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All right.

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Welcome back to

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another installment of

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Live Well with UCI Health.

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I am Ryan Manno with iHeart

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and KOST 103.5

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Thrilled to be joined

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by this dapper gentleman,

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Dr. Graham Stephenson,

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board-certified Medical Director

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of Urgent Care here at UCI Health.

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Thanks so much for having me.

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And I'm sure you wear other hats,

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but we'll we'll go with that

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as the title that works for me.

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Fascinating backstory on that,

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but we'll get into that

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for another episode.

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We're going to talk about,

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urgent cares, emergency rooms,

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all of this.

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First, let's start with

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I think probably the most common

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question or misconception.

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What is the difference?

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Yeah.

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And, you know,

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if you're thinking about that, it's

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probably not a good day

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that you're having.

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Yes.

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It’s always a really stressful moment

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to be there and say, where do I go?

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What's the right place for me to be in?

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So the biggest thing

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it comes down to scale and scope

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and what you can do.

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So the emergency department,

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much bigger, much more staff,

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much more capability.

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You know,

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you can come in a car

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and an ambulance and a helicopter

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to an emergency department.

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An urgent care is much more

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of an

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ambulatory center in a lot of ways,

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where you drive up in your car

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and walk in. Okay.

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Really

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the simplest way to think about it is

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do I think I need to stay in a hospital,

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or do I think that I need surgery

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like today,

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like I have a problem

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that I need addressed today?

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Emergency departments

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are going to be the best place for you.

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Right.

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A lot of other things can be addressed

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in the urgent care.

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This might be a really strange question.

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Did we have urgent cares

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when we were kids?

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I don't remember ever going to.

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I feel like it was either

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you went to the doctor.

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Yeah.

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You went to the ER or the hospital.

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And that was it. Did we have them?

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You know,

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I think we had them,

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but they have,

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have become such a different thing

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and such sort of a necessary

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part of health care for us now. Okay.

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Just because, you

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know, health care is really complicated.

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It's impacted.

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It's hard to get in to see your doctor.

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I mean, I remember my pediatrician's name

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and going there all the time

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when I had problems, fell off a bike,

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did something like that.

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And, you know, we still have,

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you know, hopefully

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a lot of people, great relationships

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with their primary doctor. Right.

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But sometimes you need to get seen

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kind of like right away.

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And that's where we fit into

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that gap of we’re available.

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We're here to see you

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and we're kind of here to help you

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right then. Yeah.

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So like,

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I'm going to throw a couple scenarios.

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Let's say someone has,

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you know, you're like, oh,

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my chest feels tight.

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Where do they go?

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Where would you recommend?

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Yeah. Chest.

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So there are a couple things

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that you don't want to mess around with

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Okay. Talk to me about them.

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Your heart.

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You don't want to mess around

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with your heart.

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So if you're feeling chest pressure,

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I can't catch my breath.

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Maybe in my 50s or 60s,

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I started a new cycling activity program

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and now I'm having

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a lot of chest discomfort.

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You got to go

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to the emergency department.

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That's not something to mess around with.

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Okay,

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other things you don't

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want to mess around with

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is your head, right? Your brain.

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If you had a big trauma

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and smacked your head and passed out,

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that's not something that you want

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to take chances with.

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So that's an emergency department visit. Got It.

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Or especially like stroke like symptoms.

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So my speech isn't what it normally is.

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I'm having a hard time with my hand

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and my leg on the side.

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I just can't think clearly.

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Those are things where for sure.

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Emergency department all the way.

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All right,

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so let's say I'm hiking Runyon

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and I

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fall, and I

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have a pretty considerable

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gash on my leg.

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And it's like, oh,

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that's I'm not going to put

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a Band-Aid on that.

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Yeah. I need someone to look at that.

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Yeah I think that Band-Aids

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not the right choice. Right, right.

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So which is what is.

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Yeah I mean the urgent care can do

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tons of stuff. Definitely including that.

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So if you need stitches,

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if you need X-rays,

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maybe you broke a bone

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and you need to have a splint.

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All those kind of things

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we can do in the urgent care.

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No problem.

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Much easier to get in and out of there,

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than it would be in

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an emergency department. Do people,

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typically like,

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do people pick

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go to the wrong place, like,

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let's say cold and flu season?

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Yeah. Right.

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Like if you're like, oh,

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I think I might have the flu.

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I should go to the E.R.. Yeah.

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And now you're taking up a spot

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maybe from from someone whose,

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you know,

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Their eye just fell out, you know?

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I mean, yeah, well, I'll say no.

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Two days

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in the emergency department

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are the same,

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so you never know

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what's going to be there

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and what else is going to happen.

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And kind of coming back to

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if you're in that position

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where you're thinking,

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where do I need to go?

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Like I need help

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and I don't know where I need to go.

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You're going to be stressed.

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You're going to be not thinking

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maybe as clearly as you would.

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So I never hold it against people.

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Sure, if they're going to a place

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that might not be the right scale

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or scope, right? Right.

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So the simplest answer comes back down to

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do you think that you're going

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to need to stay in the hospital?

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Like, I'm

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not going to be able to go home.

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This is not something I can go home with.

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I might need surgery today

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and that can be a complicated question

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for patients to answer.

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But,

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at least in my head, I'm thinking of

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do I need to have that addressed now?

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Then that's an emergency department,

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kind of a visit

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or, you know, frequent times

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are you helping

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a family member, right?

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You're helping

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somebody who might be, older,

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they might be infirmed,

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and you don't know what to do.

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They can't walk.

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I don't know how to take

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care of this person.

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And I need some help

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that really,

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there's going to be more resources

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in an emergency department

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to help you navigate that process

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than what

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there would be in an urgent care.

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Let's talk about insurance,

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because I feel like

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sometimes

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maybe you could get in a situation

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where, like,

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I don't even the closest place just

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I don't even know

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if they take my insurance,

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but it's important to check, I'm sure.

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But what happens

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if they don't talk us

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through some of the insurance,

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maybe headaches?

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Yeah, totally.

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And I

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mean, insurance is usually a headache.

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I think that's... Yeah, yeah.

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It’s implied.

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of what's going to happen.

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First and foremost

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if you have time,

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meaning that you don't feel like,

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hey, I'm having a life

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threatening emergency, right now,

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I think it's a good idea

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to check insurance at the places

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that you're going to go to,

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just to save you from having to

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maybe go to a secondary place

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or to get a bill that isn't, you know,

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in line with how severe your complaint is

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or what's going on.

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So if you're thinking of

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going to an urgent care

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100%, I would either call the urgent care

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or call your insurance provider and say,

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hey, I have this problem.

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I need to go somewhere close by me.

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Can you help?

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Kind of direct me to the right place.

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Okay.

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And certainly

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if you come to our urgent care,

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we help people

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navigate that process all the time.

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If you're walking in the front door,

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we make sure that you have the coverage

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that you expect

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to have before

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we'd give you care,

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because the last thing that we want to do

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is put you not only having

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then whatever

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condition or ailment you have,

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but then also a bill

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that you have to address in addition.

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And you,

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you just mentioned our urgent care.

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So I want to make sure

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we get this into you guys.

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I know,

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UCI Health has six locations

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for emergency departments.

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We have six locations. Okay. Yeah.

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Yeah. Super exciting.

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Time to be part of UCI Health.

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I mean, we're really

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doing some incredible

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cutting edge things

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and expanding our footprint

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in a really amazing way.

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We have emergency departments

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all through Orange

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and part of Los Angeles County now.

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So Lakewood, Los

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Alamitos, Placentia Linda,

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Fountain Valley, Irvine.

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Orange. Oh, there you go.

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You just named them. It’s like you work here.

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That's crazy.

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Yeah.

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Wow. I mean, like I said,

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it's just super exciting.

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And I think we're really, really

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thrilled to see what's going to happen

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in the next few years

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as we really mature

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our footprint everywhere.

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So we're happy to care

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for people all over the place.

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That new spot

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you guys just opened

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up, that hospital is

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the Irvine Hospital is

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really, really beautiful. Are you kidding me?

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Yeah.

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And that's where our

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our urgent care is in that same location in Irvine

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See, I’m confused

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I’m doing this and I don’t even... So, okay.

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So you just named the E.R.

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the emergency room locations.

00:06:59:20 - 00:07:01:00

Now, how many urgent

00:07:01:00 - 00:07:02:02

care locations do we have?

00:07:02:02 - 00:07:03:06

So we are right now,

00:07:03:06 - 00:07:03:21

we are the one

00:07:03:21 - 00:07:05:05

and only sort of true

00:07:05:05 - 00:07:07:08

urgent care in the UCI Health system.

00:07:07:08 - 00:07:10:12

So we were the flagship inaugural site,

00:07:10:12 - 00:07:11:21

which was what made it super

00:07:11:21 - 00:07:13:14

exciting for us to launch,

00:07:13:14 - 00:07:16:04

because not only did we say, hey,

00:07:16:04 - 00:07:17:16

our community really has this need,

00:07:17:16 - 00:07:18:12

we need to have a place

00:07:18:12 - 00:07:19:10

for people can drop in

00:07:19:10 - 00:07:20:22

that isn't an emergency department,

00:07:20:22 - 00:07:21:18

because you don't always need

00:07:21:18 - 00:07:23:06

to go to an emergency department,

00:07:23:06 - 00:07:24:19

but then also us

00:07:24:19 - 00:07:26:20

as emergency doctors to say,

00:07:26:20 - 00:07:27:22

what would we want?

00:07:27:22 - 00:07:28:16

Like what do we want

00:07:28:16 - 00:07:29:15

this space to look like?

00:07:29:15 - 00:07:30:16

What are the capabilities

00:07:30:16 - 00:07:32:19

we think would be really helpful?

00:07:32:19 - 00:07:33:19

And so that,

00:07:33:19 - 00:07:34:00

you know,

00:07:34:00 - 00:07:34:23

I believe has allowed us

00:07:34:23 - 00:07:35:14

to really launch

00:07:35:14 - 00:07:35:22

a place

00:07:35:22 - 00:07:37:01

that gives a great

00:07:37:01 - 00:07:38:20

level of care with value,

00:07:38:20 - 00:07:40:20

or we can see a lot of different people

00:07:40:20 - 00:07:41:16

and different problems

00:07:41:16 - 00:07:43:02

that they're having,

00:07:43:02 - 00:07:45:07

and keeps it streamlined and, and. Yeah.

00:07:45:07 - 00:07:46:08

Did you just imply

00:07:46:08 - 00:07:47:13

that you guys are consulted

00:07:47:13 - 00:07:48:18

when they're building these,

00:07:48:18 - 00:07:50:00

these things? Definitely.

00:07:50:00 - 00:07:51:08

For, for our space.

00:07:51:08 - 00:07:51:14

Yeah.

00:07:51:14 - 00:07:53:09

They, they as they were building it,

00:07:53:09 - 00:07:54:04

they said, hey,

00:07:54:04 - 00:07:55:19

we're going to bring you guys in a year

00:07:55:19 - 00:07:57:05

and a half before we're open.

00:07:57:05 - 00:07:58:17

We want you to see the space.

00:07:58:17 - 00:07:59:19

What do you guys need?

00:07:59:19 - 00:08:01:01

What are the kind of solutions

00:08:01:01 - 00:08:02:20

that you need to have to your problems?

00:08:02:20 - 00:08:03:18

And I mean, frankly,

00:08:03:18 - 00:08:05:05

what a fortunate position

00:08:05:05 - 00:08:06:05

for us to be in. Yes!

00:08:06:05 - 00:08:08:04

Not only for us to get to work there

00:08:08:04 - 00:08:08:20

and to manage it,

00:08:08:20 - 00:08:10:05

but then also for the patients to get to see.

00:08:10:05 - 00:08:10:19

For the patients.

00:08:10:19 - 00:08:12:05

Right, because they're then

00:08:12:05 - 00:08:13:22

we're not trying to play catch up after

00:08:13:22 - 00:08:15:12

we're open, we're we're ready to go,

00:08:15:12 - 00:08:16:06

we're ready to see you

00:08:16:06 - 00:08:17:10

and we're ready to give you help.

00:08:17:10 - 00:08:18:10

I'll think of it like this.

00:08:18:10 - 00:08:19:14

Like if you're going to go

00:08:19:14 - 00:08:20:05

eat and a chef's

00:08:20:05 - 00:08:21:03

going to make dinner, I want

00:08:21:03 - 00:08:22:07

I want to eat where the chef

00:08:22:07 - 00:08:23:15

helps design the kitchen.

00:08:23:15 - 00:08:25:05

He's, you know, he's going to move. Yes.

00:08:25:05 - 00:08:26:01

That's his whole

00:08:26:01 - 00:08:27:11

he feels comfortable there 100%.

00:08:27:11 - 00:08:28:18

That's where I want to see you.

00:08:28:18 - 00:08:29:02

Yeah.

00:08:29:02 - 00:08:29:12

Where you're like,

00:08:29:12 - 00:08:30:12

oh yeah, I know all this stuff

00:08:30:12 - 00:08:31:17

because I had input.

00:08:31:17 - 00:08:32:23

We don't do three course meals there,

00:08:32:23 - 00:08:34:10

but I think we give you pretty good service

00:08:34:10 - 00:08:34:22

Well...

00:08:34:22 - 00:08:36:01

that that new one has

00:08:36:01 - 00:08:38:12

like a James Beard Award already.

00:08:38:12 - 00:08:39:01

It’s very nice.

00:08:39:01 - 00:08:40:18

It is very nice. It's beautiful.

00:08:40:18 - 00:08:42:09

Let's say you're traveling.

00:08:42:09 - 00:08:43:21

What would be your best piece of advice?

00:08:43:21 - 00:08:44:08

If you travel,

00:08:44:08 - 00:08:45:17

would you start back at the insurance

00:08:45:17 - 00:08:48:01

route for me? So with my family, what?

00:08:48:01 - 00:08:48:18

When I'm at home

00:08:48:18 - 00:08:49:22

or when I'm going somewhere,

00:08:49:22 - 00:08:51:09

I want to think about

00:08:51:09 - 00:08:53:05

what is going to be stressful

00:08:53:05 - 00:08:54:02

for me to deal with

00:08:54:02 - 00:08:55:18

if I have something unexpected.

00:08:55:18 - 00:08:56:17

So if I'm at home,

00:08:56:17 - 00:08:57:17

I look in my neighborhood

00:08:57:17 - 00:08:58:17

and I say,

00:08:58:17 - 00:09:00:21

let's say my kid gets sick or I get sick,

00:09:00:21 - 00:09:01:18

where would I go?

00:09:01:18 - 00:09:02:17

Like, what would be the place

00:09:02:17 - 00:09:03:15

that I would go to?

00:09:03:15 - 00:09:05:14

And from an emergency department

00:09:05:14 - 00:09:08:01

standpoint, by and large,

00:09:08:01 - 00:09:08:22

they're going to be able to handle

00:09:08:22 - 00:09:09:23

most of what you have.

00:09:09:23 - 00:09:10:20

From an urgent care

00:09:10:20 - 00:09:13:04

standpoint, there is way more variability

00:09:13:04 - 00:09:14:16

of what they can do.

00:09:14:16 - 00:09:16:06

Some places are going to be able

00:09:16:06 - 00:09:17:08

to give you some medication,

00:09:17:08 - 00:09:18:15

some places are going to be able

00:09:18:15 - 00:09:20:04

to do everything from X-ray

00:09:20:04 - 00:09:21:18

to ultrasound, like what we can do.

00:09:21:18 - 00:09:22:16

Some places are going to have

00:09:22:16 - 00:09:24:04

a variety of providers.

00:09:24:04 - 00:09:25:13

And so to me,

00:09:25:13 - 00:09:27:15

I feel a lot more reassured if I know

00:09:27:15 - 00:09:28:10

what am I going to get

00:09:28:10 - 00:09:29:11

when I go somewhere.

00:09:29:11 - 00:09:31:04

So you look ahead of time for sure.

00:09:31:04 - 00:09:32:09

Oh yeah. Yeah for sure.

00:09:32:09 - 00:09:33:20

So if I'm traveling somewhere, right,

00:09:33:20 - 00:09:35:18

if I'm going to go, yeah.

00:09:35:18 - 00:09:36:23

Or wherever we were in,

00:09:36:23 - 00:09:38:14

you know, Arizona not too long ago

00:09:38:14 - 00:09:39:08

and I knew the town

00:09:39:08 - 00:09:40:03

we are going to be in.

00:09:40:03 - 00:09:40:10

Yeah.

00:09:40:10 - 00:09:42:16

And, you know, I don't know,

00:09:42:16 - 00:09:44:09

my kid seems to get sick

00:09:44:09 - 00:09:45:21

more often than not. Right.

00:09:45:21 - 00:09:47:12

So I want to just know what's going on

00:09:47:12 - 00:09:49:02

and know where to go if I have a problem.

00:09:49:02 - 00:09:49:09

Yeah.

00:09:49:09 - 00:09:50:13

So I looked and said, okay,

00:09:50:13 - 00:09:51:12

what are the urgent cares?

00:09:51:12 - 00:09:52:23

What are the places in the area?

00:09:52:23 - 00:09:54:00

If I have to go somewhere,

00:09:54:00 - 00:09:56:02

then I'm not dealing with my family,

00:09:56:02 - 00:09:57:05

new unfamiliar place,

00:09:57:05 - 00:09:58:02

all those kind of things

00:09:58:02 - 00:09:58:21

and then trying to figure

00:09:58:21 - 00:10:00:04

that part of the process out.

00:10:00:04 - 00:10:01:19

So to get back

00:10:01:19 - 00:10:03:04

to kind of the root of your question,

00:10:03:04 - 00:10:04:15

yeah, insurance can really help with that

00:10:04:15 - 00:10:06:18

to say what's covered, where can I go

00:10:06:18 - 00:10:07:15

that's going to be covered

00:10:07:15 - 00:10:08:22

underneath my umbrella

00:10:08:22 - 00:10:10:21

so that my bill is approachable.

00:10:10:21 - 00:10:12:00

But I also want to know

00:10:12:00 - 00:10:13:14

what can those places do?

00:10:13:14 - 00:10:14:00

Because if

00:10:14:00 - 00:10:15:10

you know, I fall or my kid

00:10:15:10 - 00:10:17:00

falls and their ankles,

00:10:17:00 - 00:10:17:23

turn the wrong way.

00:10:17:23 - 00:10:19:16

Then if I go to, a place

00:10:19:16 - 00:10:21:01

that doesn't have X-rays,

00:10:21:01 - 00:10:21:21

they're probably not going to be able

00:10:21:21 - 00:10:22:13

to help me out too much.

00:10:22:13 - 00:10:23:01

Yeah,

00:10:23:01 - 00:10:24:08

and this is why we're grateful

00:10:24:08 - 00:10:26:05

for what you guys do here at UCI Health.

00:10:26:05 - 00:10:27:08

There's a quick...

00:10:27:08 - 00:10:28:08

as you're sharing that story.

00:10:28:08 - 00:10:29:12

It just reminded me of...

00:10:29:12 - 00:10:30:04

Ellen K, my

00:10:30:04 - 00:10:32:17

my co-host on KOST 103.5

00:10:32:17 - 00:10:33:11

They were in Greece.

00:10:33:11 - 00:10:35:14

And her husband was on scooter

00:10:35:14 - 00:10:36:23

and he like

00:10:36:23 - 00:10:38:00

he hit the gas when he shouldn't

00:10:38:00 - 00:10:39:04

have and rammed into a wall

00:10:39:04 - 00:10:42:02

and he split his head open and

00:10:42:04 - 00:10:44:06

they needed like emergency

00:10:44:06 - 00:10:46:11

care and like she tells me

00:10:46:11 - 00:10:48:06

the guy just was like, I'll stitch it up.

00:10:48:06 - 00:10:49:10

And he was smoking a cigar

00:10:49:10 - 00:10:50:05

while he was doing it.

00:10:50:05 - 00:10:52:01

Like he like threw him on a table.

00:10:52:01 - 00:10:52:21

And, you know, it's like,

00:10:52:21 - 00:10:54:12

thank God for you guys.

00:10:54:12 - 00:10:54:19

Well,

00:10:54:19 - 00:10:55:23

sometimes you take the care

00:10:55:23 - 00:10:56:16

that you can get

00:10:56:16 - 00:10:58:10

depending on where you are.

00:10:58:10 - 00:10:59:16

I guess! Go ahead. Yeah.

00:10:59:16 - 00:11:02:13

Could you put the cigar out?

00:11:02:13 - 00:11:03:13

Times have changed a little bit.

00:11:03:13 - 00:11:04:10

Of course.

00:11:04:10 - 00:11:06:00

Yeah. We're a no smoking campus.

00:11:06:00 - 00:11:08:05

Uhhh...let's talk about times changing

00:11:08:05 - 00:11:08:12

because I,

00:11:08:12 - 00:11:10:04

you know, I've thankfully never,

00:11:10:04 - 00:11:10:15

you know,

00:11:10:15 - 00:11:12:18

maybe once or twice had to go to,

00:11:12:18 - 00:11:14:15

to either an urgent care or an ER.

00:11:14:15 - 00:11:16:12

But I do remember

00:11:16:12 - 00:11:17:09

and this is years and years ago,

00:11:17:09 - 00:11:20:15

I do remember it being boring.

00:11:20:17 - 00:11:21:12

Cold.

00:11:21:12 - 00:11:21:20

Cold.

00:11:21:20 - 00:11:22:22

And I don't necessarily mean

00:11:22:22 - 00:11:24:10

it was like it just wasn't.

00:11:24:10 - 00:11:26:08

It didn't feel good to be in there,

00:11:26:08 - 00:11:26:23

right? Yeah.

00:11:26:23 - 00:11:27:14

And you know,

00:11:27:14 - 00:11:28:13

you're there for a long time.

00:11:28:13 - 00:11:30:14

So what things would you recommend people

00:11:30:14 - 00:11:32:02

bring if they know they're,

00:11:32:02 - 00:11:33:01

they're coming in for

00:11:33:01 - 00:11:35:17

maybe a long stretch in a spot like that.

00:11:35:17 - 00:11:36:13

Yeah. Yeah.

00:11:36:13 - 00:11:37:10

And I'm not saying yours are.

00:11:37:10 - 00:11:39:19

I'm saying the beauty and niceness

00:11:39:19 - 00:11:41:19

that you guys normally operate. Yeah.

00:11:41:19 - 00:11:42:21

And you know, like I said, no

00:11:42:21 - 00:11:43:04

two days

00:11:43:04 - 00:11:44:09

in the emergency department are the same.

00:11:44:09 - 00:11:45:07

So you really don't know

00:11:45:07 - 00:11:47:03

what you're going to get.

00:11:47:03 - 00:11:48:12

And, you know, maybe first

00:11:48:12 - 00:11:49:21

and foremost is just bringing an open

00:11:49:21 - 00:11:51:13

mind, understanding that no matter

00:11:51:13 - 00:11:53:22

what kind of issue that you're having,

00:11:53:22 - 00:11:55:10

we're having ambulances.

00:11:55:10 - 00:11:56:08

All these things come in

00:11:56:08 - 00:11:58:00

with people that need help.

00:11:58:00 - 00:11:59:14

We do not want to make you wait

00:11:59:14 - 00:12:00:17

or make you uncomfortable,

00:12:00:17 - 00:12:02:07

but we're oftentimes doing the best

00:12:02:07 - 00:12:04:05

we can with the resources that we have.

00:12:04:05 - 00:12:06:11

So having a little bit of

00:12:06:11 - 00:12:07:09

of understanding

00:12:07:09 - 00:12:09:08

that it's a complicated, dynamic

00:12:09:08 - 00:12:10:02

kind of a place is

00:12:10:02 - 00:12:11:05

one of the biggest things.

00:12:11:05 - 00:12:13:04

From a more practical sense,

00:12:13:04 - 00:12:14:01

I would say a phone

00:12:14:01 - 00:12:15:15

charger helps a lot, like

00:12:15:15 - 00:12:16:22

especially if you wind up

00:12:16:22 - 00:12:18:08

needing to call your family

00:12:18:08 - 00:12:19:11

or you need help with something

00:12:19:11 - 00:12:20:12

and then your phone is dead.

00:12:20:12 - 00:12:21:22

Most people don't have all those phone

00:12:21:22 - 00:12:24:00

numbers memorized, these days anymore.

00:12:24:00 - 00:12:24:19

So that's a big one

00:12:24:19 - 00:12:27:06

that's helpful to bring.

00:12:27:08 - 00:12:28:12

Outside of that sometimes.

00:12:28:12 - 00:12:30:03

Something to do a good book. Yeah.

00:12:30:03 - 00:12:31:19

Cozy up in the corner,

00:12:31:19 - 00:12:32:04

you know,

00:12:32:04 - 00:12:33:11

and be able to charge your phone up.

00:12:33:11 - 00:12:35:07

And those things that can go a long way.

00:12:35:07 - 00:12:35:19

Yeah.

00:12:35:19 - 00:12:36:12

But most of all,

00:12:36:12 - 00:12:37:15

I think just understanding

00:12:37:15 - 00:12:38:18

that we're going to try and get you

00:12:38:18 - 00:12:39:08

where you need to go

00:12:39:08 - 00:12:40:05

as quickly as we can,

00:12:40:05 - 00:12:41:03

and hopefully that's home.

00:12:41:03 - 00:12:42:00

And if it's not, you know,

00:12:42:00 - 00:12:44:12

we'll get you into the hospital. Yeah.

00:12:44:12 - 00:12:45:20

We'll wrap on this final,

00:12:45:20 - 00:12:48:04

final thing here. What would you say?

00:12:48:04 - 00:12:48:13

Because I'm

00:12:48:13 - 00:12:50:23

sure you're well versed in all of

00:12:50:23 - 00:12:52:10

the urgent care world.

00:12:52:10 - 00:12:54:18

ER world? What would you say mean?

00:12:54:18 - 00:12:57:01

You know, sets UCI Health apart

00:12:57:01 - 00:12:58:08

from anyone else?

00:12:58:08 - 00:12:58:22

Yeah.

00:12:58:22 - 00:13:00:14

I'm super proud of the care

00:13:00:14 - 00:13:01:13

that we deliver

00:13:01:13 - 00:13:03:05

and the the structure

00:13:03:05 - 00:13:04:16

that we've made for us.

00:13:04:16 - 00:13:06:13

The biggest things I would say,

00:13:06:13 - 00:13:07:17

and our urgent care

00:13:07:17 - 00:13:09:16

particularly is we always have a board

00:13:09:16 - 00:13:11:02

certified emergency physician

00:13:11:02 - 00:13:11:16

who's there.

00:13:11:16 - 00:13:12:13

I think that's a huge,

00:13:12:13 - 00:13:14:05

huge benefit to us.

00:13:14:05 - 00:13:15:12

We have a lot of capabilities

00:13:15:12 - 00:13:16:04

with imaging.

00:13:16:04 - 00:13:17:18

So x ray and ultrasound,

00:13:17:18 - 00:13:19:01

we have both point of care

00:13:19:01 - 00:13:20:18

and formal ultrasound. That's important.

00:13:20:18 - 00:13:22:04

Both of these things are very important.

00:13:22:04 - 00:13:23:18

Yeah we can do tons of stuff

00:13:23:18 - 00:13:24:16

I love that!

00:13:24:16 - 00:13:26:11

And so we can really get a lot of answers

00:13:26:11 - 00:13:28:07

really quick there at the bedside

00:13:28:07 - 00:13:29:13

or just right around the corner.

00:13:29:13 - 00:13:30:21

And so that I think is really,

00:13:30:21 - 00:13:32:02

really amazing.

00:13:32:02 - 00:13:34:05

And to go back to a second to the,

00:13:34:05 - 00:13:36:11

the having a certified emergency doctor

00:13:36:11 - 00:13:37:18

there all the time,

00:13:37:18 - 00:13:39:11

why I think that's so important

00:13:39:11 - 00:13:41:10

is because a,

00:13:41:10 - 00:13:41:15

you know,

00:13:41:15 - 00:13:42:23

we can treat a lot of different things

00:13:42:23 - 00:13:43:06

if we

00:13:43:06 - 00:13:44:23

if we have the expertise

00:13:44:23 - 00:13:46:09

to help you in the emergency department,

00:13:46:09 - 00:13:47:00

we have the expertise

00:13:47:00 - 00:13:48:11

to help you in the urgent care.

00:13:48:11 - 00:13:51:21

But also if we're giving you the advice,

00:13:51:23 - 00:13:52:17

I think you need to go

00:13:52:17 - 00:13:54:09

to the emergency department.

00:13:54:09 - 00:13:55:03

We're doing that

00:13:55:03 - 00:13:56:12

because we know what's there

00:13:56:12 - 00:13:57:17

and what you can get there.

00:13:57:17 - 00:13:58:23

This isn't sort of a blind

00:13:58:23 - 00:14:00:11

recommendation of,

00:14:00:11 - 00:14:00:21

you know,

00:14:00:21 - 00:14:02:04

I think that you got to go somewhere.

00:14:02:04 - 00:14:03:07

This is complicated.

00:14:03:07 - 00:14:06:14

We're coming at it from this is our zone.

00:14:06:16 - 00:14:08:15

This is our area that we operate in.

00:14:08:15 - 00:14:09:18

And I want you to get somewhere

00:14:09:18 - 00:14:11:04

that you can get the care that you need.

00:14:11:04 - 00:14:12:00

That's fascinating.

00:14:12:00 - 00:14:13:12

Would anyone ever push

00:14:13:12 - 00:14:15:02

back on that advice?

00:14:15:02 - 00:14:16:07

Like if you're telling them.

00:14:16:07 - 00:14:18:20

Yeah, I mean, so I would listen to you.

00:14:18:20 - 00:14:20:15

Yes, sir. I'm on. Yes I'm going.

00:14:20:15 - 00:14:21:21

I would not argue with you.

00:14:21:21 - 00:14:23:18

Well, you know, it's not prescriptive.

00:14:23:18 - 00:14:25:08

It's always us saying like,

00:14:25:08 - 00:14:26:20

we want to make sure that you're safe

00:14:26:20 - 00:14:28:00

and that you're healthy.

00:14:28:00 - 00:14:28:23

And a lot of times

00:14:28:23 - 00:14:29:09

people have been

00:14:29:09 - 00:14:30:06

to the emergency departments

00:14:30:06 - 00:14:30:22

and it's been,

00:14:30:22 - 00:14:32:02

you know, it's been an emotional

00:14:32:02 - 00:14:33:07

or a challenging experience,

00:14:33:07 - 00:14:34:04

maybe for themselves

00:14:34:04 - 00:14:35:04

or for a family member

00:14:35:04 - 00:14:36:07

that they were there with,

00:14:36:07 - 00:14:37:08

and they don't want to go back there.

00:14:37:08 - 00:14:39:02

And I totally understand that.

00:14:39:02 - 00:14:40:17

And I hope that people know

00:14:40:17 - 00:14:41:22

when they're coming into the urgent care

00:14:41:22 - 00:14:42:18

and we say, hey,

00:14:42:18 - 00:14:43:11

we think you

00:14:43:11 - 00:14:45:00

need to go to the emergency department.

00:14:45:00 - 00:14:46:00

It's for a good reason

00:14:46:00 - 00:14:47:05

because I work there all the time,

00:14:47:05 - 00:14:49:01

so I know how hectic that place is

00:14:49:01 - 00:14:50:07

and what they can do there.

00:14:50:07 - 00:14:51:22

So if I'm saying that that's

00:14:51:22 - 00:14:52:15

the only place

00:14:52:15 - 00:14:53:18

that you're going to get better,

00:14:53:18 - 00:14:54:14

I really mean it.

00:14:54:14 - 00:14:56:05

And I hope that I can do whatever I can

00:14:56:05 - 00:14:57:02

to make that transition

00:14:57:02 - 00:14:58:05

more comfortable for you. Yeah.

00:14:58:05 - 00:14:58:16

And I said, we're

00:14:58:16 - 00:15:00:03

going to wrap it up, but now I’m more curious.

00:15:00:03 - 00:15:01:03

What's the most common?

00:15:01:03 - 00:15:02:06

What's the most common thing

00:15:02:06 - 00:15:02:22

that you tend to see

00:15:02:22 - 00:15:04:18

or like one or 2 or 3 things.

00:15:04:18 - 00:15:05:13

What are the top things

00:15:05:13 - 00:15:06:10

that people come in for?

00:15:06:10 - 00:15:08:00

Yeah, I mean it

00:15:08:00 - 00:15:08:19

definitely different

00:15:08:19 - 00:15:09:16

in the emergency department

00:15:09:16 - 00:15:10:22

versus in the urgent care.

00:15:10:22 - 00:15:12:07

I would say now we're lucky

00:15:12:07 - 00:15:13:02

in Southern California,

00:15:13:02 - 00:15:14:07

with the sun being out,

00:15:14:07 - 00:15:16:06

a lot of new bike accidents.

00:15:16:06 - 00:15:16:18

I tripped

00:15:16:18 - 00:15:17:14

and now I don't know

00:15:17:14 - 00:15:18:17

if I have a broken bone.

00:15:18:17 - 00:15:19:00

Yeah,

00:15:19:00 - 00:15:21:02

there's been a lot of flu and,

00:15:21:02 - 00:15:22:06

Covid and colds

00:15:22:06 - 00:15:23:06

that have been going around.

00:15:23:06 - 00:15:24:17

A lot of people just not feeling well,

00:15:24:17 - 00:15:26:18

needing a little bit of help.

00:15:26:20 - 00:15:28:11

And a lot of little ones have

00:15:28:11 - 00:15:29:17

been coming in with some wheezing

00:15:29:17 - 00:15:30:14

and some coughing

00:15:30:14 - 00:15:31:18

and so really nice

00:15:31:18 - 00:15:32:12

for us to be able to do

00:15:32:12 - 00:15:33:06

breathing treatments

00:15:33:06 - 00:15:34:07

and other things in the urgent

00:15:34:07 - 00:15:36:12

care to help them getting better.

00:15:36:12 - 00:15:37:12

Emergency department,

00:15:37:12 - 00:15:39:05

you know, at least for us in orange

00:15:39:05 - 00:15:40:18

here, we're a big trauma center.

00:15:40:18 - 00:15:43:03

So, a lot of car accidents,

00:15:43:03 - 00:15:44:03

a lot of people

00:15:44:03 - 00:15:45:00

who are dealing with

00:15:45:00 - 00:15:46:22

complicated chronic conditions,

00:15:46:22 - 00:15:47:21

if they have cancer

00:15:47:21 - 00:15:49:16

or if they have immunosuppression

00:15:49:16 - 00:15:51:00

for some reason or another.

00:15:51:00 - 00:15:51:20

Now we help people

00:15:51:20 - 00:15:53:13

with really pretty serious problems

00:15:53:13 - 00:15:54:01

that are there.

00:15:54:01 - 00:15:55:15

So, yeah,

00:15:55:15 - 00:15:57:04

we're happy to help people and glad

00:15:57:04 - 00:15:57:23

that we have the resources

00:15:57:23 - 00:15:58:17

that we do for sure.

00:15:58:17 - 00:16:00:18

And what a range, you know, from a little kid

00:16:00:18 - 00:16:02:09

with wheezing to a car accident.

00:16:02:09 - 00:16:02:23

I mean, that is.

00:16:02:23 - 00:16:03:10

Yeah, that's

00:16:03:10 - 00:16:04:13

welcome to emergency medicine.

00:16:04:13 - 00:16:04:18

Yeah.

00:16:04:18 - 00:16:05:14

That's what we do.

00:16:05:14 - 00:16:06:23

Is that like... do you go to work

00:16:06:23 - 00:16:08:14

just like just like keyed up?

00:16:08:14 - 00:16:10:20

Because I would be like my stress level.

00:16:10:20 - 00:16:12:00

I got a new aura ring.

00:16:12:00 - 00:16:12:21

This thing would be like, bro,

00:16:12:21 - 00:16:14:23

you need to go lay down.

00:16:14:23 - 00:16:16:12

Yeah, well,

00:16:16:12 - 00:16:17:18

I stopped wearing my Oura ring

00:16:17:18 - 00:16:18:21

because I think it was saying,

00:16:18:21 - 00:16:20:09

I think you're having a problem today.

00:16:20:09 - 00:16:21:18

And I'm like, this is a Tuesday,

00:16:21:18 - 00:16:23:18

so that's not so good. Yeah, yeah, yeah.

00:16:23:18 - 00:16:24:09

I mean,

00:16:24:09 - 00:16:25:07

you know,

00:16:25:07 - 00:16:28:13

when I looked at it, I said, I want to be

00:16:28:13 - 00:16:29:12

I want to be a doctor where

00:16:29:12 - 00:16:32:02

if something happens in, in the world.

00:16:32:02 - 00:16:32:08

Right.

00:16:32:08 - 00:16:33:16

Like if I'm in a parking lot,

00:16:33:16 - 00:16:34:12

if I'm in an airplane,

00:16:34:12 - 00:16:35:12

if I'm in wherever,

00:16:35:12 - 00:16:36:06

I want to be able to

00:16:36:06 - 00:16:37:04

look at that and say,

00:16:37:04 - 00:16:37:19

I know what to do,

00:16:37:19 - 00:16:38:14

and I'm the right person

00:16:38:14 - 00:16:39:18

to be here to do that.

00:16:39:18 - 00:16:40:07

And that's

00:16:40:07 - 00:16:41:15

what emergency medicine is, is,

00:16:41:15 - 00:16:42:16

you know, no matter where you are,

00:16:42:16 - 00:16:43:19

no matter how serious it is,

00:16:43:19 - 00:16:45:10

you know what to do about it.

00:16:45:10 - 00:16:47:10

And so hopefully that's how I feel

00:16:47:10 - 00:16:48:15

when I'm at work every day,

00:16:48:15 - 00:16:49:07

you know, no matter what,

00:16:49:07 - 00:16:50:20

you're what you're coming in there with,

00:16:50:20 - 00:16:51:14

I know what to deal with.

00:16:51:14 - 00:16:52:06

I know what to do about.

00:16:52:06 - 00:16:53:05

And and I think too,

00:16:53:05 - 00:16:53:23

as a patient, right.

00:16:53:23 - 00:16:54:08

That I mean,

00:16:54:08 - 00:16:56:23

you don't want to see they’re either, like

00:16:56:23 - 00:16:58:08

sweating or stressing, right?

00:16:58:08 - 00:16:58:18

I mean, there's

00:16:58:18 - 00:17:00:23

nothing like somebody like you

00:17:00:23 - 00:17:01:18

doctor going,

00:17:01:18 - 00:17:02:22

I know, I know how to treat you.

00:17:02:22 - 00:17:03:21

I know what to do. Yeah.

00:17:03:21 - 00:17:04:18

That's awesome.

00:17:04:18 - 00:17:05:08

Well,

00:17:05:08 - 00:17:08:08

we sure certainly share in the stress

00:17:08:08 - 00:17:09:04

that patients feel

00:17:09:04 - 00:17:10:09

when they're coming in with something

00:17:10:09 - 00:17:11:06

super serious.

00:17:11:06 - 00:17:12:09

And, you know,

00:17:12:09 - 00:17:13:19

that's a daily interaction

00:17:13:19 - 00:17:14:22

that we have with people

00:17:14:22 - 00:17:17:12

and giving people space to be afraid,

00:17:17:12 - 00:17:18:17

I think, is really important

00:17:18:17 - 00:17:20:04

because these things are not normal.

00:17:20:04 - 00:17:21:06

It's maybe the one

00:17:21:06 - 00:17:22:08

and only time in your life

00:17:22:08 - 00:17:23:10

that you're going to be experiencing

00:17:23:10 - 00:17:24:22

something like that.

00:17:24:22 - 00:17:26:06

So it's really,

00:17:26:06 - 00:17:27:11

I think, powerful for us

00:17:27:11 - 00:17:29:20

to get to share that moment with people.

00:17:29:20 - 00:17:31:03

But it's also important for us

00:17:31:03 - 00:17:32:06

to kind of keep,

00:17:32:06 - 00:17:34:00

you know, a firm head on our shoulders

00:17:34:00 - 00:17:35:17

and say with confidence,

00:17:35:17 - 00:17:35:21

you know,

00:17:35:21 - 00:17:36:19

we're going to take care of you.

00:17:36:19 - 00:17:37:17

I love that

00:17:37:17 - 00:17:38:16

they're going to take care of you.

00:17:38:16 - 00:17:39:10

And that's what they do.

00:17:39:10 - 00:17:40:21

UCI Health. It’s Live Well.

00:17:40:21 - 00:17:41:17

Doctor Stevenson,

00:17:41:17 - 00:17:42:09

thank you so much.

00:17:42:09 - 00:17:43:14

And thank you for all you do for the

00:17:43:14 - 00:17:44:08

for the community.

00:17:44:08 - 00:17:45:05

Yeah. Thanks for having me.

00:17:45:05 - 00:17:45:18

He's running it.