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Live Well with UCI Health.

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I am Ryan Manno

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with KOST 103.5,

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The Ellen K Morning Show and iHeart Radio.

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Uh, thrilled to be joined

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by Dr. Saquib today.

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Doctor welcome. Thank you.

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Thank you for having me.

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Happy to be here.

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So there are

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I just was asking you

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your official title

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and you ran down a bunch of words.

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Can you

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can you tell us what it is

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that you do, what your title is?

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Absolutely.

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So I'm an acute care surgeon.

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I am a board

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certified in general surgery

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and surgical critical care.

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I did, general surgery training,

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residency training.

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I did fellowship in trauma

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critical care

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and then another one in burn care.

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And I am the medical,

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the burn medical director

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for UCI Health.

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My goodness,

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what a position that is.

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That's, that's impressive.

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It's quite a lot of responsibility,

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and is always a privilege to

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to lead,

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such a great group of people.

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Yeah. Requires a lot of work.

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But when we get great results,

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especially for the benefit

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of our patients

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and our community,

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it's very gratifying.

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I would assume, and correct me

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if I'm wrong,

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that this is probably a busier

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time for you guys,

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just given the nature

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of the outdoor activities

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and things that people are doing.

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Yeah, we're we're busy year round,

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but we do feel busier

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during the summertime

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for the reasons you described.

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The weather is nice

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at this time of year.

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So people are more willing to,

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go outdoors, participate

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in activities,

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that can,

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that can of course, be fun.

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But, if you are, you know, around

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a campfire, a bonfire,

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operating a grill,

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near working with

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fireworks, there are,

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you know, potential to,

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to get injured.

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I bet you cringe a little

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every time you hear

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a firework, please, no.

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It does worry you,

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especially if you are taking call

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during the 4th of July.

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Of course.

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A holiday weekend. Yeah.

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I'm sure.

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What, what about a typical day?

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You know, for a burn surgeon.

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Like what?

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What is your

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what is your standard day?

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So you typically have a set schedule

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of things

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that you need to get through.

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But also be mindful

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that there can be

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a little bit of unpredictability

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with, with your work.

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But when I come in the morning

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for when I'm on for burn call,

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we round on the patients

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that are in the

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the burn patients in the hospital

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with the rest of the

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interdisciplinary team,

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examine the patients

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and create a

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plan of care to advance

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the patients’ care

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while they're in the hospital.

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And then other days,

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certain days of the week,

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we are in the operating room,

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operate on patients

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with burns and wounds

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to get them better.

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And other days of the week

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we will be in clinic

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to see patients

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postoperatively, preoperatively

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new patients.

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And then we're also responsible

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for patients

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that are hospitalized

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that our colleagues

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from other services may call

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or ask us for a consultation

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for their burn or wound care,

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and then also responsible

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for all kinds of burns

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that come

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to the emergency department.

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Big, small, and everything in between.

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Yeah, yeah,

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I want to talk about that.

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So what percentage would you say or

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how many of those are,

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you know, emergency situations.

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Like what

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what's your percentage of that.

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So, thankfully, the overwhelming

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majority of burns are not

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immediate emergencies.

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That doesn't mean

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they don't need to be hospitalized.

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A lot of them may need to

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be hospitalized

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to get the care that they need

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while they're with us.

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But it's only a handful.

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Maybe less.

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A little less than 10%. Okay.

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have

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burns that are life threatening injuries

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that require immediate care,

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which is a good thing.

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I think we we

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we see less and less,

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well, bigger burns than we did

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maybe decades ago. Really?

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But that doesn't mean that

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once they the

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those burns, when they come,

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they still require,

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you know, extremely diligent care.

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Yeah.

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To stay on top of,

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you know,

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making sure that we do the best

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we can to get

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the best outcome possible.

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Of course,

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first and foremost,

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saving their lives.

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Yeah,

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but then getting back into society,

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hopefully close to the baseline

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level of function. Yeah, yeah.

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Well,

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let's go into the actual,

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you know, into those

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first critical moments,

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right where someone's in.

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And this is a severe,

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serious thing with,

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with a lot of trauma

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like what happens in those

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very first few minutes?

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When,

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a severe burn comes in, usually,

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we get notified,

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that we're,

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someone of that nature is coming in,

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and then they'll come to our,

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ER trauma bay,

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and we mobilize

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our emergency department providers,

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our trauma providers,

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and then the burn providers,

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to come to the bedside

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and be ready to receive the patient

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when they, when they come. Yeah.

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And we work together

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hand in hand, collaboratively

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to make sure we know

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they have a burn,

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but make sure there's no other life

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threatening injury

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that might supersede

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management in the burn.

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Because that might be more

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of an immediate threat

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to their life.

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And then, after we,

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adjudicate all that,

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if it's usually just the burn,

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that's the only injury

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and nothing else, of course,

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they'll get admitted

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to the burn team and

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many times

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we may have to take them immediately

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to the operating room

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to start treating them

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the right way.

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And resuscitating them.

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And, eventually, they'll get,

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they'll be,

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shortly thereafter

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admitted to the burn unit.

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And then these folks

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will be in the hospital

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for for several weeks

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because of complicated wound care,

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pain control, because burns hurt. Yeah.

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And they will require

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multiple trips to the operating room

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to get them definitively managed.

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Yeah. So, it's fascinating.

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I'm just thinking about that, that,

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almost adrenaline

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or intensity of what,

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what it is that you're dealing with.

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And, you know,

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I was speaking with another doctor.

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You know, who has,

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you know,

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when he's doing a surgery,

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he has the time to prepare

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and map this out. With you,

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I would assume it's just like,

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okay, just trust your,

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What you know, right? Yeah.

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You,

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You have to, trust your training.

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Trust your training

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That’s what it comes down to. Yeah.

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I mean, that's

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probably the biggest advice

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I give to, you know,

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younger, junior colleagues,

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and then the trainees,

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you know, trust your training

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when you're out there in practice,

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when you're out there,

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it is anxiety provoking,

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especially when you're

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you're new into this.

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It's still anxiety provoking

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when I hear

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a very severely injured

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burn is coming in. But

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I trust the training. Yeah.

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And of course, follow

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the evidence based medicine

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that has been established

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for several decades

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and sometimes, of course,

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use the, tailor

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the treatment

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to the needs of the patient.

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Yeah, right.

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What would you say

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is the most common,

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you know, activity

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that leads to a burn that

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that you see. So it varies, but,

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usually the most common, mechanisms

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are flame, fire burns,

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especially in the adult population.

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And then scald burns, a hot

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water,

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hot soup, hot tea,

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especially in our pediatric

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patient population. Sure.

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Some of the

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some of the other ones,

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less common are electrical

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injuries, chemical burns,

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hot pavement burns,

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especially in the summertime

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in the desert region,

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where the pavement heats up so much

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that if you fall on it

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and you don't get off quickly

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enough, you can get a burn.

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That's very common

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in the desert climate

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where I previously live,

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before I came here in Las Vegas.

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Yeah, but those are some of the main

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injury patterns.

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But typically flames and scalds

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are usually the most common

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if you're going to take all takers.

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Yeah.

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And I know we did

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mention fireworks

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and you know, even the 4th of July

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makes you a little jumpy. But yeah.

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Do you treat,

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Have you treated fireworks,

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burns and injuries? Yes. I have. Yeah, yeah.

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And what does that

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typically look like?

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It depends on the

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the severity of the burns. Yeah.

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So already the injury, it could,

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we see all types of injuries

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from fireworks,

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most commonly are burn injuries,

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but oftentimes

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you can get blast injuries

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to the face,

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causing a fracture

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or even a blast injury to the hand

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causing,

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you know, some or part of the hand

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to be blown off

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for lack off a better phrase

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and requiring emergency

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life and limb saving surgeries.

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Yeah.

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Do you have to

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then work in tandem with, another,

00:07:16:04 - 00:07:17:13
you know, let's say someone is

00:07:17:13 - 00:07:18:12
did lose a finger, right?

00:07:18:12 - 00:07:19:21
That's probably

00:07:19:21 - 00:07:20:21
partially what you do

00:07:20:21 - 00:07:21:21
to repair the burn,

00:07:21:21 - 00:07:23:11
but then the finger’s missing.

00:07:23:11 - 00:07:23:23
Absolutely.

00:07:23:23 - 00:07:24:15
We work,

00:07:24:15 - 00:07:26:18
we have a very good, collaboration

00:07:26:18 - 00:07:28:10
with our orthopedic and colleagues

00:07:28:10 - 00:07:29:14
and our plastic surgery

00:07:29:14 - 00:07:30:19
colleagues as well,

00:07:30:19 - 00:07:32:08
who also help with hand injuries.

00:07:32:08 - 00:07:34:05
So it is more often than not,

00:07:34:05 - 00:07:34:15
if we

00:07:34:15 - 00:07:35:09
if it's an injury

00:07:35:09 - 00:07:36:21
of the of the severity you describe,

00:07:36:21 - 00:07:38:01
we work in concert

00:07:38:01 - 00:07:39:05
with our hand surgeons

00:07:39:05 - 00:07:40:13
and our plastic surgeons

00:07:40:13 - 00:07:43:00
to see if we can, restore the hand

00:07:43:00 - 00:07:43:20
as best as we can.

00:07:43:20 - 00:07:46:00
Wow. That is teamwork.

00:07:46:00 - 00:07:46:21
What about grilling?

00:07:46:21 - 00:07:47:05
Do you do

00:07:47:05 - 00:07:48:02
you deal with a lot of people

00:07:48:02 - 00:07:50:02
that have, you know. Oh, yeah.

00:07:50:02 - 00:07:52:05
made an oopsie on the grill. We've had,

00:07:52:05 - 00:07:53:17
our fair share,

00:07:53:17 - 00:07:55:11
of burn injuries from that.

00:07:55:11 - 00:07:55:20
Common

00:07:55:20 - 00:07:57:01
types of injuries

00:07:57:01 - 00:07:58:02
are, are injuries

00:07:58:02 - 00:07:59:17
from the flame itself,

00:07:59:17 - 00:08:01:13
grease splatter,

00:08:01:13 - 00:08:03:00
accidentally making contact

00:08:03:00 - 00:08:04:18
with the grill or,

00:08:04:18 - 00:08:06:06
when you're firing up the grill.

00:08:06:06 - 00:08:07:17
If your gas lining is

00:08:07:17 - 00:08:09:09
is faulty or leaky,

00:08:09:09 - 00:08:11:09
you can get a combustion from that.

00:08:11:09 - 00:08:13:15
That's tough. Yeah. Very tough.

00:08:13:15 - 00:08:15:04
What would you say would be,

00:08:15:04 - 00:08:15:17
you know, let's

00:08:15:17 - 00:08:16:19
say someone doesn't know

00:08:16:19 - 00:08:18:17
if they need immediate care, right?

00:08:18:17 - 00:08:20:05
What's what is like a red flag

00:08:20:05 - 00:08:21:22
or maybe something to to know.

00:08:21:22 - 00:08:23:21
So what if when in doubt,

00:08:23:21 - 00:08:25:20
if you're thinking about, thinking

00:08:25:20 - 00:08:26:22
whether to get care or not,

00:08:26:22 - 00:08:28:02
you should probably just get care

00:08:28:02 - 00:08:30:01
out of an abundance of caution.

00:08:30:01 - 00:08:31:05
That being said, things

00:08:31:05 - 00:08:32:09
that we definitely would

00:08:32:09 - 00:08:33:06
highly recommend

00:08:33:06 - 00:08:33:21
would warrant

00:08:33:21 - 00:08:35:02
immediate care is

00:08:35:02 - 00:08:35:17
if you have a burn

00:08:35:17 - 00:08:37:03
to a sensitive part of your body,

00:08:37:03 - 00:08:38:14
such as your face,

00:08:38:14 - 00:08:40:00
the hands, the genitalia

00:08:40:00 - 00:08:41:07
or the feet.

00:08:41:07 - 00:08:42:04
Those should,

00:08:42:04 - 00:08:43:22
warrant immediate care,

00:08:43:22 - 00:08:45:02
at a local emergency department,

00:08:45:02 - 00:08:45:19
at the very least,

00:08:45:19 - 00:08:47:05
if you have a burn

00:08:47:05 - 00:08:48:18
that's at least bigger

00:08:48:18 - 00:08:50:00
than the palm of the size

00:08:50:00 - 00:08:50:23
of the palm of your hand

00:08:50:23 - 00:08:52:19
on any other parts of your body,

00:08:52:19 - 00:08:53:08
should go

00:08:53:08 - 00:08:54:06
to the emergency department

00:08:54:06 - 00:08:55:10
to seek immediate care.

00:08:55:10 - 00:08:57:12
And then more specialized, reasons

00:08:57:12 - 00:08:58:03
would be

00:08:58:03 - 00:08:58:17
if you had a

00:08:58:17 - 00:08:59:16
it was an electrical

00:08:59:16 - 00:09:01:20
injury, a chemical splash,

00:09:02:20 - 00:09:04:13
or, if you were, say,

00:09:04:13 - 00:09:05:21
in an enclosed space,

00:09:05:21 - 00:09:07:10
you accumulate, you inhale

00:09:07:10 - 00:09:09:11
a lot of smoke from a fire

00:09:09:11 - 00:09:09:21
and you're having

00:09:09:21 - 00:09:11:11
a little trouble breathing.

00:09:11:11 - 00:09:12:20
Those would be reasons to,

00:09:12:20 - 00:09:13:22
to go to at least a

00:09:13:22 - 00:09:15:05
your local emergency department

00:09:15:05 - 00:09:17:19
to seek immediate care.

00:09:17:19 - 00:09:18:23
Let's talk about the advances

00:09:18:23 - 00:09:19:19
in the.

00:09:19:19 - 00:09:20:18
You know, since you've been

00:09:20:18 - 00:09:21:22
since you've been doing that,

00:09:21:22 - 00:09:22:11
the advances

00:09:22:11 - 00:09:23:15
that give you better outcomes

00:09:23:15 - 00:09:25:05
in burn treatment.

00:09:25:05 - 00:09:25:21
Absolutely.

00:09:25:21 - 00:09:29:02
So, we've gone... the, the technologies... definitely,

00:09:29:02 - 00:09:29:15
I believe,

00:09:29:15 - 00:09:30:05
have evolved

00:09:30:05 - 00:09:31:05
even in the decade

00:09:31:05 - 00:09:33:15
I've been in practice.

00:09:33:15 - 00:09:34:23
Some... there are two

00:09:34:23 - 00:09:36:08
specific treatments,

00:09:36:08 - 00:09:37:07
that come to mind

00:09:37:07 - 00:09:38:17
that have really benefited

00:09:38:17 - 00:09:39:19
our patients.

00:09:39:19 - 00:09:40:21
One is a treatment

00:09:40:21 - 00:09:41:20
that we can provide

00:09:41:20 - 00:09:43:11
for patients that have massive,

00:09:43:11 - 00:09:45:02
you know, extensive surface

00:09:45:02 - 00:09:46:00
area burns.

00:09:46:00 - 00:09:47:09
And what you do is you take a

00:09:47:09 - 00:09:48:02
you have a device

00:09:48:02 - 00:09:49:18
that where you can harvest

00:09:49:18 - 00:09:51:11
a very superficial layer

00:09:51:11 - 00:09:52:08
of their skin

00:09:52:08 - 00:09:54:02
half the size of a business card.

00:09:54:02 - 00:09:55:06
So not very big.

00:09:55:06 - 00:09:56:02
Put in a device

00:09:56:02 - 00:09:57:09
where you can concentrate

00:09:57:09 - 00:09:58:07
and isolate their own

00:09:58:07 - 00:10:00:10
epidermal cells and other growth

00:10:00:10 - 00:10:01:22
and other molecules,

00:10:01:22 - 00:10:03:07
and spray their own cells

00:10:03:07 - 00:10:05:04
back to the patient. Okay. What?

00:10:05:04 - 00:10:07:07
And that can really, close

00:10:07:07 - 00:10:09:21
these wounds quicker with a better,

00:10:09:21 - 00:10:11:01
cosmetic outcome.

00:10:11:01 - 00:10:11:20
You take their skin,

00:10:11:20 - 00:10:12:12
put it in a machine

00:10:12:12 - 00:10:13:14
and get more skin.

00:10:13:14 - 00:10:14:14
And on a spray, you con...

00:10:14:14 - 00:10:14:20
Uh huh.

00:10:14:20 - 00:10:16:12
you concentrate their cells,

00:10:16:12 - 00:10:17:03
and then you can.

00:10:17:03 - 00:10:18:15
You can spray those,

00:10:18:15 - 00:10:20:12
to over a large or large surface

00:10:20:12 - 00:10:21:21
area. It’s mind-blowing.

00:10:21:21 - 00:10:22:16
And we can,

00:10:22:16 - 00:10:23:19
and then if you can get the, the,

00:10:23:19 - 00:10:24:07
the mantra

00:10:24:07 - 00:10:25:16
in our, in our line of works,

00:10:25:16 - 00:10:26:02
the sooner

00:10:26:02 - 00:10:27:04
you can close these wounds,

00:10:27:04 - 00:10:28:03
get them covered... Yeah.

00:10:28:03 - 00:10:28:17
the better

00:10:28:17 - 00:10:29:10
their outcome,

00:10:29:10 - 00:10:30:13
the quicker you

00:10:30:13 - 00:10:31:01
you set them

00:10:31:01 - 00:10:32:11
on the pathway to recovery.

00:10:32:11 - 00:10:34:00
And one of that is, you know,

00:10:34:00 - 00:10:35:12
getting them closed sooner.

00:10:35:12 - 00:10:36:22
to reduce the risk of infection

00:10:36:22 - 00:10:38:04
and better appearance

00:10:38:04 - 00:10:39:03
and reduce the risk

00:10:39:03 - 00:10:41:03
of scarring down the road. Wow.

00:10:41:03 - 00:10:42:21
So that is something that I,

00:10:42:21 - 00:10:44:21
we use a fair amount.

00:10:44:21 - 00:10:46:19
And, I believe has,

00:10:46:19 - 00:10:48:12
in my mind revolutionized

00:10:48:12 - 00:10:49:05
some,

00:10:49:05 - 00:10:50:08
a great way

00:10:50:08 - 00:10:51:02
of how we deliver

00:10:51:02 - 00:10:52:21
care to our patients. Yeah.

00:10:52:21 - 00:10:54:02
And then the other one

00:10:54:02 - 00:10:55:08
that I think that has been

00:10:55:08 - 00:10:56:12
very helpful,

00:10:56:12 - 00:10:58:06
is a laser therapy for it.

00:10:58:06 - 00:10:59:00
And that's not so much

00:10:59:00 - 00:10:59:17
when they're admitted

00:10:59:17 - 00:11:00:22
for their initial burn.

00:11:00:22 - 00:11:02:01
But a lot of these folks

00:11:02:01 - 00:11:03:09
may develop,

00:11:03:09 - 00:11:04:10
hypertrophic, thickened

00:11:04:10 - 00:11:05:22
keloid type scars,

00:11:05:22 - 00:11:06:21
and they can cause...

00:11:06:21 - 00:11:08:13
aside from the cosmetic look,

00:11:08:13 - 00:11:10:07
it can cause tightness,

00:11:10:07 - 00:11:11:22
itching and pain

00:11:11:22 - 00:11:14:16
and laser therapy, can,

00:11:14:16 - 00:11:16:16
soften those scars and mitigate

00:11:16:16 - 00:11:17:17
a lot of those symptoms

00:11:17:17 - 00:11:19:04
so it can improve their cosmesis.

00:11:19:04 - 00:11:20:18
It can also improve their function

00:11:20:18 - 00:11:22:06
and their quality of life.

00:11:22:06 - 00:11:22:20
And the literature

00:11:22:20 - 00:11:24:01
has been very clear on that.

00:11:24:01 - 00:11:24:22
So that's something that we

00:11:24:22 - 00:11:26:07
can offer our patients,

00:11:26:07 - 00:11:27:17
after they’ve recovered from their

00:11:27:17 - 00:11:29:10
initial acute burn injury...

00:11:29:10 - 00:11:30:18
That is awesome.

00:11:30:18 - 00:11:31:13
What about like, a,

00:11:31:13 - 00:11:31:20
you know,

00:11:31:20 - 00:11:32:06
like a just

00:11:32:06 - 00:11:33:22
a general seasonal safety message,

00:11:33:22 - 00:11:35:06
maybe for people listening

00:11:35:06 - 00:11:35:17
or watching

00:11:35:17 - 00:11:37:07
that you would have here,

00:11:37:07 - 00:11:38:19
even not even seasonal, but just,

00:11:38:19 - 00:11:39:22
I guess, your own. Yeah.

00:11:39:22 - 00:11:41:11
Your point’s well taken.

00:11:41:11 - 00:11:42:15
I think,

00:11:42:15 - 00:11:44:21
first of all, we want people to,

00:11:44:21 - 00:11:46:15
have fun and enjoy the activities

00:11:46:15 - 00:11:47:22
with their loved ones.

00:11:47:22 - 00:11:48:19
We just ask that you

00:11:48:19 - 00:11:49:20
do it in a safe

00:11:49:20 - 00:11:51:00
and responsible fashion.

00:11:51:00 - 00:11:53:11
And what that looks like to me is,

00:11:53:11 - 00:11:55:03
you know, if you're using the grill,

00:11:55:03 - 00:11:57:11
for instance, or on a, a bonfire

00:11:57:11 - 00:11:58:21
or just using those as examples,

00:11:58:21 - 00:11:59:20
make sure you keep the kids

00:11:59:20 - 00:12:00:21
and pets away.

00:12:00:21 - 00:12:02:17
Establish a safe zone.

00:12:02:17 - 00:12:03:13
Make sure you're not

00:12:03:13 - 00:12:04:12
under the influence,

00:12:04:12 - 00:12:05:07
either by alcohol

00:12:05:07 - 00:12:07:00
or any other drugs or medications

00:12:07:00 - 00:12:08:16
that can make you altered to the point

00:12:08:16 - 00:12:09:12
where you can’t

00:12:09:12 - 00:12:11:16
appreciate your surroundings. Yes.

00:12:11:16 - 00:12:13:01
And then just making sure

00:12:13:01 - 00:12:15:04
that you have a fire extinguisher,

00:12:15:04 - 00:12:16:10
bucket of water, garden

00:12:16:10 - 00:12:17:16
hose, depending on where you are.

00:12:17:16 - 00:12:18:16
So if things start

00:12:18:16 - 00:12:19:22
to get out of control,

00:12:19:22 - 00:12:22:00
that you can at least, splash the,

00:12:22:00 - 00:12:23:18
use those, to kind of

00:12:23:18 - 00:12:24:21
put out the fire. Yeah.

00:12:24:21 - 00:12:26:02
And to that point

00:12:26:02 - 00:12:26:21
you just said splash,

00:12:26:21 - 00:12:27:09
you know, obviously

00:12:27:09 - 00:12:28:20
put out the fire, but like, what?

00:12:28:20 - 00:12:29:22
Just on a personal level,

00:12:29:22 - 00:12:31:06
like if I'm, you know,

00:12:31:06 - 00:12:32:04
making spaghetti

00:12:32:04 - 00:12:33:09
and I accidentally touch the stove

00:12:33:09 - 00:12:34:03
and it's hot, like, what?

00:12:34:03 - 00:12:35:05
What's the very first thing

00:12:35:05 - 00:12:36:23
that you would recommend or if the.

00:12:36:23 - 00:12:37:23
So it's

00:12:37:23 - 00:12:38:19
like you just like a certain

00:12:38:19 - 00:12:39:22
like a small burn at home

00:12:39:22 - 00:12:40:14
where I don't need to come

00:12:40:14 - 00:12:41:19
see you from the burn.

00:12:41:19 - 00:12:42:12
So yeah. Like what?

00:12:42:12 - 00:12:43:08
What is the best course

00:12:43:08 - 00:12:43:22
of action at home?

00:12:43:22 - 00:12:46:16
First thing you want to do is,

00:12:46:16 - 00:12:48:02
is, if there's any clothes

00:12:48:02 - 00:12:48:16
or jewelry

00:12:48:16 - 00:12:49:13
in that area

00:12:49:13 - 00:12:50:18
that also got made contact

00:12:50:18 - 00:12:51:03
with the burn,

00:12:51:03 - 00:12:51:17
you want to make sure

00:12:51:17 - 00:12:53:07
you take those off.

00:12:53:07 - 00:12:55:16
Then you want to, cool it down.

00:12:55:16 - 00:12:57:08
And not with ice. But cool.

00:12:57:08 - 00:12:58:19
Lukewarm coolish water.

00:12:58:19 - 00:13:00:07
This is good info. For about 15,

00:13:00:07 - 00:13:00:18
20 minutes,

00:13:00:18 - 00:13:02:11
if you can tolerate that. Okay.

00:13:02:11 - 00:13:04:17
That can really, what we call

00:13:04:17 - 00:13:06:03
keep the burning process

00:13:06:03 - 00:13:06:17
at a minimum.

00:13:06:17 - 00:13:08:12
Stop it from getting any worse,

00:13:08:12 - 00:13:10:23
and then, and then cleanse it.

00:13:10:23 - 00:13:11:17
Yeah.

00:13:11:17 - 00:13:14:03
And then if you're concerned, put a

00:13:14:03 - 00:13:15:23
clean. Doesn’t have to be sterile, but a clean

00:13:15:23 - 00:13:17:06
dressing

00:13:17:06 - 00:13:18:03
and then get to, get

00:13:18:03 - 00:13:19:02
to an emergency department

00:13:19:02 - 00:13:20:11
or urgent care. Whatever is easiest.

00:13:20:11 - 00:13:21:15
That's really good information.

00:13:21:15 - 00:13:23:04
Yeah, yeah.

00:13:23:04 - 00:13:24:01
Well, thank you, doctor.

00:13:24:01 - 00:13:25:03
I really appreciate the time.

00:13:25:03 - 00:13:26:14
I know you guys are.

00:13:26:14 - 00:13:27:10
If I were ever burned,

00:13:27:10 - 00:13:28:08
I would want to see you, doctor,

00:13:28:08 - 00:13:28:19
I hope.

00:13:28:19 - 00:13:30:00
I hope it doesn't get to that, but.

00:13:30:00 - 00:13:30:21
Yeah, I like you,

00:13:30:21 - 00:13:31:22
but I hope I don’t have to see you.

00:13:31:22 - 00:13:33:02
Please. No. God, no.

00:13:33:02 - 00:13:34:04
I don't ever want to see you.

00:13:34:04 - 00:13:34:20
No, I'm just kidding.

00:13:34:20 - 00:13:36:03
No. You're the best! Dr. Saquib.

00:13:36:03 - 00:13:36:15
Thank you.

00:13:36:15 - 00:13:37:16
Thank you so much.

00:13:37:16 - 00:13:39:12
Live Well with UCI Health. Doctor,

00:13:39:12 - 00:13:40:06
Thanks. Thanks.