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When she said that, a light bulb went off in my mind because in

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1990, 34 years ago now,

Speaker:

I had a case of acute pericarditis, which meant

Speaker:

that my pericardium, which is the sac that surrounds your heart and

Speaker:

protects your heart, became inflamed, probably from a

Speaker:

virus. We don't know. I was traveling. I was on

Speaker:

an overnight train in Spain, coming from. I had been in

Speaker:

Morocco, and while trying to sleep, my chest started

Speaker:

to close down, my breathing started to get painful,

Speaker:

and so I hopped off the bed and I walked back and forth in

Speaker:

the train like I would do if I was spinning

Speaker:

from too much alcohol or something and just try to bear down and get

Speaker:

through it. But it just kept getting worse and worse.

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Hello, and welcome back to another episode

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of Open Heart Surgery with Boots. Oh, my gosh.

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We are coming up on the two year anniversary of when I even had

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this idea of starting a podcast for open

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heart surgery. And hilariously, I didn't even listen to

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podcasts, and it just kind of came to me like this

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existential nudge. And here

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I am two years later, and what you don't

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see is Michael Mori, who is my engineer in the

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background, who helps me edit these episodes.

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And I think I'm making his job easier because I'm saying less

Speaker:

ums. So thank you for sticking with

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me all this time and thank you for continuing to come back.

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Please do consider supporting this podcast on Patreon. You

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can find the links in the show notes. This is definitely not

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done for free, and I have been so happy and

Speaker:

honored to keep this podcast going. But it does feel

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good when I see support coming from willing

Speaker:

donors. And if you sign up for the second or third

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tier, then you get to be a part of the Zoom community, which

Speaker:

I'm just now getting going. So be sure to go check that out. And

Speaker:

you will absolutely make my year if you become a Patreon

Speaker:

supporter. But, oh, my goodness. Enough jabbering.

Speaker:

Let's get to today's episode with Jeremy Rothenberg. Jeremy,

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welcome. You're coming to us from Ashland, Oregon,

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and I could not be more tickled to have you. And you

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are, my gosh, I think my second or third friend that I've made actually

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through substack, so substack for the win.

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Nice. Jeremy, will you please introduce

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yourself and kind of set the scene of, like, who you are,

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what you're about. You have overcome an incredible

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story that I have never heard of before. So I'm even more excited

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about that. I mean, I'm not Excited about what happened to you, but I'm excited

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to have your story on the podcast. But first, set the

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scene of who Jeremy Rothenberg is. Oh, thank you.

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So happy to be here and talk to you after listening to you for so

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long. Who I am. I am an

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acupuncturist and Chinese herbalist, and I'm

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also a wellness coach. I sometimes call myself an

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executive wellness coach because I work with executives

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and creative professionals and mostly in the tech industry. We're. Once

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upon a time, I used to work and I live in

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Ashland, Oregon. Moved here about six years ago

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from Oakland, the Bay Area and California, where

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I had an acupuncture practice for 10 years and before that

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did about 15 years doing various types of producing and

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product managing in the. In the. In the tech industry. Yeah. Do you want me

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to go on from there or. Well, I just gotta say, that's quite the

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pivot. Yeah. Well, this. This all plays.

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Plays nicely in, in this whole story. Just very briefly

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on that. You know, working in that world, I

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felt that I wasn't really doing what I was meant to

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be doing in life. Even though I liked it. It was. It was fun,

Speaker:

smart people. I was making a good amount of money. I always felt drained,

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and I always felt like I was losing energy rather than gaining

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energy. And at one point, I had an

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experience where I started having panic attacks after

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having my heart starting to skip a beat.

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So one day. I'll just tell a quick story. One day I was

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working a small job as a favor for my

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cousin over the Christmas holiday, and I was

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qaing back then, what was CD

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ROMs know like

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for? Yeah, and. And it was such a. It was

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such a repetitive job that I really wasn't that happy

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about doing, but I was. I was doing it anyway. And I. My. I felt

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my heart started to skip beats and it.

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It like threw me into a panic attack. Why? Because weeks before

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that, I had just come home from visiting my father on the

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east coast after he had quintuple bypass

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surgery with Dr. Oz. And yes, it's

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that Dr. Oz what he was back. Back then when he

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was still a top cardiac surgeon in New York

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before he became the character that you know him as.

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And my father had quintuple bypass surgery, which is

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like, I think as many as you can possibly have. And I had these

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skipped beats and suddenly something came in my mind that something was wrong with

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my heart. And I had these panic attacks which led

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to me working briefly with an energy healer

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who set me completely at ease Set my

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heart completely at ease. And I realized, you know what,

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two things here. One, I have to learn to do what he did.

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And number two, I have to do what I know that I'm supposed to be

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doing in life, which is helping people and working directly

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with the mind and the body rather than on

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these interactive products, you know, that I, that I was

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working on for in the tech industry. That was the beginning of this

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story, to be quite honest, because it will come back, we'll come back to understand

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that those immediate, those skipped beats were a

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result of something that led to the surgery that I had last

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year. And I'm still stuck on Dr. Oz. I honestly forgot

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he was, he was. Actually a top

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surgeon, I believe, at Columbia Presbyterian

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in New York City. I'm gonna have to dig into that separately.

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He. He really. Okay, that's for another time.

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That's. Yeah. So it's just an interesting thing. Yeah.

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So, okay, yeah, you've set the scene, but like, give us the

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big overarching picture of. Well, first of all, how old are

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you? So I'm 55 years old now. That was

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back in 2001 or

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2002, when I first started feeling these

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heart related symptoms that I just.

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And I had those checked out and they were checked out to be normal. They

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were called PVCs, premature ventricular contractions.

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People have them. It wasn't considered an

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issue. It was only, only looking back 20 years now that I

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realized that maybe they had something to do with this issue

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of my pericardium. Yeah. Which, which. That's the great

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segue into giving us the big picture of. Give us

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the 50,000 foot view. And then we're going to go back and connect

Speaker:

some dots and help the listeners understand your

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process. Yeah. So last year, well, In

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August of 2023, I was

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diagnosed with liver cirrhosis, which

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was as astonishing as it could possibly be because I didn't

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have any symptoms of liver

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cirrhosis. And I was only

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investigating my liver because

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a year before that I started having atrial

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fibrillation. And atrial fibrillation is when the atrium of your

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heart start to beat wildly. And

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it's usually not a life threatening situation, but

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it can cause blood clots, which can cause stroke. So there

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is concern about it. I tripped into

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atrial fibrillation two weeks before my daughter's bat

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mitzvah in, in 2023

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and didn't come out of it for three

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months. Because I live in a small town, I

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couldn't get to see a cardiologist for Three months. And because

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I was in pretty good shape, it didn't really affect me that much. The only

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reason why I knew that I had the atrial fibrillation is because my apple watch

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told me I did. You know, it alerted me and said, you have atrial fibrillation.

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I started measuring everything and I realized, oh, my. My

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resting heart rate is now 30 beats above what it was

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before. And when I exercise, everything goes about 30 beats higher

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than it did before. So I ha. I eventually had to get a

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cardio version, which is a shock, like a defibrillator, but in a,

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you know, in a surgical environment. And I did that.

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January 2024. And that's reset my heart

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rhythm. And that was great. And I talked to my cardiologist and I said,

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hey, many years ago, I was tested for life

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insurance, and they came back with the blood test,

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and everything was normal except this one liver enzyme called

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ggt, which they normally don't test for. But when

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it's high, mine was kind of off the charts high. When it's high, it can

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signal that you might be an alcoholic or you might have some, like,

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bile duct issues. So the life insurance people are.

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That's. They cut you out. And I was shocked about that.

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And I talked for. To doctors, any doctor I would see over the next

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bunch of years, I would ask about that. And they all kind of shrugged their

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shoulders and they're like, well, if everything else is normal, your alt ast,

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the other liver enzymes, which are normally checked, they're normal. It's probably just

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who you are. You probably just have a weird GGT level. And so

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I went on with my life. Never didn't really think about it too

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much. But I asked my cardiologist at this point, I said, you know, I

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have this high GGT thing. Could this have anything to do with my atrial

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fibrillation? And she said, well, she didn't know. She did some

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tests, came back, everything came back negative. She sent, then sent

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me to a GI people, and I had coordinated

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my cardio version to be at the beginning of the year so that I could

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use up my deductible immediately so that I could,

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you know, use my insurance that year as much as possible. And so

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my deductible was up. I said, okay, I'll go do a bunch of lab tests.

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That's fine. And so I went to see a GI person,

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went through all these lab tests. Some of them started coming back a little off.

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Had an ultrasound of the liver or of the

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abdomen. And that said, like, you know, there were some blood flow issues in the

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liver, so we did something called a

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elastography ultrasound, which measures the. The

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flexibility and the density of, of an organ. So

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that was. Say that again, slower elast.

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Elastography, like elastic

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elastography. I've never heard of that. I hadn't

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either. And. And that comes back with a scale of

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zero to four for liver fibrosis, four

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being cirrhosis. Liver cirrhosis. Mine came back at

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four. And I remember, you know, reading that

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result at my kitchen table and just my jaw

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dropping to the floor. This is weeks after a very, very

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close friend of mine died from cancer. And I was like,

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wow, my turn. And

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that was shocking. Absolutely shocking roller coaster

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because why would you have liver cirrhosis?

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Right? I was not an alcoholic. I generally

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eat a, you know, healthy, generally low carb

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diet. There's no way I had a fatty liver or anything like that.

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So we assumed that it must be like some kind of autoimmune

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disease. We checked for autoimmune hepatitis,

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hepatitis, anything under the sun. All of it came back a little

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inconclusive, but mostly, mostly negative.

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And interestingly, where I live. Right, you don't. The. What

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I found out is you have a certain level of medical availability

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here, and then there's a certain level that you have to travel for. There are

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no hepatologists, which is a liver specialist in the Rogue

Speaker:

Valley, where I live, at all. So when I got this diagnosis,

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I, I remembered that a close friend of mine worked in liver

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transplant at UCSF in California, in San Francisco. And so

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I contacted her. She quickly had me contact

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a hepatologist that she worked with. And I didn't have out

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of network insurance. I could only stay in Oregon. This woman, Dr.

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Lai, she is kind of my savior. She. She consulted with

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me for free, and she thought about

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it. She, you know, looked at the results of everything that I had. And she

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said, you know, there seems to be some kind of issue

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with blood flow. You really should have your heart

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checked for pressures. It could be something

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like constrictive pericarditis or something

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in that realm. And when she said that,

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it, it, it, you know, a light bulb went off in

Speaker:

my mind because in 1990,

Speaker:

34 years ago now, I had a case of

Speaker:

acute pericarditis, which meant that my

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pericardium, which is the sac that surrounds your heart and protects your heart,

Speaker:

became inflamed, probably from a virus.

Speaker:

We don't know. I was traveling an overnight train in Spain,

Speaker:

coming from. I had been In Morocco. And while

Speaker:

trying to sleep, my chest started to close down, my

Speaker:

breathing started to get painful, and so I hopped

Speaker:

off the bed and I walked back and forth in the train

Speaker:

like I would do if I was, you know, spinning from too much alcohol or

Speaker:

something and just try to bear down and get through it. But it just kept

Speaker:

getting worse and worse. So we got off the train prematurely in

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Barcelona, went to a hospital, and that's where

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eventually they discovered that I had what they

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said was acute pericarditis. I'd never heard of that before. And they said they

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couldn't really do anything but give me ibuprofen and rest.

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And eventually left the hospital, went home to New York.

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This was. I was so fatigued after that for a few weeks.

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It was. It was really monumental thing. I remember very, very clearly. But

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after that, I forgot about it. Hmm. Completely forgot about. Didn't.

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Didn't follow up with any Doctors. I was 21 years

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old. And so the rest of my life up

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until now, what probably happened was the inflammation

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and the response to the inflammation started to calcify the

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pericardium, harden it to. To what that the surgeon

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would describe as bone level

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calcification. No way. And,

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yeah, it's like breaking it off, you know, like, and

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literally cracking it off of my heart. Some of it was

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so. Was. Was deeply intertwined

Speaker:

with the heart muscle, and so that part couldn't come off. So

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this is now we're talking about your open heart surgery? That's right.

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Yeah, yeah, yeah. So the. So she.

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She was like. I emailed her back and said,

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wow, you know, I had this thing, cute pair card is. And

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she. And she responded to me. She was like, wow. I was. I was even

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a little hesitant to say that to you because it was such an out there,

Speaker:

even know, kind of textbook diagnosis that you would do in a. In

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a class or something like that. It's not something you really see in. In

Speaker:

reality. And you know, from there that was. There

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were a bunch of tests had to happen. After that, we had all my

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care moved up to OHSU in Portland, you know, where I had

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a catheterization to check the pressures in the heart. I had a

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heart MRI to, you know,

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to really just make sure that this was what was going on.

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And the only treatment for it is surgery, which is

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a. Called a pericardiectomy. Okay, so hang on.

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Before we get to the pericardiectomy, when you did

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all those heart tests in Portland, did they all

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show that your. Your heart needed some serious Help. They all

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showed exactly what she said. Constrictive

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pericarditis. So what it is, if you think about it,

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it's just instead of that pericardium being flexible

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and when your heart beats it, it moves with it. It's

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now hard, so your heart doesn't have as much

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space to open and close. Okay.

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So what it does, what you see on a

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catheterization, from my understanding, is you see

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a certain pressure signal so that when the beat comes in and goes

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out, normal thing would run rise and fall in a particular way,

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and this would rise and fall in a different way. And they call that

Speaker:

like a square root sign. And it, you know, mine

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was textbook. That. Very clearly

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that. And also the, the, the MRI very

Speaker:

clearly showed this calcification. Also,

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years ago, because I have a lot of heart issues

Speaker:

in my family, I had what's called a calcium test,

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which is a CT scan that everybody should actually have.

Speaker:

It's very inexpensive, it's not covered by insurance, but it

Speaker:

costs a couple hundred dollars, maybe two or three hundred dollars, and it tells you

Speaker:

about the calcification in your arteries and it gives you a sense of, like,

Speaker:

how dangerous your situation is, you know, for, for heart

Speaker:

disease in general. But the, the cardiologist who I met in,

Speaker:

at OHSU in Portland showed me the pictures from that calcium

Speaker:

test, which nobody had showed me the years before that I had taken

Speaker:

it. He said, yeah, there's some calcium in your arteries, but look at the, look

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at your pericardium. It was, it was thickened and it was.

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The calcium was all, all in there. And nobody had

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ever said anything about that to me. Was it in the report?

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It said, in the report, it said something like, yeah,

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pericardial calcifications, but didn't say it in any way

Speaker:

that made it sound dangerous. That I had a. I

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think I had an echocardiogram 20 years ago

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that also came back with some pericardial

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calcification. Nobody ever made a

Speaker:

deal about it. I never thought about it until now. So all of the, all

Speaker:

of the tests were very clear in suggesting this is what it

Speaker:

was. You're not the first person, and even myself,

Speaker:

everyone I've had the honor and privilege of interviewing for this

Speaker:

podcast. Almost every single person, if they

Speaker:

do read their report, you know, the report is usually not

Speaker:

sounding alarms. It's just reporting facts of what the radiologist

Speaker:

sees. But then the cardiologist

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usually doesn't get excited

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or is overly incentivized to, to

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educate us on what is found in a Radiology report. And so

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what I always say, and I think you would agree here, it's

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don't take our doctor's word for it, like go back and read our own

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reports and then ask questions. You know, like, Dr.

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Google can get us into trouble and it can

Speaker:

dysregulate us. So you need to be able to go and

Speaker:

like research what these terms mean from like a grounded,

Speaker:

calm nervous system. Because there can be things on

Speaker:

Dr. Google that can be scary. So it's a fine line

Speaker:

of, of educating ourselves, but then not overly educating

Speaker:

and jump to the conclusion that we're going to die tomorrow.

Speaker:

Well, let me tell you about chat, Dr. Chatgpt.

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Ah. Because what I did with all of my test

Speaker:

results that came in is I fed them into this AI chatgpt

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and it would, it would come back with like all the, like

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act very specific recommendations about

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what this could possibly be. Right? So when you look things up on Google,

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obviously you get these very broad issues,

Speaker:

right? You could be dying from this, that and the other thing.

Speaker:

ChatGPT like looks at the lab tests and say, well, these lab tests suggest

Speaker:

that it could be this or it could be that. And then, you know, put

Speaker:

more, put more information and more information, more information. So it

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definitely helped me push my local GI

Speaker:

to help me get a liver biopsy, which she was

Speaker:

actually weirdly reticent to do

Speaker:

because it kept telling me, you know, you might have cirrhosis, you

Speaker:

might not. The, the elastography is not the, the last

Speaker:

word on this. The gold standard is to get a piece of your

Speaker:

liver basically, and, and see what that says. And so we did that.

Speaker:

The good. Yeah, the good news with that just, by the way, is that

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that came back a step lower than cirrhosis. That came back

Speaker:

saying I had maybe like level three as opposed to four,

Speaker:

which still bad, but not really on the edge of liver

Speaker:

failure, which I was thought it might be for a few weeks.

Speaker:

Right. Wow. Well, thanks for connecting the dots. And so,

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yeah, bring us to the day of heart surgery. Like, this is just

Speaker:

amazing. So here you are in Portland. Yeah, so I would. So I

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drove back. So Portland's about four and a half hour drive from where I live.

Speaker:

I went up and back to Portland probably six

Speaker:

times in, you know, a few months to meet with

Speaker:

the first with the cardiologist, then with the surgeon,

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then with the surgeon again. I was a little afraid

Speaker:

to have the surgery at ohsu because

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pericardiectomies are very rare or somewhat

Speaker:

rare. So even at a place like ohsu where

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they do heart transplants, they only do a handful of

Speaker:

pericardiectomies a year. So I was looking

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to, I was talking to the Mayo Clinic, I was

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talking to the Cleveland Clinic. These places do

Speaker:

them on a regular basis. This would require me to get

Speaker:

different insurance. So I was going to have to wait till the, after

Speaker:

the beginning of the year after my catheterization,

Speaker:

which was in November, they called

Speaker:

me somewhere around Thanksgiving and said,

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you know, surgery, we're scheduling you for surgery on the 12th of

Speaker:

December, which was like two weeks away, you know, a little more than two weeks

Speaker:

away. And, and I had been investigating these other

Speaker:

path. So I really, I was a little nervous. But on the way

Speaker:

to. From my last consult with Dr. Tobias,

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who was my surgery surgeon, I talked to another

Speaker:

doctor, Dr. Greason at the, at the Mayo Clinic, who

Speaker:

is like one of the foremost surgeons for this type of surgery

Speaker:

in the country. And he was very kind, very generous with his time

Speaker:

and, and, you know, led me to understand,

Speaker:

after peppering him with as many questions as I could, that I

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was going to be okay at OHSU with, with this doctor.

Speaker:

And then that was, that was just a week before

Speaker:

the surgery. I met with that doctor again, asked him a few more questions,

Speaker:

and then we were a go for surgery. The same year that

Speaker:

I had the cardioversion

Speaker:

to start with. Luckily for me, this, you know,

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from an insurance point of view, I had already reached my out of pocket maximum.

Speaker:

This surgery was now going to be paid for. And then it was just

Speaker:

preparing for surgery. And, and I had already been doing that a bit by

Speaker:

listening to your podcast, which I found extremely helpful to,

Speaker:

you know, to, to listen to other people's stories, your

Speaker:

story, and understand how people prepare and

Speaker:

what could happen afterwards. Some of which on your story

Speaker:

was, was concerning and, you know, the wires

Speaker:

is what. Is what comes to mind, having to

Speaker:

have those taken out. And then I also downloaded

Speaker:

these on the request of my stepmother who was

Speaker:

with my father at that Dr. Oz surgery. She told me about

Speaker:

these guided meditations. I'll have to

Speaker:

look up that one's name. But I did these guided meditations

Speaker:

about, you know, the week or two before

Speaker:

the surgery, which just were all about getting the nervous

Speaker:

system to relax, to trust the

Speaker:

surgery and the surgical team. Her name is Bella Ruth.

Speaker:

Oh, yep. I use Bella Ruth Nappersteck as well. She's quite the name.

Speaker:

Yeah, yeah, yeah. Those were, those were really

Speaker:

profound for some people. Might be a little New agey

Speaker:

sounding and it's very soothing kind of thing. But from. I found that to

Speaker:

be quite remarkable. I went into the

Speaker:

surgery as calm as I could possibly be. I

Speaker:

really had. I surrendered to the whole thing, which is

Speaker:

a practice that I, you know, work with people on in my, in my own

Speaker:

coaching practice, which is radical acceptance and

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surrender, which is just recognizing this is happening now

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I can either resist it, you know, and suffer, or

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I can let go into it and, you know, let

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my body handle it. Yeah. So that, that

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led up to the 12th of December in 2023, which is

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when I had seven hour surgery and I was on the five

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hours. Yeah, they got to go in there

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and scrape this thing off piece by piece all around your

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heart, you know. You know, what I'm envisioning right now

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is like a raw egg and

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the surgeon's trying to chip away at just the shell because you say it

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was so calcified and then the yolk is your heart.

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That's exactly it. That's exactly it. So when.

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So on the heart by heart lung bypass machine, you know, the heart stops

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so it's easier to do that. But obviously there's dangers being on the heart

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bypass machine. And that was some of the stuff I was very concerned about because

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yeah, there's post surgical issues with

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cognitive pump head. They call it pump head.

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Okay. Yeah. So I was afraid of all of that and it went

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off without a hitch, I guess. And you know, here I am,

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obviously to tell the story, dude, seven

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hours. I think seven hours. Besides my dad,

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my dad's quintuple bypass was eight hours. And I think

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you're now my like, yeah, you're. You win number number two

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for, sorry, really long heart surgeries. Geez.

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I just, I'm just taking a minute to take all that in because it. I

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have so many questions, but it's just a lot to take in.

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Thank you to your liver for letting us know that you needed

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help for sure. And thank you to that amazing hepatologist that

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helped you connect the dots. And thank you to you who was

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incessant in asking questions and not

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accepting, you know, these answers that didn't resonate with

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you. And I think that's a really big.

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I'm taking so much away from our conversation today already. But

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that's. That just continues to drive home for me and

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hopefully those listening that like our intuitions are

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everything. We are in the driver's seat of our health

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care and if something doesn't feel right, we have

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the right to continue to pursue

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other avenues. And that's what you did, thankfully. A hundred

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percent. Yeah, 100%. And. And from this

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experience, I recognize the, you know, the dislocated nature

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of our healthcare system. Unless you're in like a managed care facility

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of some kind like Kaiser back in California, you have

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to make some leaps sometimes between, you know, your

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local person and a specialist and then maybe,

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you know, a distant hospital, and that's on

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you. Basically. They'll make a referral, but that will just get lost

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a lot of times. And so pushing through the medical

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system gently but firmly and calling back and

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calling back and calling back, and you think you might be bothering people,

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but they're busy and they need to. They need to realize

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that, that you need help and you could slip

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through their cracks. And it's really, really important. I would just, for

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anybody listening to push pretty hard when

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you know that you need something. Yes. And I had to do the same.

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And I'm having flashbacks of

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how tiring it was to pick up

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the phone when my heart had any. Had hardly any

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juice left. I mean, it was so under oxygenated and here I'm

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still having to pound the pavement. And, you know, it was

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interesting and it doesn't seem like you had this

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mindset, but I had to really tune out my

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loved ones who said, just be patient. Wait, let them

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come to you. And I was like, no, I can tell

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I don't have much time left. And it's

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hard to find the courage, but you have

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to. To tune out what? We've kind of been

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conditioned to believe that we aren't allowed to be in the driver's

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seat, that we aren't allowed to be the squeaky wheel. But you're right.

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I mean, especially in today's health care system. Post

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Covid. Yeah, everyone's tired, everything's

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understaffed. So it really is on us

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to. To be in the driver's seat and get us to where

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we need to go. There's a difference between, you know, being

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a hypochondriac and then not knowing what you're really

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need and not knowing what's going on. But when you know

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that, that you have something going on, you need the help.

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You know, driving towards that. That help is, Is

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everything. Yes. Yes. So in the moments

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we have left, we, you, you're, you're.

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Obviously you made it through your surgery. And

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what date was your surgery? It was December 12,

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2023. Okay. Yeah. It was about six. Six weeks later,

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driving up to Ohsu to meet with the cardiologists when I

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decided that I would start Training for the Mount Ashland Hill

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climb. This half marathon thaw up a mile

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from my town to the top of Mount Ashland. Because I hadn't been.

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Nobody called me from cardiac, you know, physical therapy or

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whatever they call that. I forget. Cardiac rehab.

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Cardiac rehab. We tried a bunch of times to get in touch with them and

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I just couldn't. And I was like, you know what? I'm going to do my

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own cardiac rehab and I'm going to do this thing

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because I don't know if I'll ever be able to do it again if I

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don't do it now. And you know, that started,

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started this, this sensation and the feeling of, of time

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and life being very, very precious and, you know,

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to, to really decide what you want to do, what I want

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to do and not let fear and,

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you know, disbelief get in the way of me doing, doing things.

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So I started training for this, this thing that I would do

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six months after surgery, which I didn't know if I could actually do or would

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actually make it. But I started running in the dark

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and the cold in February. And you know, at 6:00 in the morning, I would

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go out to a track and walk around, you

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know, halfway around, stop or whatever and eventually

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maybe jog around a little bit, you know, eventually,

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week by week, day by day, working up to, to this

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big summiting of this mountain in four hours from the bottom,

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from the, from our town to the top of this mountain. It was quite, quite

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the experience. And so you did it, you, you did the half

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marathon? I did that, yeah. January, I mean, on June

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8, which was my daughter's birthday, she wasn't happy about that at all, but she

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met me up to, at the top and did the last, the last

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mile, which is the steepest mile up the ski mountain to Mount

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Ashland. And yeah, I did that. And

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I'm continuing to run and I get up in the morning still.

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Now it's getting dark again, doing, running in the dark. And that was one

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of the things I could never do before the surgery that I didn't

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know why I could never run long

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distances. And now I can do 4, 8, 10, 12

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miles without thinking about it too much. A whole new lease on

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life. It's like your heart has so much room now. It's just like,

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yes, it's totally. And I really felt that for

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a while, really. And I can still feel like I can most

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of the time feel my heart beating into my chest just because

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it has so much room now to

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expand. How has this changed you? Spiritually well, it

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has definitely given me this sense

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of the preciousness of life. Right. It's really

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just I had, you know, I worked on this

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myself in the past. I think about death

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maybe more than the average person. You know, I work in health care.

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My friend died of cancer last year.

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It has brought me even more into the

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present, into the present moment. And

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it's as though I feel like a demand on my

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system, you know, for whatever. Whatever it is that wants to be

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expressed as me, through me in this life is

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much clearer and definitely feels demanding about

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it. So there's more of me that I'm getting out of the

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way and allowing this to, to come through as clearly as

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possible. So it's like this open heart surgery is

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brought clarity. It opened my heart, you know, in a certain

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way. You know, my heart was always the guiding

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source for me, you know, when I had those skip beats, you know, 25 years

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ago or whatever, and always feeling into my heart to try to understand

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what it is that I want. And my heart was constricted,

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literally constricted. Right. And so what was that doing to me

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psychologically, what was that doing to me spiritually? It's hard to

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exactly say, but there's definitely this sense of, of

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unburdenedness and openness

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and possibility. And like I said, there's this kind of

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sense that some, you know, everything that I've thought about

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wanting to do or, you know, whether it's with work or with

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life or, you know, the community, like I, I gotta

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do, because there's not infinite amount of time

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here. What's one piece of advice

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you want to give to heart patients coming after you? Well, I would

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definitely say, you know, bottom line is we should all be regulating

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our nervous systems, you know, really, really understanding

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and working with this part of us that is

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deciding for us really whether we're safe or whether

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we're in danger and trying to get past a lot of

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what we experience as danger, which really isn't, you know, and,

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and then, and then being able over time with some

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regulation, with some strengthening, to be able to actually deal with the

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actual danger when it comes. Right. So that you don't overdo

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it. Most people, I notice,

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are overreacting in their lives to

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the just incredible amount of stimulus coming in into our

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systems every single day. All the information, you know, all the issues

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around politics or world issues and

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wars and, you know, down to our bank accounts

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and paying rent and, you know, dealing with our loved

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ones. Right. All of this stuff creates this sense that we're in

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danger and our, we're, our nervous systems are hyped up

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too, too often for too long. And so getting ourselves to

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relax, to learn how to breathe properly, to strengthen our

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bodies and to, to be able to root in, in a sense of,

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of, of peace and ease will

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help any of us not become hard patients, number one. And then if

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you are a heart patient, help, help soothe and heal.

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And when we relax, when we get that nervous system to relax, that's when our

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body repairs itself and our, our body and mind can

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connect and rejuvenate. Beautiful.

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And how do we find you? How can

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listeners find you? Because you help people with this. Yeah. So I

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work directly with people on this. You can go directly to my website,

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jeremyrothenberg.com I also have a channel on

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Insight Timer. I teach meditation, lead meditations. So

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I think that's insidetimer.com Jeremy Rothenberg and

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we can include, I guess links. I'll have all that in the show notes for

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listeners. Great. Yeah. So I offer people free

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coaching sessions when they're available and we can have

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a 30 minute talk about what's going on for you and give you some free

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coaching and see what's available for you.

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Wow. Incredible. I hope listeners will take you up on that because

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you are just an absolute joy to speak with and, and I

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so appreciate your willingness to be vulnerable and

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be seen, be heard and share your story because none

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of us have to go through this alone. And I know that

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your story of hope, inspiration and healing will help many others.

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So thank you, Jeremy. Thank you so much. It's great talking to you. I really

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enjoyed it and you've heard it here. You will find Jeremy

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Rothenberg in the show Notes. Please do consider reaching out

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to him. And if you have never used Insight Timer, I

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love it. It is such a great tool

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and there are so many different like options on there to

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listen to Jeremy. They have just like singing bowls

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and I don't know, it's like all kinds of bells and whistles that can help

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us through kind of the interesting time we find ourselves in here on

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planet Earth. So thank you so much for joining. Joining

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us today with open heart surgery with boots. Please be sure to come back next

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week. I've got another episode queued up for you.

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I know you're going to love it. Until then, I love you.

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Your heart is your best friend.