It's back to the 1970s here in the USSA, and we've got it all.
Soaring inflation, painful gas prices, runaway black crime, anarcho-commie political violence, a humiliating airlift from another lost war in a faraway country, doddering septogenarian politicians, and of course, another drug epidemic, and now even another budding Cold War with Russia.
But one new wrinkle in our civilizational decline is one that I doubt was nearly as pronounced back then.
The slow collapse of our medical system and emergency response capabilities in particular.
And of course, now we have global pandemics always just over the horizon.
This week, we welcome two professionals all too aware of the creaking gears and rusted bolts of that system you may need to rely on to save your life or that of a loved one at any time.
So, Mr. Producer, sound the alarm.
Welcome, everyone, to Full House, episode 118, the world's most legitimately concerned show for white fathers, aspiring ones, and the whole biofam.
I am your spring feverish host, Coach Finstock.
That's right.
I am desperate at this point to get out there and mow the lawn and plant some seeds.
Back with another show dedicated to reminding you that this is not a drill, and you have to be making big moves now for your family while the basic machinery of the system is still minimally functional.
Before we meet the birth panel, though, big thanks to the supporters who didn't get their shout outs last week due to the jettisoned first half of the Solomon Show.
So to Chase, John, Pam, and Dave, thank you guys so much.
And to Longshanks and the folkish resistance movement, you guys put the wind in our sails this week.
Thank you so much.
And if you'd like to be as good as those folks, please visit us at givesendgo.com slash fullhouse or full-house.com and the support us tab.
All right, enough of me.
Let's get on to a different birth panel this week.
We do not have Sam.
We're not recording on our regular night, and he had a weekend engagement, said something about a Shabbat sleepover at the synagogue.
Sure, it's nothing.
Smasher is supposedly on his way home from band practice this week.
I have it on good authority.
It is a Jethro Tull tribute band, and Smasher is the flutist.
So he will be parachuting in here at any moment as it's 10.30 p.m. right now.
So let's move on then to Rolo.
Rolo, my friend, how are you?
How's the control panel looking?
Good and good.
Thank you.
How are you?
Not bad.
I seriously, we may talk about it later, but as I get older, I'm like more season sensitive.
You know, when you're a kid, all you want is summer vacation.
And now all I want is winter to be over and to be out there mowing and grilling and planting.
Alex agrees.
Yes.
A little spoiler.
I'm ready for spring.
Winter just makes me appreciate the warm weather better.
Now it's like, please, I wish it was 85 degrees.
I want to be out there sweating my ass off.
Yeah.
You and I are in the same rough biosphere, latitude and longitude.
And it's just miserable.
The kids are cooped up.
It's muddy out there.
Now the snow is melting.
Well, let's introduce you here, Alex.
I'm right.
I spent a little time thinking about you, big guy.
He is the man you love to hate on air or on the road.
Contrarian extraordinaire, but also a longtime medical professional and not a glorified ambulance driver as he was so cruelly maligned by one of our own just the other day.
And of course, he is also the proud new father of baby number three, son number three.
And of course, he delivered him himself.
Alex, how the hell are you, buddy?
Welcome back.
I'm doing all right.
I'm doing all right.
I wish it was warmer outside.
Yeah, because I feel the same way about like, you got kids and you want to go hiking and stuff with them, but it's so muddy and nasty out there.
Even if you do get a warm day.
Yeah.
It's just, it's just like, God, great.
Now, now my house is going to be full of dirt.
Oh, yeah.
And you don't have a dog, but good Lord, when the dog is out there traipsing in the mud and the slush and she comes in, I've had to clean.
Oh, it's a nightmare.
I actually did the bit just today, took the kids to the closest park.
It's got just like a quarter mile track around it for me to run and a decent playground.
Junior was like, I'm going to read my book.
And daughter and potato were out there for a while.
And then they said, Dad, can we go home now?
I said, yeah, I think so.
We did a hike today.
It wasn't bad.
My middle child is like a year and four months, something like that.
And he's very, very good at walking, sort of, but not really.
He just takes off going really fast and then doesn't stay on the trail and crashes.
He's got enough energy where I don't have to carry him, which is different than my experience with Shane at the same age.
Yeah.
No, bless you for always getting out there.
You are an admirable dad, Alex, with all the pictures and the Halloween getups and the decorated house and stuff.
If we have a little time later, they spend a lot of time outside.
They really do.
Amen.
All right.
Finally, our second special guest.
He's been with us behind the scenes from day one.
That's true.
It is our number one fan.
He's no slouch himself in the fatherhood department.
In fact, he just sent a family photo the other day.
And what a fine job you have done, sir.
He's one of the nicest and most solid men we've ever had on this show.
And that's 100% true.
No BS.
I see a smile on there, big guy.
Durandle, welcome back.
Thank you for having me, Cochin.
I really appreciate it.
Our pleasure.
How's winter where you are?
You got cabin fever?
Yeah, I like to cross-country ski.
So it's cold here and we get a lot of snow, but I like to get outdoors.
If you're going to be living the north, you have to be willing to get outside because either that or you're nibbling on the barrel of the gun in like a month.
So time to get outdoors.
I know.
I want to get out and go skiing one more time.
It's so damn expensive, though.
I went skiing with Junior on my, what was it?
No, it was MLK Day, I think.
They had like a little promotion where it was their treat.
35 bucks for a lift ticket and rental per person.
So couldn't pass that up.
But maybe we'll get out and splurge one more time this winter.
Well, the origin of this show is that a couple days ago, Alex and Durandal were rapping back and forth about the state of emergency medical services in this country.
They're in different areas, different ages, different areas of expertise, but they have knowledge of the inner workings of it.
And the horror stories were just that horrifying.
So the intent of this show is to educate our audience about the absolute state of it, which really is something that you need to be aware of, especially if you're a rural gang like me and you've got more hazards and ambulance is much further away than if you live in a suburb or a big city.
Although I suspect being in a suburb or a big city is not quite the consolation it once was.
But before we do that, we want to start with new white life here at the top.
Alex, congratulations.
You posted a picture of that brand new baby boy in your house in your, I assume that's your, your cycling recovery pool that had to be retrofitted at a moment's notice.
You said it wasn't planned to be a home birth, but you had to do the bit.
Go ahead.
Let us know what happened.
Yeah, my wife, because of past experiences with dealing with our local healthcare system, was not wanting to be in there a minute longer than necessary.
So she decided she was going to wait, which is kind of the smart thing, like wait before going in until things had escalated.
And well, things escalated a little too rapidly.
And it ended up being home birth, which I guess that's fine.
I'm trained to do that.
And I had the supplies to do it.
It was definitely interesting.
It was a good experience.
It was a very good experience.
It was quite a thing to deliver your own kid and do it without anybody helping you.
Now, of course, babies, from my experience, they come faster the further down the line in terms of the order they are.
So did she miscalculate?
She just assumed it was going to be like the first iteration.
Seems to be a lot because this one was less responsive than the first two.
Like I think I gave him an app car of eight.
And that was probably because of how fast he ended up coming out.
I think that's, I don't know what Durandel's experience is with this, but I've definitely heard from other people that if they come really fast, sometimes they're less responsive initially.
And this one.
Tell me more about people coming fast.
I said you're going to parachute in here any minute, buddy.
Smash your welcome on.
I had to dry this one off and selection them pretty good before I started breathing and crying.
So they're there for what seemed like an eternity, but it was probably about 20 seconds.
I'm like, all right, you got to boot up and start doing something.
Fuck.
And you did home births for the first two, but this one, you didn't want to go that route?
No, the first two we did it at a birth center.
I was hands-on.
Like with Shane, I had the IV started before he even got to the facility and then ended up using my IV, which is kind of cool.
And I got to work with midwives.
I learned quite a bit about the process just from working with them.
Honestly, like EMS, you don't generally do this.
Like we can ask the other gentleman, but this is not something that you do every day.
You don't typically get that kind of experience.
Yeah, go ahead.
I had it with my first two.
Like I was hands-on.
Like I caught the first two and did the whole bit.
And then this one was like caught and then had to do the whole thing, like clamping umbilical cord, cutting all that stuff.
And honestly, that scalpel and the OB kit is way better for this than using the scissors.
They want to give you at the hospital.
Like just use the scalpel.
Watch the F-bombs there, big guy.
You're giving Rolo more work.
Come on.
This isn't the daily show.
Oh, shit.
That's all right.
If you bring on medical personnel, like we all talk like sailors.
That's all right.
Rolo needs some homework anyway.
He's smiling there.
So you didn't have a doula or any official state there.
What happens?
Like, do you just keep the baby and you like send in the paperwork or does somebody visit you to check up on him?
I kind of did things like the way you're supposed to, at least the way I was trained to do it.
Like I collected the placenta into a biohazard bag and everybody eventually went to the hospital to get checked out.
I didn't see any reason clinically for them to go immediately.
And we had to wait for child care anyway.
But yeah, eventually everybody got transported and checked out and everybody was fine.
But yeah, I didn't have any assistance, which an extra pair of hands would have been invaluable.
That would have been so useful.
Just to have somebody there that could do things like, I don't know, take notes and vitals would have been good.
Sure.
Was your wife scared or disturbed that it was happening not by the by the book or by the plan?
No, she she was fine.
She was in the zone at one point.
She was like, Call an ambulance.
I'm like, it's too late.
It is too late.
By the time they show up, this baby's already going to be here because I see ahead.
So, what?
To give you a ride to the hospital, right?
Right.
It's like, you've already got EMS here.
What do you want?
Could a layman deliver a baby more or less?
You just have to be down there and pull it out and then cut the umbilical cord and give it a good rub.
That's that's all there is to it.
I know a guy.
I don't recommend it.
I know a guy that is kind of dumb and he delivered one of his children.
They owned a tiny car.
I can't remember what it was.
Shit, it might have been a smart car, to be honest.
He was at the warrior leader course in the army.
His wife calls him and is like, hey, I'm in labor.
You need to get here.
They wouldn't let him leave.
And like being a good soldier, he was like, I have to take this test.
Instead of like, I would have just chimped and been like, I'm leaving.
Fail me.
I don't care.
Because the command is going to side with me, not you, at the end of the day.
But he like stuck around, did the test, and then left and ended up delivering a baby in their tiny little Euro car.
It might have been a smart car, but it was something small like that.
It doesn't matter.
And dude's kind of dumb.
Like he really nice guy, really good guy, trustworthy, and all that stuff, but just kind of dumb, you know, one of those guys.
And he can, he did it.
So, you know, I think probably most people that listen to this podcast could do it.
You could.
You don't want to.
Yeah.
You shouldn't.
You shouldn't try it, but you could.
I think you should have some level of training to identify things like shock or lack of perfusion or, you know, problems.
Like with my wife, I was able to obtain vitals through the process.
So afterwards, I had a bass line I could compare to and be like, well, looks like you're not bleeding to death.
Smasher, of all of the places that my dog wants to bark, it's right outside the studio.
So I'm going to go grab her.
But tell the group about your flute practice and your new band real quick before we go to Durandal and Alex and talk emergency responses, please.
I'll be right back.
Well, so I guess I find myself in an Irish band now.
What do you play?
So I started out on the stand-up bass and then I taught myself the guitar.
Then I became a cellist because all of our cellists were graduating and we had too many bassists.
And so I became our principal cellist.
And then after that, I learned the mandolin.
And now what I'm playing with these guys is right now stick dulcimer, like an Appalachian stick dulcimer.
And I'm probably going to get a mandolin here again.
It's been a decade since I played one.
The bridge on mine collapsed.
The whole body collapsed and I just never replaced it.
And I got the bug.
I think I'm going to get one.
You should move out to where I live.
You'd fit right in.
Yeah.
I live right next to West Virginia in the hills.
I'm in the holler.
Way back in the holler.
Down to the bottom yonder.
Down yonder in the holler.
Neighbors burning trash too.
I remember Alex saying they were burning like plastic and stuff and choking the air.
They do that every year.
Burn everything.
We don't have any neighbors that do that.
I was the offender once.
We had some like old pillows that just, you know, they started to have a lot of head sweat on them or whatever.
I forget if they were synthetic or down.
So I was like, you know what?
I'm going to do I'm going to burn these rather than take them to the dump.
And don't burn pillows.
It was like a toxic cloud throughout the whole valley.
Did you hear about the Jazz Hand story about how he came out to visit?
We were out there drinking whiskey and shooting crossbows for neighbors.
Yes.
Yes.
Next to trailers, shooting crossbows.
It was great.
Just rural gang stuff.
All right, let's do it, guys.
Here, let's assume the audience is as dumb as me about these issues and just knows that there's ambulance services staffed by EMTs or paramedics.
You call 911 and you hope they arrive quickly to help you out and take you to a hospital that's not completely overwhelmed.
So you rapped back and forth about all the myriad things that are wrong or crumbling with our medical system in general, but in emergency responses in particular.
You can go back and forth, Alex and Durandal, as you like, but I guess what's the most concerning thing here at the top?
What's the biggest problem, if there's one that you could finger?
Staffing shortage.
Okay.
Yep, second that.
Why?
Money, the job.
I'll give you my version and we'll see if he agrees.
It seems like historically EMS was volunteer-based and you had a society where people love to do volunteering.
They love to be doing in these organizations.
And also, also back in the day, your 911 calls were usually critical.
You weren't just going to every, you know, stupid, mild complaints that anybody had.
It was usually a serious situation, car crash, something like that.
So you had a robust.
It wasn't bon quiquis delivery service.
Yeah.
So you had a robust crew of volunteers.
You had a lot of social capital.
And this stuff was everywhere.
You didn't really have problems with responses.
And governments didn't have to pay out money for it because they were volunteers.
And I think after 9-11, there was still a decent amount of them.
But after that, things started to sort of go downhill.
And now it's like, how could anyone find the time to volunteer?
Because it costs you money, right?
It costs you money to go and volunteer.
That's a net drain on your finances to go out there and do this, to put the time into it, maintain your certifications, be gone all night if you're sleeping over at the station and not responding from home, et cetera.
So that social capital that was propping stuff up pretty much evaporated and they had to turn over to paid services.
But as we will get into the money for the paid services is terrible generally and the hours are awful.
So it's hard to do that.
Yeah.
Burnout is, oh my God.
I don't love a very high turnover rate.
I, Alex, you probably remember this or when you're working.
I'm pretty sure that the average life, like career lifespan of an EMT or paramedic is two years.
Like they decide they're going to do this for the rest of their lives.
They get two years into it and they can't do it anymore.
And they bail out.
They pull their business.
I think Greensboro, North Carolina, statistic I saw was like nobody makes it makes it past about three years.
For urban areas for an urban area.
Okay.
So obvious question.
Why don't they just pay more and recruit more?
Because it's obviously a vital service.
The volunteer thing blows my mind.
I always saw like volunteer fire department.
I was like, who the hell in this day and age has like many, many hours per week to volunteer for a vital service unless you're a fire department?
Dude, they're still coach.
I think over 90% of every fire department in the U.S. is a volunteer.
And they're not getting paid aside from like meatball subs and chilling.
Depends on what state you're in, but they might get paid like $1,500 a year from the municipality for a pension.
I'm air quoting, that they might, they could use in the future.
But no, volunteers are like the backbone, whether it's fire or EMS, they're the backbone of the U.S. I'd love to see the correlation, the studies of the breakdown of the culture and society in America and the lowering and the degradation of volunteer services, whether it's EMS or fire.
Sure.
It's like anything else.
What's the guy putting them bowling alone, right?
He doesn't talk about fire and EMS, but he just talks about how social cohesion, social participation goes down, voting goes down, etc.
So it's like, you know, if you don't care about the community and you don't care about your neighbor, why are you going to volunteer to save their life?
Yeah, I mean, essentially, the EMS services and fire services have been subsidized by volunteers forever.
And that's one of the things I think it's kind of kept pay down to a certain extent is being able to is, oh, they're doing it for free.
Why should I pay you to do this?
Sure.
Yeah.
Who's paying them now?
Is it sorry, one second, Toronto?
I assume like municipalities are doing some of it, hospital systems are doing some of it, private companies are doing some of it.
What's the general layout there?
Primarily, they are paid by the local municipality that they're volunteering for, whether it's like a township-based system, a town itself.
Some of this verbiage is different with different parts of the country you're in, or the county itself.
But primarily, it's the lowest common denominator municipality.
There's some units out there that are still like independents, but they're very few.
Like 99 out of 100 are paid by the local municipality.
Yeah.
And if you go to those board of supervisors, you want to have a good time.
You want to have a good time?
Go out to a local fire department or EMS, chicken fry or fish fry, because that's how they make money to buy a new ambulance or turnout gear for the firefighters.
And they make the best fish, they make the best chicken, and you get to meet everybody in like Podunk, you know, West Virginia.
But they're hanging on a shoestring and they're getting, you know, when granddad screwed up with his kids and now they got a lot of grandchildren.
Guess he's not volunteering down at the local EMS department because they have no connection.
They hate their grandparents.
They hate their parents.
And I know fire and fire.
I know a long, long time firefighter who said just in the past three or four years, that was when they started to take on affirmative action hires.
Firehouses generally are white male right-wing domiciles.
And he said, I can't wait to get the hell out of here.
And he was a doctor.
I don't know who you're talking about.
Yeah.
Don't name it.
Roll up, go ahead, buddy.
You just hop in.
You don't have to put your hand up like a pupil at Coach's Military Academy.
It's impolite to interrupt.
Roger at 45 degrees, please.
I'm sorry.
Well, it's mirrored for, you know.
So my best friend growing up became an EMT and I just texted him because I wondered how long he was at EMT for.
He told me he was an EMT in 2012 until 2014.
All right.
Statistics still lie.
All right.
So why yeah, go ahead, Durando, please.
Well, I just wanted to go back.
You were talking about, you know, it was primarily men, white men.
It's a spectacular environment, whether it's the fire service or EMS.
But now they're pushing people into it that you don't see a lot of minorities in EMS primarily because it's still, you still have to be able to pass the National Registry of EMTs.
That's the tool.
We were talking about how, because you remember it used to be state licenses and the state licenses were easier to get.
And then it's much easier to get.
Yeah.
But they've very EMT.
Yep.
And you have to be smart to pass the NREMT.
An EMT basic, like someone that can pass the EMT basic examination for the NREMT would be what I would consider a college graduate.
Yeah.
Yeah, absolutely.
And I saw college care as flunk it.
Exactly.
Exactly, Alex.
So guess who can't pass that?
Minorities.
So you have this gigantic.
Yeah.
And so you get this, you have a bunch of guys like Alex and myself who we've been in the business a long time.
They want to shove us out.
People burned out because we had to take care of every malfunction in society falls on EMS.
You know, every malfunction, like grab a cake, get off.
Yep.
That's the other thing.
You call for everything.
Psychiatric shit.
Yep.
You call for everything.
And guys are like, I can go work at a, you know, a convenience store and make better money than this.
Yep.
And I don't get, I don't get vomited on.
I don't get yelled at.
I don't get screamed at.
I don't get sued because someone that's 350 pounds and got type 2 diabetes isn't doing well.
And your report wasn't done quite right.
So they, it's, there's, I mean, we could go on for hours about all the problems.
But they were doing it for free as volunteers and staying longer than they are now getting paid.
Oh, largely because of society and the calls.
I think one of the things that happened was the calls changed.
It used to be that if you went out on an EMS call, it was something serious and you got more of what we called BS calls.
The BS calls escalated sharply, and that was one of the things that led to a lot of burnout.
You used to be like a trauma medic, essentially.
And now you are a delivery service for black people when they want some more Tylenol.
The certification, shock trauma, which is a great name.
Awesome name for certification.
And it was specifically about being trained to deal with traumas, usually from car crashes.
It's like, how, how often do you actually do like a 1050, like a car crash?
It's not all that common.
It's usually a medical call.
Medical calls are predominantly what you're responding to, not traumas.
Real Dr. Narcan hours, McNab, a little fun for the audience.
What's the worst call you've been on?
The most horrifying, disgusting.
I hate that question.
Everybody hate that shit.
Because it's too hard or is it just too cliched?
That's clichéded.
And it's hard.
It's like, okay.
What do you mean by what do you mean by worst?
All right, so sorry, the most disgusting societal scene, like real clown world.
I will tell you what I think was the worst thing to deal with.
And it was not even that much of a graphic call.
It was just a, we, we had this, this one particular seven-year-old patient that we'd respond to like every Thursday at three o'clock, like when school would get out.
And it would present as a, it would present as an asthma call.
And I remember going through the whole drug box with her the first time, like this patient's not responding to anything.
And I had her on capnography, and I'm looking at it.
I'm like, it still looks like asthma.
And then I get her to the ER, and the nurse is like, oh, yeah, she's a, she was sexually trafficked.
I'm like, what?
Like, yes, yes, she was pimped out by her parents who were drug addicts and they prostituted her.
So, like, what you're seeing is psychiatric, which I kind of figured there was something else going on here because of the capnography.
But that I think was the worst, like in terms of realizing that your patient was pimped out and is a seven-year-old white girl.
Was it was the calling 911 as a cry for help or the parents?
No, she already put in foster care at that point.
But clearly, there was something going on with the foster family, too, because a little unusual that you'd be freaking out when it's time to go home.
Probably you're at the very least having some sort of experiences with the other foster children, if not the foster family.
But sure.
That was the worst.
Yeah, that's terrible.
Go ahead, Durandal.
I'm convinced that if I took, I like to tell this to my closest friends that if you want to know, if you want to turn everyone into a white nationalist, go run calls with EMS or fire or police, but primarily EMS and fire, because you're going to see the underbill, like the underpinnings of society, like getting kicked out.
The chairs getting kicked out from underneath you.
You see the worst of the worst at 3:30 in the morning.
And I think anybody that could see that because it's gotten worse, like as long as I've been in it over 20 years, I've watched my community just melt down.
And it's almost entirely because of the change of the demographics and the ugliness.
And you would, I, I, I tell my friends, I'm like, they got some wives who were like, maybe not quite where we're at.
And I'm like, bring them along with me.
Let's go, let's run three, yeah, three, four shifts in a row, 3:30 in the morning when you're doing the most like unbelievable thing you can imagine.
Seeing the most unbelievable.
Yeah, I'm narcaning the same patient for the third time in a 24-hour period.
You know, that kind of garbage.
I don't think people know about the frequent flyers.
Like, I don't think that normal people are familiar with this.
Oh, yes, we you hear the address go out and you know the patient immediately.
Like, oh, oh, well, the 650-pound guy that needs to be picked up for the third time that day.
Yeah.
Now, aren't these people getting charged?
There's there's like a lot of outrage about ambulance fees and 911.
No, you you have to pay all of your medical bills, but these people do not.
You know what the best part was?
Was working in the rural ER and also doing the 911 service.
So I got to see them constantly at all sides of the system.
It was every day was Groundhog Day.
It was wonderful.
Well, you go into like you go into the subsidized housing and the typical characters are in there.
They don't look like me.
And then stomach pain and they want an ambulance ride.
They want the $1,500 ambulance ride because they've got stomach pain and it's 96 degrees in the subsidied housing that they're not paying for.
Now, why is it the third call?
So why is the ambulance ride $1,500 if the EMTs are getting paid peanuts?
That's the system.
You don't get reimbursed half the time.
Yeah, you don't get reimbursed.
The ambulance, there's insurance.
There's yeah, yeah, just keeping it's well.
Alex and I could probably talk for 20 minutes about what it costs to run a call, but just having a Ford F650 chassis that needs upkeep.
It's a diesel.
You have, you know, God knows what kind of oxygen system you have in it.
You know, you have a $25,000 monitor defibrillator in it.
Those need to be replaced once in a while.
And that's some of the cheap equipment.
And then, and then, you know, because everyone is super litigious in America.
So you have to have really crazy high insurance policies to just to operate.
And medication for the truck.
All certifications to keep everybody up.
I mean, we can go on and on and on.
I mean, I'm not even, I don't even work behind the scenes on it, but expire.
Exactly.
On an annual, some of them on an annual basis.
Yep.
Yeah.
I ran the aviation life support equipment shop at my last unit.
And so that's like inspecting helmets, flotation devices, but also people's flight gear.
So making sure that their medical life-saving equipment that you carry on you is all up to date.
All the life-saving equipment on the aircraft is up to date.
So, you know, it was all obviously not like EMT stuff, but it was inventorying and inspecting all of this medical equipment.
And everything has an expiration date and certain standards that have to be met for it.
And like, you guys are going to cycle through it much faster than we did.
But all of that stuff costs a lot of money.
We had oxygen systems for our aircraft and stuff.
And that all costs a lot of money.
It's not cheap.
Well, in theory, if you're inspected and your stuff's out of date, you get trouble, assuming you're being inspected, which assuming.
Right, right.
I worked for Life Care Medical Transports, and they seem to have some kind of deal worked out behind the scenes because they've never ever got inspections, but that's a story for another time.
Well, it's also kind of like the thing of like, oh, well, you know, the vacuum seal on it is still good.
So that means that the gauze inside is still good.
Well, you want to requisition the expired supplies.
It's the response.
Only, only expired.
Things that was going to, they were going to go in the trash.
To Durandal's point about making white nationalists out of out of ride-alongs, I know a guy who was EMS in Washington, D.C., and he said his ambulance got shot at one day, you know, on response to a call.
And that talk about radical, yeah, radicalized by under fire.
That set him on the path our way.
I have a quick, yeah, go ahead, Durandal, please.
Yeah, one of my calls had when I was probably 10, 15 years ago was one of the things that led me on the path that I'm on.
And it was dealing with how crazy and violent non-whites are.
A partner and I went to a call.
It probably one in the morning, bars closed.
Hispanic guy laying on the sidewalk.
We show up.
Guy's face is concave.
So he got, he's been booted so hard.
His face is concave.
Cops are there, the three, four cops.
We load them.
My partner's another paramedic.
It was his call.
I'm driving.
Alex knows what I'm talking about.
When you sit in the front seat, there's like a space you can look back into the back of the ambulance.
And my partner's working on him.
He's trying to intubate him.
I'm going to go priority because this guy's a lights and sirens call.
Oh, holy shit, is it a big light rolling?
We're trying to.
And while we're having a rolling station, and I hear the doors, I hear noise.
I turn around and look.
And my partner, we both look back and the doors open.
And there's like five black guys, five, six black guys.
I can't remember the exact count.
All standing there.
They're all holding guns.
Well, this dude, later we find out through the police, had paid for a prostitute.
They didn't like how they treated this Mexican guy treated him.
So the pimp and his boys track him down.
They curb stomp him on the sidewalk.
And they came when the cops showed up, they took off like a block and a half away.
They showed back up because they all took off.
And me and my partner made eye contact.
And I just step on the gas and take off at the door slapping.
And I seriously, I grew up in Scandinavia essentially.
And this was such a shock to me that it led me down the path I'm at today, like race reality.
Can't deny it.
I have a heartwarming story about EMS gone right.
It saved my mom's life.
The audience might appreciate this one real quick.
You guys can rap about whether that sounds like the way things should be.
But long story short, I was at work, but my parents were still visiting.
Uh, and at the time my oldest junior was just like two, two years old.
My mom was out planting spring flowers with him.
They were getting ready to leave.
It was a monday, they were headed home and uh, my dad goes out to look for my mom to say, you know hey, it's about time we uh get rolling here and by dumb luck, as he's going out to look at, look for her, she's coming up from gardening and saying uh, I think i'm having uh.
And then basically face plants and uh passes out right in front of him.
So he runs inside, tells my wife to call 911.
Who does 911?
Answers promptly, the tech or the, I don't know the.
The call answerer uh, gets on the phone, my wife puts it on speaker and the 911 tech walks my dad through cpr on my mom in the front yard nonstop for seven minutes.
Took seven minutes for the ambulance to show up.
Uh, they got there, put her in the I guess machine cpr device, kept her in the ambulance for a long time before they took off.
Long story short, it was one of those miraculous cardiac arrest cases where the instant discovery of it and the instant cpr kept the blood flowing to her brain.
She came out of the induced coma five or six days later, not missing a step, she was the same person.
No brain damage whatsoever, I would call.
I would call that a save.
That's a save.
Yeah no, I know that.
Yeah, she's neurologically intact after all.
That that's a save.
Yeah, I mean, she's still crazy.
She's my mother, but you know, that was how it was before.
But uh yeah, the doctor was preparing us for her to be brain dead, just because I guess that's what.
93 of cardiac arrests either die or have serious brain damage out of hospitals is very bad.
Yeah uh yeah, I don't know I I don't know how Durandle feels about this, but I generally like, looking back at my career, it's like there was a handful of times where I felt that I genuinely saved somebody, and a lot of the time it was the proximate cause of their problem was either the medical system or their own choices, like and I had some, I had some good ones, but it was like I don't know this was.
They were their, their medications were wrong or they, they were fat and they didn't take care of themselves.
The national percentage for save for me a save is, you leave the hospital with with little or no deficit.
Yeah, you know post-cardiac arrest.
I think the national percentage is like three percent.
Three to five percent survive and it's super low.
Now it's much.
Now Alex, you probably have recognized this like the American Heart Association is the governing body that sets like the standards for uh Cpr and uh some of the other things they're.
Really there's a gigantic push in uh Latinx and uh non-white communities, because white communities actually do quite well, uh, in comparison to the, I mean, uh, to the uh non-white communities, they'll do CPR, they will do CPR because the amount of times I've showed up to a scene where it was like the patient's not salvageable, but someone's doing CPR, yeah.
Go ahead, coach.
Uh, I was just gonna say, I assume the vast majority of our audience is not is barely at all medically trained.
And in that worst case, you know, kid falls and cracks his head open, or somebody has a heart attack, they're going straight to 911 and counting on that ambulance coming.
Uh, what advice, if any, do you have for them?
Obviously, people should be trained in CPR and know how to do it.
Is there a way to find out if you have most people haven't had to do that?
I assume.
Is there a way to find out if you have a good service where you live?
I mean, if you're in the country, it's really important to know how long it's going to take proximity to hospital.
Can people like research this stuff to figure out how vulnerable they are to get services keep track of their response times, but you'd have to actually seek out the service and look at that information?
I, I, if you're in a rural area, you've got to, you've got to factor in how long it takes to get there.
That's that's why I've traditionally told people, like, hey, look, if it's a stroke or something and you've got a personal vehicle, you'd be better off transporting that patient to a stroke center yourself because you're going to be waiting on the truck.
The truck's only going to do so much for a stroke.
When I cut my wrist, it was, I actually am the one that made the call.
Uh, I was like, don't call 911.
Like, let's just get in the car and go and floor it because we can be at the hospital in seven minutes.
It's going to take them at least seven minutes to get here and another seven minutes to get to the hospital.
Yeah, it's four minutes, but that's very rare.
The standard is supposed to be four minutes.
They very rarely need it.
Four minutes?
Four minutes.
That's the national standard.
That's supposed to be the national standard.
God, man, I've never worked in an area that had four minutes.
Is that the average response?
Oh, my God.
We have one-hour response times for that's the best case scenario.
Just when Hotzula is responding in Brooklyn, that's it should be like dominoes.
Your medical service is free if they're not there in 30 minutes.
Yeah, free EMS.
So that's something more that we should talk about.
Well, I mean, maybe not this half, but that's something that we should talk about during the show: is just the medical system and payments and free and like insurance and this entire like Jewish structure designed to take money from white people, give it to in order to take care of black people and spicks and make Jews rich.
We could do that.
We could totally spur down on it.
Let's say Alex wrote an article a couple of years ago called the Spicnig Cycle, and it was fantastic.
Naughty boy.
That was not something I came up with.
That was a meme.
I forget where it came from.
I didn't kid falls and knocks his head pretty good and is unconscious.
Let's say the hospital is 15 minutes away.
Turn a computer off.
Serious question.
Like hypothetically or rule of thumb, when do you want to just race to the hospital yourself or when do you want to leave a patient there and wait for the professionals to show up to your house?
Well, first, if you go, if you go, if it's a fall and they're not on, they're not, they're still breathing and they don't hurt me, don't move them.
Number one, you're better off waiting in that scenario.
Unless they're not breathing or they go downhill, you don't want to move them because they have a headneck or skine injury.
You can make it way worse by moving them.
In that scenario, right there, you want them to stay as little as possible.
And you want to have white nationalist buddies with medical background that you can text instantly to say, should I tell you?
What I was going to say, because I did that.
Daughter ran into the door.
It was, it was dark out and I forget where we were going or whatever, but Junior had opened the car door either like right before she ran out or it was open and she didn't see it.
And she ran into it and got a nasty laceration on her head that looked bad.
You couldn't see the skull or anything, but it wasn't bleeding.
And she was totally lucid and like not even crying that much.
So I just like took a picture of it and sent it to one of our friends.
And he is like, it's borderline.
If you want to be safe, take her to the ER, but it actually looks like it's okay.
And it was okay.
So I need stair strips.
Yeah.
What I was going to say is that the main thing you should actually spend time researching is like, what is the capability of the local hospital?
Because they vary enormously.
Enormously.
And you need to figure out this.
Sure.
Talk about that.
Yeah.
The ER services.
How do you know?
Go ahead, Smash.
I have a good example of hospital capabilities, right?
So you think that like you have a hospital and they can generally handle anything.
And obviously, some have different centers that are going to be better than others, but you, you would expect that, like, if you have a problem, you can go to a hospital and they'll just be able to take care of it, right?
Like, that's a fairly reasonable, a fairly reasonable assumption, right?
But in reality, like, maybe you have some sort of infection that's septic.
And the best thing that they can do is like try to clean it out and get you stable and then life flight you to a hospital that's 12 hours away because they have no idea how to even begin outside of like stopping you from dying immediately right, like it's crazy.
It's crazy that you know you could, you could have an infection and there's not a single doctor in that hospital that can do anything about it except for like clean it out and and give you orders to move somewhere.
See I, I worked in one.
I worked in one and honestly, the capabilities of these small rural hospitals it's not much better than advanced life support ambulance like they.
They have the ability to do x-rays, they've got radiology so they can look at things and they have a bigger drug formulary, but essentially it's like an ambulance in terms of capabilities.
They're going to transport almost everything.
That's serious.
Uh, maybe they have an acute care where they can locate patients.
They just need to observe for a while, but generally, if it's something real, they're going to transport it out.
So if you take someone there, try to stabilize the patient as best you can and get them moved.
Yeah, so the problem is time is tissue, so for a lot of a lot of issues.
If you take them to that facility you're just, you're just burning tissue because they're going to get transported either way.
Uh, the the example that comes to mind is the facility I worked at.
They were trying to convince EMS to bring them stroke patients.
Now they couldn't deal with a hemorrhagic stroke.
They could in theory.
They could handle like a clot.
In theory, but realistically, because all of their ER physicians were just docs from the community.
Moonlighting is ER docs like just regular nursing home doctors and family docs.
Nobody had the balls to Actually, deliver a clot-busting agent.
So, if you took them a stroke patient, they were going to screw around for a few hours.
They were going to, you know, charge Medicare, Medicaid, whoever, insurance, whatever it is, build them, and then they're going to life flight that patient or transport them by ground to an actual stroke center.
And all of us in EMS are like, Well, we're not taking you stroke patients.
There's no way in hell we're going to do that.
That's never going to happen.
Tragically, I guess you guys cannot recommend the profession to listeners looking to do something.
I would only recommend it for the experience if you are looking to learn how to do things medically.
So, a little like trying to get into the military for like a year or two and then getting the hell out before it destroys you.
Except you can walk away from it, right?
I would only slightly disagree with Alex and Smasher.
I think they're correct.
But if you're in a community, if you want to be part of the community, volunteer.
If you're hoping to influence things, volunteer.
Like the obviously the best services have some of the lowest skill levels.
Alex knows what I'm talking about.
There's a lot of first responders, very, very inexperienced EMTs, but they provide some of the best care because they're still a community.
You know, entirely what you wish before volunteering, consider your community.
Consider if you are volunteering for your community or if you are getting these certifications and running calls in order to better yourself.
I think both are acceptable options.
You just have to be realistic about which one is for you.
So, I'm sure Durundahl here has done the private EMS transport agency routine, which is a soul-crushing meat grinder where you do back-to-back 24s and then you're on the road for like 50 hours.
It's like being a long-haul trucker, but way worse.
Or as I dismissively said, like, what's the big deal, guys?
Like, you're just going on a long car ride in an ambulance, but it's not so simple, I guess.
I can seriously think about like Alex is saying on a back end of a 20 of a 48 and wanting to slash the tires on the rig because you're going to go back for another three-hour trip because it's just facility to facility, facility to facility.
Honestly, I must think of a PTSD from that crap because you'd be coming back sleep deprived, and then you'd get like the call on your personal phone.
Like, I know you guys have been on the road for a while, but we got this other call.
Would you be willing to like, oh my God, no, it's an ortho patient that needs like a reduction in a like a they got a broken femur or something simple that if they had an orthopedic surgeon at the stupid hospital, they could take care of it.
But because the hospital has been bought out by some mega corp and they've um uh sent centralized everything to the big major hospital that they're from, that's two and a half hours away.
They don't have an ortho, so now you got to transfer this person at four o'clock in the morning so they can get their uh orthopedic stuff fixed.
And then and that hospital is out of the patient's network too, so then they have to pay for everything out of pocket.
Probably, probably, yeah.
I mean, that's a whole nother, we could, that's a whole other rabbit hole because no doubt the band-aid station calling in the middle of the night for some nonsense was always a point of contention for everybody.
They just don't pay us enough.
I almost went and got my paramedic cert whenever I got out of the army because I have enough flight hours to have done like life flight and everything.
That tastes pretty good.
That's actually not a bad job.
Yeah, but you also got to do it.
You also have all the workup stuff.
You also have workup stuff prior to getting there.
And knowing what I know about running, you know, EMS calls and stuff, I'm like, is it worth it?
Is it really worth it to get there?
Also, like, if you do life, flight, lifeguard, like that stuff is usually usually serious crap.
And that's like the elite.
Just for the audience's edification, what is the difference between an EMT and a paramedic in terms of knowledge, skills, capacities?
They have traditionally broken this down between basic life support and advanced life support because I'm in a weird position where I'm an advanced EMT, which has, I don't know where it is in the state now, but that was ALS for a while.
Maybe it's not anymore, which would be kind of retarded because it's got advanced in the title.
Depends on what state you're in, Alex, doesn't it?
Yeah, it depends on what state you're in.
Yeah.
Essentially, the idea is if you're doing like venipuncture, if you're doing advanced airways, if you're delivering drugs, IV, that's more of an advanced skill.
If you're not doing venipuncture, if you're doing stuff that's non-invasive, that's basic life support.
Most of what you do is basic level stuff.
Most of what you do.
And that includes childbirth.
Honestly, here's the crazy thing about EMS is the basic EMT, their scope of practice is surprisingly huge compared to other medical specialities, particularly when you consider the amount of training that you are mandated before you get to that level.
It's not that much and you can do a lot of things.
And by the time you get to like the paramedic level, you're doing way more than equivalent healthcare providers for the most part.
Way more.
Yeah, in my experience, primarily, but the difference between like, say, an EMT basic and a paramedic would be electrotherapy.
So you have a defibrillator monitor where you do, you interpret 12 lead.
We're going to get a little jargon here.
12 lead EKGs where you look at the heart rhythm, which has 12 leads, you decide what rhythm it's in, if it needs any kind of therapy.
Alex knows all about, you know, like, or what, what drugs you need to give.
And then, so the paramedic has a responsibility of looking at the patient you're treating and being able to give drugs.
Now, some places like Alex and has worked and I've worked, a lot of EMTs have a lot of autonomy and they work very close hand in hand with the paramedic.
You know, like hanging blood or having a patient in a ventilator, like a mechanical ventilator.
That's typically considered paramedic paramedicine.
But depends on the state.
I mean, some states like will allow that stuff where the EMT, advanced EMT, intermediate EMT will be allowed to do that.
Yeah, it's a weird breakdown because in a lot of places, like you're advanced and your intermediates are just sort of thought of as medics.
Intermedia is pretty much a paramedic in a lot of places.
I don't know how many states still have that certification.
Iowa is one of them.
I know for sure.
I can't remember if Virginia still has or not.
We had it for a long time.
And that was actually like the bread and butter, which was intermediates.
One other thing I want.
Go ahead.
Please.
Go ahead.
Go ahead, coach.
Go ahead.
I was going to say, no, not at all.
It's good stuff.
Another one of the horrifying things that came from your guys's back and forth in that chat was the death sentence of nursing homes.
And a lot of our audience probably has aging parents for whom that is going to enter the picture, at least, at some point.
And to do that in many cases is to issue a death sentence to your mom or your dad or your kids, grandma and grandpa.
And just like my mom had a great EMS or EMT experience saving her life, my grandmother was in rehab for a broken hip.
And In a wealthy area of the northeast, and it was apparently a third world prison in which she was frantically trying to make calls to get the hell out of there because she was freezing cold.
They were not physically abusing her, but coming up to the line about it to the point of like letters to the governor about this horrible thing.
And boom, she caught COVID.
They said, Okay, you're out of here.
They sent her home and she was dead about two days later from COVID.
Now, she was in her 90s, of course, but the treatment and the conditions in that.
And that was a rehab center, not even a nursing.
Yeah, she was in a luxury generally rehab in there with the nursing homes.
Yep.
But as a rule of thumb, nursing home, no.
Like, I know they have these ritzy, like, you know, older condos.
I don't know.
And the Durando, have you ever been to a good one?
There's one that's run by a it's run by a Catholic Charity and it's pretty good, but no, Alex, yeah, you're absolutely right.
I was trying to think, man, I was trying to think like, have I ever been to one I thought was good?
And it's like there was one I thought was okay in the middle of absolute nowhere, and it had like rural nurses that seemed interested in their jobs.
But I don't know if I call it good, it was because your perspectives are so skewed.
Yeah, every nursing home is a show.
It's just awful.
Legitimately, I have my wife and my wife and I have had a total agreement.
And my kid, my adult, well, I've got two adult children now.
We're not going to a nursing home.
Oh, period.
Literally, it's visceral.
You do the 911 call to the nursing home.
The doors open, and the smell of UTI and infected urine just hits you in the face like immediately.
Just as you walk through the doors, I've never done medical work in nursing homes, but I've worked in nursing homes, you know, contracted in nursing homes and stuff.
Terrible place to be.
Horrible.
It smells, it smells like it's a concentration camp.
You got a call like I don't know, 15, 20 years ago to a nursing home, and this just kind of typifies the nursing home for an unresponsive female patient.
We show up to this nursing home, it's huge, like eight, ten wings.
And we go down at 5:30 in the morning.
No one meets us at the door.
No one meets us in the hallway.
Yep, you're santa at the door banging.
Where am I supposed to go?
Get swept, please.
Yes, we get buzzed in.
We look on our notes.
We call like what was the room?
They gave us a room.
We go down.
There's like one laid out at the end of a wing.
We go all the way down there.
It's a rehab unit, just like the experience of your family coach.
Look in the room, and it's a lady, elderly female, probably in her mid-60s, but still in like really good shape.
And she's in what I would call a nightgown and she's barely breathing like eight times a minute, which is too slow for the human life for very long.
We pack, we package her, we load her.
Um, it's my call, it's my patient.
I had another paramedic partner at the time.
We're doing like we start breathing for her with our with a bag veil mask.
Alex knows what I'm talking about.
Um, I'm considering intubating her.
I started IV just on happenstance because I've never seen a staff member.
I've been in and out of this whole nursing home, never seen one staff member.
I check her blood sugar, it was 19.
Alex knows this is criminally low.
She was actually like constantly close to death.
No, she was not.
She was starving and freezing.
Yeah, yeah, I was gonna say the last one I went to that was 27 was like completely out.
Yeah, she was so she was uh broke her hip, very similar.
I, you know, independent.
Her husband had died.
Her daughters lived like a half an hour away.
So they sent her to this rehab because she's a type one diabetic.
So she's insulin dependent.
Well, she had dropped her blood sugars before bed.
No one had checked on her like eight or ten hours.
And diabetics, when they drop blood sugars, sometimes sweat a lot.
So she'd laid out.
You could get hypothermic in 68-degree nursing home if you're uncovered and you've been sweating.
I have variations.
I gave her some, I gave her some dextrose and I talked to her daughter like 20 minutes later.
And if she, she'd been ignored for eight or ten hours in a reason.
Did you give her half an amp and then the rest of the amp or did you give the whole thing?
I gave her the whole thing for nine.
Well, 19, I gave her the whole thing.
I gave the whole amp a definition.
I have run the same call, except it was the respiratory distress.
And then you get there and the patient is like breathing like 40 times a minute and they're starting to do the guppy breathing.
It's like that patient's about to fucking crash.
Oh, no, they've been doing this for two hours.
I'm like, for two hours?
You let an elderly person do this for two hours?
What's wrong with the two hundred dollars?
It's like a good choice, but actually bad.
Yeah.
It's all awful the nursing homes are.
I mean, if you're lucky to get into a good, I've never been a nursing home.
I'll die at home.
I've had ER nurse friends who've tried to work at these homes and they last maybe a month or two.
And that's not even to mention, of course, the subhuman, sub-African, sub-Saharan Africans smothering them with pillows for their TikToks.
Yeah.
We can't.
We seriously spent posting if we talk on here.
All right.
Well, we're perfectly at an hour.
There's Rolo.
I see him making notes as Alex drops an F-bomb here or there.
That's okay.
It's only an hour.
No, we haven't even scratched the surface.
Well, before we go to the work, I know the black nurses leaving like skin tears on the white patients.
David, David, David.
All right.
Teaser.
Teaser for the second half.
We're not going to go total medical spur in the second half.
We're going to have some fun too, if it's possible with this grotesque.
Yeah.
Twerking more.
Twerk over the corpses of your racial enemy medical patients.
Your patient that's flatlined in your care and you're twerking for the slacker.
For the slackers who don't have the agency or life happens and they get introduced and they won't hear the second half, Darendo and Alex.
Messages to white families out there who might have to depend on 911 EMS and the hospitals.
Anything they need to know before we go to the break?
Make your own EMS system.
Learn how to do basic first aid yourself.
Go ahead, Duranda.
I would say know the system that you live in.
Be really familiar with it.
If it has strengths and weaknesses, make sure you understand that.
And if there's weaknesses, you may need to, I mean, you may be better off taking the patient yourself.
Prepare your stuff based on their strengths and weaknesses.
If you're really lucky, you're in real South Dakota and it's 100% white.
And there's people that are neighbors and love each other and are like literally a community.
And you're going to get much better care in a place like that than you would in while we're on that, which is destroyed.
But know where you're living.
If it's got weaknesses, bail on it.
Don't be beholden to it.
Is there a way to find it?
There's no centralized statistics website for that, I assume.
You just have to do your own individual research, where the hospital is, where the ambulances come from, and their stats.
Unfortunately, yes.
Yeah, they keep those statistics Opaque for a reason.
Yep.
All right.
Do the work, fam.
Alex, that too.
It will literally save your life when you talked about that on one of our prepping episodes for maybe a year ago.
It's always this time of year, right?
Where winter is about over and we start to not indulge so much in the politics and the meta stuff and talk more grassroots gardening prepping and medical preparedness.
Garden season's right around the corner.
Hell yeah.
You could almost get it.
Hell yeah.
The big thaw.
All right, fam.
Well, a good and true friend of the show lost his mother recently and she was far too young.
I never got to meet her, but she did raise one of the world's finest Nazis.
So this one goes out to you, big guy, and to her, may she enjoy eternal bliss in heaven, Valhalla, or even the big dreamless sleep.
So this is Dasam Noor for Alted by a Swedish group called Kent.
I think you'll love it.
We'll be right back with Alex Durandle, Smasher and Rolo, with lots more.
Go anywhere back to
full house, episode 118.
Absolutely moving song dedicated to our pals mother.
Apologies to Andreas for my Swedish pronunciation there.
And thank you to our good friend Strom, who has a musical taste that is exactly in line with mine.
He's been sending me jams left and right that are going to keep us well stocked here on our break and closing music for at least a few weeks, I think.
Although we do have a very special song to go out this week, too.
It's not me singing, but another one of us and a very special parody song.
But you'll have to wait till the very end to hear it.
Here at the top, the only new white life we already talked about, Alex's new white life, three boys.
What do you have, Alex?
Three, three and five years?
What's the age range on yours?
Mine are, let me see, three, one, and then zero.
A couple weeks.
Man, another typical question, but three and done.
Are you open or hoping for more?
Who knows?
Nothing is set installed.
You're not shutting the door yet.
Yeah.
Right.
Condoms are for uh, I will say, though, that that having them at that many of them at this age, just two of us, it is pain.
It's definitely pain.
But tell me three sons.
Three was a lot harder than two, and some people say that's stupid.
You know, we're not going to lie to the audience.
I've heard that a lot.
Yep, I've heard that a lot, and it's true.
And then the old wives will say, Well, your last one is always the most difficult one because that's when you decided to stop for a lot of people.
So it's just common knowledge.
It's just you now, especially if you've got boys, like they're going to attack each other.
And it's not, I don't know, I have to like be the intercessor and prevent them from killing one another while also taking care of them.
Well, also, that's the thing.
They should be able to be capable in a physical altercation, but potentially not with your brother.
You got to get a girl, though.
Having a daughter is so wonderful.
So I hope you try for one more.
That's what I've heard.
I feel sorry for my wife.
Just, you know, there's nothing but testosterone at my house.
Darendell says he regrets not having more kids.
I hear you, big guy.
Yep.
Many of us out there like that.
Well, on New White Life, I don't know him personally, but he's fairly well known in the movement.
Paul Wagoner, I believe he is of the Wolves of Vinland, posted on Telegram a shirtless, very tattooed visage of himself with his wife.
And they are expecting, they don't look like spring chickens, but they're in the game too.
So it's a Paul Wagoner.
We actually quoted him or cited him at the opener one show a few months back.
He just had some, you know, really red meat, invigorating quote that we used to get the audience going.
So congratulations, Paul and Wifey.
And hope it works out well.
Wish you wish you many more.
I like Paul a lot.
I don't know him personally, but his content and stuff is really good.
He does a podcast and his Telegram channel and lots of good stuff.
Good, good, really good guy.
All of the guys, the wolves, all of my experience with any of the wolves guys have been fantastic.
They're all really, really good dudes.
Yep.
I know one of them well, and he's one of the best in the cause.
So we'll put Paul Wagoner's Telegram channel and whatever his podcast is in there.
And Alex, I've always meant to ask you, we won't dwell on this, but I got to ask, you are sort of a natural-born troll.
You're like a contrarian extraordinaire.
How much of that is sincere and how much of it is just you loving to get a rise out of people?
I don't know.
Sometimes I say things and I'm like, I can't tell if I'm trolling or not.
I like to say there's a kernel of truth to pretty much all of the things I say.
Okay.
But a lot of times you are just trying to poke somebody in the eye.
Of course.
Okay.
I figured.
I'm Scottish.
I'm Scottish.
All of the people listening that hate Alex McNab because of having to deal with him on the internet.
The secret to liking Alex McNab is not getting mad about what he says on the internet.
As soon as you can figure out how to do that, you will like Alex.
Alex is like Johnny.
He's very kind and like normal in person.
And then online, he's kind of a, yeah.
Johnny's actually polite in person.
Like he's really polite.
Alex, Alex says what he says because Alex cares.
But you can't get that online.
You don't understand that online.
You can say that, but I know better.
Just a bad thing about it.
Alex parked on my neighbor's front yard.
That was the only bad thing I've ever seen him do.
You remember that?
And you're like, oh my God.
I figured that might be a problem.
I was like, it's clear.
Like, we're not living in the barrio, Alex.
This was when we were in the Ritzy excerpts.
I was like, just move your car, please.
Honestly, I felt highly disturbed by entering that community.
Yeah, ticky tacky.
Here on the back of my neck stand-ups.
I know, dude.
Like not living there anymore, like the thought of living in a cul-de-sac with like a hundred windows all within spitting distance of your house fills in the walking trail.
Like literally, there was a walking trail around our lovely backyard.
Anxiety.
Yeah.
It seriously gives me anxiety.
I know.
Yep.
I miss having a big house.
I do not miss living there.
That's the God's honest truth.
And it's a good memory.
I'm glad you parked on that.
It's not like he laid wheels or anything.
All right.
At the top here, we got lots more.
At the break, the guys were like, coach, we barely scratched the surface of this monstrosity of this behemoth.
So we're going to, we are going to talk more medical stuff.
But first, we got to do some dad stuff.
But even more importantly, we're going to do some plugs here at the top.
So I'm going to say, let's chill, shill, shill, shill until you can't chill no more.
I'm just going to shill for one.
And, you know, Conquering Berlin by Anelope Hill is a book from 1933, newly national socialist Germany, Wilfred Bod or something like that.
I didn't even care who the author was, but he was either in the essay or very well familiar with it.
And it is slightly propagandistic history in that obviously he has an agenda to glorify the essay and their exploits, but there's no question about it that it is grounded in reality.
And if you want to, what are we going to do?
How are we going to turn this ship around?
Well, one way to do it would be to tribe up in like Los Angeles and New York by the thousands.
Granted, of course, it's not 1920s Germany, and we don't have a few leading the entire show.
But basically, young, hard Scrabble men with their heads and their souls straight, willing to risk their lives to fight filthy, disgusting communists in Berlin in the belly of the beast, nonstop 24-7, essentially, constantly under threat.
If it wasn't the commies, it was the cops.
And to basically take over that city with Garibals as their primary motivator, he was the collective of Berlin.
The listener could be Werker Schultz someday.
That's right.
You read it.
Werker Schultz, no longer Werker Schultz, but SA man Schultz.
Yep.
It's cheap.
Yeah, it's cheap.
Yeah, it starts just real quick.
It starts off with this guy.
He's unemployed on the street and an essay man sort of comes up to him and just like babies first red pills about national socialism and the nature of communists.
And he's like, yeah, whatever, man.
And then slowly but surely, he gets sucked into it and becomes a great fighter.
And they take Berlin.
It's a wonderful story.
And Conquering Berlin by Anelope Hill, it's not that expensive either.
And it's a quick read.
It's like fanfic for us, basically.
And you can learn some stuff too.
Smasher, over to you for the shill minute or two.
I can't say that it was uncompensated because this book did arrive at my house for free.
I didn't order it.
That doesn't change my opinion of it, though.
So it's their newest Little Frog Hill release.
So the children's books.
It's called What Kind of Man Will I Be?
It is a really, really good book, really enjoyable.
It's short enough that you can read it to your kids that have a shorter attention span because they're toddlers.
It rhymes.
So that also helps hold their attention.
But the substance is really good.
And I read it to him last night.
I wanted to actually, I was going to make just a short little video review for it and post it to Telegram, but ban practice took way longer than planning on.
And my laptop also died today.
So that kind of put me in a foul mood.
But really great book.
And I'm really, really excited to read it to them again and like continuously as their minds sort of develop, you know, because they're at the point now where the light switch is flipped and their brains are growing every day.
They're getting smarter.
And so I'm really excited to read this in particular to them because it conveys all of the great messages, but it's enjoyable like a kid's book should be, you know.
Amen.
And it's a great question.
What kind of man will I be?
That's if.
I don't even know that yet, right?
Like we're all still trying to figure that out, right?
Many options.
I've been asking Junior that question a lot, and he actually wrote out a list of 10 possible professions for him.
Number one was writer.
Even though he won the math competition, he wants to be a writer right now.
That's his number one choice.
So he's going to enter an essay competition soon.
Good friend of mine.
Enter an SA competition?
Yeah.
One day soon.
A friend of mine said, if you can write, you can eat.
So I'm not exactly going to encourage him to be a writer, Uber Alice.
Actually, he's got the brains to be a doctor, but perhaps we'll revisit that one, whether it even makes sense to become an MD these days.
And I can hear our MD friends in the audience reing and screeching, saying, why were we not on this show?
Because they want to weigh in.
He doesn't have the nose to become a doctor.
We'll do an MD show perhaps in another couple of weeks if those guys are game.
But let's see, we did Conquering Berlin.
We have to do dad content here or the conscience of the movement.
So I'm going to give you a real life situation that we were made aware of recently.
I'll keep it fairly vague, but long story short, great guy, early 30s, kind, intelligent, talented, fell in love with a 19-year-old, also kind, intelligent, and I believe lightly racially aware young woman.
He proposed with a beautiful ring.
She said yes.
They are expecting their first.
I don't know if the pregnancy or the proposal came first, but we'll say the proposal came first.
And then the pregnancy, which was not accidental.
All going well so far, says the listener.
Her parents are chimping out.
They were fine with the relationship until they found out she was pregnant.
And now they are psychologically abusing her.
And I think wanting her to go away to do away with the baby and probably break off the engagement.
And he is beside himself.
And I think she is too.
So far, so good.
She's staying strong, but he's really concerned that this is a problem.
So we gave him some advice already.
He doesn't need us from here from us here on the air.
But the more important, I think, bigger question, this is not the first time we've heard of older guys getting engaged and married to younger women and her parents having a huge problem with it.
We'll go to Alex first.
I think Durdah should answer this.
All right.
Yeah.
He's got a daughter.
I was 21.
My wife was 18 when we met and married.
I'm very reluctant.
If it was my daughter, we got a problem.
I'm not saying that it can't be successful.
If I had a daughter, I would have the same opinion.
But if you had a daughter, would you want her to be with some kind of weird Zoomer?
Like the alternative is like she could be with like a 19-year-old who's like a complete retard.
Or you have no idea really what he's made of.
Yeah.
Because right now, because we're not talking like blanket, it's just 19-year-old anytime with 30-year-old.
Like, we're talking modern-day 19-year-old with modern day 30-year-old, where this 30-year-old probably has something going on in his life, and he's probably responsible.
And this is 30 is kind of old and kind of creepy for a 19-year-old, but you see something in him.
And I'm not going to blanket statement, say that no, but my, you have no idea how important your daughter is to your to a father, right?
If you think that 30-year-old men, you'll understand.
I don't get it yet.
But I do understand zoomers, and I understand how completely worthless and retarded they are.
So that's where I'm coming at it from.
Because, like, you would want your daughter to marry a good, strong man.
Like, do you want your daughter with, I don't know, like, Zoomers are really bad right now.
My daughter's engaged to a man her age.
They're 22.
They're both 22.
22 is a lot different than 19, though.
I agree with you.
Well, yeah.
Now, I was 21.
I married an 18-year-old.
And that was in the 90s.
Yeah, that's it's abnormal today, but it's but it's healthy societally.
Yeah.
I know I'm a father now, so my perspective is very different.
If a 30-year-old guy shows up in my house, I'm kicking his ass.
All right.
Alex.
I can put myself in that position.
And I would 100% agree.
Like, just thinking about it objectively and then also thinking about how I was when I was younger.
It's like, yeah, no.
So that's just me intuitively responding to this huge age discrepancy of what I think the study probably has something to do with it too, right?
Like, I mean, maybe, maybe.
All right.
So I'm going to put my dear daughter in this scenario.
She's 19 and say a 30-year-old proposes to her.
The rapidity of it, I think, is probably off-putting to parents.
Like, if I could look him in the eye, shake his hand, knew what he did, knew where he went to school, did a background check on him, I might be able to come to terms with it.
It's sub-ideal.
I would probably say, you know, two, three, four, five years older than her would be a comfort zone.
More than that is starting to raise hackles.
Everyone was disgusted and opposed to the parents trying to kill the baby.
They want her to get a job and have a reasonable.
That's insane.
But still, imagine requesting that your own grandchild be murdered.
Like what kind of terrible you are worse than a 30-year-old that grooms a 19-year-old.
And I'm not suggesting that this person groomed.
I'm just saying, in theory, if that was the situation, like you're still worse than that person.
What do you want?
Like, you do not want grandchildren?
Because here's the thing that's weird.
It's like they were fine with it until the pregnancy.
Because it'd be fine if they were opposed to the entire world.
That's what he said.
I don't know if it's true, though.
That's fair too.
Well, and maybe they were okay with it because they didn't think it was as serious as that.
And then as soon as a pregnancy is now, I guess, on the table, now it's like, okay, this is serious.
And like this, all has to end because what I said you guys would even end up getting married.
I think if you're gonna go that route, you should get married before you get her pregnant.
Yes, that would help.
Yep.
But another, there's also other stuff.
I'm also though.
What does the guy do for a job?
Because if the guys make if the guy, let's say he makes six figures a year, would it matter that their daughter gets a career?
No.
Because if a guy can take care of her, then like, who cares?
Like, why do you want your daughter to be like, there's a lot of things?
There's a lot of details.
There's a lot of room for nuance in this type of situation, right?
Speaking of the former he whore, there's a huge disparity between your ages, and you know, you've got all that experience.
Like, it's easy to take advantage of somebody in that situation.
Like, if they're 19, you can, you can convince them into things they wouldn't ordinarily be convinced into.
Like, you, you have all that experience.
Matthew McConnell hanging outside.
You just run the world.
Yeah.
Durandle, you're going with a simple father-gut reaction.
You don't like it.
Just like all other variables aside, he's wealthy, he's handsome, he's kind, he's honest.
You just don't like the age difference for your daughter if you were in those shoes.
Coach, you have a daughter.
I have a daughter.
My daughter is my princess.
And filthy 30-year-old is putting his hand on my 19 years.
Oh, my poor friend.
Because if I had had a daughter recently, I mean, I'm very involved with the production of my children, so to speak.
Like, how they go to the world.
My son, my son is amazing to me, but my daughter is something special that you don't.
I seriously, I'm not kidding you.
I'm pushing 50 now.
A 30-year-old comes at my 22-year-old daughter.
He's taking his life in his own hands.
And I'm not even joking.
Durandle's got the glowing eyes right now.
It's not even funny.
I understand the sin of it.
I guess I would be the same way.
So, in general, then, are we against quote-unquote cradle?
Smasher is like, come on, guys, let's have a little barbarian hours here.
Like, in general, should we not go like 10 years younger for our guys and us in particular?
As a general rule, you should avoid it.
But, like, I'm like, you know, this girl is maybe slightly racially aware, at least somewhat accepting of this guy's politics.
This guy is our guy.
And so, I want to grant him the benefit of the doubt that, like, he's not some turd, he's completely genuine.
And her parents are just stupid normies.
And to be honest, I don't care about what normies think.
I mean, you guys know what I mean.
Like, in a yeah, normies don't know what's best, right?
Normies don't know what's best.
Normies don't know what's best for their daughter, clearly, because they want her to get an abortion.
So, like, why should you respect what these people want at all?
In fact, he should like quadruple, triple down somehow.
Like, I don't know how you do that much more than like, I married your daughter, but more babies this time, right?
Like, you should just show up to their house uninvited and be like, oh, we're here for dinner, Frank.
What are you going to do about it?
Like, screw these people that want to murder their grandchild because of the age difference.
I understand not liking the age difference.
I'm not suggesting necessarily that people should be, you know, seeking out people that are 10, 11 years younger than them, particularly a 19 year old and a 30 year old, like a 35 and a 25 year old feels like an entirely different situation right, because a 25 year old at least has some experience as an adult, right?
College freshman 19, but yeah, 19 is like fresh, that's a brand new adult.
I don't consider that to be an adult, right?
Right I, i'm just speaking legal until 25.
Yeah well truthfully, you're really not much of an adult until at least 25, because that's when, like in this society scientists well, in this society.
But that's also when, like scientists, doctors or whoever say that your brains are actually kind of done developing at that point.
So you're still kind of developing.
Your personality can change a lot between 20 and 25 because your brain is going through changes.
You know yeah no I I, I remember what it was like to be in my early 20s.
I was a maniac yeah, so I was a maniac and did a bunch of horrible that I regret.
I'm not saying that.
You know, it's okay to be going out and getting girlfriends that are 10, 11 years younger than you when you're just pushing 30 but at the same time, like these, Normies are stupid people uh, they're evil and they're stupid enough.
My, my sympathy is with the uh, the daughter, with our guy.
Right, I support, I support them.
I do not support the parents in this situation, but my general rule of thumb would be, let's try not to create the situation, if it could be helped.
I told him, job one is to protect that baby at all costs, even if you have to go on a long road trip or sequester her away like you can't.
Well, and that's my, that abortion, that's my, my stairs and her parents.
The parents, the parents need to just be cut off.
Parents need to be cut off.
If you want this child death, then you are cut off.
Like that's it.
Legitimately, the baby is more important than your own life.
Legitimately right, the parents need to just be cut off.
No contact, like you want your daughter to kill your grandchild?
Well then, you can't talk to your daughter and you can't talk to your grandchild.
And when that, when that child is born, you send them a, a wonderful picture of this beautiful child that you have and say nothing else and you let them sit and simmer and that and just wallow in it and they will be miserable and they will apologize to you and you just take them for everything that you can, and that sounds like probably sociopathic and evil, but like these are stupid, literally stupid evil normies.
They are evil and they have told us that they are evil and so you deserve to get everything that you can from them, because you know what's best for the world, you know what's best for this child and they do not, because they want this child to be dead before it ever gets to see the light of day, before it ever has a chance to fight uh, for anything, and they want to see it dead.
Their own flesh and blood they want to see dead.
Yeah, they have been declared mentally incapacitated and they are worse than the Jew.
Yep, they might come around.
They are race traitors to the max.
We know somebody who was in a similar situation and her parents never came around.
I mean granted, they weren't like trying to kill the baby after it was born, but they still weren't happy about it, haven't been super supportive and frankly, that's on them.
But I think this is a cautionary tale for our guys about the wages of going down in the age brackets and a lot.
A lot of people said hey, historically this isn't that abnormal like uh, you know, older men are more able to provide this, but actually, if you look at it historically, there wasn't that huge of an age gap most of the time right, I mean, it makes sense that the big people are going to just be within their own age group generation, generally.
Yeah.
Yep.
And it's really nice.
My wife and I were both born the same year.
I've got a couple of months on her, and we have the exact same cultural references.
Granted, this is not the most important thing in life, but it's really nice to be like, yeah.
You're kind of close in terms of maturity as a person.
Like, imagining at my age, hooking up with somebody who's 19, I would feel like I was with a child.
It would be weird.
Yep.
It would be really weird.
Extremely weird.
There's a lot of people your age are still kind of like a child.
It's true.
It's true.
I'm one of them.
But I see Rolo squirming.
He must have his eyes on a 19 or 20-year-old hanging outside the community college.
It's not true.
But my stance on this.
My stance on this at this point is it's really hard to find a white woman that wants to have children.
And I'm not going to say take what you can get, but if you're 30 and then the women around you, like, I mean, 19 is that's, you know, 12 years is kind of a big deal.
But like, if there's like a 21-year-old girl and you're and you're 30 and then your female counterparts just want to have animals or plants and just work.
Like, I don't know, maybe go younger and make babies.
Stay out of the teens.
Never listen to what a woman tells you.
Isolate that as a producer.
Just never listen to them.
Hey, Rolo.
I've got a boyfriend.
It's like, what?
I didn't hear that.
Rollo, you show up in my house and you want to date my 22-year-old daughter.
I could understand that.
Meaning you might get all of them.
You don't know how old I am.
For all you know, I'm 22.
Can I date a 22-year-old daughter?
Are you 22?
No.
I'd shoot you.
I'd shoot you.
I'm not.
Duran's about to go exerwaffing, not boomer waffen, exerwaffin.
Yeah.
All right.
Well, hey, big thanks to our pal.
I'm only 28.
I'm only 28.
That's that's well within reasonable.
Yeah.
We could talk.
We could talk.
What if she was 19 and he's 28?
We can talk on here.
Keep your stay out.
That's weird.
That doesn't seem as strange to me either.
Like 20s is stay out of the teenage brackets and try to keep it less than a decade difference as a general full house rule of thumb here, totally dictatorially decreed.
And big thanks to our pal.
I did ask him if he could raise this and hopefully this helps him.
Remember, he's trying to do the right thing.
He's got a beautiful girl.
She's in love with him.
He proposed to her.
They got a baby on the way.
He's been honest about his worldview.
And he's just going through a ton.
Yeah.
With goodness, with kindness, with kindness.
Yes.
I don't want to be mean to this guy, but yeah, like just as a general rule of thumb, try to avoid that scenario.
Yeah.
It's also, it's going to be extremely hard, though, I think, for most 30-something-year-olds to relate to a 19-year-old.
That relationship is going to be so intellectually.
What's worse than zero?
Like, there's like nothing going on there.
Well, I thought we just wanted them in the kitchen having babies and making sandwiches, Rolo.
Come watch TikTok.
Oh, I know.
That's that's the unfair trad derision.
Yeah.
I went on a date with a girl that was about five years younger than me, and she did not know how to cook or drive.
This, yes, no, this reminds me of a story because I friend.
She'll never learn how to drive.
Right.
I have this friend who's a, he was a Locklear, which essentially it's a Scots plus Indian archetype.
And he had a wife and they had a bunch of kids together.
And him being a dumbass, he decided he was going to hook up with a much younger woman.
He gets her pregnant.
And he was complaining to me that she couldn't do anything.
She couldn't do dishes.
She didn't understand how to cook, like any of these things.
I'm like, well, that's what happens.
You hooked up with like a 19 or 20 year old.
Like, that's what's going to happen, bro.
They don't have those skills.
Still on our mothers to teach our daughters how to do that stuff from a young age, too, though.
Like, that's, you know, I don't think that's so much an age symptom as it is a cultural societal symptom.
You know, like our daughter loves to cook.
She's always like, sometimes I'm like, no, I really don't want you to make the hamburger patties this time.
Like, let me just get this done.
And then I'm like, no, no, no.
You got to let her help at all times and encourage it.
And, oh, yeah.
And Potato now is all into putting dishes into the dishwasher, which is a total show of like cracked plates.
And he always tries to close it without pushing the rack in first.
So it's like, you know, cacophony in the house.
How old is he?
Yeah.
Three.
Okay.
Yeah.
I mean, no, he's got the dexterity to do it, but he just, you know, the bottom rack, you have to push it in first before you close the dishwasher.
He always goes to close it.
And then it's like, I was just thinking of my one, one and a half year old who like climbs the back of the chair and then gets on the table and then he scales all the furniture in the house and then he falls off of things and breaks stuff.
Oh, absolutely.
It's a total jungle gym here too.
For him in particular, yeah.
Especially after eating now.
He gets a sugar rush.
They're just running laps.
Your son runs laps too.
I did a show with Morgoth and he was complaining about the kids upstairs.
Like, dude, this is just how it is around here, man.
It's just how it is.
I hate it as much as you do.
One day they won't be around.
This is a quote.
You're young, though, Mike, real quick.
This is a good point.
And do the quote.
When you're younger, it's so much easier.
When you're 40, it's like, good God, please.
Like, you just don't, you don't have as much patience for it.
I'm also deaf.
That helps.
But this is a quote that I think about a lot.
And it sounds kind of grim and it might make some people uncomfortable, but it is a fantastic quote that really helps me keep my patience and helps me to like appreciate some of the stuff.
You know, it gives me the motivation to read that extra book before bed, you know.
And so the quote is, as you kiss your son goodnight, whisper to yourself, he may be dead in the morning.
That's from Meditations, the Marcus Aurelius.
And he's just talking.
The entire point of the quote is literally that.
Like they might be dead in the morning.
So stop worrying.
Like what, what are you doing whenever you tell your kid, no, we're not going to read another bedtime book?
Or no, you sit up too late.
I'm not going to read a book tonight at all.
Like, what are you doing?
What on my phone?
What are you really doing with you for the 10th time today?
Right.
You are telling your child, like, no, I don't want to spend this time with you.
I want to go do the thing that I want to go do, which as a parent of four children under four years old, I understand wanting to just veg out a little bit sometimes.
You know, you do have to do that.
It's about, you have to, you have to strike that balance.
But it's really easy to be more fair to yourself than to your own children.
Right.
And that is something that I think about all the time.
And, you know, not in like a morbid way, but just the idea of like, calm down, read the book.
You know, sometimes all they want to do is just read this book with you or whatever.
And, you know, of course, little kids are full of shenanigans and stuff.
And that's what a lot of it is.
But like, who cares?
It's 10 minutes to read a book.
You don't even have to really read the book.
Sometimes they'll pick a book.
They'll dial it in.
Yeah.
Yeah.
They'll pick a book that has a ton of words on it.
And I'm like, we are not reading this thing.
And so I just have, I'll just make up a story based on what the pictures are.
And they don't know any better.
And they just enjoy it all the same because really they just want to spend time with you.
Snuggling up his kids.
He's deceiving his children.
They're an empire of lies.
Yeah.
I feel like I was a better father to our younger two than I was to our third because I'm less patient.
I've, we've done the, all the super nice, cozy things.
The shine has worn off a little bit.
I'm less patient.
I'm more prone to get irritated.
Technically, he is more difficult than the other ones.
And sometimes I'm like, I just, no, I don't want to do that right now.
And he's like, fine, I'll go do it myself.
So smasher.
I'm having the point where it's like, we're doing group activities now.
You're unit, not individuals.
Yep.
Yeah.
Yep.
As your squad grows, you got to just manage with the work.
Now, no, I'm going to order the oldest one to manage the second one in line and keep him from killing himself.
Yep.
Let's see.
Yeah.
Well, let's circle back to medicine.
And at the break, Alex and Durrendle were saying that we barely scratched the surface of this industry.
So, yeah.
I think the thing that we probably should drill down on a little bit is that the EMS worker shortage is getting worse.
And it seems like it's become a self-reinforcing cycle where you lose providers for various reasons.
Maybe they're older and they retire.
Maybe they get COVID and they die, which happened to some people I used to work with.
But either way, you've got less workers and that puts greater demands on the existing staff.
And then they get burned out and they quit.
And now you've got even more demand on less staff.
And like we were saying, due to the national registry requirements, it's hard to get people certified.
So this is turning into a escalating disaster.
And everybody I talk to complains about lack of staff, downgrading units, not having enough coverage, mutual aid.
Like EMS coverage is getting worse and worse and worse and more strained.
Anything to disagree with there, Durendel?
I mean, it says it all.
I imagine they're going to have to lower standards to address this.
The public is going to demand it.
And then you're going to have a diversity tax on top of a shortage tax, on top of a cost tax and all this.
And we're unfortunately looking at this just getting worse as the years go by.
Yeah, I just don't see how if the NREMT were to drop their standards, then if you want to do that, to just bring more people in, it gets ugly really quickly.
The standards will decrease until quantity improves.
Yeah.
Yeah, I agree with Alex 100%.
The work is super difficult, super stressful.
People are leaving two years max.
I mean, outside are outliers when it comes to people in the business.
And the pay is garbage.
I'm lucky.
I get paid pretty decent.
But we don't get paid like an rn, but we have way more responsibility than registered nurses.
More too yeah, I mean like no, no registered nurse has to uh mollify, uh a wife of the husband, that of the husband that died, and he's wedged between the, the wall and the toilet in the bathroom and then make all the medical, all the medicine decisions on your own.
Uh, I I don't see getting better.
I I only see getting worse.
It's only gotten worse and like and i've been in the business for quite a while yeah, because one of the things is they were pushing for higher educational standards the whole time, like we needed to eventually head towards like a four-year program for paramedics and you, you couple that with like a labor shortage and low pay.
That's like well, now you're just going to not have enough providers, like you're just going to have enough people.
Yeah why, why go into paramedicine or even being or an empty base, I should say even because they're essentially the same uh person?
Why go into being an emt when I can go to be a registered nurse and make 150 000 a year yeah, and not have to have any of the stress?
I mean, a doctor tells you to give 40 milligrams of lasix three times a day on some general surgery uh ward in some Po Dunk hospital and you're going to make 150 grand a year, yeah.
Or you can make 1250 an hour and do make all the same decisions as an ER doctor.
That's the same.
These people are getting paid 13 14, 15 bucks an hour.
Essentially, paramedics are very similar to an er doc in what they do.
Very similar like, yeah, probably not doing chest tubes, but you're doing intubations.
Yeah, Alex is correct in the sense that paramedics and emts, we work under what's called uh uh, uh standard protocols.
Now though, those are signed off on by physicians.
Only physicians national doctor can create those, but we do that all independently.
If this, if we see this, we do this, if we uh, if something, we run across this, then we do this.
We're the only uh individuals within medicine that do that, short of doctors.
Because we're, because we have to do this out in someone's bathroom in a house in watts.
Yeah it's, it's kind of a legal fiction too, because they they, they'll tell you that you're not doing like a diagnosis, it's like bullshit.
Ems is constantly doing a diagnosis.
Yeah, I agree with you Alex, is verbiage.
Yeah, it's just it's.
It's just a legal fiction to say that you're not doing that.
And then yes, the scope of practice is insane.
The interventions that you do are insane.
Hospitals used to abuse us all the time because it was like, oh well, we can get this person uh, put them in the er as like an emt basic or advanced or whatever.
Have them do essentially everything an rn does like.
I worked in a facility where we did triage.
We would triage the waiting room, take them back, do the 12 EDKG, do the blood draw, do the IEVs, do literally everything except actually bringing the meds to the patient.
Like that was an RN thing.
But the RN could just sit there behind the nurse's station the whole time while we cleared out the ER.
Yeah.
We're kind of in this weird area where RNs, registered nurses, they have quite possibly the strongest union in all of healthcare.
Yeah.
So they get to get paid gigantic dollars.
And I'm not even, I'm not going to shit on them for that for the mirror for discussing the nursing paradigm, which literally is just word salad.
Yeah.
And EMTs, EMT basics, paramedics are out trying to do their best at $12.50 an hour and burning out in two years if you're lucky and doing 10 times more.
And I'm not trying to be babastic, but that's reality.
So what if you, what if you doubled the, what if you doubled or tripled the wages?
Would that be, would that be a big solution to the problem?
I mean, imagine you're Reich's minister for emergency services tomorrow.
If you were the pure and I was the Reichs minister for EMS, I would nationalize EMS.
I'd pay them on par with, you know, get some people in there to actually understand what's going on out there.
Pay them what they're worth.
Staff them properly.
I think Alex would agree with this.
I work 24-hour shifts.
So if I work, if I, if, you know, my average call is 17 calls in a 24-hour day, that means they don't sleep.
It's, it's incredible to me that we allow medical professionals to work 24 hours or longer.
Yeah, but guess who's in charge of the system, Smasher?
And so through the J.
But the dollar matters.
It's uh, it's it's EMS does 24s, which is insane.
And then also I've seen ER doctors like to do the back-to-back 24s.
And then by the second day, they're useless.
Like they're, they're now dangerous.
And same thing.
After 24 hours.
So sleep, this, this is a big thing that's important for flying.
And the army in particular, because that's what I know, but I would assume that the military at large and probably the rest of civilian flight even has really, really strict rules about the hours that you're allowed to work and the hours that you're allowed to fly without a mandatory break of a certain amount of time.
And these things, of course, can get wavered based on what's going on if they need to.
But if they don't absolutely, if it's not absolutely 100% necessary to get a waiver for these things, they try not to do it because you become extremely dangerous after, you know, even after eight hours of work, even if you're just at work for eight hours, you are significantly less capable at the end of the day than you are at the beginning of the day when you're doing a real physical, you know.
Well, how many times, Durandal, have you been driving on the road and you start to see stuff?
Like you start to see stuff eventually.
I lose it.
I remember going, I don't know how many times I go on calls, slapping myself.
Luckily, I had a driver because it wasn't my call.
But I have an EMT basic partner and I'm the paramedic and I'm slapping myself in the face as hard as I can slap to try to wake up because I've got to make life and death decisions in about two and a half minutes.
Putting hand sanitizer in their eyes and stuff.
Yeah, that's the thing about this job, too, is you'll sleep and you get you get awoken in the middle of the night and it's just trying to wake up and your heart rate is like surging because I got to do something and your blood pressure is all over the place.
It's just bad.
It's bad on it's hard on your body.
It's not even like the adrenaline of I'm going to a call or anything like that.
It's nothing like that.
It's more tones went off and I'm being forced to wake up out of a deep sleep out of nowhere.
Like how many jobs actually do this to you of you go to bed and then randomly an alarm is going to go off and just wake you up in the middle of the night.
It's terrible.
If I were life or death split second decisions.
Yep.
Incredible.
If I worked for coach and he's a fear, I would triple the staff that we have currently.
I would go back to eight hour shifts.
You don't get to work more than an eight hour shift.
But they don't do it because it costs money to hire people.
Now you're going to make me absolutely.
The rotating 12.
The rotating 12 is so good because you get your three 12s and now you're off and you rotate them.
So now you get a week at a time.
It's so good.
At most, it should be like a 12-hour shift.
12s are fine.
12s, I think, are acceptable.
That's generally and like aviation maintenance and stuff.
Your 12-hour day is your longest day without a waiver because you can still make good decisions.
How many cardiac medications did you have to do the weight-based calculation for at the 12th hour of that shift?
That's the thing.
It's like if it's a busy station, maybe not.
Well, sure.
That's just like my bias of working in a rural area.
Your guidelines or your rules are always the minimum, right?
So if you're an extremely busy station, sure, you shouldn't do the 12-hour, but 12 hours is the max that you're allowed to force.
I can't do that.
Right.
And if you're a busy station, well, maybe you should only have people there for six hours, realistically.
You know, if people are, or if you're a station with just super, really difficult calls all the time for whatever reason, based on your location or something, like guys need a break.
Get them out of there.
Don't keep them around if you have the money and the manning to not keep people there in a stressful situation.
It's one of the dirty secrets of EMS within the medical field.
Like if the general public understood the conditions that EMS across the board in the U.S. has to function under, you think the trucker thing in Canada is a big deal.
Well, like Coach was talking earlier about a relative.
Well, everyone can point to a relative that had something that didn't go quite right with EMS.
And they're, I mean, it'd be ugly if they understood what we had to function under.
After 24 hours without sleep, you are as impaired as you are when you are like legally drunk, too.
Keep that in mind.
It's not a common smasher for people to do 96-hour shifts.
Yeah.
Jesus.
Yeah.
Because here's the thing.
So if you're scheduled for like a 24-hour shift and then it's like hour 23 and a call goes off now, you're going to easily go 25, 26, 27 hours deep, depending on the call and depending on the guys be, I mean, what would you guys do?
Would you be pounding coffee or taking caffeine pills?
Well, I saw stuff.
I would, I would start to lose.
I assume there's really, yeah, I mean, I assume some workers like go to heavier stuff to keep them awake, but yeah.
I definitely hit the point where I'm on the highway and it's like, I'm seeing stuff coming out of the ditch now.
Like, I need sleep.
I absolutely, this is not safe.
It's just not safe.
It's absurd.
It is absurd that the medical professionals that literally can be holding your life in their hands completely unironically, like that's actually what they're doing in the moment.
And they haven't slept in barely.
There were crashes.
There were crashes at the company I used to work for back in the day.
This killed people.
Like this was dangerous.
It's extremely dangerous.
And you would think that this is such a it has the potential to be such a high precision life or death job that you would want people to be well rested and taken care of.
And then, of course, if you lived in a serious country that actually cared about people like being healthy and not dying, but we don't have to.
Like I'm talking about the driver, but then the attending in charge, like many times I'd be transporting and I look back and my partner's passed out in the back.
He's just falling asleep.
He can't help it.
You're correct.
And we have a lot of good.
I work for a good boss and he legitimately cares for us, but he's got a budget and they're never going to change that until they're forced to, until somebody coaches a fear and he tells them they don't get a choice.
They had to budget properly for the right staffing.
Right.
Board of supervisor meetings.
Just go to those and just see, like you, you will see people arguing about, well, you know, they're just sitting there not taking a call.
Why should we pay them so much?
Like that's the kind of conversation they'll have.
They've been away that with that forever.
I mean, they love that with EMS and fire.
If you work a 24-hour shift, well, why should we pay you an RN's wages if six of those 24 hours, you're not actually on a call?
So we're going to.
I mean, there's literally federal law about how they can pay you less.
Why should I explain this to children?
Because I'm like in an office.
But, you know, and they wonder why people bail out of it because, well, I'll go be an RN.
I'll work eight-hour shifts and I'll make three times as much and I never have to worry about being like if I'm sleeping at the station, I'm sleeping at the station.
I'm not home with my wife and kids.
I'm on duty.
I'm waiting in case there's an emergency.
Like that's not my time anymore.
That's the time for the community in the county.
Like you're paying for me to be available.
Do you understand?
I would rather have these hours to myself, but I don't.
They're being given to you.
They don't see it that way.
I hate America.
And the other, the other horrifying thing is that this is not just localized to EMS, but that this goes all the way up the chain to the doctors.
Somebody was saying about how his lovely neighborhood community pediatrician basically gave up because of the, I don't know if it was the centralization or just the rigor that was imposed where he no longer had the liberty to essentially treat his patients as he saw fit.
And instead, doctors have been turned into these automatons who basically, and I've Noticed this too.
We're blessed to have a really seemingly good, you know, it's hard for me to judge doctors, but a seemingly good pediatrician.
But now, doctors, uh, when you're in the in the room with them, they are staring at a screen more than they are interacting with you and having their hands on you.
Uh, they're just typing it in.
So, basically, they've turned it to enter symptoms.
Uh, machine comes up, beep, boop, uh, with healthcare.
Yeah, that's epic.
So, uh, and this is way too big for uh nearing the end of the second half, but I is it fair to say, even knowing what all we know about America and the state of things and like the DMV ladies is nationalizing healthcare, would that at least be better than this like terrible hybrid that we have now to do a national system?
You could have a private system on the side as well, like Italy does that.
I don't see any way to do this unless you just take tax dollars, put them directly in the healthcare system.
The national, I, I, when I, when I mentioned being a national system, it has to be uh, uh, um, we have to look like Sweden, we have to be uh, it's not gonna work in our current system like Alex and I talked about, and I'm not even gonna crap on it can't be salvaged or tinkered around, yeah, yeah.
They can't pass exams.
Do you guys think that private insurance caused the healthcare system to be the way it is, or do you think private insurance is just Jews taking advantage of the healthcare system taking advantage because it started as a volunteer system, taking advantage, right?
Because, like, one thing that's really mind-blowing, and I mean, I talked about it a little bit, but like the American healthcare system or the insurance is just so absurd.
I mean, I'm getting to the point now where I'm like, the entire concept of like private insurance is absurd when it's required.
Like, you have to have health insurance, right?
You, if you own a car, you are legally required to have car insurance.
There's all these different types of insurance that you're legally required to have if you meet, you know, whatever the qualification is.
But health insurance, non-negotiable, you're required to have it by law.
You will pay a fee if you do not have health insurance.
So, why is there private health insurance?
Technically, they did away with the mandatory tax slash fee, but still can't take it.
Yeah, but yeah, it's like, so why do we have private health insurance?
Why is it so convoluted?
Why do you pay so much money and then they still won't cover you unless certain criteria are met and only certain things count towards that criteria?
And it's so convoluted that like you actually can't even understand it.
And then even if all those criteria are theoretically met, well, you had a heart attack and the bus picked you up and took you to a hospital that was out of network.
And it's your fault because you didn't tell them where to go within your insurance network.
And it's like, oh, so while I was passed out or experiencing cardiac arrest, I was supposed to direct the ambulance service to the proper hospital.
Really?
That's my fault somehow?
It's like, why?
Why is why is any of this like this?
Why like destroy private insurance companies because it's already nationally mandated, required by law that you have to have it.
So just provide affordable insurance for everybody.
Stop jeweling people and stop letting hospitals run amok, charging between three and like a thousand times more for these medical supplies.
I mean, look at what like gauze that would cost you $3 at Rite Aid.
A hospital is going to charge you $75 for.
And that's why it's not going to work, right?
Because even if they did virtuously nationalize it and make it all common sense, we still live in this madhouse.
And if you think Medicaid and Medicare scams are off the chart and hunt tens of billions of dollars today, imagine the scams when every single American is enrolled.
The pricing is so goddamn incoherent because, like, where I live, you could do direct access blood testing, which you would go to a hospital, you have the same tech, draw your labs, charge you, I don't know, 50 to 100 bucks out of pocket, no doctor's note, no nothing.
Just you, you fill out a check sheet of I want this lab, I want a CBC, maybe I want like a blood panel here and there, just whatever it is.
It's like $50 to $100, and then compare that to how much it's going to, that the hospital is going to charge you and how much your copay is actually going to be.
It's insane.
And it's the same service, it's the same exact service, same lab, same lab company, all of that.
The pricing, just have you ever tried calling a hospital and asking them how much a particular service costs?
They won't tell you.
They won't tell you.
All this, what just drives me nuts and what made me a white nationalist is all of this would go away if we were homogenous.
All of this would go away.
You know, there's a reason socialism works so well in the Scandinavian countries until they started, you know, bringing in the problem forward.
Because if it worked, and it's also more it just so simple, it's so obvious.
And no one wants to go to the doctor.
Like, is that really so much to ask?
Like, I'm going to go to the doctor, not sell my house to do it.
So, what happened in the United States is they had this thing called Imtala.
And Imtala was to prevent dumping is the practice of like a hospital would send patients somewhere else.
But primarily, what it did was everybody called it out when it happened.
That's an unfunded mandate.
Like, you're saying hospitals have to take care of a patient.
Well, if the patient can't pay and you take care of the patient, you burn all those resources and labor and supplies, you don't get any compensation, what happens to your hospital over time?
And now we see like, okay, all your small rural hospitals are now destroyed.
You're gone.
Well, look at California's perfect example is they every single one of them, they're all out of business.
All the public hospitals are out of business.
All the municipal hospitals.
Literally.
Yeah.
I mean, it doesn't get talked about, but they had to move.
I mean, because if no one pays, because you're not a citizen of the U.S., guess what?
People, you know, people go to business eventually.
Yeah.
That's what happened at my hospital.
Yep.
Rollo doesn't have health insurance.
He's never had health insurance.
And look at him.
He's doing fine.
Rollo looks like you can get a poll for an SS pollster.
Okay.
There he is.
Well, that's, but that's because I don't have health insurance.
Keep your dirty hands off of me.
No paramount is going to touch my website.
Okay.
I don't need to go see some Jew doctor.
Yeah.
It's just amazing to me.
I was one of those guys who got all up in arms about Obamacare and Coulter.
There shall be free markets and healthcare.
And now I'm just looking at it like, oh, good God.
No, no, I know.
I'm not saying that that was like wrong.
Like tons of people were right to be pissed off because they were getting a raw deal.
But to fix it requires a country that you do not have and not 20, 30, 40 illegally.
Healthcare means that you can't get an EpiPen for your child that is like death, dead, deathly allergic to like peanuts or some other extremely common thing.
But faggots can get AIDS drugs for free.
Yeah, they can get that for free.
Go ahead.
They have corporatized healthcare to the point where all of the independent practices are shutting down.
Like your family doctors, they're going away.
Everything, it looks like the model going forward is going to be you're going to have an urgent care and then your local hospital monopoly, whatever that may be.
And that's it.
Third world.
It's literally Brando.
Brando because it's what plants crave.
Thank you, Durundo.
All right, gents, let's wrap it.
Go ahead, Rolla.
What's up?
It's what plants crave.
Yeah.
You just need to look up with your local witch doctor.
Well, aren't those usually black?
Yeah, but when in the third world, yeah, right.
What's the difference?
I will say this is one big, gigantic way pill out of all this.
If you want to move people over to our side of the aisle to start understanding the, you know, reality is this, whether we want to believe it or not, is start explaining to them how fake and gay this medical system is, EMS, is, and you'll start convincing people and they're looking around and family members are getting screwed.
They're in a nursing home and there's some Nigerian beating the shit out of them because they hate them because they're white.
Or they got a 40-minute wait to get on an ambulance because no one can stand to do it.
It can't be afforded.
That moves people over our direction.
Just be honest with people.
Don't be a dick.
Be honest with them.
And it moves people over our direction.
I mean, I don't know what else we can do until we get to balkanization and we can start fixing this shit.
I kept talking about a 40-minute wait.
I'm like, I have personally heard of situations where I used to work where people died because they were waiting for an hour.
Diabetics.
Like he mentioned a patient with blood sugar of 19.
It was a very similar situation.
Charlottesville, Virginia.
Patient didn't make it.
They were waiting for an hour for an ambulance.
They expired.
This happens.
People are dying, literally dying.
And the national standard is four minutes.
I wasn't waiting on an ambulance, but whenever we got to the hospital, when I cut my wrist, arterial bleed, like, you know, everybody here.
It's a really little artery.
It'll take a while.
You were listening to some Hawthorne Heights there?
Did you get an ABG for them before you went in?
Like, here's your arterial blood gas.
I walked in.
I walked in, and they start this.
I can't even remember what race they were.
I probably couldn't even identify it, to be honest.
Weird twink, tiny little thing, just disgusting human.
Starts like asking me like your average triage questions.
And I was, I, I snapped on him.
I was like, bro, I have an arterial bleed.
I don't really care about answering your questions.
I need medical attention.
And I just kept repeating that until the nurse came around the corner and was like, just come with me.
Just come with me.
And like, shot him like an evil plant.
And if I looked out at my ER like bay and I saw a waiting room, I saw somebody with like blood spurting out of their wrist.
Like, uh, you come here, right?
Right.
Like, come here.
This person has a tourniquet on that wasn't done, wasn't placed by a doctor in a room, um, or brought by his pal ambulance.
Uh, maybe, maybe I should put him in a wheelchair and get him into a room and figure out this information stuff later, right?
Right, but these people could always do it later, you can always do it later.
You don't need it right now.
We could they're forced to do medicine by flowchart, right?
Because you have a bunch of people that aren't capable of actually making decisions like that.
It's gotta be medicine by flowchart.
We could uh, you know, stop this bleeding later, or we could stop this bleeding now and get your information later, or we could get your information now and stop the bleeding later.
Let's see what one works better.
Bureaucrat gang won out in that one until you force the issue.
Sam, we forced you to look into the abyss with our two honored guests, Alex and Durrendle.
Thank you, Jets, so much for sharing your horror stories.
Um, hey, we need to look at things as they are first, not as we want them to be.
And yeah, Durandle, I just wanted to say I tiptoed up to the issue of uh diversity possibly killing my grandmother, but I didn't have the heart to uh to push too hard with the family members.
I think they get it, but Lord knows for a lot of people that it just it just doesn't sink in, or it's they're too programmed to reject it.
You know what my suggestion is? Is if you're a family member, like just go to a nursing home and look around.
Like, if you've got people in the nursing home, go in there, just look around, visit them, take a look, just visit, go walk around a nursing home.
Just pick, even if you don't have a family member in a nursing home, just pick one and go, they won't know the difference, except if the staff doesn't care for nobody flowers or something.
Like, oh, yeah, I brought it for Miss Smith.
Oh, she's here somewhere.
Go sell them life insurance, unlicensed life insurance.
I think better call salt.
That's right.
Anyway, all right, financial advice.
Durrendel, my friend, thanks so much.
Last call for any comments or wisdom from you, buddy.
I've got nothing.
I could rant for hours and hours on this.
I barely touched the surface.
I think anyone that's listening to this should probably has come to the realization that we're in a failing empire.
It's literally coming apart the seams.
And once you have a run-in with the EMS system or the medical healthcare system or the nursing home, which you literally can't get into nowadays because they can't staff them properly, you'll understand that we're on the right side of the alley or just hang in there.
We're with you.
Amen.
Alex, thank you too, my friend.
Oh, I found it.
The survival medicine handbook.
Granted, it's by, I don't know if they're Jews or not, but GoodPal recommended that one to have on your bookshelf at home in this declining empire.
Yeah, I don't know if that's the best, but I'll put it in the show notes.
Maybe we could put together like a program or something.
I have ideas.
We do every week.
It's called Full House.
No, we're all going to make a Hodge to Alex's domicile and we'll shoot bows and arrows at the passing trains and do a little med in service.
If you've got the time and the money, go get your EMTB cert.
Even if you don't do it as your job, it would be worth doing and familiarizing yourself.
If you don't know how to do cpr uh, and you have kids, kill yourself.
No get, get some cpr training.
You'll need cpr.
You've already killed yourself because you can't save your kids life so effectively.
Alex, you're still on TDS three days a week, I believe, as the floating hit.
Two freebies and a and a paywall show.
Right right, Mcnab head is eternal.
Did they?
Did they suspend your license or did they just let you go?
Could you totally go back?
Actually, in the middle of recertifying it again, for I don't know how many times i've recertified it, but yeah, it's still valid.
Cool, I was investigated by the state and they cleared me completely.
They were like, well, we looked at his patient care reports, which should be the textbook, and yeah no, everything is fine.
Yep, imagine that doing your job and just holding uh opinions, I am professional yep, smasher.
Thank you buddy.
I'm glad you parachuted in uh, can't wait to hear your band too, to hear you play.
I might cat call or, you know, jeer a little bit, but i'm gonna sign, i'm gonna sign your titties.
I'm gonna sing Country roads again, like we did at the last one.
Yeah, it was wonderful every time.
Yeah yeah, i've been.
Uh, i've been 23, 1 fasting.
I did not like.
I had a little bit of doughiness.
I did the live Hammer stream with Hammer.
I looked at myself like nah that's, that's winter coach.
So uh, i'm down like 10 pounds in a week just because i've been brutally starving myself, but it has hasn't been that hard.
Yeah just uh, just have dinner.
You gotta try to do.
You gotta try to eat your regular amount of calories in that hour though.
Otherwise, if you get off your 23 one, all that weight will just come right back on.
So you got to try to maintain uh, as close to your calories caloric intake as you can.
Oh yeah, I channel down.
It's great, it's a party.
Yeah, it's like.
It's like a rare window opens up and it's a bacchanal and then when it closes, i'm like all right, see you again tomorrow night.
You actually get used to it.
And rollo, my friend.
Thank you so much.
Good luck with the F-bombs from Alex McDad.
Alex McDad.
McStab.
And listen to the final storm.
Full House 118 was recorded on a thawing February 12th, now February 13th.
And follow us on telegram at PRO White FAM2 as of yet still on Apple BAND on the new channel, tempting fate here.
I'm sure it'll happen after the show.
Follow us on GAB at Gab.com.
Slash Fullhouse.
Drop us a line.
Fullhouse show at Protonmail.com.
And, of course, if you appreciate our content, whether you enjoy it or we encourage you to have another child that you treasure check us out at Giftsengo.com.
Slash Fullhouse or full-house.com slash.
Support us.
We do have a very special song in store for you this week.
Finally, the great Rollo and his Library is opening up to our great audience.
This is the great Rollo doing a slight upgrade on Purple rain for black history month.
We love you, fam.
Hail Durandle, hail Alex, hail Smasher, hail Rollo to hell with Sam, no Good Loafer, and we will talk to you next week.
That is true too.
And we'll talk to you next week.
We love you.
Go ahead, Smash.
See ya.
See ya.
Never meant to neglect all your kids I don't wanna get high on your sofa I only want to stand on the corner with the train.