Remembering 9/11-এর সম্পূর্ণ প্রতিলিপি

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WEBVTT 00:00:57.829 --> 00:01:00.949 Hi everyone, welcome to another episode of Tattoos and Telehealth. 00:01:01.030 --> 00:01:07.829 I'm Nicole Baldwin, Board Certified Nurse Practitioner, and this is my good friend and colleague, Kelly White, also board certified nurse practitioner. 00:01:07.989 --> 00:01:12.150 And today, in honor of 9-11, can you believe it's been 25 years? 00:01:13.189 --> 00:01:13.909 A long time. 00:01:14.069 --> 00:01:14.950 A long time. 00:01:15.509 --> 00:01:29.590 It doesn't feel like it though, because most of us can remember, especially us, we're dating ourselves, but there's so many of us that can still remember where we were, what we were doing, 100%, what was happening when the very first tower was struck. 00:01:29.909 --> 00:01:30.629 Oh, 100%. 00:01:30.949 --> 00:01:31.349 I can. 00:01:31.509 --> 00:01:32.549 Absolutely, I can. 00:01:32.710 --> 00:01:43.829 And I mean I was in Florida at the time, and I remember people that I was working with had family in New York and the panic. 00:01:45.030 --> 00:01:48.390 It's just um devastating. 00:01:48.549 --> 00:02:01.590 And I remember when year 19 hit of 19 years, I remember some of the first children that were the moms that were pregnant going into the fire academy. 00:02:01.669 --> 00:02:07.829 There was like several of them that they had turned 18, had graduated, had gone through the fire academy. 00:02:07.909 --> 00:02:12.949 And I thought just that was such a special, yeah, a special, special time for them. 00:02:13.109 --> 00:02:15.829 You know, they didn't get to meet their dad. 00:02:15.990 --> 00:02:16.469 Yeah. 00:02:16.789 --> 00:02:20.069 But that they're carrying that on. 00:02:20.150 --> 00:02:23.669 And then now I feel like it's just been a blink, and now we're at 25 years. 00:02:23.829 --> 00:02:24.150 Yes. 00:02:24.870 --> 00:02:33.590 That's kind of where Nicole and I want to spend some time today, mostly because I think there's a lot of things that happened between then and now, not just these big events. 00:02:33.829 --> 00:02:38.150 We've had 9-11, we've had COVID, but we've had a lot of little things happen in between there. 00:02:38.229 --> 00:02:43.349 These are just the big things that we can talk about in healthcare that kind of stand out for us. 00:02:43.430 --> 00:02:55.990 But I really want to bring forward and shine some light on first responders, healthcare workers, those that come out in times of trauma, whether that's Red Cross or the National Guard or people that are on standby at all times. 00:02:56.069 --> 00:03:04.149 You know, there's this stigma around first responders and healthcare workers because we are culturally conditioned to be the strong caregivers. 00:03:04.469 --> 00:03:08.149 And that makes us sometimes less likely to reach out for help. 00:03:08.310 --> 00:03:12.229 If we need help ourselves, we are much less likely to reach out in those times. 00:03:12.469 --> 00:03:16.389 We don't seek mental healthcare as a standard part of our routine. 00:03:16.549 --> 00:03:19.189 It's not a part of our conversations on a daily basis. 00:03:19.269 --> 00:03:19.989 We normalize that. 00:03:20.069 --> 00:03:20.789 We internalize it. 00:03:20.870 --> 00:03:21.429 We normalize it. 00:03:21.509 --> 00:03:22.949 It's similar to physical conditioning. 00:03:23.109 --> 00:03:26.949 When you have people that are in the military, they physically condition themselves to be ready for combat. 00:03:27.109 --> 00:03:31.189 Healthcare workers and frontline workers and first responders, that's part of our conditioning. 00:03:31.269 --> 00:03:33.429 We that's our mental conditioning to be ready. 00:03:33.590 --> 00:03:37.590 You see terrible things, you see horrible things that people should never have to lay their eyes on. 00:03:37.829 --> 00:03:40.629 We pack it away, we store it, and we move on. 00:03:40.789 --> 00:03:47.989 And I think that that's one of the things that sometimes people, especially in healthcare and first responders, we don't think about. 00:03:48.149 --> 00:03:51.590 We're culturally conditioned to move that to the back, right? 00:03:51.669 --> 00:03:52.469 That's part of who we are. 00:03:52.549 --> 00:03:56.149 And I think that there's some cumulative effect there. 00:03:56.229 --> 00:04:04.789 There's some cumulative burnout, especially when you think about that daily exposure, that cumulative effect, that secondary trauma and what that turns into. 00:04:04.949 --> 00:04:09.349 So we have this, we have this full culmination of where it goes. 00:04:09.429 --> 00:04:21.670 And then we have secondary trauma that comes in the form of whether it's sleep disruption, shift work, high-stakes decision making that can compound into this physical and emotional exhaustion. 00:04:21.910 --> 00:04:27.590 I have spoken to nurses, frontline workers, firefighters, or attire EMTs. 00:04:27.829 --> 00:04:44.470 They reach a point, Nicole, where it physically hurts their bodies to get out of bed and go to work, to step a foot back on the bus, to put a foot back on the steps of the fire truck, because it's their body's visceral response to what they've been through. 00:04:44.790 --> 00:04:45.590 Yeah, for sure. 00:04:45.829 --> 00:05:11.189 I think fire and police constantly, specifically on 9-11, the the police and the fire, you're seeing body parts, and you cannot, and nor do you have time to deal with it or even comprehend fully what you're seeing before you move on to the next thing. 00:05:11.509 --> 00:05:14.069 And that's how EMS and the police work. 00:05:14.310 --> 00:05:41.990 They are going from a crash where people were thrown and are deceased, or maybe they're doing CPR and maybe the patients live, maybe they don't, and then they're getting called to a completely different scenario that very well could be equally devastating, and they still haven't had a minute to even think about what just happened. 00:05:42.069 --> 00:05:58.310 So there's no processing time

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because the last thing we want to do when we get home is think about how our of all the things and all of the decisions, life-sustaining, life-changing decisions that we had to make. 00:05:58.469 --> 00:06:15.029 And then, especially on 9-11, being in such a mass casualty and such an acute situation, just going from body to body to body to body to body, and the things that you're seeing, you can never unsee those things. 00:06:15.269 --> 00:06:18.230 You just cannot unsee those things. 00:06:18.310 --> 00:06:37.029 And I think it's devastating to the families of those because I feel like for police, and I can say because there's police in my family, that if they went and got help, that's offered to them. 00:06:37.349 --> 00:06:39.909 They would be seen as weak, and so they won't. 00:06:40.230 --> 00:06:40.550 Yeah. 00:06:41.110 --> 00:06:41.589 Yeah, absolutely. 00:06:41.829 --> 00:06:42.709 And I'm quoting. 00:06:43.430 --> 00:06:50.870 So oh, I can't reach out to so and so who does post-traumatic counseling. 00:06:51.029 --> 00:06:51.990 They offer that. 00:06:52.469 --> 00:06:52.789 Yeah. 00:06:53.269 --> 00:06:54.629 But will they go? 00:06:54.789 --> 00:07:01.029 I hope they do, but I will tell you, in most cases, they do not because it makes them look weak. 00:07:01.349 --> 00:07:01.750 Yep. 00:07:01.990 --> 00:07:08.550 And then you have that occupational stress carrying over into the domestic life, carrying over into their home. 00:07:08.789 --> 00:07:14.149 And that will look often like emotional withdrawal from their family, or they become hypervigilant. 00:07:14.230 --> 00:07:16.069 So you have one of two scenarios. 00:07:16.230 --> 00:07:24.629 They become this recluse, withdrawn, won't participate in family functions, won't discuss, won't, they just become this person that nobody recognizes anymore. 00:07:24.870 --> 00:07:31.670 Or they become this hyper-vigilant person at home where they are just like constantly keyed up and they can't get their body out of that state. 00:07:32.069 --> 00:07:34.230 And that's not any way to live on either direction. 00:07:34.389 --> 00:07:37.990 And so it just becomes this lose-lose situation from them. 00:07:38.149 --> 00:07:42.629 And so we have this situation where no one wins. 00:07:42.709 --> 00:07:51.029 But again, it's because we have, as first responders, as healthcare workers, we have been trained to do this. 00:07:51.189 --> 00:07:54.310 It's part of our conditioning, it's part of our emotional conditioning. 00:07:54.469 --> 00:07:55.829 And that's that cumulative effect. 00:07:55.909 --> 00:08:06.469 And so I think that thinking about today, remembering 9-11, remembering that cumulative effect of very catastrophic, very acute events that culminated and led up to that. 00:08:06.550 --> 00:08:15.990 I also want to take a moment to recognize just the citizens, the everyday people that were impacted by that. 00:08:16.149 --> 00:08:19.909 So many people were shoved into a first responder role.

00:08:20.149 --> 00:08:25.670 People that had never been in healthcare, never been in a first responder situation, never had to do that. 00:08:26.069 --> 00:08:27.509 That instinct kicked in. 00:08:27.670 --> 00:08:34.950 We saw people that had no clue, had no idea, or had never been involved in first responders. 00:08:35.110 --> 00:08:37.830 They just jumped in and started helping because that's what we do, right? 00:08:37.909 --> 00:08:40.070 We rally, we come together, we do those things. 00:08:40.310 --> 00:08:48.230 And then we started seeing the effects of what that looked like for them, especially for them, because they'd never had to deal with that before. 00:08:48.389 --> 00:08:53.430 And so we started seeing that secondary trauma manifest itself in the average person. 00:08:53.590 --> 00:09:01.110 So think about what that looked like for someone who had never been exposed to something like that, who had never had to see something like that. 00:09:01.350 --> 00:09:03.269 And so I think that those are big things to think about. 00:09:03.350 --> 00:09:17.750 And so I really want to hit home with first just in this the season that we're in, this political environment that we're in, and this time of unrest in our society, for everyone to just step back and take a moment to consider not only what today represents. 00:09:17.990 --> 00:09:26.870 If you're listening to this today, it's September 11th, it's 9-11, Patriot Day, if that resonates with you, but just to have some grace for each other, right? 00:09:27.029 --> 00:09:33.429 Just to have a moment to just stop and just love your neighbor, to just realize that we're all going through something. 00:09:33.590 --> 00:09:38.309 We've all gone through some type of tragedy or acute trauma or a cumulative effect of something, right? 00:09:38.389 --> 00:09:39.269 That's happened in our life. 00:09:39.509 --> 00:09:40.069 For an hour. 00:09:40.309 --> 00:09:45.830 For a long time after, not an hour, for a long time after, weeks and maybe a month. 00:09:46.629 --> 00:09:51.189 People were so nice because we were all going through the same trauma. 00:09:51.509 --> 00:09:51.830 Yeah. 00:09:52.069 --> 00:09:52.309 Yeah. 00:09:52.549 --> 00:09:53.590 This world looked very different. 00:09:53.830 --> 00:09:54.950 It looked very, very different. 00:09:55.110 --> 00:09:56.549 It looked very, very different. 00:09:56.629 --> 00:10:01.990 But I will never forget watching them, even on TV, carrying out the Catholic priest. 00:10:03.110 --> 00:10:04.710 Nobody's can can forget that. 00:10:05.110 --> 00:10:05.990 Carrying him out. 00:10:06.789 --> 00:10:06.950 No. 00:10:07.590 --> 00:10:13.669 And I'm glad that they put things like that on TV because that's real life. 00:10:13.990 --> 00:10:23.350 And when they handicote stuff, it gives us a false perception of what's really going on and knowledge is everything, right? 00:10:23.509 --> 00:10:24.549 Knowledge is everything. 00:10:24.870 --> 00:10:25.990 But I think you hit it. 00:10:26.069 --> 00:10:33.750 I think it's super important to acknowledge not just the, of course, the first responders. 00:10:33.830 --> 00:10:34.870 They're top on the list. 00:10:35.189 --> 00:10:41.590 Police, fire, EMT, hospitals, but also those people that are just going through it. 00:10:41.830 --> 00:10:47.429 That are just going through it and having to live through it when maybe they have signed up for that. 00:10:48.230 --> 00:10:49.110 Yeah, exactly. 00:10:49.350 --> 00:10:55.350 I think that we're talking about these things compounding into just this physical and emotional exhaustion. 00:10:55.669 --> 00:11:06.149 I want to lay out for everyone, specifically talking to our healthcare workers, our first responders, our people that are there daily, but to anyone, there's some pretty significant signs of compassion fatigue. 00:11:06.309 --> 00:11:10.950 Nicole and I have had this beat into our heads as first responders, but it is always good to talk about them. 00:11:11.189 --> 00:11:16.789 Compassion fatigue is something that you have to watch for in yourself, in your colleagues, and those around you. 00:11:16.950 --> 00:11:25.429 And it's okay to talk about compassion fatigue with your loved ones and let them know, hey, this is something that I think I'm going through, or maybe the people that are around me are going through. 00:11:25.590 --> 00:11:40.230 But the one thing that I think is really key to notice is if you see someone or maybe you're starting to experience some emotional detachment, maybe even some cynicism, you're not quite as bothered, that's a problem. 00:11:40.389 --> 00:11:43.509 We can in turn put that in a box and set it aside in the moment. 00:11:43.750 --> 00:11:46.309 But if you're numb to it, that's a problem. 00:11:46.549 --> 00:11:49.350 Chronic irritability, insomnia is a huge one. 00:11:49.509 --> 00:11:51.189 That's oftentimes the first thing that shows up. 00:11:51.269 --> 00:11:57.590 People start losing sleep and they're just like, I'm not sleeping well, I can't function, then they get numb and then they get very cynical, and that's a problem. 00:11:57.830 --> 00:12:00.389 Or if you start having some unhealthy coping mechanisms. 00:12:00.470 --> 00:12:01.590 I've given my story before. 00:12:01.669 --> 00:12:04.309 I've told Nicole this when I left in-person care. 00:12:04.549 --> 00:12:08.230 I had gotten to the point where it was at the height of COVID, things were just rough. 00:12:08.389 --> 00:12:14.870 I had spent some time in the ICU, I had gotten sick, I had gotten so tired of stacking body after body after body. 00:12:15.590 --> 00:12:19.669 I was, I was self-medicating and I was drinking and it was a problem. 00:12:19.830 --> 00:12:21.189 That's self-medicating, guys. 00:12:21.269 --> 00:12:24.230 That is an unhealthy coping mechanism, but that's what was happening. 00:12:24.389 --> 00:12:28.629 And it wasn't until I stepped back and I was like, whoa, I can't do this.

00:12:28.789 --> 00:12:29.590 I can't keep doing this. 00:12:29.669 --> 00:12:31.029 And so those are some red flags. 00:12:31.110 --> 00:12:36.470 But I want everyone to understand that there is, there are peer support programs out there. 00:12:36.629 --> 00:12:39.189 There is power in those peer support programs. 00:12:39.350 --> 00:12:44.870 Even if, like Nicole said, oftentimes there's this stigma against reaching out to those. 00:12:45.189 --> 00:12:49.750 Man, sit down and have a meal with a friend and just tell them what's going on. 00:12:49.830 --> 00:12:54.870 You it doesn't necessarily have to be with a pastor or a psychiatrist or a psychologist or anything like that. 00:12:55.029 --> 00:12:59.509 Just tell someone how you're feeling and get the conversation started. 00:12:59.669 --> 00:13:01.189 Then it feels like a safe environment. 00:13:01.350 --> 00:13:06.309 You can go from that to even something so much as a structured, peer-led situation. 00:13:06.549 --> 00:13:07.830 There's all kinds of things out there. 00:13:07.909 --> 00:13:10.870 And then that goes on to cognitive behavioral therapy. 00:13:10.950 --> 00:13:13.509 There's EMDR, there's trauma-informed somatic techniques. 00:13:13.669 --> 00:13:15.110 There's a lot of stuff out there. 00:13:15.269 --> 00:13:24.149 And so I really want people to understand that getting help doesn't have to be going and sitting on someone's couch and pouring your heart out. 00:13:24.230 --> 00:13:25.189 It doesn't have to be that way. 00:13:25.590 --> 00:13:33.590 It can be just from moving from that cynical, numb feeling to just telling someone how you feel, truly. 00:13:33.830 --> 00:13:34.389 That is true. 00:13:34.549 --> 00:13:35.029 That is true. 00:13:35.189 --> 00:13:39.509 And if you don't have anyone, the 988 Lifeline is available. 00:13:39.669 --> 00:13:41.590 You can call, text, you can chat. 00:13:41.750 --> 00:13:43.189 They're Spanish speaking. 00:13:43.350 --> 00:13:50.789 They have, if you go on their website, 988lifeline.org, there's a deaf and hard hearing area that you can go to. 00:13:50.950 --> 00:13:57.110 But the 988, it's a suicide hotline, but it's and crisis lifeline. 00:13:57.350 --> 00:14:11.509 And so whether you're facing mental challenges, struggles, emotional distress, alcohol or drug use or concerns, or just need someone to talk to, they have counselors there that are waiting for you to call so that you're not alone. 00:14:11.590 --> 00:14:19.750 Because a lot of people isolate themselves and they are alone, or maybe they don't want to talk about it with someone that they know because of whatever stigma. 00:14:19.830 --> 00:14:22.309 But the 988 Lifeline, it's free. 00:14:22.629 --> 00:14:25.669 You can talk to a counselor right there. 00:14:26.069 --> 00:14:30.069 And so I hope anyone that's struggling, take advantage of that. 00:14:30.309 --> 00:14:31.350 Take advantage of that. 00:14:31.429 --> 00:14:31.909 They're there. 00:14:31.990 --> 00:14:34.789 And it was created for a reason because absolutely. 00:14:35.669 --> 00:14:36.950 Absolutely. 00:14:37.350 --> 00:14:38.230 All right, guys. 00:14:38.389 --> 00:14:48.470 So as we close up today, I just want to first and foremost thank anyone and everyone that is a first responder, a healthcare worker, a frontline worker. 00:14:48.629 --> 00:14:51.189 Maybe you are a volunteer for the Red Cross. 00:14:51.350 --> 00:14:54.710 Maybe you are someone who just shows up when they need extra waters. 00:14:54.870 --> 00:14:55.750 God bless you. 00:14:55.990 --> 00:15:00.149 If you are just that person that says, you know what, I can't do anything, but I can say a prayer. 00:15:00.389 --> 00:15:01.029 Thank you. 00:15:01.269 --> 00:15:02.950 It doesn't matter who you are. 00:15:03.110 --> 00:15:07.830 If you stop and take five minutes, maybe prayer isn't your thing, but you can stop and just give a moment of silence. 00:15:07.990 --> 00:15:08.710 Thank you. 00:15:09.029 --> 00:15:10.149 You are needed. 00:15:10.309 --> 00:15:12.549 Everyone, we are all there for each other. 00:15:12.710 --> 00:15:19.990 Whether that's just stopping for a moment and just saying, you are valuable, you are worthy, that is enough. 00:15:20.149 --> 00:15:23.029 And I just want everyone to understand and hear that you are enough. 00:15:23.189 --> 00:15:26.309 And days like today remind us that we are not in this alone. 00:15:26.389 --> 00:15:31.110 And when times like 9 11 happen, gosh, we can rally together like no other. 00:15:31.830 --> 00:15:33.189 Yep, that's true. 00:15:33.429 --> 00:15:37.509 So everyone out there, stay safe and God bless the USA. 00:15:38.149 --> 00:15:38.789 Amen.

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