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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.

Scott Benner 0:06
Hello everyone and welcome to Episode 318 of the Juicebox Podcast. Today's show is sponsored by Omni pod Dexcom. The Contour Next One blood glucose meter and touched by type one.

Sarah 0:26
I'm Sarah. I'm a 37 year old nurse practitioner who works in New York, which is now kind of the epicenter of Coronavirus. I have two little kids, a five year old and a seven and a half year old boy and I'm married and my husband's a teacher.

Scott Benner 0:50
Sarah reached out to me just the other day wanting to share her experience as a healthcare worker in New York City who's recently been diagnosed with COVID-19. Please remember that nothing you hear on the Juicebox Podcast should be considered advice, medical or otherwise, always consult a physician before making any decisions about the Coronavirus becoming bold with insulin. Just about anything else. This is just a podcast. Talk to a doctor.

You can get an absolutely free no obligation demo of the Omni pod tubeless insulin pump by going to my Omni pod.com forward slash juice box. Find out today about the Dexcom g six continuous glucose monitor@dexcom.com forward slash juice box and to see if you're eligible for an absolutely free Contour Next One blood glucose meter go to Contour Next one.com to check out the world's most delightful Type One Diabetes organization and the whole of the world at least as far as I've seen. Touched by type one.org. How old were you when you were diagnosed with Type 117?

You've been doing this for a while?

Sarah 2:11
Yeah, I've been around the block a few times. 20 years? Actually, it just was my diversity this week, actually. Oh, well. Congratulations.

Unknown Speaker 2:19
Yeah. big week for you, huh?

Unknown Speaker 2:22
Yeah. Yeah.

Scott Benner 2:24
How long have you been listening to the podcast?

Sarah 2:27
Um, not that long, maybe four months ish. But I like what I tend to do with a lot of podcast is I kind of Bolus a lot of shows. I'm like, oh, wow, this is really great. He's got a lot of great ideas. And I like the way he thinks about things. And you know, I really like some of your guests and stuff. So I listened to a bunch like for a few weeks straight. So I don't know how I would say I've probably listened to about maybe 100 of your podcasts

Unknown Speaker 2:56
like you just just just a small number. Keep going.

Scott Benner 3:01
I'll tell you the the interesting thing that you're seeing around Coronavirus is that people aren't commuting as much and when they don't commute and listen to their podcasts as much. So yeah, I need this Coronavirus thing to be over just like everybody else. But not as much as you need it to be over. So I got a note from you the other day. And you said hey, I have type one diabetes, and I have the coronavirus. And I was like you're getting right on the podcast.

Sarah 3:32
I was I'm thinking about I'm saying something to you about it. And then when you I listened to your one that you talk to Jenny and you were joking with her like, Hey, can you just get Coronavirus so we can talk about it on the podcast. I was like, Oh my god, I have to message

Scott Benner 3:49
you believe she wasn't willing. Honestly. I mean, what kind of a person wouldn't just you know, risk their own death. So I can get a couple extra downloads on one, one episode of a podcast. No, I just really listen. I mean, I really was hoping to get some insight. So So let's do this first. So you you work in a hospital right? Are you in a but yes. Tell me what department is you work in? Is that?

Sarah 4:12
Yeah, yeah. transplant.

Scott Benner 4:15
Okay, so that seems like a place where you wouldn't want anybody to be sick?

Sarah 4:19
Yeah. Yeah, no, our patients are immunosuppressed. So they're actually more at risk of getting the virus. Mm hmm. Then, then even I am. So you know, obviously if you're type one, you're immunocompromised. But we give these patients medications that suppress their immune system. Right.

Scott Benner 4:40
So, so I guess the The question is, do you have a feeling for the epidemiology of like, how you like, you know how you got sick or is it just were you just waiting?

Sarah 4:51
Yes, it was either a co worker or a patient.

Scott Benner 4:58
One of your direct patients

Sarah 5:00
Yes, yeah. So I was, it was it was right before everything got really crazy with everybody being isolated and stuff. Yeah. And we were kind of doing business as normal ish. And then my coworker left work early, had a fever. And then I was going to go on vacation. My husband was going to leave the country. He was going to chaperone a trip but then that got cancelled because of coronavirus. And then so I was home and he was home. So I wasn't even scheduled to go back to work. And then I started feeling a little funny, a little sick, like I had congestion. But then he was complaining that he felt like he had the flu. Now, I've never had any flow. To my knowledge. I could have had it and just not had it. known that I had it. But I've never had like aches, I probably haven't had a fever since the 90s. Like, that's just I'm not I don't get a lot of colds.

Scott Benner 6:02
I haven't thrown up in three decades. So some point you're just like, hey, this doesn't happen to me anymore.

Sarah 6:08
Yeah, I do throw up a lot. Not a lot. But when I was pregnant, it was like, I was like, 30 something weeks pregnant. If I didn't have food on my stomach, I would drop so I do I do tend to vomit but like no fever is never anything I have had in fairness, sir. I've never been pregnant so I can't

Scott Benner 6:27
get apples to apples this with you. So you start not feeling well. Like how so? Today's March 28. How long ago was that? Do you think?

Sarah 6:37
I can give you the dates because I actually had to replicate the dates for a public health nurse called me the day after I was diagnosed. So this was um, I started feeling on well, March 15. But I thought maybe I had a cold. I was there. Last thing on my, in my brain was Coronavirus, because I wasn't really suspicious when the coworker left work. I just didn't really like oh, no, you know, he's probably just had some flu or something because it wasn't a big thing. And they we weren't allowed. I think it wasn't a big thing because nobody was allowed to test anyone. I mean, Trump had I think at that point had just come out and said, Oh, anyone could get tested. But no one could get tested. We couldn't test anyone. It was still I didn't really think people really had it. I mean, I thought it was coming. But I didn't think that it was like pervasive. So I would say Sunday night I felt sick Monday morning. I was like, wow, I have a horrible headache. It feels like I'm getting a sinus infection. I've had a couple of those like I'm over a decade ago. They required an antibiotic. So my husband goes to the pharmacy, he picks up an antibiotic, I have it at home. And I'm just feel like a little a little tired. I felt I had the headache. And then I felt like I couldn't really smell like my sinuses were blocked up hence why I thought I was getting a sinus infection. And then the next day, my husband's like, Oh, I feel worse. And he calls to try to get tested for coronavirus because he's like, I feel like I have the flu. But we all in my house, I'll get the flu shot because I'm type one. I'm a health care provider, we have little kids, we all get the flu shot like immediately when it's offered. We're very vigilant about it. So I honestly, like I'm not that you can't get the flu once you have the flu shot, but it you know, it's much, much less likely. So. So Tim was like, I think I might have it I'm like, I don't know, like maybe but that seems kind of far fetched. But it's all over the news. So like, yeah, that's what, you know, a lot of people jump to, but I'm like, I don't think so. So he calls and they're like, No way because you're too healthy to get tested. You know, he's not short of breath. He just has he had like a subjective fever, which kind of means he had chills and felt like he was you know, having trouble regulating his temperature, and just fatigue like, you know, low energy, they wouldn't test them. And then that night after he had called somebody texted me from work that a patient tested positive.

Scott Benner 9:24
And then all of a sudden it feels very real.

Unknown Speaker 9:26
And this is then I'm like

Scott Benner 9:30
well, this is all really it's so funny how quickly things have moved. So you're describing basically 13 ish days ago. And it really is the night and day difference between what we are thinking of now and what we were thinking of back then back then it was just sort of like hey, it's overseas it'll probably get here we're not sure what's going to happen yet. And and it it just really ramped up so incredibly fast and I guess you can you really at one point when we look back and and pay attention Assuming it would have been here and just not as prevalent, weeks and weeks before we really were thinking about

Sarah 10:07
Oh, yeah, I definitely was, I mean, based on like, where our numbers are now, it was definitely circulating. And I'm sure people had it and just never knew that they did.

Scott Benner 10:16
Right. Oh, hundred percent. Yeah. Do you think you had that thing where you can't smell when you lose your sense of smell or taste?

Sarah 10:22
Oh, yeah, I have that. And that's, I still have that symptom. That's with you pretty much over the other other stuff. But I still have that. And that's actually kind of how much when I cemented that I diagnosed myself as having it was so like, the day after Tim couldn't get tested. Then the next day, I was like, Can you call them back, tell them that your wife was exposed, and they still would not test him. And then later on, I call my supervisor and she's like, I'm try you can do a telehealth visit. Okay, so that's a big thing now, in order to screen people for being tested, but also to see other doctors because we're not sending anybody to see doctors, because that's like a big risk. So, um, I, I saw a doctor online, and I kind of exaggerated my symptoms a little bit, because I was like, based on what I have, I don't think she's gonna test me. But at that point, I also thought maybe my coworker had it. Yeah, maybe because they left with a high fever. But then I also was like, I had a patient who I, you know, admitted to the hospital who tested positive. Tell me,

Scott Benner 11:39
let me jump in. Tell me your thoughts about wanting to get tested at that point. I mean, you, you figure you've got it. Right. You've been in contact with people had it? What did you just want to know? Like, what changes knowing to not knowing

Sarah 11:51
part of me wants just like the public health data, yeah, like capturing a positive. But being more careful about quarantine, because at that point, I've gone to the store a few times, like I've done stuff, or being just being more careful. And also, like not wanting to expose patients, because eventually I was going to have to go back to work. Right.

Scott Benner 12:17
So just having that answer maybe gets you. I mean, it should definitely get you out of work. Is that right?

Sarah 12:23
Well, we'll get to that.

Scott Benner 12:26
Okay. things a little so upside down. It doesn't matter if, if you've got Corona as long as you know how to be a nurse.

Unknown Speaker 12:33
Not

Unknown Speaker 12:34
not Yeah.

Sarah 12:36
So, um, so they still wouldn't test them. They said, if they knew I was positive, they would test them. I did. I talked to the doctor and I kind of told her I had a cough, which wasn't a straight out lie. I probably coughed a few times, but I didn't have a persistent cough at all. Okay. Nothing like they're talking about. I never had a fever. They still want to test him. But they put in an order for me. But then I had to set an appointment. They weren't they're not accepting walkins to get tested at my at my job. So I had to wait for five more days. For once you put in the order to even get testing well. Yeah,

Scott Benner 13:14
well, there's a test at that point. Right. Like they're,

Unknown Speaker 13:16
I think they weren't prevalent.

Scott Benner 13:18
There's a rapid test. I think that's just becoming available today. Is that right? Did you hear about that?

Sarah 13:24
Um, yes, I heard that there is a rapper, I was actually more interested in the I saw there was a I don't know when the blood test is coming up, but Saturn is going to be able to Yeah, yeah, I think that's gonna be really, really useful, both for people that are taking care of the patients and for the patients themselves. If that's what again, if that becomes like,

Scott Benner 13:50
widely available? Well, I think my wife keeps talking about that. She's like, I've just one day I want to find out if I've had it or not, because she's like, I swear I had it like a while ago. And before anybody was talking about it. I am looking at an article right now. Us approves Abbott Labs, five minute rapid Coronavirus test that was six hours ago, this story went up so Oh, wow. Yeah, so this just happened.

Sarah 14:14
When I did finally get tested it only it was a quick turnaround. It was only it resulted like six hours later. Okay. Which was nice.

Scott Benner 14:22
So I guess we have to talk about it. Is that image online? True, does that because that looks like there's a swab on the end of a long wooden stick that goes in through your nose and heads back towards the center of your brain?

Sarah 14:35
Oh, yeah. It's very, extremely uncomfortable. And they really have to turn it around. And that's where some people are, are falsely getting negatives to and that's another reason that it's good to have a blood test. Is this because

Scott Benner 14:50
being done right? Because

Sarah 14:51
Yeah, exactly. But you really have to like turn it around in there and it's very uncomfortable. So if so if if The nurses been properly trained. And that's all they're doing all day long, they're probably doing it right. But we have like any and every nurse in the hospital doing it. So they're not necessarily getting good samples all the time and not and I don't not blaming them, they have a million other things to do. Like if a nurse is just doing that all day long, she's getting good at it. And she's like dealing with the patient's discomfort, because like my eyes were watering, it was very uncomfortable.

Scott Benner 15:25
Again, I just the picture online makes it and there's a description that says, it goes back to being parallel with your ear or something like that. And I'm like, wait, why? Oh, yeah. Like, I don't want that. Please, please. No, but I do like the idea of knowing, too. I mean, obviously, the way the the numbers get skewed constantly, because everybody hasn't been tested. And I mean, do you think that from what you're seeing, is the rate of death going to continue to drop as we find more people have had it? And

Sarah 15:58
oh, yeah, like, I'm sure the the Yeah, the mortality rate would be less if you could actually capture like, more accurate numbers. Yeah.

Scott Benner 16:07
Well, okay, so are you still doing transplants at this point, or have has that stuff's been I guess that's not a elective that needs to be done when it needs to be done? Right.

Sarah 16:18
Um, I think I'm going to talk about it more generally, and not about my programs specifically, right. But I think everyone else is being much more careful about who they do it too. Because you're you're massively immuno suppressing people so much. So I think most programs are are way way, like, doing a lot less only if it's really urgent.

Scott Benner 16:43
So your husband has it, you have it, how do you stay away from your kids? What do you do in that situation? I'm

Sarah 16:48
pretty sure they have to, honestly because then, um, so then and all another clue, germane to to what we're talking about is my insulin requirements went up to

Scott Benner 17:01
Okay, so

Sarah 17:02
um, so that was another reason I thought that I had it not usually when I get colds it doesn't go up.

Scott Benner 17:08
Yeah, Ardennes doesn't Arden's usually goes down a little when she gets sick. But, um, but just something obviously, with your body changed, because you saw your insulin needs change at the same time.

Sarah 17:18
Yeah, diabetes gives you a window to certain things that the layman doesn't necessarily seem to see. Yeah.

Scott Benner 17:25
Because you

Sarah 17:26
can see different changes. So Mike, Mike, that was another kind of thing that muddy the water. My younger son had been sick for weeks. So I kind of thought maybe we had what he had, yeah, maybe we just have some kind of a cold and it's affecting us differently. But his his was like a runny nose, and a cough. But during this time, his cough was getting worse. And so bad, because at that point, he had been maybe sick for three weeks, so I actually had to take them to the pediatrician, right. And at that point, I wasn't tested yet when I took them to the pediatrician. And she basically was like, Oh, I could test him for it, but only a few were positive. And I'm like, Well, I have an appointment in a few days at my job like, you know, I can only control what I can control

Scott Benner 18:22
right? But I have

Unknown Speaker 18:25
Yeah, I just

Sarah 18:28
like I've never felt like this before in my life, but you know,

Scott Benner 18:31
and so having it is like what is it just like every other virus you've ever had, or is it different? How's it been affecting you?

Quick hitting ads. Today I want to remind you that the links to all of this sponsors are right there in the show notes of your podcast player. You can also find them at Juicebox podcast.com. And here they are in quick succession. To get an absolutely free no obligation demo of the Omni pod tubeless insulin pumps sent directly to you go to my Omni pod.com forward slash juice box. Now is no time to let up on your health. Check out the Dexcom g six continuous glucose monitor dexcom.com forward slash juice box and you're going to need an absolutely rock solid blood glucose meter to go with your gear and the one you want is the Contour Next One, you know where to get that at Contour Next one.com Juicebox Podcast is proudly sponsored by all of these wonderful devices and by touched by type one.org.

Having it is like what is it just like every other virus you've ever had or

Sarah 19:48
I would say I had more fatigue

and I don't usually have a blood sugar bomb and I was definitely a little more insulin resistant and And then not being able to smell at all, even when I felt like my nose, like I was maybe congested for three days. Yeah. And then then it went, the congestion went away. But I still couldn't smell and I still can't smell now. And that was actually I have an au pair that lives with me. And actually, when I said that one day, like, I was like, if you guys want to get takeout, that's fine. I sat at home, even though we were trying to be very careful about it. And I was like, I can't smell or taste anything. And he was like, Oh my gosh, that's what they're saying is a symptom of coronaviruses. You can't smell or taste. And that was when I was like, Oh my god, I have 100% habit.

Scott Benner 20:36
That's got to be like a baby to get the test. Right? That's a bad movie, right? Where if somebody turns you slowly and says on the news, they're saying that that's one. And you're like, Oh, I have that? Yeah. Have you freaked out at all? Or like, so you've been a nurse for a really long time, right?

Sarah 20:51
Yeah, I was a nurse for nine years. I've been an NP for five years. Okay.

Scott Benner 20:55
Okay. So you've got a lot of experience in this space. Is this unlike anything you've ever seen before? Or what does it kind of match up with? from your experience?

Sarah 21:06
From what I'm feeling? Or the pandemic?

Scott Benner 21:09
From the work side? Yeah, from what you're seeing in the hospital? Oh,

Sarah 21:11
no, this is way different than I've ever experienced.

Um, yeah, this is completely different.

Scott Benner 21:20
necessary, in your opinion?

Sarah 21:22
Oh, yeah. Because Because of just the amount of Yeah, the amount of people that are that are affected? Yeah. Like, like, they, you know, that's what everyone's talking about flattening the curve, because we there's just not enough ventilators or not enough beds in the hospital to take care of all the sick people, because because no one has any immunity, because like, you know, people have immunity to the flow. There's, there's no immunity to this. And it's,

Scott Benner 21:52
we're all overwhelming new thing for the very first time all together. And yeah, it's moving, is it? It's moving more quickly than we see with other viruses. But that's, we're not sure if that's because none of us are immune to it, or if it's because it has an ability to move more quickly. But it doesn't really matter why. It's just it's spreading. so incredibly fast. Yeah. And, and so when we're all hearing in the media, we take in, that this is about spreading out people's illness so that hospitals can handle it. That really is though the entirety of the goal here, right? Like it's not, we don't think some of us aren't going to get it like we're all going to get it at some point in the next year or so. I'm imagining, you know, by all I mean, a lot of people are going to have it to varying degrees. What is the varying degrees? What are you seeing, like, what would you call your case of it? Like in the mild, mid and harsh like,

Sarah 22:49
I wouldn't say I'm a symptomatic for sure. But I would say definitely mild to very mild, because because I was feeling so low energy and I like working out. I was, you know, lifting weights and stuff at home like I was doing my normal thing I except i was i was just, I could fall asleep in the afternoon and I'm not usually like, I can't usually take naps and stuff. I just would wake up I would drink coffee and it was like I didn't drink any I didn't have any caffeine like like I was just I was very low energy. So my body was definitely fighting something. And the headache Oh, that was another thing that headache. I could Tylenol. And Advil didn't do anything for the headache.

Scott Benner 23:35
What did finally drinking?

Unknown Speaker 23:37
No, no. What did you

Scott Benner 23:40
were you able to alleviate the headache or no?

Unknown Speaker 23:43
I'm

Scott Benner 23:44
not really how long did it stay with you? Or is it still with you?

Sarah 23:49
I would say I had maybe like a two out of 10 headache today. But at the worst I probably it wasn't like severe severe because I've had migraines before this was like maybe a six seven but the fact that like normal pain medicine didn't do anything it was it was pretty obnoxious. Yeah. Luckily, I was at home for a long time.

Scott Benner 24:10
What about at work right now? Are they just using? Is it all hands on deck like Howard? How is this being staffed and and handled?

Sarah 24:19
Well, if you're too sick to work, you're too sick to work. And but you're allowed to come in if you have

seven days after your onset of symptoms,

which I was out of that window when my vacation was over. And honestly I didn't know that I had it when the first day I came back to work was when my appointment was Yeah. So I walked into work and I'm like, I'm pretty sure I have it but we have to get you know, I don't know that I have it. And I wasn't you know, I don't have the fever or the cough so I wasn't like you know having the big name symptoms. So I came back to work, I tested positive and I got the result as I'm walking in my door at night. But I was already out of the window. And the next day we like called everyone to make sure it was okay for me to work, you know, from occupational health to various doctor, you know, infectious disease experts to make sure it was okay. But their policy right now is either 72 hours after your last fever, or after seven days of when your symptoms started, you can go to work, I'm extra careful. Like I really, you know, mask and hand hygiene very, very meticulously, and I and and, and before this even happened, we were staying out of the rooms much more. Yeah, like we're limiting patient contact, worried about you know, getting whatever from them, but but actually more worried about us giving them something because there could be there. I'm sure there's many health care workers walking around with it, and they just don't have any symptoms, or their symptoms are so mild, they don't know. Sure.

Scott Benner 26:11
about you and your husband, like, it might be unfair. You've got a couple of little kids. So maybe you're not running around like smooching every time you see each other but are you like air high? fiving? Or like, what's your level of like intimacy, like, now that you cuz he's through it too, right?

Sarah 26:27
Um, yeah, yeah, he feel he feels 100% I wouldn't say I'm 100% like he had worse symptoms for a few days. But mine have symptoms have been milder, but more like, prolonged No, I didn't really, because I felt like I felt like the, the horse The, the horse was out of the gate. Like, I felt like I had given it to everyone already. Because we were all at home. I was cooking, like, you know, very cuddly with my kids. And I think also because once your, you know, your quarantine in your home. Anyway, I felt like I was more needy with like affection with my family, because I'm not seeing other human beings going anywhere Do you can't like touch anybody. So I felt like I had exposed everyone to it already. I mean, maybe like, I don't think I was sharing as much because I was, we were trying to do more like being a little more careful at home with cleaning, you know, washing things like I was having my kids do the chore of like, cleaning off the doorknobs with a Clorox wipe every day and the light switches, we were doing more like disinfecting at home. But like, honestly, after after I figured it out. Like I was like, it's it's already everybody I'm sure has been been exposed. I mean, maybe I'm being a little like blood about it. But I felt like I have already given it. So I didn't really change much. And it's very hard because my little kids are there not because we've tried to have them have better boundaries, especially the little one before, but he's very bad about it, he'll be very sick, have a cold and still want to kiss you on the lips and stuff. So I'm not very good about it's

Scott Benner 28:10
interesting because your human nature does take over. I mean, I've got two children and when they're sick, you, you do have that feeling like I'm gonna get sick, too. I guess it's okay. You know, like, you don't really stop from doing the things you'd normally do for them, like you don't like kick them into a room, like close the door and go listen, if you're still alive in five days, that'll be great. We'll come back and get a year in there helping them and you know, and doing what they do you have mountain. They're sitting on your lap and watching television. And

Sarah 28:37
well, I think also for Coronavirus, because I researched it enough to see that it doesn't seem like it's hurting children very much. And my children also, you know, they're very healthy. So I was like, I mean, parents overall aren't terribly concerned, I think about kids in general. But I think I was even like less concerned because I'm like, I'm the most immunocompromised person in my house. Like,

Scott Benner 29:02
why is the one concerned about me? Maybe Maybe I should be worried about Mila. But it's very interesting. I mean, the whole thing's really interesting. Because when you hear stuff like oh, you know, it's it's a it's a strange way to talk about it. When you hear them say, Oh, you know, it's mostly people who are older or compromised, you're like, well, that's not nice to say out loud. Because you know, there are people who are older and compromised who are listening to the news also. Yeah, that's not exciting news for them. What you just told them is 100% of you, you know, are having a hard go with this. And so I get what they're doing, trying to keep the masses to become, but then you will see like some I've seen a little kid have it and be on a ventilator already. And, you know, it's just like, I don't think this might be one of the very first times that as a nation, at the same time, we're all conscious of the idea of we don't want to get sick. And if you really look back at how you live, you don't live like that. You live knowing that you're You're gonna get a cold sometimes, or you're gonna have a virus or something's gonna happen to you. Like, I don't know that it's a reasonable expectation to live without being sick. I mean, it sounds pretty impossible to me. And so, like, where do you draw the line then? Like, you see, some people are, you know, on their boats, or there was just an arrest in New Jersey recently, where there was like, some, they somebody, like throw a house party and charged I think, admission, like turned it into a business. And and they got raided, and the guy who ran the party is being charged. And like, so, you know, don't do that, obviously. But like, Where's the line, like, we got food today, you know, like, brought in, and I broke the packaging down. You know, like, I was, like, I was on Breaking Bad. You know, I took everything out of the out of the bags of bags when the trash then you know, someone else brought me plates. You know, I put the food onto the plates. I threw away the packaging for food and everything and then wiped everything down afterwards and wash like 1000 times. And Kelly's looking at me like, what are you doing, man? Like, just relax? I'm like, I don't know, like I said, you know, we don't know where all these things came from. And I just don't want to be sick. Like it keeps for me coming back to. I don't want to end up in a hospital right now. Oh, yeah. Is that a smart thing for me to be thinking?

Sarah 31:16
No, for sure. And that's, that's the thing, even very healthy people are sick on ventilators. So it is it is reasonable for everyone to be extremely careful not only for to not spread it, but so you don't get sick because you don't know even though you have a healthy immune system, some people are just getting horribly sick. Like, yeah, my coworker that had it was way sicker than me and I'm the immunocompromised one. So it's, it's you don't know.

Scott Benner 31:44
Yeah, I think for me personally, in my mind, I'm a not wanting to end up in under medical care, while the hospitals are so taxed. Just because that just seems like you don't I mean, like, you know, if there's, if there's 10 nurses and 10 doctors and 50 patients, I don't feel like I'm gonna be getting like the hands on care I would be hoping for. Not that people wouldn't be doing your best but but it's stretched thin, you know. And then my next thought is, I don't want to be the person. Like, I don't want to live for the rest of my life knowing that like my neighbor's grandmother died and died. You know what I mean? Like for me? Yeah, like, because, because I had to what? kept Chinese food? Like, you know, you mean like that, you know, I that's the thing. And we've been, we've been in this house for like, two weeks now. And I have to be honest, I'm okay with it. Yeah, dude, but you know, and I'm lucky enough to be able to obviously do what I do from where I live, but it's not that bad. You know?

Sarah 32:45
Well, I think with the with the takeout. So for a while, I was resisting at trying to be so good. Well, it was first I felt like I was sick and like, I might have it. But then I also felt like I was scared that all these like local businesses. Were were under such duress that I'm like, oh, maybe we should order a couple.

Scott Benner 33:05
Here, right. You're also trying to support the because you're also looking at your own. But listen, you're still working. But there are people who aren't working people yeah. Backwards financially every day. And and then local businesses are anybody who's ever run a business knows that most of them are barely operating it even. You know, they have to keep moving to work. There are going to be places that don't open back up after something like this.

Unknown Speaker 33:28
Oh, yeah, for sure.

Scott Benner 33:29
It's just very, it's just it's different. I've never experienced anything like that. No,

Sarah 33:35
I yeah, I don't think this has ever been in our lives.

Scott Benner 33:38
Yeah. Now what we want Next, I'm assuming is we're hoping for inoculations for the future. But yeah, sort of similar to the to the flu vaccine? I don't know. But it's really crazy. So have you seen anything? Like, like if I said, you and I'm not asking you to but if I said you tell me a really scary story. You have one for something you've seen at work? Where what's your level of? Like, what do you

Sarah 34:06
um, well, like are specific.

Scott Benner 34:10
I'm just wondering if it's like it is.

Sarah 34:14
To me. Yeah. Yeah, it's it's sir. It's terrific. And I've seen a lot of stuff. I mean, I've seen a lot of awful awful things. You know, I've worked in an ICU I've seen some terrible things that like How can this happen to human beings, you know, people innocently going about their lives. But I yeah, I think what's most, like, hardest as like health care providers, I think sometimes is see because like, it's almost like an expectation to see older people that get really sick with something like this, or people that already have a few other conditions. Get very sick. It's I think it's the hardest when you see people like in their 20s knees, and they were completely fine. like walking around. And now they're like, in a terrible state, you know, they've got a machine for their lungs, they basically, you know, have machines working for the as their heart like, like, like, like horrible like they're next to death. And it feels that's that's the most terrific

Scott Benner 35:22
it is it is. It's how we all think. I mean, it's, you know, it's funny, it's wrong, but it is how we all think like, if you see an older guy, they've lived a pretty decent life, you know, like you, that's your brain and your brain writes

Sarah 35:34
it off. Yeah, but he's 70 something and, and passes away. Not that it's not sad. But like, oh, they've had a chance to live a life someone's in their 20s, you know, that they're just starting

Scott Benner 35:45
out. And so if that's what they're talking about, is happening to with care, right, like once we get down to rationing care. Oh, yeah. That's how those decisions then get made. Right? Is it by age? And hell? Yeah.

Sarah 35:58
Yeah, I actually read it because yeah, I had read about that happening in Italy. But I'm a co worker of mine sent an article about a new jersey hospital. Yeah. Um, I forget the name of the hospital, but it was the article was out there. But the The doctor was talking about already making the just like, the doctors were having to make the decision once the patient goes on the ventilator. Like if they don't look like they're gonna, you know, little while, like, if they don't think they're going to keep going and make it through this. They're just taking them off the ventilator to to sterilize it and give to another patient because it's not fair. You know, because in the ICU, we do incredibly extraordinary things. Every day, we have machines for almost every organ, it's requires a lot of money, a lot of personnel, but we can do and I've seen many, like people that were dead dead for like weeks come back to life. Yeah, honestly. But but there's not the time and the, the, the staff and the more importantly, the equipment to do that for everybody that you want to give a chance to. So the doctor was talking about, yeah, take it, if there's three patients that they took the ventilator away from, because they didn't think the patient was going to make it in the long run, and they couldn't give even give them in this situation now, like that's, that's the thought that you're not going to be able to give these people the chance. So, my job we're talking today about that similar kinds of things, like changing the way we make decisions, and healthcare.

Scott Benner 37:44
So it's, it's really the, it's the equivalent of a war movie, where you've seen where a medic comes along, looks at somebody and goes, he's not gonna make it. We're gonna go to the next one. But that's Yeah, but that person, you

Sarah 37:55
know, yeah. Really good synopsis. Yeah.

Scott Benner 37:57
Right. So you just sort of, you start making these decisions, and then Geez, that, then that has to weigh on, you know, that's not a decision you want to make you want to exhaust efforts. And then if someone passed, yes, right, but you don't want to exactly

Sarah 38:13
what we've been, we've been trained to do, right?

Scott Benner 38:15
Because what if you're wrong? What if you just look at somebody that one's not gonna make it will take the vent, get the vent clean, move it over to this person who we know with events going to do? Well, and, and you're wrong about that? And that's

Sarah 38:28
because you could, you could pick the other person and they might end up passing away in the end?

Scott Benner 38:33
Yeah, it's just their decisions that no one should have to make. And in, in my right to say, in the regular course of medicine, these decisions don't normally have to get made.

Sarah 38:42
Yeah, exactly. They, they don't and I actually have been talking about it, because I thought about it in the past week that like, honestly, a lot of us are going to need some mental health, like support. Because this isn't like the normal, like even the way the units are set up and stuff. Like wait because no visitors are allowed. Or the patients are lonely, if they're, you know, because not all patients are like out of it on a ventilator. There's, there's a lot of like patients that know what's going on in their family can't see them. Like it's a very, it's I want to dystopian, like the hospitals like a dystopian, like, please, because it doesn't seem like this isn't it's completely and there's so few people working they've minimized all the people working in the hospital. Like it's a very weird lonely

Scott Benner 39:34
place. Yeah, that fluorescent lighting is a little otter I would imagine today that it is normal, right? Yeah, just sort of feels like the fourth episode of a zombie television show. We're like everybody's like it's gonna be fine. Still, we're just working hard and we're gonna get past this. Except we except by the way, we are going to get past this it is going to like flattened out and it you know, people are still going to have it but it's, they're going to get to keep their event you know if they need one. Yeah, it's just this. This is the time this is the spiky time right now. And people are people are. I mean, we're not talking enough about the cases that have, you know, resolved and recovered. Yeah. And that's starting to happen. You know, we're starting to see those. I think the last numbers I saw, were like over 120,000 cases in the US, somewhere over 2000 deaths, but also somewhere over 3000 recovered. So, you know, that's hopefully the next bit of news we're going to start getting is, you know, how many of these, you know, I'd like to I'm excited for the day where it says, you know, we have 150,000 cases, and 100,000 of them have, you know, recovered already. And, yeah, so it's just a very, I don't know how you're doing it, honestly, are you? Did you say you're in a hotel right now?

Sarah 40:49
Well, um, they're doing a lot of things. I'm sure they're getting really good rates on hotels, because nobody's traveling,

Scott Benner 40:56
right.

Sarah 40:56
But they're also understanding that we, the commute, and everything is much more stressful, more difficult. And honestly, because every No, it's like, no one wants to take public transit. So the parking lot because I drove to work this past week was crazy to get it. I don't normally drive I usually take public transit. Yeah. But I think they're understanding that, you know, and also like, so then, they're also understand that people don't want to expose their family members, necessarily. So at least, like if you, you know, stay here and between and then if you want to kind of shower off, or I saw a lot of memes about like, nurses being like, I'm just gonna, you know, you're gonna see me stripped down to my underwear before I walk in my house. Just mind you're

Scott Benner 41:49
out front on the on the patio.

Sarah 41:51
Yeah, so so if that's the way you feel about it, like it's a safer place. I mean, I obviously I don't feel like I need to protect my, but it's nice to having like, to, to not have to somewhere you can

Scott Benner 42:03
go. I've heard stories of doctors sleeping in their cars at hospitals, because they don't want to go home. You know, so there's all levels of like, yeah, you don't want to like if you've got a family at home, and they're basically sheltered in place. And they're not ill, as a health care professional. You coming into the house is probably the worst thing that you can do. Yeah.

Sarah 42:24
Yeah. To expose everyone.

Scott Benner 42:26
Right? It really does make you think, doesn't it? Like what is expose everyone mean? Like, you don't mean? Like, you're just touching something like, you know, is it is it as weird as like, I touched the desk and a day and a half later, and my kid touch the desk? And

Sarah 42:40
well, yeah, this this disease is a lot of like, unknowns that everyone's scared about it, because I don't think a lot of it's not that clear. And everyone, stuff, policies and procedures keep changing. And the recommendations keep changing. So it's a very scary, it's a scary disease, because, you know, we've never dealt with this before.

Scott Benner 43:04
I'm finding it really fascinating to watch states that are, where we were two weeks ago, and how they're acting like, Oh, it's not gonna be that big of a deal. And I'm like, is it not like, you know, two weeks from now you're gonna be like, Oh, we should have done something, you know, like, just a very, because, listen, when this was all happening, I was in Florida with my son, and he was playing baseball, you know, he's a college student playing baseball, and we were like, hey, it's springtime, this is great. And then all the sudden, you know, there's these conversations about, hey, you're gonna get sent home from school, or, you know, spring breaks gonna get extended. And now he's, you know, now he's home for the rest of the semester. And my daughter's taking, you know, going to high school in my kitchen. And you know, like, that stuff two weeks ago was just things people were talking about, like, have you heard this might happen? And so I think you're right, there's just not enough. I think there's not enough top down. Leadership, like, like, somebody just needs to say like, these are the rules. Everybody follow them? You know, it seems to me that if we all just started doing the same thing two weeks ago, we'd all be a lot closer to it.

Sarah 44:13
Yeah. Yeah, we'd be in a much better place. But yeah, it didn't come it didn't come from the top because, I mean, the President had different ideas about it from long ago, right.

Scott Benner 44:24
I'm seeing here there's er workers are saying that a quote every man for themselves atmosphere, regarding their protective equipment has kind of like crept into New York City, sort of like you're on your own to protect yourself because we're out of stuff.

Sarah 44:39
Well, yeah, there there's there's a limited supply. I mean, my my hospital definitely has a good amount, but because the amount of patience and like we're going to be expected to go so far above like our normal capacity. I don't know if you saw government Cuomo talking about how we have to increase the capacity. So every hospital has to increase the capacity. So even if you were prepared for the amount of people you have, so many people are on isolation, like it's like an obscene number. So if you're taking care of the, we call them COVID patients, they have a lot of protective gear. But if you're not, you're basically in your limb, you're limited. you're limited to what? They give us some, but you're, it's it's kind of, you have to make it last.

Scott Benner 45:39
So like, if I'm delivering a baby, do I just pull my T shirt up over my nose? Is that? not quite there yet? But, but so you might. So there's a there's a descending order where the gears going?

Sarah 45:51
Yeah, for sure, though, there's, they have like a lot for the COVID patients, but for the rats, but at the same time, the problem is, sometimes you don't like, you know, we've been talking about you don't always know when people have it or not. Yeah. So like, like, you could walk into a room, you know, like I did a few weeks ago, like, not knowing that the patient had it.

Scott Benner 46:15
And that's it. And that's why the I mean, the tellement stuff for other stuff, you know, out in the world. Pediatricians visits, my wife isn't feeling well with something. It's not this. And she did. You know, she had a phone call with a doctor that ended in a prescription. And you know, a month ago, you would have been like, Really? That's weird. But that because that's not really something you ever think of is a doctor, like writing a script from your description over the phone? Yeah, but it was, I guess it's a better decision than asking her to come somewhere.

Sarah 46:43
Oh, yeah, for sure. Yeah, my endocrinologist who called me because she got routed my COVID result. And she's like, Oh, yeah, we're gonna do telemedicine and you'll just upload all your stuff and all that I'm like, Yeah. Okay. I guess. I guess it makes sense. Yeah. Although for me, it doesn't really matter.

Scott Benner 47:04
Yeah, well, for you personally, it's interesting, because you have for you personally, doesn't matter. You've had it already. Yeah. And you can't get it again. We should all get like tea. Everyone should get a T shirt who's had it? like, yo, don't worry about me. I'm good, baby.

Sarah 47:21
Well, that's what that was the other reason I want Well, my husband especially wanted to get tested because he felt like, I want to get tested. Because I want to know if in like a few weeks, I can help people if they need help, like if they need groceries or something and I don't have to worry about getting the virus. Mm hmm.

Scott Benner 47:37
I'll tell you the one thing that talking to you makes me feel exceptionally good about is it no matter what I do all these articles and I've had a doctor on already, Jenny's come on and talked about it, you know, and now having you on who has it, and obviously you're doing fine. Not that everybody's gonna have the same experience you're having with it, but it makes me feel better, because there's so many of these articles that are popping up about like, you know, COVID-19 and diabetes, like what should you do? And after you go through, you know, 2000 words, there's always an overview at the end it says so, basically, you know, wash your hands and stay away from sick people and like, clickbait more clickbait, you don't mean like, like, just what a horrible thing to do, like drive people because, I mean, you've had it now you have diabetes, you've been a nurse, you're an MP like, what should people in your opinion with diabetes be doing right now? anything different than anyone else?

Sarah 48:30
So when I was starting to like,

kind of become real, I guess sort of like the end of February when really we should have like started the lockdown. But like things were coming down that soon, you know, Italy was like, saying all kinds of stuff. Now I have like, pretty well controlled, not art and well controlled, but you know, my a one season that the six is, um, and I was like, you know, I think I'm gonna you know, step it up a little bit. Work, get myself a little tighter, and eat healthier, more fruits and vegetables. I've been kind of doing like, vegetarian since January. But I was like, you know, less dairy more fruits and veggies like I was trying because I know I'm immunocompromised and I do work in the medical field to be even more vigilant with being healthy. Right. So that was my biggest intervention. It wasn't like, I didn't buy to be fair. I'm like a mild hoarder at baseline. So in my basement, I already had like, one and a half big things of hand sanitizer. I had some wipes. I had I had enough stuff while but Well, a lot of people were starting to hoard things. I was trying to like, make myself help, like, follow a healthier diet, right? Pay more attention to my blood sugar's that's what I was trying. So while everyone

Scott Benner 49:53
else was looking for hand sanitizer, you're like, I'm gonna have an extra fruit and a sit up here. Yeah, by the way. Line mild hoarder is the T shirt, in case you're wondering. I don't have the time or energy to put that dope fact, but I feel like that is gonna be a big seller in the coming days. Yeah, it's uh, I mean, I threw a couple custom meat in the freezer, and I'm usually more of let's just waiting by it fresh kind of person. But you just thought, you know, listen, the one thing I did while you were doing a sit up is I was refilling ardens prescriptions in February, like I was I was paying attention to what was happening overseas. And I looked at all of our scripts and anything that had a refill available I sent in, I was just like, okay, I'll take more insulin, I'll take more insulin pumps, I'll take anything that you're willing to give me. I'll take right now.

Sarah 50:42
Well, let's be also because I'm a mild hoarder that I have 30 vials of insulin in my refrigerator. I have I have so much pump sites, I have like two insulin pumps. I'm wearing a Medtronic sensor, but I have a Dexcom in the basement that I need to switch over to so I have like, I have excessive diabetes supplies. I mean, I think because I've always tried to, you know, get my get prescribed more, etc, that I've just ended up with,

Scott Benner 51:14
I don't know, extras. On every time I just was like, I don't know, I thought I don't want to need this. Like, I don't know what's going to happen. Like, I didn't know how Cisco knows

Sarah 51:24
for sure. And if you don't have like a ton of stuff. Yeah, definitely. But because I i've always I've just had a CAD an excess of stuff for a while now. I don't know if it's just because I am not using as much and then you keep getting it. You know, I've I've been on an insulin pump for 17 years. So like, you know, I kind of stayed ahead of the curve. And I've had, like, you know, you guys talk about sometimes people like, you know, going between insurances, or they just don't have good coverage. But I've always and that's I think part of the reason Honestly, I went in to the nursing profession having diabetes, because I always knew that I needed really good employment to buy my supplies and good insurance and stuff.

Scott Benner 52:06
So having diabetes made you think I need a really stable job that comes with health insurance?

Sarah 52:10
Yeah, it did. Honestly, I do think it really affected the ways I was thinking about professions.

Scott Benner 52:19
I can imagine I mean it. I don't you know, I don't pressure Arden about it. But every once in a while, I'll be like, hey, see how we all have stuff for you see mom's job? You know, oh, yeah. As you know, everybody needs a job with insurance. I know you have dreams that are nice. I don't want you to not them. You know, don't forget your dreams. But don't forget, you need insulin too. And I'm looking at me, there's no way I'm gonna stay alive much longer. So I'm doing my best here. But I mean, let's be honest, I'm not going to be 95 while you're 40. So, pull it together, do your best. I think it's um, I don't think it's unreasonable to consider, you know what I mean? Like, I think it's smart to think about it. But that's what I did. I was just like, Alright, let me get these. And don't get me wrong. I wasn't hoarding stuff. I was just like, Look, we have prescriptions there up to be refilled, I'm going to refill them now. Because, you know, it's easy to be like, Oh, it's all gonna be fine. And it probably is all gonna be fine. But I just didn't want to get in the situation where Arden needed something. And that company got hit with this virus and got slowed down even, you know what I mean? Like, whatever it was gonna be. I just didn't want that to happen.

Sarah 53:30
Actually, there was an article written because a friend of mine shared it with me, it was a type one diabetic, who, I don't think they I know, I don't know what their job was, I think it was in business, but they wrote it like a, you know, an op ed piece on the wall street journal or something, but talking about how this might affect their disease, because the supply chain might be affected somehow. So it's a big thing to consider, for sure.

Scott Benner 53:57
It probably won't happen. But if it does, it does. And then what are you gonna do? Who are you going to call like, you know, world where you we all basically live a life or anything you need, you can have almost instantaneously, right? Yeah. So all the sudden, you know, what does it mean? If somebody tells you, hey, we're gonna get those to you, but it's gonna be a month from now. You know, here's a bag of needles and a vial of insulin, like good luck. You know, so a lot of us, you know, Arden definitely included. She leans heavily on, on the technology she has, and so she, you know, she needs to stuff to make it go. I don't think we could not do it the other way. I'm, you know, I'm pretty sure that what I, I think I could reverse engineer my knowledge back to MDI pretty easily. But still, it's, you know, no one's looking for that. And I'll tell you what, it would be like getting diagnosed all over again for Arden. Oh, yeah. You know, because she doesn't have any recollection of getting shots. So it would definitely be an on though and so I just thought all right. Let me let me be And, and I did the same not with food like we didn't like, you know we only have a basic refrigerator. It's I don't have like a, you know, I don't have three freezers in my basement or something. You know,

Sarah 55:13
I only I have one deep chest freezer in the basement.

Scott Benner 55:16
See? Well, you are a mild hoarder, then. Congratulations. What's

Sarah 55:21
that one? I know when I was breastfeeding my kids, and like my, my, my refrigerator freezer and my kitchen isn't very big. It can't fit like a very big refrigerator. It's like, it's okay size. But like if you're storing up a bunch of breast milk, so go back to work. This is probably TMI. Not at all.

Scott Benner 55:40
We can hear next week's episode about sex from a female perspective. This is not gonna be too much information good.

Sarah 55:46
No. So like, in a depressed freezer. Breast milk last longer. Yeah. Okay, so I think I got that. I think that my first kid. Yeah, just so I could store more breast milk longer.

Scott Benner 55:59
Gotcha. Oh, that that's a that's a good idea. I mean, now I'm trying to imagine how much breast milk you can pump. But that's a complete we're getting off topic now. Because that seems like a massive amount. But that seems like a really important reason to have one because Kelly's like, should we have one of those freezers? And I was like, I heard they use a lot of electricity. And what exactly are we going to put in it? Five seconds after this is over? You know, what the, that made me feel like and I bet a lot of people feel this way. You know, when there's like a power outage. You know, ever since you know, we've had a couple of hurricanes. Oh,

Sarah 56:31
yes. Irene killed my basement right. And I left her Sandy too. So right which was also a mild emergency, but my my house was okay,

Scott Benner 56:39
but doesn't didn't Sandy make you feel like I should have a generator?

Sarah 56:44
Oh, yeah, we got one. I think we got one after Irene, though. Okay, because that hurt my house pretty bad.

Scott Benner 56:50
And so I had that same feeling. I should have a generator. My wife's like, we need a generator. But I resisted. I was like, we don't need a generator? We don't we definitely don't, unless we need one. But I think we're not going to be able to resist that idea. But this is so do you see? Have you heard what are people talking about? About how long? Like how long is this? Are we at the apex for the New York, New Jersey? Like area? Or is this not it yet?

Sarah 57:18
I don't think it is. Honestly, I might be being a pessimist. But I would love to be proven wrong. I feel like it's gonna be like, another month or two, because the amount of people that have been diagnosed? I, I don't know, I can't imagine and some of these people need to be on ventilators for a very long time, right? I mean, if we get more ventilators honestly, if we don't get a lot of ventilator to

Scott Benner 57:45
go faster, right? Yeah, cuz

Sarah 57:48
not to be very morbid, but yeah, people won't live. But if we got a lot of ventilators, it's gonna last a long time, because some people like I have a good amount of ICU experience. Some people can exist on ventilators for a very long time,

Scott Benner 58:03
that could end up being necessary for some of them who are hit harder, because for you know, while most people are probably going to have your or your husband's experience, the people who have an opposite experience, it's an incredibly severe and dire experience.

Sarah 58:17
And it's I think it's much harder for people who have like a family member that's never been sick a day in their life to imagine like, I think, I think a lot of people who have chronic diseases or family with chronic diseases, you along the way kind of accept certain things. Like if you're like a realistic person, there's a, you know, I talked about it with people and like, like a knee jerk way, like, I could overdose on insulin someday, like, like, I have a more risk of dying than than the average person. And I think like, if you're a wise person, and you have family members with diseases, you think, oh, maybe they're, you know, they have more of a risk and I think they are more likely to be okay with the patient, you know, going passing away because they've dealt with a disease for a long time. But if you go in there and your husband's 40 years old, never been sick a day in his life, and you're like, do everything for them, like Like, there's no reason he's should be dying right now.

Scott Benner 59:26
It's the implications of your life, right? Like you have type one. So there's extra variables around your life. So yeah, sure, right. And, and 65 year old, 75 year old person in a normal everyday setting doesn't have the same implications that they do now that this virus exists. Now they're Oh, yeah, they're, you know, their context is different now. It's a very strange thing to hear. I think that's where some of this consternation is coming from right is that we don't really talk about dying like this ever. We don't talk about About mortality we don't talk about we talk about health, like it's fixable. I know for sure my kids think that whatever goes wrong with them, someone will just fix. Like, again, most of us feel that way. Right? Like, what could what could happen to me until you know, until you get one of those things that nobody can fix? And then your understanding of the world changes. And yeah, you know, so we're just hoping that everybody can stay in their understanding where Oh, it all will work out fine. Like most of us get to live like that for a while. The lucky ones at least. Yeah, yeah, that's really crazy. I really appreciate you doing this. Did we not talk about anything that we should have talked about?

Unknown Speaker 1:00:40
Um,

Sarah 1:00:43
no, I think we did it. We covered my disease.

Scott Benner 1:00:51
By the way, is it a disease? I sometimes I hear people call it a disease, but it's a virus a virus. It is the COVID. Like, I don't understand, do you? Well, I

Sarah 1:01:00
consider it like an infectious disease. Okay.

Scott Benner 1:01:04
All right. Because I always wonder like, sometimes somebody calls a disease on television, and then sometimes they don't, I'm like, well is, is everyone, right? It's no one right. So I appreciate you doing this shark. Tank. Good luck with everything. Huge thanks to Sarah for coming on the show as a type one who's had the COVID-19 virus. Please remember that Sarah's experience with COVID-19 was her own and yours very well could be different. But I thought it would be incredibly comforting to hear from someone who had the mild symptoms that you hear about, maybe not frequently enough on the news. Huge thanks to Omni pod Dexcom. The Contour Next One blood glucose meter, and of course, touched by type one for sponsoring the show. And how about a shout out to Sydney for refreshing all the music that you hear on the Juicebox Podcast. That's right, while the rest of these podcasts are circling the wagons going, Oh, I don't know what to do. Nobody's commuting anymore and listening to my podcast. I'll probably just put out some real short episodes, you know, to make it look like I'm putting out a show. But I'm really not that Juicebox Podcast is coming through with absolutely new music, all new content up to the date information. And next week, we're going to talk about working with Type One Diabetes from an adult female perspective. Please don't let your kids listen to that one. You know what, since you're here and basically the rest of your day consists of leaning on the kitchen counter wondering what time to go to bed. Why don't we listen to all the new music together uninterrupted like thank you so much Sydney, Mahler. your talents make this show amazingly better. Here's the refreshed theme.

Not all podcasts do this, but I put special music overtop of the ads so that you always know you're being sold to. You deserve to know that. And Sydney who by the way is 15 years old. I believe nine the first time she wrote the music for the show. updated the music too.

This last track was a surprise, I only asked Sydney to update the music that I had. But she even wrote a third piece that I love so much. I'm going to use it at the end of the show to use to hear the theme at the beginning of the theme at the end. Now you're gonna hear the theme at the beginning, the add music of the ads and this little ditty, as the show ends.

Okay, everybody do your best to stay. Well. I'll talk to you soon. Like I said, there's another episode coming in just a couple of days after dark episode about female sexuality. Dr. Edelman might be on pretty soon again to update us on the bigger picture around Corona. And there'll be some asks Scott and Jenny at the end of the week. Thank you so much for listening to the Juicebox Podcast, even during tough times.