was cool about it is they gave me a life vest, so there was no chance of falling over, drowning, dying, or anything like that in the water. And it was really a real relief because my body felt really free for the first time. And then as I got better and we started to get out and about, One particular summer we went to a ⁓ waterfall here near where I live. And in the pond at the bottom of the waterfall went for a swing. But the difference is ⁓ fresh water ⁓ is different from salt water. And I had never swum in ⁓ fresh water. Jorden Ryan (47:11) Yeah, there’s a big difference here, right? Bill Gasiamis (47:14) Wow, you’re heavier, you sink quicker. And I went for this very short distance swim and I was completely out of breath and fatigued like really rapidly and needed somebody that was with us to help me get out because I hadn’t realized how much more taxing it would be to do the swimming motions or do all those things and stay afloat. ⁓ And it was really scary because it was the first time I learned that. Jorden Ryan (47:17) Yeah. Bill Gasiamis (47:42) I am not as capable as I used to be ⁓ in the water. Jorden Ryan (47:47) Yeah, I think that brings up a good point for me is that people that try to help me tell me like, be careful. There’s a table there or something like very obvious, right? But they don’t know what I’ve been through and what I can see what I can’t. have to be ⁓ appreciative of them saying that stuff instead of annoyed. Like I usually am so yeah. I did a triathlon in the ocean and it was so much easier. I was pretty happy. I was the other way around. I’m used to swimming in fresh water and then in salmon and salt water and that was all post stroke. But I can know what you mean. There’s a huge difference. Bill Gasiamis (48:27) What’s your Yeah, you’ve done a triathlon post stroke. Jorden Ryan (48:33) No, I’m so sorry. I meant before stroke. ⁓ Yeah, I did one back when I was healthier, but it is hard for me to even raise my arm. I can kind of do it now, but so I just did water aerobics actually today. And I mean, I am the youngest person there probably by seems like 30 years, but in the worst one there, like you can definitely tell I have a stroke. Yeah. Bill Gasiamis (48:59) Yeah, yeah, yeah, yeah. What’s cool about, what’s cool is that now there’s competitions where people can go and compete ⁓ after they’ve been, like the Paralympics is a classic example, right? And all the events leading up to the Paralympics where people can go and compete, get physical, even though they have deficits. That wasn’t something that was possible decades and decades ago. It’s a fairly new thing. I love that even though people are injured and they’ve had difficult times, perhaps their limbs aren’t working correctly. Some people still decide, I know I’m gonna be a competitor still, I’m gonna be with one arm, with one leg, with whatever my, whatever I have left, I’m gonna do the most I can and compete as much as I can to be the best in my particular sport. I love that about the things that people can access today about participation in sport, even though they’re injured. Jorden Ryan (50:02) Yeah, for me, it is much different. Like I used to be a very competitive person and now it’s me against me, right? The me against the stroke or whatever. Like I don’t care that somebody can run really fast. Like, I mean, that’s good for them, but for me getting outside and even getting to the event was difficult. Now to, you know, sit in a tricycle or whatever it happens to be is just, it’s more like a golf or something like that where it’s just you against you, you know, so. It is good that they have that kind of stuff, I think. Like, I’m looking at bikes for mountain biking with three wheels and stuff, so. Bill Gasiamis (50:39) Yeah, I love what you just said you against you. It’s like you against your mindset. Jorden Ryan (50:45) I think it’s just… I don’t want to say me against the world but everything is so… ⁓ difficult I guess? Like everything is a win so if I get in a car to go to the event if I get a bike that I can ride even a tricycle like that’s win if I can finish the event well that’s a win before it was like what place that I get now that’s not important to me I mean sure I guess is this not as important as it was before. Bill Gasiamis (51:15) Yeah, your priorities have shifted. Jorden Ryan (51:18) Yeah, very much so. Like, I think that I have a lot more empathy for people that are disabled. It just clearly opened my eyes. And even though I work in the law, I am used to disability act or whatever. And I was like, these people, now I totally get it. You know, so I understand like why they should have these laws in place. So here in the States, I mean, Bill Gasiamis (51:44) Yeah. Yeah, same with us in Australia. mean, there’s lots of laws to try and protect people who have a disability of some kind, injury, whatever you want to call it, so that there’s less discrimination, so that there’s more services, so there’s more access. ⁓ It’s one of the best conversations that people have because they kind of say, well, we know that this particular service that is going to be provided is going to be provided for all the population and 93 % of the population, for example, it’s not a real number, will be able to access it beautifully. What about the other 7 % who are not gonna be able to access it? We need to think about them. We need to think about how they’re going to go about ⁓ traveling on this service or accessing this service or getting in and out of this particular office or building and all that stuff. is taken into consideration in the design and planning phase now. So you can move around Melbourne, my hometown, in a electric wheelchair or a regular push wheelchair. And you will not have to worry about getting on a train, getting on the public transport, a bus, the tram, ⁓ going down a curb, all the curbs are ⁓ angled down. So this beautiful, nice smooth path towards the road and then up again. Jorden Ryan (53:13) Yeah, that sounds very nice. I think I was just ignorant to people’s needs, I guess. And now I learned firsthand how important they are, right? So I was just like, man, that’s a lot of money to do that. But it makes sense if someone says, well, we have 99 bathrooms, but you can’t use any of them. It doesn’t do me much good, right? So to have this kind of, yeah, right. Bill Gasiamis (53:22) Yeah. Yeah, what’s the point? Finding Light in the Darkest Moments ⁓ Now, the thing about stroke is that unfortunately life doesn’t get put on hold for us to recover from it and then let us get back into life as if we were okay. And I remember going through the third bleed and then a couple of weeks later, literally two weeks later, I think, maybe about a week later, my mother-in-law passed away. And then we had to have her funeral before my brain surgery. and my wife had to deal with all of that, right? You also, you lost one of your friends soon after you got out of, I think it was at rehab. Jorden Ryan (54:19) It was the day I got out of, ⁓ like inside the hospital rehab, inpatient rehab, like he was a good friend and he also had, I think a something to do with he had a tumor on his spine or something that was removed, but it left him slightly paralyzed. Like he was, he had both arms and I remember being in the hospital being jealous of him because Such a little thing like, wow, this guy can go to the bathroom by himself. I wish I could do that, right? But unfortunately, yeah, he died by suicide the day that I got out. It was devastating and very hard. I mean, that was somebody I planned on spending a lot of time with because he lived in the same city that my sister took me in that I was going to hang out with. I mean, not just about me. It was just sad that that happened, obviously. Bill Gasiamis (55:14) Yeah, of course, man, that’s pretty sad. And also, then your dog passed away. Jorden Ryan (55:22) Yeah, so this guy, he had told me my last message with him, well almost last was, we didn’t ask for this, but we’re gonna get through it together. And then, you know, he took his life, so that made me seem like, what should I do now? Then my dog died, which was a big deal to me because, okay, now I have all this time to pet him or play or whatever, and you know, it was pretty dramatic. dick dab that, but I felt like I was in a country song. Bill Gasiamis (55:55) How did you get past it? Jorden Ryan (55:56) I don’t know, think that you you kind of learn to just roll with the punches as I say because there’s so much in life that I can’t control that I mean, just, stuff happens right? You just have to do your best and I try to tell people like, it’s very easy to be in darkness or the negativity but it is my job to open up the light, open the window or whatever, not literally the window but to see all the good things that are happening. around me. So I mean, there are so many amazing things. So I have to open that up and not stay in the darkness too long. I can’t stop from happening personally, like this part of my life, but I can get out of it. Like luckily I have those tools, so to speak. Like I can be like, okay, this is happening. This is amazing. Or my family is healthy or whatever it happens to be or just people being really nice, seeing that, right? But I did have, my hand was like clawed and I would open the door and some people were nice and be like, let me get that door for you. Well, I cannot open my hand to let go of the door. It would almost knock me over several times. So kind of funny. Bill Gasiamis (57:13) always funny opportunities like to things to laugh at in that moment. I remember being wheeled in my wheelchair when I first got out of hospital, out of the hospital ward and we were just going around the hospital grounds just to get some sun. My wife was pushing me and I couldn’t feel my left leg and it fell off the, you know, where the feet sit in the wheelchair, the footrest. It just fell off the footrest and it was getting dragged. beneath the footrest and kind of the wheel of the wheelchair and it was kind of getting dragged and I couldn’t feel it had no idea but my wife was struggling to push the wheelchair Jorden Ryan (57:54) She’s like, is wrong with this? It’s so hard. Bill Gasiamis (57:57) She was going, well, this so hard to push. And then we had to have a look around and realize the reason it was hard to push, because my foot is under the wheelchair and I have no idea that it’s there and it’s getting stuck. ⁓ We laughed about it because what else are you gonna do at that moment? It was pretty ridiculous and funny at the same time. Jorden Ryan (58:16) That is exactly right. I would say that if I had to give credit to one thing, it would probably be my odd sense of humor now, right? Like there’s so many things to laugh at that it’s hard to say, Matt. That situation you had, it could have been really devastating to you or whatever, or you can be like, that is pretty funny, right? So I had something similar happen to me. My foot came off the wheelchair, but it just stopped. I didn’t feel it. my leg, but I mean, it felt like I ran over a rock or something like, so similar, not the same, but similar to me. Like, didn’t know if my leg would ever come back, you know? So people are all different levels of their journey. Like I was not upset, but I was surprised to see people in patient rehab. They could walk so well. like, Hey, we are really struggling over here. We’re in a wheelchair. That’s not the right attitude to have, but that’s how it was, you know, Bill Gasiamis (59:12) Yeah, absolutely. Jorden Ryan (59:14) are fine, get out of here, let us sick people alone, leave us here, so. I mean, I am lucky in the fact that I’m getting a lot more back than I thought that I would, so everything from now on is icing on the cake, so to speak. Living with PTSD and Double Vision After Stroke Bill Gasiamis (59:28) Bonus for sure. I think you talked about PTSD around brushing your teeth, right? How does that show up in your daily life? Do you have moments when that kind of rears its ugly head? Jorden Ryan (59:42) Well, I just moved into a new house and the bathroom is right next to it and it’s not so bad now. But when I had to walk and it was more difficult and I had PTSD and self-diagnosed. So I don’t even know if it’s a real thing. It was very scary, right? Like it would almost like giv

Mindsets to avoid burnout – Julie humanizes the patient and understands that whatever difficult things we are dealing with are temporary and have gratitudeWe must constantly recognize possible anchor bias and avoid cynicism to appropriately treat our patientsWe talk about our interactions with EMSBoth Julie and I remember working in EMS and the value that EMS brings in their report because they often see a lot of things we don't get from the history of the patientJulies advice for the new APP/ER doc - don't come to premature closure on a diagnosis, don't be afraid to ask questions, pay off your loans over buying the biggest house and latest toysWe talk about the baseline level of stress we deal with We talk about technological changes over time and imaging improvementsShe talks about the challenges that the Covid pandemic presented and the shortages of different things we have now encounteredJulie still finds meaning in finding the hard differential diagnosis and working towards positive patient interactions, the teamwork in the ERI talk about the importance of creating an approachable affect so everyone feels free to voice concernsGo look at the patient when the nurse is concerned Julie talks about the benefit for new EMT's and paramedics to reach out and ask for feedback and follow up on their patients, often we don't have time to pull them asideEMS doesn't have the best mechanisms in place for good feedback on every case like we do in the ER, where we see in real time how accurate our assessment may have been when the work up comes backSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Death and Questions /// Kevin Davis /// Part 1Episode:889Part 1 of 2  www.TrueCrimeGarage.comAlison Davis called 911, her voice frantic as she reported her husband had fallen down the stairs. Police and EMTs rushed to the New Haven, Indiana home, prepared to save a life. Inside, they found Kevin Davis at the bottom of the stairwell. His injuries were far worse than expected - he was barely clinging to life. Just hours earlier, the couple had returned home from a night out with friends. By morning, tragedy struck: one person was dead, and the other faced difficult questions.  Beer of the Week - Caramel Apple Tripel by Sun King BreweryGarage Grade - 3 and 3 quarter bottle caps out of 5 Join us at CrimeCon in exciting Las Vegas May 29 - 31, 2026.  Save 10% by using our voucher code TCG. Hope to see you there!  Holiday and Seasonal True Crime Garage gear and apparel are available on our website www.TrueCrimeGarage.com Cheers and Thank You! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Death and Questions /// Kevin Davis /// Part 2Episode: 890Part 2 of 2  www.TrueCrimeGarage.comAlison Davis called 911, her voice frantic as she reported her husband had fallen down the stairs. Police and EMTs rushed to the New Haven, Indiana home, prepared to save a life. Inside, they found Kevin Davis at the bottom of the stairwell. His injuries were far worse than expected - he was barely clinging to life. Just hours earlier, the couple had returned home from a night out with friends. By morning, tragedy struck: one person was dead, and the other faced difficult questions.  Beer of the Week - Caramel Apple Tripel by Sun King BreweryGarage Grade - 3 and 3 quarter bottle caps out of 5 Join us at CrimeCon in exciting Las Vegas May 29 - 31, 2026.  Save 10% by using our voucher code TCG. Hope to see you there!  Holiday and Seasonal True Crime Garage gear and apparel are available on our website www.TrueCrimeGarage.com Cheers and Thank You! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of the Tactical Living Podcast, hosts Coach Ashlie Walton and Sergeant Clint Walton dig into one of the most universal — and misunderstood — struggles in the first responder world: chronic fatigue (Amazon Affiliate) that doesn't go away, even after "enough" sleep. Police officers, firefighters, EMTs, dispatchers, corrections officers, and military members all experience a unique form of exhaustion that has little to do with laziness and everything to do with shift work, hypervigilance, trauma exposure, cortisol dysregulation, and emotional overload. If you've ever wondered, "Why am I still exhausted even when I'm off?" — this episode gives you the science, the psychology, and the strategies to finally understand what's happening inside your body.

Thanks to our Partner, NAPA Autotech Training and Pico TechnologyWatch Full Video EpisodeIn this episode, Matt shares a personal Thanksgiving story that turned into a real medical emergency. A long-time family friend suddenly becomes unresponsive at the dinner table, and Matt walks through the moment he had to decide whether to act, despite not being “formally” current on CPR.He talks candidly about what it felt like to drag her to the floor, check for breathing, make the call to start chest compressions, hear ribs crack—and then watch her come back. From there, he connects the experience to life in an automotive shop: CPR and first-aid readiness, AEDs, fire extinguishers, panic, freezing, and why “somebody will know what to do” is not a plan.It's a conversation about preparedness, stress, and how our greatest weapon really is the thought we choose when everything suddenly goes sideways.Episode HighlightsOpening with the quote: “Our greatest weapon against stress is our ability to choose one thought over another.”Matt fighting a cold and joking about his “Nat King Cole” voice.Thanksgiving at his parents' house: Family and close friends gathered, including a 75-year-old family friend (“Jane”) who's been part of the family's holidays for years.Jane says she's really dizzy; Matt gets up to escort her to the living room.Her chin suddenly drops to her chest, she becomes unresponsive, cold, and clammy.The decision point:Matt checks for airway, tries to feel for a pulse, listens for breathing—only hears gurgling.Admits he doesn't fully trust his own ability to feel a pulse with his heart pounding.The mental calculus: If you can't be sure, what else is there to do but chest compressions?Starting chest compressions:Dragging her to the floor and focusing completely on her while the rest of the room “disappears.”Locking his elbows, using the beat of “Stayin' Alive” as a guide.First compression: feeling and hearing the sternum/ribs crack—and taking that as feedback that he's at the right depth.Before the second compression, her eyes fly open and she lets out a sound.The immediate emotional whiplash:First feeling isn't relief, but anger and self-doubt: “Did I just overreact?” “Did I crack her ribs for nothing?” “Was this some dramatic hero move I didn't need to make?”Reorienting to the reality that she was unresponsive and now is awake, talking, and oriented.EMS arrives:Very low blood pressure at the house (around 70/40).Hooked up to a 4-lead, showing atrial fibrillation with PVCs.Matt nerds out on the waveforms and explains AFib and PVCs in plain terms.EMTs jokingly ask if he's a doctor because of how well he reads the traces.Later imaging reveals:A cracked or stress-fractured sternum from compressions.Multiple blood clots in her lungs.The doctor tells her that sternum fractures are common with CPR and adds:Don't be mad at him — he saved your life.For Matt, the key relief is not the “hero” label, but confirmation that he did the right thing by acting.Connecting it back to shops and real life:Afterward, Matt starts calling around trying to set up CPR and first-aid training.Hard question: if he drops at the shop, who's going to act?Extending the concern beyond employees: what about customers?Preparedness checklist for shops:Is there an AED on-site, and does anyone actually know how to use it?Has anyone at the shop had recent CPR and first-aid training?Do...

Started out her medical career as an EKG tech and in EMS as an EMT for one of the first ambulance companies in the areaShe saw the disconnect between the provider that people wanted to become and who they became, and she didn't want that to be true for herselfShe became an attending in 1991 and now has close to 40 years in emergency medicineShe became a physician when it was predominantly a male fieldJulie talks about some of the things that have changed over timeWe need to have empathy for the people that come in for non-emergent complaints and realize that we have the honor in the ED to fill all the gaps in the wider medical systemWe talk about the increase in transparency with patients and the access they now have to their lab work, imaging and chart and this helps us increase trust with patientsJulie talks about a paramedic partner she really admired and how well she treated patients, and how there wasn't a lot of female role models for her in med schoolI talk about how I also had partners that really improved the trajectory I was on as a new EMTSeek first to understand is one of the 7 habits of highly effective people and this relates directly to taking care of patientsJulie talks about how it was to be a woman in medicine and how her voice got dismissed as well as the dynamics that are at play with patientsJulie talks about burnout and how labyrinth therapy helped her. How you need something that helps you look beyond yourself to have a moment of awe and gratitudeSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Latvijā šīs nedēļas centrālais notikums ir 2026. gada valsts budžeta pieņemšana Saeimā, tikmēr pasaules uzmanības fokusā ir centieni panākt uguns pārtraukšanu Ukrainā. Notiek intensīvas sarunas. Krustpunktā analizējam nedēļas aktualitātes kopā ar kolēģiem.  Vērtē Latvijas TV raidījuma "Kas notiek Latvijā?" redaktore Madara Fridrihsone, izdevuma "SestDiena" galvenā redaktore un TV3 raidījuma 900 sekundes producente Lauma Spridzāne, laikraksta "Latvijas Avīze" žurnālists Māris Antonēvičs, un portāla "Delfi TV" raidījumā "Kāpēc" žurnāliste Alīna Lastovska.  

A couple is behind bars accused of hurling their helpless elderly neighbor off their balcony to his death...in an unprovoked attack cops say. Almost a half-dozen Florida firefighters/EMTS are caged accused of torturing a teen & fellow firefighter in a horrific hazing incident. Plus, a woman who was supposed to uphold the law accused of violating it big time! Jennifer Gould reports. See omnystudio.com/listener for privacy information.

This week on the Inside EMS podcast, we're passing the gravy and the hot takes. Cohosts Chris Cebollero and Kelly Grayson serve up a holiday plate full of EMS news — starting with FDNY's potential EMS split. They dig into what fair pay really looks like, why some EMTs are suing for what they're owed, and whether big hospital systems like Yale New Haven are reshaping the ambulance game for better or worse. Whether you're working a turkey-day shift or finally off duty, this episode hits hard and gives thanks where it's due. Quotable takeaways: “If you're gonna be in the EMS business, you've gotta be in the EMS business, right?” “One thing we need to do as leaders is to make sure we don't mess with people's money.” “If you're not giving adequate funding and attention to the EMS side of the house, then that's a recipe for trouble and it can't last.” Enjoying Inside EMS? Email theshow@ems1.com to share feedback or suggest a guest for a future episode. 

Brian talks about his experience being on the “other side” of the bedside with his wife's cancer treatmentHe really appreciated the extra time that the doctors spent with him and his wife to explain things – repetition is very helpful for your patients to really hear youBrian talks about balancing fatherhood and being a husband with our emergency medicine schedules and the challenges of being in a physician couple You have to figure out family priorities and what works well in your situationDate night is the most important investment you can makeWe talk about how to transition from ER mode to husband and father modeBrian talks about how finishing his notes helps to make his mind move on or answer some questions he may have to resolve a conflict he might be havingWe talk about church attendance as ChristiansBrian tells a powerful story where he was able to save and prolong a patient life so he could talk with his family“Sometimes it's more important to help someone die than to help them live”We need to be intentional about remembering the big and the small good things that happen throughout our dayYou never know when you might be the last person to interact with someone and may make the difference between them, deciding to give the ER another chanceBrian talks about advice to his younger self – don't work as hard, take more time offPrayer will get you to the right answer, if you call yourself Christian you should be displaying the Christian examples we are givenYou shouldn't have to leave your faith at home, it's your best ally at work Support the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

In Round 99 of the Tactical Transition Tips on the Transition Drill Podcast, the holiday season should feel joyful, but for many veterans and first responders it often feels like pressure disguised as celebration. When the lights go up and small talk begins, transition stress can surface faster than any festive spirit. Military veterans, Police officers, EMTs, and firefighters often carry more emotional weight this time of year, and if transition is on the horizon, the season can quickly become a silent test of identity. That's why this episode focuses on turning holiday stress into clarity, not chaos.This time it's tips on how the season can be used intentionally, even if it feels uncomfortable. Instead of performing for others, you'll learn how to observe, protect energy, and quietly prepare for the next phase of life after service. Transition isn't only about leaving the uniform, it's about who you're becoming next.This episode includes tailored guidance for each transition group:• Close Range Group (transitioning now to one year): Pre-loaded responses protect mindset during holiday conversations, and prevent emotional fatigue while you prepare for real decisions in the new year.• Medium Range Group (transitioning in about five years): The holidays are a rehearsal space where you can practice observing civilian communication and begin building awareness before pressure arrives.• Long Range Group (transitioning in a decade or more): Use this season to study influence, communication, scheduling, and identity so your future self isn't limited to a single role.For the military veteran or first responder navigating transition, clarity isn't always loud. Sometimes it's built quietly during holiday moments when you finally see who you've been, and who you're meant to become.The best podcast for military veterans, police officers, firefighters, and first responders preparing for veteran transition and life after service. Helping you plan and implement strategies to prepare for your transition into civilian life.Get additional resources and join our newsletter via the link in the show notes.CONNECT WITH THE PODCAST:IG: https://www.instagram.com/paulpantani/WEBSITE: https://www.transitiondrillpodcast.comLinkedIn: https://www.linkedin.com/in/paulpantani/SIGN-UP FOR THE NEWSLETTER:https://transitiondrillpodcast.com/home#aboutQUESTIONS OR COMMENTS:paul@transitiondrillpodcast.comSPONSORS:Blue Line RoastingGet 10% off your purchaseLink: https://bluelineroasting.comPromocode: Transition10Frontline OpticsGet 10% off your purchaseLink: https://frontlineoptics.comPromocode: Transition10

We talk about setting the right mindset, culture and tone as a leader of the department and especially in smaller facilitiesYou don't have to be perfect, but you can avoid the little negative comments and criticismsBeing a good example goes a long wayAs a Christian we are supposed to act like Christ wouldWe have a lot of metrics we have to worry about as clinicians but, as Christians, we need to worry about the metric of mercyUnderstanding that we are not as far removed from the homeless, drug addicted patient as we might thinkWe have to remember that, as we care for the homeless and drug addicted person that no one else will care for, we are doing it for JesusBrian tells his students to spend as much time with the patient as they need, you don't have to be the fastest provider right awayWe have to be careful about bias getting passed on from triage and from EMS reports as well, sometimes the problem is more subtle and requires more time with the patientHow we word things when talking with patients makes a big differenceWe talk about providing respect and dignity to those patients that dieBrian talks about some on-shift practices he uses to re-center himself on his purposeWe talk about the grey area in which we practice in the EDI try to practice assuming good intent on othersSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

We discovered comic Wendy Maybury counts sticking her head out of an airplane as a family past time and finds quilting more satisfying than sex and can help you if you faint at her show at the IDS building Saturday, at least until the EMTs show up. Plus BARGUMENT! what's the right time to serve Thanksgiving dinner, and Pearl Jam bought a Zamboni for Two Harbors, no joke. Originally aired Wednesday, November 19, 2025. See omnystudio.com/listener for privacy information.

This is a deep dive with Sarah Hall into the world of wildland fire medical support—where emergency medicine meets the world wildland firefighting. This podcast explores what it takes to keep firefighters safe on the line, from treating tree strike injuries, heat illnesses, to navigating remote evacuation challenges and limited resources. Listeners will hear how Medics and EMTs prepare and train for this line of work, the specialized gear they carry,  and the real-world decision-making that happens when help is hours away. Whether you're a firefighter, a medical provider, or simply curious about the hidden world behind wildland firefighting, Burning Edge Medicine offers a compelling look at the skills, cases, and grit required to deliver medicine in austere fire environments.

Episode 310:  Dr. Remle Crowe, Senior Director of Research and Data Enablement at ESO. Remle began her EMS journey as a volunteer EMT and instructor with the Mexican Red Cross in Mexico City, completed the EMS Research Fellowship at the National Registry of EMTs, and earned her Ph.D. in Public Health from The Ohio State University.We dive into how data drives better patient outcomes, operational efficiency, and provider wellness across EMS and hospital systems. She also shares her experience and advise about my passion projects and as an author of the newly released 2025 AHA Guidelines for CPR and ECC: Part 4: Systems of Care. Medic2Medic is back, bringing authentic voices, untold stories, and the human side of Emergency Medical Services and beyond.

Has been an attending physician since 2019Brian volunteered when he was a teenager in the ER and the staff that got him involved really drew him toward emergency medicine in med schoolBrian worked in the ED as an EMT as wellHe talks about early mentors and the impact they have, including helping him get loans for medical schoolWe need to remember to be like that mentor that encouraged us when we were new and pay it forward to the next generation of studentsYou must have something that drives you in emergency medicine, it is a difficult specialty. At first the dopamine drive from the excitement can carry you a ways but it will fade over timeBrian talks about how faith led him to where he is nowWe talk about the fulfillment of just having good conversations with patients and making sure they feel cared for and understoodBrian talks about recognizing burnout, it's a “general sense of not being whole” like something has been taken from youHe talks about the golden handcuffs of being a physicianBrian talks about how he overcomes exhaustion and burnoutCold plunging - forces you to be in the moment, control you heart rate and breathing Choosing hard things makes those hard things that are forced on you easierLiving in the moment is largely equated with happiness, the more you can do this the more you can be happy. Meditation and many other therapies are simply teaching you to keep your mind in the momentA wandering mind is an unhappy mindPrayer is another method for focusing your mindSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

In this powerful episode of Medic2Medic, two remarkable survivors, Jim Hallett and John Storm, who both suffered sudden out-of-hospital cardiac arrests and live to tell their stories.Jim, a lifelong Washingtonian and respected community leader, and John, a retired IT executive and avid mountaineer, share their deeply personal journeys from the moment their hearts stopped to the moment they stood again. Both men survived thanks to the Whatcom County EMS System, early CPR, and the seamless teamwork between bystanders, first responders, and hospital staff.Jim and John remind us that behind every EMS call are real people, families, and communities, and that every trained responder, every AED, and every compassionate hand matters.https://www.spreaker.com/episode/episode-309-jim-hallet-and-john-storm-against-all-odds-surviving-sudden-cardiac-arrest--68390154Medic2Medic is back, bringing authentic voices, untold stories, and the human side of Emergency Medical Services and beyond.

Advice for the new EMT, paramedic, nurse, physician who is also a believerBuild your faith in the easier times so your faith doesn't shake when times are hardYou have more reason than anyone on the planet who doesn't believe to strive to do this job better every day, you are held to a higher standardAdam still finds joy in emergency medicine, doing hard things, interacting with many different humans, seeking an answer, the intellectual stimulationYou must be able to embrace the hard stuff, embrace the suckAdam talks about the priority he gives to family and being mentally present when he is physically present with his kidsHe talks about the training that is required to make yourself mentally present outside of work and how to move on from a hard shift“He told me to cast my cares to him because he cares for me”Take care of yourself before you take care of othersIn our line of work sometimes quality is better than quantity timeAdam gives the advice he would give to his younger selfHe knows himself well enough to know he should say “Stay scared my friend,” because he can take that in stride and not panic. This job can be out to get youYou don't know what you don't knowDon't step over the line between confidence and cockinessAdam talks about some practices he has that allow him to move from ER physician mode to father, husband modePraise and worship music on the way home helps himI try to remember to keep my eyes above the waves, like the story of Peter when he walks towards Jesus on the waterSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

On a crisp November day, "The Valley Today" welcomes listeners with its signature blend of warmth and wit. Host Janet Michael and Captain Warren Gosnell of the Frederick County Sheriff's Office kick off their monthly Public Safety Thursday segment with playful banter about radio nostalgia, technical hiccups, and the quirks of live broadcasting. Their camaraderie sets a relaxed tone, inviting the audience into a conversation that would soon delve into the heart of community service. Navigating Change and Tradition As the discussion unfolds, Janet and Captain Gosnell reminisce about the evolution of radio technology and the enduring challenges of adapting to new tools. Their exchange highlights not only the humor in everyday mishaps but also the resilience required in both broadcasting and public safety. Captain Gosnell's anecdotes about his new vehicle and the familiar roads of the Shenandoah Valley paint a vivid picture of local life, complete with autumn leaves and the ever-present specter of roadwork. The Valor Awards: Recognizing Bravery Transitioning to the evening's main event, Janet introduces the upcoming Top of Virginia Regional Chamber's Valor Awards, a ceremony dedicated to honoring first responders and citizens who have gone above and beyond in moments of crisis. Captain Gosnell emphasizes the significance of such recognition, sharing personal stories of lifesaving interventions and the humility that comes with being acknowledged for simply "doing the job." He reflects on the emotional impact of these awards—not just for law enforcement, but for EMTs, firefighters, and ordinary citizens whose quick thinking has saved lives. The Pendulum of Public Perception Throughout the conversation, Captain Gosnell addresses the shifting public perception of first responders. He notes that while moments of extraordinary heroism—such as those witnessed during 9/11—can elevate the status of public safety professionals, negative incidents can just as quickly cast a shadow over the entire field. This pendulum effect, he explains, underscores the importance of community support and positive reinforcement, both for morale and for the continued dedication of those in uniform. Celebrating Citizen Heroes Importantly, the Valor Awards do not solely spotlight professionals. Janet and Captain Gosnell discuss the vital role of private citizens—children who call 911 in emergencies, bystanders who administer CPR, and neighbors who step in during crises. These stories, often overlooked by the media, demonstrate the profound impact that ordinary people can have when they choose to act. Captain Gosnell encourages listeners to learn basic lifesaving skills, such as CPR and Narcan administration, reminding everyone that heroism is not limited to those with badges. The Ripple Effect of Good Deeds As the conversation draws to a close, the pair turns to the broader effects of intervention. Saving a life, Janet observes, can have far-reaching consequences, touching families and communities in ways that may never be fully known. Captain Gosnell echoes this sentiment, sharing how even unsuccessful rescue attempts are deeply appreciated by those affected. The message is clear: every act of courage, no matter how small, contributes to the fabric of a safer, more compassionate community. Looking Ahead With gratitude and anticipation, Janet and Captain Gosnell conclude the show by congratulating the evening's Valor Award recipients. Their conversation serves as a powerful reminder that heroism is all around us—sometimes in uniform, sometimes in everyday clothes, but always in the willingness to help. 

Shawn Tierney meets up with Ivan Spronk of Siemens to learn about the SINAMICS G220 Clean Power Drive in this episode of The Automation Podcast. For any links related to this episode, check out the “Show Notes” located below the video. Watch The Automation Podcast from The Automation Blog: Listen to The Automation Podcast from The Automation Blog: The Automation Podcast, Episode 251 Show Notes: Special thanks to Ivan Spronk of Siemens for coming on the show, and to Siemens for sponsoring this episode so we could release it “ad free!” To learn about the topics discussed in this episode, checkout the below links: White Paper – Drives Harmonics – Siemens US SINAMICS G220 Website SINAMICS G220 Catalog Siemens Product Configurator (SPC) for quick part number selection and access to data sheets and CAD files Siemens energy savings calculator, SinaSave  Read the transcript on The Automation Blog: (automatically generated) Shawn Tierney (Host): Thank you for tuning back into the automation podcast. My name is Shawn Tierney from Insights and Automation. And this week, I meet up with Iren Sprock from Siemens to learn all about their g two twenty clean power drive. I also wanna thank Siemens for sponsoring this episode so I can bring it to you completely ad free. So with that said, I wanna welcome back to the show Ivan from Siemens to talk about VFDs. And, this is something we’ve been wanting to talk about for a while. But before you jump into your presentation, Ivan, could you introduce yourself to our audience for those who maybe didn’t catch your last appearance? Ivan Spronk (Siemens): Thanks a lot for just having me, back to the show here. I got a slide up here that introduces myself. I’m the product manager for the Synamix variable frequency drives for Siemens here in The US. So, yeah, happy to be back on your show. And what I would, like to talk to you about and discuss with you is our latest variable frequency drive. It’s the g two twenty and specifically the clean power drive. This is a best in class solution for a grid friendly power quality when using variable frequency drives. So Shawn, you audience may be wondering why we should discuss power grids and variable frequency drives, but I’ll just say if you’ve been around variable frequency drives or VFDs as I’ll refer to them, you’ve likely had conversations or heard something about VFDs creating or generating harmonics on the power grid. Shawn Tierney (Host): Oh, yeah. Yeah. Ivan Spronk (Siemens): Yeah. Or maybe you’ve, you know, someone in the audience has been involved in a situation where harmonic current and associated voltage distortion on your plants electrical grid were causing overheating on transformers and cabling or potentially causing circuit breakers to trip their fuses to open. Or maybe you’re just an engineer looking to select and specify a variable frequency drive and you may need to answer some questions about harmonics that typical VFDs generate. You can relate to any of those or if you’re just interested to know more about this topic, we’ll invite you to stay tuned here for the next thirty five to forty minutes for discussion on power quality and VFDs. So, Shawn, I’d like to just ask you, have you heard anything about the power grid lately? Shawn Tierney (Host): Well, yes. I’ve heard lots about the power grid. I know that this is more and more becoming a big issue because when you have a lot of VFDs producing all kinds of harmonics, that can cause lots of problems like the ones you just mentioned. But, also, the utilities are starting to to see this and saying, why are we putting up with this? So aside from the power grid needing to be hardened against all kinds of things, everything from EMTs to, you know, just, you know, Yahoo’s shooting transformers in the middle of nowhere. This has been a, I think, a big and growing issue. That’s why I’m glad that you’re on the talk about this because in the preshow, we just really I really got a sense of how important this was, you know, in 2025 and going into 2026. Ivan Spronk (Siemens): Lots of conversations about the grid and really how the grid electrical grid is being stretched. And with all of the, you know, data centers being built, you know, lots of conversations about how power is gonna be supplied with those. In other words, I think for maybe the first time in twenty five to thirty years, they’re anticipating our usage and power requirements going up. So that’s why I think all these utilities and plant operators are interested in the grid. So some reasons to discuss then the power grid and variable frequency drives is variable frequency drives very useful for motor control, but left unchecked, they can introduce several power quality issues. Harmonics, as you can see on the screen here, typical VFDs use rectifiers that generate nonlinear currents that also distort the voltage waveform and these harmonics can propagate through the electrical grid. And, you know, with that voltage waveform potentially affecting other equipment or you know at worst case other utility customers. These voltage fluctuations can lead to flicker in lighting and perhaps even take other sensitive devices offline. Typical VFDs some of them can negatively impact power factor. Again, something that’s of interest to utilities and plant operators. And just you know there could be some resonant frequencies set up that may interfere with other things. So those are all things that yeah, harmonics, and you know, the voltage fluctuation, things that are unfavorable I’ll say. And what I’d like to do here Shawn is just gonna introduce, you know, what I want to tell you is we have a very unique product here in the SINAMICS g two twenty clean power drive. Three advantages of this product we’ll wanna talk about here through through the course of this podcast. One is the clean power technology. So you can see total harmonic current distortion is well under the strictest harmonic standards there at less than 2%. It delivers near unity power factor under almost any load conditions. And I’ll just say, you know, there has been technologies out there that have been able to produce, you know, those two attributes of of, you know, low current harmonic distortion and near unity power factor. But what’s most unique about, this product we’re that we’re launching here is the compact space saving design, and it is the smallest low harmonics drive in the market. And also available, it’s all self contained, so there’s nothing extra to install. It’s all in one footprint. And I’ll give you an example here. This product is released up to a through 150 horsepower now. By the end of the year we’ll have it released up through 200 horsepower. So this is a relatively new product on the market. But that 200 horsepower drive imagine this Shawn less than three feet tall, less than 12 inches wide, and about 14 inches deep. That’s a 200 horsepower drive, that will guarantee these, things I’ve got got here with low distortion and near unity power factor. Shawn Tierney (Host): You know, that’s not something I would have thought of is that these clean drives are more clean power drives are typically larger than their standard cousins. And so the fact that you’ve been able to get these smaller and closer to the sizes of the standard drive is pretty impressive. Ivan Spronk (Siemens): You’re quite we we’d like to think so. Let’s dig into, you know, first of all, if, you know, I I said variable frequency drives or typical very free frequency drives can generate harmonics. So why why would people wanna use VFDs? Turns out variable frequency drives are really good at two things. One, saving energy, and two, improving processes. So just, you know, kind of as a reminder, why do people wanna use variable frequency drives? Just a reminder. Yeah. Half the world’s electricity is used by motors operating pumps and fans and compressors. And just as a reminder, Shawn, if you’ve got a 20 horsepower motor operating and I just use twelve hours a day, two sixty five days a year, I used average commercial power rate of 12¢ a kilowatt hour, that electric motor is gonna cost you running across the line around $5,500. If I operate that motor with a VFD and I’ve got opportunity to adjust the speed, you know, based on demand, electricity cost is half of it. So $2,500 And that even gets more grows your savings grow if I consider a 100 horsepower motor operating twelve hours a day, two fifty days a year, again, with that same kilowatt hour. You know, that running that electric motor across the line is gonna cost you, you know, I’ve got on the screen here $28,000. I’ve got the opportunity to adjust speed and control speed as I do with the VFD, and the application can, of course, doesn’t have to be run at full speed. You know, just typical savings again is gonna it’s gonna cost you less than half to run that electric motor. So I like to put those numbers in front of people, Shawn, because I think people lose sight of how much it costs to run an electric motor. So any thoughts on that? Shawn Tierney (Host): Yeah. You know, when I first got in this industry back in ’90, this was big. This was talked about all the time. They were like, if you get a fan or pump and you don’t have a VFD on it, you’re just wasting money. And and and to some extent too soft status. But the point being that, you know, if the way you drove your car was you just put the pedal to the metal everywhere you went, you could just realize that’s not gonna be very efficient, you know, fuel wise. And so, you know, putting aside the process thing, because many processes, you can’t just do a cross line starter. Right? It would be great for the process, but, typically, fans and and pumps, I mean, the the amount of savings is tremendous. And I know for a very long time, this was, you know, it was up there with, lighting, up upgrading your lighting in your plant. You’re just installing VFDs or upgrading VFDs from very old VFDs. A lot of times, the cost savings and the rebates would make the the project pay for itself within a year or two, if not sooner. So it’s, for anybody listening, I know all the old timers out there are like, yeah, know all about this, but maybe he’s listening and you haven’t taken a look at that, definitely call your, local representative and ask him about energy savings with VFDs because it’s huge. I mean, it’s just massive. As you show in this slide, you know, but it’s it’s it’s just it’s it’s super. Now at your second point, processes, yeah, some processes I mean, they wouldn’t be possible if all you had was across the line. You know, we we think about, you know, needing a very precise control, very precise movement, maybe not servo control, but in some cases, you know, just, you know, starting the VFD across the line would, you know, would break things. Right? You need to coast up and coast down, and, you know, be able to vary the speed based on the but what part of the what product you’re making sometimes. But let me turn it back to you. Ivan Spronk (Siemens): Sure. So one of the links that I’ve got in my resources is a a a link to it’s called CNA Save. It’s just our Siemens name for our, energy savings calculator. So somebody, you know, with that link, somebody could go in there and very quickly, you know, put in their own horsepower and speed profiles and energy costs and see for themselves, you know, more dialed in. So yeah. And I liked your your conversation about the process. I mean, so I think what I’m trying to establish on this slide really is VFDs are very useful and very effective at helping manage costs and improve process. So, you know, VFDs are not going away. So now let’s then dive into figuring out, okay, how do we handle harmonics that typical drives generate. So first, Shawn, let’s start with a conversation about what are line harmonics, and I’ve just got a few slides here to talk about that. But we’ll relate it to, you know, what we call linear loads, which is like an induction motor or resistors or incandescent lamps. They draw sinusoidal or linear current proportional to voltage. So in other words, for the audience on the looking at this slide here you can see very nice looking sine waves. Yeah. In this country of course that’s coming from our power plants at 60 Hertz. Looks very nice, right? Well, when you put a nonlinear load on your electrical distribution center system, yeah, and nonlinear loads are any power electronic device that’s converting AC power to DC power. So that’s what we’re doing in a VFD, we’re converting AC power to DC power. But also computers, you know, that’s obviously not the same talking in the same magnitude of power, but this is what computers are doing. Same thing with LED lamps now, Discharge lighting. And very interestingly enough, this is also what’s going on in EV charging stations. You know, you’re converting AC power to DC power, so that’s considered a nonlinear load. And what happens there in a nonlinear load is it doesn’t draw, it just draws power in pulses when the capacitors need to charge. So think about these capacitors charging more at the top of the waveform, And that’s then what causes these variations in both voltage and current, from the fundamental sine wave. And you know, in very simple terms, that’s what these harmonics are. Yeah. They’re non sinusoidal, they’re nonlinear, and even since it’s changing with the applied voltage. So there’s some things that they, you know, negative impacts we’ll say. And again, for the audience that’s looking at the slide there, you can kind of see some of these nonlinear currents stacked up there. Point is it creates a much more complex waveform, and there’s current flowing at those multiple frequencies. So Shawn, I’ve got for for people that are maybe having a hard time visualing this up, I’ve got a little example. So can you think, Shawn, of a musical group that sings in parts? Shawn Tierney (Host): Mhmm. Ivan Spronk (Siemens): Even if we can’t mention them on the air, you can we can all think of, you know, a group that’s in Yep. Yep. Yeah. Exactly. So here we go. We’ve got a musical group singing in different parts, and these different musical parts are sung at different pitches or frequencies. And that all blends together to make a richer sound. Right? Well, we can think of that fuller sound that’s flowing at those frequencies. That’s kinda like more current flowing in there. So, you know, to back to our harmonics example. So, yeah, there’s world flowing at these other frequencies other than 60 Hertz, and that kind of fundamentally becomes a problem we need to deal with. And then in that in that group, Shawn, can you think of someone what does it sound like when they sing off key? Shawn Tierney (Host): Absolutely. Who doesn’t sound good. Ivan Spronk (Siemens): Does it so maybe we’ll think of that as voltage distortion. So we gotta gotta do something about that too. So Shawn Tierney (Host): Yeah. I’d like to you know what? For me, you know, to and I think the charts for those listening, I think the charts really spell it out. They’re color coded, and they show the different harmonics. And for me, I think charting it is kinda one of the ways to understand it visually because if you think about let’s say you have a large rock, a medium rock, and a small rock, and you throw all three at the same time into a pond. You can visually see the big ripple, the medium ripple, and the small ripple, but it’s really hard for you to understand as they’re spreading out what the effect would be on, you know, any any, you know, maybe toy boats that your kids have in the water or grandkids have in the water. Right? And so it it’s it’s a very tough for for human beings to try to keep in their head more than three things happening at a time. Right? And so and so I I love seeing the chart here, and it shows the relationship to when the capacity of charging and how that affects the primary and the sympathetic and the different waveforms. And I just know that these are, you know, inducing currents, And each one of these are inducing currents, but it’s like that throwing multiple rocks into into a body of water. I just can’t I, you know, I need to see it. I need to draw it out. I just can’t, you know, understand. Hey. Well, that me means this little boat’s gonna go to the Northwest because, you know, you know, and this is where I think it’s it’s easy to overlook the effects that these harmonics have because it is it does get kinda complicated to visualize. Ivan Spronk (Siemens): Yeah. No. I I like that analogy of, the rocks and the water too. You can see those wave forms and yeah. It becomes, you know, more current flow that has to be dealt with. And and the voltage notching is something again, talking about typical VFDs. I’ve got a little picture here of yeah, showing in the center of the screen there. Just main section of a typical VFD with the rectifier front end that’s a six pulse, standard six pulse rectifier in there that’s what you know is very very common. You can see the DC link capacitors in the middle there, and of course the inverter section on the output which is recreating that sine wave. But let’s turn our attention to you know the input waveform that we’re showing. You can see you know drawing power creating those that notched waveform. And really what I want to point out on this slide is okay that’s kind of at the top of the slide I’ve got a picture of OneDrive doing that that you know on any given distribution system there’s a variety of loads right? Each with its own signature that interacts with each other, So you end up in trying to show down in this down in the orange section here of this drawing. Okay all of these different loads combined with their own signature to create kind of a system signature if you will. And then what happens is, okay, you’ve got standards that we’ll talk about here a little bit, but standards and specifications, you know, you’ll see if you’re an engineer dealing with harmonics, you know, they often refer to this point of common coupling. So that’s kind of what I’m trying to come across on this slide here as well is when you have a system, you know, it’s very useful to identify this point of common coupling where you’re gonna measure, these harmonics. So you’ll see that in a lot of specifications. Not sure if you ever seen that, Shawn. Shawn Tierney (Host): No. And and and just the point of common coupling, when you’re saying that you’re referring to go ahead. Give me that again. What what does that actually mean? Ivan Spronk (Siemens): If you notice over on the right side here, we’ve got a different loads. I’m showing I’m showing a couple of different drives. I’m showing few motors operating across the line, each with their own signature, but that ends up creating, you know, on the distribution system, you know, a system signature. So we need some place, you know, to decide, you know, if you’re trying to meet a spec, well, tell me then where I have to measure it. So that becomes that’s what this point of common coupling is. And I just wanted to get that term out there because people have often heard of this. Sometimes it’s right at the we’ll say the you know connection to the Utility Transformer. If you’re a plant operator maybe you’ve got a handful of buildings over here and you want to define a point of common coupling between some of these other buildings. Mhmm. But it’s just a, yeah, place to define for a measurement. Shawn Tierney (Host): So in this case they have let’s say they have a transformer here. This transformer feeds two, let’s say, VFDs and then two motor starters. So they’re exactly at that point, you know, on the outfeed of the transformer, which we know we have four loads on, to be that point of common coupling. Because what’s gonna happen is we have all these different loads, so we have all these different waveforms. We have the different harmonics from the VFDs. So that’s gonna average together to give us a a waveform that’s the combination of those four devices, And that’s point of common coupling. Alright, I’m with you. Thank you. Ivan Spronk (Siemens): Exactly. Again, just one other factor, just to talk about a factor that impacts the magnitude of harmonics, is something else you’ll see in a lot of specifications is what’s called the relative short circuit ratio. And really this is just a metric that’s used when evaluating the grid’s ability to support variable frequency drives and and really any other nonlinear load, which, you know, we mentioned LED lighting and there’s other nonlinear loads out there too. But what it does is compares the strength of the grid or distribution system maybe that you have in your plant to the size of the connected load. And of course, this ratio and therefore the magnitude of the harmonics is impacted by transformer size, by what you all got connected if I’ve got other reactors, how much cable I’ve got connected. And then probably most importantly by load size and type. In other words, by load size I mean, okay is this 50 horsepower or 200 horsepower? And by type meaning, is this 300 horsepower running across the line or is it on a with a VFD? I like to give an example there, Shawn. Water treatment facilities often you hear a lot about harmonics in those facilities because often there’s such big motor loads being controlled by VFDs and that is by far the largest represents the largest percentage of load on that transformer. Right? So I’ve got to imagine kind of this remote water treatment facility, you know, what’s out there? Probably four to five to six depending on how big it is, you know, huge motors running pumps, right? And not much else. So there’s an example of people that would be you know very concerned about how much you know what percentage of nonlinear load do I have on my transformer? So that’s kind of all relates back to this short circuit ratio. Again, something you see in a lot of specs. So just trying to give some definition around what that is. Sure if you got anything, any questions or anything you wanted to add or? Shawn Tierney (Host): No. I I appreciate that. Appreciate you going over. Ivan Spronk (Siemens): No. Kind of a point I’m trying to make is, you know, there’s multiple factors that impact the magnitude and lots of things to think about and figure out. It’s like, wow. If you’re a plant engineer with responsibilities for a power grid, wouldn’t it be great not to have to think about this? And I guess ask you to remember, you know, why I showed you at the beginning of this is, well, our our product, you know, take that whatever’s I drive is giving you no distortion at the terminals, no, you know, near unity power factor. So it becomes something that can really simplify. Yeah. Make make make a life of a plant engineer much simpler by specifying products that are you know low harmonic content. So let’s talk just okay so we kind of defined variable frequency drives. We we like them. They do a lot of good things. But okay there’s some things going on with harmonics. Okay so what’s what’s necessarily bad about these harmonics? So I’ve got a couple slides here showing that’ll walk us through the effects of, you know, kind of the pain points of harmonics. So, you know, with regards to transformers, generally, remember we talked about there’s there’s more current flowing at these other frequencies. So that’s gonna induce some additional heating and additional losses, likely to see some insulation stress, possibly even some resonant frequencies that are gonna set up core vibrations. So those are some of the, you know, undesirable things with generators. You know, there’s most good sized facilities have a standby generator. Right? Well, now if I’m operating a lot of nonlinear loads, I’d really start to need need to start to pay attention to, okay, is my generator gonna work to power these nonlinear loads? So something to consider there. And what what ends up happening is you people may have to oversize that generator Shawn Tierney (Host): Mhmm. Ivan Spronk (Siemens): To be able to run these nonlinear loads. And dropping down to cables and conductors again, if I’ve got more current flowing through them, that’s gonna increase your cable losses due to increased cable resistance caused by the skin effect, which is something that in tendency of alternating currents to flow primarily along the surface of the conductor. Yeah. Increasing or decreasing its ability to, you know, do its job and really deteriorating the the insulation, due to excessive heating. So those are all, you know, negative things that happen when you have a lot of harmonics. Right? Alright. Looking at one more slide of just some, you know, negative impact on circuit breakers or that may trip prematurely or fuses that may open prematurely. Again, thermomagnetic circuit breakers have these bimetallic strips that may be impacted by those additional currents flowing. Electronic type circuit breakers use current sensors which need to account for, you know, these harmonic currents. Yeah. Most circuit breakers are designed to trip at a zero crossover point. So with these distorted currents, you know, there may be some spurious zero crossovers. And then kind of some similar problems with fuses again due to heating effect. This RMS current and non uniform current distribution through the fuse element. You know, what tends to happen is people may have to oversize fuses. But of course, I’m also, you know, to match that actual RMS curve that’s flowing with these harmonics. But okay, that’s not necessarily unless somebody’s out there measuring it, they don’t know what that is. Right, Shawn? And I’ve got codes to meet. I can’t just put a way bigger fuse in. So, you know, it kind of becomes this balancing act. Right? Yep. So Yeah. So those are all things, you know, that happen when you have a lot of harmonics. Again, I can kind of summarize them on one slide here. Line, you know, line harmonics produced by these nonlinear loads cause overheating, inefficient operation, you know, and more losses, perhaps some premature line tripping, perhaps some system oscillations and instability, perhaps noise, and and yeah. And reduced power factor. So none of those are good. Right? In general, reduced efficiency, increased power loss and energy costs, and of course then higher carbon emissions as well. And yet to kind of summarize this all up, current distortion is is bad, infects your all your systems. You gotta account for it. Voltage distortion is often the one that will get people that it’s much worse because that goes all other systems as well if if left unchecked. So that’s my kind of my summary slide there of effects of harmonics and why we wanna do things to control them. So any any thoughts or questions there, Shawn? Shawn Tierney (Host): No. I think I think the slide does a good job of showing that, you know, this isn’t not just for your VFD, VSD. It’s the other things on the line too that you’re affecting. Right? So so now I’m sure some of the, some of those, listening or watching have have stories of where, you know, one drive, two drive wasn’t a problem, four, five, six drives, and they started seeing these issues because it was cumulative. Right? You know, the more drives you have. So, I’d love to hear any stories you guys that are listening and watching have about this and what you did to resolve it. But, this is this is I mean, in some cases, you may just need to get a VFD, like this clean power drive that eliminates this problem versus, you know, other ways of dealing with it. Ivan Spronk (Siemens): Sure. Oh, so, yeah, that that leads well into my next kind of couple of slides here. I mean, harmonics are not new. Line harmonics voltage distortion isn’t something that’s new. I mean, this this has been around for as long as VFBs has been around. So people have come up with, you know, ways to mitigate this. And I’ve got, you know, five of those methods listed on the screen. And we’re just gonna kinda very quickly step through these. But the last one there is really we’re gonna get to okay. What is in the g two twenty that makes it unique, and why do I wanna talk about it? So again, what and we’ll come back to this summary slide at the end here, but just okay. Like I said, people have come up with a handful of different ways to try and mitigate harmonics. First one is just, you know, a simple line reactor. And what you also see is some manufacturers, and Siemens has done this too, to some of our lines. We have DC chokes in the, you know, in that DC link section. You know, it’s an inductor and really all that’s doing is imposing, you know, opposing rather the rate of change of current flowing through it. So it kinda takes the top off of those notches if you you will. Yeah. It’s simple, probably economical. It’s usually applied to each VFD. If you know something about what impedance you need, there’s there’s a selection you know available in these AC line reactors. You can select the impedance you want. But some of the negative things is they take up more panel space. They gotta wire it. And in reality, it only offers kind of a small improvement. So people invented other things. So the next thing I got here is people came up with, they call them massive harmonic filters. They’re also called line harmonic filters, you know, LHF, you see that or harmonic trap filters. And what these do is they eliminate or control kind of those dominant lower order harmonics. I didn’t talk about this much, but these harmonic currents that are flowing they’re they’re much more dominant kind of at the lower end of the frequency range so they these harmonic trap filters work on, you know, those low order harmonics. And they they can be effective for, you know, putting in front of a drive. Kind of what they consist of is a LC circuit there, maybe with a damping resistor, and they get tuned to these specific frequencies. So but again, it’s a device that takes up panel space. I have to install that separate from the drive, so I gotta wire it. And then they don’t do a very good job because they still have, you know, voltage notching and instability on gen generator operation is a a is a known problem with these things. And okay you’re introducing more losses to the system. So that’s passive harmonic filters. The next thing I’ve got here is, you may have this has been pretty common in the industry. It’s called the 18 pulse front end. And really what this does is uses takes your incoming three phase power and really converts it to nine phases with a, you know, special transformer, that creates a phase shift between these different, now nine phases, so I can now I gotta have this 18 pulse, diode bridge and you can kinda see that on the on the slide here too. So I need, you know, this involves a lot of equipment. I need this auto transformer, I need a different rectifier bridge, you know, a much bigger one really, but it does do a really good job of yeah. So I’m not drawing current in big chunks anymore, I’m drawing current more often. Right? Because I’ve got this, you know, 18 pulse rectifier. So it really does a good job of meeting, you know, there’s a standard out there called IEEE five nineteen that’s referenced, that we’ll talk about just a little bit more here in a bit. And these also, work relatively well with the standby generator. Some of the negative things is, okay, you know, soon as I introduce that transformer and more switching, that reduces my system efficiency. And really the big one is this takes a ton of space to not only mount that transformer, but that, 18 pulse rectifier. I got a wire between all of that. So it ends up being a pretty substantial product cost in terms of component cost and and floor space cost. So, but you know has been widely used in the industry but a lot of metal, you know copper and iron, being used in that solution. Next IBT bridge and a DC bus much like the front end, front two parts of that AC drive that I showed you. So we’ve got kind of a the front end and a DC bus set in there. And what this really does is monitors the current and then really generates compensation current in opposite phase to offset harmonics. So this can be, you know, effective. The waveform looks pretty good. It’s unaffected by impedance changes because it’s managing the switches. But yeah, it tends to be you know more complex, it’s more expensive than passive filters, and again it becomes another device to install. Permissioning can be a bit of a challenge because you gotta get this tuned to obtain optimal performance. Although there are some self tuning ones out there that, you know, help take that burden away. But, yeah, you gotta install another piece of equipment that takes up think of it as, you know, two thirds of another VFD setting out there. Right? Shawn Tierney (Host): I would think it is also less energy efficient too because so we all know we have noise canceling headphones. They take power to generate a cancel waveform. Right? So we were already losing power because of harmonics, and now we’re generating another waveform to cancel out the harmonics. So it just seems like we’re losing more energy to produce this canceling wave. So it I mean, I could if this is the option that works, then you have the space granted, but it seems like it’s less energy efficient than maybe a passive filter. Right? But I don’t know. What do you I mean, two thirds more of the panel space as a as just the VFD alone. That sounds like a lot of equipment. Ivan Spronk (Siemens): Give you a a fucking waveform. So I think that’s why people like it. But, yeah, it is definitely something that’s more complex. And and again, I think also there’s that commissioning aspect. And another thing is okay. So you get it set up on a given distribution system and it’s doing great. Okay what happens when I add a couple of more drives on this distribution system? It’s gonna change the dynamics and may need to do some recommissioning. So again it’s something that a plant operator would would need to you know pay attention to. So all those methods and and what I’m gonna get to next is something that’s actually in the G220. So all these previous method methods you know kind of works to a degree and each kind of has its maybe strong points and and not so strong points. But what I want to talk about now is something that’s called active front end. And this is you know, the g two twenty clean power drive is a version of this active front end. So active front ends. So what do we mean by that? Basically, it’s, you know, a sinusoidal input rectifier. And we are controlling the commutation or when we’re conducting energy. So with that we can get, you know, if done right we can have a high dynamic response. So we can respond to, changes for instance, you know, voltage dips in the distribution center excuse me, distribution system. And and because of that, then we we can also kinda get because we’re controlling when we’re conducting current, you know, it’s it’s near you unity power factor. So, yeah. These active front ends have been versions of these drives out there as well. What’s unique about the g two twenty is that it’s a two quadrant active front end. So power is flowing only in one direction. So in other words from the supplier line source, you know, through the drive to the motor. These are called clean power. So you hear the name clean power infeed that’s because okay the, you know, the infeed or line supply is is clean. This is known as something, out in the industry. They’re called Vienna bridge rectifiers. Vienna bridge rectifiers, something that was invented in the mid nineties. And basically, I I just put up a, you know, bigger diagram of kinda what’s going on here. There you can kinda see, okay, it is only two quadrant, but there’s this three level switching process that really reduces all these lower ordered harmonics. So this provides them a stable controllable. The advantage is five voltage DC output, so there’s no voltage reduction going on. Makes it ideal for high power applications like VFDs. And again, remember I mentioned earlier in the conversation here, electric vehicle chargers. So this is a technology that’s been popularized by some of the people. Yeah. Making electric vehicle chargers as well. So and really, yeah. What we’re doing here is using on smaller sizes MOSFETs or on larger sizes, you know, IGBTs here in the power section. Mhmm. And then using a very, you know, part of the sauce here is the control or of the pulse width modulation to manage power inflow is is really, as short a sentence as I can come up to describe what’s going on here. With this, because we’re only controlling power in one direction, there’s some ability, you know, we we don’t have as many switching losses. Again, because we’re only dealing with two quadrants, it’s a compact size, but it is non regenerative. And I I just what I’ll do here is I’ll put up, you know, a four quadrant comparison. So there are active front ends out there that are four quadrant, which has more of a full IGBT, you know, front end to it. The advantage of that is you do get power flow. It is regenerative. You do get power flow in both directions. But of course now I have higher losses because I’m switching in both directions and and you know, just a little bit less efficient. So really kind of coming back to what’s in the the g two twenty clean power drive is this two quadrant Vienna Bridge rectifier. Again because we’re only controlling power in one direction there’s some space savings that that come from that. So yeah and I’ll just add a two quadrant so that’s why this is targeted at you know, non regenerative load applications like pumps and fans. Right? And compressors. Those are not regen load applications. If you need something, you know, four quadrant that would be, you know, like think of a hoisting application or something like that. Maybe large centrifuges or something like that that has a lot of mass that’s been accelerated up and yet can capture some region on the D cell. But that’s kind of, what’s in the g two twenty clean power drive. So, Shawn, I’ll just kinda stop there and the and by the way, the waveform is fantastic. Just dialed that in there. So any thoughts or questions or what’s on your what’s on your mind there? Shawn Tierney (Host): Yeah. No. That’s important to know. So, you know, you got the two quadrant version in the Clean Power g two twenty. And the important thing here is you’re gonna get beautiful. You’re gonna get beautiful elimination of harmonics. You’re gonna have a beautiful waveform. But when you make this choice, you’re also opting out of, regen, like you said, like a hoist or a large inertia load. There’ll be no regenning, which in some cases, you’d be choosing a different VFD. That’s just a different application. Right? Ivan Spronk (Siemens): Exactly. Shawn Tierney (Host): But I think most VFD applications, at least the ones I’ve seen over the years, do not have any regen. Right? They’re your standard purpose, even your high performance VFDs are not doing regen or anything any any type of regeneration capabilities. So I think for most applications, that’s not gonna be an issue, but it’s important to point out. Ivan Spronk (Siemens): What do you think? In the you know, some people we’ve asked questions about, why didn’t you just make it four quadrant? Well, let me ask you, Shawn. What do you think’s less expensive to make? A a two quadrant or four quadrant version? Shawn Tierney (Host): I got a feeling the four quadrant may be twice as much. Yeah. Well, at least that part of it. Right? The front end. Ivan Spronk (Siemens): And when do you think would, you know, take up more handle space Shawn Tierney (Host): at two quadrant or four quadrant? Yeah. Exactly. Exactly. Yeah. Ivan Spronk (Siemens): So, I mean, it’s it’s a very targeted, again, targeted at those, applications that are non region load applications, which Yeah. I’ll I’ll submit that’s at least 80% of them, you know, what’s out there. So if so, again, this really just to emphasize, it’s it’s a Vienna bridge rectifier. So, you know, some uniqueness there. But then really, also the software side of it, you know, building the, algorithm to manage that power flow and assure efficient operation is what’s been done in the g two twenty drive. And yeah. With regards to nice looking waveforms, it’s a lights out, you know, the best looking waveform out there. And matter of fact, I’ve got one more slide here that shows just, you know, development team took one of our g two twenty products, you know. So this is what’s shown over on the left side here is just your standard our, you know, waveform. You can see kind of the double humped waveform there. If you put a passive harmonic filter in front of the g two twenty, you know, waveform starts to look pretty good. But now if you just use a clean power drive, you get a very nice looking waveform. All that worrying about what the effect of harmonics how they’re generated you don’t have to think about that anymore because right at the input terminals of the drive you know, we’re giving you very very low turn harmonic distortion. So and and also that near unity power factor. So that’s really the advantages of the clean power drive. Shawn Tierney (Host): Well, and I you know, just for the audio audience, I mean, we’re looking at the standard g two twenty, right, your standard drive. You’re looking at a total harmonic distortion of, let’s say, 33. Well, you put that passive harmonic filter on, that’s standard drive. Now we’re down to around 4%. Right? But if you have a lot of those drives, that may not be enough. Right? So with the clean power g two twenty, we’re down to under 2%, 1.9 total harmonic distortion. And you see that I know you guys listening can’t see it, but you can see that in the waveforms. All the viewers who are watching can see the waveforms definitely the improvement as you go through each of these options. And, again, you’ll know if you need clean power. Right? I’m fairly sure that, you you know, if you don’t need clean power, you don’t need it. Right? But if you need it Right. And and this is something that I think we’ll see more and more because quite honestly, I mean, power fact, we all know how that affects your utility bill and how our company thinks about that. And so we can accept more stringent controls over time as, yes, the systems become more advanced. You know, you’re gonna get dinged if you have really bad power, you know, the quality of the power. If you’re causing problems down, you know, for the rest of the block or for the rest of the, business park, they’re gonna start tracking that. So let me turn it back to you, Evan. Ivan Spronk (Siemens): Yep. We’re kind of to the end. I’ve got a couple of slides just to summarize what we’ve talked about here. You know, the the g two twenty is, a new drive for us. It’s our next generation SINAMICS product. And really this drive was designed and built on four pillars of digitalization. So in the form of you know, having a digital twin capability to help engineers shorten design and engineering efforts when sizing a drive system, and then tools to optimize operation once it’s up and running. You can see another pillar of secure, meaning security, with regards to cybersecurity and and safety that protects people from machines and protects machines from people as well and other sinister actors. And ease of use, you know, next generation product starting with a clean sheet of paper. Okay. Some things were done with regards to selection, configuring, commissioning, training, things like that with making the product as easy to use as possible. And then this fourth pillar of being sustainable, you know optimizing manufacturing resources and materials used, even operational efficiency during the life of the product and then even considering you know the end of the product life cycle. So all of those things designed into the Sinamics G220 and then if we look again specifically at the advantages of the clean power drive, you know that nice clean low low total distortion that complies with the harmonic standards, near unity power factor, and again, in that space saving design. And just to kinda give you an idea, I’ve I’ve been telling you it’s small, and I think I maybe let the cat out of the bag at the beginning of the, presentation as well. Yeah. Here’s here’s kind of a table that shows dimensions, and there’s that 200 horsepower drive that I referenced. So, yeah, this this technology, you know, it’s not like buy the drive and buy buy something else to add on to it. It’s all in one package. And, yeah, that that 200 horsepower drive, you know, 31 inches tall, less than 12 inches wide, and about 14 inches deep. That’s a 200 horsepower clean power drive that would yeah. You wouldn’t have to think about all this harmonic stuff. And I’m not gonna put up a chart that shows competitor a, b, and c and and our product next to it. But you can take that table and go find go look at other people’s solutions and you’ll see yeah. It’s it’s a very compact device. So that’s kind of the point of that slide there, Shawn. And, yeah, really my last slide then just kind of I have drawn heavily from a white paper that my counterpart, Nikun Shah, wrote. So we’ll give you a link to go download that, white paper. That discusses a little bit more. I’ve kinda mentioned on and off, I triple e five nineteen. That is by far the prevalent standard in this country for, yeah, describing what harmonics are, different medication techniques. And then, you know, there’s tables in there. It’s like, okay, if you’re being called to meet specification at triple eight five nineteen, you know, here are the harmonic current distortion levels and voltage distortion levels that that you need to meet. So that’s all laid out in that white paper. Yeah. And then we’ll give you a a link to our website, to the g two twenty catalog. I have another very useful feature shown that I’ll give you a link to is the seamless product selector where you can go and, you know put in a part you know very quickly pick a part number and then get to some you know CAD models of it. And then I’ve mentioned that energy savings calculator at all. So Shawn that’s kind of what I had for today. I hope that was interesting to you and, more importantly, interesting to your audience. Shawn Tierney (Host): Yeah. And I just wanna remind the audience that we had you on to talk about the g two twenty a while back. We also had Jackie on that go through commissioning the one twenty and the two twenty. So if you’re kinda curious, how do you do that in TIA portal? Because I’ve never done that before. So Jackie came on, and she walked us through that for both of these two models. We also have received some samples from Siemens. So we will be, trying those out them ourselves here in the in the studio. Don’t know. Don’t have a date on that. We’re a little backed up here. But, definitely, they’re right in front of me every day, so I don’t forget about them. So we’ll be doing that as well. And, then we’ll make those available to our in person students who come to the school as well as we’ll add those as lessons to the online course over at the automation school. But so lots of stuff. We’ve had a lot of coverage. If you have any questions, check out this white paper. I’m sure we just touched the surface of what’s in there. And, of course, Ivan and all his colleagues at Siemens would love to hear from you. And, Ivan, let me, pass it back to you for the final word. Ivan Spronk (Siemens): Yeah. Just thank you so much for having me on, Shawn. Shawn Tierney (Host): Well, I hope you enjoyed that episode. I wanna thank Ivan for coming on the show and giving us that very technical presentation, which I totally enjoyed. I hope you guys did too. Also wanna thank Siemens for sponsoring this episode because you guys know I love to really stem completely ad free and available to the entire public. So with that said, I also wanna thank you for tuning back in this week. If you think about it, please give me a thumbs up or a like or a five star review. That is the best way for me to find new vendors to come on the show. And with the exception of Thanksgiving week, we should have a show every week up until the last two weeks of the year, and we are already recording shows for next year. So I’m excited about that. If you know any vendors you think we should be on the show, please reach out to them. I’m working on a new media guide as well, and so, we’d love to have them on the show this coming year of 2026. So with that said, I just wanna wish you all good health and happiness. And until next time, my friends, peace. Until next time, Peace ✌️  If you enjoyed this content, please give it a Like, and consider Sharing a link to it as that is the best way for us to grow our audience, which in turn allows us to produce more content

Faith and burnoutAdam talks about how he tends to spend his spare time reading the Bible, going to church, spending time in prayer and how this develops character and is better than pursuing time wasting activities or the easy dopamine dump that does not add to sustainability or self-improvementWe are designed to do hard things – mental or physical – including pursuing Jesus – this builds stamina, character and makes you better in your careerChoosing hard things makes the hard things that you don't choose much easier to handleSeeking hard, painful things can reset your own personal pain scaleWe can find more reward and satisfaction in the suffering than the result, less satisfaction in being done“Re-shift your mindset to find that the goal is the struggle and you are overcoming it”Journey over destination“The reward comes from striving, from the journey”“That's the example of Jesus”We talk about the apostle Paul and his exampleSocial media skews our view of other humans; it polarizes us and makes us see the worst of humanity instead of seeing the goodThere is some benefit to boredom All sacred texts talk about the need to meditate on these things, allow yourself to sit in silence and seek what you are trying to findSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Episode 308:What happens when a paramedic turns years of street-medicine notes into reflections on humor, heartbreak, and humanity? Her book: "A Real Emergency: Stories from the Ambulance" is a must-read as Joanna's writing doesn't just capture what we do as medics, it captures who we are: compassionate, flawed, and human. In this episode, Joanna reflects on her path from feeling adrift in Oakland to finding purpose as a paramedic serving the communities of Reno, Santa Cruz, and San Francisco. Her insights shine a light on the humor, heartbreak, and compassion that define the world of EMS.https://www.spreaker.com/episode/joanna-sokol-notes-from-the-streets--68380096Medic2Medic is back, bringing authentic voices, untold stories, and the human side of Emergency Medical Services and beyond.

In this episode, two parent-advocates - each with a child diagnosed with Autism Spectrum Disorder (ASD) - share how ASD shapes communication, safety, and trust, and why lived experience should guide training for police, firefighters, EMTs, and courts. Together with Cheryl Stehle and Jamiel Owens, we explore misread behaviors, practical de-escalation, family preparation, and the need for policy that reduces harm.When neurodivergent people interact with first responders a single misunderstanding can turn a routine interaction into a crisis. We sit down with two parents whose lived experience with ASD reshaped how they see safety, communication, and trust—and how first responders can, too. Their personal stories and experiences move from early fear about ASD and confusing diagnoses to purposeful advocacy that prioritizes dignity and practical skills.We unpack what ASD really means in day-to-day life—why one person's eye contact challenges or stimming are not defiance, and how processing time, clear language, or a written prompt can lower the temperature fast. Jamiel shares how fatherhood and his role at the Center for Autism Research inform an approach that treats difference as a lens, not a deficit. Cheryl explains how AUTT training equips police, firefighters, EMTs, and juvenile probation with field-ready habits: pause to observe, ask neutral questions about communication needs, and look for tools like blue envelopes, ID cards, or a support contact. The message is simple and actionable: just ask, then adjust.We also talk about preparation within the family especially when domestic violence is present. An autism go-bag with headphones, comfort items, and a communication device can restore predictability during stressful moves or shelter entry. We discuss emergency preparedness practices for people living with ASD such as visiting police stations, seeing emergency response gear up close, and rehearsing traffic-stop steps that can prevent sensory shock and build confidence. Finally, we push for systems change: mandate recurring, lived-experience-led autism training across public safety platforms; create policy that normalizes optional license notations and standardized info kits; and fund community-curated resource hubs that actually meet families where they are.If this conversation resonates, share it with a caregiver, a first responder, or a policymaker who can put it to work.

In this episode of Medic2Medic Podcast, I'm joined by Kelly Grayson, a veteran paramedic, author, educator, and one of the most recognized voices in EMS. You know Kelly from his EMS1.com columns, his national conference presentations, and his acclaimed memoirs En Route and On Scene.Kelly opens up with a few personal stories about how he began writing and what drives him to tell the stories of EMS with such honesty and heart. He also shares a powerful call that forever changed him, and when he talks about it, you can hear the emotion in his voice.This is one of those conversations that reminds us why we do what we do: real stories, real emotion, and the kind of reflection only decades in EMS can bring.Medic2Medic is back, bringing authentic voices, untold stories, and the human side of Emergency Medical Services and beyond.

Former paramedic and has been an ER physician for 7-8 yearsHe pursued emergency medicine after his experience as a paramedic because he feels it is more in line with his personality We talk about how emergency medicine checks a lot of exciting boxes that we enjoyAdam talks about his burnout symptoms as well as how he course-correctsHe talks about symptoms like lacking as much compassion/empathy as he should have. So he corrects by talking with his wife, focuses on getting enough sleep etcHe has let go, to some degree, of all the “techniques” we learn to combat burnout and refocused on his “why” – he knows his purpose. He was called by God to do this job“Without question, I was called to be in this position by God – it changes everything”Part of the difficulty of the ER is the sheer volume of people we see on a given day, in a lot of ways, we are managing a lot of mental health conditions in that volume – it can be an opportunity and a gift rather than just viewing it as something to get through. Seeing people as human beingsThis perspective can help us avoid cynicism – I've found that assuming good intentions on the part of everyone I encounter during the day goes a long way towards avoiding cynicism and taking better care of patientsWe must intentionally hold on to the victories, the grateful patient, the lifesaving situation When you look for the good, you tend to find itWe talk about setting tone for the rest of the staff in the EDWe talk faith in emergency medicine as Christians, it has everything to do with everything that we do in life and in the job“I would have chosen an easier job with an easier route to get to it if it wasn't for God”“The hope I have in Jesus sustains me”Why do awful things happen to good peopleFree will leads to the world we see and proves that we are not God, yet we are called to His standardThe potential of every human to do self-seeking, evil is why we see some of the horrible things we see, the answer is where do we take these burdensI discuss my view of free will and its ramifications and our mission on earth as Christians“Should only bring patience and kindness and hope to an interaction with another human who is suffering” Support the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

New York City's mayoral candidates sparred over whether freezing rents for stabilized apartments is realistic policy during last night's debate, with Andrew Cuomo arguing it would hurt landlords' ability to cover costs. Meanwhile, a new report from the state comptroller shows Wall Street profits jumped to $30 billion in the first half of the year, putting the industry on track for one of its strongest years ever. And Governor Kathy Hochul has vetoed a bill that would have required all 911 ambulances in New York City to have at least two certified responders, drawing criticism from the union representing EMTs and paramedics.

This episode of the Tactical Living Podcast, hosted by Coach Ashlie Walton and Sergeant Clint Walton, confronts one of the hardest truths in the first responder culture: admitting when you're burned out (Amazon Affiliate) feels impossible. For police officers, firefighters, EMTs, and military professionals, the job demands strength, endurance, and resilience. But behind the uniform, countless responders are silently suffering under the weight of burnout. The stigma around asking for help and the fear of being seen as weak often keep these struggles hidden until they become overwhelming. We'll explore why it's so difficult to say “I can't do this,” how burnout shows up in everyday life, and what can be done to recognize it and recover before it takes too heavy a toll. 5 Examples of Burnout in First Responders Emotional Numbness on and off Duty Calls that once stirred compassion now feel routine, leaving you detached from others and yourself. Irritability and Short Temper at Home The smallest frustrations turn into arguments, often spilling onto your spouse or kids. Chronic Fatigue Despite “Enough” Sleep No amount of rest seems to recharge your body or mind. Loss of Motivation or Purpose What once felt like a calling now feels like just another grind you're trying to survive. Isolation From Family and Peers Pulling away from relationships to avoid having to explain or reveal how much you're struggling. 5 Ways to Combat Burnout Normalize the Conversation Start talking about burnout openly—especially with peers—so it's no longer taboo to admit. Build Decompression Routines Create post-shift rituals that help your mind and body leave the job at the door. Use Professional and Peer Resources Counselors, chaplains, and peer support teams exist to provide culturally competent care. Reconnect With Your “Why” Revisit the reason you started serving in the first place—it can reignite purpose when the job feels endless. Invest in Life Beyond the Badge Hobbies, fitness, friendships, faith, and family are anchors that remind you of who you are outside of work.

Send us a textIn this powerful and highly practical episode, we unpack one of the most important (and misunderstood) aspects of human behavior analysis: the concept of baseline plus anomaly equals decision (B + A = D). During the episode, we dive deep into why our cultural obsession with "red flags" and anomalies often leads us astray, and why everything starts with understanding normal.We also challenge the reactive approach to behavior analysis that seeks checklists for “bad actors” and instead, we show how developing a high-fidelity, context-rich baseline is the real key to situational awareness and predictive analysis. We briefly explore the origins of the Combat Hunter program, and provide real-world examples (from garbage day confusion to gas station parking lots), and illustrate how unconscious pattern recognition drives both correct and incorrect decisions.Here's what you'll learn:Why context is king in behavioral observationHow your brain already makes constant baseline-anomaly comparisons and how to do it betterWhy focusing only on anomalies can lead to dangerous blind spotsHow to build robust baselines using simple daily exercisesWhat professionals (LE, military, teachers, EMTs) can do to spot pre-event indicators earlierThis episode is a must-listen for anyone in high-stakes roles, parents, educators, or anyone who wants to improve their ability to "read the room" (and their world)  with greater clarity and confidence.Support the showWebsite: https://thehumanbehaviorpodcast.buzzsprout.com/shareFacebook: https://www.facebook.com/TheHumanBehaviorPodcastInstagram: https://www.instagram.com/thehumanbehaviorpodcast/ Patreon: https://www.patreon.com/ArcadiaCognerati More about Greg and Brian: https://arcadiacognerati.com/arcadia-cognerati-leadership-team/

Whether at the scene of a crime or a natural disaster, first responders are on the front line, protecting and serving. But who protects those who protect us? Standards provide help when disaster strikes.Detective Tom Nolan, Montgomery County Detective Bureau, and 2025 ASTM Board Chair Cassy Robinson, join host Dave Walsh for a discussion of the standards that help keep firefighters, police officers, and EMTs safe.Follow Us Twitter @ASTMIntl Facebook @ASTMInternational Instagram @astmintl YouTube @ASTMIntl LinkedIn @ASTM International Presented by ASTM International www.astm.org

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After a chance to screen Rainn Wilson's latest film about EMTs, “Code 3”, Laura & Nicole discuss the film's accuracies and the job of these essential first responders.  Watch the trailer here! https://youtu.be/Yjm0zpmuUzM?si=SVBED7oryWUhh8lT  

Bryan has returned to LA to his torn apart kitchen and gets advice from EMTs about a bad batch of drugs in town. Erin's back from her quick trip to NYC where she saw some theater and families wearing merch from punk rock bands you forgot about. Erin talks about GOP shenanigans in Texas where lawmakers are attempting to pass a bill that would allow doctors, distributors and manufacturers of abortion pills to be sued for sending those medications into the Lone Star State. Bryan shares insights from trans journalist Erin Reed about how politicians like Gavin Newsom are pivoting to a bullying Republican playbook, and how Democrats are trying to minimize the efforts for pro-trans legislation because of conservative pushback. Bryan is bringing his show Are You Mad At Me?? to LA for one night only on 9/25! For tickets click here.See omnystudio.com/listener for privacy information.