All right, welcome back, everyone. How's everyone feeling? You guys getting outside, enjoying this sunshine? I think we've had unprecedented days of sunshine for Cleveland, Ohio. And I, for one, as a guy that loves to be outside, loves to be in the pool all summer, am not complaining. I know a lot of you all are complaining. Like, we need rain, we need rain. I'm good. I'm good, man. Good with my sunny days. So anyways, welcome back Emergency Minute episode eleven, ironically, medical things to consider this summer. So I wanted to kind of touch over a couple of different things that we want to consider this summer to stay healthy and maybe have a little fun with it as well. Little bit of disclaimer here. I'm not providing any medical advice whatsoever, just giving some helpful tips and tricks and things to stay healthy this summer. So please don't sue me. Literally. Need to start off the show like I do every week and thank everyone, all of the listeners, for commenting, sharing, liking the posts on social media to help spread the word of Emergency Minute. It definitely takes a very large effort from a lot of the audience to help get something like this off the ground. So I do appreciate that.
All right, so what are we going to talk about first? Well, first we're going to talk about some food poisoning. Yay. So we've all been to that cookout, right? Who doesn't love a good cookout? And there's pasta salad, there's burgers, there's hot dogs, all that kind of stuff. And what happens is the pasta salad is left out. Grandma brings her famous pasta salad. The problem is, it sits out in the heat all day, and you can end up getting something called Bacillus Cereus, which is a really nasty bacteria, and it's pretty much present in a lot of different food types. The problem is, if it's not appropriately refrigerated when preparing it, it can lead to some badness. So the longer it stays out, those bacteria are given the opportunity to multiply, especially when it's out in the sun or out in a warmer climate as opposed to the refrigerator. So what happens is you get these bacteria that at a little concentration, probably not going to bother you too much, but then they start to grow and multiply in higher numbers, and that sort of increases your risk of badness.
Now, if you haven't had a chance to check out the show from two weeks ago where I talk about ciguatera toxicity and scombroid which are some types of food poisoning, definitely want to check that out. The name of that episode is hilarious medical things, but not so hilarious to the person that that happens to, but still very fascinating nonetheless. So what will happen with this pasta salad is that it is out too long and you can detect an odor and it may not taste right. So I would suggest that if you are at a cookout this summer and you're like, you know what, I'm just not feeling the pasta salad. Or perhaps you arrive late and you're like, I don't know how long this has been out for, you may want to skip the pasta salad because by then it may be too late and you're going to end up with some pretty nasty stuff. Now, usually it's just vomiting and diarrhea, but if there is a high enough concentration, this can lead to some pretty nasty things. Liver failure, shock. In some cases, it can even be fatal. You can Google right now and check, and there's, like, cases where it has taken out an entire family, like killed them. So the toxin is heat stable, which means it's not killed by cooking anything.
So again, this is all refrigeration issues because things tend to sit outside during these cookouts, and we talked about heat labile versus heat stable during the last show as well. All right, so how do we diagnose this? Well, I mean, pretty much it's just a clinical diagnosis, but if you truly need to know the exact organism, then it's done by stool cultures, which usually take a couple of days to come back. Antibiotics are not usually indicated unless you have some other complications, such as bacteremia, which is bacteria sort of floating through the bloodstream, or if you have some sort of cardiac or neuro involvement, etc. So next time someone offers you plastic salad at that wonderful cookout, you may want to think twice about it unless you know where it's been and how long it's been there.
All right, what's something else that we see very commonly in the summertime? How about tick bites? Yeah, you kind of got to be on the lookout for these. Two of the more common ones that we will discuss are deer ticks and wood ticks. And then some of the more common things, or at least well known things would be Lyme disease, Rocky Mountain Spotted Fever, which is not to be confused with Rocky Mountain barking spiders, which was the initial proposed name for high altitude flatus expulsion, which was discovered on the last episode. Hilarious medical things where we discuss how you fart more at a higher altitude. And this was an actual discovery back in 1980.
So what are these things? Well, this is where the tick latches on, and in order for you to receive treatment you see, here's the problem. There's a lot of misconceptions about treatment. There's basically, people see a tick and they come rushing to the emergency room and think that they need month’s worth of antibiotics. The reality is, in order for you to have treatment or to require treatment, there's a certain set of criteria that you need. The rest of it is just exposure, and you really don't need to care that much about it. So the first thing is that the tick has to be an adult deer tick if we're talking about Lyme disease. So it's important to get like, appearance of the tick size, et cetera. Now, I do spend quite a bit of time making fun of people that bring weird shit to the emergency room. But this might be one of those cases where if you do happen to have a tick that you've pulled off, which we can also discuss, you definitely want to put it into a Ziploc bag and then seal that shut. And then if you're wondering if you need to be treated, you either Google it or come to the emergency department and we'll take look at the tick.
So it basically has to be on you for greater than 36 hours. And the patient would have to present within 72 hours of the bite. So if you have the deer tick, it's been on you for longer than 36 hours, which I know sometimes you're not going to know because why would you know that? And then obviously you'd take it off if you thought that was the case, and you have to be there within 72 hours of the bite. Now, if these criteria are met, then a single dose of doxycycline is effective for prevention of Lyme disease. Now, that's not to be confused with treatment, which will require a longer course of antibiotics for ten days. There are some other reasons that you can't take doxycycline, you're allergic, you're pregnant, et cetera. There are other treatments, but for the sake of this podcast, we won't dive into them.
Now, how do you remove a tick? Well, you need to be careful to squeeze at the closest point possible to the skin and not to squeeze so hard that you're pulling out, just squeeze to get enough traction in order to be able to pull that out. So you're trying just to kind of grab it right at the base where it's entering the skin and then pull it out. And most people are going to be just fine. But if you have any concerns, like I said, seek medical attention, because I know that's something that Lyme disease is one of those things that kind of scares people. Another reasonable strategy, however, is just to wait, just kind of observe to see if you develop the classic rash. It's called a target lesion, and it looks like an erythema multiforme. It looks like the target logo. So if you see this, then obviously you need to be treated not just with the one dose, but with the ten-day course. If you don't get the rash, well, then it's reasonable to assume that you don't have Lyme disease. Also, Lyme disease and Rocky Mountain spotted fever are very regionally appropriate based on ticks. So there’s different maps and stuff that you can Google to see, like what area of the country you live in or what area of the world you live in, and determine if it would even be possible for you to have that illness based on where you're at.
Another thing that we see a lot in the summertime, the sun. And what does the sun do? It brings us joy. No, it causes sunburn. That's what we're going to talk about today is, sunburn. Now, if you haven't listened to the podcast on medical myths where we talk about higher SPFs, I would suggest you do that. However, use sunscreen. I know this is some really hard-hitting stuff here. No, but seriously, you got to use sunscreen. If you're using anything over SPF, 30 or 50, you're just paying for marketing the rest of that's garbage. Believe it or not, the best treatment for sunburn is ding, ding, ding, ding. We have a winner. Prevention. You'd be surprised by the number of patients we see that come to the emergency department with sunburn. Yes, that's a real thing. So there's really not much for us to do, which is why it's one of my least favorite complaints in the ERs. I'm like, what do you want me to do? Maybe next time wear sunscreen or, I don't know, get an umbrella. We really don't do anything other than recommend hydration. You want to take an anti-inflammatory for pain. If you're able to do that, there are some topical applications out there for lotions, aloe, et cetera. We get a lot of patients in the emergency department requesting solar cane.
Quick question. Do you think solarcaine works better than anything else or any of the over-the-counter lotions? No, they do not. It's been studied, and it's been basically equivocal. So meaning whatever you put on you, whatever you feel like, you can put. On your skin that makes you feel better, give it a whirl. There's really nothing that's been proven to be superior. So obviously there's the concern of skin cancer, which is the thing that nobody worries about until you have it, right? That's the thing. It's not going to happen to me. And I'm just as guilty as anyone because I'm Italian. I have very brown skin. But just one really severe sunburn versus like multiple times of having some minor redness, like several times over several years increases your risk of skin cancer big time compared to that, just kind of long-term chronic exposure. So it is important that you take this seriously.
Obviously, the other things that the sun does accelerate aging, wrinkles, et cetera. I would highly recommend a good follow. One of my great friends, Dr. Dustin Portella, you can find him at DrDustinportella.com or you can follow him on just about any other social media for Dustin Portella. He's big on TikTok, Instagram, Facebook, et cetera. And he's a dermatologist that worked with me as a medical student. He's one of the top medical students I ever had in my life. And I would make sure you check him out because he's got tons of great information for skincare. He has skincare products that he recommends and he's absolute straight shooter. He's going to basically whatever he's selling on his pages and things like that is the stuff that I'm buying, I'm going to tell you that. So anyways, just check that out. So that's my spiel on sunburn.
All right, what's next? How about ear infections? Now, a common misconception is that ear infection is an ear infection. Well, there's two types of ear infection. There's what's called otitis media, which is the infection of the inner ear. That's nothing that's coming out of the ear, that's inside the ear. And then you have otitis externa, which is swimmer's ear. That's the sort of common terminology that's the canal, the ear canal. Now those are two completely different things. And I know it's a small area, so it's easy to get confused. But if you have an inner ear infection, there's no drainage well, unless you rupture your tympanic membrane, which is your eardrum, but there's nothing coming out of the ear. It's inside the ear. But swimmer's ear is extremely painful. And what happens is you get a nasty bacterial infection that is inside the ear canal. The canal starts to basically swell up and is extraordinarily painful. Now, sometimes it gets to the point where it's so bad that we can't even get the drops inside the canal fully in order to treat it. And in that case, we use something called a wick, which is exactly what it sounds like it is, a wick, a little thing that looks like it should be on top of a candle. We shove it in there and then we put the eardrops inside. And then it sort of works down through osmosis and gets down to the bottom.
And then that medicine can start to work on repairing the ear. Now, one of the things that people don't realize is a lot of those medications are not only antibiotics, but they also have a steroid in there to help with inflammation and pain. So those things can be very helpful. Now, there are some things that you can do, however, to prevent getting these nasty ear infections. This summer, you can try wearing earplugs, especially if you're someone that has a hard time, like getting the water out of your ears. I'm sure all of you have been there where you can swim underwater there's no problems. But then occasionally, you just get like, that water in your ear, and your ear kind of feels full. And you're like, what the heck? And you see people shaking their head and smacking their hand on the side of their head trying to figure out, how am I going to get this damn thing out of there? So if you're someone that's prone to that, that's where these types of infections can occur. There have been some studies looking at maybe putting in a drop of red wine vinegar or something like that after you're out of the pool, to kind of use that acidity to sort of kill off the remaining bacteria that are in your ear. I think that's fine.
I do recommend use of Qtips, but you got to be really careful. Obviously, you don't want to jam it in there like a friggin screwdriver and go through your eardrum or anything like that. You must be very gentle, and I definitely do not recommend Qtips. Every single day you'll irritate the skin, break it down, increase your chance of infection, et cetera. It's normal to have a little bit of drainage. I mean, basically, earwax is a form of sweat, so you kind of have to have a little bit of that in there. That's okay, but I would recommend every other day or every three days for just general maintenance. But yeah, treatment for swimmers here. You definitely want to go and get that checked out because you may need a Wick. You're probably, almost definitely going to need antibiotics, and then the steroid that's in the antibiotic will help with pain as well.
All right. Another thing we see every summer in the emergency department, poison ivy. Yes, people do come to the ER for this, and actually, I understand why. It can be maddening to just have this just intense, itching scratching, et cetera. So what is poison ivy? Obviously, it's from a plant. We call this Rhus dermatitis, which is from the plant name, and it basically has a certain type of oil that is secreted, and you touch it on your skin, and then anywhere you touch that, it becomes basically transmissible, and that's when you get the allergic reaction. That's what this is. This is an allergic skin reaction.
Now, there are some myths about its contagiousness. Everyone thinks that poison ivy is contagious. It is not. Let me say this again. Poison ivy is not contagious. But here's what I mean. If you have poison ivy on your body, you cannot spread poison IV to me unless if you have poison IV and the oils from the plant still on your fingers, your hands, your body, your feet, wherever it may be, and then that part of your body that has the oils then touches me. That's it. So the wounds themselves are not contagious to other people. And here's the other thing to consider is we get this all the time in the ER. Well, it started off on my hands, but then it started to spread to my groin or this area or that area, and I'm like, oh, I got news for you. That's because it was on your hands, and then you touched that area after prior to getting the oils off of your hands. So people that think it spreads, it's just the oils that are spreading from wherever you're touching your body. Hence the joke about touching your groin. All right, moving on. So can you prevent it? Yes, to an extent. So if you're out in the woods and you're hiking and you're around and you're like, oh, man, I think I may have come into contact with. Poison ivy? Yeah. I mean, you can come in if it's within a certain period of time, like within 30 minutes or 60 minutes, and you really do a good rub down of soap and water and take a shower and that kind of stuff. Yeah, that's going to decrease the likelihood.
They do sell some over the counter sort of preventative medications. The one that I like the best is called Zanfel, which I do have on my Amazon storefront page. So if you ever want to figure out if you want to buy that, that's fine. I think that's a good way to prevent it if you're in contact with it. Basically, you just rub this lotion on there after coming in from being outside, wherever the exposed area is, and then that will decrease the likelihood that you will develop poison IV. Now, how do we treat poison IV once it's already occurred? So the name of the game here is steroids. And I'm going to tell you, a lot of doctors do this the wrong way. So if you just go on, say, a Medrol dose pack a Medrol dose pack. I don't even know why we prescribe these damn things anymore. It's a really low dose of steroids, and I'm sure you guys have had them before. Oh, it's six pills on day one and then five pills on day two and we taper down. I don't like that for a number of reasons.
Number one, it's not strong enough. Number two, why are we tapering steroids? The evidence tells us that we do not need to taper steroids unless you're going to be on steroids for a very long period of time, like two to three weeks minimum. So there's no point in tapering steroids. It has no clinical utility whatsoever. And doctors that are still doing this, it just blows my mind. So if you just do like a five day prendisone 60 milligrams, is that going to help you? Yes. However, there's a rebound phenomenon and it doesn't happen all the time, but boy, if it happens, you're not going to want to be on the receiving end of it, I can promise you that. Basically, you get steroid or you get the poison IV. You take your five or seven days apprentice, which is appropriate, and then all of a sudden you get this, like just you feel great, everything is getting better, and then bam, it hits you and it's ten times worse than the initial poison ivy. So it's very nasty thing. So what I like to do and what I recommend is a shot of intramuscular Kenalog, which is a long-acting low dose steroid that lasts for about ten to 14 days. However, if it's really severe, like if you're just going bananas and you have it on your face and it's on your body, or if it's in your groin, because you'd be surprised how often we see that. Yeah, I'm probably going to add some steroids by mouth as well. What the shot does then is it not only treats the poison ivy, but it decreases the likelihood of having a bounce back rebound phenomenon. So I'll do like 60 milligrams of prednisone for a five or seven day burst on top of having an intramuscular injection of Kenalog. I think that's personally, the best regimen. It is supported in a lot of the literature. And again, for these docs that are tapering or giving these wimpy doses of steroids for five days, please do yourself a favor and read something.
All right. Another thing we see in the summertime trauma-rama yes. Motorcycle season. Although a lot of the motorcycle accidents don't ever make it to the ER because they get scooped up on the side of the road with a shovel. So I think one of the misconceptions about trauma is that you must see much more of it during the winter months because it's icy outside. Yes and no. We definitely see more of elderly falls on the ice and things like that, with like hip fractures, wrist fractures, those types of injuries in the wintertime because of obviously the ice and snow and things like that, the elements. But one thing that is kind of a misconception is, well, there must be a lot more car accidents. Well, yes, but here's the thing.
Most people, most reasonable people anyways, in the wintertime, when you are in a car accident and you've lost control of your vehicle, you're typically not moving at a very fast rate of speed, right? I mean, if you're slipping and you're sliding and there's snow and there's ice, you're probably not going 90 miles an hour, right? I mean, you're probably going way less than you would be going if it was nice outside. So I do agree that we probably see a few more fender benders, things like that. But the majority of the accidents that occur in the summer are actually much higher speed. That's where you get your motorcycles, that's where you get people going 90 miles an hour. That's where you get two country roads that come together and for whatever reason, someone doesn't see a stoplight or a stop sign and bam, those two cars are going together 60, 70 miles an hour. And those where you get your really, really nasty accidents.
Now, of course, there's exceptions to this. Last year there was that horrible accident on the turnpike that took out like 50 people and ended up hitting like, I think four or five major hospitals ended up with patients from that accident. So there are obviously bad things that can happen in the wintertime. But for the most part, winter accidents are usually fairly minor because people are going slower. And summer accidents can be nasty because that's when people are out, it's sunny out and they're going 80 miles an hour doing other things that they probably shouldn't be doing. So I think there's so much I can say about trauma, but I think my biggest thing is to be just cautious, don't drink and drive, wear a helmet. Those are the basic things that could save your life. I could do an entire podcast on trauma, and if there's interest in that, perhaps I will. But that's sort of the short version on trauma and the misconceptions with car accidents and winter versus summer.
Another thing we see every summer, flare ups of asthma, COPD, emphysema, which by the way, misconception. COPD is emphysema, emphysema is COPD. I'm reminded of Ace Ventura where he says, finkel is einhorn, einhorn is finkel. So basically COPD and asthma. We see these flare ups a lot of times in the summer. A lot of it's certainly the allergens in the air, the heat, and we forget a lot of people don't have the luxury of having air conditioning and so we see this a lot in the ER. Where these patients who are like 60, 70 years old, and they're on oxygen, and they're living in their trailer home or their apartment, and they just don't have good air conditioning, and they just get sweaty and hot, and they get short of breath, and it kind of flares up either their asthma or their COPD. So that's something that we see very commonly in the summertime. So my advice to you is, if you have a loved one that does have either asthma or COPD, check in on them, make sure they're doing okay. Ask them, hey, do you have your inhaler?
A lot of physicians nowadays are doing these rescue packs, which include for COPD anyways, which include. Like the ability to get quickly a albuterol prednisone and even an antibiotic like Zithromax or Doxycycline, which does treat what we call exacerbation or the flare up of COPD. And this has been great because this is a way to keep people out of the hospital, right? This is something where you start to have symptoms and the physicians have basically empowered you to say, okay, I think my asthma or my COPD is flaring up. I'm going to start on treatment, and that's going to keep me out of the emergency room and hopefully keep me out of the hospital. So I think this is a great evolution in medicine. Unfortunately, in medicine, we're so stuck in these damn paradigms and these lanes that sometimes we don't think outside the box. Like, hey, let's give the patients the opportunity to treat themselves before they have to come to the emergency room and they're half dying. So I think this is a great thing. But check on your loved ones this summer because we do see flare ups of breathing issues in the summer and it happens every year.
All right, what's another thing we see in the summertime? Unfortunately, I have to talk about this: drowning. This is not an easy thing for me to talk about because this is something that once you lose a child to drowning, this is such a tragic, tragic thing. So one quick misconception about drowning. The actual word drowning does not mean death, meaning you can drown and still make it and still survive and still be a drowning victim. A lot of people don't realize that. A lot of people think if you drown, that means that's how you died, which is partially true. You can definitely die from drowning, but you can also live after drowning. And those are, of course, the success stories. So I wanted to make sure that we kind of spelled that out, although it's really just more semantics than anything.
I'll tell you a story really quick. When I was on my honeymoon in Hawaii, there was this girl who's probably about 16 years old who was in the pool. There's this giant pool at the Hyatt in Maui, and she started sort of walking out towards the center, and unfortunately, this pool is massive. And as it goes towards the middle, it goes down to like 9ft. Now, I don't know if there are any signs around there that say that, and quite frankly, I don't think they spoke English, so I'm not sure they would have been able to interpret those signs either. But I was watching from my chair and I just saw that something was amiss. I don't think she or her friend knew how to swim at all. So I'm there chilling out at the pool on my honeymoon, and she goes out towards the middle, and then all of a sudden, I see her hand go up, and then she is down and under the water. And it's funny to me because I think back to that day, and I'm kind of looking around and I'm like, does anybody else see this? Is she just goofing off, or she doesn't really know how to swim? I mean, I guess sometimes we take for granted that people who are 16 years old probably should know how to swim, but maybe not everyone does.
So I'm sitting there, and I look at her friend who's on the edge of the pool, but not in the pool, and she just has this blank stare on her face. She didn't speak a word of English, so I kind of yelled to her. I'm like, hey, is she messing around or is she really underwater here? And she didn't respond. So she was drowning. That was a drowning patient. So I immediately jumped in the pool. Thank God. I've been swimming literally since the age of three and swam out there and then picked her up out of the water and swam all the way back to the side of the pool and threw her on the pool and she started coughing immediately. And she was okay. She was fine. But boy, that can happen in a split second. And I'm obviously very thankful that I was there because there weren't a lot of people at the pool at that time. It was very early in the morning. In fact, the only reason why I was there is because there was a Browns game being played. And the time of football on NFL Sunday in Hawaii is super early in the morning because of the time change. So that was the only reason why I was at the pool. I guess everything happens for a reason.
So that's an example of someone who's drowned, but then obviously survived. I think another misconception is that people think they will hear a struggle, people think they will hear a problem. I mean, most traumatic things that happen in life are associated with noise, commotion, et cetera. If you hear a gunshot, if you hear a car accident, if you hear police sirens, you know, when I hear people screaming in the emergency room, like, that's always my rule. If somebody's running or screaming, somebody better be dying because we have a little bit of PTSD and we just automatically then go running towards whatever is screaming or whatever that commotion is. So the misconception there is that drowning is often silent.
We have a story of Shaq Barrett. I don't know if you guys are familiar with him. He is a very talented NFL player that is in his fifth season with Tampa Bay Buccaneers, who unfortunately just lost his three-year-old daughter to the swimming pool this summer, or, well, I should say, with this last spring, this can happen to anyone. And it's horrible. It's absolutely tragic. You don't hear anything because why? Because it's a three-year-old child that just fell into the pool. And unless you hear the water, or unless that child is skilled enough to at least kick and struggle and try to get mouth or arms above water, that's the only way you're going to hear anything. And remember, it doesn't take like 30 minutes for someone to die in water. It's literally seconds or minutes at the most. So this is a horribly tragic thing. It's one of the leading causes of death in children aged one to four years old.
And they almost always occur in either swimming pools. It can be in ponds and lakes and stuff like that, too, of course, but I think we get really comfortable with pools. And so, of course, the recommendation is to cover your pools, especially if you're not home. Dear Lord. Put fences and gates and have security alarms. They even have pool alarms that if something does fall into your pool that's perceived to be a human, that will go off as well. You can connect that to your cell phone. CDC recommends that parents can take CPR and rescue lessons. Obviously, enrolling your children in swimming lessons can be something that can be lifesaving as well. So this is just one of those horrible things that you have to talk about and you have to consider. Unfortunately, every summer we see this and we kind of need to know.
Now, there's another thing that I want to talk about and. That's this myth of dry drowning. I just had a patient who came in last week who basically had coughed up some pond water in the pond and family had brought them in because they were like well, they were on Google and they were like, oh, my God, even though this happened, like, 16 hours ago, there still could be this dry drowning phenomenon. That's not true. It's not true. There's no such thing as dry drowning. Where did this come from? This came from this concept that you could have laryngeal spasm and then you would just, like, lock up and stop breathing. This is not true. If you're going to drown, you're going to drown and you're going to die. That's the reality. If you're, like, fine, 16 hours later, you're fine.
Now, you can develop things like an aspiration, pneumonia and things like that, or you can even get a pneumonitis. So if you get some water down the wrong hole, so to speak, and it gets into your lungs, or this could happen with food, chemicals or anything else, you can get inflammation within your lungs, and this usually presents within a couple of days after. Now, if it's like a toxic chemical that you're using, it can happen that same day and you feel, short of breath and everything. That's more like a pneumonitis. A lot of times we'll do an X ray in the ER just to kind of make sure we're not seeing anything else, a foreign body in there. Maybe the kid swallowed a plastic toy or a metal toy or something? So we do a lot of X- rays just to kind of cover the bases, but, like, nine times out of ten, if not more than that, those X rays come back negative. And by the way, most aspirations don't require antibiotics. The body just sort of deals with it. Antibiotics are not recommended unless you have aspiration pneumonia or if you're like, immunocompromised, you're on chemo, something along those lines.
So if you're concerned at all, please bring your child to the emergency department. That's fine. I'm happy to see and tell you don't need anything or do an X ray and tell you you're fine. I'd much rather that than the alternative. If there's any uncertainty about difficulty breathing, turning blue, things like that. But for the most part, these people that just get a little bit of water in their lungs or something, do just fine. And if you start to develop shortness of breath, coughing, excessive fevers, et cetera, I recommend an X-ray. Sometimes that aspiration takes a couple of days to show up on an X ray. But, yeah, it's a real tragic thing to talk about drowning, but I wanted to make sure we talked about the myths of dry drowning versus just actual drowning and then obviously, drowning doesn't necessarily mean that you have to die.
In fact, hopefully you can be saved by someone. If you want to read some uplifting stories after this horrible discussion of drowning we just talked about, I would advise you to go to Google and ask about NFL players that have saved drowning victims. Because in doing the research for this show, I obviously typed in NFL Player because I remember Shaq Barrett's daughter was just recently tragically lost to this. And there are innumerable stories of NFL players and coaches that did receive training and things like that and ended up saving all these kids. There's just like a ton of stories out there. So really uplifting stuff. Very positive. Wanted to try to end this show on a positive note.
So that's all I have for this week. I appreciate you guys. I love you guys. I love doing this podcast and just kind of being real with you guys, trying to connect the outside world with the medical world, which we all know is completely broken. Next week on the show, I'm going to do a Q and A. This was brought up by my brother Drew. Drewby, love you, buddy. And he said that he wanted to hear like, a Q and A, like someone asking me questions, and then I would give answers to that. So if you have a question that you want someone to ask me, go ahead and leave it in the comments or go to DrJparente.com. You can sign up with your email and then you can email me any questions that you and I will include in the show. That's a promise. Until next time, peace, love and happiness. Cheers, everyone.