1 00:00:00,733 --> 00:00:03,866 (fire truck sirens) 2 00:00:03,866 --> 00:00:06,700 (dramatic music) 3 00:00:06,700 --> 00:00:09,500 - A lot of product gets sold 4 00:00:09,500 --> 00:00:11,400 in and around these neighborhood streets 5 00:00:11,400 --> 00:00:12,566 that we work in. 6 00:00:12,566 --> 00:00:13,700 We're right in the middle 7 00:00:13,700 --> 00:00:15,500 of one of the biggest selling areas. 8 00:00:17,066 --> 00:00:18,933 - I woke up just so confused. 9 00:00:18,933 --> 00:00:20,666 Like I didn't know where I was. 10 00:00:20,666 --> 00:00:22,433 I still had the needle in my arm. 11 00:00:22,433 --> 00:00:23,500 I was kinda upset 12 00:00:23,500 --> 00:00:26,100 because I wasn't high anymore. 13 00:00:26,100 --> 00:00:28,200 - Some of the most troubling OD 14 00:00:28,200 --> 00:00:31,100 calls we go on is when we pull up 15 00:00:31,100 --> 00:00:33,300 and we find a young mother with her 16 00:00:33,300 --> 00:00:35,733 18-month-old baby in the backseat 17 00:00:35,733 --> 00:00:38,200 and a needle in her arm. 18 00:00:38,200 --> 00:00:40,333 - The next thing I remember is I woke up, 19 00:00:40,333 --> 00:00:42,400 the drugs had actually overpowered the Narcan. 20 00:00:42,400 --> 00:00:45,900 I had to be Narcan'd again in the ambulance 21 00:00:45,900 --> 00:00:48,233 and then a third time at the hospital. 22 00:00:49,866 --> 00:00:51,633 - Everyone of them is somebodies son, 23 00:00:51,633 --> 00:00:52,666 or somebodies daughter, 24 00:00:52,666 --> 00:00:53,700 or somebodies mother, 25 00:00:53,700 --> 00:00:54,733 or somebodies brother, 26 00:00:54,733 --> 00:00:56,200 or somebodies wife, 27 00:00:56,200 --> 00:00:58,733 and I remember all of them. 28 00:00:58,733 --> 00:00:59,933 - Out of all the calls I've been on 29 00:00:59,933 --> 00:01:01,866 I think the hardest ones are when 30 00:01:01,866 --> 00:01:03,066 I actually have to tell the family 31 00:01:03,066 --> 00:01:04,433 that their loved one's dead. 32 00:01:06,700 --> 00:01:09,000 - They went were they're serving needles 33 00:01:09,000 --> 00:01:11,000 and they're risking their safety to go 34 00:01:11,000 --> 00:01:12,833 into a place to save my life when I could 35 00:01:12,833 --> 00:01:14,933 have been just another statistic 36 00:01:14,933 --> 00:01:18,000 a drug addict on the street that died. 37 00:01:18,000 --> 00:01:20,500 (dramatic music) 38 00:01:20,500 --> 00:01:22,100 (muffled talking) 39 00:01:22,100 --> 00:01:24,833 (dramatic music) 40 00:01:27,833 --> 00:01:31,300 (indistinct conversation) 41 00:01:36,200 --> 00:01:39,833 (firetruck exhaust sounds) 42 00:01:43,533 --> 00:01:45,000 - I became a firefighter 43 00:01:45,000 --> 00:01:47,166 because I like to help people. 44 00:01:47,166 --> 00:01:49,500 I'm sure that's a very common answer, 45 00:01:49,500 --> 00:01:51,033 when you ask people, 46 00:01:51,033 --> 00:01:52,766 but ever since I was young I've always 47 00:01:52,766 --> 00:01:55,233 really liked to help people. 48 00:01:55,233 --> 00:01:56,766 When I was a kid, 49 00:01:56,766 --> 00:01:59,100 a big red fire truck was always one of my favorites 50 00:01:59,100 --> 00:02:02,533 so, when I found out you could 51 00:02:02,533 --> 00:02:04,400 actually get paid to do this, 52 00:02:04,400 --> 00:02:05,533 to be a fireman, 53 00:02:05,533 --> 00:02:06,933 and as soon as I found out that, 54 00:02:06,933 --> 00:02:08,900 I was like, "now that's the job for me". 55 00:02:09,866 --> 00:02:13,266 - This work is very demanding. 56 00:02:13,266 --> 00:02:15,266 It's very rewarding. 57 00:02:15,266 --> 00:02:17,633 Two days are never the same. 58 00:02:17,633 --> 00:02:21,800 So it challenges you on a lot of fronts. 59 00:02:21,800 --> 00:02:23,166 To stay mentally sharp, 60 00:02:23,166 --> 00:02:26,200 To stay really physically prepared 61 00:02:26,200 --> 00:02:27,133 for a lot of things, 62 00:02:27,133 --> 00:02:28,533 a lot of the ups and the downs 63 00:02:28,533 --> 00:02:32,733 and the stress, and the stress mentally 64 00:02:32,733 --> 00:02:36,533 and physically so it's a lot of preparation. 65 00:02:36,533 --> 00:02:39,700 You see the house fire fully evolved 66 00:02:39,700 --> 00:02:41,633 and we go in, and then we come out. 67 00:02:41,633 --> 00:02:44,100 But there's a lot of prep work 68 00:02:44,100 --> 00:02:48,033 so it's a very rewarding job. 69 00:02:48,033 --> 00:02:51,233 (firetruck sirens) 70 00:02:51,233 --> 00:02:52,633 - When I became a firefighter 71 00:02:52,633 --> 00:02:55,166 I thought that the majority of our work 72 00:02:55,166 --> 00:02:56,700 would be fighting fires. 73 00:02:56,700 --> 00:02:57,900 That's changed now, 74 00:02:57,900 --> 00:03:00,400 we serve all different types of calls, 75 00:03:00,400 --> 00:03:04,033 all different types of people, all different responses. 76 00:03:04,033 --> 00:03:06,633 I never thought that the majority of our 77 00:03:06,633 --> 00:03:10,133 calls would be overdoses and drug related calls. 78 00:03:10,133 --> 00:03:13,600 And I never expected that to be the case. 79 00:03:13,600 --> 00:03:15,133 - I don't think I've ever actually sat down 80 00:03:15,133 --> 00:03:17,666 and counted "yup that's one for the day, that's two". 81 00:03:19,266 --> 00:03:22,900 So no, on a very busy night where we're running 82 00:03:24,166 --> 00:03:26,400 25, plus, calls. 83 00:03:26,400 --> 00:03:31,366 We can go easily on 10, 10, 11, 12 overdose calls. 84 00:03:34,200 --> 00:03:36,900 (engine roaring) 85 00:03:40,200 --> 00:03:41,300 - [kid] Bye! 86 00:03:41,300 --> 00:03:43,366 - [paramedic] Bye! 87 00:03:43,366 --> 00:03:46,066 (engine roaring) 88 00:03:47,933 --> 00:03:49,133 - [Paramedic 1] They made a drug bust 89 00:03:49,133 --> 00:03:50,233 in this house over here. 90 00:03:50,233 --> 00:03:53,100 $450,000 in cash. 91 00:03:53,100 --> 00:03:54,300 - [Paramedic 2] Six. 92 00:03:54,300 --> 00:03:55,133 - 650? 93 00:03:55,133 --> 00:03:56,100 - Yeah. 94 00:03:56,100 --> 00:03:56,800 - This white house right here? 95 00:03:56,800 --> 00:03:57,633 - Yeah. 96 00:03:57,633 --> 00:03:58,533 - We had the shoot out. 97 00:03:59,766 --> 00:04:01,033 - At this fire station we're in a 98 00:04:01,033 --> 00:04:02,600 unique situation. 99 00:04:02,600 --> 00:04:06,800 This seems to be the epicenter of the heroine epidemic. 100 00:04:06,800 --> 00:04:10,033 If you want to buy heroine this is where you come to. 101 00:04:10,033 --> 00:04:12,733 Yesterday the guys came in said, 102 00:04:12,733 --> 00:04:14,766 "There's somebody OD'ing on our front bench." 103 00:04:14,766 --> 00:04:16,200 I go, "Really?" 104 00:04:16,200 --> 00:04:18,133 Walked out and there's somebody OD'ing on our front bench. 105 00:04:18,133 --> 00:04:19,900 So it's not uncommon for me to walk 106 00:04:19,900 --> 00:04:22,833 out pick up a needle, sit at the picnic table 107 00:04:22,833 --> 00:04:25,500 and pick a needle up out of the flower bed. 108 00:04:26,433 --> 00:04:28,033 There are many, many areas, 109 00:04:28,033 --> 00:04:31,600 I can draw a circle around this fire station and 110 00:04:31,600 --> 00:04:34,566 we could go out and pick up needles all day. 111 00:04:34,566 --> 00:04:39,533 So, it's a free open air drug market, it operates 24/7. 112 00:04:41,900 --> 00:04:43,266 - [fireman] Fire department. 113 00:04:45,800 --> 00:04:47,433 You guys okay? 114 00:04:47,433 --> 00:04:48,266 - [unknown] Yeah. 115 00:04:48,266 --> 00:04:49,100 - [fireman] All right. 116 00:04:49,100 --> 00:04:49,900 Just checking. 117 00:04:51,333 --> 00:04:53,866 - [fireman] Yeah I know you had to walk down, you know, so. 118 00:04:55,366 --> 00:04:57,300 - (woman laughs) No we've been here since (mumbles) 119 00:04:57,300 --> 00:05:00,366 - No, no, dude, we just came to check on you guys. 120 00:05:00,366 --> 00:05:01,700 - [unknown male] I was petrified, 121 00:05:01,700 --> 00:05:02,700 I thought it was the police. 122 00:05:02,700 --> 00:05:03,700 - [fireman] No, nope. 123 00:05:03,700 --> 00:05:04,933 Hey we're here, like I said, 124 00:05:04,933 --> 00:05:07,900 we just came to see if you guys need anything? 125 00:05:07,900 --> 00:05:09,800 If you were okay? 126 00:05:09,800 --> 00:05:11,400 - [unknown male] No, you just woke me up brother! 127 00:05:11,400 --> 00:05:13,500 - [fireman] Sorry, I didn't mean to ruin it for you! 128 00:05:13,500 --> 00:05:18,466 But if you need anything, don't hesitate to call. 129 00:05:19,600 --> 00:05:21,000 Stop over to fire house on Clinton Avenue 130 00:05:21,000 --> 00:05:22,266 if you ever need anything. 131 00:05:23,433 --> 00:05:24,700 - I grew up in this neighborhood. 132 00:05:24,700 --> 00:05:26,866 My parents still live in this neighborhood, 133 00:05:26,866 --> 00:05:28,666 my brother lives in this neighborhood. 134 00:05:28,666 --> 00:05:30,633 I still live in this neighborhood. 135 00:05:30,633 --> 00:05:31,800 When I was a young kid, 136 00:05:31,800 --> 00:05:35,166 it was a lot different than it is now. 137 00:05:35,166 --> 00:05:36,100 Families, everybody lived together, 138 00:05:36,100 --> 00:05:38,866 everybody was happy, you know. 139 00:05:38,866 --> 00:05:41,433 Everybody trusted each other and took care of each other. 140 00:05:41,433 --> 00:05:42,866 It's a lot different now, you know, 141 00:05:42,866 --> 00:05:45,433 kids can't play on the street, there's needles. 142 00:05:45,433 --> 00:05:48,866 You know vacant houses with needles, all over the place. 143 00:05:48,866 --> 00:05:53,166 There's violence, you know, there's homelessness, 144 00:05:53,166 --> 00:05:56,033 there's drug dealers on the corner 145 00:05:56,033 --> 00:05:59,200 and people fighting and problems like that. 146 00:05:59,200 --> 00:06:01,166 It's not as safe as it use to be. 147 00:06:02,366 --> 00:06:04,900 The neighborhoods kind of held hostage 148 00:06:04,900 --> 00:06:08,333 you know by this war with the drugs and 149 00:06:08,333 --> 00:06:10,800 the money that it produces and 150 00:06:10,800 --> 00:06:13,733 the problems are all associated with it. 151 00:06:13,733 --> 00:06:15,800 And it's not a good thing, you know, 152 00:06:15,800 --> 00:06:17,900 all the goodness that comes out of this 153 00:06:17,900 --> 00:06:20,133 neighborhood is all overshadowed by 154 00:06:20,133 --> 00:06:24,500 the drugs and the violence that accompanies it. 155 00:06:24,500 --> 00:06:28,200 (car seatbelt dinging sound) 156 00:06:31,000 --> 00:06:33,333 - Amos fourteen Andrew ALS. 157 00:06:33,333 --> 00:06:36,066 (dispatcher speaking indistinctly) 158 00:06:36,066 --> 00:06:38,933 (ambulance sirens) 159 00:06:40,533 --> 00:06:42,333 - [dispatcher] 3391... 160 00:06:43,266 --> 00:06:46,133 (ambulance sirens) 161 00:06:47,500 --> 00:06:50,233 - Working a rural community is really difficult. 162 00:06:50,233 --> 00:06:52,066 You know everybody for the most part. 163 00:06:52,066 --> 00:06:53,733 Especially in this town, you're very close knit. 164 00:06:53,733 --> 00:06:56,500 You know your neighbor, your neighbor knows you. 165 00:06:56,500 --> 00:06:59,600 Very small town less than maybe two thousand. 166 00:06:59,600 --> 00:07:02,966 We cover about a hundred square mile secular area. 167 00:07:02,966 --> 00:07:04,800 (ambulance sirens) 168 00:07:04,800 --> 00:07:06,866 Compass is a couple different towns, 169 00:07:06,866 --> 00:07:08,866 the farm land, it could be the woods. 170 00:07:08,866 --> 00:07:11,466 I grew up here, and I want to help my community, 171 00:07:11,466 --> 00:07:14,000 I've always wanted to be somebody that people are calling 172 00:07:14,000 --> 00:07:15,933 because they need help. 173 00:07:15,933 --> 00:07:17,466 They don't call me because they're having a good day. 174 00:07:17,466 --> 00:07:19,666 They don't call us because they're having a good day. 175 00:07:19,666 --> 00:07:21,966 They have probably had the worst day of their life 176 00:07:21,966 --> 00:07:23,500 and probably want somebody to come and help them. 177 00:07:23,500 --> 00:07:25,600 And I want to be that person that they have helping them. 178 00:07:27,666 --> 00:07:30,300 (doors opening) 179 00:07:33,000 --> 00:07:34,933 (doors closing) 180 00:07:34,933 --> 00:07:35,733 - [paramedic] Good? 181 00:07:36,866 --> 00:07:39,733 (ambulance sirens) 182 00:07:44,266 --> 00:07:47,900 - [dispatcher] (indistinct) 183 00:07:49,100 --> 00:07:51,566 (door closes) 184 00:07:53,933 --> 00:07:56,033 (dog barks) 185 00:07:56,033 --> 00:07:57,233 - [unknown] Got one down on book. 186 00:08:00,166 --> 00:08:01,400 - [fireman] How long she been down buddy? 187 00:08:01,400 --> 00:08:03,166 - [unknown male] I don't know, I just came up, 188 00:08:03,166 --> 00:08:05,833 she came upstairs not even twenty minutes ago. 189 00:08:07,100 --> 00:08:08,300 Twenty minutes ago? 190 00:08:08,300 --> 00:08:10,333 She's been like this for over twenty minutes? 191 00:08:10,333 --> 00:08:11,533 - [unknown male] I wouldn't know. 192 00:08:11,533 --> 00:08:12,700 She said she was coming to lay down. 193 00:08:15,000 --> 00:08:17,133 - [fireman] Any other medical history? 194 00:08:17,133 --> 00:08:18,600 - [unknown male] Um... 195 00:08:18,600 --> 00:08:20,066 - So often in healthcare we use the term compassion fatigue. 196 00:08:20,066 --> 00:08:22,166 And especially in society, as well, 197 00:08:22,166 --> 00:08:25,200 when something becomes our norm 198 00:08:25,200 --> 00:08:27,733 no matter how upsetting it is, 199 00:08:27,733 --> 00:08:31,833 no matter that, you know, we have children that are dying. 200 00:08:31,833 --> 00:08:34,500 When it's regular and constant, 201 00:08:34,500 --> 00:08:38,500 it gets too tiring to continuously care. 202 00:08:38,500 --> 00:08:41,533 And so we get tired and it becomes noise. 203 00:08:42,766 --> 00:08:47,066 (people talking indistinctly) 204 00:08:47,066 --> 00:08:49,766 - [parademic] We're going to have to go to the hospital. 205 00:08:49,766 --> 00:08:50,900 - [unknown] Why? 206 00:08:50,900 --> 00:08:52,200 - [parademic] Because you overdosed. 207 00:08:54,033 --> 00:08:55,866 How many bags did you take? 208 00:08:55,866 --> 00:08:57,233 Just so we--you're not in trouble. 209 00:08:57,233 --> 00:08:58,833 We just want to help you. 210 00:08:58,833 --> 00:09:00,400 - [unknown] I'm not in trouble am I? 211 00:09:00,400 --> 00:09:04,533 - If the people who see it daily who can not ignore it. 212 00:09:05,966 --> 00:09:10,933 Whether that is police, or fire, or EMS. 213 00:09:12,933 --> 00:09:14,866 We can't ignore that. 214 00:09:14,866 --> 00:09:16,900 It can't become our background noise. 215 00:09:18,500 --> 00:09:21,233 'Cause we're nowhere near a solution on this. 216 00:09:22,800 --> 00:09:27,500 We've had more death from this disease 217 00:09:27,500 --> 00:09:31,300 than all the people who died of AIDS 218 00:09:31,300 --> 00:09:33,800 during the 1980s and 1990s. 219 00:09:33,800 --> 00:09:38,600 We have far surpassed that, and that was an epidemic 220 00:09:38,600 --> 00:09:40,500 that we thought we would learn from. 221 00:09:40,500 --> 00:09:42,833 (door closes) 222 00:09:42,833 --> 00:09:45,866 (engine idling) 223 00:09:45,866 --> 00:09:50,833 - [dispatch] She overdosed 193 (indistinct over radio) 224 00:09:51,733 --> 00:09:52,366 - [unknown male] Come upstairs. 225 00:09:54,533 --> 00:09:57,266 (muffled voices) 226 00:09:58,533 --> 00:10:01,566 (static noise) 227 00:10:01,566 --> 00:10:03,666 (indistinct conversation) 228 00:10:03,666 --> 00:10:06,700 (dispatcher muffled) 229 00:10:07,866 --> 00:10:09,066 - [Paramedic 1] He's still breathing. 230 00:10:09,066 --> 00:10:10,466 Let's get him right out in the hall. 231 00:10:10,466 --> 00:10:11,766 - [Paramedic 2] Hang on one second. 232 00:10:11,766 --> 00:10:12,600 - [Paramedic 1] Oh he's freaking cold. 233 00:10:12,600 --> 00:10:13,400 Oh he's moving. 234 00:10:14,266 --> 00:10:17,166 (fumbling noises) 235 00:10:17,166 --> 00:10:18,433 - [Paramedic 2] What did he take? 236 00:10:18,433 --> 00:10:19,266 - [unknown woman] I don't know. 237 00:10:19,266 --> 00:10:20,500 - Hey buddy? 238 00:10:20,500 --> 00:10:21,300 - Do you have the bottle or something? 239 00:10:21,300 --> 00:10:22,533 - What's your name? 240 00:10:22,533 --> 00:10:23,333 - [unknown woman] I think these pills. 241 00:10:23,333 --> 00:10:24,600 - What's his name again? 242 00:10:24,600 --> 00:10:25,700 - [unknown woman] These pills, I don't know, I-- 243 00:10:25,700 --> 00:10:28,500 (muffled talking) 244 00:10:36,566 --> 00:10:39,033 (dispatch static) 245 00:10:39,033 --> 00:10:41,666 - [paramedic] He's never been known to use any? 246 00:10:41,666 --> 00:10:42,933 Heroine or opioids? 247 00:10:42,933 --> 00:10:44,633 I mean, he's not in trouble, 248 00:10:44,633 --> 00:10:46,200 it'll just help us treat him if we know. 249 00:10:46,200 --> 00:10:47,566 - [unknown woman] No. 250 00:10:47,566 --> 00:10:49,066 - [fireman] Where'd he'd get these? 251 00:10:49,066 --> 00:10:52,033 - [fireman] So we go on a heroine overdose 252 00:10:52,033 --> 00:10:54,066 is how they put it out on the radio. 253 00:10:54,066 --> 00:10:56,200 Unfortunately we've become so proficient 254 00:10:56,200 --> 00:10:59,733 at doing this we don't even have to talk to each other. 255 00:10:59,733 --> 00:11:00,833 You know one of the crew members, 256 00:11:00,833 --> 00:11:02,500 one of my guys asked me one day, 257 00:11:02,500 --> 00:11:05,266 "What is the difference between people living and 258 00:11:05,266 --> 00:11:08,100 "dying from a heroine overdose?" 259 00:11:08,100 --> 00:11:09,300 And I told him I said, 260 00:11:09,300 --> 00:11:10,966 "The only reason people live through 261 00:11:10,966 --> 00:11:12,366 "a heroine overdose is because 262 00:11:12,366 --> 00:11:15,533 "someone is there to call for them." 263 00:11:15,533 --> 00:11:18,000 When we find a person dead it is usually because 264 00:11:18,000 --> 00:11:20,466 no one was there with them to call. 265 00:11:20,466 --> 00:11:23,200 They stop breathing, their heart stops beating, 266 00:11:23,200 --> 00:11:25,466 and they pretty much die and go to sleep. 267 00:11:26,400 --> 00:11:28,100 I mean, we found people 268 00:11:28,100 --> 00:11:33,066 that were blue, no breaths at all, heart rate 150, 269 00:11:34,500 --> 00:11:36,333 and that surviving patient we can administer the 270 00:11:36,333 --> 00:11:39,933 Narcan start to pushing it into their system through IV 271 00:11:41,566 --> 00:11:44,533 and easily enough they sit up, 272 00:11:45,566 --> 00:11:47,400 "What happened?" 273 00:11:47,400 --> 00:11:50,533 And they're never, they've never used heroine. 274 00:11:50,533 --> 00:11:52,700 This is always the thing, 275 00:11:52,700 --> 00:11:54,300 "I didn't use heroine." 276 00:11:54,300 --> 00:11:55,566 We know. 277 00:11:55,566 --> 00:11:57,100 It's hard to admit, for these people, 278 00:11:57,100 --> 00:11:59,700 that they used and that they're in this position, 279 00:11:59,700 --> 00:12:01,333 but we know. 280 00:12:04,566 --> 00:12:06,033 - Drugs in rural areas are actually making 281 00:12:06,033 --> 00:12:09,433 what once was a very safe place, more dangerous. 282 00:12:09,433 --> 00:12:11,466 Everybody thinks that drugs are 283 00:12:11,466 --> 00:12:13,200 only in the cities or suburbs 284 00:12:13,200 --> 00:12:16,100 but in reality, they're out in the country. 285 00:12:16,100 --> 00:12:18,466 (foot steps) 286 00:12:19,500 --> 00:12:21,400 - [paramedic] Check his pupils. 287 00:12:21,400 --> 00:12:23,500 See if he's breathing and he's got a pulse. 288 00:12:25,100 --> 00:12:26,900 [Offscreen] The training for this is very important 289 00:12:26,900 --> 00:12:28,466 because we want to fight how we train 290 00:12:28,466 --> 00:12:30,000 and train how we fight. 291 00:12:30,000 --> 00:12:32,966 A lot of that goes for how realistic the training is 292 00:12:32,966 --> 00:12:35,200 and how you can actually make a difference. 293 00:12:35,200 --> 00:12:37,000 So what you saw was my partner and I 294 00:12:37,000 --> 00:12:39,700 going in from being dispatched into 295 00:12:39,700 --> 00:12:41,633 confirming that it was a heroine overdose 296 00:12:41,633 --> 00:12:43,700 or some form of opiod overdose. 297 00:12:43,700 --> 00:12:44,933 Administrating the Narcan, 298 00:12:44,933 --> 00:12:47,366 performing the bag valve ventilations. 299 00:12:47,366 --> 00:12:49,400 Waking them up and trying to keep them calm 300 00:12:49,400 --> 00:12:52,100 to the point that they understand what's going on. 301 00:12:52,100 --> 00:12:55,533 In the rural setting, drugs could range from heroine, 302 00:12:55,533 --> 00:12:59,700 to fentanyl, to methamphetamines, cocaine... 303 00:12:59,700 --> 00:13:01,400 But what a lot of people don't think about is 304 00:13:01,400 --> 00:13:03,200 the pills that are in our medicine cabinets 305 00:13:03,200 --> 00:13:04,700 that are prescribed to us. 306 00:13:04,700 --> 00:13:06,866 A lot of people are abusing things like the oxycodone, 307 00:13:06,866 --> 00:13:09,466 morphine, gabapentin is one of them that's been 308 00:13:09,466 --> 00:13:11,766 pretty big these days. 309 00:13:11,766 --> 00:13:13,233 Okay answer this honestly we are not 310 00:13:13,233 --> 00:13:14,266 the police I need to know 311 00:13:14,266 --> 00:13:17,300 have you taken any drugs today? 312 00:13:17,300 --> 00:13:20,333 - I think as macho men no one really 313 00:13:20,333 --> 00:13:23,266 wants to address, they don't want to admit 314 00:13:23,266 --> 00:13:25,866 that these things bother them. 315 00:13:27,266 --> 00:13:31,900 Over the years you've seen guys fall victim to alcoholism. 316 00:13:31,900 --> 00:13:36,866 I've seen, since I've been on, known 5, 317 00:13:40,166 --> 00:13:44,700 maybe 6 guys that have committed suicide. 318 00:13:44,700 --> 00:13:47,033 - Many of us, personal friends of mine, 319 00:13:47,033 --> 00:13:49,266 myself, you know, we have problems 320 00:13:49,266 --> 00:13:52,200 with alcoholism, drug abuse, ourselves. 321 00:13:52,200 --> 00:13:56,433 We have, very few of us have positive outlets for it 322 00:13:56,433 --> 00:13:58,766 because it's tough to develop. 323 00:13:58,766 --> 00:14:03,300 I mean this isn't stress from work in an office. 324 00:14:03,300 --> 00:14:06,766 This is seeing people die and having lives in our hands. 325 00:14:06,766 --> 00:14:07,933 - (chuckles) I mean you can see 326 00:14:07,933 --> 00:14:08,866 I've put on a little bit of weight, 327 00:14:08,866 --> 00:14:10,066 since I've been doing this, 328 00:14:10,066 --> 00:14:12,633 so, you know, unhealthy habits eating-wise, 329 00:14:12,633 --> 00:14:14,700 drinking is a very easy one to get into, 330 00:14:14,700 --> 00:14:17,100 thankfully I never got way into that, 331 00:14:17,100 --> 00:14:18,600 but I've definitely had those nights 332 00:14:18,600 --> 00:14:20,700 where you get home and you have a couple too many. 333 00:14:22,000 --> 00:14:23,233 And definitely many peers. 334 00:14:23,233 --> 00:14:25,600 I've had peers who have overdosed in the past, 335 00:14:25,600 --> 00:14:28,733 guys that struggle with alcohol use all the time, 336 00:14:28,733 --> 00:14:31,433 you know, I'm grateful that I didn't fall into those depths 337 00:14:31,433 --> 00:14:34,433 and I was able, I have a good support group that caught me. 338 00:14:34,433 --> 00:14:36,600 - All right so tonight we're covering mental health and EMS. 339 00:14:36,600 --> 00:14:38,533 I've been seeing things over the past couple of years 340 00:14:38,533 --> 00:14:40,133 and wanted to kind of get this topic started 341 00:14:40,133 --> 00:14:42,366 so I've been doing stuff the past five or six months, 342 00:14:42,366 --> 00:14:44,133 kind of looking into this. 343 00:14:44,133 --> 00:14:47,900 If you guys want to give me your thoughts and opinions 344 00:14:47,900 --> 00:14:49,766 throughout the class just pipe up. 345 00:14:49,766 --> 00:14:51,033 The more interactive we have it, 346 00:14:51,033 --> 00:14:54,433 the easier it is and the more fun it is. 347 00:14:54,433 --> 00:14:57,400 The topic of mental health had been on my mind for a while 348 00:14:57,400 --> 00:15:00,400 and in May I lost one of my bosses, 349 00:15:00,400 --> 00:15:04,866 at the other agency that I work for, to suicide and... 350 00:15:04,866 --> 00:15:06,900 Totally unexpected nobody saw it coming, 351 00:15:06,900 --> 00:15:08,433 nobody saw the warning signs, 352 00:15:08,433 --> 00:15:11,533 and that kind of made me jump into the, 353 00:15:11,533 --> 00:15:12,666 "let's look into this", 354 00:15:12,666 --> 00:15:14,400 "let's start talking about this". 355 00:15:14,400 --> 00:15:17,100 I created a survey which almost 250 people 356 00:15:17,100 --> 00:15:20,666 filled out that sort of lead up to the class 357 00:15:20,666 --> 00:15:22,200 that I taught on mental health. 358 00:15:22,200 --> 00:15:24,633 A few months ago one of my co-workers said, 359 00:15:24,633 --> 00:15:26,333 "Yeah we know we're all messed up, 360 00:15:26,333 --> 00:15:27,566 "why are we talking about this? 361 00:15:27,566 --> 00:15:29,733 "Why do we need to know that, you know, 362 00:15:29,733 --> 00:15:32,600 "we all have issues about these calls?" 363 00:15:32,600 --> 00:15:35,933 So I kind of wanted to get the discussion going 364 00:15:35,933 --> 00:15:39,866 and a lot of stigma about mental health and 365 00:15:39,866 --> 00:15:43,033 not being able to talk to people. 366 00:15:43,033 --> 00:15:44,266 You know. 367 00:15:44,266 --> 00:15:45,066 Here it says there's no shame in admitting 368 00:15:45,066 --> 00:15:46,300 that you're human. 369 00:15:46,300 --> 00:15:48,433 I'm trying to bring about some discussion 370 00:15:48,433 --> 00:15:50,000 and make it so that (drowned out by speaker) 371 00:15:50,000 --> 00:15:52,066 - To watch an eighteen or twenty year old, 372 00:15:52,066 --> 00:15:56,666 their life slip away, and they had everything going for them 373 00:15:56,666 --> 00:15:59,533 in the world other than this issue, 374 00:15:59,533 --> 00:16:01,833 and now they've lost their life. 375 00:16:01,833 --> 00:16:03,033 You can't fathom that. 376 00:16:03,033 --> 00:16:05,100 You can't wrap your head around it 377 00:16:05,100 --> 00:16:09,366 and realizing how much it effects their families 378 00:16:09,366 --> 00:16:13,266 and themselves and watching the death toll rise. 379 00:16:13,266 --> 00:16:16,233 It takes a huge chunk of your mental health 380 00:16:16,233 --> 00:16:20,833 not being able to do anything about it. 381 00:16:20,833 --> 00:16:25,766 But to see young kids dying is probably the worst. 382 00:16:25,766 --> 00:16:28,200 - This is going to take a toll not only 383 00:16:28,200 --> 00:16:33,133 on, you know, their career, but them personally 384 00:16:33,133 --> 00:16:35,866 and one of the biggest concerns we have is, 385 00:16:35,866 --> 00:16:39,000 not only are we just seeing people dying unnecessarily, 386 00:16:39,000 --> 00:16:41,466 we're going to lose a group of professionals 387 00:16:41,466 --> 00:16:44,033 because their careers will be cut short 388 00:16:44,033 --> 00:16:48,666 because repeated trauma like this and seeing it over 389 00:16:48,666 --> 00:16:50,266 and over and over again? 390 00:16:53,100 --> 00:16:54,466 Burns people out. 391 00:16:54,466 --> 00:16:56,533 You can't go to work everyday knowing 392 00:16:56,533 --> 00:16:58,133 that you're going to see a young person, 393 00:16:58,133 --> 00:17:00,300 who has no other medical problems 394 00:17:00,300 --> 00:17:02,500 other than struggling with whatever chemical 395 00:17:02,500 --> 00:17:04,700 that they're struggling with, die. 396 00:17:04,700 --> 00:17:06,800 That's not something that you can have happen to you 397 00:17:06,800 --> 00:17:09,066 everyday in your career and expect that 398 00:17:09,066 --> 00:17:12,366 it isn't going to change you, and shorten what you do 399 00:17:12,366 --> 00:17:14,266 from a career standpoint. 400 00:17:14,266 --> 00:17:16,600 - I find myself in a unique situation. 401 00:17:16,600 --> 00:17:19,000 My son, Cody, died from a heroine overdose. 402 00:17:19,000 --> 00:17:21,466 I work in the busiest company in the city 403 00:17:21,466 --> 00:17:23,533 that deals with heroine overdoses. 404 00:17:23,533 --> 00:17:26,000 - I remember it like it was yesterday 405 00:17:26,000 --> 00:17:28,866 I got a phone call from a friend of mine 406 00:17:28,866 --> 00:17:30,800 who was working at the fire house 407 00:17:30,800 --> 00:17:33,166 that responded to Cody's overdose 408 00:17:33,166 --> 00:17:36,500 and told me that he had died. 409 00:17:36,500 --> 00:17:39,966 - Cody got, I believe, addicted to heroine 410 00:17:39,966 --> 00:17:41,800 because when he was in twelfth grade 411 00:17:41,800 --> 00:17:44,266 he broke his foot in football 412 00:17:44,266 --> 00:17:45,933 and they prescribed him pain medication 413 00:17:45,933 --> 00:17:48,500 which ultimately lead to an addiction. 414 00:17:48,500 --> 00:17:49,966 Then when he was working at Pizza Hut 415 00:17:49,966 --> 00:17:51,800 his manager decided, "hey, I got something 416 00:17:51,800 --> 00:17:52,700 "cheaper that works just as good", 417 00:17:52,700 --> 00:17:54,333 and that was it. 418 00:17:54,333 --> 00:17:56,233 Once you do it you're hooked. 419 00:17:56,233 --> 00:17:58,300 - I don't know how he does his job. 420 00:17:58,300 --> 00:18:00,766 I don't know how he gets up everyday and comes here 421 00:18:00,766 --> 00:18:03,700 and he's constantly reminded not just from our calls 422 00:18:03,700 --> 00:18:05,500 but from calls throughout the city. 423 00:18:06,900 --> 00:18:10,433 Overdose calls, you know, people unresponsive. 424 00:18:10,433 --> 00:18:12,566 I don't know how he does it. 425 00:18:12,566 --> 00:18:15,500 I think his desire to help people, 426 00:18:15,500 --> 00:18:18,800 and maybe save someone else's life, 427 00:18:18,800 --> 00:18:20,166 that's what motivates him, 428 00:18:20,166 --> 00:18:21,900 and I think that's what drives him, 429 00:18:21,900 --> 00:18:24,600 is just the hope and just the prayer 430 00:18:24,600 --> 00:18:26,366 that he could help someone else 431 00:18:26,366 --> 00:18:28,933 because he wasn't able to be there 432 00:18:28,933 --> 00:18:31,733 for his son through his overdose. 433 00:18:34,966 --> 00:18:38,100 - My brother, Shawn, he was seven years older than I was. 434 00:18:38,100 --> 00:18:40,000 His addiction started because of an injury, 435 00:18:40,000 --> 00:18:43,400 serval years before the big issue started. 436 00:18:43,400 --> 00:18:45,600 He broke his ankle, 437 00:18:45,600 --> 00:18:48,133 and they started prescribing him the oxycodone. 438 00:18:48,133 --> 00:18:49,366 The different pain medications 439 00:18:49,366 --> 00:18:51,233 to help him get through the injury 440 00:18:51,233 --> 00:18:52,300 and that kid of got him started 441 00:18:52,300 --> 00:18:55,600 on the path of getting addicted. 442 00:18:55,600 --> 00:18:56,866 1408 copy. 443 00:18:56,866 --> 00:18:59,200 CPR in progress with one Narcan on board. 444 00:18:59,200 --> 00:19:01,966 When my pager went off, I got up just like I normally did 445 00:19:01,966 --> 00:19:04,333 because I wanted to go help somebody. 446 00:19:04,333 --> 00:19:05,800 1408 copy. 447 00:19:05,800 --> 00:19:08,666 CPR still in progress with two rounds of Narcan. 448 00:19:08,666 --> 00:19:11,133 Fortunately stopped myself before I got to the front door 449 00:19:11,133 --> 00:19:13,300 and realized that was my brother in there. 450 00:19:13,300 --> 00:19:14,800 And there was other people responding 451 00:19:14,800 --> 00:19:17,066 and I said, "that's my brother I'm not going in there." 452 00:19:17,066 --> 00:19:19,600 Knowing that I can't see that. 453 00:19:19,600 --> 00:19:21,800 Because I know I'd never be able to unsee it. 454 00:19:21,800 --> 00:19:23,700 They worked on him in the house. 455 00:19:23,700 --> 00:19:27,400 Tried Narcan, they gave him an IV, they intubated him, 456 00:19:27,400 --> 00:19:29,733 got him in the ambulance and took him to the hospital. 457 00:19:29,733 --> 00:19:32,233 And I knew he wasn't coming out of it. 458 00:19:32,233 --> 00:19:35,300 So now it was about how do I go and handle my parents? 459 00:19:35,300 --> 00:19:37,766 And how do I handle basically getting ready 460 00:19:37,766 --> 00:19:39,633 for my brothers death? 461 00:19:39,633 --> 00:19:42,100 It really didn't affect me until, 462 00:19:43,300 --> 00:19:44,800 I'd say probably about three months after, 463 00:19:44,800 --> 00:19:45,966 after the funeral was all done, 464 00:19:45,966 --> 00:19:48,500 after the condolences were done, 465 00:19:48,500 --> 00:19:50,633 kind of getting back into life. 466 00:19:50,633 --> 00:19:52,333 I went on a call with one of our paramedics 467 00:19:52,333 --> 00:19:54,033 that ended up turning into cardiac arrest, 468 00:19:54,033 --> 00:19:55,966 and as soon as I was doing CPR on the individual, 469 00:19:55,966 --> 00:19:59,266 I look down and all I can visually see is my brothers face. 470 00:19:59,266 --> 00:20:01,500 So I felt like I was doing CPR on my brother 471 00:20:01,500 --> 00:20:04,466 and I think it was just a subtle message in my brain saying, 472 00:20:04,466 --> 00:20:06,700 "you're not dealing with this appropriately." 473 00:20:06,700 --> 00:20:08,566 And that really messed with me to the point that 474 00:20:08,566 --> 00:20:12,933 I actually was on the hairline of quitting EMS as a whole. 475 00:20:12,933 --> 00:20:14,733 And that's when I went and got help, 476 00:20:14,733 --> 00:20:16,600 and said, "something is definitely wrong". 477 00:20:16,600 --> 00:20:18,000 And if it wasn't for my co workers, 478 00:20:18,000 --> 00:20:20,700 or the volunteers here, pushing me, saying, 479 00:20:20,700 --> 00:20:21,633 "Go get some help," 480 00:20:21,633 --> 00:20:23,600 I probably wouldn't be here. 481 00:20:23,600 --> 00:20:25,066 - This used to be a business. 482 00:20:25,066 --> 00:20:26,300 Especially when I first started, where it was very, 483 00:20:26,300 --> 00:20:27,600 there was a lot of machismo, you know, 484 00:20:27,600 --> 00:20:29,533 it was very alpha, you know, 485 00:20:29,533 --> 00:20:31,900 you weren't allowed to be affected by this stuff. 486 00:20:31,900 --> 00:20:33,333 Thankfully that's starting to change. 487 00:20:33,333 --> 00:20:34,933 It's becoming more okay to talk about 488 00:20:34,933 --> 00:20:37,800 the fact that these things do wear on you. 489 00:20:37,800 --> 00:20:39,566 Personally, I see a therapist. 490 00:20:39,566 --> 00:20:42,233 I have been diagnosed with PTSD. 491 00:20:42,233 --> 00:20:43,833 I'm not ashamed to talk about it. 492 00:20:43,833 --> 00:20:46,900 I take medications and I talk about this stuff. 493 00:20:46,900 --> 00:20:48,433 - Lately there's been a lot of talk about 494 00:20:48,433 --> 00:20:50,466 PTSD amongst the fire department, 495 00:20:50,466 --> 00:20:52,166 police department, fist responders. 496 00:20:52,166 --> 00:20:54,966 I think this is the first time that people are starting 497 00:20:54,966 --> 00:20:59,866 to recognize that PTSD doesn't have to be a one time event. 498 00:20:59,866 --> 00:21:03,400 It is actually an accumulative event of tragic things 499 00:21:03,400 --> 00:21:05,900 you've seen in your life and things that have happened. 500 00:21:05,900 --> 00:21:07,333 Whether you're in the military, 501 00:21:07,333 --> 00:21:10,300 you're a police officer, you're an EMT, or a firefighter. 502 00:21:10,300 --> 00:21:12,533 I'm sure doctors and nurses have it. 503 00:21:12,533 --> 00:21:15,466 I think a lot more people that are in the service industry 504 00:21:15,466 --> 00:21:20,433 and help people that are in need may have PTSD at some level 505 00:21:21,633 --> 00:21:25,933 because it is taxing to see people suffering. 506 00:21:27,066 --> 00:21:29,733 - [paramedic] Hey there how are you doing? 507 00:21:29,733 --> 00:21:31,266 You nodded off there. 508 00:21:31,266 --> 00:21:32,666 - [unknown woman] Yeah. 509 00:21:32,666 --> 00:21:33,666 - [paramedic] Yeah you nodded off. 510 00:21:33,666 --> 00:21:35,266 How much did you use? 511 00:21:35,266 --> 00:21:36,200 - [unknown woman] (slurring) What do you mean? 512 00:21:36,200 --> 00:21:37,200 - [paramedic] Couple bags? 513 00:21:37,200 --> 00:21:38,333 - [unknown women] Yeah. 514 00:21:38,333 --> 00:21:39,900 - [paramedic] All right. 515 00:21:39,900 --> 00:21:41,733 Did you get anything? 516 00:21:41,733 --> 00:21:43,533 - [paramedic] 128 on 72. 517 00:21:43,533 --> 00:21:44,466 - [paramedic] That's good. 518 00:21:44,466 --> 00:21:46,633 (dispatch beeping) 519 00:21:46,633 --> 00:21:51,566 - What I hear in the stories of first responders is that, 520 00:21:52,766 --> 00:21:57,300 we don't want to admit our own suffering. 521 00:21:57,300 --> 00:22:01,000 And there's a kind of vulnerability that comes 522 00:22:01,000 --> 00:22:05,133 with saying this is really hard. 523 00:22:05,133 --> 00:22:08,300 And it's really weighing me down. 524 00:22:09,433 --> 00:22:11,766 If we can do that in community 525 00:22:11,766 --> 00:22:16,666 and make it an acknowledgement of our humanity, 526 00:22:16,666 --> 00:22:21,633 that we are human beings and that actually it's expected, 527 00:22:22,833 --> 00:22:25,966 as a human being, that we are going to have 528 00:22:25,966 --> 00:22:28,000 these kinds of responses. 529 00:22:28,000 --> 00:22:31,400 Can help people be able to release it, 530 00:22:31,400 --> 00:22:35,333 rather than to have it accumulate day after day, 531 00:22:35,333 --> 00:22:38,533 week after week, month after month, 532 00:22:38,533 --> 00:22:42,000 in a way that eventually causes burn out. 533 00:22:42,000 --> 00:22:42,933 (engine idling) 534 00:22:42,933 --> 00:22:43,733 - [paramedic] It's okay dear. 535 00:22:43,733 --> 00:22:45,300 Hold my hand. 536 00:22:45,300 --> 00:22:46,133 (woman crying) 537 00:22:46,133 --> 00:22:47,466 It's okay. 538 00:22:47,466 --> 00:22:48,700 It's okay. 539 00:22:48,700 --> 00:22:49,933 - [unknown woman] Sorry. 540 00:22:49,933 --> 00:22:51,300 - [paramedic] No, don't be sorry, it's okay. 541 00:22:54,400 --> 00:22:55,533 It's okay. 542 00:22:55,533 --> 00:22:57,100 (woman crying) 543 00:22:57,100 --> 00:22:58,700 Slowly in through your nose and out through your mouth. 544 00:22:58,700 --> 00:22:59,566 There you go honey. 545 00:23:00,866 --> 00:23:02,700 Just relax it's going to be okay. 546 00:23:02,700 --> 00:23:04,800 You're not in any trouble. 547 00:23:04,800 --> 00:23:06,533 She said she did a couple of bags, 548 00:23:06,533 --> 00:23:08,333 she's been clean for a little while, 549 00:23:08,333 --> 00:23:10,300 but she's real upset right now. 550 00:23:10,300 --> 00:23:11,233 - [paramedic] Did you guys give her anything? 551 00:23:13,466 --> 00:23:15,766 No, she's got a needle on top of her purse. 552 00:23:18,700 --> 00:23:22,233 - [unknown woman] (gasping) I'm sorry. 553 00:23:22,233 --> 00:23:24,833 - [paramedic] It's okay. It's okay. 554 00:23:24,833 --> 00:23:25,900 It's going to be okay. 555 00:23:25,900 --> 00:23:28,066 (woman crying) 556 00:23:28,066 --> 00:23:29,400 Just breathe. 557 00:23:29,400 --> 00:23:32,700 (woman breathing) 558 00:23:32,700 --> 00:23:37,533 - How is it that we take people who sought out this work 559 00:23:37,533 --> 00:23:41,033 because of their compassion, because of their big hearts, 560 00:23:41,033 --> 00:23:44,166 and put them in situations that are devastating? 561 00:23:44,166 --> 00:23:48,500 That an over time have accumulative effect upon 562 00:23:48,500 --> 00:23:51,766 how they feel physically, how they feel emotionally 563 00:23:51,766 --> 00:23:54,600 and also on their mind set how they see the world? 564 00:23:54,600 --> 00:23:58,533 They see things that don't fit at times with their beliefs 565 00:23:58,533 --> 00:24:00,400 about how things should go, 566 00:24:00,400 --> 00:24:02,000 and that can be very difficult 567 00:24:02,000 --> 00:24:04,600 for people to process and make sense of. 568 00:24:04,600 --> 00:24:07,066 So ultimately what seems to help people, 569 00:24:07,066 --> 00:24:09,533 is if they find someway of making 570 00:24:09,533 --> 00:24:11,433 the meaning of the experience 571 00:24:11,433 --> 00:24:14,733 and trying to either improve the system in some way, 572 00:24:14,733 --> 00:24:17,000 or help others that have been affected. 573 00:24:17,000 --> 00:24:19,733 That seems to be a critical part of healing 574 00:24:19,733 --> 00:24:22,233 in the face of all this trauma 575 00:24:22,233 --> 00:24:25,266 and sadness that healers experience. 576 00:24:25,266 --> 00:24:27,866 - I do remember coming to, aspirating and vomiting, 577 00:24:27,866 --> 00:24:32,666 and seeing his face carrying me down these stairs. 578 00:24:32,666 --> 00:24:35,033 Two fire fighters were down in front of me 579 00:24:35,033 --> 00:24:36,533 with his arms underneath me, hooked, 580 00:24:36,533 --> 00:24:38,000 and then I went back out 581 00:24:38,000 --> 00:24:39,933 and I woke back up in the ambulance. 582 00:24:41,700 --> 00:24:44,566 - Krista is a person that we saved, 583 00:24:44,566 --> 00:24:48,800 on Orchard street, I believe the street was. 584 00:24:48,800 --> 00:24:50,666 She was friends with Cody. 585 00:24:50,666 --> 00:24:53,633 - [Krista] John and Carrie Vagg and their daughters 586 00:24:53,633 --> 00:24:55,133 came to my wedding, 587 00:24:55,133 --> 00:24:58,500 and I got to share the best day of my life with them, 588 00:24:58,500 --> 00:25:01,600 and I would not be here without John. 589 00:25:01,600 --> 00:25:02,833 I wouldn't have my son. 590 00:25:02,833 --> 00:25:04,466 I have a one year old who's never seen me use. 591 00:25:04,466 --> 00:25:06,833 I have a beautiful husband and a home 592 00:25:06,833 --> 00:25:09,100 and that's not where I was five years ago. 593 00:25:09,100 --> 00:25:11,300 I was in jail and I had nobody. 594 00:25:11,300 --> 00:25:13,766 - [John] I've seen you know one, 595 00:25:13,766 --> 00:25:15,566 (pastor speaking) 596 00:25:15,566 --> 00:25:18,433 good story in 200, you know. 597 00:25:19,333 --> 00:25:21,066 The odds are so slim, 598 00:25:21,066 --> 00:25:22,966 that somebody actually makes it out 599 00:25:22,966 --> 00:25:25,000 and makes something of their life. 600 00:25:25,000 --> 00:25:28,000 I'm very impressed to see that but I always worry. 601 00:25:28,966 --> 00:25:30,900 As stressful as this job can be, 602 00:25:30,900 --> 00:25:33,433 that's what keeps me going personally. 603 00:25:33,433 --> 00:25:38,400 Our hope that we can affect somebodies life positively 604 00:25:39,166 --> 00:25:40,600 and there's always hope. 605 00:25:40,600 --> 00:25:43,566 I say it all the time, that hopes springs eternal! 606 00:25:43,566 --> 00:25:45,566 And you never know what it is that can help them. 607 00:25:45,566 --> 00:25:47,500 Maybe it's just a kind word, 608 00:25:47,500 --> 00:25:50,333 maybe it's a pat on the back, saying, 609 00:25:50,333 --> 00:25:52,033 "you can do this, you can help yourself, 610 00:25:52,033 --> 00:25:54,033 "you can get fixed," you know, 611 00:25:54,033 --> 00:25:55,933 and you never know and we'll never know 612 00:25:55,933 --> 00:25:57,600 and we don't ever find out, 613 00:25:57,600 --> 00:26:00,233 for the most part, if someone's helped themselves or 614 00:26:00,233 --> 00:26:04,566 made it out of this debilitating crisis that they're in. 615 00:26:04,566 --> 00:26:05,400 (firetruck siren) 616 00:26:05,400 --> 00:26:07,433 But there's always hope. 617 00:26:07,433 --> 00:26:10,433 (gentle piano music) 618 00:26:10,433 --> 00:26:13,000 (firetruck sirens) 619 00:26:13,000 --> 00:26:16,066 (gentle piano music)