How Changing My Diet Made My Migraine DISAPPEAR! | Karolina Nowak

when I was 22 I was a relatively healthy human being and then I was prescribed the birth control pill and that caused chronic pain or chronic migraines and severe depression and it basically started my whole Health Journey so I started having 30 migraines a month I would have like curtains you know my window would be covered with curtains there would be some light outside from the street lamps and that amount of light going inside my bedroom through through the curtains would trigger a migraine like that's how bad it was welcome to the plantree MD podcast with Dr Anthony chaffy where we discuss diet and nutrition and how this affects health and chronic disease and show you how you can use this to optimize your health and happiness both mentally and physically hello everyone and thank you for joining me for another episode of the plant-free MD podcast I'm your host Dr Anthony chaffy and today I have uh Carolina on my podcast so I've just on hers and had a great time and thought I'd bring her on because she has quite an amazing story that I think you'll all like to see thank you so much for coming on it's great to see you again yeah nice to see you again too Dr chaffy yeah um so for people that haven't come across you or your channel can you tell us a bit about yourself um sure yeah so I am Carolina and I guess I have a bit of a health story um because when I was 22 I was a relatively healthy human being and then I was prescribed birth control the birth control pill and that caused um chronic pain so chronic migraines and severe depression and it basically started my whole Health Journey so I started having 30 migraines a month and um then I went on the carnivore diet which healed that but I was still on medications because basically none of the medications worked and in the end I was prescribed cgrp monoclonal antibodies which seemed it seemed that they did work a little bit so I was on them and then I went on Carnival and something really worked and then I wasn't entirely sure if it was medications or if it was um the diet so I stayed on both of them then I started experiencing some very bad side effects so I had side effects from the beginning but they kind of grew when I was on the on the drug and I started having trigeminal nerve pain and light light sensitivity associated with that pain so that was really unbearable because I was I would get a migraine every single day like 30 minutes upon waking up because of the nerve pain and then I went um to see my neurologist and she said oh yeah this is neurology I don't think it was neuralia because neurologia is constant and neuralia sorry it it comes in like Spurs but my pain pain was constant and she told me that well I can try a different drug and I did and um I took one injection and that drug put me on disability for the next three years um I was I had such strong light Sensitivity I couldn't tolerate light um I had nerve pain I still have that nerve pain so that's one thing that is kind that kind of has stayed um and I most likely had suzak syndrome so it's a very serious kind of neurological illness um and yeah then I was recovering then I got SE then I was recovering again and then I got hemolytic anemia and I was in the hospital with the level of hemoglobin at like 4.5 so I would say you know the story has like four parts and it's quite you know intense at each stage yeah well definitely and uh presumably uh who got over the htic anemia has that has that been a problem since then or is it just a oneoff uh no so they actually have not diagnosed diagnose the cause for it so they still don't actually know what caused it I have no idea but I actually had a blood test yesterday and my hemoglobin is at like 14 now so it's good okay all right well that's good at least uh well well that's very scary I mean especially when you know when you're just trying to get just normal treatments done you know with a birth control pill and then you're getting all these consequences thereafter after that um how are you at this stage I am doing better um but I do have you know the disability still so this nerve pain it's like you don't see it right now because um it got better as well because the injection was three years ago so I'm not as sensitive to light as I once used to be but if there is um any artificial lights like if I go to say an office or like a restaurant or a coffee shop I need to put like special glasses on um so it just it makes my life difficult like I cannot work from the office for example I don't go to the cinema I don't go to restaurants so this is still very much a problem for me okay all right yeah um well has have you what sort of improvements have you seen if any by going carnivore um so at the beginning I saw massive improvements um so I went on this diet when I had 30 migraines a month and my health wasn't as bad back then because it was before the injection actually um so I went on this diet my energy levels went like you know they skyrocketed basically my sleep got so good it was the best sleep I've ever had in my life I used to have anemia from like iron deficiency so that was gone um B12 deficiency gone um I was that one is the most surprising one for me but I stopped burning when I was sunbathing and I would turn brown instead of turning like off white as I used to um so that was that was surprising um what else yeah the depression went away so I used to have depression as well it was severe after the birth control pills then I supplemented B12 and that helped and then it stayed at like this mid level so it was kind of a little bit more difficult for me to you know get things done to focus at work to do things overall and then I went on this diet and that happened after seven months it just vanished and the depression I think depression is basically like some sort of gut inflammation so it's still going to happen sometimes if like I take a medication that the doctor's give to me it's going to cause some inflammation in my gut and suddenly I get hit with depression but it doesn't stick never sticks right now well that's good so I mean that's and that's absolutely huge too because most people don't get any of those sorts of benefits they just sort of have to have to live with these sorts of issues which is uh very sad to see but um it's nice that that that there is something to be done at least the body can at least give the body a chance to heal which is great um you've been very active on on social media and YouTube as well when did you start that and what what made you want to get on that and get throw your your hat in the ring so it was a couple of months ago I would say wasn't that long ago um like maybe six months ago so I started posting videos about my story um on Instagram a little bit on YouTube and on Tik Tok a lot but that's all in Polish um and I guess there were a couple of things that you know drove me to to do that the first one was I think you know I suffered a lot and I felt like sharing my story with people would give a little bit of meaning to that suffering because perhaps I can help somebody else and then some selfish reasons as well because I feel like you know being on this diet it kind of makes it it's very weird human being and I feel like the more people know about this diet and the more people follow it the less weird I become so yeah that was my selfish reason for you know doing that um I thought I'm just going to promote it kind of in Poland maybe people are going to do it and uh I I I think some people did and um yeah and I just felt like you know I had a story I had something to say and and that's it and I just decided to do it I was thinking about doing it when I am fully recovered so when I don't have this trigeminal nerve pain but I was staying and staying so I thought you know I can just post about it now and people can just see it see me recover and recover like yeah with me well that that there's a lot to be said for that too watching the recovery and the and the the differences that you experience as you go because it's all well and good to someone says like oh well look at me I'm healthy and everything's great it's like okay but you're saying that this had all these results but you could have always just been healthy now just saying that uh where I think it's very very meaningful to people when you when they see you having issues and then see your recovery and like wow this this has been a marked difference in their lives so yeah I think it's a good idea I think it's a double-edged sword to be honest because if I say like I'm on the Carnival diet and it is so amazing and it helped me so much and I still have health issues then they immediately go Oh it's the diet I'm like no it's not the diet I was just I was basically Poisoned With medications like that's not the diet um and also so it was difficult for and I was kind of hiding it actually from my social media you know the problems that I have with my eyes um and I decided to kind of just you know post about this just be honest like there is no shame in it and I think that many people don't actually recover from what I've been through so if anything I think you know it's just like a like a battle scar for me yeah um and if anything I think I should just be proud of it that it's just that so I decided okay I'm going to speak about this and so I started speaking about it on Tik Tok and people just say I'm lying so yeah that's it's so funny to me because it was so difficult for me to even say it and now for people to say oh you're just like want attention I'm just this is so stupid I want attention because what like I want sunglasses it's just yeah yeah yeah that's it's always funny I mean the thing is is that you just you can't you can't worry about what people say online or on Tik Tock or especially Tik Tok I mean that's just full of just trolls and and useless people and um you even even yeah yeah I've seen some probably probably the the most absurd comments I've ever seen were on on Tik Tok oh yeah 100% yeah definitely what about um what about your response in Poland you know you're doing sort of a Polish language uh videos what what are people um in your over there thinking about all this um so my poish content is mostly on Tik Tok so it's very different you know on Instagram mostly Carnival people follow me so I get positive responses if say I post updates on like the treatment I had recently I get support right and on Tik Tok like 90% of comments that I get is like hate but I think so also I think people are crazy if they think I'm doing it for attention because like 90% negative comments like no nobody wants this type of attention um but yeah I get a lot of hate comments but I had I started posting like three or four months ago and I now have like 16,000 followers which I think honestly is pretty good um so it yeah so it seems like some people actually understand where I'm coming from but I don't think those are the people who are commenting most of the time uh so I try to look at you know the negative comments okay but I see you know who actually say my video and who followed me and I think that is much more meaningful than the people who you know they they write those comments most of the time they don't even make sense so yeah yeah I mean most people on there are just making comments out of like ignorance and Spite and so and you look at him it's like it's a it's a 30- second video and fairly evident by the the comments you made that you didn't even watch that it's like why did you even bother making a comment if like you didn't clearly didn't pay attention or or understand what was being spoken about it's just yeah but I yeah but I do get a lot of attention so some of my videos well I was showing the lion diet right because I'm on the lion diet and um they get like two million views something like this yeah wow I think that is insane because I didn't even want to post about you know the lion diet I was like this is like the most boring diet that exists it's like three times a day the same thing um and yeah like 2 million views so but I think it's because people actually thought that I had a lion so when I said the lion diet they thought I actually had a lion here and I was feeding the lion so so is that you put that up like on the scroll they're saying lion diet like up at the top or like I said something like how much is the lion diet and then I said I buy this and I just show show like raw meat they thought that was the meat for my lion that's funny yeah how much is my lion 's diet yeah you just you just like pretend like there's a bit of a language barrier it's like how much is my Lion's diet oh sorry polish I meant the lion diet yeah you know and just just snake that one through and just see how it goes yeah exactly yeah so I started leveraging that later on now I make very ambiguous videos like do I have a lion I not can't find my line I have all this meat yeah yeah no that's good so I I've actually been contacted by a couple people over in Poland who have channels and they've sort of seem to be interested and um I did an interview on a couple actually and then one gentleman asked if if I would be okay with them translating you my why are carnivores uh videos over to polish which I said it's fine just when to get the information out there um yeah so it seemed to be at least from from my impression at least some sort of interest there have you seen more people in your area coming around to this or are you still the the the uh the outlier well I don't know anybody who would be like 100% on the lion diet I met one dietician who is Carnival not on the lion diet so I interviewed her um and a lot of people do keto okay and yeah I'm on this Facebook group so I guess there is some Carnival people but it's hard to find somebody who's you know as hardcore as I am basically yeah well it's good that there are at least other people looking into this though even if it's not like full online you know yeah but I mean you know most people well the line diet is difficult right you need to have a compelling reason to do it so I think that most people aren't as sick you know which is a good thing overall yeah definitely I mean I I mean I'm not 100% beef but I'm like 99% beef like that's just purely preference that's just how that's just what I like that's what I I like as far as taste is concerned and that's how I feel the best is just eating beef beef as well I mean I don't I don't get like an autoimmune issue if I go outside of that and you know eating chicken pork or fish or something like that but you know some people definitely do and they need to they need to be careful with that I just feel the best I definitely feel the best and and um you know sometimes some other things will come in maybe have some eggs maybe have some bacon it's fine BAC who doesn't like bacon you know I know I know Jewish people that like bacon you know and a friend of mine we went out and um we played uh rugby in college and we get was like this all night omelet shop and they have like 12 a omelets so I got one with like a whole bunch of meat and he got this 12 egg bacon omelette and like all of a sudden I did like a double take and I was like well hold on a second like AR aren't you Jewish are you not supposed to have that he said yeah I know you know Pig's a filthy animal and not supposed to eat it but B 's good yeah it is and so but either way you know I just every time I'm having a steak I'm just very glad I pick the steak it's just like it's never a question it's just that's always I could easily eat that every single day and I basically do so um that's more I'm more lying just out of pure preference you know and I think that some people go that way as well but you can do high histamines right like dry aged yeah I don't have a problem with those sorts of things yeah no I can't do dry aged I can only do wet aged okay yeah you're missing out I know I am I know I am like wet age and dry age all my all my steaks so it's like I'm about to you know in my in my apartment I have um my fridge is a dedicated meat fridge um but then when I'm at um you know my girlfriend El's house it's uh you know there's other stuff in there as well um you know we're mostly we're all sort of carnivore but um uh there's you know um some other stuff around and so I can't I can't like put just shelves of just meat because like that's that's not what everybody else wants they want you know other things too so um I think I'm just going to buy a dedicated meat fridge and just so I can just do the wet aging and dry aging and and just go just get that back because it's so good it just makes it makes such a big difference I know I bought recently the whole sheep and it was dry aged just like seven days but it was dry age and it was so amazing and I got such a headache and I could never eat that so my parents had it yeah but they said it was like the best um what's the name of that meat the best lamb they've ever had in their life so yeah I agree with that yeah she's just like yeah thanks just just tell me it's bad so I don't have to miss out yeah yeah um so I I did have a question sort of you know um bit more about the trienal neuralgia yeah that that started with the medication that you were taking yep yeah and that's persisted ever since yeah so I don't know what that is to be honest I do feel like it's a type of a migraine to be honest like I don't feel because on my MRI it doesn't show anything yeah and um it feels like so sometimes I get a headache and then the headache will move at some point to the nerve and then the nerve is going to head and then the nerve pain is going to stop and the headache is so it feels like it's just pain that is moving in those two areas like I don't know what that is I have not seen any science papers on it which you know people who think that who say that I am just like psychosomatic or something I guess you know they just but I did see an an article that wasn't a scientific one but it was called something like um trigeminal dysphoria not neuralgia and it was called an Opthalmic way to hell and it described exactly what I had so like this nerve pain triggered by only artificial light not like any other light which also doesn't make sense to me because like what is the difference like I don't actually know what the difference is between like regular light and the like LED something I don't know that but somehow my eye can tell or my nerve um so yeah I don't know what that is but yeah I have it yeah very strange that's what I was going to ask actually was if you had an MRI and um you know and and if they went down that Avenue if it's sort of migrates and and sort of goes to your face and then go somewhere else you know I would wonder if that's that's a true trinal neuralia or you know something like you're saying you have you can have weird symptoms from strange neurological symptoms sometimes they just get all clumped under migraine you know some sort of random feeling from migraine but uh yeah yeah we we other things too so what I've read because um so I had that drug injected then I was very very very sick like I was in bed in the darkness 90% of the time blindfolded all the time I wasn't sleeping I was I couldn't walk right like my parents had to take care of me I was walking with a cane um so that was my life like for like 10 months and yeah and uh then after 10 months I recovered enough to at least do a little bit of reading online you know about like what the hell happened and then I saw this science paper and it was speaking about the inflammatory complications of cgrp monoclonal antibodies so you know exactly the thing that I had and it described three illnesses so one of them was susac syndrome the second one was um what was it called GPA so something with like it sounded like a sinus inflammation but just like with bleeding that you can like die from it sounded like an extreme sinus inflammation and the third the third one was arthritis um so I had symptoms of all three actually uh because I did have those sinus infections that were very bad on that drug as well I did have very strong um so muscle pain magnesium deficiency like I had to supplement magnesium 16 times a day um and yeah and joint pain as well because my muscles would just cramp and spasm like all the time they were moving all the time um and suzak which was the worst one and I had like 90% of symptoms of it um and then when I read about it then I actually like I was already kind of 50% recovered and I am very glad that I didn't read about this before because with suzak like you can actually go blind you can go deaf or you can die depending on whether it attacks your eyes or your ears or like basically your whole body so yeah I I was glad that I didn't know but what this paper said was that the cgrp monoclonal antibodies impact the cgrp nerve fibers which direct blood flow in your system so it seemed like what I had were just some problems with blood flow and I think that the blood wasn't flowing properly to like my brain and my eyes and my Nev and my muscles as well so I think this is what was going on and I'm not sure if this is like maybe the like root cause of neuralgia or whatever is happening in the body when you have neuralgia is different like it's not blood flow something else um whereas in this case I think it was blood flow yeah any like I don't know what to do with this information but well I mean the you know the good news is is that is that that has improved anyway for whatever reason yeah it's um absolutely terrifying me being blindfolded and and uh basically incapacitated for 10 months is is terrible you basically blindfolded the entire time just couldn't deal with any light whatsoever nothing like like even at night so I would have like curtains you know my window would be covered with curtains there would be some light outside from the street lamps and that amount of light going inside my bedroom through the curtains would trigger a migraine like that's how bad it was I couldn't do yeah so there is even some like um because it was developing so I got that injection and then for 6 months I was just getting worse so month one wasn't as bad and I remember I actually have even like two photos on my Instagram it was in August and I have two photos in September and people are like oh you're lying because you have two photos there um and I remember because I went on holidays because I did not know that it was going to be that long and that bad and I went to Bulgaria with my mother and I was like um and then I was going back to London because back then I actually lived in London and I remember we went for a walk and that's when I used to ex excise every single day and then with all of the muscle problems I actually couldn't walk anymore but it was gradual so at the beginning you know I was still walking like 5 kilometers and it was okay then I was walk walking like 30 minutes that was okay and then I couldn't even do 10 minutes and I remember going for a walk with my mother and was in some sort of a forest and also like she had to like I had to be blindfolded so she had to guide me through a forest and then I remember we just ended up at this nice spot and I you know took off my mask um and then I put on like two pairs of sunglasses you can see it on the photo by was two pairs of sunglasses and I just stood for the photos for like 10 minutes and then I put the mask back on and we walked back and I couldn't even walk back because it was too much and I was used to my body being able to do more but I couldn't um so yeah that that's that's kind of what was going on back then hey everyone really happy to announce new sponsor for the show for everybody down in Australia Stockman staks who are delivering highquality grass-fed and finished pasture raised beef and other meats flash frozen and vacuum sealed tood door something I've been enjoying a lot of myself recently as well they also have a great range of specialty items such as high fat keto mints and carnivore beef and organs mints with liver kidneys and beef heart as well so use code chaffy today for free order of beef mints or another specialty gift along with your order at Stockman stakes. comom and I'll see you over there thanks guys yeah that's that's very scary and yeah people don't understand that unless they they've seen it or experienced it um because it's it's just so foreign I mean how can that possibly be I've seen it uh I know people that that are affected not that much but if they go out in the sun and get in drug sunlight they they'll have migrain for the next few days and and that's even even while on medication so inside they can deal with things sort of in low light they go outside big trouble and I've seen it's actually funny because I would you know I've had patients with with menitis before when I was doing my emergency rotations I was I did a year in the emergency departments and um I you know you actually you it's very rare but you'd get a couple menitis patients um there was and generally they they typically show up uh in a very specific way but you get all these people with possible menitis I can't tell you how many people got sent in by their doctor um with say oh this guy got menitis or keytis and all these sorts of things and it's just like they've got a cold you know and and they're just like oh yeah I'm not really feeling well I just went to my doctor and he just said yeah you had to get in you had to get a lumbar puncture had to get admitted you're going to go to the ICU like all these sorts of things I just like well it's just like normally get like I started describing something I mean and citis is like just the most severe and serious infection you could possibly get in your body it's menitis is like the sack around the brain citis is the brain your brain is is infected and so like that's just the end of end of the game for most people and and he was saying that that um you know and I I had I had patients before that had like viral menitis and they they it was they were in a dark room with a towel over their head and you just open the door and just to just to peek in just to get in and just this little bear light would get in with the towel on and they would just start you know it was like that sensitive you know and uh yeah exactly yeah and then um and then this person was saying I was just like well you know I mean you know normally the people are extremely photosensitive extremely light sensitive and he's like staring at the light and goes yeah well you know it does kind of hurt to look at it I'm like dude it hurts everybody to stare at a light you know that's not what I'm talking about I'm talking about being in a dark room with a towel on your head and you know and not being able to to handle even the door opening up a crack he's like oh not not yeah no that's not really that's not really me and that and I explained to him and the other few people that got standing with menitis the only times I've seen someone come in with viral menitis that you know conscious but in horrible pain excruciating pain bacterial menitis typically what happens is they're irritable they're upset didn't cranky having problems and then all of a sudden they pass out start having seizures and they call an ambulance and they come in unconscious and then we do a lumbar puncture and just plusus comes out and um what comes out pus like infection like white like you pop a pimple but 200 CC's you know and um wow okay so yeah massive massive maybe not 200 CC's but you know you draw like a whole whole uh big amount of of puss and um ooze and that that's that's menitis so you know someone someone saying oh yeah you know kind of hurts my eyes to kind of look at the light it's just like no that's that's not it maybe maybe but no and uh but that's that's it you know you see people extremely sensitive and that that always stick with me she had a towel over her head I couldn't didn't even think it could open up and you sort of walk in you sort of creep in in and it's just that little bit of light coming through the crack in the door and it just like and she was just you know in tears from the pain of it yeah you know no 100% yeah and I think I'm just you know imagining it from my perspective a towel would not be maybe like a black towel if it was white it wouldn't even help the light was yeah no I can really imagine I didn't know there was other people like this it kind of makes sense but I never met somebody I met two people who had this thing with the trigeminal n and light sensitivity but not as bad as I did yeah well it's um yeah it's interesting that that uh you found more people like that especially with like the light sensitivity and the the nerve pain in the trigeminal yeah so so yeah one girl she told me she had it after the covid injection the covid vaccine and one guy I think he actually had a structural problem with his Nev um and it was some somehow from like a motorcycle accident like I don't know but he also did have and this girl as well they also did have light sensitivity from it yeah yeah there's weird things that happen I mean you can get weird reactions from all these sorts of things and um that was one thing that was being said there was like a atypical gon Beret that was common well not common but it happened anyway and as a known consequence and so there does seem to be some sort of mechanism that you know those Spike proteins attack the the the nerve fibers and damage them or the neurons and you know certainly from getting getting the infection as well but um that was something that was you know we we get email updates with the the number of new Gom uh atypical gomber patients that were coming up uh and that was um at least in those email change from from our health department was attributed to that and um so it's uh yeah it's really unfortunate that that um you we're having this new rash of illnesses but you know thankfully you know we're seeing in your case and other people's cases that the body can heal and heal from these sorts of things it's just you have to you have to put it in a position that it can whereas normal when we're eating just such wretched food and exposing ourselves to uh pretty harmful things be it you know cigarettes drug or alcohol sugar sugar is a drug that um you just you really just stop yourself from being able to heal properly yeah but I'm curious also what you said about uh those people with bacterial menitis and you said they were very irritable so I'm curious about that because I was kind of so one of the symptoms of susac actually is some sort of how did they call it some um like a disorder to like nist and personality almost and I did have that so I was so irritable like I wasn't myself you could like I would like scream if somebody like I feel like it was from my nervous system for example I really didn't like when somebody would like enter my bedroom uh when it was dark so like not during the day but at night like say 700 p.m. you know it's it's like um winter right um and I would just get so irritated like so angry and my whole body would like vibrate so I feel like it wasn't even like my emotional reaction was my like my body reaction and I felt I feel like it was the Vagas N I don't know but I feel like it was the N that was like going from my neck down um and it would like really vibrate my whole back just from the anger and then I couldn't calm down for like 24 hours if I if if I got angry I that's how long I couldn't calm down and that was just so unbearable because you know right now if somebody like makes me angry I basically Shake It Off in 10 minutes but I couldn't do that when I was sick and I just I couldn't understand what was going on and I tried to you know find the ways out like calm myself down and I just couldn't and like I don't I don't understand how that was happening yeah no that's very strange um if you get if you get irritation like from an infection or some other cause of the brain it can it can make you very irritable and so that's that's pretty typical presentation when someone is having some sort of neurological issue damage inflammation yeah and um you know even medications that can they sort of affect you in that manner that can that can make get things be very frustrated your brain's just not quite working right becomes very frustrating to try and think and people are talking at you and it's just like it just sort of sets you on edge with menitis it's it's um that's a very typical presentation where they'll either a child or an adult will just stop acting like themselves they start getting very irritable they'll start taner they'll start yelling they'll start freaking out and then they'll just pass out and start having seizures and they're like whoa what the hell is going on and so it's a very quick progression with bacterial menitis it's very dangerous very very dangerous it's very life-threatening it's a high mortality High morbidity sort of uh disease you know because you're getting you're getting infection you in and on the brain then it gets into the brain you have keus and then you're you're really in trouble at that point um and that was you know that was that was a big problem with the early on when we had the lockdowns and things like that because everyone was just sort paranoid about everything and oh yeah I had a lady who had a brain absess and you know she had in ketis in a brain abscess and um she had you know acute neurology she was stiff and rigid on the left side and she was completely incoherent um and uh you know we did a scan and you know there's like this collection there like okay she needs to go to surgery right now she's going to die and uh and she had a fever because of course she had a fever she had a brain abscess and and ketis and menitis right so um but because of how paranoid everyone was it was just like oh she's got a fever we got to get her tested all these sorts of things but back then we didn't have the rapid testing it was like it was like hours to get someone tested it was just like she's going to be dead by the time you get that test back like there's no reason she hasn't there's there's zero cases there were zero cases in Western Australia at the time zero and she um didn't have any respiratory symptoms wasn't around anybody that had respiratory symptoms had a known reason for having a fever and they were still just refusing refusing to take her up and so was just delay on delay on delay on delay on delay and so they it delayed things like five or six hours we ended up uh doing the surgery um and uh you know hope for the best but um she didn't do very well after the surgery a couple weeks later she did pass away and so I don't know if she would have made it if we we had gotten to her right away but uh she didn't end up making it as a result and on top of that because then we had to do this deep clean it was like a three-hour you know pressure wash with bleach everything in the in the O it delayed that surgery by like four hours and then there was like a three and a half hour turnover to the next case that were doing at 2 in the morning now uh for a lady that was going paralyzed and so that delayed her from the same thing from a no different yeah different thing so she had a she had a caught a aquina so she had a disc bulge that ruptured out and smashed her um nerves at in her lower back and you know it's just and you can have permanent very serious disability lose control of your bowel and bladder you know have a weakness in your in your feet and ankles and uh you know pain and and numbness but the main thing is you lose control of your bowel and bladder you have to you have to use catheters for the rest of your life you'll be fecally incontinent forever you have to wear diapers and and catheters and she was like you in her 30s so that's a really nasty nasty yeah Prospect for anybody at any age but you know when you have another 70 years in front of you that's going to suck and um so that delayed her treatment by another good eight hours right and uh just you can't delay these things but um you know we're just figuring things out back then uh but that was that was um that was unfortunate too because yeah because just the TR the test for that took so long and they just refused to do anything until we had it and I was just like you've got to be kidding me like literally going to kill somebody here yeah because the longer she has it the worse the consequences right yeah exactly no you have to you have to you have to get all all over that right away I mean she was already um severely affected neurologically both physically and from a conscious level she had a very low GCS and um you know so it was it was a it was a time critical emergency you know yeah and um yeah unfortunately yeah you get a lot of those delays with these sorts of things especially early on when you're trying to figure out what the hell is going on but um and that one anyway I wasn't I wasn't too impressed with how things went anyway how doesn't that traumatize you when you're a doctor and you just see all of those cases and like you see what's possible you know in terms of suffering for the human body I think it pisses me off more than anything and and you know to like really fight for and advocate for my patients and try to like you know just really you know push back and you know because if you just if you just sort of go like oh my God I just this is so hard then you know you're not going to be able to advocate for your patients you're not going to be able to do anything for them if you just go along and accept it and be ah well that's just the way it is then you know same result you're not getting you're not getting the right you're not getting anything done for your patient so yeah has to just kind of piss you off a bit and just Mak make you say like no hold on a second that doesn't make any sense you know we're not going to do that like we need to push for this so like you know I was on with like different sorts of infectious disease doctors and saying look I I this this is I need your okay on this I need your clear on this and they're like yeah absolutely that's ridiculous there should be no delay yeah and so I I was moving on all the angles but at the end of the day um you know the the anesthesiologist involved just refused he's like I'm not doing this case until that thing comes back and um and that was all there was to it you know but um it was uh you know it really didn't make me happy but um it it is you're right though you know those when people die when you do everything you can and some something bad happens it it it hurts and it sucks and you really feel sorry for people you feel bad that you weren't able to do it but you were but you at least know that you did everything POS possible and it's just that's just sometimes how the cards Li some people have accidents that you can't save them from that you can't fix everything from and other times uh you can and that's great but what really gets you are the times that you know you could have done something but something got in the way and they ended up having a bad outcome that they shouldn't have had you know yeah I I still remember all of them I remember their names too and um you know that those those those haunt you um first guy was Thomas Joy he was in Ireland I was an intern and really nice guy I really liked him and we actually had you know some nice talks and and he broke his hip he was an older guy and he um he was just talking about how he just wanted to get out so he could go spend time with his grandkids and he had been in uh you know like uh various Wars and and uh you know fought and you know protected people and was just a really nice guy and um he he got pneumonia and uh it just sort of the system in place sort of dropped the ball and failed him and uh I remember I was coming in on a Monday and I was on call that day and the doctor was on over the weekend she comes up to me in the morning meeting and said hey you know I think you need to go you should go talk to go go see this guy and get you know some some Medical Teams involved because you know he's really sick I think that should be the first thing you do today and but she said it so casually and um and I was just like I was like okay you know um and I was like thinking I was like why didn't you do that if it's such a big deal like why didn't you go and do something about it and I want to go see him and he was absolutely just so sick and he was um you know his his vitals were completely off he was extremely sick I saw that she'd been sort of you know looking after him she knew about this since like the day yesterday she just never pulled the trigger and I don't know why I don't she was just she was very avoidant in a lot of these things she just didn't like talking to other teams just very shy and and um but basically like didn't didn't pull the trigger on getting this guy proper treatment for a day and a half for some damn reason and then just jumped in on me saying oh you should go take care of this he's really sick you need to do something right now it's like she could have done something yesterday and uh and this would have been fine so I went and uh and you know you know pull all the all the triggers and everything like that got you know got everything going uh but he went into like respiratory rest and um then he had to get like compressions and he was just like there's boom and P and coming out of his mouth and um he ended up dying you know he ended up not making it and uh could have easily just been put on the proper antibiotics the day before and gotten different respiratory teams involved uh but it was just I don't know what I I just suspect it was just a bit um worried and unconfident by the other doctor um but you know when you're in that situation you you always call for help you always call and say hey look I don't know what's going on here but I'm worried can you help out yeah and you know that's yeah I think that's the problem actually with people who do you know a little bit about personality like people are low in neuroticism sometimes they going to ignore the dangers so even if they are in this kind of situation they will like yeah just not say anything and then they die even there is this psychiatrist who talks about this his name is Dr Daniel aan he's American so perhaps you know about him um and he speaks about like people with low levels of neuroticism actually dying prematurely much more because they don't detect the danger so I feel like maybe that was him I am probably the opposite of that like I will always double check although I mean I nearly died as well because I waited until my hemoglobin level was 4.5 until I went to the hospital so you know yeah not that you could have known though you would have like a buzzer on your phone on your on your watch going like oh oh at at five now I I'll wait you know God yeah no but well that's not actually that's not entirely true because I did go to a doctor like three days before that when my hemoglobin was probably like I don't know maybe six or so like I don't know but um yeah why didn't the doctor send you into the hospital yeah I know he said I had a cold so what like I couldn't walk up the stairs yeah no no no he didn't know like I just went and I said listen I am like coughing a little bit I have a little bit of a fever and I am like very very weak like I can't walk and he was basically like I think it's a cold no blood T nothing yeah yeah and okay so oh so he didn't give you a blood test at the time though no yeah okay all right yeah he was just like I just you know it's a cold and then I'm like well can you at least give me like a covid test or something because I had that people with Co they get very weak so I was like maybe that's Co or something so he was like well okay that was negative so I went home and then I stayed in bed for three days and I just you know felt worse and worse and like I couldn't stand up I mean so yeah it was awful and then I just I called my mother and I was like Mom can you just take me to the hospital like I need to check this I don't know what's going on and yeah yeah then yeah yeah W uh well I'm I'm glad you figured that out because that's um you know it's quite scary and yeah you know you did the right thing you went to the doctor you know and sometimes it's hard you know when you're just coming there oh I'm just feeling weak and this and that you have a bit of a fever and a bit of a cough probably is a cold you know and then yeah and then but then it gets worse and then you know then you go back I mean that's all always caveat like if you get worse come back you know yeah yeah so I feel like I react but most people don't but yeah it was scary like I do have PTSD from it and that's why also like I'm thinking when I'm when I'm asking you this question about like getting traumatized by like the stuff that happened to your patients because so I did have this situation in my life where like my grandfather had cancer um and like he got diagnosed and three weeks later he died and like but three weeks before he was like almost fine like nothing wrong was going on and during those three weeks I just like watched his decline so I think like you know as a doctor you need to see that in your patients sometimes right like when they're declining that much and um I associated with him so much when I just watched him suffer like I felt like I was him and but then afterwards when I had like the anemia myself and it actually looked a little bit similar you know because like I was just getting weaker and weak we here every single day obviously not for a diff not for the same reason and um well I didn't I mean I was dying kind of as well I wasn't in pain though he was in pain um just a bit of a headache and then yeah when I when I went through the same thing like I thought I was him and it got so messed up to the point where I went to his grave later on um and when I saw the dat on his gravestone and I was because so the day that it happened to me that I almost died was like the 17th of September and the day he died was 15th of November and when I saw 15th of November on his Tombstone I was like what like I was so sure that I was going to seee 17th of September because I thought like he was me essentially you know so yeah that that's what I kind of mean because like I I got so traumatized just by watching it happen to somebody else hey guys just want to take a second to thank our sponsor carnivore bar I don't promote many products because honestly all you need to be healthy is to just eat meat for those times that you're out hiking road tripping or stuck at work and you want a nutritious snack that is just meat fat and salt if you want it the carnivore bar is a great option so I like this product not because it's just pure meat but also because I want the carnivore Market to thrive as well and the more we support meat only products the more meat only products there will be available in the mainstream so if this sounds like something you'd like to get behind check it out using my discount code Anthony to get 10% off which also applies to subscriptions giving you 25% off total all right thanks guys yeah it is you know it's it's not it's not nice watching these things um but the nice thing is that you get you get you can help them you know and if you get if you get too I mean you should feel pain you know when someone when someone dies or someone gets hurt you know you should feel something there should be there should be a hole in the world where they were and yeah so it should affect you if it doesn't you know you're just you're dead inside you're sociopath but if you let it affect you too much to the point that you you can't function then you're no good to anyone and so it's it has to be a balance and you you can't shut yourself off completely or else you're you'll turn yourself into just an unfeeling monster and that's you're G to that's that's going to be bad for you and your patients down the road but you you have to be able to to let it in and let it hurt but not so much that you're you're incapacitated you have to be able to deal with it and so you just have you just have to live with it you just have to take it and you have to take it with you and you have to take it as a reminder to what can happen and what you you don't want to have happen to the next person and you you you learn those lessons on on these um in these times and you you just try to make sure that uh that that never happens again because they're abortion Ely some of the best learning is is trial and error and you you learn from mistakes and hopefully you can learn from other people's mistakes that you don't have to make those same mistakes but uh you know sometimes sometimes it is your own mistake and you have to you have to learn from that and unfortunately when you're talking about medicine you know that learning curve is with people in their lives and so you know you can have some pretty dire consequences thankfully I haven't had something like that to that extent where you know someone's really been harmed by something but you know everyone's going to make mistakes and there was um it was actually from Scrubs it was a show it was actually a really good line from I wasn't hugest fan of that show but it was it was fine in parts and there was but there's one line where the guy said you know at you know just the nature of medicine is is at some point in your career you're going to make a mistake and it's going to cost someone their life you know and it's not not going to be just oh well that just happens so like you are going to mess up and it is going to kill someone that's just the nature of the business and um and so you know it's uh you have to do everything you can to make sure that that doesn't happen and hopefully it doesn't but you know the odds are that you're going to you're going to hurt somebody by by doing something and so you just have to make absolutely certain that everything that you're doing is is is your ability and as long as you do that if there is a bad outcome you at least know that you've done everything that you could or if the S you know and sometimes the Situation's out of your control like like I'm fighting for my patient to try to get them in a surgery but I'm I'm not able to push it through and so that pisses me off because they get hurt from that but you know and that bothers me and that has stuck with me but you know it's it's not at least something that something I did you know because that can that can really plague you when you make a mistake and it hurts somebody that's really difficult to to get over I know I know doctors are good friends of mine that you know they've they've had they've made you know an error and and something happened it wasn't necessarily something that they did wrong it just sort of went wrong but it ended up costing you know someone their life and and they were just like didn't know what to do I I just I quit and just walk away and you know just never come back uh but they had you know more patients the next day and had surgery while they were thinking about it they were just sort of had to keep going and had to keep working because there were people that needed them and so they ended up sort of getting back into the routine and stayed with it you know which is good but uh it really affects you it really really hits you hard when you see those sorts of things yeah and um and then you just see bad things happen to people that's just that's just where you work you know you're in the the bad things house and you know it's it's not it's not nice to see that ever but it but you are able to help people and that is nice yeah and I guess this is where you know a part of responsibility can be on the patient to do whatever they can to you know just like read about the stuff that they're going through report them and also if they feel like something is going on but when you know I'm the patient I kind of try to do that with my doctors I am very often told you know who is the doctor here you listen to me it's like yeah all the time that's funny yeah but I'm like sorry after everything I've been through like we're at the same level like I'm not I'm not going to treat you like you know like you're telling me what to do and I'm listening like we're working together you know yeah so yeah that's my Approach but they don't like that well they're supposed to I mean that's s of the idea is you work with your patients you get better compliance anyway you know if you come up with a plan together and you can you can obviously steer things in a way as a doctor because you're you're making these say this is this is what I would do and this is why I would do it here these other Alternatives I don't think they're as good because of this and so you can sort of lead them down that path but if you if you both come to the conclusion together and and you agree on a plan say okay here here are the sort of options that as I see them or if you have other options you think about and all these sorts of things and they're like okay well what about this I can't quite do that what about this so it's like okay well let let's do that then and if if they feel like they've they're part of the decision-making process they way more likely to actually see it through you know I mean I can't I can't I mean the amount of people that I've spoken to whose doctors just push that down their face basically saying if you don't take this Statin like I'm not I'm gonna fire you as a patient it's like you work for me I'm paying you so I fire you as a doctor and um you know but uh but either way you know some of them would just say they're like you know you know not even necessarily a stat but whatever you know it's just like here this medication you have to take it and it's just like it's not even worth fighting they just say like yeah okay no problem and they just take it and never fill it and um you know so it's like that that's what you get when you try to when you try to shovel a treatment plan down someone's throat they're just not going to do it they like no this is I'm not doing that and so you know would you you don't you don't want to do that you want to you want to work with people that's kind of funny that you've gotten some some doctors like that so many times I mean almost every time I go to a doctor they they really don't like me because every time even like after even after exosomes I went because I read about the potential complications of exosomes uh and stem cells and stuff like that and I knew what could happen so I went to the doctor and I was like they probably don't even know what exosomes are because it's like so new um so I just went at the beginning I just I went like recently because I just wanted to check if everything was okay cuz I felt like nauseous and I had a headache um and I went and I just went okay I have a stomach ache so like what do you think and they checked some stuff I don't know they did whatever they didn't have any idea so then I'm like okay so listen I had exosomes I read some stuff I think this is what you should check and I basically just gave gave them a list and the doctor was nice because they did exactly what I said but it's like you know I kind of told them what to do which typically is something they don't like very much yeah you know I mean sometimes you look at that and you just be like well look that's reasonable you know check these sorts of things or um you know some and some sometimes sometimes you you're if you're if you're working in like a you know with a public system or with insurance companies things like that like there's just some tests you can't you can't get like look insurance isn't going to cover that you know Medicare is not going to cover that like all these sorts of things like we can't can't justify that and other times where they would and it's reasonable it's like fine you know whatever makes you feel better you know we'll test you test you for what you're worried about yeah so yeah that's what I like but yeah I did have some like altercations with doctors quite a lot to be honest cuz like I would go with migraines and they would give me like a pill just like a white pill on my hand I'm like take it I'm like okay what is that and then they're like well I Am the Doctor you're not supposed to ask I'm like well I am supposed to you know take this thing I want to know what that is yeah and they would just go like oh this is like for vomiting and then I'm like I'm I'm not even nauseous like why would you give this to me and then you know the doctor would go oh so you're refusing to take the medication yeah I'm gonna write it down on like your thing from the hospital and well okay right that I mean you know yeah yeah that's funny um so many times yeah no no they they actually legally have to tell you what you're taking really that's the thing oh yeah yeah absolutely cuz like every single time I I I don't go anymore but every single time I would go with migraines they wouldn't they would just like the doctor would I would see the doctor tell them what's wrong they would nod they would leave then the drips would come in that was it and I didn't know what the what was inside the drips yeah yeah it's it's informed consent that's part of informed consent and so informed consent means you have been informed of what the hell is going in your body and you consent to it going in your body if you're not informed then you can't provide consent right you can't well you can say you can provide consent you can't provide informed consent so unless they actually tell you this is what it is this is what it does this is what it's for and these are the risks that's not actually informed consent and so no one generally goes that far and says you know runs down all the list of all the different uh side effects and things like that um especially something normal like you know paracetamol tile and all those sorts of things yeah however you know it's um that's that's how you're supposed to do it and if you say what is it they're not allowed to like say well you just take it don't worry about it like no that's not how this works it's exactly what I hear that's so funny that's uh that's very peculiar yeah you know that's just um you know you I could imagine that being sort of like a a more old school sort of scenario in the in the states or in England or something like that when back when you know doctors uh you know weren't uh you know hourly you know cogs in a in a in a giant machine they were actually you know independent practitioners they had a lot more you know Authority and um and uh you know esteem and credibility and people really you know looked up to the profession and things like that oh well it's a doctor he's just G to well just do what I say you know trust me I'm a doctor that sort of thing um you know th yeah that that sort of those days are sort of gone in in America it sounds like like they're alive and well in Poland yeah oh that's funny though but but no yeah you definitely definitely get to know what drugs they're giving you 100% yeah okay well it's good that you know maybe it's just gonna change if it's outdated already in the west yeah well it's you know it it's there's something to be said for you know having that that you know trust you know in the profession and having that profession being you know uh having a bit of regard you know there's a there's a lot of there's a lot of people in the west that now just try to disparage doctors and say that you know the the reason that the healthc care is so expensive is because doctors get paid too much it's like you don't know what you're talking about um the there have been uh economists that have actually figured this out that uh if you just didn't pay doctors anything it would not appreciably lower the cost of uh Healthcare and you're going to hospitals to see the doctors right and to get the treatment that they prescribe and perform and um doctor salaries like across the board uh in America and elsewhere is less than 3% of the total cost right so you know so people go in there and they get this this Hefty bill from the hospital and they say that effing doctor you know would you would you need to buy a boat today like Jesus what is this yeah and uh no that's not that's not that's not who it's going to you know I mean think about so who is it going to like Pharma or it's going to Pharma it's going to the different uh to the hospital so the hospital charges a lot you know for just being in the hospital you know if you if you get like a dayc surgery you know that's uh like an hour or something like that it can be like a few thousand dollars just just for the room time uh in there and uh you know then and then there's you know think about how many people work at a hospital the minority of people there are doctors you know but you need you need everybody else to make the the ship you know the ship run right um there is Administrative bloat there's a lot of administrative uh jobs that probably you know don't need to be there sort of executive sort of things where they're like oh managing things and they're just taking like big cuts of everything um for that uh for that but you know back when when sort of doctors ran hospitals and uh there wasn't as much of that executive bloat where you had different sort of managerial companies sort of running the company and then the doctors were the employees of the company they were just hourly employees which is basically what it is now um that was very different you know people you know doctors got paid more for their work they got more of a share of that but actually health care costs were actually lower a lot lower um and a lot of other things have come in too I mean just the just the cost of staying a night in a room in a hospital has increased dramatically um Nobel Prize winner Milton Friedman he's an economist he calculated once about the impact of switching to government healthc care plan in America and where Medicare and Medicaid came in what in the 50s 60s something like that I I don't know exactly when but anyway it was it was you know a couple decades of this stuff and and he was in the 1980s sort of late 1980s he was working on this he was trying to think he's like you know because technolog changed you get the new technology out the new thing it's always going to be more expensive and so you know that's going to that can increase cost so you can't look at that so what what can you look at that should just stay remain stable the whole time and he just okay what's the price of staying in a bed one day in a hospital with nothing done just just the price of occupying that space and that had gone up 2200 per since the in the in the 20 years or so that Medicare had been so it actually increased the price so it just inflated the price of these things massively um you know one of the reasons is you you create a false supply and demand disparity so if you if it's just free anytime you just want to go to the doctor you want to go to the hospital just whatever you just show up it's all paid for you're going to show up for a cold you're going to show up for you know a splinter you know you just show up for any damn reason you know I I had people showing up to the emergency department that um that had bags packed and they were just like yeah I just feeling a bit sick so I guess I have to just move into the hospital now and I was like no like you're you have a cold like you're well enough to be sick at home like go home you know but people just like they just forgot how to take care of themselves oh just go toor oh they're going to take care of us we pay for this we're going to do it's just like no you can't there's a 100 people on gurns in the hallways because there's no room in the hospital like no you're not coming in like there's no there's no room for you to come and um so you know you you increase the demand but the Supply stays the same and so all of a sudden everyone's just coming in for any reason I remember when swine flu came through I was uh volunteering in an ER down in uh San Diego and um and uh so swine Fu came out everyone was freaking out and just everyone was in there with CTS and there like oh my God I just thought but it was all people that um you know didn't have to pay for it you know and they they're just like like you know just coming was just like yep no no influenza no you can go home no no no didn't see a single case of swine flu the entire time just a bunch of people with colds and this one lady up never forget she said you know um she was like well yeah you know you know my dad got sick and we just worried just thought it was a cold but you know it brought him in and so it might be a swine flu and turned out there was just a cold but then my son got sick and and we took him in and turned out that was just a cold and and now I'm getting sick so I'm like oh my God is that do I have the swine flu and I'm like oh my God you have a cold your whole household have cold you have it cold like what do you think this is and it's just like okay yeah and we just you know did the swab send it off like yep you've got a cold you know go home um but that takes that takes a huge burden on the on the on the resources you know and so if it doesn't cost you anything then just like well whatever it's free uh there was a guy in uh Ireland I had a buddy of mine who was a paramedic over there and he said there was a guy there that for six years six years he would call an ambulance to pick him up he said he was having chest pain and so they they blue light ambulance was it was you know category one um ambulance we get sent out there so it it it superseded any other calls right and so they go pick him up and they' take him in and he just wouldn't say anything and then he get in this ambulance we get there he get out and walk out and just go into town go to the pub or go shopping whoow and then yeah and then and then he get whatever he wanted and he get a ride back home right or take a cab or something like that right iance okay and then he would yeah amulance wasn't going to take him home and um but then sometimes you do that multiple times a day it was every single day and sometimes it was like three times a day well don't you get like a note saying you called an ambulance for no reason and they then they don't pick you up or something no yeah well that that they didn't have any system in place for it it they did this for years and my Budd was saying was just like you know he's like you know you really can't do this like you know somebody else could be getting a call right now somebody else could be actually having a heart attack you know and this he's just sitting there just like don't give a he just like so entitled and then um and then he's getting out he's walking away he's like hey hey emergency room's in here it's right back here you know didn't you say you had chest pain didn't you have chest pain you know we're really worried about you we think you should get checked out don't you want to get just checked out at least you just ignore him walk away two hours later call him again I'm chest pain you need to come pick me up so he did this for a while and eventually you know they uh they actually took it to court and the judge decided like y you you have used up all of your all of your your your allotted resources for the hospital you will never get a hospital again Hospital ambulance again you you can still come to the hospital you can still get medical care but you have you have used up all of your ambulance credits and so you need to uh if you need to go to the hospital you have to get your own way there you have to call a taxi or something like that get a friend to take you you will not be picked up again and um for the next six months he was calling multiple times a day screaming at them scre A dispatch you have to pick me up I can't believe this I'm going to die I have chest pain all these sorts of things he just kept doing that and kept doing that kept doing that you know eventually you know they stopped hearing from him you know he just got the clue uh and then they found him at home dead he' had a heart attack Jesus and uh it's just like really after all that you didn't just call a goddamn taxi you know and um but you know it's the boy who cried wolf it's just like okay you know we got we we'll help you but you know if we think that you're just wasting our time then that's going to be it you know we're not going to help you and when you actually need it we're just going to think you're full of it you know and I mean the boy who cried cried wolf I mean he only did that three times right you know this guy did that every day for years you know so he me he got he got more than enough chances to uh to write that so you know I'm I'm you know it's sad that he died but it's um you know it's a it's a bit you know it's a bit fitting you know and AIT you know like that's that's um it's it's ironic in any case like that he kept doing that but like why wouldn't you just call an AM call a taxi at that point you to say hey I need to get to the hospital like if when you were serious about it because they would have treated him he just was just like no I should be picked up by an ambulance goddamn it you know and it's just like sorry buddy you know it's not gonna happen so uh but yeah so they it massively increases the demand I mean that costs a lot of money to do that that delays things and so you know it's um you know when you when you have open access to care you just you just don't have to pay anything at all you know it you end up getting a lot of people coming in that um didn't need to be there you know if you you know if you have a cold and you're a bit sick or have a flu or something like that and you're and you're unwell but it's going to cost you 100 bucks 200 bucks to go in and have someone tell you you're sick go home and rest you know you don't need antibiotics because it's a it's a virus um you're not gonna waste your time you but if it's free it's just like yeah sure all right just roll down you know and um it uh and that that obviously massively increases the burden on the system yeah anyway well Carolina thank you so much for coming on it was absolute pleasure had a great time talking to you and uh it's really amazing story and absolutely incredible how much you've come back from um it's it's really really inspiring and I'm very glad to see that you're doing so much better thank you for coming on okay yeah thank you very much for having me I really enjoyed it you're very welcome and thank you everyone for joining me please do hit the like and and uh leave a comment if you are have suffered a Ser uh similar sort of issues please do comment down below and let us know how you're doing now and hopefully you're doing better too see you next time thank hey guys thank you very much for taking the time out to listen to what I had to say if you like it then please like And subscribe to my YouTube channel and podcast and if you're on YouTube then please hit that little bell and subscribe and that'll let you know anytime I have a new video out which should be every week if not more and if you can share this with your friends that would help me get the word out and let me know that you like what I'm doing thanks again guys