East Prov. firefighters handle house fire Sunday morning

East Prov. firefighters handle house fire Sunday morning


(JP) WHILE SO MANY OF US (JP) WHILE SO MANY OF US WERE TRYING TO BEAT THE HEAT TODAY, OTHERS HAD NO CHOICE BUT TO BE OUT IN THE SWELTERING CONDITIONS. EYEWITNESS NEWS REPORTER BRIAN YOCONO WAS ON THE SCENE OF A HOUSE FIRE WITH EAST PROVIDENCE CREWS TODAY… HE SHOWS US HOW THEY RESPOND DIFFERENTLY TO A CALL WHEN THE TEMPERATURE PUSHES 90. I WAS READING THROUGH INFORMATION FROM THE CENTERS FOR DISEASE CONTROL ABOUT WORKING IN EXTREME HEAT. FIRE FIGHTERS ARE LISTED AMONG THE POSITIONS AT RISK FOR HEAT STRESS, WHICH CAN LEAD TO HEAT STROKE, EXHAUSTION, CRAMPS, AND RASHES. WITH THE TEMPERATURE ALREADY IN THE 80s BY MID- MORNING SUNDAY, YOU CAN IMAGINE HOW HOT THIS SCENE WAS ON WATERMAN AVENUE IN EAST PROVIDENCE. Battalion Chief Glenn J. Quick – East Providence Fire we had a fire in the rear of the building. fire companies advanced the hose line to the rear of the building and put the fire out pretty quickly. BATTALION CHIEF GLENN J. QUICK TELLS ME THE CALL FOR A FIRE IN THE BACK OF THIS SINGLE FAMILY HOME WENT TO A SECOND ALARM BECAUSE OF THE HEAT. “The fire fighters, they carry about 50-60 pounds of gear and they get pretty worn out pretty quickly at a fire with the heat index approaching the 90s.” CREWS RESCUED THREE PETS. THE FIRE WAS CONTAINED TO A REAR ADDITION. HOLE CUT IN THE ROOF TO LET SMOKE AND HEAT ESCAPE. “we were really worried it was going to spread over the back wall of the original building and that’s a concern with balloon construction and these types of structures.” WHILE THE CLEAN-UP CONTINUED, FIRE FIGHTERS TOOK TURNS IN THE SHADE, SEEKING RELIEF. COLD WATER AND FANS ON SCENE TO HELP THEM COOL OFF. I ASKED BATTALION CHIEF QUICK HOW HE PREPARES HIS CREWS WHEN THE FUTURECAST SHOWs SEVERAL DAYS OF HOT WEATHER. “we just make sure all the on-duty fire fighters are well hydrated both at the fire house and at an incident like this.” AMONG THE C-D-C’S RECOMMENDATIONS FOR LIMITING HEAT STRESS IS INCREASING THE NUMBER OF WORKERS FOR THE TASK BEING DONE, WHICH IS WHAT THE FIRE DEPARTMENT. I’M BRIAN YOCONO, EYEWITNESS NEWS.

Shaun White: The Guy who Raised the Bar in Snowboarding | Legends Live On

Shaun White: The Guy who Raised the Bar in Snowboarding | Legends Live On


To be a legend in a sport
you have to change it. You force the rest of the sport to become better
because you exist. He’s just an incredible athlete
and amazing competitor. I’ve done more in business
and in life and these things than I ever have
after winning the Olympics. There is that old adage,
it’s lonely at the top. It is. People think I’m from Vermont,
people think I’m from Colorado, like, I’ve never
in my entire career as a professional snowboarder,
lived in the mountains, never. I’m considered one of
the world’s best snowboarders and I’m from the beach, man,
I had asthma as a kid. I didn’t like the altitude,
the cold, any of these things but I’m, I guess,
considered one of the best. He makes everything
look easy, right? That’s the sign
of an amazing athlete, as you do the most
difficult things, you make them look easy. Probably one of the best
competitors there’s ever been in snowboarding. He’s just influenced the sport
and got so many people into it, it’s just incredible. I always had a drive
to be the best. I always wanted to skate
so well at the park that Tony Hawk would notice me. Shaun used to skate here
all the time. Shaun used to live down here
so this was his local ramp. So basically
I would see him on the ramp and it was this legendary guy
that would just show up and skate the ramp
and talk about being inspired. I mean, seeing the world’s
best at your park every day, doing his thing,
I mean, it was amazing. This little kid, basically,
he started to get his strength, he started to get his
confidence and all of a sudden he was doing tricks
that we had never dreamed of. I first became aware of Shaun when he first put out
a video on YouTube and I think
he was 11 years old. It was just incredible
watching him snowboard. He was so above his time,
like, it was mad. My brother was seven years
older than me. I would follow him
through the park and hit all the jumps that
he was hitting at the time. By the time I was his age
about seven years later, I was already off
doing these big tricks that a lot of
the pros couldn’t do or a lot of the guys at the
mountain were just learning and I was way younger
than everyone. He was the only kid around and he was beating
all the men hands down in a lot of the contests. I was at a snowboard event
here in southern California and I remember
seeing this little kid. I mean, he looked like a pixie, with his giant helmet,
coming down the halfpipe. I won the first
contest I entered when I was about
eight or nine, or something like that
and people were taking notice of me
at the mountain. I was really young,
I was really small but I was still able
to clear the big jumps. They called him
the Flying Tomato and it was all about his red
hair and his freckles. I didn’t really get along with
the other kids at that time because, you know,
it was competitive. Shaun felt detached
from his peers because he was so
far ahead of them and I honestly went through
the same exact thing, especially in my teenage years
and my 20s. I was winning most
of the competitions. By the time I went pro
it was like, OK, I’m pro and,
you know, no-one’s taking me seriously
because I’m tiny. It was very bizarre and surreal to be a part of
the Olympic team and I wasn’t really ready
or expecting that. You know, I found myself
in the room with all the other
US team riders, cheering for curling, cheering
for the downhill skiers. All these people that we don’t
totally take notice of but you’re a part
of this team now, you’re all wearing
the same outfits, you’re doing the thing together and so it was just
like a community vibe that I got when I was there that I wasn’t expecting
to experience. You’re coming into Torino
with a lot of expectations for the US team. This is our sport,
we started this. (SHAUN WHITE) (TORINO 2006 MEN’S SNOWBOARD
HALFPIPE FINAL – RUN 1) Just incredible,
he was so consistent and he was just
getting higher and higher and I wish I could
go that high. I tell you now, going that
high out of a halfpipe must be so scary. He gets more amplitude
out of the halfpipe than just about anyone and he holds that
throughout his run. And the reason getting height
out of the pipe is so difficult is because it not only takes
incredible technique to hold your edge
in an icy halfpipe, but the higher you get
out of the pipe, the more risk you’re taking.
So it takes a lot of guts. He was incredible, he went
early, pretty high score and one by one
he watched his competitors go and not match his score, so his
last run was a victory lap. (TORINO 2006 MEN’S SNOWBOARD
HALFPIPE FINAL – RUN 2) I’ll never forget coming down
to the bottom of the halfpipe and I knew I’d done something
pretty incredible and amazing when I saw my family there and they’re all in tears,
everyone’s crying and I realised that
we had made it. Please welcome
the Olympic medallists. You know, you’re
on the world stage. To win something like that
just carries so much weight. Nothing really
has the same ring as ‘I’m an Olympic gold
medallist’. You can be anywhere
in the world and say that and people will
turn their head. Shaun White. At the time I didn’t realise how much weight
it was going to carry. You know what I mean? I didn’t really understand
what was happening. Knowing that now, I would have
been terrified at the time. That was the most difficult
time almost of my life, I would say,
after that first Olympics. It was very hard to deal
with the new success. Everybody wants you
to do some sort of stunt. They’re like, come out,
you’re the extreme guy. We’ll hang you upside down,
we’ll slide you in, you know, and you’ll have
some sort of stunt and can you wear your
goggles on the stage? And I had to say no. I had to say no
to all these people because that wasn’t who I am. You’ve got to also learn
to ignore the haters, and I think Shaun did.
I mean, he had plenty. There’s so much in life
that could side-track you but I managed to keep my focus
on what I wanted to do. I wanted to show not only
myself and competitors and fans and all these people and
sponsors, all these things, that it wasn’t a fluke
the first time. The stakes have grown
in those four years. The tricks were becoming
more and more advanced, so going into that Olympic, Shaun was certainly
the talk of the Games. (VANCOUVER 2010 MEN’S SNOWBOARD
HALFPIPE FINAL – RUN 1) When you watch him
ride a halfpipe, you can see compared
to everyone else, his technique’s flawless,
he’s always on one edge. He’s never making
any scuff marks in the flat bottom
of the halfpipe. It’s always a clean edge
and he always gets the pop perfectly
off the wall and he’s always
going the biggest so he’s always going to be
at the top and winning. The judges want to see that you
can spin both directions, that you can take off
front side and back side. They want to see variety
and they want to see amplitude. They want to see that
you are getting height out of the halfpipe and that you are performing maybe even some of your
toughest tricks at the bottom of the pipe
at the end of your run, meaning you’re keeping speed
and amplitude throughout the run. He was so way more ahead
than anyone else, it was mad. So I’m standing up there
at the top of the halfpipe and I’m in first place. Riders are going, falling,
scores are coming in. No-one’s beaten my score
and I realise that the last rider had dropped and didn’t beat my score. So I had won the Olympics
and I’m overwhelmed with joy and just, I don’t know,
adrenaline and all these things and I realise, wow, I still
have one more run to go. And I had this special trick, the double McTwist 1260
in my back pocket just in case somebody
landed some once in a lifetime
sort of thing and I had to really pull
this out of the bag. Vancouver,
everyone’s talking about the double McTwist 1260, right? You didn’t even have to know
anything about snowboarding – you knew the term
double McTwist 1260. He’s won already. He could literally
go down the halfpipe and do straight airs
and he’s still won, but he wants
to prove to everyone that he’s still got
extra in him. I’ve got to do it.
I’d talked about it, people are expecting it,
I’m going for it, I don’t care
and that’s kind of like a deal that I made with myself before I even got there,
I’m like, I’m doing this. (VANCOUVER 2010 MEN’S SNOWBOARD
HALFPIPE FINAL – RUN 2) I saw his set-up,
it was not ideal and when you’re unleashing
a new trick like that, everything leading up to it
has to be on point. You have to get
the right landing, you have to get the
right amount of speed and when I watched him
approach it, I was like,
it’s not going to work. And Shaun, being the fierce
competitor that he is, figured it out. If you watch the footage
I actually landed pretty badly. It was a poor set-up for this
trick on the air before it and so, I don’t know, I was
just committed on doing it and I just, I made it work. He did not have
to throw that trick. That was, I think,
one of the most memorable moments of Vancouver and one of the most defining
moments in Shaun’s career. He already had the top score and then he goes and tries this
insanely hard trick at the end. That’s what we do as
skateboarders, as snowboarders. It’s the stage that you’re on. I mean, it was the venue, it was the time to unleash
something like that. People came up to me, they
still come up to me and they’re like, man, you won it. You should have just ridden
down with your shirt off, like waving the flag,
like straight down the middle, but you went and you did
something spectacular and one up
the run you had before and you didn’t have to do it, and that’s the spirit of,
you know, competition and being an athlete
and showing everything. I left it all out on
the mountain that day. I didn’t really hold back and
that’s… I was content after. Gold medallist
and Olympic champion, representing the United States
of America, Shaun White. I remember showing up
at an X-Games competition and feeling very,
feeling pretty hated in the world
of snowboarding. There’s a resentment there
when you’re that successful, but it’s jealousy,
what can you say? People want to be
in that position and they want a taste
of what you’re experiencing. There is that old adage,
it’s lonely at the top – it is. Been thinking about
this one for a while but it’s for a good cause
so I want to do it. I want to donate it, though. Right around that time
when he cut his hair, people kept asking,
“You’re the Flying Tomato, “without all that crazy hair, “what’s your new nickname
going to be?” And I remember him saying,
“Can you just call me Shaun?” Let’s try being Shaun White
for a little while. It’s a good cause. I did it for you,
Locks of Love. I don’t think it was
anything besides just looking
a little more serious and he was running
businesses at the time. He’s a man now, he’s not that
crazy kid that’s on the ramp, that’s trying anything
and trying to get attention. It’s so funny because competing
in 2006, I won the gold medal and it marked one of the most
difficult times of my life. A couple of years
later it’s like, the Vancouver Olympics
is coming up, if I just win this Olympics
it’s going to solve everything. It’s a great cause,
what you’re doing. Someone will appreciate
this and love it. I got to the Olympics,
I wanted to cement who I was in the sport and have another win at the
Olympics and I did it, and you finish that marathon and there’s just
another one waiting. Bye-bye. (OLYMPIC WINTER GAMES
SOCHI 2014) Sochi was really hard. The halfpipe wasn’t brilliant,
it was offline. The pipe wall wasn’t
properly straight. I was now doing
two disciplines. I was going for slope style
and halfpipe, so my time was divided. We got there and
the slope style course was just out of control. People were getting hurt
left and right. I watched a friend of mine get knocked out right
in front of me and I’m like, I don’t know
if this is worth it. So I had to make this
extremely difficult decision to pull out of slope style,
which was horrible. What I was feeling inside was actually portrayed
physically in the course and it was tough, I mean,
just to see the things that happened online – he was
a coward and this happened, he should have given his spot
to the other person. I earned that spot, you know, I earned it and I can do
with it what I please. I think that he had
stressed himself out trying to stay at the top
of the halfpipe and then run over and play
catch-up in a slope-style scene that had just skyrocketed
in the few years that he wasn’t competing in it. I plan and I think out
every detail of what I’m going to wear, to what the sky’s
going to look like to, you know, what I should
probably eat. Every time before
a competition I eat a steak. I don’t know whether it’s
going to help me or not but this is the meal I eat. And my coach came back
and he’s just like, “Man, we’re in
the middle of Russia, “I can’t find you a steak
right now, it’s super late”. He heated up some old like,
pork that was in the fridge and I’m just like, “All right, “if you want to break
tradition tonight, OK”. So we get up there
and things are going well. I won the qualifying
with this great run. I’m like, “OK,
I can shake it off “and we can get through this”. And I remember
being there at the top and I had this certain song
playing in my pocket and it was just like watching a crazy movie unfold
before your eyes. I mean, I remember being there but I don’t remember being
in control of myself or what was happening. (SOCHI 2014 MEN’S SNOWBOARD
HALFPIPE FINAL – RUN 1) I remember watching it. I was down at the bottom
of the halfpipe and it’s just horrible because obviously I was rooting for
him, I wanted him to win. I don’t know, it just felt off. I’m not going to win
and I knew it. It was a very strange thing
to say that and it’s wild to be
this honest with you guys but I knew, I just felt it,
it’s just this weird gut thing and I was pounding myself
on the mountain and in my mind and all these things
that if I just keep beating myself over
the head with it, maybe it will just work out and my skill will be
so next level that I’ll ghost ride
through it and I’ll win. (SOCHI 2014 MEN’S SNOWBOARD
HALFPIPE FINAL – RUN 2) He had one experience
at the Olympics, winning it. Winning it on his first run, coming out of the Olympics
as the face of the Olympics. And so to be internally
dealing with failure, of not even making the podium, of not landing the run
you came to land, not doing the tricks
you came to do, not even competing
in both events, I can’t imagine
what that felt like. People felt for me even more, you know, to see the one
expected to win not win. People that were in the sport
that really disliked me were all of a sudden posting
on their Instagrams about how great I was and
he’s just a spectacular guy, and I’m like, you hated me
like just before this. It was amazing
to see the mind-set and the veil that got dropped over people’s eyes where
they realised that I’m just like them. I had the tricks to win. I had everything going my way and I just couldn’t
let myself do it. Yeah, winning’s great,
it makes you feel great. It’s like you accomplished
something, you set out a goal
and you did it and it’s amazing
and you earned that but, you know, it doesn’t
really equal happiness. And finally I had won the
Olympics and I was unhappy. I won the Olympics
I was unhappy, I lost the Olympics
and I was happy. He seemed to throw himself
into music and his band and that was sort of
where he found comfort. He went on tour with them
and got away from snowboarding and by the time I had seen him,
he seemed like a different guy. It’s changed me and I think
I’ve done more in business and in life and these things than I ever have after
winning the Olympics. I’ve started my own companies,
clothing lines. I’m a part owner
in Mammoth Mountain. I own a sports and music
festival called Air and Style. We do events all
over the world. I was in a band, I did
all sorts of fun things and lived my life and people
still called me the champ, and I realised
that you can’t really take away what happened
in the past. Every athlete today
was an aspiring one as a kid and had their heroes and sought autographs and
dreamed about being an athlete and so I think now, when
someone becomes an athlete, they get it. I had open heart surgeries
as a child and I wasn’t supposed
to be very active. The odds are stacked against
you from the beginning. The Make-a-Wish Foundation, they contacted me
at a young age and said, “Hey, we have a child “that would like
to come meet you “or come snowboard
if that’s possible, “or just to get to know you”. I was very honoured and humbled
and, yeah, of course, I mean, I would love
to do that for somebody. I mean, what an honour. Kyle had seen Shaun
snowboarding and had just been
so impressed with him that he wanted to meet him
and he wanted to snowboard with him for a day. The more they talked,
the more they realised that they had a lot in common, that they were both
from San Diego, they had both had
open heart surgery, they had the same surgeon. And then, I think what was just
the icing on the cake is that they compared scars
and the scars matched. My family spent so much time
in the hospitals like, this thing
that we went through and so now speaking
with other families, I get it. When Kyle told me about it, it was if he didn’t
even remember that he had a heart condition, that he had had
open heart surgeries and that his health was bad. What he knew was that that
was the best day of his life. And so it’s rewarding
not only for me but hopefully for them as well and I love to do it,
any chance I get, I say yes. Since 2008, Shaun has granted
at least 20 wishes to kids. It’s pretty great to feel
content in ways, you know, with my life,
with my business, with my friends, my family and to realise that
this is what I do, you know, I snowboard. I do many things
actually now in life, but this is one of them
and I’m great at it. And something pretty
amazing has happened and we knew it was
going to happen but it’s just amazing
that it’s finally here – skateboarding is now
in the Olympics. Snowboarding introduced
this youthful energy and this youthful viewership
into the Olympics, into the Winter Games, and I firmly believe that
skateboarding will do the same for the Summer Games. I would have to make a very
big decision at that point if I’m going to go
and try to compete at the Summer Games
for skateboarding. He’s just an incredible athlete
and amazing competitor across skateboarding
and snowboarding and I don’t think there’ll be anyone like him
for a long time. He’s going to keep
snowboarding, he’s not going to quit.
Are you kidding me? Even if he chose
to be out of the limelight, if he chose to never compete
again, never be on TV again, you’ve got to bet anything he’s going to be out there
snowboarding. To be a legend in a sport
you have to change it. You force the rest of the sport to become better
because you exist and that is why
Shaun is a legend. If I can inspire that
for the next generation that’s pretty amazing. The clothing line, damn. You’ve got to be quick. Hell, no, I’m, going
to drag this one out. (SHAUN WHITE ACHIEVED
THE HIGHEST EVER (OLYMPIC HALFPIPE SCORE
AT VANCOUVER 2010, (HAVING ALREADY WON
HIS FIRST RUN) (HE HAS CREATED AN ANNUAL MUSIC
AND SKI FESTIVAL, (IS CO-OWNER OF A SKI-RESORT (AND RUNS HIS OWN
CLOTHING BRAND) (SHAUN’S OLYMPIC DREAM
IS TO ADD (A SUMMER GOLD IN SKATEBOARDING
AT TOKYO 2020)

Nightcore – every time that i’m high – (Lyrics)

Nightcore – every time that i’m high – (Lyrics)


Always been violent, never just learned to keep quiet I don’t like turning the page, struggle to pick up my eyelids I keep on hiding in home, if you don’t like me just go I keep on trying to stay, but you don’t want me all alone Time keeps on turning away, why do you always need space I don’t care about the times that you fucked up with him You’ve been fucking with me to my face Follow my vision, and dick down these bitches I don’t give a fuck what the people will say, it’s in my imprint There’s something that’s different The way that I sing and the way that I sway You keep on trying to copy my plays I can’t see shit, I am lost in a haze All of my life I’ve been smoking away Tripping on chemicals deep in my brain Slide in that bitch and I tear up the sides Riding the wave, you ain’t catching the vibe I hit her up every time that I’m high What if I told you I wanted to die Tear up the sides, catching these vibes, no, no Time that I’m high, every time that I’m high Told you I wanted to die, oh no Always been violent, never just learned to keep quiet I don’t like turning the page, struggle to pick up my eyelids I keep on hiding in home, if you don’t like me just go I keep on trying to stay, but you don’t want me all alone Time keeps on turning away, why do you always need space I don’t care about the times that you fucked up with him You’ve been fucking with me to my face Follow my vision, and dick down these bitches I don’t give a fuck what the people will say, it’s in my imprint There’s something that’s different The way that I sing and the way that I sway You keep on trying to copy my plays I can’t see shit, I am lost in a haze All of my life I’ve been smoking away Tripping on chemicals deep in my brain Slide in that bitch and I tear up the sides Riding the wave, you ain’t catching the vibe I hit her up every time that I’m high What if I told you I wanted to die Slide in that bitch and I tear up the sides Riding the wave, you ain’t catching the vibe I hit her up every time that I’m high What if I told you I wanted to die No, no

How Is A Buffalo Bicycle Built? | World Bicycle Relief on GCN

How Is A Buffalo Bicycle Built? | World Bicycle Relief on GCN


– Welcome back to World
Bicycle Relief Week here on GCN, helping to change lives through the power of bicycles. Hopefully you’ve seen
a couple of the recent videos on GCN where we
followed some locals here in Zambia using Buffalo bikes, and how important they
are to their daily life. Well, today we’ve been invited here to the assembly plant to see exactly how the Buffalo bikes are put together. That’s a heavy door, and I’m quite weak. (upbeat music) Okay, so if you come in here, this is the World Bicycle Relief
Buffalo bikes assembly room. Has a core group of 10 people who put the Buffalo bikes together,
where they will then be put into the various
storerooms that we have, over this side. We thought we’d show you exactly how they go about building the Buffalo bike, from start to finish. So we are going to start over here. With Kelvin, he is the man
who takes the bare frames at the very start, and as you can see, he puts the forks in and the headset and the bearings, but he is also in charge of putting the bottom bracket in, the cranks on and also the pedals. Once he’s finished with
that, he will then put it over here and it’ll be
ready for a central part which we will get on
to a little bit later. Now, over here is a man
who has really the most intricate job of all the people here, making the Buffalo bikes. This is Maben, as you
can see, he is in charge of making up the mud
guards, or the fenders, for those of you over in the US. If you’d zoom in right now you would see a load of very, very
small bolts and pieces to put those fenders
together, and he’s using, as you see, a power drill to make sure that everything is as
tight as it should be and doesn’t rattle loose when it’s getting some rigorous use out in rural areas. As I said, we will go on to these guys, Evans and Judas in just
a few moments’ time, but before we get to them,
I want you to come over to the back in here, because
is this is where the wheels are all made from scratch. So there’s a core group
of four people here, we have Wiggan, we have Pison, who’s gonna help me build a bike
a little bit later on. I’ve also got Joe and Dennis. Now, the first two, Wiggan and Pison, they are in charge of the spokes. They will individually,
for each of the 36 spokes, into the front and rear hubs, and when it goes over to
Pison there in the corner, he will feed them into the rim with the nipples, etc. and at the end of that, we have a wheel which looks like this. So it looks like a wheel, not much use on any bike,
let alone a Buffalo bike. So that is when they will go on to Joe, and his partner in crime over here, their job is to tension ’em up and make sure the dish is central. There’s quite a lot of quality control goes into each stage
of the process as well. And then finally, almost finally, penultimately should I say, we head over to where George is, just over here. (tools whirring) George is in charge of putting the tyre and the inner tube and
the wheel reflectors on. These are all very
important parts, obviously. The tyre needs to be at exactly 60 psi. That is what they have found
to be the most durable. They are special tyres, incidentally, with a slightly different compound which allows ’em to last a year or two, as opposed to around three months that you would get with rigorous use with a normal compound. So he’ll make sure that the tyre is correctly seated on
here and completely okay for the next person to use. Then, all those separate
parts, so the bit that Kelvin starts, and then the
fenders and the wheels are completely built up. They will come over to Judas and Evans. Normally there’s two of them based here in the middle and they will
put the whole lot together. Now, those two are also in charge of putting the handlebars
and the stem together, and also the grips. They all come to these
two central stations, and by the time that Evans
and Judas are finished, we’ll pretty much have
a full Buffalo bike. But there are two parts still missing. So, the very final parts of the process rest with this man, Uram. Now, he has a very important job, first he’s got two parts
to finish off first. The bell, which is what he’s doing now, so people can hear when a rider is coming. And he also does the chain guard down at the bottom here. But finally, Uram’s
job is quality control, so he makes sure that everything is absolutely perfect on these Buffalo bikes, before he then agrees to put them in the storage room
which is just behind you. (tools whirring) I should probably let those
guys crack on with their job. But they have become incredibly efficient in the years that they’ve been doing it over here in Zambia, to the point where, on a good day and if they are needed to, they can apparently
build 100 Buffalo bikes, which really is quite incredible when you consider there’s 36 spokes, and that means 200 wheels. Very spectacular, indeed. Now, a lot of these guys have been working here for a few years. It’s a very nice place
for a Zambian to work, because they get medical
provision and care, but they also, if they are
required to do overtime, actually get paid
overtime, which is a rarity from what we understand over here. Now, I understand that Pison has got a little job for me to do. So we probably should
find out what that is. (upbeat music) Right, so now, we have been looking at the professionals doing their job, very efficiently over
there in the assembly room. They decided that I should also have a go at assembling a Buffalo bike myself, so hope you got some patience out there. (upbeat music) It’s a process which
they make look very easy and which I don’t. I blame the lack of power tools. Or perhaps lack of power of any sort. Yeah, still got a quarter
turn on it. (laughing) (upbeat music) I’m happy with that, it’s quite straight. Anyway, whilst I’m struggling
to turn some screws, let’s have another look at how these bikes are actually used. A couple of days ago, we
went to Distribution Day, a quite overwhelming experience. Now, at the end of it, we met Tisilla. We joined her as she, for the first time, rode the seven kilometres home, instead of walking. Tisilla is the youngest
of eight in her family. None of her siblings
finished their education, the distance to school
just proved too much. And Tisilla herself, in fact, she stopped a couple of years ago, too. However, a friend
convinced her to continue her studies, and it was this determination which earned her a Buffalo bike. She’s now got a much better
chance of finishing school, and has ambitions of
eventually becoming a nurse. Here we are. That was tough. Poor Tisilla’s got a really
big climb up to her house, but that was her maiden voyage on a newly donated Buffalo bike. I think she enjoyed it. These are the differences
that your donations are making in the real world. What time do you– – Oh five. – Oh five, you start walking. And now with this, what time
do you think you will leave? – 6:20. – 6:20, an hour and 20 difference. Having seen it firsthand,
it’s really quite emotional. For us, a bike is a
means of being sociable, healthy, a means of being
competitive, or adventurous. For them, it’s a means to a better life. Help us this year to
raise as much as possible, by clicking on the link
on your screen right now, and donating whatever you can. – We can try it. – And we’re done. We’re gonna ride it, thank
you very much, Pison. Well, I think I’ve
decreased their productivity in the day, having used
Pison for the best part of an hour but we’re
there, we’ve got a bike. Still holding together so far. I did offer Pison a backy, but he didn’t want to get on for some reason. All right, well all
that leaves us to say is a huge thank you to World Bicycle Relief, inviting us here to the assembly plant to find out how all these
Buffalo bikes are made. Hopefully, somebody will
get the use of this one, at some point after it’s gone through some quite severe quality control. We are, as you very well
know, trying to raise as much money as we possibly can for World Bicycle Relief again this year, so that we can get as many of these bikes to the people that need them,
’cause as the tag line goes, bicycles really do make a huge difference to people’s lives over here. So if you’d like to see
details of how you can donate to World Bicycle Relief you can find that in the description just
down below this video. And if we raise enough
money, won’t be me shaving my head this year, but instead Matt and Si are going to ride pretty much naked across central London,
so that’s worthwhile in itself, I think you have to say. So follow that link and
please do donate generously as you did in 2016. Now, if you would like to see exactly how these bikes are used
over here in Zambia, you can click through to
the following two videos, just down here, we follow a student and just down here, a local farmer.

Anxiety & Stress Relief with Diaphragmatic Breathing

Anxiety & Stress Relief with Diaphragmatic Breathing


I’ve got something to tell you about the
way you’ve been breathing you’ve been doing it wrong. I know you’ve been
breathing for a while since you were born and you probably take it for
granted that you know what you’re doing well in the breathing department. You’ve made
it this far but hear me out, and let me reacquaint you with the way
nature intended for you to breathe. Here’s what we’re going to cover in this
video today: 1) How most people are breathing wrong, and why? 2) A simple way to get more oxygen into your body to experience massive health benefits, and
3) Jow to reduce anxiety and even stop panic attacks in their tracks with a
simple breathing technique. First, let’s take a look at how you’re breathing
right now. Get ready to take in a really deep breath and hold it. Are you
ready, set, go! Now hold that breath for a moment and notice something. Did your
shoulders go up, and your chest expand like mine just did? For the majority of
us, when we’re told to take in a deep breath in, what we do is we expand our
chest and draw the air into the upper part of our lungs. Unfortunately what
this shows us is that you’ve unconsciously become a “chest breather.”
What this means is that you’re doing most of your breathing efforts with your
chest and even your neck muscles. It’s not the most efficient way to get oxygen
into your body because it only partially expands the lungs. Over time, chest
breathing can contribute to neck and shoulder pain. Now, I know this from
experience because I used to have chronic shoulder pain for years. The
bottom line is, you weren’t born as a chest breather. However, for most people
it has become an unconscious pattern to breathe using short, shallow breaths that
only go into the upper portion of the lungs. Years of poor posture, bad habits,
and stressful thinking eventually lead to less than desirable breathing
patterns. The chest breathing pattern of taking in short sips of air into the
upper lungs is adequate for living, but it’s inefficient for thriving. Stress
is a big contributor. Shallow breathing is a physiological response to stressful
thinking. Bad posture also plays a part. Do you sit for long hours in front of
the computer? Well, I know I do sometimes! Then there’s lack of exercise. As you
probably know, rigorous exercise naturally facilitates deep breathing and
stress release. And if you’re not getting enough exercise, eventually you might pay
the price with poor breathing habits. Then there’s pollution.
if you live in a smoggy city, or work in an industrial area, taking in a deep
breath can sometimes be a scary proposition. And don’t get me started
about smoking, that’s the worst. Smokers will reach for
a cigarette when they’re stressed, and then they actually condition themselves
to inhale with short puffs. It’s actually the opposite of a deep relaxing breath.
Finally, we breathe shallowly and poorly for looks! We’re culturally programmed to
expand our chest, and suck in the gut, because it makes you look “sexy.” Well, that
might look good in the mirror, but chest breathing only partially engages the
lungs, and it’s not very efficient at all. We take in about 20,000 breaths every
day. Most likely you’ve been chest breathing all day, every day, for a very
long time. You’ve only been getting a portion of
the oxygen that you could be using to energize your body, and lower your stress
levels. Oxygen is the most important source of life. You could actually survive without food for
several weeks. You could go without water for several days, but if you cut off your
oxygen, you’d be dead within minutes. Imagine the change in your health and
your energy if you could automatically take in more oxygen on an ongoing basis
just by breathing more efficiently. And I’ll tell you this, there is a direct
correlation between a person’s health and the oxygen levels in their body.
Cells that get insufficient oxygen become weak, and even die. There’s also a
theory that low oxygen levels may even contribute to cancer causing cell
mutations. So what is the answer? It’s the type of breathing that every mammal in
nature uses when they are in a state of relaxation.
It’s called diaphragmatic breathing. It’s also known as abdominal breathing, or
belly breathing. What many people don’t know is that the primary muscle for
breathing respiration is actually located under your lungs, and above your
stomach. It’s called the diaphragm. It’s a large, dome-shaped muscle, located
horizontally between the chest cavity and the stomach. Contracting the
diaphragm causes it to flatten out like this, and this creates a vacuum that
pulls air down into the lungs, and it pushes the belly out. When you breathe
with your diaphragm, your belly expands, instead of your chest. So try this out
now. Put one hand on your chest, and one hand on your belly.
Now, inflate your stomach as you breathe in, while keeping your chest and
shoulders relaxed. Sort of like this. Imagine expanding your stomach like a
beach ball, and that will push out the hand that’s over your belly. Avoid
expanding your chest outward or your shoulders upward. You want the hand
over your chest to remain still, and the hand over the stomach to expand outward. Inhale deeply by pushing your stomach
out. EXHALE slowly, and feel your stomach pulling in. Your shoulders and your chest
should stay relaxed. You might notice it takes some effort to
do belly breathing the first time you try this, because it’s much different
than what you’ve been doing. Unconsciously, your neck and chest
muscles have been doing most of the work up until now, leaving your diaphragm down
here weak and inefficient. The first time you try this, you might even get a little
light-headed, and that’s fine. Belly breathing is the healthiest and most
natural way to breathe. This is how you were born breathing. If you watch a
sleeping baby, you’ll see that’s how they breathe. The belly expands, but not the
chest. The act of pushing your belly forward as you breathe engages the
diaphragm. This allows you to take deeper breaths that engage far more lot of your
lungs capacity, and that means more oxygen gets into your lungs, and of
course eventually into your bloodstream. Just as important, deep and slow
belly breathing triggers the body’s natural relaxation response. In other
words, it interrupts the “fight-or-flight” response associated with stress, anxiety, and even panic attacks. Knowing how to breathe this way is an absolute must to
massively reduce your day-to-day stress levels. Deep belly breathing, done
correctly, is a master key to profound relaxation. It’s not a coincidence that
every traditional relaxation practice places a
high priority on deep breathing exercises, whether it’s meditation, yoga,
or even hypnosis. So, how can we make belly breathing natural again? While you
may have an unconscious habit and a pattern of being a chest breather now,
you can consciously choose to take control of your breathing pattern at any
time through conscious practice and conditioning. You can actually train your
nervous system with belly breathing until it becomes natural for you once
again. Taking in some structured deep belly breaths several times throughout
your day will re-engage your diaphragm muscle while conditioning your
subconscious mind to return to this natural state of breathing. Here’s a
structured, deep belly breathing exercise that will increase your energy while
dramatically cutting the head off of your anxiety, and your stress levels.
Here’s how you do it. You’re going to inhale through your nose slowly for a
count of four, then you’re going to hold that breath
for a count of four, and then finally exhale through your mouth for a count of
eight. Now, for this deep breathing practice exercise, we’re intentionally
going to take twice as long to exhale as inhale. The reason is that helps to
stimulate parts of your nervous system that produce the relaxation response.
This breathing exercise will teach you to breathe slower than what you’re used
to, breathe more deeply than what you’re used to,
and to use your diaphragm, by belly breathing, to regulate the inhales and
the exhales. Let’s do it now with the 4-4-8 count. A four count inhale,
a four count hold, and then an eight count exhale. Ready? Breathe in, hold it, breathe out. That’s it. Doing that simple power
breathing exercise several times a day will have amazing benefits for you, and
here’s why. Deep belly breathing causes profound physiological changes. It very
quickly decreases your heart rate and your blood pressure, and because it also
engages the lower portion of your lungs instead of just the upper, more oxygen is
getting into your bloodstream, releasing natural endorphins and serotonin. In
other words, taking in these deep belly breaths creates a relaxation response
that interrupts the fight-or-flight response of high anxiety. You will most
definitely notice a change in your stress levels simply by doing this
breathing exercise. As of right now, belly breathing is probably not your
unconscious style of breathing. However, simply continuing to practice belly
breathing will eventually lead to this becoming an unconscious habit. That’s the
goal. Meanwhile, just the daily practice of deep belly breathing will
have immediate benefits for your health, because you’re getting more oxygen into
your body, and your concentration and focus will actually improve while your
stress levels will go way down, and that’s a fact! So, here’s your action plan
of what you can do right now every hour of the daytime, basically your wakeful
hours. Simply practice three, deep belly breaths, using the 4-4-8 count.
Breathe in through your nose for a count of four, hold it for a count of four, and
then breathe out through your mouth for a count of eight. Do this three times in
a row each time. This doesn’t have to take a lot of time. Just a few moments to
center yourself, and take three deep belly breaths. If you have a smart
phone, which you probably do, there are some apps available that can cause your
phone to ring a short reminder alarm every hour,
like the hourly beep from an old digital watch. I use an iPhone, so I’ve been using
an app called “Chime.” I do believe this particular app is available for other
smartphones as well. I’ve got the chime app set to beep
once every hour between the hours of 9 a.m. and 10 p.m. That’s my reminder
throughout the day at the top of every hour to practice 3 deep belly breaths
using that 4-4-8 count. So, here’s the rookie mistake, and that would be
not taking action right now to set up this reminder system to practice this
every hour. You’ve got to get this habit reinforced as quickly as possible, or
else you’re going to forget to do it. So, before you forget, stop the video right
now, get an app for your smart phone, or if you have a digital watch lying around,
set that to beep every hour in order to remind you to take three deep belly
breaths every hour of the day. It’s simple, it’s fast, and it’s very
empowering. Let’s talk now about how to stop anxiety attacks with a
simple breathing trick. Here’s the physiology of what occurs when a person
experiences strong anxiety, or even worse, a panic attack. Very often, there’s
difficulty breathing, or a feeling like you can’t catch your breath, like this.
That’s a common system for a panic attack. This happens not only because
you’re breathing in short, shallow breaths into your chest, but you’re going
too fast, and you’re trying to take in new air before you let the old air out.
This leads to the feeling that you’re not getting enough air, which of
course leads to even more panic. You might even be hyperventilating, which is
literally “over breathing” with shallow breaths that leave you feeling
like you’re just not getting enough air. Here’s the thing. The physiology of
anxiety, the physiology of a panic attack, requires shallow panic breathing. You can
actually break this pattern of panic breathing with slow deep breaths into
your belly. In other words, deep diaphragmatic
breathing, belly breathing, creates a pattern interruption for feelings of
anxiety. It’s not congruent, and an anxiety attack
cannot physiologically continue if you consciously take control of your
breathing. There’s a few tricks to keep in mind in order to make sure that
this works for you. The first trick is to exhale first before you try to catch
your breath. You’ve got to stop that pattern of hyperventilating, or trying to
pull in new air, before you’ve exhaled the old air. The first thing you need
to do is stop everything, and then exhale with a sharp burst of air, almost as if
you were blowing out a candle. Try this. This activates the diaphragm. You can
literally feel it engage as your abs tighten up when you exhale. This
creates a temporary but intentional interruption to the shallow panic
breathing. So, you stop everything, and you exhale first to clear your lungs, and
then just pause for just a moment, and then start doing the deep belly
breathing exercise with the 4-4-8 count. Breathe in through your nose
for a count of four, hold the breath for a count of four, and then breathe out
slowly through your mouth for a count of eight. While you’re at it, check
your posture. Good posture is the posture of confidence and being in control.
Sit up straight, or stand up straight, as you take in slow deep breaths that fill
up your belly, but not your chest. Breathe more deeply than you’re used to. Breathe
slower than you’re used to, and use your belly to regulate the inhales and the
exhales, and continue to focus on your breathing for as long as it takes for
the panic attack to stop. This might take a few minutes, but the body will respond
regardless of what’s going on in your mind. Here’s another important
consideration. If you ever do have panic or anxiety attacks, you must practice
deep, confident, belly breathing in advance of your next panic,
so you’ll know exactly what to do to break the pattern when the time comes.
Because if you wait until you’re in a state of anxiety to apply what you’ve
learned here, that’s too late! You’ll be overwhelmed, and most likely you won’t
remember what you’re supposed to do. You need to practice this in advance
while you have your wits about you, and right now there’s a feeling of being in
control. To recap: there’s really two potential
rookie mistakes that could happen here for people that suffer from anxiety or
panic attacks. First, would be not practicing the deep belly breathing
exercise in advance. Practice it often so you’ll know exactly what to do before
the next anxiety attack happens. Second, if you’re actually having a panic
attack, and you feel like you’re trying to catch your breath, you’ve got to
remember to stop everything and exhale first to empty out your lungs,
and pause for a moment. So pause, break that pattern of quick shallow panic
breathing and trying to bring in new air before the
old air has been released, and then start with the deep belly breathing exercise.
Here’s one final point about using this strategy. Deep belly breathing is
very effective, and it will stop the physiological symptoms of a panic attack,
but it doesn’t resolve the underlying thought process going on in your
subconscious mind that created that surge of anxiety in the first place.
There’s some sort of unconscious stimulus-response pattern that triggered
the anxiety. Well, the good news is that there are most certainly some very
effective and wonderful techniques for breaking up those triggers, and creating
permanent, lasting changes to break those patterns of anxiety. We’re going to
learn and apply those cutting-edge techniques in the FearCureCourse.
To wrap things up here today, for this video, just remember, pretty much every
person on the planet can benefit from the practice of deep belly
breathing, and practicing deep belly breaths throughout the day will train
your nervous system to make belly breathing natural for you once again.
Conscious practice eventually leads to subconscious adaptation. Thank you for
watching the video. Please hit “like” on the bottom if you found this to be very
helpful, which I hope you did, leave some comments, and let me know how well what
you learned today is working for you. Thanks for watching!

The Initial Interview with a Personal Injury Lawyer – Ed Smith

The Initial Interview with a Personal Injury Lawyer – Ed Smith


When an attorney first meets an injured client,
both attorney and client are evaluating each other. The client wants to find someone knowledgeable,
experienced and compassionate. The attorney is evaluating how this client’s
personality will appeal to a jury if the case gets that far. Is the client honest and forthcoming? Are
they getting the quality medical care they need? The existence of insurance is the next thing,
the personal injury attorney explores. Even in a clear responsibility accident, without
insurance coverage, it’s difficult to obtain a recovery. The attorney will explore if there’s auto
insurance, any medical insurance and if the other side has adequate insurance limits or
if the client has an adequate uninsured motorist insurance policy. The attorney will look carefully at who is
responsible for the accident and why. Finally, the nature and extent of the clients
injuries will be explored and a plan of action drawn up on the case. I’m Ed Smith a Sacramento Personal Injury
attorney. See our Reviews on Yelp and AVVO and call me anytime at 916-921-6400 in Sacramento
or 800-404-5400 elsewhere.

Conversations from the Bedroom: Sex after Spinal Cord Injury

Conversations from the Bedroom: Sex after Spinal Cord Injury


[ Silence ]>>Hello and welcome to the
Spinal Cord Injury forum. My name is Jeanne Hoffman,
I’m the co-director of the Northwest Regional
Spinal Cord Injury System and also a psychologist
here at the University of Washington Medical Center. The forums, the video
recordings, and all of our online media
content are all brought to you and to all of us by funding
through the National Institute on Disability and
Rehabilitation Research. Tonight we have the pleasure
of having 3 fantastic consumers as well as a doctor here to talk about conversations
from the bedroom. And while we understand and know that sex is an important unique
part of every person’s life, we also are hoping that maybe in doing this tonight we
can answer some questions and maybe even prompt you to
ask further questions and things that you can think about. So I’d like to welcome
Becka Nardi, Aditya Gana Potharaju
[phonetic], Todd Stabelfeldt and
Dr. Debbie Crane. And so tonight, we’re going
to have an opportunity for me to ask questions with
them and respond. At the end of that we’ll turn
to the audience for questions. So if you have any questions
we’d like you to hold them to the end and then we’ll have
also time, I know that a couple of people would like to also
share some other information with you. So, thank you and welcome. So I’m going to just
start tonight with Becka, Becka can you just
tell us a little bit about when you were injured
and how you were injured?>>Okay. I am currently
29 years old. I was injured just over 2
years ago at the age of 27. I actually had gone into
the hospital to have a baby and ended up being
paralyzed after delivery. They did a bunch of tests and
found a tumor in my spine, and here I am now 2 years later with a little toddler
running around.>>So, when you were injured
obviously right around the time of your delivery, when did you
first start thinking about sex?>>I mean I definitely
started thinking about it again in the hospital but it was
you know, I just had a baby and so it was you know,
several weeks out obviously where it would even
seem imaginable. Yeah I think the doctor
had said you have to wait at least 8 weeks just you
know, in regular circumstances. But I spent about a month here
at the hospital and had to talk to the rehab psychologists and
doctors here just a little bit to get information
about you know, how that will even happen again. So, it was, I think my main
concern was like logistics like how does this work you
know, it’s definitely can’t be as spontaneous as things
used to be and you know, you have to figure
out like okay, like how are we going
to make this happen. It had to be a lot of dialogue
with my husband like you know, how is this going to work out?>>Okay, Aditya [phonetic], why
don’t you tell us a little bit about when you were injured
and how you were injured.>>I was injured 8 years ago. I had a spinal cord injury
due to a motorcycle accident. I was 19 at that time
and riding on my way home from school I think
when it happened. And immediately after I went
to that local medical center, there I did an in-patient
stay and then came back here. So and, in terms of
sex, that wasn’t really on my mind for a long time. Mostly because I was just in a
lot of pain, ’cause I have a lot of sensation below my injury
and so my groin, in [inaudible] in particular were
hypersensitive. So when nurses would come in or
during tests, during cleaning, it’d be extremely painful so sex was not really something
I’d think about for a long time. It was actually on
Eight North [phonetic] that I first started thinking
about it and I mean I was like 90 pounds at that time
and like if you were there, I was about you know, in a lot
of pain and really depressed and didn’t really
want to do much. And so, going and flirting
with women wasn’t really on my list of things to do. But, fortunately I had a really
inquisitive and thoughtful nurse who brought the subject
up once and said you know, just asked about my
history before you know, were “have you been
with many girls before?” and my answer is no because I
was pretty young and kind of shy in high school and she
said “well you know, people can still have
sex after their injury.” And at that time I was thinking
lady [inaudible remark]. [Laughter] You’re crazy alright, like it hurts just
looking at it. And you know, nothing happened
on that avenue for a long time but she planted a seed
because while she would talk about things in a
conceptual way, in a hypothetical way she
also mentioned her partner, let’s call ’em John and Jane. So Jane actually, she said, really liked how her
partner John moved his arms and how he had his beard
from his injury still without shaving it you
know, these quirky things that you find about
your partner. Well it turns out that John was
actually a spinal cord injury person also. He was injured about
the same age I was and they are actually
living together and later she would tell
me that that was one of the most you know, physically and emotionally satisfying
relationship she’d ever had. So that planted a seed
that it was possible.>>So at that time you
still weren’t ready to totally go there but at least
you started thinking about it.>>Right. It showed
that you know, it was a possibility even though
I wasn’t anywhere near ready to start thinking about it.>>Okay. So Todd
tells us a little bit about when you were injured
and how you were injured?>>Okay. I was injured
actually in 1987. So, summer of my 2nd grade
year going into 3rd grade, and my momma decided to remodel
her bedroom to remove a bunch of rifles that [inaudible]
my father had owned. And he had unfortunately
passed away 4 years prior and so now there was a bunch
of guns in a spare room and I started paying with them. This was about the
time when Rambo was out and Bruce Willis was
saving the Nakatomi building and that was pretty
critical back then. And so, we thought that
we know, we know the guns and that’s a joke [inaudible]
okay and I made a playing with them and went to bed on
a Wednesday night and woke up Thursday morning and
unfortunately started playing with the guns again and when he
requested it, and he shot me. So he shot me at the chin
and that sort of deflected to the jaw, severed my spinal
cord at C4, so I spent you know, well over a year in the
hospital, rehabilitation center in the 80’s and I
thought about you know, sex and it sounds weird but an
8-year old boy, seeing it quite on TV so I’ve [inaudible]
that word but she was afraid of it figured so,
it worked itself out you know, so that was so–>>And I don’t know
at 8, did anybody, did any of your medical
providers? No? Nobody brought it
out at that young age. [ Laughter ]>>I know you’re 9 but
we’re going to talk about the birds and the bees. How’s that word, dove and
the bees and the chair?>>So, over time Todd, how was
your thinking about sex changed in terms of you know,
with disability?>>Well you know, I’ve been
doing this in 25 years, it changes quite a bit. You go in different
seasons of up and down. I think my teenage
years you know, that was fascinating ’cause
you know, your puberty in high school and everybody’s
got you know, girlfriends and stuff and I’m wearing
a diaper you know, awesome. So, how does that work? And again I was just sort
of scared and very nervous and 3 choices made when I–
when we go to the physician and I want to go to Berkeley
so I left high school early and ended going to college. And when I was in college that
is then called the internet and there were certain websites and one website say it was a
website called playboy like, you might be familiar with it. And it’s a magazine run
by an interesting company and so I began to
explore this idea of this thing called
pornography and it was wow, this is pretty incredible
stuff you know, and of course over time it ruined you but it
was initially pretty fantastic and you know, the 19-inch
flat panel doesn’t you know, talk back and it comforts and
it’s okay that you’re lifeless from the neck down so porn
became a solution again for a season and it
started corrupting a lot of things that’s a
later question, so–>>Aditya how about you? How was your thinking about
sex changed over time?>>Well, from in terms of my
thinking about sex is an issue and sex is like a
conceptual thing to think about where is this,
how is it related to me? It changed because at
first I got discharged from the hospital
not a lot of change. And then I went to a nursing
home for a short period of time and then a series of group
homes and so needless to say not much went on then you
know, I tried to be cool at it and you know, lived
in a group home. Start a date probably too but
I didn’t try but you know, I [inaudible remark]
I’m getting to bed by 7 but I’ll be fine, I’ll be fine. So, anyway afterwards I got into
an independent living situation and things changed in terms of
when I first started going back to school and I met a lot of new
people there, I was able to talk and I met other people
who had similar injuries. I met other people at
school who weren’t injured at all the people in the
disability community and found that although I had a
significant impairment, most people didn’t treat
me as the odd one out. So, in a sense I fit into a lot
of different groups and that’s when you know, I started
dating and finding out more things about–>>And thinking that sex
was actually something that was in your future?>>Oh yeah. I think, I think everyone would
like to think that you know, sex is hopefully in
your near future. One of the things that
is a [inaudible] of sex, unless you know, you’re going
at it atypically is flirting and you know, like spending
time with women or men or both. And one of that, the
barriers to like talking to people was something that had
to be kind of broken down first. And so in a sense, the
road to sex involved, the road to just becoming
better at interacting with people you’re
attracted to and in a sense, that became easier after
the injury for me ’cause like I said I was
pretty shy in high school and I wasn’t great
at talking to folks. But after you’re injured you
know, you have no privacy. You’re there playing
naked under a bed sheet and there’s 14 different
people coming in and you know, putting tubes in you
and running you around. And so you also, when you
had a higher level injury, have to become really adapted,
guiding people and talking to people about what you need in
expressing exactly what you like and what you don’t like and so
that I think that translates into when you get that
into better social skills, which helps in a
lot of different– yeah, in different ways.>>So Becka, you
didn’t have to start from the dating or meeting hot–  >>People? [ Laughter ]>>But how was sex,
you’re thinking about sex change
since your injury?>>It suddenly came to me in
the initial thought of course. It’s like, well let’s
wait 3 months until you’re walking again
and then do it, you know. But I’m so glad we didn’t go that route ’cause here
we are [inaudible]. You know, so we did I think we
probably waited like 2 months after the injury and then you
know, tried things again and–>>And that’s about the
time that they recommended for pregnancy [inaudible].>>Yeah. I mean it changed
I guess as far as like, I think we’re back to
like normal life now. You know, we– it doesn’t
seem like weird anymore, we’re not concerned like
it were going to hurt me if I move my leg a
certain way or you know, there’s just things you have to
get used to I guess over time. I have extremely high spasticity and it’s just gotten
[inaudible] as time goes on. So that’s something’s
that we have to deal with and that definitely
changes things.>>You talked about just kind
of the maintaining the intimacy so not only sex but intimacy
was part of that too. Can you talk a little
bit about [inaudible]–>>Okay I’ve– I’ve just,
I’ve always thought I guess that sex was an extremely
important part of a committed relationship and
so it was very important to me that you know, even
if I you know, can’t feel half my body though
it still be something that we do on a regular basis just to
express my love with my husband and to maintain that
part of our relationship. You know, whether I was getting
the same you know, feelings, and pleasures and joy out of it
or not, I didn’t want anything to change for him
because a whole lot of other things changed for
him and I wanted that to be as normal as I could
possibly be.>>So Aditya, I’ll
start with you, tell us about your experience
getting back into sex.>>All right, [inaudible
remark]. [ Laughter ]>>Oh yeah.>>Well I’m going to talk
about 2 sexual experiences. I’ll mention to you rather, not specific experiences
but 2 partners. One with whom I had a
really good experience just relationship with in terms
of sex and one that was not so great which kind of shows you that the disability can
sometimes really make a big difference in terms of how you
interact with a romantic partner and sometimes it’s just
not a big deal at all and it doesn’t become an issue
unless you make it to be. And so, you know, with one
partner, I was going to think of funny code names but I
might just give it away then, who these people are. With one partner, I
actually met her in– at school at the
disability commission. And so we met and it was you
know, we’re both kind of awkward in a sense and we started dating
and you know, one thing led to another and we got
really close and you know, at one point I had already
started like thinking about all the logistics
like what am I going to do, like I can’t take my
pants off myself right? And luckily by then I had
a suprapubic catheter, so this is something
we talked about too. I had a urethral catheter
for a long time and because since I have sensation
in my penis and groin, anything that touched
it was just awful, it was really a bad neuropathy. So that would be an instant
turn off if I, you know, cringed in pain if she was
trying to touch me, right? Generally not that hot. Once I got a suprapubic
and healed from that, I kind of freed up the business, the man business,
yeah, the situation. And so, it kind of went
as a, you know, I– I didn’t know what to make of
it but you know, we were making out in my room and
everyone asked like, so exactly how did it happen? Like, right, but you know, they
don’t really ask explicitly. Well we were making out and
she was sitting on my lap which is nice for the wheelchair
you know, you don’t have to find a seat somewhere
and you know, making out and getting kind of worked up and then she asked
can you get into bed? To which I said, “Of
course, yeah let’s do this,” but not thinking about the
transfer ’cause I wasn’t doing any transfers yet ’cause
that’s kind of a big deal if you end up on the floor. So I was like yeah, I just–
I just need you to do this and this and so I was
directing my [inaudible] as we were got well to do. And I told her, I need you to do this little [inaudible]
type thing and telling her how to do a [inaudible] it and so we
finally got in barely, like I– my back was on the bed,
everything else was off. So I was like okay just spread
my legs and [inaudible] quick. And she warned me, she
was like I’m really weak and I haven’t been, you know,
exercising that recently. I was like, oh awesome. So then we got into bed and we
discussed briefly in the future, courses of action and oral
sex followed, and it was good. And then on the way out it was
also funny and kind of absurd and that no one else was home
and so, well actually going back to that actual pseudo-sexing,
one of the things that happen with spinal cord
injury guys you know, like you might not
ejaculate normally, we might have differences
in erections for men or you might have a catheter in. She was really cool and
that when I did ejaculate, not ejaculate, when I did
orgasm, it wasn’t you know, without, it was without
ejaculation. But I did orgasms
anyway just from contact. She said, “Oh, so was
that good for you? And I was like, “Yeah I you know
I spasmed and like you know, I had a really good time too.” She was like, “Cool,
that’s really hot.” You know, and so she was very
accepting and she wasn’t weirded out or didn’t look at me funny. I had a, you know,
really good experience, almost fell on the floor
on my way out but so, next time can’t really think about doing transfer
training you know, for sex. But just thinking
at the logistics like maybe getting
sliding board or you know, [inaudible] like
when we’re in bed– [ Simultaneous Talking ]>>A little bit. Unless, I don’t know maybe–>>She’d get on with you. [ Laughter ]>>Slings–>>Stick in the moment
for 30 minutes.>>Right, right. [ Simultaneous Talking ]>>And the, the not so
great experience, right? Is that what–>>Well, no, I was going to
ask you a little bit more about you know, what are the
kinds of things that it sounds like you know, her
openness to just kind of following your
direction in terms of what you needed was
definitely part of that. But, you also had talked
about just other ways that your communication just
really helped things along, can you talk a little
more about that?>>Yeah. Well she was really
open and uninhibited, unlike me and so we would talk about
things not as if they were weird or things that, “Oh you’d have to wait before you
could bring that up.” You know, we would talk about,
she would ask about so orgasms and stuff and we were
both science nerds. So we went on PubMed
and looked up you know, male ejaculatory response and
vibratory stimulation and things like that and actually both of
us at one point went to Babeland which is a sex toy
shop in Capital Hill. And it’s run by women so it’s
not kind of creepy, you know. And they’re really open
and you can go there– [ Inaudible Remark ]>>Yeah and you know,
say what do you recommend for this, or this? And they even have a book
on the ultimate guide to sex in disability or something. And so we went to
that and we got this– she actually got it by herself,
this really hard core vibrator and so after just the typical
normal sex that you know, after that gets kind of, okay
let’s try something else. We decided to go to power tools
as I call ’em, and so that was when I had my first,
like ejaculatory orgasm which I’ve read about
you know, and I talked to doctors about it too. But you know, it’s
something I want to find out, you know, experience firsthand. And it was really good and that
it was probably the most intense orgasm I’ve had ever before
my injury and you know, my whole body was really
warm and euphoric and then within a few seconds I had
a really pounding headache and probably severely high
blood pressure from dysreflexia. So I had to ask her
to sit me up. So on the, it was a combination
of bliss and also terror that I might have a stroke. So immediately I asked, or
later I asked a rehab nurse and my nurse practitioner
like, should I not do this and will I have a
stroke next time?>>Well let’s ask Doctor Crane,
what kind of things come up and what kind of discussions? Obviously autonomic dysreflexia
is something that can happen with orgasm or during sex. For the reasons, can you
speak to that a little bit about what are the concerns and what should people
be thinking about–>>With autonomic dysreflexia?>>Yeah and sex, yeah.>>Yeah I mean I think anytime that I mean any stimulus can
cause below your level of injury if you’re something that’s at
risk for autonomic dysreflexia. Any sort of stimulus
could cause AD so certainly not necessarily
just ejaculation but any sort of sexual contact could
potentially cause AD and it sounds like Aditya
did just the right thing with asking his partner
to sit him up and letting your blood pressure
come back down that way.>>Is there a risk for
death or stroke from orgasm?>>The real stroke?>>The little death?>>I think, you know, the
main thing we’re worried about with AD potentially
causing a stroke is if it’s really persistent
and doesn’t, it doesn’t– the blood pressure
doesn’t go down. So if you stop whatever activity
you’re doing that’s potentially causing the AD and sit up and let your blood
pressure come down, it really shouldn’t be a risk.>>And that’s kind
of what I heard from the 2 different
health care providers. They said because
it’s [inaudible] in high blood pressure and it
only last for a few minutes, you’re probably fine
to do it again. Actually one nurse-practitioner
recommended I wear blood pressure cuffs the next time. [ Laughter ]>>No, but it’s hot.>>No, no it’s cool. It does in my arms–>>Exactly.>>So I didn’t try that
but it wasn’t hot, so.>>That’s great. So have you had autonomic
dysreflexia again?>>Yeah. And in a sense
it’s gotten better. I’ve also asked a neurologist
as well about that and she kind of echoed the same thing that–>>So you asked lots
and lots of people?>>I’ll ask people, cause it’d
be really embarrassing if I went to the ER and like you know,
had a stroke and you know, because we were having sex. [Inaudible remark]
I didn’t want to be that guy even though you know, the guy in the [inaudible]
commercial looking for [inaudible].>>Exactly. Do you want to speak
a little bit about your more negative
experience?>>Sure. That was a
partner that I did it after that other partner. So the first partner was,
made me feel empowered and she you know,
was really satisfied and she thought yeah this
was the best ever and like out of all my partners. So it made me think okay you
know, it’s not just the ability to move or you know,
act as if I would without an injury
that’s important in terms of pleasing someone. I went from that to another
partner who really couldn’t kind of accept that I wasn’t
able to do things. So many times she would say, “Oh
I wish you could climb on top of me right now and fuck
me” or something like that. After which nothing
would happen you know, ’cause we’ve both
we got really tired. And so that’s really hard to
take when you are with someone that you really like and I want
you to do something but can’t and they don’t make up for it. And so there were a lot of
those, “I wish you could this or that” or, “Oh, you can’t do
that” kind of thing and that that kind of crushed me a bit. But it also showed me the
importance of being with someone that just accepts who you are but it’s not a big
deal for them either.>>Okay. Becka, can
you talk a little bit about your experience
getting back to sex?>>Yeah. I mean it was pretty,
I don’t know, I guess basic at first so it was like, okay, [inaudible] like
my– later, you know. But I think over time,
we’ve just figured out different positions and
different things that we can do and I haven’t had any crazy AD
experiences because my level of [inaudible remark] so
I cannot just mess up. [ Inaudible Question ]>>Yeah. So, other than
just working on the legs and the spasticity, it hasn’t
been much of an issue for me. I haven’t– I’ve had like a
bladder accident once I think and it’s just– I think you have
to be with someone, you know, like Aditya said that is, you
know, pretty open and accepting of different things and
I think it would be like, “Oh I wish you could do
this” because you don’t want to hear that all the time. And if you have a bladder
accident, you just have to laugh about it and go. You know, that’s our
new life, you know, so–>>Do you do anything special
about bowel or bladder?>>You know, I don’t do anything
crazy, preventative stuff. I do– I try to, you
know, cuff a few hours after having sex
just to make sure that I’m preventing UTIs ’cause
I know that can be a big trigger and I don’t want
to mess with that. So– But that’s kind
of all I do.>>You had mentioned that
initially you had a lot of hypersensitivity and that
that was really uncomfortable and that was below or above
your level of injury, right? Correct.>>Right, yeah. I went from, you know, so from
here down I can’t feel anything and then from here up
was like don’t touch me. I was so hypersensitive and it
changes all the time you know, some days are good
and some days are bad and I think just communicating with my husband has been the
most important thing cause sometimes it’s like hey you
know, don’t touch me you know, this way I can’t handle you
know, soft touch all of the time so it has to be a
more firm touch, it’s more comfortable for me,>>You know, it sounds like it’s
very different from what used to be part of sex before and–>>Yeah, definitely. You know, it’s you go from
having no rules on something to all of a sudden
it’s like you know, you have all of these rules. And this definitely changes
things but I think you, you’d get used to it and
[inaudible] normal and you know, new joy and new pleasure out of
different things and you know, you just, the key I guess
is communicating I think.>>Right. So when you talk about no sensation,
do you have orgasm?>>I don’t, no, not
since my injury.>>Doctor Crane, the
hypersensitivity, that’s something that Aditya
just talked about too. But he sounds like he’s worked
out to be kind of positive but for Becka it
was more negative. What are the kinds of things
that like that you could go to your doctor and ask about
in terms of hypersensitivity, if there’s things that
people could try or things that work or don’t work.>>Yeah, I mean I think
probably one thing to start with would be talking
to the doctor and maybe getting a
referral to a therapist that would do some training with
stimulation with something soft like [inaudible] or something
that would desensitize the area. Depending on whether it’s
above or below your level of injury you might treat
it differently so it’s, if it’s below your
level of injury, the doctor might be more likely
to prescribe a medication if it was an ongoing
sort of pain issue.>>But that would probably
be less likely if it was in Becka’s case like above level
of injury so then something where the therapist would
progressively stimulate the area and maybe teach you, depending
on your functional level, teach you how to
stimulate the area yourself and hopefully the area would
become less sensitive over time. And that could be above or
below the level of injury. Those would probably be
the 2 things, medication and then desensitization.>>Great. So Becka, I wanted
to ask you a little bit more about kind of how your husband
had dealt with this and in terms of kind of obviously, it sounds like communication was really
important but did he you know, we often hear when that, I often
hear in the hospital level, people being worried about
hurting their partner. Is that something that you
guys have to work through?>>Definitely, I was
definitely concerned you know, he thought it’d be weird, you
know, I mean having sex with me and I can’t feel
it and you know, I think it’s just
mentally, I have to come stay in the game now ad stay engaged. But it was definitely
something we have worked through and again there was just
a lot of talking and– and with time it got to be
more normal and you know, sometimes I can feel things more
than other times and you know, just letting him know what– what feels good and what doesn’t
feel good and what I can feel and what I can’t feel.>>One thing I forgot to
ask Aditya but I’ll start with you, is birth control. You have just come off of a
pregnancy and assuming that at that point you were
really thinking about, what did you decide
to, what did you decide to use as birth control?>>I had an IUD put in which has
been great because with the SCI, you have risk of blood clots
if you’re on birth control. And then the birth controls
that don’t have the high risk of blood clots also
don’t have as high, they’re not as effective which I
wasn’t looking for at that time or is something very effective. So we went to IUD.>>Doctor Crane, can you
speak to that a little bit in terms of birth control? What are the usual
recommendations or obviously the blood clot
risk is pretty consistent for most people.>>Yeah, I think an IUD would
probably be a highly preferred method or condoms
would be depending on what your relationship
situation is and also your functional
level would probably weigh into the situation. But I think an IUD would
be probably first choice, I mean the birth– the oral
pills would be a concern with the risk of blood clots and those would probably
be the first 2 that people would think about. But I think if I was
advising somebody, I would probably
recommend an IUD. And often the gynecologist
and OB-GYN would contribute to that conversation too.>>Great. So Todd, tell us
about your experience with sex.>>Sure. So I’ve
mentioned before, I was [inaudible] I guess like
you know, porn was a season and okay this is [inaudible], kay we get that, that’s good. And then you know, you
quickly realize that you know, majority of women out there
[inaudible] porn stars. And not really, you know
exhibit that type of behavior or flexibility and the
[inaudible] have some issues. So I was like okay
this is very confusing and I’m wearing condom catheter
and with a third party adhesive. That’s you know, [inaudible]
Aditya earlier, stay in a moment for the next 45 minutes,
[inaudible] finally prep for that you know, so it was
just this whole, forget it man, and I said “go there and just
at some point it’ll happen.” These very interesting
experiences I hired a couple escorts you know, it was
like I got into my 20’s and [inaudible] not you
know, [inaudible] weird. And they came over and they
[inaudible] and you know, showed mascara running at
her eyes like oh great. She’s been crying all the way
there just that’s exactly you want for 200 bucks an hour. So it turned out like a
half hour counseling session where I counseled her
and told her she was okay and I gave her [inaudible]
some business tips. I’m an entrepreneur and
I run some businesses and I run some companies so
I you know, shared economics and gas prices and she probably
shouldn’t drive a [inaudible] to her clients but she
appreciated the help. But I still paid her, she’s odd. So for 200 bucks I gave
some counseling session. And you know, I did it again
thinking the same time be better and [inaudible] sad [inaudible],
so– and it didn’t go anywhere, [inaudible] just talking you
know, and sing while I kiss and she smoked cigarettes and [inaudible] I
got pulmonary issues so the last thing
I need is breathe in some you know,
second hand smoke. So, that was like
it, like if I’m done, I not going to think about this. I already know that’s
[inaudible] dysreflexia doing sex, just right it off. You gotta go and do
other things in your life and so it just became
[inaudible] and some I really think
about [inaudible] deal. And then anyway, life works,
you know, I hired a caregiver and a very business approach
to the whole thing you know, it’s like company or
[inaudible] form police and you pay him 10.2
percent of taxes you know, [inaudible] it is and
[inaudible] you know, bang him. So, I just don’t think that
wasn’t even an option you know, and then, that was a fund
raising party for a non-profit that I started and my
employee was [inaudible] of the same plate and
we both looked good and that was awesome. She was younger and just
seems very natural and dance on the floor and most cool
and then we ended the party, it was late and we’re going
back down the elevator and she was rubbing my
beard and that’s cool and that’s not abnormal
for an employee to do that. What was abnormal was
kissing our thumb, “oh shit” and my response was
“I really like that.” Well that’s different you
know, and then you know, we were by the van you know, in
the parking garage and I want to wash my face cause I
don’t have a ride home. And she should [inaudible
remark] and I said “hey, you looked parched, you want to take a little breath
in my ventilator?” And she’s like, “You
know, I’m a little bit.” And I think it sounded right,
the willingness to go there, so she bent down and
took a little puff and she’s pulling back, I was
like “you still looked parched, do you want to take a little
something– something?” She was like, “All right
I’ll do that again.” And I said this time just
go a little closer you know, cause she’s got going
99, I can go 1. You know, that’s only dare. And so you know, she pulled in. I gave a little nibble on the
earlobe, that was good response and then she just turned in
and we began to kiss you know, it was incredible
and it was awesome. It was so surprising ’cause
you know, I didn’t expect that at all and ’cause
people were walking around us you know,
going to the car. And I though this is
really different you know. And we got into the van
and started heading home. And I said “you don’t really
do this” and she said, “I don’t either and
what does that mean?” And I said, “I have no idea but
I do, and I really like you.” And she said, “I
really like you too.” I said, “Yeah you’re young
and I’m old and I’m broken from the neck down and you have
no idea what this circus is. It’s a 24-hour freak show
and you sure you want to play in the same box?” Then without hesitation
she responsed that it will be her
honor you know, [inaudible] apologize [inaudible
remark]– hopeless romantic. And so we got home and
we continued to make out so it was interesting. She kept pushing my
button right here which is a button
for my cellphone. So in my ear piece which I have
on right now is we’re kissing but phone’s like
“please say a command,” and I was like, “cancel.” She was like, “what?” I’m like “no, no baby,
not you, cancel.” And she was confused and
then it was like God this is such a life to live you know. And she was trying to
move her [inaudible] and just [inaudible]
in the other. I was lifeless from the neck down you know, that’s
what you got? You know, you got a very
willing partner but I just love that about women,
so willing to love. And anyways, that was
that evening and you know, the days moved ahead
and I was like, obviously there was something
there and so she came back to work, couple of days
later and I said “would you like me to kiss you again?” and she said “you know,
there’s a right answer” and then there’s the real
answer and I said “how about we do with the real one?” And she said “yeah,
that’s okay.” And I knew there was
something there when she was on my lap [inaudible] me. And then I [inaudible]
and I stilted back and she held my head up
for 45 minutes as we kissed and just was intimate,
yeah pretty sweet and well it was [inaudible]–
awesome.>>And you know, I’ve
always been attracted to big-boned ladies. You know, the ladies with the
[inaudible] over the jeans and I didn’t realize
that skinny girls, they [inaudible] work well because you could still
breathe when they’re on you. And that became an
issue, you know, you want to work [inaudible]
while you’re trying to make love. I guess that’s weird. Trust me. And so she
was just very willing to go everywhere
and try new things. She’s pretty grateful for
the experiences and you know, it just became a thing of how many orgasms could should
she have in a row and we got to 3 and I thought
that was pretty good. And so oral sex was the process and I became a [inaudible]
surgeon in that area and that’s what I did
and I did it well. And I’ll always remember her, so
that was my introduction to sex. And I don’t know what
happened, so we’ll see. Life’s crazy.  >>Doctor Crane, in terms of
pain, I mean that’s not unusual for people to have
obviously Aditya talked about that too having pain
below level of injury. Becka you haven’t had pain
necessarily just spasticity but what are things
that people have tried that had been more less
effective in terms of groin pain and pain below their
level of injury?>>I think there’s not really
a particular management of groin pain necessarily
or pain related to sex. I think it would be the standard
things that people probably use for other pain below
their injury level, which would most
commonly probably start with a medications like
Neurontin or Lyrica and then sort of
move on from there and then use other techniques
maybe like desensitization or hypnosis or relaxation
therapy. [ Inaudible Remark ]>>So the thing that you know, we worked out immediately
was unlike that [inaudible] employee
you know, and a girlfriend. We’d– You know, facing that out since she was no longer an
employee and then she just, you know she’d be
with me you know, one [inaudible] times
a week but one day we– she would put me down you
know, that routine for the bed and then we only made
it a bridge routine so it was very quick. So that one allows, you know, to
have our intimacy piece as well. So, well again as what
Aditya said it was just sex. And surprisingly to,
because, you know, I’m not doing complete
sexual experience, it was I can’t just do that
anywhere because we were just, you know, doing specifically
oral so it worked out really well and you could
just sort of do it anywhere, so that was– that was great.>>May I ask a follow-up
question on that? So how much caregiving do
you have during the day? Do you have somebody
with you all the time or do you just have
[inaudible] time?>>Yeah, I just have shifts.>>Okay cause I was wondering, so when she no longer
was your caregiver, it wasn’t that you had a
caregiver leave necessarily. She would just be there at
other times [inaudible].>>Yeah, yeah. Like on Fridays you know, we
would spend the evening together and dinner and the whole
thing and she’d put me to bed [inaudible] up. And then if I end up, you
know, having a caregiver and she spent the
night that night and the caregiver will
sleep early or, you know, don’t roll me over onto
my side and she could do that and stuff like that. You know or I would be
like at that point I was– at my house had couple of
bedrooms and if she was staying in the spare room then I
would just have my, you know, my evening employee put me in that room rather than,
you know, in my room. So just again [inaudible].>>Doctor Crane can you
speak a little bit to, I mean some of the issues in
terms of erections and things that people could do ’cause it
seems like there’s a lot of, there’s medication options
and non-medication options. Could you talk a
little bit about that?>>Yeah, well first Todd
mentioned that he gets erections and I think that there’s a
lot of variations depending in what your injury level is and then also whether your
injury level is complete or not. So [inaudible] to make
a blanket statement of you’ll all have one
result to the other. But a lot of folks will get
what’s called reflexogenic erections or erections that
can happen if you’re wrapped in your chair as it goes over
the threshold and the doorway or 1 person I followed up in the
outpatient clinic says when he’s on the bus, kind
of just a jostling of the bus can bring
on an erection. So that can [inaudible]
over the cracks and the curve can
stimulate that kind of thing. But, so you may get
erections but if you’re not or you’re not being
able to maintain them for a long enough time
to have intercourse or have whatever activity you’re
looking to do, there’s options with oral medications,
Viagra, or those other kinds of medications are
probably the most common. There’s options with
vacuum pump devices with can be useful
for some people. There’s a few situations where they probably
wouldn’t be a good option if you’re somebody who’s on
blood thinners, not aspirin but things like coumadin. There’s also an injectable
medication that you could inject
directly into your penis which for a lot men
sounds horrible but if your sensation is altered
it sometimes is less horrible to imagine for some folks. And there is another
medication that can– sort of like a suppository
but it goes in your urethra rather
than your rectum. That’s sort of fallen out
of favor with pills by many, with injections being
preferred are being thought to be more effective. And I think I’m forgetting–
oh and then there’s prosthesis. So you can have a
surgery, this would be sort of very last case scenario
but you could have a surgery where some sort of prosthesis
could be implanted in your penis and there’s a few
different versions of those but some are rigid so that you
would actually have an erection all the time and just kind of
keep it tucked towards your body when you’re not using it. There’s other types that
are sort of pipe cleaners but can be bent and then
there’s other inflatable types that would actually have a
little balloon pumped either like in your belly
wall or in your scrotum and you would pump it,
[inaudible remark].>>Aditya did you have a–>>I have a question
for Doctor Crane. So in terms of Viagra and
the other pills that are seem to be popular, I haven’t tried
them because I was always scared that my blood pressure
would go low. How do people with spinal cord
injuries may be, about the sex, have to consider that?>>Yeah I think that’s
a great question. That’s a concern really for any
man, spinal cord injury or not that [inaudible] the way
the medication works is by helping your blood vessels
dilate and you get more blood to the penis and get
a better erection. But certainly if your blood
pressures are already problems in spinal cord injury, that
would be a big concern. I think what I would recommend
is trying it for the first time in bed so if your blood
pressure went too low, you could lay down.>>Okay.>>But I think that is somewhat
of a concern but as long as you’re on the safe spot
you’re don’t have to have to fall or get hurt if you were
to get a low blood pressure or you think you should
be okay to try it.>>Question?>>One of the things that
often comes up is whether any of those types of drugs
were helpful for women. Is there, I know
there’s a little bit of literature out there but–>>Yeah, there is
actually a device that I was just doing some
reading and there’s this device that I don’t know if it’s
actually on the market yet but it’s a pump actually
for women. So it’s a clitoral
pump and it’s supposed to help bring the blood flow
to the female organs as well. So that’s the only thing that’s
actually specifically marketed towards women that I’m aware of. In theories, some of those oral
medications could help bring blood flow to the
female organs as well. But those, I don’t know if you might have a hard time
getting your prescriber to or your provider to prescribe
you something that’s not really cleared for women to use. But there is this vacuum pump
that is at least in development but it’s not already
on the market. And I guess the one other
thing that I would add is that for women the outcome that you might get would
be more lubrication rather that an erection.>>So the people
response for women to erection is just
typically lubrication?>>Right, and you could get
some more clitoral erection or swelling but I think
lubrication would be more what you would expect.>>Has that been an issue
for you, in terms of– for sex, for a lubrication,
have you had to do anything differently,
Becka?>>We have. We just used [inaudible]
more that with now. And you know, we
haven’t even tried not– and I guess actually,
since the injury. We just kind of started
this and I– just make sure, we can have–
I can’t tell exactly you know, how are we going to
use it down there. You know, when we tear
anything or hurting anything. So we would just always use it.>>Now, did I understand
correctly that you’re thinking
about more kids?>>We are, yeah. Things are going
good with this one. He’s a very good kid so–>>You like him.>>Yeah, we like him, we– yeah, we always wanted
a really big family and we just decided we weren’t
going to let you know, you know, this stop us from that. And you know, it took us you
know, almost 2 years to arrive at that idea because you know,
2 years ago, I would have said “absolutely not, we’re
not having more kids until I’m walking again.” But it’s, you know, it’s– life is good and then it gets
a lot easier than when you’re in the hospital and
rehab and things change when you go back
to living normally.>>And my understanding
Dr. Crane is that, well there’s often
fertility issues with men after spinal cord injury. Women are pretty
resilient in that regard that there’s really no
different issues about pregnancy and during a child–
could you speak to that?>>Right. Yeah, for the most
part women should be able to conceive without
more difficulty than they necessarily would
have had before their injury. The things to think about
would be changes in your body. Because if you’re
gaining 30 pounds, that may that your transfers. It might affect how
your wheelchair fits. It may affect your bladder
management a little bit. So it’s more planning for the
pregnancy and if you’re at risk for AD, you would want to talk to your OB before
you got too close to delivery ’cause you
would be to plan for that. But it’s more changes
with pregnancy than trying to get pregnant.>>And so is the AD risk more
around just the delivery period, so going to the contractions
and all of that at delivery?>>Yeah, [inaudible]. Um-hmm, and so women might be
more likely to have a C-section. But not necessarily people can
still have vaginal deliveries but just would be something that
you would want to start talking about earlier and
maybe see a maternal and fetal medicine specialist
to sometimes specialize in a higher risk or more
complicated pregnancies.>>Okay. One of the other
things that I wanted to check in with you about is
just the spot maybe. I mean I would imagine
that with children anyway, that sex may not be quite as
spontaneous as it used to be. Is that been an issue or
what have you guys done in terms of that?>>It’s so hard to say
what’s related to the injury and what’s related to the child.>>It all happened
at the same time.>>Right, I mean we
definitely don’t have sex as often as we used to. But again, who knows I mean I
can’t say what the difference is there. But it’s definitely not as
spontaneous as you know, ’cause it takes like 3
minutes to get my pants off. You can’t just rip your
clothes off any more you know, it’s like, hold on a second. No I got to move my leg
the other way, [inaudible]. So that definitely changes but
I don’t know, it becomes okay, yeah, so it’s become–>>So, how often are you,
what’s the change then?>>We probably have sex
twice a week which you know, I would take before, we were
having sex 3 to 4 times a week. So, it’s changed. But–>>But it’s again
hard to know which–>>Yeah [inaudible].>>Aditya, in terms
of spontaneity, has that been an issue for you? Or obviously it sounds like
you kind of worked things out. But is there more
planning involved?>>Yeah, certainly there is. And there’s just more
logistics obviously depending on what your injury level is and how much accommodations
you need and who you’re with. But some of the planning
is kind of fun too. You know, maybe not, “Oh
I’m going to you know, check out my leg bag,
empty that before” so I don’t have to
worry about that. But you know, thinking
about different things and toys you could use or
things like that, I think, can be fun if you make
it up to be that way. And again if you’re
with the right person, all these things
are not a big deal. You know, you’re not
dreading talking about this. It’s just something to talk about like how you are
going to get out of bed. It just becomes another
life issue.  >>Todd, who have you
gotten advice from sex on? Are there professionals that
you’ve talked to about sex and fertility or
anything like that or not?>>As far as, you
know, education piece–>>Yeah.>>Just a lot of reading. You know, there’s just
not a lot of people talk to about that set of stuff. At least in my opinion– and really about the whole
experience, I think the how to’s and things like that,
you can figure out but, you know I’m more interested in the whole thing
as a big picture. So you know, I was
even to get counseling, things of that nature. And then I had hoped
the last time we talked, to have some sperm
frozen, but I didn’t– I didn’t, the appointment’s
a little hard you know, on the mentality piece. So I’m actually doing
that– in joy.>>So you’re working up to it?>>I am. You know,
it’s like who goes with me in that appointment. So, that would be lot
of [inaudible], but–>>So you have to
have some discussions with a few people in
planning for the–>>I do. Actually I ask my
brother and I ask my mom. Thought, you know, they’d
be that people in the room that take out the weirdness. And, but not so, but yeah, positioning in that
place to be prepared. You know, who knows what’s
going to happen in life, so–>>Can I ask Dr. Crane
a question just about, just the whole issue about freezing sperm
and things like that? Is that something that
happens a lot for people with spinal cord injury of harvesting sperm
or things like that? Or is that kind of a
separate fertility issue that depends on the person?>>I think it’s very
individual-specific and depending whether you’re
injured, when you’re 18 or 80. Your interest in having future
children would probably be pretty different. I think it’s definitely
something that would be very reasonable
to bring up and I don’t know that somebody on the [inaudible]
would bring it up for you. So I think if that’s
the concern, it should definitely be voiced. Often we’ll get neurology
involved if there actually is any
assistance that we need in collecting the sperm. Your spinal cord injury or rehab
doctor would necessarily handle that independently. Although they might, depending
on what the situation was. And I think I mean Todd’s
has been injured a long time and is going to do this now. So it’s something that could
be done while you’re still in the hospital or it could be
done years and years afterwards. There’s a lot of– it’s pretty,
I think individual-specific.>>Yeah. I know you mentioned
several different providers that you’ve talked to, is
there kind of any you know, anyone that we’ve missed. You mentioned nurses, you
mentioned the rehab doctors, you mentioned neurology,
other folks?>>That probably was
first initiated by nurses, then after I left the hospital since I didn’t really have
a sex talk because there was so much else going on, is most of the people here know rehab
stays are getting shorter and you have to figure out
your medical issues first and foremost.>>And we probably had the talk but I don’t know if
you remembered it?>>Oh I probably yeah,
I [inaudible] it out. Cause– And what I did,
I had several questions, can I have an orgasm, can I have
children, questions like that and I just e-mailed my doctor
whom I befriended later and she said– and I e-mailed
with this [inaudible] that said “sorry if this sounds weird, but
I wanted to know” and she’s like “that’s not weird at
all, we like to talk about these things often there’s
not enough time, or you know, it’s not the right time for you. Which is why, you know, if
you have a good physiatrist or rehab provider, it’s always
good to stay inquired about it.” And I’m lucky to make
lots of friends with them in the rehab community. And so they’ve shared their
experiences and how other folks with disabilities similar
to mine have done it and maintained the marriage
or maintained relationships, even maintained children and
how they’ve drawn it all, just to learn.>>May I add something too. I went [inaudible remark],
probably about a year after our rehab and my
husband was with me, and it was extremely beneficial
in helping us talk through sex, things with relationships just
everything that you’re kind of feeling as an individual
with a spinal cord injury and then a partner who you know, you feel like you’re
putting this partner through that you know,
and it’s not fair to them and all these different
things and it was one of the best things that I did
definitely was so helpful.>>Just for people
who don’t know, he’s one of our rehab
psychologists.>>Yeah. And it was great to
have my partner there with me, completely open communication. I mean Dr. [inaudible] and I probably saw each other
six times before Jared came in with us. And it was really helpful.>>Very helpful. Okay, good. And it sounds like you also
talked to the rehab doctors as well and then
your own gynecologist as you’ve been planning
for pregnancy?>>Yeah. And it was– it was
just, everyone right away even after I had my son, you know,
we could and my OB was saying, “Okay are you going
to have more kids?” and it was, everyone was very
encouraging and open and things that I just thought like,
“It couldn’t happen,” they planted seeds right then. And you know, you
can still have that.>>So Becka, what’s your
advice to newly-injured, obviously everybody’s
a little different, but what advice would you give?>>You have to–
you definitely have to be open about everything. You have to talk about it and
you have to have a good sense of humor too, you know. Things happen and you just have
to laugh about it and move on. And you have to be with someone
who is going to be [inaudible].  >>Aditya? What’s your advice?>>I have found lots
of tips over the years. But mostly before I get
to those, I’ve noticed that being mentally hot is
the majority of what women or men are into,
in the long run. You know, looks and body
function and facial symmetry, all of these things are nice to
have the increase for chances. But you know, having
a personality that really turns someone on over the years is
probably your best bet. And so when I was,
so that’s one thing that you should keep in mind. In terms of tips specifically
about sex, I went to a friend and I was really bummed after
this last negative experience. And I was like, you
know, is this going to be this way forever? I’m not going to
be able to do this or that things I’ve
been thinking about since I was an adolescent. You know, it’s really kind of
unfortunate and blah blah blah and she said you know,
and I loved it, said, “Most guys can do everything or
good at anything in bed, right?” See, you could at least be
really good at one or two things and that in itself
makes you a keeper. And so that type of thinking,
I think is beneficial to be kind of agile and yeah. And also I got some
tips from the sexpert, this online comedian, so I
didn’t write this up myself. Yeah, you can Google it. It doesn’t have that
good material but, personally for guys, you should
know that women love danger, I think that they did a fire. Next time you go out, just
cover yourself with broken glass and they’ll be like,
“Oh I want you.” You know, that’s how they want,
“No, you’ll get hurt” you know, really get hurt there. [Inaudible remark] It’s
really too much but you know, that worked for me,
except [inaudible] tires. [ Laughter ]>>All right Todd,
what’s your advice?>>I saw a pretty biscuit
one time at the mall, and I just [inaudible]
some over and I said, “Can I get your insurance
information?” [ Laughter ]>>Worked that angle. They work that well. I think, as what Aditya
just said, you know, it’s– I think we all are on our
adventure such, story. And if you can find ways to
join each other’s adventure, I think that’s pretty important. And, yeah I think it’s for the
most part is the mental peace. That’s the longevity, that’s
the integrity, that’s quality. I know no matter what our earth
suit looks like, it’s all going to fail at some point. So, yeah, just be open and be
able to explore the unknown.  >>So those are my questions. Does the audience have
questions for these guys,   any questions from the audience? Yeah?>>Todd do you have kids?>>Todd do you have kids?>>No.>>No. But he’s hoping to
have some in the future and that’s what you’re working
on in terms of harvesting sperm?>>Yes, I’m harvesting. [ Laughter ] [ Simultaneous Talking ]>>Killer, killer response. Okay what’s the word you use?>>Harvesting sperm.>>Okay. [ Laughter ]>>Tee-hee.>>So the question is, let me just repeat ’cause you
don’t have a microphone on, is, how do you go from
having all the sensation and good sexual experiences to
not having sensation and how’s that for sexual experience,
unless frequent?>>You know, you lose so
many things all at once. But I can’t say that I mourned
this sex part that specifically. But, I mean the most important
thing for me was still having that closeness with my husband
and the intimacy with him. And I still retain that, I
mean we can still cuddle in bed and you know, he can
still do the things that I need to feel
close to him. Until [inaudible] having
sex you know, 4 times a week but we still, I mean, he’s
still there with me every night. He doesn’t fail on me when
my spasticity is really bad, you know, he’s still there
in bed with me every night. And so, I get that
closeness fulfilled that way. You know, and I think
that probably kind of expected the sex to
change after the baby anyway, so it wasn’t, I guess a
huge blow ’cause it’s, I mean you always hear
how it’s going to change so I’ve just I’d probably
already set up for the fact that maybe things
would be different. Did I answer that question?>>The question really comes
down to besides just commenting on how wonderful it is
that you guys are so good at communicating with your
partners about their needs. How are you at asking for what
you need from your partner? How are you at getting what,
getting your sexual needs and physical needs met?>>That is definitely the
hardest part for me, I think. Because I’m asking, I feel
like I’m asking so much of my husband already in just, in the way that our
life has changed. Even I’m completely
independent in my daily living. I just feel like, feel
like a burden sometimes. So I feel like I don’t
want to ask one more thing in the sexual area, you
know, it’s like just adding to what I’ve already
asked of him. So with that, I mean, that’s
absolutely the hardest thing for me to do and you know,
I tried to but I would say that I probably don’t
do a great job of it. I would definitely
am more concerned about his sexual
experience than I am, my sexual experience
at this point.>>So something to work on?>>Yes, definitely. Aditya? Some question?>>I think I was that
way for a long time too. Mostly because I
was self-conscious and that I didn’t
know what I wanted and I didn’t know what
worked well for me. And that, in a sense
can be a positive thing. Especially if you don’t have
much sensation or function, or you don’t want to be, or
you’re not that concerned about your own sexual pleasure. It makes you much more
selfless person and concerned about your partner’s care. And that’s important just
for any relationship. And so once you have that,
you know, out of the way and your partner thinks you’re
the best things [inaudible]. Because you know, you’re
asking them about their orgasm or their, you know,
how they’re feeling. That tends to be a real
turn on because most people without disabilities are really
bad at communicating anyway, you know, especially
when it comes to sex. And so, the sex in a way,
you know, there’s an article on a website called [inaudible],
it says the disability in a way can be a very
good thing in terms of sex because it makes you have to
put everything out in the open and talk about what
works for you and what doesn’t work for you. And in that sense, you can be
really open and have a good and shared experience instead
of just not talking and going through the, you
know, mechanical stuff and then waking up and saying–>>So, have you gotten
better about it?>>Yeah, well now that I
found out more about what, you know, works to me.>>Yeah, I actually forgot
to ask about makes, you know, one of the things that we often
recommend to people is to try to masturbate or
try different things to see what feels good
or doesn’t feel good. And I know I kind of
asked you all about that and I think Aditya, you
were the one who mentioned that you’ve actually
tried some things.>>Right.>>Is that something that you
would recommend to other people or do you think that, I mean
I know hand function is a bit of an issue.>>Right. And so for a long time
it wasn’t even an option ’cause it’s just really
painful and so, you know, if you’re doing something
that feels like you’re stabbing
yourself, it’s not going to be sexually pleasurable. And then a long time it was, a long time it was
just practicality like, “Okay I’m into it. Now how do I get my pants off?” You know, so that’s an issue. But if you have the hand
function, I would suggest going for it cause then, at
least you’ve figured out if something feels good
and you know, it’s always good to know how your body’s working. Most of the time for me, it’s
just kind of a big hassle, so I’d rather have
assistance, so. [ Laughter ]>>So Todd same question
from Dr. Steins to you.>>I’ve never masturbated. For the other one, would
be as a joke by the way. Laughter, it’s good. It’s healthy for people to use. You know, this is
what we’re all saying. It so hard to, you know
just [inaudible] in a way but I’ve had a hard time you
know, asking same things back in years, you know, you just
feel like you’re a burden. You know, you just don’t,
how do you learn to live like carelessly through an
orgasm from your partner when, you know, you just sort
of lay in there, you know, you did your thing,
that’s great. You got services, wonderful. You know, what it’s like. Well there’s no real, reasonable
change going on here, you know, chemically, you know, it’s like. Well we’re done? You know, type of things. So I think, you know,
learning that, I’ve always [inaudible
remark] a lot of women. You know, [inaudible] really
gave me wonderful, you know, head massages and neck massage when she was my employee,
you know. But that now she’s my
girlfriend, you know, and then suddenly
like, “What, 2 minutes? You know, I thought
that’s so funny, you know, I got him now, ha-ha. But, you know, that
was some education and some discussion
too but I’d say that, I’m going to [inaudible] places
[inaudible] this wonderful woman [inaudible] and she’s
not there yet.>>Yeah. So, it sounds to me
like that’s another thing. It’s not only getting your
needs met specifically sexually, but also really asking for the
other things that feel good. So, the head massage,
face massage, those kind of things may not be
exactly sex and lead to orgasm but they are really pleasurable
and enjoyable and so being able to kind of get that need met in
a relationship too is important.>>Yeah, that was example. So when I got used to, [inaudible] I just
[inaudible] of my wheelchair. You know, this connectivity
you know. She’s an athlete, so it
was always like, “Whoa, I want to walk as fast as
you’re driving, you know, for the next 3 miles.” I was like, “Oh my
God please” you know, so that was really cute too, but
also annoying at the same time.>>Yeah, that happens.>>It does.>>I came across a really
nice quote and you know, when I was saying being
mentally hot is a big plus. I think in terms of becoming
the best partner you can in attracting people. I found a quote about
beauty and it said, the most beautiful people
we have known are those who have known defeat and
suffering and known struggle, known loss, and have found
their way out of the depths. These persons have an
appreciation, sensitivity and an understanding of life
that fills in with compassion, gentleness and deep,
loving concern. Beautiful people
do not just happen, and I think your
spinal cord injury and the things you’ve been, the things you’ve experienced
make you a really interesting person and add to a lot of
life wisdom and experience that you wouldn’t get or you
wouldn’t have had without that. And so remembering that
and how it makes you so memorable is always
something to keep in mind when you’re looking
for your partner. And there’s actually, there’s a
quick end, for quad sorry I have to say, I forgot to say it. My roommate was in a hospital. He was a C4 injury, and there
used to be a guy that came around there, who also had
a C4 injury much like Todd. And he was kind of like the
quad whisperer, you know, he would go around and
counsel– counsel people. And he went in one day and he
went to pee and said, “Hey man, did you get up today” and
he was just like, “No, I didn’t feel like it.” ‘Cause everyone that’s
had a spinal cord injury in this room are getting
around people know and at some days you
just go and play in bed.>>Amen baby.>>And he was like,
“No, I didn’t get up.” And so this guy was like,
“Yeah, men you are quad, every day you got to dig
down deep, to find that thing that gets you out of
bed every morning. Makes it deep man,” so
I [inaudible] dig quads. [ Laughter ]>>So just remember that.>>Dig deep.>>And I just want to
thank you guys so much. It’s been a privilege for me to
do this with you guys tonight and I just want to thank you and [applause] going
[inaudible]– round of applause.

First aid treatment for knee injuries – PRICE

First aid treatment for knee injuries – PRICE


First aid for knee injuries PRICE. Price.
There are five key steps to remember in case of an acute knee injury. Acute means sudden. P for Protect
R for Rest I for Ice
C for Compress E for Elevate These steps help to minimise swelling and
inflammation. PROTECT – Protect the knee with a splint,
wheelchair, crutches or walking stick to help keep your weight off of it or prevent walking
on it altogether. REST – Take it easy. Get lots of rest to give
the knee time to heal and prevent further injury. ICE – Cool the knee with ice or a bag of frozen
peas to ease the pain and reduce swelling. COMPRESS – Compress the knee with a nice firm
bandage and prevent fluid build-up. ELEVATE – Keep your leg elevated on a pillow
to help reduce swelling and improve circulation. It helps to remember – PRICE – Price. Don’t forget to ‘Like’ this video and subscribe
to our channel. Learn more about your knees at www.kneeguru.co.uk

First Aid & Safety Procedures : How to Make & Apply a Tourniquet

First Aid & Safety Procedures : How to Make & Apply a Tourniquet


You know, unfortunately, at times someone
receives such a major injury to a limb that a tourniquet will have to be applied. Hi,
I’m Captain Joe Bruni. What we’re going to talk about is how to properly apply a tourniquet.
We could use any type of cloth material; however, what seems to work best is some type of bandanna,
or cravat material found in our readily handy first-aid kit. We would take our material,
and fold it in such a fashion that we form what looks like a bandage, three to four inches
wide. We would then place that bandage above the injured site, and tie our basic overhand
knot, like beginning to tie your shoe. We would then take take something rigid, like
a stick, screwdriver, make-up brush; anything that we could find that can be twisted to
make the tourniquet tighter. We would then tie our next overhand knot over top of that
device, and begin to twist that device to tighten up the bandage and form the tourniquet.
Once we get it tight enough we can tie it down once again, using the tails of our tourniquet,
and then securing that stick in place with some type of cling material or gauze wrapped
around the site. Unfortunately, a tourniquet has to be applied at times to stop life loss
from severe bleeding of amputation or other trauma to extremities. I’m Captain Joe Bruni.
Stay safe, and we’ll see ya’ next time.