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  • Hello subscribers and others.

  • It's David Hoffman, filmmaker with another clip from one of my old films.

  • In this case, we're looking at a nurse practitioner who has her own little shop in a poor area of Appalachia.

  • I really care about nurses and nursing, in part because my daughter is a nurse practitioner in San Francisco and also because I've had a couple of major medical shit in my life, and nurses were glorious to me the way they treated me.

  • Beautiful.

  • So I get this job to do something on nursing for a friend of mine, Mike Singer, who owns a company called Cherokee Uniforms that makes nursing uniforms.

  • And he gives me a grant to make what you're about to see, and I send my daughter on a terrific filmmaker, John Barrett, out to the middle of Appalachia to record Mon accounts one day in her life.

  • The way she treats these people, who are pretty sick by and large, who are poor and have hard times, I feel for them.

  • I feel for Americans, really, for all people who live with poverty and fear of medicine and medical crap.

  • I wish I didn't have any but we all do, don't we?

  • So watch Mona counts one day, just the life She lives as a nurse practitioner and then see what you feel about her and about nursing in general way are medically underserved area which is referred to as an emu A.

  • We're in a hips of which is a health professional shortage area.

  • And we have an extremely poor economic base.

  • And many of the patients we serve our poverty level health in Appalachia.

  • Its function not just absence of disease.

  • I think that's a very different kind of concept to deal with in what you see in maybe larger metropolitan areas.

  • What you think?

  • I think not not come here because of money.

  • Oh, no.

  • You can't wait that long to come in for that because that I We had this conversation once before, right?

  • You know, still.

  • Okay.

  • So you don't have the money, you come down, you can clean.

  • What do you want?

  • Your beer.

  • Oh, wait, That's right.

  • All right, well, I'm gonna go call lab and see what they have to say about that.

  • You have insurance now?

  • No, She hadn't had insurance for everyone.

  • It's a bill anyway, so years.

  • Yeah, but when we're doing the indigent, we're asking them.

  • Thio, pick up the other half.

  • Swallow.

  • Hey, can't wait that long between times.

  • Come on now.

  • I'm always on seven days a week.

  • That's good.

  • You're the primary caretaker, John.

  • I had Hey, I want to ask you something.

  • Maybe you might tell me.

  • No, my daughter and I wouldn't be what you call a guy if you mean her denial.

  • Okay, Which we are, remember?

  • Yeah.

  • The power of attorney or the executor of your you have to have him is on a must.

  • It's a good idea.

  • I don't know.

  • You were You were gonna call me with the bank lady's name and I was gonna help you do that.

  • Remember?

  • Do you have somebody appointed to speak for you?

  • I would not have attorneys.

  • I hated my No, no, no, no, no, no, no, no, no.

  • I'm not a lawyer.

  • No, I'll do it myself.

  • What?

  • Can't Miss Rock.

  • See you sleeping already?

  • What happened?

  • I just started.

  • Not bad.

  • We'll breed.

  • That brought me.

  • And here My daughter's did okay.

  • Were you living with You don't know my daughter.

  • This is what the third time this year you've been in.

  • Okay, we're back to the beginning.

  • Where were you born?

  • Uh, rule town called Booth at home or in the hospital?

  • Home?

  • Home?

  • Okay.

  • Any stories about your birth?

  • It'll No.

  • They didn't have to put you in a shoebox or know anything like that.

  • Okay.

  • And I'll support fractured cat story.

  • Why not six months old, Doctor.

  • Give me up for dead.

  • Dr.

  • Talbert.

  • I know you've never heard.

  • Of course, it's been years ago and hey, they mail bed, get gave me poison.

  • Tell my mom about 24 hours after you give me my Madison that I would live and I live.

  • Oh, God.

  • Given poison killed courts.

  • What did you get into Fletcher's cast story?

  • Back that town.

  • That stuff.

  • It was poured poison.

  • A lot of Children at six months.

  • How'd you get it?

  • But I'll give it to me.

  • He didn't know that it was bad.

  • Okay.

  • And how far did you get to go in school?

  • Sixth grade.

  • And then what?

  • You do transfer with a white boy.

  • But I quit.

  • And then what did you do?

  • They put you work on the farm?

  • Yeah.

  • And what were you doing?

  • Mostly.

  • My dad was cold.

  • Would cut wood kind cold all I have.

  • And then what else do you get into?

  • So tell honored this loneliness.

  • Good.

  • We didn't give it up when you got older digit.

  • Okay.

  • Good.

  • When you were cutting co.

  • We're doing one of those little cold mind things.

  • Yes.

  • Okay.

  • What All illnesses have you had?

  • Well, I had a heart attack.

  • Had six drugs on.

  • I have a great hits back.

  • Yeah, I have a couple.

  • Three also are also way.

  • Call them.

  • Earn it What?

  • They've been talking out yet.

  • But that's geared to Cameron Longs.

  • Okay, that's better.

  • Yeah, right.

  • Did you ever smoke?

  • Yes, ma'am.

  • How much?

  • How about two packs a day?

  • Process of Well, start off about tan.

  • Still with Morgan.

  • You're still spoken down?

  • Yes, ma'am.

  • Two packs a day.

  • Yes, ma'am.

  • Would you like me to get your patch while you're in here?

  • I can't afford a baby now.

  • Well, no.

  • You have Medicare, right?

  • If it's one of the medicines you take while you're hospitalized, I think they will allow it.

  • Okay.

  • How far?

  • Okay, because it will.

  • When I admitted Roxy into the hospital.

  • I was extremely evident.

  • That rocks Iwas not feeling like Roxy that she probably was in pretty bad trouble at this point in time.

  • Usually, Roxy, even with her exacerbations of her COPD is still feisty and won't, you know, just gives everybody what for when she comes in And that type of things.

  • She's, uh but she was relatively quiet.

  • I mean, she was responsive in that kind of.

  • It's gonna be a harder recovery period, I think this time for have a seat.

  • Terrible.

  • Tell money you're ready to see her.

  • See, I washed a good friend of mine, go with Alzheimer's.

  • I helped take care of him.

  • His wife passed away and that, you know, and I forget a lot.

  • So naturally I'm concerned.

  • But I want to go through these tests because this could be just the beginning.

  • You know that what we do with these things as we do it once a year, some of them you'll remember some of me won't someone you don't care whether you remember or not.

  • And it's just, uh, make sure that we're keeping you healthy and that we don't miss something just because we know you right.

  • All right, all right.

  • Where What is the season?

  • Well, I wouldn't say it's beginning of the falsies.

  • Okay.

  • See, on TV the other day, they're talking about gasoline.

  • Generally, the fourth of September starts the fall season because people who had trapped okay and gas is gonna go down, maybe.

  • Okay.

  • And you know the date.

  • Uh huh.

  • 5th 5th of September.

  • And what day is it?

  • Friday.

  • Where are we right now?

  • Where?

  • In your clinic?

  • In a room.

  • In your clinic.

  • Okay.

  • In what town?

  • Matt Morris.

  • Okay, this is a pen.

  • A light in the sink.

  • Okay.

  • What is this fan?

  • I like gonna sink.

  • Okay, now, remember those for me?

  • Okay?

  • Can you spell world backwards?

  • Lousy D l, uh w I missed my thing.

  • It's okay.

  • What were the three objects that I gave you before?

  • Pan lamp and a sink.

  • Repeat after me.

  • No ifs, ands or buts.

  • No ifs, ands or buts.

  • Guess what I think you're doing awfully well.

  • Write a sentence.

  • Any sentence right along there.

  • Uh, see, that's what I do.

  • Memory.

  • I forgot.

  • I knew how to stand me when I start right now.

  • Okay.

  • See what I did there.

  • I knew how to spell that.

  • All right, that I misspelled it there.

  • Sorry.

  • Now, if I go real slow, that could probably spell.

  • But I'm forgetting how to spell simple words.

  • That means you're getting smarter in.

  • Yes.

  • What were the three objects I gave you before?

  • Table pin?

  • It was sick.

  • And you are on the scale.

  • Save the scales.

  • Yes.

  • The full steam.

  • The highest scores.

  • 30.

  • You were 29.

  • When you drop 27 to 30 is very normal.

  • You know, you really don't have the memory loss that would be associated with Alzheimer's.

  • Thank God for that.

  • Okay, The fear of losing one's mental capabilities is very great answer.

  • As you have felt for the last week.

  • His fear is what is mobilizing right now.

  • He's on the moderate side of depressed, though.

  • And part of that, I think, is related to Hiss.

  • Fear that he's having that He does not want to lose his mind.

  • Is it Alzheimer's?

  • I don't think it is.

  • I think the more you get involved, stay involved.

  • You're gonna have less fear that you're getting Alzheimer's.

  • It's not necessarily meaning.

  • You have dimension the skills that you want to keep.

  • You gotta keep using You know, the old adage.

  • Use it or lose it.

  • You want to keep your thinking kinds of stuff.

  • Keep using it.

  • That happens in our guts.

  • It happens in our heads.

  • It happens in her eyes.

  • You were by vocals, right?

  • Right.

  • That's from the relax ation.

  • It's not as tortures.

  • Waas.

  • My mother used to say that my eyes are fine.

  • My arms aren't long enough.

  • Yeah, she cares about her patients.

  • So you don't You're not a statistic to her.

  • So how long were you actually in the hospital?

  • From Cider Data For the next Thursday Come home room now.

  • Days you haven't had any chest pain?

  • No.

  • No blood pressure's good hearts.

  • One loans.

  • You still taking all your medicines?

  • You haven't changed?

  • No.

  • What was that?

  • They were getting a low sodium diet.

  • Yeah, but one day I had everything for Thanksgiving dinner.

  • They brought me turkey gravy, all the stuff.

  • We know everything.

  • The hospital is pretty good.

  • Fool.

  • Radio a poly every day.

  • You were doing so good.

  • Then you happen to go find a twig and fall on it.

  • Right?

  • Howard, Every day since I'm never going outside again.

  • Don't say that.

  • He got to get out Walk, man.

  • I know I can't wait, but not to go around the tree.

  • Now, you just gotta make sure you get good chews on and you need to look where you're going.

  • Yeah.

  • You know what happens is you curl over like this, and instead of seeing everything where you walk in, you only see that little spot.

  • So, you know, we're gonna put the backpack on you pull your shoulders up.

  • You know, like they used to teach in high school.

  • Come on, get those shoulders back.

  • Get up.

  • Come on.

  • There you go.

  • You know, if you walk that well, you see a lot better.

  • Yeah.

  • Serious.

  • When you're walking with her helper, remind her if it's that okay with you, because then you won't hit another twigs that hurt.

  • It didn't hurt.

  • Really hurt myself dealing.

  • Make any blood or anything.

  • At least you didn't break any.

  • Yeah.

  • Squeeze.

  • Squeeze hard.

  • Give me a grimace.

  • E cool.

  • All right.

  • The cranial nerves were still there.

  • Yeah, okay.

  • Uh huh.

  • And are they taking good care of you?

  • I guess we had a patient call here that said that when her lab results came in that you were to see her right away.

  • She called Today Wants to be seen tomorrow.

  • Thistles Your schedule for tomorrow.

  • Tell him I'll see him after a C over scheduled face.

  • It's which will be 6 30 Oh, my gosh.

  • This woman's intense.

  • I used to think she's crazy all the time to truthfully, I really did.

  • I thought she was crazy.

  • And I'd say, Mona, when do you sleep?

  • I want to know when you sleep.

  • I mean, I I'm an intense person and she she outruns me by a mile.

  • This woman never stops, never stops.

  • How do you do then?

  • How do you do that?

  • How do you go through your life helping everyone else?

  • You know?

  • When do you help yourself?

  • He's going to You didn't get your hair up?

  • Uh, yeah.

  • Very good.

  • It's pricey.

  • And you I know.

  • What can I tell you?

  • Won't come see me.

  • I got to come see you.

  • You gotta see that you were Yeah.

  • You don't need to see Mona.

  • I just saw on TV.

  • I'm not sick.

  • You're supposed to stay healthy.

  • Not said I better stay healthy, Mona.

  • But everybody else around me.

  • Are you all right now telling the truth?

  • Her?

  • I tell me the truth show are my Children can help.

  • Yeah.

  • Has it been pregnant?

  • No.

  • Yes, I Yes, it has been.

  • Yeah.

  • So what are you doing for fun?

  • Anything.

  • Not much of anything.

  • Are you walking at all?

  • Yeah.

  • Mark and I had I had 1/50 anniversary yet.

  • I just got to ask Mom teen if she invited you and she said no.

  • I said, Oh, okay.

  • Not like my doctor.

  • Well, congratulations.

  • You sure?

  • Excuse me.

  • Now, did you spark on this swing?

  • Okay.

  • Uh oh, okay.

  • Just just thought I'd check.

  • Oh, have made.

  • I've never seen a plaque like that.

  • That's pretty cool.

  • Forget about it.

  • Oh, no.

  • I've got that one down on the wall.

  • Are you kidding me?

  • Okay, let's see the pictures.

  • Men or semi Colorado has This is a lot of fun memories for, you know?

  • Yeah, it was nice.

  • That's course Marinara.

  • Yeah.

  • So what are you doing?

  • So you stay healthy for the rest of the time?

  • No, I hear lately have been done much babying pushing a wheelchair around helping my arms.

  • Of course, you know.

  • Well, that helps you.

  • You actually, you get mountain walking it off.

  • Not just up back down here.

  • Have you tried going down the rampant?

  • Oh, yeah.

  • Okay.

  • You have been that man I really am.

  • And how is your breathing doing on?

  • How about your feet?

  • They still swell under.

  • They slow down.

  • I don't know.

  • I take care of myself.

  • Fine.

  • That's why I'm asking you all the questions.

  • You want to take care of everybody else, but you got stuff to take care of you, Casey.

  • Well, I know, but, I mean, I ain't got time.

  • Make some time.

  • I say gets turned to Sam Getting for get along Pretty good my age.

  • You know, you're how old?

  • 17.

  • Not quite.

  • Right.

  • Don't cry now.

  • You're How'd I am?

  • Well, I don't tell people's age.

  • I don't tell you stuff about people.

  • I don't care if I lose my age.

  • I'm only everyone in those black hairs.

  • All right, You take it easy, kid.

  • Shortness of breath.

  • Yes.

  • Virginia Tucker has lived there for what, 48 years?

  • She knows she's getting older.

  • She refused to have surgery three or four years ago, toe have her knees replaced.

  • And, as she says, bionic parts put in.

  • Get that stupid chair.

  • Soon you have united mine workers raising.

  • They should not be charging the set I know and on one, and she does not want to move away.

  • She does not want to go into a nursing home.

  • If there is any way possible that we can support her staying in her home, we will.

  • Is your heart beating irregular or is it regular?

  • Now?

  • Did you go back in and out of a field?

  • It's It's fluctuates, depending on when she takes medication.

  • Carolyn lives in the house next door to Virginia, and Caroline said she'd come over and help her.

  • Right now, it's working out.

  • We also have home health and a few other things coming in so we can help her stay in our home, she says.

  • I want to die in my home.

  • I don't want to go any place.

  • She is in congestive failure.

  • She does have intermittent a fib that sometimes under control, sometimes not.

  • Um, but right now what we just found is she's probably going into chronic renal failure.

  • I call it over.

  • She talks.

  • She tells you what you need to know.

  • Not some of this college step that only she would understand.

  • But she breaks it down before we understand.

  • That's what I really, really like about Went for her.

  • You know I wouldn't go.

  • I'm not just saying that about him.

  • I probably would.

  • You sure you don't have anything?

  • Really?

  • These are the niftiest hoses.

  • They're definitely the supplies him, right?

  • Yeah.

  • If you have to buy in the there.

  • Hi there.

  • Like what?

  • $85 or something like that.

  • See, the Americas range are all gone.

  • And the if you look at the tone of the skin, it was all copper colored before and really dark and very glassy looking.

  • And then all these veins would be up about the size.

  • She said her finger.

  • I'd say the size of my thumb.

  • Very they reviewed.

  • Do you happen to know there are cleared up those air?

  • All clear.

  • The one on the other foot that was still there.

  • But it's growed out about that much from the back thinking, moving out.

  • I could tell the difference.

  • I am impressed, sir, I thank you know I think you know, it's fun to watch somebody get better.

  • Larry used to have.

  • Well, obviously, he still has.

  • He has diabetes and he has high blood pressure.

  • But his peripheral vascular disease was so bad that he could not walk.

  • The whole quality of life now has changed because he can walk.

  • And he could now control the things such as high blood pressure and diabetes through more exercise.

  • I still have a little way to go on nutrition and that kind of thing.

  • But keep working.

  • See West Germany's river should ride.

  • J.

  • D.

  • Has been wonderful.

  • I mean, he's very quiet, but he's old.

  • He's there, you know, You kind of you can feel it when I drive home at night as I drive home, I think Ramona Hope, hoping she might be up for me right there.

  • Good morning.

  • Good.

  • Born this morning.

  • She's like a fine Jim.

  • Uh, you don't find too many of we'll take that.

  • Besides this close, I find more So one of the other.

  • You have 10 years.

  • She's my support sometimes about her support.

  • Just counter act together and balances out.

  • Yeah.

  • Thank you, sir.

  • The reason that I'm in the shape I'm in right now.

  • If you don't keep walking, you're gonna be really in good shape.

  • Tell you anything looking human, your walk.

  • You're in the hospital.

  • You're going home most of time.

  • You can separate yourself.

  • You can have a work life and you have a home when you're on the planet and you're there full time.

  • And that's 24 7 thing because those people were gonna count on you around the clock whether that clinics open or not on I see that my mom now my mom has always been that way.

  • When I entire life phone rings, you know, nine times out of 10 it's a patient.

  • If it's not a patient, it's a friend.

  • But friends still has questions with regard to their health, you know?

  • So that's hard.

  • You have to be No kidding.

  • You have to be into it medicated because that's just the way.

  • Hey, baby, how are you?

  • I saw Dr Guys.

  • Now I know you're eating, but I just and he wants me to go to this psychologist in his practice.

  • Yeah, that Hey, you know what they told me to 1400 for one day.

  • Whatever.

  • That means?

  • Yeah.

  • So, anyway, I nearly had to go.

  • Because this is the way I have license social workers.

  • That do you, Councillor, would be equivalent to a psychological evaluation.

  • I do believe.

  • I mean, I tell you what, we'll do.

  • Jonah's, I'll give her shelter.

  • Give me a call.

  • Okay.

  • Go ahead.

  • Okay.

  • Okay.

  • Thanks.

Hello subscribers and others.

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